Kodi tiphunzire zambiri za "matenda a Mulungu" ovuta omwe amamveka ngati lamba wozungulira thupi - kutanthauza, ma shingles?

Mwina mwamvapo za matenda otchedwa "matenda a Mulungu." Anthu ena amaopa. Koma lero tikambirana za matenda omwe amaoneka ngati gulu mbali imodzi ya thupi, opweteka pang'ono, ndipo amayambitsa matuza. M'mawu azachipatala, timatcha matenda a Shingles kapena Herpes Zoster . Tiyeni tiwone chomwe chili, momwe chimakulira, zizindikiro zake ndi ziti, komanso momwe mungadzitetezere ku matendawa ndikupeza chithandizo.

Kodi ma shingles awa ndi chiyani?

Mwachidule, shingles ndi ziphuphu zopweteka kapena ziphuphu pamwamba pa khungu zomwe zimayambitsidwa ndi kachilombo komwe kamalowa m'mitsempha (yomwe imatchedwanso mitsempha) pansi pa khungu lathu. Zimatchedwanso Herpes Zoster. Nthawi zambiri, ziphuphuzi zimawonekera mbali imodzi yokha ya thupi , ngati lamba. Ndicho chifukwa chake anthu ena amatcha "matenda omwe amabwera ngati lamba." Amawonekera ndi kutupa kwakukulu kwa khungu.

Kodi ma shingles amakula bwanji? Kodi chimayambitsa ndi chiyani?

Chifukwa chachikulu cha izi ndi kachilombo ka Varicella-Zoster . Kodi mukukumbukira kudwala nthenda ya nkhuku muli mwana? Iyi ndi kachilombo komwe kamayambitsa nthenda ya nkhuku.

Choncho, munthu akachira ku nthenda ya nkhuku, kachilombo ka Varicella-Zoster sikatha kwathunthu m'thupi lathu. Kamakhalabe chete, kapena kugona, m'mbali zina za mitsempha yathu. Zimakhala ngati kuti kakubisala.

Kachiromboka kangakhale kosagwira ntchito kwa zaka zambiri popanda kuyambitsa mavuto. Komabe, nthawi zina, pazifukwa zina - mwachitsanzo, ndi ukalamba (nthawi zambiri munthu akakwanitsa zaka 50), pamene chitetezo cha mthupi chimachepa (monga pamene mphamvu ya thupi yolimbana ndi matenda imachepa), kapena pamene pali kupsinjika maganizo kosalekeza, kapena chifukwa cha mankhwala ena (monga mankhwala a khansa ) - kachiromboka kosagwira ntchito kamayamba kugwira ntchito kachiwiri. Pamenepo ndi pamene matendawa amaonekera ngati ma shingles.

Izi zikutanthauza kuti aliyense amene wakhalapo ndi nthenda ya chickenpox, kaya ali mwana, wachinyamata, kapena wamkulu, ali pachiwopsezo chotenga nthenda ya chickenpox mtsogolo. Koma kumbukirani kuti si aliyense amene wakhalapo ndi nthenda ya chickenpox amene adzadwala nthenda ya chickenpox.

Kawirikawiri, munthu amadwala matenda a shingles kamodzi kokha m'moyo wake. Mwayi woti adwale matendawa kachiwiri ndi wosowa kwambiri, koma sikuti sungatheke.

Matenda a shingles amapezeka kwambiri mwa anthu azaka zopitirira 50. Komabe, monga ndanenera kale, amatha kukhudza aliyense wazaka zilizonse.

Kodi zizindikiro za shingles ndi ziti? Kodi mumazindikira bwanji?

Zizindikiro za shingles ndi zosiyana pang'ono. Zizindikiro zina zingawonekere zipsera zisanawonekere. Tiyeni tiwone zomwe zili.

• Zizindikiro zoyambirira (ziphuphu zisanawonekere): Kawirikawiri, masiku angapo (nthawi zina tsiku limodzi mpaka asanu) ziphuphu zisanachiritsidwe, mungamve kutentha, dzanzi, kumva kuwawa, kapena kupweteka kwambiri pamalo omwe panachitika ziphuphu. Kwa anthu ena, ululuwu ukhoza kukhala wakuthwa, monga mpeni, singano , kapena kumva kuwawa. Kwa ena, ungamve ngati kutentha. Ichi nthawi zambiri chimakhala chizindikiro choyamba.

• Matuza: Kenako, mkati mwa tsiku limodzi kapena asanu, khungu lomwe lili pamalo omwe ululuwo umakhala lidzakhala lofiira ndipo matuza ang'onoang'ono (matuza ang'onoang'ono) amayamba kuonekera. Izi nthawi zambiri zimakhala mbali imodzi ya thupi (kumanja kokha, kumanzere kokha). Zingawoneke ngati lamba wozungulira chiuno, kapena zingawoneke mbali imodzi ya chifuwa, kapena zingawoneke ngati mzere mbali imodzi ya nkhope (mphumi, masaya, chibwano).

Tangoganizirani, zikuoneka ngati winawake wajambula utoto wofiira mbali imodzi yokha ya thupi, ndi madontho ang'onoang'ono a madzi pamwamba pake.

• Kupangika kwa matuza : Matuza ang'onoang'ono awa amasanduka matuza odzaza mafinya mkati mwa tsiku limodzi kapena awiri. Pakatha masiku 7 mpaka 10, matuza awa amaphulika ndipo amapangika matuza . Matuza awa amakhala ndi mtundu wachikasu-bulauni.

• Kuchira: Mabala omwe amapangika amauma ndikugwa pakatha milungu iwiri kapena inayi. Nthawi zina, chilonda chaching'ono kapena kusintha kwa mtundu wa khungu (khungu limatha kuoneka lofiirira kapena lakuda) kumatha kukhalabe m'malo amenewo.

Ululu umasiyana malinga ndi munthu. Anthu ena amamva ululu wochepa, pomwe ena amamva ululu wosapiririka. Ululu uwu ndi wofala kwambiri kwa okalamba, ndipo nthawi zambiri umakhalapo ngakhale bala litachira (tidzakambirana za izi mtsogolo).

Kodi matenda a shingles ndi opatsirana?

Ili ndi vuto lomwe anthu ambiri ali nalo. Matenda a shingles samafalikira mwachindunji kuchokera kwa munthu wina kupita kwa wina. Izi zikutanthauza kuti, simungatenge matenda a shingles pongokhudza munthu amene ali ndi matendawa.

Koma, apa pali chinthu china choti mumvetse. Matuza odzaza mafinya a munthu amene ali ndi ma shingles ali ndi kachilombo ka Varicella-Zoster. Chifukwa chake, ngati munthu amene sanadwalepo chickenpox kapena amene sanalandire katemera wa chickenpox akhudzana mwachindunji ndi matuza amenewo, kutanthauza kuti, ngati akhudza madzi omwe amatuluka m'matuzawo, munthu ameneyo akhoza kutenga chickenpox, osati ma shingles.

Chifukwa chake, munthu amene ali ndi shingles:

• Muyenera kuphimba matuza anu bwino (monga ndi bandeji yoyera, yosamamatira).
• Muyenera kupewa kukanda kapena kutola matuza.
• Nthawi zonse muyenera kusamba m'manja bwino ndi sopo.
• Kukumana kwambiri ndi amayi apakati, makanda obadwa kumene, ndi anthu omwe ali ndi chitetezo chamthupi chofooka (monga odwala khansa, odwala kachilombo ka HIV, olandira ziwalo zina) kuyenera kupewedwa, makamaka mpaka matuza atauma kwathunthu ndikukhala ndi crust.

Zilonda zikauma ndi kutumphuka, kachilomboka sikangathenso kufalikira.

Kodi mavuto omwe angakhalepo chifukwa cha shingles ndi ati?

Ngakhale kuti matenda a shingles nthawi zambiri amatha mkati mwa milungu ingapo, anthu ena amatha kukhala ndi mavuto . Ndikofunikira kudziwa izi.

• Postherpetic Neuralgia (PHN): Iyi ndi vuto lofala kwambiri komanso losautsa. Limadziwika ndi ululu waukulu wa mitsempha womwe umapitirira kwa miyezi ingapo kapena zaka zambiri pambuyo poti ziphuphu za shingles zatha. Ululuwu umapezeka kwambiri mwa okalamba (azaka zopitilira 60). Ululuwu ukhoza kukhala wokhazikika tsiku lonse kapena ukhoza kubwera ndi kutha. Nthawi zina, ululuwu umakhala wosapiririka, ngakhale zovala zikakanda pakhungu kapena mphepo ikawomba. Izi zitha kukhudza kwambiri moyo wa munthu.
• Matenda a pakhungu: Matuza akaphulika, amatha kutenga kachilombo ka mabakiteriya ngati sanasamalidwe bwino. Kenako malowo amatha kufiira, kutupa, ndipo mafinya amatha kusonkhana.
• Zotsatira zake pa maso: Ma shingles pankhope, makamaka pamphumi, mozungulira maso, ndi m'mbali mwa mphuno (yotchedwa ophthalmic zoster) , angakhudze maso. Zingayambitse kutayika kwa maso, glaucoma, komanso khungu. Chifukwa chake, ngati muli ndi zizindikiro za shingles pamphumi kapena pafupi ndi maso, muyenera kuwona dokotala nthawi yomweyo, makamaka dokotala wa maso.
• Mavuto ena a mitsempha: Nthawi zambiri, shingles ingakhudze ubongo (encephalitis) kapena msana (myelitis). Mwachitsanzo, imatha kukhudza mitsempha ya nkhope, zomwe zimayambitsa kufooka kwa nkhope, kupweteka kwa khutu, komanso chizungulire, chomwe chimadziwika kuti Ramsay Hunt syndrome . Kulephera kulinganiza bwino komanso kulephera kumva bwino kungachitikenso.

Ichi ndichifukwa chake ndikofunikira kufunafuna upangiri wa dokotala mukangoyamba kuona zizindikiro za shingles.

Kodi mankhwala a shingles ndi otani?

Ngati mukuganiza kuti muli ndi shingles kapena muli ndi zizindikiro, ndi bwino kupita kwa dokotala mwamsanga.Makamaka ngati chithandizo chayamba mkati mwa maola 72 (masiku atatu) kuchokera pamene zizindikiro zayamba (kuonekera kwa chilonda choyamba), matendawa amatha kuchiritsidwa mwachangu, ululu ungachepe, ndipo chiopsezo chotenga mavuto omwe takambirana (makamaka PHN) chingachepe.

Mankhwala akuluakulu ndi awa:

• Mankhwala oletsa mavairasi: Mankhwalawa amawongolera kuchulukana kwa kachilomboka, amafupikitsa nthawi ya matenda, amafulumizitsa kuchira kwa matuza, komanso amachepetsa ululu. Mwachitsanzo, mankhwala monga `(Acyclovir)`, `(Valacyclovir)`, `(Famciclovir)` angalembedwe ndi dokotala. Mankhwalawa amaperekedwa kwa masiku pafupifupi 7 mpaka 10. Ndikofunikira kwambiri kumwa mankhwalawa mu mlingo wovomerezeka kwa nthawi yomwe yalembedwa.
• Mankhwala ochepetsa ululu: Mungagwiritse ntchito mankhwala ochepetsa ululu omwe amagulitsidwa kunja kwa ofesi monga Paracetamol kapena NSAIDs (monga Ibuprofen ) kuti muchepetse ululu. Ngati ululu uli woopsa, dokotala wanu angakupatseni mankhwala amphamvu ochepetsa ululu, kapena ngakhale mankhwala makamaka a ululu wa mitsempha (monga Gabapentin, Pregabalin).
• Ma kirimu ndi mankhwala ena: Mutha kugwiritsa ntchito mafuta monga calamine lotion kuti muchepetse kuyabwa, kapena mafuta ena omwe dokotala wanu wakupatsani. Nthawi zina, mafuta a steroid angaperekedwe kwa kanthawi kochepa kuti muchepetse kutupa.

Zinthu zomwe mungachite kunyumba:

• Sungani malo otupawo kukhala oyera. Tsukani kamodzi patsiku ndi madzi ofunda (popanda sopo kapena kugwiritsa ntchito sopo wofatsa) ndipo muume ndi thaulo loyera komanso lofewa.
• Mukhoza kugwiritsa ntchito ma compress ozizira. Zilowerereni nsalu yoyera m'madzi ozizira, ikanikeni, ndikuyiyika pa blister kwa mphindi pafupifupi 15-20. Chitani izi kangapo patsiku.
• Valani zovala zomasuka, za thonje zomwe zimathandiza khungu lanu kupuma. Kuvala zovala zolimba komanso zokhuthala kungayambitse matuza ndikuwonjezera ululu.
• Pewani kukanda kapena kutola matuza. Kukanda kungayambitse matenda ndi zipsera.
• Pumulani mokwanira. Idyani chakudya chopatsa thanzi. Izi zidzapatsa thupi lanu mphamvu zolimbana ndi matendawa.

Kodi ma shingles angapewedwe?

Ngakhale kuti palibe njira yodzitetezera kwathunthu ku matenda a shingles, pali zinthu zomwe mungachite kuti muchepetse chiopsezo chanu.

• Katemera wa chickenpox: Katemera woperekedwa kwa ana kuti apewe chickenpox angachepetse pang'ono chiopsezo chokhala ndi chickenpox mtsogolo. Izi zili choncho chifukwa ngati chickenpox sichinachitike, kachilombo kamene kamayambitsa chickenpox sikalowa m'thupi.
• Katemera wa shingles: Iyi ndi njira yofunika kwambiri komanso yothandiza kwambiri yopewera shingles. Nthawi zambiri imaperekedwa kwa anthu azaka 50 kapena kuposerapo.Katemera uyu akulangizidwa. Ku Sri Lanka, katemerayu mwina sakupezeka kwambiri pakadali pano, koma akhoza kupezeka m'zipatala zina zachinsinsi. Katemerayu akhoza kuchepetsa kwambiri chiopsezo cha matenda a shingles ndi mavuto omwe angachitike ngati mutapeza katemerayu (makamaka PHN). Mutha kulankhula ndi dokotala wanu ngati katemerayu ndi woyenera kwa inu komanso nthawi yomwe muyenera kumulandira.

Kusunga chitetezo chamthupi champhamvu n'kofunika kwambiri. Izi zitha kuchitika mwa kudya zakudya zoyenera, kugona mokwanira, kuchita masewera olimbitsa thupi nthawi zonse , komanso kuchepetsa kupsinjika maganizo.

Pomaliza, zinthu zoti muzikumbukira (Uthenga Wopita Nawo Kunyumba)

Chabwino, ndikukhulupirira kuti tsopano mwamvetsa bwino za ma shingles omwe tidakambirana.

Kumbukirani, ma shingles ndi matenda opweteka omwe nthawi zambiri amawonekera mbali imodzi ya thupi, chifukwa cha kachilombo komwe kamayambitsa nkhuku (Varicella-Zoster Virus) komwe kamayambitsa matendawa.

• Ngati inu kapena munthu amene mumamudziwa ali ndi zizindikiro izi, musachite mantha kapena kuchita mantha, ndipo pitani kwa dokotala mwamsanga . Chithandizo chachangu chingachepetse ululu ndikuletsa mavuto.
• Ngati muli ndi ziphuphu, makamaka pankhope panu kapena pafupi ndi maso anu, onani kuti ndi vuto ladzidzidzi ndipo funani chithandizo mwamsanga. Musazengereze.
• Popeza nkhuku imatha kufalikira kuchokera kwa munthu amene ali ndi shingles kupita kwa anthu omwe sanadwalepo nkhuku (makamaka amayi apakati, ana aang'ono, ndi omwe ali ndi chitetezo chamthupi chofooka), ndikofunikira kupewa ena ndikukhala osamala mpaka matuza atachira.
• Ngati muli ndi zaka zoposa 50, funsani dokotala wanu za katemera wa shingles. Ndi chitetezo chabwino.

Ndikukhulupirira kuti izi zikuthandizani. Khalani ndi thanzi labwino komanso osangalala nonse!

'Ma shingles, herpes zoster, kachilombo ka chickenpox, varicella-zoster, matenda a pakhungu, kupweteka kwa mitsempha, postherpetic neuralgia, katemera wa shingles