Inani elingaphezu kwama-90% labemi behlabathi lisuleleke kwezinye zeendlela eziqhelekileyo zentsholongwane yezilwanyana zentsholongwane. Ngokuxhomekeka kwimihlobo ye-herpes inokuhamba kunye nokubonakaliswa kweempawu ezinokonakaliso ezinobungozi, ukuhamba ngeempawu ezingabonakaliyo okanye inkqubela ngokupheleleyo ngaphandle kwempawu.
Iintlobo ze-herpes
Kubantu, iintlobo ezisibhozo zesifo ziyafumaneka. Iintlobo zokuqala ezimbini ziqhelekileyo kunabanye, zombini zibizwa ngokuba ziintsholongwane ezilula, kodwa zihluke ngokubonakala. I-Herpes yohlobo lwe-2 lubonakalisa kwindawo ye-anus ne-genitalia, kwaye uhlobo lokuqala lokugula luchaphazela ubuso, intamo kwaye, kwiimeko ezinqabileyo, inkqubo ye-nervous central.
Ezinye iintlobo zokugula:
- Uhlobo olu-3 - umgquba weenkukhu kunye neengqungquthela;
- Uhlobo lwe-4 - olusulelayo lwe-mononucleosis kunye ne-Epstein-Barr virus;
- 5 uhlobo - cytomegalovirus;
- Iintlobo ze-6-8 - ezingaqondwa kakuhle.
Herpes virus - iimpawu
Umfanekiso wekliniki ekuphuhlisweni kwesi sifo sifana nesimo sawo, kwezinye iimeko, imiqondiso ethile ayikho ngokupheleleyo. Ukuxilongwa ngokufanelekileyo kubalulekile ukufumanisa okokuthethelela i-herpes - iimpawu zeentlobo ezithile zentsholongwane ziba nzima ngokukhawuleza kwaye ezizayo zikhokelela kwimiphumo eyingozi.
Impawu eziqhelekileyo zazo zonke iintlobo zentsholongwane yintlobo kunye nokubonakala kweengcambu. Izimpawu ezicacileyo ze-herpes kubasetyhini, amadoda kunye nabantwana - ubukho kwesikhumba okanye kwiimbrane ezinamaqabunga ezinqabileyo. Zineqabunga elincinci elincinci, elizaliswe nge-liquid exudate okanye ipus. I-blisters iyakwazi ukudibanisana kunye, yokwenza imimandla emikhulu yomonakalo.
Herpes of type 1
Intsholongwane elula yale fomu kaninzi ibonakalisa ulusu kunye neembrane ezinqabileyo kwinqanaba elincinane lobuso. Kwixesha elibandayo, i-herpes ixhaphake ngokukodwa emlonyeni - iimpawu zesifo zibukeka njengezilonda, i-crusts kunye ne-bubbles ezungeze okanye ngaphakathi emlonyeni. Ngamanye amaxesha iimpawu ezinjalo zibizwa ngokuba zibandayo, zidibanisa ngokungahambi kwazo kunye ne-hypothermia. Inkxalabo efana nale ye-pathology yi-herpes kwimpumlo - iimpawu zongezwa kunye nokubunjwa kwe-character shash in the pants and around them. Ngaphambi kokuba kubonakale ukubonakala kwamabhule kungabonwa:
- ukubetha;
- kutsha;
- intlungu;
- ukubetha.
Kwiimeko eziqhelekileyo, i-herpes simplex kwindawo ehambelana nayo iya kuqala - iimpawu ziquka ukubonakala kwamabhalane amancinci amancinci. Ngokuqhelekileyo uhlobo oluchazwe kwintsholongwane luqhubela phambili, ngenxa yokuba isithinteli seeseli ze-pathogenic azizi ngxaki yaso kwiinyanga ezininzi kunye neminyaka, iphumelele ekukhuseleni abanye.
Uhlobo olunqabile kakhulu lwesifo lubangela izimo ezinzima:
- gingivostomatitis;
- keratitis;
- "Ukulwa" okanye "i-gladiator" herpes;
- isophagitis;
- IPararium;
- encephalitis;
- i-herpes simplex yokubeletha;
- keratoconjunctivitis;
- i-sycosis;
- eczema.
Herpes of type 2
Le fom yesifo sengxaki yintsholongwane iyona sizathu esibalulekileyo sesilonda esiswini kunye nesifo esiluncedo ngesimo se-vesicle esisodwa okanye ezininzi. Iimpawu ezihambelanayo ze-herpes zomzimba:
- ukuvuvukala kunye nokwandiswa kwee-lymph nodes;
- i-aches emzimbeni;
- ukuphosa;
- u buqhetseba;
- intlungu emilenzeni;
- ukubethelela emathangeni nasematyeni.
Iimpawu zeekliniki ezidwelisweyo aziqhelwanga ngokukhawuleza, ngokuphindaphindiweyo intsholongwane yesifo sofuba iqhubela phambili. Ngamanye amaxesha uhlobo oluchazweyo lwesifo lubangela ukuvuvukala kweembrane zengqondo (i-meningitis meningitis ye-Mollareth). Olu ngxaki oluyingozi luyinto eqhelekileyo kubantu abanokukhuseleka komzimba okanye ukungafihli komzimba.
Herpes of type 3
Ngentsholongwane enombuzo, umntu oqala ukuhlangabezana naye ebuntwaneni, ukukhubazeka kubangela inkukhu yenkukhu. Isifo sale fomu sibizwa nangokuthi i-varicella zoster okanye i-herpes zoster-iimpawu:
- hyperthermia;
- ukugqithisa okubonakalayo kuwo wonke umzimba;
- ukuguqulwa kwe-rash (emva kweeyure ezingama-5 ukuya kwezi-6) kwiibhanti ezincinci;
- kubetha kakhulu;
- isilonda se-vesicles;
- ukugubungela i-crusts.
Emva kokuphulukana kwi-varicella, iiseli zegciwane ziya kugqitha, kodwa zingasuswa emzimbeni. Emva kweeminyaka emininzi, banokuyisebenzisela nokukhupha i-lichen okanye i-herpes zoster-iimpawu:
- i-malaise;
- ukwanda kweqondo lokushisa;
- ukwandisa i-lymph nodes;
- ukubetha;
- intlungu ye-neuralgic;
- ukubonakala kweentlobo zepinki emzimbeni;
- ukwakheka kwamaphepha epilisi e-erythematous;
- utshintsho lweengqungquthela kumanzi amanzi;
- ukunyuka kwentlungu kwindawo yokuhlaselwa;
- ukuvulwa kwee-blisters, ukumbozwa kwezilonda ngezilonda.
Ukuziphilisa kwenzeka ngaphakathi kweveki ezi-3-4, kodwa emva kokuphulukana ngokupheleleyo, i-herpes ingaqhubeka nokuqhubeka-iimpawu ngendlela yeengxaki:
- umonakalo kwi-ocular branch ye-nerve trigeminal;
- I-Ramsey-Hunt syndrome;
- neuralgia;
- ukuphazamiseka kwemoto;
- i-myelitis;
- encephalitis;
- hemiplegia;
- paresis;
- ulwahlulo olubanzi.
Herpes zohlobo 4
Le ndlela ye-pathology ibangela ukuphuhliswa kwe-mononucleosis echaphazelekayo, ngakumbi kubantwana nakubantu abaselula. Le herpes iyaziwa njengegciwane le-Epstein-Barr - i-symptomatology:
- ukwanda okukhawulezayo kumbushushu womzimba, umkhuhlane;
- ukuvuvukala kwe-muxous pharynx, njenge-laryngitis okanye i-pharyngitis;
- intlungu kumalunga, emqaleni, imisipha, intloko;
- ukukhathala, ukulala;
- ukwandiswa ngobukhulu beelymode;
- i-blister okanye i-rash rash esikhumbeni, ephika emva kweentsuku ezintathu;
- ukudibanisa kwendoda;
- ukubuyiswa kwakhona kwe-pharynx;
- isicefe
- ukuphazamiseka kokutya;
- ngamanye amaxesha - ukwandiswa kwetyeni , isibindi, i-jaundice.
I-Herpes yohlobo 5
Uhlobo oluchaziweyo lwesilonda esithathelwanayo lubangela ukuba i-cytomegaly okanye "isifo sokubanga". Elinye igama elinalo i-herpes lisekhotomegalovirus. Ngokuqhelekileyo iyaqhubeka ngaphandle kwempawu zeklinikhi, ngoko kunzima ukuyixilonga nokuyihlola ngexesha lokukhungatheka okukhulu. Ukubonakaliswa kwesi sifo kufana ne-mononucleosis herpes - iimpawu zentsholongwane ye-cytomegalovirus:
- ukuphosa;
- bushushu;
- bushushu obuphezulu;
- buthathaka;
- umqala;
- ukuvuvukala kwama-lymph nodes.
Ukuba i-pathology iyaqhubeka, ezi zilandelayo zibonakaliswa:
- ubunzima bokuphefumula nokugwinya;
- intlungu yokudubula kwiingqungquthela zentambo;
- ukukhubazeka kokuva;
- umlomo owomileyo;
- ubomvu besikhumba ngaphezu kweengqungquthela zentambo;
- intlungu kunye kunye neentlungu;
- khulisa;
- iingxaki ngendlela yokulimala kwizitho zangaphakathi kunye neenkqubo.
I-Herpes yohlobo lwe-6 - iimpawu
Ifom ebonwa ngentsholongwane ibonakalisa i-polymorphism, ngoko ibonakalisa ngendlela eyahlukileyo. Ngenxa yezinto ezininzi "eziphambili" eziphantsi kokusulela isifo, kunzima ukuxilonga i-herpes yohlobo lwe-6 kubantu abadala-iimpawu ezinokuthi:
- ngokukhawuleza;
- umkhuhlane;
- ukubuyiswa kwakhona kwe-pharynx;
- lymphadenopathy;
- ukuvuvukala kunye nokubomvu kwezikhukuphu;
- catarrhal otitis;
- ukuxhamla emzimbeni wendalo eyahlukileyo - i-macular, i-roseous, imaculopapular;
- isifo esingapheliyo;
- utyhafile;
- mononucleosis;
- lymphadenitis;
- encephalitis;
- lymphomas.
Abanye oogqirha bakhombisa ukudibanisa phakathi kwentsholongwane yohlobo lwe-6 kunye nezi zilandelayo zifo:
- i hepatitis;
- i-pink lichen;
- ukuhluleka kweqela;
- multiple sclerosis;
- hemophagocytosis;
- purpura ye-thrombocytopenic;
- eosinophilia;
- isifo se-hypersensitivity kumayeza.
Uhlobo lwe-Herpes lwesi-7
Le fomu yesifo, iindlela zokusasazwa kwayo, isantya sokusasazeka kunye nesiphumo emzimbeni siye safundiswa encinane. Ngama-95% abantu abadala, eli li-herpes langaphakathi elingaphakathi lifunyenwe - akukho zibonakaliso, iiseli zesifo sengculaza zihlala egazini nasematheni. Ukubonakaliswa kwezonyango ze-pathology echazwe kwiintsholongwane zonyango zifana ne-mononucleosis kunye ne-exanthema ngokukhawuleza. Ziphantse zifana neempawu zoluhlobo lwe-herpes - umkhuhlane, utywala kunye neempawu zokuxhatshazwa.
Kukho intsingiselo yokuba intsholongwane ekuthethwa ngayo ikhupha izifo ezininzi:
- isifo esingapheliyo;
- utyhafile ;
- encephalitis;
- izifo ze-lymphoproliferative.
Herpes of type 8
Uhlobo oluthile olungaziwayo lwe-pathology lubonwa yi-virus enobudlova, ehlasela i-lymphism system emva kokungena emzimbeni womntu. Indlela echazwe ngayo i-herpes inxulumene ne-Kaposi's sarcoma, esona sihlunu esibuhlungu esikhumbeni. Isifo sibonakala njenge-herpes emzimbeni - iimpawu:
- iibomvu ezibomvu ezandleni, emilenzeni, ezinyaweni;
- ukuguqulwa kokukhawuleza kwiisetyhula okanye kwiidiski;
- Ukuguqulwa kwezilonda ze-tumor zibe ngamatywina ukusuka ku-1 kuya ku-5 cm;
- izidibanisi ezidibaniseneyo kunye nomnye, ezithintekayo kwisilonda;
- ububele beeplates, ngakumbi xa ucinezela.
Kukho uhlobo olukhethekileyo lwesifo esibonisa abantu abane-HIV kunye noGawulayo:
- zibala ebalabala;
- Ukuhlala kwimilaphi engxenyeni yempumlo, iimbumba kunye nezandla;
- ukuqhubela phambili ngokukhawuleza kunye nokutshatyalaliswa kwezitho zangaphakathi kunye neelymode.