Khumbula ukufumana i-Vaccinated to Prevent Shingles
Iingqungquthela yinkinga ebuhlungu kunye neqhelekileyo yesikhumba echaphazela malunga nesigidi seMelika ngamnye ngonyaka, ngokwemiGangatho yokuLawula nokuVimbela, okanye i-CDC. Iingqungquthela zingabangela intlungu kunye nobuso buhlungu xa kuchaphazela inzwa enkulu engabonakaliyo ubuso (ebizwa ngokuba yi -nerve trigeminal nerve ).
Ukuqonda amaNgqungquthela
Iingqungquthela zibuhlungu obunzima obukhula kunye nomgca wentsholongwane (obizwa ngokuba yi- dermatome ).
Iifom ze-rash ngenxa yokuvuselelwa kwintsholongwane ye-inkukhu, enokuhlala ilele kakhulu emithanjeni emzimbeni wakho. Ixesha lezonyango kwi-shingles i-herpes zoster, engafanele idideke kunye ne-herpes, isifo esithathelwana ngesondo.
Kubalulekile ukuqonda ukuba nabani na oye waba nenkukhu (okanye wayifumene nesitofu sokukhupha) angakhula. Okokuthi, ukuxhamla kuninzi ngokuqhelekileyo kumntu oneminyaka engama-50 ubudala, kunye nabantu abanesistim somzimba (eg, abantu bathatha i- corticosteroids okanye abantu abane- lymphoma, i-leukemia , okanye igciwane lesandulela-ngculazi (HIV ).
Iingqungquthela kunye nentloko okanye ubuhlungu besisu
Izibonda ziyakuchaphazela naphi na emzimbeni wakho, nangona zichaphazela i-ganglion ye-trigeminal malunga neyeshumi ukuya kweyeshumi elinesithoba kwiimeko-kwaye yintoni eyenza umntu abe neentloko okanye abhekane nentlungu. Isigulana sezonyango ngenxa yentloko okanye intlungu ebusweni eyenzeka ngenxa yesigxobhozo "yintlungu yokuhlenga i-tripinal neuropathy ebanjwe kwi-herpes zoster."
I-ganglion ye-trigeminal yilapho izidumbu ze-trigeminal nerve ziguquke ukuze zenze uvakalelo ebusweni, emlonyeni nasentloko. I -nerve trigeminal iqulethwe ngamasebe amakhulu amathathu:
- Isebe le-Ophthalmic, elisecaleni kweso
- Isebe le-Maxillary, elikulo ndawo
- Isebe leMandibular, elisekwindawo yomhlathi
Isebe lezintlu ezithintekayo kakhulu ezichaphazelekayo yi-herpes zoster yi-ophthalmic branch.
Izibonda ezithinta i-nerve trigeminal ngokuqhelekileyo zichazwe njengomlilo ovuthayo, ukubetha, ukugwaza, okanye ukuvala entloko okanye ubuso. Abantu baphinde bachaze ukuqonda okuphakamileyo kwintsimi echaphazelekayo (ebizwa ngokuba yi- allodynia ).
Kubalulekile ukuba uqaphele ukuba ngaphambi kokuba kuphuhliswe ukugqithwa okubuhlungu kwintsimbi, abanye abantu bafumana iimpawu ezinjenge-malaise, intloko, uvakalelo ekukhanyeni, ukuphazamiseka okungavamile (umzekelo, ukutshisa okanye ukutshisa). Ngamanye amaxesha, abantu bafumana umkhuhlane. Ezi zimpawu zingenzeka iintsuku eziliqela ngaphambi kokuqhuma kwe-rash.
Xa kubonakala ukugqithisa, kuqala njengamaqabunga obomvu aze aphendule ngamachule azaliswe ngokucacileyo, abizwa ngokuba ngama-vesicles. Iingqungquthela zesalathisi zingadlulanga iintsuku ezi-7 ukuya kwi-10, kwaye i-scabs iphuma kwiiveki ezimbini ukuya kwezine. Ngamanye amaxesha ukukhawuleza kunokushiya isiqhekeza.
Unyango lweeNgqungquthela
Iingqungquthela zonyango ziphathwa ngamachiza antiviral, njengeValtrex (valacyclovir) enqunywe ngugqirha wakho. Ukuba i-rash ijikeleze okanye ikufutshane nelihlo lakho, kuya kufuneka ufune ngokukhawuleza unonophelo lweziliso obizwa ngokuba yi-ophthalmologist.
Ekugqibeleni, ukongeza kwimiyeza yokulwa neyeza, ugqirha wakho unokuyalela imithi yeentlungu ukuze kuphuculwe ukungathandeki, okuya kuvela kwi-mild to severe.
Imizekelo yesifo somzimba wakho ugqirha unokuthi uncome okanye ubeke iquka:
- ITylenol (i-acetaminophen)
- Izidakamizwa ezichasene nezidakamizwa ( nonsteroidal anti-inflammatory ( NSAIDs )
- Corticosteroids
- Amachiza okulwa neentambo ezifana Neurontin (gabapentin) okanye uLyrica (pregabalin).
Ukunciphisa ukubetha, ukuxinwa okumanzi kunye ne-calamine lotion kunokunceda.
AmaTidbits amaTybits ukuba agcine ingqondweni
Enye ibalulekileyo ebalulekileyo yokugcina engqondweni kukuba i-shingles ayixhatshazwayo. Oko kwathiwa, kukho enye ihlukile. Ukuba umntu akazange abe ne-inkukhu (kwaye akazange abe ne-vaccope ye-inkukhu) kwaye udibanisa ne-rash (xa i-rash isendaweni ye-blister okanye i-vesicle stage), bayayenza isivumelwano.
Iingqungquthela azithelwanga ngaphambi kokuba kuqhutywe i-rash okanye xa i-rash crusts. Nangona kunjalo, ngokwamaziko okuLawula nokuLawula izifo, umngcipheko wokudlulisa inkukhu ekugqithweni kwe-shingles isezantsi xa i-rash ifakwe. Sekunjalo, ukuba unamaqhankqalazi, ugqirha wakho unokukucebisa ukuba ungangeni kumntu osondeleyo kunye nabantwana abangazange bamkele i-chickenpox yokugonya.
Isibini sesibini esibalulekileyo kukuba iinqununu zingakhutshwa. Enyanisweni, kukho izigulane ezimbini zokugonya. Esinye isitofu sokugonywa kwe-zoster (Zostavax) esichengileyo siphila ubomi kunye nesinye isitofu sokukhusela i-zoster (Shingrix). Olu hlobo lokugqibela luvunyelwe ukusetyenziswa eUnited States ngo-Oktobha 2017, kwaye uphando lubonisa ukuba lunokusebenza ngokuthintela ukukhusela i-herpes, ngakumbi kubantu abadala.
Ukongezelela ekuncedeni ukukhusela izibonda, ezi zitofu nazo zinceda ukukhusela i- neuralgia yangaphambili .
ILizwi
Xa isithintelo sichaphazela i-ganglion trigeminal, ingabangela ukugqithwa okubuhlungu kwentloko kunye nobuso. Oko kwathiwa, nceda ufune unyango ngokukhawuleza ukuba ucinga ukuba unakho ukukhwela.
Ukongeza, ukuba uneminyaka engama-60 ubudala okanye ngaphezulu, uthetha nodokotela wakho malunga nokufumana isitofu sokugonya. Ekugqibeleni, ukuthintela i-shingles ukusuka kwindawo yokuqala kukubheja phambili.
> Imithombo:
> Albrecht MA. (2017). Ukugonywa kokuthintela i-shingles (herpes zoster). Hirsch MS, ed. Isemgangathweno. Waltham, MA: UpToDate Inc.
> Amacandelo okuLawula nokuLawula izifo. (2014). Mayelana neengqungquthela (i-Herpes Zoster).
> Amacandelo okuLawula nokuLawula izifo. (2014). Ukuhlaziywa kwiNcomelo zokuSebenzisa i-Herpes Zoster Vaccine .
> Ikomidi lokuBamba iintloko zeMatyala eManyeneyo. (2013). Ukwahlulelwa kwaMazwe ngamazwe kweengxaki zeNtloko: I-3 Edition (i-beta version) ". I-Cephalalgia, 33 (9): 629-808.
> Klasser GD, Ahmed AS. Indlela yokulawula i-herpes zoster echaphazelekayo echaphazela ama-nerginal nerves . I-J Can Dent Assoc . 2014; 80: e42.