Horudhacaaga hore wuxuu caadi ahaan ka duwan yahay mustaqbalkiisa
Herpes genital waa cudur la isugu gudbiyo cudurrada galmada la isugu gudbiyo (STI) kaas oo saameeya dad ka badan 400 milyan oo qof oo adduunka ah. Waxaa laga yaaba inaad la yaabto inaad ogaato in dad badan oo qaba infekshanka herpes simplex aysan lahayn calaamado.
Hase yeeshee, haddii aad yeelatid calaamadaha, waxaa muhiim ah in la ogaado in herpes xubinta taranka ee ka horreysa ay ka sii xumaato soo noqoshada mustaqbalka.
Xaqiiqdii, ma aha oo kaliya in la sameeyo dillaaca cudurka herpes-ka ee mustaqbalka ayaa u muuqda mid fudud, laakiin sidoo kale waxay dhacaan wakhti yar.
Ogaanshaha waxa la filayo inta lagu jiro dillaaca ugu horeeya iyo sida looga hortago oo loo daweeyo kuwa mustaqbalka fure u ah, ma aha oo keliya caafimaadkaaga nolosha oo dhan, laakiin kuwa aad wada-shaqeeyaa sidoo kale.
Sababaha iyo Waqtiga
Waagii hore, herbeska xubinta taranka waxaa badanaaba keentay nooca fayruska 2x (HSV-2). Laakiin hadda, infakshanka herpes-ka cusub ee dhalmada waxaa sababi kara nooca fayruska hargabka ee fudud (HSV-1) iyo HSV-2.
Maadaama uu infekshanka herpes-ka la isugu gudbiyo fayraska (tusaale ahaan, taabashada xanuunka), qofku wuxuu qaadi karaa herpes xubin ka ah HSV-2 inta lagu guda jiro galmada, ama HSV-1 haddii uu qof qabo qabow oo uu ku galmoodo galmo afka ah . Dadka badankood ee qaada herpes xubinta taranka ee faafa waxay u helaan laba cisho illaa 20 cisho ka dib marka hore la qaado.
Qaybta culus ee ku saabsan gudbinta herpes waa inaad weli wadi karto fayraska xitaa haddii lamaanahaaga uusan lahayn calaamado cad ama calaamado, sida boogaha ama boogaha.
Xaaladdan waxaa la yiraahdaa shubanka asalka ah ee asymptomatic.
Astaamaha iyo Calaamadaha
Infekshanka herpes ee ugu horreeya ee caadiga ah wuxuu inta badan ku dhacaa laba illaa lix toddobaad, sida laga soo xigtay Agaasinka Aqoonyahanada Ameerika. Hase yeeshee, waxaa jira caddayn ah in dadka qaarkiis ay leeyihiin heerar hoose oo fayraska ah, xitaa marka aysan lahayn astaamo.
Kuwa qandaraaska qaada herbeska xubinta taranka waxay yeelan karaan finan xubinta taranka kaas oo soo bandhigaya sida xayawaanka cayayaanka ee saldhig cas. Meelaha qoyan sida firuska, herpes waxay sababi karaan boogo halkii ay ka soo jeedi lahaayeen.
Dumarka, herpes xubinta taranka ee ugu horeeya waxay ka dhici kartaa faayraska, afka ilma-galeenka, xubinta taranka, futada, dabada, ama bowdada. Raggu sida caadiga ah waxay ka dillaacaan caarada guska ama shafka, laakiin marar dhif ah ayay ku xiran tahay saldhigga. Ragga galmo la sameeya ragga ayaa sidoo kale laga yaabaa in ay ku soo baxaan ama ku wareegaan futada.
Dadka qaarkood waxay sidoo kale yeeshaan calaamadaha jirkooda oo dhan marka hore herpes genital outbreak. Kuwaas waxaa ka mid ah:
- Qandho
- Murqo xanuun
- Daal
- Qanjirada qanjidhada oo barara qanjidhada
Waxaa habboon in la ogaado in dumarka ay u badan tahay in ay ku dhacaan HSV-2 ragga, iyo haddii haweeney ay qaaddo herpes dillaaca afka ilmo-galeenka ama siilka, waxay ku dhici kartaa dheecaan siilka , miskaha xanuunka , ama gubasho kaadida.
Ilaalinta Lammaanahaaga
Si looga fogaado in fayrasku u gudbiyo lamaanahaaga galmada, iska ilaali jinsiga gebi ahaanba inta lagu jiro cudurka herpes-ka ee firuska. Sidoo kale, inta lagu guda jiro marxaladaha faafa ee soo noqnoqda (reursions), qof ayaa laga yaabaa in uu la kulmo calaamadaha hormoonada ah, sida tingling at site halkaas oo boogta soo baxdo. Ka fogaanshaha galmada inta lagu jiro abuurnimo ayaa sidoo kale muhiim ah in laga hortago gudbinta lamaanahaaga.
Inta aad isticmaali karto cinjirka dabiiciga ah ee ilaalinta, xusuusnow in kondoomku aanu bixin 100 boqolkiiba ilaalinta faafinta fayraska herpes. Sababtoo ah kondhomku ma dabooli karo dhamaan meelaha maqaarka ee fayraska keena.
Sidoo kale, xusuusnow in fayraska herpes weli la sii gudbin karo maqnaanshaha cudurka dillaaca firfircoon, sababtoo ah daadinta dhiigga ee asymptomatic.
Daaweynta
Herpes genital waa xaalad joogto ah. Marka infekshanku ku dhaco, fayrasku wuxuu u safraa nidaamkaaga dareenka ah halkaasoo uu ku jiifsado unugyada dareemayaasha. Hase yeeshee, marka uu kiciyay (tusaale, diiqad, xanuun, ama caadada), fayrasku wuxuu sababi karaa dillaac kale.
Inkastoo aysan jirin daawo loogu talagalay herbeska xubinta taranka, warka wanaagsani waa in lagu daaweyn karo daawooyinka afka laga qaato ee fayruska. Xaqiiqdii, sababta oo ah herpes xubinta taranka ee ugu horreysey waxay noqon kartaa mid daran ama sii socota, Xarumaha Xakameynta Cudurrada iyo Ka hortagga waxay ku talinaysaa in dadka oo dhan ay qaataan daaweynta fayruska ee loogu talagalay epilepsy.
Saddexda xulasho ee la heli karo waxaa ka mid ah:
- Zovirax (acyclovir)
- Famvir (famciclovir)
- Valtrex (valacyclovir)
Daawooyinkani waxay yarayn karaan muddada iyo calaamadaha cudurka dillaacay. Waxaa intaa dheer, qofku wuxuu qaadan karaa mid ka mid ah daawooyinkan maalin kasta si uu uga hortago in mustaqbalka dillaaca cudurrada faafa ee soo noqnoqda, taas oo sidoo kale hoos u dhigeysa fursadaha lagu qaadayo lammaanaha.
Ugu dambeyntii, markii la ogaado cudurka herbeska xubinta taranka waxay noqon kartaa culeys maskaxeed, waxaa muhiim ah in la barto sida loola socodsiiyo lammaaneyaashaaga hadda in aad qabto herpes (ama lamaanayaasha mustaqbalka kahor intaan la bilaabin xiriirka galmada).
Ereyga
Herpes genital waa caadi, sidaa darteed ha ka xishoon in la is baaro haddii adiga ama lammaanahaagu leeyahay. Waxaa jira daawo lagu daaweynayo laguna xakameynayo (laakiin aan daaweynin) herpes, laakiin waxaad heli kartaa oo keliya caawimaadkan haddii aad u aragto dhakhtarkaaga.
Haddii aad uur leedahay, waxaa muhiim ah inaad u sheegto dhakhtarkaaga haddii aad qabtid herbeska xubinta taranka ama lamaanahaaga. Waxaa suurtagal ah in aad u gudbiso cunugaaga cunugaaga inta lagu jiro dhalmada, taas oo keeni karta infekshan halis ah oo loo yaqaan ' herpes neonatal' . Si loo yareeyo khatartan, waxaa laga yaabaa in lagu siiyo daawo dhammaadka uurkaaga.
> Ilo:
> Cudurrada HSV ee xubnaha taranka. Xarunta Xakamaynta iyo Kahortagga Cudurrada. https://www.cdc.gov/std/tg2015/herpes.htm.
> Gobollada MJ. Herpes genital: Dib u eegis. Am Dr. Dhakhtarka . 2016 Jun 1; 93 (11): 928-34.
> Herpes Simplex. Akadamiyadda Mareykanka ee Dermatology. https://www.aad.org/public/diseases/contagious-skin-diseases/herpes-simplex#overview.
> Schiffer JT, Corey L. Fikradaha Cusub ee Fahamka Herpes Genital. Lacagta Caabuqa 2009 Nov; 11 (6): 457-64.