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October 10, 2025
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I-shingles iyisimo esibuhlungu sesikhumba esibangelwa yi-virus efanayo ekuhlinzeka nge-chickenpox. Ngemva kokuthi uphulukile nge-chickenpox, i-virus ihlala ivaliwe ezicutshini zakho zezinzwa futhi ingabuye iphinde isebenze eminyakeni kamuva njenge-shingles.
Uma i-virus ivuka, ihamba ngezindlela zezinzwa ziye esikhumbeni sakho. Lokhu kudala isikhumba esiqondene esivame ukuvela ngakwesinye uhlangothi lomzimba wakho noma ubuso. Igama lezokwelapha le-shingles yi-herpes zoster, kodwa liyahlukile ngokuphelele kwi-herpes ebangela ama-cold sores noma i-herpes yobudoda.
Abantu abaningi abathinteka yi-shingles baneminyaka engaphezu kuka-50, yize kungenzeka kunoma iyiphi iminyaka. Izindaba ezinhle ukuthi i-shingles ivame ukuhlanzwa yodwa phakathi kwamasonto ambalwa, futhi ukwelashwa okuphumelelayo kungasiza ekulawuleni ubuhlungu nokukhulisa ukululama.
Izimpawu ze-shingles zivame ukuqala ngaphambi kokubona noma yisiphi isikhumba. Ungase uzizwe ubuhlungu, ukushisa, noma ukukhahlela endaweni ethile yesikhumba sakho izinsuku ezimbalwa ngaphambi kokuba kube khona okuthile okubonakalayo.
Nazi izimpawu eziyinhloko ongazihlangabezana nazo:
Isikhumba sivame ukulandela indlela yethunzi, sidala iphethini lebhande noma i-strip. Ngokuvamile ivele emzimbeni wakho, igoqa ngakwesinye uhlangothi kusuka emhlane wakho uye esifubeni sakho. Noma kunjalo, ingathinta ubuso bakho, intamo, noma ezinye izingxenye zomzimba wakho.
Ezimweni ezingavamile, abanye abantu bangase babe nezimpawu ezinzima kakhulu. Lokhu kungafaka isikhumba esibanzi esithinta izindawo eziningi, i-headache enkulu ngokunqamuka kwentamo, noma ukuguquka kokubona uma isikhumba sivela eduze kweso lakho. Lezi zimo zidinga ukunakekelwa kwezokwelapha ngokushesha.
I-zitsha livela lapho i-varicella-zoster virus iphinda iqhubeke emzimbeni wakho. Lona yi-virus efanayo ebangela ukutheleleka kwe-chickenpox, ngokuvamile ngesikhathi sobuntwana.
Ngemva kokuba i-chickenpox iphelile, i-virus ayihlukumi emzimbeni wakho ngokuphelele. Esikhundleni salokho, ihamba iye kuma-nerve tissue aseduze komgogodla wakho nomkhondo, lapho ihlala khona isikhathi eside noma amashumi eminyaka. Isistimu yakho yokukhulula umzimba ngokuvamile igcina le virus ephumule.
Izinto eziningi zingabangela i-virus ukuthi iphinde iqale:
Uma ukuvikela kwakho komzimba kuye kwonakala, i-virus ingakwazi ukwanda futhi ihambe nge-nerve fibers iye kwisikhumba sakho. Le ndlela yokuthatha i-nerve pathway ichaza ukuthi kungani ubuhlungu be-shingles nokuqhuma kulandela izindlela ezithile emzimbeni wakho.
Kubalulekile ukwazi ukuthi awukwazi ukubamba i-shingles komunye umuntu. Noma kunjalo, uma une-shingles blisters ephakathi, ungasakaza i-varicella-zoster virus kubantu abangakaze babe ne-chickenpox, futhi bazoba ne-chickenpox, hhayi i-shingles.
Kufanele uxhumane nodokotela wakho ngokushesha nje uma uthi ungase ube ne-shingles. Ukwelashwa kwasekuqaleni phakathi kwamahora angu-72 ngemuva kokuthi izimpawu ziqale kunganciphisa kakhulu ububi nobude besifo sakho.
Funani ukunakekelwa kwezokwelapha ngokushesha uma uhlangabezana nanoma yiziphi lezi zibonakaliso zezexwayiso:
Ungalindi uma uneminyaka engaphezu kuka-60 noma unezimpawu zesimiso somzimba esibuthakathaka. Lezi zinto zikubeka engozini enkulu yokuthola izinkinga, okwenza ukunakekelwa kwemithi kube kubaluleke kakhulu.
Ngisho noma izimpawu zakho zibonakala zingenamandla, ukubona udokotela ngokushesha kungasiza ukuvimbela izinkinga nokunciphisa ubuhlungu bakho. Bangakwazi ukubhalela imithi yokulwa ne-antiviral ephumelela kangcono uma iqalwa ngokushesha.
Noma ubani okade enesifo sikakhukhu angathola i-shingles, kodwa izinto ezithile zikhuphula amathuba akho okuthola le nto. Ukuqonda le mingcele kungakusiza uqaphele izimpawu zokuqala.
Imikhakha ebaluleke kakhulu yengozi ihlanganisa:
Ezinye izinto ezingavamile zengozi zingase futhi zidlale indima. Lokhu kuhlanganisa ukuhlinzwa kwamuva, ukulimala okukhulu, noma ukuthatha imithi ye-steroid isikhathi eside. Abesifazane bangase babe nenani elikhulu kunemadoda, yize abacwaningi bengaqiniseki ngokuphelele ukuthi kungani.
Ukuba nale mingcele yengozi akusho ukuthi uzokuthola i-shingles. Abantu abaningi abanezingozi abazitholi le simo, kanti abanye abangenazo izingozi ezicacile bayayithola i-shingles. Impendulo yakho yomzimba iyona ebaluleke kakhulu ekuqondeni ingozi yakho.
Abantu abaningi bayaphila kahle nge-shingles ngaphandle kwezinkinga ezihlala njalo, kodwa izinkinga zingase zenzeke, ikakhulu kubantu abadala noma labo abanezimpawu zesimiso somzimba esibuthakathaka. Ukwazi lezi zinto kungakusiza uthole ukunakekelwa okufanele uma kudingeka.
Izinkinga ezivame kakhulu zihlanganisa:
Izinkinga ezingavamile kodwa ezingathi sína zingafaka i-pneumonia, ukuvuvukala kwengqondo (encephalitis), noma ukubandakanyeka kwamanye amalungu. Lezi zivame ukwenzeka kubantu abanesistimu yokuvikela umzimba ebuthakathaka kakhulu futhi zidinga ukunakekelwa kwangaphambi kwesikhathi kwezokwelapha.
I-Postherpetic neuralgia kufanele ikhulunywe ngokukhethekile ngoba ithonya abantu abafika ku-20% abane-shingles. Lesi simo sibangela ubuhlungu obuvuthayo, obukhulu, noma obukhulu obuhlala isikhathi eside ngemva kokuba isikhumba sakho sipholile. Ingozi iyakhula ngokwanda kweminyaka, ikakhulukazi ngemva kweminyaka engama-60.
Ukuphathwa kwangaphambi kwesikhathi ngemithi ye-antiviral kunganciphisa kakhulu ingozi yakho yokuthuthukisa izinkinga. Lona omunye umbono wokuthi ukubona udokotela ngokushesha kubaluleke kangakanani uma ucindezela i-shingles.
Indlela ephumelela kakhulu yokuvimbela i-shingles iwukugoma. Isifo se-shingles singanciphisa kakhulu ingozi yakho yokuthuthukisa lesi simo futhi kunciphisa ububi uma usifaka.
Kukhona ama-vaccine amabili atholakala ukuvimbela i-shingles. I-Shingrix iyona vaccine ekhethwayo futhi icelwa kubantu abadala abangama-50 nangaphezulu, ngisho noma uke waba ne-shingles ngaphambili noma wathola i-vaccine endala ye-Zostavax. I-Shingrix inikezwa njengezilinganiso ezimbili, ezihlukaniswe izinyanga eziyi-2 kuya kweziyi-6.
I-vaccine isebenza ngokwandisa amandla esistimu yakho yokuvikela umzimba yokulwa ne-varicella-zoster virus. Izifundo zibonisa ukuthi i-Shingrix inephutha elingaphezu kuka-90% lokuvimbela i-shingles kubantu abaneminyaka engama-50 kuya kwengu-69, futhi cishe i-85% kubantu abaneminyaka engama-70 nangaphezulu.
Ngaphezu kokugonywa, ukugcina isimiso somzimba siphilile kungasiza ekunqobeni ukubuyela komkhuhlane:
Nakuba lezi zinto zokuphila zisekela impilo yonke yesistimu yokuvimbela, ukugonywa kuhlala kuyisivikelo sakho esihle kakhulu ekuqaleni komkhuhlane. Xoxa nodokotela wakho ukuthi ngabe isithombe sokugoma komkhuhlane sikufanele yini.
Odokotela ngokuvamile bangawubona umkhuhlane ngokuhlola isihlungu sakho nokuthi ubuphi ubuhlungu. Iphethini ehlukile kanye nokubonakala komkhuhlane kwenza kube lula ukubona ngabahlinzeki bezempilo abanolwazi.
Udokotela wakho uzobheka isihlungu esifanelekile esilandela izindlela zezinzwa ngakwesinye uhlangothi lomzimba wakho. Bazabuza futhi ngezindlela zakho zobuhlungu, ukuthi izimpawu zaqala nini, nokuthi wake waba nomkhuhlane ngaphambili yini.
Ezimweni eziningi, azikho izivivinyo ezikhethekile ezidingekayo ukuze kutholakale. Noma kunjalo, udokotela wakho angase ayalele ukuhlolwa kwelabhorethri uma:
Izivivinyo ezitholakalayo zihlanganisa ukuthatha isampula ezihlangwini zakho ukuze kutholakale i-virus, ukuhlolwa kwegazi ukuhlola ama-antibodies, noma ukuxilongwa kwesikhumba ezimweni ezingavamile. Lezi zivivinyo zingakuqinisekisa ukuba khona kwe-varicella-zoster virus.
Ukuxilongwa kwasekuqaleni kubalulekile ngoba ukwelashwa kwe-antiviral kusebenza kangcono uma kuqalwa phakathi kwamahora angu-72 ukusukela ekuqaleni kwezimpawu. Unganqikazi ukubona umhlinzeki wezempilo uma ucabanga ukuthi ungaba nomkhuhlane, ngisho noma awuqiniseki ngokuphelele.
Ukuphathwa kwe-shingles kugxile ekuqedeni ukwelashwa ngokushesha, ukunciphisa ubuhlungu, nokuvimbela izinkinga. Uma uqala ukwelashwa ngokushesha, kuphumelela kakhulu.
Udokotela wakho cishe uzokunikeza imithi ye-antiviral njengokwelashwa okuyinhloko. Le miyekezo iyasiza ekulweni ne-virus futhi ingafushane isikhathi sesifo sakho:
Ekuphatheni ubuhlungu, umhlinzeki wakho wezinsizakalo zezempilo angakuncoma izinketho eziningi kuye ngezinga lobuhlungu bakho nomlando wakho wezokwelapha. Imithi yokunciphisa ubuhlungu ongayithenga ngaphandle kokubhalwa kwelokotela njenge-acetaminophen noma i-ibuprofen ingasiza ebuhlungwini obukhulu noma obuphakathi nendawo.
Ubuhlungu obukhulu kakhulu, kungadingeka imithi enamandla kakhulu:
Uma uthola ukutheleleka kwe-bacteria endaweni yesikhumba, udokotela wakho uzokunikeza ama-antibiotics. Le nkinga ingase ibonakale lapho amabhebhe eba ne-infection ngokukroba noma ukunakekelwa okubi kwesilonda.
Isikhathi sokwelashwa sivame ukuba phakathi kwezinsuku eziyi-7 kuya kweziyi-10 zemiyekezo ye-antiviral, nakuba ukuphathwa kobuhlungu kungase kuqhubeke isikhathi eside. Udokotela wakho uzolandelela intuthuko yakho futhi alungise ukwelashwa njengoba kudingeka.
Ukukhathalela ekhaya kudlala indima ebalulekile ekulawuleni izimpawu ze-shingles nokuthuthukisa ukwelashwa. Lezi zindlela zokunakekela ngokwakho zingakunika induduzo ngesikhathi imithi yakho ebhaliwe isebenza ekulweni ne-virus.
Ukukhathalela isikhumba sakho kahle kusiza ukuvimbela ukutheleleka nokuthuthukisa ukwelashwa:
Ukuphatha ubuhlungu nokungakhululeki ekhaya kuhilela amasu amaningana. Ukuphumula kubalulekile ekusizeni isimiso sakho sokuvikela ukulwa ne-virus. Zama ukuthola ubuthongo obukhulu futhi ugweme imisebenzi enzima engase ibe yimbangela yokwanda kwezimpawu zakho.
Ukuze unciphise ubuhlungu, ungafaka izicupho ezibandayo imizuzu engu-15-20 izikhathi eziningi ngosuku. Abanye abantu bathola ukuthi i-calamine lotion ikusiza ukunciphisa ukukhahlela. Amasu okuphumula njengokuphefumula okujulile noma ukuzindla okuthambile kungakusiza ukubhekana nokungakhululeki.
Ukudla nokugcwala kwamanzi kusekela impilo yakho. Dlala ukudla okunomsoco futhi uphuze amanzi amaningi ukuze usize isimiso sakho sokuvikela ukusebenza kahle. Uma ungazizwa kahle ngokwanele ukudla ukudla okuvamile, zama ukudla okuncane, okuvamile.
Khumbula ukugwema ukuxhumana nabantu abangakaze babe ne-chickenpox, ikakhulukazi abesifazane abakhulelwe, izingane ezisanda kuzalwa, nabantu abanesimiso sokuvikela esibuthakathaka. Uyakhuthaza kuze kube yilapho zonke izibhubhu seziqale ukuba namabala.
Ukulungiselela ukuvakasha kwakho kudokotela kusiza ukuqinisekisa ukuthi uthola ukunakekelwa okuphumelelayo kwe-shingles yakho. Ukuba nolwazi olufanele okulungile kungasheshisa ukuxilongwa nokunquma ukwelashwa.
Ngaphambi kokubonisana kwakho, bhala phansi izimpawu zakho nokuthi zaqala nini. Faka imininingwane mayelana nobuhlungu obuhlangenwe nakho, njengokuthi kuyashisa, kuyabhoboka, noma kuyabuhlungu, bese uilinganisa ubukhulu bawo kusuka ku-1 kuya ku-10.
Butha ulwazi olubalulekile lwezokwelapha ukuze wabelane ngalo:
Lungisa imibuzo okumele uyibuze udokotela wakho ngesikhathi sokuvakasha. Ungafuna ukwazi ngezinketho zokwelapha, isikhathi esilindelekile sokuphulukana, ukuthi ungabuya nini emisebenzini yakho evamile, noma ukuthi ungawuvimbela kanjani ukusabalala kwe-virus kwabanye.
Cabanga ukuthi ulethe ilungu lomndeni noma umngani ekuqokweni kwakho. Bangakusiza ukuba ukhumbule ulwazi olubalulekile futhi banikeze ukwesekwa ngesikhathi esingase sibe yisikhathi esibuhlungu.
Uma kungenzeka, gwema ukufaka ama-lotions noma ama-creams esikhumbeni sakho ngaphambi kokuqokwa. Lokhu kuvumela udokotela wakho ukuba abone ngokucacile isikhumba futhi enze ukuxilongwa okuchaneka.
I-Shingles iyimo elilawulekayo abantu abaningi abaphulile ngokuphelele ngenxa yokunakekelwa okuhle. Nakuba ingaba buhlungu futhi ingabi nakho, kukhona izindlela zokwelapha ezisebenza kahle ezikusiza ukuba uphulukise ngokushesha futhi unciphise izinkinga.
Into ebaluleke kakhulu okumele uyikhumbule ukuthi ukwelashwa kwangaphambi kwesikhathi kwenza umehluko omkhulu. Uma ucindezela ukuthi une-shingles, ungalindi ukubona umhlinzeki wezempilo. Ukuqala imithi ye-antiviral phakathi kwamahora angama-72 ngemuva kokuthi izimpawu ziqale kungathuthukisa kakhulu umphumela wakho.
Ukuvimbela ngokuhlolwa kuyindlela yakho engcono kakhulu yokuzivimbela, ikakhulukazi uma uneminyaka engaphezu kuka-50. I-Shingrix vaccine isebenza kakhulu futhi ingavimbela izimo eziningi ze-shingles noma inciphise ubukhulu uma uyithola.
Khumbula ukuthi ukuba ne-shingles akusho ukuthi kukhona okungalungile impilo yakho. Kuyisimo esivamile esithinta izigidi zabantu minyaka yonke. Ngokunakekelwa okufanele kwezokwelapha nezindlela zokunakekela, ungalindela ukuphulukisa nokubuyela emisebenzini yakho evamile ezinsukwini ezimbalwa.
Hlala uxhumene neqembu lakho lokunakekelwa kwezempilo phakathi nokuphulukisa kwakho. Bangalungisa uhlelo lwakho lokwelashwa uma kudingeka futhi bakusize ukuphatha noma yiziphi izimpawu ezisele. Okubaluleke kakhulu, ungangabazi ukufuna usizo uma ukhathazekile ngesimo sakho noma ukuphulukisa kwakho.
Yebo, ungayithola i-shingles ngaphezu kwesikhathi esisodwa, nakuba kungavamile. Abantu abaningi abane-shingles abasoze bayithola futhi. Noma kunjalo, cishe i-1-5% yabantu bangase babe nesigameko sesibili, futhi ngokungavamile, abanye abantu banezigameko ezintathu noma ngaphezulu ekuphileni kwabo.
Ubungozi bakho bokuphindaphinda bukhulu uma unezimbongolo ezibuthakathaka noma uma uneminyaka engaphezu kuka-50. Izindaba ezinhle ukuthi izigameko eziphindaphindayo zivame ukuba zithambile kunelokokuqala. Ukuthola isithombe se-shingles kungasiza ukunciphisa ubungozi bakho bokuphindaphinda ngisho noma usuke ube ne-shingles ngaphambili.
I-Shingles ngokwayo ayidluliseki, kodwa i-virus eyihambisana nayo ingadluliselwa kwabanye. Uma une-shingles esebenzayo ngamabhontshisi avulekile, ungadlulisela i-varicella-zoster virus kubantu abangakaze babe ne-chickenpox noma isithombe se-chickenpox.
Abantu ababamba i-virus kuwe bazoba ne-chickenpox, hhayi i-shingles. Uyadluliseka kusukela lapho amabhontshisi evela khona kuze kube yilapho ehlanganiswe ngokuphelele. Ukuvimbela ukusabalalisa i-virus, gcina isikhumba sakho sihlanganisiwe futhi ugweme ukuxhumana nabesifazane abakhulelwe, izingane ezisanda kuzalwa, nabantu abanezinhlelo zokulwa nezifo ezibuthakathaka.
Imikhakha eminingi ye-shingles ihlala amasonto angu-2-4 kusukela ekuqaleni kuze kube sekupheleni. Isikhathi sivame ukulandela leli phethini: ubuhlungu bokuqala nokuhlunguluza izinsuku ezingu-1-3, okulandela ukuqhuma kwesikhumba, bese kwenziwa amabhebhe bese ekugcineni kuqina cishe ezinsukwini ezingu-7-10, nokuphulukiswa okuphelele emavikini angu-2-4.
Kodwa-ke, abanye abantu bahlushwa ubuhlungu obuhlala isikhathi eside be-nerve okuthiwa yi-postherpetic neuralgia obungamahlaya noma iminyaka. Ukwelashwa okusheshayo ngemithi ye-antiviral kungasiza ukufinyeza isikhathi nokunciphisa ingozi yezinkinga zesikhathi eside.
Ukucindezeleka akuyikubangela ngokuqondile i-shingles, kodwa kungaba yisici esivusa i-virus ukuthi ibuyele. Kokubili ukucindezeleka komzimba nangokomzwelo kungonakalisa i-immune system yakho, okwenza kube nzima emzimbeni wakho ukulawula i-varicella-zoster virus efile.
Imicimbi ebalulekile yokuphila, ukugula, ukuhlinzwa, noma izikhathi ezide zokucindezeleka kungandisa ingozi yakho yokuthola i-shingles. Kungakho ukuphatha ukucindezeleka ngokukhetha impilo enempilo, ukulala okwanele, nezinqubo zokunciphisa ukucindezeleka kungaba yingxenye yokuvikela.
I-Shingles ne-genital herpes zibangelwa ama-virus ahlukene emndenini we-herpes, kodwa akuyona isimo esifanayo. I-Shingles ibingelwa yi-varicella-zoster virus (i-virus efanayo ebangela i-chickenpox), kuyilapho i-genital herpes ivame ukubangelwa yi-herpes simplex virus uhlobo 1 noma 2.
I-Shingles ivame ukuvela njengesiphuphu esifana nebhande ohlangothini olulodwa lomzimba wakho futhi ihlobene nokutheleleka kwangaphambili kwe-chickenpox. I-Genital herpes ivame ukuphazamisa indawo yobudoda futhi idluliselwa ngocansi. Zombili izimo zingabangela amabhebhe abuhlungu, kodwa zinazizathu, izindawo, nezindlela zokudluliselwa ezihlukile.
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