Shingles

Shingles (herpes zoster) inorwadza, inoputika ganda kuputika. Iyo inokonzerwa neavicella-zoster hutachiona, nhengo yemhuri yeherpes yemavhairasi. Iyi ndiyo hutachiona iyo inokonzeresawo chickenpox.

Mushure mekunge mawana chickenpox, muviri wako haubvise hutachiona. Panzvimbo iyoyo, hutachiona hunoramba huri mumuviri asi hahushande (hunovata) mune dzimwe tsinga mumuviri. Shingles inoitika mushure mekunge hutachiona hwatanga kushanda zvakare munetsinga idzi mushure memakore mazhinji. Vanhu vazhinji vaive nekanyoro kadiki kechiva zvekuti havazive kuti vane hutachiona.

Chikonzero chikonzero hutachiona hukangoerekana hwashanda zvakare hachina kujeka. Kazhinji kurwisa kumwe chete kunoitika.

Shingles inogona kukura mune chero zera boka. Iwe uri mukana wekuvandudza mamiriro acho kana:

• Iwe wakura kupfuura zera makumi matanhatu
• Iwe waive nehukuku pamberi pezera rekutanga
• Immune system yako inoshayiwa simba nemishonga kana chirwere

Kana munhu mukuru kana mwana akabatana zvakananga neiyo shingles rash uye anga asina chickenpox achiri mwana kana kuwana mushonga wehuku, vanogona kuita chickenpox, kwete shingles.

Chiratidzo chekutanga kazhinji chinorwadza, kurira, kana kupisa kunoitika kune rumwe rutivi rwemuviri. Iko kurwadziwa uye kupisa kunogona kuve kwakanyanya uye kunowanzo kuvepo pamberi pekupokana chero kupi kuchioneka.

Zvitsvuku zvitsvuku paganda, zvichiteverwa nemabhuru madiki, fomu mune vanhu vazhinji:

• Maronda acho anotsemuka, achiumba maronda madiki anotanga kuoma oita makonzo. Iwo mavhiri anowira mumavhiki maviri kusvika matatu. Kupenga hakuwanzoitika.
• Iko kumhanyisa kunowanzo sanganisira nzvimbo nhete kubva kumuzongoza yakatenderedza kusvika kumberi kwedumbu kana chipfuva.
• Iko kuputika kunogona kusanganisira kumeso, maziso, muromo, uye nzeve.

Zvimwe zviratidzo zvinogona kusanganisira:

• Fivha uye kutonhora
• Kazhinji kurwara kunzwa
• Kutemwa nemusoro
• Joint kurwadziwa
• Zvirwere zvinoputika (lymph nodes)

Iwe unogona zvakare kuve nekurwadziwa, kushaya simba kwemhasuru, uye kuputika kunosanganisira zvikamu zvakasiyana zveuso hwako kana shingles ikabata tsinga kumeso kwako. Zviratidzo zvinogona kusanganisira:

• Zvakaoma kufambisa dzimwe mhasuru kumeso
• Kudonhedza eyelid (ptosis)
• Kunzwa kurasikirwa
• Kurasikirwa kwekufamba kwemaziso
• Zvinetso zvekuravira
• Matambudziko ekuona

Anopa hutano hwako anogona kuita kuti hutachiona utarise paganda rako uye nekubvunza nezve nhoroondo yako yekurapa.

Bvunzo hadziwanzo kudikanwa, asi dzinogona kusanganisira kutora sampuro yeganda kuti uone kana ganda rine hutachiona.

Kuongororwa kweropa kunogona kuratidza kuwedzera kwemasero machena eropa uye antibodies kune hutachiona hwehuku. Asi bvunzo hadzigoni kusimbisa kuti kumhanyisa kuri kukonzerwa nemabhande

Anokupa anogona kupa mushonga unorwa nehutachiona, unonzi mushonga weantiviral. Mushonga uyu unobatsira kudzikisa marwadzo, kudzivirira kusagadzikana, uye kupfupisa nzira yechirwere.

Mishonga inoshanda zvakanyanya kana yatanga mukati memaawa makumi manomwe nemaviri kubva paunotanga kunzwa kurwadziwa kana kupisa. Zviri nani kutanga kutora zvisati zvaonekwa mablister. Iyo mishonga inowanzo kupihwa mupiritsi fomu. Vamwe vanhu vangangoda kugamuchira mushonga kuburikidza netsinga (na IV).

Mishonga yakasimba yekurwisa-kupisa inonzi corticosteroids, senge prednisone, inogona kushandiswa kudzora kuzvimba uye kurwadziwa.Iyi mishonga haishande muvanhu vese.

Mimwe mishonga inogona kusanganisira:

• Antihistamines yekudzora kutemwa (inotorwa nemuromo kana kuiswa paganda)
• Mishonga yemarwadzo
• Zostrix, kirimu ine capsaicin (yakabviswa mhiripiri) yekudzora kurwadziwa

Tevera mirairo yemupi wako nezvekuti ungazvichengete sei kumba.

Dzimwe nhanho dzinogona kusanganisira:

• Kuchengeta ganda rako nekushandisa inotonhorera, yakanyorovera kumanikidza kudzikamisa kurwadziwa, uye kutora mabhaudhi anozorodza
• Kuzorora pamubhedha kusvikira fever yapera

Gara kure nevanhu apo maronda ako ari kubuda kuti usatapukire avo vasati vambova nehukuku - kunyanya vakadzi vane nhumbu.

Herpes zoster inowanzo kujekesa mumavhiki maviri kusvika matatu uye kashoma kudzoka. Kana hutachiona hukanganisa tsinga dzinodzora kufamba (mota tsinga), unogona kunge uine hurema hwechinguva kana hwechigarire kana kuoma mitezo.

Dzimwe nguva kurwadziwa munzvimbo kwaitika shingles kunogona kupera kubva pamwedzi kusvika pamakore. Uku kurwadziwa kunonzi postherpetic neuralgia.

Izvo zvinoitika kana tsinga dzakakuvara mushure mekuputika kwemashingles. Marwadzo anotangira kubva paunyoro kusvika kune akaomesesa. Postherpetic neuralgia inowanzoitika kune vanhu vanopfuura makore makumi matanhatu.

Zvinetso zvinogona kusanganisira:

• Kumwe kurwiswa kwemashure
• Hutachiona hutachiona hutachiona
• Upofu (kana shingles ikaitika muziso)
• Matsi
• Utachiona, kusanganisira encephalitis ye sepsis (utachiona hweropa) muvanhu vane immune system isina kusimba
• Ramsay Hunt syndrome kana shingles inokanganisa tsinga dzechiso kana nzeve

Fonera mupiki wako kana iwe uine zviratidzo zvekupunzika, kunyanya kana uine simba rekuzvidzivirira kana kana zviratidzo zvako zvichiramba zvichitowedzera. Zvipenga zvinokanganisa ziso zvinogona kutungamira kuhupofu zvachose kana ukasagamuchira kurapwa kwekukurumidza.

Usabata mapundu uye mablisters pane vanhu vane shingles kana chickenpox kana usati wambove nehukuku kana mushonga wekuhuku.

Mishonga miviri yechipembenene inowanikwa inorarama inodzivirira uye inogadzirisazve. Mushonga wechipembere wakasiyana nemushonga wenhokwe. Vakwegura vakuru vanogamuchira shingles jekiseni kashoma kuve nematambudziko kubva kumamiriro acho.

Herpes zoster - shingles

• Herpes zoster (shingles) kumusana
• Dermatome yevanhu vakuru
• Shingles
• Herpes zoster (shingles) - kuvhara-kwechiremera
• Herpes zoster (shingles) pamutsipa nedama
• Herpes zoster (shingles) paruoko
• Herpes zoster (shingles) inoparadzirwa

Dinulos JGH. Warts, herpes simplex, uye zvimwe hutachiona hutachiona. Muna: Dinulos JGH, ed. Clinical Dermatology. 7th ed. Philadelphia, PA: Elsevier; 2021: chits.

Whitley RJ. Chickenpox uye herpes zoster (varicella-zoster virus). Mune: Bennett JE, Dolin R, Blaser MJ, eds. Mandell, Douglas, uye Bennett's Maitiro uye Maitiro Ezvirwere zvinotapukira. 9th ed. Philadelphia, PA: Elsevier; 2020: chits. 136.