Chu "Pathian natna" harsa tak, taksa vel belt ang maia hriat - chu chu shingles tihna a ni tih hi i zir belh leh ang u?

"Pathian natna" tih hi i hre tawh ngei ang. Mi thenkhat chuan an hlau thin. Mahse vawiin hian natna pakhat, taksa sir khatah band ang maia lang, a na deuh a, a hring chhuak thei chungchang kan sawi dawn a ni. Damdawi lam hawi chuan hei hi Shingles emaw Herpes Zoster emaw kan ti thin. Eng nge a nih, engtin nge a lo pian chhuah, a natna lan chhuah dan leh a laka inven dan tur leh enkawl dan tur i lo en ang u.

Heng shingles te hi eng nge ni?

A awlsam zawngin sawi ila, shingles hi kan vun hnuaia nerve (nerve an tih bawk) te kai virus avanga vun chunglam a natna emaw, vun rawng emaw a awm a ni. Herpes Zoster an ti bawk. A tam zawkah chuan heng rashes te hi taksa sir khatah chauh a lang thin , belt ang maiin. Chuvangin mi thenkhat chuan "belt ang maia lo awm natna" an ti thin. Vun natna nasa tak nen a rawn lang thin.

Engtin nge shingles hi a lo awm? Eng thilin nge a thlen?

Hei hi a chhan ber chu Varicella-Zoster Virus a ni. Naupan lai khan chickenpox i vei tih i hre reng em? Hei hi chickenpox thlentu virus tho tho a ni.

Chuvangin, mi tu emaw chickenpox atanga a dam hnuah chuan Varicella-Zoster Virus hi kan taksa atangin a bo vek lo. Kan nervous system hmun ṭhenkhatah chuan a muhil emaw, a muhil reng emaw a ni . A inthup ang mai a ni.

He virus hi kum tam tak chhung chu harsatna awm lovin a muhil thei a ni. Mahse, a chang chuan, eng emaw chhan vangin – entirnan, kum upat (a tlangpuiin kum 50 an tlin hnuah), taksa invenna a tlahniam (i.e. taksain natna a do theihna a tlahniam) emaw, stress sang tak a awm chhunzawm zel emaw, damdawi thenkhat (e.g., cancer damdawi) avanga – dormant virus chu a thawk leh tan ta a ni. Chutah chuan natna chu shingles angin a rawn lang chhuak ta a ni.

Chumi awmzia chu, naupang emaw, tleirawl emaw, puitling emaw pawh ni se, chickenpox vei tawh apiang chu nakin lawkah shingles vei theihna a awm tihna a ni. Mahse, chickenpox vei tawh zawng zawng hian shingles an vei vek dawn lo tih hre reng ang che.

A tlangpuiin mi pakhat hian a dam chhungin vawi khat chauh shingles a vei thin. A vawi hnihna atana shingles vei theihna chance hi a tlem hle a, mahse thil theih loh erawh a ni lo.

Shingles hi kum 50 chunglam ah a tam ber a, mahse, ka sawi tawh ang khan kum eng pawh a nghawng thei a ni.

Singles natna lan chhuah dan chu engte nge ni? Engtin nge i hriat chian?

Sshingles natna lan chhuah dan hi a danglam deuh hlek. Rash a lo lan hmain symptom dang a lo lang thei bawk. Eng nge an nih i han thlir teh ang.

• A lan chhuah hmasak (rash a lo lan hma): A tam zawkah chuan, a vun enkawl hma ni engemaw zat (a chang chuan ni 1 atanga ni 5) velah chuan, a awmna hmunah hian kang, i rilru a buai, i rilru a na emaw, natna nasa tak i nei thei a ni. Mi ṭhenkhat tân chuan he natna hi a na hle thei a, chu chu chemte, needle , a nih loh leh stinging sensation ang chi a ni. Mi dangte tan chuan kangmei chhuak ang maiin a lang mai thei. Hei hi chhinchhiahna hmasa ber a ni fo.

• Blisters: Tichuan, ni khat atanga ni nga chhungin a natna hmuna vun chu a sen ang a, blisters te (small bumps) a lo lang tan ang. Chungte chu taksa sir khatah chauh (dinglam chauh, veilam chauh) a awm tlangpui. A kawrfual vel chu belt ang maia inzawm angin an lang thei a, a nih loh leh rilru sir khatah an lang thei a, a nih loh leh hmai sir khatah (hma, hmui, hmui) strip angin an lang thei bawk.

Ngaihtuah teh, mi pakhatin taksa sir khatah chauh paint sen hring a ziak ang mai a ni a, a chungah tui tlemte a awm bawk.

• Blister formation: Heng blister te te hi ni khat emaw ni hnih emaw chhungin pus-filled blisters ah an lo thang lian thin . Ni 7 atanga ni 10 hnuah heng blisters te hi a puak a, scab a lo awm thin . Heng scabs te hi a rawng chu yellowish-brown a ni.

• Healing: Scab lo awm chu kar 2 atanga kar 4 chhungin a vawt a, a tla thla thin. A châng chuan, chutiang hmunah chuan hliam tenau emaw, vun rawng danglam (vun chu a dum emaw, a dum emaw) a awm thei bawk.

Mi tinah natna hi a inang lo. Mi thenkhat chuan natna tlemte chauh an nei thei a, thenkhat erawh chuan tuar theih loh khawpa natna an nei thei thung. He natna hi kum upa lam tan a tam hle a, hliam a dam hnuah pawh a awm reng thei (chu chu a hnuah kan sawi leh ang).

Sshingles hi a kai thei em?

Hei hi mi tam takin harsatna an neih a ni. Shingles hi mi pakhat atanga mi dang hnena direct-a kai theih a ni lo. Chu chu, shingles nei mi i khawih mai mai chuan shingles i nei dawn lo tihna a ni.

Mahse, hetah hian hriatthiam tur tlem a awm. Chu shingles nei mi pakhat pus-filled blisters-ah chuan Varicella-Zoster Virus a awm a. Chuvangin, chickenpox vei ngai lo emaw, chickenpox vaccine la lo emaw chu chu blisters nen chuan direct contact a nih chuan, chu chu blisters atanga tui lo chhuak chu an khawih chuan, chu mi chuan chickenpox a vei thei a, shingles a vei thei lo.

Chuvangin, shingles vei tu emaw chuan:

• I blisters te chu uluk takin i khuh tur a ni (e.g. gauze bandage fai, non-stick hmangin).
• Blisters-ah hian scratch emaw picking emaw i pumpelh tur a ni.
• Sahbawn hmangin i kut i silfai fo tur a ni.
• Hmeichhe naupai, nau piang thar, leh taksa hriselna chak lo (e.g., cancer vei, HIV vei, taksa peng dang thlaktu) te nena inzawmna hnai tak neih loh tur a ni a, a bik takin a blisters te chu a lo vawt vek a, a crust over hma loh chuan.

Vawikhat chu blisters a vawt a, a crust over chuan virus hi a kai thei tawh lo.

Sshingles avanga harsatna awm thei te chu engte nge ni?

Sshingles hi kar tlemte chhungin a reh tlangpui nachungin, mi thenkhat chuan harsatna an nei thei a ni . Hengte hi hriat chian a pawimawh.

• Postherpetic Neuralgia (PHN): Hei hi harsatna awm fo leh lungchhiatthlak ber a ni. Nerve natna nasa tak a ni a, shingles rash a tihthianghlim hnuah pawh thla tam tak emaw kum tam tak emaw chhung pawh a awm reng a ni. Kum upa lam (kum 60 chunglam) ah a tam zawk. Nitin natna chu a awm reng thei a, a lo thleng leh thei bawk. A châng chuan, thawmhnawin vun a hnawih emaw, thli a tleh lai emaw pawhin a natna chu tuar theih loh a ni thei. Hei hian nunphung (quality of life)-ah nghawng lian tak a nei thei a ni.
• Skin infection: Blisters a chhiat chuan uluk taka enkawl loh chuan bacteria a kai thei a ni. Chumi hnuah chuan chu hmun chu a sen thei a, a hring thei a, zun a lo khawm thei bawk.
• Mit a nghawng dan: Hmaiah, a bik takin hmaiah, mit vel, leh hnar sir ( ophthalmic zoster an tih) , shingles hian mit a nghawng thei a ni. Mitdelna a thlen thei a, glaucoma a thlen thei a, mitdelna thlengin a thlen thei bawk. Chuvangin, hmaiah emaw, mit hnaihah emaw shingles symptoms i neih chuan doctor pan nghal tur a ni a, mit lam doctor pan nghal tur a ni.
• Nervous system lama harsatna dang: A tam lo hle a, shingles hian thluak (encephalitis) emaw, ruhro (myelitis) emaw a nghawng thei. Entirnan, hmai nerve a nghawng thei a, hmai a ti na thei a, beng a ti na a, a lu a ti na thei a, chu chu Ramsay Hunt syndrome tia hriat a ni. Balance hloh leh hriatna hloh pawh a awm thei bawk.

Hei vang hian shingles natna lanchhuahna i neih tan veleh damdawi lam thurawn lak a pawimawh hle.

Sshingles enkawl dan tur chu engte nge ni?

Singles i vei emaw, symptoms i neih emaw i rinhlelh chuan a rang thei ang bera doctor pan a tha ber.A bik takin a natna lan chhuah tirh atanga darkar 72 (ni 3) chhunga enkawl tan a nih chuan (blister hmasa ber a lo lan) chuan natna hi a dam thuai thei a, natna a reh thei a, kan sawi tawh complication (a bik takin PHN) kan neih theihna tur a tlem thei bawk.

Enkawlna lian ber berte chu:

• Antiviral damdawi: Hengte hian virus pung zel dan a thunun a, natna rei zawng a ti tawi a, blister damna a ti chak a, natna a tiziaawm bawk. Entirnan, damdawi chi hrang hrang `(Acyclovir)`, `(Valacyclovir)`, `(Famciclovir)` te hi doctor-in a pe thei a. Hengte hi ni 7 atanga ni 10 vel pek thin a ni. Hengte hi a hun bituk chhung atan a dose ruat anga ei a pawimawh hle.
• Natna tihdamna: Natna tihtlem nan Paracetamol emaw NSAIDs (e.g. Ibuprofen ) ang chi, over-the-counter pain reliever i hmang thei. Natna a nasat chuan i doctor chuan natna tidamtu chak zawk a pe thei a, a nih loh leh nerve natna atana damdawi bik (e.g. Gabapentin, Pregabalin) pawh a pe thei bawk.
• Cream leh damdawi dang: Calamine lotion ang chi cream te hi i hmang thei a, i doctor-in a rawt cream dang pawh i hmang thei bawk. A chang chuan, steroid cream hi hun rei lote chhung pek theih a ni a, chu chuan a hring a ti tlem thei a ni.

In lama i tih theih turte:

• Blister awmna hmun chu fai takin vawng reng ang che. Ni khatah vawi khat tal tui lum (sahbawn tel lo emaw, sahbawn nem tak hmang emaw) hmangin silfai la, towel thianghlim leh nem tak hmangin pat dry rawh.
• Compress cool tak tak i apply thei bawk. Puan fai tak chu tui lum ah hnim la, wring chhuak la, blister chungah minute 15-20 vel dah rawh. Ni khatah vawi tam tak hetiang hian ti thin ang che.
• I vun thawk thei tur thawmhnaw hring, cotton ha la. Thawmhnaw tight, rough tak tak ha hian blisters a siam thei a, natna a tizual thei bawk.
• Blisters-ah hian scratch emaw picking emaw tih loh tur. Scratching hian infection leh scarring a thlen thei.
• Chawlh hahdam tam rawh. Chaw tha tak tak ei rawh. Hei hian i taksain natna do turin chakna a pe ang.

Singles hi ven theih a ni em?

Singles laka inven theihna tur kawng awm lo mah se, i hlauhawmna tihziaawmna tur thil i tih theih a awm.

• Chickenpox vaccine: Chickenpox laka invenna atana naupang hnena vaccine pek hian nakin lawkah shingles vei theihna chu eng emaw chen a tihziaawm thei a ni. Hei hi a chhan chu chickenpox a lo awm lo a nih chuan shingles thlentu virus chu taksaah a lut dawn lo.
• Shingles vaccine: Hei hi shingles venna atana pawimawh leh tangkai ber a ni. Kum 50 aia upa tan pek a ni tlangpui.He vaccine hi a tha hle. Sri Lanka-ah chuan he vaccine hi a la awm vak lo mai thei a, mahse private hospital thenkhatah chuan a awm thei a ni. He vaccine hian shingles vei theihna leh i vei a nih chuan harsatna awm thei te (a bik takin PHN) chu nasa takin a tihziaawm thei a ni. He vaccine hi i tan a tha em tih leh engtikah nge i lak tur tih i doctor nen in inbia thei ang.

Immune system chak tak vawn reng pawh a pawimawh hle. Hei hi ei leh in inthlau tak, mut that, exercise neih fo leh stress management hmanga tih theih a ni.

A tawp berah chuan thil hriat reng tur (Take-Home Message) .

Okay, chuvangin tunah chuan kan sawi tawh shingles kha in hriatthiam ka beisei.

Hriat reng tur chu, shingles hi taksa sir khatah a lang tlangpui a, chu chu chickenpox (Varicella-Zoster Virus) thlentu virus tho reactivation avanga lo awm a ni.

• Nangmah emaw, i hriat tu emaw chuan heng natna lan chhuah dan hi i neih chuan hlauthawng suh la, hlauthawng suh la, a rang thei ang bera doctor pan rawh . Enkawl vat chuan natna a tiziaawm thei a, harsatna a veng thei bawk.
• A bik takin i hmaiah emaw, i mit bulah emaw vun i nei a nih chuan emergency-ah ngai la, enkawl vat rawh. Tikhawtlai suh.
• Chickenpox hi shingles vei atanga chickenpox nei lo (a bik takin naupai, naupang te, leh taksa hriselna chak lo zawkte) hnena kai theih a nih avangin midang laka inthiarfihlim a, blisters a dam hma loh chuan fimkhur a pawimawh hle.
• Kum 50 chunglam i nih chuan i doctor hnenah shingles vaccine chungchang zawt la. Invenna tha tak a ni.

He thu hi i tan a tangkai ngei ka beisei. Mi zawng zawng hrisel leh hlim takin awm rawh u!

`Shingles, herpes zoster, chickenpox virus, varicella-zoster, vun natna, nerve na, postherpetic neuralgia, shingles vaccine te hi a ni