He aha te Whewhe Mate? Tohutohu, Take, me te Maimoatanga

Ko ngā whewhe mate he iti, he pupuhi kua ki tonu i te wai e puta ana ki runga, ki te taha rānei o ō ngutu, nā te huaketo herpes simplex i puta. He tino noa, e pā ana ki te 67% o te iwi o te ao kei raro iho i te 50 tau te pakeke, no reira, ki te whakahaere koe i a rātou, kāo kore koe e noho kotahi.

Ko ēnei pupuhi iti e mamae ana e puta ana i te wa e pēhia ana, e ngoikoretia ana rānei tō pūnaha ārai mate. Ahakoa ka raru pea, ka kore rānei e pai, he āhuatanga taea te whakahaere te whewhe mate e ora ana i te nuinga o te wā i roto i ngā rā 7-10.

He aha ngā tohu o ngā whewhe mate?

Ko ngā whewhe mate e whakaatu ana i a rātou ano me te wiri, te tahuna rānei i mua i te kitenga o tetahi mea. Ko tēnei tohu whakatūpato wawe, e kiia ana ko te wahanga prodrome, e puta ana i te 12-24 haora i mua i te putanga o te pupuhi.

Ko ēnei ngā mea ka pā atu ki a koe i te wa e whanake ana te whewhe mate:

• Te wiri, te ngau, te tahuna rānei i te taha o ō ngutu
• Ngā pupuhi iti, kua ki tonu i te wai e huihui ana
• Te mamae, te ngawari rānei i te wāhi i pā
• Te rere, te kirikiri rānei i te wa e pakaru ana ngā pupuhi
• Ngā whekau lymph pupuhi i tō kaki
• Te kirika iti (inā te wa o tō putanga tuatahi)
• Te mamae o te upoko, te mamae o te tinana rānei

Ko tō putanga tuatahi te tino kino, ā, ka roa pea tae noa ki ngā wiki e rua. Ko te rongo pai, ko ngā putanga e whai ake nei e ngawari ake ana, e poto ake ana i te wa e hanga ana tō tinana i te ārai.

I roto i ngā take onge, ka pā atu ki ētahi tangata ngā tohu nui ake pēnei i te kirika teitei, te uaua ki te horomia, te horapa rānei o ngā whewhe ki ētahi atu wāhi o te mata. Ko ēnei āhuatanga e hiahia ana ki te tiaki hauora tonu.

He aha ngā take o ngā whewhe mate?

Ko ngā whewhe mate i puta mai i te huaketo herpes simplex, ko te HSV-1 te nuinga, ahakoa ka taea hoki e te HSV-2 te whakaatu. Kia pangia koe e tēnei huaketo, ka noho tonu i roto i tō tinana, ka takoto ngāwari i roto i ngā pūtau io tata ki tō tuaiwi.

Ka horapa te huaketo mā te hononga tika ki te waipiro kua pangia, te kiri, te kiri pupuhi rānei. Ka taea e koe te hopu i te wa e kihi ana koe i tetahi kua pangia e te whewhe mate, te whakamahi tahi i ngā taputapu, te pa atu rānei ki te mata kua pangia, ka pa atu ki tō waha.

He maha ngā take ka taea te whakahohe i te huaketo moe, te whakaatu rānei i te putanga:

• Te ahotea, te pouri rānei
• Te mate, te kirika rānei
• Te ngenge, te kore moe rānei
• Te wera o te rā, te hau rānei
• Ngā huringa homoni i te wa o te menehune
• Te pūnaha ārai mate ngoikore
• Te mahi niho, te whara rānei ki te waha
• Ētahi kai (pēnei i te tiakarete, ngā nati rānei i ētahi tangata)

Ko te mārama ki ō ake whakaohooho ka taea te āwhina i a koe ki te aukati i ngā putanga e whai ake nei. He maha ngā tangata e kite ana i ngā tauira i te wa e puta mai ana ō rātou whewhe mate, ā, ka taea te whakahaere te aukati.

Nōhea te haere ki te taote mō ngā whewhe mate?

Ko te nuinga o ngā whewhe mate e ora ana i a rātou ano kahore he maimoatanga hauora, engari he wā kei reira te haere ki te kaiwhakarato hauora he mea nui. Ki te mea ko tō whewhe mate tuatahi tēnei, he mea tika kia tirohia kia whakau i te whakatau, kia kōrerohia ngā kōwhiringa maimoatanga.

Me whakapiri atu koe ki tō taote mena ka pā atu ki a koe:

• Te mamae nui e āwangawanga ana te kai, te inu rānei
• Ngā whewhe mate kahore e ora i roto i ngā wiki e rua
• Ngā putanga maha (neke atu i te ono ia tau)
• Ngā whewhe tata atu ki ō kanohi, i roto rānei
• Te kirika teitei, ngā tohu rānei o te mate huaketo
• Ngā whewhe whānuitia kei runga i tō mata, i tō tinana rānei
• Ngā tohu mena he pūnaha ārai mate ngoikore tōu

Rapua te tiaki hauora tonu mena ka puta mai ngā tohu kanohi pēnei i te mamae, te mārama, te huringa tirohanga rānei. Ka taea e te HSV te whakaatu i ngā mate kanohi nui e hiahia ana ki te maimoatanga tere kia kore ai e pā ngā raruraru.

He aha ngā take morearea mō ngā whewhe mate?

Ka taea e te tangata te whiwhi whewhe mate, engari he maha ngā take ka nui ake te tūponotanga ki te hopu i te huaketo, ki te wheako rānei i ngā putanga maha. He mea nui te pakeke, i te nuinga o te iwi i whakaatu ki te HSV-1 i te tamarikitanga mā te hononga whānau.

Ko ēnei take ka nui ake te tūponotanga ki te whiwhi, ki te horapa rānei i ngā whewhe mate:

• Te hononga tata ki tetahi kua pangia e ngā whewhe mate
• Te whakamahi tahi i ngā taonga whaiaro pēnei i te paraihe ngutu, ngā taputapu, ngā tauera rānei
• He pūnaha ārai mate ngoikore
• Te noho i raro i te ahotea roa
• He maha atu ngā āhuatanga kiri pēnei i te eczema
• Te whakauru ki ngā hākinakina hononga
• He maha ngā hoa moe

Ko ngā tāngata he pūnaha ārai mate ngoikore, pēnei i te hunga he HIV, te mate pukupuku rānei, te tango rānei i ngā rongoā whakaiti ārai mate, e nui ake ana te tūponotanga o ngā putanga nui, maha rānei. Ka roa pea te ora.

He aha ngā raruraru pea o ngā whewhe mate?

Ahakoa he kore kino te nuinga o ngā whewhe mate, ā, e ora ana kahore he raruraru, ka puta pea ngā raruraru i etahi wā, inā te hunga he pūnaha ārai mate ngoikore rānei, i te wa o ngā putanga tuatahi rānei. Ko te nuinga o ngā raruraru he onge, engari he mea tika kia mōhiotia.

Ko ngā raruraru pea e whai ake nei:

• Te mate huaketo tuarua o ngā whewhe tuwhera
• Te ngenge wai mai i te uaua ki te kai, ki te inu rānei
• Te horapa ki ngā maihao (herpetic whitlow)
• Ngā mate kanohi e pā ana ki te tirohanga
• Te mate kiri whānuitia (eczema herpeticum)
• Te mate roro (encephalitis) - he tino onge
• Te mate herpes ira tangata mā te hononga waha

Ko ngā pepe, ngā wāhine hapu, ngā tāngata he āhuatanga pēnei i te eczema, ngā mate ārai mate rānei e hiahia ana ki te tirotiro tika atu. Ki te mea kei roto koe i tētahi o ēnei rōpū, ka tūtohutia pea e tō taote ngā rongoā antiviral ahakoa mō ngā putanga ngawari.

Me pēhea te aukati i ngā whewhe mate?

Ahakoa kaore e taea e koe te aukati katoa i ngā whewhe mate kia pangia koe e te huaketo, ka taea e koe te whakaiti nui i tō tūponotanga ki ngā putanga, te karo rānei i te horapa o te mate ki ētahi atu. Ko te aukati e arotahi ana ki te karo i ngā whakaohooho, te mahi rānei i te horoinga pai.

Ki te aukati i ngā putanga, whakamātauhia ēnei rautaki:

• Whakamahia te kiri kiri i ō ngutu, i tō mata rānei i te wa e noho ana i waho
• Whakahaerehia te ahotea mā ngā tikanga whakahaere
• Whiwhi moe tika, kia pai te kai
• Karohia ngā kai whakaohooho e mohiotia ana mena kua kitea e koe
• Whakakapihia tō paraihe niho i muri i te putanga
• Kia makuku ō ngutu kia kore ai e pakaru
• Tangohia te rongoā antiviral mena kua tohua hei aukati

Ki te karo i te horapa o ngā whewhe mate ki ētahi atu, kaua e kihi, kaua e whakamahi tahi i ngā taonga whaiaro i te wa o ngā putanga. Horohorohia ō ringa, kia kaua e pa ki ngā whewhe. Kia taka te kiri, kua ora katoa te wāhi, kāo kore koe e pā.

Me pēhea te whakatau i ngā whewhe mate?

Ko te nuinga o ngā taote ka taea te whakatau i ngā whewhe mate mā te titiro noa atu ki a rātou, inā kua pangia koe i mua. Ko te ahua, te wāhi rānei e tino ngāwari ai te tautuhi i te wa o te tirotiro tinana.

Ka ui atu tō kaiwhakarato hauora ki ō tohu, te wa i tīmata ai, me te mea kua pangia koe e ngā putanga rite i mua. Ka tirotirohia e rātou te wāhi i pā, ka pa atu pea ki ngā whekau lymph tata ki te tirotiro i te pupuhi.

I etahi wā, inā mō ngā putanga tuatahi, ngā whakatau mārama kore rānei, ka tono pea tō taote i ngā whakamātautau:

• Te whakawhanaketanga huaketo mai i te wai pupuhi
• Te whakamātautau PCR mō te kite huaketo tika ake
• Te whakamātautau toto ki te tirotiro i ngā antibodies HSV
• Te paru Tzanck (kaore i te whakamahia teitei inaianei)

Ka āwhina ēnei whakamātautau ki te whakau i te whakatau, ki te tautuhi rānei i te momo huaketo herpes e whakaatu ana i ō tohu. Ka whai hua tēnei mō te whakarite maimoatanga, te mārama rānei ki tō āhuatanga.

He aha te maimoatanga mō ngā whewhe mate?

Ko ngā whewhe mate e ora ana i a rātou ano i roto i ngā rā 7-10, engari ka taea e te maimoatanga te whakaiti i te mamae, te tere o te ora, te aukati rānei i te horapa. Ko te tīmatanga wawe o te maimoatanga, ka nui ake te hua.

Ko ngā rongoā antiviral te kōwhiringa maimoatanga matua:

• Ngā kiri kiri pēnei i te acyclovir, te penciclovir rānei
• Ngā rongoā waha pēnei i te acyclovir, valacyclovir, famciclovir rānei
• Ngā papata tohu e tuku ana i te rongoā tika
• Ngā antiviral injectable mō ngā take nui

Ka tūtohutia pea e tō taote ngā antiviral waha mena he maha ngā putanga, he tohu nui, he pūnaha ārai mate ngoikore rānei. Ko ēnei rongoā e pai ana te mahi i te wa e tīmata ana i roto i ngā haora 24-48 i muri i te tīmatanga o te tohu.

Ka taea e ngā kōwhiringa kore-tohu te whakahaere i te mamae, te kore pai hoki. Ko ngā kai whakaora mamae pēnei i te ibuprofen, te acetaminophen rānei e whakaiti ana i te mumura, te kore pai hoki. He maha ngā tangata e kite ana he whai hua ngā taapiri lysine, ahakoa he whakakotahi ngā mōhiohio pūtaiao.

Me pēhea te whakahaere i ngā whewhe mate i te kāinga?

Ko te tiaki kāinga e arotahi ana ki te pupuri i te wāhi kia ma, te whakahaere i te mamae, te karo rānei i ngā mahi ka kino pea te putanga, te horapa rānei i te huaketo. Ko te tiaki ngawari e āwhina ana i tō tinana ki te ora i te āhua maori i te wa e whakaiti ana i te kore pai.

Ko ēnei ngā rautaki whakahaere kāinga whai hua:

• Whakamahia te huka, ngā kāpeka makariri rānei mō ngā meneti 10-15 i te maha o ngā wā ia rā
• Pupuri i te wāhi kia ma, kia maroke
• Whakamahia te kiri kiri petroliamu kia kaua e pakaru
• Kia kaua e kohikohi, kia pa atu ki ngā whewhe
• Inu wai maha kia noho makuku
• Kai ngawari, makariri mena he uaua te kai i te mamae o te waha
• Whakamahia he tauera motuhake, kia kaua e whakamahi tahi i ngā taonga whaiaro

He maha ngā tangata e kite ana i te whakaora mai i ngā rongoā taiao pēnei i te kiri kiri aloe vera, te kiri kiri lemon balm rānei, ahakoa ehara ēnei i ngā maimoatanga kua whakamāramahia. Tirohia tonu ki tō kaiwhakarato hauora i mua i te whakamātautau i ngā rongoā hou, inā kua pangia koe e ētahi atu āhuatanga hauora.

Me pēhea te whakarite mō tō hui taote?

Ko te whakarite mō tō hui e āwhina ana ki te whakarite kia whiwhi koe i ngā korero, ngā tūtohu maimoatanga tino whai hua. Whakaarohia ō tohu, ngā pātai e hiahia ana koe ki te ui i mua.

I mua i tō haerenga, tuhia ēnei:

• Te wa i tīmata ai ō tohu, me pēhea te huringa
• Ngā whakaohooho kua kitea e koe mō ngā putanga o mua
• Ngā rongoā, ngā taapiri rānei e tangohia ana e koe inaianei
• Ngā maimoatanga o mua kua whakamātautauhia e koe, me ō hua
• Te maha o ngā putanga e wheakohia ana e koe
• Tetahi hītori whānau o ngā whewhe mate, herpes rānei

Tuhia ngā pātai mō ngā kōwhiringa maimoatanga, ngā rautaki aukati, ngā awangawanga rānei mō te horapa o te mate. Kaua e whakaroa ki te ui mō ngā rongoā tohu mena kaore ngā maimoatanga kore-tohu e āwhina.

He aha te mea nui mō ngā whewhe mate?

Ko ngā whewhe mate he āhuatanga noa, taea te whakahaere e te nuinga o te iwi e whakahaere ana i o rātou oranga. Ahakoa kaore pea e pai, ka whakama pea i etahi wā, he maimoatanga whai hua kei reira hei whakaiti i ngā tohu, hei aukati i ngā putanga.

Ko ngā mea nui hei mahara ko te tīmatanga wawe o te maimoatanga i te wa e kite ana koe i taua wiri tuatahi, te karo i ngā whakaohooho i te wa e taea ana, te mahi rānei i te horoinga pai hei aukati i te horapa. Mā te tiaki tika, ngā rongoā rānei i etahi wā, ka taea e koe te whakaiti i ō hua ki tō oranga o ia rā.

Kia mahara ko te whiwhi whewhe mate kaore e whakaatu i ō tikanga hauora, te ma rānei. He mate huaketo noa iho tēnei e pā ana ki te nuinga o ngā pakeke o te ao. Mā te huarahi tika, ka taea e koe te whakahaere tika, me te maia hoki.

Ngā pātai e ui pinepinetia ana mō ngā whewhe mate

P1: He rite ngā whewhe mate ki ngā whewhe canker?

Kāo, he rerekē katoa ngā āhuatanga. Ko ngā whewhe mate e puta ana ki waho o ō ngutu, nā te huaketo herpes i puta, ko ngā whewhe canker e whanake ana i roto i tō waha, he maha ngā take tae atu ki te ahotea, te whara, ngā ngoikoretanga kai rānei. Kāo kore e pā ngā whewhe canker, engari ko ngā whewhe mate.

P2: Ka taea e au te whiwhi whewhe mate mai i te moe waha?

Ae, ka taea te tuku i te HSV-1 (e whakaatu ana i ngā whewhe mate) ki te wāhi ira tangata mā te hononga waha, te whakaatu rānei i te mate herpes ira tangata. Pēnei anō, ka taea e te HSV-2 te whakaatu i ngā whewhe mate mā te hononga waha. He mea nui kia kaua e hono waha i te wa o ngā putanga.

P3: Kia pehea te roa te pā mō te whewhe mate?

Ko koe te tino pā mai i te wiri tuatahi tae noa ki te ora katoa o te whewhe, te hanga rānei o te kiri hou. Ko te nuinga o te wā e 7-10 ngā rā. Ka taea e koe te horapa i te huaketo ahakoa i mua i te putanga o ngā tohu, no reira karohia te hononga tata mena ka kite koe i taua wiri.

P4: Ka ngaro rānei ngā whewhe mate mō ake tonu atu mena ka tango au i te rongoā antiviral?

Ka taea e ngā rongoā antiviral te whakaiti i te auau, te kino rānei o ngā putanga, engari kāo kore e whakaora i te mate. Ko te huaketo herpes e noho ana i roto i tō tinana mō ake tonu atu. Heoi, he maha ngā tangata e kite ana ka iti haere te auau o ngā putanga, ka ngawari ake hoki i te wa, ahakoa kahore he rongoā tonu.

P5: Ka taea rānei e te ahotea te whakaohooho i ngā putanga whewhe mate?

Ae, ko te ahotea tetahi o ngā whakaohooho tino noa mō ngā putanga whewhe mate. I te wa e ahotea ana koe, ka ngoikore pea tō pūnaha ārai mate, ka taea te whakahohe i te huaketo moe. Ko te whakahaere i te ahotea mā ngā tikanga whakahaere, te moe tika, ngā kōwhiringa oranga hauora rānei ka taea te whakaiti i te auau o ngā putanga.