Yonke into ekufuneka uyazi ngeHerpes kunye nendlela yokuYivavanya ngayo

Umxholo

• Yintoni iHerpes, ngokuchanekileyo?
• Uthini umahluko phakathi kwe-HSV1 kunye ne-HSV2?
• Wazi Njani Ukuba Unesifo Seherpes?
• Iimpawu zeHerpes
• Uvavanyelwa njani iHerpes
• Kutheni oogqirha bengasoloko bevavanya iiherpes
• Ngaba ke kufuneka Uvavanyelwe iiHerpes Nokuba awunampawu?
• Uyinyanga njani iHerpes?
• Umgca ongezantsi
• Uphengululo lwe

Ukuba kukho nantoni na efihliweyo kwii-#fakenews ngaphezu konyulo lwe-2016 okanye ubudlelwane buka-Lady Gaga kunye noBradley Cooper emva kokukhululwa Kuzalwa inkwenkwezi, ziiherpes.

Ngokuqinisekileyo, abaninzi abantu banokukuxelela ukuba i-herpes lusulelo oludluliselwa ngesondo (STI). Kodwa ngaphaya koko, abaninzi abayazi indlela esasazeka ngayo, nendlela onokuzikhusela ngayo, nokuba banayo. Oku yi ngokwenene ukusilela kwinxalenye yenkqubo yethu yezempilo yezesondo ngokujonga ukuba intsholongwane ixhaphake kakhulu- njengakuyo, kuqikelelwa ukuba ama-50 ukuya kuma-80 epesenti yabantu abadala ngoku ahlala neherpes kwaye iipesenti ezingama-90 ziya kuvezwa kwintsholongwane xa ineminyaka engama-50, kuqhelekile, kuJohn's Hopkins Medicine.

Ukuphelisa iinyani ezivela kwintsomi yasezidolophini, oogqirha abathathu abaziingcali kwimpilo yezesondo balapha ukuze bachithe le STI ixhaphake kakhulu. Ngezantsi, funda ngokuthe ngqo ukuba yintoni i-herpes, iimpawu ze-herpes, ukuba isasazeka njani, indlela yokuvavanya i-herpes, kwaye kutheni oogqirha abaninzi bengayi kwenza uvavanyo lwe-herpes ngaphandle kokuba ngokucacileyo yicele (yasendle, akunjalo?).

Yintoni iHerpes, ngokuchanekileyo?

Masiqale ngento osele uyazi: I-Herpes lusulelo olusasazeka ngesondo olusasazwa ngoqhagamshelwano lwesikhumba. Ngokukodwa, i-herpes yi-STI yentsholongwane, ucacisa uKimberly Langdon, MD, ob-gyn, umcebisi kwezonyango kwiPoding Pod. Intsingiselo, ngokungafaniyo ne-STIs yebhaktheriya (okt i-chlamydia okanye i-gonorrhea) enokunyangwa ngokupheleleyo nge-antibiotics, i-herpes ihlala kwi-nervous system xa uyifumene (njengenkukhu okanye i-HPV). Ke, hayi, i-herpes ayihambi.

Kodwa oko kuvakala kuyothusa kunokuba kunjalo! "Intsholongwane ingaba okanye ilele, oko kuthetha ukuba abanye abantu banokuba nale ntsholongwane kodwa bahambe iminyaka phakathi kokuqhambuka, ngelixa abanye bengazange babe nokuqhambuka kokuqala," ucacisa. Kwaye, kukho iindlela zokulawula intsholongwane (ngakumbi kule ingezantsi) ukuze wonwabe, usempilweni, kwaye uzaliswe lulonwabo ngokwesondo kunokwenzeka. Ukuguqulelwa: Unokuba ne-herpes kwaye awuzange ube neempawu, kwaye ke awunalo nofifi.

Ezinye iinkcukacha zibonisa ukuba kukho iintlobo ezingaphezu kwe-100 zentsholongwane ye-herpes. Kukho ezisibhozo ezichaphazela abantu, kubandakanywa iintlobo ezibangela inkukhu, i-shingles, kunye ne-mono, kodwa mhlawumbi uve kuphela ezimbini: i-HSV-1 kunye ne-HSV-2.

Uthini umahluko phakathi kwe-HSV1 kunye ne-HSV2?

Gladddd ubuzile! I-HSV-1 kunye ne-HSV-2 ezimbini ziintlobo ezahlukeneyo zentsapho efanayo yentsholongwane. Ngelixa usenokuba weva abantu bebanga ukuba i-HSV-1 = i-herpes yomlomo, ngelixa i-HSV-2 = i-herpes yesini (Heyi, akukho mthunzi, iindaba ezingeyonyani zinokosulela ngakumbi kunentsholongwane!)

Uhlobo lwentsholongwane lwe-HSV-1 lukhetha i-membrane ye-mucus yomlomo (owaziwa ngumlomo wakho), ngelixa i-viral strain i-HSV-2 ikhetha i-membrane ye-mucus yangasese (i-junk yakho). (Inwebu ye-mucus lunwebu olufumileyo olunamadlala enza i-mucus, ulwelo olungqindilili, olutyibilikayo—yaye luhlobo lomphezulu apho ezinye ii-STIs zikhula kakuhle.) Kodwa oko akuthethi ukuba ezo ntlobo zezifo zinokukhula. kuphela Ukosulela la mabala athile, ucacisa uFelice Gersh, MD, umbhali we I-PCOS SOS: Indlela yobomi yeGynecologist ekubuyiseleni ngokwendalo iiRhythms, iiHormones, kunye noLonwabo.

Masithi, umzekelo, umntu one-HSV-1 ngomlomo we-herpes akaniki mqobo (funda: akukho khondom okanye idamu lamazinyo) ngesondo ngomlomo kwiqabane labo. Elo qabane linokufumana ikhontrakthi kwi-HSV-1 kwilungu labo lobuni. Ngapha koko, "kule mihla, i-HSV-1 ngoyena nobangela uphambili we-herpes yamalungu esini," utshilo uGqirha Gersh. Kwakhona kunokwenzeka ukuba i-HSV-2 yosulele umlomo kunye nemilebe. (Eyeleleneyo: Yonke into omele uyazi malunga ne-STD yomlomo, kodwa ungayazi)

Uqikelelo lukaGqirha Gersh kukuba abantu abaninzi abazi ukuba izilonda ezibandayo (ngamanye amaxesha zibizwa ngokuba ngamadyungudyungu omkhuhlane) zii-herpes, ngoko ke sukucinga kabini ngokunika iqabane lakho (elingathinteliyo) ngokwesondo ngomlomo xa line blister , kwaye abantu abaninzi abane-herpes yangasese abazi ukuba banayo, ngoko musa ukucinga kabini malunga nokufumana isondo somlomo. (Kwakhona, akukho mthunzi-ubungenalo nofifi.) Oku kusizisa kumbuzo ...

Wazi Njani Ukuba Unesifo Seherpes?

Siza kuyithetha kwakhona kubantu abasemva: Awunakuxela ukuba awunayo okanye awunayo (okanye omnye umntu!) Une-STI ngokujonga nje kubo okanye i-junk yabo-kwaye oko kubandakanya i-herpes. Enyanisweni, ngokutsho kukaGqr Gersh, kwindawo ethile phakathi kwe-75 kunye ne-90 ekhulwini labantu abanengxelo ye-herpes ukuba bangabonakali ngokupheleleyo.

Iimpawu zeHerpes

Nangona uninzi lweziganeko zingabonakali, olona phawu luphambili lwe-herpes zizilonda ze-herpes, eziqhele ukuba liqela lokurhawuzelela / ukurhawuzelela / okanye iblisters ezibuhlungu / amaqhuma ajikeleze imilebe, ubufazi, umlomo wesibeleko, ipenisi, i-bum, i-perineum, i-anus, okanye ithanga .

Ezinye iimpawu ze-herpes zibandakanya:

• I-lymph nodes ezidumbileyo
• Intloko okanye iintlungu zomzimba
• Ifiva
• Iintlungu xa uchama
• Iintlungu zemisipha
• Ukudinwa ngokubanzi

Xa iimpawu zivela kwaziwa ngokuba yi "herpes outbreak." Abanye abantu baya kuba noqhambuko olunye kuphela ebomini babo! Kwaye nakwabo baqhambuke kamva, uGqirha Gersh uthi uqhambuko lokuqala lolona lubi kakhulu. Kungenxa yokuba ngexesha lokuqhambuka kokuqala (okwaziwa ngokuba 'sisifo sokuqala'), umzimba uvelisa izilwa-buhlungu ezinceda amajoni omzimba alwe nosulelo, utshilo. Kungenxa yoko le nto izinto ezithintela amajoni omzimba njengoxinzelelo (ngokwasemzimbeni okanye ngokweemvakalelo), ukuhla kwehomoni (njengokuya exesheni, ukukhulelwa, okanye utshintsho kulawulo lokuzalwa), ukuvezwa kotshintsho lobushushu, kunye nokuba nolunye usulelo kunokubangela uqhambuko olulandelayo okanye kubangele uqhambuko oluhlala luhleli inde.

Kodwa, oku kubalulekile: Kunokwenzeka kakhulu ukuba i-herpes ifumaneke okanye idluliselwe ngaphandle kokungabikho kwazo naziphi na iimpawu, ngenxa yento ebizwa ngokuba 'yintsholongwane yentsholongwane' (xa intsholongwane iphindaphinda ngaphakathi emzimbeni wakho kwaye iiseli zentsholongwane zikhululwa kwindawo engqongileyo. ). Ke, ekuphela kwendlela yokwazi ukuba unayo i-herpes kukuvavanywa. (Idibeneyo: Kufuneka uvavanywe kangaphi kwii-STD?)

Uvavanyelwa njani iHerpes

Ukuba unezilonda ezibonakalayo ze-herpes, ugqirha wakho unokwenza uvavanyo lwe-swab. Oku kubandakanya ukugoba iblister evulekileyo (okanye ukuvula iblister ukuze uswaze ulwelo ngaphakathi), emva koko uthumele ingqokelela kwilebhu yento ebizwa ngokuba luvavanyo lwe-polymerase chain reaction (PCR), olunokubona i-HSV. (Oko kuthethiweyo, ugqirha wakho unokukwazi ukukuxilonga ngokujonga nje isilonda, ngokweZiko loLawulo lweSifo kunye noThintelo okanye iCDC.)

Ukuba akukho zilonda zikhoyo, uvavanyo lwe-swab alusebenzi; "inkcubeko yolusu okanye ngaphakathi kwilungu lobufazi okanye emlonyeni kungangabinaziqhamo," utshilo uGqirha Langdon. Endaweni yoko, ugqirha wayenako (qaphela: unako, ayifuni) ukwenza uvavanyo lwegazi kwaye uvavanye igazi lakho malunga ne-HSV-1 okanye i-HSV-2 antibodies. Umzimba wakho ngokwendalo uvelisa izilwa-buhlungu ukuphendula abahlaseli bamanye amazwe (njengeeseli zentsholongwane ye-herpes) ukunceda ukulwa nosulelo. Ukuba amajoni omzimba akhona, oko kubonisa ukuba usesichengeni sentsholongwane. UGqr. Langdon uthi: “Uvavanyo lwegazi lunokusetyenziswa xa kukho izilonda.

Kutheni oogqirha bengasoloko bevavanya iiherpes

Nanku apho kuya kubakho ukukhohlisa: Nokuba uya kugqirha ukuya kuvavanywa i-STI, uninzi lwabanikezeli beenkonzo zempilo abavavanyi i-herpes. Ewe, nokuba uthi: "Ndivavanye kuyo yonke into!"

Ngoba? Kuba iCDC kuphela icebisa ukuba kuvavanywe abantu abafumana iimpawu zesini ngoku. Yintoni enika?

Ukuqala, i-CDC icebisa uvavanyo lwe-STD lwe-gonorrhea kunye ne-chlamydia kunye okanye ngaphandle kweempawu kuba ukuba ayiphathwanga, ezo zinokuba neziphumo ezibi zempilo. (Cinga: isifo sokudumba kwenwebu, ukungachumi, kunye neengxaki ngexesha lokukhulelwa.) I-Herpes, kwelinye icala, ayikhokeleli kwiingxaki ezinzulu zempilo. (Mayizike). UGersh uthi: "Ngokwazi kwethu, akukho zimpembelelo zexesha elide kwezempilo zokuba neherpes," utshilo uGqirha Gersh. Kwaye ngelixa uqhambuko lungonwabi, uthi uninzi lwabantu lunokuqhambuka okumbalwa ebomini babo. (Eyeleleneyo: Ngaba i-STI ingazihambela?)

Okwesibini, ukuxilonga i-herpes yesini kumntu ongenazo iimpawu akubonisanga lutshintsho kwindlela abaziphethe ngayo ngokwesondo-njengokunxiba ikhondom okanye ukuyeka ukwabelana ngesondo-kwaye ayimisanga nentsholongwane ekusasazeni, ngokwe-CDC. Ngokusisiseko, uluvo lwabo kukuba abantu banesiphene ekusebenziseni ukhuselo (oluthi, ngenxa yerekhodi, linciphise kakhulu ukusasazeka kwee-STIs xa zisetyenziswe ngokuchanekileyo), kwaye isifo esichanekileyo asenzi mahluko kwintsholongwane 'ukusasazeka kubemi .

Okokugqibela, kunokwenzeka ukuba ufumane isiphumo sokuvavanywa kwegazi esinyanisekileyo (kwakhona, luhlobo lovavanyo ekufuneka lwenziwe xa kungekho zimpawu). Intsingiselo, unokuvavanya ngokuqinisekileyo izilwa-buhlungu ze-HSV xa ungenayo intsholongwane, ngokwe-CDC. Ngoba? Umzimba wakho wenza ii-antibodies ezimbini ezahlukeneyo ukuphendula intsholongwane ye-herpes ebangela uvavanyo lwe-herpes antibody: IgG kunye ne-IgM antibodies, ngokwe-American Health Health Association (ASHA). Uvavanyo lwezikhuseli-zikhuseli nganye zinemiba embalwa eyahlukeneyo. Uvavanyo lwe-IgM lunokuvelisa iimpembelelo zobuxoki kuba ngamanye amaxesha zinqamleza ukusabela kunye nezinye iintsholongwane ze-herpes (umz Ukuqhamka kwe-herpes eyaziwayo, ngokwe-ASHA. Uvavanyo lwe-IgG antibody luchanekile kwaye luyakwazi ukwahlula phakathi kwe-HSV-1 kunye ne-HSV-2 antibodies; Nangona kunjalo, ixesha elithathwayo kwii-antibodies ze-IgG ukufikelela kumanqanaba afumanekayo anokuhluka ukusuka komnye umntu ukuya komnye (ukusuka kwiiveki kuye kwiinyanga), kwaye ayinakho nokufumanisa ukuba indawo yosulelo yomlomo okanye yomlomo, ngokwe-ASHA.

Kufanelekile ukukhankanya ukuba i-viral swabs kunye neemvavanyo ze-PCR, ezinokuthi zenziwe xa izilonda zi ngoku, zichanekile ngendlela emangalisayo, ngokukaGqirha Gersh.

Ngaba ke kufuneka Uvavanyelwe iiHerpes Nokuba awunampawu?

Oogqirha bawela kwiinkampu ezimbini apha. UGersh uthi: "Ngelixa usulelo lwe-herpes luqhelekile kwaye alunangxaki, ngokoluvo lwam, kungcono ukuba abantu bazi imeko yemizimba yabo."

Abanye oogqirha bayaphikisa ukuba akukho nzuzo kuvavanyo lwe-herpes ngaphandle kobukho beempawu. "Ngokwembono yezonyango, [ukuvavanya i-herpes ngaphandle kweempawu] akuyomfuneko," kusho uSheila Loanzon, MD, umbhali wencwadi Ewe ndineHerpes kunye nebhodi eqinisekisiweyo ye-ob-gyn engaphezulu kweminyaka eyi-15 yesigulane kunye namava omntu oxilonga i-herpes. "Kwaye ngenxa yebala lentsholongwane, ukuxilongwa kunokuba yingozi kwimpilo yomntu kwaye kudala ihlazo elingeyomfuneko, unxunguphalo lwengqondo kunye noxinzelelo." Ukujonga uxinzelelo kunxulunyaniswa nemicimbi emininzi yempilo enjengokwanda komngcipheko wokubetha, izifo ezinganyangekiyo, isifo sentliziyo, nokunye okuninzi, ukuxilongwa kunokwenza ingozi enkulu kunokulungileyo.

Nokuba ungabuza ugqirha wakho ukuba akuvavanye i-herpes kukuwe. Iimpawu okanye akunjalo, unelungelo lokwazi imeko yakho ye-HSV. Ke, ukuba unomdla, yima kwaye ucele ugqirha wakho ukuba akuvavanyele i-herpes. Qaphela: Uvavanyo lwe-STD lwasekhaya ngoku lulula kakhulu, kwaye iinkampani ezininzi zibandakanya uvavanyo lwe-herpes ekhaya-ngesiqhelo kuvavanyo lwegazi lwe-PCR- njengenxalenye yeminikelo yabo. Oko kwathethi, iminikelo yokuvavanywa kweherpes ekhaya iyahluka kwinkampani; umzekelo, abanye bavavanya kuphela uhlobo olunye lwentsholongwane, abanye banikezela ngengcebiso emva koxilongo, njl.

Nangona kunjalo, ngaphambi kokuba uthathe isigqibo sokuvavanywa, chitha ixesha elithile ungafundi ezinye ze-HSV-stigma okwangoku ezendeleyo kwinkcubeko. UGersh uthi: "Inani lehlazo elijikeleze i-herpes lihlekisile; akukho nto ilihlazo ngokuba nentsholongwane," utshilo uGqirha Gersh. "Ukuhlazisa umntu ngokuba ne-herpes kuyahlekisa njengokuhlazisa umntu ngokuba ne-coronavirus." Ngokukodwa xa isiqwenga esikhulu sabantu sinaso okanye sinokuthi siyifumane kwisivumelwano ebomini babo.

Ukulandela ii-akhawunti ze-Instagram ezingenazintloni ze-STI-ezinje nge-@sexelducation, @hsvinthecity, @Honmychest, ukubukela i-TedTalk ka-Ella Dawson "I-STIs ayiyosiphumo, ayinakuphepheka," kunye nokumamela i-podcast Into ekhuthaza abantu abanesimo esihle. iindawo zokuqalisa.

Unokufuna nokucinga ngento oza kuyenza ngalo olo lwazi. "Ukuba uvavanyo luthi unayo, awuzange uqhambuke, kwaye ungabinalo iqabane lakho nezibulala-ntsholongwane, kunokuba nzima kakhulu ukwazi ukuba wenzeni ngolwazi, utshilo uGqirha Loanzon. Umzekelo, ngaba uza kuthabatha iyeza le-antiviral (ngaphezulu koko, ngezantsi) ubomi bakho bonke nokuba awuzange ube noqhambuko? Ngaba wena neqabane lakho niya kuqala ukusebenzisa iikhondom kunye namadama amazinyo ukuba awuzange uzisebenzise ngaphambili? Ngaba uza kuwaxelela onke amaqabane akho angaphambili malunga nokuxilongwa? Le yimibuzo yonke ekufuneka uphendule ngayo xa ufumanisa ukuba une-positive. Zibuze: Ungathanda ukuba iqabane lakho lenze ntoni ukuba bebekwimeko okuyo? Ukuzixhobisa ngenyani-kunye nokujongana nebala ngokungxama, ukuze nobabini nibone umfanekiso opheleleyo hayi nje ukuxilongwa- kunokuya kude. (Bona ngakumbi: Isikhokelo sakho sokuSebenza ngokuChongwa okufanelekileyo kwe-STI)

Uyinyanga njani iHerpes?

I-Herpes ayinakunyangeka kwaye "ayihambi." Kodwa intsholongwane unako ilawulwe.

Ukuba uvavanyo luchanekile, ungathatha ichiza le-antiviral njengeacyclovir (Zovirax), famciclovir (Famvir), kunye nevalacyclovir (Valtrex). "Ezi zinokuthathwa ukukhusela ukuqhambuka okanye zingaqalwa ngokuqala kweempawu zokunciphisa ubunzima kunye nobude," kuchaza uGqr Langdon. (Ukudakumba kunye nokukhathazeka kwindawo apho i-herpes ikhoyo kunye nomkhuhlane osezingeni eliphantsi ziqhelekile kanye phambi kokuvela kweblister, utshilo.)

Xa zisetyenziswe ngokuchanekileyo, iziyobisi zinokuwunciphisa kakhulu umngcipheko wokudluliselwa kwiqabane, ngokophando. Nangona kunjalo, benzahayi yenza ukuba usulelo lungosuleli kwaphela. Khumbula: I-Herpes ingaba Kaninzi iyosulela xa iimpawu zikhona, kodwa iyosulela naxa kungekho zimpawu, ngokukaBazali obuCwangcisiweyo.

Ewe, zininzi izizathu ezibambekayo umntu anokuthi angafuni ukuthatha i-anti-viral. "Abanye abantu bafumanisa ukuba ukuthatha amayeza yonke imihla kubangela, okanye bavakalelwa kukuba kubakhumbuza ngokuxilongwa kwabo ngendlela ephazamisayo," utsho uGqr. Loanzon. "Abanye baqhambuka ngokungaqhelekanga kangangokuba akukho ngqiqweni ukuba bathathe into engama-365 ngonyaka kwintsholongwane ephuma rhoqo emva kweminyaka embalwa." Kwaye khumbula, ukuba abanye abantu banesifo esinye kuphela. Kwaye abanye abantu abanakho ukuba neentlobano zesini, ke umngcipheko wokudluliselwa yinto engeyiyo eyomcimbi.

Nokuba uthatha isigqibo sokuba uthathe amayeza, "nokuba ukhe wagqabhuka isifo somlomo okanye isifo sokudumba kwentsholongwane okanye hayi, kungcono ukuveza isimo sakho se-HSV kwiqabane lakho kuba ungangabinampawu kwaye uqhubeke usulelo, utshilo uGqirha Gersh. Ngale ndlela umlingane wakho angenza isigqibo esifanelekileyo malunga nokuba loluphi uhlobo lwezenzo ezikhuselekileyo zesondo oza kuzisebenzisa. (I-BTW: Nantsi indlela yokuba nesondo elikhuselekileyo kunokwenzeka ngalo lonke ixesha ufumana uxakekile)

Umgca ongezantsi

Ukuba ufumana iimpawu ze-herpes, kuvavanywa i-herpes kunokukunceda ufumane unyango (okanye uxolo lwengqondo) kuya kufuneka unciphise ukungonwabi kunye nokulawula eminye imiba. (Emva kwayo yonke loo nto, zininzi izizathu onokuthi ube nokufumana amaqhuma angacwangciswanga ngaphakathi okanye kwindawo ejikeleze ubufazi bakho.) Ngaphandle kweempawu, sisigqibo sakho ukuba uyafuna na ukuvavanyelwa i-herpes -usazi ukuba isifo esichanekileyo siza neseti yaso. yeziphumo.

Ekugqibeleni, eyona nto ibaluleke kakhulu kukuba uqonde ukuba ngaphandle kokuba ucele * uvavanyo lwe-herpes, ugqirha wakho ngekhe ayibandakanye kwipaneli yakho ye-STI eqhelekileyo.

Uphengululo lwe