Matenda a shingles ndi opweteka kwambiri, sichoncho? Tiyeni tikambirane mwatsatanetsatane!

Matenda a shingles ndi matenda opatsirana omwe amayambitsa matuza opweteka pakhungu ndipo nthawi zina amatha kuwononga mitsempha. Anthu ena amatchanso kuti Herpes Zoster. Kodi mukukumbukira kudwala matenda a pyogenic pyogenic pyogenic pyogenic pyogenic pyogenic pyogenic pyogenic pyogenic pyogenic pyogenic pyogenic pyogenic pyogenic pyogenic pyogenic pyogenic pyogenic pyogenic pyogenic pyogenic pyogenic pyogenic pyogenic pyogenic pyogenic pyogenic pyogenic pyogenic pyogenic pyogenic pyogenic pyogenic pyogenic pyogenic pyogenic pyogenic pyogenic pyogenic pyogenic pyogenic pyloniasis? Kachilombo kameneka kamayambitsa matenda a pyogenic pylonius ...

Kodi ma shingles amakula bwanji? N’chifukwa chiyani kachilomboka kamabwereranso?

Mwachidule, mutha kutenga shingles pokhapokha ngati mudadwalapo nkhuku kale. Pambuyo pa nkhuku, kachilomboka, kotchedwa varicella-zoster virus (VZV), sikatha kwathunthu m'thupi lanu. Kamakhala chete, kutanthauza kuti sikachita chilichonse, m'maselo athu amitsempha. Zili ngati kugona. Koma nthawi zina, patatha zaka zambiri, kachilomboka kameneka kamadzuka mwadzidzidzi, kutanthauza kuti kamayambanso kugwira ntchito . Kamayamba kugwira ntchito ndikuyenda m'mitsempha, zomwe zimayambitsa vutoli lotchedwa shingles. Madokotala sanganene chifukwa chake kachilomboka kamayambanso kugwira ntchito mwadzidzidzi. Koma nthawi zambiri, izi zimachitika chifukwa chitetezo chathu cha mthupi chimafooka pang'onopang'ono pamene tikukalamba . Chitetezo cha mthupi chimakhala ngati asilikali m'thupi lathu omwe amatiteteza ku matenda. Chifukwa chake dongosololi likafooka, kachilombo kobisika kamapeza mwayi wokweza mutu wake kachiwiri.

Kodi zizindikiro za shingles ndi ziti? Kodi mumazindikira bwanji?

Chizindikiro chachikulu komanso chodziwika bwino cha shingles ndikuwoneka kwa matuza opweteka, nthawi zina odzaza ndi madzi . Matuza amenewa nthawi zambiri amawonekera mbali imodzi ya thupi, monga m'chiuno, nkhope, khosi, pachifuwa, m'mimba, kapena msana. Amawonekera mosalekeza, ngati lamba. Komabe, nthawi zina amatha kuwonekera mbali zina za thupi.

Zizindikiro zina zomwe zimabwera ndi mliriwu, ngakhale usanabwere

Zizindikiro zina zingawonekere zisanachitike kapena pamodzi ndi ziphuphuzi.

• Ululu wa mitsempha womwe umamveka wakuthwa, woyaka, kapena wobaya. Ili ndiye vuto lalikulu kwa anthu ambiri.
• Kumva kuyabwa kapena kunjenjemera m'derali.
• Kufiira kwa khungu kapena kusintha kwa mtundu.
• Malungo.
• Kumva kuzizira (kuzizira).
• Mutu .
• Kumva chisoni chachikulu, kumverera kopanda moyo.
• M'mimba mukuvutika, kutanthauza kuti mukumva nseru, ngati kuti m'mimba mwanu mukutembenuka.

Taganizirani izi, nthawi zina zizindikiro izi monga kupweteka kwa mitsempha ndi kusintha kwa mtundu wa khungu zimatha kuyamba milungu ingapo matuza asanayambe. Zizindikiro zina nthawi zina zimatha kuonekera masiku angapo matuza asanayambe. Matuza amatuluka, zomwe zikutanthauza kuti adzatuluka matuza , mkati mwa masiku atatu kapena anayi.Pakatha masiku pafupifupi khumi, matuza awa amauma ndipo amasanduka matuza . Zingatenge milungu ingapo kuti matuza awa agweretu.

Kodi aliyense amavulala?

Ngakhale kuti shingles nthawi zambiri imabweretsa matuza m'maganizo, nthawi zambiri anthu ena amatha kukhala ndi matuza popanda matuza . Chifukwa chake, ngati muli ndi zizindikiro zina za shingles, ngakhale mutakhala kuti mulibe matuza, onetsetsani kuti mwawonana ndi dokotala.

Kodi matenda a shingles ndi opatsirana?

Funso limene anthu ambiri amafunsa ndi ili. Simungatenge matenda a shingles kuchokera kwa munthu wina amene ali ndi matenda a shingles. Izi zikutanthauza kuti, ngati muli ndi matenda a shingles, simungatenge matenda a shingles kuchokera kwa munthu wina. Komabe, ngati muli ndi matenda a shingles, munthu amene sanadwale matenda a shingles akhoza kutenga matenda a shingles ngati atakhudzana mwachindunji ndi madzi ochokera m'matuza anu kapena ngati akupuma madontho ang'onoang'ono ochokera m'matuza amenewo. Mwamvetsa? Osati matenda a shingles, koma matenda a shingles. Chifukwa onsewa amayamba chifukwa cha kachilombo komweko. Chifukwa chake, ndikofunikira kwambiri kupewa anthu omwe sanadwale matenda a shingles pamene muli ndi matenda a shingles, makamaka mpaka matuzawo atauma ndi kuphulika, monga ana aang'ono, amayi apakati, ndi anthu omwe ali ndi chitetezo chamthupi chofooka.

Ndani ali pachiopsezo chachikulu chotenga matenda a shingles?

Ngakhale kuti aliyense amene wakhalapo ndi nthenda ya chickenpox akhoza kudwala matenda a shingles, anthu ena ali pachiopsezo chachikulu. Izi zikuphatikizapo:

• Anthu omwe ali ndi chitetezo chamthupi chofooka: Mwachitsanzo, anthu omwe ali ndi khansa, anthu omwe ali ndi kachilombo ka HIV , kapena anthu omwe akumwa mankhwala oletsa chitetezo chamthupi.
• Anthu azaka zopitirira 50: Chiwopsezochi chimakhala chachikulu chifukwa chitetezo cha mthupi chimachepa mwachibadwa ndi ukalamba.

Madokotala ena amakhulupirira kuti kupsinjika maganizo kungayambitsenso matenda a shingles , koma n'zovuta kutsimikizira zimenezo. Komabe, popeza chitetezo chathu cha mthupi chimafooka tikakhala ndi nkhawa kwambiri, n'zotheka kuti izi zitha kukhala ndi zotsatira zinazake.

Kodi mavuto omwe amabwera chifukwa cha ma shingles ndi otani? Kodi awa ndi oopsa?

Ngakhale kuti ma shingles nthawi zambiri amatha popanda mavuto aakulu, nthawi zina mavuto amatha kuchitika.

Vuto lofala komanso losautsa la shingles ndi postherpetic neuralgia . Uwu ndi ululu wa mitsempha womwe umapitirira ngakhale ziphuphu zitachira. Ululu uwu ukhoza kukhalapo kwa miyezi ingapo, ngakhale zaka, ndipo kwa anthu ena, ukhoza kukhala wosapiririka.

Mavuto ena angaphatikizepo:

• Matenda a bakiteriya pakhungu (ngati khungu lakanda).
• Ngati ma shingles akuchitika mozungulira maso,Matenda oopsa monga kutayika kwa maso chifukwa cha matenda a maso.
• Matenda a kuuma kwa nkhope, dzina lapadera la matendawa, ndi Ramsay Hunt syndrome.
• Kutaya kumva, tinnitus, ndi mavuto ena a khutu.
• Encephalitis ndi kutupa kwa ubongo.
• Chizungulire ndi chizungulire.
• Chibayo.

Ngakhale kuti sizichitika kawirikawiri, ma shingles amathanso kupha, choncho si chinthu chopepuka.

Kodi madokotala amazindikira bwanji matenda a shingles?

Dokotala nthawi zambiri amazindikira matenda a shingles mwa kufunsa za zizindikiro zanu ndikuyang'ana ziphuphu. Makamaka ngati ziphuphuzo zili m'mphepete mwa mitsempha, kapena pamalo enaake a khungu otchedwa dermatome, ndipo zili mbali imodzi ya thupi, osati pakati pa mzere , nthawi zambiri zimakhala ziphuphu. Nthawi zina, ngati dokotala wanu akufuna, angatenge chitsanzo cha ziphuphuzo ndikuzitumiza ku labu kuti atsimikizire matendawa.

Kodi mankhwala a shingles ndi otani?

Palibe mankhwala a shingles pakadali pano. Komabe, pali mankhwala omwe angathandize kuchepetsa zizindikiro, kufulumizitsa kuchira, komanso kuchepetsa chiopsezo cha zovuta. Dokotala wanu angakulangizeni izi:

• Mankhwala oletsa mavairasi: Awa ndi mankhwala ofunikira kwambiri. Zitsanzo ndi monga acyclovir (dzina lodziwika bwino la Zovirax®), famciclovir (dzina lodziwika bwino la Famvir®), ndi valacyclovir (dzina lodziwika bwino la Valtrex®). Ndikofunikira kuyamba kumwa mankhwalawa mwachangu, mkati mwa masiku atatu kuchokera pamene ziphuphu zayamba. Izi zingathandize kuchepetsa ululu, kuchira msanga, komanso kuchepetsa chiopsezo cha zovuta monga post-herpetic neuralgia.
• Mankhwala ochepetsa ululu: Mankhwala ogulitsidwa kunja kwa chipatala monga paracetamol (ku US, acetaminophen - mwachitsanzo Tylenol®) kapena ibuprofen (monga Motrin®, Advil®) angagwiritsidwe ntchito. Nthawi zina mankhwala amphamvu ochepetsa ululu angakupatseni mankhwala.
• Corticosteroids: Ngati ma shingles akhudza maso kapena ziwalo zina za nkhope, mankhwalawa angaperekedwe kuti achepetse kutupa. Komabe, si aliyense amene amapatsidwa mankhwalawa.

Kuphatikiza apo, dokotalayo akulangiza kuti malowo azikhala aukhondo, kugwiritsa ntchito chinthu monga calamine lotion kuti muchepetse kuyabwa, ndikupukuta ndi nsalu yoviikidwa m'madzi ozizira.

Kodi ndiyenera kupita kwa dokotala liti?

Ngati mukuganiza kuti muli ndi zizindikiro za shingles, pitani kwa dokotala mwamsanga . Monga tanenera kale, muli ndi ubwino wambiri kuyambira msanga kumwa mankhwala oletsa mavairasi.

Kodi ndiyenera kupita liti ku Emergency Treatment Unit (ETU) ?

Ngati mukuona zizindikiro za mavuto aakulu, muyenera kupita kuchipatala mwamsanga. Zizindikiro izi ndi izi:

• Mutu wopweteka kwambiri.
• Kusintha kwa masomphenya, kupweteka kwa maso, kulephera kuyang'ana kuwala.
• Khosi lolimba.
• Kusokonezeka, kusintha kwa chidziwitso.
• Kufooka kwa minofu kapena kufooka kwa minofu.

Ngati mukuona chinthu chonga ichi, musachedwe.

Kodi ma shingles angapewedwe?

Inde, mpaka pamlingo winawake. Ngati munakhalapo ndi nthenda ya chickenpox kale, njira yabwino yochepetsera chiopsezo chanu chotenga nthenda ya chickenpox ndikutenga katemera wa shingles . Katemera wa Shingrix®, womwe ulipo pano, ndi wothandiza kwambiri. Ngakhale mutakhalapo ndi nthenda ya chickenpox kale kapena munalandirapo katemera wakale, Zostavax®, mukulangizidwabe kuti mupeze katemera watsopanoyu. Ngati muli ndi zaka zoposa 50, lankhulani ndi dokotala wanu za katemerayu. Komanso, sungani matuza anu a shingles otsekedwa mpaka atauma kwathunthu ndipo muchepetse kukhudzana ndi anthu ena. Izi zikuthandizani kupewa kufalitsa kachilombo ka chickenpox kwa ena, makamaka ana aang'ono.

Kodi mungayembekezere chiyani mukadwala shingles? Zidzakhalapo kwa nthawi yayitali bwanji?

Nthawi zambiri zimatenga milungu itatu mpaka isanu kuchokera pamene zizindikiro zoyamba zimawonekera kuti zichotse matuza onse. Zizindikiro zina, monga ululu, nthawi zambiri zimayamba kuchepa mkati mwa masiku asanu ndi awiri mpaka khumi. Anthu ambiri amachira ku ma shingles popanda mavuto a nthawi yayitali. Kumwa mankhwala oletsa mavairasi mkati mwa masiku atatu zizindikirozo zitayamba kuonekera kungakuthandizeni kuchira mwachangu. Komabe, anthu ena amakhala ndi zizindikiro zoopsa ndipo angafunike kupita kuchipatala. Pafupifupi munthu m'modzi mwa asanu omwe ali ndi ma shingles amakhala ndi postherpetic neuralgia, vuto lomwe lingakhalepo kwa nthawi yayitali .

Kodi ma shingles angabwerenso?

Inde, mutha kudwala matenda a shingles kangapo. Koma si zachilendo, makamaka ngati chitetezo cha mthupi chanu sichinafooke. Ngati mutadwalanso matendawa, nthawi zambiri sabwerera kumalo omwewo kumene mudawatenga koyamba.

Kodi munthu amene sanadwalepo nthenda ya chickenpox angadwale shingles?

Ayi, simungadwale matenda a shingles ngati simunadwalepo nthenda ya nkhuku kale. Matenda a shingles ndi omwe amachititsa kuti kachilombo ka shingles kayambenso kugwira ntchito. Nthawi zambiri, anthu omwe adalandira katemera wa nthenda ya shingles amatha kudwala matenda a shingles patatha zaka zambiri, chifukwa katemerayu amakhala ndi kachilombo kamoyo kofooka.

Kumbukirani chinthu chofunika kwambiri (Uthenga Wopita Nawo Kunyumba)

Tinkaganiza kuti nthenda ya nkhuku kuyambira tili ana inali chinthu chomwe tinaiwala, koma nthawi zina imatha kubwerera m'njira yopweteka kwambiri, sichoncho? Matenda a shingles ndi matenda omwe amatha kufalikira osati kwa inu nokha, komanso kwa ena, monga ana aang'ono, omwe sanakumanepo ndi kachilomboka.

Ngakhale kuti anthu ambiri amachira matenda a shingles popanda mavuto a nthawi yayitali, ndikofunikira kudziwa zizindikiro zake ndikudziwa nthawi yoyenera kupita kuchipatala. Muyenera kusamala kwambiri ngati chitetezo chanu cha mthupi chili chofooka.

Pitani kwa dokotala mukangoyamba kukhala ndi zizindikiro za shingles. Kenako mutha kupeza thandizo lothana ndi zizindikiro zanu mpaka mutachira. Musachite mantha, koma musachedwe! Shingles, Herpes Zoster, Varicella-zoster virus, Kupweteka kwa mitsempha, Kutupa pakhungu, Chithandizo cha shingles, Katemera wa shingles