I-Herpes emehlweni akho futhi? Ake sifunde nge-Ocular Herpes!

Uke waba neso elibomvu nelibuhlungu ngokuzumayo elizwakala sengathi kukhona okukuhlabayo ngaphakathi? Ungase futhi ukhale kakhulu. Uma lokhu kwenzeka, sikubheka njengenkinga yamehlo elula. Kodwa-ke, ngezinye izikhathi kungaba yinto engathi sína kakhulu. Namuhla, sizokhuluma ngesimo esibizwa ngokuthi i-ocular herpes, esingathinta amehlo.

Kuyini i-herpes yamehlo?

Kalula nje, i-herpes yamehlo yilapho igciwane le-herpes lithinta amehlo akho. Lesi yisimo esibi esingase siholele ekulahlekelweni umbono ngezinye izikhathi uma singabonwa futhi selashwe ngokushesha. Yingakho kubalulekile ukuqaphela. Abanye abantu basibiza nangokuthi "isifo samehlo esibangelwa yi-herpetic."

Izinhlobo ezimbili zamagciwane zithinta kakhulu lesi simo:

1. I-Herpes Simplex Virus (HSV): Kunezinhlobo ezimbili zalokhu futhi.

• Uhlobo lwe-HSV 1 (HSV-1): Lolu uhlobo oluvame ukubangela izilonda zomkhuhlane noma "ama-blister omkhuhlane." I-HSV-1 nayo inesibopho samacala amaningi e-herpes emehlweni. Uma ithinta amehlo, ibizwa ngokuthi i-herpes simplex ophthalmicus (HSV-1).
• Uhlobo lwe-HSV 2 (HSV-2): Lolu uhlobo lwe-herpes oludluliselwa kakhulu ngocansi. Kodwa-ke, aluvamile ukuthinta amehlo.

2. Igciwane le-Varicella Zoster (VZV): Uyakhumbula i-chickenpox useyingane? Yigciwane le-VZV elibangela i-chickenpox. Ngemva kwe-chickenpox, igciwane lihlala lingasebenzi ohlelweni lwethu lwezinzwa. Eminyakeni eminingi kamuva, mhlawumbe ekugugeni, igciwane lingaphinde lisebenze futhi libangele isimo esibizwa ngokuthi "ama-shingles." Uma ama-shingles esakazekela emehlweni, abizwa ngokuthi i-Herpes Zoster Ophthalmicus (HZO).

Ivame kangakanani le herpes yamehlo?

Kulinganiselwa ukuthi kunabantu abangaba ngu-500,000 e-United States kuphela abane-herpes emehlweni ebangelwa yigciwane le-HSV. Kubikwa amacala amasha angaba ngu-58,000 minyaka yonke. Angavela kunoma ubani wanoma yimuphi ubudala. Ngenxa yokuthi igciwane le-HSV liyigciwane elivame kakhulu, inani elikhulu labantu lisengozini.

I-herpes zoster (ama-shingles) abangelwa yigciwane le-VZV athinta cishe umuntu oyedwa kwabayi-1,000 e-United States minyaka yonke. Leli nani liyanda liye koyedwa kwabayi-100 abaneminyaka engaphezu kwengu-60. Ochwepheshe bathi phakathi kuka-8% no-20% walaba bantu bangase babe nezimpawu zamehlo. Lesi simo asivamile ezinganeni ezincane.

Ziyini izimpawu ze-herpes emehlweni?

Izimpawu ze-herpes emehlweni zingahluka kancane kuye ngegciwane eliyibangele. Njengoba lezi zimpawu zivame ukubonakala kwezinye izimo zamehlo, kungcono ukubona udokotela ukuze uthole ukuxilongwa okufanele. Nakuba ezinye izimpawu zithinta iso ngokwalo, ezinye zingathinta nezindawo ezizungeze amehlo akho. Ngokuvamile kuthinta iso elilodwa, kodwa ngezinye izikhathi womabili amehlo angathinteka ngesikhathi esisodwa.

Izimpawu ezibangelwa yigciwane le-HSV:

• Ubuhlungu bamehlo.
• Ukucasuka kwamehlo kanye nokubomvu.
• Ukuzwa sengathi kukhona okuthile esweni (umuzwa womzimba wangaphandle).
• Ukwesaba ukukhanya: Lokhu kusho ukuthi kunzima ukubheka ukukhanya.
• Ukudabuka emehlweni (i-Epiphora).
• Ukuvuvukala noma ukuvuvukala kwejwabu leso (i-Blepharitis).
• "Isifo samehlo" (conjunctivitis), ngezinye izikhathi sihambisana nokuvuvukala kwe-cornea, ingxenye engaphambili yeso esobala (keratoconjunctivitis).
• Ama-blister agcwele uketshezi (ama-vesicle) noma ama-blister agcwele ubomvu (ama-pustules) avela ngamaqoqo phezu noma eduze kwamehlo.
• Izilonda ze-cornea noma ezinye izinguquko.

Izimpawu ezingathi sína kakhulu zingase zihlanganise:

• Ukukhubazeka kokubona.
• I-Iritis (ukuvuvukala kwengxenye enombala yeso).
• Ukulahlekelwa umbono ngokuzumayo noma ngokushesha.

Izimpawu ezibangelwa yigciwane le-VZV (i-Herpes Zoster - Shingles):

Igciwane le-VZV lingabangela izimpawu eziningi emehlweni. Kodwa-ke, izimpawu zivame nasesikhumbeni esizungeze amehlo, ikakhulukazi ebunzini. Leli gciwane lihlasela kakhulu uhlelo lwezinzwa. Ngakho-ke, lezi zimpawu zivela ezindaweni lapho i-trigeminal nerve ihlangana khona ebunzini.

Izimpawu ezihlobene namehlo:

• Ukuvuvukala noma ukuvuvukala kwejwabu leso (i-Blepharitis).
• Ukuvuvukala kwe-cornea noma i-conjunctiva.
• Ubomvu noma ukuvuvukala kolwelwesi lwangaphandle lweso elimhlophe (i-Episcleritis).
• Ukuphuma kwamanzi esweni, ikakhulukazi uma kukhona i-episcleritis.
• Ijwabu leso eligobile (i-Ptosis).
• Ukulahlekelwa umbono ngaphandle kobuhlungu (lokhu kuyinkinga engavamile, kodwa engathi sína kakhulu ).

Izimpawu zesikhumba (ngokuvamile ohlangothini olulodwa lobuso):

• Ukuqhuma kwesikhumba.
• Ama-vesicle noma ama-pustules avela ebunzini noma ekhaleni, aqhuma futhi akhe uqweqwe.
• Ukuluma.

Abantu abathola i-herpes yamehlo ngenxa ye-VZV bangase babe nezimpawu ezijwayelekile njengobuhlungu bemizwa , ukukhathala, kanye nokungaphatheki kahle ngaphambi kokuba izimpawu zivele emehlweni noma esikhumbeni.

Yini ebangela i-herpes emehlweni?

Njengoba sishilo ngaphambili, izinhlobo ezimbili zegciwane le-herpes simplex (HSV) (uhlobo 1 nohlobo 2) kanye negciwane le-varicella zoster (VZV) yizona ezibangela lokhu. Lawa magciwane athelelana kakhulu . Lokhu kusho ukuthi ungawathola kalula kwabanye abantu. Kodwa-ke, kunomehluko omncane endleleni lezi zinhlobo ezimbili zamagciwane ezidluliselwa ngayo.

Igciwane le-HSV-1

Uma uthinta isilonda somkhuhlane emlonyeni wakho bese uthinta iso lakho ngesandla esifanayo, igciwane lingangena emehlweni akho. Ngezinye izikhathi, igciwane lingathinta amehlo akho lapho liqala ukungena emzimbeni wakho (ukutheleleka okuyinhloko). Kodwa-ke, ngokuvamile, igciwane liyaphinda libuyele futhi lihambe ngemithambo liye emehlweni akho, kungaba ngezandla zakho noma ngesikhumba sakho.

Igciwane le-HSV-1 lisakazeka kalula lisuka komunye umuntu liye komunye ngoketshezi lomzimba olufana namathe. Lingasakazeka futhi ngokuxhumana okuqondile, njengokuqabulana. Lingasakazeka futhi ngokungaqondile ngokwabelana ngezinto ezifana nezitsha, amabhodlela amanzi, imikhiqizo yezimonyo, kanye namathawula.

Igciwane le-HSV-2

I-HSV-2 ngokuyinhloko iyisifo esithathelwana ngocansi (STI). Kodwa-ke, ayivamile ukusabalala ngoketshezi lomzimba, njengezandla noma ngqo ebusweni noma emehlweni. Izinsana nezingane ezincane zingaba ne-herpes emehlweni ngale ndlela.

Futhi, i-HSV-2 ingadluliselwa kusuka kumama iye enganeni ngesikhathi sokukhulelwa noma sokubeletha. Lokhu kubizwa ngokuthi "ukudluliselwa okuqondile." Lena yindlela enkulu yokuthi umntwana osanda kuzalwa athole i-herpes emehlweni kamuva uma etheleleke nge-HSV-2.

Igciwane le-Varicella zoster (VZV)

I-chickenpox ibangelwa yigciwane le-VZV. Ngemva kokuba i-chickenpox isipholile, njenge-HSV, igciwane le-VZV lihlala lingasebenzi ohlelweni lwezinzwa. Eminyakeni eminingi, ngezinye izikhathi amashumi eminyaka kamuva, lingaphinde lisebenze futhi libangele i-herpes zoster (ama-shingles). Ama-shingles angasakazeka ohlelweni lwezinzwa futhi afinyelele emehlweni ngemizwa egijima eduze kwamehlo.

Okubalulekile, yize igciwane le-VZV libanga kokubili i-chickenpox kanye ne-shingles, i-shingles kuphela ebanga i-herpes emehlweni. Akuvamile kakhulu ukuthi i-chickenpox ithinte amehlo. Kodwa-ke, ayihlukaniswa njenge-herpes yamehlo. Futhi, i-herpes yamehlo ayithelelani njenge-shingles esikhumbeni.

Ingabe i-herpes emehlweni ingaphinde ivele?

Yebo, kungenzeka ukuthi uthole i-herpes yamehlo izikhathi ezingaphezu kwesisodwa. Kunezici eziningana ezingabangela lokhu:

• Ukucindezeleka.
• Imfiva.
• Ukwelashwa kwamehlo nge-laser ye-ultraviolet.
• Eminye imithi esetshenziswa emehlweni, isibonelo ama-beta-blockers, ama-corticosteroids, i-epinephrine, kanye nama-prostaglandins.
• Ukuya esikhathini kwabesifazane.
• Imithi noma izimo zezokwelapha ezicindezela isimiso somzimba sokuzivikela (uma une-herpes emehlweni womabili, kungaba ubuthakathaka obungaphansi kwesimiso somzimba sokuzivikela).
• Ukuba nesimiso somzimba esibuthakathaka ngenxa yokutheleleka okusha.

Yiziphi izinkinga ezingaba khona ze-herpes emehlweni?

Inkinga enkulu kakhulu ye-herpes emehlweni ukulahleka kokubona noma ubumpumputhe.Kokubili i-HSV ne-VZV kungathinta izingxenye ezahlukene zeso. I-cornea ivame ukuthintwa, kodwa i-uvea, ungqimba oluphakathi lweso, kanye ne-retina nakho kungathinteka. Ukuphindaphinda kwegciwane kungabangela izibazi kanye nokulahlekelwa umbono unomphela. Yingakho i-herpes emehlweni iyisimo esidinga ukuqashelwa futhi selashwe ngokushesha.

I-herpes emehlweni itholakala kanjani?

Uchwepheshe wakho wokunakekelwa kwamehlo uzohlola ngokucophelela amehlo akho kanye nesikhumba esizungezile amehlo akho. Uzobheka izinto ezifana nama-blisters kanye nokushintsha kombala. Uzobuza nangomlando wakho wezokwelapha kanye nanoma yiziphi izehlakalo zakamuva ezingase zihlobane nalokhu kutheleleka.

Uma ungakaze utholakale une-herpes simplex noma i-varicella zoster ngaphambilini, kunezindlela eziningana zokuhlola la magciwane. Lokhu kusukela kuma-swabs athathwe ebusweni beso kuya ekuhlolweni kwegazi (ukuze uthole ama-antibodies avela ekuthelelekeni kwamanje noma ekuthelelekeni kwangaphambilini).

Udokotela wamehlo angasebenzisa ukuhlolwa kwamehlo nezinye izindlela ukuthola ukuthi yiziphi izingxenye zeso lakho ezithintekile nokuthi azelaphe kanjani. Ukuhlolwa kwesibani esinqunyiwe, okuyingxenye yokuhlolwa kwamehlo okuvamile, kuvumela udokotela wakho ukuthi abheke ngaphakathi kweso lakho. Lokhu kungasiza ekutholeni ukwelashwa okungcono kakhulu kwesimo sakho. Kungase kudingeke futhi ukuthi ubonane nodokotela wokunakekelwa okuyisisekelo (PCP) noma omunye udokotela ukuze elaphe noma yimiphi imiphumela yangaphandle ye-HSV noma i-shingles.

Ungayiphatha kanjani i-herpes emehlweni? Ingabe ingelapheka ngokuphelele?

Akukho ukwelashwa kwegciwane le-herpes simplex noma igciwane le-varicella zoster. Kodwa-ke, la magciwane angalawulwa, avimbele ukuvuselelwa kwawo, futhi acindezele izimpawu.

Indlela eyinhloko yokulawula la magciwane ukusebenzisa imithi yokulwa namagciwane . Le mithi isebenza ngokuvimbela igciwane ukuthi lingaphindaphindeki (ukwenza amagciwane engeziwe). Lokhu kungasiza ekulawuleni ukutheleleka okukhona noma ukuqubuka kwamagciwane. Kukhona neminye imithi engasetshenziswa nsuku zonke ukuvimbela igciwane ukuthi lingaphinde lisebenze. Eminye imithi iqondene ne-HSV noma i-VZV, kanti eminye ingasetshenziswa kokubili.

Le mithi itholakala njengemithi ye-intravenous (IV), amaphilisi omlomo (omlomo), noma amaconsi amehlo noma amafutha okugcoba. Ezinye izibonelo yilezi:

• I-Acyclovir
• I-Famciclovir
• I-Foscarnet
• I-Ganciclovir
• I-Trifluridine
• I-Valacyclovir

Udokotela wakho wamehlo angase futhi akunikeze eminye imithi yokwelapha ukutheleleka noma izimpawu zakho. Evamile ihlanganisa:

• Ama-antibiotic:Ama-antibiotic awakwazi ukwelapha amagciwane. Kodwa-ke, uma unegciwane, amasosha omzimba wakho angaba sengozini yokutheleleka ngamagciwane. Ama-antibiotic angakuvimbela lokho.
• Imithi yokulwa nokuvuvukala: Le mithi inciphisa ukuvuvukala, ukuvuvukala, kanye nokuvuvukala (okungabangela ezinye izinkinga) ezivame ukuhambisana nokutheleleka emehlweni noma eduze kwawo.

Abantu abanomonakalo omkhulu emehlweni bangadinga ukuhlinzwa.

Udokotela wakho wamehlo uzokutshela okulandelayo:

• Yikuphi ukwelashwa okukhethekile abakuncomayo?
• Ukwelashwa kungasiza kanjani?
• Indlela yokusebenzisa imithi ebhalwe ngudokotela.
• Yimiphi imiphumela emibi engaba khona?
• Uzoqala nini ukuzizwa ungcono?

Yini ongayilindela uma une-herpes emehlweni akho?

Izimpawu ze-herpes yamehlo ziyahlukahluka kuye ngegciwane eliyibangelayo kanye nezingxenye zeso ezithintekile. Ngokuvamile kuba buhlungu kakhulu . Kungabangela nezimpawu ezingakhululekile njengokuzwela amehlo akhanyayo namanzi.

Uma kuvela amabhamuza noma izilonda ezizungeze amehlo akho noma ezinkopheni zakho, bona udokotela noma udokotela wamehlo ngokushesha okukhulu . Ukuxilongwa nokwelashwa okusheshayo kubalulekile ukuvimbela izinkinga ezinkulu zamehlo.

Uma ingane yakho inezimpawu ze-herpes yamehlo, kufanele ubonane nodokotela wezingane ngokushesha. I-herpes yamehlo iyimbangela yesibili ehamba phambili yokulahlekelwa umbono we-cornea ezinganeni.

Iyini inhloso ye-herpes yamehlo?

I-Herpes emehlweni ayisongeli impilo, kodwa ingabangela ukulahlekelwa umbono unomphela kanye nezinye izinkinga. Ngenhlanhla, lesi simo singelapheka. Imithi yokulwa namagciwane inganciphisa nengozi yokuphinda ivele. Njengoba igciwane liqhubeka impilo yakho yonke, kungadingeka uqhubeke uthatha le mithi.

Ingabe i-herpes yamehlo ingavinjelwa?

Ayikho indlela eyi-100% yokuvimbela i-herpes yamehlo. Kodwa-ke, noma ngabe uthola igciwane eliyibangela, kunezinto ezithile ongazenza ukuze unciphise kakhulu ingozi yakho yokuthola i-herpes yamehlo:

• Geza izandla zakho njalo noma usebenzise i-sanitizer. Lokhu kwenza kube nzima ukuthi amagciwane asakazeke.
• Kungcono ukungabelani ngezinto nabanye. I-herpes yomlomo ivame ukusabalala ngezinto ezihlanganyelwe njengemabhodlela amanzi, izinkomishi, izitsha zokudlela, izinto zokuhlanzeka komuntu siqu, kanye nemikhiqizo yezimonyo.
• Gwema ukuthintana nanoma ubani onesilonda noma i-blister emlonyeni noma ezindebeni zakhe. Gwema ukuqabulana noma ukuxhumana eduze nanoma ubani onesilonda noma i-blister emlonyeni wakhe. Gwema ukuthintana nabanye uma unaso.
• Goma.Kokubili i-chickenpox kanye ne-herpes zoster (ama-shingle) kungathinta amehlo. Ama-shingle angabangela izinkinga zamehlo ezingapheli nezinzima kanye nokulahlekelwa umbono (kanye nezinye izinkinga, njengobuhlungu obukhulu bemizwa). Ukugonywa kunganciphisa kakhulu leyo ngozi. Ngisho noma uke waba nama-shingle ngaphambili, ungathola umuthi wokugomela ukuze unciphise ingozi yakho yokuphinde uwuthole.
• Lawula isimo sakho. Uma udokotela ekutholile ukuthi unesifo esibangelwa yigciwane esingabangela i-herpes emehlweni, angase akuncomele imithi yokulwa namagciwane ukuze kuvinjelwe ukuthi singaphinde sivele.

Ngingazinakekela kanjani uma ngine-herpes emehlweni ami?

Uma une-herpes emehlweni akho, kubalulekile ukuthola ukwelashwa. Uma uthola ukwelashwa ngokushesha, mancane amathuba okuba nezinkinga ezinkulu. Kufanele futhi ukhulume nodokotela wakho mayelana nokuthatha imithi yokulwa namagciwane ukuvimbela igciwane ukuthi lingaphinde lisebenze futhi libangele ukuphinda libuye.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami wamehlo noma umhlinzeki wezempilo?

Uma une-herpes emehlweni akho, ungabuza udokotela wakho wamehlo noma umhlinzeki wezempilo le mibuzo:

• Yiliphi igciwane elibangela i-herpes emehlweni ami?
• Yikuphi ukwelashwa okuncomayo?
• Ingabe ikhona imithi engingayisebenzisa ukuvimbela ukuphindaphinda kwalesi sifo esikhathini esizayo?
• Yini engingayenza ukuze ngivimbele lesi simo ukuthi singasabalali kwabanye?

I-herpes emehlweni ibukeka kanjani?

I-herpes yeso ebangelwa yi-HSV ingaba nezimpawu ezifana nalezi:

• Ukuqubuka kwamehlo akho noma eduze kwamehlo akho.
• Amaqoqo amabhamuza amancane azungezwe isikhumba esibomvu emajwabu amehlo noma eduze kwamehlo.
• Isilonda esisodwa noma ngaphezulu, amabhamuza, noma amathumba azungeze amehlo.
• Ukuphuma kwamehlo.
• Iso elibomvu noma elibomvu.

I-herpes yeso, ebangelwa yi-varicella zoster (VZV), ingabukeka ifana, kodwa ingaba nesinye isici esihlukile: izilonda zesikhumba, amabhamuza, noma izilonda ohlangothini olulodwa lwebunzi. Lokhu kungenxa yokuthi igciwane lihamba ngemithambo ekhethekile ebunzini bese lifika esweni.

Ingabe i-herpes yamehlo ingasakazeka ngezindwangu ezifana namathawula kanye nama-pillowcases?

Yebo, amagciwane afana ne-HSV noma i-VZV angasakazeka ngezingubo ezingcolile, ama-pillowcases, amathawula, kanye nezingubo zokuwasha. Ungabelani ngalezi zinto nomuntu one-HSV noma ama-shingles. Uma unesinye salezi zifo, ungabelani ngazo nabanye. Futhi, geza amathawula nama-pillowcases nsuku zonke ukuze unciphise ukusabalala kokutheleleka. Sebenzisa izindwangu ezihlukene ukusula izindawo ezithelelekile.

Ekugcineni, ekugcineni, khumbula lokhu.

Amagciwane abangela i-herpes emehlweni avamile futhi asakazeka ngezindlela eziningi. Ungase uzizwe ungakhululekile ukukhuluma nodokotela wakho ngegciwane le-herpes. Kodwa-ke, udokotela wakho ugxile ekwelapheni ukuze uzizwe ungcono.Ukuqala ukwelashwa kusenesikhathi kungasiza ekuvimbeleni izinkinga ezinkulu kanye nokubuyela kwezifo esikhathini esizayo. Uma unezimpawu ze-herpes yamehlo, noma ufuna ukukhuluma kabanzi ngengozi yakho yokuthola lesi simo esikhathini esizayo, ungalibali ukubona uchwepheshe wamehlo. Amehlo akho ayigugu, ngakho-ke wanakekele!

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