Zilonda zamtundu
Wothandizira odwala matenda opatsirana pogonana ndi herpes simplex virus (HSV), kawirikawiri ya mtundu wachiwiri. Matendawa amatanthauza matenda opatsirana pogonana. Mtundu wa HSV I, omwe nthawi zambiri amachititsa "kuzizira" pa milomo, ukhoza kuwatsogolera ku zizindikiro zobereka pambuyo pa kugonana.
• Zizindikiro
Kuopsa kwa matendawa kumatha kukhala wofatsa mpaka wovuta kwambiri. Patangotha masiku awiri mpaka 7 kuchokera kumatenda, malo ochepa a khungu lakunja amachititsa kukwiya. Pa maola khumi ndi awiri otsatirawa, mawanga aubweya wofiira amapezeka pamtunda uwu, womwe umakhala msangamsanga. Zotsatira zake zidzatsegulidwa posachedwa ndi mapangidwe a zilonda zambiri zopweteka zomwe zingathe kumangidwa ndi nkhanambo. Ngati matendawa akuwonjezeka, maseŵera olimbitsa thupi amakula. Chikhalidwe cha wodwala chimakhala ndi zizindikiro ngati za chimfine. Mawonetseredwe a chiwonongeko choyamba cha matenda (primary herpes) akhoza kutha kwa masabata atatu.
• Kufufuza
Maonekedwe a rashes ndi ofunika kwambiri, koma kutsimikizira kuti matendawa ndi oyenera kuti atenge kachilombo ka HIV. Kuyezetsa magazi kungasonyeze kuti mukukumana ndi matendawa, koma salola kuti tizilombo toyambitsa matenda ndicho chifukwa cha kuwonjezereka.
• Chiwonetsero
Gawo limodzi mwa atatu mwa odwala amaiwala za matendawa pambuyo pa kuukira koyamba; Gawo lina lachitatu limakhala ndi zovuta pang'ono; Zina zonse zimatha kubwereza kamodzi pachaka, ngakhale zimayenda mosavuta kuposa chiyambi choyamba, ndipo nthawi zambiri zimathetsedwa mkati mwa sabata. Ndi chiopsezo chachikulu cha matenda opatsirana, nthawi ya mawonetseredwe odulidwa amathandiza kuchepetsa mankhwala osokoneza bongo, monga acyclovir kapena famciclovir. Komabe, ndalamazi sizingathe kuchepetsa nthawi yobwereza, ngati mankhwala ayambitsidwa pambuyo pakuonekera kwa zinthu pa khungu. Kuti muthe kupwetekedwa mtima, kupweteka kwa mankhwala kumatchulidwa, mwachitsanzo, paracetamol kapena ntchito yapamwamba ya gelisi yamadzimadzi. Pa matenda aakulu omwe amamva kupweteka kwambiri mukamayambitsa mkaka, madzi osamba amathandizira kuthetsa mavuto mwa amayi. Mankhwala opha tizilombo m'maganizo oterewa alibe mphamvu. Ngati kubwezeretsa kumachitika nthawi zoposa zisanu pachaka, ndibwino kuti pakhale mankhwala opatsirana, omwe amapereka mankhwala osokoneza bongo kwa miyezi isanu ndi umodzi. Pazovuta kwambiri, mankhwala opondereza amatha zaka zambiri. Munthu yemwe ali ndi ziwalo zoberekera kumayambitsa matendawa, ndiye kuti pogonana azigwiritsa ntchito makondomu, makamaka ngati wokondedwayo asanakumanepo ndi kachilomboka. Kugonjetsedwa kwakukulu kwa herpes kumapeto kwa mimba kumapweteka kwambiri mwanayo, kotero kubwereka kumatendawa kumachitidwa ndi gawo la mthupi. Nkhondo zamakono kapena zipsyinjo zoyambirira pa mimba yoyamba sizimapangitsa mwanayo kukhala ndi chiopsezo chachikulu. Kupweteka ndi kupsa mtima kumalo opatsirana kunja sikugwirizananso ndi matenda opatsirana pogonana. Kutupa kungayambe chifukwa cha kuphwanya kwa tizilombo toyambitsa matenda a tizilombo toyambitsa matenda, tizilombo toyambitsa matenda, kapena tizilombo toyambitsa matenda, monga eczema.
Anthu ambiri amapita kukaonana ndi dokotala, poopa kuti apeza tizilombo toyambitsa matenda, ngakhale kuti khungu lachiberekero m'thupi lakunja lingathe kufotokozedwa ndi zifukwa zosiyana. Izi zikuphatikizapo, makamaka:
• Chilombo candidiasis (thrush)
Matendawa amatsatiridwa ndi kukwiya, kupukusa ndi kuyabwa kwa khungu m'matumbo, nthenda ya ubongo ndi glans, komanso m'dera la perianal (pafupi ndi anus). Kwa amayi, nthawi zambiri zimakhala zowonongeka ndi kupangika kwazing'ono pakhungu, makamaka popaka kapena kusakaniza.
Amuna amadziwika, kupukusa komanso kupweteka m'mimba ndi phungu la glans, kupangidwa kwa zilonda sizomwe zimakhalira. Mosiyana ndi zitsamba zamaliseche, kuthamanga kwa kutupa kumatengera mbali zazikulu za khungu; malungo ndi ma lymph nodes opangidwa sali owona. Pofuna kutsimikizira kuti matendawa ndi otani, amawotchi amatha kutengedwa kuti ayese kuyesa ma laboratory, ngakhale kuti khungu likuwonetsa kawirikawiri kuti imadziwika ngati candidiasis komanso imapanga antchito osakaniza. Kugwiritsa ntchito sopo wonunkhira kapena chithovu kumasamba kungakhale koopsa kwambiri.
• Kukhudzidwa ndi zochitika kunja
Kuwotcha khungu kwa malo amtundu wakunja kungayambitse sopo, gel osamba kapena kusamba mvula, komanso mavitamini osiyanasiyana. Zikatero, kuti athe kuthana ndi vutoli, zingakhale zokwanira kusiya mankhwalawa ndi kusamba khungu lomwe limakhudzidwa ndi madzi oyera ndikutsatiridwa ndi kugwiritsa ntchito kirimu chofewa madzi. Matenda a khungu amatha kukhudza khungu la gawo lirilonse la thupi, kuphatikizapo chiwalo. Komabe, mawonetseredwe pa khungu la ziwalo zamkati zakunja amatha kusiyana kwambiri ndi chithunzi cha matendawa. Palinso gulu lazidzidzidzi zamatenda (izi zimaphatikizapo, mwachitsanzo, makutu a sclerosing), omwe amapezeka kawirikawiri m'dera lakunja. Matenda oterewa amafunika kuti apange mankhwala enaake, makamaka mafuta odzola. Choncho, ngati zilonda za khungu kumtundu wakunja sichichiritsidwa mutagwiritsa ntchito njira zosavuta, muyenera kupempha thandizo la dokotala yemwe angakuuzeni katswiri ngati kuli kofunikira. Mitundu yonse ya kukula kosazolowereka pakhungu la ziwalo zoberekera zakunja kungawonekere chifukwa cha matenda a tizilombo kapena matenda ophera tizilombo toyambitsa matenda. Nthaŵi zambiri, mtundu wa ziphuphu zimathandiza kuti mudziwe chomwe chimayambitsa matendawa, ndipo nthawi zambiri mankhwalawa sachititsa mavuto.
Zilonda zamtundu
Zilonda zapachilombo, kapena ziwalo zogonana, zimachokera ku matenda ndi papillomavirus yaumunthu (HPV). Zindikirani kuti mavairasi opatsirana pogonana (makamaka mitundu 6, 8 ndi 11) amasiyana ndi zomwe zimatsogolera maonekedwe a ziwalo zina za thupi la munthu. Mitundu ina ya mavairasi opatsirana pogonana (makamaka mitundu 16 ndi 18) amaonedwa kuti ali ndi udindo wothandizira khansa ya chiberekero, ngakhale kuti ma condylom sakhalapo.
• Zizindikiro
Mpaka 90% ya mapiritsivirusi onse omwe ali ndi kachilombo ka HIV sakhala ndi mawonetseredwe, kotero kuti kachilombo ka HIV ndi kachilombo ka HIV kamatha kukhala miyezi ingapo komanso zaka. Ngati zizindikiro zikuwonekera, zimachitika miyezi 6 mpaka 9 mutatha kuchipatala.
• Kuwoneka
Kugonana kwa chibadwidwe kumalo amtundu wa chibadwidwe kumawoneka sikusiyana ndi magulu a malo ena alionse. Kuphuka kungakhale kosalala ndi kovuta kukhudza, ndi kofewa ndi kumasuka; Zowonongeka zimatha kupitirira pamwamba pa khungu (exophytic) kapena kusasunthika (pogona). Kawirikawiri, ziphuphu sizipitirira mamitamita angapo m'mimba mwake, koma nthawi zina zimakhala zofanana kukula kwa masentimita 1 kapena kuposa. Zikhoza kupezeka pamalo alionse a khungu la malo a anogenital, ndipo chiwerengero chawo chikhoza kusiyana kuyambira 1-2 mpaka 20 kapena zinthu zina. Nthawi zambiri malo amtunduwu ndi thunthu la mbolo, nkhono ndi malo ozungulira anus. Pang'ono ndi pang'ono amawoneka mu chiwalo cha vaginito, chiberekero cha amayi ndi chiberekero cha amuna. Nkhondo zambiri sizimayambitsa nkhawa kwa mwiniwake, sizimayambitsa kuyabwa, koma zimapezeka, mwangozi. Kuphuka kwakukulu kungasonyeze kuwonongeka kwakukulu kwa chitetezo cha mthupi, monga HIV; Chitsanzo chomwecho chikhoza kuwonetsedwanso mu mimba.
• Kufufuza
Kuyesera kwachindunji kuti adziwe mavairasi kulibe, matendawa amachokera ku kuyang'ana maonekedwe a rashes. Azimayi ambiri amatha kukumana ndi mitundu yosiyanasiyana yowonongeka ndi kafukufuku wokhazikika m'mimba mwa amayi. Ngati kachilombo koyambitsa matenda a papilloma kamakhala kochitika kale, ndizosatheka kuthetsa izo. Ngakhale mankhwala amakono amachititsa kuthetsa kuthetsa mawonetseredwe amodzi, pakalipano palibe njira zowonongera kachilombo kayekha.
Kubwereza
Zilonda zapachibale pambuyo pochotsedwanso zingawonekere, ndipo wodwala kachilombo ka HIV adzakhala gwero la matenda kwa wokondedwa yemwe ali ndi kugonana kosatetezeka kwa miyezi ndi zaka zambiri. Ngati zida zilipo sizichotsedwe, zikhoza kupitirira kwa miyezi ndi zaka, nthawi zina zambiri. Pakalipano, njira zambiri zothandizira zida zogonana zimadziwika, zomwe zimagwiritsa ntchito podophylline (podophyllotoxin) ndi cryodestruction (kuzizira) ndi madzi a nayitrogeni. Njirazi zimagwiritsidwa ntchito muzipatala zapadera, koma nthawi zina zimatha kuchitidwa ndi wodwala. Pa milandu yoopsa kwambiri, zida zowonjezereka zimatenthedwa mothandizidwa ndi magetsi (electrocautery) kapena laser pansi pa anesthesia. Popeza chiopsezo cha papillomavirus cha munthu chimapezeka makamaka chifukwa chogonana, zimalimbikitsa kuti phunziro lolamulira liperekedwe kwa onse awiriwa. Monga tanenera kale, zida za m'mimba ndi khansa ya chiberekero zimayambitsa mitundu yambiri ya HPV, motero mkazi atachotsedwa pamatenda a chiberekero sangafunikire kuwunikira kowonjezera. Matendawa, omwe amadziwika kuti molluscum contagiosum, amayamba ndi kachilombo koyambitsa matendawa omwe amatha kufalitsa (osati kugonana). Komabe, vutoli ndi lofala kwambiri kwa ogonana ndipo limakhala ndi maonekedwe a rashes pa khungu la chiberekero.
• Zizindikiro
Zida za Vysypnye zimakhala zochepa (3-10 mm), zosalala, zowala zonyezimira zimapezeka m'dera la anogenital komanso pafupi ndi khungu. Sizimapweteka kapena zimapweteka, zimatha kufalikira kumadera ambiri, ngakhale kuti nthawi zina mphutsi imangokhala yochepa chabe. Mukayang'aniridwa mosamala ndi galasi lokulitsa, mukhoza kuona kuti mitsemphayi ili ndi vuto lachisokonezo pakatikati. Ngati palibe mankhwala, kupweteka kumatha kupitirira kwa masabata ndi miyezi yambiri.
• Kuzindikira ndi chithandizo Kuchiza kumachokera pa mtundu wa ziphuphu. Kuchiza, cryodestruction ndi madzi a nitrojeni kapena moxibustion amagwiritsidwa ntchito, monga momwe zinalili ndi zida. Njira yowononga mitsempha ya mollusc pogwiritsa ntchito phenol imadziwikanso. Kupititsa kafukufuku kumalimbikitsa kwa onse ogonana. Mbalame zam'mimba zimathamangira kulowa m'thupi mwakuya ndi munthu wodwala. Makamaka odwala matendawa ndi ana. Ngakhale kuti matendawa amakhudza khungu la manja, manja ndi thunthu, nthawi zina zimakhala zochepa (2 mm mm), zimakhala zowononga kwambiri komanso m'madera ena amkati. Kuzindikira matendawa kumapangidwa chifukwa cha kudziwidwa kwa mchere, mazira kapena chimbudzi mu zitsanzo za zokopa zomwe zimachokera pamwamba pa mfundoyi. Ngakhale kuti mphutsi zokha zimatha kuwonongeka mwamsanga ndi tizilombo ta tizilombo toyambitsa matenda, monga malathion, kuthetsa kwa mankhwalawa kungatenge nthawi yoposa mwezi, pamene antihistamines amathandiza kuchepetsa zizindikiro. Nsabwe zapagulu zimapatsirana pogonana. Izi ndizochepa (2 mm) tizilombo tofiira, zomwe zimayenda pang'onopang'ono pakhungu pakati pa ubweya wambiri.
Zizindikiro za matenda
• Folliculitis
Folliculitis amadziwika ndi mawonekedwe a zochepa zofiira pamunsi pa tsitsi. Chochitikachi nthawi zambiri chimayamba kumalo a ubweya wa pubic, ndi kuphatikiza kotheka kwa nthiti zambiri za tsitsi. Pa khungu la mapira a redis aphulika amapangidwa, okhala ndi tsitsi; Iwo amatha kuchepetsa pang'ono ndi kuyambitsa zosangalatsa zosangalatsa. Chithandizo chimaphatikizapo kugwiritsa ntchito timadzi timadzi tofewa tomwe timapanga kapena tizilombo toyambitsa matenda tsiku lililonse.