Palibe ayi palibe chithandizo chamankhwala zomwe zimathetsadi izi virus kuchokera mthupi.

Popeza zizindikiro kuzimiririka paokha masiku 7-10, anthu ambiri amasankha kuti asawapatse mankhwala.

ena mankhwala kulola komabe pumulani zizindikiro ndi kuchepetsa pang'ono awo nyengo :

• Paracetamol (Doliprane®, Efferalgan® ...) imathandiza kuthetsa ululu;
• Penciclovir cream (Denavir®) ku Canada. Amagwiritsidwa ntchito maola awiri aliwonse (kupatulapo pogona), kirimu cha penciclovir chomwe chimakhala ndi 2% pang'ono imathandizira machiritso. Imapezedwa pa dongosolo. Kafukufuku amapeza machiritso m'masiku 4,8 ndi pencyclovir osati masiku 5,5 okhala ndi placebo²⁰. Nthawi zonse ndi bwino kugwiritsa ntchito zizindikiro mwamsanga. Zonona izi zimasungabe mphamvu zina, ngakhale zotupa zakhalapo kwa masiku angapo;
• Mafuta a Acyclovir (Zovirax®). Amagwiritsidwa ntchito pa chilonda chozizira, 4 mpaka 5 pa tsiku, kwa masiku asanu, mpaka kuchepetsa nthawi ya kukankha²². Zonona zimakhala zogwira mtima kwambiri zikagwiritsidwa ntchito mwamsanga, pa zizindikiro zochenjeza;
• Docosanol kirimu ku Canada. Zizindikiro zikangowoneka, kugwiritsa ntchito kirimu cha 10% cha docosanol pachilondacho kumalepheretsa kachilomboka kuti zisachuluke. Amagwiritsidwa ntchito 5 pa tsiku mpaka chotupacho chitachira, kwa masiku 10. Malinga ndi kuyesa kwachipatala, kirimu cha docosanol chimathandizira kuchira ndi maola 18, pafupifupi (kuchira m'masiku 4 osati masiku 4,8 ndi placebo)²¹.

Thandizo pakamwa. Mankhwalawa amagwira ntchito kwambiri akamamwa zizindikiro zoyamba zikuwonekera:

• Famciclovir. Izi ndi mankhwala olembedwa tsiku, lomwe limatengedwa mu 2 Mlingo. Malinga ndi kafukufuku wina, avereji ya nthawi ya zotupa inali masiku 4 m'malo mwa masiku 6,2 kwa gulu la placebo.²;
• Acyclovir (200 mg 3 mpaka 5 pa tsiku): imathandizira machiritso ngati atengedwa mofulumira, pa zizindikiro zoyamba;
• Valaciclovir: Mayesero awiri aposachedwa azachipatala awonetsa kuti kugwiritsa ntchito pakamwa 2 g wa valaciclovir kwa maola 2 kunachepetsa nthawi ya khunyu ndi kupweteka pafupifupi tsiku limodzi.²³.