Isiza se-Acyclovir siboniswa kunyango lwezo zonke iintlobo ze-herpes simplex, kunye nokunyangwa kwe-herpes zoster. Yaye nangona ukuphikisana nokusetyenziswa kwe-Acyclovir kukhulisa ukwanda kwezilwanyana, ukusetyenziswa kwe-Acyclovir kubafazi abakhulelweyo kuvunyelwe kuphela kwiimeko ezizodwa.
Iyintoni intsholongwane ye-herpes?
Intsholongwane yeHerpes simplex idluliselwa ngokuqhagamshelana nesigulane okanye umphathi wakhe. Izindlela zokungena kwintsholongwane:
- Uqhagamshelwano . Ukupapashwa xa uqhagamshelana nezinto zegulane.
- Zesondo . Kwiesatifikethi sesondo okanye ukwenza intsholongwane ye- herpes yomzimba isuswa .
- Ngomlomo . Ukukhulelwa kwenzeka ngokubanga.
- Transplacental . Intsholongwane idluliselwa kwi-utero ukusuka kumama ukuya kumntwana.
- Intranatally . Ukukhulelwa kwenzeka xa umntwana edibanisa namaphetshana omzimba wesifo okhulelweyo xa ebeletha.
Ingena kwi-membrane kunye nekhanda elilinakele. Ngomlwelwe we-lymph ungena kwiinqanawa ze-lymph, igazi, kunye nezitho zangaphakathi, zikhutshwe kumchamo. Kodwa inkalo yesifo sengqobhoko kukuba emva kwexesha iphela yanyamalala emzimbeni, kodwa kwiimpawu zesigulane esiseduze nesango lokungena lihlala lihlala lendawo (latent) kwindawo yokuphila kwaye isebenza phantsi kweemeko ezingqongileyo. Intsholongwane ibonakalisa njengengqumbo ebuhlungu kunye neengqungquthela ngendlela ye-blister egcwele amanzi. Uhlaselo lwendawo luhlala kwindawo emlonyeni kunye nesikhumba semvu. Intsholongwane yomzimba ingabonakali.
I-Herpes nokukhulelwa: iingxaki ezinokwenzeka
I-Herpes enye yegciwane elibangelwa ukukhulelwa kwesisu, ukufa komntwana kunye nokuphuphuma komzimba ngokukhawuleza, ukukhawuleza kokukhula kwe-intrauterine , ukuzalwa ngaphambi kokuzalwa. Ngenxa yoko, emva kweemeko ezifanayo, phambi kokukhulelwa okutsha kunye nokukhulelwa, isifundo silungiselelwe ukuba kukho intsholongwane kumfazi.
Ukusetyenziswa kwe-acyclovir ekukhulelweni kunyango lwe-herpes
I-Acyclovir ingena kwisithintelo se-placental kwaye ifuthe kakubi kumntwana, ngoko ke ayisetyenziswanga kwi-trimester yokuqala yokukhulelwa. I-Acyclovir ekukhulelweni (iipilisi kunye ne-lyophilate ekulungiseleleni izicombululo) iphikisana nonyango ngokubanzi, kodwa ngamanye amaxesha kwi-trimester yesithathu yokukhulelwa isilwanyana sisetyenziselwa phezulu (njengamafutha okanye ukhilimu).
Acyclovir (ioli) ngexesha lokukhulelwa - umyalelo
I-Acyclovir ikhutshwa ngohlobo lwe-5% ukusetyenziswa kwangaphandle kunye ne-3% yamafutha ophthalmic. Ukunyanga i-herpe kwi-membrane ye-genitals, kungcono ukusebenzisa i-3% ye-ophthalmic ointment. Xa i-herpes igxotha kwi-genital tract okanye i-isolation ye-virus ye-herpes kwi-tract tract etholakala kwi-laboratory, ii-35-35 iiveki zinokumiselwa unyango lwengingqi lwe-herpes kunye ne-Acyclovir amafutha okukhusela ukukhulelwa komntwana ekuzalweni. Ngaphambi kokuba ufake i-ointment mucous kufuneka ihlanjwe kakuhle ngamanzi afudumele kwaye umiswe ngelawula. I-ointment isetyenziselwa isikhumba esikonakalisiweyo kunye ne-membrane ye-mucous njalo emva kweeyure ezingama-4 kunye noqweqwe oluncinci. Inkqubo yokonyango inokuhlala kwiintsuku ezi-5 ukuya kwi-10.
Acyclovir (ukhilimu) ngexesha lokukhulelwa - umyalelo
I-Cream Acyclovir ikhutshwe njenge-ayisi-5% yekremu enesisindo sama-gram a-100. Kodwa ekwenzeni unyango lwe-herpes lomzimba, i-cream ayifanelekanga. Isetyenziselwa ukuphatha ezinye iintlobo ze-herpes simplex (emlonyeni, emaphikweni emphuzwini). I-krimu ayifaki igazi kwi-mama kwaye ngoko isetyenziselwa phezulu kwixesha lokukhulelwa, indlela yesicelo ifana neyo-Acyclovir.
Ukuba unyango lwengingqi kunye ne-Acyclovir lwangasebenzi, kwaye intsholongwane iyaqhubeka ifihliwe yindlela yesondo yomfazi okhulelweyo, ngoko kuyimfuneko ukukhusela intsholongwane yomntwana ongakazalwa xa ebeletha. Kule nto, ukuhanjiswa kwinqanaba le-caesarean.