Ukuhlupheka Kwezinzwa Ngemva Kokuthola I-Shingles? Izimpawu, Izimbangela, Nokwelashwa

Ukuhlupheka kwezinzwa ngemva kokuthola i-shingles yilutho oluqhubeka isikhathi eside ngemva kokuba ukuqhuma kwe-shingles sekuphulukile. Cabanga ngakho njengokuthi izinzwa zakho zithumela imiyalezo yobuhlungu ngisho noma ukutheleleka okuqala sekwedlule—njengesistimu yokuxwayisa eqhubeka ikhala ngisho noma ingozi sekwedlule.

Lesi simo sihlupha cishe abantu abangu-10-20% abake baba ne-shingles. Ubuhlungu bungaba ukungakhululeki okuncane kuya ekuzwini okukhulu, okuvuthayo okunethonya elikhulu empilweni yansuku zonke. Ukuqonda ukuthi kwenzekani emzimbeni wakho kungakusiza ukusebenzisana neqembu lakho lokunakekelwa kwezempilo ukuthola impumuzo ephumelelayo.

Iyini i-Postherpetic Neuralgia?

I-Postherpetic neuralgia kwenzeka lapho i-shingles yonakalisa ucingo lwezinzwa zakho ngesikhathi sokutheleleka. Ngisho noma isikhumba se-shingles siyaphela, lezi zinzwa ezonakele ziqhubeka zithumela imiyalezo yobuhlungu ebuchosheni bakho.

Lesi simo siqondaniswa ngokusemthethweni lapho ubuhlungu bezinzwa buqhubeka izinyanga ezintathu noma ngaphezulu ngemva kokuba isikhumba se-shingles siphelile ngokuphelele. Abanye abantu bazwa ubuhlungu izinyanga ezimbalwa nje, kanti abanye bangase bahlangane nakho iminyaka eminingi.

I-nervous system yakho ngokuvamile ithumela imiyalezo yobuhlungu ukuze ikulondoloze ekulimala. Ngokuhlupheka kwezinzwa ngemva kokuthola i-shingles, lezi zinzwa ezonakele azisebenzi kahle, zidala ubuhlungu ngaphandle kokulimaza kwesicubu.

Ziyini Izimpawu Zokuhlupheka Kwezinzwa Ngemva Kokuthola I-Shingles?

Isimpawu esiyinhloko yilutho oluqhubekayo olukhona endaweni efanayo lapho isikhumba se-shingles sivela khona. Lolu buhlungu ngokuvamile luzwakala luhlukile kunokubuhlungu kwansuku zonke ongahlangabezana nakho kwenye indawo.

Nanku lokho abantu abaningi abaneli simo abakuhlangenwe nakho:

• Ukuvutha, ukushaya, noma ubuhlungu obukhulu obunamandla obunamandla obunamandla
• Ukuba nomuzwa olukhulu ngisho nokubamba okulula—ngisho nezambatho noma umoya olula kungadala ubuhlungu obukhulu
• Ubuhlungu obuhlungu noma obukhulu obuzwakala bujulile phansi kwesikhumba
• Ukungabi namandla noma ukukhahlela endaweni ethintekayo
• Ukukhahlela okungase kube nzima njengoba kunjalo nobuhlungu
• Izinhlungu zikhanda uma ubuhlungu bezinzwa buthinta ubuso bakho noma isikhumba sakho

Ubuhlungu ngokuvamile buyaqina ebusuku noma lapho unesikhathi esinzima. Abantu abaningi bachaza ukuzwa sengathi isikhumba sabo “sivutha” noma bazwa imizwa efana nokushona kombane okungase kube yinto emangalisayo.

Yini Ebanga Ukuhlupheka Kwezinzwa Ngemva Kokuthola I-Shingles?

Lesi simo sithuthuka lapho i-varicella-zoster virus—i-virus efanayo ebangela i-chickenpox ne-shingles—yonakalisa ucingo lwezinzwa zakho ngesikhathi sokuqhuma kwe-shingles. I-virus ihamba ngezindlela zezinzwa, ibangela ukuvuvukala nokwenzakala.

Uma i-shingles ivela, i-virus ivuvukala futhi yonakalisa isikhumba esivikelayo esizungezile izinzwa zakho, okuthiwa yi-myelin sheath. Cabanga ngalokhu njengokuthi isikhumba sepulasitiki esizungezile izincingo zamandla siyonakala, sibangela izincingo ukuthumela imiyalezo ehlangene.

Izinzwa ezonakele ziyaba nomuzwa olukhulu futhi ziqhubeka zithumela imiyalezo yobuhlungu ebuchosheni bakho ngemva kokuba ukutheleleka kuphelile. Ubuchopho bakho buqonda le miyalo ephazamisekile njengoba ubuhlungu buqhubeka, ngisho noma akukho ukulimala kwesicubu okwenzekayo.

Ubudala budlala indima ebalulekile ekutheni kungani abanye abantu bathuthukisa lesi simo. Lapho ukhulu uma uthola i-shingles, ithuba lakho lokuthuthukisa ukuhlupheka kwezinzwa ngemva kokuthola i-shingles liyakhula.

Nini Okufanele Ubone Udokotela Ngokuhlupheka Kwezinzwa Ngemva Kokuthola I-Shingles?

Kufanele uxhumane nodokotela wakho uma uhlangabezana nobuhlungu obuqhubekayo endaweni lapho uke waba ne-shingles khona. Ukwelashwa kwasekuqaleni ngokuvamile kuholela eziphumeleni ezinhle, ngakho ungalindi ukufuna usizo.

Hlela i-aphoyintimenti uma ubuhlungu bakho buphazamisa ubuthongo, imisebenzi yansuku zonke, noma injabulo yakho. Ukwelashwa okuningi okuphumelelayo kukhona, futhi udokotela wakho angasebenza nawe ukuthola ukuhlanganiswa okulungile.

Funani ukunakekelwa kwezokwelapha ngokushesha uma uthuthukisa ubuhlungu obukhulu obukhulu ngokuzumayo, izimpawu zokutheleleka endaweni ethintekayo, noma uma ubuhlungu buya endaweni entsha. Lokhu kungase kubonise izinhlanganisela ezidinga ukwelashwa ngokushesha.

Ziyini Izinto Ezandisa Amathuba Okuhlupheka Kwezinzwa Ngemva Kokuthola I-Shingles?

Izinto eziningi zingandisa amathuba akho okuthuthukisa lesi simo ngemva kokuba ne-shingles. Ukuqonda lezi zinto ezandisa amathuba kungakusiza wena nodokotela wakho ukuhlela amasu afanele okuvimbela nokwelapha.

Izinto ezibaluleke kakhulu ezandisa amathuba zifaka:

• Ubudala obungaphezu kweminyaka engama-60—amathuba akho ayanda kakhulu ngonyaka ngamunye
• Ukuqhuma okukhulu kwe-shingles ngesikhumba esibanzi noma esibuhlungu kakhulu
• I-immune system ebuthakathaka ngenxa yesifo, imithi, noma ukwelashwa kwezokwelapha
• Ukuphambuka kokwelashwa kokuthola i-shingles ekuqaleni
• Ubulili besifazane—abesifazane kubonakala sengathi banesigaba esincane esiphezulu
• Ukuba ne-shingles ebusweni bakho noma emzimbeni wakho, ikakhulukazi eduze kwezindawo ezinomuzwa olukhulu

Uma une-diabetes, uthatha imithi ecindezela i-immune system, noma unezimo ezinjenge-cancer noma i-HIV, i-immune system yakho ingase ihlangane kakhulu nokususa ukonakala kwe-viral. Lokhu kungase kuholele ezinkingeni zezinzwa eziqhubekayo.

Izindaba ezinhle ukuthi ukuba nenye noma ngaphezulu kwezinto ezandisa amathuba akusho ukuthi uzokuthuthukisa ukuhlupheka kwezinzwa ngemva kokuthola i-shingles. Abantu abaningi abanazo izinto eziningi ezandisa amathuba abake bahlangabezana nobuhlungu obuqhubekayo bezinzwa.

Ziyini Izinhlanganisela Ezingase Zivele Ngokuhlupheka Kwezinzwa Ngemva Kokuthola I-Shingles?

Nakuba ukuhlupheka kwezinzwa ngemva kokuthola i-shingles akuyona into eyingozi ekuphileni, ubuhlungu obuqhubekayo bungase buholele ezinhlanganisweni eziningi ezingalungile ezinomthelela omkhulu ezingeni lokuphila kwakho. Ukuqaphela lezi zinkinga ezingase zivele kukusiza ukufuna ukwesekwa okufanele ngokushesha.

Izinhlanganisela ezivamile zifaka:

• Ukudideka nokukhathazeka ngenxa yokubhekana nobuhlungu obuqhubekayo
• Ukungalali kahle okukushiya uzwa ukhathele
• Ukuzihlukanisa nabantu ngoba ubuhlungu benza imisebenzi ibe nzima
• Ukunciphisa ukudla nokunciphisa isisindo ngaphandle kokuhlose
• Ukunciphisa ukuhamba nokunciphisa amandla omzimba
• Ukubanzima ukugxila emsebenzini noma ngesikhathi semisebenzi yansuku zonke

Abanye abantu bathuthukisa okuthiwa yi-“central sensitization,” lapho i-nervous system yakho yonke iba nomuzwa olukhulu lobuhlungu. Lokhu kungakwenza ube nomuzwa olukhulu kwezinye izimo zobuhlungu.

Ukuhlupheka ngokomzwelo kobuhlungu obuqhubekayo akufanele kuphazanyiswe. Abantu abaningi bathola ukuthi ukwelulekwa noma amaqembu wokusekela kubasiza ukuba bathuthukise amasu okuqondisa afanele kanye nokwelashwa kwezokwelapha.

Ukuhlupheka Kwezinzwa Ngemva Kokuthola I-Shingles Kuxilongwa Kanjani?

Udokotela wakho uzoxilonga ukuhlupheka kwezinzwa ngemva kokuthola i-shingles ngokusekelwe emlandweni wakho wezokwelapha nokukhehla komzimba. Ayikho i-blood test ethile noma ukuhlolwa komfanekiso okuqinisekisa lesi simo.

Ngesikhathi se-aphoyintimenti yakho, udokotela wakho uzobuza imibuzo eminingiliziwe mayelana nokuqhuma kwe-shingles, lapho kwenzeka khona, nokuthi ubuhlungu bakho obukhona buzwakala kanjani. Bazofuna ukwazi ukuthi ubuhlungu bukhona kuphi ngempela nokuthi yini ebangela ukuthi bube ngcono noma bube sibi.

Ukukhehla komzimba kuhilela ukuhlola ngobumnene umuzwa endaweni ethintekayo. Udokotela wakho angase asebenzise ukubamba okulula, ukushisa, noma ukucindezela okulula ukuqonda ukuthi izinzwa zakho ziphendula kanjani.

Ngezinye izikhathi udokotela wakho angase a-ode ukuhlolwa okwengeziwe ukuze akhiphe ezinye izimo ezingase zibangele ubuhlungu obufanayo. Lokhu kungase kuhlanganise i-blood tests ukuhlola i-diabetes noma ukushoda kwe-vitamin, noma ukuhlolwa komfanekiso uma kukhona ukukhathazeka ngezinye izinkinga zezinzwa.

Iyini Ukwelashwa Kokuhlupheka Kwezinzwa Ngemva Kokuthola I-Shingles?

Ukuphathwa kokuhlupheka kwezinzwa ngemva kokuthola i-shingles ngokuvamile kuhilela ukuhlanganiswa kwemithi nezinye izindlela zokwelapha ezilungiselelwe isimo sakho esithile. Umgomo ukunciphisa ubuhlungu, ukuthuthukisa ubuthongo, nokukusiza ukuba ubuyele emisebenzini evamile.

Udokotela wakho cishe uzoqala ngenye noma ngaphezulu yalezi zindlela:

1. Imithi ye-anticonvulsant njenge-gabapentin noma i-pregabalin, ezothula izinzwa ezisebenza ngokweqile
2. Imithi ye-antidepressant ye-tricyclic njenge-amitriptyline, ethinta imiyalezo yobuhlungu ebuchosheni bakho
3. Ukuphathwa kwangaphandle kuhlanganise nama-patches e-lidocaine noma i-capsaicin cream efake ngqo ezindaweni ezibuhlungu
4. Imithi ye-opioid yokuhlungu okukhulu okungaphenduli kwezinye izindlela zokwelapha
5. Ukubamba izinzwa lapho imithi ifakwa eduze kwezinzwa ezithintekayo

Abantu abaningi bathola ukuthi ukuhlanganisa izindlela zokwelapha ezahlukene kusebenza kangcono kunokuthembela endleleni eyodwa kuphela. Udokotela wakho uzosisebenzisana nawe ukuthola ukuhlanganiswa okulungile okunikeza impumuzo ngemiphumela emibi elawuleka.

Izindlela zokwelapha ezihlukile njenge-acupuncture, i-transcutaneous electrical nerve stimulation (TENS), noma i-physical therapy zingase futhi zinikeze impumuzo eyengeziwe. Abanye abantu bayazuza ezindleleni zokupumula noma e-cognitive behavioral therapy ukuze basize ukuphatha izici zomzwelo wobuhlungu obuqhubekayo.

Ungaphatha Kanjani Ukuhlupheka Kwezinzwa Ngemva Kokuthola I-Shingles Ekhaya?

Nakuba ukwelashwa kwezokwelapha kubalulekile, amasu amaningi ekhaya angakusiza ukuphatha izimpawu zakho nokuthuthukisa injabulo yakho yansuku zonke. Lezi zindlela zisebenza kangcono uma zihlanganiswa nokuphathwa kwakho okubhaliwe.

Cabanga ngalezi zindlela zokuphatha ekhaya eziwusizo:

• Faka izindwangu ezibandayo, ezimanzi ezindaweni ezibuhlungu imizuzu engama-15-20 izikhathi eziningi ngosuku
• Gqoka izingubo ezikhululekile, ezithambile ezingayikucasuli isikhumba esinomuzwa olukhulu
• Zama ukuzolula kancane noma ukuzivocavoca okulula njengoba ubekezelela
• Sebenzisa amasu okuphumula njengokuphefumula okujulile noma ukucamngca
• Gcina amashejuli obuthongo obuvamile ukuze usize umzimba wakho uphulukise
• Gcina idayari yobuhlungu ukuze ubone izinto ezibangela ubuhlungu nezindlela zokwelapha eziphumelelayo

Abanye abantu bathola ukuthi ukudla okuthile noma imisebenzi iyakhulu ubuhlungu babo. Ukugcina lezi zimo kungakusiza ukugwema izinto ezibangela ubuhlungu nokukhulisa injabulo yakho usuku lonke.

Hlala uxhumene nabangane nomndeni, ngisho noma ubuhlungu benza imisebenzi yomphakathi ibe nzima. Ukuzihlukanisa ngokuvamile kwenza ubuhlungu bube sibi, kanti ukwesekwa komphakathi kungase kunikeze kokubili ukuhlakanipha kanye nenjabulo.

Ukuhlupheka Kwezinzwa Ngemva Kokuthola I-Shingles Kungavikeleka Kanjani?

Indlela ephumelelayo kakhulu yokuvimbela ukuhlupheka kwezinzwa ngemva kokuthola i-shingles ukumisa i-shingles ekuqaleni noma ukwelapha i-shingles ngokushesha lapho ivela. Isithombe se-shingles yindlela yakho engcono kakhulu yokuzivimbela kokubili izimo.

I-CDC isikisela isithombe se-shingles kubantu abadala abangaphezu kweminyaka engama-50, ngisho noma uke waba ne-shingles. Isithombe sinciphisa kakhulu amathuba akho okuthola i-shingles, futhi uma uthola i-shingles, sinciphisa amathuba okuthuthukisa ukuhlupheka kwezinzwa ngemva kokuthola i-shingles.

Uma uthola i-shingles, funani ukwelashwa phakathi kwamahora angama-72 ukubonakala kwesikhumba. Imithi ye-antiviral njenge-acyclovir, i-valacyclovir, noma i-famciclovir inganciphisa ubukhulu nobude be-shingles, okungase kuvimbele ukonakala kwezinzwa.

Ukugcina i-immune system eqinile ngokukhetha impilo enempilo—ukulala okwanele, ukuzivocavoca okuvamile, ukuphathwa kwengcindezi, nokudla okuhle—kungase futhi kusize ukuvimbela ukuqhuma kwe-shingles.

Kufanele Uzilungiselele Kanjani I-Aphoyintimenti Yakho Nodokotela?

Ukuza ulungile e-aphoyintimenti yakho kusiza ukuqinisekisa ukuthi uthola ukunakekelwa okuphumelelayo ngangokunokwenzeka. Udokotela wakho udinga ulwazi oluqondile mayelana nezimpawu zakho nomlando wakho wezokwelapha ukuze enze uhlelo lokwelapha oluhle kakhulu.

Ngaphambi kokuya kwakho, butha lolu lwazi olubalulekile:

• Izinsuku eziqondile zokuqhuma kwe-shingles nokuthi ubuhlungu obukhona beqale nini
• Inkulumo eningiliziwe yobuhlungu bakho—ukuvutha, ukushaya, ubuhlungu, noma okufana nombane
• Yini eyenza ubuhlungu bakho bube ngcono noma bube sibi
• Yonke imithi oyithatha njengamanje, kuhlanganise nemithi yokuthengwa ngaphandle kwesikripthi
• Indlela ubuhlungu obuthinta ngayo ubuthongo bakho, umsebenzi, nemisebenzi yansuku zonke
• Ukuphathwa kwangaphambili okuke wakuzama nokuphumelela kwako

Cabanga ukuletha umngane othembekile noma ilungu lomndeni e-aphoyintimenti yakho. Ubuhlungu obuqhubekayo bungase buthinte inkumbulo yakho nokugxila kwakho, futhi ukuba nomuntu omunye ohlala elalele kungasiza ukuqinisekisa ukuthi awuphuthelwa ulwazi olubalulekile.

Bhala phansi imibuzo ofuna ukuyibuza udokotela wakho ngaphambi kwesikhathi. Lokhu kungase kuhlanganise imibuzo mayelana nezindlela zokwelapha, isikhathi esilindelekile sokuthuthuka, noma ukuguqulwa kwesitayela sempilo okungasiza.

Iyini Iphuzu Eliyinhloko Mayelana Nokuhlupheka Kwezinzwa Ngemva Kokuthola I-Shingles?

Ukuhlupheka kwezinzwa ngemva kokuthola i-shingles yisimo esilawuleka, ngisho noma kungase kube nomthelela omkhulu ekuphileni kwakho kwansuku zonke. Iphuzu elikhulu ukusebenzisana eduze neqembu lakho lokunakekelwa kwezempilo ukuthola ukuhlanganiswa okulungile kwezindlela zokwelapha ezisebenza esimweni sakho esithile.

Abantu abaningi bazwa ukuthuthuka okukhulu ngokwelashwa okufanele, nakuba kungase kudingeke isikhathi ukuthola indlela ephumelelayo kakhulu. Ungadangali uma ukwelashwa kokuqala kungakuniki impumuzo ephelele—kukhona izinketho eziningi ezitholakalayo.

Khumbula ukuthi ukuvimbela kusala yindlela yakho engcono kakhulu. Uma ungaphezu kweminyaka engama-50, khuluma nodokotela wakho ngesithombe se-shingles. Uma uthola i-shingles, funani ukwelashwa ngokushesha ukuze unciphise amathuba okuthuthukisa lesi simo esinzima.

Awudingi ukuhlupheka ngokuthula ngokuhlupheka kwezinzwa ngemva kokuthola i-shingles. Ngokunakekelwa kwezokwelapha okufanele, amasu okuphatha ekhaya, nokusekelwa ngokomzwelo, ungabuya ulawule impilo yakho futhi uthole impumuzo enenjongo ezimpawu zakho.

Imibuzo Evamile Ebuzwayo Mayelana Nokuhlupheka Kwezinzwa Ngemva Kokuthola I-Shingles

Ukuhlupheka kwezinzwa ngemva kokuthola i-shingles kuhlala isikhathi esingakanani?

Isikhathi sihluka kakhulu kumuntu ngamunye. Abanye abantu bazwa ubuhlungu izinyanga ezimbalwa, kanti abanye bangase babe nezimpawu iminyaka eminingi. Ngokuvamile, lapho ukwelashwa kuqala ngokushesha, amathuba okuhlala isikhathi esifushane kakhulu nemiphumela emihle kakhulu. Abantu abaningi babona ukuthuthuka kancane ngokuhamba kwesikhathi ngokwelashwa okufanele.

Ukuhlupheka kwezinzwa ngemva kokuthola i-shingles kungabuya yini ngemva kokuba sekuphumule?

Uma ukuhlupheka kwezinzwa ngemva kokuthola i-shingles sekuphumule, ngokuvamile akubuyeki endaweni efanayo. Noma kunjalo, uma uthola i-shingles futhi endaweni ehlukile yomzimba wakho, ungase uthuthukise ukuhlupheka kwezinzwa ngemva kokuthola i-shingles kuleyo ndawo entsha. Yingakho isithombe se-shingles sihlala sibalulekile ngisho noma usephulukile ezigabeni zangaphambili.

Ukuhlupheka kwezinzwa ngemva kokuthola i-shingles kuyatheleleka yini?

Cha, ukuhlupheka kwezinzwa ngemva kokuthola i-shingles akuyona into etheleleka. Yisimo sezinzwa esivela ekonakaleni kwe-viral kwangaphambili. Noma kunjalo, uma usenama-shingles blisters asebenzayo, i-fluid kuleyo blisters ingase isakaze i-chickenpox kubantu abangakaze babe ne-chickenpox noma isithombe. Uma isikhumba se-shingles sekuqediwe ngokuphelele, awusatheleleki.

Ubuhlungu bokuhlupheka kwezinzwa ngemva kokuthola i-shingles buyoke buhambe ngokuphelele yini?

Abantu abaningi baye bahlangabezana nokuphela ngokuphelele kobuhlungu babo, ikakhulukazi ngokwelashwa kwasekuqaleni nokufanele. Noma kunjalo, abanye abantu bangase babe nezimpawu ezincane eziqhubekayo noma ukuqhuma okungase kube khona. Izindaba ezinhle ukuthi ngisho noma ubuhlungu obuthile buqhubeka, abantu abaningi bangafinyelela ekuthuthukeni okukhulu okubavumela ukuba babuyele emisebenzini evamile futhi bajabulele impilo.

Ingcindezi ingenza yini ukuhlupheka kwezinzwa ngemva kokuthola i-shingles kube sibi?

Yebo, ingcindezi ingenza izimpawu zokuhlupheka kwezinzwa ngemva kokuthola i-shingles zibe sibi. Ingcindezi ithonya i-immune system yakho futhi ingase ikhulise umuzwa wakho wobuhlungu. Ngaphezu kwalokho, ingcindezi ngokuvamile iphazamisa ubuthongo, okungenza ubuhlungu buzwakale bukhulu. Ukuphatha ingcindezi ngezindlela zokupumula, ukuzivocavoca okuvamile, ukulala okwanele, nokusekelwa komphakathi kungaba yingxenye ebalulekile yohlelo lwakho lokwelapha oluphelele.