Ama-shingles abuhlungu kakhulu, akunjalo? Ake sixoxe ngakho ngokuningiliziwe!

I-shingles igciwane elibangelwa yigciwane elibangela amabhamuza abuhlungu esikhumbeni futhi ngezinye izikhathi lingalimaza imizwa. Abanye abantu balibiza nangokuthi i-Herpes Zoster. Uyakhumbula ukuthi unesifo se-chickenpox useyingane? Igciwane elifanayo elibangela i-chickenpox, igciwane le-Varicella-zoster (VZV), libangela i-shingles. Akumangalisi yini? Ake sibone ukuthi lisebenza kanjani.

I-shingles ikhula kanjani? Kungani leli gciwane liphinde livele?

Kalula nje, ungathola ama-shingles kuphela uma uke waba ne-chickenpox ngaphambili. Ngemva kwe-chickenpox, igciwane, elibizwa ngokuthi i-varicella-zoster virus (VZV), alinyamalali ngokuphelele emzimbeni wakho. Lilala lilele, okusho ukuthi alenzi lutho, emangqamuzaneni ethu ezinzwa. Kufana nokulala. Kodwa ngezinye izikhathi, ngemva kweminyaka, leli gciwane elilele livuka ngokuzumayo, okusho ukuthi liphinde lisebenze . Liba lisebenza futhi lihambe ngemithambo, okubangela lesi simo esibuhlungu esibizwa ngokuthi ama-shingles. Odokotela abakwazi ukusho ngqo ukuthi kungani leli gciwane liphinde lisebenze ngokuzumayo. Kodwa isikhathi esiningi, lokhu kwenzeka ngoba isimiso sethu somzimba sokuzivikela siyaba buthaka kancane kancane njengoba siguga . Isimiso somzimba sokuzivikela sifana namasosha asemzimbeni wethu asivikela ezifweni. Ngakho-ke lapho lesi simiso sibuthakathaka, igciwane elifihliwe lithola ithuba lokuphakamisa ikhanda lalo futhi.

Ziyini izimpawu ze-shingles? Uzibona kanjani?

Uphawu oluyinhloko noluvame kakhulu lwe-shingles ukubonakala kwama-blister abuhlungu, ngezinye izikhathi agcwele amanzi . Lawa ma-blister avame ukuvela ohlangothini olulodwa lomzimba, njengesinqe, ubuso, intamo, isifuba, isisu, noma umhlane. Avela ngendlela eqhubekayo, njengebhande. Kodwa-ke, ngezinye izikhathi angavela kwezinye izingxenye zomzimba.

Ezinye izimpawu ezihambisana nesifo esiwumshayabhuqe, ngisho nangaphambi kokuba sifike

Ezinye izimpawu eziningana zingase zivele ngaphambi noma kanye nalezi ziqhumane. Zihlanganisa:

• Ubuhlungu bemizwa obuzwakala bubukhali, bushisa, noma buhlaba. Lena inkinga enkulu kubantu abaningi.
• Ukuzwa ukulunywa noma ukucasuka endaweni.
• Ukubomvu kwesikhumba noma ukushintsha kombala.
• Imfiva.
• Ukuzizwa ubanda (ukubanda).
• Ikhanda elibuhlungu .
• Umuzwa ojwayelekile wokungaphatheki kahle, umuzwa wokungabi nampilo.
• Isisu esibuhlungu, okungukuthi, umuzwa wokucanuzela kwenhliziyo, njengokungathi isisu sakho siyaphenduka.

Cabanga ngakho, ngezinye izikhathi lezi zimpawu ezifana nobuhlungu bemizwa kanye nokushintsha kombala wesikhumba kungaqala amasonto ngaphambi kokuba kuvele amabhamuza. Ezinye izimpawu ngezinye izikhathi zingavela ezinsukwini ezimbalwa ngaphambi kokuba kuvele amabhamuza. Amabhamuza azophuma, okusho ukuthi azophuma amabhamuza , zingakapheli izinsuku ezintathu kuya kwezine.Ngemva kwezinsuku ezingaba yishumi, la maqhubu ayoma bese ephenduka amaqhubu . Kungathatha amasonto ambalwa ukuthi la maqhubu awe ngokuphelele.

Ingabe wonke umuntu uyalimala?

Nakuba i-shingles ivame ukukukhumbuza ngama-blister, akuvamile kakhulu, abanye abantu bangaba nama-shingles ngaphandle kwama-blister . Ngakho-ke, uma unezinye izimpawu ze-shingles, noma ungenawo ama-blister, qiniseka ukuthi ubona udokotela.

Ingabe i-shingles iyathelelana?

Lona umbuzo abantu abaningi abawubuzayo. Awukwazi ukuthola ama-shingles komunye umuntu one-shingles. Lokho kusho ukuthi, uma une-shingles, awukwazi ukuthola ama-shingles komunye umuntu. Kodwa-ke, uma une-shingles, umuntu ongakaze abe ne-chickenpox angathola i-chickenpox uma ehlangana ngqo noketshezi oluvela kuma-blister akho noma uma ephefumula amaconsi amancane avela kulawo ma-blister. Uyaqonda? Hhayi ama-shingles, kodwa i-chickenpox. Ngoba womabili abangelwa yigciwane elifanayo. Ngakho-ke, kubaluleke kakhulu ukuhlala kude nabantu abangakaze babe ne-chickenpox ngenkathi une-shingles, ikakhulukazi kuze kube yilapho ama-blister omile futhi eqhekekile, njengezingane ezincane, abesifazane abakhulelwe, kanye nabantu abanezinhlelo zomzimba ezibuthakathaka.

Ubani osengozini enkulu yokuthola ama-shingles?

Nakuba noma ubani oke waba ne-chickenpox angaba ne-shingles, abanye abantu basengozini enkulu. Lokhu kufaka phakathi:

• Abantu abanamasosha omzimba abuthakathaka: Isibonelo, abantu abanomdlavuza, abantu abangenwe yi -HIV , noma abantu abathatha imithi yokucindezela amasosha omzimba.
• Abantu abangaphezu kweminyaka engama-50 ubudala: Le ngozi iphakeme ngoba amasosha omzimba ayancipha ngokwemvelo njengoba abantu bekhula.

Abanye odokotela bakholelwa ukuthi ukucindezeleka kungabangela ne-shingles , kodwa kunzima ukukufakazela lokho. Kodwa-ke, njengoba amasosha ethu omzimba ebuthakathaka lapho singaphansi kokucindezeleka okukhulu, kungase kuhileleke ngokungaqondile.

Yiziphi izinkinga ezingaba khona ngenxa ye-shingles? Ingabe lezi ziyingozi?

Nakuba ama-shingles evame ukuxazululeka ngaphandle kwezinkinga ezinkulu, ngezinye izikhathi kungaba nezinkinga.

Inkinga evame kakhulu futhi ekhathazayo ye-shingles yi-postherpetic neuralgia . Lobu ubuhlungu bemizwa obuqhubeka ngisho nangemva kokuba ukuqubuka sekupholile. Lobu buhlungu bungahlala izinyanga, ngisho neminyaka, futhi kwabanye abantu, bungaba nzima ukububekezelela.

Ezinye izinkinga zingase zihlanganise:

• Ukutheleleka kwesikhumba ngamagciwane (uma isikhumba siklwebhekile).
• Uma kuvela ama-shingles eduze kwamehlo,Izimo ezinzima njengokulahlekelwa umbono ngenxa yokutheleleka kwamehlo.
• Ukukhubazeka kobuso, igama elikhethekile lalo, yi-Ramsay Hunt syndrome.
• Ukulahlekelwa ukuzwa, i-tinnitus, nezinye izinkinga zendlebe.
• I-Encephalitis ukuvuvukala kobuchopho.
• I-Vertigo yisiyezi.
• Inyumoniya.

Nakuba kungavamile kakhulu, ama-shingles angabangela ngisho nokufa, ngakho akuyona into okufanele ithathwe kalula.

Odokotela bakuthola kanjani ukuthi unesifo se-shingles?

Udokotela uvame ukuxilonga ama-shingles ngokubuza ngezimpawu zakho nokubheka ama-rash. Ikakhulukazi uma ama-rash etholakala eduze kwe-nerve, noma endaweni ethile yesikhumba ebizwa ngokuthi i-dermatome, futhi ehlangothini olulodwa lomzimba, kunokuba awele phakathi nendawo , kungenzeka kakhulu ukuthi ama-shingles. Ngezinye izikhathi, uma udokotela wakho efuna, angathatha isampula encane yama-rash ayithumele elebhu ukuqinisekisa ukuxilongwa.

Yiziphi izindlela zokwelapha ama-shingles?

Akukho ukwelashwa kwe-shingles okwamanje. Kodwa-ke, kunezindlela zokwelapha ezingasiza ekulawuleni izimpawu, zisheshise ukululama, futhi zinciphise ingozi yezinkinga. Udokotela wakho angase akuncome okulandelayo:

• Ama-antiviral: Lawa ayindlela eyinhloko yokwelapha. Izibonelo zifaka phakathi i-acyclovir (igama lomkhiqizo i-Zovirax®), i-famciclovir (igama lomkhiqizo i-Famvir®), kanye ne-valacyclovir (igama lomkhiqizo i-Valtrex®). Kubalulekile ukuqala le mithi ngokushesha okukhulu, zingakapheli izinsuku ezi-3 kusukela ekuqaleni kokuqubuka. Lokhu kungasiza ekunciphiseni ubuhlungu, kusheshise ukuphulukiswa, futhi kunciphise ingozi yezinkinga ezifana ne-post-herpetic neuralgia.
• Iziqeda-zinhlungu: Imithi etholakala ngaphandle kwemithi kadokotela efana ne-paracetamol (e-US, i-acetaminophen - isibonelo i-Tylenol®) noma i-ibuprofen (sibonelo i-Motrin®, i-Advil®) ingasetshenziswa. Ngezinye izikhathi iziqeda-zinhlungu ezinamandla zingase zinikezwe.
• Ama-Corticosteroids: Uma ama-shingles ethinte amehlo noma ezinye izingxenye zobuso, anganikezwa ukunciphisa ukuvuvukala. Kodwa-ke, akuwona wonke umuntu onikezwa wona.

Ngaphezu kwalokho, udokotela weluleka ukugcina indawo ihlanzekile, ukusebenzisa into efana ne-calamine lotion ukunciphisa ukulunywa, bese uyisula ngendwangu efakwe emanzini abandayo.

Kufanele ngimbone nini udokotela?

Uma ucabanga ukuthi unezimpawu ze-shingles, bona udokotela ngokushesha okukhulu . Njengoba kushiwo ngaphambili, unezinzuzo eziningi zokuqala leyo mithi yokulwa namagciwane kusenesikhathi.

Kufanele ngiye nini e-Emergency Treatment Unit (ETU) ?

Uma uzwa izimpawu zezinkinga ezithile ezinkulu, kufanele uye ekamelweni lezimo eziphuthumayo ngokushesha. Lezi zimpawu zifaka:

• Ikhanda elibuhlungu kakhulu.
• Ukushintsha kokubona, ubuhlungu bamehlo, ukungakwazi ukubuka ukukhanya.
• Intamo eqinile.
• Ukudideka, ukuqonda okushintshile.
• Ubuthakathaka bemisipha noma ukukhubazeka.

Uma ubona into efana nale, ungaphuzi.

Ingabe ama-shingles angavinjelwa?

Yebo, ngezinga elithile. Uma uke waba ne-chickenpox ngaphambili, indlela engcono kakhulu yokunciphisa ingozi yokuthola i-shingles ukuthola umuthi wokugomela i-shingles . Umuthi wokugomela wamanje, i-Shingrix®, usebenza kahle kakhulu. Ngisho noma uke waba ne-shingles ngaphambili noma uke waba nomuthi wokugomela wangaphambilini, i-Zostavax®, usanconywa ukuthi uthole lo muthi wokugomela omusha. Uma uneminyaka engaphezu kwengu-50, khuluma nodokotela wakho mayelana nokuthola umuthi wokugomela. Futhi, gcina ama-shingles akho evaliwe aze ome ngokuphelele futhi unciphise ukuxhumana kwakho nabanye abantu. Lokhu kuzokusiza ekuvimbeleni ukusabalalisa igciwane le-chickenpox kwabanye, ikakhulukazi izingane ezincane.

Yini ongayilindela uma uthola i-shingles? Izohlala isikhathi esingakanani?

Ngokuvamile kuthatha amasonto amathathu kuya kwayisihlanu kusukela ngesikhathi izimpawu zokuqala zibonakala zisusa amabhamuza ngokuphelele. Ezinye izimpawu, njengobuhlungu, zivame ukuqala ukuncipha zingakapheli izinsuku eziyisikhombisa kuya kweziyishumi. Iningi labantu liyalulama kuma-shingles ngaphandle kwezinkinga zesikhathi eside. Ukuthatha imithi yokulwa namagciwane zingakapheli izinsuku ezintathu kusukela izimpawu ziqale kungakusiza ukuthi ululame ngokushesha. Kodwa-ke, abanye abantu banezimpawu ezinzima futhi kungadingeka ukuthi bangeniswe esibhedlela. Cishe umuntu oyedwa kwabahlanu abathola ama-shingles uzoba ne-postherpetic neuralgia, isimo esingahlala isikhathi eside .

Ingabe ama-shingles angaphinde avele?

Yebo, ungangenwa yi-shingles izikhathi ezingaphezu kwesisodwa. Kodwa akuvamile kangako, ikakhulukazi uma amasosha omzimba wakho engabuthakathaka. Uma uphinde uthole i-shingles, ngokuvamile ayibuyi endaweni efanayo lapho uyithole khona okokuqala.

Ingabe umuntu ongakaze abe ne-chickenpox angangenwa yi-shingles?

Cha, ngeke uthole i-shingles uma ungakaze ube ne-chickenpox ngaphambili. I-shingles iwukuvuselelwa kwegciwane le-chickenpox. Akuvamile ukuthi abantu abagonyelwe i-chickenpox bangathola i-shingles eminyakeni eminingi kamuva, ngoba umuthi wokugoma uqukethe igciwane eliphilayo elibuthakathaka.

Khumbula into ebaluleke kakhulu (Umyalezo Wokuya Ekhaya)

Sasicabanga ukuthi i-chickenpox kusukela ebuntwaneni yayiyinto esasiyikhohliwe, kodwa ngezinye izikhathi ingabuya ngendlela ebuhlungu kangaka, akunjalo? I-shingles yisimo esingasakazekela hhayi kuwe kuphela, kodwa nakwabanye, njengezingane ezincane, abangazange bavezwe yileli gciwane.

Nakuba abantu abaningi belulama ezifweni ze-shingles ngaphandle kwezinkinga zesikhathi eside, kubalulekile ukuqaphela izimpawu nokwazi ukuthi kufanele ufune nini usizo oluphuthumayo lwezokwelapha. Kufanele uqaphele kakhulu uma unesimiso somzimba esibuthakathaka.

Bona udokotela ngokushesha nje lapho uqala ukuba nezimpawu ze-shingles. Ngemuva kwalokho ungathola usizo lokuphatha izimpawu zakho uze ube ngcono. Ungesabi, kodwa ungalibali! I-Shingles, i-Herpes Zoster, igciwane le-Varicella-zoster, Ubuhlungu bemizwa, Ukuqubuka kwesikhumba, Ukwelashwa kwe-Shingles, Umuthi wokugomela i-Shingles