Hema genital

ʻO Genital herpes kahi maʻi i lawe ʻia i ka moekolohe. Hoʻokumu ʻia ia e ka maʻi herpes simplex virus (HSV).

Nānā kēia ʻatikala i ka maʻi ʻaʻai HSV ʻano 2.

Hoʻopili ka herpes genital i ka ʻili a i ʻole nā ​​membrane mucous o nā genital. Hoʻolahalaha ʻia ka maʻi mai kekahi kanaka a i kekahi ʻē aʻe i ka wā e moe kolohe ai.

Aia he 2 ʻano o HSV:

• Hoʻopili pinepine ka HSV-1 i ka waha a me nā lehelehe a kumu i nā maʻi anuanu a i ʻole nā ​​palapū wela. Akā hiki ke pālahalaha ʻia mai ka waha a i nā genital i ka wā o ka moekolohe ʻana.
• ʻO ka HSV ʻano 2 (HSV-2) ke kumu pinepine i ka herpes genital. Hiki ke pālahalaha ʻia ma o ka ʻili a i ʻole ma o nā wai mai ka waha a i ʻole nā ​​genital.

E hele a maʻi paha ʻoe me ka herpes inā pili kou ʻili, ʻāpala, penis, a waha paha me kahi mea i loaʻa iā herpes.

Loaʻa paha iā ʻoe ka herpes inā ʻoe e hoʻopā i ka ʻili o kekahi i loaʻa i nā maʻi hepe, nā palapū, a me kahi huaʻeha. Akā hiki ke pālahalaha ʻia ka maʻi, ke loaʻa ʻole nā ​​ʻeha a me nā ʻōuli ʻē aʻe. I kekahi mau hihia, ʻaʻole ʻoe i ʻike ua maʻi ʻoe.

ʻOi aku ka maʻi maʻamau o nā genital HSV-2 i nā wahine ma mua o nā kāne.

ʻAʻole ʻeha nā kānaka he nui me ka herpes genital. A i ʻole he ʻōuli palupalu kā lākou i ʻike ʻole ʻia a kuhihewa ʻia no ka nahu ʻana o nā ʻelala a i ʻole ke ʻano ʻili ʻē aʻe.

Inā kū nā hōʻailona a me nā hōʻailona i ka wā o ka laha mua, hiki i lākou ke kaumaha. Hana pinepine kēia ʻōpala ma waena o 2 mau lā a i 2 mau pule o ka maʻi.

Pili pū nā ʻōuli laulā:

• Hoʻoemi i ka makemake
• Fiva
• ʻO ka manaʻo maʻi maʻamau (malaise)
• ʻEha ka ʻū ma ka ʻaoʻao i lalo, ka ʻūhā, nā ʻūhā, a i ʻole nā ​​kuli
• Pehu a palupalu nā lymph node i ke aʻa

ʻO nā ʻōuli genital pū kekahi me nā pūpū ʻehaʻeha a hoʻopiha ʻia me ka wai aniani a kala hoʻi. ʻO nā wahi kahi e loaʻa ai nā ʻeha:

• ʻO nā lehelehe liʻiliʻi ma waho (labia), ʻōpū, cervix, puni ka anus, a ma nā ʻūhā a i ʻole nā ​​ʻūhā (i nā wahine)
• Penis, scrotum, a puni ka anus, ma nā ʻūhā a i ʻole ka ʻūlū (i nā kāne)
• ʻUelelo, waha, maka, gums, lehelehe, manamana, a me nā ʻāpana ʻē aʻe o ke kino (i nā kāne ʻelua)

Ma mua o ka hū ʻana o ka pā, aia paha he ʻalalā, wela, ʻili, a ʻeha paha ma ka pūnaewele kahi e ʻikea ai nā pāhū. Ke haki nā pā, haʻalele lākou i nā maʻi maʻi pāpaʻu ʻeha loa. Hoʻopili kēia mau ulcer a hoʻōla i 7 a 14 mau lā a ʻoi paha.

Hiki i nā ʻōuli ʻē aʻe ke:

• ʻEha ke hele i ka mimi
• Hoʻokuʻu lāʻau (i nā wahine) a i ʻole
• Nā pilikia e waiho ana i ka ʻōpū e koi aku ai i kahi catheter urinary

Hiki ke hōʻike i ka lua o ka laha i mau pule a i ʻole mau mahina ma hope. ʻOi aku ka liʻiliʻi o ke koʻikoʻi a hele aku ia ma mua o ka laha mua. I ka hala ʻana o ka manawa, hoʻemi paha ka nui o nā maʻi ahulau.

Hiki i nā hoʻokolohua ke hana ma nā ʻeha ʻili a i ʻole nā ​​palapū e ʻike pono ai i ka herpes. Hana pinepine ʻia kēia mau hoʻāʻo ke loaʻa ka maʻi mua i kekahi a i ka wā e ulu ai nā wahine hāpai i nā ʻōuli herpes genital. Loaʻa i nā hoʻāʻo:

• ʻO ka moʻomeheu o ka wai mai kahi blister a ʻeha hāmama paha. Maikaʻi paha kēia hōʻike no HSV. He mea pono loa i ka wā o ka laha mua.
• ʻO ka hopena polymerase chain (PCR) i hana ʻia i ka wai mai kahi blister. ʻO kēia ka hōʻoia ʻoi loa e haʻi inā aia ka maʻi herpes i loko o ka pāhū.
• ʻO nā hoʻokolohua koko e nānā ai i ka pae antibody i ka maʻi herpes. Hiki i kēia mau hoʻāʻo ke ʻike inā ua maʻi ʻia kekahi kanaka me ka maʻi herpes, ʻoiai ma waena o nā maʻi kūpilikiʻi. ʻO kahi hopena hōʻike maikaʻi inā ʻaʻole i loaʻa i kahi kanaka kahi ʻōpala e hōʻike i ka hōʻike ʻana i ka maʻi i kekahi manawa i ka wā i hala.

I kēia manawa, ʻaʻole koi ka poʻe loea i ka kānana ʻana no HSV-1 a i ʻole HSV-2 i ka ʻōpio a i ʻole nā ​​mākua ʻaʻohe o lākou ʻōuli, e like me nā wahine hāpai.

ʻAʻole hiki ke hoʻōla ʻia ka herpes genital. Nā lāʻau lapaʻau e hakakā i nā mea ʻino (e like me acyclovir a i ʻole valacyclovir) hiki ke kuhikuhi ʻia.

• Kōkua kēia mau lāʻau i ka hōʻoluʻolu i ka ʻeha a me ka hōʻoluʻolu ʻole i ka wā o ka laha ʻana e ka hoʻōla wikiwiki ʻana i nā ʻeha. Me he mea lā ʻoi aku ka maikaʻi o kā lākou hana i ka wā o ka hoʻouka kaua mua ma mua o nā wā hope.
• No nā laha hou, pono e lawe i ka lāʻau i ka wā e hoʻomaka ai ke kani ʻana, ke ahi ʻana, a i ʻole ka hoʻomaka ʻana o ka ʻili, a i ka wā e puka mai ai nā palapū.
• ʻO ka poʻe i nui nā maʻi ahulau e lawe i kēia mau lāʻau i kēlā me kēia lā ma kahi o kahi manawa. Kōkua kēia i ka pale ʻana i ka maʻi ahulau a i ʻole ka hoʻopōkole ʻana i ko lākou lōʻihi. Hiki iā ia ke hōʻemi i ka manawa o ka hāʻawi ʻana i ka herpes i kekahi mea ʻē aʻe.
• ʻAʻohe loa nā hopena ʻaoʻao me acyclovir a me valacyclovir.

Hiki ke mālama ʻia nā wahine hāpai no ka herpes i ka mahina hope o ka hāpai ʻana e hōʻemi i ka manawa o ka outbreak i ka manawa o ka hānau ʻana. Inā loaʻa kahi ʻōpala a puni ka manawa o ka lawe ʻana, e paipai ʻia kahi ʻāpana C. Hoʻoemi kēia i ka manawa o ka maʻi ʻana i ka pēpē.

E hāhai i nā ʻōlelo aʻoaʻo a kāu kahu mālama ola e pili ana i ka mālama ʻana i kāu ʻōuli herpes ma ka home.

Hiki iā ʻoe ke hoʻomāmā i ke koʻikoʻi o ka maʻi ma ke komo ʻana i kahi hui kākoʻo herpes. ʻO ke kaʻana ʻana me nā poʻe ʻē aʻe i loaʻa nā ʻike a me nā pilikia maʻamau e hiki ke kōkua iā ʻoe e noʻonoʻo ʻole.

Ke loaʻa koke ʻoe i ka maʻi, noho mau ka maʻi ma kou kino no ke koena o kou ola. ʻAʻohe o kekahi poʻe i kahi ʻāpana ʻē aʻe. ʻO kekahi poʻe i loaʻa pinepine i ka maʻi e hiki ke hoʻomaka ʻia e ka luhi, maʻi, menstruation, a i ʻole ke koʻikoʻi.

ʻO nā wahine hāpai i loaʻa i ka maʻi herpes genital ʻeleu ke hānau lākou e hala paha i ka maʻi i kā lākou pēpē. Hiki i ka herpes ke hōʻeha i ka lolo i nā pēpē hou. He mea nui e ʻike ka mea nāna i hāʻawi aku inā he ʻeha herpes a i ʻole i pā ʻia i ka wā kahiko. ʻAe kēia i nā ʻanuʻu e pale ai i ka hele ʻana i ka maʻi i ka pēpē.

E pāhola paha ka maʻi hoʻomaʻamaʻa i nā ʻāpana ʻē aʻe o ke kino, e like me ka lolo, nā maka, ka ʻūlū, ke ake, ke kuamoʻo, a me nā akemāmā. Hiki i kēia mau pilikia ke ulu i ka poʻe i loaʻa ka nāwaliwali o ka pale ma muli o ka HIV a i ʻole kekahi mau lāʻau.

Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe kekahi mau ʻōuli o ka herpes genital a i ʻole inā loaʻa ʻoe i ke kuni, ka maʻi poʻo, ka luaʻi, a i ʻole nā ​​hōʻailona ʻē aʻe i ka wā a ma hope paha o ka puka ʻana o ka herpes.

Inā loaʻa iā ʻoe ka herpes genital, pono ʻoe e haʻi i kāu hoapili he maʻi kāu, ʻoiai inā ʻaʻohe ou mau ʻōuli.

ʻO Condom ke ala maikaʻi loa e pale aku ai i ka hopu ʻana i nā herpes genital i ka wā o ka moekolohe.

• E hoʻohana pololei i ka condom e hoʻomau i ka pale ʻana i ka maʻi.
• ʻO nā condom latex wale nō ke pale aku i ka maʻi. ʻAʻole holo ka condom holoholona membrane (ʻili hipa) no ka mea hiki i ka maʻi virus ke hele ma waena o lākou.
• Hoʻemi ka hoʻohana ʻana i ka condom wahine i ka makaʻu o ka hoʻolaha ʻana i ka herpes genital.
• ʻOiai ʻoi aku ka liʻiliʻi iki, hiki iā ʻoe ke loaʻa i nā herpes genital inā ʻoe e hoʻohana i kahi condom.

Herpes - genital; Herpes simplex - genital; Herpesvirus 2; HSV-2; HSV - nā antivirals

• Anatomia hānau wahine

ʻO Habif TP. Nā maʻi viral i hoʻouna ʻia i ka moekolohe. I: Habif TP, hoʻoponopono. Dermatology Lapaʻau. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2016: chap 11.

ʻO Schiffer JT, ʻo Corey L. Herpes simplex virus. I: Bennett JE, Dolin R, Blaser MJ, hua pā. ʻO Mandell, Douglas, a me Bennett's Principal a me ka hoʻomaʻamaʻa ʻana i ka maʻi lele. 9th ed. Elsevier; 2020: chap 135.

ʻO ka Pūʻali Hana Hana Hana US, Bibbins-Domingo K, Grossman DC, et al. ʻO ka loiloi Serologic no ka maʻi herpes genital: ka ʻōlelo aʻoaʻo a ka US Preventive Services Force. JAMA.2016; 316 (23): 2525-2530. PMID: 27997659 www.ncbi.nlm.nih.gov/pubmed/27997659.

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.

Workowski KA, Bolan GA; Nā kikowaena no ka mālama ʻana i ka maʻi a me ka pale ʻana. Nā kulekele lapaʻau maʻi i hoʻoili ʻia i ka moekolohe. ʻO MMWR Rekua Rep. 2015; 64 (RR-03): 1-137. PMID: 26042815 www.ncbi.nlm.nih.gov/pubmed/26042815.