He tino mamae te mate kiriuhi, kāore? Me kōrero taipitopito tātou mō tēnei!

He mate huaketo te mate kiriuhi e puta ai ngā pupuhi mamae ki te kiri, ā, i ētahi wā ka kino pea ngā io. Ka kiia hoki e ētahi ko te Herpes Zoster. Kei te mahara koe i te pangia e te rewharewha i a koe e tamariki ana? Ko te huaketo kotahi e puta ai te rewharewha, te huaketo Varicella-zoster (VZV), te take o te mate kiriuhi. He mīharo? Kia kite tātou me pēhea te mahi.

Me pēhea te whanaketanga o te mate kiriuhi? He aha i puta anō ai tēnei huaketo?

I te whakarapopototanga, ka pāngia koe e te mate kiriuhi mena kua pāngia koe e te rewharewha i mua. Whai muri i te rewharewha, kāore te huaketo, e kiia nei ko te huaketo varicella-zoster (VZV), e ngaro katoa i tō tinana. Kei te takoto moe, arā, kāore e mahi i tetahi mea, i roto i ō tātou pūtau io. He rite ki te moe. Engari i ētahi wā, i muri i ngā tau, ka oho ake tēnei huaketo moe, arā, ka hoki anō te kaha . Ka kaha, ka haere i roto i ngā io, ka puta tēnei mate mamae e kiia nei ko te kiriuhi. Kāore e taea e ngā tākuta te kī tika he aha i hoki anō ai te kaha o tēnei huaketo. Engari i te nuinga o te wā, ka puta tēnei nā te ngoikore haere o tō tātou pūnaha ārai mate i a tātou e pakeke haere ana . He rite te pūnaha ārai mate ki ngā hōia i roto i tō tātou tinana e tiaki ana i a tātou mai i ngā mate. Nō reira, ina ngoikore tēnei pūnaha, ka whai wāhi te huaketo huna ki te ara ake anō i tōna mahunga.

He aha ngā tohu o te mate kiriuhi? Me pēhea te mōhio ki tēnei?

Ko te tohu matua, ko te tohu tino kitea o te mate kiriuhi, ko te putanga mai o ngā pupuhi mamae, he mea kī tonu i te wai i ētahi wā . Ko te tikanga ka puta ēnei pupuhi i te taha kotahi o te tinana, i te mata, i te kaki, i te uma, i te puku, i te tuara rānei. Ka puta tonu mai i roto i te tauira tonu, pērā i te whitiki. Heoi, i ētahi wā ka puta mai i ētahi atu wāhanga o te tinana.

Ētahi atu tohu e puta mai ana me te rewharewha, i mua i te tīmatanga

Tērā pea ka puta mai ētahi atu tohu i mua atu, i te taha rānei o ēnei ponana. Kei roto i ēnei:

• He mamae io e ahua koi ana, e wera ana, e wero ana rānei. Koinei te raruraru nui rawa atu mō te tini o te tangata.
• Te mākūkū , te ngau rānei i te rohe.
• Te whero o te kiri, te rerekē rānei o te tae.
• Te kirika.
• Te mātao (te makariri).
• Te mamae o te upoko .
• He āhua ngoikore whānui, he āhua kore ora.
• He puku pouri, arā, he āhua whakapairuaki, me te mea kei te huripokitia tō puku.

Whakaarohia, i ētahi wā ka tīmata ēnei tohu pēnei i te mamae o te io me te rerekētanga o te kiri i ngā wiki i mua i te putanga mai o ngā mirumiru. Ko ētahi atu tohu ka puta i ētahi rā i mua i te putanga mai o ngā mirumiru. Ka turuturu ngā mirumiru, arā, ka mirumiru i roto i ngā rā e toru ki te whā.I muri i te tekau ngā rā, ka maroke ēnei pupuhi ka huri hei pāpaka . Tērā pea ka roa ētahi wiki ka memeha katoa ēnei pāpaka.

Ka whara te katoa?

Ahakoa he maha ngā wā ka puta te mate kiriuhi i te hinengaro o te kiriuhi, he onge noa iho te pānga o te kiriuhi ki ētahi tāngata kāore he kiriuhi . Nō reira, ki te mea he tohu kē atu āu o te kiriuhi, ahakoa kāore he kiriuhi, kia kite i te tākuta.

He mate hopuhopu te mate kiriuhi?

He pātai tēnei e pātaihia ana e te tini tāngata. Kāore e taea te pangia e te mate kiriuhi mai i tētahi atu he mate kiriuhi tōna. Arā, ki te mea he mate kiriuhi tōu, kāore e taea te pangia e te mate kiriuhi mai i tētahi atu. Heoi, ki te mea he mate kiriuhi tōu, ka pāngia te tangata kāore anō kia pangia e te rewharewha mēnā ka pā tika atu rātou ki te wai o ō pupuhi, ki te manawa rānei i ngā pata iti o aua pupuhi. Kei te mārama koe? Ehara i te mate kiriuhi, engari he rewharewha. Nā te mea he huaketo kotahi te take o ēnei e rua. Nō reira, he mea tino nui kia matara atu koe i te hunga kāore anō kia pangia e te rewharewha i a koe e pangia ana e te rewharewha, inā koa kia maroke rawa ngā pupuhi, kia kapi hoki, pērā i ngā tamariki nohinohi, ngā wāhine hapu, me te hunga he ngoikore te pūnaha ārai mate.

Ko wai kei te nui ake te mōrearea ki te pāngia e te mate kiriuhi?

Ahakoa ka pāngia te hunga kua pāngia e te rewharewha i mua e te mate kiripaka, he nui ake te mōrearea o ētahi tāngata. Ko ētahi o ēnei ko:

• Ngā tāngata whai pūnaha ārai mate ngoikore: Hei tauira, ngā tāngata whai mate pukupuku, ngā tāngata kua pangia e te HIV , ngā tāngata rānei e tango ana i ngā rongoā ārai mate.
• Ngā tāngata neke atu i te 50 tau te pakeke: He nui ake tēnei mōrearea nā te mea ka heke noa te ārai mate i te kaumātuatanga.

E whakapono ana ētahi tākuta ka taea hoki e te ahotea te take o te mate kiriuhi , engari he uaua ki te whakamārama. Heoi, nā te mea ka ngoikore tō tātou pūnaha ārai mate ina nui te ahotea, tera pea he pānga ā-kore.

He aha ngā raruraru pea o te mate kiriuhi? He kino ēnei?

Ahakoa ka ora tonu te mate kiriuhi, kāore he raruraru nui, i ētahi wā ka puta he raruraru.

Ko te raruraru tino noa, tino whakararuraru hoki o te mate shingle ko te neuralgia postherpetic . He mamae io tēnei e mau tonu ana ahakoa kua ora te ponana. Ka roa pea tēnei mamae mō ngā marama, tae noa ki ngā tau, ā, mō ētahi tāngata, kāore e taea te manawanui.

Ko ētahi atu raruraru pea ko:

• Te mate kitakita o te kiri (mēnā kua rakurakuhia te kiri).
• Mena ka puta he kiriuhi i te taha o ngā kanohi,Ngā āhuatanga kino pēnei i te ngaronga o te tirohanga nā te mate kanohi.
• Ko te pararutiki kanohi, he ingoa motuhake mōna, ko te mate Ramsay Hunt.
• Te ngaronga o te rongo, te tinnitus, me ētahi atu raruraru taringa.
• Ko te encephalitis he mumura o te roro.
• Ko te Vertigo he whanoke.
• Pūngāwerewere.

Ahakoa he tino onge, ka taea e te mate huka te mate, nō reira ehara i te mea hei whakahawea.

Me pēhea te tautuhi a ngā tākuta i te mate huka?

Ko te tikanga, ka tātaritatia e te tākuta te mate kiripaka mā te pātai mō ō tohu me te tirotiro i te ponana. Ina koa mēnā kei te taha o te io te ponana, kei tētahi wāhi kiri motuhake rānei e kiia nei ko te dermatome, ā, kei te taha kotahi o te tinana, kaua ki te taha waenga , he nui ake te tūponotanga he kiripaka. I ētahi wā, ki te hiahia tō tākuta, ka taea e rātou te tango i tētahi tauira iti o te ponana ka tukuna ki te taiwhanga hei whakaū i te tātaritanga.

He aha ngā rongoā mō te mate kiriuhi?

Kāore anō kia kitea he rongoā mō te mate kiriuhi. Heoi anō, kei reira ngā maimoatanga hei āwhina i te whakahaere i ngā tohu, hei tere ake te ora, hei whakaiti hoki i te tūponotanga o ngā raruraru. Tērā pea ka tūtohu tō tākuta i ēnei e whai ake nei:

• Ngā rongoā ārai huaketo: Koinei ngā rongoā matua o te maimoatanga. Hei tauira, ko te acyclovir (ingoa waitohu Zovirax®), te famciclovir (ingoa waitohu Famvir®), me te valacyclovir (ingoa waitohu Valtrex®). He mea nui kia tīmata wawe tonu i ēnei rongoā, i roto i ngā rā e 3 i muri i te tīmatanga o te ponana. Ka āwhina tēnei ki te whakaiti i te mamae, te tere ake te whakaora, me te whakaiti i te tūponotanga o ngā raruraru pēnei i te neuralgia post-herpetic.
• Ngā rongoā whakamamae mamae: Ka taea te whakamahi i ngā rongoā ka taea te hoko kore utu pēnei i te paracetamol (i te US, acetaminophen - hei tauira, Tylenol®) ibuprofen rānei (hei tauira, Motrin®, Advil®). I ētahi wā ka tohua pea he rongoā whakamamae mamae kaha ake.
• Corticosteroids: Mena kua pāngia ngā kanohi, ngā wāhanga rānei o te mata e te mate kiriuhi, ka taea te hoatu i ēnei hei whakaiti i te pupuhi. Heoi, kāore ēnei e hoatu ki te katoa.

Hei tāpiritanga, ka tohutohu te tākuta kia noho ma te wāhi, kia pania he mea pēnei i te hinu karamīni hei whakaiti i te mākati, ā, kia murua ki te kakahu kua rumakina ki te wai matao.

Āhea ahau me toro atu ki te tākuta?

Ki te whakaaro koe kei a koe ngā tohu o te mate kiriuhi, me toro atu ki te tākuta i te wā e taea ai . E ai ki te kōrero i mua ake nei, he maha ngā painga ka puta mai i te tīmatanga o aua rongoā ārai huaketo.

Āhea ahau me haere ki te Wāhanga Maimoatanga Ohotata (ETU) ?

Ki te pāngia koe e ngā tohu o ētahi raruraru nui, me haere tonu koe ki te rūma whawhati tata. Kei roto i ēnei tohu:

• He mamae upoko tino kino.
• Ngā panonitanga o te tirohanga, te mamae o ngā kanohi, te kore e taea te titiro ki te mārama.
• Kaki maro.
• Te pōhēhē, te hinengaro kua whakarerekētia.
• Te ngoikore o te uaua, te pararutiki rānei.

Ki te kite koe i tētahi mea pēnei, kaua e whakaroa.

Ka taea te ārai i te mate hukapapa?

Āe, ki tētahi taumata. Mena kua pāngia koe e te rewharewha i mua, ko te huarahi pai ki te whakaiti i tō tupono ki te pāngia e te mate rewharewha ko te whiwhi i te kano ārai mate rewharewha . He tino whai hua te kano ārai mate o nāianei, arā, a Shingrix®. Ahakoa kua pāngia koe e te rewharewha i mua, kua whiwhi rānei koe i te kano ārai mate o mua, arā, a Zostavax®, e taunakihia tonutia ana kia whiwhi koe i tēnei kano ārai mate hou. Mena kua neke atu koe i te 50 tau, kōrero ki tō tākuta mō te whiwhi i te kano ārai mate. Waihoki, kia kati ō mirumiru rewharewha kia maroke rawa, ā, kia whakawhāitihia tō whakapā atu ki ētahi atu tāngata. Mā tēnei ka āwhina i a koe ki te ārai i te horapa o te huaketo rewharewha ki ētahi atu, inā koa ko ngā tamariki nohinohi.

He aha ngā mea ka taea e koe te tumanako ina pāngia koe e te mate kiriuhi? Kia pēhea te roa o tōna pumau?

E toru ki te rima wiki te roa mai i te wā e puta mai ai ngā tohu tuatahi kia memeha rawa ngā mirumiru. Ko ētahi atu tohu, pērā i te mamae, ka tīmata te memeha i roto i ngā rā e whitu ki te tekau. Ko te nuinga o te tangata ka ora mai i te mate kiriuhi me te kore he raruraru roa. Mā te tango i te rongoā ārai huaketo i roto i ngā rā e toru i muri i te tīmatanga o ngā tohu ka āwhina i a koe kia tere te ora. Heoi, ko ētahi tāngata he tino kino ngā tohu, ā, me kawe pea ki te hōhipera. Tata ki te kotahi i roto i te rima o te hunga e pāngia ana e te kiriuhi ka pāngia e te neuralgia postherpetic, he mate ka roa pea te wā .

Ka taea e te mate kiriuhi te hoki mai anō?

Ae, ka taea e koe te pāngia e te mate kiriuhi neke atu i te kotahi. Engari kāore i te tino noa, ina koa mēnā kāore tō pūnaha ārai mate i ngoikore. Ki te pāngia anō koe e te mate kiriuhi, kāore e hoki mai i te wāhi i pangia ai koe i te tuatahi.

Ka taea e te tangata kāore anō kia pāngia e te rewharewha te pāngia e te mate kiripaka?

Kāo, e kore koe e pāngia e te mate kiriuhi mena kāore anō kia pāngia koe e te rewharewha i mua. Ko te mate kiriuhi he whakaoho anō i te huaketo rewharewha. He onge te hunga kua werohia ki te rewharewha ka pāngia e te mate kiriuhi i muri i ngā tau maha, nā te mea kei roto i te kano kano he huaketo ora kua ngoikore.

Kia maumahara ki te mea tino nui (Karere hei kawe ki te kāinga)

I mahara mātou kua warewarehia e mātou te rewharewha mai i te tamarikitanga, engari i ētahi wā ka hoki mai anō me te mamae nui, tika? He mate te shingles ka horapa ki a koe anake, engari ki ētahi atu anō hoki, pērā i ngā tamariki nohinohi, kāore anō kia pāngia e te huaketo.

Ahakoa ka ora te nuinga o te tangata i te mate kiriuhi, kāore he raruraru roa, he mea nui kia mōhio ki ngā tohu me te mōhio ki te wā e rapu ai i te awhina hauora ohorere. Me tino tupato koe mēnā he ngoikore tō pūnaha ārai mate.

Tirohia te tākuta i te wā tonu ka tīmata koe ki te pāngia e ngā tohumate o te mate kiriuhi. Kātahi ka taea e koe te tiki āwhina hei whakahaere i ō tohumate kia ora rā anō koe. Kaua e mataku, engari kaua e whakaroa! Kiriuhi, Herpes Zoster, Huakita Varicella-zoster, Mamae io, Ponana kiri, Maimoatanga kiriuhi, Kano ārai mate kiriuhi