Ese ni iki? Ibimenyetso, Impamvu, n'Uburyo bwo kuvura

Ese ni iki?

Ese ni uburwayi bw'uruhu bubabaza buterwa na virusi imwe na imwe itera ibicurane by'inkoko. Nyuma yo gukira ibicurane by'inkoko, iyo virusi igumana mu mitsi y'imbere mu mubiri kandi ishobora kongera kugaragara nyuma y'imyaka myinshi nk'Ese.

Iyo virusi izuka, ijyana mu nzira z'imitsi yerekeza ku ruhu. Ibyo biterwa n'uburyo bw'uburyo bw'uruhu busanzwe bugaragara ku ruhande rumwe rw'umubiri cyangwa mu maso. Izina ry'ubuvuzi rya Ese ni herpes zoster, ariko ritandukanye cyane na herpes itera ibisebe by'umunwa cyangwa herpes yo mu myanya ndangagitsina.

Abantu benshi barwara Ese bafite imyaka irenga 50, nubwo bishobora kubaho mu myaka yose. Inkuru nziza ni uko Ese isanzwe ikira yonyine mu byumweru bike, kandi uburyo bwo kuvura buriho bushobora gufasha gucunga ububabare no kwihuta gukira.

Ibimenyetso bya Ese ni ibihe?

Ibimenyetso bya Ese bikunze gutangira mbere y'uko ubona uburwayi ubwo aribwo bwose. Ushobora kumva ububabare, ukongoka, cyangwa gukoroga mu gice runaka cy'uruhu iminsi myinshi mbere y'uko ikintu icyo ari cyo cyose kigaragara.

Dore ibimenyetso by'ingenzi ushobora guhura na byo:

• Ububabare, ukongoka, kudatuza, cyangwa gukoroga bisanzwe bigira ingaruka ku ruhande rumwe rw'umubiri
• Uburwayi butukura buhinduka mu bibyimba byuzuyemo amazi
• Gukoroga mu gice kibangamiwe
• Umuhango n'ubushyuhe
• Kubabara umutwe
• Kugira umunaniro
• Kugira ikibazo mu nda
• Kugira ubwoba bw'umucyo

Uburwayi busanzwe bukurikira inzira y'umutsi, bugahanga umugozi cyangwa umurongo. Akenshi bugaragara ku kibuno cyawe, gikikiza uruhande rumwe kuva ku mugongo kugeza ku gituza. Ariko kandi, bishobora kugira ingaruka ku maso, ku ijosi, cyangwa ku bindi bice by'umubiri.

Mu bihe bidasanzwe, bamwe bashobora guhura n'ibimenyetso bikomeye. Ibyo bishobora kuba harimo uburwayi bukwirakwira bugira ingaruka ku bice byinshi, kubabara umutwe cyane hamwe no gukomera kw'ijosi, cyangwa guhinduka kw'ubwenge niba uburwayi bugaragara hafi y'ijisho. Ibi bihe bisaba ubufasha bw'abaganga vuba.

Ese iterwa n'iki?

Ese iterwa na virusi ya varicella-zoster isubira gukora mu mubiri wawe. Iyi ni virusi imwe na imwe yateye ibicurane by'inkoko, akenshi mu bwana.

Nyuma y'uko ibicurane by'inkoko bikize, iyo virusi ntisiva mu mubiri wawe burundu. Ahubwo, ijyana mu mitsi y'imbere hafi y'umugongo n'ubwonko, aho igumana igihe kirekire cyangwa imyaka myinshi. Ubudahangarwa bwawe busanzwe bukomesha iyo virusi idakora.

Ibintu byinshi bishobora gutera iyo virusi kongera gukora:

• Ubudahangarwa buke buterwa no gusaza
• Umuvuduko w'umubiri cyangwa uw'amarangamutima
• Imiti imwe na imwe igabanya ubudahangarwa
• Uburyo bwo kuvura kanseri nka chimiothérapie cyangwa radiation
• SIDA/VIH cyangwa izindi ndwara zigabanya ubudahangarwa
• Imiti yo kubaga

Iyo ubudahangarwa bwawe bugabanutse, iyo virusi ishobora kwiyongera kandi ijyana mu mitsi yerekeza ku ruhu. Uru rugendo mu nzira y'umutsi rusobanura impamvu ububabare bwa Ese n'uburwayi bikurikira imikorere runaka ku mubiri wawe.

Ni ngombwa kumenya ko ntushobora kwandura Ese uvuye ku wundi muntu. Ariko, niba ufite ibisebe bya Ese bikora, ushobora kwanduza virusi ya varicella-zoster ku bantu batarwara ibicurane by'inkoko, kandi bakwibasirwa n'ibicurane by'inkoko, atari Ese.

Ni ryari ukwiye kubona muganga kubera Ese?

Ukwiye kuvugana na muganga wawe ubwira ukekako ushobora kuba ufite Ese. Kuvurwa hakiri kare mu masaha 72 uhereye igihe ibimenyetso byatangiye bishobora kugabanya cyane uburemere n'igihe cy'uburwayi bwawe.

Shaka ubufasha bw'abaganga ako kanya niba uhuye n'ibimenyetso by'uburyo bukurikira:

• Uburwayi hafi y'ijisho ryawe, bishobora kugira ingaruka ku bwenge bwawe
• Uburwayi bukwirakwira bugera ku bice binini by'umubiri wawe
• Kubabara umutwe cyane hamwe no gukomera kw'ijosi
• Umuhango mwinshi urenga 101°F (38.3°C)
• Ibimenyetso by'ubwandu bwa bagiteri mu gice cy'uburwayi, nko kwiyongera kw'umutuku, ubushyuhe, cyangwa ibyondo
• Kugira ikibazo cyo kugendagenda ibice by'umubiri wawe
• Kugira ikibazo cy'umva cyangwa gucika intege

Ntugatege amatwi niba ufite imyaka irenga 60 cyangwa ufite ubudahangarwa buke. Ibyo bintu bikurinda ibyago byinshi byo kugira ingaruka mbi, bituma ubufasha bw'abaganga bwihuse bukomeye kurushaho.

Ndetse niba ibimenyetso byawe bigaragara nk'ibyoroheje, kubona umuvuzi hakiri kare bishobora gufasha kwirinda ingaruka mbi no kugabanya ibibazo byawe. Bashobora kwandika imiti irwanya virusi ikora neza iyo itangiye vuba.

Ibyago byo kurwara Ese ni ibihe?

Umuntu wese warwaye ibicurane by'inkoko ashobora kurwara Ese, ariko ibintu bimwe na bimwe byongera amahirwe yo guhura n'iyi ndwara. Gusobanukirwa ibyo byago bishobora kugufasha kuba maso ku bimenyetso bya mbere.

Ibyago by'ingenzi birimo:

• Immyaka irenga 50, kuko ubudahangarwa bwawe bugabanuka uko imyaka igenda yiyongera
• Ubudahangarwa buke buterwa na kanseri, SIDA/VIH, cyangwa indwara zidahangarwa
• Guta imiti igabanya ubudahangarwa kubera kubagwa cyangwa indwara zidahangarwa
• Guhabwa uburyo bwo kuvura kanseri nka chimiothérapie cyangwa radiation
• Umuvuduko mwinshi w'umubiri cyangwa uw'amarangamutima
• Indwara zidakira nka diyabete cyangwa indwara z'impyiko

Ibintu bimwe na bimwe bidasanzwe bishobora kugira uruhare. Ibyo birimo kubagwa vuba, imvune zikomeye, cyangwa gufata imiti ya steroide igihe kirekire. Abagore bashobora kugira ibyago byinshi kuruta abagabo, nubwo abashakashatsi bataramenya impamvu.

Kugira ibyo byago ntibisobanura ko uzahita urwara Ese. Abantu benshi bafite ibyago ntibabona iyo ndwara, mu gihe abandi badafite ibyago bigaragara barwara Ese. Uburyo bwawe bwite bw'ubudahangarwa bugira uruhare runini mu kumenya ibyago byawe.

Ingaruka zishoboka za Ese ni izihe?

Abantu benshi barakira Ese batagize ibibazo biramba, ariko ingaruka zishobora kubaho, cyane cyane mu bantu bakuze cyangwa abafite ubudahangarwa buke. Kumenya ibyo bishoboka bigufasha gushaka ubufasha bukwiye igihe bikenewe.

Ingaruka zisanzwe zirimo:

• Postherpetic neuralgia - ububabare bw'imitsi buramba bumamara amezi cyangwa imyaka nyuma y'uko uburwayi bukize
• Ubwandu bwa bagiteri ku ruhu mu gice cy'uburwayi
• Ibibyimba bituruka ku bibyimba
• Ibibazo by'amaso niba Ese igira ingaruka ku gice kiri hafi y'ijisho ryawe
• Gutakaza kumva cyangwa ibibazo byo kubura umutekano niba Ese igira ingaruka ku gutwi ryawe ryo imbere
• Gucika intege kw'isura niba Ese igira ingaruka ku mitsi y'isura

Ingaruka nke ariko zikomeye zishobora kuba harimo pneumonia, kubyimba kw'ubwonko (encephalitis), cyangwa izindi ngaruka ku zindi ngingo. Ibyo bisanzwe bibaho mu bantu bafite ubudahangarwa buke cyane kandi bisaba ubufasha bw'abaganga vuba.

Postherpetic neuralgia ikwiye kugarukwaho cyane kuko igira ingaruka ku bantu bagera kuri 20% barwaye Ese. Iyo ndwara itera ububabare bukabije, bukomeye, cyangwa bubabaza cyane buramba nyuma y'uko uruhu rwawe rukize. Ibyago byiyongera uko imyaka igenda yiyongera, cyane cyane nyuma y'imyaka 60.

Kuvurwa hakiri kare hamwe n'imiti irwanya virusi bishobora kugabanya cyane ibyago byo kugira ingaruka mbi. Iyi ni indi mpamvu yo kubona muganga vuba igihe ukekako ufite Ese.

Ese bishobora kwirindwa gute?

Uburyo bwiza bwo kwirinda Ese ni ugukingirwa. Urushinge rwa Ese rushobora kugabanya cyane ibyago byo kurwara iyo ndwara no kugabanya uburemere niba urayirwaye.

Hariho inkingo ebyiri zo kwirinda Ese. Shingrix ni urushinge rwakozwe cyane kandi rusabwa ku bantu bafite imyaka 50 n'irenga, ndetse niba warwaye Ese mbere cyangwa wakiriye urushinge rwa kera rwa Zostavax. Shingrix itangwa mu byiciro bibiri, byatandukanyijwe n'amezi 2 kugeza kuri 6.

Urushinge rukora binyuze mu kongera ubushobozi bw'ubudahangarwa bwawe bwo kurwanya virusi ya varicella-zoster. Ubushakashatsi bwerekana ko Shingrix ikora neza kurusha 90% mu kwirinda Ese mu bantu bafite imyaka 50 kugeza kuri 69, na hafi 85% mu bantu bafite imyaka 70 n'irenga.

Uretse gukingirwa, kugira ubudahangarwa bwiza bishobora gufasha kwirinda Ese kongera gukora:

• Kurya indyo yuzuye yuzuye imbuto n'imboga
• Gukora imyitozo ngororamubiri buri gihe ijyanye n'ubushobozi bwawe
• Guhangana n'umuvuduko binyuze mu buryo bwo kuruhuka cyangwa inama
• Kuryama bihagije, busanzwe amasaha 7-9 buri joro
• Kwirinda kunywa itabi no kugabanya kunywa inzoga
• Guhangana n'indwara zidakira neza

Nubwo ibyo bintu byo mu buzima busanzwe bishyigikira ubuzima bw'ubudahangarwa muri rusange, gukingirwa biguma ari bwo buryo bwiza bwo kwirinda Ese. Vugana na muganga wawe ubwira niba urushinge rwa Ese rukukwiriye.

Ese imenyekanwa ite?

Abaganga bashobora kumenya Ese binyuze mu gusuzuma uburwayi bwawe no kubabaza ibibazo ku bimenyetso byawe. Uburyo bw'Ese n'uburyo bwayo bituma abaganga babimenyereye babibona.

Muganga wawe azashakisha uburwayi bumeze nk'umugogo bukurikira inzira z'imitsi ku ruhande rumwe rw'umubiri wawe. Azakubabaza kandi ku buryo ububabare bwawe bumeze, igihe ibimenyetso byatangiye, niba warwaye ibicurane by'inkoko mbere.

Mu bihe byinshi, nta bipimo byihariye bikenewe kugira ngo hamenyekane. Ariko, muganga wawe ashobora gutegeka ibizamini bya laboratoire niba:

• Kumenya Ese bitagaragara neza mu gusuzuma uburwayi bwawe
• Ufite ibimenyetso bidasanzwe
• Ufite ubudahangarwa buke cyane
• Ingaruka mbi zikekwa

Ibizamini birimo gufata igice cy'ibisebe byawe kugira ngo hamenyekane virusi, ibizamini by'amaraso kugira ngo hamenyekane antikorps, cyangwa gufata ibice by'uruhu mu bihe bidasanzwe. Ibyo bizamini bishobora kwemeza ubukoko bwa varicella-zoster.

Kumenya hakiri kare ni ingenzi kuko kuvura imiti irwanya virusi bikora neza iyo bitangiye mu masaha 72 uhereye igihe ibimenyetso byatangiye. Ntugatinye kubona umuvuzi niba ukekako ufite Ese, nubwo utari uhamya neza.

Ese ivurwa ite?

Kuvura Ese bigamije kwihuta gukira, kugabanya ububabare, no kwirinda ingaruka mbi. Uko utangiye kuvurwa hakiri kare, niko bigenda bikora neza.

Muganga wawe ashobora kwandika imiti irwanya virusi nk'uburyo nyamukuru bwo kuvura. Iyo miti ifasha kurwanya virusi kandi ishobora kugabanya igihe cy'uburwayi bwawe:

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

Kugira ngo hagenzurwe ububabare, umuvuzi wawe ashobora kugutegurira uburyo butandukanye bitewe n'uburemere bw'ububabare bwawe n'amateka yawe y'ubuvuzi. Imiti igabanya ububabare iboneka mu maduka nka acetaminophen cyangwa ibuprofen ishobora gufasha mu bubabare buke cyangwa bwo hagati.

Kububabare bukomeye, imiti ikomeye ishobora kuba ikenewe:

• Imiti igabanya ububabare yanditswe na muganga
• Imiti irwanya indwara z'imitsi nka gabapentin kububabare bw'imitsi
• Imiti yo kuvura indwara z'agahinda zikomeye kububabare bw'imitsi buramba
• Imiti yo kwisiga nka patches za lidocaine
• Corticosteroids mu bihe bimwe na bimwe kugira ngo hagabanywe kubyimba

Niba ugize ubwandu bwa bagiteri mu gice cy'uburwayi, muganga wawe azakwandikira imiti irwanya bagiteri. Iyo ngaruka mbi ishobora kubaho iyo ibisebe byanduye binyuze mu gukoroga cyangwa kwitaho nabi ibikomere.

Igihe cyo kuvura gisanzwe kiba hagati y'iminsi 7 kugeza ku 10 ku miti irwanya virusi, nubwo gucunga ububabare bishobora gukomeza igihe kirekire. Muganga wawe azakurikirana aho ugeze kandi agahindura uburyo bwo kuvura uko bikenewe.

Uburyo bwo kuvura iwawe muri Ese

Kwita ku rugo bigira uruhare runini mu gucunga ibimenyetso bya Ese no guteza imbere gukira. Ibyo bintu byo kwita ku buzima bwite bishobora guhumuriza mu gihe imiti yawe yanditswe ikora kurwanya virusi.

Kwita ku burwayi bwawe neza bifasha kwirinda ubwandu no guteza imbere gukira:

• Komeza uburwayi bwawe bukeye kandi buhumye
• Shyiraho ibintu byakonjeshejwe, byuzuyemo amazi kugira ngo ugabanye ububabare no gukoroga
• Koga amazi akonjeshejwe hamwe na colloidal oatmeal cyangwa baking soda
• Kwambara imyenda idakomeye, y'ipamba kugira ngo wirinde guhungabanya uburwayi
• Kwima amatsiko cyangwa gucukura ibisebe
• Fata uburwayi hamwe n'ibikoresho bidakomeretsa niba bikenewe

Guhangana n'ububabare n'ibibazo mu rugo bikubiyemo ingamba nyinshi. Kuruhuka ni ingenzi mu gufasha ubudahangarwa bwawe kurwanya virusi. Gerageza kuryama bihagije kandi wirinde ibikorwa bikomeye bishobora kongera ibibazo byawe.

Kugira ngo ugabanye ububabare, ushobora gushyiraho ibintu byakonjeshejwe iminota 15-20 incuro nyinshi buri munsi. Bamwe basanga lotion ya calamine ifasha kugabanya gukoroga. Uburyo bwo kuruhuka nko guhumeka cyangwa gukora imyitozo yo mu bwenge bishobora kugufasha guhangana n'ibibazo.

Ibiryo n'amazi bishyigikira gukira kwawe. Kurya ibiryo biryohereye kandi unywe amazi menshi kugira ngo ufashe ubudahangarwa bwawe gukora neza. Niba utumva neza kurya ibiryo bisanzwe, gerageza ibiryo bike, bikunze kurya.

Wibuke kwirinda kuvugana n'abantu batarwara ibicurane by'inkoko, cyane cyane abagore batwite, abana bashya, n'abantu bafite ubudahangarwa buke. Urandura kugeza igihe ibisebe byose byakize.

Uko wakwitegura uruzinduko rwawe kwa muganga

Kwita ku ruzinduko rwawe kwa muganga bifasha kwemeza ko uboneye ubufasha bukwiye bwa Ese. Kugira amakuru akwiye biteguye bishobora kwihutisha kumenya no gufata ibyemezo byo kuvura.

Mbere y'uruzinduko rwawe, andika ibimenyetso byawe n'igihe byatangiye. Garagaza amakuru yerekeye ububabare urimo guhura na bwo, nko kuba ari ukongoka, gukomeretsa, cyangwa kubabara, kandi ugereranye uburemere bwabyo kuri 1 kugeza kuri 10.

Kora amakuru y'ubuvuzi akomeye kugira ngo ubashe kuyasangiza:

• Urutonde rw'imiti ukoresha ubu, harimo imiti iboneka mu maduka n'ibindi
• Amateka y'ibicurane by'inkoko cyangwa gukingirwa ibicurane by'inkoko
• Igihe icyo ari cyo cyose warigeze urwara Ese
• Indwara za vuba, umuvuduko, cyangwa ihindagurika mu buzima bwawe
• Indwara zidakira ufite
• Uburyo bwo kuvura warigeze ugerageza ku bimenyetso byawe

Tegura ibibazo uzazaza muganga wawe mu gihe cy'uruzinduko. Ushobora kwifuza kumenya ibijyanye n'uburyo bwo kuvura, igihe cyo gukira, igihe ushobora gusubira mu bikorwa bisanzwe, cyangwa uko wirindira kwanduza virusi ku bandi.

Tegereza umuryango wawe cyangwa inshuti mu ruzinduko rwawe. Bashobora kugufasha kwibuka amakuru akomeye no kugufasha mu gihe gishobora kuba kigoye.

Niba bishoboka, wirinde gushyira amavuta cyangwa amavuta ku burwayi bwawe mbere y'uruzinduko. Ibi bizafasha muganga wawe kubona uburwayi neza kandi agatanga ubuvuzi bukwiye.

Icyingenzi cyo kuzirikana kuri Ese

Ese ni uburwayi bushobora kuvurwa kandi abantu benshi barakira neza bafashijwe neza. Nubwo bishobora kubabaza kandi bikaba bibi, uburyo bwo kuvura buriho bufasha gukira vuba no kugabanya ingaruka mbi.

Ikintu cy'ingenzi cyo kwibuka ni uko kuvurwa hakiri kare bigira uruhare runini. Niba ukekako ufite Ese, ntuzategereze kubona umuvuzi. Gutangira imiti irwanya virusi mu masaha 72 uhereye igihe ibimenyetso byatangiye bishobora kunoza cyane ibyavuye mu ivuriro.

Kwiringira gukingirwa ni bwo buryo bwiza bwo kwirinda, cyane cyane niba ufite imyaka irenga 50. Urushinge rwa Shingrix rukora neza kandi rushobora kwirinda Ese cyangwa kugabanya uburemere niba urayirwaye.

Wibuke ko kurwara Ese ntibisobanura ko hari ikintu gikomeye kibaye mu buzima bwawe. Ni uburwayi busanzwe bugira ingaruka kuri miliyoni z'abantu buri mwaka. Hamwe no kuvurwa neza n'uburyo bwo kwita ku buzima bwite, ushobora kwitega gukira no gusubira mu bikorwa byawe bisanzwe mu byumweru bike.

Komeza guhuza n'itsinda ryawe ry'ubuvuzi mu gihe cyo gukira. Bashobora guhindura gahunda yawe yo kuvura niba bikenewe kandi bagufashe gucunga ibimenyetso bisigaye. Ikintu cy'ingenzi ni ukutumva ubwoba bwo gushaka ubufasha niba ufite impungenge ku buzima bwawe cyangwa gukira.

Ibibazo byakunze kubaho kuri Ese

Ese ushobora kurwara Ese inshuro nyinshi?

Yego, ushobora kurwara Ese inshuro nyinshi, nubwo atari ibintu bisanzwe. Abantu benshi barwaye Ese ntibazongera kuyirwara. Ariko, abantu bagera kuri 1-5% bashobora guhura n'ikindi kibazo, kandi gake, bamwe bagira ibibazo bitatu cyangwa birenga mu buzima bwabo.

Ibyago byo kongera kurwara Ese byiyongera niba ufite ubudahangarwa buke cyangwa niba ufite imyaka irenga 50. Inkuru nziza ni uko ibibazo byongeye kubaho bikunze kuba byoroheje kurusha icya mbere. Gukingirwa Ese bishobora kugabanya ibyago byo kongera kurwara nubwo warigeze urwara Ese mbere.

Ese Ese iranduza?

Ese ubwayo ntiranduza, ariko virusi iyitera ishobora kwanduza abandi. Niba ufite Ese ikora hamwe n'ibisebe bifunguye, ushobora kwanduza virusi ya varicella-zoster ku bantu batarwara ibicurane by'inkoko cyangwa urushinge rw'ibicurane by'inkoko.

Abantu bafata iyo virusi uvuyeho bazahura n'ibicurane by'inkoko, atari Ese. Urandura kuva igihe ibisebe bigaragara kugeza igihe byakize burundu. Kugira ngo wirinde kwanduza virusi, komeza uburwayi bwawe bufite icyo bufite kandi wirinde kuvugana n'abagore batwite, abana bashya, n'abantu bafite ubudahangarwa buke.

Ese Ese imamara igihe kingana iki?

Ese isanzwe imamara ibyumweru 2-4 kuva itangiye kugeza irangiye. Igihe gisanzwe gikurikira iyi nzira: ububabare bwa mbere no gukoroga iminsi 1-3, bikurikirwa no kugaragara kw'uburwayi, hanyuma ibisebe bigakora kandi bikaramba mu minsi 7-10, bikaramba mu byumweru 2-4.

Ariko kandi, bamwe bahura n'ububabare bw'imitsi buramba bwitwa postherpetic neuralgia bushobora guhamamara amezi cyangwa imyaka. Kuvurwa hakiri kare hamwe n'imiti irwanya virusi bishobora gufasha kugabanya igihe no kugabanya ibyago by'ingaruka mbi ziramba.

Ese umuvuduko ushobora gutera Ese?

Umuvuduko ntabwo utera Ese, ariko ushobora kuba intandaro yo kongera gukora virusi. Umuvuduko w'umubiri n'uw'amarangamutima bishobora kugabanya ubudahangarwa bwawe, bigatuma bigoye ku mubiri wawe gukomesha virusi ya varicella-zoster idakora.

Ibintu bikomeye mu buzima, indwara, kubagwa, cyangwa igihe kirekire cy'umuvuduko bishobora kongera ibyago byo kurwara Ese. Niyo mpamvu gucunga umuvuduko binyuze mu buryo bwiza bwo kwita ku buzima, kuryama bihagije, n'uburyo bwo kugabanya umuvuduko bishobora kuba igice cyo kwirinda.

Ese Ese itandukaniye he na herpes?

Ese na herpes yo mu myanya ndangagitsina biterwa na virusi zitandukanye zo mu muryango wa herpes, ariko si uburwayi bumwe. Ese iterwa na virusi ya varicella-zoster (virusi imwe na imwe itera ibicurane by'inkoko), mu gihe herpes yo mu myanya ndangagitsina iterwa na herpes simplex virusi yo mu bwoko bwa 1 cyangwa 2.

Ese isanzwe igaragara nk'uburwayi bumeze nk'umugogo ku ruhande rumwe rw'umubiri wawe kandi bifitanye isano n'ibicurane by'inkoko byabanje. Herpes yo mu myanya ndangagitsina isanzwe igira ingaruka ku gice cy'imyororokere kandi ikwirakwira binyuze mu mibonano mpuzabitsina. Ubu burwayi bubiri bushobora gutera ibisebe bibabaza, ariko bifite intandaro zitandukanye, ahantu bitera, n'uburyo bwo kwanduza.