Mamiriyoni evanhu muUnited States vanoona zvipembenene gore negore, maererano nenhamba kubva kuCenters for Disease Control uye Prevention. Kunyange zvakadaro, kune zvakawanda zvakavhiringidzika pamusoro pokuti ndezvipi zvikwereti chaizvoizvo.
Shingles - inozivikanwa seye herpes zoster - inopararira yemidzi dzemawere uye inowanzoonekwa nevanhu kupfuura makore makumi mashanu. Inowanzoonekwawo kune vanhu vane simba rekudzivirira zvirwere, zvakadai sevane HIV kana zvimwe zvinokonzera, zvikurukuru leukemia uye lymphoma.
Shingles inokura apo utachiona hwekukupuka huchigadziriswa, zvichiita kuti kuputika kweganda rakazara-ganda rinoputika pamativi akasiyana emuviri.Nokuti hutachiwana hunoita basa mushure memakore ekunyengera kwemazuva ose haisi kunzwisiswa zvachose.
Asi zvakajeka ndeizvi: ani zvake ane chickenpox anogona kuwana shingles. Kunzwisisa zviratidzo zvekutanga zvechirwere, uyewo nzira dzekudzivirira kana kuderedza nguva yekuputika, kunogona kugadzirisa matambudziko kunonyanya kutarisirwa.
Zviratidzo
Shingles inowanikwa mumatanho maviri: prodromal danho uye rinoputika . Zviratidzo zvinosiyana zvichienderana nesiteji.
Prodromal Stage - Iyi danho rinotanga anenge mazuva maviri kusvika kwemaviri ganda risati rapera. Zviratidzo zvinosanganisira kushaya simba, kutinhira, kutsva, kuchenesa, kana kurwadziwa kwepfuti kune rumwe rutivi rwechiso kana muviri.
Vamwe vanhu vanoona maitiro, kana muviri wose, kunyunyuta panguva iyi zvakare. Izvi zvinogona kusanganisira:
- fever
- chills
- kugumburwa mudumbu
- headache
- kunzwisisika kuchiedza
Kushungurudza Mukati : Panguva iyi, maronda anozadzwa nemvura yakachena, inozivikanwa se vesicles , inoputika paganda iri mumusasa-sekiro. Kazhinji kubwinya uye kuzvimba zvinokurumidza kupera.
Iro rash inoumba kwemazuva matatu kusvika mashanu uye kazhinji haanzwisisiki.
Manzwiro omunhu anowanzosiyana, kubvira pakuderera kusvika kune akaoma. Pakupedzisira, vesicles inowedzera uye inoporesa mukati memavhiki maviri kusvika mana.
Marwadzo kubva kumapuranga anogona kugara kwemavhiki, mwedzi, kana kunyange makore mushure mekumuka. Kuora kwenguva refu mushure mokunge shingles inonzi postherpetic neuralgia .
Ndeipi Iyo Shingles Inovhiringidza?
Izvo zvipembenene zvinokanganisa zvinogona kukanganisa zvikamu zvakasiyana-siyana zvemuviri, zvichienderana nehuipi hwehutano hwehutano hunovhiringidzwa. Maererano neCDC, nzvimbo yakajairika ndiyo trunk. Kazhinji, kupisa hakuyambuki midline, asi inogona.
Unoziva Sei Kana Une Machechi?
Ramba uchifunga kuti kumhanya kwechirwere kunogona kukanganisa chickenpox kana ivyhu inouraya ivy. Nzira yakanakisisa yekuziva kana zviratidzo zvako zvichitevedzera shingles ndeyokuona chiremba wako.
Matambudziko
Vanhu vane zvirwere zvekudzivirira zvirwere zvisina simba uye zvisina simba, sevanhu vane HIV, vanowanzova nematambudziko kubva kune shingles. Izvo zvinowanzova nehutu hwakanyanya, hwakapararira hunofanana nehuchipox. Zvinetso zvinosanganisira:
- chinogona kurasikirwa nekuona kana shingles inosanganisira ziso
- chirwere chebhakitiriya chekurova kwechirwere
- nhengo-inokonzera kuputika (semuenzaniso, encephalitis , kana uropi hutachiwana nehutachiona hwehutachiona)
Nenzira yekuti vanhu vane HIV, shingles ikozvino inowira kubva pakubuda kwemishonga inorwisa maitiro ekurapa .
Kudzivirira Shingles
Muna 2006, chirwere chinonzi shingles Zostavax chakagamuchirwa neU.S. Food and Drug Administration kuvanhu vakuru vane makore makumi matanhatu nepamusoro, mazano ayo akawedzerwa muna 2011 kuti aise vanhu vakuru vane makore makumi mashanu uye kupfuura. Kutsvakurudza kwekliniki kwakaratidza kuti Zostavax inogona kuderedzera njodzi yekuwana shingles nekusvika 70%.
Kunyange zvazvo pasina mazano akakurumbira akabudiswa, kwakave nekudana kwekushandiswa kweZostavax kune vanhu vane HIV vane hutachiona hutachiona hwehutachiona (hwakaenzana nemaCD4 pasi pe 350 cell / mL ).
Tora Home Message
Kana iwe uchifunga kuti uri kuita shingles kuzununguka, taura nachiremba wako pakarepo kuti uone kunyatsoongorora uye chirongwa chekurapa.
Sources:
Nzvimbo dzeDaase Control uye Kudzivirira. "Shingles (Herpes Zoster): Clinical Overview."
Grabar S et al. 'Kuitika kwehepepester yevanhu vakuru vane utachiona hweHIV mune imwe nguva yakarembera antiretroviral therapy era: mhinduro kubva kuHDDH-ANRS CO4 boka. " Clin Infect Dis 2015 Apr 15; 60 (8): 1269-77.