Ama-shingles - ukunakekelwa ngemuva

I-Shingles ukuqhuma kwesikhumba okubuhlungu, okushayayo okubangelwa igciwane le-varicella-zoster. Leli yigciwane elifanayo elibanga ingxibongo. Ama-shingles abizwa nangokuthi i-herpes zoster.

Ukuqhamuka kwama-shingles kuvame ukulandela inkambo elandelayo:

• Amabhamuza nezinduna avela esikhunjeni sakho futhi abangele ubuhlungu.
• Kwakheka uqweqwe phezu kwamablisters nezinduna.
• Emasontweni amabili kuya kwamane, amabhamuza nezinduna ziyaphola. Kuyaqabukela babuye.
• Ubuhlungu obuvela kuma-shingles buhlala amasonto amabili kuya kwamane. Ungase ube nokushoshozela noma izikhonkwane nezinaliti umuzwa, ukulunywa, ukuvutha, nobuhlungu obukhulu. Isikhumba sakho singaba buhlungu kakhulu lapho sithintwa.
• Ungaba nomkhuhlane.
• Ungaba nobuthakathaka besikhashana obufushane bemisipha ethile. Lokhu kuyaqabukela impilo yonke.

Ukwelapha ama-shingles, umhlinzeki wakho wezokunakekelwa kwempilo anganquma:

• Umuthi obizwa ngokuthi i-antiviral ukulwa negciwane
• Umuthi obizwa nge-corticosteroid, njenge-prednisone
• Imithi yokwelapha ubuhlungu bakho

Ungaba nobuhlungu be-postherpetic neuralgia (PHN). Lobu ubuhlungu obuhlala isikhathi esingaphezu kwenyanga ngemuva kokuqala kwezimpawu zokushaywa.

Ukuqeda ukulunywa nokungahambi kahle, zama:

• Ukucindezela okupholile, okumanzi esikhunjeni esithintekile
• Amabhavu athobisayo nama-lotion, njenge-colloidal oatmeal bath, ama-starch baths, noma i-calamine lotion
• I-Zostrix, ukhilimu oqukethe i-capsaicin (okukhishwe upelepele)
• Ama-antihistamine okunciphisa ukulunywa (kuthathwe ngomlomo noma kusetshenziswe esikhumbeni)

Gcina isikhumba sakho sihlanzekile. Phonsa amabhandeshi owasebenzisayo ukumboza izilonda zesikhumba sakho. Lahla noma ugeze ngezingubo zamanzi ezishisayo ezixhumana nezilonda zesikhumba sakho. Geza amashidi akho namathawula ngamanzi ashisayo.

Ngenkathi izilonda zakho zesikhumba zisavulekile futhi zigobhoza, gwema konke ukuxhumana nanoma ngubani ongakaze abe nenkukhu, ikakhulukazi abesifazane abakhulelwe.

Phumula embhedeni kuze kube yilapho umkhuhlane wakho wehla.

Ngobuhlungu, ungathatha uhlobo lomuthi obizwa ngama-NSAID. Awudingi incwadi kadokotela yama-NSAID.

• Izibonelo zama-NSAID yi-ibuprofen (njenge-Advil noma i-Motrin) ne-naproxen (njenge-Aleve noma iNaprosyn).
• Uma unesifo senhliziyo, umfutho wegazi ophakeme, isifo sezinso, noma uke waba nezilonda esiswini noma wopha, khuluma nomhlinzeki wakho ngaphambi kokusebenzisa le mithi.

Ungathatha futhi i-acetaminophen (efana neTylenol) yokuqeda izinhlungu. Uma unesifo sesibindi, khuluma nomhlinzeki wakho ngaphambi kokusisebenzisa.

Unganikezwa umuthi wokuqeda izinhlungu. Thatha kuphela njengokuyalelwa. Le mithi inga:

• Kwenze wozele futhi udideke. Uma usebenzisa i-narcotic, ungaphuzi utshwala noma usebenzise imishini esindayo.
• Yenza isikhumba sakho sizwe siluma.
• Imbangela ukuqunjelwa (ukungakwazi ukuba nokunyakaza kwamathumbu kalula). Zama ukuphuza uketshezi oluningi, udle ukudla okune-fiber eningi, noma usebenzise izithambisi zendle.
• Kukwenza uzizwe ugula esiswini sakho. Zama ukuthatha umuthi ngokudla.

Shayela umhlinzeki wakho uma:

• Uthola ukuqubuka okubukeka noma okuzwakala njengama-shingles
• Ubuhlungu bakho be-shingles abuphethwe kahle
• Izimpawu zakho zobuhlungu azipheli ngemuva kwamasonto amathathu kuya kwamane

I-Herpes zoster - ukwelashwa

I-Dinulos JGH. Izinsumpa, i-herpes simplex, nezinye izifo ezibangelwa amagciwane. Ku: Dinulos JGH. IHabif's Clinical Dermatology: Umhlahlandlela Wombala Ekuxilongweni naseTherapy. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2021: isahluko 12.

UWhitley RJ. I-chickenpox ne-herpes zoster (igciwane le-varicella-zoster). Ku: Bennett JE, Dolin R, Blaser MJ, ama-eds. Mandell, Douglas, kanye neBennett's Principles and Practice of Infectious Diseases. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2020: isahluko 136.

• Amaswazi