Izifo ezixhaphakileyo ngokusasazekayo, ezinobungakanani bentsholongwane, i-shingles yenzeka ngokwesilinganiso kubantu abayi-15 kuwo wonke amawaka ayikhulu. Intsholongwane ebangela ukuba lesi sifo sisekhaya elidumileyo le-herpesviruses kwaye lilungu le- inkukhu ye- inkukhu .
Ziziphi iindwangu?
I-Herpes zoster (esibizwa ngokuba yizifo, ngokuhambelana ne-pathogen), livela kwi-Greek ἕρπειν ( herpein ) ( ukukhanda , ukukhwela) kunye ne-ζωστηρ (ibhande, ibhande). Esi sifo sibonakala ngokubonakala kweempawu ezinqabileyo kwesikhumba (ikakhulukazi kwingingqi ye-trunk), ezihambelana nentlungu yesifo kunye ne-malaise jikelele. Ingozi yale ntsholongwane kukuba inokubangela ezinye izifo ezingekho nzima. Iingqungquthela, umfanekiso onokubonwa ngezantsi, ubonakalisa ngendlela yokuqhaqhazela.
Iingxowa - i-agent agent
Intsholongwane ebangela ukuba lesi sifo sibizwa ngokuthi i-herpes zoster kwaye yinto ye-engxube ye-inkukhu, ngoko kubalulekile ukuqonda ukuba umntu oye wayenomkhuhlane wenkukhu akakhuselekile kwaye unokukwazi ukukhangela, uhlobo oluhluke ngokupheleleyo kunalo yenkukhu. I-Herpes yohlobo lwe-3 idla ngokugqithiseleyo ebuntwaneni, kwaye uhlobo lwe-herpes zoster lubonakaliswa kamva ngokuphindaphinda.
Ingaba i-zoster igciwane okanye ayikho?
Ukuze bakwazi ukuzikhusela kwisifo kangangoko kunokwenzeka, baninzi abanomdla nokuba i-herpes zoster isasazeka kwaye le nzala ichanekile ngokupheleleyo. Ngoko ke, kubantu abagulayo benkukhu, bayakusuleleka kwisigulane ngeentsimbi. Nangona kunjalo, ngenxa yokuba abantu abaninzi banomkhuhlane ophantsi ngenxa yezizathu ezahlukahlukeneyo, amathuba okunyuka kwintsholongwane. Kule qela yongezwa iqela labantu abaye bafumana i-herpes, kodwa umzimba awunamandla omzimba kwaye izibhinqa kubo zingadlula kwi-carrier njengokusuleleka kwintsholongwane.
Ngoko, isifo sisasazeka nini na?
- Bobabini ebantwini nakubantu abadala, i-shingles ingahanjiswa xa ingazange ibe ne-smallpox.
- Abantwana bavame ukufumana inkukhu enokuqhagamshelana nomntu onamabhinqa.
- Ngomzimba omncinci ophantsi, umngcipheko wokusuleleka usulele ukwanda kwamaxesha amaninzi.
- Ukuxhatshazwa sisifo kuphela kwinqanaba xa ama-vesicles ahlambulukile, xa sele ehlanganiswe ngogqithiso - igciwane likhuselekile.
Tinea - Iindidi
Ngokuqwalasela isifo esinjalo esingathandekiyo njengemingxuma kumntu, baninzi abanomdla kumbuzo wokuba le nto iyanciphisa iintlobo kunye neefom. Olu hlobo lwengonyama alunayo nayiphi na i-subspecies okanye iifom, kodwa mhlawumbi ulwazi malunga neentsholongwane ezikhoyo kunye nezixhobo zalo ziya kuba luncedo. Ngoko, i-lichen itholakala kwiintlobo ezahlukeneyo, phakathi kwazo eziqhelekileyo:
- i-herpes zoster (herpes);
- Ringworm;
- ipinki iyancipha, okanye ilahle iZibera;
- umbala ulahla ;
- emhlophe (ilanga) i-herpes;
- libomvu i-flat lichen ;
- i-scaly lichen.
Izibonda - izizathu
Ulwazi malunga nalapho i-herpes (i-shingles) evela khona inokuba luncedo kuwo wonke umntu onokuthanda ukuzikhusela nokuzikhusela kwi-herpes zoster. Kwiintlobo ezininzi izizathu zezi sifo zingabakho kwezinye iingxaki zempilo, phakathi kwazo:
- Ukunciphisa ukukhuselwa komzimba (ukukhuseleka komzimba kunye nokunciphisa kwakhe ngeminyaka kubangela ukuba izifo, izibalo zithi abantu asebekhulile bayiphatha ingxaki yesibhobho ngokuphindaphindiweyo kwezihlandlo ezisixhenxe kunezinye iindidi zeminyaka);
- iingxaki ngokuzenzekelayo kunye neempawu zokungafihli;
- isifo sikashukela ;
- i-oncology, i-chemotherapy ephakamileyo kunye neyeza lokuphuza i-radiation;
- abathwali be- HIV ;
- ukuguqulwa komzimba kunye nokutsalwa komongo we-bone;
- izifo ezingapheliyo (isifo sofuba, ukungaphumeleli kwintliziyo, i-cirrhosis, i-hepatitis, ukungaphumeleli kwe-renal);
- ukulimala, ngakumbi kunzima.
Kukho inani leempawu ezithile zokuqala nokuhamba kwesi sifo.
- Kwiqela lomngcipheko abantu bathatha i-glucocorticosteroids, ekhusela umsebenzi wokukhusela emzimbeni.
- Kwiimeko apho umntu enentsholongwane khona okokuqala, unokufumana iimpawu zesibini nesifo senkukhu kunye ne-herpes zoster.
- Kubantu abancinci nabasempilweni, umngcipheko wokugula uya kwanda nje ukunyamezela kanzima umzimba, uxinzelelo olubi kunye ne-hypothermia.
- Kwamaqela abantwana, inkukhu isifo sengculazi sinokubambisana ngokusondeleyo nomntu omdala ogxeka i-herpes zoster.
Izibilini - iimpawu
I-Herpes zoster, iimpawu esizichazayo ngezantsi, sisifo esihambelana neempawu ezingathandekiyo kwaye sifuna indlela efanelekileyo yokwelapha. Ngoko, iimpawu eziphambili ze-herpes zoster kunye noshintsho kwintlalo-ntsholongwane yesi sifo zi:
- ubuthathaka, ukukhathala;
- intloko;
- izifo zentlungu;
- ukubola kunye nomkhuhlane;
- xa kukho iibhola - ubuhlungu be-neuralgic kunye nokubetha kwiindawo zokuhlambalaza.
Iingqungquthela - ukukhawuleza
Isifo esinjalo, njengengqungquthela kumntu onempawu esiye sazihlola, ihlala ihamba kunye neentlungu zesikhumba. Ukugqithwa kwesi sifo kubonakala kwimizimba yamapilisi, esekelwe kwisiseko se-hypermic ne-infiltrated base. Ngokukodwa iindawo ezikuyo ndawo ziindawo zokungabikho kokuhlaselwa kweentlanzi kunye ne-intercostal nererve.
Iipilisi ze-herpes zoster (lichen) ngokukhawuleza (esinye nesigqitha ukuya kwiintsuku ezimbini) zijika zibe zizibhanki ezibuhlungu kakhulu kunye ne-vesicles, eziza kuba ngama-pustules. Emva koko i-rash ihlanganiswe ngendwangu ekhupha iintsuku eziyi-10-24 zesi sifo. Emva kokupenda, iindawo zokuhlala ze-hypopigmentation zihlala. Ukugqithisa ngokuqhelekileyo kuyanyamalala ngokupheleleyo kwiinyanga ezimbini ukuya kwezine, kodwa intlungu ingaqhubeka ixesha elide.
Ubuhlungu ngeentsimbi
Ukuqwalasela iimpawu ze-herpes zoster kumntu, kuyafaneleka ukuxelela malunga neentlungu ezihamba nesi sifo. Nge-herpes zoster, iintlungu zi-herpes-ezihlobene, zinezigaba ezintathu:
- bukhali;
- ngxaki;
- engapheliyo.
Zonke ezi zinto zinempawu ezahlukileyo.
- I-neuralgia ecacileyo iyaqwalaselwa malunga neenyanga ngeli xesha elifunekayo ukulungisa isantya. Le meko ihamba neentlungu, ukutshisa, ukubetha. Intlungu inokuthi iqhube, ikhule, idibanise kwaye ibe nesigxina esisigxina okanye se-paroxysmal.
- Ukutshatyalaliswa kwe-neuralgia kwenzeka ngokukhawuleza emva kokuqatha, kwaye kunokuhlala iinyanga ezintathu.
- I-neuralgia engapheliyo ihlala ngaphezu kweenyanga ezine kwaye ingaqhubeka ixesha elide, kwezinye iimeko, iminyaka.
I-Herpes zoster - ukuxilongwa
Njengomthetho, uhlalutyo lwe-herpes zoster lubekwe oomama abakhulelweyo ngenxa yomngcipheko wokukhupha isisu, ukuzalwa komntwana ofileyo kunye nobunzima bokuzalwa (ukukhulelwa kwengqondo, umonakalo kumalungu ombono, ukukhula okucothayo) xa kunesifo sesifo senkukhu ngexesha lokuqhagamshelana nentsholongwane. Kwezinye iimeko, ukuqinisekiswa kokuxilongwa kwenziwa ngeemvavanyo zelabhoratri, nangona i-herpes zoster inezibonakaliso ezinjalo ezibonakalisiweyo ukuba ubungqina obongezelelweyo bebhoratri abufunanga.
Iingxowa - unyango
Umbuzo osemthethweni ukwedlula ukuphatha izibonda kufuna ukuba uphononongo olusisiseko, kuba iyeza alinakuma kunye namachiza asebenzayo kutshanje anganika indlela entsha, ekhuselekileyo nangempumelelo. Ngendlela yezithethe zendalo, abaninzi abantu basebenzisa iindlela zonyango, kodwa kunengqondo ukwenza oku emva kokubonisana nodokotela.
Indlela yokuphatha izibonda kubantu - iziyobisi
Kubalulekile ukwazi indlela yokwelapha i-herpe zoster ukuze unyango luphumelele ngokusemandleni. Kungabonakala kungaqhelekanga, kodwa ukuba umntu unempilo kwaye akanalo izifo ezingapheliyo, ngoko-ke akukho unyango lwe-gas exhaust engadingeki, kodwa ugqirha nayiphi na into kufuneka afake isicelo. Iziyobisi, ezisoloko zichazwe kule meko - i-painkillers, phakathi kwazo:
- Paracetamol ;
- Ibuprofen;
- Naproxen.
Kwiimeko ezinzima, ezi zilandelayo zingabelwa:
- Gabapentin;
- Pregabalin;
- amalungiselelo eqela lama-anti-depressants, umzekelo, i-Amitriptyline;
- izidakamizwa ezichasayo ezingabhubhisiyo (Olfen, Diklak, Ketoprofen nabanye).
Ukongeza kwii-painkillers kunye nezidakamizwa ezichasayo, izidakamizwa ze-antiviral zinokumiselwa, ezenzelwe ukukhusela iingxaki kunye nokukhuthaza ukuphulukiswa kwangaphambili kwezilonda. Le yilungiselelo:
- Acyclovir:
- Penciclovir;
- Valaciclovir;
- Famciclovir.
Iingqungquthela - iindlela zobuqu zonyango
Iyeza zonyango zinikeza ezininzi zokupheka, ukusetyenziswa kwayo kufuneka ukuba kuvunyelwane nogqirha. I-herpes zoster virus, unyango lwayo lude kwaye luhlala lubuhlungu, lufuna indlela efanelekileyo kunye nokusetyenziswa rhoqo kweendlela zokwelapha. Iyeza elisebenzayo linikeza ezininzi iindlela zokupheka, phakathi kwazo esizikhethileyo.
Ingcambu ye-Ginger i-tincture
Izithako:
- i-rhizome ye-ginger - 150 g;
- vodka - 800 ml.
Ukulungiselela nokusetyenziswa
- Dlulisa izinto ezibonakalayo kunye ne-vodka kwaye ushiye ukuhambisa endaweni emnyama.
- Isiqulatho sesitya kufuneka sishukunyiswe rhoqo. Kwiiveki ezimbini, isilungiso siya kuba silungele.
- Ukusela i-ginger tincture udinga kabini ngosuku ngaphambi kokutya ukuya ku-50 g.
I-Tincture kwiingcambu ze-willow
Izithako:
- Iingcambu zeziyobisi ze-Willow - 1 tbsp. isipuni;
- amanzi abilayo - 1 iglasi.
Ukulungiselela nokusetyenziswa
- Phalaza ingcambu ngamanzi abilayo uze uyivumele ukuba ikhefu iyure.
- Thatha ikota yeekota kathathu imihla ngemihla ngaphambi kokutya.
Compress compress
Izithako:
- burdock - 1 tbsp. isipuni;
- tansy - 1 tbsp. isipuni;
- immortelle - 1 tbsp. isipuni;
- i-peppermint - 1 tbsp. isipuni;
- amanzi abilayo - 1 iglasi.
Ukulungiselela nokusetyenziswa
- Iitrob zixutywe, uthathe isipuni esisodwa somxube uze usigcwalise ngeglasi yamanzi abilayo.
- Unxininise ukupholisa phantsi.
- Faka isicelo sokufakelwa kwamanzi ngendlela yoxinzelelo kwiindawo ezichaphazelekayo kwiiyure eziyi-1-2.
Iindlela ezimbalwa ezilula zokucebisa abaphili bendoda:
- Isiqhumiso rhoqo seendawo ezibuhlungu kunye nesulfure kunye ne-glycerin, ezixutywe kumlinganiselo we-1: 2.
- Iviniga ye-apple ye-apilisi engavumelekanga isetyenzisiwe kwiimitha zesilonda ezine-4-5 ngosuku. Esi sixhobo sinceda ukunciphisa ukutshaya, ukutshisa nokukhawulezisa iinkqubo zokuvuselelwa.
I-Herpes zoster - iingxaki
Umbuzo wento enokulindelwa kwimeko embi emva kokukhwabanisa kubuzwa abaninzi kwaye bachanekile. Imiphumo yesifo esibi kunye nokukhuseleka kwe-immunity kungaba ngale ndlela:
- Ngomonakalo wamehlo, ubuninzi obubonakalayo bunokuba bunzima kakhulu kwaye i-optic neuritis ikhula.
- Ukuba usulelo lwebhaktheriya luye lwangena kwiintsholongwane zentsholongwane, imeko yesigulane ingaba yingozi, kwaye ukuphiliswa kwamanxeba kunokutsala kwiinyanga ezininzi.
- Kwimeko enzima yesifo, ukukhubazeka kwesibindi somzimba kungenzeka.
- Kukho ukuphazanyiswa kwizitho zangaphakathi (impumoniya, ukuphazamiseka kwenkqubo ye-genitourinary, iingxaki ngokusebenza kwe-duodenum).
- Ukuba i-herpes zoster (i-herpes) inesimo se-encephalitis, ingxaki enobungozi kakhulu kwaye inobungozi ingaba yi-meningoencephalitis, edla ngokubangela ukukhubazeka.
Iingxowa - ukuthintela
I-Herpes yoster virus iyona yezona zihloko eziqhelekileyo zophando kunye neengxoxo kummandla wehlabathi lwezonyango. Iigonti ziphuhliswa kwaye ziphuculwe ngenjongo yokukhusela, kodwa ukusebenza kwazo akukabi phezulu njengoko singathanda. Ngoko ke, enye yeemeko ezisemgangathweni igcina indlela yokuphila enempilo kwaye igcinwe isistim somzimba kwisimo esifanelekileyo.
Inoculation kusuka kwi-herpes zoster
Ukuze ugonywe kwi-herpes zoster ukulibala ngonaphakade - iingcali emhlabeni jikelele zenza umsebenzi wokukhusela, kodwa ngoku azinakwenzeka ukwenza oku 100%. Amaziko abucala abucala ayagonywa, kodwa ukusebenza kwawo akukabi kakhulu kwaye igonyo isebenza kuwo wonke umntu ngeendlela ezahlukeneyo. Nangona iingxabano kwizibhedlele zonyango aziyekanga, kwiimarike zanamhlanje zichongwa izitofu ezimbini ezijongene ne-virus ye-Zoster.
- Iingxelo ezinokuthi zithembeke kakhulu zithembisa ukunciphisa u-32-34% wokunciphisa ingozi yesifo emva kokufaka isitofu kwiGlaxoSmithKline.
- Abavelisi be-vaccine "iZostavax" bathembisa ngakumbi, ngokubhekiselele kubo, ukusebenza kakuhle kweli phepha malunga ne-60%.
Iingqungquthela - iivithamini
Ukunceda umzimba ukuba unqobe izibonda (herpes zoster), kufuneka uwanikeze ngeivithamini ezifunekayo kunye ne-microelements. Eyona nto ibalulekileyo kwaye ibalulekileyo kubo kukuba:
- I-Vitamin C - ikhawuleza ukuhlaziywa kwezicubu, iyanciphisa ukutshiza kunye nokuvakalelwa.
- I-Zinc - eli nqaku liphazamisa ukuzaliswa kwintsholongwane.
- I-Beta-carotene, enceda ukujamelana nesi sifo ngokukhawuleza.
- I-Vitamin E-iqinisa amandla omzimba kwaye ikhusela iiseli ezimhlophe zegazi kwiintsholongwane.