Zoster

Shingles chirwere chinokonzerwa nehutachiona hunoita kuti pave neutsvuku hunorwadza. Shingles inogona kuitika chero kupi muviri wako. Kazhinji inoita senge bhandi rimwe chete remafuta anopoterera divi rekuruboshwe kana divi rekurudyi re torso yako.

Shingles inokonzerwa nehutachiona hwevaricella-zoster - hutachiona ihwohwo hunoita kuti uve ne chickenpox. Kana wapedza kuva ne chickenpox, hutachiona hunoramba muviri wako kweupenyu hwako hwese. Makore gare gare, hutachiona hunogona kudzoka se shingles.

Shingles haisi ngozi inouraya. Asi inogona kurwadza zvikuru. Zvinorwisa zvirwere zvinogona kubatsira kuderedza njodzi ye shingles. Kurapwa pakutanga kunogona kupfupisa chirwere che shingles uye kuderedza mukana wezvinetso. Dambudziko rakajairika ndere postherpetic neuralgia. Iyi ndiyo mamiriro ezvinhu anorwadza anoita kuti kurwadziwa kwe shingles kwenguva yakareba mushure mekunge mablisters ako abuda.

Zviratidzo zvechikomba zvinowanzokanganisa chidimbu chidiki chemuviri wako rumwe chete. Aya maratidzo anogona kusanganisira:

• Kurwadziwa, kupisa kana kupenya
• Kusagadzikana pakubata
• Mverevi tsvuku inotanga mazuva mashoma mushure mekurwadziwa
• Mabhuru akapfava ane mvura anopwanya uye anovhara
• Kutsamwa

Vamwe vanhu vanonzwawo:

• Fivha
• Kurwadziwa kwemusoro
• Kusagadzikana nechiedza
• Kuneta

Kurwadziwa ndicho chiratidzo chekutanga chechikomba. Kune vamwe vanhu, kurwadziwa kunogona kuva kwakasimba. Zvichienderana nenzvimbo yekurwadziwa, dzimwe nguva kunogona kukanganiswa nezvinetso nemwoyo, mapapu kana itsvo. Vamwe vanhu vanonzwa kurwadziwa kwechikomba vasingambobudiriri mverevi.

Kazhinji kazhinji, mverevi yechikomba inokura sebende remabhururu rinopoterera divi rekuruboshwe kana rekurudyi re torso. Dzimwe nguva mverevi yechikomba inoitika pamativi ega ega ziso kana divi rimwe chete remuromo kana chiso.

Taura nachiremba wako nekukurumidza kana iwe uchifungidzira kuti une herpes zoster, kunyanya mumamiriro ezvinhu anotevera:

• Kurwadziwa nehumbu hwepasi kunoitika pedyo neziso. Kana ikasabatwa, chirwere ichi chinogona kukonzera kukuvara kwemaziso kwenguva refu.
• Une makore makumi mashanu kana kupfuura. Zera rinoita kuti njodzi yematambudziko iwedzere.
• Iwe kana mumwe munhu wemhuri yako ane immune system yakasimba. Izvi zvinogona kunge zvichikonzerwa nekenza, mishonga kana chirwere chisingaperi.
• Humbu hwepasi hwakapararira uye hunorwadza.

Shingles inokonzerwa nehutachiona hwevaricella-zoster - hutachiona ihwohwo hunokonzera chickenpox. Munhu wese ane chickenpox anogona kuwana shingles. Kana wapora kubva ku chickenpox, hutachiona hunopinda munhurume yako uye hunoramba husingashandi kwemakore mazhinji.

Dzimwe nguva hutachiona hunodzokera uye hunofamba nemitsetse yematumbu kuenda paganda rako - zvichiita shingles. Asi kwete munhu wese ane chickenpox achawana shingles.

Chikonzero che shingles hachizivikanwi. Zvinogona kunge zvichikonzerwa nekuora kwehutachiona sezvo vanhu vakura. Shingles inowanzowanikwa muvakuru vakura uye muvanhu vane masisitimu ekuzvidzivirira asina simba.

Varicella-zoster chikamu cheboka rehutachiona hunonzi herpes viruses. Iri ibva rehutachiona hunosanganisira hutachiona hunokonzera maronda anotonhora uye herpes yepabonde. Somugumisiro, shingles inozivikanwawo se herpes zoster. Asi hutachiona hunokonzera chickenpox ne shingles hahusi hutachiona ihwohwo hunokonzera maronda anotonhora kana herpes yepabonde, iyo iri chirwere chinopfuudzwa nepabonde.

Munhu wese ane nhoroondo yehutachiona hwe chickenpox anogona kuwana shingles. Vakuru vakawanda kuUnited States vakambova nehutachiona hwe chickenpox pavakanga vari vana. Izvi zvakanga zvisati zvasvika nguva yekuti pave nejekiseni rekuzvidzivirira kubva kuhutachiona hwe chickenpox kuvana.Zvinhu zvinogona kuwedzera njodzi yekuwana shingles zvinosanganisira:

• Age. Njodzi yekuwana shingles inowedzera nekuwedzera kwezera. Shingles kazhinji inoitika kune vanhu vakuru kupfuura makore 50. Uye vanhu vakuru kupfuura makore 60 vane mukana mukuru wekuwana matambudziko akaoma.
• Zvimwe zvirwere. Zvirwere zvinoita kuti masimba emuviri ashome, senge HIV / AIDS nekenza, zvinogona kuwedzera njodzi yekuwana shingles.
• Kurapwa kwekenza. Radiation kana chemotherapy inogona kudzikisa simba remuviri rekudzivirira zvirwere uye inogona kutungamirira ku shingles.
• Mishonga yekurapa. Mishonga inodzivirira muviri kuramba nhengo dzakasimbiswa inogona kuwedzera njodzi yekuwana shingles. Kushandisa steroids kwenguva refu, senge prednisone, kunogona zvakare kuwedzera njodzi yekuwana shingles.

Zvinetso zvinogona kubva ku shingles zvinosanganisira:

• Postherpetic neuralgia. Kune vamwe vanhu, kurwadziwa kwe shingles kunoramba kuripo kwenguva refu mushure mekunge mabhlister apora. Iyi mamiriro ezvinhu inozivikanwa se postherpetic neuralgia. Inowanikwa kana nerve fibers dzakakuvara dzikatumira mashoko ekurwadziwa akavhiringidzika uye akawedzerwa kubva paganda rako kuenda kuuropi hwako.
• Kurasikirwa kwekutarisa. Shingles iri mumeso kana pedyo nemeso (ophthalmic shingles) inogona kukonzera hutachiona hwemeso hunorwadza hunogona kukonzera kurasikirwa kwekutarisa.
• Matambudziko emuviri. Shingles inogona kukonzera kuzvimba kweuropi (encephalitis), kuora kwemutsipa, kana matambudziko ekuteerera kana kuenzana.
• Utachiona hwepande. Kana mabhlister e shingles asingarapwe zvakanaka, utachiona hwepande hwemabhakitiriya hunogona kukura.

Jekiseni reherpes zoster rinogona kubatsira kudzivirira herpes zoster. Vanhu vakakodzera vanofanira kuwana jekiseni reShingrix, iro rawanikwa kuUnited States kubvira pazvakagamuchirwa neFood and Drug Administration muna 2017. Jekiseni reZostavax harina kuwanikwa kuU.S. zvakare, asi nyika dzimwe dzinogona kuri shandisa. Shingrix inogamuchirwa uye inokurudzirwa kune vanhu vane makore makumi mashanu nekupfuura, pasinei nekuti vakambova neherpes zoster here kana kwete. Vanhu vakambova nejekiseni reZostavax kare kana vasina chokwadi kana vakambova nechikoko vanogonawo kugamuchira jekiseni reShingrix. Shingrix inokurudzirwawo kune vanhu vane makore ane makore 19 nekupfuura vane matambudziko emuviri nekuda kwechirwere kana mishonga. Shingrix jekiseni risina kurarama rakaitwa nechikamu chehutachiona. Rinopiwa mune zvikamu zviviri, nemwedzi miviri kusvika mitanhatu pakati pezvikamu. Zviratidzo zvakajairika zvejekiseni reherpes zoster ndeyekutsvuka, kurwadziwa nekukura kwepasi pejekiseni. Vamwe vanhu vanonzwawo kuneta, kurwadziwa kwemusoro nezvimwe zviratidzo. Jekiseni reherpes zoster harisi chokwadi chekuti hauzowana herpes zoster. Asi jekiseni iri rinogona kuderedza kufamba uye kukomba kwechirwere. Uye rinogona kuderedza njodzi yako yepostherpetic neuralgia. Kudzidza kunoratidza kuti Shingrix inodzivirira herpes zoster kweanopfuura makore mashanu. Taura nachiremba wako nezve sarudzo dzako dzejekiseni kana iwe uka:

• Wakambova nechirwere cheallergic kune chero chikamu chejekiseni reherpes zoster
• Une matambudziko emuviri nekuda kwechirwere kana mishonga
• Wakamboita stem cell transplant
• Uri nepamuviri kana uchiedza kuva nepamuviri Jekiseni reherpes zoster rinoshandiswa chete se nzira yekudzivirira herpes zoster. Harisi chinangwa chekurapa vanhu vane chirwere ichi iye zvino.

Vanachipatara kazhinji vanoongorora herpes zvichienderana nekutambudzika kwemuviri kwerutivi rumwe chete, pamwe chete nechirwere chinoratidza uye mahwanda. Chiremba wenyu angatorawo sampuli yetsinga kana kuti kukura kwemahwanda kuti atumire ku laboratori.

Hapana mushonga we herpes zoster. Kurapwa kwekukurumidza nemishonga inorwisa hutachiona inorayirwa kunogona kukurumidza kuporesa uye kuderedza njodzi yako yematambudziko. Mishonga iyi inosanganisira:

Herpes zoster inogona kukonzera kurwadziwa kwakanyanya, saka mushandi wako wehutano anogonawo kunyora:

Kurukura nemupi wako wehutano kana mushonga nezvemabhenefiti uye migumisiro inogona kuitika yemishonga ipi zvayo yaunorayirwa.

Herpes zoster kazhinji inogara kwemavhiki maviri kusvika matanhatu. Vanhu vazhinji vanowana herpes zoster kamwe chete. Asi zvinokwanisika kuwana kaviri kana kupfuura.

• Acyclovir (Zovirax)

• Famciclovir

• Valacyclovir (Valtrex)

• Capsaicin topical patch (Qutenza)

• Anticonvulsants, akadai se gabapentin (Neurontin, Gralise, Horizant)

• Tricyclic antidepressants, akadai se amitriptyline

• Numbing agents, akadai se lidocaine, muchimiro chekirimu, jeli, spray kana skin patch

• Jekiseni inosanganisira corticosteroids ne local anesthetics

Kuita kugeza kwemvura inotonhora kana kushandisa zvinyoronyoro zvakanyorova, zvakanyorova pazvironda zvako zvinogona kubatsira kuderedza kukwenya nekurwadziwa. Uye, kana zvichibvira, edza kuderedza huwandu hwekushushikana muhupenyu hwako.