Kuthekani ukuba intsholongwane ye-herpes iya engqondweni? (Herpes Simplex Virus Encephalitis) Masithethe ngayo ngokulula

Ngaba wakha wacinga ukuba i-herpes blister encinci esiyifumana ngamanye amaxesha, okanye into eqala njengesilonda esibandayo, ingaguquka ibe yimeko enzima enokuchaphazela ubomi bethu? Enyanisweni, i-herpes virus iyinkimbinkimbi ngakumbi kunokuba sicinga. Ingalala ngaphakathi emizimbeni yethu ize ivuke ngequbuliso ichaphazele ingqondo. Namhlanje siza kuthetha ngesifo esiyingozi kakhulu, kodwa esibaluleke kakhulu ekufuneka siqaphele. Esi yiHerpes Simplex Virus Encephalitis (`Herpes Simplex Virus Encephalitis` okanye `HSV Encephalitis`).

Yintoni i-herpes simplex virus encephalitis (HSV Encephalitis)?

Ngamafutshane, i-`HSV Encephalitis` kukudumba kwengqondo okubangelwa yintsholongwane ye-herpes simplex (`Herpes Simplex Virus` okanye `HSV`). Khawuthelekelele, emva kokuba le ntsholongwane ingene emzimbeni wethu, ngamanye amaxesha iya ngqo engqondweni. Okanye, intsholongwane ebingasebenzi ngaphambili, oko kukuthi, ilele, emzimbeni inokuba negalelo (iphinde isebenze) kwaye ichaphazele ingqondo kwakhona. Oku akuyonto ihlekisayo konke konke. Kuba, oku kunokubangela umonakalo osisigxina wengqondo (`umonakalo osisigxina wengqondo`) , kwaye kwezinye iimeko , ukufa (`ukufa`) .

Kubalulekile: Ukuba wena okanye umntu omaziyo uneempawu ezinjalo, ingakumbi ukuxhuzula ngequbuliso, ukudideka, okanye utshintsho olukhulu kubuntu bakhe, fowunela u-911 ngoko nangoko okanye uye kwicandelo elikufutshane lezonyango ezingxamisekileyo. Le yimeko engxamisekileyo!

Ziziphi iimpawu ze-HSV Encephalitis?

Ezi mpawu zingahluka kumntu nomntu, kodwa ezona zixhaphakileyo zezi:

• Intloko ebuhlungu kakhulu : Ayifani nentloko eqhelekileyo, inokuba buhlungu ngakumbi.
• Umkhuhlane : Umkhuhlane nawo luphawu oluqhelekileyo.
• Ukudinwa kakhulu okanye ukudinwa : Ukuchaneka, ukuziva udiniwe, ukozela rhoqo, kwaye ngamanye amaxesha uzive ulahlekelwe zingqondo.
• Ukudideka okanye ukutshintsha kwemeko yengqondo : Ubunzima bokugxila nokungaqondi okwenzekayo.
• Utshintsho kubuntu okanye kwindlela yokuziphatha : Ukungabi ngumntu ofanayo nowangaphambili, ukucaphuka ngequbuliso, okanye ukwenza izinto ngendlela engaqhelekanga.
• Ukuxhuzula : Olu luphawu oluyingozi kakhulu. Usenokuxhuzula ngequbuliso uze ulahlekelwe zingqondo.
• Ubunzima bokukhumbula okanye ukuqonda amagama (`Aphasia`) : Amagama ayadida xa ethetha, nto leyo eyenza kube nzima ukuqonda oko kuthethwa ngabanye abantu.
• Isicaphucaphu nokuhlanza : Ukuziva ngathi isisu sakho siyashukuma, kwaye usenokuhlanza.

Kodwa kukho enye into apha. Izilonda zeHerpes akufuneki zibekho xa iimpawu ze-HSV Encephalitis ziqala. Oko kukuthi, imeko inokwenzeka nokuba akukho madyungudyungu.

Yintoni ebangela oku?

Unobangela oyintloko woku yintsholongwane ye-herpes simplex (HSV) . Kukho iintlobo ezimbini eziphambili zale ntsholongwane.

1. I-HSV-1 : Olu luhlobo oludla ngokubangela i-herpes yomlomo. Lukwaluhlobo oludla ngokubangela i-'HSV Encephalitis'.

2. I-HSV-2 : Oku kubangela ikakhulu i-herpes yesini. Nangona kunjalo, olu hlobo lunokubangela ne-'HSV Encephalitis', kodwa ayixhaphakanga kangako.

Khawucinge nje, ukuba ufumana le ntsholongwane ye-herpes kube kanye, ayipheli ngokupheleleyo. Ihlala ingasebenzi ('ingasebenzi') ngaphakathi kwiiseli zethu zemithambo-luvo. Ngeli xesha, usenokungabi nazimpawu. Nangona kunjalo, ngamanye amaxesha, ngesizathu esithile, le ntsholongwane inokuphinda isebenze ('ivuselele'). Kulapho ke iimpawu ziphinda zivele khona.

Ngoko ke, imeko ebizwa ngokuba yi-`HSV Encephalitis` inokuvela nokuba xa usulelwe yi-herpes virus okokuqala (`usulelo oluyintloko`) , okanye xa usulelo lwangaphambili luphinde lusebenze kwakhona (`ukuvuselelwa`) .

Ikhula njani i-herpes encephalitis?

I-`HSV Encephalitis` ibangelwa yintsholongwane ye-herpes (`HSV`) engena engqondweni. Kukho iindlela ezahlukeneyo intsholongwane ye-`HSV` enokungena ngazo emizimbeni yethu:

• Ukuqabulana : Ukuba uqabula umntu one-herpes yomlomo.
• Ukudibana kwezilonda ukusuka eluswini ukuya eluswini : Ukuba i-herpes blister ikhuhla ulusu lomnye umntu.
• Ukwabelana ngesondo ngomlomo, ngasemva okanye ngasese : Ukuba ulala nomntu one-herpes kwiindawo zesini.
• Ukusebenzisana ngezitya okanye izinto zobuqu ezifana nezixhobo zokukhaba kunye neerazor : Ezi zinto mazisetyenziswe ngononophelo.
• Ukusuka kumama okhulelweyo ukuya kumntwana (`Ukudluliselwa okuthe nkqo`) : Kunokudluliselwa ukusuka kumama ukuya kumntwana ngexesha lokukhulelwa okanye ngexesha lokubeleka.

Ngaba i-HSV Encephalitis iyosulela?

Nantsi into ekufuneka uyiqonde. I-Encephalitis, imeko ebangela ukudumba kwengqondo, ayisuleli. Nangona kunjalo, intsholongwane ye-herpes (HSV) eyibangelayo iyasuleleka. Oku kuthetha ukuba intsholongwane ye-HSV inokusasazeka phakathi kwabantu, kodwa ayisoloko isasazeka engqondweni. Nangona abantu abaninzi befumana i-herpes, lincinci kakhulu inani labantu eliyifumanayo ide ibe qatha ngokwaneleyo ukuba ichaphazele ingqondo.

Ziziphi iingxaki ezinokubakho ngenxa yoku?

I-HSV Encephalitis yimeko enzima enokubangela iingxaki ukuba ayinyangwa ngokukhawuleza. Ezinye zazo ziquka:

• Ukudumba kobuchopho (ukuqokelelana kolwelo engqondweni): Ukuqokelelwa kolwelo olufana namanzi ngaphakathi kwengqondo kunye nokwanda kokudumba.
• Uxinzelelo oluphezulu lwengqondo: Xa ingqondo idumba, uxinzelelo olungaphakathi kwentloko luyanda.
• Ukuxhuzula okuhlala ixesha elide okanye okungayekiyo (`Status epilepticus`) : Ukuxhuzula okuqhubekayo, okanye ukungakwazi ukuyeka ukuxhuzula.
• Ukuhluma kobuchopho : Le yimeko eyingozi kakhulu. Oku kwenzeka xa uxinzelelo luqokelelana engqondweni kwaye iindawo ezithile zengqondo ziphuma kwindawo yazo eqhelekileyo.
• Iingxaki ze-neurological zexesha elide okanye ezingapheliyo :
• Ukulahleka kwenkumbulo
• Iingxaki zokunyakaza
• Iingxaki zokuthetha nolwimi

Oogqirha bayixilonga njani le nto?

Oogqirha kuya kufuneka benze iimvavanyo ezininzi ukuze bazi ngokuqinisekileyo ukuba le yi-HSV Encephalitis.

• Ukubhobozwa kweLumbar (okanye i-spinal tap) : Olu lolona vavanyo lubalulekileyo. Isampulu yolwelo olujikeleze i-spinal cord (i-cerebral spinal fluid) ithathwa kumqolo wethu ize ivavanywe ukuba ikhona na intsholongwane.
• I-CT scan (`CT scan`) okanye i-MRI scan (`MRI`) : Ezi zithatha imifanekiso yengqondo ukujonga ukudumba okanye umonakalo.
• Ezinye iimvavanyo :
• Uvavanyo lwegazi : Jonga ukuba kukho usulelo oluqhelekileyo.
• Ukuthatha isampuli empumlweni (`I-Nasal swab`) : Ngamanye amaxesha inokunceda ekufumaneni intsholongwane.
• I-EEG (i-Electroencephalogram) : Le ilinganisa umsebenzi wombane wengqondo kwaye inokubona iimeko ezifana nokuxhuzula.
• Uvavanyo lwe-PCR (`Uvavanyo lwe-Polymerase chain reaction (PCR)`) : Olu vavanyo lusetyenziselwa ukufumanisa ngokuchanekileyo ukuba ulwelo oluthathwe kwi-spinal cord luqulethe izinto zemfuza zentsholongwane.

Lwenziwa njani unyango?

Ukuba ufunyaniswe une-HSV Encephalitis, kufuneka ulaliswe esibhedlele ngoko nangoko kwaye unyango lufanele luqalwe. Unyango oluphambili liyeza lokulwa neentsholongwane i- Acyclovir . Eli linikwa ngemithambo yegazi (IV) . Oku kuthetha ukuba lifakwa ngqo egazini.

Ukongeza, amayeza anjenge -corticosteroids anokunikwa ukunciphisa ukudumba kwengqondo.

Ngaba kunokwenzeka ukuba uphile ngokupheleleyo kule meko?

Ewe, i-HSV Encephalitis inokunyangeka. Nangona kunjalo, kubaluleke kakhulu ukuqala unyango ngokukhawuleza. Nangona kunjalo, abantu abaninzi banokuba neengxaki zempilo ezihlala ixesha elide. Umzekelo:

• Ukulahlekelwa yinkumbulo : Ubunzima bokukhumbula izinto ezithile.
• Iingxaki zokuxhuzula (umz., isifo sokuwa) : Imeko apho ukuxhuzula kuqhubeka khona.
• Iingxaki zokushukuma okanye ukushukuma kwemisipha okungenanjongo : Ukungakwazi ukulawula amalungu omzimba kwenza kube nzima ukuhamba nokwenza imisebenzi yemihla ngemihla.
• Iingxaki zolwimi okanye intetho: Ubunzima bokuthetha nokufumana amagama.
• Ubunzima bokucinga ngokucacileyo : Ingqondo ibonakala isasazekile, kwaye kunzima ukugxila kwinto enye.
• Utshintsho kubuntu okanye kwindlela oziphatha ngayo : Usenokuziphatha ngendlela eyahlukileyo kunangaphambili.

Ezi ngxaki zisenokuphucuka kancinci kancinci ngokuhamba kwexesha. Nangona kunjalo, ezinye zisenokungapheli ngokupheleleyo. Ngamanye amaxesha, ingakumbi kubantwana abancinci, iimpawu zisenokuphucuka zize ziphinde zivele emva kweenyanga ezimbalwa ('ukubuyela umva'). Ke ngoko, kubalulekile ukuqhubeka nokulandela imiyalelo kagqirha wakho nokuba sele uphilile.

Yintoni onokuyilindela ukuba unesifo se-'HSV Encephalitis'?

Ukuba ufunyaniswe une-HSV Encephalitis, kubalulekile ukuya esibhedlele kwaye ufumane unyango ngokukhawuleza. Unyango lwakwangoko lukunika ithuba elihle lokuchacha. Kuya kufuneka uthathe unyango lwee-antiviral kangangeeveki ezimbalwa. Emva koko, ukuba uneengxaki ze-neurological eziqhubekayo, izinto ezifana nonyango lomzimba, unyango lomsebenzi, okanye unyango lokuthetha zinokukunceda ukulawula iimpawu zakho. Uhambo oluya ekuchacheni lunokuba lude kwaye lube nzima. Ngoko ke yiba nobubele kuwe.

Ufanele uye nini kugqirha?

Ukuba wakha waba ne-herpes (herpes simplex) ngaphambili, thetha nogqirha wakho malunga nento omawuyenze ukuba iphinda isebenze (iphinde isebenze), kunye neempawu ze-encephalitis.

Ufanele uye nini kwigumbi likaxakeka (ER)?

Ukuba uneempawu ze-'Herpes Encephalitis', yiya kwigumbi likaxakeka ngokukhawuleza. Oku kunokuba yingozi ukuba akunyangwa. Ngoko ke musa ukulibazisa.

Yeyiphi imibuzo omele uyibuze ugqirha?

Unokufumana kuluncedo ukubuza ugqirha wakho imibuzo efana nale malunga nale meko:

• Ndingazinyamekela njani ekhaya?
• Ulisebenzisa njani kanye kanye eli yeza?
• Zeziphi ezinye iimpawu ekufuneka ndizijonge?
• Ndingabuya nini ndize kukubona kwakhona?

Ngaba i-HSV Encephalitis ingathintelwa?

Ukuba sele unayo i-herpes, akukho ndlela ithile yokuthintela ukuba ingasasazeki engqondweni. Nangona kunjalo, ungenza oku kulandelayo ukunciphisa umngcipheko wokosuleleka nokusasazwa kwentsholongwane ye-herpes ebangela i-HSV Encephalitis:

• Kuphephe ukudibana nezilonda ze-herpes.
• Vavanywa izifo ezidluliselwa ngesondo (ii-STI). Cela iqabane lakho lesondo ukuba nalo livavanyelwe. Ezinye izifo ezidluliselwa ngesondo zinokudluliselwa ngaphandle kweempawu.
• Sebenzisa iikhondom okanye iidama zamazinyo ngexesha lokwabelana ngesondo.
• Musa ukwabelana ngezinto zakho zobuqu, ezifana nezitya kunye neerazor, nabanye.

Okokugqibela, izinto ekufuneka uzikhumbule

I-Herpes simplex virus encephalitis (HSV Encephalitis) yimeko enzima efuna unyango olukhawulezileyo. Nokuba unyango lukhona, ukuchacha kunokuba kudala. Ezinye iingxaki zempilo zisenokunganyangeki ngokupheleleyo. Ke ngoko, yiba nobubele kuwe kwaye ube nomonde ngexesha lohambo lwakho lokuchacha. Oogqirha bakho baya kukunceda kuzo zonke iindlela kwaye bakuchazele into omawuyilindele. Ungaze uthathe iimpawu zakho lula. Ukuba uneengxaki, funa ingcebiso kagqirha ngokukhawuleza.

I- Herpes, i-Encephalitis, usulelo lobuchopho, i-HSV, usulelo lwentsholongwane, izifo ze-neurological, unyango olungxamisekileyo