Zvinetso zvinogona kupera zvakanaka mushure mekurumidza kupera
Shingles (herpes zoster) chirwere chinorwadza chinokonzerwa nekugadzirisa kwechirwere chimwechete chinokonzera chickenpox (varicella-zoster) . Hakusi kungoerekana kwekukwikwidza kunokonzera kushungurudzika, zvinogona kuva nematambudziko anowedzera kunze kwekuonekwa kwekumhanya.
Izvo zvinetso zvakasiyana kune vanhu vane hutachiona (husingaiti) maitiro ezvirwere zvekuzvidzivirira kana vachienzaniswa nevaya vane maitiro ezvirwere zvezvirwere zvemuviri (zvakadai sevanhu vanogara neHIV ).
Pakati peavo vane hutachiwana hwekudzivirirwa kwehutachiona, chiyero chezvinetso zvinotevera ndeizvi:
- postherpetic neuralgia (kurwadziwa kwenzara mushure mokunge chirwere chacho chaporeswa) - 7.9%
- bhakitiriya ganda rinokanganisa - 2.3%
- kurwadziwa kweziso uye zvirwere - 1.6%
- motokari neuropathy (kushaya simba kana kuti atrophy yemisungo) - 0.9%
- meningitis - 0.5%
- Ramsey Hunt syndrome (shingles yemitsipa iri pakati pekunzwa uye kuenzanisa) - 0.2%
Izvo zvipingamupinyi zvinokonzerwa nekugadzirisa matambudziko ndezvokukwegura, kugamuchira chimiro chekugadzira, uye kuva nechirwere chakakomba chinokonzera chirwere cheshuga, kenza, kana HIV.
Postherpetic Neuralgia
Postherpetic neuralgia inogona kukanganisa chikonzero chinokonzera kurwadziwa kunopisa kunotora kwemwedzi mitanhatu inotevera mushure mokunge mhirizhonga inoputika . Zviratidzo zvinosanganisira:
- kutsva kunzwa munzvimbo umo kukwikwidza kwatove kwaporeswa
- kurwadziwa kunounzwa pamusana pekusawirirana kusina kurwadza kwakadai sekubata kunobata
- kunyorera, kazhinji kunopfuurira
- nzvimbo dzekushaya simba
- kuoma kunonzwa kutonhora nekudengenyeka
Bhakteria Skin Skin Infections
Nokuti shingles rinokurudzira zvinokonzera blister izvo zvinosiya maronda akazaruka, njodzi yehutachiona hwehutachiona hwakakwirira. Mienzaniso yezvipembenene zvakajairika zvebhakitiriya dzinosanganisira:
- impetigo (kazhinji inokonzerwa neba staphylococcal kana streptococcal bacteria)
- erysipelas (inozivikanwawo seSt. Elmo's Fire)
- folliculitis (bhakitiriya kuputika kwevhudzi follicles)
Shingles-Yakaenderana Nekukuvara Kweziso
Kana chirwere che shingles chinokanganisa chikamu chechiso chakakomberedza pamhino kana mumhino, chinogona kugadzirisa zvachose ziso. Izvi zvinoratidzika kune rumwe rutivi rwechiso pamwe neicho chinozivikanwa sedermatome (inzvimbo yeganda rinoshandiswa nemumwe musara weropa). Pasina kuvharidzirwa kwemishonga , inenge hafu yevaya vanobatwa vachaona kurasikirwa kwameso kana kuora. Munhu wose ane zvipembenene pedyo neziso anofanira kuonekwa ne ophthalmologist pakarepo.
Motokari Neuropathy
Motokari yeuropathy inokonzerwa nemasumbu anokonzerwa nechirwere che shingles. Kazhinji hutachiona hunoita hunoita hutano hweganda, asi, muzviitiko zvisingawanzoitiki, inogona kuwedzera mukati mumiviri yemaviri. Inenge 75 kubva muzana yevaya vanoona motokari yeuropipathy vachawana zvakare motokisi basa.
Meningitis
Meningitis chirwere chemvura inopoteredza uropi nemutsipa wesipinha unonzi cerebrospinal fluid . Zviratidzo zvinosanganisira fivha, kuora musoro, kushushikana kwechiedza, uye misy muscle. Sezvo chirwere ichi chinokonzerwa nehutachiona, uye kwete bhakitiriya, hachikwanisi kurapwa nemishonga inorwisa mabhakitiriya. Iko inofanirwa kuitisa nzira yacho, kunyange zvazvo mishonga inorwadza inogona kurongerwa kuti irape musoro.
Ramsay Hunt Syndrome
Ramsay Hunt syndrome (zvisingazivikanwi seye herpes zoster oticus) ndiko kuputika kwehutano hwemaziso pedyo neimwe yenzeve. Zviratidzo izvi zvinosanganisira kuora mitezo, kuora nzeve , uye zviduku, zvinokonzera mvura inonzi fluic (inonzi vesicles ) mukati memvura. Vanhu vane Ramsay Hunt vanowanzoona uhuzheni kana kusava nekuenzanisa. Kuongororwa kwemazuva ano kwakaratidza kuti 10 muzana yevanhu vane chirwere chekufa zvakakwana vakagadziriswa motokari yavo, asi 66 muzana nehutachiona hwemuviri vanowana kuzorora kwakakwana.
Njodzi Muvanhu Vanodzingwa Zvisina Kuita
Vanhu vane mafungiro ezvirwere zvemuviri, kunyanya vanhu vane hutachiona hwakakosha hweHIV uye nhengo dzekugadzira mutumbi, vari pangozi yakawanda yekuvandudza zvese zvinorongwa pamusoro apa (kunze kwekutsvaga neuralgia).
Pakati pevanhu ava vane ngozi yakawanda, kupararira kwemasimba kune dzimwe nzvimbo dzeganda (uye kunyange mukati memuviri) kunozivikanwa kuti kuitika. Kunyanya pamusoro pacho ndechokuti kunyungudzana-kunokonzerwa nemapapu kuvhiringidza kunogona kukonzera rufu kunyange nehutachiona hwekare. Kudzokorora shingles zvirwere hazvishamisi pakati pevanhu vane HIV.
Shoko Rinobva
Kurapa kwekukurumidza kwechirwere chinoputika inzira yakanakisisa yekudzivirira zvinetso zvenguva pfupi uye kwenguva refu. Imwe nzira yakanakisisa yekudzivirira kuputika isati yasvika.
Chirwere chinonzi Zostavax chinowanikwa zvino chinogona kuderedza zvikuru njodzi yekuputika kwechirwere. Kunyange zvazvo richibvumirwa neDain and Drug Administration (FDA) inoshandiswa kune vanhu vakuru makore makumi mashanu kana pasi, Center for Disease Control and Prevention (CDC) inokurudzira kupora vanhu vakuru makore 60 kana pasi.
Sources:
- > Volpi, A. "Zvinetso zvakakomba zve herpes zoster." Herpes. 2007; 2 (Kuwedzera 14): 35-39.
- > Finch, R .; Maki, D .; uye Ronald, A. "Varicella-Zoster Virus Infections." Infectious Diseases, 2nd edition. Ed. Jonathan Cohen, et al. New York: Mosby, 2004; pp. 125-129.