Kuthiwani uma igciwane le-herpes liya ebuchosheni? (Herpes Simplex Virus Encephalitis) Ake sixoxe ngakho kalula

Wake wacabanga ukuthi i-herpes blister encane esiyithola ngezinye izikhathi, noma into eqala njengesilonda esibandayo, ingaba yisimo esibi esingathinta izimpilo zethu? Empeleni, igciwane le-herpes liyinkimbinkimbi kakhulu kunalokho esikucabangayo. Lingalala ngaphakathi emizimbeni yethu bese livuka ngokuzumayo lithinte ubuchopho. Namuhla sizokhuluma ngesifo esiyingozi kakhulu, kodwa esibaluleke kakhulu okufanele siqashelwe. Leso yi-Herpes Simplex Virus Encephalitis (Herpes Simplex Virus Encephalitis noma HSV Encephalitis).

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

Kalula nje, i-HSV Encephalitis ukuvuvukala kobuchopho okubangelwa yigciwane le-herpes simplex (Herpes Simplex Virus noma HSV). Cabanga nje, ngemva kokuba leli gciwane lingene emzimbeni wethu, ngezinye izikhathi liya ngqo ebuchosheni. Noma, igciwane elalingasebenzi ngaphambilini, okungukuthi, lilele, emzimbeni lingaphinde lisebenze (liphinde lisebenze) futhi lithinte ubuchopho futhi. Lokhu akuyona ihlaya nhlobo. Ngoba, lokhu kungabangela ukulimala kobuchopho okungapheli (ukulimala kobuchopho okungapheli) , futhi kwezinye izimo , ukufa (ukufa) .

Okubalulekile: Uma wena noma othile omaziyo enanoma yiziphi zalezi zimpawu, ikakhulukazi ukuquleka okungazelelwe, ukudideka, noma izinguquko ezibalulekile zobuntu, shayela u-911 ngokushesha noma uye emnyangweni wezimo eziphuthumayo wesibhedlela esiseduze. Lesi yisimo esiphuthumayo!

Ziyini izimpawu ze-HSV Encephalitis?

Lezi zimpawu zingase zihluke kumuntu nomuntu, kodwa ezivame kakhulu yilezi:

• Ikhanda elibuhlungu kakhulu : Ngokungafani nekhanda elibuhlungu elivamile, lingaba likhulu kancane.
• Umkhuhlane : Umkhuhlane nawo uwuphawu oluvamile.
• Ukukhathala noma ukucotha ngokweqile : Uma sikhuluma iqiniso, umuzwa wokucotha, ukozela okuqhubekayo, futhi ngezinye izikhathi umuzwa wokulahlekelwa ukwazi.
• Ukudideka noma isimo sengqondo esishintshile : Ubunzima bokugxilisa ingqondo nokungaqondi okwenzekayo.
• Ukushintsha kobuntu noma ukuziphatha : Ukungabi umuntu ofanayo njengakuqala, ukuthukuthela ngokuzumayo, noma ukwenza ngendlela exakile.
• Ukuquleka : Lokhu kuyisibonakaliso esiyingozi kakhulu. Ungase uzizwe uqulekile ngokuzumayo futhi ulahlekelwe ngisho nokuqwasha.
• Ubunzima bokukhumbula noma ukuqonda amagama (Aphasia) : Amagama ayadida lapho ekhuluma, okwenza kube nzima ukuqonda lokho abanye abakushoyo.
• Isicanucanu nokuhlanza : Ukuzwa sengathi isisu sakho siyaqhuma, futhi ungase uhlanze ngisho.

Kodwa kukhona okunye lapha. Izilonda ze-Herpes akudingeki ukuthi zibe khona lapho kuqala izimpawu ze-HSV Encephalitis. Okusho ukuthi, lesi simo singavela ngisho nangaphandle kwama-blister.

Yini ebangela lokhu?

Imbangela eyinhloko yalokhu igciwane le-herpes simplex (HSV) . Kunezinhlobo ezimbili eziyinhloko zaleli gciwane.

1. I-HSV-1 : Lolu uhlobo oluvame ukubangela i-herpes yomlomo. Futhi uhlobo oluvame ukubangela i-'HSV Encephalitis'.

2. I-HSV-2 : Lokhu kubangela kakhulu i-herpes yobulili. Kodwa-ke, lolu hlobo lungabangela ne-'HSV Encephalitis', kodwa ayivamile.

Ake ucabange nje, uma uthola leli gciwane le-herpes kanye, alipheli ngokuphelele. Lihlala lingasebenzi ('lingasebenzi') ngaphakathi kwamangqamuzana ethu ezinzwa. Phakathi naleso sikhathi, ungase ungabi nazimpawu. Kodwa-ke, ngezinye izikhathi, ngesizathu esithile, leli gciwane lingaphinde lisebenze ('livuselele'). Yilapho izimpawu ziphinde zivele khona.

Ngakho-ke, isimo esibizwa ngokuthi 'i-HSV Encephalitis' singavela uma uqala ukutheleleka ngegciwane le-herpes ('ukutheleleka okuyinhloko') , noma uma unesifo sangaphambilini futhi siphinde sisebenze ('ukuvuselelwa') .

Ikhula kanjani i-herpes encephalitis?

I-HSV Encephalitis ibangelwa yigciwane le-herpes (HSV) elingena ebuchosheni. Kunezindlela eziningana igciwane le-HSV elingangena ngazo emizimbeni yethu:

• Ukuqabulana : Uma uqabulana nomuntu one-herpes yomlomo.
• Ukuthintana kwesikhumba nesikhumba nezilonda : Uma i-herpes blister ikhuhla isikhumba somunye umuntu.
• Ucansi ngomlomo, endunu noma ngesitho sangasese sowesifazane : Uma ulala nomuntu one-herpes ezindaweni zangasese.
• Ukwabelana ngezitsha noma izinto zomuntu siqu njengezitsha zokusika kanye nezinsingo : Lokhu kufanele futhi kusetshenziswe ngokuqapha.
• Ukusuka kumama okhulelwe kuya enganeni (Ukudluliselwa okuqondile) : Kungadluliselwa kusuka kumama kuya enganeni ngesikhathi sokukhulelwa noma sokubeletha.

Ingabe i-HSV Encephalitis iyathelelana?

Nakhu okufanele ukuqonde. I-Encephalitis, isimo esibangela ukuvuvukala kobuchopho, ayithelelani. Kodwa-ke, igciwane le-herpes (HSV) elibangela lokhu liyathelelana. Lokhu kusho ukuthi igciwane le-HSV lingasakazeka phakathi kwabantu, kodwa alisakazeki njalo ebuchosheni. Nakuba abantu abaningi bethola i-herpes, inani elincane kakhulu labantu lifinyelela ezingeni lapho liba likhulu ngokwanele ukuthi lithinte ubuchopho.

Yiziphi izinkinga ezingaba khona ngenxa yalokhu?

I-HSV Encephalitis yisimo esibi kakhulu esingaholela ezinkingeni uma singelashwa ngokushesha. Ezinye zazo zifaka:

• Ukuvuvukala kobuchopho (ukunqwabelana koketshezi ebuchosheni): Ukuqongelela koketshezi olufana namanzi ngaphakathi kobuchopho kanye nokuvuvukala okwandayo.
• Ukwanda kwengcindezi yangaphakathi kwekhanda: Lapho ubuchopho buvuvukala, ingcindezi engaphakathi kwekhanda iyanda.
• Ukuxhuzula okuhlala isikhathi eside noma okungayeki (Isimo se-epilepticus) : Ukuxhuzula okuqhubekayo, noma ukungakwazi ukuvimba ukuxhuzula.
• Ukuqhekeka kobuchopho : Lesi yisimo esiyingozi kakhulu. Lokhu kwenzeka lapho ingcindezi inqwabelana ebuchosheni futhi izingxenye zobuchopho zikhukhumala zisuka endaweni yazo evamile.
• Izinkinga zemizwa zesikhathi eside noma ezingapheli :
• Ukulahlekelwa yinkumbulo
• Izinkinga zokunyakaza
• Izinkinga zokukhuluma nolimi

Odokotela bakuthola kanjani lokhu?

Odokotela kuzodingeka benze izivivinyo eziningana ukuze bazi ngokuqinisekile ukuthi lokhu kuyi-HSV Encephalitis.

• Ukubhoboza i-Lumbar (noma ukumpompa komgogodla) : Lokhu ukuhlolwa okubaluleke kakhulu. Isampula yoketshezi oluzungeze intambo yomgogodla (uketshezi lomgogodla wobuchopho) ithathwa emgogodleni wethu bese ihlolwa ukuthi ikhona yini igciwane.
• I-CT scan (CT scan) noma i-MRI scan (MRI) : Lokhu kuthatha izithombe zobuchopho ukuze kuhlolwe ukuvuvukala noma umonakalo.
• Ezinye izivivinyo :
• Ukuhlolwa kwegazi : Hlola izifo ezivamile.
• Ukuthatha isampula ekhaleni (i-nasal swab) : Ngezinye izikhathi kungasiza ekutholeni igciwane.
• I-EEG (i-Electroencephalogram) : Lokhu kulinganisa umsebenzi kagesi wobuchopho futhi kungabona izimo ezifana nokuquleka.
• Ukuhlolwa kwe-PCR (Ukuhlolwa kwe-Polymerase chain reaction (PCR)) : Lokhu kusetshenziselwa ukuthola ngokunembile ukuthi uketshezi oluthathwe emgogodleni luqukethe yini izakhi zofuzo zegciwane.

Kwenziwa kanjani ukwelashwa?

Uma kutholakala ukuthi une-HSV Encephalitis, kufanele ulaliswe esibhedlela ngokushesha futhi ukwelashwa kufanele kuqale. Ukwelashwa okuyinhloko umuthi wokulwa namagciwane i-Acyclovir . Lo muthi unikezwa ngemithambo yegazi (IV) . Lokhu kusho ukuthi ufakwa ngqo egazini.

Ngaphezu kwalokho, imithi efana ne -corticosteroids inganikezwa ukunciphisa ukuvuvukala kobuchopho.

Kungenzeka yini ukululama ngokuphelele kulesi simo?

Yebo, i-HSV Encephalitis ingelapheka. Kodwa-ke, kubaluleke kakhulu ukuqala ukwelashwa ngokushesha okukhulu. Ngisho nalapho, abantu abaningi bangase babe nezinkinga zempilo zesikhathi eside. Isibonelo:

• Ukulahlekelwa yinkumbulo : Ubunzima bokukhumbula izinto ezithile.
• Izinkinga zokuquleka (isb., isithuthwane) : Isimo lapho ukuquleka kuqhubeka khona.
• Izinkinga zokunyakaza noma ukunyakaza kwemisipha okungahleliwe : Ukulahlekelwa ukulawula izitho kwenza kube nzima ukuhamba nokwenza imisebenzi yansuku zonke.
• Izinkinga zolimi noma zenkulumo: Ubunzima bokukhuluma nokuthola amagama.
• Ubunzima bokucabanga ngokucacile : Ingqondo ibonakala ihlakazekile, futhi kunzima ukugxila entweni eyodwa.
• Izinguquko ebuntwini noma ekuziphatheni : Ungase uziphathe ngendlela ehlukile kunangaphambili.

Lezi zinkinga zingase zithuthuke kancane kancane ngokuhamba kwesikhathi. Kodwa-ke, ezinye zingase zingapheli ngokuphelele. Ngezinye izikhathi, ikakhulukazi ezinganeni ezincane, izimpawu zingase zithuthuke bese ziphinde zivele phakathi nezinyanga ezimbalwa ('ukubuyela emuva'). Ngakho-ke, kubalulekile ukuqhubeka nokulandela imiyalelo kadokotela wakho ngisho nangemva kokuba usululame.

Yini ongayilindela uma unesifo se-'HSV Encephalitis'?

Uma kutholakale ukuthi une-HSV Encephalitis, kubalulekile ukuya esibhedlela bese uthola ukwelashwa ngokushesha okukhulu. Ukwelashwa kusenesikhathi kukunikeza ithuba elihle kakhulu lokululama. Kuzodingeka uthathe ukwelashwa ngama-antiviral amasonto ambalwa. Ngemuva kwalokho, uma unezinkinga zemizwa eziqhubekayo, izinto ezifana nokwelashwa ngokomzimba, ukwelashwa ngomsebenzi, noma ukwelashwa ngenkulumo kungasiza ekulawuleni izimpawu zakho. Uhambo oluya ekululameni lungaba lude futhi lube nzima. Ngakho-ke yiba nomusa kuwe.

Kufanele ubonane nini nodokotela?

Uma wake waba ne-herpes (herpes simplex) ngaphambili, khuluma nodokotela wakho ngalokho okufanele ukwenze uma iqala ukusebenza futhi (ukuvuselelwa), nokuthi yiziphi izimpawu ze-encephalitis.

Kufanele uye nini egumbini lezimo eziphuthumayo (ER)?

Uma unezimpawu ze-'Herpes Encephalitis', iya ekamelweni eliphuthumayo ngokushesha. Lokhu kungaba yingozi uma kungelashwa. Ngakho-ke ungalibali.

Yimiphi imibuzo okufanele uyibuze udokotela?

Ungase ukuthole kuwusizo ukubuza udokotela wakho imibuzo efana nale mayelana nalesi simo:

• Ngingazinakekela kanjani ekhaya?
• Uyisebenzisa kanjani kahle le mithi?
• Yiziphi ezinye izimpawu okufanele ngiziqaphele?
• Kufanele ngize nini ukukubona futhi?

Ingabe i-HSV Encephalitis ingavinjelwa?

Uma usuvele une-herpes, ayikho indlela ethile yokuvimbela ukuthi ingasabalali ebuchosheni. Kodwa-ke, ungenza okulandelayo ukunciphisa ingozi yokuthola nokusabalalisa igciwane le-herpes elibangela i-HSV Encephalitis:

• Gwema ukuthintana nezilonda ze-herpes.
• Hlola izifo ezithathelwana ngocansi (ama-STI). Cela umlingani wakho wocansi ukuthi naye ahlolwe. Amanye ama-STI angadluliselwa ngaphandle kwezimpawu.
• Sebenzisa amakhondomu noma amadamu amazinyo ngesikhathi socansi.
• Ungabelani ngezinto zakho siqu, njengezitsha nezinsingo zokushefa, nabanye.

Okokugcina, izinto okufanele uzikhumbule

I-Herpes simplex virus encephalitis (HSV Encephalitis) yisimo esibi esidinga ukwelashwa ngokushesha. Ngisho noma ukwelashwa kungathatha isikhathi eside. Ezinye izinkinga zempilo zingase zingalapheki ngokuphelele. Ngakho-ke, yiba nomusa kuwe futhi ube nesineke phakathi nohambo lwakho lokululama. Odokotela bakho bazokusiza ngazo zonke izinyathelo futhi bakuchazele ukuthi yini ongayilindela. Ungalokothi uthathe izimpawu zakho kalula. Uma unenkinga, funa iseluleko sezokwelapha ngokushesha.

I- Herpes, i-Encephalitis, Ukutheleleka Kobuchopho, i-HSV, Ukutheleleka Kwamagciwane, Izifo Zezinzwa, Ukwelashwa Okuphuthumayo