Shingles ndi matenda opweteka a kachilombo omwe amayambitsa ziphuphu pakhungu ndipo nthawi zina amatha kuwononga mitsempha. Amadziwikanso kuti Herpes Zoster, amachokera ku choyambitsa chodziwika bwino. Kodi mukukumbukira kuti munali ndi chickenpox muli mwana? Kachilombo komweko komwe kamayambitsa chickenpox—kachilombo ka varicella-zoster (VZV)—ndi komwe kamayambitsa shingles. Kodi mwadabwa? Tiyeni tiwone momwe izi zimachitikira.
Kodi Mumadwala Bwanji Matenda a Shingles? N’chifukwa Chiyani Kachilomboka Kamayambanso Kubwereranso?
Mwachidule, mutha kudwala matenda a shingles pokhapokha ngati mudadwalapo kale matenda a ndulu. Mukachira ku matenda a ndulu, kachilombo ka varicella-zoster (VZV) sikatuluka m'thupi lanu konse. M'malo mwake, kamagona mkati mwa maselo a mitsempha yanu, nkukhala chete—ngati kuti kagona.
Komabe, patapita zaka zambiri kapena zaka zambiri, kachilombo kameneka kangadzuke mwadzidzidzi—kutanthauza kuti kamayambiranso kugwira ntchito . Kakagwira ntchito, kamadutsa m'mitsempha yanu kupita ku khungu lanu, zomwe zimapangitsa kuti mukhale ndi vuto lopweteka lotchedwa shingles.
Akatswiri azachipatala nthawi zonse sadziwa chifukwa chake kachilomboka kamabwereranso. Komabe, chinthu chachikulu chomwe chimayambitsa matendawa nthawi zambiri chimakhala kufooka pang'onopang'ono kwa chitetezo chamthupi chanu mukakalamba . Ganizirani za chitetezo chamthupi chanu ngati mphamvu yodzitetezera ya thupi lanu. Chitetezo ichi chikafooka, kachilombo komwe kali m'thupi kamagwiritsa ntchito mwayi wodzuka ndikuukiranso.
Kodi Zizindikiro za Shingles Ndi Ziti? Kodi Mungadziwe Bwanji?
Chizindikiro chodziwika bwino komanso chofala cha shingles ndi kutupa pakhungu kowawa komanso kotupa . Matuza odzaza ndi madzi amenewa nthawi zambiri amawonekera mbali imodzi ya thupi lanu—nthawi zambiri amazungulira m'chiuno, pathupi, pankhope, pakhosi, kapena msana ngati lamba kapena lamba. Ngakhale nthawi zambiri amatsatira njira yosiyana iyi, nthawi zina amatha kuwonekera mbali zina za thupi lanu.
Zizindikiro Zoyambirira Zochenjeza ndi Zizindikiro Zotsatizana
Ziphuphu zisanayambe, kapena pambali pake, mungakumane ndi zizindikiro zina zingapo, kuphatikizapo:
- Kupweteka kwambiri, kutentha, kuluma, kapena kubaya mitsempha . Ichi nthawi zambiri chimakhala chizindikiro chovutitsa kwambiri.
- Kumva kuyabwa kapena dzanzi m'dera lomwe lakhudzidwa.
- Kufiira kapena kusintha kwa mtundu wa khungu komwe kumachitika m'dera linalake.
- Malungo.
- Kuzizira.
- Mutu .
- Kumva kutopa kapena kudwala (malaise).
- Kupweteka m'mimba, kuphatikizapo nseru pang'ono kapena kusapeza bwino m'mimba.
Nthawi zina, kupweteka kwa mitsempha ndi khungu kumatha kuyamba milungu ingapo chiphuphu chisanawonekere. Zizindikiro zina zofanana ndi chiphuphu zimatha kukhala masiku angapo chiphuphucho chisanachitike.
Pakatha masiku atatu kapena anayi kuchokera pamene zilonda zofiirazo zaonekera, ziphuphuzo zidzasanduka ziphuphu zodzaza ndi madzi. Pakatha masiku khumi, ziphuphuzi zidzayamba kuuma ndikupanga ziphuphu . Zingatenge milungu ingapo kuti ziphuphuzo ziphiretu ndi kutha.
Kodi Aliyense Amamva Chisoni?
Ngakhale kuti ziphuphu zotupa ndi chizindikiro chodziwika bwino cha ziphuphu zotupa, nthawi zina, mutha kudwala ziphuphu popanda kutupa . Ichi ndichifukwa chake, ngati mukumva kupweteka kwa mitsempha ndi zizindikiro zina, muyenera kuonana ndi dokotala nthawi yomweyo, ngakhale khungu lanu litakhala loyera.
Kodi Matenda a Shingles Amapatsirana?
Funso limeneli ndi lofala kwambiri. Simungathe kugwira ma shingles mwachindunji kuchokera kwa munthu amene ali nawo. Izi zikutanthauza kuti ngati muli ndi ma shingles omwe akugwira ntchito, simungathe kudzipatsa ma shingles okha kwa munthu wina.
Komabe, ngati munthu amene sanalandirepo katemera wa chickenpox (kapena katemera wa chickenpox) akhudzana mwachindunji ndi madzi ochokera ku matuza anu a shingles, kapena kupuma tinthu tating'onoting'ono tomwe timatuluka m'mlengalenga, akhoza kutenga chickenpox.Kuti timvetse bwino: adzadwala nthenda ya nkhuku, osati nthenda ya shingles, chifukwa matenda onsewa amayamba chifukwa cha kachilombo komweko.
Pachifukwa ichi, ngati muli ndi shingles, ndikofunikira kwambiri kupewa anthu omwe ali pachiwopsezo—monga makanda, amayi apakati, ndi aliyense amene ali ndi chitetezo chamthupi chofooka—mpaka matuza anu atayamba kuphulika.
Ndani Ali Pachiopsezo Chachikulu Chokhala ndi Shingles?
Ngakhale aliyense amene adadwalapo nthenda ya chickenpox akhoza kudwala shingles, magulu ena amakumana ndi chiopsezo chachikulu cha matendawa. Muli pachiwopsezo chachikulu ngati:
- Ali ndi chitetezo chamthupi chofooka: Mwachitsanzo, anthu omwe akulimbana ndi khansa '(khansa)', omwe ali ndi kachilombo ka HIV '( HIV )', kapena omwe akumwa mankhwala oletsa chitetezo chamthupi '( mankhwala oletsa chitetezo chamthupi)'.
- Ali ndi zaka zoposa 50 : Chiwopsezo chanu chimawonjezeka mwachibadwa pamene chitetezo chanu cha mthupi chikukalamba.
Akatswiri ambiri azachipatala amakhulupiriranso kuti kupsinjika maganizo kapena thupi kungayambitse matenda a shingles . Ngakhale kuti kugwirizana kumeneku kungakhale kovuta kutsimikizira, kupsinjika maganizo kwambiri kumalepheretsa chitetezo cha mthupi lanu kwakanthawi, zomwe zimapangitsa kuti kachilombo kamene kali m'thupi kasachoke mosavuta.
Kodi Mavuto Otani Amene Angabwere Chifukwa cha Shingles? Kodi Ndi Oopsa?
Ngakhale kuti anthu ambiri amachira bwino popanda mavuto a nthawi yayitali, nthawi zina ma shingles angayambitse mavuto aakulu azachipatala.
Vuto lofala kwambiri komanso lofooketsa la shingles ndi Postherpetic Neuralgia (PHN) , lomwe ndi ululu wosatha wa mitsempha womwe umapitirira nthawi yayitali ziphuphu zanu zitachira kwathunthu. Ululu uwu ukhoza kukhalapo kwa miyezi kapena zaka, ndipo kwa ena, ukhoza kukhala woopsa kwambiri komanso wosokoneza moyo.
Mavuto ena omwe angakhalepo chifukwa cha shingles ndi awa:
- Matenda a pakhungu la bakiteriya `(Matenda a bakiteriya)` (makamaka ngati mukanda matuza).
- Matenda oopsa a maso ndi kutupa ngati ma shingles achitika pafupi ndi maso, zomwe zingayambitse kutayika kwa masomphenya kosatha.
- Kufa ziwalo kwa nkhope `(Facial paralysis)`, komwe kumadziwika kuti Ramsay Hunt syndrome `(Ramsay Hunt syndrome)`.
- Kutaya kumva, kulira m'makutu `(Tinnitus)`, kapena mavuto ena okhudzana ndi khutu.
- Kutupa kwa ubongo, komwe kumatchedwanso encephalitis `(Encephalitis)`.
- Mavuto a chizungulire kapena kusakhazikika bwino `(Vertigo)`.
- Chibayo `(Chibayo)`.
Ngakhale kuti matendawa ndi osowa kwambiri, koma matenda aakulu a shingles angayambitse mavuto oopsa. Ichi ndichifukwa chake simuyenera kunyalanyaza vutoli.
Kodi Matenda a Shingles Amapezeka Bwanji?
Kawirikawiri, dokotala amatha kuzindikira matenda a shingles pongotenga mbiri yanu yachipatala ndikufufuza ziphuphu zanu. Ngati ziphuphuzo zikugwirizana bwino ndi njira inayake ya mitsempha—yomwe imadziwika kuti dermatome `(Dermatomes)`—ndipo zimakhala mbali imodzi ya thupi lanu popanda kudutsa pakati , n'zotheka kuti ndi matenda a shingles.
Ngati matendawa sakudziwika bwino, dokotala wanu angakupopereni pang'onopang'ono chimodzi mwa matuza anu kuti akatenge chitsanzo chaching'ono ndikuchitumiza ku labotale kuti akatsimikizire.
Kodi Mankhwala a Shingles Ndi Otani?
Ngakhale kuti palibe mankhwala a shingles, pali mankhwala othandiza kwambiri omwe angathandize kuchepetsa zizindikiro zanu, kukuthandizani kuchira msanga, komanso kuchepetsa chiopsezo chanu cha mavuto. Dokotala wanu angakulangizeni njira zotsatirazi:
- Mankhwala Oletsa Mavairasi `(oletsa mavairasi)`:Izi ndi maziko a chithandizo chanu. Zitsanzo zikuphatikizapo Acyclovir `(Acyclovir)` (dzina lodziwika bwino la Zovirax®), Famciclovir `(Famciclovir)` (dzina lodziwika bwino la Famvir®), ndi Valacyclovir `(Valacyclovir)` (dzina lodziwika bwino la Valtrex®). Ndikofunikira kwambiri kuyamba kugwiritsa ntchito mankhwala oletsa mavairasi awa mwachangu momwe mungathere—mkati mwa masiku atatu kuchokera pamene ziphuphu zayamba kuonekera. Kuyayamba msanga kumathandiza kuchepetsa ululu, kumafulumizitsa kuchira, komanso kumachepetsa kwambiri mwayi wanu wokhala ndi ululu wosatha wa mitsempha monga Postherpetic Neuralgia.
- Mankhwala Ochepetsa Ululu: Mankhwala operekedwa ndi dokotala monga acetaminophen `(Acetaminophen)` (monga Tylenol®) kapena ibuprofen `(Ibuprofen)` (monga Motrin® kapena Advil®) angathandize kuchepetsa ululu. Pa ululu waukulu wa mitsempha, dokotala wanu angakupatseni mankhwala amphamvu ochepetsa ululu kapena mankhwala okhudza mitsempha.
- Corticosteroids `(corticosteroids)`: Ngati shingles ikukhudza maso anu kapena mitsempha ina yofunika kwambiri ya nkhope, dokotala wanu angakulembeni izi kuti achepetse kutupa kwakukulu ndi kutupa. Komabe, izi sizoyenera wodwala aliyense.
Kuphatikiza apo, dokotala wanu adzakulangizani kuti musunge ziphuphu zoyera komanso zouma, pakani mafuta ochepetsa kuyabwa, ndikugwiritsa ntchito ma compress ozizira komanso onyowa kuti muchepetse khungu lomwe likuyaka.
Kodi Muyenera Kuonana ndi Dokotala Liti?
Ngati mukuganiza kuti muli ndi matenda a shingles, chonde funsani dokotala mwamsanga . Monga tanenera, kuyamba mankhwala oletsa mavairasi nthawi yomweyo kumakupatsani mwayi wabwino wochira mwachangu komanso momasuka.
Kodi Muyenera Kupita ku Chipinda Chodzidzimutsa Liti (ER) ?
Zizindikiro zina zoopsa zimafuna chithandizo chamankhwala mwachangu komanso chopulumutsa moyo. Pitani ku dipatimenti yapafupi yadzidzidzi nthawi yomweyo ngati mukukumana ndi izi:
- Mutu woopsa kwambiri, mwadzidzidzi.
- Kusintha kwa masomphenya anu, kupweteka kwambiri kwa maso, kapena kukhudzidwa kwambiri ndi kuwala.
- Khosi lolimba.
- Kusokonezeka maganizo, kusintha kwa maganizo, kapena kuvutika kuganiza bwino.
- Kufooka kwa minofu mwadzidzidzi kapena kufooka kwa nkhope.
Chonde musadikire ngati muwona zizindikiro zofiira izi—funani thandizo lachipatala mwamsanga.
Kodi Ma Shingles Angapewedwe?
Inde, njira yopewera matenda yothandiza kwambiri ilipo. Ngati mwakhalapo ndi nthenda ya chickenpox, njira yabwino kwambiri yodzitetezera ndi katemera wa shingles . Katemera wovomerezeka pano, Shingrix® `(Shingrix®)`, ndi wothandiza kwambiri kuposa 90%. Ngakhale mutakhala kale ndi shingles kale, kapena mudalandira kale katemera wakale wa Zostavax® `(Zostavax®)`, kulandira katemera watsopano ndi njira yabwino kwambiri. Ngati muli ndi zaka 50 kapena kuposerapo, lankhulani ndi dokotala wanu za katemera.
Komanso, ngati muli ndi ma shingles omwe akugwira ntchito, sungani ziphuphu zanu zophimba ndipo musamakhudze anthu ena mpaka ziphuphu zitayamba kuonekera. Gawo losavuta ili lithandiza kupewa kufalitsa kachilomboka kwa ana osalandira katemera, amayi apakati, ndi anthu ena ofooka.
Kodi Matenda a Shingles Ndi Otani? Amatenga Nthawi Yaitali Bwanji?
Kuchokera pa chizindikiro choyamba cha zizindikiro, ziphuphu za shingles nthawi zambiri zimatenga milungu itatu mpaka isanu kuti zichiritsidwe kwathunthu . Zizindikiro zina zambiri, kuphatikizapo kupweteka kwa mitsempha, nthawi zambiri zimayamba kuchepa mkati mwa masiku asanu ndi awiri mpaka khumi.
Anthu ambiri amachira kwathunthu ku matenda a shingles popanda kukumana ndi mavuto a nthawi yayitali. Kumwa mankhwala oletsa mavairasi mkati mwa masiku atatu kuchokera pamene zizindikiro zayamba ndiye njira yabwino kwambiri yopititsira patsogolo kuchira kumeneku.
Komabe, anthu ena amakhala ndi zizindikiro zoopsa kwambiri moti amafunika kugonekedwa kuchipatala. Kuphatikiza apo, pafupifupi munthu m'modzi mwa asanu omwe amadwala shingles mwatsoka amakhala ndi Postherpetic Neuralgia (ululu wa mitsempha wosatha) .
Kodi Mungathe Kupeza Matenda a Shingles Kangapo?
Inde, n'zotheka kupeza shingles kangapo.Mwamwayi, kubwereranso kwa matendawa sikuchitika kawirikawiri pokhapokha ngati chitetezo cha mthupi chanu chili pangozi yaikulu. Ngati ma shingles abwereranso, ziphuphuzo nthawi zambiri zimaonekera pamalo osiyana ndi nthawi yoyamba.
Kodi Mungapeze Matenda a Shingles Ngati Simunakhalepo ndi Nkhuku?
Ayi, simungadwale matenda a shingles ngati simunadwalepo nthenda ya nkhuku. Matenda a shingles ndi matenda omwe amayambitsanso kachilombo ka varicella-zoster komwe kali m'thupi lanu. Nthawi zambiri, anthu omwe adalandira katemera wa nthenda ya nkhuku yomwe yachepa ali ana amatha kudwala nthenda ya shingles akakula, ngakhale kuti nthawi zambiri matendawa amakhala ochepa.
Mfundo Zazikulu: Zimene Muyenera Kukumbukira
Nthawi zambiri timaganiza za matenda a nkhuku a ubwana ngati kukumbukira kwakale, koma kachilomboka kamatha kubwerera mu mawonekedwe opweteka kwambiri pamene sitikuyembekezera. Matenda a shingles samangokhudza thanzi lanu komanso chitonthozo chanu, komanso amabweretsa chiopsezo chofalitsa matenda a nkhuku kwa ana omwe sanalandire katemera ndi anthu ena ofooka omwe ali pafupi nanu.
Ngakhale kuti anthu ambiri amachira kwathunthu popanda mavuto okhalitsa, kukhala maso pa zizindikiro zanu ndi kudziwa nthawi yoti mupeze chithandizo chamankhwala mwachangu ndikofunikira kwambiri. Ngati chitetezo chanu cha mthupi chili chofooka, kutenga njira zodzitetezera ndikofunikira kwambiri.
Ngati mukuganiza kuti matenda a shingles ayamba, chonde funsani dokotala nthawi yomweyo. Kuthandiza mwamsanga ndiyo njira yabwino kwambiri yothetsera kusasangalala kwanu ndikuteteza thanzi lanu kwa nthawi yayitali. Musachite mantha, koma chonde musazengereze!
Ma Shingles, Herpes Zoster, Varicella-zoster virus, Kupweteka kwa mitsempha, Kutupa pakhungu, Chithandizo cha ma Shingles, Katemera wa ma Shingles
