Okwamye ku rurimi: Ni iki, ikigaragara, n'uko yakirwa

Imwe mu mpamvu nyamukuru z’ibi bimenyetso ni okwamye ku rurimi, bikaba ari ikimenyetso cy’ikiza cya herpes simplex virus.

Ni iki okwamye ku rurimi?

Okwamye ku rurimi, akenshi byitwa okwamya ku rurimi, ni indwara iterwa na virusi ya Herpes Simplex Virus (HSV). Ni virusi imwe itera ibisebe ku munwa (cold sores). Hari ubwoko bubiri bukunze kugaragara bwa HSV:

• Herpes Simplex Virus Ubwoko bwa mbere (HSV 1): Ni yo n’imwe mu mpamvu zikunda gutera okwamya mu kanwa, harimo ibisebe ku rurimi, iminwa, n’amaguru y’amenyo. Bifite ubwishingizi, ku buryo Umuryango w’Abibumbye w’Ubuzima (WHO) uvuga ko abagera kuri kimwe cya kabiri cy’abatuye isi munsi y’imyaka 50 bafite HSV 1 (source).
• Herpes Simplex Virus Ubwoko bwa kabiri (HSV 2): Ubwoko bw’iyi virusi bukunze guherekezwa n’okwamya ku gitsina. Ariko, HSV 2 ishobora kwanduza mu kanwa no ku rurimi binyuze mu gukora imibonano mpuzabitsina mu kanwa, bigateza ibisebe.

Rero, okwamye birashoboka ko bugaragara ku rurimi? Rwose. Nubwo dusanzwe twumva ko okwamya bifitanye isano n’ibisebe ku minwa, iyi virusi ishobora gutera ibikomere bibabaza mu kanwa, harimo no ku rurimi, amaguru y’amenyo, n’igice cyo hejuru cy’akanwa. Ikigaragara cy’HSV 1 ku rurimi ni ikintu gisanzwe kiba.

Ushobora kwandura iyi virusi, ikaguma mu nkomamashyi zawe ubuzima bwawe bwose. Ibi ntibivuze ko uzahora ufite ibisebe; benshi, iyi virusi iguma idakora. Ku bandi, ishobora kongera gukora igihe kiranengana, ikateza ibibazo, cyane cyane mu bihe by’imyihangayiko cyangwa indwara.

Ibinyengeza n’Ikiranga: Okwamye ku rurimi bisa bite?

Kumenya uko ikibazo cy’okwamya gikura bizagufasha kumenya icyo kiri kuba. Ibinyengeza by’okwamya ku rurimi bikunze gukurikiza inzira igenze neza mu minsi 7 kugeza 14.

Dore uko ibyiciro bihora n’okwamye ku rurimi bisa bite:

1. Icyiciro cya mbere (Icyiciro cyo kwirinda): Imbere y’uko ibisebe biboneka, ushobora kumva ukuntu utarazi mu gice kimwe cy’ururimi rwawe. Ibi bikunze kwibanira no kwitongorera, kwishimagura, gutwika, cyangwa kumva ububabare. Iki cyiciro gishobora kumara amasaha make kugera ku munsi, kandi ni ikimenyetso cy’uko ibibazo biri hafi gutangira.

2. Icyiciro cy’ububushye: Hah urabona ibizunguzwa by’ibintu bibi bibikora amazi. Ibikomere bya okwamya ku rurimi akenshi byibumbira hamwe kandi bishobora kuba birutseho, byera, cyangwa byijimye. Bikunze kuba bibabaza cyane. Ibi bizunguzwa bishobora kugaragara ahantu hose ku rurimi, harimo ku ntwe, ku mpande, hejuru, cyangwa no munsi y’ururimi.

3. Icyiciro cy’ububabare (Icyiciro cyo gusya): Iki ni cyo cyiciro cyibababaza cyane. Ibi bizunguzwa birashwanyukana, bisigamo ibisebe byoroheje, bifunguye bizwi nka bikomere. Ibi bikomere bishobora kuba byijimye cyangwa byoroheje bifite ishingiro ritukura, kandi bishobora gutuma kurya, kunywa, no kuvuga bikugora.

4. Icyiciro cyo gukira: Ibisebe bifunguye bizatangira kwumuka kandi bibyara igihogo cyangwa umukingo. Ni ngombwa kutabikora. Mu minsi mike ikurikira, imikingo izagwa, isigaye idashora.

Inzara ya mbere ikunze kuba iyoborwa n’ibibazo bikomeye kandi ishobora kwibanira n’ibimenyetso by’inyoni nk’ibicurane, imitsi ikuze, n’ububabara bw’umubiri (source). Inzara zikurikira zikunze kuba zoroshye.

Impamvu n’Uburyo bwo Kwanduza: Uko Okwamya ku Rurimi Byandura?

Kumenya impamvu z’okwamya ku rurimi ni ngombwa ku kwirinda no kugira amahoro yo mu mutima. Iyi virusi yanduza binyuze mu kwegerana n’ikisebe cyakorawe cyangwa mu macandwe y’umuntu wanduye, n’ubwo adafite ikisebe kigaragara.

Dore uburyo bwo kwanduza bwibanze:

• Kwirinda kwegera abantu: Ni bwo buryo busanzwe HSV 1 yanduza, cyane cyane mu bwana. Harimo:
  • Gusomana n’umuntu ufite ikisebe gikora.
  • Gusaranganya ibikoresho, inzoga, cyangwa ingano.
  • Gusaranganya ibintu byawe bwite nk’imibavu, amenyo, cyangwa impano.
• Kwihana abahuje: Washobora kwandura okwamya ku rurimi ubikora imibonano mpuzabitsina mu kanwa n’umugore wawe ufite okwamya ku gitsina (byatewe na HSV 1 cyangwa HSV 2).

Ibi byatera ikibazo gikomeye: Okwamya ku rurimi ni indwara yandurira mu mibonano mpuzabitsina? Si buri gihe. Nubwo ishobora kwandurizwa mu mibonano mpuzabitsina, ingano nyinshi z’okwamya mu kanwa (HSV-1) zandurwa n’uburyo bwo kutegera abantu, akenshi mu bwana. Kubw’ibyo, kugira ikisebe ku rurimi ntibivuze ko ari indwara yandurira mu mibonano mpuzabitsina.

Igihe virusi yinjira mu mubiri wawe, ibintu bimwe na bimwe birashobora gutuma yongera gukora: * Imihangayiko yo mu mutwe * Indwara (nk’inkorora cyangwa inyoni) cyangwa ibicurane * Umubabaro * Kwitaka izuba cyane * Ibihumure cyangwa ibikomere mu kanwa * Impinduka z’amaraso (nk’igihe cy’imihango)

Gusuzuma Okwamya ku Rurimi (N’ibitaro Byarwo)

Umuganga ashobora gusuzuma okwamya ku rurimi mu kureba ibisebe gusa. Ariko, kugira ngo amenye neza, ashobora gukora ikizamini, nk’ikizamini cy’ubusamo (kwisoko ku mazi mu bizunguzwa) cyangwa ikizamini cy’amaraso kugira ngo arebe ko hari antibodies za HSV.

Imwe mu mpamvu zikomeye z’akavuyo ni gutandukanya okwamya n’ibisebe by’igiti (canker sores). Okamye ku rurimi vs ikisebe cy’igiti ni impaka z’akenshi, ariko ni ibintu bitandukanye cyane.

Dore uko wabitandukanya:

Ikintu	Ibisebe bya Okwamya (Oral Herpes)	Ibisebe by’Igiti (Aphthous Ulcers)
Impamvu	Herpes Simplex Virus (HSV 1 cyangwa HSV 2)	Ntabwo iterwa na virusi. Impamvu zirimo imihangayiko, ibihumure, cyangwa ibyo kurya bitagukwiye.
Biranduza?	Yego, biranduza cyane.	Oya, ntibiranduza na gato.
Kigaragara	Bihereye ku bizunguzwa by’ibintu bibi bibikora amazi bigasya kugira ngo bibyare ibisebe bibabaza.	Bisanzwe ari ikisebe kimwe, cyuzuye cyangwa cyoroheje gifite igice cy’igiti cyijimye cyangwa cyoroheje hamwe n’ikintu cy’umukingo cyijimye.
Aho bigaragara	Akenshi ku bice bikomeye by’akanwa nk’igice cyo hejuru cy’akanwa, amaguru y’amenyo, n’ururimi hejuru.	Bisanzwe ku bice byoroheje nk’imbere y’imipaka, iminwa, na munsi y’ururimi.

Kumenya itandukaniro riri hagati ya okwamya ku rurimi vs ikisebe cy’igiti ni ngombwa kuko uburyo bwo kubivura n’ubwo bwo kwirinda buratandukanye rwose (source).

Uko Wakira kandi Ugacunga Okwamya ku Rurimi

Nubwo nta gikiza cy’iyi virusi ya okwamya, hari uburyo bukora kugira ngo ugere n’uburyo bwo kwirinda, ukihutisha gukira, kandi ugabanya ububabare. Niba wibaza ukuntu wakira okwamya ku rurimi, dore uburyo bwibanze:

Imiti ya Antiviral Ivurwa n’Abaganga

Uburyo bukora cyane bwo kwirinda okwamya mu kanwa burimo imiti ya antiviral ivurwa n’abaganga. Umuganga ashobora kwandika:

• Acyclovir (Zovirax)
• Valacyclovir (Valtrex)
• Famciclovir (Famvir)

Iyi miti ikora igabanya virusi kutagera mu cyiciro gikurikira. Ikora cyane iyo yatangiye mu masaha 48-72 ya mbere ibimenyetso bya mbere (icyiciro cyo gutongorera). Ku bantu bafite ibibazo bikunda kubaho cyangwa bikomeye, umuganga ashobora kugugusa imiti ya antiviral buri munsi kugira ngo ibibazo by’ahazaza bidashoboka (source).

Kubabara

Inzara y’okwamya ku rurimi ishobora kuba ibabaza cyane. Kugira ngo ugabanye ububabare, ushobora: * Kunywa imiti igabanya ububabare nk’ibuprofen (Advil) cyangwa acetaminophen (Tylenol). * Gusaba umuganga wawe cyangwa farumasiye ku bijyanye n’imyizerere isaba kutakaza ibice bimwe (nk’oral lidocaine) bishobora kurinda ibice, ariko buri gihe usabe inama y’umwuga mbere yo kuyikoresha mu kanwa.

Urundi rugo & Kwigenzura

Kumenya ukuntu wakira okwamya ku rurimi mu rugo bishobora kugabanya cyane ububabare bwawe:

• Kora ibyo kurya byoroheje, bidafite impumuro: Tekereza ku byo kunywa bisukuye, yogurt, ice cream, ibiryo byatsinzwe, n’amazu.
• Komeza kwirinda amazi akonje: Kunywa amazi menshi, gusukura impeta, cyangwa kwishimira ibiryo bikonje kugira ngo urangaze ibisebe kandi uhagarike kwiheba.
• Irinde ibyo kurya bikubabaza: Irinde ibiryo byose bifite impumuro, birimo imbuto z’imbuto (nk’imbuto z’ibinyamisoro n’imbuto zitukura), cyangwa ibiryo bikomeye (nk’ibiryo by’amashanyarazi), kuko ibi bishobora kwibonera ibisebe.
• Koresha isuku ry’akanwa mu buryo bworoshye: Komereza ku kwisuku amenyo, ariko witondere cyane ibisebe. Kuvugurura isuku n’amazi asukuye (1/2 teaspoon y’umunyu mu gikombe cy’amazi ashyushye) bishobora kandi gufasha kugumisha ahantu heza.

Kwirinda no Kugabanya Kwanduza

Niba ufite ikibazo gikora, uranduza. Dore ingamba zo kwirinda kwanduza abandi cyangwa izindi mibiri yawe:

• Irinde Gusomana: Irinde gusomana n’umuntu uwo ari we wese, cyane cyane abana bato, abagore batwite, cyangwa abafite uburwayi buke cyane.
• Ntube Usaranganya: Ntube usaranganya ibikoresho, ibikombe, imyenda, imibavu, cyangwa amenyo.
• Womeshe Amaboko yawe: Womeshe amaboko yawe neza kandi kenshi kenshi, cyane cyane nyuma yo kwegerana n’akanwa kawe.
• Irinde Kwegerana n’Amaso yawe: Iyi virusi ya okwamya ishobora gutera indwara ikomeye y’amaso yitwa herpes keratitis.
• Koresha Ubwishingizi: Irinde gukora imibonano mpuzabitsina mu kanwa igihe ufite ikibazo gikora. Gukoresha condom cyangwa dental dams bishobora gufasha kugabanya ingaruka zo kwanduza igihe nta bimenyetso bibaho.

Igihe Ukwiye Gusura Umuganga

Nubwo ingano nyinshi z’okwamya ku rurimi zikira zonyine, ugomba gusaba inama y’umuganga mu bihe bimwe na bimwe:

• Niba ari ubwa mbere ubonye ikibazo.
• Niba ibimenyetso byawe byonona kandi bituma utashobora kurya cyangwa kunywa.
• Niba ufite uburwayi buke cyane (kubera ibibazo nk’uko HIV, kwivuza kanseri, cyangwa imiti igabanya ubudahangarwa).
• Niba ibisebe bitakize mu minsi ibiri.
• Niba ugenda ubona ibibazo byinshi cyane.
• Niba ufite ibimenyetso by’amaso, nk’ububabare, kuguma kw’ijoro, cyangwa gusohora.

Icyo Gusoreza: Nta Wowe Kugenda Kugenda

Kugera ku okwamya ku rurimi bishobora kuba bibabaza kandi bikagutera ubwoba, ariko ni ngombwa kwibuka ko ari ikibazo gisanzwe kandi gikorerwa. Iterwa na virusi ya herpes simplex (akenshi HSV 1 ku rurimi), yakurwaga n’uburyo bwo kutegera abantu, kandi ishobora kwirindwa neza n’imiti ya antiviral kugira ngo igabanye kwirinda.

Mu kumenya ibimenyetso by’okwamya ku rurimi, kumenya ibikugora, kandi kumenya itandukaniro riri hagati y’ikisebe ku rurimi n’ikisebe cy’igiti, ushobora gufata ubuzima bwawe.

Niba ugenda ubona ibibazo bibabaza cyangwa utazi neza impamvu yawe, ntutindiganyije kwegera umuganga cyangwa muganga w’amenyo. Bashobora kugugusa uburyo bwo gusuzuma, kuganira ku buryo bwiza bwo kwirinda okwamya mu kanwa bwawe, kandi baguha amahoro yo mu mutima ukwiye.