Ukuba unayo inkukhu, mhlawumbi njengomntwana omncinci kakhulu, usemngciphekweni wokuphuhlisa izibhinqa njengomntu omdala-nangama-50s, 60s okanye ngaphezulu. Kungenxa yokuba intsholongwane ebangela zombini inkukhu ne-shingles, i-varicella zoster, ayishiyi umzimba emva kokusuleleka kosulelo. Esikhundleni saloo nto, ibuyela kwi-system ye-nervous, apho ingalala khona iminyaka emininzi.
Xa umzimba we-immune system unobuthakathaka ngokweminyaka okanye uyancipha ngaphambi kokudala ngenxa yokugula okanye amayeza, i-varicella ingathatha ithuba lokusebenza kwakhona.
Ukutheleleka kokuqala kwe-varicella kudla kancinci: Uninzi lwabantwana abahla kunye nenkukhu bayagula malunga neveki benomkhuhlane omncinci, ukukhathala ngokubanzi, kunye nokugqithisa okukrakra okungaxinwa kunye ne-oatmeal baths kunye ne-calamine lotion. Ezi zimpawu zinokuba nzima nakakhulu kubantu abadala.
Okwesibini ukutshatyalaliswa kwe-varicella okubangela ukuba i-shingles ibe ngamava ahluke ngokupheleleyo. Iimpawu zokubetha ziba buhlungu obukhulu kwindawo yendawo yomzimba kunye nokugqithwa okugqithisileyo okungapheli kwiiveki ezimbini okanye ezine okanye ngaphezulu. Emva kokuphulukiswa kokugqithisa, kunokubakho uluhlu lwexesha elide lokuxhamla kwiimfantsi ezivela kwiimeko ezimbi ezibizwa ngokuthi i-posterpetic neuralgia (PHN) kwintsholongwane okanye kwiintsholongwane zengqondo kumonakalo weso sigxina xa intsholongwane ichaphazela ubuso.
Yingakho kubaluleke kakhulu ukwenza konke okusemandleni akho ukukhusela intsholongwane, ekukhuseleni intsholongwane evela kwintsholongwane yenkukhu ephambili ekufumaneni ukugonywa kwe-shingles ekujonganeni noxinzelelo olukholelwa ukuba yinto ebangela ukuba i-virus ye-varicella isebenze.
Ukuphepha i-Chickenpox
Isitofu sokugonya inkukhu siyinxalenye yeshedyuli rhoqo yokugonywa kwabantwana.
Amacandelo okuLawula nokuVimbela (i-CDC) uncoma ukuba abantwana bafumane umthamo wokuqala wokugonya kwiinyanga ezili-12 ukuya kwezi-15 kunye neyesibini zidubule phakathi kweminyaka emi-4 ne-6. Abasakhulayo nabasetyhini kunye nabadala bayacetyiswa ukuba bafumane izilwanyana ezimbini ze-varicella vaccine, iiveki ezine ukuya ezintandathu ngaphandle.
Kubalulekile ukuba uqaphele ukuba ukuba awuzange ube ne-inkukhu okanye isitofu sokugonywa kufuneka uhlambele kumntu onamabhinqa: Akukho mngcipheko wokufumana iingqungquthela, ezingenako ukusasazeka ngokuqhagamshelana ne-rash, kodwa ungehla ne-inkukhu.
Khumbula, intsholongwane ebangela ukuba inkukhu ihambe kakuhle xa iphazamisa umzimba, ngoko ngokuyivumela kuwe ukuba uzibeke engozini yokukhangela. Kungenxa yoko ukuvulela abantwana kwi-inkukhu ukuze bakwazi "ukufikelela kunye" kunokuba bafumane igonywa ngolu hlobo ngengozi, njengokuba abanye abazali baziwa ukuba benze kwizinto ezibizwa ngokuthi "amaqela enkukhu," yile ngcamango eyingozi: Inkukhu yokukhusela inkukhu ikhuselekile ngokupheleleyo-kwaye ngokuqinisekileyo ikhuselekile kunokuba i-shingles.
Ukugonywa kweShingles
Ezi zimbini izitofu zokukhangela. Omnye, obizwa ngokuba yi-Zostavax (i-zoster vaccine live), wanikwa ilayisenisi yi-US Food and Drug Administration (FDA) ngo-2006. Esinye isitofu sokugonya, iShingrix (i-zoster vaccine-recombinant, adjuvanted) yaqala ngo-2017.
Zombili izitofu zikhusela kunye ne-PHN kwaye ngokuqhelekileyo zifunyenwe yi-inshurensi yempilo okanye i-Medicare. Nangona kunjalo, ngenxa yezizathu ezahlukeneyo iShingrix ithathwa yi-CDC njengoko ikhethwa kwi-Zostavax kubantu abaninzi. Nantsi indlela ezi zibini zitsho:
- Uhlobo lwesigontsho. I-Zostavax yintsholongwane egciniweyo, esithetha ukuba iqulethe i-varicella ephilayo ekhuthaza ukukhusela i-immune system ukuvelisa iintsholongwane ezithintela intsholongwane. I-Shingrix, ngakolunye uhlangothi, yi-tk.
- Inani lamanani. I-Zostavax iyisitofu esisiguqu esisodwa; I-Shingrix inikwe ngamanyathelo amabini, iinyanga ezimbini ukuya ezintandathu ngaphandle.
- Impumelelo. I-CDC ithi i-Zostavax inciphisa umngcipheko wokubhinqa ngama-51 ekhulwini kwaye iyanciphisa umngcipheko we-PHN ngama-67 ekhulwini. I-Shingrix, ngakolunye uhlangothi, inikezela ngokukhuseleka ngakumbi: Amanani amabini angaphezu kwama-90 ekhulwini asebenzayo ekukhuseleni ukukhwabanisa kunye ne-PHN. Ingakumbi, ubuncinane ubuncinane kweminyaka emine emva kokufumana iShingrix, ukukhuselwa kuzo zombini iimeko zihlala ngaphezu kwama-85 ekhulwini.
- Kunconywe iminyaka yokugonya. I-Zostavax inconywa yi-CDC kubantu abangama-60 nangaphezulu, kodwa i-arhente ayinayo isincomo kubantu abaphakathi kwama-50 no-59. Kungenxa yokuba isitofu sokukhusela sinika ukhuseleko kwiminyaka emihlanu kuphela, ngoko ukufikelela phambi kweminyaka engama-60 kunokufaka umntu besengozini yokukhuselwa ixesha elide xa umngcipheko weentonga ziphezulu. Ngesinye icala, iShingrix inika ukhuselo olwaneleyo malunga neengqungquthela kunye ne-PHN ukususela kwiminyaka eyi-50.
- Imiphumela. Izibini zombini zentsholongwane zikhuselekile kwaye zombini zineempembelelo ezifanayo-ngokubomvu, ukunyamezela, ukuvuvukala, okanye ukutshiza kwesikhumba apho uphunyuzwa khona. Abanye abantu banokuba nobuhlungu besisu, intloko, ukukhathala, ukuphazamiseka, umkhuhlane we-low-grade, okanye isisu esisiphazamisayo emva kokufumana isicontsho. Bobabini banomngcipheko ophantsi kakhulu wokubangela ukuphazamiseka okukhulu, okubandakanya iimpawu ezinjengomngxuma, ukuvuvukala komqala, ukuphefumula ubunzima, intliziyo yokugijima, ukuxakeka, kunye nobuthathaka obufuna ukugqithiswa kwangoko ngugqirha.
Ukujongana Neengcinezelo
Kukho ubungqina bentsholongwane ye-varicella ngokuphindaphindiweyo ivela kwakhona ekuphenduleni uxinzelelo okanye uhlobo oluthile lokuxhalabisa. Ngelixa uncinci unako ukwenza ukukhusela impilo engafanelekanga ingakujikijela kuwe, njengokulahlekelwa ngumsebenzi okanye ukugula okuthandayo, kukho izicwangciso ezininzi zokuzikhusela ekubeni uxinzelelo kunye nokuxhalabisa.
Ezibonakalayo ziyimikhwa yendlela yokuphila jikelele eyinokukunceda uhlale unamandla kwaye uphilile ngokomzimba nangokwengqondo. Ezi zibandakanya ukunamathela kwisondlo esisondlo esondlo; kuquka ininzi yokuhamba kwimihla yakho; kunye nokulala ngokwaneleyo. Ukuba utshaya, ukukhaba umkhwa uya kubeka unxweme ngokubanzi kwimpilo yakho yonke. Kwakunjalo ukuba usela utywala ngokugqithiseleyo.
Okubaluleke kakhulu ukugcina intsholongwane ye-varicella ekuvukeni kukulawula uxinzelelo. Kukho iindlela ezininzi ezibonakalisiwe zokwenza oku, oku kuthetha ukuba kukho ezininzi zokukhetha ukuze uzame de ufumene izicwangciso ezinikezela ngeenzuzo zokuthoba. I-Yoga, ukucamngca, umdlalo okanye enye into oyifumanayo ukuphumla yimbalwa yamathuba.
I-Tai Chi inokuba luncedo ngakumbi. Kukho ubungqina bokuqala ukuba olu hlobo luthando lomsebenzi, oluqala njengomsebenzi wezobukhosi eChina, lunokuphucula umsebenzi wokuzivikela kunye nempilo kubantu abadala abadala abasemngciphekweni wokukhwabanisa. Kwisifundo se-2003, umzekelo, amadoda namabhinqa angama-60 angaphezulu kwama-60 nangaphezulu ayenayo imizuzu engama-45 yeeklasi ze-Tai Chi ngeveki ezili-15. Ekupheleni kwesi sihlandlo, babe nokwanda kwe-virus ye-varicella yoster virus. Iqela elilawulayo elingazange lenze iSi Chi lalingenalo i-bump kwiVVV.
Imithombo:
Amaziko okuLawula nokuKhuselwa kwezifo (CDC). "I-Chickenpox Vaccination: Yiyiphi na umntu omele ayazi." NgoNovemba 22, 2016.
CDC. "Yiyiphi na umntu omele azi ngeZostavax." NgoJan 25, 2018.
CDC. "Yiyiphi na into emele iyazi malunga ne-Shingles Vaccine (Shingrix)." Feb 28, 2018.
> Irwin MR, Pike JL, Cole JC, Oxman MN. Iimpembelelo zengenelelo yokuziphatha, i-Tai Chi Chih, kwi-Varicella-Zoster Virus-Immecunity Specific and Health Operation kwi-Older Adults. Psychosom Med. 65.5 (2003): 824-830.