Nangona i- stigma ekhuselekileyo echaphazelekayo nokutheleleka kwe- herpes , kuba abantu abaninzi abaxhatshazwa kakhulu kwizonyango. Enyanisweni, uninzi lwabantu abaneengxaki ze-herpes abazi ukuba banentsholongwane, ezininzi iintsholongwane zingabonakali okanye zingabonakali .
Ubungozi beZifo zeHermes ngexesha lokukhulelwa
Enyanisweni, inkxalabo enkulu yonyango malunga nokutheleleka kwe-herpes yinto eyenzekayo ngegciwane ngexesha lokukhulelwa nokubeletha .
Izifo ezithintekayo ze-hepatitis ziba yingozi, kwaye zize zibulale. Amanani okufa kwabantu ababelethwe yi-herpes infections angaphantsi kwama-40 ekhulwini. Ngethamsanqa, iziganeko zezi zifo ziphantsi, kwaye abasetyhini bacingelwa ukuba basengozini xa bekhulelwe ngethuba lokukhulelwa. Umngcipheko ungaphantsi kakhulu ukuba usulelo oluphambili lwenzeka ngaphambili kwimeko yobomi kwaye isifo singapheliyo xa umfazi ekhulelwe, nangona sele ehlaselwa ngexesha lokukhulelwa okanye kufuphi nexesha lokuzalwa.
Le nto yinto entle ngokwenene kuba uphando luye lwabonisa ukuba ukutheleleka kwe-herpes kuqheleke kakhulu ngexesha lokukhulelwa. Ngokomsebenzi wophando ohlolisise i- herpes seroprevalence kubafazi abangaphezu kwe-15 000 abazalela kwiziko lezonyango e-Seattle phakathi kuka-1989 no-2010, kunye ne-19,000 yokukhulelwa, ininzi yabasetyhini abane- HSV-1 - ngaphezulu kwama-65 ekhulwini. Eli phesenti laliphezulu kakhulu kuma-Afrika aseMelika, aseSpeyin, nakwase-Asia kunabalingani bawo abamhlophe, abafikelela kuma-90 ekhulwini kwiminyaka ethile.
Kuyathakazelisa, ngelixa ipesenteji yabasetyhini abanesifo se- HSV-1 benqatshitshiswe kancinci kwithuba lokufunda-ukusuka kuma-69 ukuya kuma-65 ekhulwini-ipesenteji yabasetyhini abanesifo se-HSV-2 yehla ngokukhawuleza. Iyanqabile malunga nesiqingatha-ukusuka kuma-30 ukuya kuma-16 ekhulwini.
Ukujonga ukukhulelwa, endaweni yabasetyhini, iipesenti ezingama-76 zithembekileyo ubuncinane ngefomu enye ye-HSV.
Amashumi amahlanu anesithathu ayenayo i-HSV-1 yodwa, iipesenti ezili-15 ze-HSV-1 kunye ne-HSV-2, kunye ne-9 ekhulwini kuphela kwi-HSV-2 kuphela. Nangona kunjalo, nangona kuninzi inani lokukhulelwa apho abasetyhini bahlaselwe yi-herpes, izifo ezithintekayo ze-herpes ezingenasifo zazingenakunqabile.
Umgca ophantsi kwehla
Okuthakazelisayo, kunokubakho umgca wokunciphisa ukukhulelwa kwamagciwane e-genital herpes okubonwa kwabasetyhini abakhulelweyo kule minyaka elishumi edlulileyo. Ekubeni ukusuleleka kwintsholongwane ngexesha lokukhulelwa kuthatha ingozi enkulu yokubangela iingxaki zobuntwa, ukuba umfazi uya ku suleleka i-herpes yomzimba, kungcono ukuba olo sulelo lwenzeka ngaphambi kokukhulelwa kunokuba ukhulelwe. Abancinci abasetyhini abanokusuleleka phambi kokukhulelwa kokuqala kuthetha ukuba inxalenye enkulu ebeka ingozi yokusulelwa ngethuba lokukhulelwa. Nangona kungenjalo abayi kuba ne-HIV, nango mngcipheko ukuba oogqirha kunye nezibini kufuneka bazi. Kungenzeka kube yinkinga nangakumbi kwiibini ezitshatileyo, njengoko ukuhanjiswa kwe-STD kungekho rhoqo xa abantu besondo, ngoko umntu unokuthi ukhulelwe ngumlingane othelelekileyo we-herpes ngaphandle kokuthatha intsholongwane.
Imithombo:
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UDelaney S, Gardella C, uSaracino M, Magaret A, Wald A. Ukutshatyalaliswa kwe-Herpes Simplex Virus Uhlobo lwe-1 kunye no-2 Phakathi koBhinqa abakhulelweyo, ngo-1989-2010. JAMA. 2014 uAgasti 20; 312 (7): 746-8. i-doi: 10.1001 / jama.2014.4359. I-PubMed PMID: 25138337; I-PubMed Central PMCID: PMC4414330.
UJames SH, uKimberlin DW. I-Heronatal Herpes Simplex Virus Infection: Epidemiology and Treatment. Iklinikhi yasePerinatol. Ngo-2015 uMar; 42 (1): 47-59, viii. i-doi: 10.1016 / j.clp.2014.10.005.