Kei te maumahara koe ki te rewharewha i tō tamarikitanga? He wheako tino whakarihariha, he pupuhi puta noa i te tinana me te mākūkū, tika? He tokomaha e whakaaro ana kua ora te rewharewha, kua mutu te mate. Engari ko te mea pono, kei roto i ō tātou tinana te huaketo i puta ai te rewharewha, i roto i ngā pūtau io, ā, ka hoki mai anō ki te whai i a tātou i ngā tau i muri mai. Koinei te ingoa o te shingles, te herpes zoster rānei, ina hoki anō te huaketo mō te wā tuarua.
He aha ngā tohu matua o te mate huka?
Ko te tohu tino kitea, tino kitea hoki o te mate kiriuhi he ponana mamae, he pupuhi i runga i te kiri . Ka puta noa ēnei ponana i te taha kotahi o te tinana. Ka puta pea i roto i te whitiki huri noa i te hope, i te taha kotahi rānei o te mata, te kaki, te uma, te puku, te tuara rānei.
Engari, tērā pea ka puta mai ētahi atu tohu i mua atu, i te taha rānei o ēnei tohu.
| Tohu | Whakaahuatanga |
|---|---|
| Mamae io | He kare wera, he mamae koi e werohia ana i raro i te kiri. Koinei te tohu tino hoha. |
| Te mākūkū, te ngoikore rānei | Tērā pea ka rongo koe i te ngaungau, i te māuiui rānei i te wāhi e whakaritea ana kia werohia. |
| Te rerekētanga o te kiri | Tērā pea ka whero ētahi wāhi i mua i te putanga mai o te ponana. |
| Ngā tohu noa | Tērā pea ka pā mai te kirika, te mate pāwera, te makariri , te ānini, me te mamae o te puku. |
I ētahi wā, ka tīmata ēnei tohu, pērā i te mamae o ngā io me te rerekētanga o te kiri, i ngā wiki i mua i te putanga mai o te ponana. I muri i te toru ki te whā rā, ka huri te ponana hei pupuhi wai. I muri i te tekau rā, ka maroke ēnei pupuhi, ka hanga kiripaka. E hia wiki pea ka memeha katoa ngā kiripaka.
Ko te mea nui, ka pāngia ētahi tāngata e te mate kiriuhi, kāore he tohu, ko te mamae anake. Nō reira, ki te pāngia koe e ēnei tohu, me toro atu ki te tākuta, ahakoa kāore he tohu.
He aha tātou ka pāngia ai e te mate kiriuhi?
I te whakarapopototanga, i puta mai i te huaketo kotahi e mate ai te rewharewha. Ka kiia e mātou ko te huaketo Varicella-zoster (VZV) . Kia ora koe i te rewharewha, kāore te huaketo VZV e ngaro katoa i tō tinana. Ka noho moe tonu, pērā i te moe, i roto i ō pūtau io mō te wā roa.
Engari, ki te ngoikore te pūnaha ārai mate mō tētahi take, ka ara ake anō te huaketo moe. Ka haere mā roto i ngā io, ka tae ki te kiri, ka puta te mate kiriuhi. Nā te mea ka heke te ārai mate i te kaumātuatanga, ka nui ake te tūponotanga o te hunga neke atu i te 50 tau ki te pāngia e te mate kiriuhi. Waihoki, ko te hunga whai mate pēnei i te mate pukupuku, te HIV, te hunga rānei e tango ana i ngā rongoā ārai mate, he nui ake te tūponotanga.
He mate pāwera te mate kiriuhi mai i te tangata ki te tangata?
Koinei te wāhi e hē ai te tini o te tangata. Kia maumahara ki tēnei:
- Kāore e taea te pangia e te mate hukapapa mai i te tangata he mate hukapapa tōna.
- Heoi, ka taea e te tangata whai mate kiripaka te hora i te rewharewha ki te tangata kāore anō kia pangia e te rewharewha i mua.
Me pēhea te tupu? Kei roto i te wai mai i ngā pupuhi kiriuhi te huaketo VZV. Mēnā ka pā taua wai ki te kiri o tētahi kāore anō kia pangia e te rewharewha (hei tauira, he tamaiti nohinohi, he wahine hapu rānei), ka taea e taua tangata te pangia e te huaketo ka pāngia e te rewharewha. Nō reira, ahakoa he kiriuhi me he pupuhi tōu, he mea tino nui kia hipokina pai aua pupuhi, kia matara atu hoki i te hunga kāore anō kia pangia e te rewharewha.
Ngā raruraru o te mate kiriuhi
Ahakoa ka memeha noa te mate kiriuhi i te nuinga o te wā, ka pāngia ētahi tāngata e ngā raruraru. Ko te mea tino noa, ā, ko te mea tino mamae ko te mate e kiia nei ko te neuralgia post-herpetic .
Ko te tikanga o tēnei, ahakoa kua ora katoa ngā pupuhi o te kiri, ka mau tonu te mamae nui i taua io. Ka roa pea tēnei mamae mō ngā marama, tae noa ki ngā tau.
Hei tāpiritanga, tera atu anō ngā raruraru ka puta.
| Ngā raruraru | Whakaahuatanga |
|---|---|
| Ngā mate pāwera huakita | Ka taea e ngā huakita te uru ki roto i ngā mirumiru pakaru, ā, ka pāngia te kiri e ngā mate. |
| Ngā raruraru tirohanga | Ki te pā mai te mate kiriuhi ki ngā kanohi, ka arahi pea ki ngā mate kanohi, tae atu ki te ngaronga o te tirohanga. |
| Pararutiki kanohi | Te ngoikore o te io kanohi e mōhiotia ana ko te mate Ramsay Hunt. |
| Ngā raruraru whakarongo | Mena ka pāngia te taringa e te mate kiriuhi, ka ngaro pea te rongo me te tangi o ngā taringa (tinnitus). |
| Ētahi atu āhuatanga kino | He tino onge, ka pā mai ngā mate kino pēnei i te mate roro (encephalitis) me te niumōnia. |
Āhea koe me rapu maimoatanga me te tohutohu hauora?
Kāore he "rongoa" tino tika mō te mate kiriuhi. Heoi, kei reira ngā maimoatanga hei whakahaere i ngā tohu, hei tere ake te ora, hei whakaiti i te tūponotanga o ngā raruraru.
Ko te tikanga, ka tūtohu te tākuta i ngā rongoā e whai ake nei:
- Ngā rongoā ārai huaketo: Hei tauira, ngā rongoā pēnei i te Acyclovir. Ka tino whai hua ēnei rongoā ina tīmatahia i roto i ngā rā tuatahi e 3 o ngā tohu.
- Ngā rongoā whakamamae mamae: Ngā rongoā whakamamae mamae noa pērā i te Paracetamol, te Ibuprofen rānei.
- Corticosteroids: Mena kua pāngia ngā kanohi, ngā wāhanga rānei o te mata e te herpes zoster, ka taea te hoatu ēnei hei whakaiti i te pupuhi.
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 tō tākuta tonu . He pai ake te tīmata i te maimoatanga i te wā e taea ai.
| Āhea te haere ki te Wāhanga Maimoatanga Ohotata (ETU) |
|---|
Mena kei a koe tētahi o ngā tohu kino e whai ake nei me te mate shingles, haere tonu ki te tari urupare ohorere o te hōhipera (ETU):
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Ka taea te ārai i te mate hukapapa?
Āe, he huarahi hei whakaiti i tō tupono ki te pangia e te mate kiriuhi. Arā, ko te whiwhi i te kano ārai mate kiriuhi (Shingrix®) . Ka taea e koe te whiwhi i tēnei kano ārai mēnā kua pāngia koe e te rewharewha i mua. Ahakoa kua pāngia koe e te mate kiriuhi, ā, kua ora, e taunakihia ana kia whiwhi koe i tēnei kano ārai hei whakaiti i tō tupono ki te pangia anō a muri ake nei. Ka taea e koe te pātai atu ki tō tākuta mō ētahi atu kōrero mō tēnei.
Karere Tangohia ki te Kāinga
- He mate te kiriuhi parāoa i puta mai i te huaketo rewharewha i pā ki a koe i a koe e tamariki ana, ā, ka hoki anō ki te āhua o te mate i muri i ngā tau maha.
- Ko te tohu matua he ponana mamae, he pupuhi e puta ana i te taha kotahi o te tinana.
- Kāore e taea te pangia e te mate kiriuhi mai i te tangata he mate kiriuhi tōna. Heoi, ka taea e koe te pangia e te rewharewha mai i ō mirumiru ki te tangata kāore he rewharewha.
- Ina whakapae koe kei te pāngia koe e ngā tohu, me toro atu ki te tākuta tonu . Mā te tīmatanga wawe o te maimoatanga ka tino whakaiti i ngā raruraru.
- He kano ārai mate kei reira hei whakaiti i te tūponotanga o te pangia e te mate kiriuhi. Kōrero ki tō tākuta mō tēnei.
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