Ukulawula uhlobo lwentlobo ye-herpes I-infected I-kids
Izilonda ezinobumba okanye i-fover blisters ziqhelekileyo kubantwana. Ziziphi kanye kunye kunye nantoni na onokuyenza ukuze uphathe okanye ukhuse?
Izizathu
Okumangalisa kubazali, izilonda ezibandayo zibangelwa yi- virus ye-herpes simplex (HSV), kodwa xa kwenzeka kubantwana abancinci abaneqhwala emlonyeni wabo okanye emlonyeni wabo, akuqhelekanga okufana nokusuleleka kwintsholongwane ka-herpes yomntwana okanye umntu omdala unakho.
Izilonda ezinobumba ziyaziwa nangokuthi "i-fever blisters" njengoko zidla ngokuphindaphindiweyo ngexesha losuleleko olubangelwa yimfiva.
I-herpes yomlomo ivame ukubangelwa yintsholongwane ye-herpes simplex-1 (HSV-1) ngelixa i- herpes yomzimba wesondo idlalwa yi-herpes simplex virus (HSV-2) isifo, nangona ngoku siyazi ukuba intsholongwane ingenzeka kwezinye iindawo zomzimba.
Kukulungele ukucinga ngezilonda ezibandayo njengentsholongwane yabantwana, kwaye bacinga ukuba u-85% wabantu abasulelekileyo banesifo ngeentsholongwane ngexesha elithile. Enyanisweni, xa kwenzeka okokuqala kunye nezilonda ezibandayo okanye izilonda zitholakala emlonyeni womntwana, ngokuqhelekileyo kuthiwa yi- gingivostomatitis , eyaziwa ngabazali abathile.
Ngelishwa, abanye abantwana bafumana izilonda ezibandayo ngokuphindaphindiweyo, ngokuphindaphindiweyo kwindawo efanayo ebusweni babo okanye emlonyeni.
Iimpawu
Kuba abantwana abafumana izilonda ezibandayo ngokuphindaphindiweyo, baya kudla intlungu, ukutshisa okanye ukubetha kwindawo yesibanda sokubanda ngaphambi kokuba kubonakale.
Ezinye iimpawu zezilonda ezibandayo ziquka:
- Iqela lama-vesicles (amancinci, azaliswe ngamanzi) ebonakala kwindawo ebomvu yesikhumba
- IiVesicles ezikhawuleza zikhuphuke
Ngelixa ezininzi izilonda ezibandayo zibandakanya izilonda zodwa okanye ezimbini, intsholongwane yokuqala ingasasazeka ngezilonda eziliqela. Abantwana banokuhlakulela umkhuhlane omncinci kunye neengqungquthela ezivuvukileyo entanyeni.
Ixesha lokuxubusha-oko kukuthi, ixesha elivela kwi-HIV yokuqala kunye nezilonda zokuqala-liphakathi kweentsuku ezingama-6 ne-8.
Ukuxilongwa
Kunokwenzeka ukuba kwenziwe iimvavanyo zegazi kunye neentlobo zentsholongwane kwizilonda ezibandayo, kodwa zivame ukuba zifunyenwe ngokubonakala kwebhola elibandayo.
Ngamanye amaxesha kulula ukudibanisa i-sore ebandayo kunye ne-impetigo, nangona kunjalo, ngokukodwa xa bekhona kwisigaba esiqhekezayo kwaye umntwana wakho akahlali efumana izilonda ezibandayo. I-Impetigo yintsholongwane ye-bhakteria kwaye iqhelekile kwindawo ejikeleze amacinco kubantwana. Izilonda ezinobungozi ziyahlukahlukana nezilonda , ezilonda (izilonda ezivulekileyo) ezenzeka ngaphakathi emlonyeni kwaye zihlala zihambelana nezifo zentsholongwane okanye uxinzelelo.
Iirejista
Emva kokusuleleka kwintsholongwane, i-herpes simplex intsholongwane ihlala kwiseli yesigulane (ganglia) kwindawo engasebenzi okanye e "latent". Intsholongwane iyakwazi ukuvuselelwa xa umntwana egula xa umlomo wakhe uhlambulukile, ngokukhawuleza kwelanga, kwaye mhlawumbi uxinezelekile. Ukuba izilonda ezibandayo ziphindaphinda kaninzi - umzekelo, ngaphezu kwamaxesha angama-6 kunyaka - abanye abantwana bezilwanyana bajonga unyango lokukhusela.
Unyango
Izilonda ezinobungozi zingaphathwa ngeemithi zonyango okanye zomlomo zonyango, kwaye xa ziphindaphindiweyo, ukhetho lokusebenzisa unyango olunyanzelekileyo (unyango lokukhusela izilonda ezibandayo ukusuka kwinto enokuthi lunokuqwalaselwa kwakhona). iintsuku.
Amagciwane awasoloko efuneka kodwa anganceda izilonda ziphilise ngokukhawuleza kwaye zinciphise intlungu xa zifuneka. Izifo zokuqala zisoloko ziphathwa ngamachiza omlomo we-anti-antiretroal, kanti ukuphindaphindwa kudla ngokuphathwa nge-antipiirals. Nangona iimpawu ezinzima, kunjalo, imishanguzo engamayeza angacingwa ukuba iyasebenza ukuphatha izilonda ezibandayo kubantwana. Amachiza okwangoku afumaneka kunyango olubandayo luquka:
- I-Zovirax (i-acyclovir) - Inikezwe ngomlomo ngentsholongwane yokuqala, i- Zovirax inokukhawulezisa ixesha lokuphulukisa nokunciphisa inani lexesha umntu anesifo. I-Zovirax ingasetyenziselwa njenge-ukhilimu yezilonda ezibandayo. Imithi yomlomo kufuneka isetyenziswe ngezihlandlo ezi-4 ukuya kwezi-5 ngosuku kwaye iqalise ngokukhawuleza emva kokusulela isifo.
- I-Famvir (famciclovir) - I-Famvir ingathathwa kwimizuzu yexesha elilodwa ukukhawulezisa ixesha lokuphilisa.
- Valtrex (valacyclovir) - Valtrex - Valtrex inikezwa ngamanyathelo amabini ngaphezu komnye usuku kwaye ihamba ngokukhawuleza ixesha lokuphilisa.
I-Abreva (benzalkonium) i-cream iyatholakala kwi-counter kwaye ngamanye amaxesha ingasetyenziselwa izilonda ezibandayo. Njengokuba kunamanye amayeza e-headical, asebenzi ngaphantsi kunamachiza omlomo ngenxa yezilonda ezibandayo.
Thintelo
Indlela ekhuselekileyo yokukhusela izilonda ezibandayo ngokukhawuleza kukukhusela intsholongwane ye-herpes ukuba ivuseleleke, into eyenzekayo xa isikhumba sakho somntwana siyacaphuka okanye ukuba unomkhuhlane.
Nangona kunzima ukugwema ukufumana umkhuhlane, unokunceda umntwana wakho aphephe izindebe ezinqabileyo kunye nokushisa ilanga, oku kunokukunceda ukukhusela ukufumana izilonda ezibandayo.
Kwimihla ngemihla, isithintelo sokuthintela i-Acyclovir ibuye isetyenziswe ngamanye amaxesha kubantwana abafumana izilonda ezinqabileyo kakhulu okanye ezinzima.
Ukuhlamba izandla zakho rhoqo xa unobanda obubandayo kunokunceda abanye abantu ukuba bangabikho nto ebandayo.
Ukunyuswa kwe-Immunosuppression kunye neCold Sores
Intsholongwane ye-herpes simplex 1 ingabangela ukusuleleka kwiintsana ezisandul 'ukuzalwa, kwaye kubalulekile ukugcina iintsana ezisuka kuzalwa nabani na abanezifo ezibandayo. Abantwana abaneendlela zokuzivikela ezikhuselekileyo banakho ukuhlakulela izifo ezinzima okanye ezisongela ubomi kwi-HSV-1.
Oko Kufuneka Ukwazi
- Izilonda ezinobumba zibangelwa yi- virus ye-herpes simplex .
- Izifo zentsholongwane ye-Herpes ezikwi-high school wrestlers kuthiwa i- herpes gladiatorum .
- Izilonda ezinobungozi zinokuba nzima kakhulu ukuba zikhona kufuphi nelihlo.
- Izilonda ezinobumba zithinteka kakhulu, ingakumbi kwiintsuku ezimbini okanye ezintathu emva kokuqhambuka. Ekubeni i-herpes virus ingabangela ukusuleleka kwiintsholongwane, qiniseka ukuba ugcine usana lwakho olususana luvela kunoma ubani onesifo esibandayo.
- Ukongeza kwi- fever kunye nokukhanya kwelanga, ukucinga uxinzelelo kubangela ukuba izilonda ezibandayo zenze abanye abantwana.
Imithombo:
ILayibrari yeSizwe ka-US yamayeza. MedlinePlus. Izilonda ezinobumba. Ukuhlaziywa 03/25/16. https://www.nlm.nih.gov/medlineplus/coldsores.html