Kunyange zvazvo shingles (herpes zoster) kakawanda inosanganiswa nekanyanya kuputika kweganda, dzimwe nguva inogona kunyengera. Pamberi pezviratidzo zveblister zvinouya iwe unganzwa sokunge uri kungouya nehosha. Nokukurumidza zvakakwana, zvakadaro, yekutanga yezvinyorwa zviviri zvekutsvaga kwemashure zviratidzo zvichatanga-nguva yepodromal iyo inenge iine kurwadziwa kwakanyanya mune imwe nzvimbo, nzvimbo inowanikwa mumuviri, pamwe chete nechills, fever, nezvimwe zviratidzo. Mazuva mashomanana gare gare chirwere chinoputika chemapuranga chinotanga, iyo inenge apo kupenya kunowoneka. Iyo shingles rinopisa inoumbwa nemasumbu ediki maduku, akafanana nemablister anofambira mberi nokukurumidza.
Kana iwe uchiziva zviratidzo nezviratidzo zvekushaya shingles, iwe uchakwanisa kuziva zviri kuitika, kuwana kuongororwa nokukurumidza, uye kurarama nazvo pasina nguva. Kana uchangotanga kurapa zvipembenene, zvishoma iwe unofanira kuwedzera chero dambudziko rinosanganiswa naro, rakadai se-postherpetic neuralgia (PHN, chirwere chepfungwa), kurwadziwa kwepfungwa uye kushungurudza chiso, kana bhakitiriya rwezvirwere zveganda.
Prodromal Stage
Kakawanda, zviratidzo zvekare kare kuti varicella chirwere chakaitazve mumuviri chakafanana nezvamungatarisira pakutanga kwehutachiona. Zviratidzo izvi dzimwe nguva zvinowanzoitika pane dzimwe nguva apo unonzwa uchinetseka kana kuti uchidzika pasi, uye iyo systemic-zvinoreva kuti inobata muviri wose. Iwe unogona kufunga kuti iwe wakanyongedzereka kana kuti uchiburuka nechando kana iwe pachako uine shingles.
Pakati pezviratidzo zve systemic zvinogona kuonekwa mumazuva mashomanana ekutanga kweprodromal stage of shingles ndezvekuti:
- Fever
- Chills
- Kushungurudza mudumbu
- Headache
- Kunzwa kujekesa
Zvichida kana kwete iyo inonzwa sehosha mukati mokutanga, chiratidzo chinotonyanya kurondedzera chemapuranga kazhinji chinorwadza. Kakawanda kazhinji, kusagadzikana kwave kunotsanangurwa sekutsva, kusvetwa, kunetseka, kunetseka, kunetseka, kushaya simba, kupera, kana kupfura. Inogona kuva yakasimba kana inopindirana, asi ichagadzirirwa kune rumwe rutivi rwemuviri. Ichi chiratidzo chinogona kunyengera, zvakadaro.
Nokuti marwadzo kubva kumapuranga ari munzvimbo, inogona kunge yakanganisa kune mamwe mamiriro ezvinhu zvichienderana nepo inotarisa. Semuenzaniso, kubvambura kana kurwadziwa kunoramba kuri kune rumwe rutivi rwechezasi kumashure kunogona kunzi sciatica kana chinetso chepvo kana, chokwadi, ndicho chiratidzo chekutanga chekurova kwemakumbo. Saizvozvowo, kunyunyuta kunorwadza pamiromo kunogona kuratidza kuti chirwere chinotonhora chinouya, apo kurwadziwa kwakatarira paziso kana nzeve kunogona kuita sekutanga kwemigraine .
Eruptive Stage
Ganda iri munzvimbo yechipfuva chepodromas chinokonzerwa ne-shingles kazhinji kacho chinenge chichiratidza kubata uye tsvuku pakuonekwa. Apo zviratidzo izvi zvinowedzera, zvinogona kutanga kutinzwa sekupisa kwezuva.
Mumazuva maviri kusvika kumanomwe mushure mekurwadziwa kwekutanga kwebhandi kunowedzera, mashoma maduku akafanana-mavara anoonekwa uye anokurumidza kuwedzera mumasumbu, achiita ruzha rune manzwiro kune mamwe. Kubva ipapo, dzimwe nguva mukati memaminitsi kana maawa, mapfupa achava mazaya akazara nemvura, kana vesicles , izvo zvinozobatanidza kuva mablisters makuru. Kakawanda, kubwinya uye kuzvimba zvinopinda nekukurumidza.
Izvo zvipfeko zvinoshandiswa zvinenge zvichisvika kwemazuva matatu kusvika mashanu uye zvishoma nezvishoma zvinowedzera. Kunyange zvazvo zvichiporesa mukati memavhiki maviri kusvika mana, kurwadziwa kunofambidzana naro, dzimwe nguva kunotyisa zvokuti kungodya ganda nemapfeko kunogona kubva kune izvo zvinonzwa sekutya kwegetsi, kunogona kwemavhiki, mwedzi, kana kunyange makore.
Izvo zvipembenene zvinonzi shingles zvinotarisa zvakafanana nekuputika kwechickenpox, ine musiyano mukuru: Chickenpox blister iri kupararira kune muviri wose. Neshungu, ruzha rinenge ruchigara rune ruvara rweganda, kazhinji pameso, mumutsipa, kana pachipfuva, kune rumwe rutivi rwemuviri. Nzvimbo inoshandiswa yeganda inonzi dermatome , nzvimbo inowanikwa nehutachiona hwehutano hwemutsara.
Kuvhiringidzika kunogona kusanganisira zviviri zviri pedo nedermatomes, asi zvisingawanzo zviviri zvisiri pamativi emvura. Izvo zvinogona kunge zviri mune vanhu vane maitiro ezvirwere zvekudzivirira zvirwere zvakanyanya, zvakadai seavo vane hutachiona hwakakosha. Vanowanzova pangozi yekuparidzirwa shingles (inowanikwa mumatatu matatu kana kupfuura), shingles yemeso kana nhengo dzomukati, uye kudzokorora kwemakumbo mukati pemwedzi mitanhatu.
Zvinetso Zvakajairika
Kunze kwekusagadzikana kunogona kuuya pamwe chete neshingwe, inonyanya kutaura pamusoro pekuda kwezvinetso zvayo.
Postherpecic Neuralgia
Kunyanya kunetseka kwemasimba kunogona kukanganisa chinonzi postherpetic neuralgia (PHN) inokura apo nerve fibers inokuvara. Iyo inoratidzirwa nekurwadziwa kunoramba kuripo munzvimbo iyo kushungurudzwa kwechikwata kwave kuripo.
Zviratidzo zveFN zvinogona kuva zvakakwana zvokuti zvinopindira muupenyu hwezuva nezuva uye dzinosanganisira:
- Kupisa, rakapinza, kana zvakadzama, kurwadziwa kunorwadza kunogara kwemwedzi mitatu kana kupfuura shure kwekuputika kwechirwere kuchirapa
- Allodynia (kunzwisisa kune chiedza chekubata): Kunyange kunzwa kwezvokupfeka paganda kunogona kuva kwakanyanya.
- Itching and numbness
- Kuoma kunonzwa kutonhora nekudengenyeka
Zera rinowedzera kusvibiswa kune PHN. ICentral for Disease Control and Prevention (CDC) inoshuma kuti vazhinji vanenge 13 muzana yevanhu vanopfuura makumi 60 vane zvipembenene vachave neFN. Zvimwe zvinokonzera njodzi dzinosanganisira kuora kunonyanya kukuvadza uye kunorwadza shingles rash. Kuva nekukurumidza pachiso kana torso kunowedzerawo ngozi yemamiriro acho.
Kurapa PHN kunogona kunge kwakaoma, asi zvinokosha, sezvo mamiriro ezvinhu anogona kutungamirira kune zvimwe zvinetso zvakadai sokuora mwoyo, kuneta, kunetseka kuisa pfungwa, zvinetso zvekurara, uye kuda kudya kurasikirwa . Hapana huno-hunokodzera-dzose nzira, zvisinei, uye inowanzotora mishonga yakawanda kuti ibvise marwadzo uye zvimwe zviratidzo. Pakati pezvinodhaka zvinoshandiswa kakawanda kubata chirwere chePNN ndezvekuti:
- Lidocaine patches (inotengeswa pasi pezita rainzi Lidoderm)
- Capsaicin, chibereko chezvisikwa zvechiri pepper, nenzira yekrimu kana patch
- Anticonvulsant mishonga yakadai saNeurontin (gabapentin) uye Lyrica (pregabalin)
- Anodzvinyirira, kusanganisira Aventyl (nortriptyline) uye Cymbalta (duloxetine)
- Opioids yakafanana neOxycontin (oxycodone) uye morphine
- Steroid injections
Bhakteria Skin Skin Infections
Mabheteti anokonzerwa nemasikirini anogona kusiya maronda akazaruka, achiita kuti ganda rive rakaoma kune zvipembenene zvinogona kukonzera izvo CDC inotsanangura se "bhakitiriya inofungidzirwa nezvirwere." Zvirwere zvinowanzotarisa zvirwere zvakadaro iStaplocloccus aureus uye boka A beta hemolytic streptococcus .
Rimwe bhakitiriya reganda rinowanzobatanidzwa ne-shingles impetigo , iro rinowanzokonzera vana. Inotanga nemaronda anonyangarika anoputika obva aumba mavara-mavara machena. Impetigo inoparadzira zvikuru asi inogona kurapwa zvakanaka nemishonga inorwisa mabhakitiriya.
Cellulitis imwe chirwere cheganda chinozivikanwa chinokonzerwa nemashiripiti. Kusiyana ne impetigo, iyo inobata chikamu chekunze kweganda, cellulitis inotapukisa kwezvakadzika midzi uye kunyange mavara pasi peganda, maererano neAmerican Academy of Dermatology. Inotanga nenzvimbo iyo yakatsvuka, inoputika, uye inonzwa ichidziya uye ine nyoro kumubata. Kana ikasaitwa, cellulitis inogona kupararira nokukurumidza uye inogona kukanganisa lymph nodes, pakupedzisira inotungamirira kuhutachiona hweropa. Chero bedzi inobatwa kamwe chete nemishonga inorwisa mabhakitiriya nekuchengetedza kwakanaka kweganda, cellulitis inonyanya kurapwa uye haigoni kurega kukuvara zvachose.
Herpes Zoster Ophthalmicus (HZO)
Gumi kusvika 15 kubva muzana yenguva iyo, shingles inokanganisa chiremera che ganglion-katatu-branched nerve iyo inopa manzwiro kune zvivako muhupenyu. Kunyanya, chikwata chetatu chinosanganisa chinosanganisira ziso (bazi rezvechifu); the cheek (the maxillary branch); uye bazi remandibular (rushaya). Pakati peizvi, hofisi yeifthalmic ndiyo inowanzosanganiswa ne herpes zoster.
Maererano neAmerican Academy of Ophthalmology (AAO), 25 muzana yemakumi matatu kusvika kuzana mazana mashanu emakondohwe anoitika gore negore ndeye herpes zoster ophthalmicus (HZO).
HZO inogona kukanganisa chero rutivi rweziso, kubva pamagetsi e-optic kuenda kune conjunctiva (iyo membrane inofukidza mberi kweziso uye inotarisana neoyelid). Pasina chirwere chekuvhara ropa , inenge hafu yevanhu vane zvikwereti pedyo neziso zvichaona kukuvadzwa kweziso kana kuti kunyange kurasikirwa neziso, saka zvakakosha kuona ophthalmologist pakarepo.
Kazhinji Matambudziko
Zvimwe zvinogona, kunyange zvisingawanzoitiki, zvinetso zvehutano zvinokonzerwa neharuti zvinosanganisira:
Zvimwe zvisingazivikanwe sa herpes zoster oticus, uku ndiko kuputika kwehutano hwepiso pedyo neimwe yenzeve. Zviratidzo izvi zvinosanganisira kuora mitezo, kuora nzeve , uye zviduku, zvinokonzera mvura inonzi fluic (inonzi vesicles ) mukati memvura. Vanhu vane Ramsay Hunt vanowanzova neruzivo rwemhepo kana kusava nekuenzanisa.
Meningitis
Uyu utachiona hwechirebrospinal fluid inopoteredza uropi nemutsipa wepelinha. Zviratidzo zvinosanganisira fivha, kuora musoro, kushushikana kwechiedza, uye misy muscle. Sezvo chirwere ichi chinokonzerwa nehutachiona asi kwete bhakitiriya, hachikwanisa kurapwa nemishonga inorwisa mabhakitiriya. Iko inofanirwa kuitisa nzira yacho, kunyange zvazvo mishonga inorwadza inogona kurongerwa kuti irape musoro.
Encephalitis
Kungofanana ne-meningitis, ichi ndicho chirwere chechirwere chechipiri. Iyo inokanganisa uropi uye inogona kukonzera zviratidzo zvakadai sepfungwa, kukanganwa kwepfungwa, fivha, uye kuchinja muunhu.
Motokari Neuropathy
Kazhinji varicella chirwere chinokanganisa kunzwa mukati meganda, asi, pane zvisingawanzoitiki, rinogona kupinda mukati mumiviri yemaviri, zvichikonzera kushaya simba kana kuti atrophy. Inenge 75 kubva muzana yevaya vanoona motokari yeuropipathy vachawana zvakare motokisi basa.
Nguva Yokuona Chiremba
Kana iwe uchifungidzira iwe une shingles, unofanira kuona chiremba pakarepo. Iwe unogona kutanga kutanga kurapwa kwakakodzera kunobatsira kubvisa zviratidzo zvako, kukurumidza kupora kwako, uye kuderedza ngozi yako yezvinetso. Izvi zvinonyanya kukosha kana iwe:
- Vane makore makumi matanhatu
- Iva nechiitiko chakakonzera kuti uve nechirwere chetachiona chakaoma, chakadai seHIV
- Tora mishonga inogona kuderedza zvirwere zvemuviri wako (eg chemotherapy drugs, steroids, kana immunosuppressants mushure mekunyorwa kwechirongwa)
- Iwe unogovera imba nemumwe munhu ane simba rekudzivirira zvirwere zvemuviri
- Iko kusviba kuri chiso chako: Blisters iri pedyo neziso rako rinogona kutungamirira kukuvadza kweziso zvakanyanya kana kutoita kuti iwe urege kurasikirwa neziso iroro.
Kana iwe uchiri kuita shingles iwe unosangana nechimwe chekutevera, rega chiremba ari kukubata iwe pakarepo:
- Iwe hausi kuwana hurombo kubva mukurwadziwa nekurapa.
- Iyo kurwadziwa hakuperi mushure memavhiki matatu kusvika mana.
- Iko kukwira kunopararira kudarika nzvimbo yekutanga.
- Iwe unotanga kuva nezviratidzo zvehutachiona hwechipiri, hwakadai sefivha huru, chills, uye musoro musoro.
> Sources:
> American Academy of Dermatology. Cellulitis: Musoro.
> American Academy of Ophthalmology. Herpes Zoster Ophthalmicus.
> Centres for Disease Control and Prevention. Shingles (Herpes Zoster): Clinical Overview. Feb 21, 2018.
> Mayo Clinic. Postherpetic Neuralgia. Sept 16, 2015.