Ihlala ixesha elingakanani iShingles? Oko Unokukulindela

Umxholo

• Kwenzeka ntoni kwinqanaba ngalinye
• Loluphi unyango olukhoyo
• Iziphumo zexesha elide
• Uza kubona nini ugqirha wakho
• Ungaluthintela njani ugqithiso

Sibandakanya iimveliso esicinga ukuba ziluncedo kubafundi bethu. Ukuba uthenga amakhonkco kweli phepha, sinokufumana ikhomishini encinci. Nantsi inkqubo yethu.

Yintoni onokuyilindela

I-Shingles kukurhawuzelela, ukutshisa kunye nokuqaqamba okubuhlungu okubangelwa yintsholongwane ye-varicella zoster. Le yintsholongwane efanayo ebangela irhashalala. Ukuba uke waba ne-chickenpox, intsholongwane ingaphinda isebenze njenge-shingles. Ayaziwa ukuba kutheni intsholongwane iphinda isebenze kwakhona.

Phantse umntu omnye kwabathathu abadala ufumana i-shingles. I-Shingles ihlala iiveki ezimbini ukuya kwezintandathu, kulandela ipateni engaguqukiyo yentlungu kunye nokuphilisa.

Qhubeka ufunda ukuze ufunde ngakumbi.

Kwenzeka ntoni kwinqanaba ngalinye

Xa intsholongwane iqala ukusebenza kwakhona, unokuziva ungonwabanga, ukurhawuzelela, okanye nje ukudilika phantsi kolusu lwakho, ngokungathi kukho into ecaphukisa indawo ethile kwelinye icala lomzimba wakho.

Oku kunokuba naphi na emzimbeni wakho, kubandakanya:

• esinqeni
• umva
• ithanga
• isifuba
• ubuso
• indlebe
• indawo yamehlo

Le ndawo inokuba novakalelo kumnxeba. Isenokuziva:

• ndindisholo
• ukurhawuzelela
• kushushu, ngokungathi kuyatsha

Ngokwesiqhelo kwiintsuku ezintlanu, kuya kubakho irhashalala elibomvu kuloo ndawo. Njengoko ukukhawuleza kuqhubeka, amaqela amancinci e-blisters agcwaliswe ngamanzi ayakwenza. Banokuphuma.

Kule veki izayo okanye ezimbini, ezi blister ziya kuqala ukoma zize zigqume zenze ukhwekhwe.

Kwabanye abantu, ezi mpawu zihamba kunye neempawu ezinje ngomkhuhlane. Oku kubandakanya:

• ifiva
• intloko ebuhlungu
• ukudinwa
• ubuntununtunu bokukhanya
• Uvakalelo ngokubanzi lokungaphili (malaise)

Loluphi unyango olukhoyo

Jonga ugqirha wakho nje ukuba uqaphela ukuba irhashsi iyenzeka. Banokukunika amayeza antiviral ukunceda ukunciphisa iimpawu zakho kunye nokucoca intsholongwane.

Olunye ukhetho lwe-antiviral lubandakanya:

• famciclovir (Famvir)
• iValacyclovir (iValtrex)
• acyclovir (iZovirax)

Ugqirha wakho unokuphinda akucebise ngaphezulu kwe-counter okanye ukhetho lokumisela ukunceda ukunciphisa nayiphi na intlungu kunye nokucaphuka okujameleyo.

Iintlungu eziphakathi kunye nokucaphuka ungazisebenzisa:

• iziyobisi ezichasayo, ezinje nge-ibuprofen (Advil), ukunciphisa iintlungu kunye nokudumba
• antihistamines, ezinje nge diphenhydramine (Benadryl), ukunciphisa ukurhawuzelela
• i-creams okanye i-patches, ezinjenge-lidocaine (i-Lidoderm) okanye i-capsaicin (iCapzasin) ukunciphisa intlungu

Ukuba iintlungu zakho zinzima kakhulu, ugqirha wakho unokuncomela amayeza kagqirha. Ugqirha wakho unokucebisa unyango nge-corticosteroids okanye i-anesthetics yendawo.

Ngamanye amaxesha, ugqirha wakho unokumisela idosi ephantsi yokunciphisa uxinzelelo ukunceda iintlungu. Amayeza athile okulwa uxinzelelo abonakalisiwe ukunciphisa iintlungu zokuqaqamba kwexesha.

Izinketho zihlala zibandakanya:

• mzantsiweb
• imipramine

Amachiza e-anticonvulsant anenye indlela. Ziye zangqineka ziluncedo ekunciphiseni iintlungu zemithambo-luvo, nangona ezona zinto ziphambili zisetyenziswa kukuxhuzula. Ezona anticonvulsants zichazwe njenge-gabapentin (Neurontin) kunye ne-pregabalin (Lyrica).

Nangona kunokuba kukuhenda, akufanele ukrwitshe. Oku kunokukhokelela kusulelo, olunokuthi lube mandundu imeko yakho iyonke kwaye lukhokelele kwiimpawu ezintsha.

Iziphumo zexesha elide

Ubunzima be-shingles yi-postherpetic neuropathy (PHN). Xa oku kusenzeka, iimvakalelo zentlungu zihlala ixesha elide emva kokuba i-blisters icacile. Kubangelwa ukwenzakala kwemithambo-luvo kwindawo erhashazayo.

I-PHN kunokuba nzima ukunyanga, kwaye iintlungu zinokuhlala iinyanga okanye iminyaka. Malunga nabantu abangaphezu kwe-60 abanamava e-shingles bayaqhubeka ukuphuhlisa i-PHN.

Unobungozi bokunyuka kwe-PHN ukuba:

• bangaphezulu kweminyaka engama-50 ubudala
• Amajoni omzimba abuthathaka
• unecala elibi le-shingles eligubungela indawo enkulu

Ukuba ngaphezulu kwezi zinto kunyusa umngcipheko. Umzekelo, ukuba ungumfazi oselekhulile onerhashalala elibuhlungu nelibuhlungu, unokufumana ithuba lokuphuhlisa i-PHN.

Ukongeza kwintlungu, i-PHN inokwenza umzimba wakho ubuthathaka ekuchukumeni nakutshintsho lobushushu kunye nomoya. Ikwanxulunyaniswa nokudakumba, unxunguphalo kunye nokungalali.

Ezinye iingxaki zibandakanya:

• usulelo lwebhakteria eluswini kwindawo enerhashalala, ukusuka IStaphylococcus aureus
• iingxaki zombono, ukuba i-shingles isondele okanye ijikeleze iliso lakho
• ukulahlekelwa kwindlebe, ukukhubazeka ebusweni, ukulahleka kwengcamango, ukukhala kwiindlebe zakho, kunye ne-vertigo, ukuba i-nerve ye-cranial ichaphazelekayo
• pneumonia, hepatitis, kunye nezinye izifo, ukuba amalungu akho angaphakathi achaphazelekile

Uza kubona nini ugqirha wakho

Kufuneka ubone ugqirha wakho ngokukhawuleza xa ukrokrela i-shingles, okanye xa ubona ukukhawuleza. Amayeza angaphambili ayanyangwa, iimpawu ezingaphantsi kakhulu kunokuba nzima. Unyango lwakwangoko lusemngciphekweni wakho we-PHN.

Ukuba iintlungu ziyaqhubeka emva kokuba irhashalala icinyiwe, bona ugqirha ngokukhawuleza. Banokusebenza kunye nawe ukuphuhlisa isicwangciso sokulawula iintlungu. Ukuba iintlungu zakho zinzima, banokukuthumela kwingcali yeentlungu ukuze ufumane olunye udliwanondlebe.

Ukuba awukalufumani ugonyo lwe-shingles, buza ugqirha wakho malunga nokugonywa. Icebisa isitofu sokuthintela ukosulelwa kuninzi lwabantu abadala ngaphezulu kweminyaka engama-60.

Ungaluthintela njani ugqithiso

Awunakho ukubamba i-shingles, kwaye awukwazi ukunika i-shingles komnye umntu. Kodwa wena unako Nika abanye irhashalala.

Emva kokuba unentsholongwane yenkukhu, intsholongwane ye-varicella zoster ihlala ilele emzimbeni wakho. Ukuba le ntsholongwane iyaphinda isebenze, i-shingles iyenzeka. Kuyenzeka ukuba idlulisele le ntsholongwane kwabanye abangakhuselekanga ngelixa i-shingles rash isasebenza. Uyosulela kwabanye kude kube yomile yonke indawo yokuqunjelwa kwaye yomile.

Ukubamba intsholongwane ye-varicella zoster kuwe, umntu kufuneka adibane ngqo namadyungudyungu akho.

Unokukunceda ukukhusela ukuhanjiswa kwentsholongwane ye-varicella zoster ngu:

• ukugcina irhashalala igqunyiwe ngokukhululekileyo
• ukuziqhelisa ukuhlamba izandla rhoqo
• ukuthintela ukunxibelelana nabantu abanokuba babengenayo irhashalala okanye abangakhange bagonyelwe irhashalala