Ngaba iHerpes isemehlweni akho? Masifunde ngeHerpes ye-Ocular!

Ngaba ngequbuliso ukhe waba neliso elibomvu nelibuhlungu elivakala ngathi kukho into ekuhlabayo ngaphakathi? Usenokuba ukrazukile kakhulu. Xa oku kusenzeka, sicinga ngako njengengxaki yamehlo elula. Nangona kunjalo, ngamanye amaxesha kunokuba yinto enzulu ngakumbi. Namhlanje, siza kuthetha ngemeko ebizwa ngokuba yi-ocular herpes, enokuchaphazela amehlo.

Yintoni i-herpes yeliso?

Ngamafutshane, i-herpes yamehlo kuxa intsholongwane ye-herpes ichaphazela amehlo akho. Le yimeko enzima enokuthi ngamanye amaxesha ikhokelele ekulahlekelweni kokubona ukuba ayiqatshelwa kwaye inyangwe ngokukhawuleza. Yiyo loo nto kubalulekile ukuba uyiqaphele. Abanye abantu bayibiza ngokuba "yi-herpetic eye disease."

Zimbini iintlobo zeentsholongwane ezichaphazela kakhulu le meko:

1. I-Herpes Simplex Virus (HSV): Kukho iintlobo ezimbini zale ntsholongwane.

• Uhlobo lwe-HSV 1 (HSV-1): Olu luhlobo oludla ngokubangela izilonda ezibandayo okanye "amaqamza omkhuhlane." I-HSV-1 ikwangunobangela weemeko ezininzi ze-herpes emehlweni. Xa ichaphazela amehlo, ibizwa ngokuba yi-herpes simplex ophthalmicus (HSV-1).
• Uhlobo lwe-HSV 2 (HSV-2): Olu luhlobo lwe-herpes oludluliselwa kakhulu ngokwesondo. Nangona kunjalo, alunakuchaphazela amehlo rhoqo.

2. I-Varicella Zoster Virus (VZV): Uyakhumbula i-chickenpox xa wawusengumntwana? Yi-VZV virus ebangela i-chickenpox. Emva kwe-chickenpox, i-virus ihlala ingasebenzi kwinkqubo yethu yemithambo-luvo. Kwiminyaka kamva, mhlawumbi xa sele ukhulile, i-virus inokuphinda ivele kwaye ibangele imeko ebizwa ngokuba yi-"shingles." Ukuba i-shingles isasazeka emehlweni, ibizwa ngokuba yi-Herpes Zoster Ophthalmicus (HZO).

Ixhaphake kangakanani le herpes yamehlo?

Kuqikelelwa ukuba kukho abantu abamalunga nama-500,000 eMelika kuphela abane-herpes emehlweni ebangelwa yintsholongwane ye-HSV. Kubikwa amatyala amatsha amalunga nama-58,000 minyaka le. Inokukhula nakubani na waluphi na ubudala. Ngenxa yokuba intsholongwane ye-HSV yintsholongwane eqhelekileyo, inani elikhulu labantu lisengozini.

I-herpes zoster (ii-shingles) ezibangelwa yintsholongwane ye-VZV zichaphazela malunga nomntu omnye kwabayi-1,000 eMelika minyaka le. Eli nani liyanda liye kuthi ga kumntu omnye kwabayi-100 abaneminyaka engaphezu kwama-60 ubudala. Iingcali zithi phakathi kwe-8% kunye ne-20% yaba bantu banokuba neempawu zamehlo. Le meko ayiqhelekanga kubantwana abancinci.

Zithini iimpawu ze-herpes emehlweni?

Iimpawu ze-herpes emehlweni zinokwahluka kancinci ngokuxhomekeke kwintsholongwane eyibangeleyo. Ekubeni ezi mpawu zinokubonakala nakwezinye iimeko zamehlo, kungcono ukubona ugqirha ukuze ufumane ukuxilongwa okufanelekileyo. Nangona ezinye iimpawu zichaphazela iliso ngokwalo, ezinye zinokuchaphazela iindawo ezijikeleze amehlo akho. Idla ngokuchaphazela iliso elinye, kodwa ngamanye amaxesha omabini amehlo anokuchaphazeleka ngaxeshanye.

Iimpawu ezibangelwa yintsholongwane ye-HSV:

• Intlungu yamehlo.
• Ukurhawuzelelwa kwamehlo kunye nokuba bomvu.
• Ukuziva ngathi kukho into ethile esweni (imvakalelo yomzimba wangaphandle).
• Uloyiko lokubona ukukhanya: Oku kuthetha ukuba kunzima ukujonga ukukhanya.
• Ukukrazuka emehlweni (Epiphora).
• Ukudumba okanye ukudumba kwejwabu leso (i-Blepharitis).
• "Isifo samehlo" (conjunctivitis), ngamanye amaxesha sihamba nokudumba kwe-cornea, inxalenye engaphambili yeliso ecacileyo (keratoconjunctivitis).
• Iiblista ezizaliswe lulwelo (iivesicles) okanye iiblista ezizaliswe lubofu (iipustules) ezibonakala ngamaqoqo kwiinkophe okanye ezijikeleze zona.
• Izilonda ze-cornea okanye ezinye iinguqu.

Iimpawu ezinzulu ngakumbi zingabandakanya:

• Ukuphazamiseka kokubona.
• I-Iritis (ukudumba kwenxalenye enombala yeliso).
• Ukulahlekelwa ngumbono ngequbuliso okanye ngokukhawuleza.

Iimpawu ezibangelwa yintsholongwane ye-VZV (ezinxulumene ne-herpes zoster - ii-shingles):

Intsholongwane ye-VZV inokubangela iimpawu ezininzi emehlweni. Nangona kunjalo, iimpawu zixhaphakile nakwisikhumba esijikeleze amehlo, ingakumbi ebunzini. Le ntsholongwane ihlasela kakhulu inkqubo yemithambo-luvo. Ngoko ke, ezi mpawu zibonakala kwiindawo apho imithambo-luvo ye-trigeminal ikhula khona ebunzini.

Iimpawu ezinxulumene namehlo:

• Ukudumba okanye ukudumba kwejwabu leso (i-Blepharitis).
• Ukudumba kwe-cornea okanye i-conjunctiva.
• Ubomvu okanye ukudumba kwenwebu engaphandle yomhlophe weliso (i-Episcleritis).
• Ukuphuma kwamanzi elisweni, ingakumbi xa kukho i-episcleritis.
• Ijwabu eligobileyo (i-Ptosis).
• Ukulahlekelwa ngumbono ngaphandle kwentlungu (le yingxaki engaqhelekanga, kodwa inzima kakhulu ).

Iimpawu zolusu (ngesiqhelo kwicala elinye lobuso):

• Ukuqhambuka kwesikhumba.
• Iimbotyi okanye iimbotyi zivela ebunzini okanye empumlweni, ezithi ziqhume zenze uqweqwe.
• Ukurhawuzelela.

Abantu abafumana i-herpes yamehlo ngenxa ye-VZV banokufumana iimpawu eziqhelekileyo ezifana nentlungu yemithambo-luvo , ukudinwa, kunye nokungaziva kakuhle ngaphambi kokuba iimpawu zibonakale emehlweni okanye eluswini.

Yintoni ebangela i-herpes emehlweni?

Njengoko besitshilo ngaphambili, iintlobo ezimbini zentsholongwane ye-herpes simplex (HSV) (uhlobo 1 kunye nohlobo 2) kunye nentsholongwane ye-varicella zoster (VZV) zezona zizathu ziphambili. Ezi ntsholongwane zisasazeka kakhulu . Oku kuthetha ukuba ungazifumana ngokulula kwabanye abantu. Nangona kunjalo, kukho umahluko omncinci kwindlela ezi ntlobo zimbini zentsholongwane ezisasazeka ngayo.

Intsholongwane ye-HSV-1

Ukuba uchukumisa isilonda somkhuhlane emlonyeni wakho uze uchukumise iliso lakho ngesandla esifanayo, intsholongwane inokungena elisweni lakho. Ngamanye amaxesha, intsholongwane inokuchaphazela amehlo akho xa ingena emzimbeni wakho okokuqala (usulelo oluphambili). Nangona kunjalo, amaxesha amaninzi, intsholongwane iphinda ivuseleleke kwaye ihambe ngemithambo-luvo iye emehlweni akho, nokuba ngezandla zakho okanye ngesikhumba sakho.

Intsholongwane ye-HSV-1 isasazeka ngokulula ukusuka komnye umntu ukuya komnye ngolwelo lomzimba olufana namathe. Ingasasazeka nangokudibana ngqo, njengokuqabulana. Ingasasazeka ngokungathanga ngqo ngokwabelana ngezinto ezifana nezitya, iibhotile zamanzi, iimveliso zokuthambisa, kunye neetawuli.

Intsholongwane ye-HSV-2

I-HSV-2 ikakhulu sisifo esidluliselwa ngesondo (STI). Nangona kunjalo, ayinakusasazwa rhoqo ngamanzi omzimba, njengasezandleni okanye ngqo ebusweni okanye emehlweni. Iintsana nabantwana abancinci banokuhlakulela i-herpes emehlweni ngale ndlela.

Kwakhona, i-HSV-2 inokudluliselwa ukusuka kumama ukuya kusana ngexesha lokukhulelwa okanye lokubeleka. Oku kubizwa ngokuba "kukudluliselwa ngokuthe nkqo." Le yindlela ephambili yokuba umntwana osandul' ukuzalwa avelise i-herpes emehlweni kamva ukuba wosulelwe yi-HSV-2.

Intsholongwane yeVaricella zoster (VZV)

I-Chickenpox ibangelwa yi-VZV virus. Emva kokuba i-chickenpox iphilile, njenge-HSV, i-VZV virus ihlala ingasebenzi kwinkqubo yemithambo-luvo. Kwiminyaka emininzi, ngamanye amaxesha emva kwamashumi eminyaka, inokuthi iphinde ivuseleleke kwaye ibangele i-herpes zoster (ii-shingles). I-Shingles inokusasazeka kwinkqubo yemithambo-luvo ize ifikelele emehlweni ngemithambo-luvo ehamba kufutshane namehlo.

Okubalulekileyo kukuba, nangona intsholongwane ye-VZV ibangela zombini i-chickenpox kunye ne-shingles, yi-shingles kuphela ebangela i-herpes emehlweni. Akunqabile ukuba i-chickenpox ichaphazele amehlo. Nangona kunjalo, ayibalwa njenge-herpes yamehlo. Kwakhona, i-herpes yamehlo ayosuleli njenge-shingles eluswini.

Ngaba i-herpes emehlweni ingaphinda ivele?

Ewe, kunokwenzeka ukuba ufumane i-herpes yamehlo ngaphezu kwesihlandlo esinye. Kukho izinto ezininzi ezinokubangela oku:

• Uxinzelelo.
• Ifiva.
• Unyango lwamehlo nge-ultraviolet laser.
• Amanye amayeza asetyenziswa emehlweni, umzekelo ii-beta-blockers, ii-corticosteroids, i-epinephrine, kunye nee-prostaglandins.
• Ukuya exesheni kwabasetyhini.
• Amayeza okanye iimeko zonyango ezithintela inkqubo yomzimba yokuzikhusela (ukuba une-herpes emehlweni omabini, isenokuba bubuthathaka obungabonakaliyo kwinkqubo yomzimba yokuzikhusela).
• Ukuba nenkqubo yomzimba yokuzikhusela ebuthathaka ngenxa yolunye usulelo lwakutshanje.

Ziziphi iingxaki ezinokubakho ze-herpes emehlweni?

Eyona ngxaki inkulu ye-herpes emehlweni kukulahlekelwa yimbono okanye ubumfama.Zombini i-HSV kunye ne-VZV zinokosulela iindawo ezahlukeneyo zeliso. I-cornea ichaphazeleka kakhulu, kodwa i-uvea, umaleko ophakathi weliso, kunye ne-retina nazo zinokuchaphazeleka. Ukuphinda-phinda kwentsholongwane kunokubangela amanxeba kunye nokulahlekelwa yimbono engapheliyo. Yiyo loo nto i-herpes emehlweni yimeko ekufuneka iqatshelwe kwaye inyangwe ngokukhawuleza.

Ifunyanwa njani i-herpes emehlweni?

Ingcali yakho yokhathalelo lwamehlo iza kuhlola ngononophelo iinkophe zakho kunye nolusu olujikeleze amehlo akho. Baza kukhangela izinto ezifana namadyungudyungu kunye nokutshintsha kombala. Baza kubuza nangembali yakho yezonyango kunye nazo naziphi na iziganeko zamva nje ezinokuba zinxulumene nolu sulelo.

Ukuba awuzange ufunyaniswe une-herpes simplex okanye i-varicella zoster ngaphambili, kukho iindlela ezahlukeneyo zokuvavanya ezi ntsholongwane. Ezi ziquka iiswabs ezithathwe kumphezulu weliso ukuya kuvavanyo lwegazi (ukuze ufumane ii-antibodies ezivela kusulelo lwangoku okanye usulelo lwangaphambili).

Ingcali yamehlo ingasebenzisa uvavanyo lwamehlo kunye nezinye iindlela zokuchonga ngqo ukuba zeziphi iindawo zeliso lakho ezichaphazelekileyo kunye nendlela yokuzinyanga. Uvavanyo lwesibane esiqhekekileyo, oluyinxalenye yovavanyo lwamehlo oluqhelekileyo, luvumela ugqirha wakho ukuba ajonge ngaphakathi kweliso lakho. Oku kunokunceda ekuchongeni unyango olufanelekileyo kwimeko yakho. Ungadinga ukubona ugqirha oyintloko (PCP) okanye omnye ugqirha ukuze anyange naziphi na iziphumo zangaphandle ze-HSV okanye iishingles.

Unganyanga njani i-herpes emehlweni? Ngaba inganyangeka ngokupheleleyo?

Akukho nyango lwe -herpes simplex virus okanye i-varicella zoster virus. Nangona kunjalo, ezi ntsholongwane zinokulawulwa, zithintele ukuphinda zisebenze, kwaye zithintele iimpawu.

Eyona ndlela iphambili yokulawula ezi ntsholongwane kukusebenzisa amayeza okulwa neentsholongwane . La mayeza asebenza ngokuthintela intsholongwane ukuba ingaphindaphindeki (eyenza iintsholongwane ezininzi). Oku kunokunceda ukulawula usulelo olukhoyo okanye ukuqhambuka kwesifo. Kukwakho namayeza athile anokuthathwa yonke imihla ukuthintela intsholongwane ukuba ingaphindi isebenze. Amanye amayeza ajoliswe kwi-HSV okanye kwi-VZV, ngelixa amanye angasetyenziselwa zombini.

La mayeza afumaneka njengeyeza lokuthomalalisa ngemithambo yegazi (IV), iipilisi zomlomo (zomlomo), okanye amaconsi asemlonyeni okanye amafutha okuthambisa. Eminye imizekelo yile:

• I-Acyclovir
• I-Famciclovir
• IFoscarnet
• I-Ganciclovir
• I-Trifluridine
• IValacyclovir

Ingcali yakho yamehlo ingakunika amanye amayeza okunyanga usulelo okanye iimpawu zakho. Eziqhelekileyo ziquka:

• Amayeza okubulala iintsholongwane:Ii-antibiotics azikwazi ukunyanga iintsholongwane. Nangona kunjalo, xa unentsholongwane, amasosha omzimba wakho anokuba sesichengeni sosulelo lweentsholongwane. Ii-antibiotics zinokuthintela oko.
• Amayeza okulwa nokuvuvukala: La mayeza anciphisa ukudumba, ukudumba, kunye nokuvuvukala (okunokubangela ezinye iingxaki) ezihlala zihamba nosulelo emehlweni okanye kufutshane nawo.

Abantu abenzakele kakhulu emehlweni banokufuna utyando.

Ugqirha wakho wamehlo uza kukuxelela oku kulandelayo:

• Ziziphi iindlela zonyango ezithile abazicebisayo?
• Unyango lunokunceda njani?
• Indlela yokusebenzisa amayeza anikwe ngugqirha.
• Zithini iziphumo ebezingalindelekanga ezinokubakho?
• Uza kuqala nini ukuziva ungcono?

Yintoni onokuyilindela ukuba une-herpes emehlweni akho?

Iimpawu ze-herpes zamehlo ziyahluka ngokuxhomekeke kwintsholongwane eyibangelayo kunye neendawo zeliso ezichaphazelekileyo. Ihlala ibuhlungu kakhulu . Inokubangela neempawu ezingathandekiyo ezifana nokuziva ubuthathaka emehlweni akhanyayo namanzi.

Ukuba kuvela amadyungudyungu okanye izilonda ezijikeleze amehlo akho okanye kwiinkophe zakho, bonana nogqirha okanye ugqirha wamehlo ngokukhawuleza . Ukuxilongwa ngokukhawuleza kunye nonyango kubalulekile ukuthintela iingxaki ezinkulu zamehlo.

Ukuba umntwana wakho uneempawu ze-herpes yamehlo, kufuneka ubone ugqirha wezingane ngoko nangoko. I-herpes yamehlo yeyona nto yesibini ebangela ukulahleka kombono we-cornea ebantwaneni.

Iyintoni imbonakalo ye-herpes yamehlo?

I-Herpes emehlweni ayisongeli ubomi, kodwa inokubangela ukulahleka kokubona okungapheliyo kunye nezinye iingxaki. Ngethamsanqa, le meko inganyangeka. Amayeza okulwa neentsholongwane anokunciphisa nomngcipheko wokuphinda ubuye. Ekubeni intsholongwane ihlala ubomi bonke, kunokufuneka uqhubeke nokusebenzisa la mayeza.

Ngaba i-herpes yamehlo ingathintelwa?

Akukho ndlela ipheleleyo yokuthintela i-herpes yamehlo. Nangona kunjalo, nokuba uyayifumana intsholongwane eyibangelayo, kukho izinto onokuzenza ukunciphisa kakhulu umngcipheko wakho wokuba ne-herpes yamehlo:

• Hlamba izandla zakho rhoqo okanye usebenzise i-sanitizer. Oku kwenza kube nzima ukuba iintsholongwane zisasazeke.
• Kungcono ukungabelani ngezinto nabanye abantu. I-herpes yomlomo isasazeka kakhulu ngezinto ezisetyenziswa kunye ezifana neebhotile zamanzi, iikomityi, izixhobo zokutya, izinto zococeko lomntu, kunye neemveliso zokuthambisa.
• Kuphephe ukudibana nabantu abanesilonda okanye iqhubu elijikeleze umlomo okanye imilebe yabo. Kuphephe ukwanga okanye ukunxibelelana ngokusondeleyo nabantu abanesilonda okanye iqhubu elijikeleze umlomo wabo. Kuphephe ukudibana nabanye abantu ukuba unaso.
• Gonyelwa.Zombini i-chickenpox kunye ne-herpes zoster (ii-shingles) zinokuchaphazela amehlo. Ii-shingles zinokubangela iingxaki zamehlo ezingapheliyo nezinzima kunye nokulahlekelwa kukubona (kunye nezinye iingxaki, ezifana nentlungu yemithambo-luvo). Ukugonywa kunokunciphisa kakhulu loo mngcipheko. Nokuba ukhe waba ne-shingles ngaphambili, ungayifumana i-vaccine ukunciphisa umngcipheko wakho wokuyifumana kwakhona.
• Lawula imeko yakho. Ukuba ugqirha ukufumanise ukuba unesifo se-herpes emehlweni, unokucebisa amayeza okulwa neentsholongwane ukuthintela ukuba singaphindi sivele.

Ndingazinyamekela njani ukuba ndine-herpes emehlweni am?

Ukuba une-herpes emehlweni akho, kubalulekile ukufumana unyango. Okukhona ufumana unyango ngokukhawuleza, kokukhona amathuba okuba ube neengxaki ezinkulu anciphe. Kufuneka uthethe nogqirha wakho malunga nokuthatha amayeza okulwa neentsholongwane ukuthintela intsholongwane ukuba ingaphindi ivele kwaye ibangele ukuphinda ivele.

Yeyiphi imibuzo endifanele ndiyibuze ugqirha wamehlo okanye umboneleli wezempilo?

Ukuba une-herpes emehlweni akho, ungabuza ugqirha wakho wamehlo okanye umboneleli wezempilo le mibuzo:

• Yeyiphi intsholongwane ebangela i-herpes emehlweni am?
• Loluphi unyango olucebisayo?
• Ngaba ikho na imithi endinokuyithatha ukuthintela ukuphinda kwenzeke kwakhona kwesi sifo kwixesha elizayo?
• Ndingenza ntoni ukuthintela ukuba le meko ingasasazeki kwabanye?

Ibonakala njani i-herpes emehlweni?

I-herpes yeliso ebangelwa yi-HSV inokuba neempawu ezifana nezi:

• Urhawuzelelo kwiinkophe zakho okanye ezijikeleze amehlo akho.
• Iingqimba zamaqhuqhuva amancinci ajikelezwe lusu olubomvu kwiinkophe okanye ezijikeleze amehlo.
• Inxeba elinye okanye ngaphezulu, amadyungudyungu, okanye amaqhuqhuva ajikeleze amehlo.
• Ukukhupha amanzi emehlweni.
• Iliso elibomvu okanye elibomvu.

I-herpes yeliso, ebangelwa yi-varicella zoster (VZV), inokufana, kodwa inokuba nolunye uphawu olwahlukileyo: izilonda zesikhumba, amadyungudyungu, okanye izilonda kwelinye icala lebunzi. Oku kungenxa yokuba intsholongwane ihamba ngemithambo-luvo ekhethekileyo ebunzini ize ifikelele elisweni.

Ngaba i-herpes yamehlo ingasasazeka ngeempahla ezifana neetawuli kunye nee-pillowcases?

Ewe, iintsholongwane ezifana ne-HSV okanye i-VZV zinokusasazeka ngeempahla ezingcolileyo, ii-pillowcases, iitawuli, kunye neelaphu zokuhlamba. Musa ukwabelana ngezi zinto nomntu one-HSV okanye ii-shingles. Ukuba unenye yezi zifo, musa ukwabelana ngazo nabanye. Kwakhona, hlamba iitawuli kunye nee-pillowcases imihla ngemihla ukunciphisa ukusasazeka kosulelo. Sebenzisa amalaphu ahlukeneyo ukusula iindawo ezisulelekileyo.

Ekugqibeleni, ekugqibeleni, khumbula oku.

Iintsholongwane ezibangela i-herpes emehlweni zixhaphakile kwaye zisasazeka ngeendlela ezininzi. Ungaziva ungakhululekanga ukuthetha nogqirha wakho ngentsholongwane ye-herpes. Nangona kunjalo, ugqirha wakho ugxile ekukunyangeni ukuze uzive ungcono.Ukuqala unyango kwangethuba kunokunceda ukuthintela iingxaki ezinkulu kunye nokubuyela kwakhona kwezifo kwixesha elizayo. Ukuba uneempawu ze-herpes yamehlo, okanye ufuna ukuthetha ngakumbi ngomngcipheko wakho wokuba nale meko kwixesha elizayo, musa ukulibazisa ukubona ingcali yamehlo. Amehlo akho axabisekile, ngoko ke wanyamekele!

i- herpes yamehlo, i-herpes yamehlo, i-herpes simplex virus, i-HSV, i-varicella zoster virus, i-VZV, ii-shingles esweni, usulelo lwamehlo, iintlungu zamehlo, amayeza okulwa neentsholongwane