Konke Odinga Ukukwazi Nge-Herpes nokuthi Ungahlolelwa Kanjani

-Delile

• Kuyini i-Herpes, Ngokuqondile?
• Uyini Umehluko Phakathi kwe-HSV1 ne-HSV2?
• Wazi Kanjani Uma Une-Herpes?
• Izimpawu ze-Herpes
• Ungayihlola Kanjani I-Herpes
• Kungani Odokotela Bengahlali Bahlole I-Herpes
• Ngakho-ke Ngabe Kufanele Uhlolelwe I-Herpes Noma Ungenazo Izimpawu?
• Uphatha Kanjani I-Herpes?
• Umugqa Ophansi
• Buyekeza kwe-

Uma kukhona okufihlwe yizindaba #fake izindaba eziningi kunokhetho lwango-2016 noma ubudlelwano bukaLady Gaga noBradley Cooper ngemuva kokukhululwa kwe Kuzalwa Inkanyezi, yi-herpes.

Impela, abantu abaningi bangakutshela ukuthi i-herpes iyisifo esithathelwana ngocansi (STI). Kepha ngaphezu kwalokho, abaningi abazi ukuthi lisakazeka kanjani, ukuthi ungazivikela kanjani, noma ngabe banalo. Lokhu yi okwangempela ukwehluleka ohlelweni lwethu lwezempilo yezocansi uma kubhekwa ukuthi leli gciwane livame kakhulu-njengoba kunjalo, kulinganiselwa ukuthi amaphesenti angama-50 kuye kwangama-80 abantu abadala njengamanje aphila ne-herpes futhi amaphesenti angama-90 azovezwa igciwane ngeminyaka engama-50, okuvamile, ngokusho kuJohn's Hopkins Medicine.

Ukuthola amaqiniso ngenganekwane yasemadolobheni, odokotela abathathu abagxile kwezempilo yezocansi balapha ukuzodiliza lesi sifo esithathelana ngokocansi esivame kakhulu. Ngezansi, funda kahle ukuthi i-herpes iyini, izimpawu ze-herpes, ukuthi isakazeka kanjani, ukuthi ungahlolwa kanjani i-herpes, nokuthi kungani odokotela abaningi bengeke benze ukuhlolwa kwe-herpes ngaphandle kokuthi ngokusobala cela lokho (zasendle, akunjalo?).

Kuyini i-Herpes, Ngokuqondile?

Ake siqale ngalokho (okungenzeka) osukwazi kakade: I-Herpes isifo esithathelwana ngocansi esisakazwa ngokuthintana kwesikhumba. Ngokuqondile, i-herpes iyi-STI egciwane, kuchaza uKimberly Langdon, MD, ob-gyn, umeluleki wezokwelapha weParenting Pod. Okusho ukuthi, ngokungafani nezifo ezithathelwana ngocansi zebhaktheriya (okungukuthi i-chlamydia noma i-gonorrhea) engelapheka ngokuphelele ngama-antibiotics, i-herpes ihlala ohlelweni lwezinzwa uma uyitholile (njengenkukhu noma i-HPV). Ngakho-ke, cha, i-herpes ayipheli.

Kepha lokho kuzwakala kusabeka kunalokho okuyikho! “Leli gciwane lingaba noma lithule, okusho ukuthi abanye abantu bangaba naleli gciwane kodwa kudlule iminyaka phakathi kokuqubuka, kanti abanye abakaze babe nokuqubuka kokuqala,” kuchaza yena. Futhi, kunezindlela zokulawula igciwane (okunye kulokhu okungezansi) ukuze ube nempilo yocansi ejabulisayo, enempilo, egcwele injabulo kungenzeka ngokuphelele. Ukuhumusha: Ungaba ne-herpes futhi ungakaze ube nezimpawu, ngakho-ke ungazi nakancane.

Eminye imininingwane iphakamisa ukuthi kunezinhlobo ezingaphezu kwe-100 zegciwane le-herpes. Kuneziyisishiyagalombili ezithinta abantu, okuhlanganisa izinhlobo ezibangela inkukhu, i-shingles, ne-mono, kodwa mhlawumbe uzwe ezimbili kuphela: i-HSV-1 ne-HSV-2.

Uyini Umehluko Phakathi kwe-HSV1 ne-HSV2?

Ujabuledddd ubuzile! I-HSV-1 ne-HSV-2 ezimbili ziyizinhlobo ezihluke kancane zomndeni ofanayo onegciwane. Nakuba kungenzeka ukuthi uke wezwa abantu bethi i-HSV-1 = i-herpes yomlomo, kuyilapho i-HSV-2 = i-herpes yangasese, ukuthi ukwenza lula ngokweqile akunembile. (Hhayi, awukho umthunzi, izindaba ezingamanga zingathathelana kakhulu kunegciwane!)

Uhlobo lwegciwane i-HSV-1 luvamise ukukhetha ulwelwesi lwamafinyila omlomo (aka umlomo wakho), kanti uhlobo lwegciwane i-HSV-2 luvamise ukukhetha ulwelwesi lwamafinyila (generic junk). (Ulwelwesi lwamafinyila ulwelwesi olumanzi olunezindlala ezenza amafinyila, uketshezi olujiyile, olushelelayo — futhi luhlobo lwendawo lapho amanye ama-STI echuma khona.) Kodwa lokho akusho ukuthi lezo zinhlobo zingakwazi kuphela ukuthelela lezo zindawo ezithile, kuchaza uFelice Gersh, MD, umbhali we I-PCOS SOS: I-Lifeline ye-Gynecologist's to Natural Buyisela Imigqi Yakho, AmaHormone, Nenjabulo.

Ake sithi, ngokwesibonelo, umuntu one-HSV-1 oral herpes unikeza isivimbelo (funda: awekho amakhondomu noma idamu lamazinyo) ucansi lomlomo kumlingani wakhe. Lowo zakwethu angathola i-HSV-1 ezithweni zakhe zangasese. Eqinisweni, “namuhla, i-HSV-1 iyimbangela ehamba phambili ye-herpes ezithweni zangasese,” kusho uDkt. Gersh. Kungenzeka futhi ukuthi i-HSV-2 ithelele umlomo nezindebe. (Okuhlobene: Konke Okufanele Ukwazi Ngama-STD Omlomo, Kepha Mhlawumbe Awenzi)

Umbono kaDkt. Gersh uwukuthi abantu abaningi abazi ukuthi izilonda ezibandayo (kwesinye isikhathi ezibizwa ngokuthi ama-fever blisters) ziwuhlobo lwe-herpes, ngakho-ke ungacabangi kabili ngokunikeza abalingani babo (abangenazihibe) ucansi lomlomo lapho beneblister , futhi abantu abaningi abane-herpes yobulili abazi ukuthi banayo, ngakho ungacabangi kabili ngokuthola ubulili bomlomo. (Futhi, awukho umthunzi—mhlawumbe ubungazi.) Okusilethela embuzweni...

Wazi Kanjani Uma Une-Herpes?

Sizokusho futhi kubantu abasemuva: Awukwazi ukusho ukuthi wena (noma omunye umuntu!) Unayo yini i-STI ngokubabheka noma imfucumfucu yabo — futhi lokho kubandakanya i-herpes. Eqinisweni, ngokusho kukaDkt Gersh, endaweni ethile phakathi kwe-75 ne-90 amaphesenti abantu abane-herpes babika ukuthi bangabonakali ngokuphelele.

Izimpawu ze-Herpes

Nakuba izimo eziningi zingabonakali, uphawu oluyinhloko lwe-herpes izilonda ze-herpes, ngokuvamile okuyiqembu lamabhamuza alumayo / ahlabayo / noma abuhlungu azungeze izindebe, isitho sangasese sowesifazane, umlomo wesibeletho, ipipi, iqhuma, i-perineum, i-anus, noma ithanga. .

Ezinye izimpawu ze-herpes zifaka:

• Ukuvuvukala kwama-lymph nodes
• Ukuphathwa ikhanda noma ubuhlungu bomzimba
• Imfiva
• Ubuhlungu ngenkathi uchama
• Ubuhlungu bemisipha
• Ukukhathala okujwayelekile

Lapho kuvela izimpawu kwaziwa ngokuthi "ukuqubuka kwe-herpes." Abanye abantu bazoba nokuqubuka okukodwa kuphela empilweni yabo! Futhi nakulabo abaqubuka ngemuva kwesikhathi, uDkt. Gersh uthi ukuqubuka kokuqala kuvame ukuba kubi kakhulu. Kungenxa yokuthi ngesikhathi sokuqubuka kokuqala (okwaziwa ngokuthi 'ukutheleleka okuyinhloko'), umzimba uba nama-antibody asiza amasosha omzimba ukulwa nokutheleleka, usho kanjalo. Yingakho izinto ezithiya isimiso somzimba sokuzivikela ezifweni njengokucindezeleka (ngokomzimba noma ngokomzwelo), ukushintshashintsha kwama-hormone (okufana nokuya esikhathini, ukukhulelwa, noma izinguquko zokulawula inzalo), ukuchayeka ekushintsheni kwezinga lokushisa, nokuba nezinye izifo kungase kubangele ukuqubuka okulandelayo noma kubangele ukuqubuka kwezifo ezihlala njalo. isikhathi eside.

Kepha, lokhu kubalulekile: Kungenzeka ukuthi i-herpes ithole inkontileka noma idluliselwe lapho kungekho zimpawu, ngenxa yokuthile okubizwa ngokuthi, 'i-viral shedding' (lapho igciwane liziphindaphinda ngaphakathi komzimba wakho namaseli egciwane bese ekhishwa emvelweni ). Ngakho-ke, indlela kuphela yokwazi ukuthi une-herpes ukuhlola. (Okuhlobene: Kufanele Uhlolelwe Kangakanani Empeleni Izifo Ezithathelwana Ngocansi?)

Ungayihlola Kanjani I-Herpes

Uma unezilonda ze-herpes ezibonakalayo, udokotela wakho angenza isivivinyo se-swab. Lokhu kuhilela ukuswayipha i-blister evulekile (noma ukuvula iblister ukuswayipha uketshezi ngaphakathi), bese uthumela ukuqoqwa kulabhoratri lokunye okubizwa ngokuthi yi-polymerase chain reaction (PCR) test, engathola i-HSV. (Lokho kusho ukuthi udokotela wakho angakwazi ukukuxilonga ngokubheka nje isifo, ngokusho kweCenters for Disease Control and Prevention noma i-CDC.)

Uma zingekho izilonda, ukuhlolwa kwe-swab akusebenzi; “Umkhuba wesikhumba noma ingaphakathi lesitho sangasese sowesifazane noma emlonyeni cishe ngeke uthele izithelo,” kusho uDkt. Langdon. Esikhundleni salokho, udokotela anga (qaphela: kungenzeka, ngeke enze) ukuhlolwa kwegazi bese ehlola igazi lakho ukuthola amasosha omzimba we-HSV-1 noma i-HSV-2. Umzimba wakho ukhiqiza amasosha omzimba ngokuphendula abahlaseli bangaphandle (njengamaseli e-herpes viral) ukusiza ukulwa nokutheleleka. Uma ama-antibody akhona, kukhombisa ukuthi usuthole igciwane. "Ukuhlolwa kwegazi kungasetshenziswa futhi uma kunezilonda," kusho uDkt Langdon.

Kungani Odokotela Bengahlali Bahlole I-Herpes

Nakhu lapho kuba khona ubuqili: Ngisho noma uya kudokotela uyohlolelwa i-STI, abahlinzeki abaningi bezempilo abaningi abayihloli i-herpes. Yebo, noma ngabe uthi: "Ngivivinye ngakho konke!"

Kungani? Ngoba iCDC kuphela incoma ukuhlola abantu okwamanje abanezimpawu zobulili. Yini enikezayo?

Okokuqala, i-CDC incoma ukuhlolwa kwe-STD ye-gonorrhea ne-chlamydia ngezimpawu ezingenazo noma ezingenazo ngoba uma zingalashwa, lezo zingaba nemiphumela emibi yezempilo. (Cabanga: isifo sokuvuvukala okhalweni, ukungazali, kanye nezinkinga ngesikhathi sokukhulelwa.) Ngakolunye uhlangothi, i-Herpes ayiholeli ezinkingeni ezinkulu zempilo. (Akungene lokho). "Ngokwazi kwethu, ayikho imithelela yezempilo yesikhathi eside yokuba ne-herpes," kusho uDkt Gersh. Futhi ngenkathi ukuqubuka kungakhululeki, uthi abantu abaningi banokuqubuka okumbalwa kuphela empilweni yabo. (Kuhlobene: Ingabe I-STI Ingazihambela Ngokwayo?)

Okwesibili, ukuxilonga i-herpes yangasese kumuntu ongenazimpawu akukabonisi noma yiluphi ushintsho ekuziphatheni kwakhe kocansi-njengokugqoka ikhondomu noma ukuzithiba ocansini-futhi akuzange kuvimbe igciwane ukuthi lisakaze, ngokusho kwe-CDC. Ngokuyinhloko, umbono wabo ukuthi abantu banesibindi ekusebenziseni ukuvikela (okuthi, ngokurekhoda, kunciphise kakhulu ukusabalala kwezifo zocansi lapho kusetshenziswe kahle), futhi ukuxilongwa okuqondile akwenzi mehluko ekusakazekeni kwegciwane kubantu .

Ekugcineni, kungenzeka ukuthi uthole imiphumela yokuhlolwa kwegazi okuthe xaxa (futhi, yilolo hlobo lokuhlola oludinga ukwenziwa lapho kungekho zimpawu). Okusho ukuthi, ungahlola kahle amasosha omzimba e-HSV uma ungenalo igciwane empeleni, ngokwe-CDC. Kungani? Umzimba wakho udala ama-antibodies amabili ahlukene ngokuphendula igciwane le-herpes elibanga ukuhlolwa kwe-herpes antibody: ama-antibodies e-IgG ne-IgM, ngokwe-American Sexual Health Association (ASHA). Ukuhlolwa kwamasosha omzimba ngamunye kunezinkinga ezimbalwa ezihlukene. Ukuhlolwa kwe-IgM kungaveza okuhle okungamanga ngoba kwesinye isikhathi kuyaphendulana namanye amagciwane e-herpes (isb: izinkukhu noma i-mono), akakwazi ukuhlukanisa ngokunembile phakathi kwama-antibodies e-HSV-1 ne-HSV-2, nama-antibody e-IgM awaveli njalo ekuhlolweni kwegazi nangesikhathi ukuqubuka kwe-herpes okwaziwayo, ngokusho kwe-ASHA. Ukuhlolwa kwamasosha omzimba i-IgG kunembe kakhulu futhi kungahlukanisa phakathi kwama-antibodies e-HSV-1 ne-HSV-2; kodwa-ke, isikhathi esithathayo ukuze amasosha omzimba e-IgG afinyelele emazingeni atholakalayo angahluka kumuntu nomuntu (kusukela emasontweni kuye ezinyangeni), futhi futhi ayikwazi ukunquma ukuthi indawo yokutheleleka ngomlomo noma isitho sangasese, ngokusho kwe-ASHA.

Kuyafaneleka ukusho ukuthi ama-virus swabs nokuhlolwa kwe-PCR, okungenziwa lapho kunezilonda kukhona zamanje, zinembile ngendlela emangalisayo, ngokusho kukaDkt. Gersh.

Ngakho-ke Ngabe Kufanele Uhlolelwe I-Herpes Noma Ungenazo Izimpawu?

Odokotela bawela emakamu amabili lapha. "Ngenkathi ukutheleleka kwe-herpes kuvame ukuba yingozi kakhulu futhi akukho lutho olukhulu, ngokubona kwami, kungcono kakhulu ukuthi abantu bazi isimo semizimba yabo," kusho uDkt Gersh.

Abanye odokotela baphikisana nokuthi akukho nzuzo ekuhlolweni kwe-herpes ngaphandle kokuba khona kwezimpawu. "Ngokombono wezokwelapha, [ukuhlola i-herpes ngaphandle kwezimpawu] akudingekile," kusho uSheila Loanzon, M.D., umbhali we Yebo, ngine-Herpes kanye ne-ob-gyn eqinisekisiwe yebhodi eneminyaka engaphezu kwengu-15 yesiguli nesipiliyoni somuntu siqu sokuxilonga i-herpes. "Futhi ngenxa yesigcwagcwa saleli gciwane, ukuxilongwa kungalimaza inhlalakahle yomuntu futhi kudale amahloni angenasidingo, ukukhathazeka kwengqondo kanye nengcindezi." Ukucatshangelwa ukucindezeleka kuye kwaxhunyaniswa nenqwaba yezindaba zezempilo ezifana nengozi eyengeziwe yokushaywa unhlangothi, izifo ezingapheli, isifo senhliziyo, nokunye, ukuxilongwa kungase kulimaze kakhulu kunokuhle.

Ukuthi ubuza udokotela wakho ukuthi akuhlolele i-herpes noma cha kukuwe. Izimpawu noma cha, unelungelo ngokuphelele lokwazi isimo sakho se-HSV. Ngakho-ke, uma ufuna ukwazi, sukuma futhi ubuze udokotela wakho ngokucacile ukuthi akuhlolele i-herpes. Qaphela: Ukuhlolwa kwe-STD ekhaya manje kulula kakhulu, futhi izinkampani eziningi zifaka ukuhlolwa kwe-herpes yasekhaya-ngokuvamile ukuhlolwa kwegazi kwe-PCR-njengengxenye yeminikelo yazo. Lokho kusho, iminikelo yokuhlola i-herpes yasekhaya iyahluka ngokwenkampani; isibonelo, abanye bahlola kuphela uhlobo olulodwa lwegciwane, abanye banikeza ukwelulekwa ngemva kokuxilongwa, njll.

Kodwa-ke, ngaphambi kokuthi uthathe isinqumo sokuhlolwa, chitha isikhathi esithile ufunde okuthile kwe-HSV-stigma njengamanje egxilile esikweni. "Inani lenhlamba ezungeze i-herpes liyinhlekisa ngokuphelele; akukho lutho oluhlazo ngokuba negciwane," kusho uDkt. Gersh. "Ukuhlazisa umuntu ngokuba ne-herpes kuyahlekisa njengokuhlazisa umuntu ngokuba ne-coronavirus." Ikakhulukazi lapho isinqamu esikhulu sabantu sinaso noma kungenzeka ukuthi sizosithola esikhathini sokuphila kwabo.

Ukulandela ama-akhawunti e-STI-information angenamahloni e-Instagram afana ne @sexelducation, @hsvinthecity, @Honmychest, ebuka i-TEDTalk ka-Ella Dawson "STIs Akuwona Umphumela, Ayinakugwenywa," nokulalela i-podcast Something Positive for Positive People are good izindawo zokuqala.

Ungase futhi uthande ukucabanga ngalokho ozokwenza ngalolo lwazi. "Uma kutholakala ukuthi unegciwane, ungakaze ube nokuqubuka kwesifo, futhi ungenaye umlingani wama-antibodies, kungaba nzima impela ukwazi ukuthi wenzeni ngolwazi," kusho uDkt Loanzon. Isibonelo, ngabe uzophuza imishanguzo yokulwa namagciwane (ngaphezulu kwalokho, ngezansi) impilo yakho yonke noma ungakaze ube nokuqubuka? Ngabe wena nophathina wakho nizoqala ukusebenzisa amakhondomu namadamu amazinyo uma ningakaze niwasebenzise ngaphambilini? Ingabe uzobatshela bonke abalingani bakho bangaphambili mayelana nokuxilongwa? Yonke le yimibuzo okufanele ubhekane nayo ngokuxilongwa okuhle. Zibuze: Yini obungathanda ukuba umlingani ayenze uma ekuleso simo? Ukuhloma amaqiniso — nokubhekana nokucwaswa ngqo, ukuze nobabili nibone isithombe esigcwele hhayi ukuxilongwa nje kuphela — kungaya kude. (Bona Okuningi: Umhlahlandlela Wakho Wokubhekana Ne-Positive STI Diagnosis)

Uphatha Kanjani I-Herpes?

I-Herpes ayelapheki futhi "ayihambi." Kodwa igciwane can iphathwe.

Uma uthola ukuthi une-HIV, ungathatha umuthi olwa namagciwane njenge-acyclovir (Zovirax), i-famciclovir (i-Famvir), ne-valacyclovir (i-Valtrex). “Lezi zingathathwa ukuze kuvinjelwe ukuqubuka kwezifo noma zingaqalwa ngokuqala kwezimpawu ukuze kuncishiswe ukuqina nobude besikhathi,” kuchaza uDkt. Langdon. (Ukuthambeka nobuhlungu endaweni lapho kukhona khona i-herpes nomkhuhlane osezingeni eliphansi kuvamile ngaphambi nje kokuba kuvele ibhamuza, uthi.)

Uma zithathwe kahle, izidakamizwa zinganciphisa kakhulu ingozi yokudlulisela kumlingani wakho, ngokusho kocwaningo. Noma kunjalo, bayakwenzahhayi yenza ukutheleleka kungatheleleki nhlobo. Khumbula: I-Herpes kungenzeka Okuningi iyathelelana uma izimpawu zikhona, kodwa iyathelelana ngisho noma zingekho izimpawu, ngokusho kwe-Planned Parenthood.

Vele, kunezizathu eziningi ezizwakalayo umuntu angahle angafuni ukuthatha i-anti-virus. "Abanye abantu bathola ukuphuza umuthi nsuku zonke kubangela, noma babe nomuzwa wokuthi kubakhumbuza ukuxilongwa kwabo ngendlela ecasulayo," kusho uDkt Loanzon. "Abanye banezifo eziqubuka kaningi kangangoba akunangqondo ukuthi bathathe okuthile ezinsukwini ezingama-365 ngonyaka ngegciwane eliqhamuka njalo eminyakeni embalwa." Futhi khumbula, ukuthi abanye abantu banokuqubuka okukodwa kuphela. Futhi, abanye abantu kungenzeka bangabi ocansini, ngakho-ke ingozi yokudluliswa akuyona inkinga.

Kungakhathalekile ukuthi unquma ukuthatha umuthi noma cha, "noma ngabe uke waba nokuqubuka komlomo we-herpes noma ukuqubuka kwe-herpes esithweni sangasese noma cha, kungcono ukudalula isimo sakho se-HSV kumlingani wakho ngoba ungaba nezimpawu zokuziphatha futhi udlule ukutheleleka, "kusho uDkt. Gersh. Ngaleyo ndlela umlingani wakho angakwazi ukwenza isinqumo esinolwazi mayelana nokuthi yiluphi uhlobo lwemikhuba yocansi ephephile ozoyisebenzisa. (BTW: Nansi Indlela Yokuba Nocansi Oluphephile Ngaso Sonke Isikhathi Uma Umatasa)

Umugqa Ophansi

Uma ubhekene nezimpawu ze-herpes, ukuhlolwa kwe-herpes kungakusiza ukuthi uthole ukwelashwa (noma ukuthula kwengqondo) okudingayo ukuze unciphise ukungakhululeki futhi ukhiphe ezinye izinkinga. (Ngemuva kwakho konke, kunezizathu eziningi okungenzeka ukuthi uhlangabezana nokuqubuka okungahleliwe ngaphakathi noma ezungeze isitho sakho sangasese.) Ngaphandle kwezimpawu, kuyisinqumo sakho ukuthi ufuna ukuhlolelwa i-herpes noma cha — ukwazi ukuthi ukuxilongwa okuhle kuza nesethi yako yemiphumela.

Ekugcineni, okubaluleke kakhulu ukuthi uyaqonda ukuthi ngaphandle kokuthi *ngokucacile* ucele ukuhlolwa kwe-herpes, udokotela wakho cishe akakufaki kuphaneli yakho evamile ye-STI.

Buyekeza kwe-