Genital Herpes
Icho causative agent we genital herpes ndiyo herpes simplex virusi (HSV), kazhinji kechipiri II. Ichi chirwere chinoreva zvirwere zvepabonde. HSV faira I, kazhinji inokonzera "kutonhora" pamiromo, inogonawo kutungamirira kumararamiro emagetsi mushure mekuita zvepabonde.
• Zviratidzo
Kuoma kwechirwere ichi kunogona kubva pane zvinyoro kusvika kune zvakanyanya. Mazuva maviri nemashure mechirwere, nzvimbo shoma yeganda rekunze kwegititalia inokonzera kushungurudza. Pamakore gumi anotevera, zviduku zvitsvuku zvinowanikwa pane izvi zvakasara, izvo zvinokurumidza kuva mabhuru maduku. Iyo yekupedzisira ichakurumidza kuvhurwa nekuumbwa kwezvironda zvakawanda zvinorwadza zvinogona kuvharwa nemakanda. Nokuwedzerwa mberi kwechirwere ichi, lymph nodes inopinza inowedzera. Mamiriro ezvinhu akazara emuurwere ane zvirwere-sezviratidzo. Zviratidzo zvekutanga kurwiswa kwehutachiona (primary herpes) zvinogona kupera kusvika vhiki nhatu.
• Kuongororwa
Chimiro cheharura chinonyanya kufanana, asi kusimbisa kuongororwa kunokosha kutora swab yehutachiona kuti iparadzaniswe. Kuongororwa ropa kunogona kuratidza chokwadi chekubatana nehutachiona, asi haabvumi kutarisa kana herpes ndiyo chikonzero chekuwedzera uku.
• Forecast
Chimwe chetatu chevarwere vanokanganwa nezvechirwere mushure mokutanga kurwisa; mumwe wechitatu pane dzimwe nguva ane zvishoma zvishoma; Zvose zvinodzokorora zvinowanikwa kamwechete pagore, kunyange zvazvo zvinopfuurira nyore nyore kupfuura kutanga kurwisa, uye zvinowanzogadziriswa mukati mevhiki. Nekutanga kwekurwiswa kwehutachiona hwehutachiona, nguva yezviratidziro zvinokonzera zvinobatsira kuderedza zvinodhaka zvinodhaka, zvakadai seacyclovir kana famciclovir. Aya mari, zvisinei, haazokwanisa kuderedza nguva yekudzokazve, kana kurapwa kunotanga mushure mekuonekwa kwezvinhu pamusoro peganda. Nokuda kwekununurwa kwekunzwa kunorwadza, anesthetics inokurudzirwa, somuenzaniso, paracetamol kana kushandiswa kwemashoko epi anesthetic gel. Muhosha yakakomba nekutambudzika kwakanyanya panguva yekuzora, bhati rinodziya rinobatsira kubvisa kutambura kwevakadzi. Mishonga inorwisa mabhakitiriya mumakadaro akadaro haana simba. Kana kudzoka kunowanikwa kanopfuura kanomwe pagore, zvinokurudzirwa kuita chirwere chinopesana, chinopa kugadzirirwa kwemishonga inorwisa maitiro kwenguva inenge mwedzi mitanhatu. Mune zviitiko zvakanyanya zvakanyanya, chirwere chinopisa chinogona kugara kwemakore. Munhu ane ruzivo rwemudzimai ndiye anokonzera utachiona hwehupenyu, saka, panguva yekuita zvepabonde unofanira kushandisa kondomu, kunyanya kana mudiwa wacho asati asangana nehutachiona. Kukonzerwa kukuru kwemakumbo ekupedzisira kwepamuviri kunogona kukonzera kukuvadza kwakanyanya kumwana, saka kuendeswa mumamiriro ezvinhu akadaro kunoitwa nechikamu chekudya. Kurwiswa kunowanzoitika kana kuti herpes inotanga pamuviri pakukura hazviiti kuti munhu awane dambudziko rakawandisa kumwana. Nhamo uye kutsamwirwa mune zvekunze kwebonde rekunze hazviwanzobatanidzwa nezvirwere zvepabonde. Kuvhiringidzika kunogona kuitika nekuda kwekuputsa kwemaviramu emakiromine emuviri wechidiki, chirwere chinotyisa kana chirwere cheganda chinowanzo, sega eczema.
Vanhu vazhinji vanotendeukira kuchiremba, vachitya kuti vakabata zvirwere zvepabonde, kunyange zvazvo chaizvoizvo ganda reganda riri kunze kwenhengo dzomukati rinogona kutsanangurwa nezvikonzero zvakasiyana zvachose. Izvi zvinosanganisira, kunyanya:
• Genital candidiasis (thrush)
Ichi chirwere chinokonzera fungal chinosangana nekutsamwa, kubwinya uye kuchenesa kweganda mumucheka, cheputiki uye glen penis, uyewo munharaunda ye perianal (yakapoteredza anus). Madzimai, kazhinji pane kubuda kwemudzimai uye kuumbwa kwezvinyoronyoro paganda, kunyanya kana kubvongodza kana kusangana.
Mune varume, kuchena uye kusuruvara mukati mepamberi nepamusoro pepenisi zvinoratidzika, kuumbwa kwezvironda hachisi chinhu. Kusiyana nemarita emaginal genital, kupisa kunoputika kunotora nzvimbo huru dzeganda; fever uye lymph nodes yakakura hazvionekwi. Kuti kusimbise kuongororwa, swabs inogona kutorwa kuongororwa kwema laboratory, kunyange zvazvo zviratidzo zveganda zvinowanzoshandiswa chaizvo pakuziva candidiasis uye kurondedzera maitiro antifungal. Kushandisa sipo inonhuhwirira kana kupupuma kwebhati kunogona kukuvadza zviratidzo.
• Kutsigira kune dzimwe nzira
Kushatirwa kweganda kweropa rekunze kunogona kukonzera sese, gelji yewaini kana bhati yekushambidza, pamwe chete nemiti yakasiyana-siyana. Mumamiriro ezvinhu akadaro, kuitira kuti utsungirire dambudziko racho, zvinogona kukwana kusiya mishonga iyi uye kushambidza ganda rakagadziriswa nemvura yakachena yakatevedzerwa nekushandiswa kwemvura yakagadziridzwa. Zvirwere zveganda zvinowanzoitika zvinogona kukanganisa ganda chero chikamu chero chemuviri, kusanganisira nzvimbo yebonde. Zvisinei, kuratidzwa kweganda rekunze kwema genitalia kunogona kusiyanisa zvakanyanya kubva kuchimiro chechirwere chetachiona. Kune rimwe boka rezviitiko zveganda zvakasiyana (izvi zvinosanganisira, semuenzaniso, zvinyorwa zvinoratidzira), izvo zvinowanzowanzoonekwa munzvimbo yekunze kwemajini. Zvirwere zvakadaro zvinoda kugadziriswa kwemishonga chaiyo, kunyanya - mafuta e-steroid. Nokudaro, kana zvipembenene zveganda mukati memarita ekunze zvisati zvarapa mushure mokushandisa mushonga mutsva, unofanirwa kutsvaka rubatsiro rwechirongwa mukuru uyo achakutumira kune unyanzvi kana zvichidiwa. Mhando dzose dzekukura zvisina kunaka paganda rekunhengo dzomukati dzomukati dzinogona kuonekwa semugumisiro wehutachiona hwehutachiwana kana kuputika kwechirwere. Muzviitiko zvakawanda, rudzi rwemhando dzehurhes hunoita kuti zvive nyore kuziva chikonzero chechirwere, uye kurapwa kazhinji hakuiti kuti matambudziko.
Genital warts
Zvirwere zvechirwere, kana zvipembenene zvepabonde, zvinokonzerwa nehutachiona hwepillomavirus yevanhu (HPV). Zvinofanira kuonekwa kuti zvirwere zvepabonde zvinotapurirwa (kunyanya zvinyorwa 6, 8 ne11) zvinopesana nezvo zvinotungamirira pakuonekwa kwehondo kune zvimwe zvikamu zvemuviri womunhu. Mimwe mhando yemavhidhiyo inotapurirwa panguva yepabonde (kunyanya mapeji 16 ne18) inoonekwa seine mutoro wekuvandudzwa kwekenza yemukomana, kunyange zvazvo kuvhiringidzika kusingawaniki.
• Zviratidzo
Kusvika kusvika 90 muzana yepillomaviruses yose yevanhu vane hutachiwana haina kliniki zviratidzo, saka motokari inoshandiswa yehutachiona uye kutumirwa kwayo kune vanoita zvepabonde inogona kupedza mwedzi yakawanda uye kunyange makore. Kana zviratidzo zvikaonekwa, zvinoitika mwedzi 6-9 mushure mekutachiona.
• Kuonekwa
Chirwere chechikadzi chizvarwa chemukati muchimiro hachisi chakasiyana nemagetsi echinhu chero chipi zvacho. Kukura kunogona kunge kwakanyanyisa uye kwakaoma kumubata, uye kwakasununguka uye kusununguka; Kupararira kwezvinhu zvinogona kubuda pamusoro peganda (exophytic) kana kusingaiti (yakadzika). Kazhinji, warts haipfuuri mamita mashoma emamita, asi dzimwe nguva kune maitiro akazosvika akaenzana 1 cm kana kupfuura. Inogona kuwanikwa munzvimbo ipi neipi yeganda reanogenital, uye nhamba yavo inogona kusiyana kubva pa 1-2 kusvika ku20 kana kupfuura zvimwe zvinhu. Nzvimbo inowanzowanikwa munzvimbo yehondo ndeyeti yepenis, iyo vulva uye nzvimbo yakakomberedza anus. Zvishoma zvishoma zvinowanzoonekwa mumuchengetedze wemadzimai, chibereko chevakadzi uye urethra muvarume. Zvizhinji zvehondo hazviiti kuti tenzi wavo ave nehanya, hazvikonzeri kubvunda, asi zvinowanikwa, pane, nenzira yechirwere. Kukura kwakakura kunogona kuratidzira kukanganisa kwakakomba kwezvirwere zvemuviri, zvakadai sekutapukirwa kweHIV; muenzaniso wakafanana unogonawo kuonekwa pakuve nepamuviri.
• Kuongororwa
Kuongororwa kwakajeka kwekuzivikanwa kwemavhidhiyo hakusipo, kuongororwa kwakavakirwa pakuongorora kuonekwa kwemashure. Gynecologists vanowanzosangana nemhando dzose dzekukura kwemawarty pamwe nekuongorora nguva dzose mavhenekeri emukondombera muvakadzi. Kana hutachiwana hwepiroma hwehutachiona hwakatoitika, hazvibviri kubvisa. Kunyange zvazvo mishonga yemazuva ano inoita kuti zvibvirire kubvisa chero zviratidzo zvakaoma, pane iye zvino hapana nzira dzokuparadza utachiona pachahwo.
Kudzokorora
Chirwere chinoparadza mushure mekutapwa chinogona kuonekwa zvakare, uye mutakuri wehutachiona achava hutachiwana hwehutachiwana hwemudzimai ane zvepabonde zvisina kudzivirirwa kwemwedzi yakawanda nemakore. Kana mavheti aripo asina kubviswa, anogona kuramba kwemwedzi nemakore, dzimwe nguva akawanda uye akawanda. Pari zvino, nzira dzakawanda dzekurapa maitiro emudzimai dzinozivikanwa, pakati padzo ndiko kushandiswa kwepodophylline (podophyllotoxin) uye kugadziriswa kwemvura (kufisa) neine nitrogen yemvura. Aya maitiro anowanzoitwa mumakiriniki chaiwo, asi dzimwe nguva anogona kuitwa nemurwere akazvimiririra. Mune zvimwe zviitiko zvakakomba, kupisa kwakasimba kunopiswa nekubatsirwa nemagetsi emagetsi (electrocautery) kana laser pasi peanesthesia yemo. Sezvo utachiona hwepillomavirus yevanhu hunoitika zvikuru kuburikidza nehutano hwepabonde, zvinokurudzirwa kuti kurairirwa kwekudzidzira kuendeswe kune vose vari vaviri. Sezvinenge zvataurwa, maitiro emarita uye chirwere chepervical chinokonzera mhando dzakasiyana dzeHIVV, naizvozvo mukadzi mushure mekubviswa kwemashure emudzimai haafaniri kuwedzerwa mamwe maitiro ekuongorora chiberekero. Chirwere ichi, chinonzi molluscum contagiosum, chinokonzerwa nehutachiwana huchaparidzirwa pedyo (kwete kwete zvepabonde) kusangana. Kunyange zvakadaro, mamiriro acho ezvinhu anowanzoonekwa mune zvepabonde uye anoonekwa nekuonekwa kwehushu husina kuchena paganda rejenital area.
• Zviratidzo
Vysypnye zvinhu zviri mudiki madiki (3-10 mm), mavara, anotema, zvishoma akajeka anoonekwa munzvimbo ye anogenital uye pachiganda chiri pedyo. Hazvikonzeri kurwadziwa kana kushungurudzika, zvinogona kupararira munzvimbo dzakakura, kunyange dzimwe nguva kubhururuka kunongogumira kune zvishomanana chete. Kana ukaongororwa uchinyatsoona girasi rinosimudza, unogona kuona kuti mazamu aya ane dambudziko redu mukati. Kana kusina kurapwa, kuputika kunogona kupfuurira kwemavhiki akawanda nemwedzi.
• Kuongororwa uye kurapwa Kuongororwa kwakavakirwa pamhando yemhando yehushi. Kurapa, cryodestruction ne liquid nitrogen kana moxibustion inoshandiswa, sezvinoitika munyaya dzehondo. Nzira yekuuraya mollusc mutsinye nekushandisa phenol inozivikanwa zvakare. Kupfuudza kuongorora kunorayira kune vose vanoita zvepabonde. Muchi mite (itch itch) inopinda mumuviri muhukama hwepedyo nomunhu anorwara. Especially predisposed to infection is children. Kunyange zvazvo kazhinji chirwere chacho chinokanganisa ganda remaoko, maoko nemuti, dzimwe nguva zvinogoneka kuva nediki (2 mm mm), kunyanya kuchenesa mitsetse uye munzvimbo yechenitalia yekunze. Kuongororwa kwechirwere ichi chinoitwa pamusana pekuonekwa kwechitsva mite, mazai ayo kana zvimedu mune zvidzidzo zvezvinyorwa zvinotorwa kubva pamusoro peyode. Kunyange zvazvo magara ega anogona kukurumidzirwa kuparadzwa neine insecticide lotion, yakadai semarathion, kugadzirisa kwechikafu kunogona kutora nguva inopfuura mwedzi, panguva iyo antihistamine inobatsira kuderedza zviratidzo. Zvokudya zvepabhigi zvinoparidzirwa kuburikidza nepabonde. Izvi zvidiki (2 mm) tsvina dzakasviba, izvo zvishoma nezvishoma zvinofamba pamwe chete neganda pakati pevhiriki.
Zviratidzo zvehutachiona
• Folliculitis
Folliculitis inoratidzika nechitarisiko chechidiki chinoputira pasi pasi pebvudzi. Izvi zvinowanzowanzoitika munzvimbo yebvudzi rinoputika, pamwe nekukwanisa kubatanidzwa kwenhamba yakawanda yevhudzi follicles. Paganda re pubis tsvuku tubercles inoumbwa, yakagadzirwa nemvere; vanogona kudonha zvishoma uye zvinokonzera kusuruvara kusingafadzi. Kurapa kunosanganisira kushandiswa kwezvinyorovesheni zvinoshandiswa zvakanyanyisa kana zvigadziro zvezuva rimwe nerimwe nesiriseptic.