Shingles, inozivikanwawo seye herpes zoster (HZ), inorwadza uye isingatarisirwi inokonzerwa nekugadziriswa kwevaricella zoster virus (VZV) iyo inotarisira chickenpox. Kunze kwezvinyoro uye kusagadzikana izvo zvinonyanya kuratidzira zvirwere zvevanhu, vanhu vakawanda vanoramba vachirwadziwa mushure mokunge kupera kwechirwere-chirwere chinonzi postherpetic neuralgia (PHN). Shingles inogona kurapwa nemishonga yekurapa uye zviratidzo-zororo, asi kunyanya kukosha pakuchengeta shingles ndiko kudzivirira: Vanhu vanogamuchira chirwere chekudyapox vachadzivirira shingles nokuti vanodzivirirwa kubva kune utachiona hwevaricella pakutanga. Kune avo vane chickenpox, pane zvirwere zviviri.
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ZviratidzoZviratidzo zvekunyengera zvinowanzoonekwa mumatanho maviri akasiyana. Munguva yekutanga yeiyi, prodromal stage, munhu anowanzoona zviratidzo zvehutachiona huzhinji, hwakadai sefivha, musoro, uye kuneta. Nokukurumidza kurwadziwa kuchakura. Vanhu vakatsanangurira shingles kurwadziwa sekutsva, kusvetwa, kutengesa, kupfura, nezvimwewo. Zvinorwadza zvinowanzova zvishoma kune rumwe rutivi rwemuviri.
Muchikamu chechipiri chebhandi, ganda apo kurwadziwa kwekutanga kunonzwa kuchava kwakatsvuka uye kunzwisisana nekubata, zvakadai sekudziya kwezuva. Mumazuva mashomanana, blister yakazara-mvura, kana vesicles, ichakura munzvimbo. Pakupedzisira, idzi dzichaputika, asi kusvikira dzichiita munhu anopararira-zvinoreva munhu asingakwanisi kurwisa chickenpox (zvakasikwa nokuti ivo vakazviwana kana kuti vakagara vachirangwa) vanogona kuwana chickenpox kuti vasangane ne Active shingles rash.
Matambudziko anobva kumapuranga anosanganisira PHN, inogona kugara kwemavhiki kana kunyange makore mushure mekuputika kwemakumbo, uye zvirwere zvechipiri zvakadai semampetigo (bhakitiriya chepachirwere chetachiona) uye meningitis. Apo shingles blister inokura pachiso iyo inogona kukuvadza zvachose maziso kana kunzwa.
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KuzivaKunyangwe kurwadziwa kunotangira kuputika kwechirwere kunogona kukanganisa chimwe chinhu, mablister ivo pachavo vakasiyana zvikuru. Izvi zvinonyanya kuitika nekuda kwemuenzaniso wavanoita: Haisi kungoita shingles kuputika kune rumwe rutivi rwomuviri, kazhinji runomhanya pamwe nechepakati peganda. Kana munhu achikurumidza kutsvaga uye ane nhoroondo yezvokurapa yehukukupox, vanachiremba vazhinji vanozoongorora shingles zvichienderana nekuongorora mumuviri chete. Kana pane kusava nechokwadi, kuora kwechigunwe kana chigadzirwa cheganda kunogona kusimbisa shingles.
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Zvinokonzera uye Zviitiko ZvengoziShingles inokura apo varicella chirwere, chinokonzera chickenpox, inoshingaira mushure mekurara mushure megadziriro yekutya-kazhinji mushure memakumi emakore. Chikonzero nei izvi zvichiitika hazvinyatsonzwisiswi, asi zvinofungidzirwa kuti hutachiwana hunobudazve apo maitiro ezvirwere zvezvirwere zvinowedzera simba-kuitika kwepanyama nezera. Ichi ndicho chimwe chikonzero vanhu vazhinji vari panjodzi yekuputika ndevaya vari mumakore makumi mashanu kana makumi matanhatu avo vane chickenpox sevana.
Asi pane zvimwe zvikonzero zvekudzivirirwa kwemunhu kunokanganisa-hutachiona hunobva kuhutachiona hwehutachiwana hweHIV (HIV), somuenzaniso, kana kuti semagumisiro emigumisiro yemishonga yakadai semakemotherapy. Kunyange vana vanogona kutengesa. Nenzira yakanaka, shingles haigoneki muvana vari pasi pe10 uye avo vanoburuka nehosha iyi vanowanzova nezviratidzo zvakaoma kupfuura vanhu vakuru. Vana vari pangozi yekuputika ndevaya vaive nehukupupo vasati vasvitsa gore kana kuti vanaamai vane chickenpox munguva yechitatu yemamiriyoni ekuzvitakura.
Pane humwe humwe humwe humwe humwe humwe humwe humwe hunoita kuti hurumende iite basa mukukonzera shingles. Izvi zvinogona kunge zviri mumunda-kukasiyana-siyana kwemakakatanwa uye kuzvidya mwoyo kana chimwe chinhu chinogumbura, chakadai sokurasikirwa kwebasa kana mudiwa.
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KurapaChokutanga uye chinonyanya kukosha pakuchengetedza shingles zvakakosha kumisa varicella chirwere chisingaverengeki: Kana ichibvumirwa kuramba ichikonzera blisters, inowedzera dambudziko remangwana remangwana. Mishonga yeAntiviral-Zovirax (acyclovir), Famvir (famciclovir), kana Valtrex (valacyclovir)-inobudirira chaizvo kana inotorwa mumaawa makumi manomwe nemaviri ekufungidzirwa kuputika kwemakumbo.
Kunze kweizvozvo, chinangwa chekutarisana nemakumbo ndechekudzivirira zviratidzo. Nzira dzinobatsira dzekutarisa mabheterti nekukurumidza dzinosanganisira:
- Kunyura mumvura yekushambidzira
- Kupfekedza zvipfeko zvakasununguka, kunyanya pamusoro penharaunda iyo kuputika kwave kwatanga
- Kuita kuzviriritira kwakanaka-kuwana zororo zvakawanda, kudya zvakanaka, kunyorovedza muviri (Tai Chi yakawanikwa kuti ibatsire vamwe vanhu), nezvimwe zvakadaro
Kutambura kukuru uye kusagadzikana kunogona kurapwa nemishonga yokurapa kwepamusoro-the-counter (OTC), kusanganisira kwete-steroidal anti-inflammatory drugs (NSAIDs) seTylenol (acetaminophen) uye Advil (ibuprofen); muromo uye inopikisa antihistamine kuti itonese kutema; uye mamwe ma OTC michina yemitambo, yakadai se calamine lotion, lidocaine, uye capsaicin.
Panogona kuva nekumwe kubatsiro mune dzimwe nzira dzokurapa-pakati pavo, kugadziriswa, kushandiswa kwemagetsi emagetsi-kukurudzira (TENS), hypnosis, uye kudya kunovaka muviri kunonzi proteolytic enzymes.
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KudziviriraKune ani asina kumbove ane chickenpox, kiyi yekudzivirira shingles ndeyokuwana varicella vaccine. Parizvino, iyi inobatsira kaviri-inoculation inoculation chikamu chekugara kwehutachiona hwehudiki nguva dzose, asi inogonawo kupiwa vana vanopfuura 13 uye vanhu vakuru vasina kumbobvira vaine chickenpox.
Kune vanhu vakambove nechickenpox uye saka vari kutora varasara varicella virus, pane zvirwere zviviri zvechirwere zviripo. Chimwe chezvinhu izvi, Zostavax (tktkt) chave chiripo kubva muna 2006, asi chakatsiviwa sechirongwa chinosarudzwa cheCenters for Disease Control nekudzivirira nepfuti inonzi Shingrix. Shingrix yakawanikwa ichibudirira kupfuura Zostavax.
Kunze kwehutachiona, kuchengetedza mararamiro ehupenyu hune utano, uye kunyanya kudzivisa kushungurudzika zvakanyanya sezvinobvira, kunogona kubatsira kudzivirira chirwere chevaricella chinorara kuti chisati chashanda zvakare.
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Shoko RinobvaHapana mubvunzo shingles chirwere chisingafadzi, icho chinonyanya kunetsa zvinorwadza uye, zvichienderana nekuti kupi kunenge kuripo, kunogona kuita kuti unzwe uine hanya-zvo kusvikira wapora. Panyanyisa, shingles inogona kuva nematambudziko kwenguva refu uye kunyange kusingaperi. Zvose izvi zvinetso zvinogona kudzivirirwa, zvisinei, nemishonga isina kuchena-yehukupu kana iwe uri muduku iwe usina kuva nehutachiwana semucheche kana kuti shingles kana iwe wakazviita. Chiremba wako anogona kukubatsira kuti uone kuti ndeipi nzira inoita kuti uve nechinangwa chezera rako uye danho rehupenyu uye nhoroondo yako yezvechiremba, saka zvakakodzera kufambira mberi kune wehutano wako wehutano kana kuwedzera mibvunzo pamusoro pekushandiswa kwemashoko kumibvunzo yako yekubvunza kwauri rinotevera check-up.