Ama-shingles abangelwa ukuvuselelwa kwegciwane le-varicella, okuyinto lapho liqala ukungena emzimbeni kubangelwa inkukhupox kodwa bese "lifihla" ohlelweni lwezinzwa. Ukuthi kungani leli gciwane liphinde livele lingacaciswanga ngokuphelele, kodwa kukhona imibono.
Izindwangu zivame kakhulu kubantu asebekhulile, isibonelo, mhlawumbe ngoba isimiso somzimba samasosha omzimba siba buthaka ngokukhula.
Eqinisweni, isimiso somzimba sokuzivikela esizimele sithathwa njengengozi eyingozi kunazo zonke. Lokhu kusho ukuthi ngisho nabantu abasha kanye nezingane ezinezimo ezithile noma abazitholela imithi ethinta impendulo yegciwane lengculazi ingasengozini yesifo. Abacwaningi bakholelwa ukuthi kwabanye abantu ukucindezeleka kungadlala indima.
Izikhwama yisifo esingathandeki ngokukhethekile. Idala ukuqhuma okubuhlungu nokungaqondakali kwesikhumba, kanye nezinkinga ezingase zenzeke isikhathi eside. Okuvame kakhulu, isimo esaziwa ngokuthi i-neuralgia ye-postherpetic (PHN), sibhekene nokuzwa okuvuthayo endaweni lapho ukuqhuma kwesibhakela kukhona khona. Yingakho kubalulekile ukuqonda ukuthi yiziphi izimbangela zezinkukhu, ngubani osengozini yokuza nayo, nokuthi uzivikele kanjani uma uvezwe.
Ukuvuselelwa kabusha kweViricella Virus
Ngemuva kokuba umuntu ehlenga inkukhu, izimpawu zanyamalala kodwa igciwane le-varicella elibangela ukuba libuyele emangqamuzaneni kwisistimu yezinzwa, lapho ingahlala khona amashumi eminyaka ngaphandle kokubangela izinkinga.
Uma igciwane liphinde livele, liphinde lisebenze kumaqoqo amangqamuzana angamazinyo ohlelweni lwezinzwa zomzimba olubizwa ngokuthi i-ganglion sensory. I-ganglia cishe engabamba i-varicella yilabo abasemgodini wesibeletho, i-thoracic, ne-lumbar. I-Varicella nayo ivame ukuthinta i-ganglion yezintathu ezihlinzeka ngokuzwa ubuso.
Njengoba igama layo liphakamisa, lolu hlobo oluthile lwezinzwa lunamagatsha amathathu. Lowo ohlotshaniswa nomsebenzi we-eye, igatsha le-ophthalmic, liphindwe kaningi izikhathi ezingu-20 kunezinye ezimbili ezingathinteka.
Ingxenye yomzimba ehlotshaniswa namaseli athile omzimba lapho igciwane livuselela khona lapho izibonakaliso zesikhwama-ubuhlungu obukhulu, ukuqhuma okungaqondakali-kuzogxila. Njengoba isimiso sezinzwa sinezihlahla ezinjengezihlahla, izinhlansi zizolandela indlela ethile yezinzwa ezithintekile. Yingakho ukuqhuma kwesibhubhe kuvame ukufana nesikhala se-blisters endaweni ethile kakhulu, kunokusakaza wonke umzimba (njengenkukhu).
Izimbangela ezivamile
Okubangela ukuba igciwane le-varicella liphinde liphinde lisebenze akuqondwa ngokuphelele. Igciwane liyilungu lomndeni ofanayo wezinambuzane ezibangela i-herpes infections, njenge-herpes ngokobulili kanye nezilonda ezibandayo, ezivame ukuza, ngakho-ke akumangalisi ukuthi i-varicella izoziphatha ngendlela efanayo. Umehluko omkhulu wukuthi, ngenkathi i-herpes infections ingahle ibuyele kaningi, abantu abaningi bavele bezwa ama-shingles kanye. Kunoma yisiphi isenzakalo, kunezimbangela ezimbili eziyinhloko zamabhande:
Isivikelo somzimba sokuzivikela
Kukhona ubudlelwano obucacile phakathi kwama-shingles nokuzivikela okubuthakathaka ekutheleleni.
Ngisho noma igciwane le-varicella lingena emzimbeni ngokokuqala ngqa, isimiso somzimba samasosha omzimba sisabhekene nokuyigcina. Ngesikhathi isimiso somzimba sokuvikela omzimba singenamandla ngokwanele ukwenza lokhu ukuthi igciwane lingathatha ithuba lokulimaza. Lokhu kubeka amaqembu athile abantu engozini ephakeme kunabanye bokuthuthukisa amasondo, kuhlanganise nalabo aba:
- Ubuneminyaka engu-50 nangaphezulu. Njengoba uneminyaka yobudala, kuncike ekunciphiseni kwemvelo ekuzivikelweni komzimba .
- Ukubhekana nokutheleleka kusuka kumuntu we-immunodeficiency virus (HIV). Nakuba abantu abaningi abahlakulela ama-shingles banesifo esisodwa nje kuphela, akuyona into engavamile ukuthi umuntu onesandulela ngculaza abe nokutheleleka kwesiguli servles .
- Ubhekene nesifo esingapheli njengomdlavuza (ikakhulukazi i- leukemia noma i-lymphoma ) noma isifo sikashukela
- On imithi ephazamisa isimiso somzimba sokuzivikela. Ezinye izibonelo zazo zihlanganisa i-systemic steroids njenge-prednisone, i- chemotherapy izidakamizwa
- Ukuthatha imithi ye-immunosuppressive ngenxa yokufakelwa komzimba
Qaphela ukuthi eziningi zalezi zici eziyingozi zingase zisebenze kubantu abasha ngisho nezingane njengoba ziqondene nabantu asebekhulile. Ngakho-ke ngisho noma ukuvuthwa kaningi kuthathwa njengesifo sokuguga, lokhu akusiyo njalo njalo.
Ukucindezeleka
Kunengqondo ehlala isikhathi eside ukuthi ukucindezeleka okungapheli noma ngisho nesiqephu esisodwa sokucindezeleka ngokomzwelo kungabangela igciwane lesifo se-varicella esilahlekile ukuba siphinde sisebenze futhi silethe ukuqhuma kwesibindi . Njengoba kunikezwe ukuthi ukucindezeleka ngokuvamile kuhlotshaniswa nanoma iyiphi inombolo yezinguquko empilweni, kuhlanganise nezinkinga zamathumbu, i-migraines, ne-eczema, lo mbono awusoze wawutholakala ngokuphelele.
Empeleni, kunobunye ubufakazi bokusekela. Isibonelo, isifundo esicatshangwe ngaso sonke isikhathi esenziwa ngo-1998 ngabantu abadala abangaphezu kuka-60 abanempilo bathole ukuthi labo ababenama-shingles babengaphezu kokuphindwe kabili ukuthi babe nomcimbi omubi phakathi kwezinyanga eziyisithupha zokuqubuka. Lapho ebuzwa ngezenzakalo ezinyangeni ezimbili kuya kwezintathu ezedlule, labo abangeqembu elifanayo abakwazi ukubika izenzakalo ezingezansi noma ezingezansi kunabalingani babo abangathintekile, okuphakamisa ukuthi umbono wezenzakalo zakamuva njengengcindezi, kunokuba umcimbi ngokwawo, yayihlanganiswe nesilinganiso sokwanda kwama-shingles.
Ucwaningi olwedlule lusekelwe kakhulu kulo mqondo. Abanye baye bathatha lokhu ukuthi kusho ukuthi umbono jikelele wokucindezeleka kanye nokukwazi ukubhekana nawo, unganezela ezingxenyeni ezingezansi ezidala isiphepho esiphezulu sokuqhaqhazela kwesisu.
Ucwaningo lwango-2003 lwaluhlose ukucacisa ukuthi ngabe i- Tai Chi , lapho isetshenziswe njengethuluzi lokunciphisa ukucindezeleka, lalinomthelela ekubhekaneni nesigameko shingles kubantu abadala. Ngenkathi encane, abacwaningi bakwazi ukubika ukuthi izifundo ze-Tai Chi, ezenza imizuzu engu-45 kathathu ngeviki, zihlotshaniswa nokwanda komkhuhlane we-varicella.
Ngesikhathi abaphenyi behluleka ukuqondanisa lokhu ekunciphiseni ingozi yokukhwabanisa, lolu cwaningo lwasikisela ukuthi ukukhubazeka kokucindezeleka kungenza izinguquko zomzimba ezinenzuzo kubantu abadala abasengozini yokugula okuhlobene nokucindezeleka.
Imithombo:
> Harpaz, R .; ULeung, J .; Brown, C .; et al. "Ukucindezeleka Kokwengqondo Njengesiqalo Se-Herpes Zoster: Kungenzeka Ukuhlakanipha Okuvamile Kungalungile?" Izifo Ezithathelwanayo Emitholampilo. Novemba 10, 2014; 60 (5): 781-785
> U-Eshleman, u-Emily, u-Shahzad, u-Aamir, no-Chors, uRandall J. "I-Varicella Zoster Virus Latency." Ukuvuthwa Kwesikhathi Esizayo . Mar 2011; 6 (3): 341-355. DOI ????????
> Ama-Blanks, L .; Polydefkis, M .; Moore, R .; et al. "I-Herpes Zoster Phakathi Kwabantu Abaphila Negciwane lesandulela-ngculaza Kule Nqubo Ye-Antiretroviral Current Era." I-Acquir Immune Defic Defical Syndr. Okthoba 1, 2012; 61 (2): 203-207. I-DOI: 10.1097 / QAI.0b013e318266cd3c
> Ke CC, Lai HC, Lin CH, Hung CJ, Chen DY, Sheu WH, Lui PW. "Ingozi Ekhulayo Ye-Herpes Zoster Ezigulini Zama-Diabetes Eziphazamisa Izifo Zomzimba We-Coronary and Disvasters Disorders: Isifundo Esisuselwa Ezingabantu E-Taiwan." PLoS One . 2016 Jan 11; 11 (1): e0146750. I-DOI: 10.1371 / iphephandaba.pone.0146750.
> Izikhungo Zikazwelonke Zempilo. "I-Tai Chi ikhuthaza ukungavikeleki kwe-Virus e-Shingles ku-Older Adult, Imibiko Yezifundo Ezixhasiwe NIH." Ngo-Apr 6, 2007.
> Schmader, K, George, LK, Burchett, BM, Hamilton, JD, noPieper, CF. "Ukuncintisana Nokucindezeleka Kwengxenye Ye-Herpes Zoster ku-Older Adult." J Am Geriatr Soc . Aug 1998; 46 (8): 973-977. DOI: ???????