Herpes Simplex Virus (HSV) chungchanga hriat tur awmte!

I hmui emaw, i serh emaw-ah tui hring te te, i hrual leh na i nei tawh em? A nih loh leh, i ṭhian emaw, i chhungte emaw, an chunga hetiang thil thleng hi i hre tawh em? Hei hi a chhan chu Herpes Simplex Virus a ni thei. Lungngai suh, hei hi mi tam tak chunga thil thleng a ni. Vawiin hian he thu hi chipchiar tak leh awlsam takin kan sawi dawn a ni.

Herpes Simplex Virus hi eng nge ni?

A awlsam zawngin, herpes simplex virus, a tawi zawngin HSV hi i taksa peng hrang hrang tam tak nghawng thei virus a ni. Mahse i hmui chhehvel (oral herpes) leh genitals (genital herpes) ah a lang tam ber .

HSV i kai chuan, chu chu i taksaah virus a luh chuan, tuiin a khat blisters (bubbles) te te a lo awm thin. Chumi hnuah chuan heng blisters te hi a inhawng a, a chungah chuan crust a siam ta a ni. Hei hi "herpes outbreak" kan tih chu a ni. Mahse a chang chuan he virus hi symptom nei lovin i kai thei a ni. Chu chu virus i vei tih pawh i hre lo mai thei tihna a ni.

A pawimawh ber chu he HSV virus hi a kai thei hle a ni . Mi pakhat atanga mi dangah vun leh vun inzawmna hmangin a darh thin. I vun leh mucous membrane (mucosa) kaltlangin i taksaah virus hi a lut a ni. Chumi hnuah virus chuan i cell te hmangin a copy a siam ta a ni. Hei hi replication an ti a .

He virus hi vawi khat i kai tawh chuan i dam chhung zawng i taksaah a awm reng a ni. A tam zawkah chuan dormant , a muhil tihna a ni. Mahse a chang chuan "a harh" thei a, chu chu a reactivated tihna a ni , chu blisters te chu a lo lang thei bawk. HSV hian engtin nge a nghawng che tih hi thil tam takah a innghat a, chung zingah chuan virus chi leh i hriselna zawng zawng pawh a tel.

Hei hi damdawi nghet tak a la awm lo . Mahse, lungngai suh, enkawl dan a awm. Heng enkawlnate hian herpes hri leng dona kawngah a pui thei a, midang hnena virus i kai theihna tur a ti tlem thei bawk.

Herpes simplex virus chi hrang hrangte chu engte nge ni?

Herpes simplex virus hi chi hnih a awm a, chungte chu:

• Herpes simplex virus chi khat (HSV-1) 1000 a awm a.
• Herpes simplex virus chi hnih (HSV-2) a awm a, a natna hi a lar hle.

HSV-1 leh HSV-2 chi hnih hian i ka (oral herpes) leh mipat hmeichhiatna (genital herpes)-ah natna a thlen thei a ni. Heng chi hnih hian taksa peng dangah natna hrik a thlen thei bawk.

Engtin chiah nge HSV virus hian kan taksa a nghawng?

Herpes simplex virus hian i taksaah a hnuaia hmun hrang hrangah hian natna a thlen thei a ni:

Kawng leh hmai chungchangah

Oral herpes hian i hmui leh hmui leh a chhehvelah blisters (a then chuan "fever blisters" an ti) a siam thin. Mi thenkhat chuan hri kai hmasak berin an hmui chhungah blisters leh symptom dang an nei thei bawk. Hei hi herpetic gingivostomatitis an ti a . A tlem hle a, hnar chungah emaw, hnar chhungah emaw pawh blister a lo lang thei bawk. Hei hi nasal herpes an ti a .

Genital area ah chuan

Genital herpes hian i genital area-ah blisters a siam thin. Hengte hi i hmuh theih hmunah (entir nan, hmeichhiaah vulva, mipaah ​​penis) emaw, i hmuh theih loh hmunah (entir nan, cervix) emaw a lo lang thei a ni.

Taksa vun hmun dangah

HSV hian i kut zungtang a kai thei bawk a, chu chu herpetic whitlow an ti a ni. A nih loh leh i taksa khawi hmunah pawh vun natna a thlen thei a, chu chu herpes gladiatorum an ti a ni. Atopic dermatitis (eczema ang chi) vei te hian HSV an kai chuan vun natna darh tak eczema herpeticum an tih chu a chang chuan an vei thei a ni.

Mit tan chuan

HSV hian mit natna khirh tak, herpes keratitis (mit herpes chi khat ocular herpes an tih) a thlen thei a ni. Hei hian mit hmuhna pawh a nghawng thei a, chuvangin enkawl vat a ngai a ni.

Thluak leh ruhro lam thlengin

Ngaihtuah teh, he HSV virus hian i thluak a kai thei! A hming chu herpes simplex encephalitis an ti a. A nih loh leh thluak leh ruhro (spinal cord) vel venhimna (protective membrane) te pawh a kai thei bawk. A hming chu herpes meningitis an ti a. A châng chuan thluak leh heng venhimna membrane pahnih hi a kai a nih chuan nunna atana hlauhawm tak, herpes meningoencephalitis an tih chu a awm thei a ni. Hengte hi dinhmun pawi tak a ni.

Internal organ dangte hnenah

HSV virus hian i rilru leh pum chhunga taksa peng pakhat emaw a aia tam emaw a nghawng thei a ni. Entirnan, chaw kawng (herpes esophagitis ), lung ( HSV pneumonia) , leh thin ( HSV hepatitis ) te a nghawng thei a ni. Heng natna hrik hi taksa chak lohna nei te zingah a tam ber a ni .

Herpes simplex natna lan chhuah dan chu engte nge ni?

HSV natna lan chhuah dan hi natna chi hrang hrang a zirin a inang lo. Heng symptoms te hi engtin nge a lan chhuah ber tih hi han thlir ila:

• Oral herpes natna: 1.1.Ka hmuiah emaw, ka chhehvelah emaw blisters a awm. Vun chu darkar 48 vel chhung chu a hring, a hring emaw, a kang emaw a ni thei a, chutah chuan a hring a lo lang thei.
• Genital herpes: Mipat hmeichhiatna hmun leh a chhehvela blister awm. A lan chhuah dan chu khawsik, lu na, lymph nodes hring , a nih loh leh genital warts kan tih ang chi, leh genital area-a itching emaw, rilru hahna emaw, blisters a lo lan hma darkar 48 thleng a ni thei.
• Herpes gladiatorum: Vun khawi hmunah pawh, a bik takin kut, hmai, beng emaw, rilruah emaw a hring chhuak thin.
• Herpetic whitlow: Kut zungtang ah vun a hring, nail vel vun rawng a danglam, kut zungtang a hring.
• Herpes keratitis (eye herpes): Mit na emaw, inflammation emaw, mit chhunga thil awm ang maia hriatna, êng laka invenna, mitmeng emaw mit vel emawa blister awm.
• HSV encephalitis: Lu na, khawsik, focal seizures , thusawi emaw nungchang emaw inthlak danglamna.
• Herpes meningitis: Lu na, khawsik, êng hriatna.

Engtin nge HSV infection kan neih theih ang?

HSV vei nen direct contact hmangin HSV i hmu thei. Chumi awmzia chu i taksa peng pakhat chu a hnuaia mite nen hian a inzawm a ngai tihna a ni:

• Herpes blisters (kawngah emaw, mipat hmeichhiatna hmunah emaw).
• Vun emaw, mucosal surface (kawng, vagina, emaw rectum ang chi) – hengte hi hmuh theiha blister awm leh awm loh pawhin kai theih a ni.
• Saliva , semen, emaw vaginal discharge – hengte hi natna kai theihna chhinchhiahna awm leh awm loh pawhin kai theih a ni.

HSV vei chuan an taksa peng zawng zawng atangin hri hi a paih chhuak lo. Virus hi hri kai awmna hmun atang chauhin a chhuak thin . A tlangpuiin, chu chu HSV taksa chhunga a luh hmasak berna hmun atang a ni.

Entirnan, mi pakhatin genital herpes a neih chuan, he virus hi an genital area-a vun, mucous membrane leh taksa tui kaltlangin chauh a kai thei a ni. HSV hi an hmui hmanga kai theih a ni lo – mahse oral herpes pawh an nei a nih chuan chu chu thil danglam tak a ni (chu chu a hnuah kan sawi leh ang).

Tin, i kawppui hian oral herpes nei mahse genital herpes nei lo angin han ngaihtuah teh. Tichuan an serh khawih atanga HSV kai tur ngaihtuah buai a ngai tawh lo. An hmui emaw, an hmui emaw i khawih avanga HSV vei theihna i nei chauh a ni.

Mahse i kawppui hian oral herpes leh genital herpes a nei ve ve a nih chuan an hmui leh an serh atang hian HSV i kai thei a ni. Mahse virus hian engtin nge a nghawng che tih chu i taksa peng eng nge a khawih tih a innghat a ni. Hei hi tlem a thuk zawka thlir tur a ni.

Herpes simplex virus hi eng chen nge a awm chhung?

Herpes simplex infection te incubation period , virus taksaa a luh leh a lan chhuah hun chhung hi ni khat atanga ni 26 inkar a ni thei. Mahse, a tlangpuiin ni ruk atanga ni riat vel a ni.

Mi thenkhat chuan hri kai an nih pawhin symptom an lantir nghal lo. Chu ai chuan, virus a lo thawh leh hma loh chuan thla tam tak, a nih loh leh kum tam tak chhung pawh symptoms a lang lo thei.

Herpes simplex virus hri leng chhante chu engte nge ni?

Oral herpes emaw genital herpes emaw lo chhuak thei trigger thenkhat chu hetiang hi a ni:

• Khawsik .
• Rimtawng .
• Immune system chak lo (damdawi emaw, damdawi lam thil dang awm vang emaw).
• Hormone inthlak danglamna (entir nan, thlasik laiin).

Oral herpes atana thil awm thei bikte:

• Ni ênga awm .
• Upper respiratory infection (khawsik ang chi) a ni.
• Oral area a hliam eng pawh .

A châng chuan chhan hriat lohvin herpes hi a lo chhuak thei bawk.

Herpes simplex natna vei hi eng stage nge ni?

HSV infection hi stage lian pathum a awm a, chungte chu:

1. Hri kai hmasa ber

2. Latency (Latency ) a ni

3. Reactivation tih leh a ni

HSV Primary Infection atanga lo chhuak a ni

"Primary infection" tih hi HSV virus i taksaa a luh hnua thil thleng a ni. Virus hi a bul hnaia nerve cell-ah a kal a, chutah chuan a insiam tan ta a ni. HSV hi i hmuiah a lut a nih chuan i trigeminal nerves a kai tlangpui . I serh chhunga a luh chuan i pelvic area-a nerve network awm sacral plexus a kai tlangpui.

Tichuan HSV chu i nerve kaltlangin i bula vun emaw mucous membrane emaw thlengin a kal a. Hetih lai hian i immune system chuan invader a awm tih a hre chiang a, immune cells a thawn chhuak tan ta a ni. Hei hian vunah inflammation leh blisters a siam thin. Chu hmunah chuan (entir nan, armpits hnuaiah emaw, groin-ah emaw) lymph nodes a hring tih i hmu thei bawk.

Mi thenkhat chuan an kai tirh lai hian symptom engmah an nei lo va, chuvangin HSV an nei tih pawh an hre lo.

HSV Latency a ni

Kar tlemte chhungin i immune system chuan infection hmasa ber chu a control ang. Mahse HSV virus hi a kai hmasak ber nerve cell-ah a awm reng dawn a ni. Doctor te chuan hei hi latent period an ti a . Chumi awmzia chu virus hi i nerve cell-ah a awm a, mahse a tam zawkah chuan inactive (“muthilh”) a ni tihna a ni.

Dormancy lai hian natna kai cell tam zawk chu an muhil a, mahse tlemte chu engtik lai pawhin an harh thei thung. Hei hian herpes hri leng a thlen lo tlangpui. Mahse a chang chuan hri kai cell te chu an "harh" a, immune system hriat theih turin harsatna tawk tawk an siam thin. Hei hi HSV reactivation an ti a.

HSV Reactivation a ni leh ta

Reactivation chu natna vei cell te an harh a, immune response an mount a ni. Hetih lai hian thil thleng thei engemaw zat a awm a:

• Nervous system chhunga control: HSV activity hi hun rei lote chhung a awm a, nerve cells atanga tan leh tawp a ni. I immune system hian virus hi vun emaw mucous membrane emaw a thlen hmain a control thin. Hei hi HSV vei te chunga thleng fo thin a ni – virus hi a harh a, darkar hnih atanga darkar ruk vel chhung chu activity tlemte chauh a lantir a, chu chu a ni ta. Virus i shed lo va, symptoms i nei lo va, midang hnenah HSV i thehdarh lo.
• Asymptomatic viral shedding: Hri kai cell thenkhat chuan i vun pawn lam ber (epidermis) an thleng a. Symptoms thlen thei tur viral activity a awm tawk lo a nih pawhin virus hi "shed" theih a la ni tho. Chumi awmzia chu virus hian i vun a chhuahsan a, direct contact hmangin midang a kai thei tihna a ni. HSV hi he shedding period chhung hian mi pakhat atanga mi dangah a darh tam ber.
• Symptomatic herpes outbreak: I vunah hian natna vei cell te chu an pung zel a, chu chuan natna lan chhuahna a thlen thei a ni. Chutah chuan i vunah hian blisters i hmu tan ta a ni. Hei hi mi tam zawkin herpes hri leng an ngaihtuah hian an ngaihtuah thin. Hetih lai hian direct contact hmangin awlsam takin midangte hnenah hri hi a darh thei a ni.

Doctor-te hian engtin nge HSV infection hi an hriat chhuah?

Doctor-te chuan taksa enfiahna leh tlan test hmangin HSV infection an hmuchhuak thin. Exam chhung hian i doctor chuan infection chhinchhiahna (blisters ang chi) a zawng ang. A blisters sample la in lab-ah test turin a thawn thei bawk. Doctor chuan encephalitis leh/ emaw meningitis a rinhlelh chuan spinal tap a ti thei a ni.

Blisters i neih loh chuan i doctor chuan thisen test a nei thei a, HSV-1 emaw HSV-2 emaw antibodies a awm leh awm loh a enfiah thei bawk. Antibodies hi a hmaa hri kai i nih tawhna chhinchhiahna a ni. Test result hian i doctor chu enkawl dan tur ruahmannaah a pui thei a ni.

Herpes simplex natna vei enkawlna tur engte nge ni?

Doctor-in antiviral damdawi a pek hi HSV infection enkawlna ber a ni. Chûngte chu chi hrang hrangin a awm a:

• Pills i ei thin te kha.
• I vunah cream emaw ointment emaw i hnawih a ni.
• I doctor -in vein-a a pek damdawi (intravenously - IV) .
• I mit a drop i dah te (ocular herpes tan).

I doctor chuan eng damdawi chi(s) nge i tan a tha ber tih a hrilh ang che. Hei hi a hnuaia thil awmteah hian a innghat ang:

• Infection i neih chi hrang hrang.
• Chu chu a serious zia chu a ni.
• I immune system a thawh that zia.

Tin, damdawi ei tur dik tak leh eng chen nge i ei tur tih pawh an hrilh bawk ang che.

Oral leh genital herpes enkawlna hi chi hnih ah then a ni a, chungte chu episodic therapy leh chronic suppressive therapy te an ni.

Episodic Therapy hi eng nge ni?

Hei hi hun rei lote chhunga enkawlna a ni a, episode khat (outbreak) chauh a ni. Herpes hri leng hriat hmasak ber (vun rawng, vun hring ang chi)-a antiviral damdawi ei a ni. Damdawi i ei tan hma chuan a thawk tha zawk . Doctor-te chuan primary HSV infection leh recurrent outbreak pahnih tan episodic therapy an hmang thin.

Episodic therapy hian a hnuaia mi ang hian a ti thei ang:

• Symptoms te chu a na lo zawkah siam rawh.
• Natna chu a bo vat theih nan pui rawh.
• Blisters te chu a dam thuai theih nan tanpui rawh.
• I vun atanga virus lo chhuak chu tihtlem la.

Pawimawh: Flare-up pakhat enkawl hian nakin lawka flare-up awm turte a nghawng lo. Episodic therapy hian nakin lawka flare-up lo awm tur chu a veng thei lo va, a nasat dan pawh a nghawng thei lo. Chumi atan chuan chronic suppressive therapy i mamawh a ni.

Chronic Suppressive Therapy hi eng nge ni?

Hei hian antiviral damdawi rei tak i ei tihna a ni. Doctor-te chuan he method hi genital herpes vei tan an rawt a, chungte chu:

• Hri leng fo emaw, na tak emaw tawk thinte.
• Immunocompromised mi te an ni.
• Mipat hmeichhiatna hmanpui tam tak nei emaw, genital herpes nei lo emaw.

Doctor-te chuan oral herpes natna nasa tak nei leh/ emaw kum khatah vawi ruk tal natna vei tawhte tan chronic therapy an rawt bawk.

I doctor-in damdawi chiang tak a pek theihte chu:

• Acyclovir a ni
• Valacyclovir a ni
• Famciclovir a ni

Doctor-te chuan genital HSV-2 vei tan chronic suppressive therapy an hmang tlangpui. Genital HSV-1 tan chuan a tha lo fo a, a chhan chu he chi hian hri leng a thlen tlem zawk avangin.

Chronic suppressive therapy hian a hnuaia mite hi a ti thei a ni:

• Urge i neih zat chu 70% leh 80% inkar in tihtlem rawh.
• Symptoms te chu a na lo zawkah siam rawh.
• Symptomatic i nih chuan viral shedding tihtlem rawh. Hei hian i mipat hmeichhiatna hmanpui turte humhimna kawngah a pui thei a ni.

HSV hri kai hi ven theih a ni em?

HSV hi virus tlanglawn tak a ni a, mi inkarah awlsam takin a darh thei a ni. Chuvangin, ven a harsa deuh. Mahse i risk tihziaawm nan heng thilte hi i ti thei a ni:

• HSV hri leng vei te nena inzawmna hnai tak neih loh tur . Entirnan, khawsik natna nei chu fawh suh la, mipat hmeichhiatna lama hliam nei te nen sex hmanpui suh.
• I kawppuite chu mipat hmeichhiatna hmanga kai theih natna (STI) , herpes te pawh test tir turin hrilh rawh. HSV hi symptomatic nei lo hnen atangin i vei thei. Partner pakhatin HSV a vei tih hriat hian invenna tur ruahmanna siam turin a pui thei che a ni.
• Mipat hmeichhiatna hman apiangin barrier method (condom emaw ha dam emaw) hmang thin ang che. Hengte hian 100% in a humhim lo che a, mahse i kawppui hnena HSV kai theihna a ti tlem thei a ni. Barrier method hian HSV kai theihna hmun zawng zawng a huam vek lo. Mahse hmun thenkhat chu an cover ve tho. Tin, STI dang laka venhimna kawngah pawh an pui thei bawk.

Oral herpes emaw genital herpes emaw i neih chuan i sexual partner-te nen an hlauhawmna chungchang chu zalen takin sawipui rawh. HSV chi hnih hi mipat hmeichhiatna hmanna hrang hrang hmangin a darh thei a ni. I kawppui nen hian himna leh test chungchangah page khatah in awm ngei ngei tur a ni.

Herpes hi tihdam theih vek a ni em?

Ni lo, herpes simplex hi dam chhung zawnga natna hrik a ni . He virus hi a hun hunah a thawk leh thei a, hri leng a thlen thei bawk. Hei hi eng chen nge a thlen fo tih hi mi hrang hrangah a inang lo hle.

Oral herpes vei tam zawk chuan kum an upat deuh deuh chuan an vei tlem zawk a, a bik takin kum 35 an tlin hnuah pawh an vei tlem zawk a, chutiang bawkin genital herpes vei tamna pawh hun kal zelah a tlahniam tlangpui bawk. Genital HSV-1 hian genital HSV-2 aiin a chhuah tlem zawk.

Engtikah nge Doctor ka hmuh ang?

HSV natna lanchhuahna i neih chuan, emaw, HSV i kai tawh nia i ngaih chuan doctor pan rawh. I doctor chuan test emaw test emaw i mamawh leh neih loh a hrilh ang che.

Doctor hnenah eng zawhna nge ka zawh ang?

Oral herpes emaw genital herpes emaw i neih chuan i doctor hnenah heng zawhnate hi zawh a \angkai thei ang:

• Eng enkawlna nge i rawt?
• Engtin nge midangte hnena HSV kai theihna tur ka tihtlem theih ang?
• HSV hi ka taksa hmun dangah a darh theihna chance engzat nge ni?
• Engtin nge hri leng ka ven theih ang?

HPV hi herpes simplex nen a inang em?

Ni lo, HPV (Human Papillomavirus) leh herpes simplex hi virus hrang hrang pahnih an ni . HPV hi Human Papillomavirus tihna a ni a, herpes virus chhungkaw zinga mi a ni lo. Mahse, HPV leh HSV pahnih hian:

• A awm fo hle.
• A hrik kai thei hle.
• Vun leh vun inzawmna hmangin a darh thin.
• I sexual organs a nghawng thei a ni.

Mi zawng zawng hian herpes simplex hi kan nei vek em?

Ni lo, mahse HSV hi virus tlanglawn tak a ni.. Zirchiangtute chuan kum 2016 khan khawvel pumah mi tluklehdingawn 3.7 velin HSV-1 laka antibody an nei niin an chhut (thisen test-naah hian HSV-1 hri kai tawh tih finfiahna a awm tihna a ni). Chumi kum vek chuan mi maktaduai 500 velin HSV-2 laka antibody an nei a ni. Chuvangin hei hi a darh zau zia chu i ngaihtuah thei ang.

Herpes simplex vei hian thisen a pe thei ang em?

Ni e, mahse heng thil pathumte hi a dik vek chuan:

• Tunah hian herpes outbreak i nei lo a nih chuan .
• Tun hnaia blister lo lang (kawng emaw, serh emaw) chu a vawt hle a, dam hnaih a nih chuan .
• Thisen pekna atana qualification dang mamawh i tlin chuan .

Eligibility chungchang hriat belh duh chuan i doctor emaw, thisen pek i tumna hmun emaw nen inbia ang che.

A tawp berah chuan hei hi hre reng ang che (Take-Home Message) .

Herpes simplex hi virus a ni a, a hming "simple" tak ni mahse, thawnthu buaithlak deuh a nei a ni. Miin symptom a neih loh lai pawhin a kai theih virus fing tak a ni. Tin, taksa peng dang tam tak a nghawng thei bawk a, kan hriat fona hmunte chauh ni lovin.

Mahse chutiang a nih chuan HSV hian i nun a tihbuai a ngai tihna erawh a ni lo. Vanneihthlak takin antiviral damdawi te hian HSV nena nun chu a hma aia awlsam zawkin a siam a ni. HSV infection i neih nia i hriat chuan Doctor pan rawh. He virus hi a hluar zia an hria a, i nunna atana pui turin an inpeih reng a ni. Lungngai suh, nangmah chauh i ni lo!

` Herpes, herpes simplex virus, HSV, genital herpes, oral herpes, vun natna, virus infection te