Izinkinga zingakwazi ukuhlala kahle ngemva kokushabalalisa
Ama-shingles (i-herpes zoster) iyisifo esibuhlungu esibangelwa ukuvuselelwa kwegciwane elifanayo elibangela inkukhu (varicella-zoster) . Akukhona kuphela ukuthi ukuqubuka kwama-shingles kungabangela ukucindezeleka okukhulu, kungaba nezinkinga ezidlula ngaphesheya kokubonakala kwe-rash.
Izinkinga zihlukile kubantu abanamasosha omzimba avamile (angaqondile) abaqhathaniswa nalabo abanamasosha omzimba anqatshiwe (njengabantu abaphila ne-HIV ).
Phakathi kwalabo abanomzimba wokuzivikela ophelele, izinga lokuhlukumezeka kanje:
- i-neuralgia yangemva kwesikhathi (ubuhlungu bezinzwa ngemuva kokuphulukiswa kwaphulukiswa) - 7.9%
- ukutheleleka kwesikhumba sesibindi - 2.3%
- ubuhlungu beso kanye nezifo - 1.6%
- motor neuropathy (ubuthakathaka noma i-atrophy yemisipha) - 0.9%
- i-meningitis - 0.5%
- I-Ramsey Hunt syndrome (ukushaywa kwezinzwa eziphakathi kokuzwa nokulinganisela) - 0.2%
Izimbangela eziyinhloko zobungozi bokuthuthukisa izinkinga zisebekhulile , zithola ukufakelwa komzimba, futhi zinezifo ezibucayi ezifana nesifo sikashukela, umdlavuza noma i-HIV.
I-Neuralgia yangemva kwesikhashana
I-neuralgia yangemva kwesikhashana yisimo esibangela ukulimaza okubangela ubuhlungu obuvuthayo obuhlala okungenani izinyanga eziyisithupha ngemuva kokuqubuka kwesisu . Izimpawu zihlanganisa:
- ukuzwa okuvuthayo endaweni lapho ukuqhuma sekuphelile khona
- ubuhlungu obulethwa ngokuxhumana okungavamile okungenabuhlungu njengokuthinta ukukhanya
- itching, ngokuvamile ephikelela
- izindawo ze-numbness
- ubunzima obona ukushisa nokudlidliza
Izifo Zesikhumba Sebhaktheriya
Ngenxa yokuthi ukushayeka kwesibindi kubangelwa izilonda ezishiya izilonda ezivulekile, ingozi yokutheleleka kwebhaktheriya iphezulu. Izibonelo zezifo ezithinta amagciwane zihlanganisa:
- i-impetigo (ngokuvamile ebangelwa amagciwane ase-staphylococcal noma streptococcal)
- I-erysipelas (eyaziwa nangokuthi iSt. Elmo's Fire)
- i-folliculitis (ukuvuvukala kwebhaktheriya kwezinwele zezinwele)
Ukulimala Kwamehlo Okuhlobene Namahloni
Uma isifo se-shingles sithinta izingxenye zobuso ezungeze ebunzini noma ekhaleni, zingathinta unomphela iso. Lolu hlobo lokuqhakaziza luvela ohlangothini olulodwa lwesbuso nalokho okuyaziwa ngokuthi i-dermatome (indawo yesikhumba ehlinzekwa yinzwa eyodwa yomgogodla). Ngaphandle kokwelapha i-anti-virus , cishe isigamu salabo abathintekile bazobhekana nokulahleka noma ukulimala kweso njalo. Noma ubani onamabhande eduze kweso kufanele abonwe yi-ophthalmologist ngokushesha.
Motor Neuropathy
I-motor neuropathy ukukhubazeka kwemizimba ebangelwa igciwane le-shingles. Ngokujwayelekile igciwane lithinta kuphela ukuzwa kwesikhumba, kodwa, ezimweni ezingavamile, lingangena ekujuleni kwezicubu zomzimba. Cishe amaphesenti angama-75 alabo ababhekana ne-neuropathy yezimoto bazophinde bavuselele umsebenzi.
I-Meningitis
I-Meningitis yintsholongwane ye-fluid ezungeze ubuchopho nomgogodla okuthiwa i- cerebrospinal fluid . Izimpawu zihlanganisa umkhuhlane, ikhanda elibi kakhulu, ukuzwela ukukhanya, nemisipha ye-achy. Ngenxa yokuthi lolu hlobo lwe-meningitis lubangelwa igciwane, hhayi amabhaktheriya, alikwazi ukuphathwa ngama-antibiotic. Kumele kuqaliswe inkambo yayo, nakuba imithi yokwelashwa ingahle ibekwe ukuze ilashwe ikhanda.
I-Ramsay Hunt Syndrome
I-Ramsay Hunt syndrome (okunye okuyaziwa ngokuthi i-herpes zoster oticus) ukuvuvukala kwesibindi sombuso eduze kwesinye sezindlebe. Izimpawu zihlanganisa ukukhubazeka komzimba, ubuhlungu bezindlebe , nezinsiza ezincane ezigcwele amanzi (okuthiwa ama-vesicles ) ngaphakathi kwenzalo yomlomo. Abantu abane-Ramsay Hunt bangavame ukuzwa ugozi noma ukungabi khona kwesilinganiso. Ucwaningo olusanda kubonisa ukuthi kuphela amaphesenti ayishumi abantu abaphethwe ukukhubazeka okuphelele aphinde athole umsebenzi wabo, kanti amaphesenti angu-66 ngokukhubazeka ngokwengxenye abhekana nokuthola okugcwele.
Ingozi Kwabantu Abanqotshwa Ngomzimba
Abantu abanesisindo somzimba sokuzivikela, ikakhulukazi abantu abanokutheleleka nge-HIV kanye nabamkeli be-organ transplant, basengozini enkulu yokuthuthukisa zonke izinkinga ezibalwe ngenhla (ngaphandle kwe-neuralgia ye-postherpetic).
Phakathi kwalaba bantu abengozi kakhulu, ukusabalala kwama-shingles kwezinye izindawo zesikhumba (ngisho nangaphakathi emzimbeni) kuyaziwa ukuthi kwenzeke. Okuphathelene nokuthi ukuvuvukala kwamapayipi okuhambisana ne-shingles kungabangela ukufa ngisho nangokwelashwa kokuqala kwe-anti-virus. Izifo ezithathelwanayo zesifo sengculazi azivamile kubantu abane-HIV.
Izwi elivela
Ukwelashwa okusheshayo kokuqhaqhazela kwesisindo kuyindlela ephumelela kunazo zonke yokuvimbela kokubili izinkinga ezimfushane nesikhathi eside. Indlela engcono kakhulu yokuvimbela ukuqhuma ngaphambi kokuthi kwenzeke.
Umgomo obizwa ngokuthi i- Zostavax usutholakale manje onganciphisa kakhulu ingozi yokugqashuka kwesisu. Ngenkathi ivunyiwe yi-Food and Drug Administration (FDA) yokusetshenziswa kubantu abadala abaneminyaka engama-50 noma ngaphansi, amaCentral for Disease Control and Prevention (CDC) ancoma ukugoma kubantu abadala eminyakeni engama-60 noma ngaphansi.
Imithombo:
- > Volpi, A. "Izinkinga ezinkulu ze-herpes zoster." I-Herpes. 2007; 2 (Isithasiselo 14): 35-39.
- > Finch, R .; UMaki, D .; noRonald, A. "Izifo Zama-Virus ze-Varicella-Zoster." Izifo ezithathelwanayo, edition 2. Ed. Jonathan Cohen, et al. ENew York: uMosby, 2004; pp 125-129.