Khumbula ukuthola i-Vaccinated ukuze uvimbele amabhantshi
Ama-shingles yisifo esibuhlungu nesijwayelekile esikhumba esihlasela cishe abantu abayizigidi baseMelika ngonyaka, ngokusho kwamaCenter for Disease Control and Prevention, noma i-CDC. Ama-shingles angabangela ikhanda futhi abhekane nobuhlungu uma kuthinta inzwa enkulu engabonakali ubuso (ebizwa ngokuthi i- trigeminal nerve ).
Ukuqonda ama-Shingles
Ama-shingles iyisiphuzo esibuhlungu esiphuthuma emgqeni wezinzwa (okuthiwa i- dermatome ).
Ama-rash amafomu ngenxa yokuvuselelwa kwegciwane le-inkukhu, ngokuvamile elilele emanzini emzimbeni wakho. Isikhathi sezokwelapha shingles yi-herpes zoster, okungafanele idideke ne-herpes, isifo socansi.
Kubalulekile ukuqonda ukuthi noma ngubani oye waba ne-chickenpox (noma wathola umgomo wokukhukhuka) angase athuthukise ama-shingles. Lokhu kusho ukuthi ama-shingles avamile kakhulu kubantu abadala kuneminyaka engama-50, kanye nabantu abanamasosha omzimba obuthakathaka (ngokwesibonelo, abantu bathatha i- corticosteroids noma abantu abane- lymphoma, i-leukemia , noma igciwane lesandulela-ngculazi (i-HIV ).
Ama-Shingles noHlaka Lokuphathwa Kwekhanda noma Ubuhlungu Bobuso
Ama-shingles angakuthinta noma yikuphi emzimbeni wakho, nakuba kuthinta i-ganglion trigeminal cishe ngamaphesenti ayishumi kuya kweshumi nanhlanu yamacala-futhi yilokho okwenza umuntu abe nenhloko noma abhekane nobuhlungu. Ithimba lezokwelapha ngenxa yesifo noma insizwa ebusweni eyenzeka ngenxa yezingxenyeni "i-neuropathy ebuhlungu kakhulu ye-trigeminal ye-herpes zoster."
I-ganglion ye-trigeminal yilapho izidumbu ze-nerve trigeminal ziguqukela khona ukuze zinikezwe ubuso, umlomo, nekhanda. I- trigeminal nerve inamagatsha amathathu amakhulu:
- Igatsha le-ophthalmic, eliseduze kweso
- Igatsha laseMaxillary, elitholakala nendawo yehlathi
- Igatsha leMandibular, elisendaweni yomhlathi
Igatsha lezintambo ezinezintambo ezivame ukuthinteka yi-herpes zoster yilona igatsha labafokazi.
Izibungu ezithinta i-trigeminal nerve ivame ukuchazwa njengokuzwa okuvuthayo, ukubetheka, ukugwaza, noma ukuzwa okukhanda ekhanda noma ebusweni. Abantu baphinde bachaze ukuzwela okukhudlwana ukuthinta endaweni yesibindi esithintekile (okuthiwa i- allodynia ).
Kubalulekile ukuthi uqaphele ukuthi ngaphambi kokuba kuthuthukiswe ukuhlukumeza okubuhlungu kwezingxabano, abanye abantu bahlangabezana nezimpawu ze-prodromal ezifana ne-malaise, ikhanda, ukuzwela ukukhanya, ukuphazamiseka okungavamile (isibonelo, ukushaywa noma ukuvutha). Ngezinye izikhathi, abantu bathola umkhuhlane. Lezi zimpawu zingase zifike ezinsukwini ezimbalwa ngaphambi kokuba kuqhume ukuqhuma.
Uma kuvela ukuqhuma, kuqala njengama-bumps obomvu bese kuba ama-bumps agcwele amanzi ahlanzekile, okuthiwa ama-vesicles. I-vesicles scab zingakapheli izinsuku ezingu-7 kuya kwezingu-10, kanti izikhwama ziphuma emavikini amabili noma amane. Ngezinye izikhathi ukuqhuma kungashiya isibazi.
Ukwelashwa kwama-Shingles
Ama-shingles aphathwa ngemithi yokulwa negciwane, njengo-Valtrex (valacyclovir) enqunywe udokotela wakho. Uma i-rash iseduze noma eduze kweso lakho, kuzodingeka ubone ngokuphuthumayo isazi seziliso esibizwa ngokuthi i-ophthalmologist.
Okokugcina, ngaphezu kwemithi yama-antiviral, udokotela wakho angase anikeze imishanguzo ebuhlungu ukuze kunciphise ukungahambi kahle, okungahle kube ngobumnene kuze kube nzima.
Izibonelo zemithi yobuhlungu udokotela angase ancome noma ahlele zihlanganisa:
- I-Tylenol (i-acetaminophen)
- Izidakamizwa ezingezona ukuvuvukala ( non- steroidal anti-inflammatory ( NSAIDs )
- Corticosteroids
- Imishanguzo yokulwa ne-anti-seizure njenge-Neurontin (gabapentin) noma iLyrica (pregabalin).
Ukuze unciphise i-itching, ukucindezeleka okumanzi kanye ne-calamine lotion kungase kube usizo.
Ama-Tidbits Ayisithupha Okumele Awakhumbule
Enye ye-tidbit ebalulekile okumele uyikhumbule ingukuthi ama-shingles awasakazeki. Lokho kusho, kukhona okuhlukile. Uma umuntu engakaze abe ne-chickenpox (futhi engakaze abe nomuthi wokugoma we-chickenpox) futhi ahlangane nokushayeka (uma ukuqhuma ku-blister noma vesicle esiteji), bangayitholela.
Ama-shingles awasakazeki ngaphambi kokuba kuqhume ukuqhuma noma lapho ukukhwabanisa kwe-crush. Noma kunjalo, ngokusho kweCenters for Disease Control and Prevention, ingozi yokudlulisa inkukhu nge-shingles rash iphansi uma kuhlanganiswa. Noma kunjalo, uma unomkhuhlane, udokotela wakho angakutshela ukuthi ungangeni othintana naye eduze nabantwana abangakatholi umuthi wokugoma wenkukhu.
I-tidbit yesibili ebalulekile ukuthi ama-shingles angavinjelwa. Eqinisweni, kukhona manje imishanguzo emibili ye-shingles. Umuthi wokugoma umuthi wokugoma we-zoster owenziwe bukhoma (Zostavax) kanti omunye umuthi wokugoma we-zoster ongaqanjwanga (Shingrix). Lezi zinsuku zavunyelwa ukusetshenziswa e-United States ngo-Okthoba 2017, kanti ucwaningo lubonisa ukuthi lungasebenza kakhulu ekuvimbeleni i-herpes, ikakhulu kubantu abadala.
Ngaphezu kokusiza ekuvimbeleni ama-shingles, le migomo nayo isiza ukuvimbela i- neuralgia yangemva kwesimo -ubuhlungu obunzima futhi ngezinye izikhathi obuyinkimbinkimbi yokucindezeleka.
Izwi elivela
Uma ama-shingles ethinta i-ganglion trigeminal, ingabangela ukuqhuma okubuhlungu kwekhanda nokubukeka. Lokho kusho, sicela ucele usizo lwezokwelapha ngokushesha uma ucabanga ukuthi ungaba nezikhwama.
Ngaphezu kwalokho, uma uneminyaka engama-60 noma ngaphezulu, khuluma nodokotela wakho mayelana nokuthola umgomo wokugoma. Ekugcineni, ukuvimbela ama-shingles ukuthi angaveli endaweni yokuqala ukubheja kwakho okuhle kakhulu.
> Imithombo:
> Albrecht MA. (2017). Ukugonywa kokuvimbela isisu (herpes zoster). Hirsch MS, u-Ed. Kusesikhathini. Waltham, MA: UpToDate Inc.
> Amasevisi Okulawula Nokuvimbela Izifo. (2014). Mayelana nama-Shingles (i-Herpes Zoster).
> Amasevisi Okulawula Nokuvimbela Izifo. (2014). Ukuvuselela kwizincomo zokusetshenziswa kwe-Herpes Zoster Vaccine .
> Ikomidi Lokuhlukanisa Amakhanda Ye-International Headache Society. (2013). "I-International Classification of Headache Disorders: I-3rd Edition (i-beta version)". I-Cephalalgia, 33 (9): 629-808.
> Klasser GD, Ahmed AS. Indlela yokuphatha i-herpes zoster enamandla echaphazela izinzwa ze-trigeminal . J Can Dent Assoc . 2014; 80: e42.