Ingabe Ama-Shingles Ahlala Isikhathi Eside Kangakanani? Ongakulindela

-Delile

• Kwenzekani esigabeni ngasinye
• Yiziphi izindlela zokwelashwa ezitholakalayo
• Imiphumela yesikhathi eside
• Lapho uzobona udokotela wakho
• Ungakuvimbela kanjani ukudluliselwa

Sifaka imikhiqizo esicabanga ukuthi ilusizo kubafundi bethu. Uma uthenga ngezixhumanisi ezikuleli khasi, singathola ikhomishini encane. Nansi inqubo yethu.

Yini ongayilindela

Ama-shingles ukuqubuka okunesilonda, okushisayo futhi okuvamise ukuba buhlungu okubangelwa igciwane le-varicella-zoster. Leli yigciwane elifanayo elibanga ingxibongo. Uma ngabe uke waba ne-chickenpox, igciwane lingasebenza njengama-shingles. Akwaziwa ukuthi kungani igciwane lisebenza kabusha.

Cishe umuntu oyedwa kwabathathu uthola ama-shingles. Ama-shingles ajwayele ukuhlala amasonto amabili kuya kwayisithupha, kulandela iphethini engaguquki yobuhlungu nokuphulukiswa.

Qhubeka ufunde ukuze ufunde kabanzi.

Kwenzekani esigabeni ngasinye

Lapho leli gciwane liqala ukusebenza futhi, ungazizwa ungakhululekile, ukuhayiza, noma nje ukuduma ngaphansi kwesikhumba sakho, sengathi kukhona okucasula indawo ethile ohlangothini olulodwa lomzimba wakho.

Lokhu kungaba noma kuphi emzimbeni wakho, kufaka phakathi:

• okhalweni
• emuva
• ithanga
• isifuba
• ubuso
• indlebe
• indawo yamehlo

Le ndawo ingahle izwele ekuthintweni. Kungazizwa futhi:

• ndikindiki
• ukulunywa
• kushisa, kube sengathi kuyasha

Imvamisa kungakapheli izinsuku ezinhlanu, kuzovela ukuqubuka okubomvu kuleyo ndawo. Njengoba ukuqubuka kukhula, amaqembu amancane amabhamuza agcwele uketshezi nawo azokwakha. Zingase ziqhume.

Esontweni elilodwa noma amabili alandelayo, la mabhamuza azoqala ukoma aqhephuke abumbe ukhwekhwe.

Kwabanye abantu, lezi zimpawu zihambisana nezimpawu ezinjengomkhuhlane. Lokhu kufaka:

• imfiva
• ikhanda
• ukukhathala
• ukuzwela ukukhanya
• umuzwa ojwayelekile wokungaphili (malaise)

Yiziphi izindlela zokwelashwa ezitholakalayo

Bheka udokotela wakho ngokushesha nje lapho uqaphela ukuqubuka okwakhekayo. Bangakunikeza umuthi olwa namagciwane ukusiza ukunciphisa izimpawu zakho nokusula igciwane.

Ezinye izinketho zokulwa namagciwane zifaka:

• i-famciclovir (i-Famvir)
• i-valacyclovir (Valtrex)
• i-acyclovir (Zovirax)

Udokotela wakho futhi angancoma izinketho zokuthenga noma zokuthenga ukuze usize ukukhulula noma ibuphi ubuhlungu nokucasuka obhekene nakho.

Ukuze uthole ubuhlungu obulinganiselayo nokucasuka, ungasebenzisa:

• izidakamizwa ezilwa nokuvuvukala, njenge-ibuprofen (Advil), ukunciphisa izinhlungu nokuvuvukala
• ama-antihistamine, njenge-diphenhydramine (iBenadryl), ukunciphisa ukulunywa
• ukukhipha okhilimu noma amabala, njenge-lidocaine (i-Lidoderm) noma i-capsaicin (iCapzasin) ukunciphisa izinhlungu

Uma ubuhlungu bakho bukhulu kakhulu, udokotela wakho angancoma imishanguzo yokwelashwa yezinhlungu. Udokotela wakho futhi angancoma ukwelashwa ngama-corticosteroids noma ama-anesthetics endawo.

Kwezinye izimo, udokotela wakho angakunikeza i-anti-depressant yedosi ephansi ukusiza ngobuhlungu. Imithi ethile elwa nokucindezelwa komzimba ikhonjisiwe ukunciphisa ubuhlungu bamashingles ngokuhamba kwesikhathi.

Izinketho zivame ukufaka:

• amithole
• imipramine

Imithi ye-anticonvulsant ingaba enye indlela. Zibonakalise zilusizo ekunciphiseni izinhlungu zemizwa yamashingles, yize ukusetshenziswa kwazo okuyinhloko kusifo sokuwa. Ama-anticonvulsants anqunywe kakhulu yi-gabapentin (Neurontin) ne-pregabalin (Lyrica).

Yize kungaba okulingayo, akufanele uklwebhe. Lokhu kungaholela ekuthelelekeni, okungasenza sibe sibi isimo sakho sonke futhi kuholele ezimpawu ezintsha.

Imiphumela yesikhathi eside

Inkinga yama-shingles yi-postherpetic neuropathy (PHN). Lapho lokhu kwenzeka, imizwa yobuhlungu ihlala isikhathi eside ngemuva kokuthi amabhamuza esesukile. Kubangelwa ukulimala kwemizwa endaweni yokuqubuka.

I-PHN ingaba nzima ukuyelapha, futhi ubuhlungu bungahlala izinyanga noma iminyaka. Mayelana nabantu abangaphezu kwama-60 abahlangabezana nama-shingles bayaqhubeka nokuthuthukisa i-PHN.

Usengozini yokwanda kwe-PHN uma:

• bangaphezu kweminyaka engama-50
• unamasosha omzimba abuthakathaka
• unecala elibi lamashingles ahlanganisa indawo enkulu

Ukuba nezici ezingaphezu kwesisodwa kukhulisa ubungozi bakho. Isibonelo, uma ungowesifazane osekhulile onamaqhuqhuva aqatha futhi abuhlungu, ungaba sethubeni lokuthuthukisa i-PHN.

Ngaphezu kobuhlungu, i-PHN ingenza umzimba wakho uzwele ekuthintweni nasekuguqukeni kwezinga lokushisa nomoya. Iphinde ihlotshaniswe nokudangala, ukukhathazeka, nokungalali.

Ezinye izinkinga zifaka:

• ukutheleleka kwamagciwane esikhunjeni endaweni yokuqubuka, kusuka I-Staphylococcus aureus
• izinkinga zombono, uma ama-shingles aseduze noma aseduze kweso lakho
• ukulahlekelwa ukuzwa, ukukhubazeka ebusweni, ukulahlekelwa ukunambitheka, ukukhala ezindlebeni zakho, ne-vertigo, uma kuthinteka inzwa ye-cranial
• inyumoniya, i-hepatitis, nezinye izifo, uma izitho zakho zangaphakathi zithintekile

Lapho uzobona udokotela wakho

Kufanele ubone udokotela wakho ngokushesha lapho usola ama-shingles, noma lapho ubona ukuqubuka. Ama-shingles angaphambilini alashwa, izimpawu ezingaphansi kakhulu zingaba. Ukwelashwa kusenesikhathi nakho kungaba sengcupheni ye-PHN.

Uma ubuhlungu buqhubeka lapho ukuqubuka sekuqediwe, bheka udokotela wakho ngokushesha okukhulu. Bangasebenza nawe ukwenza uhlelo lokuphathwa kobuhlungu. Uma ubuhlungu bakho bukhulu, bangakudlulisela kuchwepheshe wezinhlungu ukuze uthole ukubonisana okwengeziwe.

Uma ungakawutholi umuthi wokugomela i- shingles, buza udokotela wakho mayelana nokugonywa. Lokhu kuncoma umuthi wokugomela ama-shingles iningi labo bonke abantu abadala abangaphezu kweminyaka engama-60. Ama-shingles angaphinda abuye.

Ungakuvimbela kanjani ukudluliselwa

Awukwazi ukubamba ama-shingles, futhi awukwazi ukunikeza ama-shingles komunye umuntu. Kodwa wena can nika abanye ingxibongo.

Ngemuva kokuthola ingxibongo, igciwane le-varicella-zoster lihlala lilele emzimbeni wakho. Uma leli gciwane liphinde lisebenze, kuvela ama-shingles. Kungenzeka ukuthi udlulisele leli gciwane kwabanye abangakwazi ukuzivikela ngenkathi ukuqubuka kwama-shingles kusasebenza. Usuleleka kwabanye kuze kube zonke izindawo zokuqubuka zomile futhi zikhahlazekile.

Ukuze ubambe igciwane le-varicella-zoster kuwe, umuntu kufanele axhumane ngqo namabhamuza akho okuqubuka.

Ungasiza ukuvimbela ukudluliswa kwakho kwegciwane le-varicella-zoster ngo:

• ukugcina ukuqhuma kungamboziwe
• ukuzijwayeza ukugeza izandla kaningi
• ukugwema ukuxhumana nabantu okungenzeka ukuthi babengenayo ingxibongo noma abangakagonyelwanga ingxibongo