Herpes zoster: yintoni, iimpawu, oonobangela kunye nonyango

Umxholo

• Iimpawu eziphambili
• Uyifumana njani
• Ngaba i-herpes zoster ingabuya?
• Ngubani osemngciphekweni omkhulu?
• Unyango lwenziwa njani
• Unyango lwasekhaya lwe-herpes zoster
• Iingxaki ezinokwenzeka

I-Herpes zoster, eyaziwa ngokuba yi-shingles okanye i-shingles, sisifo esosulelayo esibangelwa yintsholongwane efanayo yenkukhu, enokuthi iphinde iphinde yenzeke xa sele indala ibangela iblister ebomvu eluswini, ebonakala ikakhulu esifubeni okanye esiswini, nangona isenokuvela ichaphazela amehlo okanye iindlebe.

Esi sifo sichaphazela kuphela abantu esele benenkukhu erhashazayo, exhaphake kakhulu ukuba ivele emva kweminyaka engama-60, kwaye unyango lwayo lwenziwa ngamachiza alwa nentsholongwane, njenge-Acyclovir, kunye ne-analgesics, emiselwe ngugqirha, ukuphelisa iintlungu nokuphilisa ngokukhawuleza.

Iimpawu eziphambili

Iimpawu zeherpes zoster zihlala zi:

• Amadyungudyungu kunye nobomvu ezichaphazela icala elinye kuphela lomzimba, njengoko zilandela indawo yayo nayiphi na imithambo-luvo emzimbeni, zibaleka kubude bayo kwaye zenze indlela yamadyungudyungu kunye namanxeba esifubeni, ngasemva okanye esiswini;
• Ukurhawuzelela kwindawo echaphazelekayo;
• Ubuhlungu, ukurhawuzelela okanye ukutshisa kwindawo echaphazelekayo;
• Umkhuhlane ophantsi, phakathi kwama-37 nama-38ºC.

Ukuchongwa kwe-herpes zoster kuhlala kwenziwa kusenziwa kuvavanyo lweklinikhi lweempawu kunye neempawu zesigulana, kunye nokuqwalaselwa kwezilonda zolusu ngugqirha. Ezinye izifo ezineempawu ezifanayo nezo ze-herpes zoster yi-impetigo, uqhakamshelwano lwe-dermatitis, i-dermatitis herpetiformis, kunye ne-herpes simplex uqobo, kwaye ngenxa yesi sizathu isifo kufuneka senziwe ngugqirha.

Uyifumana njani

I-Herpes zoster sisifo esosulelayo kwabo bantu abangazange babenayo irhashalala okanye abangakhange bagonywe, kuba zizifo ezibangelwa yintsholongwane enye. Ke, abantwana okanye abanye abantu abangazange babenayo irhashalala kufuneka bahlale kude nabantu abane-shingles kwaye bangadibani neempahla zabo, izinto zokulala kunye neetawuli, umzekelo.

Abantu abaye banerhashalala xa benxibelelana nomntu one-herpes zoster bayakhuselwa kwaye ngesiqhelo abasenzi isifo. Qonda ngakumbi malunga nosulelo lweHerpes Zoster.

Ngaba i-herpes zoster ingabuya?

I-Herpes zoster inokuphinda yenzeke nanini na, kubantu abanerhashalala okanye i-herpes zoster ngokwayo ngexesha elithile ebomini babo, kuba intsholongwane ihlala 'ifihlakele', oko kukuthi, ingasebenzi emzimbeni iminyaka emininzi. Ke ngoko, xa kukho ukhuselo lokuzikhusela, intsholongwane inokuphinda iphinde ibangele i-herpes zoster. Ukomeleza amajoni omzimba kunokuba sisicwangciso esihle sothintelo.

Ngubani osemngciphekweni omkhulu?

I-Herpes zoster ibonakala kuphela kubantu abaye banenkukhu yenkukhu ngexesha elithile ebomini babo. Kungenxa yokuba intsholongwane irhashalala inokuhlala ngaphakathi kwimithambo-luvo yomzimba ubomi, kwaye kwithuba elithile lokwehla komzimba wokhuselo, inokuphinda isebenze kwifomu ye-nerve esekhaya.

Abona bantu basemngciphekweni wokuphuhlisa i-shingles ngabo:

• Ngaphezulu kweminyaka engama-60;
• Izifo ezenza buthathaka amajoni omzimba, afana noGawulayo okanye iLupus;
• Unyango lweChemotherapy;
• Ukusetyenziswa ixesha elide kwecorticosteroids.

Nangona kunjalo, i-herpes zoster inokubonakala nakubantu abadala abaxinezeleke kakhulu okanye abachaphazeleka kwisifo, njenge-pneumonia okanye i-dengue, njengoko amajoni omzimba ebuthathaka.

Unyango lwenziwa njani

Unyango lwe-herpes zoster lwenziwa ngokuthatha amayeza alwa ne-virus afana ne-Acyclovir, Fanciclovir okanye iValacyclovir ukunciphisa ukuphindaphindeka kwentsholongwane, ngaloo ndlela kunciphisa i-blisters, ixesha kunye nokuqina kwesi sifo. Kusenokufuneka ukuba usebenzise iipilisi zentlungu ukuthomalalisa iintlungu ezibangelwa ngamadyungudyungu. Ugqirha unokumisela:

• I-Aciclovir 800 mg: amaxesha ama-5 ngosuku iintsuku ezi-7 ukuya kwezi-10
• I-Fanciclovir 500 mg: kathathu ngemini kangangeentsuku ezi-7
• I-Valacyclovir 1000 mg: amaxesha ama-3 ngemini iintsuku ezi-7

Nangona kunjalo, ukhetho lonyango kunye nendlela yalo yokusetyenziswa lunokwahluka, ushiye lo myalelo ngokokubona kukagqirha.

Unyango lwasekhaya lwe-herpes zoster

Unyango lwasekhaya olulungileyo lokuncedisa unyango oluboniswe ngugqirha kukomeleza amajoni omzimba ngokuthatha iti echinacea kunye nokutya ukutya okune-lysine enje ngeentlanzi mihla le. Bona ezinye iingcebiso ezivela kwisondlo:

Ngexesha lonyango, ukhathalelo kufuneka nalo luthathwe, njenge:

• Hlamba indawo echaphazelekayo yonke imihla ngamanzi afudumeleyo kunye nesepha ethambileyo ngaphandle kokurabha, ukomisa kakuhle ukunqanda ukukhula kweentsholongwane kulusu;
• Nxiba iimpahla ezifanelekileyo, ezikhanyayo, zekotoni ukuvumela ulusu luphefumle;
• Beka indawo yokubanda ebandayo ye-chamomile kwindawo echaphazelekayo ukuze unciphise ukurhawuzelela;
• Musa ukusebenzisa i-ointments okanye i-creams kwi-blisters, ugweme ukuba ulusu luyacaphuka.

Kubalulekile ukuba ukhumbule ukuba ukuze lusebenze kakuhle, unyango kufuneka luqale kwisithuba seeyure ezingama-72 zokuvela kwamadyunguza eluswini.

Jonga ezinye iindlela zokunyanga ikhaya kwiHerpes Zoster.

Iingxaki ezinokwenzeka

Eyona ngxaki ixhaphakileyo ye-herpes zoster yi-post-herpetic neuralgia, ekuqhubekeka kwentlungu kangangeeveki okanye iinyanga ezimbalwa emva kokunyamalala kwamadyunguza Le ngxaki ixhaphake kakhulu kubantu abangaphezu kweminyaka engama-60 ubudala, kwaye ibonakaliswa ziintlungu eziqatha kunakweli xesha apho amanxeba asebenzayo, eshiya umntu engakwazi ukuqhubeka nemisebenzi yakhe yesiqhelo.

Esinye isisombululo esingaqhelekanga esenzekayo xa intsholongwane ifika kwiso, ibangela ukuvuvukala kwi-cornea kunye neengxaki zombono, ezifuna ukuhamba kunye ne-ophthalmologist.

Ezinye iingxaki ezinqabileyo ezinokubangelwa yi-herpes zoster, kuxhomekeke kwindawo echaphazelekayo, yinyumoniya, iingxaki zokuva, ubumfama okanye ukudumba engqondweni, umzekelo. Kwiimeko ezinqabileyo kuphela, ngesiqhelo kubantu abadala kakhulu, ngaphezulu kweminyaka engama-80, kwaye amajoni omzimba abuthathaka, kwimeko ye-AIDS, i-leukemia okanye unyango lomhlaza, esi sifo singakhokelela ekufeni.