I-Herpes Genital
I-agent causative ye-herpes yomzimba yi-virus ye-herpes simplex (i-HSV), ngokuvamile yehlobo II. Lesi sifo sibhekisela kwizifo ezithathelwana ngocansi. Uhlobo lwe-HSV I, okuvame ukubangela "ukubandayo" ezindebeni, lungabangela nezimpawu zobulili ngemuva kocansi lomlomo.
• Izimpawu
Ubukhulu besifo singabuka komnene kuya kanzima kakhulu. Izinsuku ezingu-2-7 emva kokutheleleka, indawo encane yesikhumba sezitho zangasese zangaphandle kubangela ukucasula. Ngamahora angu-12 alandelayo, izindawo ezincane ezibomvu zivela kulokhu kuqubuka okuvinjiwe, okusheshayo kube ama-bubbles amancane. Lesi samuva sizovulwa ngokusungulwa kwezilonda eziningi ezibuhlungu ezingafakwa ngesikhumba. Ngokuthuthukiswa kwalesi sifo, i-lymph node engumgogodla iyanda. Isimo esiphelele sesiguli sibhekene nezimpawu ezifana ne-influenza. Ukubonakaliswa kokuhlaselwa kokuqala kokutheleleka (i-herpes yokuqala) kungadlulela kwamasonto amathathu.
• Ukuhlola
Ukubukeka kwemifucumfucu kuyinto ejwayelekile, kodwa ukuqinisekisa ukuthi kutholakala ukuthi kuyadingeka ukuthatha i-swab yegciwane ukuba ihlukaniswe. Ukuhlolwa kwegazi kungabonisa iqiniso lokuxhumana nokutheleleka, kepha akuvumeli ukucacisa ukuthi i-herpes iyimbangela yalokhu kukhula.
• Isibikezelo
Ingxenye eyodwa kwezintathu zeziguli zikhohlwa ngesifo emva kokuhlaselwa kokuqala; enye yesithathu ngezikhathi ezithile inokukhushulwa okuncane; ukuphumula konke kubonakala okungenani kanye ngonyaka, nakuba kugeleza kalula kunokuhlasela kokuqala, futhi kuvame ukuxazululwa phakathi nesonto. Ngokuhlaselwa okuyinhloko kokutheleleka kokugula, ubude bokubonakaliswa kwe-cutaneous kusiza ukunciphisa izidakamizwa ze-antiviral, njenge-acyclovir noma i-famciclovir. Kodwa lezi zimali ngeke zikwazi ukunciphisa isikhathi sokubuyela emuva, uma ukwelashwa kuqalwa ngemuva kokubonakala kwezakhi esikhumbeni. Ukuze uthole usizo lokuzwela okubuhlungu, kunconywa izinzwa zokubulala i-anesthetics, isibonelo, i-paracetamol noma isicelo se-topical yejel ye-anesthetic. Ezifo ezinzima ngokuzwa ubuhlungu obukhulu ngesikhathi sokuchama, ibhafu elifudumele lisiza ukukhulula ukuhlupheka kwabesifazane. Ama-antibiotics kumacala anjalo ayinamandla. Uma ukubuyela emuva kwenzeka okwedlula izikhathi ezinhlanu ngonyaka, kuphakanyiswa ukuba kwenziwe ukwelapha okucindezelayo, okuhlinzekela ukuqokwa kwezidakamizwa zokulwa namagciwane isikhathi esingenani izinyanga eziyisithupha. Ezimweni ezimbi kakhulu, ukwelashwa okucindezelayo kungadlulela iminyaka. Umuntu one-herpes ngokobulili ngumthombo wokutheleleka kokuphila, ngakho-ke, ngesikhathi socansi kufanele asebenzise amakhondomu, ikakhulu uma umlingani engakahlangabezane nesifo. Ukuhlasela okuyinhloko kwe-herpes ekupheleni kokukhulelwa kungabangela umonakalo omkhulu emntwaneni, ngakho ukulethwa kwezimo ezinjalo kwenziwa ngesigaba sokudla. Ukuhlaselwa okuvamile noma i-herpes eyinhloko ekukhulelweni kokuqala akubanga nezezinkinga eziphezulu ezinganeni. Ubuhlungu nokucasula endaweni yangasese yangasese akuhlosiwe njalo nezifo ezithathelwana ngocansi. Ukuvuvukala kungathuthuka ngenxa yokwephulwa kwamancane ezincane ze-microflora evamile, ukusabela okweqile noma isikhumba esijwayelekile sesikhumba, isibonelo i-eczema.
Abantu abaningi baphendukela kudokotela, besaba ukuthi bathole i-herpes yesisu, nakuba empeleni isikhumba sesikhumba endaweni yangasese yangasese singachazwa ngezizathu ezihluke ngokuphelele. Lokhu kuhlanganisa, ikakhulukazi:
• I-Genital candidiasis (thrush)
Lesi sifo sifo sihambisana nokucasuka, ukubomvu nokukhwabanisa kwesikhumba endaweni ye-vulva, i-foreskin ne-glans ipenis, kanye nasesifundeni se-perianal (eduze kwe-anus). Kulaba besifazane, kuvame ukutholakala kwamagciwane kanye nokwakhiwa kwemifucu encane esikhumbeni, ikakhulukazi uma kugubha noma ukuxubha.
Emadodeni, ububomvu kanye nesifo sogqoko lwesikhumba kanye ne-glans penis kuphawulwe, ukwakheka kwezilonda akuzona izici. Ngokungafani ne-herpes yobulili, ukuqhuma okuvuthayo kuthatha izindawo ezinkulu esikhumbeni; umkhuhlane kanye ne-lymph nodes ekhulisiwe ayitholakali. Ukuqinisekisa ukuxilongwa, ama-swabs angathathwa ukuze kuhlolwe i-laboratory, nakuba ukubonakaliswa kwesikhumba ngokuvamile kuvamile ukukhomba i-candidiasis nokubeka ama-antifungal agents. Ukusebenzisa isobho elimnandi noma isikhumba sobhuku lokugeza kungase kube nzima kakhulu.
• Ukuzwela kumathonya angaphandle
Ukucasula isikhumba endaweni yangaphandle yofuzo kungasusa insipho, i-gel eshisayo noma i-foam yokugeza, kanye nama-creams ahlukahlukene. Ezimweni ezinjalo, ukuze ukwazi ukubhekana nale nkinga, kungase kube ngokwanele ukushiya lezi zindlela futhi ugeze isikhumba esithintekile ngamanzi ahlanzekile okulandelwa ukusetshenziswa kwekhilimu yokunciphisa amanzi. Izifo zesikhumba ezijwayelekile zingathinta isikhumba kunoma iyiphi ingxenye yomzimba, kuhlanganise nendawo yesisu. Noma kunjalo, ukubonakaliswa esikhumbeni sezitho zangasese zangaphandle kungase kuhluke kakhulu emfanekisweni wesifo esivamile. Kukhona neqembu lezimo ezikhethekile zesikhumba (lokhu kufaka phakathi, isibonelo, izindlebe ze-sclerosing), okuvame ukuvela endaweni yangaphandle yobulili. Izifo ezinjalo zidinga ukuqashwa komuthi othize, ikakhulukazi - amafutha e-steroid. Ngakho-ke, uma izilonda zesikhumba endaweni yangasese yangaphandle zingelapheki ngemuva kokusebenzisa amakhambi alula, kufanele ufune usizo lomsebenzi ojwayelekile oyokutshela ochwepheshe uma kunesidingo. Zonke izinhlobo zokukhula okungavamile esikhumbeni sezitho zangasese zangaphandle zingase zivele njengomphumela wokutheleleka ngegciwane noma ukuphazamiseka kwamagciwane. Ezimweni eziningi, uhlobo lwesimo sokuhlukumeza kwenza kube lula ukubona imbangela yalesi sifo, futhi ngokuvamile ukwelashwa akubangeli ubunzima.
Ama-warts omzimba
Amagciwane omzimba, noma ama-warts omzimba, ngenxa yokutheleleka nge-papillomavirus yomuntu (HPV). Kumele kuqashelwe ukuthi amagciwane agciwane lesandulela ngculazi (ikakhulukazi izinhlobo ezingu-6, 8 no-11) ahluke kulokho okuholela ekubukeni kwezimpi kwezinye izingxenye zomzimba womuntu. Ezinye izinhlobo zamagciwane adluliselwa ngesikhathi sokulala ngokocansi (ikakhulukazi izinhlobo ezingu-16 no-18) zibhekwa njengesibopho sokuthuthukiswa komdlavuza wesibeletho, nakuba ngokuvamile ama-condyloma ayengekho.
• Izimpawu
Kuze kufike ku-90% yazo zonke izinhlobo ze-papillomavirus zabantu abanesifo esingenalo ukubonakaliswa kwemitholampilo, ngakho-ke ukuhamba kwegciwane elingenangqondo nokudluliselwa kwabalingani bobulili kungadlulela izinyanga eziningi ngisho neminyaka. Uma izimpawu zivela, kwenzeka izinyanga ezingu-6-9 ngemuva kokutheleleka.
• Ukubukeka
I-Genital warts indawo yesigcawu ngokubukeka ayifani nemigqomo yanoma yimuphi omunye indawo yangakini. Ukuhluma kungaba kokubili okunzima futhi okulukhuni ukuthinta, futhi okulula futhi okuxekethile; Izakhi zokulimaza zingabonakala ngaphezu kwesikhumba (exophytic) noma zingabonakali (flat). Ngokuvamile, ama-warts awadluli amamitha ambalwa ububanzi, kodwa ngezinye izikhathi kukhona ama-formations afinyelela usayizi we-1 cm noma ngaphezulu. Zitholakala kunoma iyiphi indawo yesikhumba sendawo yokugcina, futhi inombolo yabo ingahluka kusuka ku-1-2 kuya kwezingu-20 noma izakhi eziningi. Indawo ejwayelekile kunazo zonke ye-warts yi-trunk ye-penis, i-vulva kanye nendawo ezungeze i-anus. Ngaphansi kokuvame ukuvela emlonyeni wesisu, umlomo wesibeletho kubesifazane kanye ne-urethra emadodeni. Izimpi eziningi azibangeli umnikazi wazo noma yikuphi ukukhathazeka, ungabangeli, kodwa kubonakala, ngengozi. Ukuhluma okukhulu kakhulu kungabonisa ukukhubazeka okungathí sina kwamasosha omzimba, njengokutheleleka nge-HIV; isibonelo esifanayo singabonakala nakukhulelwa.
• Ukuhlola
Izivivinyo ezicacile zokutholakala kwama-virus azikho, ukuxilongwa kusekelwe ekuhloleni ukubonakala kwemifantu. Izazi zezinkinga zezinkinga zivame ukuhlangana nazo zonke izinhlobo zokukhula eziwusizo ngokuhlolwa kwezikhathi ezithile zomlomo wesibeletho kubesifazane. Uma isifo segciwane lesandulela ngculaza sesivele senzekile, cishe akunakwenzeka ukususa. Nakuba imithi yesimanje yenza kube lula ukuqeda noma yikuphi ukubonakaliswa okuncane, okwamanje azikho izindlela zokubhubhisa igciwane ngokwayo.
Ukuphindaphindiwe
Ama-warital emva kokususwa angabonakala futhi, futhi othwala igciwane uyoba umthombo wesifo kumlingani onobulili obungavimbelwe izinyanga eziningi neminyaka. Uma ama-warts akhona asusiwe, angaphikelela izinyanga neminyaka, ngezinye izikhathi ngaphezulu nokuningi. Njengamanje, izindlela eziningi zokwelapha izidakamizwa zobulili ziyaziwa, phakathi kwazo yikuphi ukusetshenziswa kwendawo ye-podophylline (i-podophyllotoxin) ne-cryodestruction (iqhwa) ene-nitrogen enamandla. Lezi zinqubo zivame ukuqhutshwa emitholampilo ekhethekile, kodwa ngezinye izikhathi zingenziwa ngumguli ngokuzimela. Ezimweni ezimbi kakhulu, ama-warts amakhulu ashiswa ngosizo lwamandla kagesi (electrocautery) noma i-laser ngaphansi kwe-anesthesia yendawo. Njengoba ukutheleleka nge-papillomavirus yomuntu kwenzeka kakhulu ngokuxhumana kocansi, kunconywa ukuthi isifundo sokulawula sidluliselwe kubo bobabili abalingani. Njengoba sekushiwo kakade, izilonda zomzimba kanye nomdlavuza womlomo wesibeletho kubangela izinhlobo ezahlukene ze-HPV, ngakho owesifazane ngemuva kokususwa kwezingxabano zangasese akudingeki ukuba ahlole ukuhlolwa kwesinye somlomo wesibeletho. Lesi sifo, esaziwa ngokuthi i-molluscum contagiosum, sibangelwa igciwane elizohanjiswa ngokuxhumana (okungekho ngokocansi) okukude (hhayi ngokobulili). Noma kunjalo, isimo sivame kakhulu kubalingani bezocansi futhi sibonakala ngokubonakala kwemisipha ethile esikhumbeni sendawo yesisu.
• Izimpawu
Izakhi ze-Vysypnye ngendlela encane (ama-3-10 mm), amahlumela abushelelezi, abancane abonakalayo avela endaweni yesikhumba esiphezulu nasesikhumba esiseduze. Ayibangeli ubuhlungu noma angahambi kahle, angakwazi ukusabalalisa ezindaweni eziningi, nakuba ngezinye izikhathi ukuqhuma kunomkhawulo kumakhi ambalwa nje. Lapho uhlolisiswa ngokucophelela ngeglasi elikhazimulayo, ungabona ukuthi ama-nodules anezinkinga ezincane phakathi nendawo. Uma kungekho ukwelashwa, ukuqhuma kungaqhubeka iminyaka eminingi nezinyanga.
• Ukuxilongwa nokuthola ukwelashwa Ukuxilongwa kusekelwe ekutheni uhlobo lwezinto ezihlukumezayo. Ukuze uthole ukwelashwa, ukukhishwa kwe-cryodestruction nge-nitrogen yetshezi noma ukuxhunyaniswa kwe-moxibustion kuyasetshenziswa, njengokungathi ku-warts. Indlela yokubulala ama-mollusc nodules ngokusebenzisa i-phenol nayo yaziwa. Ukudlula ukuhlolwa kuphakanyiswe kubo bobabili abalingani bocansi. I-scabies mite (itch itch) ingena emzimbeni ngokusondelana nomuntu ogulayo. Okukhethekile kakhulu ukutheleleka yizingane. Nakuba ngokuvamile lesi sifo sithinta isikhumba sezandla, izandla kanye nesiqu, ngezinye izikhathi kungenzeka ukuthi zibe nezincane (ama-2-5 mm), ukugwedla kakhulu ama-nodules nasesifundeni sangaphandle. Ukuthola isifo saleso sifo kwenziwa ngesisekelo sokuthola i-mch isitshalo, amaqanda ayo noma indwangu kuma-samples of scrapes esithathwe ebusweni be-node. Nakuba ama-scabi ngokwawo angabhubhisa ngokushesha nge-lotion ye-insecticide, njenge-malathion, ukuxazululwa kwe-itch kungathatha isikhathi esingaphezu kwenyanga, lapho i-antihistamines isiza khona ukwehlisa izimpawu. Izindwangu zokubhukuda zidluliselwa ngoxhumana naye ngokocansi. Lezi zinambuzane ezincane (2 mm) ezinsundu, ezihamba kancane kancane esikhumbeni phakathi kwezinwele ze-pubic.
Izimpawu zokutheleleka
• Folliculitis
I-folliculitis ibonakala ngokubonakala kwe-foci encane evulekile phansi kwezinwele. Lesi simo sivame ukuvela endaweni yezinwele zokushicilela, ngokubandakanyeka okungenzeka kwenani elikhulu lezinwele zezinwele. Esikhathini sesikhumba se-tubis tubercles ebomvu sakhiwa, sinobukhulu bezinwele; bangakwazi ukuchofoza kancane futhi babangele ukuzwa okungajabulisayo. Ukwelashwa kuhilela ukusebenzisa ama-creamsptic creams noma izibhuku zansuku zonke nge-antiseptic.