Katemera Wowonongeka (Shingles) (RZV)
Katemera wobwezeretsanso zoster (shingles) chingaletse zomangira.
Ziphuphu (amatchedwanso herpes zoster, kapena zoster zoster) ndi zotupa zopweteka pakhungu, nthawi zambiri zimakhala ndi zotupa. Kuphatikiza pa zotupa, ma shingles amatha kuyambitsa malungo, kupweteka mutu, kuzizira, kapena kukhumudwitsa m'mimba. Nthawi zambiri, kulumikizana kumatha kubweretsa chibayo, mavuto akumva, khungu, kutupa kwa ubongo (encephalitis), kapena kufa.
Vuto lofala kwambiri la ma shingles ndikumva kuwawa kwakanthawi yayitali kotchedwa postherpetic neuralgia (PHN). PHN imapezeka m'malo omwe ziphuphu zimakhalapo, ngakhale izi zitatha. Ikhoza kukhala kwa miyezi kapena zaka chiwonongeko chitatha. Zowawa zochokera ku PHN zitha kukhala zazikulu komanso zofooketsa.
Pafupifupi 10 mpaka 18% ya anthu omwe amapeza ma shingles adzakumana ndi PHN. Chiwopsezo cha PHN chimawonjezeka ndi zaka. Wachikulire yemwe ali ndi ma shingles amatha kukhala ndi PHN ndipo amakhala ndi ululu wautali komanso wopweteka kwambiri kuposa wachinyamata yemwe ali ndi ziphuphu.
Shingles imayambitsidwa ndi varicella zoster virus, kachilombo komweko kamene kamayambitsa nkhuku. Mukakhala ndi nthomba, kachilomboka kamakhala mthupi lanu ndipo kamatha kuyambitsa ma shingle pambuyo pake. Shingles sangapatsidwe kuchokera kwa munthu wina kupita kwa wina, koma kachilombo kamene kamayambitsa ma shingles kangathe kufalikira ndikupangitsa nkhuku kwa munthu yemwe anali asanalandirepo nkhuku kapena kulandira katemera wa nthomba.
Katemera wophatikizanso wa shingles amapereka chitetezo champhamvu ku ma shingles. Poletsa ma shingles, katemera wophatikiziranso amatetezanso ku PHN.
Katemera wophatikizanso wa shingles ndiye katemera wokondedwa wopewa ma shingles. Komabe, katemera wosiyana, katemera wamtundu wa live shingles, atha kugwiritsidwa ntchito nthawi zina.
Katemera wopangidwanso wa shingles amalimbikitsidwa kwa akulu azaka 50 kapena kupitilira popanda mavuto akulu amthupi. Amapatsidwa ngati mndandanda wa magawo awiri.
Katemerayu amalimbikitsidwanso kwa anthu omwe apeza kale mtundu wina wa katemera wa shingles, katemera wa shingles wamoyo. Palibe kachilombo koyambitsa matendawa mu katemerayu.
Katemera wa ma shingles amatha kupatsidwa nthawi yofanana ndi katemera wina.
Uzani omwe amakupatsani katemera ngati amene akupatsani katemera:
- Ali ndi Matendawa amatha kumwa mankhwala opatsirana pogwiritsa ntchito mankhwala osokoneza bongo, kapena ali ndi vuto linalake loopsa.
- Ndi woyembekezera kapena woyamwitsa.
- Ndi pakadali pano akukumana ndi vuto lakumangirira.
Nthawi zina, wothandizira zaumoyo wanu angaganize zoperekera katemera wa shingles ulendo wina wamtsogolo.
Anthu omwe ali ndi matenda ang'onoang'ono, monga chimfine, amatha kulandira katemera. Anthu omwe akudwala pang'ono kapena modetsa nkhawa amayenera kudikirira mpaka atachira asanalandire katemera wophatikizanso wa shingles.
Wothandizira zaumoyo wanu akhoza kukupatsani zambiri.
- Dzanja lowawa lopweteka pang'ono kapena lochepa ndilofala pambuyo pa katemera wophatikizidwanso, womwe umakhudza pafupifupi 80% ya anthu omwe adalandira katemera. Kufiira ndi kutupa kumatha kuchitika patsamba la jakisoni.
- Kutopa, kupweteka kwa minofu, kupweteka mutu, kunjenjemera, malungo, kupweteka m'mimba, ndi nseru zimachitika pambuyo poti katemera ali ndi anthu opitilira theka omwe amalandira katemera wophatikizanso.
M'mayesero azachipatala, pafupifupi munthu m'modzi mwa anthu asanu ndi m'modzi omwe adalandira katemera wophatikiziranso zoster adakumana ndi zovuta zomwe zimawalepheretsa kuchita zinthu zanthawi zonse. Zizindikiro nthawi zambiri zimatha zokha m'masiku awiri kapena atatu.
Muyenerabe kulandira mlingo wachiwiri wa katemera wophatikiziranso zoster ngakhale mutakhala ndi imodzi mwazimenezi mutatha kumwa mankhwala oyamba.
Nthawi zina anthu amakomoka pambuyo pa njira zamankhwala, kuphatikizapo katemera. Uzani wothandizira wanu ngati mukumva chizungulire kapena masomphenya akusintha kapena kulira m'makutu.
Monga mankhwala aliwonse, pali mwayi wotalika kwambiri wa katemera woyambitsa matenda ena, kuvulala kwambiri, kapena kufa.
Zomwe zimachitika pambuyo pake zimatha kupezeka kuti munthu amene watemeredwa katemera achoka kuchipatala. Mukawona zizindikiro zakusokonekera (ming'oma, kutupa kwa nkhope ndi mmero, kupuma movutikira, kugunda kwamtima, chizungulire, kapena kufooka), imbani foni 9-1-1 ndikumutengera munthuyo kuchipatala chapafupi.
Kwa zizindikilo zina zomwe zimakukhudzani, pitani kuchipatala.
Zotsatira zoyipa ziyenera kufotokozedwera ku Vaccine Adverse Event Reporting System (VAERS). Wothandizira zaumoyo wanu nthawi zambiri amapeleka lipotili, kapena mutha kuzichita nokha. Pitani patsamba la VAERS ku http://www.vaers.hhs.gov kapena itanani 1-800-822-7967. VAERS ndi yongonena za mayankho, ndipo ogwira ntchito ku VAERS samapereka upangiri wazachipatala.
- Funsani wothandizira zaumoyo wanu.
- Imbani foni ku dipatimenti yazazaumoyo yanu
- Lumikizanani ndi Center for Disease Control and Prevention (CDC):
- Imbani Gawo 1-800-232-4636 (1-800-CDC-INFO) kapena pitani patsamba la CDC ku http://www.cdc.gov/vaccines
Chidziwitso cha Katemera Wophatikiziranso Katemera. Dipatimenti ya Zaumoyo ku United States ndi Human Services / Centers for Disease Control and Prevention. 10/30/2019.
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