Kubwereza kwa Shingles: Zowona, Ziwerengero, ndi Inu

Zamkati

• Kodi zizindikiro zakumenya ndi kumangokhalira kumangobwera ndi ziti?
• Kodi ma shingles amabwereranso kangati?
• Kodi ndi zoopsa ziti zomwe zimachitika mobwerezabwereza?
• Kodi chithandizo cha ma shingles ndi ma shingles obwerezabwereza ndi chiani?
• Kodi anthu amawaona bwanji anthu omwe amabwererana ndi ziboda?
• Kodi mungapewe ma shilingles obwerezabwereza?

Kodi shingles ndi chiyani?

Viricella-zoster virus imayambitsa ma shingles. Ndiwo kachilombo komwe kamayambitsa matenda a nthomba. Mutatha kukhala ndi nthomba ndipo matenda anu atha, kachilomboka sikungagwire ntchito m'maselo anu amitsempha. Tizilombo toyambitsa matenda timatha kuyambiranso m'moyo ngati ma shingles. Anthu sakudziwa chifukwa chake izi zimachitika. Matendawa amadziwika kuti herpes zoster. Aliyense yemwe adakhalapo ndi katsabola pambuyo pake amatha kudwala ma shingles.

Dzinalo "ma shingles" limachokera ku liwu lachilatini lotanthauza "lamba," ndipo limatanthawuza momwe zotupa zimakhalira lamba nthawi zambiri, zimakhala mbali imodzi ya thunthu. Ma shingles amathanso kuphulika pa yanu:

• mikono
• ntchafu
• mutu
• khutu
• diso

Anthu pafupifupi ku United States amakhala ndi ziphuphu chaka chilichonse. Pafupifupi anthu ku United States apeza ziphuphu m'moyo wawo wonse, ndipo 68 peresenti ya milanduyi imachitika mwa anthu azaka 50 kapena kupitilira apo. Anthu omwe amakhala ndi zaka 85 ali ndi mwayi wopanga ma shingles.

Muthanso kupeza ma shingles kachiwiri. Izi sizodziwika bwino ndipo zimadziwika kuti shingles kubwereza.

Kodi zizindikiro zakumenya ndi kumangokhalira kumangobwera ndi ziti?

Chizindikiro choyamba cha ma shingles nthawi zambiri chimakhala chopweteka, kulira, kapena kutentha m'dera lomwe mwabuka. Patangopita masiku ochepa, panali matuza ofiira ofiira omwe amatha kutseguka kenako nkukuta. Zizindikiro zina ndizo:

• kuyabwa pamalo ophulika
• Khungu lakumverera pakatikati
• kutopa ndi zina monga chimfine
• kutengeka ndi kuwala
• kuzizira

Ma shingles obwerezabwereza amakhala ndi zizindikilo zomwezi, ndipo nthawi zambiri kuphulika kumachitika pamalo omwewo. Pafupifupi milandu, kufalikira kwa ma shingles kudali kwina.

Kodi ma shingles amabwereranso kangati?

Zambiri pazomwe ma shingles amabwereranso ndizochepa. Kafukufuku ku Minnesota kwazaka zisanu ndi ziwiri adapeza kuti pakati pa 5.7 ndi 6.2 peresenti ya ma shingles anthu adayamba kulumikizana kachiwiri.

Mwambiri, zikusonyeza kuti chiopsezo chanu chokhala ndi ziphuphu kachiwirinso ndichofanana ndi chiopsezo chomwe mudakhala nacho chakumenya koyamba.

Kuchuluka kwa nthawi pakati pa vuto loyamba la ma shingles ndi kubwereza sikunayambe kufufuzidwa bwino. Pakafukufuku wochokera ku 2011, zomwe zidachitikazo zidachitika kuyambira masiku 96 mpaka zaka 10 kutuluka kwa ziphuphu, koma kafukufukuyu adangokhala zaka 12 zokha.

Kodi ndi zoopsa ziti zomwe zimachitika mobwerezabwereza?

Anthu sakudziwa chomwe chimayambitsa ma shingles obwerezabwereza, koma zinthu zina zimawonjezera mwayi wanu wopezanso zilonda.

Anthu omwe ali ndi chitetezo chamthupi chofooka nthawi zambiri amatha kudwala. Kafukufuku wina adatsimikiza kuti kuchuluka kwa ma shingles kumabwereranso kunali pakati pa anthu omwe ali ndi chitetezo chamthupi chovuta. Izi ndizokwera pafupifupi 2.4 kuposa omwe sanasokoneze chitetezo chamthupi.

Mutha kukhala ndi chitetezo chamthupi ngati:

• akupeza chemotherapy kapena radiation radiation
• khalani ndi ziwalo
• ali ndi HIV kapena Edzi
• akutenga mlingo waukulu wa corticosteroids monga prednisone

Zowonjezera zowopsa ndizo:

• Kutha kwanthawi yayitali komanso kupweteka kwambiri ndikamenyedwa koyamba
• kupweteka kwa masiku 30 kapena kuposerapo ndi vuto loyamba la ma shingles
• kukhala mkazi
• kukhala wazaka zopitilira 50

Kukhala ndi achibale amodzi kapena angapo am'magazi omwe ali ndi ma shingles kumathandizanso kuti mukhale ndi ziboda.

Kodi chithandizo cha ma shingles ndi ma shingles obwerezabwereza ndi chiani?

Chithandizo cha ma shingles obwereza chimodzimodzi ndi ma shingles.

Ngati mukuganiza kuti muli ndi zikopa zobwerezabwereza, pitani kuchipatala posachedwa. Kutenga mankhwala ochepetsa ma virus monga acyclovir (Zovirax), valacyclovir (Valtrex), kapena famciclovir (Famvir) kumatha kuchepetsa kuuma kwa ma shingles ndikuchepetsa kutalika kwake.

Dokotala wanu amathanso kukupatsirani mankhwala ochepetsa ululu wanu ndikuthandizani kugona. Izi ndi izi:

• Zikopa za khungu ndi painkiller lidocaine zilipo. Mutha kuvala kudera lomwe lakhudzidwa kwakanthawi.
• Zikopa za khungu zomwe zili ndi 8% ya capsaicin, yotulutsa tsabola, zilipo. Anthu ena sangathe kulekerera kutentha, ngakhale khungu limachita dzanzi chigamba chisanavale.
• Mankhwala osokoneza bongo, monga gabapentin (Neurontin, Gralise, Horizant) ndi pregabalin (Lyrica), amachepetsa kupweteka pochepetsa mitsempha. Amakhala ndi zovuta zomwe zimachepetsa kuchuluka kwa mankhwala omwe mungalolere.
• Ma anti-depressants monga duloxetine (Cymbalta) ndi nortriptyline (Pamelor) atha kukhala othandiza, makamaka kuti athetse ululu ndikukulolani kugona.
• Mankhwala opha tizilombo a opioid amatha kuchepetsa ululu, koma amakhala ndi zovuta zina, monga chizungulire komanso kusokonezeka, ndipo amatha kukhala osokoneza bongo.

Muthanso kusamba moziziritsa ndi colloidal oatmeal kuti muchepetse kuyabwa, kapena kuyika ma compress ozizira kudera lomwe lakhudzidwa. Kupumula ndi kuchepetsa nkhawa ndikofunikanso.

Kodi anthu amawaona bwanji anthu omwe amabwererana ndi ziboda?

Ziphuphu nthawi zambiri zimatha mkati mwa milungu iwiri kapena isanu ndi umodzi.

M'milandu ingapo, ululu umatha kukhaliratu pomwe zotupazo zatha. Izi zimatchedwa postherpetic neuralgia (PHN). Kufikira 2 peresenti ya anthu omwe amapeza shingles ali ndi PHN kwa zaka zisanu kapena kupitilira apo. Chiwopsezo chimakulirakulira.

Kodi mungapewe ma shilingles obwerezabwereza?

Zomangirira mobwerezabwereza sizitetezedwa. Mutha kuchepetsa chiopsezo chanu popeza katemera wa shingles, ngakhale mutakhala ndi shingles.

Zikuwonetsa kuti anthu omwe anali ndi katemera wa shingles anali ndi 51% yocheperako ya ma shingles. Kwa anthu azaka 50-59, katemera wa shingles adachepetsa chiopsezo cha ma shingles ndi 69.8%.

Anthu omwe adalandira katemera wa shingles nthawi zambiri amakhala ndi ma shingles ochepa. Amakhalanso ndi zochitika zochepa za PHN.

Madokotala amalimbikitsa katemera wa shingles kwa anthu opitilira 50 koma osati omwe ali ndi chitetezo chamthupi chofooka.