Abantu abayisigidi e-United States babhekana nezibhamu minyaka yonke, ngokusho kwezibalo ezivela kwiCenters for Disease Control and Prevention. Noma kunjalo, kukhona ukudideka okuningi ngalokho okushiwo yi-shingles.
I-shingles - eyaziwa nangokuthi i- herpes zoster -isifo socucu lwezinzwa futhi sivame kakhulu kubantu abangaphezu kweminyaka engu-50. Kubuye kubonakale kubantu abanamasosha omzimba abuthakathaka, njengalabo abanesandulela ngculazi noma ezinye zegciwane, ikakhulukazi i-leukemia i-lymphoma.
Ama-shingles aqala lapho igciwane le- inkukhu livuselelwa, okwenza kube nokugqashuka kwezikhukhula ezigcwele uketshezi ngezidumbu ezithile zomzimba. Kungakhathaliseki ukuthi igciwane liyasebenza emva kweminyaka yokulala amanga akuqondi ngokuphelele.
Kodwa yini ecacile yilezi: noma ubani oye waba ne-chickenpox angathola ama-shingles. Ukuqonda izibonakaliso zokuqala zesifo, kanye nezindlela zokuvimbela noma ukunciphisa inkambo yokugqashuka, kungenza ukubhekana nezikhwama kungcono ukuphathwa.
Izimpawu
Izikhwama zenzeka ezinyathelweni ezimbili: isigaba se-prodromal nesigaba esiphuthumayo . Izimpawu ziyahlukahluka kuye ngesiteji.
I-Prodromal Stage - Lesi sigaba siqala cishe izinsuku ezimbili kuya kweyisikhombisa ngaphambi kokuba isikhumba siphume. Izimpawu zihlanganisa ukungena, ukugubha, ukuvutha, ukuhlambalaza, noma ubuhlungu bokudubula ohlangothini olulodwa kobuso noma umzimba.
Abanye abantu bathola uhlelo oluhlelekile, noma umzimba wonke, izikhalazo ngalesi sigaba kanye. Lezi zingabandakanya:
- umkhuhlane
- izikhukhula
- isisu esibuhlungu
- ikhanda
- ukuzwela ukukhanya
Isiteleka esilimazayo: Phakathi nalesi sigaba, izilonda zigcwele uketshezi ocacile, owaziwa ngokuthi ama-vesicle , aphuluke esikhumbeni ephathini elifana neqoqo. Ngokuvamile ubomvu nokuvuvukala kuhambisana nokuqhuma.
I-rash yakha ngaphezu kwezinsuku ezintathu ukuya kwezinhlanu futhi ngokuvamile ayinakukhathazeka.
Ubuhlungu bomuntu buyaguquka, kusukela ekunciphiseni kuya kube nzima. Ekugcineni, ama-vesicles awela phezulu bese ephulukisa phakathi kwamasonto amabili kuya kwamane.
Ubuhlungu obuvela kuma-shingles bungadlulela amasonto, izinyanga, noma ngisho neminyaka emva kokuqubuka. Ubuhlungu besikhathi eside ngemva kokushaywa kwesibindi kubizwa ngokuthi i- neuralgia ye-postherpetic .
Kuphi Ukukhwabanisa Kulimaza?
Ukushisa kwe-shingles kungathinta izingxenye eziningi zomzimba, kuye ngokuthi yiziphi izimpande zesisindo ezithintekayo. Ngokusho kwe-CDC, indawo evamile iyisiqu. Ngokuvamile, ukuqhuma akuhambanga phakathi kwe-midline, kodwa kungakwazi.
Uyazi kanjani ukuthi unezikhwama?
Khumbula ukuthi ukuqhuma kwe-shingles kungase kuphuthelwe yi-chickenpox noma u-ivy uhla lwe-poison. Indlela engcono kakhulu yokuthola ukuthi izimpawu zakho zihambisana nezindleko yini ukubona udokotela wakho.
Izinkinga
Abantu abanamasosha omzimba abuthakathaka noma abakhubazekile, njengabantu abanesandulela ngculaza, banamathuba amaningi okuba nezinkinga ezivela emasongweni. Kungenzeka futhi ukuthi banomshana omkhulu, owejwayelekile ofana nenkukhu. Izinkinga zihlanganisa:
- ukulahleka kombono okungenzeka okukhona uma ama-shingles ehilela iso
- ukutheleleka kwebhaktheriya we-shingles rash
- ukuvuvukala komzimba (isib. i- encephalitis , uma ubuchopho buphethwe yi-shingles virus)
Ngenhlanhla kubantu abane-HIV, ama-shingles manje ayancipha kusukela ekukhuleni kwe- antiretroviral therapies .
Ukuvimbela ama-Shingles
Ngo-2006, umgomo we- shingles u-Zostavax wamukelwa yi-US Food and Drug Administration kubantu abadala abaneminyaka engama-60 nangaphezulu, izincomo zawo ezanwetshwa ngo-2011 ukufaka abantu abadala abaneminyaka engama-50 nangaphezulu. Ucwaningo lwezokwelapha luye lwabonisa ukuthi i-Zostavax inganciphisa ingozi yokuthola ama-shingles ngamaphesenti angama-70%.
Ngenkathi kungekho ziphakamiso ezihlelekile ezikhishwe, kube khona ucingo lokusetshenziswa kweZostavax kubantu abane-HIV abaye banqanda amasosha omzimba (njengoba kulinganiswa izibalo ze-CD4 ngaphansi kwe-350 cell / mL ).
Thatha umlayezo wasekhaya
Uma ucabanga ukuthi usuqhekekile, thintana nodokotela wakho ngokushesha ukuze uqiniseke ukuthi uhlaziyekile yini kanye nokwelapha.
Imithombo:
Amasevisi Okulawula Nokuvimbela Izifo. "Shingles (Herpes Zoster): Ukubukwa Komtholampilo."
I-Grabar S et al. 'Ukukhubazeka kwe-herpes zoster kubantu abadala abanegciwane lesandulela ngculazi esikhathini esibizwa ngokuthi i-antiretroviral era era: imiphumela evela eqenjini le-FHDH-ANRS CO4. " Clin Infect Dis . 2015 Apr 15; 60 (8): 1269-77.