Uphononongo lwakutsha nje luqikelele ukuba rhoqo kwezifo ze-herpes simplex virus (HSV) usulelo kunye nesifo sesilonda sesini (GUD). Uqikelelo lubonisa ukuba malunga ne-846 yezigidi zabantu abaneminyaka eyi-15-49 iminyaka bephila nosulelo lwe-herpes yangasese ngo-2020, engaphezulu kwe-20% yabantu abakweli qela lobudala kwihlabathi jikelele. Ukuthelekisa, inani labantu abanosulelo lwe-herpes yangasese ngo-2016 lalimalunga nesiqingatha sebhiliyoni. Amazinga aphezulu eziganeko kunye nokuxhaphaka kunye nokukhula konyaka kwiminyaka yamuva nje kufuna amanyathelo okuthintela asebenzayo. Okwangoku, alukho isitofu sokugonya se-HSV esinelayisensi. Baninzi abagqatswa bogonyo lwe-HSV abakwimibhobho kodwa bonke bakwimo yangaphambi kweklinikhi, kodwa bangene kwisigaba soku-1 solingo lwezonyango lwabantu.
I-Herpes simplex virus (HSV) yintsholongwane ye-DNA enemisonto ephindwe kabini yosapho lwe-herpesviridae. Ibophelela ekubambeni ii-receptors zeselula kwaye iphindaphinde kwizicubu ezahlukeneyo ezifana neeseli ze-epithelial, i-neurons, njl. Usulelo lusasazeka ngokudibana kwesikhumba.
Usulelo lwe-HSV luthatha ubomi bonke, luyanyangeka kodwa alunyangeki.
I-HSV ineentlobo ezimbini. I-HSV-1 ikakhulu ibangela i-herpes yomlomo kwaye isasazeka ngoqhagamshelwano lomlomo, nangona kunjalo inokubandakanyeka kwakhona kusulelo lwangasese kwaye isasazeke ngesondo.
I-HSV-2 ibangela i-herpes yangasese kwaye isasazeka ngoqhagamshelwano lwezesondo. Isifo sesilonda sesini (GUD) sinxulunyaniswa nazo zombini i-HSV-2 kunye ne-HSV-1.
Abantu abachatshazelwe lusulelo lwe-HSV, ngakumbi i-HSV-2 basemngciphekweni omkhulu wokufumana intsholongwane kaGawulayo (human immunodeficiency virus) (HIV).
Usulelo lwe-Herpes simplex virus luyaziwa ukuba luchaphazele inani elikhulu labantu kwihlabathi liphela. Ngo-2016, uphando luqikelele inani labantu abanjalo. Kwafunyaniswa ukuba malunga nesiqingatha sebhiliyoni yabantu babenosulelo lwangasese olubalelwa kwi-HSV-2 kunye ne-HSV-1 ngelixa abantu abaninzi beebhiliyoni bechatshazelwe lusulelo lomlomo ngenxa ye-HSV-1. Ngokubhekele phaya, izigidi zabantu abachaphazelekileyo babesemngciphekweni wokufumana i-human immunodeficiency virus (HIV).
Uphononongo lwakutsha nje olupapashwe nge-10 kaDisemba 2024 lukhanyise ubungakanani bale ngxaki. Isebenzisa imodeli yezibalo elinganisiweyo kunye nemodeli yegalelo lokuphononongwa okucwangcisiweyo kunye nohlalutyo lwemeta yedatha ye-HSV yokuxhaphaka kuyo yonke imimandla ye-WHO, uphononongo luvelise uqikelelo lwezehlo kunye nokuxhaphaka kosulelo lwe-HSV lwangasese kwihlabathi liphela ngo-2020 kwiqela leminyaka eli-15-49, isifo sesilonda sesini (GUD) esibangelwa zizo zombini iintlobo ze-HSV kunye nosulelo olungelulo ilungu lobuni olubangelwa yi-HSV-1.
Itheyibhile: Ukuphindaphinda kwezifo zosulelo lwe-HSV yangasese ngo-2020 kwiqela leminyaka eyi-15-49.
| Inani labantu abadala Iminyaka emi-15-49 achatshazelwa lusulelo lwe-HSV lwangasese kwihlabathi liphela kwi unyaka 2020 |
| Usulelo lwe-HSV lwangasese ngenxa ye-HSV-2: →I-25.6 yezigidi zamatyala amatsha (iziganeko), →519.5 yezigidi (okanye 13.3%) zizonke iimeko ezikhoyo (ukuxhaphaka) →I-187.9 yezigidi kunye nesiqendu esinye se-HSV-attributable Genital ulcer disease (GUD) ye-HSV-2 |
| Usulelo lwe-HSV lwangasese ngenxa ye-HSV-1: →I-16.8 yezigidi zamatyala amatsha (iziganeko) →376.2 yezigidi (okanye 10.2%) zizonke iimeko ezikhoyo (ukuxhaphaka) →I-16.7 yezigidi kunye nesiqendu esinye se-HSV-attributable Genital ulcer disease (GUD) ye-HSV-2 |
| →I-846 yezigidi lilonke inani labantu abaneminyaka eyi-15-49 iminyaka abaphila nosulelo lwe-herpes yangasese (ukuxhaphaka kwe-HSV-2 kunye nokuxhaphaka kwe-HSV-1). Oku kungaphezulu kwama-20% abantu abakweli qela lobudala kwihlabathi jikelele. →I-204.6 yezigidi linani lilonke labantu abaneminyaka eyi-15-49 iminyaka ubuncinane kunye nesiqendu esinye se-HSV-enokuthiwa yi-GUD →Malunga ne-42 yezigidi zabantu bafumana usulelo olutsha lwe-herpes yangasese ngonyaka. |
| (Umthombo: Harfouche M., okqhubekayo 2024) |
Njengoko kuphononongo lwakutsha nje, lilonke 846 million abantu abaneminyaka 15-49 iminyaka bephila nosulelo herpes zangasese (ngenxa HSV-2 kunye HSV-1) ngonyaka 2020. Ukuthelekisa, ngo-2016, malunga nesiqingatha sebhiliyoni abantu (kuyo yonke iminyaka yobudala) yayinosulelo lwe-herpes yangasese.
Ngokucacileyo, usulelo lwe-HSV lwangasese luneziganeko eziphezulu kakhulu kunye namazinga okuxhaphaka. Ngo-2020, ngaphezulu kwe-20% yabantu abakwiqela leminyaka eli-15-49 kwihlabathi jikelele babenosulelo lwe-herpes yangasese. Okukhathazayo kukuba, amanani aye anda ngesantya esiphezulu kule minyaka yakutshanje.
Le meko ifuna uthintelo olusebenzayo ngakumbi kunye Unyango amanyathelo. Okwangoku, alukho isitofu sokugonya se-HSV esinelayisensi. Baninzi abagqatswa bogonyo lwe-HSV abakwimibhobho kodwa bonke bakwimeko yangaphambi kweklinikhi, kodwa bangene kwisigaba soku-1 solingo lwezonyango lwabantu.
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Iingxelo:
- I-WHO. Iphepha lenyani - intsholongwane yeHerpes simplex. 10 Disemba 2024. Ifumaneka apha https://www.who.int/news-room/fact-sheets/detail/herpes-simplex-virus
- UJames, uCharlotte et al. "Intsholongwane yeHerpes simplex: ukuxhaphaka kosulelo lwehlabathi kunye noqikelelo lwezehlo, ngo-2016." Bulletin yoMbutho wezeMpilo weHlabathi vol. 98,5 (2020): 315-329. Ifumaneka e https://pmc.ncbi.nlm.nih.gov/articles/PMC7265941/
- Harfouche M., et al 2024. Uqikelelo lwezehlo zehlabathi nezengingqi kunye nokuxhaphaka kwentsholongwane ye-herpes simplex usulelo kunye nesifo sesilonda sangasese ngo-2020: uhlalutyo lwemathematika. Izifo ezosulelayo ngokwabelana ngesondo, iijenali zeBMJ. Ipapashwe kwi-Intanethi kuQala: nge-10 kaDisemba 2024. DOI: https://doi.org/10.1136/sextrans-2024-056307
- WHO iindaba- Over 1 5 abadala ehlabathini lonke usulelo herpes zangasese - WHO. Ithunyelwe nge-11 kuDisemba 2024. Iyafumaneka e https://www.who.int/news/item/11-12-2024-over-1-in-5-adults-worldwide-has-a-genital-herpes-infection-who
- I-WHO. Ugonyo, uGonyo kunye neBiologicals – Herpes Simplex Virus. Ifumaneka e https://www.who.int/teams/immunization-vaccines-and-biologicals/diseases/herpes-simplex-virus
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