Cudurka faafa ee kor u kaca ayaa kordhin kara khatarta cudurka
Herpes simplex virus (HSV) waa cudur caadi ah ee maqaarka maqaarka ee labadaba difaaca difaaca jirka iyo difaaca jidhka. Caabuqa wuxuu keeni karaa HSV nooca 1 (HSV-1) ama HSV nooca 2 (HSV-2), waxayna u soo bandhigtaa sida herpes afka (aka hargab ama qandho xummad ) ama herbeska xubinta taranka (badanaa loo yaqaan herpes ).
HSV waxaa si fudud loogu gudbiyaa xiriirka tooska ah ee ka soo baxa xanuunka ama dheecaanka jidhka ee qof cudurka qaba, inkasta oo infekshanku dhici karo xitaa marka aysan jirin calaamado muuqda.
Caqabadaha ka hortagga ah ee qaabka cinjirka ama dhuumaha ilkaha ayaa yareyn kara khatarta gudbinta; Si kastaba ha ahaatee, infekshanku wuxuu ku dhici karaa qaybo jirka ka mid ah oo aan daboolin kondhomka.
Maanta, herpes genital waa mid ka mid ah cudurrada laysku qaadsiiyo ee galmada la isugu gudbiyo, oo lagu qiyaasay 775,000 infekshannada cusub ee Maraykanka sannad kasta. Kuwaasi, 80% waxay si buuxda uga war qabaan in ay qabaan cudurka.
Infakshanka HSV iyo Calaamadaha
HSV-1 waxaa badanaa la helaa inta lagu jiro carruurnimada oo caadiyan la xiriirta herbeska afka, halka HSV-2 uu la isugu gudbiyo galmada waxaana ugu horreyntii uu saameyn ku yeelanayaa gobolka hooyada u dhaxeysa futada iyo xubnaha taranka. Si kastaba ha noqotee, sanadihii la soo dhaafay, infekshanka afka ee HSV-2 iyo infekshanka xubnaha taranka ee HSV-1 waxay noqdeen mid caadi ah, oo laga yaabo inay sabab u tahay caadooyinka galmada ee afka. Dhab ahaantii, daraasadaha hadda waxay muujinayaan in meel kasta oo ka mid ah 32% ilaa 47% qabatada herpes ay sababto HSV-1 .
Dadka shakhsiyaadka badankood qaba HSV waxay leeyihiin calaamado ama calaamado khafiif ah oo aan la dareemin.
Marka calaamaduhu soo baxaan, waxay marka hore la yimaadaan xatooyo iyo / ama casaan, oo ay ku xigto dhaawacyo hargab oo si dhakhso ah u galmoodo nabaro furan, oo barooranaya. Dhibaatooyinka badanaa waa kuwo aad u xanuun badan oo ay weheliyaan qandho iyo qanjidhada qanjidhada oo barara.
Herbeska afka ayaa guud ahaan keena agagaarka iyo mararka qaarkood nudaha unugyada cirridka.
Herbeska xubinta taranka waxaa inta badan lagu sheegaa guska, gudaha, bawdada, bararka, iyo futada ragga, halka dhaawacyadu badanaa u muuqdaan kintirka, bararka, bararka, boogaha, iyo futada dheddigga.
Isbitaallada herpes afka iyo xubnaha taranka inta u dhaxeysa muddada cudurka firfircoon, taas oo socon karta laga bilaabo laba maalmood ilaa saddex toddobaad, oo ay ku xigto muddo dheer. Ka dib infekshanka ugu horeeya, fayruusyada waxay isku dhejiyaan unugyada dareemayaasha dareemayaasha, oo ay ku sii jiraan noloshooda. HSV waxay dib u qabsoomi kartaa wakhti kasta (iyo natiijo ka timaad tiro badan oo wax soo kicin kara ), inkasta oo xaddiga iyo darnaanta cudurrada dillaaca ay u muuqdaan inay sii socdaan wakhti ka dambeeya.
Tijaabada waxaa guud ahaan lagu sameeyaa baaritaanka bukaan-socodka, inkastoo herbeska xubnaha taranka inta badan ay ku adagtahay in la baaro sida calaamadaha u noqon karaan mid sahlan oo si fudud u wareeri kara xaalado kale (sida cudurrada cagaarshow ama fungal). Imtixaanada shaybaarka ayaa mararka qaarkood loo adeegsadaa si ay u sameeyaan ogaanshaha qeexan, oo ay ku jiraan tijaabooyinka cusub ee HSV antibody kaasoo aqoonsan kara HSV-1 ama HSV-2 leh wax ka badan 98% qeexitaan.
Xiriirka ka dhexeeya HSV iyo HIV
Dadka qaba difaaca jirka, sida kuwa qaba HIV, inta jeer ee la isku arko cudurka iyo cudurka calaamadaha HSV ayaa mararka qaarkood noqon kara mid daran, ka faafi kara afka ama xubnaha taranka si unugyada qoto dheer ee sanbabada ama maskaxda.
Sidan oo kale, HSV waxaa lagu sifeeyay "xaaladda cudurka AIDS-ka" ee dadka qaba HIV haddii ay sii dheeraato muddo ka badan hal bil ama ay ku soo baxaan sambabada, bronchi ama hunguriga.
Waxaa sidoo kale jira cadeymo sii kordhaya oo ah in gudbinta HIV ay si weyn ugu xiran tahay HSV-2. Cilmi-baarista hadda waxay soo jeedineysaa in infakshan firfircoon HSV-2, haddii astaamo ama asymptomatic, ay kordhin karto sii deynta HIV-ga unugyada mucosal ee habka loo yaqaan "dermatiga fayruska." Dhibaatadaas darted, dadka qaba hargabka fayruska aan la ogaan karin HIV , dhab ahaantii, waxaa laga yaabaa in ay sameeyaan waxqabadyo fayrus ah oo lagu ogaan karo dheecaanka xubinta taranka.
In kasta oo isticmaalka daaweynta antiretroviral therapy (CART) la og yahay in la yareeyo dhacdada HSV symptomatic, ma ahan khasab ma yareyneyso daadinta HIV.
Natiijo ahaan, dadka qaba HIV-ga qaba infakshanka HSV-2 waa seddex illaa afar jeer oo u badan inay u gudbiyaan HIV-ga lammaanaha galmada.
Sidoo kale, dadka qaba HIV-ga qaba infekshanka HSV-2 waxay halis dheeraad ah u tahay inay qaadaan HIV. Tani ma aha oo kaliya sababtoo ah dhibaatooyinka furan waxay keenaan helitaanka sahlan ee HIV, hase yeeshe maxaa yeelay HIV-du waxay si firfircoon ugu xiran tahay makraafaqyada laga helay goobaha firuska firfircoon. Marka sidaas la samaynayo, HIV-ga wuxuu si waxtar leh ugu qaadi karaa cirridka dheecaanka ee hoosta hoosta ama hoosta si toos ah dhiigga.
Daaweynta iyo Kahortaga
Xaaladu hadda ma jirto daaweyn HSV-1 ama HSV-2.
Daawooyinka lidka-fayraska waxaa loo isticmaali karaa in lagu daaweeyo HSV, badanaa waxay ubaahantahay qiyaasta sare ee dadka qaba HIV. Daawooyinka waxaa laga yaabaa in loo maamulo si kala go'an (marka laga hadlayo infekshanka bilawga ama inta lagu jiro falehada) ama sida joogtada ah, daaweyn cadaadis leh kuwa qaba dillaaca inta badan.
Saddexda daaweyn ee ugu badan ee loo isticmaalo daaweynta HSV waa Zovirax (acyclovir) , Valtrex (valacyclovir), iyo Famvir (famciclovir). Kuwaas waxaa lagu sameeyaa qaabka kiniinka afka, inkastoo ay jiraan xaalado daran oo lagu daaweyn karo acyclovir. Inta badan saamaynta daawooyinka daroogada ah waxaa loo tixgeliyaa mid sahlan, madax xanuun, shuban, lallabo, iyo xanuun jidh oo ka mid ah kuwa ugu caansan.
Daaweynta xakameynta HSV waxay yareyn kartaa halista HSV-ga qaar ka mid ah 50%, gaar ahaan isticmaalka kondhamka joogtada ah. Inkastoo daaweynta cadaadiska aan la muujin inay hoos u dhigto qatarta HIV, hal daraasad ayaa muujisay in isticmaalka maalin kasta ee loo yaqaan 'acyclovir' uu la xiriiro culeys yar oo fayruska HIV ah iyo muuqaalka hoose ee boogta xubinta taranka.
Si loo yareeyo khatarta helitaanka ama gudbinta HIV haddii aad leedahay HSV:
- Isticmaal kondham inta lagu jiro galmada siilka, futada iyo afka
- Iska yaree tiradaada lamaanayaasha galmada
- Ka fogow galmada inta lagu jiro dillaaca faafa
- Iskuday si joogto ah HIV iyo cudurada kale ee galmada la isugu gudbiyo
Ilaha:
Xarumaha Xakamaynta iyo Kahortagga Cudurrada Maraykanka (CDC). "Herpes genital - warqada xaqiiqda CDC." Atlanta, Georgia; heley March 26, 2014.
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Peña, K .; Adelson, M .; Mordechai, E .; et al. "Herpes Simplex Virus Nooca 1 ee Dumarka: Cilad ka timaadda Cervicovaginal Specimens ee Hababka Haweenka ee Maraykanka." Wargeyska Xakameynta Xanuunka Xanuunka. Janaayo 2010; 48 (1): 150-153.
Corey, L .; Wald, A .; Celum, C .; et al. "Saameynta herpes simplex virus-2 oo ku saabsan iibsiga iyo gudbinta HIV-1: dib u eegis laba jeer oo ka mid ah cudurrada faafa." Wargeyska Nidaamka Immune Deficiency Immunities. Abriil 2004; 35 (5): 435-45.
Gray, R .; Wawer, M .; Brookmeyer, R .; et al. "Waxaa suuragal ah in HIV-1 loo gudbiyo ficil ku saabsan is qabqabsiga lamaanaha, lamaanayaasha HIV-1-kudhexeeya Rakai, Uganda." Lancet. Abriil 2001; 357 (9263): 1149-1153.
Corey, L .; Wald, A .; Patel, R .; al. "Hal mar-maalin maaliyadeed si loo yareeyo khatarta lagu gudbiyo herpes." Somali Journal of Medicine. Janaayo 2004; 350 (1): 11-20.
Celum, C .; Wald, A .; Lingappa, J .; et al. "Acyclovir iyo gudbinta HIV-1 ee dadka qaba HIV-1 iyo HSV-2." Somali Journal of Medicine. Febraayo 4, 2010; 362 (5): 427-39.