Yiziphi lezi ziqhubu ezibuhlungu ezibonakala emzimbeni wami? Ingabe yi-herpes zoster leyo?

Ingabe uke waba nokuvuvukala okubuhlungu emzimbeni wakho ngokuzumayo? Mhlawumbe kuhambisana nomuzwa wokushisa nokulunywa? Kuvamile ukuzizwa ukhathazekile kancane lapho kwenzeka into efana nale. Abanye abantu babiza lesi simo ngokuthi “i-chickenpox,” kodwa empeleni akuyona into ehlukile ngaphandle kwesilwane. Namuhla sizokhuluma ngalesi simo, esaziwa ngokwezokwelapha ngokuthi i-Herpes Zoster , kodwa futhi saziwa ngokuthi ama-Shingles phakathi kwabantu abaningi. Ungakhathazeki, sizokhuluma ngakho kalula nangendlela ongayiqonda.

Iyini ngempela i-Herpes Zoster?

Kalula nje, i-Herpes Zoster iwukuqubuka kwesikhumba okuvame ukubangela amabhamuza abuhlungu. Kubangelwa yigciwane elifanayo elibangela i-chickenpox . Yebo, ungase umangale, kodwa kuyiqiniso. Sibiza leli gciwane ngokuthi i-Varicella-Zoster Virus (VZV) .

Uyakhumbula ukuthi wangenwa yi-chickenpox useyingane? Kwakucasula ngempela, kunama-blister emzimbeni wakho wonke, futhi kuyaluma, akunjalo? Ngemva kokuba ungenwe yi-chickenpox, igciwane alinyamalali ngokuphelele emzimbeni wakho. Linobuqili kakhulu, lihlala lilele ohlelweni lwakho lwezinzwa, okungukuthi, emangqamuzaneni ezinzwa emgogodleni wakho nasebuchosheni, iminyaka eminingi, lingabangeli izinkinga. Kufana nokulala.

Ngakho-ke, i-herpes zoster yisimo lapho i-Varicella-Zoster Virus, ebilokhu ingasebenzi iminyaka eminingi, ivuka ngokuzumayo futhi, iba namandla, bese ihamba ngemizwa iye esikhumbeni, ibangele ama-shingles. Yingakho ibizwa nangokuthi "ama-Shingles."

Ingabe wonke umuntu one-chickenpox uthola i-herpes zoster?

Lena inkinga abantu abaningi abanayo. Cha, akuwona wonke umuntu one-chickenpox ozoba ne-herpes zoster. Kodwa-ke, noma ubani oke waba ne-chickenpox unethuba lokuthola lesi simo ngesikhathi esithile empilweni yakhe.

Cabanga nje, igciwane lifana "nesiboshwa" ngaphakathi kwamangqamuzana ezinzwa zomzimba wethu. Uma nje isimiso sethu somzimba sokuzivikela siqinile, okungukuthi, uma nje izivikelo zomzimba wethu ezilwa nezifo zisebenza kahle, leli gciwane alikwazi ukuphakamisa ikhanda lalo futhi. Kodwa-ke, uma ngesizathu esithile lesi simiso somzimba sokuzivikela sibuthakathaka, igciwane elilele linethuba lokuvuka futhi, okungukuthi, ukuze lisebenze.

Ngokuvamile, i-herpes zoster ivame kakhulu kubantu abaneminyaka engaphezu kwengu-50 noma engu-60. Lokhu kungenxa yokuthi amasosha ethu omzimba ayawohloka ngokwemvelo njengoba sikhula. Kodwa-ke, ngezinye izikhathi kungenzeka kubantu abasebasha nakubantu abanezinye izimo zezokwelapha ezenza amasosha omzimba abo abe buthaka.

Kungani leli gciwane liphinde lisebenze? Yiziphi izizathu?

Njengoba sesixoxile ngaphambili, imbangela enkulu ubuthakathaka besimiso somzimba sokuzivikela. Kunezici eziningana ezingaba nomthelela kulokhu:

• Ukuguga: Lesi yisici esiyinhloko sengozi. Ingozi iyanda kancane kancane ngemva kweminyaka engu-50.
• Ukucindezeleka okukhulu:Ukucindezeleka okweqile kwesikhathi eside kungathinta amasosha omzimba wethu.
• Ezinye izimo zezokwelapha: Isibonelo, abantu abanesifo se-HIV , umdlavuza, noma ezinye izifo ezithinta amasosha omzimba basengozini enkulu yokuthola i-herpes zoster.
• Imithi ethile: Imithi efana ne-chemotherapy yomdlavuza, imithi yokucindezela amasosha omzimba ngemva kokufakelwa izitho zomzimba, noma imithamo ephezulu yama-steroid ethathwa isikhathi eside nayo ingawenza buthaka amasosha omzimba.
• Ukuhlinzwa okukhulu noma ingozi enkulu: Ukucindezeleka emzimbeni ngenxa yezinto ezinjengalezi ngezinye izikhathi kungabangela ukuthi igciwane lisebenze.
• Ngezinye izikhathi lokhu kungenzeka ngaphandle kwesizathu esibonakalayo .

Into ebalulekile ukuthi, akulona iphutha lakho ukuthi une-herpes zoster. Kungenzeka kunoma ubani.

Ziyini izimpawu ze-herpes zoster (ama-shingles)?

Izimpawu ze-herpes zoster zivame ukuvela ngezigaba ezimbili.

Isigaba Sokuqala: Izimpawu ngaphambi kokuqala kwezimpawu

Lokhu kungase kuzwakale kungavamile, kodwa empeleni, ezinye izimpawu ziqala ukuvela ezinsukwini ezimbalwa, mhlawumbe ngisho nesonto, ngaphambi kokuba kuvele izilonda zesikhumba.

• Ubuhlungu: Ubuhlungu obukhulu, ukusha, ukungazweli, ukuqaqamba, noma ukulunywa kungase kuzwakale ohlangothini olulodwa lomzimba, ngokuvamile ku-strip efana nebhande (indawo yesikhumba elawulwa yi-nerve ebizwa ngokuthi i-dermatome). Lobuhlungu ngezinye izikhathi bungaba bukhali, njengommese.
• Abanye abantu bangase babe nezimpawu ezivamile njengomkhuhlane , ikhanda elibuhlungu, ubuthakathaka, kanye nokuphazamiseka kwesisu phakathi nalesi sikhathi.

Lobuhlungu bukhulu kangangokuthi abanye abantu bangase besabe ukuthi kuyisifo esibi kakhulu, njengokuhlaselwa yinhliziyo noma i-appendicitis.

Isigaba 2: Kuvela izilonda zesikhumba nama-blister

Ngemva kwezinsuku ezimbalwa, amabala abomvu aqala ukuvela lapho kwakukhona khona ubuhlungu nokuvuvukala.

• Okulandelayo, kuvela amaqoqo amabhamuza amancane agcwele uketshezi phezu kwala maqhubu abomvu. La maqhubuza aqala agcwaliswe uketshezi olucacile, kodwa kamuva angase abe njengobisi noma aphuzi.
• Lezi zilonda nama-blister zivame ukuvela ohlangothini olulodwa lomzimba . Zivame ukuvela njengebhande ohlangothini olulodwa lwesifuba, isisu, noma umhlane. Kodwa-ke, zingavela nasebusweni, entanyeni, ezingalweni, noma emilenzeni.
• Uma lezi zilonda zivela ebusweni, ikakhulukazi eduze kwamehlo noma ebunzini, kudingeka uqaphele kakhulu ngoba zingalimaza amehlo. Sizoxoxa ngalokho kamuva.
• Ngemva kwezinsuku ezingaba ngu-7-10, la maqhubu ayoma, akhe uqweqwe, bese eqala ukuphola kancane kancane. Kungathatha cishe amasonto amabili kuya kwamane ukuphola ngokuphelele.
• Ngemva kokuba inxeba selipholile, ngezinye izikhathi umbala wesikhumba kuleyo ndawo ungashintsha noma kuvele izibazi.

UbuhlunguLolu uphawu oluyinhloko nolucasulayo kakhulu lwe-herpes zoster. Kwabanye abantu, ubuhlungu bungaba nzima ukububekezelela.

Ingabe la ma-blister ayathelelana? Ingabe azosakazekela kwabanye?

Leli futhi liphuzu elibaluleke kakhulu. Yebo, uketshezi olusezinhlayiyeni ze-herpes zoster lungathelelana.

Kodwa kunomehluko omncane lapha. Cabanga ngakho ngale ndlela:

• Uma uketshezi oluvela emaqakaleni omuntu one-shingles luthinta isikhumba somuntu ongakaze abe ne-chickenpox ngaphambili futhi ongazange athole umuthi wokugomela i-chickenpox, umuntu wesibili uzoba ne -chickenpox , hhayi i-herpes zoster.
• Lokhu kusho ukuthi i-herpes zoster ayisabalali ngokuqondile isuka komunye umuntu iye komunye (njengomkhuhlane). Uthola i-herpes zoster uma igciwane ebelivele likhona emzimbeni wakho liqala ukusebenza.

Ngakho-ke, uma une-herpes zoster, kufanele uqaphele kakhulu:

• Kubantu abangakaze babe ne-chickenpox (ikakhulukazi omama abakhulelwe, izingane ezisanda kuzalwa, kanye nalabo abanezivikeli mzimba ezibuthakathaka).
• Kubantu abangakawutholi umuthi wokugomela i-chickenpox.

Izinto okufanele zenziwe:

• Gcina indawo enamabala imbozwe ngezingubo ngangokunokwenzeka.
• Ungaklwebhi noma ucindezele amabhamuza. Ukwenza kanjalo kungasakaza igciwane futhi kubangele ukulimala kanye nokutheleleka.
• Ungabelani ngamathawula akho noma izingubo zakho nabanye.
• Geza izandla zakho kahle ngensipho njalo.

Uma amabhamuza omile futhi uqweqwe luphelile, ingozi yokudlulisa igciwane iyaphela.

Ingabe i-herpes zoster (ama-shingles) angaba yingozi? Ingabe zikhona izinkinga?

Nakuba i-herpes zoster ivame ukuphela emavikini ambalwa, abanye abantu bangaba nezinkinga. Kubalulekile ukuzazi lezi.

• I-Post-Herpetic Neuralgia (PHN): Lena inkinga evame kakhulu. Kulesi simo, ngisho nangemva kokuba i-herpes zoster rash isipholile, kusekhona ubuhlungu, ukuvuvukala, noma ukungazweli emithanjeni lapho i-rash ivele khona okokuqala. Lobuhlungu ngezinye izikhathi bungahlala izinyanga noma ngisho neminyaka. Kuyisimo esicindezelayo kakhulu nesisongela ukuphila. Abantu asebekhulile basengozini enkulu yokuthola i-PHN.
• I-Ophthalmic Zoster: Uma i-herpes zoster ivele ebusweni, ikakhulukazi ebunzini noma eduze kwamehlo, ingathinta amehlo. Izimpawu zifaka phakathi ubuhlungu bamehlo, ukubomvu, kanye nokungaboni kahle. Lesi yisimo esiphuthumayo! Uma kungelashwa ngokushesha ngudokotela wamehlo, kungase kube nokulahlekelwa umbono unomphela.
• I-Ramsay Hunt Syndrome: Yilapho igciwane le-herpes zoster lithinta khona imizwa yobuso egijima kusukela endlebeni iye ebusweni. Lokhu kungabangela izimpawu ezifana nokukhubazeka kobuso, ubuhlungu bendlebe, ukulahlekelwa ukuzwa, kanye ne-vertigo. Lokhu kudinga nokwelashwa okusheshayo.
• Izifo zesikhumba:Uma amabhamuza engahlanzwa kahle futhi ephukile, angangenwa yibhaktheriya, okungenza inxeba lithathe isikhathi eside ukuphola futhi libangele ubuhlungu obukhulu.
• Ezinye izinkinga ezingavamile: Akuvamile kakhulu ukuthi kube nokutheleleka kobuchopho (i-encephalitis), i-meningitis, noma omunye umonakalo wezinzwa emzimbeni.

Lezi zinkinga azikhulunywa ngazo ukuze zikwesabise, kodwa ukuze zikwenze uqonde ukubaluleka kokuqaphela lesi simo nokufuna iseluleko sezokwelapha ngokushesha nje lapho izimpawu ziqala.

Ingabe ikhona indlela yokwelapha lokhu? Ingabe ngidinga ukubona udokotela?

Yebo! Impela! Uma usola ukuthi une-herpes zoster, bona udokotela ngokushesha okukhulu. Ikakhulukazi uma ungaqala ukwelashwa zingakapheli amahora angu-72 kusukela kuqale izimpawu, kuzosiza kakhulu ukunciphisa ubuhlungu, kuphulukise lesi sifo ngokushesha, futhi kunciphise ingozi yalezo zinkinga esikhulume ngazo.

Udokotela uvame ukukunikeza izindlela zokwelapha ezinjengalezi:

• Imithi yokulwa namagciwane: Lena yindlela yokwelapha eyinhloko. Isibonelo, imithi efana ne -Acyclovir, i-Valacyclovir, ne-Famciclovir inganikezwa. Le mithi ilawula ukusabalala kwegciwane emzimbeni.
• Ama-Painkiller: Izinhlobo ezahlukene zama-painkiller zinganikezwa ukulawula ubuhlungu. Ngezinye izikhathi, imithi ekhethekile yobuhlungu bemizwa nayo ingadingeka.
• Ama-Skin Cream/Lotions: Udokotela uzoncoma ama-Skin Cream afanele ukunciphisa ukulunywa, ukuvuvukala, kanye nokupholisa isikhumba.
• Eminye imithi: Ngezinye izikhathi, ikakhulukazi ezimweni ezifana ne-PHN, eminye imithi ingadingeka.

Izinto ongazenza ekhaya:

• Gcina indawo ethintekile ihlanzekile futhi yomile .
• Faka ama-compress apholile . Cwilisa indwangu ehlanzekile emanzini abandayo, uyikhame, bese uyibeka endaweni ethintekile imizuzu embalwa.
• Gqoka izingubo ezikhululekile, ezithambile . Izingubo eziqinile, eziqinile esikhumbeni zingandisa ubuhlungu.
• Phumula ngangokunokwenzeka.
• Thatha imithi oyinikezwe udokotela ngesikhathi esifanele.

Ingabe i-herpes zoster (ama-shingles) angaphinde avele?

Lona futhi umbuzo abantu abaningi abawubuzayo. Yebo, nakuba kungavamile, i-herpes zoster ingaphinde ivele. Ukuthi nje wake waba nayo kanye akusho ukuthi ngeke iphinde yenzeke. Kodwa-ke, akuvamile ukuyiphinda okwesibili. Abantu abanamasosha omzimba abuthakathaka basengozini enkulu yokuphinde ivele.

Ingabe ikhona indlela yokugwema lokhu? Ngizwile ngomuthi wokugoma...

Izindaba ezinhle zithi, yebo! Manje sekukhona umuthi wokugomela osebenza kahle kakhulu wokuvikela i-herpes zoster!

• Umuthi wokugomela i-Shingrix: Lo muthi wokugomela utholakale usebenza kahle kakhulu ekuvikeleni i-herpes zoster kanye nezinkinga zayo, i-PHN.
• Ngokuvamile uneminyaka engu-50 noma ngaphezuluLo muthi wokugomela unconywa kubo bonke abantu abadala.
• Futhi, abantu abaneminyaka engu-19 nangaphezulu abanesimiso somzimba esibuthakathaka (isib. ngenxa yezimo ezithile zezokwelapha noma imithi) bangathola lo muthi wokugomela.
• Ngisho noma uke waba ne-herpes zoster ngaphambili, ukuthola lo muthi kunganciphisa ingozi yakho yokuwuthola futhi.
• Lo muthi wokugomela unikezwa ngemithamo emibili.
• Kungcono ukukhuluma nodokotela wakho ubuze ukuthi lo muthi wokugomela ukulungele yini.

• Umuthi wokugomela i-chickenpox: Ukuthola umuthi wokugomela i-chickenpox useyingane kungasiza ekuvimbeleni i-chickenpox. Uma ungayitholi i-chickenpox, igciwane le-varicella-zoster ngeke lingene emzimbeni wakho, ngakho ngeke uthole i-herpes zoster kamuva. Uma ungazange uthole i-chickenpox useyingane futhi ungawutholanga umuthi wokugomela i-chickenpox, ungawuthola umuthi wokugomela usumdala. Khuluma nodokotela wakho ngalokhu.

Ngaphezu kwalokho, ukulandela indlela yokuphila enempilo , okusho ukudla ukudla okulinganiselayo, ukulala ngokwanele, ukuzivocavoca, nokulawula ukucindezeleka, nakho kusiza ekugcineni amasosha omzimba eqinile.

Ngakho-ke, yiziphi izinto okudingeka sizikhumbule kukho konke lokhu? (Umyalezo Wokuya Ekhaya)

Kulungile, ake siphinde sixoxe ngamaphuzu abaluleke kakhulu kulokho esikhulume ngakho:

• I-Herpes Zoster iwukuqubuka okubuhlungu nokuqhumayo okubangelwa ukuvuselelwa kwegciwane le-chickenpox (i-Varicella-Zoster Virus) emizimbeni yethu.
• Isakazeka ngoketshezi olusezinhlayiyeni, kodwa ingabangela ne-chickenpox kwabanye (uma bake baba ne-chickenpox ngaphambili/abangazange bagonywe).
• Ubuhlungu buwuphawu oluyinhloko. Ngezinye izikhathi izinkinga ezifana ne -post-herpetic neuralgia (PHN) zingavela.
• Funa iseluleko sezokwelapha ngokushesha nje lapho izimpawu ziqala. Ukwelashwa kwasekuqaleni kunezinzuzo eziningi.
• Kukhona umuthi wokugomela osebenzayo (i-Shingrix) wokuvikela i-herpes zoster. Kunconywa kubantu abangaphezu kweminyaka engama-50 ubudala kanye nalabo abaseqenjini elisengozini.
• Ungesabi, kodwa qaphela. Uma unemibuzo ngalokhu, ungalokothi unqikaze ukukhuluma nodokotela.

Ngithemba ukuthi lolu lwazi luwusizo. Hlala uphilile!

I- Herpes Zoster, ama-Shingles, i-Chickenpox, Izifo Zesikhumba, Ama-Blisters, Ubuhlungu Bezinzwa, i-Herpes Zoster, i-Varicella-Zoster Virus, Umuthi Wokugomela ama-Shingles