Uyakhumbula ubuhlungu be-chickenpox useyingane? Ama-blister aqhuma emzimbeni wakho wonke, ukulunywa, futhi ngezinye izikhathi umkhuhlane? Iningi labantu aliphinde likhumbule ngemva kokuba selingcono. Kodwa kwabanye abantu, eminyakeni, ngisho namashumi eminyaka kamuva, igciwane elifanayo elabangela i-chickenpox liyavuka emzimbeni futhi liphume njengesifo esibi kakhulu nesibuhlungu. Sikubiza ngokuthi i-herpes zoster (ama-shingles) . Namuhla sikhuluma ngendlela engcono kakhulu yokuzivikela kulobu buhlungu.
Kalula nje, uyini lo muthi wokugomela i-herpes zoster (shingles)?
Lona umuthi wokugomela onciphisa ingozi yakho yokuthola i-shingles. Uma sikhuluma iqiniso, uqinisa amasosha omzimba wakho futhi uvimbele igciwane elidala le-chickenpox (`igciwane le-Varicella-zoster`) ukuthi liphinde lisebenze.
Enye inzuzo enkulu yalo muthi wokugomela ukuthi noma ngabe uthola i-shingles, inciphisa kakhulu ingozi yokuthola isimo esibizwa ngokuthi i-Postherpetic Neuralgia (PHN) , ubuhlungu obukhulu, obuhlala isikhathi eside bemizwa obungenzeka ngemva kwalokho. I-PHN iyisimo esikhathazayo kakhulu. Kwabanye abantu, ubuhlungu bungahlala izinyanga noma ngisho neminyaka ngemva kokuba amabhamuza esepholile.
Umuthi wokugoma oyinhloko osetshenziswa njengamanje eSri Lanka nakwamanye amazwe amaningi emhlabeni jikelele umuthi wokugoma iShingrix™ . Nakuba kwakukhona umuthi wokugoma obizwa ngokuthi iZostavax®, iShingrix™ manje isisetshenziswa kakhulu ngenxa yezinga layo lempumelelo elikhulu.
Ubani obaluleke kakhulu ukuthola lo muthi wokugomela?
Lokhu akuyona into edingwa yiwo wonke umuntu, kodwa odokotela batusa ngokukhethekile ukuthi amaqembu athile athole lo muthi wokugomela. Hlola ukuthi uwela yini kulezi zigaba.
| Iqembu labantu elinconyiwe | Amaphuzu abalulekile |
|---|---|
| Wonke umuntu oneminyaka engu-50 noma ngaphezulu | Njengoba sikhula, amasosha ethu omzimba ayancipha ngokwemvelo, ngakho-ke ingozi yokuthi igciwane liphinde livuke iphakeme. |
| Labo abaneminyaka engu-19 noma ngaphezulu, abanamasosha omzimba abuthakathaka | Abantu abanezivikeli mzimba ezibuthakathaka ngenxa yezinye izifo (isib. umdlavuza, i-HIV) noma imithi (isib. ama-steroid) basengozini enkulu. |
| Abantu abake baba ne-shingles ngaphambili | Ukuthi wake waba ne-chickenpox kanye akusho ukuthi ngeke uphinde uyithole. Umjovo usiza ekuvimbeleni ukuthi lesi sifo singaphinde sivele. Kodwa kufanele ulinde kuze kube yilapho amabhamuza esepholile ngokuphelele ngaphambi kokuthola umjovo. |
| Abantu abathole umuthi wokugomela i-Zostavax® omdala | Ngenxa yokuthi umuthi wokugomela omusha we-Shingrix™ usebenza kangcono, kunconywa ukuthi uthole i-Shingrix™ noma ngabe uthatha i-Zostavax®. |
Uma ungaqiniseki ukuthi wawunesifo senkukhu noma cha ebuntwaneni, khuluma nodokotela wakho ngaso. Ukuhlolwa kwegazi (`ukuhlolwa kwe-titer`) kungase kukwazi ukukuqinisekisa.
Ubani okungafanele athole umuthi wokugoma futhi ubani okufanele awuhlehlise?
Lo muthi wokugoma awufanele wonke umuntu, ngaso sonke isikhathi. Abanye abantu akufanele bawuthole nhlobo, kanti abanye kufanele bawuhlehlise isikhashana.
Laba bantu akufanele bagonywe.
- Uma uke waba nokusabela okukhulu kokungezwani komzimba nomthamo wokuqala walo muthi wokugoma.
- Uma ungakaze ube ne-chickenpox, okungukuthi, uma ukuhlolwa kwegazi kuqinisekisile ukuthi awuvikelekile egciwaneni le-chickenpox, khona-ke awudingi umuthi wokugomela i-shingles, kodwa umuthi wokugomela i-chickenpox .
Kulezi zimo, linda isikhashana ukuze ugonywe.
- Uma okwamanje une-shingles , kufanele ulinde kuze kube yilapho amabhamuza nezinye izimpawu sezipholile ngokuphelele.
- Uma unomkhuhlane noma esinye isifo , thola umuthi wokugoma ngemva kokuba usululame ngokuphelele.
- Uma ukhulelwe noma uncelisa , kungcono ukuxoxa ngalokhu nodokotela wakho ngaphambi kokwenza isinqumo.
Ake sifunde ngendlela yokugoma kanye nokuphepha kwayo.
Umuthi wokugoma unikezwa engalweni engenhla, ngaphezu kwehlombe lakho . Lona umuthi wokugoma onemithamo emibili.
1. Ngemva kokuthola umthamo wokuqala ,
2. Umthamo wesibili kufanele uthathwe phakathi kwezinyanga ezimbili kuya kweziyisithupha.
Ngemva kokuthola umuthi wokugomela i-Shingrix™, uzothola izinga eliphezulu kakhulu lokuvikelwa okungenani iminyaka eyisikhombisa . Njengamanje, umthamo owengeziwe we-'booster' awunconywa ngemuva kokuqeda lawa madosi amabili.
Yimiphi imiphumela emibi engaba khona?
Njenganoma yimuphi umuthi wokugoma, kungase kube nemiphumela emibi emincane. Kodwa-ke, lokhu kuvame ukuba okwesikhashana futhi kuzophela phakathi nosuku olulodwa noma ezimbili. Akukho okufanele ukhathazeke ngakho.
| Ukuhlukaniswa kwemiphumela emibi | |
|---|---|
| Izimo ezingaba khona ngokujwayelekile futhi ziphele ezinsukwini ezimbalwa | |
| Indawo yokujova | - Ubuhlungu noma ubuhlungu - Ububomvu - Ukuvuvukala |
| Izici ezijwayelekile zomzimba | - Ukukhathala - Ikhanda elibuhlungu - Ubuhlungu bomzimba - Umkhuhlane omncane - Isisu esibuhlungu - Isicanucanu |
| Ukusabela okukhulu kokungezwani komzimba okungenzeka kungavamile kakhulu futhi kudinga usizo lwezokwelapha ngokushesha | |
| |
Kubaluleke kakhulu: Uma uhlangabezana nanoma yiziphi zalezi zimpawu zokungezwani komzimba okukhulu, hamba ngokushesha esibhedlela esiseduze (i-ETU). Lezi zimo azivamile, kodwa kubalulekile ukuziqaphela.
Eminye imibuzo evame ukubuzwa
Ngingakwazi yini ukuthelela omunye umuntu ngemva kokuthola umuthi wokugomela?
Lutho neze. I-Shingrix akuyona imithi yokugomela igciwane eliphilayo ('imijovo engaphili'). Yenziwa kusetshenziswa ingxenye encane yephrotheni engenangozi yegciwane uqobo. Ngakho-ke, ngeke ugule yilo muthi wokugomela, futhi ngeke uthelele omunye umuntu.
Kungenzeka yini ukuthi ngithole i-shingles ngisho nangemva kokuthola umuthi wokugomela?
Lo mjovo usebenza ngaphezu kuka-90%. Kodwa-ke, inani elincane kakhulu labantu lisengaphathwa yi-shingles ngisho nangemva kokuthola umjovo. Kodwa-ke, uma bethola umjovo, ukugula kuba kuncane kakhulu, kubuhlungu kancane, futhi kuphola ngokushesha.Okubaluleke kakhulu, ingozi yokuthola ubuhlungu obukhulu besikhathi eside esikhulume ngabo (`Postherpetic Neuralgia`) incishisiwe kakhulu.
Umlayezo Wokuya Nawe Ekhaya
- I-Herpes zoster (ama-shingles) yisimo esibuhlungu kakhulu esibangelwa yigciwane le-chickenpox.
- Abantu abangaphezu kweminyaka engu-50 kanye nalabo abanezivikeli mzimba ezibuthakathaka basengozini enkulu yokuthola lesi sifo.
- Umuthi wokugomela i-Shingrix uqukethe imithamo emibili futhi uyindlela ephumelela kakhulu yokuvikela lesi sifo kanye nezinkinga zaso ezinzima.
- Imiphumela emibi ngemva kokugonywa ivame ukuba mincane futhi iphele zingakapheli izinsuku ezimbalwa.
- Khuluma nodokotela womndeni wakho (udokotela) ukuze uthole iseluleko esinembile kakhulu sokuthi lo muthi wokugoma ukulungele yini nokuthi uwuthola nini.











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