Kurapa zvipembenene, zvinowanzonziwo herpes zoster (HZ), rinotarisa zvinhu zvakasiyana-siyana: kukurumidza kuporesa kwekumhanya nekuderedza marwadzo anokonzerwa nekuputika uye kuderedza dambudziko rezvinetso-kunyanya mushure me-herpetic neuralgia (PHN), inokonzera kunyorera kana kupisa zvinorwadza zvinogona kutambudza munhu kwemwedzi kana kunyange makore. Sezvo PHN inogona kukura zvakasimba pazvitsitsinho zvekuputika kwemakumbo, ona kuti dzimwe nzira dzekurapa dzinotevera dzinogona kunge dzakanyatsokonzera kubvisa PHN.
Uyewo zvakakosha kuti uzive: Zvakakosha kurapa shingles iyo inokanganisa ziso remaziso, herpes zoster ophthalmicus, nekukurumidzira. Kana zvisati zvamboitwa pakarepo, zvinogona kutungamirira kukuvadzwa zvachose kumeso kana kupofu. Sezvo rudzi urwu rwemakumbo hunovhiringidza ziso, mamwe emishonga ekurapa kune dzimwe nzvimbo dzomuviri haana kuchengeteka. Mishonga yemishonga inorapwa nemishonga inotsanangurwa pasi apa inonyanya kukosha. Uye dzimwe nguva chiremba acharaira steroid yepicalical zvichienderana nerutivi chei ziso rinobatanidzwa.
Mishonga yeMusha uye Upenyu
Munzira dzakawanda, shingles yakafanana nehupi hupi hutachiona: Pamusoro pekukonzera kusagadzikana uye kusinganzwisisiki, zvinokuita unzwe uchitya, uneta, uye unofara kwose kwose. Saka, chimwe chezvinhu zvinonyanya kukosha zvaunogona kuita paunenge uchitarisana nacho ndechokuti uzvichengete zvakanaka iwe pachako kana, kana iwe uri kutarisira mumwe munhu ane zvipfeko, achivavhura neTLC.
Kupfuura izvozvo, iwewo unofanira kutora matanho ekugadzirisa marwadzo.
- Tendesa ganda rako. Shandisa zvinonyorera zvakanyanyisa sezvinodiwa kuti ubatsire kunzwisa marwadzo uye kuoma blisters. (Usaita izvi kana uri kushandisa tambo yekasiki kana chigamba, zvakadai sezvinorondedzerwa pasi apa.)
- Tora chinotonhora. Bhati yewaatmeal inogona kupa rusununguko kubva pakurwadziwa. Iwe unogona kutengesa purogiidal oatmeal kushamba mabhizimusi paresitorendi kana supasitetiti, kana kuti uite wako: Whir nguva dzose oatmeal, rudzi rwaunodya kudya kwekudya chamangwanani, muchirongwa chekudya kusvikira hupfu hwakanaka. Wedzera mukombe wakaita masendimita emvura kunodziya (kwete kupisa) tub.
- Zvishongedze zvekunyaradza. Furuji kubva panguvo inogona kukurira kurwadziwa. Kana kukanganisa kwako kuri chikamu chemuviri wako chinoda kuvharwa paunenge uri kunze, pfeka chimwe chinhu chinopindirana zvakasununguka uye chakaitwa kubva kune fiber yepanyama.
- Wana zororo rakawanda. Mukuwedzera pakuvhara kurara kwakakwana kweusiku, iyo vanhu vazhinji vari pakati peawa 7 ne9, tora napasikati kana iwe uchinzwa uchida.
- Idya zvakanaka. Izvi zvinoreva kuwana zvakasiyana-siyana zvekudya zvinovaka kune uye pakati pezvokudya, nekuchengetedza izvo zvakakwirira mumafuta akazara, munyu, uye makoriki asina chinhu kusvika pane zvishoma.
- Shandisa muviri wako paunonzwa uchikwanisa. Edza kudzidzira kwakajeka sekutambanudza kana kufamba. (Tarisa nechiremba wako kana uri mutsva kuti uite zvekushandisa.)
- Zvivhiringidze iwe pachako. Tsvaga nzira dzekuita kuti pfungwa dzako dzirege kurwadziwa uye dzisinganzwisisiki. Izvi zvingava zvakajeka sekuva neshamwari yekukurukura kana kutarisa pane zvinokuvaraidza-kutora iyo chirongwa chekugadzira zvakare, somuenzaniso. Ita mwana nemapuranga mumutambo wemakadhi, puzzles, kana mamwe mabasa anofara.
- De-stress. Tendeuka kumabasa kana miitiro inokubatsira kuti usunungurwe, zvakadai sokufungisisa, kuverenga, kana kuteerera mimhanzi inozorodza.
Over-the-Counter (OTC) Kurapa
Chimwezve rubatsiro rwekurwadziwa nekuchekwa kubva kumasvingo kunongova rwendo rwechirwere chekushandisa zvinodhaka.
Izvi zvinowanikwa nyore nyore uye hazvirevi chiremba chiremba. ikozvino, vamwe vangave vangave mune mishonga yako chifu pamusha.
- OTC kurwadziwa kwemishonga. A non-steroidal anti-inflammatory medication (NSAID) yakadai seTylenol (acetaminophen) kana Motrin kana Advil (ibuprofen) inogona kubudirira mukudzikisa kurwadziwa kwepakati kusvika kuenzanisi. Kana uri kupa NSAID kumwana ane shingles, iva nechokwadi chokuti chirwere chakakodzera nguva yake uye uremu (iyo mazita ichakutaurira, asi iwe unogonawo kutarisa nechiremba wevana). Usapiwe mwana aspirin kana chero mishonga ine aspirin: Iyi mishonga inobatanidza nehuwandu hwehuwandu hweReye's syndrome, chirwere chisingawanzo chinokonzera kubwinya kweuropi uye chiropa.
- Antihistamines. An antihistamine yomuromo yakadai seBenadryl (diphenhydramine) inogona kuchenesa (asiwo inokonzera kugona, saka usaitora apo iwe unoda kuisa pfungwa kana kutyaira). Iwewo unogona kuedza inopikisa antihistamine. Semuenzaniso, Benadryl anouya se spray, cream, kana kuti akasunga kushandisa zvakananga ganda.
- Calamine lotion. Kufanana nehutachiona hwe antihistamine, calamine lotion inogona kuderedza kutema nekurwadziwa. Kana iwe usingafariri zvisikwa zvakasvibirira zvepini, iwe unogonawo kuwana sarudzo yakajeka.
- Lidocaine. Iyi anesthetic yemunharaunda inobatsira kubvisa marwadzo nekupedza kwenguva pfupi nzvimbo inorwadzisa. Inowanikwa mumhando dzakasiyana-siyana dzeCCT-skin-numbing creams, uyewo mune patch inonzi Lidoderm inonamatira paganda uye inobudisa zviduku zve lidocaine kwemaawa 12 pazuva. Ingoshandisa lidocaine (chero ipi zvayo) paganda rakagadzikana-kureva, richiri ronda kana ruchiva mushure mokunge blisters apora, sezvinoitika apo shingles inoteverwa ne-postherpetic neuralgia (PHN).
Capsaicin. Iyo inoshandiswa inoshandiswa mumuchiri mutsvuku inoisa muromo wako mumoto apo unosangana nayo mu salsa inonaka uye ine simba risingaiti paganda. Inoshanda nekuderedza chirwere chinonzi neurochemical chinonzi substance P chinotumira zvirwere zvinorwadza. Tsvakurudzo dzinoverengeka dzakawana kuti capsaicin inoshanda pakubvisa marwadzo-kushungurudza kurwadziwa kwakafanana neFNN. Kazhinji tsvakurudzo yakatarira mishonga-inongova mapepa akange akazara mazamu (8 muzana) e-capsaicin. (Zita racho ndiQutenza). Iwe unogona kuwana zvidimbu zvine maitiro mashoma e-capsaicin muzvinotengesa zvinodhaka, zvipatara zvezvokudya, uye paIndaneti. Imwe yeiyi, Zostrix, ine 0,1 muzana capsaicin. Taura nachiremba wako nezvemari yakakwana kwauri. Chero chinotaridzika kuva, chinhu chakanakisisa kupfeka magiragi anoshayiwa paunoshandisa capsaicin uye kuti uchenjere kusabata panzvimbo yemaziso kana chero zvikamu zveganda rakaputsika kana rakaoma.
Zvinyorwa
Kurapa kwokutanga ndiyo chinhu chinoita kuti kuderedza kuoma kwechirwere chinoputika, kutanga nemishonga yekurapa. Mimwe mishonga inogona kugadzirirwa kuti kuderedze kurwadziwa uye kusagadzikana.
- Antiviral mishonga. Izvi zvinodzivirira varicella chirwere chisingawedzere, kukurumidza kuporesa kweganda reganda, uye kuderedza kuoma uye nguva yekutambudzika. Iyo inoshanda zvikuru kana ichipiwa mukati maawa makumi manomwe ekuonekwa kwekutanga kwekumhanya, saka kana iwe uchifungidzira kuti kuputika kweblister kungava shingles, ona chiremba wako pakarepo. Ramba uchiyeuka kuti kana iwe usingakwanisi kutanga kurapwa nemishonga inorwisa maawa mukati meawa makumi manomwe nemaviri, zvingave zvichibatsira kutora imwe. Kune mishonga mitatu yemishonga yekurapa mishonga: Zovirax (acyclovir), Famvir (famciclovir), uye Valtrex (valacyclovir). Vanhu vane hutachiona hwezvirwere zvehutachiona (sekuita nhengo dzevashandi nevaya vane hutachiona hwehutachiona hwehutachiwana hweHIV) kana kuti HIV) zvinogona kuda kuti intyvenous acyclovir iite. Acyclovir inowanzova yakanyanya kudhura kune idzi asi inofanira kutorwa kakawanda kupfuura imwe mishonga.
- Anticonvulsants . Nokuda kwemarwadzo ekurwadziwa, mamwe madhiragi anoshandiswa kugadzirisa kukanganisa dzimwe nguva anobatsira. Mienzaniso inonzi Neurontin (gabapentin) uye Lyrica (pregabalin), iyo inogona kubvisa kurwadziwa kweFN kana ikashandiswa nehutachiona.
- Tricyclic vanodzvinyirira. Iyi kirasi yevanorwara, iyo yakasiyana neyakanyanya kuzivikanwa-serotonin reuptake inhibitors, kana SSRI, yakadai seProzac (fluoxetine), yakawanikwa kuti inoderedza marwadzo emutsipa. Mienzaniso yakajeka inosanganisira amitriptyline (iyo inowanikwa chete mumutauro wakawanda), Aventyl (nortriptyline), uye Norpramin (desipramine).
- Corticosteroids. Kunyange zvazvo zvisingawanzogadziriswa shingles kana kuti PHN, corticosteroids dzimwe nguva inoshandiswa pamwe chete nemishonga inorapwa nemishonga yakaoma.
- Opioids . Zvimwe zvirwere zvinonzi transpiermal opioid, zvakadai semarphine zvakasimudzirwa-kusununguka-kusununguka kana fentanyl patches, zvakaratidza kuti zvinobudirira apo shingles kana kuti PHN inokonzera kurwadziwa kukuru.
Mishonga Inobatsira Inobatsira (CAM)
Kunyange zvazvo mamwe marapirwo akasiyana-siyana ekugadziriswa akashandurwa, hapana akamboongororwa zvakakwana kuti aonekwe seine simba. Pakati peiyi maproteolytic enzymes, ayo anogadzirwa nemaoko nean pancreas kubatsira kubvisa mapuroteni kubva pane kudya. Izvo zvinowanikwa mune zvimwe zvokudya, zvakadai sepapa uye chinanasi. Zvigadzirwa zvinobva papaya (inonzi papain ), pineapple (inonzi bromelain ), uye kubva pamakungwa emhuka zvinogona kuwanika paIndaneti, mune zvigadzirwa zvezvokudya zvehutano, uye mune zvimwe zvekudya uye zvinodhaka. Inowanzoshambadzirwa sekuchera mbeu inowedzera .
Muna 1995 chidzidzo cheGermany cha192 vanhu vane zvipembenene, hafu vakatora enzyme yeproteolytic kwemazuva 14 nehafu vakatora acyclovir. Mapoka maviri aya akawana ruzivo rwakafanana nekugadziriswa uye kugadzirwa kweganda, kunze kwekugadzirwa kweganda, izvo zvakaratidza kukurudzika kukuru pamwe ney acyclovir kurapa. Boka rinotora mapuroteni emuproteolytic rakanga rine zvishoma nezvigumisiro.
Kunyange zvakadaro, mapuroteni emuproteolytic anogona kuva nemimwe migumisiro, kusanganisira kudengenyeka kwekudya uye kukanganiswa kwevamwe. Kunyanya, vanhu vane chirwere chepineapple kana papaya vanofanira kuchengetedza zvigadzirwa zvinobva kune michero iyoyo.
Proteolytic enzyme, kunyanya bromelain uye papain, haafaniri kutorwa nevanopfupa ropa, sa aspirin kana Coumadin (warfarin) sezvo inogona kuwedzera migumisiro yemishonga iyi. Iproteolytic enzyme pancreatin inogonawo kupindira nekudyiwa kwe vitamini folate. Tichifunga kuti kune uchapupu hushomanana hwekuti proteolytic enzyme inobatsira chaizvo mukudzivirira zviratidzo zvekuti zvinogona kuva nemigumisiro, unofanira kutarisa nachiremba usati wavatora kuti uite shingles.
> Sources:
> Derry, S, Rice, AS, Cole, P, Tan, T, uye Moore, RA. "Topical Capsaicin (High Concentration) yeNorth Neuropathic Pain muVakuru." Cochrane Database Syst Rev. Jan 13, 2017; 1: CD007393. DOI: 10.1002 / 14651858.CD007393.pub4.
> MedlinePlus. "Kushungurudza-Pashure." May 21, 2016.
> National Institue on Aging. Shingles. "Dec 31, 2016.
> US Centers for Disease Control and Prevention (CDC). "Shingles (Herpes Zoster): Clinical Overview." Atlanta, Georgia; May 1, 2014.
> UpToDate. Albrecht, M., "Dzidzo yevarwere: Shingles (Beyond the Basics)." Mar 6, 2018.