Herpes - waha
ʻO ka herpes oral ka maʻi o nā lehelehe, waha, a i ʻole nā gums ma muli o ka maʻi herpes simplex. Hoʻokumu ia i nā palapū ʻeha a ʻeha hoʻi i kapa ʻia nā ʻeha anu a i ʻole nā palapū kuni. ʻO ka herpes waha kekahi i kapa ʻia ʻo herpes labialis.
ʻO ka herpes waha he maʻi maʻamau o ka waha. Hoʻokumu ʻia ia e ka herpes simplex virus type 1 (HSV-1). ʻO ka hapa nui o ka poʻe maʻAmelika Hui Pū ʻIa i loaʻa i kēia maʻi ma o ka makahiki 20.
Ma hope o ka maʻi mua, hele ka maʻi i ka hiamoe (lilo i hiamoe) i nā aʻa nerve i ka maka. I kekahi manawa, ala aʻe ka virus ma hope (reactivates), e hōʻeha ana i nā maʻi anu.
ʻO ka maʻi herpes ʻano 2 (HSV-2) ka mea pinepine i hoʻonāukiuki i ka herpes genital. Eia nō naʻe, pāhola ʻia ʻo HSV-2 i ka waha i ka wā o ka moekolohe ʻana, a he herpes waha kekahi.
Hoʻolahalaha maʻalahi nā virus Herpes mai nā poʻe me ka maʻi ahulau a ʻeha paha. Hiki iā ʻoe ke hopu i kēia maʻi inā ʻoe:
- E launa pilikino a pilikino paha me kekahi mea maʻi
- Hoʻopā aku i kahi maʻi herpes hāmama a i ʻole kekahi mea i pili i ka maʻi herpes, e like me nā pahi kaua, nā kāwele, nā kīʻaha, a me nā mea like ʻē aʻe.
Hoʻolahalaha paha nā mākua i ka maʻi i kā lākou keiki i nā hana maʻamau o kēlā me kēia lā.
Loaʻa i kekahi poʻe i ka maʻi maʻi lehelehe ke hui mua lākou me ka maʻi HSV-1. ʻAʻohe hōʻailona o kekahi poʻe. Kū pinepine nā ʻōuli i nā keiki ma waena o 1 a me 5 mau makahiki.
Māmā a koʻikoʻi paha nā ʻōuli. Hōʻike pinepine ʻia lākou ma waena o 1 a 3 mau pule ma hope o kou pili ʻana me ka maʻi. Kū paha lākou i 3 mau pule.
Pākuʻi ʻia nā ʻōuli ʻōkuhi:
- Ka ʻili o nā lehelehe a i ʻole ʻili a puni ka waha
- Puhi ma kahi o nā lehelehe a wahi o ka waha
- Ke ʻūlū nei ma kahi o nā lehelehe a waha paha
Ma mua o ka hū ʻana o ka pupuhi, loaʻa paha iā ʻoe:
- Eha ka 'ā'ī
- Fiva
- Nūhū pehu
- Ale ʻeha
Hiki ke hana i nā palapū a i ʻole ka hū ma kāu:
- Nā gums
- Lehelehe
- Waha
- ʻĀhaʻi
Kapa ʻia nā palapū he ʻōpala. Loaʻa iā ʻoe:
- Hinahina ʻulaʻula a haki
- Hoʻopiha ʻia nā palapū liʻiliʻi me ka wai melemele maopopo
- ʻOi aku kekahi mau palapū liʻiliʻi e ulu pū i loko o kahi pupu nui
- Hinahina a crusty blister i ka wā e hoʻōla ai, a lilo i ʻili ʻākala
Hewa ʻia nā ʻōuli e:
- Hoʻololi nā Menstruation a i ʻole ka hormone
- Aia i waho i ka lā
- Fiva
- Kaumaha
Inā hoʻi nā ʻōuli ma hope, maʻa mau lākou i ka hapanui o nā hihia.
Hiki i kāu mea mālama ola ke hōʻoia i ka herpes waha ma ka nānā ʻana i kahi o kou waha. I kekahi manawa, lawe ʻia kahi laʻana o ka ʻeha a hoʻouna ʻia i kahi keʻena hoʻokolohua no ka hoʻokolokolo pono ʻana. E komo pū paha nā hoʻāʻo:
- Moʻomeheu Viral
- Hōʻike DNA Viral
- Hōʻike ʻo Tzanck e nānā iā HSV
Hele paha nā ʻōuli ma kā lākou iho me ka ʻole o ka lapaʻau ʻana ma 1 a 2 mau pule.
Hiki i kāu mea hoʻolako ke kuhikuhi i nā lāʻau e hakakā i ka maʻi. Kapa ʻia kēia he lāʻau antiviral. Hiki ke kōkua i ka hōʻemi ʻana i ka ʻeha a haʻalele i kāu mau hōʻailona. ʻO nā lāʻau i hoʻohana ʻia e mālama i nā ʻeha waha me:
- ʻO Acyclovir
- Famciclovir
- ʻO Valacyclovir
ʻOi aku ka maikaʻi o kēia mau lāʻau inā lawe ʻoe iā lākou ke loaʻa iā ʻoe nā hōʻailona hōʻailona o ka ʻeha o ka waha, ma mua o ka ulu ʻana o ka pehu. Inā loaʻa pinepine iā ʻoe ka ʻeha o ka waha, pono ʻoe e ʻai i kēia mau lāʻau i nā manawa āpau.
- Hiki ke hoʻohana ʻia nā kalima Antiviral. Eia nō naʻe, pipiʻi lākou a hoʻopau pinepine i ka laha e kekahi mau hola i kahi lā.
Hiki i nā hana i lalo ke kōkua iā ʻoe e hōʻoluʻolu.
- E noi i ka hau a i kahi kapa holoi mehana i nā ʻeha e kōkua ai i ka ʻeha.
- E holoi mālie i nā pākuʻi me ke kopa hakakā (antiseptic) a me ka wai. Kōkua kēia i ka pale ʻana i ka hoʻolaha ʻana i ka maʻi i nā wahi o ke kino.
- Hōʻalo i nā mea inu wela, nā mea ʻono a me ka paʻakai, a me nā citrus.
- Palu me ka wai anuanu a ʻai paha i nā popsicle.
- E holoi me ka wai paʻakai.
- Lawe i kahi mea hōʻoluʻolu ʻeha e like me acetaminophen (Tylenol).
Hele pinepine ka herpes waha ma ke ʻano he 1 i 2 mau pule. Eia naʻe, hoʻi paha ia.
He koʻikoʻi a weliweli paha ka maʻi herpes inā:
- Kū ʻia i loko a i ʻole ka maka o ka maka.
- Loaʻa iā ʻoe kahi ʻōnaehana pale nāwaliwali ma muli o kekahi mau maʻi a me nā lāʻau.
ʻO ka maʻi herpes o ka maka ke kumu nui o ka makapō ma United States. Hāʻawi ia i ka scarring o ke kornea.
ʻO nā pilikia ʻē aʻe o ka herpes waha e pili pū paha:
- Ka hoʻi ʻana o ka ʻeha o ka waha a me ka pā
- Hoʻolahalaha ka maʻi i nā ʻili ʻē aʻe
- Maʻi maʻi koʻohune
- Hoʻolahalaha nui ʻia ke kino, a he hoʻoweliweli paha ke ola i ka poʻe i loaʻa ka ʻōnaehana nāwaliwali ma muli o ka atopic dermatitis, maʻi ʻaʻai, a maʻi HIV paha.
Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe:
- ʻO nā ʻōuli koʻikoʻi a ʻaʻole e hele ma hope o 2 mau pule
- ʻO nā ʻeha a palapū paha ma kahi o kou mau maka
- Nā hōʻailona herpes a me kahi ʻōnaehana nawaliwali nāwaliwali ma muli o kekahi mau maʻi a i ʻole nā lāʻau
Eia kekahi ʻōlelo aʻoaʻo e pale aku ai i ka ʻeha waha:
- E noi i ka sunblock a i ʻole lip balm ma loko o kou mau lehelehe ma mua o kou hele ʻana i waho.
- E noi i kahi balm moisturizing e pale i nā lehelehe a maloʻo loa.
- Hōʻalo i ka hoʻopili pololei ʻana me nā maʻi herpes.
- E holoi i nā mea e like me nā kāwele a me nā lilina i loko o ka wai wela e paila ana ma hope o kēlā me kēia hoʻohana.
- Mai kaʻana like i nā mea hana, mauʻu, mau aniani, a i ʻole nā mea ʻē aʻe inā he herpes waha kekahi.
ʻAʻohe ou moekolohe waha inā he herpes waha kou, keu hoʻi inā he pehu ʻoe. Hiki iā ʻoe ke hoʻolaha i ka maʻi i nā genital. Hiki ke pālahalaha ʻia nā virus herpes waha a me nā genital herpes i kekahi manawa, ʻoiai ʻaʻole ou ʻeha a waha paha.
ʻEha anu; Pāhū wela; Herb herpes simplex; Herpes labialis; ʻO Herpes simplex
- Herpes simplex - pani-i luna
ʻO Habif TP. ʻO Warts, herpes simplex, a me nā maʻi viral ʻē aʻe. I: Habif TP, hoʻoponopono. Dermatology Lapaʻau. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2016: chap 12.
Hupp WS. Nā maʻi o ka waha. I: Kellerman RD, Rakel DP, eds. ʻO kā Conn Therapy Therapy 2019. Piladelapia, PA: Elsevier; 2019: 969-975.
Lingen MW. ʻO ke poʻo a me ka ʻāʻī. I: Kumar V, Abbas AK, Aster JC, eds. ʻO Robbins a me Cotran Pathologic Basis o ka maʻi. 9th ed. Piladelapia, PA: Elsevier Saunders; 2015: chap 16.
ʻO Whitley RJ, Gnann JW. Nā maʻi maʻi herpes simplex. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 350.