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A genitális herpesz vírus terjedése

2010.06.30

A genitális herpesz vírus terjedése

 

 
herpesz vírusfertőzés

Hogyan terjed a herpesz?



A herpesz vírus közvetlen bőrkapcsolat útján terjed, különösen szexuális jellegű érintkezések során. Ezek közé tartozik a csók, valamint az orális, anális és hagyományos (vaginális) szex. Esetenként bőrsérülés kapcsán is fertőzhet a herpesz vírus.

Legkönnyebben a tünetek fellángolásakor lehet elkapni a fertőzést, mivel a vírus megtalálható a herpeszes hólyagcsákban, illetve a betegség által érintett bőrfelületen. Szoros érintkezés esetén azonban akkor is fertőzőképes a herpesz, ha tünetmentes a beteg, mivel a vírus ilyenkor is jelen lehet a bőr felületén.

Az orvosi szaknyelvben vírusürítésnek hívják azt a jelenséget, amikor a vírus leválik a fertőzött bőrfelületről. Ez előfordulhat tünetes vagy tünetmentes formában is. Ezért a beteg vagy tud róla (klasszikus herpeszes tünetei vannak), vagy nem. Inaktív állapotában (az idegsejtben) nem fertőzőképes a herpesz. Viszont ha nincsenek tünetek, akkor azt is nehéz megmondani, hogy aktív-e a vírus.

A fertőzés nem terjed használati tárgyak (pohár, törölköző, WC ülőke) útján. A fertőzött személyt nyugodtan meg lehet puszilni, ölelni, vagy akár együtt is lehet vele aludni.

A jelenlegi partnerem fertőzött meg herpesszel?



A herpeszes tünetek megjelenése nem feltétlenül utal arra, hogy a fertőzés az aktuális kapcsolatból származik. Aki először észleli magán a tüneteket, hajlamos azt gondolni, hogy biztos a legutóbbi szexuális partnerétől kapta el a vírust. Holott lehetséges, hogy már régen megfertőződött vele, mivel a herpesz visszatérő tüneteket produkál. Lehetséges az is, hogy már sokkal korábban megfertőződött, és azóta már több partnerének (beleértve az aktuálisat is) is továbbadta a betegséget vírusürítéssel.

Gyakran nehéz megállapítani, hogy kitől származik a fertőzés. Lehet, hogy a fertőzést okozó személy lehet, nincs is tisztában azzal, hogy hordozza a vírust, mert még sosem lángoltak fel nála a herpeszes tünetek. Kutatások szerint akkor is fertőzőképes a 2-es típusú herpesz vírus, ha a beteg tünetmentes.

Megfertőződhet-e a terhesség során a magzat?



A terhesség alatt megfertőződhet a magzat a méhlepényen keresztül (ez azonban csak akkor fordulhat elő, ha maga az anya is a terhesség alatt fertőződik meg), a szülés során (ha az anya éppen üríti a vírust – tünetesen, vagy tünetmentesen), vagy a megszületést követően (közvetlen bőrkapcsolat útján). A genitális herpesszel fertőzött nők jelentős többségénél azonban nem okoz semmilyen komplikációt a vírus, és egészséges gyermeknek adnak életet.

A teherbe esés előtt megfertőződött nők szerencsére igen kis eséllyel adják át a fertőzést magzatuknak, mivel szervezetük antitesteket termel a vírus ellen, amelyek átjutva a placentán, védettséget biztosítanak a magzatnak.

Ha a terhesség alatt fertőződik meg az anya, akkor általában antivirális kezelést adnak neki. Ezenkívül, ha a fertőzés a terhesség utolsó szakaszában történik, akkor javasolt császármetszéssel világra hozni az újszülöttet.

Mérsékeltebb fertőzési kockázatot jelentenek a terhesség során a genitális herpesz visszatérő epizódjai. Császármetszés ilyenkor csak abban az esetben javasolt, ha a szülés idején jelen vannak a herpeszes hólyagcsák. A krónikus genitális herpeszben szenvedő terheseknek is adható antivirális kezelés. Az újszülöttet pedig szorosan meg kell figyelni, hogy történt-e fertőződés.

Ha Ön terhes és partnerének genitális herpesze van, akkor fontos, hogy elkerülje a megfertőződést. A herpeszes hólyagcsák megjelenésekor kerüljék a közvetlen bőrérintkezést, és akkor is használjanak gumióvszert, ha nem látszik herpeszes tünet, hogy ezáltal is csökkentsék az esetleges tünetmentes vírusürítés kapcsán bekövetkező fertőzés veszélyét.

Hogyan csökkenthető a herpeszes fertőzés veszélye?



Az alábbi óvintézkedések betartásával mérsékelheti a herpeszes fertőzés veszélyét.

1. Beszéljen partnerével a fertőzésről, hogy együtt tehessék meg a szükséges óvintézkedéseket. Ha herpeszes tünetei vannak, akkor olyan formáját válasszák a szexuális örömszerzésnek, amely során nem történik közvetlen bőrkontaktus. Fontos tudnia, hogy a fenéken illetve a combokon lévő herpeszes hólyagcsák is épp olyan fertőzőek, mint a nemi szerveken lévők.
2. Használjanak gumióvszert! A gumióvszer megfelelő védelmet kínál számos nemibetegséggel szemben. Noha az óvszer nem fedi le teljesen az összes lehetséges vírusürítő régiót, mégis hatékony védelmet jelent tünetmentes vírusürítés esetén is, mivel védi azokat a felületeket, amelyek leggyakrabban fertőződnek. Kulcsfontosságú, hogy az óvszert az erekció kialakulása után azonnal fel kell helyezni, nem pedig csak a behatolás előtt!
3. Használjanak kofferdámot (dental dam). A kofferdám olyan, patikában kapható, vékony latex anyag, amelyet orális szex során lehet alkalmazni. Csökkenti az ajakherpesz és a genitális herpesz kialakulásának veszélyét.
4. Érdeklődjön az elérhető antivirális kezelési formákról. A naponta szedett antivirális kezelés mérsékelheti a vírusürítések gyakoriságát. Ez különösen közvetlenül a fertőzést követően igen hasznos, mivel ilyenkor gyakoribb a vírusürítés. Ha az Ön partnere terhes és még nem fertőződött meg genitális herpesszel, akkor javasolt a terhesség teljes időtartama alatt az antivirális kezelés, hogy megelőzze az anya és magzata megfertőződését. A részletekkel kapcsolatban érdeklődjön háziorvosánál!
5. Kérdezze meg partnerét, hogy ő fertőzött-e! Ha mindketten ugyanolyan típusú herpeszvírust hordoznak, akkor elég valószínűtlen, hogy megfertőznék egymást. Ez az ismeret különösen hosszú távú kapcsolatok esetében hasznos.
 
Megjelent: 2010. február 2.
Forrás: MyDoctor
 

 

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