Kua rongo pea koe i tētahi mate e kiia ana i ētahi wā ko te "deiyange lede" (mate atua), he tino whakamataku tēnei. I tēnei rā, ka kōrero tātou mō tētahi mate mamae, pupuhi e puta pinepine ana hei whitiki i tētahi taha o te tinana. I roto i te rongoā, ka kiia tēnei ko te Shingles , ko te Herpes Zoster rānei. Me tūhura tātou he aha tēnei, me pēhea te whanaketanga, he aha ōna tohu, me pēhea hoki e taea ai e koe te tiaki i a koe anō me te rapu maimoatanga.
He aha te mate kiriuhi?
He whakarāpopototanga noa iho, he mate kiri mamae te Shingles i puta mai i te mate huaketo o ngā io i raro i tō kiri. E mōhiotia ana hoki ko te Herpes Zoster. I te nuinga o te wā, ka puta te mate ki te taha kotahi o te tinana , he rite ki te whitiki - koia i ētahi wā ka kiia ko te "mate whitiki." I te nuinga o te wā ka puta mai me te kare wera nui i te kiri.
He aha te pūtake o te mate kiriuhi?
Ko te huaketo Varicella-Zoster te tino take. Kei te mahara koe i pāngia koe e te rewharewha i a koe e tamariki ana? Koinei tonu te huaketo e mate ai te rewharewha.
I muri i tō oranga ake i te rewharewha, kāore te huaketo Varicella-Zoster e wehe katoa i tō tinana. Engari, ka noho moe tonu—he "moe" tonu—i roto i tō pūnaha io . Ka noho huna, ka noho kore mahi, ka noho puku, e tatari ana kia hoki mai ngā āhuatanga tika.
Ka taea e tēnei huaketo te noho puku i roto i tō tinana mō ngā tau maha, kāore he raruraru. Heoi, ki te ngoikore tō ārai mate—nā ngā āhuatanga pēnei i te koroheketanga (neke atu i te 50 tau te pakeke), te ahotea nui tonu, ngā rongoā motuhake pēnei i te chemotherapy —ka taea e te huaketo puku te whakahohe anō. Koinei te wā ka puta te mate hei Shingles.
Ko te tikanga, ko te hunga kua pāngia e te rewharewha i mua, ahakoa te pakeke, ka noho tonu ki te mōrearea ki te pāngia e te mate kiripaka i muri mai. Heoi, kia mahara ko te pāngia e te rewharewha ehara i te mea ka pāngia koe e te mate kiripaka.
I te nuinga o te wā, kotahi noa te wā ka pāngia koe e te mate kiripaka i roto i tō oranga. Ahakoa he onge te hokinga mai o te mate, ehara i te mea kāore e taea.
Ko te mate hukapapa te mea e tino kitea ana i waenga i te hunga neke atu i te 50 tau te pakeke, engari e ai ki te kōrero, ka pā ki ngā tāngata katoa o ngā tau katoa.
He aha ngā tohu o te mate kiriuhi? Me pēhea te tautuhi?
He tino motuhake ngā tohu o te mate kiriuhi. I mua i te putanga mai o te ponana, tera pea ka pāngia koe e ngā tohu whakatūpato.
- Ngā Tohu Tūatahi (I mua i te puta o te kiri): I te nuinga o te wā, mō ētahi rā (1 ki te 5 ngā rā te nuinga) i mua i te putanga mai o te kiri, ka pāngia pea koe e te wera, te ngau, te mākūkū, te mamae nui rānei i te wāhi e tika ana kia puta mai te kiri. Ka taea e tēnei mamae te koi, pērā i te wero, te werohanga ngira , te ahua rānei o te kiri e wera ana. Koinei te tohu tuatahi i te nuinga o te wā.
- Te Āhua o te Whēwhe: I roto i te kotahi ki te rima rā, ka whero te kiri e pāngia ana, ka puta he pupuhi iti, kī tonu i te wai. I te nuinga o te wā ka puta ēnei i te taha kotahi o te tinana (e whai ana i tētahi ara io motuhake). He maha ngā wā ka puta te whēwhe hei rārangi, ahakoa kei tō hope, kei te taha kotahi o tō uma, kei te taha kotahi rānei o tō mata (pērā i te rae, te paparinga, te kauae rānei).
Whakaarohia he rite ki tētahi rīpene whero kua peitahia ki tētahi taha o tō tinana, kua whakapaipaihia ki ngā pata wai ririki.
- Te Āhua o ngā Pūweru : I roto i ngā rā torutoru, ka kī ēnei pūweru iti i te pūweru. I roto i ngā rā e 7 ki te 10 e whai ake nei, ka pakaru, ā, ka puta he kiripaka he kōwhai-parauri te tae.
- Te Whakaora: Ka maroke ēnei kiriuhi ka taka atu i roto i ngā wiki e 2 ki te 4. Tērā pea ka mahue iho he kiriuhi iti, he kiri rānei kua rerekē te tae, pērā i ngā wāhi kiri mārama, kiri pouri rānei.
He rerekē te nui o te mamae i waenga i te tangata. Ahakoa ka pāngia ētahi e te mamae ngawari, ka pāngia ētahi e te mamae nui e uaua ana ki te whakahaere. He pono rawa tēnei mō ngā kaumātua, ā, tera pea ka nui ake te mōrearea ki te mamae io mō te wā roa i muri i te whakaoranga o te ponana (ka matapakihia e tātou i muri mai).
He mate hopuhopu te mate kiriuhi?
He āwangawanga noa tēnei. Kāore e taea te tuku tika i te mate kiriuhi ki tētahi atu; ki te mea he kiriuhi tōu, mā te pā noa atu ki tētahi, e kore e pāngia rātou e te kiriuhi.
Heoi anō, he kōrero nui hei mārama. Kei roto i te wai i roto i ngā mirumiru o te tūroro Shingles te huaketo Varicella-Zoster. Nō reira, ki te pā tika mai te wai o ēnei mirumiru ki te tangata kāore anō kia pāngia e te rewharewha, kāore rānei i whiwhi i te kano ārai rewharewha, ka pāngia pea ia e te rewharewha , ehara i te Shingles.
Nō reira, ki te mea he mate huka tōu:
- Puritia ō mirumiru ki ngā takai ma, kore-piri.
- Kaua e rakuraku, e kohi rānei i ngā mirumiru.
- Horoia ō ringaringa kia tino horoia, kia maha hoki ki te hopi.
- Āta karohia te whakapā atu ki te hunga kāore anō kia pangia e te rewharewha, inā koa ko ngā wāhine hāpu, ngā pēpi whānau hou, me te hunga ngoikore te pūnaha ārai mate (pērā i ngā tūroro mate pukupuku, i ngā tāngata rānei i whakawhitia ō rātou okana) kia puta rā anō ō mirumiru ki waho, kia ora rawa hoki.
Kia kapi katoa ngā mirumiru i te hakihaki, kāore te huaketo e kiia he mate hopuhopu.
He aha ngā raruraru ka puta mai i te Shingles?
Ahakoa ka memeha haere te mate kiriuhi i roto i ētahi wiki, tera pea ka pāngia ētahi tāngata e ngā raruraru . He mea nui kia noho mōhio tonu ki ēnei tūponotanga.
- Neuralgia Postherpetic (PHN): Koinei te raruraru tino noa me te tino whakararuraru o te shingles. E pā ana ki te mamae io roa, kino hoki i te wāhi i puta ai te ponana shingles, ka roa pea mō ngā marama, tae noa ki ngā tau i muri i te ora o te ponana. He nui ake te mōrearea o ngā pakeke neke atu i te 60 tau te pakeke. Ka roa pea tēnei mamae, ka mutu rānei, ā, i ētahi wā, ahakoa te pā māmā noa iho - pērā i te paraihe kakahu ki tō kiri, te pupuhi rānei - ka pāngia e te mamae nui. Ka pā nui ki tō kounga o te oranga o ia rā.
- Ngā mate kiri: Ki te pakaru ngā mirumiru, ka ngāwari pea te pangia e ngā mate kitakita mēnā kāore e tiakina tika. Ko ngā tohu o te mate ko te whero haere, te pupuhi, te puta rānei o te pūkahukahu.
- Ngā raruraru kanohi: Mena ka puta te mate kiriuhi i tō mata—ina koa i tō rae, i te taha o ō kanohi, i te taha tata rānei o tō ihu—e mōhiotia ana tēnei ko te Ophthalmic Zoster , ka pā tika ki tō tirohanga. Ka taea e tēnei te arahi ki te hekenga o te tirohanga, te glaucoma, ā, i ngā wā kino, te matapo. Mena ka kite koe i ngā tohu o te mate kiriuhi i tō rae, i te taha tata rānei o ō kanohi, rapua tonutia he awhina hauora mai i te tākuta, i te tākuta kanohi rānei, kaua e whakaroa.
- Ētahi atu raruraru neurological:Ahakoa he onge, ka pā te mate kiriuhi ki te roro (encephalitis) ki te taurakira rānei (myelitis). Hei tauira, ka arahi pea ki te mate Ramsay Hunt , ka pāngia ai te kanohi e te pararutiki, te mamae o te taringa, te whanoke rānei. Tērā pea ka ngaro te taurite , ka uaua rānei te whakarongo.
Koia te mea nui kia rapu tohutohu hauora i te wa e kite ai koe i nga tohu tuatahi o te mate huka.
He aha ngā maimoatanga e wātea ana mō te Shingles?
Ki te whakapae koe he mate kiriuhi tōu, he tohu rānei kei te kitea e koe, ko te huarahi pai ko te toro atu ki te tākuta i te wā e taea ai. Mā te tīmata i te maimoatanga i roto i ngā hāora 72 (3 rā) o te putanga tuatahi o te mirumiru ka tere ake te whakaora, ka whakaiti i te mamae, ka whakaiti hoki i te tūponotanga o ngā raruraru pēnei i te PHN.
Ko ngā maimoatanga matua ko:
- Ngā rongoā ārai huaketo: Ka āwhina ēnei rongoā ki te whakahaere i te whakaputanga huaketo, te whakapoto i te roa o te mate, te tere ake te maroke o ngā mirumiru, me te whakaiti i te mamae. Tērā pea ka tohua e tō tākuta he rongoā pēnei i te `(Acyclovir)`, `(Valacyclovir)`, `(Famciclovir)` rānei, mō te 7 ki te 10 rā te roa. He mea nui kia oti katoa te akoranga e ai ki te whakahaunga.
- Ngā rongoā mamae: Hei whakahaere i te mamae, ka tūtohu pea tō tākuta i ngā rongoā mamae noa pēnei i te `(Paracetamol)` me te `(NSAID)` rānei (hei tauira, `(Ibuprofen)` ). Mō te mamae nui, ka tūtohutia pea ngā rongoā kaha ake, ngā rongoā rānei mō te mamae io, pēnei i te `(Gabapentin)` me te `(Pregabalin)` rānei.
- Ngā maimoatanga ā-pā: Hei whakaiti i te mākūkū, ka taea e koe te whakamahi i te hinu Calamine , i ētahi atu kirīmi rānei e taunakitia ana e te tākuta. I ētahi wā, ka tohua pea he kirīmi steroid poto hei whakaiti i te pupuhi.
Ngā tohutohu tiaki kāinga:
- Puritia te wāhi e pāngia ana kia ma. Horoia mārire kia kotahi i te rā ki te wai māhana (kaua e whakamahi i te hopi, i te hopi ngawari rānei, kāore he kakara) ka whakamaroke ki te tauera ngohengohe, ma.
- Whakamahia he kōpeketanga matao. Ruia he kakahu ma ki te wai matao, kōmiomio, ka pania ki ngā mirumiru mō te 15-20 meneti, he maha ngā wā i te rā.
- Kia mau ki ngā kākahu miro korekore, e āhei ai tō kiri ki te manawa. Ka taea e ngā papanga kikī, taratara rānei te whakapataritari i ngā mirumiru me te whakanui ake i te mamae.
- Kaua e rakuraku, e kopikopiko rānei i ngā mirumiru, nā te mea ka arahi pea tēnei ki ngā mate me ngā whara.
- Whakaritea te okiokinga me ngā kai whai kiko hei whakarato i te kaha e hiahiatia ana e tō tinana ki te whawhai ki te mate.
Ka taea e koe te ārai i te mate huka?
Ahakoa kāore he huarahi hei kī taurangi i te tiakitanga 100% mai i te mate hukapapa, ka taea e koe te whakaiti i tō mōrearea.
- Werohanga rewharewha: Ka āwhina tēnei werohanga ki te ārai i te rewharewha i roto i ngā tamariki, ka whakaiti i te tūponotanga o te pāngia e te mate kiripaka i muri mai i te pakeketanga, nā te mea ka ārai i te mate tuatahi.
- Werohanga mō te mate kiripaka: Koinei te huarahi tino whai hua hei ārai i te mate kiripaka. E taunakihia ana mō ngā pakeke 50 tau te pakeke, neke atu rānei.Ahakoa he rerekē te wātea o ngā rongoā, ka taea e koe te kōrero ki ngā whare hauora tūmataiti. Ka whakaitihia e tēnei kano ārai mate te tūponotanga o te pangia e te mate kiripaka, ā, ka whakaitihia hoki te tūponotanga o ngā raruraru kino pēnei i te PHN. Kōrero ki tō tākuta mēnā he tika tēnei kano ārai mate māu.
He mea nui anō hoki te pupuri i te pūnaha ārai mate kaha mā te kai taurite, te moe tika, te whakakori tinana i ia wā , me te whakahaere i te ahotea.
Karere Whakamutunga mō te Tango ki te Kāinga
Ko tāku tumanako kua mārama ake koe inaianei ki te mate shingle.
Kia maumahara, he mate mamae te shingles, ā, he pupuhi kei te taha kotahi o te tinana, nā te whakaoho anō o te huaketo kotahi e hua ai te rewharewha (Varicella-Zoster Virus).
- Ki te pāngia koe, tētahi atu rānei e mōhio ana koe e ēnei tohu, kaua e mataku, engari me rapu awhina hauora i te wā e taea ai. Mā te maimoatanga tere ka whakaitihia te mamae, ka ārai hoki i ngā raruraru.
- Ki te kite koe i te ponana i tō mata, i te taha rānei o ō kanohi, me whakaaro he āhuatanga ohorere tēnei, ā, me toro atu ki te tākuta tonu.
- Nā te mea ka taea e te mate rewharewha te horapa ki te hunga kāore anō kia pangia e te mate rewharewha (ina koa ko ngā wāhine hāpu, ngā tamariki nohinohi, me te hunga ngoikore te pūnaha ārai mate), kia matara atu i ētahi atu kia kapi rawa ngā mirumiru.
- Mena kei runga ake koe i te 50 tau te pakeke, kōrero ki tō tākuta mō te kano ārai mate kiriuhi hei tiaki pai ake.
Ko te tumanako i whai hua ēnei kōrero. Kia ora, kia ora tonu koe me Nirogi Lanka!
👩🏽⚕️ Ngā Pātai Auau (FAQs)
💬 He hokinga mai anō o te huaketo rewharewha te mate kiripaka?
Āe, tino tika. Ko ngā mea e rua i puta mai i te huaketo kotahi, arā, te huaketo Varicella-zoster. Ina pāngia koe e te rewharewha i te tamarikitanga, kāore te huaketo e ngaro noa; ka noho moe tonu i roto i tō pūnaha io. I ngā tau i muri mai, ki te ngoikore tō ārai mate, ka taea e te huaketo te whakahohe anō, ka arahi ki te mate kiripaka.
💬 He aha te take e puta ai te ponana hei whitiki i te taha kotahi o te tinana?
Ka huna te huaketo i roto i ngā pakiaka io e tata ana ki tō taurakira. Ina hoki anō, ka haere i runga i tētahi ara io motuhake, ka puta he ponana ki te wāhi e tukuna ana e taua io anake. Koinei te take e kitea ai he ponana ā-rohe, he rite ki te whitiki i te taha kotahi o tō uma, o tō puku rānei.
💬 Ka taea e te tangata whai mate kiripaka te hora i te ponana ki ētahi atu?
Kāore e taea e koe te hoatu i te mate kiriuhi ki tētahi atu. Heoi, ki te pā tika te wai o ō pupuhi ki tētahi tangata kāore anō kia pangia e te rewharewha (ina koa ko ngā tamariki), ka tino pāngia rātou e te rewharewha mai i a koe.
` Te Mate Hukapapa, Te Herpes Zoster, Te Huaketo Rewharewha, Te Varicella-Zoster, Ngā Mate Kiri, Te Mamae Io, Te Neuralgia Postherpetic, Te Werohanga mō te Mate Hukapapa
