Iingqungquthela, okanye i-herpes zoster, yintsholongwane ebangelwa yintsholongwane efanayo njengenkukhu yenkukhu . Ukugqithwa ngokuqhelekileyo okuqhelekileyo kubonakala ngokuqhelekileyo njengoko umntu ekhula, kwaye kukholelwa ukuba oku kungenxa yokuhla kwezemvelo kunye nobudala bemisebenzi yomzimba. Nangona kunjalo, kukho enye indawo ebekwaziyo ukuba i-shingles ibonakale kubantu basebudala be-anti-system of immune system.
Kwaye ngenxa yoko ukuba ne-leukemia okanye i-lymphoma, kunye / okanye ukuphathwa ngayo, kukubeka engozini enkulu yokuphucula le ntsholongwane.
Sibanzi
Ukuba unenkukhu yenkukhu kwithuba elidlulileyo, okanye ukuba ugonyelwe yona, intsholongwane ayiyi kushiya ngokupheleleyo inkqubo yakho. Iigqirha zokukhupha ii-inkukhu ziqulethe inguqu ebonakalayo yintsholongwane ephilayo, enokubangela ukuba i-shingles ibe yimpilo kamva. Nangona ixesha elide emva kokuqhaqhazela kwe-inkukhu ye-inkukhu isuke, intsholongwane ibeka kwindawo epholileyo okanye ephumayo kumaseli omgulane omzimba wethu. Izimpawu zentsholongwane ziyabhubha, kwaye intsholongwane igcinwe isheke ngumzimba we-immune. Kwezinye iimeko, intsholongwane inokuphinda ivuselelwe njengengqungquthela.
Ngubani Osemngciphekweni?
Ukuba awuzange ube neenkukhu okanye ugonyelwe kuyo, unokuba usenqabini, kodwa kunokuba kunzima ukucacisa ngokuqinisekileyo ukuba umntu akazange aphethwe yintsholongwane esekelwe kwimbali, yedwa.
Umngcipheko wokwakha i-shingle uphezulu kakhulu kubantu abadala. Enyanisweni, amathuba okusuleleka kwintsholongwane aphinde agqitywe kabini kwiminyaka eyi-10 ngaphezulu kweminyaka engama-50.
Abantu abanesistim somzimba esicuthakathaka nabo basengozini enkulu yokuphuhlisa izibhinqa. Xa isistim somzimba sakho sokuzivikela sisinciphisa isilumkiso sayo, intsholongwane ithatha ithuba lokusebenza kwakhona.
Ukuba unomdlavuza okanye umhlaza womongo, njenge-lymphoma okanye i-leukemia, kukho izinto ezinokubeka umngcipheko wokunciphisa umzimba:
- Umhlaza wakho ngokwawo
- Chemotherapy
- Ukunyanga kwamayeza emzimbeni wakho kunye nepesenteji ephezulu yomnatha wethambo , njengentsimbi
- Unyango lweSteroid
- Umnkantso we-Bone okanye ukutshintshwa kwe-cell stem
Umngcipheko omkhulu wengozi yeengxaki zentsholongwane njengengqungquthela ubukhulu bezinto ezibizwa ngokuba yi-cellular immunosuppression. Umngcipheko ukwandiswa kunye nokunciphisa i-T-cell, iiseli zomzimba wokhuselo lomzimba wakho, njengoko kubonakala kwinqanaba leengxaki zentsholongwane ngexesha lonyango kunye ne-T-cell antibody alemtuzumab. I-Neutropenia - okanye amanqanaba aphantsi eeseti zegazi ezimhlophe ze-neutrophil - inokunyusa umngcipheko wezinye izifo, kodwa i-neutropenia, yodwa, ibonakala ingabalulekanga kwimeko yeengqungquthela.
Ngokuxhomekeke kumhlaza wonyango owenziwe, umphumo wengozi weengqungquthela ziyahluka. Ngokomzekelo, uphando lwe-APEX lubonise isantya sokunyuka kwesigqirha kwizigulane ezitholayo i-bortezomib, ngoko ke iziphakamiso zokusetyenziswa kokukhusela i-acyclovir okanye i-valacyclovir ye-dose ephantsi.
Iimpawu
Intsholongwane ekhutheleyo yentsholongwane ilandele i-nervous where it was dormant. Ngokuqhelekileyo, ivela kwibhande kwelinye icala lomzimba.
Iingxowa ziqhelekileyo kwi-torso kodwa ziyakwenzeka naphi na, kubandakanywa ubuso bakho kunye nemida.
Isiqalo sokuqala enokuthi uvelele, ubuhlungu, ukutshisa okanye ukugubungela kwi-nerve kunye nesikhumba ejikelezile. Kwezinye iimeko, le nto inokuba yodwa impawu onayo.
Uninzi lwabantu luya kuqhubeka ukuhlakulela ukukhawuleza kwiintsuku ezi-1-5 ezilandelayo. Ulusu phezu kwentsholongwane echaphazelekayo luya kubonakala lubomvu kwaye luvuthayo, kwaye kuya kuba ne-blistery, ukuphazamiseka okubuhlungu - njengenkukhu yenkukhu. I-blister nganye iya kuhlala malunga neveki ukuya kwiintsuku ezili-10 ngaphambi kokumisa nokuguqula umbala ophuzi.
Unokufumana iimpawu ezinjengomkhuhlane (umkhuhlane, ukukhathala, iintloko zamakhwenkwe) ngelixa uhlawule.
Ngaba iiNgqungquthela zixhatshazwayo?
Kuze kube lula ukuba izilonda zomeke, kunokwenzeka ukuba uthumele inkukhu kumntu ongakaze abe nalo okanye umntu ongagonyanga. Abantu abaphilileyo abaye bafumana inkukhu yenkukhu abayilo mngcipheko omkhulu wokutshatyalaliswa. Kodwa, ngokuqinisekileyo kufuneka ugweme ukudibanisa nabanye abanomkhuhlane okhuseleyo, undala kakhulu kwaye uncinci kakhulu, abo bangakaze babe nenkukhu, kunye nabafazi abakhulelweyo.
Ukuxilongwa
Uninzi oogqirha banokwazi ukuchonga izibonda ngokujonga i-rash nokuva imbali yakho. Kwezinye iimeko, abantu abane-immunity ekhuselekile banokuba neendlela zokusabalalisa ezingaqhelekanga, kwaye ugqirha unokukhetha ukuthumela i-swab yokuvavanya ukuqinisekisa.
Unyango
Injongo yokunyanga unyango kukukhawuleza ukuphilisa kwaye igcine isigulane sikhululekile. Ukusetyenziswa kwamachiza antiviral - njenge-acyclovir, famciclovir, kunye ne-valacyclovir - ayiyi kubulala intsholongwane kodwa iya kuncedisa ukunciphisa ubude bexesha kude kube yinto yokuphilisa nokunciphisa iimpawu zentlungu.
I-antitivirals idlalwa ngomlomo, kodwa amayeza angenayo ifunekayo kwiimeko ezinzulu okanye kwiimeko ezizodwa. Ukuze kube yinkqubo efanelekileyo, unyango lwe-anti-virus kufuneka luqaliswe kwiiyure zokuqala ezingama-72 ezikhoyo.
Ukulawulwa kobuhlungu kubaluleke kakhulu kunyango lweentsimbi. Amachiza amaninzi, njenge-acetaminophen kunye ne-ibuprofen, zidla ngokwaneleyo ukuphatha intlungu , kodwa kwezinye iimeko ezinzima, i-steroids, i-anti-depressants kunye neyeza-anticonstsant zingasetyenziselwa ukuphucula ulawulo lweentlungu .
Ngenxa yokuba unesistim somzimba esicuthakathaka, usengozini yokuhlaselwa isifo kwizilonda ezivulekileyo esikhumbeni sakho. Oku kungenziwa ngakumbi xa uthanda ukukhangela. Kubalulekile ukuba ugcine indawo ihlambulukile. Ukunyamezela, ukuxinwa okumanzi kunokunceda, kwaye kunokusetyenziswa rhoqo kwimini imizuzu engama-20 ngelo xesha.
Iingxaki
Ngokuqhelekileyo, ukuqhaqhaqhaqhaqhaqhaqhoba kweeveki ezimbalwa kwaye iimpembelelo zizinqanda. Nangona kunjalo, kunokwenzeka ukuvelisa iingxaki ezininzi. Ezinye zezi ziquka:
- Imibala ekhumbeni
- Izifo ezisekondari ezivela kwizilonda ezivulekileyo
- I-Ramsay Hunt syndrome , equka ukukhubazeka kwesibindi kunye nokulahlekelwa kwindlebe
- Ukusasazwa kwintsholongwane , apho isifo sichaphazela ngaphezu kwelinye icala lomzimba. Kulo mzekelo, ukugqithisa kunye neempawu ziya kuba nzima kakhulu kwaye zikhokelela kwiphemonia okanye isibindi kunye nosulelo lwengqondo
- I-Zoster opthalmicus , apho izibilini zeso libandakanyeka. Oku kunokukhokelela ekuphumeni
- I-postherpetic neuralgia , apho iimbilini zonakaliswe yintsholongwane. Oku kuya kwenza isigulane siqhubeke siba neentlungu, nangemva kokuba ezinye iimpawu zentsholongwane ziphele
Ukuba ucinga ukuba unokuba neentsimbi, qhagamshelana nomboneleli wakho wezempilo ngokukhawuleza. Ukuqalisa ngonyango olufanelekileyo ngexesha elifanelekileyo kunciphisa kakhulu umngcipheko weengxaki zexesha elide ukusuka kwintsimbi.
Isishwankathelo
Igazi kunye nomongo weengcinezi ezinjenge-leukemia okanye i-lymphoma, kwakunye nokunyanga kwabo, zidla ngokubangela ukuba i-immune system inobuthakathaka, ezinye iinkalo zidibene nomngcipheko okhulayo wokuphuhlisa izibhinqa.
Kunokwenzeka ukuba izibhinqa zenze iingxaki ezihlala ixesha elide. Ubunzima bezo ngxaki ziyancipha xa unyango luqaliswa kwiiyure zokuqala ezingama-72 zokubonakala kweempawu. Ukuqonda izibonakaliso zeengqungquthela kunye nokuqhagamshelana neqela lakho lononophelo lwezempilo kunokukhawuleza kunokukunceda ukuba uqeqesho lwakho lube lula.
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> Chanan-Khan A, Sonneveld P, Schuster MW, et al. Uhlalutyo lwe-Herpes Zoster Events Phakathi kwezilwanyana zeBergenomib-Treated kwiSigaba III se-APEX. J Clin Oncol . 2008: 26: 4784-4790.
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