Uyakhumbula i-chickenpox useyingane? Kwakuyinto ecasulayo kakhulu, inama-blister emzimbeni wakho wonke kanye nokulunywa, akunjalo? Abantu abaningi bacabanga ukuthi uma i-chickenpox isipholile, lesi sifo siyaphela. Kodwa empeleni, igciwane elibangele i-chickenpox lihlala lilele emizimbeni yethu, emangqamuzaneni ezinzwa, futhi lingabuya lisihluphe eminyakeni eminingi kamuva. Yileyo ndlela esibiza ngayo i-shingles, noma i-herpes zoster, lapho igciwane liphinde livuke okwesibili.
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Yiziphi izimpawu eziyinhloko ze-shingles?
Uphawu olusobala noluvelele kakhulu lwe-shingles ukuqubuka okubuhlungu nokuqhumayo esikhumbeni . Lokhu kuqubuka kuvame ukuvela ohlangothini olulodwa lomzimba. Kungavela ngebhande elizungeze okhalweni, noma ohlangothini olulodwa lobuso, intamo, isifuba, isisu, noma umhlane.
Kodwa ezinye izimpawu zingase zivele ngaphambi noma kanye nalezi zimpawu.
| Isibonakaliso | Incazelo |
|---|---|
| Ubuhlungu bemizwa | Umuzwa wokushisa, ubuhlungu obuhlabayo ngaphansi kwesikhumba. Lolu uphawu olukhathaza kakhulu. |
| Ukuluma noma ukungazweli | Isikhumba singase sizizwe siluma noma singazwakali lapho kufanele kube khona umjovo. |
| Ukushintsha kombala wesikhumba | Ezinye izindawo zingase zibe bomvu ngaphambi kokuba kuvele ukuqhuma. |
| Izimpawu ezivamile | Umkhuhlane, ubuthakathaka, ukubanda , ikhanda elibuhlungu, kanye nokuphazamiseka kwesisu nakho kungase kwenzeke. |
Ngezinye izikhathi lezi zimpawu, njengobuhlungu bemizwa kanye nokushintsha kombala wesikhumba, zingaqala amasonto ngaphambi kokuba kuvele ukuqubuka. Ngemva kwezinsuku ezintathu kuya kwezine, ukuqubuka kuphenduka amabhamuza agcwele amanzi. Ngemva kwezinsuku ezingaba yi-10, la mabhamuza ayoma futhi aqhekeke. Kungathatha amasonto ambalwa ukuthi amabhamuza awe ngokuphelele.
Into ebalulekile ukuthi abanye abantu bangathola i-shingles ngaphandle kwezimpawu, ubuhlungu kuphela. Ngakho-ke uma unalezi zimpawu, qiniseka ukuthi ubona udokotela, noma ngabe awunazo izimpawu.
Kungani sithola ama-shingles?
Kalula nje, kubangelwa yigciwane elifanayo elibangela i-chickenpox. Silibiza ngokuthi i-Varicella-zoster virus (VZV) . Ngemva kokuqeda i-chickenpox, igciwane le-VZV alinyamalali ngokuphelele emzimbeni wakho. Lihlala lilele, njengokulala, emangqamuzaneni akho ezinzwa isikhathi eside.
Kodwa uma ngesizathu esithile isimiso sethu somzimba sokuzivikela siba buthaka , igciwane elilele lingavuka futhi. Lihamba ngemizwa lifinyelele esikhumbeni, libangele ama-shingles. Njengoba amasosha omzimba ehla ngokwemvelo ngokuguga, abantu abangaphezu kweminyaka engu-50 basengozini enkulu yokuthola ama-shingles. Futhi, abantu abanezimo ezifana nomdlavuza, i-HIV, noma labo abathatha imithi yokucindezela amasosha omzimba basengozini enkulu.
Ingabe i-shingles iyathelelana kusuka komunye umuntu kuya komunye?
Yilapho abantu abaningi benza khona amaphutha. Khumbula lokhu:
- Awukwazi ukubamba ama-shingles kumuntu onama-shingles.
- Kodwa-ke, umuntu one-shingles angasabalalisa i-chickenpox kumuntu ongakaze abe ne-chickenpox ngaphambili.
Kwenzeka kanjani? Uketshezi oluvela kuma-shingles blisters luqukethe igciwane le-VZV. Uma lolo ketshezi luthinta isikhumba somuntu ongakaze abe ne-chickenpox (isibonelo, ingane encane noma owesifazane okhulelwe), lowo muntu angathola leli gciwane futhi abe ne-chickenpox. Ngakho-ke ngenkathi une-shingles nama-blisters, kubaluleke kakhulu ukugcina lawo ma-blisters embozwe kahle futhi uhlale kude nabantu abangenayo i-chickenpox.
Izinkinga ze-shingles
Nakuba i-shingles ivame ukuzixazulula yodwa, abanye abantu bangaba nezinkinga. Okuvame kakhulu futhi okubuhlungu kakhulu kulezi yisimo esibizwa ngokuthi i-post-herpetic neuralgia .
Lokhu kusho ukuthi ngisho nangemva kokuba wonke amabhamuza esikhumbeni esepholile, ubuhlungu obukhulu kulowo mthambo buyaqhubeka. Lobuhlungu bungahlala izinyanga, ngisho neminyaka.
Ngaphezu kwalokho, kunezinye izinkinga ezingase zenzeke.
| Inkinga | Incazelo |
|---|---|
| Ukutheleleka ngamagciwane | Amabhaktheriya angangena emabhulethini aphukile futhi abangele izifo zesikhumba. |
| Izinkinga zokubona | Uma kuvela ama-shingles emehlweni, kungaholela ekuthelelekeni kwamehlo ngisho nasekulahlekelweni umbono. |
| Ukukhubazeka kobuso | Ukungasebenzi kahle kwemizwa yobuso okwaziwa ngokuthi yi-Ramsay Hunt syndrome. |
| Izinkinga zokuzwa | Uma kuvela ama-shingles endlebeni, ukulahlekelwa ukuzwa kanye nokukhala ezindlebeni (i-tinnitus) kungase kwenzeke. |
| Ezinye izimo ezibucayi | Akuvamile kakhulu ukuthi kube nezimo ezimbi kakhulu ezifana nokutheleleka kobuchopho (i-encephalitis) kanye ne-pneumonia. |
Kufanele ufune nini ukwelashwa kanye neseluleko sezokwelapha?
Akukho "ukwelashwa" okuphelele kwe-shingles. Kodwa-ke, kunezindlela zokwelapha zokulawula izimpawu, ukusheshisa ukululama, nokunciphisa ingozi yezinkinga.
Udokotela uvame ukuncoma okulandelayo njengokwelashwa:
- Ama-antiviral: Isibonelo, imithi efana ne-Acyclovir. Le mithi isebenza kahle kakhulu uma iqalwa zingakapheli izinsuku ezintathu zokuqala zezimpawu.
- Iziqeda-zinhlungu: Iziqeda-zinhlungu ezivamile njengeParacetamol noma i-Ibuprofen.
- Ama-Corticosteroids: Uma ama-shingles ethinte amehlo noma ezinye izingxenye zobuso, anganikezwa ukunciphisa ukuvuvukala.
Kufanele ngimbone nini udokotela?
Uma usola ukuthi unezimpawu ze-shingles, bona udokotela wakho ngokushesha . Kungcono ukuqala ukwelashwa ngokushesha okukhulu.
| Nini ukuya e-Emergency Treatment Unit (ETU) |
|---|
Uma unezinye zezimpawu ezilandelayo ezimbi kakhulu nge-shingles, hamba uye emnyangweni wezimo eziphuthumayo wesibhedlela (ETU) ngokushesha:
|
Ingabe ama-shingles angavinjelwa?
Yebo, kukhona indlela yokunciphisa ingozi yokuthola i-shingles. Lokho kusho ukuthola umuthi wokugomela i-shingles (Shingrix®) . Ungawuthola lo muthi wokugomela uma uke waba ne-chickenpox ngaphambili. Ngisho noma usuvele une-shingles futhi walulama, kunconywa ukuthi uwuthole lo muthi wokugomela ukuze unciphise ingozi yakho yokuwuthola futhi esikhathini esizayo. Ungacela udokotela wakho ukuthi akunike ulwazi olwengeziwe ngalokhu.
Umlayezo Wokuya Nawe Ekhaya
- I-shingles yisifo esibangelwa yigciwane le-chickenpox elifanayo nelakho owawunalo usengumntwana, eliphinde lisebenze eminyakeni eminingi kamuva.
- Uphawu oluyinhloko ukuqubuka okubuhlungu nokuqhumayo okwenzeka ohlangothini olulodwa lomzimba.
- Awukwazi ukuthola i-shingles kumuntu onesifo se-shingles. Kodwa-ke, ungayithola i-chickenpox kusuka emaqakaleni akho iye kumuntu ongenaso isifo se-chickenpox.
- Uma nje usola ukuthi unezimpawu, bona udokotela ngokushesha . Ukuqala ukwelashwa kusenesikhathi kunganciphisa kakhulu izinkinga.
- Kukhona umuthi wokugomela onganciphisa ingozi yokuthola i-shingles. Khuluma nodokotela wakho ngakho.
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