Iingceba zibuhlungu kakhulu, akunjalo? Makhe sithethe ngazo ngokweenkcukacha!

I-Shingles lusulelo olubangelwa yintsholongwane olubangela amadyungudyungu abuhlungu eluswini kwaye ngamanye amaxesha lunokonakalisa imithambo-luvo. Abanye abantu balubiza ngokuba yi-Herpes Zoster. Uyakhumbula ukuba unesifo se-chickenpox usengumntwana? Intsholongwane efanayo ebangela i-chickenpox, i-Varicella-zoster virus (VZV), ibangela i-shingles. Ayimangalisi na? Makhe sibone ukuba isebenza njani.

Ivela njani i-shingles? Kutheni le ntsholongwane iphinda ivele kwakhona?

Ngamafutshane, unokufumana iishingles kuphela ukuba ukhe waba ne-chickenpox ngaphambili. Emva kwe-chickenpox, intsholongwane, ebizwa ngokuba yi-varicella-zoster virus (VZV), ayinyamalali ngokupheleleyo emzimbeni wakho. Ilala ingasebenzi, oko kuthetha ukuba ayenzi nto, kwiiseli zethu zemithambo-luvo. Kufana nokulala. Kodwa ngamanye amaxesha, emva kweminyaka, le ntsholongwane ingasebenziyo iyavuka ngequbuliso, oko kuthetha ukuba iphinde isebenze . Isebenza kwaye ihambe ngemithambo-luvo, okubangela le meko ibuhlungu ebizwa ngokuba yi-shingles. Oogqirha abanakutsho ngqo ukuba kutheni le ntsholongwane iphinde isebenze ngequbuliso. Kodwa uninzi lwexesha, oku kwenzeka kuba inkqubo yethu yokuzikhusela komzimba iyaba buthathaka kancinci kancinci njengoko sikhula . Inkqubo yokuzikhusela yomzimba ifana namajoni asemzimbeni wethu asikhusela kwizifo. Ngoko ke xa le nkqubo ibuthathaka, intsholongwane efihliweyo ifumana ithuba lokuphakamisa intloko yayo kwakhona.

Zithini iimpawu ze-shingles? Uzibona njani?

Uphawu oluphambili noluqhelekileyo lwe-shingles kukubonakala kwama-blister abuhlungu, ngamanye amaxesha azaliswe ngamanzi . La ma-blister adla ngokuvela kwelinye icala lomzimba, njengesinqe, ubuso, intamo, isifuba, isisu, okanye umqolo. Avela ngendlela eqhubekayo, njengebhanti. Nangona kunjalo, ngamanye amaxesha anokuvela kwamanye amalungu omzimba.

Ezinye iimpawu ezihambisana nesifo esibulalayo, nangaphambi kokuba sifike

Ezinye iimpawu ezininzi zinokuvela ngaphambi okanye kunye nezi zilonda. Ziquka:

• Intlungu yemithambo-luvo evakala ibukhali, itshisa, okanye ihlaba. Le yeyona ngxaki inkulu kubantu abaninzi.
• Ukurhawuzelelwa okanye ukurhawuzelelwa kwindawo leyo.
• Ubomvu besikhumba okanye ukutshintsha kombala.
• Ifiva.
• Ukuziva ubanda (ukubanda).
• Intloko ebuhlungu .
• Imvakalelo eqhelekileyo yokungakhululeki, imvakalelo yokungabi nabomi.
• Isisu esibuhlungu, oko kukuthi, ukuziva unesicaphucaphu, ngokungathi isisu sakho siyajika.

Cinga ngayo, ngamanye amaxesha ezi mpawu ezifana nentlungu yemithambo-luvo kunye nokutshintsha kombala wolusu ziqala kwiiveki ngaphambi kokuba kuvele amadyungudyungu. Ezinye iimpawu ngamanye amaxesha zinokuvela kwiintsuku ezimbalwa ngaphambi kokuba kuvele amadyungudyungu. Amadyungudyungu aya kuphuma, oko kuthetha ukuba aza kuphuma , kwiintsuku ezintathu ukuya kwezine.Emva kweentsuku ezilishumi, la maqhuqhuva ayoma aze abe ziingceba . Kungathatha iiveki ezininzi ukuba la maqhuqhuva awe ngokupheleleyo.

Ngaba wonke umntu uyayenzakala?

Nangona i-shingles idla ngokusikhumbuza ngama-blister, kunqabile kakhulu ukuba abanye abantu bavelise i-shingles ngaphandle kwama-blister . Ngoko ke, ukuba unezinye iimpawu ze-shingles, nokuba awunazo, qiniseka ukuba ubona ugqirha.

Ngaba iishingles ziyasulela?

Lo ngumbuzo abantu abaninzi abawubuzayo. Awunakufumana i-shingles komnye umntu one-shingles. Oko kuthetha ukuba, ukuba une-shingles, awunakufumana i-shingles komnye umntu. Nangona kunjalo, ukuba une-shingles, umntu ongazange abe ne-chickenpox unokufumana i-chickenpox ukuba udibana ngqo nolwelo oluvela kwi-blisters zakho okanye ukuba uphefumla amathontsi amancinci avela kuloo ma-blisters. Uyaqonda? Hayi i-shingles, kodwa i-chickenpox. Kuba zombini zibangelwa yintsholongwane efanayo. Ngoko ke, kubaluleke kakhulu ukuhlala kude nabantu abangazange babe ne-chickenpox ngelixa une-shingles, ingakumbi de i-blisters yome kwaye iqhekeke, njengabantwana abancinci, abafazi abakhulelweyo, kunye nabantu abaneenkqubo zomzimba ezibuthathaka.

Ngubani osengozini enkulu yokufumana iishingles?

Nangona nabani na okhe waba ne-chickenpox ngaphambili enokuba ne-shingles, abanye abantu basengozini enkulu. Oku kuquka:

• Abantu abaneenkqubo zomzimba ezibuthathaka: Umzekelo, abantu abanomhlaza, abantu abosulelwe yi -HIV , okanye abantu abasebenzisa amayeza okunciphisa amajoni omzimba.
• Abantu abangaphezu kweminyaka engama-50 ubudala: Lo mngcipheko uphezulu kuba amasosha omzimba ayancipha ngokwendalo xa abantu bekhula.

Abanye oogqirha bakholelwa ukuba uxinzelelo lunokubangela iishingles , kodwa kunzima ukungqina oko. Nangona kunjalo, ekubeni inkqubo yethu yomzimba yokuzikhusela ibuthathaka xa siphantsi koxinzelelo oluninzi, lunokubandakanyeka ngokungathanga ngqo.

Ziziphi iingxaki ezinokubakho ngenxa ye-shingles? Ngaba ezi ziyingozi?

Nangona ii-shingles zihlala ziphela ngaphandle kweengxaki ezinkulu, ngamanye amaxesha iingxaki zinokubakho.

Eyona ngxaki ixhaphakileyo nebangela intlungu kwi-shingles yi-postherpetic neuralgia . Le yintlungu yemithambo-luvo ehlala ihleli nasemva kokuba irhashalala ipholile. Le ntlungu inokuhlala iinyanga, kwaneminyaka, kwaye kwabanye abantu, isenokunganyamezeleki.

Ezinye iingxaki zingabandakanya:

• Usulelo lwesikhumba olubangelwa yibhaktheriya (ukuba ulusu lukrwelekile).
• Ukuba kuvela iishingles ezijikeleze amehlo,Iimeko ezinzima ezifana nokulahlekelwa yimbono ngenxa yosulelo lwamehlo.
• Ukukhubazeka kobuso, igama elikhethekileyo lalo, yiRamsay Hunt syndrome.
• Ukulahlekelwa kukuva, i-tinnitus, kunye nezinye iingxaki zendlebe.
• I-Encephalitis kukudumba kwengqondo.
• I-Vertigo sisiyezi.
• Ukukrala kwemiphunga.

Nangona kunqabile kakhulu, iishingles zinokubangela nokufa, ngoko ke asinto yokuyithatha lula.

Oogqirha bayixilonga njani i-shingles?

Ugqirha uhlala exilonga i-shingles ngokubuza ngeempawu zakho aze ajonge i-rash. Ingakumbi ukuba i-rash ikwi-nerve, okanye kwindawo ethile yesikhumba ebizwa ngokuba yi-dermatome, kwaye ikwicala elinye lomzimba, endaweni yokuba idlulele kumgca ophakathi , kusenokwenzeka ukuba yi-shingles. Ngamanye amaxesha, ukuba ugqirha wakho ufuna, unokuthatha isampuli encinci ye-rash aze ayithumele kwilebhu ukuqinisekisa ukuxilongwa.

Ziziphi iindlela zonyango lwe-shingles?

Akukho nyango lwe-shingles okwangoku. Nangona kunjalo, kukho unyango olunokunceda ukulawula iimpawu, ukukhawulezisa ukubuyela esiqhelweni, kunye nokunciphisa umngcipheko weengxaki. Ugqirha wakho unokucebisa oku kulandelayo:

• Ii-Antivirals: Ezi zezona zinto ziphambili zonyango. Imizekelo ibandakanya i-acyclovir (igama lophawu iZovirax®), i-famciclovir (igama lophawu iFamvir®), kunye ne-valacyclovir (igama lophawu iValtrex®). Kubalulekile ukuqala la mayeza ngokukhawuleza, zingadlulanga iintsuku ezi-3 emva kokuqala kwerhashalala. Oku kunokunceda ukunciphisa iintlungu, kukhawulezise ukuphiliswa, kwaye kunciphise umngcipheko weengxaki ezifana ne-post-herpetic neuralgia.
• Iipilisi zokunciphisa iintlungu: Amayeza athengiswa ngaphandle kwemvume kagqirha afana neparacetamol (e-US, i-acetaminophen - umz. iTylenol®) okanye i-ibuprofen (umz. iMotrin®, iAdvil®) angasetyenziswa. Ngamanye amaxesha iipilisi zokunciphisa iintlungu ezinamandla zinokunikwa.
• IiCorticosteroids: Ukuba iishingles zichaphazele amehlo okanye ezinye iindawo zobuso, zinganikwa ukunciphisa ukudumba. Nangona kunjalo, ezi azinikwa wonke umntu.

Ukongeza, ugqirha ucebisa ukuba indawo leyo ihlale icocekile, usebenzise into efana ne-calamine lotion ukunciphisa ukurhawuzelela, kwaye uyisule ngelaphu elifakwe emanzini abandayo.

Ndifanele ndimbone nini ugqirha?

Ukuba ucinga ukuba uneempawu ze-shingles, bonana nogqirha ngokukhawuleza . Njengoko bekutshiwo ngaphambili, unezibonelelo ezininzi zokuqala amayeza okulwa neentsholongwane kwangethuba.

Ndingaya nini kwiYunithi yoNyango oluNgxamisekileyo (i-ETU) ?

Ukuba ufumana iimpawu zeengxaki ezinkulu, kuya kufuneka uye kwigumbi likaxakeka ngoko nangoko. Ezi mpawu ziquka:

• Intloko ebuhlungu kakhulu.
• Utshintsho embonweni, iintlungu zamehlo, ukungakwazi ukujonga ukukhanya.
• Intamo eqinileyo.
• Ukudideka, ingqondo etshintshileyo.
• Ubuthathaka bemisipha okanye ukukhubazeka komzimba.

Ukuba ubona into efana nale, ungalibali.

Ngaba ii-shingles zingathintelwa?

Ewe, ukuya kuthi ga kwinqanaba elithile. Ukuba ukhe waba ne-chickenpox ngaphambili, eyona ndlela ilungileyo yokunciphisa umngcipheko wakho wokufumana i-shingles kukufumana i-shingles vaccine . I-vaccine yangoku, i-Shingrix®, isebenza kakhulu. Nokuba ukhe waba ne-shingles ngaphambili okanye ukhe wafumana i-vaccine yangaphambili, i-Zostavax®, usacetyiswa ukuba ufumane le vaccine intsha. Ukuba ungaphezulu kweminyaka engama-50, thetha nogqirha wakho malunga nokufumana i-vaccine. Kwakhona, gcina ama-shingles blisters akho evaliwe de ome ngokupheleleyo kwaye unciphise ukudibana kwakho nabanye abantu. Oku kuya kukunceda ekuthinteleni ukusasaza intsholongwane ye-chickenpox kwabanye, ingakumbi abantwana abancinci.

Yintoni onokuyilindela xa unesifo seeshingles? Iza kuhlala ixesha elingakanani?

Kudla ngokuthatha iiveki ezintathu ukuya kwezintlanu ukususela kwixesha apho iimpawu zokuqala zibonakala zisusa ngokupheleleyo amaqhuqhuva. Ezinye iimpawu, ezifana neentlungu, zihlala ziqala ukuncipha kwiintsuku ezisixhenxe ukuya kwezilishumi. Uninzi lwabantu luyaphola emva kwe-shingles ngaphandle kweengxaki zexesha elide. Ukusela amayeza okulwa neentsholongwane kwiintsuku ezintathu emva kokuqala kweempawu kunokukunceda uphile ngokukhawuleza. Nangona kunjalo, abanye abantu baneempawu eziqatha kwaye banokufuna ukulaliswa esibhedlele. Malunga nomntu omnye kwabahlanu abafumana i-shingles baya kuba ne-postherpetic neuralgia, imeko enokuhlala ixesha elide .

Ngaba iishingles zingaphinda zibuye?

Ewe, ungafumana i-shingles ngaphezu kwesihlandlo esinye. Kodwa ayiqhelekanga kangako, ingakumbi ukuba inkqubo yakho yomzimba yokuzikhusela ayibuthathaka. Ukuba ufumana i-shingles kwakhona, ayibuyi kwindawo efanayo naleyo wawuyifumene kuyo okokuqala.

Ngaba umntu ongazange abe ne-chickenpox angangenwa yi-shingles?

Hayi, awuyi kuba ne-shingles ukuba awuzange ube ne-chickenpox ngaphambili. I-shingles yindlela yokuvuselela intsholongwane ye-chickenpox. Amaxesha amaninzi, abantu abagonyelwe i-chickenpox banokufumana i-shingles emva kweminyaka, kuba i-vaccine ine-virus ephilayo ebuthathaka.

Khumbula eyona nto ibalulekileyo (Umyalezo Wokuya Ekhaya)

Sasicinga ukuba i-chickenpox ukususela ebuntwaneni yinto esasiyilibele, kodwa ngamanye amaxesha ingabuya ngendlela ebuhlungu kangaka, akunjalo? I-Shingles yimeko enokusasaza kungekuphela kuwe, kodwa nakwabanye, njengabantwana abancinci, abangakhange babe sesichengeni sentsholongwane.

Nangona uninzi lwabantu luyaphola emva kwe-shingles ngaphandle kweengxaki ezihlala ixesha elide, kubalulekile ukuqaphela iimpawu kunye nokwazi ukuba kufuneka ufune unyango olungxamisekileyo nini. Kufuneka ulumke ngakumbi ukuba inkqubo yakho yokuzikhusela yomzimba ayisebenzi kakuhle.

Bona ugqirha kwangoko xa uqala ukuba neempawu ze-shingles. Emva koko ungafumana uncedo lokulawula iimpawu zakho ude ube ngcono. Musa ukoyika, kodwa ungalibazisi! I-Shingles, i-Herpes Zoster, i-Varicella-zoster virus, Intlungu yemithambo-luvo, Ukuqhambuka kwesikhumba, Unyango lwe-Shingles, Ugonyo lwe-Shingles