Ngaba singafunda okungakumbi ngaloo "sifo sikaThixo" sinzima esivakala ngathi sibhanti esijikeleze umzimba - oko kukuthi, ii-shingles?

Mhlawumbi ukhe weva ngento ebizwa ngokuba "sisifo sikaThixo." Abanye abantu bayasoyika. Kodwa namhlanje siza kuthetha ngesifo esibonakala ngathi yibhanti kwelinye icala lomzimba, esibuhlungu kancinci, nesibangela amadyungudyungu. Ngokwezonyango, esi sibizwa ngokuba yiShingles okanye iHerpes Zoster . Makhe sibone ukuba yintoni, sikhula njani, zithini iimpawu, kwaye ungazikhusela njani kuso kwaye ufumane unyango.

Zithini ezi shingles?

Ngamafutshane, i-shingles yirhashalala ebuhlungu okanye irhashalala phezu kolusu ebangelwa yintsholongwane eyosulela imithambo-luvo (ekwabizwa ngokuba yimithambo-luvo) phantsi kolusu lwethu. Ikwabizwa ngokuba yi-Herpes Zoster. Uninzi lwexesha, la marhashalala avela kwicala elinye lomzimba , njengebhanti. Yiyo loo nto abanye abantu beyibiza ngokuba "sisifo esiza njengebhanti." Ivela ngokudumba okukhulu kolusu.

Zikhula njani iishingles? Zibangelwa yintoni?

Unobangela oyintloko woku yiVaricella-Zoster Virus . Uyakhumbula ukuba unesifo senkukhu usengumntwana? Le yintsholongwane efanayo ebangela inkukhu.

Ngoko ke, emva kokuba umntu ephilile kwi-chickenpox, iVaricella-Zoster Virus ayinyamalali ngokupheleleyo emizimbeni yethu. Ihlala ingasebenzi, okanye ilele, kwezinye iindawo zenkqubo yethu yemithambo-luvo . Kufana nokuba iyazifihla.

Le ntsholongwane inokuhlala ingasebenzi iminyaka ingadali ngxaki. Nangona kunjalo, ngamanye amaxesha, ngesizathu esithile - umzekelo, xa umntu ekhula (ngesiqhelo emva kweminyaka engama-50), xa amandla omzimba okuzikhusela ehla (oko kukuthi, xa amandla omzimba okulwa nesifo ehla), okanye xa kukho uxinzelelo oluphezulu oluqhubekayo, okanye ngenxa yamayeza athile (umz., amayeza omhlaza ) - intsholongwane engasebenziyo iqala ukusebenza kwakhona. Kulapho isifo sivela khona njengee-shingles.

Oku kuthetha ukuba nabani na okhe waba ne-chickenpox, nokuba usengumntwana, uselula, okanye sele emdala, usengozini yokufumana i-shingles kamva ebomini. Kodwa khumbula, ayinguye wonke umntu okhe waba ne-chickenpox oza kuba ne-shingles.

Ngokwesiqhelo, umntu ufumana i-shingles kube kanye kuphela ebomini bakhe. Amathuba okufumana i-shingles okwesibini anqabile kakhulu, kodwa akunakwenzeka.

Ii-shingles zixhaphake kakhulu kubantu abaneminyaka engaphezu kwama-50 ubudala. Nangona kunjalo, njengoko benditshilo ngaphambili, zinokuchaphazela nabani na wanoma yimuphi ubudala.

Zithini iimpawu ze-shingles? Uzibona njani?

Iimpawu ze-shingles zihlukile kancinci. Ezinye iimpawu zinokuvela ngaphambi kokuba kuvele irhashalala. Makhe sijonge ukuba zeziphi.

• Iimpawu zokuqala (ngaphambi kokuba kuvele irhashalala): Rhoqo, kwiintsuku ezimbalwa (ngamanye amaxesha iintsuku ezi-1 ukuya kwezi-5) ngaphambi kokuba kunyangwe irhashalala, unokufumana ukutsha, ukungaziva, ukurhawuzelelwa, okanye iintlungu eziqatha kwindawo yerhashalala. Kwabanye abantu, le ntlungu inokuba bukhali, njengemela, inaliti , okanye ukurhawuzelelwa. Kwabanye, isenokuvakala ngathi kukutsha. Olu luphawu lokuqala.

• Amaqhuqhuva: Emva koko, kwiintsuku ezi-1 ukuya kwezi-5, ulusu kwindawo yentlungu luza kuba bomvu kwaye amaqhuqhuva amancinci (amaqhuqhuva amancinci) aya kuqala ukubonakala. La adla ngokuba kwicala elinye lomzimba (kwicala lasekunene kuphela, kwicala lasekhohlo kuphela). Asenokubonakala njengebhanti efana nebhanti esinqeni, okanye asenokubonakala kwelinye icala lesifuba, okanye abonakale njengomcu kwelinye icala lobuso (ibunzi, izidlele, isilevu).

Khawuthelekelele, kubonakala ngathi umntu uzobe umcu obomvu wepeyinti kwicala elinye lomzimba, kunye namaconsi amancinci amanzi phezu kwawo.

• Ukwakheka kwamaqhuqhuva : La maqhuqhuva amancinci akhula abe ngamaqhuqhuva azele bubomvu kusuku olunye okanye ezimbini. Emva kweentsuku ezisi-7 ukuya kwezili-10, la maqhuqhuva ayaqhuma kwaye kuvela iqhuqhuva . La maqhuqhuva anombala otyheli-mdaka.

• Ukuphilisa: Amaxolo aqala ukubola aze awe kwiiveki ezi-2 ukuya kwezi-4. Ngamanye amaxesha, inxeba elincinci okanye umbala wesikhumba (ulusu lunokuba mdaka okanye lube mnyama) lunokuhlala kwezo ndawo.

Intlungu iyahluka kumntu nomntu. Abanye abantu banokuba nentlungu encinci kuphela, ngelixa abanye banokuba nentlungu enganyamezelekiyo. Le ntlungu ixhaphake kakhulu kubantu abadala, kwaye inokwenzeka ukuba iqhubeke nokuba inxeba selipholile (siza kuthetha ngaloo nto kamva).

Ngaba iishingles ziyasulela?

Le yingxaki abantu abaninzi abanayo. Iingcongconi azidluliselwa ngqo ukusuka komnye umntu ukuya komnye. Oko kukuthi, awuyi kufumana iingcongconi ngokuchukumisa umntu oneengcongconi.

Kodwa, nantsi into encinci ekufuneka uyiqonde. Ezo blisters zizaliswe bubomvu zomntu one-shingles ziqulethe i-Varicella-Zoster Virus. Ngoko ke, ukuba umntu ongazange abe ne-chickenpox okanye ongazange agonyelwe i-chickenpox udibana ngqo nezo blisters, oko kukuthi, ukuba uchukumisa ulwelo oluphuma kwi-blisters, loo mntu unokufumana i-chickenpox, hayi i-shingles.

Ngoko ke, umntu one-shingles:

• Ufanele ugcine amaqhuqhuva akho egqunywe kakuhle (umz. ngebhandeji elicocekileyo nelinganamatheliyo legauze).
• Ufanele ukuphephe ukukrwela okanye ukukha amadyungudyungu.
• Ufanele uhlambe izandla zakho ngesepha rhoqo.
• Ukudibana ngokusondeleyo nabasetyhini abakhulelweyo, iintsana ezisandul’ ukuzalwa, kunye nabantu abaneenkqubo zomzimba ezibuthathaka (umz., izigulana ezinomhlaza, izigulana ezine-HIV, abantu abafumana amalungu omzimba afakwe ngaphakathi) kufuneka kuphetshwe, ingakumbi de amadyungudyungu ome ngokupheleleyo kwaye aqhekeke.

Xa amadyungudyungu omile kwaye eqweqwe, intsholongwane ayisayisuleli.

Ziziphi iingxaki ezinokubakho ngenxa ye-shingles?

Nangona ii-shingles zihlala ziphela kwiiveki ezimbalwa, abanye abantu banokuba neengxaki . Kubalulekile ukuzazi ezi.

• I-Postherpetic Neuralgia (PHN): Le yeyona ngxaki ixhaphakileyo nebangela uxinzelelo. Ibonakaliswa yintlungu enzulu yemithambo-luvo ehlala iinyanga okanye iminyaka emva kokuba i-shingles rash iphelile. Ixhaphake kakhulu kubantu abadala (abangaphezulu kweminyaka engama-60 ubudala). Intlungu inokuba yinto engapheliyo imini yonke okanye isenokufika idlule. Ngamanye amaxesha, intlungu inokuba yinto enganyamezelekiyo, nokuba impahla ikhuhla ulusu okanye xa umoya uvuthuza. Oku kunokuba nefuthe elikhulu kumgangatho wobomi.
• Usulelo lolusu: Xa amadyungudyungu egqabhuka, anokosulelwa yibhaktheriya ukuba akakhathalelwanga kakuhle. Indawo inokuba bomvu, idumbe, kwaye ubovu bunokuqokelelwa.
• Iziphumo emehlweni: Iitshingitshane ebusweni, ingakumbi ebunzini, ezijikeleze amehlo, nakwicala lempumlo (ebizwa ngokuba yi -ophthalmic zoster) , zinokuchaphazela amehlo. Zinokubangela ukulahleka kokubona, i-glaucoma, kwanobumfama. Ke ngoko, ukuba uneempawu zeetshingitshane ebunzini okanye kufutshane namehlo, kufuneka ubone ugqirha ngokukhawuleza, kungcono ukuba yingcali yamehlo.
• Ezinye iingxaki zenkqubo yemithambo-luvo: Kunqabile kakhulu ukuba ii-shingles zichaphazele ingqondo (encephalitis) okanye i-spinal cord (myelitis). Umzekelo, zinokuchaphazela imithambo-luvo yobuso, zibangele ukukhubazeka kobuso, iintlungu zendlebe, kunye nesiyezi, eyaziwa ngokuba yiRamsay Hunt syndrome . Ukulahlekelwa yibhalansi kunye nokulahlekelwa kukuva nako kunokwenzeka.

Yingakho kubalulekile ukufuna iingcebiso zonyango kwangoko xa uqala ukubona iimpawu ze-shingles.

Ziziphi iindlela zonyango lwe-shingles?

Ukuba ukrokrela ukuba une-shingles okanye uneempawu, kungcono ukubona ugqirha ngokukhawuleza.Ingakumbi ukuba unyango luqalwe kwiiyure ezingama-72 (iintsuku ezi-3) emva kokuqala kweempawu (ukuvela kwe-blister yokuqala), esi sifo sinokunyangeka ngokukhawuleza, iintlungu zingancitshiswa, kwaye umngcipheko wokufumana iingxaki esithethe ngazo (ingakumbi i-PHN) ungancitshiswa.

Iindlela eziphambili zonyango zezi:

• Amayeza okulwa neentsholongwane: La mayeza alawula ukwanda kwentsholongwane, anciphisa ixesha lokugula, akhawulezise ukuphiliswa kwamaqhuqhuva, kwaye anciphise iintlungu. Umzekelo, amayeza anjenge -`(Acyclovir)`, `(Valacyclovir)`, `(Famciclovir)` anokunikwa ngugqirha. La mayeza anikwa malunga neentsuku ezisi-7 ukuya kwezili-10. Kubaluleke kakhulu ukuwathatha kwidosi emiselweyo kwixesha elimiselweyo.
• Izithomalalisi zentlungu: Ungasebenzisa izithomalalisi zentlungu ezithengiswa ngaphandle kwemvume kagqirha ezifana neParacetamol okanye iiNSAID (umz. i-Ibuprofen ) ukulawula iintlungu. Ukuba iintlungu zinzima, ugqirha wakho unokukunika izithomalalisi zentlungu ezinamandla, okanye amayeza athile ngokukodwa eentlungu zemithambo-luvo (umz. iGabapentin, iPregabalin).
• Ezinye iikhrimu kunye namayeza: Ungasebenzisa iikhrimu ezifana ne-calamine lotion ukunciphisa ukurhawuzelela, okanye ezinye iikhrimu ezicetyiswa ngugqirha wakho. Ngamanye amaxesha, iikhrimu ze-steroid zinokunikwa ixesha elifutshane ukunciphisa ukudumba.

Izinto onokuzenza ekhaya:

• Gcina indawo enamaqhubu icocekile. Hlamba ubuncinane kube kanye ngemini ngamanzi afudumeleyo (ngaphandle kwesepha okanye ukusebenzisa isepha ethambileyo) uze uyomise ngetawuli ecocekileyo nethambileyo.
• Ungafaka ii-compress ezipholileyo. Nciphisa ilaphu elicocekileyo emanzini abandayo, ulihluze, uze ulibeke kwi-blister malunga nemizuzu eli-15-20. Yenza oku izihlandlo ezininzi ngemini.
• Nxiba impahla ekhululekileyo, yekotoni evumela ulusu lwakho ukuba luphefumle. Ukunxiba impahla eqinileyo, erhabaxa kunokubangela amadyungudyungu kwaye kwandise intlungu.
• Kuphephe ukukrwela okanye ukukrwela amadyungudyungu. Ukukrwela kunokubangela usulelo kunye namanxeba.
• Phumla ngokwaneleyo. Yitya ukutya okunesondlo. Oku kuya kunika umzimba wakho amandla okulwa nesi sifo.

Ngaba ii-shingles zingathintelwa?

Nangona kungekho ndlela yokuzikhusela ngokupheleleyo kwi-shingles, kukho izinto onokuzenza ukunciphisa umngcipheko wakho.

• Ugonyo lwe-Chickenpox: Ugonyo olunikwa abantwana ukuthintela i-chickenpox lunokunciphisa kancinci umngcipheko wokuba ne-shingles kamva ebomini. Oku kungenxa yokuba ukuba i-chickenpox ayikhange ivele, intsholongwane ebangela i-shingles ayizukungena emzimbeni.
• Isitofu sokugonya i-shingles: Le yeyona ndlela ibalulekileyo nesebenzayo yokuthintela i-shingles. Idla ngokunikezelwa kubantu abaneminyaka engama-50 nangaphezulu.Olu gonyo luyacetyiswa. ESri Lanka, olu gonyo lusenokungabi luxhaphake kakhulu okwangoku, kodwa lunokufumaneka kwezinye izibhedlele zabucala. Olu gonyo lunokunciphisa kakhulu umngcipheko wokufumana iishingles kunye neengxaki ezinokubakho ukuba uyalufumana (ingakumbi i-PHN). Ungathetha nogqirha wakho malunga nokuba olu gonyo lufanelekile na kuwe kwaye kufuneka ulufumane nini.

Ukugcina inkqubo yomzimba yokuzikhusela iqinile kubalulekile. Oku kunokufezekiswa ngokutya okunesondlo, ukulala ngokwaneleyo, ukuzilolonga rhoqo , kunye nokulawula uxinzelelo.

Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ndiyathemba ukuba ngoku uyiqonda ngcono i-shingles esithethe ngayo.

Khumbula, ii-shingles yimeko ebuhlungu ebangela amadyungudyungu adla ngokuvela kwelinye icala lomzimba, ebangelwa kukuvuselelwa kwakhona kwentsholongwane efanayo ebangela i-chickenpox (i-Varicella-Zoster Virus).

• Ukuba wena okanye umntu omaziyo unale mpawu, musa ukoyika okanye ukoyika, kwaye bonana nogqirha ngokukhawuleza . Unyango olukhawulezileyo lunokunciphisa iintlungu kwaye luthintele iingxaki.
• Ukuba unerhashalala, ingakumbi ebusweni bakho okanye kufutshane namehlo akho, yithathe njengengxamiseko kwaye ufune unyango ngokukhawuleza. Musa ukulibazisa.
• Ekubeni i-chickenpox inokudluliselwa ngumntu one-shingles ukuya kwabo bangazange babe ne-chickenpox (ingakumbi abafazi abakhulelweyo, abantwana abancinci, kunye nabo baneenkqubo zomzimba ezibuthathaka), kubalulekile ukuhlala kude nabanye abantu kwaye uqaphele de amadyungudyungu aphole.
• Ukuba ungaphezulu kweminyaka engama-50, buza ugqirha wakho malunga nogonyo lwe-shingles. Lukhuselo oluhle.

Ndiyathemba ukuba olu lwazi luluncedo kuwe. Hlala uphilile kwaye wonwabile wonke umntu!

"Iishingles, i-herpes zoster, intsholongwane ye-chickenpox, i-varicella-zoster, izifo zesikhumba, iintlungu zemithambo-luvo, i-postherpetic neuralgia, isitofu sokugonya iishingles