Lytinių organų pūslelinės

Lytinių organų pūslelinės

Dauguma pasaulio žmonių turi paprastąjį herpes virusą (HSV). HSV ne visada sukelia simptomus, tačiau pasitikrinkite dėl genitalinio herpeso, jei turite simptomų, tokių kaip niežėjimas, patinimas ar skausmingos pūslelės.

Kas yra genitalinis herpesas?

Genitalinis herpesas yra lytiniu būdu plintanti infekcija (LPI). Ji sukelia herpesines pūsles – skausmingas, skysčiu užpildytas pūsleles, kurios gali sprogti ir išsiskirti skystį.

Genitalinio herpeso priežastys

Genitalinį herpesą sukelia du paprastojo herpeso viruso (HSV) tipai:

  • HSV-1. Šis tipas dažniausiai sukelia pūsles ant lūpų, tačiau jis taip pat gali sukelti genitalinį herpesą.
  • HSV-2. Šis tipas dažniausiai sukelia genitalinį herpesą, tačiau jis taip pat gali sukelti pūsles ant lūpų.

Pasaulio sveikatos organizacija teigė, kad 2016 m. apie 3,7 milijardo žmonių iki 50 metų amžiaus buvo užsikrėtę HSV-1. Tais pačiais metais apie 491 milijonas žmonių nuo 15 iki 49 metų amžiaus buvo užsikrėtę HSV-2 infekcija.

Virusai į kūną patenka per odos įbrėžimus ar gleivines. Gleivinės yra ploni audinių sluoksniai, dengiantys kūno angas, randami nosyje, burnoje ir genitalijose.

Kai virusai patenka į organizmą, jie įsiskverbia į ląsteles. Virusai linkę lengvai daugintis arba prisitaikyti prie aplinkos, todėl juos sunku gydyti.

HSV-1 arba HSV-2 gali būti randami kūno skysčiuose, įskaitant:

  • seiles
  • spermą
  • makšties išskyras

Genitalinio herpeso simptomai

Pūslių atsiradimas vadinamas protrūkiu. Pirmasis protrūkis vidutiniškai pasireiškia po 4 dienų nuo užsikrėtimo virusu, tačiau jis gali atsirasti per 2 ar net 12 dienų ar daugiau.

Bendrieji simptomai vyrams:

  • pūslelės ant varpos
  • pūslelės ant kapšelio
  • pūslelės ant sėdmenų (netoli ar aplink išangę)

Bendrieji simptomai moterims:

  • pūslelės aplink arba šalia makšties
  • pūslelės aplink arba šalia išangės
  • pūslelės ant sėdmenų

Bendrieji simptomai abiejų lyčių asmenims apima:

  • Pūslelės gali atsirasti burnoje, ant lūpų, veido ir bet kur kitur, kur kontaktuojama su infekuotomis sritimis.
  • Užsikrėtusi vieta gali pradėti niežėti arba dilgčioti, kol dar neatsiranda pūslių.
  • Pūslelės gali tapti opomis (atidarytos žaizdos) ir išskirti skystį.
  • Per savaitę po protrūkio žaizdos gali padengti šašais.
  • Limfmazgiai gali patinti. Limfmazgiai kovoja su infekcija ir uždegimu organizme.
  • Virusinė infekcija gali sukelti galvos skausmą, kūno skausmus ir karščiavimą.

Bendrieji simptomai naujagimiams, kurie gimė su herpesu (užsikrėtė HSV per gimdymą), gali būti opos ant veido, kūno ir genitalijų.

Naujagimiai, gimę su genitaliniu herpesu, gali patirti labai rimtų komplikacijų:

  • aklumas
  • smegenų pažeidimas
  • mirtis

Labai svarbu pasakyti gydytojui, jei turite genitalinio herpeso diagnozę arba užsikrėtėte HSV nėštumo metu. Gydytojas imsis priemonių, kad virusas nebūtų perduotas kūdikiui gimdymo metu. Jei išilgai gimdymo kanalo yra herpeso pūslių, sveikatos priežiūros komanda gali pasirinkti atlikti cezario pjūvį, o ne įprastą vaginalinį gimdymą.

Burnos herpesas ir lūpų pūslelės

Lūpų pūslelės yra burnos herpeso (HSV-1) simptomas.

Lūpų pūslelės yra panašios į mažas pūslines žaizdas, kurios atsiranda šalia burnos ar lūpų. Jos taip pat gali atsirasti kitose veido vietose. Paprastai šios žaizdos tęsiasi apie 2 savaites ar ilgiau. Kadangi herpesas nėra išgydomas, lūpų pūslelės gali pasikartoti.

Kaip dažnas yra genitalinis herpesas?

Genitalinis herpesas yra gana dažnas.

Nors genitalinį herpesą dažniausiai sukelia HSV-2, šią infekciją taip pat gali sukelti HSV-1.

Remiantis PSO paskutiniais turimais statistiniais duomenimis, 2016 m. buvo apskaičiuota, kad 491,5 milijono žmonių buvo užsikrėtę HSV-2. Tai sudaro daugiau nei dešimtadalį pasaulio gyventojų, kurių amžius yra nuo 15 iki 49 metų.

PSO taip pat apskaičiavo, kad tais pačiais metais 3,7 milijardo žmonių turėjo HSV-1 infekciją, o tai sudaro apie du trečdalius pasaulio gyventojų iki 50 metų amžiaus.

Kada kreiptis į gydytoją dėl genitalinio herpeso?

Jei nėra genitalinio herpeso simptomų, CDC nerekomenduoja atlikti testų dėl herpeso.

Tačiau jei atsiranda genitalinio herpeso simptomų, svarbu kreiptis į gydytoją. Jis gali diagnozuoti ligą ir aptarti infekcijos valdymo strategijas.

Be to, jei yra tikimybė, kad buvo sąlytis su HSV, arba norima atlikti pilną LPI tyrimą, rekomenduojama užsiregistruoti pas gydytoją.

Jei asmeninė konsultacija nėra įmanoma, namų tyrimų rinkinys taip pat gali būti pasirinkimas. Tačiau svarbu pažymėti, kad gydytojo atliktas testas gali būti tikslesnis.

Genitalinio herpeso diagnozavimas

Gydytojas paprastai gali diagnozuoti herpeso perdavimą vizualiai apžiūrėdamas herpeso pūsles. Nors tyrimai ne visada reikalingi, gydytojas gali patvirtinti diagnozę laboratoriniais tyrimais.

Kraujo tyrimas gali diagnozuoti HSV dar prieš prasidedant protrūkiui. Tačiau, jei nebuvo viruso poveikio ir nėra simptomų, nebūtina atlikti patikros dėl HSV-1 ar HSV-2.

Kaip gydomas genitalinis herpesas?

Gydymas gali sumažinti protrūkius, tačiau negali išgydyti herpeso virusų.

Vaistai

Antivirusiniai vaistai gali padėti pagreitinti žaizdų gijimo laiką ir sumažinti skausmą. Vaistai gali būti vartojami atsiradus pirmiesiems protrūkio požymiams (dilgčiojimas, niežėjimas ir kiti simptomai), kad padėtų sumažinti simptomus.

Jei protrūkiai kartojasi, gydytojas gali skirti vaistų, kad sumažintų ateities protrūkių tikimybę.

Namų priežiūra

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Kaip perduodamas genitalinis herpesas?

HSV perduodamas per lytinį kontaktą, kuris gali apimti:

  • vaginalinį seksą
  • analinį seksą
  • bet kokią kitą veiklą, kurioje vyksta genitalijų kontaktas

HSV infekcija taip pat gali būti perduodama per oralinį seksą. Burnos herpesas gali plisti į genitalijų ir analines sritis bei atvirkščiai.

Nors HSV dažniausiai perduodamas per odos kontaktą, virusas taip pat gali būti randamas spermoje, seilėse ir makšties išskyrose.

Rizikos veiksniai užsikrėsti genitaliniu herpesu

Rizika užsikrėsti HSV padidėja tam tikrose situacijose, įskaitant:

  • turint vaginalinį, oralinį ar analinį seksą su asmeniu, sergančiu genitaliniu herpesu
  • nenaudojant prezervatyvų ar kitų barjerinių metodų sekso metu
  • turint susilpnėjusią imuninę sistemą (dėl kitos LPI ar ligos)

Genitalinio herpeso prevencija

Jei asmuo yra seksualiai aktyvus, jis gali sumažinti riziką užsikrėsti HSV, atlikdamas šiuos veiksmus:

  • Kiekvieną kartą turėdamas lytinį kontaktą naudodamas barjerinius metodus, pvz., prezervatyvus.
  • Susilaikydamas nuo sekso su asmeniu, kuriam pasireiškia herpeso simptomai. Tačiau svarbu žinoti, kad HSV gali būti perduodamas, net kai nėra simptomų.
  • Kalbėdamasis su seksualiniais partneriais apie jų LPI statusą.

Ką daryti gavus teigiamą genitalinio herpeso rezultatą?

Jei asmuo gauna teigiamą genitalinio herpeso diagnozę, rekomenduojama pasikalbėti su gydytoju. Nors herpesas nėra išgydomas, jis gali būti gydomas antivirusiniais vaistais, kurie padeda sumažinti pasikartojančių protrūkių sunkumą.

Dažni, sunkūs pasikartojantys protrūkiai gali rodyti susilpnėjusią imuninę sistemą. Jei protrūkiai dažnai kartojasi, gydytojas gali ištirti, ar nėra pagrindinių problemų, paveikiančių imuninę sistemą.

Lytiniai santykiai yra leidžiami, jei diagnozuotas genitalinis herpesas, tačiau geriausia vengti lytinių santykių per herpeso protrūkį. Norint sumažinti HSV perdavimo riziką partneriui, visos lytinės veiklos metu naudokite barjerinius metodus, tokius kaip prezervatyvai ir dentalinės plėvelės.

Kas nutinka, jei genitalinis herpesas negydomas?

Genitalinis herpesas ne visada reikalauja gydymo. Tačiau genitalinės pūslelės gali būti skausmingos. Antivirusiniai gydymo metodai gali sumažinti simptomus ir protrūkių sunkumą.

Retais atvejais herpesas gali sukelti komplikacijų. Tačiau paprastai liga ilgainiui nepablogėja.

Ką turėčiau žinoti, jei esu nėščia ir turiu genitalinį herpesą?

Natūralu jaudintis dėl kūdikio sveikatos, jei turite bet kokią LPI. HSV gali būti perduotas kūdikiui, jei gimdymo metu yra aktyvus protrūkis.

Svarbu informuoti gydytoją, jei esate nėščia ir turite genitalinį herpesą. Jūsų gydytojas aptars, ko tikėtis prieš gimdymą, gimdymo metu ir po jo. Jie gali skirti saugius gydymo metodus, kurie padės užtikrinti sveiką gimdymą. Gydytojai taip pat gali pasirinkti atlikti cezario pjūvį.

Ilgalaikė genitalinio herpeso perspektyva

Praktikuodami saugesnį seksą ir kiekvieną kartą turėdami lytinį kontaktą naudodami prezervatyvus arba kitą barjerinį metodą, galite apsisaugoti nuo HSV ir kitų LPI perdavimo.

Šiuo metu nėra genitalinio herpeso gydymo, tačiau mokslininkai dirba, kad sukurtų gydymą arba vakciną.

Vis dėlto, šią būklę galima valdyti vaistais.

Liga lieka kūne neaktyvi, kol kas nors sukelia protrūkį. Protrūkiai gali atsirasti dėl streso, ligos ar nuovargio.

Gydytojas gali padėti sukurti gydymo planą, kuris padės valdyti protrūkius.

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