He aha kēia mau pehu ʻeha e kū mai ana ma koʻu kino? He herpes zoster anei kēlā?

Ua loaʻa koke anei iā ʻoe kahi ʻulaʻula ʻeha ma kou kino? Malia paha ua hele pū ʻia me ka ʻā ʻana a me ka maneʻo? He mea maʻamau ke hopohopo iki i ka wā e hana ʻia ai kekahi mea e like me kēia. Kapa kekahi poʻe i kēia maʻi he "chickenpox," akā ʻaʻole ia he mea ʻē aʻe ma mua o kahi holoholona. I kēia lā e kamaʻilio mākou e pili ana i kēia maʻi, i ʻike ʻia ma ke ʻano lapaʻau ʻo Herpes Zoster , akā ua ʻike ʻia hoʻi ʻo Shingles i waena o nā poʻe he nui. Mai hopohopo, e kamaʻilio mākou e pili ana iā ia me ka maʻalahi a ma ke ʻano e hiki ai iā ʻoe ke hoʻomaopopo.

He aha maoli ka Herpes Zoster?

I ka ʻōlelo maʻalahi, ʻo Herpes Zoster kahi ʻili e hoʻoulu pinepine ai i nā pehu ʻeha. Hoʻokumu ʻia ia e ka maʻi like e hoʻoulu ai i ka moa . ʻAe, e kahaha paha ʻoe, akā he ʻoiaʻiʻo. Kāhea mākou i kēia maʻi ʻo Varicella-Zoster Virus (VZV) .

Ke hoʻomanaʻo nei ʻoe i kou wā i loaʻa ai i ka maʻi puʻupuʻu i kou wā kamaliʻi? He mea hoʻonāukiuki maoli ia, me nā pehu ma kou kino a puni, a me ka ʻānai, ʻeā? Ma hope o kou loaʻa ʻana i ka maʻi puʻupuʻu, ʻaʻole e nalowale loa ka maʻi mai kou kino aku. He maalea loa ia, noho moe ia i loko o kou ʻōnaehana nerve, ʻo ia hoʻi, i loko o nā hunaola nerve i loko o kou iwi kuamoʻo a me ka lolo, no nā makahiki, me ka ʻole o nā pilikia. Ua like ia me ka hiamoe.

No laila, ʻo ka herpes zoster kahi maʻi kahi e ala hou ai ka Varicella-Zoster Virus, ka mea i moe no nā makahiki, lilo i mea hana, a hele ma nā aʻalolo i ka ʻili, e hana ana i ka shingles. ʻO ia ke kumu i kapa ʻia ai ʻo "Shingles."

Loaʻa anei i nā kānaka a pau i loaʻa i ka maʻi puʻupuʻu ka herpes zoster?

He pilikia kēia i loaʻa i nā poʻe he nui. ʻAʻole, ʻaʻole nā ​​​​mea a pau i loaʻa i ka moa e loaʻa i ka herpes zoster. Eia nō naʻe, ʻo ka poʻe i loaʻa i ka moa e loaʻa i kēia maʻi i kekahi manawa o ko lākou ola.

E noʻonoʻo, ua like ka maʻi me kahi "pio" i loko o nā hunaola aʻalolo o ko kākou kino. Inā ikaika ko kākou ʻōnaehana pale kino , ʻo ia hoʻi, inā e hana maikaʻi ana nā pale o ko kākou kino e pale aku i nā maʻi, ʻaʻole hiki i kēia maʻi ke hāpai hou i kona poʻo. Eia naʻe, inā no kekahi kumu e nāwaliwali ai kēia ʻōnaehana pale kino, loaʻa i ka maʻi hiamoe ka manawa kūpono e ala hou ai, ʻo ia hoʻi, e lilo i mea hana.

ʻO ka maʻamau, ʻoi aku ka maʻamau o ka herpes zoster i nā poʻe ma luna o 50 a 60 paha makahiki. ʻO kēia no ka mea e nāwaliwali maoli ana ko mākou ʻōnaehana pale i ko mākou ʻelemakule ʻana. Eia nō naʻe, hiki ke loaʻa i kekahi manawa i nā poʻe ʻōpio a me nā poʻe me nā maʻi ʻē aʻe e hoʻonāwaliwali ai i ko lākou ʻōnaehana pale.

No ke aha e hoʻāla hou nei kēia maʻi? He aha nā kumu?

E like me kā mākou i kūkākūkā ai ma mua, ʻo ke kumu nui ka nāwaliwali o ka ʻōnaehana pale. Aia kekahi mau kumu e hiki ke kōkua i kēia:

• Makahiki: ʻO kēia ke kumu nui o ka pilikia. Piʻi mālie ka pilikia ma hope o 50 mau makahiki.
• Ka pilikia nui:Hiki i ke kaumaha nui a lōʻihi ke hoʻopilikia i kā mākou ʻōnaehana pale kino.
• Nā kūlana olakino ʻē aʻe: No ka laʻana, ʻo ka poʻe me ka maʻi HIV , ke kanesa, a i ʻole nā ​​​​maʻi ʻē aʻe e hoʻopilikia ai i ka ʻōnaehana pale e piʻi aʻe ka pilikia o ka hoʻomohala ʻana i ka herpes zoster.
• Kekahi mau lāʻau lapaʻau: ʻO nā lāʻau lapaʻau e like me ka chemotherapy no ke kanesa, nā immunosuppressants ma hope o ke kāpili ʻana o nā kino, a i ʻole nā ​​​​​​lāʻau kiʻekiʻe o nā steroid i lawe ʻia no ka manawa lōʻihi hiki ke hoʻonāwaliwali i ka ʻōnaehana pale.
• ʻO ke ʻoki kino nui a i ʻole kahi ulia koʻikoʻi: ʻO ke kaumaha ma ke kino mai nā mea e like me kēia hiki ke hoʻoulu i ka maʻi.
• I kekahi manawa hiki ke hana kēia me ke kumu ʻike ʻole ʻia .

ʻO ka mea nui, ʻaʻole ia kou hewa i loaʻa ai iā ʻoe ka herpes zoster. Hiki ke hana i kēlā me kēia kanaka.

He aha nā hōʻailona o ka herpes zoster (shingles)?

ʻO ka maʻamau, ʻike ʻia nā hōʻailona o ka herpes zoster i ʻelua mau pae.

Kahua ʻEkahi: Nā hōʻailona ma mua o ka hoʻomaka ʻana o nā hōʻailona

He mea ʻē paha kēia, akā ʻo ka ʻoiaʻiʻo, hoʻomaka kekahi mau hōʻailona e ʻike ʻia i kekahi mau lā, malia paha he pule, ma mua o ka ʻike ʻia ʻana o nā ʻeha ʻili.

• ʻEha: Hiki ke ʻike ʻia ka ʻeha nui, ka wela, ka mae ʻana, ke kani ʻana, a i ʻole ka maneʻo ma kekahi ʻaoʻao o ke kino, maʻamau ma kahi ʻāpana e like me ke kāʻei (kahi ʻāpana ʻili i hoʻomalu ʻia e ke aʻalolo i kapa ʻia he dermatome). I kekahi manawa hiki ke ʻoi kēia ʻeha, e like me ka pahi.
• Hiki i kekahi poʻe ke ʻike i nā ʻōuli maʻamau e like me ke kuni, ka ʻeha poʻo, ka malaise, a me ka ʻeha o ka ʻōpū i kēia manawa.

He ʻeha nui loa kēia a makaʻu paha kekahi poʻe he maʻi koʻikoʻi ia, e like me ka hāʻule puʻuwai a i ʻole ka appendicitis.

Pae 2: ʻIke ʻia nā ʻeha ʻili a me nā pehu

Ma hope o kekahi mau lā, e hoʻomaka ana nā kiko ʻulaʻula e ʻike ʻia ma kahi o ka ʻeha a me ka pehu.

• A laila, ʻike ʻia nā puʻu o nā pehu liʻiliʻi i piha i ka wai ma luna o kēia mau puʻupuʻu ʻulaʻula. Hoʻopiha mua ʻia kēia mau pehu me kahi wai moakaka, akā ma hope e lilo paha i waiū a melemele paha.
• ʻIke pinepine ʻia kēia mau ʻeha a me nā pehu ma kekahi ʻaoʻao o ke kino . ʻIke pinepine ʻia lākou ma ke ʻano he kāʻei ma kekahi ʻaoʻao o ka umauma, ka ʻōpū, a i ʻole ke kua. Eia nō naʻe, hiki iā lākou ke ʻike ʻia ma ka maka, ka ʻāʻī, nā lima, a i ʻole nā ​​wāwae.
• Inā ʻike ʻia kēia mau ʻeha ma ka maka, ʻoiai a puni nā maka a ma ka lae paha, pono ʻoe e makaʻala loa no ka mea hiki iā lākou ke hōʻino i nā maka. E kamaʻilio kākou e pili ana i kēlā ma hope.
• Ma hope o 7-10 mau lā, maloʻo kēia mau pehu, hana i kahi ʻili, a hoʻomaka mālie e ho'ōla. Hiki ke hala ma kahi o 2-4 mau pule e ho'ōla piha ai.
• Ma hope o ka ho'ōla ʻana o ka ʻeha, i kekahi manawa e loli paha ke kala o ka ʻili ma ia wahi a i ʻole e puka mai nā ʻeha.

ʻEhaʻO kēia ka hōʻailona nui a hoʻonāukiuki loa o ka herpes zoster. No kekahi poʻe, hiki ke hoʻomanawanui ʻole i ka ʻeha.

He laha anei kēia mau pehu? E laha anei lākou i nā poʻe ʻē aʻe?

He mea nui loa nō hoʻi kēia. ʻAe, hiki i ka wai i loko o nā pehu herpes zoster ke hoʻolaha.

Akā, aia kahi ʻokoʻa iki ma ʻaneʻi. E noʻonoʻo e pili ana i kēia ʻano:

• Inā pili ka wai mai nā pehu o ke kanaka me ka shingle i ka ʻili o kekahi kanaka i loaʻa ʻole i ka moa ma mua a ʻaʻole i loaʻa i ka lāʻau pale moa, e loaʻa i ke kanaka ʻelua ka moa , ʻaʻole ka herpes zoster.
• ʻO ke ʻano kēia, ʻaʻole i laha pololei ka herpes zoster mai kekahi kanaka a i kekahi kanaka (e like me ke anu). Loaʻa iā ʻoe ka herpes zoster ke hana ka maʻi i loaʻa mua i loko o kou kino.

No laila, inā loaʻa iā ʻoe ka herpes zoster, pono ʻoe e makaʻala loa.

• Mai nā poʻe i loaʻa ʻole i ka maʻi moa (ʻoi aku hoʻi nā makuahine hāpai, nā pēpē hānau hou, a me ka poʻe me nā ʻōnaehana pale nāwaliwali).
• Mai nā poʻe i loaʻa ʻole ka lāʻau pale no ka maʻi puʻupuʻu.

Nā mea e hana ai:

• E uhi i ka wahi pehu me nā lole i ka hiki.
• Mai ʻānai a ʻūmi paha i nā pehu. ʻO ka hana ʻana pēlā e hiki ai ke hoʻolaha i ka maʻi a hōʻeha a me ka maʻi.
• Mai kaʻana like i kāu mau kāwele a i ʻole nā ​​​​lole me nā poʻe ʻē aʻe.
• E holoi mau i kou mau lima me ke kopa.

Ke maloʻo a ʻōhū nā pehu, ua pau ka pilikia o ka hoʻoili ʻana i ka maʻi.

Hiki i ka herpes zoster (shingles) ke lilo i mea weliweli? Aia kekahi mau pilikia?

ʻOiai e pau ana ka herpes zoster i loko o kekahi mau pule, hiki i kekahi poʻe ke loaʻa nā pilikia. He mea nui e makaʻala i kēia mau mea.

• ʻO Post-Herpetic Neuralgia (PHN): ʻO kēia ka pilikia maʻamau. I kēia kūlana, ʻoiai ma hope o ka ho'ōla ʻana o ka herpes zoster rash, aia nō ka ʻeha, ka mumū, a i ʻole ka mae ʻana o nā aʻalolo kahi i ʻike mua ʻia ai ka rash. Hiki i kēia ʻeha ke mau no nā mahina a i ʻole nā ​​makahiki. He kūlana hoʻoluhi loa ia a hoʻoweliweli i ke ola. ʻOi aku ka nui o ka pilikia o ka poʻe ʻelemakule i ka loaʻa ʻana o ka PHN.
• ʻO ka Ophthalmic Zoster: Inā loaʻa ka herpes zoster ma ka maka, ʻoi aku hoʻi ma ka lae a puni paha nā maka, hiki iā ia ke hoʻopilikia i nā maka. ʻO nā hōʻailona e komo pū me ka ʻeha o ka maka, ka ʻulaʻula, a me ka ʻike maka pohihihi. He pilikia kēia! Inā ʻaʻole i mālama koke ʻia e ke kauka maka, hiki ke nalowale mau ka ʻike maka.
• ʻO Ramsay Hunt Syndrome: ʻO kēia ka manawa e hoʻopilikia ai ka maʻi herpes zoster i nā aʻalolo maka e holo ana mai ka pepeiao a i ka maka. Hiki i kēia ke hana i nā hōʻailona e like me ka maʻi lolo o ka maka, ka ʻeha pepeiao, ka nalowale o ka lohe, a me ka vertigo. Pono nō hoʻi kēia i ka mālama koke ʻana.
• Nā maʻi ʻili:Inā ʻaʻole i hoʻomaʻemaʻe pono ʻia a haki ʻia nā pehu, hiki iā lākou ke loaʻa i ka maʻi bacteria, kahi e hiki ai ke hoʻolōʻihi i ka manawa e ho'ōla ai ka ʻeha a hoʻonui i ka ʻeha.
• Nā pilikia ʻē aʻe kakaikahi: He mea kākaʻikahi loa, hiki ke loaʻa ka maʻi lolo (encephalitis), meningitis, a i ʻole nā ​​​​pōʻino aʻalolo ʻē aʻe i loko o ke kino.

ʻAʻole i haʻi ʻia kēia mau pilikia e hoʻomakaʻu iā ʻoe, akā e hoʻomaopopo iā ʻoe i ke koʻikoʻi o ka ʻike ʻana i kēia kūlana a me ka ʻimi ʻana i ke aʻo lapaʻau i ka wā e hoʻomaka ai nā hōʻailona.

Aia kekahi lāʻau lapaʻau no kēia? Pono anei au e ʻike i ke kauka?

ʻAe! ʻAe loa! Inā kānalua ʻoe he herpes zoster kou, e ʻike koke i ke kauka. ʻOi loa inā hiki iā ʻoe ke hoʻomaka i ka mālama ʻana i loko o 72 mau hola o ka hoʻomaka ʻana o nā hōʻailona, ​​​​e kōkua nui ia i ka hōʻemi ʻana i ka ʻeha, ho'ōla koke i ka maʻi, a hoʻemi i ka pilikia o kēlā mau pilikia a mākou i kamaʻilio ai.

Hoʻomaʻamaʻa pinepine ke kauka i nā lāʻau lapaʻau e like me kēia:

• Nā lāʻau lapaʻau antiviral: ʻO kēia nā lāʻau lapaʻau nui. No ka laʻana, hiki ke hāʻawi ʻia nā lāʻau lapaʻau e like me Acyclovir, Valacyclovir, a me Famciclovir . Hoʻomalu kēia i ka laha ʻana o ka maʻi i loko o ke kino.
• Nā lāʻau hoʻopau ʻeha: Hiki ke hāʻawi ʻia nā ʻano lāʻau hoʻopau ʻeha like ʻole e kāohi i ka ʻeha. I kekahi manawa, pono paha nā lāʻau lapaʻau kūikawā no ka ʻeha o ke aʻalolo.
• Nā Kirimina/Lotion ʻIli: E ʻōlelo ke kauka i nā kirimina kūpono e hōʻemi i ka maneʻo, ka mumū, a hoʻomaʻalili i ka ʻili.
• Nā lāʻau lapaʻau ʻē aʻe: I kekahi manawa, ʻoi aku hoʻi no nā kūlana e like me PHN, pono paha nā lāʻau lapaʻau ʻē aʻe.

Nā mea hiki iā ʻoe ke hana ma ka home:

• E mālama i ka ʻāpana i hoʻopilikia ʻia i maʻemaʻe a maloʻo .
• E hoʻopili i nā ʻūmiʻi anuanu . E hoʻomohu i kahi lole maʻemaʻe i ka wai anuanu, e ʻūmi i waho, a kau ma luna o ka ʻāpana i hoʻopilikia ʻia no kekahi mau minuke.
• E ʻaʻahu i nā lole pulupulu palupalu . ʻO nā lole paʻa a ʻoʻoleʻa e paʻa ana i ka ʻili hiki ke hoʻonui i ka ʻeha.
• E hoʻomaha i ka nui e like me ka hiki.
• E lawe i nā lāʻau lapaʻau i kuhikuhi ʻia e ke kauka me ka pololei a me ka manawa kūpono.

Hiki ke hoʻi hou mai ka herpes zoster (shingles)?

He nīnau kēia a ka poʻe he nui e nīnau ai. ʻAe, ʻoiai he mea kakaikahi, hiki i ka herpes zoster ke hoʻi hou mai. No ka mea ua loaʻa iā ʻoe i hoʻokahi manawa, ʻaʻole ia he manaʻo ʻaʻole ia e hana hou ʻia. Eia nō naʻe, he mea kakaikahi ka loaʻa ʻana i ka lua o ka manawa. ʻO ka poʻe me nā ʻōnaehana pale nāwaliwali he kiʻekiʻe iki ka pilikia o ka hana hou ʻana.

Aia kekahi ala e pale aku ai i kēia? Ua lohe au e pili ana i kahi lāʻau pale...

ʻO ka nūhou maikaʻi, ʻae! I kēia manawa, aia kahi lāʻau pale kūpono loa e pale aku ai i ka herpes zoster!

• ʻO ka lāʻau pale Shingrix: Ua hōʻoia ʻia he pono loa kēia lāʻau pale i ka pale ʻana i ka herpes zoster a me kona pilikia, ʻo PHN.
• ʻO ka maʻamau he 50 mau makahiki a ʻoi akuPaipai ʻia kēia lāʻau pale no nā mākua āpau.
• Eia kekahi, hiki i nā poʻe he 19 makahiki a ʻoi aʻe i nāwaliwali ka ʻōnaehana pale (e laʻa ma muli o kekahi mau kūlana olakino a i ʻole nā ​​​​lāʻau lapaʻau) ke loaʻa i kēia lāʻau pale.
• ʻOiai inā ua loaʻa iā ʻoe ka herpes zoster ma mua, hiki i ka loaʻa ʻana o kēia lāʻau pale ke hōʻemi i kou pilikia o ka loaʻa hou ʻana.
• Hāʻawi ʻia kēia lāʻau pale i ʻelua mahele.
• ʻOi aku ka maikaʻi o ke kamaʻilio ʻana me kāu kauka a nīnau inā kūpono kēia lāʻau pale iā ʻoe.

• Lāʻau pale ʻūlū: ʻO ka loaʻa ʻana o ka lāʻau pale ʻūlū i kou wā kamaliʻi hiki ke kōkua i ka pale ʻana i ka ʻūlū. Inā ʻaʻole ʻoe e loaʻa i ka ʻūlū, ʻaʻole e komo ka maʻi varicella-zoster i kou kino, no laila ʻaʻole ʻoe e loaʻa i ka herpes zoster ma hope. Inā ʻaʻole ʻoe i loaʻa i ka ʻūlū i kou wā kamaliʻi a ʻaʻole i loaʻa i ka lāʻau pale ʻūlū, hiki iā ʻoe ke loaʻa i ka lāʻau pale i kou wā makua. E kamaʻilio me kāu kauka e pili ana i kēia.

Eia kekahi, ʻo ka hahai ʻana i kahi nohona olakino , ʻo ia hoʻi ka ʻai ʻana i ka meaʻai kaulike, ka hiamoe lawa, ka hoʻoikaika kino, a me ka mālama ʻana i ke kaumaha, kōkua nō hoʻi i ka mālama ʻana i ka ʻōnaehana pale ma ke ʻano laulā.

No laila, he aha nā mea e pono ai kākou e hoʻomanaʻo mai kēia mau mea a pau? (Leka Lawe-Home)

ʻAe, e hōʻuluʻulu kākou i nā kumu koʻikoʻi mai nā mea a mākou i kamaʻilio ai:

• He ʻulaʻula ʻeha a pehu ka Herpes Zoster i hoʻoulu hou ʻia e ka maʻi moa (Varicella-Zoster Virus) i loko o ko mākou kino.
• Hoʻolaha ʻia ia ma o ke kahe i loko o nā pehu, akā hiki nō hoʻi iā ia ke hoʻoulu i ka maʻi moa i nā poʻe ʻē aʻe (inā ua loaʻa iā lākou ka maʻi moa ma mua / ʻaʻole i hoʻopili ʻia).
• ʻO ka ʻeha ka hōʻailona nui. I kekahi manawa hiki ke loaʻa nā pilikia e like me ka post-herpetic neuralgia (PHN) .
• E ʻimi i ke kōkua lapaʻau i ka wā e hoʻomaka ai nā hōʻailona. He nui nā pono o ka mālama mua ʻana.
• Aia kekahi lāʻau pale kūpono (Shingrix) e pale aku i ka herpes zoster. Paipai ʻia no ka poʻe ma luna o 50 mau makahiki a me ka poʻe i loko o nā hui pilikia.
• Mai makaʻu, akā e makaʻala. Inā he mau nīnau kāu e pili ana i kēia, mai kānalua e kamaʻilio me ke kauka.

Manaʻolana wau he mea pono kēia ʻike nou. E ola kino!

ʻO Herpes Zoster, Shingles, Chickenpox, Nā maʻi ʻili, Nā pehu, ʻEha aʻalolo, Herpes Zoster, Varicella-Zoster Virus, Lāʻau pale Shingles