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January 31, 2025
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ʻAʻole pinepine ka kamaʻilio ʻana e pili ana i ka herpes ma ka ʻāʻī, akā he mea nui ia e ʻike ai a me kona manaʻo. ʻO kēia kūlana mai ka maʻi mai ka herpes simplex virus (HSV), ʻoi aku hoʻi nā ʻano 1 a me 2. ʻOiai ʻo HSV-1 e pili pinepine ana i nā ʻōpala anu, hiki nō hoʻi ke hoʻoulu i nā maʻi ma ka ʻāʻī. Ma kekahi ʻaoʻao, ʻo HSV-2, ka mea i pili nui ʻia i ka herpes genital, hiki ke alakaʻi i nā maʻi ʻāʻī, ʻoi aku ma o ka moekolohe waha.
He mea nui loa ka ʻike e pili ana i ka herpes ʻāʻī. Hiki i nā hōʻailona ke hoʻololi mai ka ʻoluʻolu iki a i ka ʻeha nui, e paʻakikī ai ka ʻai ʻana a i ʻole ka kamaʻilio ʻana. I kekahi manawa, hiki i nā kānaka ke kuhi hewa i ka herpes ʻāʻī no nā maʻi ʻē aʻe, e like me ka maʻi ʻāʻī strep a i ʻole tonsillitis. Hōʻike kēia i ke kumu he mea nui ia e makaʻala a ʻike pono e pili ana i ka maʻi.
Inā manaʻo ʻoe ua loaʻa paha iā ʻoe kahi puka ʻana, he mea nui ia e ʻike i nā hōʻailona mua. Hoʻomaopopo pinepine nā kauka ma ka nānā ʻana a noʻonoʻo i ka mōʻaukala o ka mea maʻi e hōʻoia i ka hōʻailona. Eia kekahi, hiki i nā kiʻi o ka herpes ʻāʻī ke kōkua i ka ʻike ʻana i ke kūlana. Ma ke aʻo ʻana e pili ana i ka herpes ʻāʻī, hiki iā kākou ke mālama i ko kākou olakino a ʻimi koke i ke kōkua lapaʻau no ka mālama kūpono a me ka mālama.
Herpes Virus Type | Associated Infection | Common Symptoms | Transmission | Common Affected Areas |
|---|---|---|---|---|
HSV-1 (Herpes Simplex Virus 1) | Oral herpes (cold sores), i kekahi manawa genital herpes. | Nā ʻeha ʻeha, ka ʻiliʻili, nā ʻōpala, ke kuni, nā lymph nodes pehu. | Hoʻolaha ʻia ma o ka hoʻopili pololei me ka saliva maʻi, ka ʻili, a i ʻole nā huna waha. | Waha, lehelehe, maka, a i kekahi manawa nā wahi genital. |
HSV-2 (Herpes Simplex Virus 2) | Genital herpes. | Nā ʻeha ʻeha a i ʻole nā ʻōpala, ka ʻiliʻili, ka puhi ʻana, nā hōʻailona e like me ka maʻi flu. | Hoʻolaha ʻia ma o ka hoʻopili moekolohe (genital a i ʻole anal) a i ʻole ka hoʻopili ʻili-i-ʻili. | Genitals, anus, i kekahi manawa waha. |
Varicella-Zoster Virus (VZV) | Chickenpox (maʻi mua), shingles (hoʻāla hou). | Ka ʻiliʻili ʻulaʻula, nā ʻōpala piha wai, ke kuni, ka luhi. | Hoʻolaha ʻia ma o nā hāʻule hanu a i ʻole ka hoʻopili pololei me ka wai mai nā ʻōpala. | ʻIli, umauma, maka, a me ke kua. |
Epstein-Barr Virus (EBV) | Mononucleosis (mono) e pili ana i kekahi mau kanesa (e.g., lymphoma). | Ke kuni, ka ʻeha ʻāʻī, nā lymph nodes pehu, ka luhi, ka ʻiliʻili. | Hoʻolaha ʻia ma o ka saliva, pinepine ma o ka honi ʻana a i ʻole ka hoʻokaʻawale ʻana i nā mea inu/mea hana. | ʻĀʻī, nā lymph nodes, a i kekahi manawa kahi ʻiliʻili. |
Cytomegalovirus (CMV) | Congenital CMV, nā hōʻailona e like me ka mononucleosis. | Ke kuni, nā gland pehu, ka luhi, ka ʻeha ʻāʻī. | Hoʻolaha ʻia ma o nā wai kino e like me ka saliva, ke koko, ka mimi, a me ka hoʻopili moekolohe. | Hiki ke hoʻopili i nā ʻano kino like ʻole, me nā maka a me nā māmā. |
ʻO ka herpes ma ka ʻāʻī, i ʻike ʻia hoʻi ʻo herpes esophagitis, ua hoʻoulu ʻia e ka herpes simplex virus (HSV-1), ʻoiai hiki iā HSV-2 ke kuleana. Hoʻopili kēia kūlana i ka hoʻomohala ʻana o nā ʻeha ʻeha a me nā ʻōpala ma ka ʻāʻī, ka mea hiki ke alakaʻi i ka paʻakikī o ka ʻai ʻana a me ka ʻoluʻolu ʻole.
ʻO nā hōʻailona maʻamau e komo pū ana me nā ʻeha ʻeha a i ʻole nā ʻōpala ma ka ʻāʻī, ka paʻakikī o ka ʻai ʻana, ka ʻeha ʻāʻī, a me nā lymph nodes pehu. Hiki i nā kānaka ke ʻike pū i ke kuni, nā poʻo ʻeha, a me ka luhi nui. Hiki i ka ʻeha mai kēia mau ʻōpala ke hoʻoluhi i ka ʻai ʻana a i ʻole ka inu ʻana.
Hiki ke ʻike ʻia ka herpes ma ka ʻāʻī ma o ka nānā kino a me nā hoʻokolohua lapaʻau, e like me ka lawe ʻana i kahi laʻana mai ka wahi i hoʻopilikia ʻia no HSV, nā hoʻokolohua koko, a i ʻole nā moʻomeheu ʻāʻī. Hiki i nā hōʻailona e like me ka ʻeha nui, ke kuni mau, a me nā lymph nodes pehu i ka nele o nā maʻi ʻāʻī maʻamau ke hōʻike i ka maʻi herpes.
Inā manaʻo ʻia ka herpes ma ka ʻāʻī, e hana ka mea hoʻolapaʻau i nā hoʻokolohua hōʻailona e hōʻoia i ke alo o ka maʻi. Hoʻopili pinepine ka mālama ʻana i nā lāʻau antiviral e hoʻemi i ka nui a me ka lōʻihi o ka puka ʻana. Hiki i ka hoʻomaha ʻeha, e like me ka hoʻohana ʻana i nā mea hoʻomaha ʻeha topical a i ʻole ka lawe ʻana i nā mea hoʻomaha ʻeha over-the-counter, ke kōkua i ka mālama ʻana i ka ʻoluʻolu ʻole.
1. Ka Hōʻailona ʻana o ka Herpes ma ka ʻĀʻī
Hoʻomaka ka hōʻailona ʻana o ka herpes ma ka ʻāʻī me ka nānā kino, kahi e nānā ai ka mea hoʻolapaʻau i nā ʻōpala a me nā hōʻailona o ka maʻi. Hoʻopili nā hoʻokolohua hōʻailona i:
Throat swab: Lawe ʻia kahi laʻana mai ka lesion e hoʻokolohua no ka maʻi HSV.
Nā hoʻokolohua koko: E ʻike i nā antibodies i HSV, e hōʻoia ana i ka maʻi i hala a i ʻole ka maʻi.
Polymerase chain reaction (PCR) test: E ʻike i ka mea genetic o ka maʻi.
Tissue culture: ʻAʻole pinepine ka hoʻohana ʻia, akā hoʻopili i ka ulu ʻana o ka maʻi mai kahi laʻana o ka ʻiʻo i hoʻopilikia ʻia.
ʻO ka mālama nui no ka herpes ma ka ʻāʻī e hoʻopili i nā lāʻau antiviral, e like me:
Acyclovir
Valacyclovir
Famciclovir
Kōkua kēia mau lāʻau e hoʻemi i ka nui, ka lōʻihi, a me ka pinepine o nā puka ʻana ma ka pale ʻana i ka hoʻonui ʻana o ka herpes virus.
Ma waho aʻe o nā antiviral, hiki i ka mālama ke hoʻopili i nā hana e hoʻomaha ai i nā hōʻailona:
Nā mea hoʻomaha ʻeha over-the-counter (e.g., ibuprofen a i ʻole acetaminophen) no ka ʻeha a me ka mumū.
Nā mea hoʻomaha ʻeha topical (e.g., lidocaine) hiki ke hoʻopili pololei ʻia i ka ʻāʻī e hoʻomaha i ka ʻeha.
Nā gargles wai paʻakai a me ka hydration e kōkua i ka hoʻomaha ʻana i ka ʻāʻī a hoʻemi i ka huhū.
Ke pale ʻana i nā mea hoʻoulu e like me ke kaumaha, ka lā, a i ʻole ka maʻi hiki ke kōkua i ka hoʻemi ʻana i nā manawa o ka hoʻāla hou.
Ka mālama antiviral mau hiki ke kuhikuhi ʻia no nā kānaka me nā puka pinepine.
Hoʻomaopopo ʻia ka herpes ma ka ʻāʻī ma o ka nānā kino a me nā hoʻokolohua e like me nā swabs ʻāʻī, nā hoʻokolohua koko, a i ʻole PCR e hōʻoia i ke alo o ka herpes simplex virus (HSV). ʻO ka mālama nui e hoʻopili i nā lāʻau antiviral e like me acyclovir, valacyclovir, a i ʻole famciclovir, ka mea e kōkua ai e hoʻemi i ka nui a me ka lōʻihi o nā puka ʻana.
Hoʻopili ka mālama ʻeha i nā mea hoʻomaha ʻeha over-the-counter, nā mea hoʻomaha ʻeha topical, a me nā gargles wai paʻakai e hoʻomaha i ka ʻāʻī. No ka pale ʻana i nā puka ʻana i ka wā e hiki mai ana, he mea nui ia e pale aku i nā mea hoʻoulu e like me ke kaumaha a me ka maʻi. I kekahi mau hihia, hiki ke kuhikuhi ʻia ka mālama antiviral lōʻihi no nā puka pinepine.
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