He aha ēnei pupuhi mamae e puta mai ana i tōku tinana? He herpes zoster rānei tēnā?

Kua pā mai he ponana mamae ki tō tinana? Tērā pea kei te haere tahi mai me te wera me te mākūkū? He mea noa te mataku ina pā mai tētahi mea pēnei. E kīia ana tēnei mate e ētahi he "rewharewha," engari ehara i te mea he kararehe kē atu. I tēnei rā ka kōrero tātou mō tēnei mate, e mōhiotia ana i te taha hauora ko te Herpes Zoster , engari e mōhiotia ana hoki ko te Shingles e te tini o te tangata. Kaua e manukanuka, ka kōrerohia e tātou i roto i te huarahi māmā noa iho, i roto hoki i te huarahi e mārama ai koe.

He aha tonu te Herpes Zoster?

He whakarāpopototanga noa iho, ko te Herpes Zoster he ponana kiri e puta ai ngā mirumiru mamae. Nā te huaketo kotahi anō e puta ai te rewharewha . Ae, tera pea ka miharo koe, engari he pono. Ka karangatia tēnei huaketo ko te Huakita Varicella-Zoster (VZV) .

Kei te maumahara koe ki te wā i pāngia ai koe e te rewharewha i a koe e tamariki ana? He tino whakarihariha, he pupuhi puta noa i tō tinana, he mākūkū hoki, tika? I muri i te pāngia o te rewharewha, kāore te huaketo e ngaro katoa i tō tinana. He tino mātanga, ka noho moe i roto i tō pūnaha io, arā, i roto i ngā pūtau io o tō tuaiwi me tō roro, mō ngā tau, kāore he raruraru. He rite ki te moe.

Nō reira, ko te herpes zoster he mate e ara ake ai te huaketo Varicella-Zoster, kua roa e moe ana, ka kaha ake, ka haere i roto i ngā io ki te kiri, ka puta te herpes zoster. Koia te take i huaina ai ko "Shingles".

Ka pāngia te hunga katoa e pangia ana e te rewharewha e te herpes zoster?

He raruraru tēnei e pā ana ki te tini tāngata. Kāo, ehara i te mea ko te hunga katoa e pāngia ana e te rewharewha ka pāngia e te herpes zoster. Heoi, ko te hunga kua pāngia e te rewharewha , tera pea ka pāngia e tēnei mate i tētahi wā o ō rātou oranga.

Whakaarohia, he rite te huaketo ki te "herehere" i roto i ngā pūtau io o tō tātou tinana. Mēnā he kaha tonu tō tātou pūnaha ārai mate , arā, mēnā kei te pai te mahi a ngā parepare a tō tātou tinana e whawhai ana ki ngā mate, kāore e taea e tēnei huaketo te ara ake anō. Heoi, mēnā he take ka ngoikore tēnei pūnaha ārai mate, ka whai wāhi te huaketo moe ki te ara ake anō, arā, ki te kaha ake.

Ko te tikanga, ko te herpes zoster te mea tino kitea i roto i te hunga neke atu i te 50, 60 rānei te pakeke. Nā te mea ka ngoikore haere tō tātou pūnaha ārai mate i a tātou e pakeke haere ana. Heoi, i ētahi wā ka pā mai tēnei ki te hunga rangatahi me te hunga he mate hauora kē atu e ngoikore ai ō rātou pūnaha ārai mate.

He aha te take e ora anō ai tēnei huaketo? He aha ngā take?

E ai ki tā tātou i kōrero ai i mua, ko te take matua ko te ngoikore o te pūnaha ārai mate. He maha ngā āhuatanga ka whai wāhi ki tēnei:

• Tau: Koinei te tino take mōrearea. Ka piki haere te mōrearea i muri i te 50 tau.
• Te ahotea nui:Ka pā te ahotea nui rawa mō te wā roa ki tō tātou pūnaha ārai mate.
• Ētahi atu āhuatanga hauora: Hei tauira, ko te hunga e pangia ana e te mate HIV , te mate pukupuku, ētahi atu mate rānei e pā ana ki te pūnaha ārai mate, ka nui ake te mōrearea ki te whakawhanake i te herpes zoster.
• Ētahi rongoā: Ka taea hoki e ngā rongoā pēnei i te chemotherapy mō te mate pukupuku, ngā rongoā ārai mate i muri i te whakawhitinga okana, ngā horopeta nui rānei o ngā steroids e tangohia ana mō te wā roa te whakaiti i te pūnaha ārai mate.
• Pokanga nui, aituā kino rānei: Ko te taumahatanga o te tinana mai i ēnei momo mea ka taea te whakaoho i te huaketo i ētahi wā.
• I ētahi wā ka tupu tēnei mea kāore he take e kitea ana .

Ko te mea nui, ehara i te mea nāu te he i pāngia ai koe e te herpes zoster. Ka pā pea tēnei ki te katoa.

He aha ngā tohu o te herpes zoster (he kiriuhi kiri)?

Ko ngā tohu o te herpes zoster ka puta i ngā wāhanga e rua.

Wāhanga Tuatahi: Ngā tohu i mua i te tīmatanga o ngā tohu

He ahua rerekē pea tēnei, engari ko te mea pono, ka tīmata ētahi tohu ki te puta i roto i ētahi rā, i te wiki rānei, i mua i te putanga mai o ngā whara kiri.

• Mamae: Tērā pea ka pāngia tetahi taha o te tinana e te mamae nui, te wera, te ngoikore, te ngenge, te mākūkū rānei, i te taha kotahi o te tinana, i te nuinga o te wā i roto i te rīpene rite ki te whitiki (he wāhi kiri e whakahaerehia ana e te io e kiia nei ko te dermatome). I ētahi wā ka koi tēnei mamae, pērā i te maripi.
• I tēnei wā, ka pāngia pea ētahi tāngata e ngā tohu noa pēnei i te kirika, te ānini, te mate pāwera, me te mamae o te puku .

He tino kino rawa tēnei mamae, ā, ka mataku pea ētahi tāngata kei mate kino, pērā i te mate manawa, i te apendisitis rānei.

Wāhanga 2: Ka puta mai ngā whara kiri me ngā pupuhi

I muri i ētahi rā, ka tīmata te puta o ngā ira whero i te wāhi i puta ai te mamae me te mumura.

• Muri iho, ka puta ake ngā tautau o ngā pupuhi iti kī tonu i te wai ki runga i ēnei puku whero. I te tīmatanga ka kī tonu ēnei pupuhi i te wai mārama, engari i muri mai ka huri pea hei miraka, hei kōwhai rānei.
• Ko ēnei mate pukupuku me ngā pupuhi ka puta i te taha kotahi o te tinana . He maha ngā wā ka puta mai hei whitiki i te taha kotahi o te uma, te puku, te tuara rānei. Heoi, ka puta anō hoki i te mata, te kaki, ngā ringa, ngā waewae rānei.
• Ki te puta mai ēnei whara ki te mata, inā koa ki te taha o ngā kanohi, ki te rae rānei, me tino tupato koe nā te mea ka taea e rātou te kino i ngā kanohi. Ka kōrerohia tēnei e tātou i muri mai.
• I muri i te 7-10 rā pea, ka maroke ēnei pupuhi, ka hanga he kirinuku, ā, ka tīmata te ora haere. E 2-4 wiki pea te roa ki te ora katoa.
• I muri i te ora o te patunga, i ētahi wā ka rerekē te tae o te kiri i taua wāhi, ka puta rānei he koha.

MamaeKoinei te tohu matua, te tohu tino whakarihariha hoki o te herpes zoster. Mō ētahi tāngata, kāore e taea te manawanui ki te mamae.

He mate hopuhopu ēnei pupuhi? Ka horapa atu rānei ki ētahi atu?

He mea tino nui anō hoki tēnei. Ae, ka taea e te wai i roto i ngā pupuhi herpes zoster te horapa.

Engari he iti noa te rerekētanga i konei. Whakaarohia pēnei:

• Ki te pā te wai mai i ngā mirumiru o te tangata whai herpes zoster ki te kiri o te tangata kāore anō kia pangia e te rewharewha i mua, ā, kāore anō hoki kia whiwhi i te kano ārai mate rewharewha, ka pāngia te tangata tuarua e te rewharewha , ehara i te herpes zoster.
• Ko te tikanga o tēnei, kāore te herpes zoster e horapa tika mai i tētahi tangata ki tētahi atu (pērā i te makariri). Ka pāngia koe e te herpes zoster ina kaha te huaketo kua noho kē i roto i tō tinana.

Nō reira, ki te mea he herpes zoster tōu, me tino tupato koe:

• Mai i te hunga kāore anō kia pangia e te rewharewha (ina koa ko ngā whaea hāpu, ngā pēpi whānau hou, me te hunga ngoikore te pūnaha ārai mate).
• Mai i te hunga kāore anō kia whiwhi i te kano ārai mate rewharewha.

Ngā mea hei mahi:

• Kia taupokina te wāhi mirumiru ki te kākahu i ngā wā katoa e taea ana.
• Kaua e rakuraku, kaua hoki e pēhi i ngā mirumiru. Mā te mahi pēnā ka horapa te huaketo, ka whara, ka pangia hoki.
• Kaua e tohaina ō tauera, ō kākahu rānei ki ētahi atu.
• Horoia pai ō ringaringa ki te hopi i ngā wā katoa.

Kia maroke ngā mirumiru, kia puta hoki he kirinuku, kua kore te mōrearea o te horapa o te huaketo.

He mea mōrearea te herpes zoster (shingles)? He raruraru kei reira?

Ahakoa ka memeha haere te herpes zoster i roto i ētahi wiki, ka pāngia pea ētahi tāngata e ngā raruraru. He mea nui kia mōhio ki ēnei.

• Neuralgia Post-Herpetic (PHN): Koinei te raruraru tino noa. I roto i tēnei āhuatanga, ahakoa kua ora te ponana herpes zoster, kei te mau tonu te mamae, te mumura, te ngoikore rānei o ngā io i puta tuatahi mai ai te ponana. Ka roa pea tēnei mamae mō ngā marama, mō ngā tau rānei. He āhuatanga tino whakararuraru, ā, he mate hoki. He nui ake te mōrearea o te hunga kaumātua ki te whakawhanake i te PHN.
• Ophthalmic Zoster: Mena ka puta te herpes zoster ki te mata, inā koa ki te rae, ki te taha rānei o ngā kanohi, ka pā ki ngā kanohi. Ko ngā tohu ko te mamae o ngā kanohi, te whero, me te tirohanga pōuri. He āhuatanga ohorere tēnei! Ki te kore e rongoatia wawetia e te tākuta kanohi, ka ngaro pea te tirohanga tuturu.
• Te Mate Ramsay Hunt: Koinei te wā e pāngia ai ngā io o te kanohi e te huaketo herpes zoster e rere ana mai i te taringa ki te mata. Ka puta pea ngā tohu pēnei i te pararutiki o te kanohi, te mamae o te taringa, te ngaronga o te rongo, me te pororaru. Me tere hoki te rongoā mō tēnei.
• Ngā mate kiri:Ki te kore ngā mirumiru e horoia tika, e pakaru rānei, ka pangia pea e te huakita, ka roa ake ai te ora o te patunga, ka nui ake ai hoki te mamae.
• Ētahi atu raruraru onge: He tino onge pea te mate roro (encephalitis), te meningitis, te kino rānei o ngā io o te tinana.

Kāore ēnei raruraru i te whakahuatia hei whakamataku i a koe, engari hei whakamōhio i a koe ki te hiranga o te mōhio ki tēnei āhuatanga me te rapu tohutohu hauora i te wā tonu ka tīmata ngā tohu.

He rongoā anō kei reira mō tēnei? Me toro atu ahau ki te tākuta?

Āe! Ae rawa! Ki te whakapae koe he herpes zoster tōu, me toro atu ki te tākuta i te wā e taea ai. Ina koa ka taea e koe te tīmata i te maimoatanga i roto i ngā haora 72 o te tīmatanga o ngā tohu, ka tino āwhina i te whakaiti i te mamae, te whakaora tere i te mate, me te whakaiti i te mōrearea o aua raruraru i kōrerohia e tātou.

I te nuinga o te wā ka tohua e te tākuta ngā maimoatanga penei:

• Ngā rongoā ārai huaketo: Koinei ngā rongoā matua. Hei tauira, ka taea te hoatu i ngā rongoā pēnei i te Acyclovir, Valacyclovir, me te Famciclovir . Ka ārai ēnei i te horapa o te huaketo i roto i te tinana.
• Rongoā mamae: Ka taea te hoatu i ngā momo rongoā mamae hei whakahaere i te mamae. I ētahi wā, ka hiahiatia pea he rongoā motuhake mō te mamae io.
• Kirimi/Rīhi Kiri: Ka tūtohu te tākuta i ngā kirimi e tika ana hei whakaiti i te kati, te mumura, me te whakamatao i te kiri.
• Ētahi atu rongoā: I ētahi wā, inā koa mō ngā āhuatanga pēnei i te PHN, ka hiahiatia pea ētahi atu rongoā.

Ngā mea ka taea e koe te mahi i te kāinga:

• Kia ma, kia maroke hoki te wāhi e pāngia ana.
• Tāpirihia he kōpeke matao . Rukuhia he kakahu ma ki te wai matao, tāmihia, ka whakatakotoria ki te wāhi e pāngia ana mō ētahi meneti.
• Kia mau ki ngā kākahu miro korekore . Mā ngā kākahu kikī, taratara e piri ana ki te kiri ka nui ake te mamae.
• Kia nui te okiokinga e taea ana.
• Tangohia ngā rongoā i tohua e te tākuta kia tika, kia tika hoki i te wā tika.

Ka taea te hoki mai anō te herpes zoster (shingles)?

He pātai anō tēnei e pātaihia ana e te tini tāngata. Ae, ahakoa he onge, ka taea e te herpes zoster te hoki mai anō. Ahakoa kua pāngia koe i te mate kotahi, ehara i te mea kāore e pā anō. Heoi, he onge te pā anō i te mate tuarua. Ko te hunga he ngoikore te pūnaha ārai mate, he nui ake te mōrearea o te pā anō.

He ara hei karo i tēnei? Kua rongo au mō tētahi kano ārai mate...

Ko te rongo pai, āe! He kano ārai mate tino whai hua tēnei hei ārai i te mate herpes zoster!

• Kano ārai mate Shingrix: Kua whakamātauhia te tino whai huatanga o tēnei kano ārai mate ki te tiaki i te herpes zoster me ōna raruraru, arā, te PHN.
• I te nuinga o te wā he 50 tau te pakeke, neke atu rāneiE taunakihia ana tēnei kano ārai mate mō ngā pakeke katoa.
• Waihoki, ka taea e te hunga 19 tau te pakeke, neke atu rānei, he ngoikore te pūnaha ārai mate (hei tauira, nā ētahi mate hauora, nā ētahi rongoā rānei) te whiwhi i tēnei kano ārai mate.
• Ahakoa kua pāngia koe e te herpes zoster i mua, mā te whiwhi i tēnei kano kano ka whakaiti i tō tupono ki te pāngia anō.
• E rua ngā horopeta e hoatu ana mō tēnei kano ārai mate.
• He pai ake te kōrero ki tō tākuta me te pātai atu mēnā he tika tēnei kano ārai mate māu.

• Werohanga rewharewha: Mā te werohanga rewharewha i a koe e tamariki ana ka āwhina i te ārai i te rewharewha. Ki te kore koe e pāngia e te rewharewha, e kore te huaketo varicella-zoster e uru ki roto i tō tinana, nō reira e kore koe e pāngia e te herpes zoster i muri mai. Ki te kore koe i pāngia e te rewharewha i a koe e tamariki ana, ā, kāore i whiwhi i te werohanga rewharewha, ka taea e koe te werohanga i a koe e pakeke ana. Kōrero ki tō tākuta mō tēnei.

Hei tāpiri, mā te whai i tētahi momo noho hauora , arā, te kai i tētahi kai taurite, te moe nui, te whakakori tinana, me te whakahaere i te ahotea, ka āwhina anō hoki ki te pupuri i te pūnaha ārai mate kia kaha tonu.

Nā, he aha ngā mea hei maumahara mā tātou i ēnei mea katoa? (Karere hei tango ki te kāinga)

Āe, me whakarapopoto tātou i ngā kōrero tino nui o ngā mea kua kōrerohia e tātou:

• He ponana mamae, he pupuhi te Herpes Zoster i puta mai i te whakaoho anō o te huaketo rewharewha (Varicella-Zoster Virus) i roto i ō tātou tinana.
• Ka horapa mā roto i te wai i roto i ngā mirumiru, engari ka taea hoki e ia te mate rewharewha ki ētahi atu (mēnā kua pāngia rātou e te rewharewha i mua, kāore rānei i werohia).
• Ko te mamae te tohu matua. I ētahi wā ka puta ngā raruraru pēnei i te neuralgia post-herpetic (PHN) .
• Rapua he tohutohu hauora i te tīmatanga o ngā tohu. He maha ngā painga o te maimoatanga wawe.
• He kano ārai mate whai hua (Shingrix) hei ārai i te mate herpes zoster. E taunakihia ana mō te hunga neke atu i te 50 tau te pakeke me te hunga kei roto i ngā rōpū mōrearea.
• Kaua e wehi, engari kia tūpato. Ki te mea he pātai āu mō tēnei, kaua e mangere ki te kōrero ki te tākuta.

Ko tāku tumanako ka whai hua ēnei kōrero ki a koe. Kia ora tonu!

Herpes Zoster, Te Hukapapa, Te Rewharewha, Ngā Mate Kiri, Ngā Pūngāwerewere, Te Mamae Io, Te Herpes Zoster, Te Huaketo Varicella-Zoster, Te Kano Kano mō te Hukapapa