Ake sifunde kabanzi ngaleso "sifo sikaNkulunkulu" esinzima esizwakala njengebhande elizungeze umzimba - okungukuthi, ama-shingles?

Cishe uke wezwa ngento ebizwa ngokuthi "isifo sikaNkulunkulu." Abanye abantu bayayesaba. Kodwa namuhla sizokhuluma ngesifo esibonakala njengebhande ohlangothini olulodwa lomzimba, esibuhlungu kancane, futhi esibangela amabhamuza. Ngokwezokwelapha, lokhu sikubiza ngokuthi ama-Shingles noma i-Herpes Zoster . Ake sibone ukuthi siyini, sikhula kanjani, yiziphi izimpawu, nokuthi ungazivikela kanjani kuso futhi uthole ukwelashwa.

Ziyini lezi zingcezu ze-shingle?

Kalula nje, i-shingles iwukuqubuka okubuhlungu noma ukuqubuka ebusweni besikhumba okubangelwa yigciwane elihlasela imizwa (ebizwa nangokuthi imizwa) ngaphansi kwesikhumba sethu. Ibizwa nangokuthi i-Herpes Zoster. Esikhathini esiningi, lokhu kuqubuka kuvela ohlangothini olulodwa lomzimba , njengebhande. Yingakho abanye abantu bekubiza ngokuthi "isifo esiza njengebhande." Kubonakala ngokuvuvukala okukhulu kwesikhumba.

I-shingles ikhula kanjani? Yini ebangela lokhu?

Imbangela enkulu yalokhu yi -Varicella-Zoster Virus . Uyakhumbula ukuthi unesifo senkukhu useyingane? Leli yigciwane elifanayo elibangela inkukhu.

Ngakho-ke, ngemva kokuba umuntu eseluleme ku-chickenpox, i-Varicella-Zoster Virus ayinyamalali ngokuphelele emizimbeni yethu. Ihlala ithule, noma ilele, kwezinye izingxenye zesimiso sethu sezinzwa . Kufana nokuthi ifihlekile.

Leli gciwane lingahlala lingasebenzi iminyaka eminingi ngaphandle kokubangela izinkinga. Kodwa-ke, ngezinye izikhathi, ngesizathu esithile - isibonelo, ngokuguga (ngokuvamile ngemva kweminyaka engu-50), lapho amasosha omzimba ehla (okungukuthi lapho ikhono lomzimba lokulwa nezifo lincipha), noma lapho kunokucindezeleka okuphezulu okuqhubekayo, noma ngenxa yemithi ethile (isib. imithi yomdlavuza ) - igciwane elingasebenzi liqala ukusebenza futhi. Yilapho lesi sifo sivela khona njenge-shingles.

Lokhu kusho ukuthi noma ubani oke waba ne-chickenpox, kungakhathaliseki ukuthi useyingane, esemusha, noma esemdala, usengozini yokuthola i-shingles kamuva ekuphileni. Kodwa khumbula, akuwona wonke umuntu oke waba ne-chickenpox ozoba ne-shingles.

Ngokuvamile, umuntu uthola i-shingles kanye kuphela empilweni yakhe. Amathuba okuthola i-shingles okwesibili awavamile kakhulu, kodwa ayinto engenakwenzeka.

Ama-shingles avame kakhulu kubantu abaneminyaka engaphezu kwengu-50. Kodwa-ke, njengoba ngishilo ngaphambili, angathinta noma ubani wanoma yimuphi ubudala.

Ziyini izimpawu ze-shingles? Uzibona kanjani?

Izimpawu ze-shingles zihlukile kancane. Ezinye izimpawu zingase zivele ngaphambi kokuba kuvele ukuqubuka. Ake sibheke ukuthi ziyini.

• Izimpawu zokuqala (ngaphambi kokuba kuvele ukuqubuka): Ngokuvamile, ezinsukwini ezimbalwa (ngezinye izikhathi usuku olulodwa kuya kwezi-5) ngaphambi kokuba kuphathwe ukuqubuka, ungase uzwe ukusha, ukungazweli, ukuqaqamba, noma ubuhlungu obukhulu endaweni yokuqubuka. Kwabanye abantu, lobu buhlungu bungaba bukhali, njengommese, inaliti , noma umuzwa wokuhlaba. Kwabanye, kungase kuzwakale sengathi umuzwa wokusha. Lokhu kuvame ukuba uphawu lokuqala.

• Amabhamuza: Ngemuva kwalokho, phakathi nosuku olulodwa kuya kwezinhlanu, isikhumba endaweni yobuhlungu sizoba bomvu bese kuvela amabhamuza amancane (amaqhubu amancane). Lawa ngokuvamile angohlangothi olulodwa lomzimba (ohlangothini lwesokudla kuphela, ohlangothini lwesobunxele kuphela). Angase avele njengebhande elifana nebhande okhalweni, noma angase avele ohlangothini olulodwa lwesifuba, noma angase avele njengomugqa ohlangothini olulodwa lobuso (ibunzi, izihlathi, isilevu).

Cabanga nje, kubonakala sengathi othile udwebe upende obomvu ohlangothini olulodwa lomzimba, olunamaconsi amancane amanzi phezu kwawo.

• Ukwakheka kwamaqhubu : La maqhubu amancane akhula abe amaqhubu agcwele ubomvu phakathi nosuku olulodwa noma ezimbili. Ngemva kwezinsuku eziyi-7 kuya kweziyi-10, la maqhubu ayaqhuma bese kwakheka uqweqwe . La maqhubu anombala ophuzi onsundu.

• Ukuphulukiswa: Amabala aqala ukubola bese ewa emavikini amabili kuya kwamane. Ngezinye izikhathi, isibazi esincane noma ukushintsha kombala wesikhumba (isikhumba singase sibe mhlophe noma sibe mnyama) kungasala kulezo zindawo.

Ubuhlungu buyahlukahluka kuye ngomuntu nomuntu. Abanye abantu bangase babe nobuhlungu obuncane kuphela, kanti abanye bangase babe nobuhlungu obungabekezeleleki. Lobuhlungu buvame kakhulu kubantu abadala, futhi cishe buyaqhubeka ngisho nangemva kokuba inxeba selipholile (sizoxoxa ngalokho kamuva).

Ingabe i-shingles iyathelelana?

Lena inkinga abantu abaningi abanayo. Ama-shingle awadluliselwa ngokuqondile esuka komunye umuntu aye komunye. Okusho ukuthi, ngeke uthole ama-shingle ngokuthinta nje umuntu one-shingle.

Kodwa, nansi into encane okufanele uyiqonde. Lawo maqhubu agcwele ubomvu omuntu one-shingles aqukethe i-Varicella-Zoster Virus. Ngakho-ke, uma umuntu ongakaze abe ne-chickenpox noma ongazange agonywe i-chickenpox ehlangana ngqo nalawo maqhubu, okungukuthi, uma ethinta uketshezi oluphuma kumaqhubu, lowo muntu angathola i-chickenpox, hhayi i-shingles.

Ngakho-ke, umuntu one-shingles:

• Kufanele ugcine amabhamuza akho embozwe kahle (isib. ngebhandeji elihlanzekile, elinganamatheli).
• Kufanele ugweme ukuklwebha noma ukukha amabhamuza.
• Kufanele ugeze izandla zakho kahle ngensipho ngaso sonke isikhathi.
• Ukuxhumana eduze nabesifazane abakhulelwe, izinsana ezisanda kuzalwa, kanye nabantu abanezivikeli mzimba ezibuthakathaka (isib., iziguli ezinomdlavuza, iziguli ezine-HIV, abantu abafakelwe izitho zomzimba) kufanele kugwenywe, ikakhulukazi kuze kube yilapho amabhamuza omile ngokuphelele futhi eqhekekile.

Uma amabhamuza omile futhi uqweqwe luphelile, igciwane alisathelelani.

Yiziphi izinkinga ezingaba khona ngenxa ye-shingles?

Nakuba ama-shingles evame ukuphela phakathi namasonto ambalwa, abanye abantu bangaba nezinkinga . Kubalulekile ukuzazi lezi.

• I-Postherpetic Neuralgia (PHN): Lena inkinga evame kakhulu futhi ecindezelayo. Ibonakala ngobuhlungu obukhulu bemizwa obuqhubeka izinyanga noma ngisho neminyaka ngemva kokuba i-shingles rash isiphelile. Buvame kakhulu kubantu abadala (abangaphezu kweminyaka engama-60 ubudala). Ubuhlungu bungase buhlale usuku lonke noma bungase bufike budlule. Ngezinye izikhathi, ubuhlungu bungaba nzima ukububekezelela, ngisho nalapho izingubo zikhuhla esikhumbeni noma lapho umoya uvunguza. Lokhu kungaba nomthelela omkhulu ezingeni lempilo.
• Ukutheleleka kwesikhumba: Uma amabhamuza ephuka, angangenwa amagciwane uma enganakekelwa kahle. Indawo ingaba bomvu, ivuvuke, bese ubomvu buqongelela.
• Imiphumela emehlweni: Ama-shingles ebusweni, ikakhulukazi ebunzini, eduze kwamehlo, kanye naseceleni kwekhala (elibizwa ngokuthi i-ophthalmic zoster) , angathinta amehlo. Kungabangela ukulahlekelwa umbono, i-glaucoma, ngisho nobumpumputhe. Ngakho-ke, uma unezimpawu zama-shingles ebunzini noma eduze kwamehlo, kufanele ubonane nodokotela ngokushesha, okungcono kube udokotela wamehlo.
• Ezinye izinkinga zesimiso sezinzwa: Akuvamile kakhulu, i-shingles ingathinta ubuchopho (encephalitis) noma umgogodla (myelitis). Isibonelo, ingathinta imizwa yobuso, ibangele ukukhubazeka kobuso, ubuhlungu bendlebe, kanye nesiyezi, okwaziwa ngokuthi i-Ramsay Hunt syndrome . Ukulahlekelwa ibhalansi kanye nokulahlekelwa ukuzwa nakho kungase kwenzeke.

Yingakho kubalulekile ukufuna iseluleko sezokwelapha ngokushesha nje lapho uqala ukubona izimpawu ze-shingles.

Yiziphi izindlela zokwelapha ama-shingles?

Uma usola ukuthi unesifo se-shingles noma unezimpawu, kungcono ukubona udokotela ngokushesha okukhulu.Ikakhulukazi uma ukwelashwa kuqalwa zingakapheli amahora angu-72 (izinsuku ezingu-3) kusukela ekuqaleni kwezimpawu (ukuvela kwe-blister yokuqala), lesi sifo singalapheka ngokushesha, ubuhlungu bungancishiswa, futhi ingozi yokuthola izinkinga esikhulume ngazo (ikakhulukazi i-PHN) ingancishiswa.

Izindlela zokwelapha eziyinhloko yilezi:

• Imithi yokulwa namagciwane: Le mithi ilawula ukwanda kwegciwane, ifinyeze isikhathi sokugula, isheshise ukuphulukiswa kwama-blister, futhi inciphise ubuhlungu. Isibonelo, imithi efana ne -`(Acyclovir)`, `(Valacyclovir)`, `(Famciclovir)` inganikezwa udokotela. Le mithi inikezwa cishe izinsuku eziyi-7 kuya kweziyi-10. Kubaluleke kakhulu ukuyithatha ngesilinganiso esinqunyiwe sesikhathi esinqunyiwe.
• Imithi yokunciphisa ubuhlungu: Ungasebenzisa imithi yokunciphisa ubuhlungu etholakala ngaphandle kwemithi kadokotela njengeParacetamol noma ama-NSAID (isib. i-Ibuprofen ) ukulawula ubuhlungu. Uma ubuhlungu bukhulu, udokotela wakho angase akunike imithi enamandla yokunciphisa ubuhlungu, noma ngisho nemithi yokwelapha ubuhlungu bemizwa (isib. iGabapentin, iPregabalin).
• Amanye ama-creams nemithi: Ungasebenzisa ama-creams afana ne -calamine lotion ukunciphisa ukulunywa, noma amanye ama-creams anconywe udokotela wakho. Ngezinye izikhathi, ama-creams e-steroid anganikezwa isikhathi esifushane ukunciphisa ukuvuvukala.

Izinto ongazenza ekhaya:

• Gcina indawo enamaqhubu ihlanzekile. Geza okungenani kanye ngosuku ngamanzi afudumele (ngaphandle kwensipho noma ukusebenzisa insipho ethambile) bese uyisula ngethawula elihlanzekile nelithambile.
• Ungafaka ama-compress abandayo. Cwilisa indwangu ehlanzekile emanzini abandayo, uyikhame, bese uyibeka phezu kwe-blister cishe imizuzu eyi-15-20. Yenza lokhu izikhathi eziningana ngosuku.
• Gqoka izingubo ezikhululekile, ezikakotini ezivumela isikhumba sakho ukuba siphefumule. Ukugqoka izingubo eziqinile neziqinile kungabangela amabhamuza futhi kwandise ubuhlungu.
• Gwema ukuklwebha noma ukukha amabhamuza. Ukuklwebha kungaholela ekuthelelekeni nasekuqhekekeni.
• Phumula ngokwanele. Yidla ukudla okunomsoco. Lokhu kuzonika umzimba wakho amandla okulwa nesifo.

Ingabe ama-shingles angavinjelwa?

Nakuba kungekho ndlela yokuzivikela ngokuphelele ezifweni ze-shingles, kunezinto ongazenza ukuze unciphise ingozi yakho.

• Umuthi wokugomela i-chickenpox: Umuthi wokugomela onikezwa izingane ukuvimbela i-chickenpox unganciphisa kancane ingozi yokuthola i-shingles kamuva ekuphileni. Lokhu kungenxa yokuthi uma i-chickenpox ingazange ivele, igciwane elibangela i-shingles ngeke lingene emzimbeni.
• Umuthi wokugomela ama-shingles: Lena yindlela ebaluleke kakhulu nephumelelayo yokuvimbela ama-shingles. Ngokuvamile unikezwa abantu abaneminyaka engu-50 noma ngaphezulu.Lo mjovo uyanconywa. ESri Lanka, lo mjovo ungase ungavami kakhulu okwamanje, kodwa ungase utholakale kwezinye izibhedlela ezizimele. Lo mjovo unganciphisa kakhulu ingozi yokuthola ama-shingles kanye nezinkinga ezingase zenzeke uma uwuthola (ikakhulukazi i-PHN). Ungakhuluma nodokotela wakho mayelana nokuthi lo mjovo ukufanele yini nokuthi kufanele uwuthole nini.

Ukugcina amasosha omzimba aqinile nakho kubalulekile. Lokhu kungafezwa ngokudla okunempilo, ukulala ngokwanele, ukuvivinya umzimba njalo , kanye nokulawula ukucindezeleka.

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ngakho-ke ngithemba ukuthi usuyaqonda kangcono ama-shingles esikhulume ngawo.

Khumbula, i-shingles yisimo esibuhlungu esibangela amathumba esivame ukuvela ohlangothini olulodwa lomzimba, esibangelwa ukuvuselelwa kwegciwane elifanayo elibangela i-chickenpox (i-Varicella-Zoster Virus).

• Uma wena noma othile omaziyo enalezi zimpawu, ungesabi noma ukhathazeke, futhi bonana nodokotela ngokushesha okukhulu . Ukwelashwa okusheshayo kunganciphisa ubuhlungu futhi kuvimbele izinkinga.
• Uma unesifo sokuqubuka, ikakhulukazi ebusweni bakho noma eduze kwamehlo akho, bheka njengesimo esiphuthumayo bese ucela ukwelashwa ngokushesha. Ungalibali.
• Njengoba i-chickenpox ingadluliselwa kusuka kumuntu one-shingles iye kulabo abangakaze babe ne-chickenpox (ikakhulukazi abesifazane abakhulelwe, izingane ezincane, nalabo abanezivikeli mzimba ezibuthakathaka), kubalulekile ukuhlala kude nabanye futhi uqaphele kuze kube yilapho amabhamuza epholile.
• Uma uneminyaka engaphezu kwengu-50, buza udokotela wakho ngomuthi wokugomela i-shingles. Uyisivikelo esihle.

Ngiyethemba ukuthi lolu lwazi luwusizo kuwe. Hlala uphilile futhi ujabule wonke umuntu!

'Ama-shingles, i-herpes zoster, igciwane le-chickenpox, i-varicella-zoster, izifo zesikhumba, ubuhlungu bemizwa, i-postherpetic neuralgia, umuthi wokugomela ama-shingles