Amagciwane, noma i-herpes zoster, iyisifo esithathelwa igciwane elifanayo njengenkukhu yenkukhu . Ukuvuthwa okubuhlungu kakhulu kuvame kakhulu lapho umuntu ekhula, futhi kukholelwa ukuthi lokhu kungenxa yokuncipha kwemvelo nokudala kwemisebenzi yokuzivikela. Kodwa-ke, kunesinye isilungiselelo lapho ama-shingles eyaziwa khona ukuba avele kubantu bazo zonke izizukulwane - ezesimiso sokuzivikela somzimba esibuthakathaka.
Ngakho-ke ngenxa yokuthi une-leukemia noma i-lymphoma, kanye / noma ukuphathwa ngayo, ikubeka engozini enkulu yokuthuthukisa le nsuko.
Sibutsetelo
Uma uye waba ne- chicken pox esikhathini esedlule, noma uma ugonyelwe wona, igciwane alishiyi ngokuphelele uhlelo lwakho. Imishanguzo yezinkukhu ziqukethe uhlobo oluthakathaka lwegciwane bukhoma, elikwazi ukudala izibungu esikhathini esizayo empilweni. Ngisho nangemva kwesikhathi eside ukuqhuma okuphazamisayo kwenkukhu kuphelile, igciwane lihlala esimweni sokulala noma sokuphumula emangqamuzaneni omgogodla emizimbeni yethu. Izimpawu zegciwane ziyanyamalala, kanti igciwane ligcinwa isheke ngesistimu yomzimba omzimba. Kwezinye izimo, igciwane lingasetshenziswa kabusha njenge-shingles.
Ubani Osesengozini?
Uma ungakaze ube ne-chickenpox noma uphonyelwe yona, ungase uphelelwe i-hook, kodwa kungaba nzima ukucacisa ngokuqinisekile ukuthi umuntu akakaze anesifo sengculaza esekelwe emlandweni, yedwa.
Ingozi yokuthuthukisa izibhamu isiphezulu kakhulu kubantu asebekhulile. Eqinisweni, amathuba okuba negciwane aphinde avuselelwe kabili njalo eminyakeni eyishumi ngaphezulu kweminyaka engama-50.
Abantu abanamasosha omzimba ababuthakathaka nabo basengozini enkulu yokuthuthukisa izibhamu. Uma amasosha omzimba wakho ehlisa phansi isilonda sakhe, igciwane lithatha ithuba lokusebenza futhi.
Uma unomdlavuza wegazi noma umlenze, njenge-lymphoma noma i-leukemia, kunezinto eziningi ezikubeka engozini yokukhulelwa ngengculazi:
- Umdlavuza wakho uqobo
- I-Chemotherapy
- Ukwelashwa kwezidakamizwa endaweni yomzimba wakho ngephesenti eliphakeme lomnyofu osebenzayo, njenge-pelvis
- Ukwelashwa kwe-steroid
- Umnkantsha we-bone noma ukufakelwa kwe-stem cell
Isici esiyinhloko engozini yokutholakala kwezinkinga zegciwane ezinjenge-shingles yisilinganiso salokho okuyaziwa ngokuthi i-immunosuppression yeselula. Ingozi iyanda ngokunciphisa ama-T-cells, amangqamuzana omzimba wesosha omzimba wakho, njengoba kubonakala ngesilinganiso sezinkinga zegciwane ngenkathi ukwelashwa ne-T-cell antibody alemtuzumab. I-neutropenia - noma amazinga aphansi wegazi le-neutrophil amhlophe - angandisa ingozi yezinye izifo, kepha i-neutropenia, yedwa, ibonakala ingabaluleki kakhulu uma kwenzeka shingles.
Kuye ngemithi yomdlavuza enikeziwe, umphumela engozini yokukhwabanisa ingahluka. Isibonelo, Ucwaningo lwe-APEX lubonise izinga lokunyuka kwama-shingles ezigulini ezithola i-bortezomib, ngakho-ke izincomo zokusetshenziswa kokuvimbela ukusetshenziswa kwama-acyclovir noma i-valacyclovir ephansi.
Izimpawu
I- shingles esebenzayo i-shingles igxila emndenini lapho ihlala khona. Ngokuvamile, iveza ibhande elihlangothini olulodwa lomzimba.
Izikhwama zivame ukuvuthwa kodwa zikhona noma kuphi, kufaka phakathi ubuso bakho neziphetho.
Isibonakaliso sokuqala ongase uhlangane ngaso ubuhlungu, ukuhlambalaza, ukuvutha noma ukugubha phakathi kwezinzwa kanye nesikhumba esizungezile. Kwezinye izimo, lokhu kungase kube yedwa uphawu onalo.
Iningi labantu lizoqhubeka nokuhlakulela phakathi kwezinsuku ezingu-1-5 ezilandelayo. Isikhumba phezu kwesibindi esithintekile sizobukeka sibomvu futhi siguqukile, futhi kuyoba nenhlanhla, ukuphuza okubuhlungu - njengenkukhu yenkukhu. Umshayeli ngamunye uzohlala cishe ngesonto kuya ezinsukwini ezingu-10 ngaphambi kokumisa nokushintsha umbala ophuzi.
Ungase futhi ubone izimpawu ezifana ne-flu (like fever, tiredness, headaches) ngenkathi une-rash.
Ingabe ama-Shingles aphikisana?
Kuze kube yilapho izilonda ze-shingles zomile, kungenzeka ukuthi uthumele umkhuhlane kumuntu ongakaze athole ngaphambili noma umuntu ongakaqotjelwa. Abantu abanempilo asebevele benomkhuhlane wezinkukhu abengekho engozini enkulu yokutheleleka. Kodwa, ngokuqinisekile kufanele ugweme ukuxhumana nabanye abanesifo sokuzivikela, abadala kakhulu futhi abancane kakhulu, labo abangakaze babe nezinkukhu zezinkukhu, nabesifazane abakhulelwe.
Ukuxilongwa
Odokotela abaningi bangakwazi ukubona izibhamu ngokubuka ukushona nokuzwa umlando wakho. Kwezinye izimo, abantu abanomkhuhlane we-immunity bangaba namaphethini wokusabalalisa okungavamile, futhi udokotela wakho angakhetha ukuthumela i-swab yokuhlola ukuqinisekisa.
Ukwelapha
Umgomo wezokwelapha izikhwama ukuphuthuma ukuphulukisa nokugcina isiguli sikhululekile. Ukusebenzisa imishanguzo ye-antiviral - efana ne-acyclovir, famciclovir, ne-valacyclovir - ngeke ibulale igciwane kodwa kuyosiza ukunciphisa ubude besikhathi kuze kube nokuphulukisa nokuphulukisa izimpawu zobuhlungu.
Imithi yokuvimbela imithi kaningi inikezwa ngomlomo, kodwa imithi engenayo ingadingeka ezimweni ezimbi kakhulu noma ezimweni ezikhethekile. Ukuze kube yimpumelelo kakhulu, imithi yokwelapha i-antiviral kufanele iqalwe ngaphakathi kwamahora angu-72 okuqala ukuthi izimpawu zikhona.
Ukulawulwa kobuhlungu kubalulekile nokuphathwa kwezibungu. Imishanguzo engaphezu kwamakhompiyutha, njenge-acetaminophen ne-ibuprofen, ivame ukwelapha ubuhlungu be-shingles , kodwa kwezinye izimo ezinzima, i-steroids, i-anti-depressants, nemithi ye-anticonvulsant ingasetshenziselwa ukuthuthukisa ukuphathwa kobuhlungu .
Ngenxa yokuthi unesimiso sokuzivikela somzimba, usengozini yokuthola ukutheleleka ezilonda ezivulekile esikhumbeni sakho. Lokhu kungenziwa nakakhulu nakakhulu uma uthanda ukukhipha. Kubalulekile ukuthi ugcine indawo ihlanzekile. Ukushisa, ukucindezeleka kwamanzi kungasiza, futhi kungasetshenziswa njalo ngosuku lonke imizuzu engu-20 ngesikhathi.
Izinkinga
Ngokuvamile, ukuqubuka kwesibindi kubangelwa amasonto ambalwa futhi imiphumela yodwa. Nokho, kungenzeka ukuthuthukisa izinkinga ezengeziwe. Ezinye zazo zihlanganisa:
- Amakhanda esikhumbeni
- Ukutheleleka kwesibili kusuka ezilonda ezivulekile
- I-Ramsay Hunt syndrome , ehlanganisa ukukhubazeka komzimba nokulahlekelwa kokuzwa
- Ukutheleleka okusakazwayo , lapho lesi sifo sithinta khona ingxenye engaphezu kweyodwa yomzimba. Kulesi sibonelo, ukuqubuka kanye nezimpawu kuzoba nzima kakhulu futhi kungaholela esibhedlela noma isibindi nokutheleleka kobuchopho
- I-Zoster opthalmicus , lapho izinzwa zeso zihileleke khona. Lokhu kungaholela ekubumpheni
- I-neuralgia yangemva kwesikhashana , lapho izinzwa zonakaliswa khona yigciwane. Lokhu kuzokwenza isiguli siqhubeke siba nobuhlungu, ngisho nangemva kokuba ezinye izimpawu zokutheleleka seziphelile
Uma ucabanga ukuthi ungase ube nezikhwama, xhumana nomhlinzeki wakho wezempilo ngokushesha ngangokunokwenzeka. Ukusungula ukwelashwa okufanele ngesikhathi esifanele kuncishisa kakhulu ingozi yakho yenkinga yesikhathi eside kusuka emasontweni.
Isifingqo
Igazi nekhanda lomdlavuza wegazi elifana ne-leukemia noma i-lymphoma, kanye nokwelashwa kwabo, ngokuvamile kungabangela isimiso sokuzivikela somzimba esibuthakathaka, ezinye izici zazo ezihlobene nengozi eyengeziwe yokuthuthukisa izibungu.
Kungenzeka ukuthi ama-shingles angabangela izinkinga ezihlala njalo. Umkhuba walezi zinkinga uyancipha uma ukwelashwa kuqalwa phakathi namahora angu-72 okuqala kokubonakala kwezimpawu. Ukuqaphela izimpawu zokuxwayisa ze-shingles nokuxhumana nethimba lakho lokunakekelwa kwezempilo ngokushesha kungasiza ukwenza inkambo yokutheleleka kwakho ibe lula.
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