He mate huaketo mamae te kiri pupuhi, ā, i ētahi wā ka pāngia ngā io e te mate kiri. E mōhiotia ana hoki i roto i te rongoā ko te Herpes Zoster, ā, i ahu mai i tētahi take e mōhiotia whānuitia ana. Kei te mahara koe ki te mate rewharewha i a koe e tamariki ana? Ko te huaketo kotahi tonu i muri i te rewharewha—te huaketo varicella-zoster (VZV)—te take o te mate rewharewha. He miharo koe? Me titiro tata atu tātou ki te āhua o tēnei.
Me pēhea te pāngia e te mate hukapapa? He aha te take ka hoki anō ai tēnei huaketo?
Ki te whakarāpopototanga, ka pāngia koe e te mate kiripaka mēnā kua pāngia koe e te rewharewha i mua. Kia ora ake koe i te rewharewha, kāore te huaketo varicella-zoster (VZV) e wehe katoa i tō tinana. Engari, ka takoto moe (kore mahi) i roto i ō pūtau io, ka noho puku tonu - me te mea kei te moe.
Heoi, i muri i ngā tau, i ngā tekau tau rānei, ka ara ake anō tēnei huaketo moe—arā, ka hoki anō ki te ora . Kia ora, ka haere mā roto i ō ara io ki tō kiri, ka hua ake te mate mamae e mōhiotia ana ko te shingles.
Kāore e taea e ngā tohunga hauora te tohu tika i te take e hoki anō ai tēnei huaketo. Heoi, ko te mea nui ko te ngoikore haere o tō pūnaha ārai mate i a koe e pakeke haere ana . Whakaarohia tō pūnaha ārai mate hei kaha tiaki whaiaro o tō tinana. Ina ngoikore tēnei tiaki, ka hopukina e te huaketo moe te whai wāhi ki te oho ake me te patu anō.
He aha ngā tohu o te mate kiriuhi? Me pēhea te tautuhi?
Ko te tohu tino kitea, tino kitea hoki o te mate kiri kiri he kiri pupuhi, he mamae, he kiri pupuhi . Ko ēnei pupuhi kī tonu i te wai ka puta i te taha kotahi o tō tinana—he maha ngā wā ka takai ki tō hope, tō tinana, tō mata, tō kaki, tō tuara rānei, pērā i te whitiki, i te here rānei. Ahakoa e whai ana i tēnei tauira motuhake, i ētahi wā ka puta pea i ētahi atu wāhanga o tō tinana.
Ngā Tohu Whakatūpato Moata me ngā Tohu e Haere tahi ana
I mua i te putanga mai o te ponana, i te taha rānei o taua ponana, tera pea ka pāngia koe e ētahi atu tohu, tae atu ki:
- He mamae nui, he wera, he ngenge, he wero rānei i ngā io . Koinei te tohu tino whakararuraru i te nuinga o te wā.
- He mākūkū , he ngoikore rānei te wāhi e pāngia ana.
- Te whero, te huri rānei o te kiri i te rohe.
- Te kirika.
- Ngā makariri.
- He mamae upoko .
- He kare ā-roto whānui o te ngenge, te kore rānei e pai te āhua (malaise).
- Te puku pouri, tae atu ki te whakapairuaki ngawari, te mamae rānei o te puku.
I ētahi wā, ka tīmata pea te mamae o ngā io ā-rohe me te tairongo o te kiri i roto i ngā wiki i mua i te putanga mai o te ponana. Tērā pea ētahi atu tohumate rewharewha i mua i te ponana mō ētahi rā.
I roto i ngā rā e toru ki te whā o te putanga mai, ka puta te ponana whero hei pupuhi wai. I roto i ngā rā tekau pea, ka tīmata ēnei pupuhi te maroke me te hanga i ngā kōpura . Tērā pea ka roa ētahi atu wiki ka ora katoa ēnei kōpura, ka ngaro.
Ka pāngia te katoa e te ponana?
Ahakoa he ponana pupuhi te tohu matua o te mate kiri kiri, i ētahi wā tino onge, ka pāngia koe e te mate kiri kiri kiri engari kāore he ponana e puta . Koia te take, ki te pāngia koe e te mamae io me ētahi atu tohu, me toro atu koe ki te tākuta tonu, ahakoa kei te mārama tonu tō kiri.
He mate hopuhopu te mate kiriuhi?
He pātai tino noa tēnei. Kāore e taea te pangia e te mate kiriuhi mai i tētahi tangata kua pangia e te mate kiriuhi. Ko te tikanga, ki te mea he kiriuhi ora tōu, kāore e taea e koe te tuku atu i te kiriuhi ki tētahi atu.
Heoi, ki te pā tika mai te wai o ō pupuhi kiriuhi i te rewharewha (te werohanga rānei mō te rewharewha), ki tētahi tangata kāore anō kia pāngia e te rewharewha (te werohanga rānei mō te rewharewha), ki te hongi rānei i ngā matūriki e rere ana i te rangi mai i aua mea, ka pāngia rātou e te rewharewha.Hei whakamārama: ka pāngia rātou e te rewharewha, ehara i te herpes zoster, nā te mea ko te huaketo kotahi tonu te take o ēnei mate e rua.
Nā reira, ki te mea he mate kiriuhi tōu, he mea tino nui kia matara atu koe i te hunga ngoikore—pērā i ngā pēpi, ngā wāhine hāpu, me te hunga ngoikore te pūnaha ārai mate—kia memeha rawa ō mirumiru.
Ko wai te mea tino mōrearea ki te pāngia e te mate huka?
Ahakoa ka pāngia te hunga kua pāngia e te rewharewha i mua e te mate kiripaka, he nui ake te mōrearea o ētahi rōpū. Ka nui ake tō mōrearea mēnā:
- He ngoikore te pūnaha ārai mate : Hei tauira, ko te hunga e whawhai ana ki te mate pukupuku, e noho tahi ana me te HIV , e tango ana rānei i ngā rongoā ārai mate.
- Neke atu i te 50 tau te pakeke : Ka piki ake tō mōrearea i te pakeketanga o tō pūnaha ārai mate.
He tokomaha hoki ngā tohunga hauora e whakapono ana ka taea e te ahotea ā-hinengaro, ā-tinana rānei te whakaoho i te mate kiriuhi . Ahakoa he uaua ki te whakamātau i tēnei hononga, ka pehia e te ahotea nui ō parepare ārai mate mō te wā poto, ka māmā ake te wetewete a te huaketo moe.
He aha ngā raruraru pea o te mate kiriuhi? He kino?
Ahakoa ka ora katoa te nuinga o te tangata me te kore he raruraru mō te wā roa, i ētahi wā ka arahi pea te mate kiriuhi ki ngā raruraru hauora nui.
Ko te raruraru tino noa, tino whakararuraru hoki o te mate kiriuhi ko te Postherpetic Neuralgia (PHN) , he mamae io mau tonu e roa ana i muri i te ora katoa o tō ponana. Ka roa pea tēnei mamae mō ngā marama, mō ngā tau rānei, ā, mō ētahi, ka tino kaha, ka whakararuraru i te ora.
Ko ētahi atu raruraru pea o te mate shingles ko:
- Ngā mate kiri huakita tuarua `(Pango huakita)` (ina koa mēnā ka rakurakuhia ngā mirumiru).
- Ko ngā mate kino o te kanohi me te mumura mēnā ka pā mai te shingle tata ki ngā kanohi, ka arahi pea tēnei ki te ngaronga o te tirohanga tuturu.
- Te pararutiki kanohi `(Facial paralysis)`, e mōhiotia ana ko te mate Ramsay Hunt `(Ramsay Hunt syndrome)`.
- Te ngaronga o te rongo, te haruru o ngā taringa `(Tinnitus)`, me ētahi atu raruraru taringa rānei.
- Te mumura o te roro, e mōhiotia ana ko te encephalitis `(Encephalitis)`.
- Ngā raruraru o te whanoke, te taurite rānei `(Vertigo)`.
- Pūngāwerewere `(Pūngāwerewere)`.
Ahakoa he tino onge, ka taea e ngā mate kino o te shingle te arahi ki ngā raruraru morearea. Koia te take kaua rawa e whakahawea ki tēnei mate.
Me pēhea te tātaritanga o te mate hukapapa?
I te nuinga o te wā, ka taea e te tākuta te tautuhi i te mate kiriuhi ma te tango noa i tō hītori hauora me te tirotiro i tō ponana. Mena ka tino tika te tūnga o ngā pupuhi i te ara io motuhake - e mōhiotia ana ko te dermatome `(Dermatomes)` - ā, ka noho tonu ki te taha kotahi o tō tinana me te kore e whiti i te raina waenga , he tino tūponotanga he kiriuhi.
Mena kāore i te mārama te tautuhi mate, ka ata mirimiri pea tō tākuta i tētahi o ō mirumiru hei kohi i tētahi tauira iti ka tukuna ki te taiwhanga hei whakaū.
He aha ngā maimoatanga mō te mate huka?
Ahakoa kāore he rongoā mō te mate kiriuhi, kei reira ngā maimoatanga tino whai hua hei whakahaere i ō tohu, hei tere ake i tō whakaoranga, hei whakaiti hoki i te tūponotanga o ngā raruraru. Tērā pea ka tūtohu tō tākuta i ēnei kōwhiringa:
- Ngā Rongoā Ārai Mate Huakita `(antivirus)`:Koinei ngā tūāpapa o tō maimoatanga. Ko ētahi tauira ko te Acyclovir `(Acyclovir)` (ingoa waitohu Zovirax®), Famciclovir `(Famciclovir)` (ingoa waitohu Famvir®), me te Valacyclovir `(Valacyclovir)` (ingoa waitohu Valtrex®). He mea tino nui kia tīmata wawe te tango i ēnei rongoā ārai huaketo—tērā pea i roto i ngā rā e 3 i muri i te putanga tuatahi mai o te ponana. Mā te tīmatanga wawe ka āwhina i te whakaiti i te mamae, ka tere ake te whakaora, ā, ka tino whakaiti i te tūponotanga o te mamae io mau tonu pērā i te Postherpetic Neuralgia.
- Ngā Rongoā Whakamamae Mamae: Ka taea e ngā rongoā kore utu pēnei i te acetaminophen `(Acetaminophen)` (pēnei i te Tylenol®) te ibuprofen `(Ibuprofen)` rānei (pēnei i te Motrin®, i te Advil® rānei) te āwhina ki te whakahaere i te mamae. Mō te mamae io kino rawa atu, ka tohua pea e tō tākuta he rongoā whakamamae kaha ake, he rongoā motuhake rānei mō te io.
- Ngā corticosteroids `(corticosteroids)`: Mena ka pāngia ō kanohi, ō atu io kanohi kino rānei e te shingles, ka tohua pea ēnei e tō tākuta hei whakaiti i te pupuhi me te mumura kino. Heoi, kāore ēnei e pai mō ngā tūroro katoa.
Hei tāpiritanga, ka tohutohu tō tākuta kia noho ma, kia maroke hoki te ponana, pania he hinu marino calamine hei whakamama i te kati, ā, whakamahia he kōpeke matao, haukū hei whakamarie i te kiri e mura ana.
Āhea koe me toro atu ki tētahi tākuta?
Ki te whakaaro koe he mate kiriuhi tōu, tēnā whakapā atu ki tētahi kaiwhakarato hauora i te wā e taea ai . E ai ki te kōrero, ko te tīmatanga tonu o te rongoā ārai huaketo te huarahi pai rawa atu ki te ora tere me te whakamarie.
Āhea koe me haere ki te Rūma Ohotata (ER) ?
Ko ētahi tohu kino e tika ana kia tirohia wawetia e te rata. Haere tonu ki te tari whawhati tata mēnā ka pāngia koe e:
- He mamae upoko tino kino, ohorere.
- Ngā panonitanga o tō tirohanga, te mamae nui o ngā kanohi, te tino aro rānei ki te māramatanga.
- He kaki maro.
- Te pōhēhē, ngā huringa hinengaro, te uaua rānei ki te whakaaro mārama.
- Te ngoikore ohorere o ngā uaua, te pararutiki rānei o te kanohi.
Kaua e tatari mēnā ka kite koe i tētahi o ēnei tohu whero—rapuhia he awhina hauora ohorere tonu.
Ka taea te ārai i te mate huka?
Āe, kei te wātea he ārai tino whai hua. Mena kua pāngia koe e te rewharewha, ko te kano ārai mate kiripaka tō huarahi pai rawa atu. Ko te kano ārai mate kiripaka e taunakitia ana i tēnei wā, ko Shingrix® `(Shingrix®)`, neke atu i te 90% te whai huatanga. Ahakoa kua pāngia koe e te mate kiripaka i mua, kua whiwhi rānei koe i te kano ārai mate Zostavax® `(Zostavax®)` tawhito, he tino taunaki kia werohia koe ki te kōwhiringa hou ake. Mena kei te 50 tau neke atu rānei ōu tau, kōrero ki tō tākuta mō te werohanga.
Hei tāpiri atu, ki te mea kei a koe te mate kiriuhi e ora tonu ana, me hipoki tō kiriuhi, ā, me whakawhāiti te whakapā atu ki ētahi atu kia memeha rawa ngā kiriuhi. Mā tēnei mahi ngāwari ka āwhina i te ārai i te horapa o te huaketo ki ngā tamariki kāore anō kia werohangahia, ki ngā wāhine hapu, me ētahi atu tāngata ngoikore.
He aha te āhua o te mate hukapapa? Kia pēhea te roa o tōna oranga?
Mai i te tohu tuatahi o ngā tohu, e toru ki te rima wiki te roa o te ora katoa o te ponana kiriuhi. Ko te nuinga o ngā tohu kē atu, tae atu ki te mamae koi o ngā io, ka tīmata te memeha haere i roto i ngā rā e whitu ki te tekau.
Ka ora katoa te nuinga o te tangata i te mate kiriuhi, ā, kāore he raruraru roa. Ko te tango i ngā rongoā ārai huaketo i roto i ngā rā e toru i muri i te tīmatanga o ngā tohu te taputapu pai rawa atu hei tere ake i tēnei tukanga whakaora.
Heoi, ka pāngia ētahi e te mate urutā kino rawa atu, ā, ka hiahiatia he hōhipera. Hei tāpiri, tata ki te kotahi i roto i te rima o ngā tāngata e pangia ana e te mate shingle ka pāngia e te Postherpetic Neuralgia (mamae io mau tonu) .
Ka taea e koe te pāngia e te mate huka neke atu i te kotahi?
Āe, ka taea te pāngia e te mate huka neke atu i te kotahi.He waimarie, he onge te hokinga mai o te mate mena kāore tō pūnaha ārai mate e tino ngoikore. Mēnā ka hoki mai anō te mate kiriuhi, ka puta te ponana i tētahi wāhi rerekē i tō te wā tuatahi.
Ka pāngia koe e te mate huka mena kāore anō koe kia pangia e te rewharewha?
Kāo, kāore koe e pāngia e te mate kiriuhi mena kāore anō kia pāngia e te rewharewha. Ko te mate kiriuhi anake te whakaoho anō i te huaketo varicella-zoster kua moe kē i roto i tō tinana. He tino onge, ko te hunga i whiwhi i te kano ārai mate kiriuhi ora i a rātou e tamariki ana ka pāngia e te mate kiriuhi i muri mai i te pakeketanga, ahakoa he ngawari ake ēnei mate.
He Kōrero Matua: Ngā Mea Me Mahara Koe
He maha ngā wā ka whakaarohia e tātou te rewharewha o te tamarikitanga he maharatanga tawhiti, engari ka taea e te huaketo te hoki mai i roto i tēnei āhua tino mamae i te wā kāore i whakaarohia e tātou. Ehara i te mea ko tō hauora me tō whakamarie anake te pānga o te rewharewha ki a koe, engari ka tūpono hoki te horapa o te rewharewha ki ngā tamariki kāore anō kia werohia me ētahi atu tāngata ngoikore e karapoti ana i a koe.
Ahakoa ka ora katoa te nuinga o te tangata, kāore he raruraru roa, he mea nui te noho mataara ki ō tohumate me te mōhio ki te wā e rapu awhina hauora wawe ai. Mena he ngoikore tō pūnaha ārai mate, he mea nui ake te mahi i ētahi atu mahi ārai.
Ki te whakapae koe kei te tīmata te mate kiriuhi, tēnā whakapā atu ki te tākuta tonu. Ko te wawaotanga wawe te huarahi pai ki te whakahaere i tō mamae me te tiaki i tō hauora mō te wā roa. Kaua e mataku, engari kaua e whakaroa!
Te mate kiripaka, te Herpes Zoster, te huaketo Varicella-zoster, te mamae io, te ponana kiri, te rongoā mo te mate kiripaka, te kano ārai mate kiripaka
