Abantu abaningi bakholelwa ukuthi ukudluliselwa kwenkukhu kuphelisa ingozi yokuvuselelwa kabusha kwalesi sifo. Kodwa-ke, i-herpes virus eyenza yona, ihlala emzimbeni futhi ingasebenza kalula, ikakhulukazi uma amasosha omzimba ekhula kakhulu. Ezimweni ezinjalo, ama-shingles athuthuka - izimpawu kanye nokwelapha kubantu abadala kulezi zifo zihlukile ezibonisweni kanye nokwelashwa kwezinkukhu, nakuba lezi zifo zombili zibangelwa igciwane elifanayo i- Herpes zoster .
Izimpawu zamabhantshi kubantu abadala
Indlela ejwayelekile yokuhlushwa okuchazwe ekuqaleni kwezigaba ibonakala ngezibonakaliso ezilandelayo ezingezona ezicacile:
- ukwandisa (hhayi eqinile) lokushisa komzimba, kufika ku-37.5-38 degrees;
- kancane malaise, umuzwa wokukhathala;
- ubuhlungu obuthakathaka be-neurologic endaweni yokuqhuma kwesikhathi esizayo;
- isikhumba ukukhipha ukuzwa;
- Ngezinye izikhathi kuyisilwane esilula futhi sihlolisisa i-epidermis.
Ngokuvamile, isithombe somtholampilo sifana nokuqala kwezifo zokuphefumula eziyingozi noma i-ARI, ngakho-ke akunakwenzeka ukuxilonga ama-shingles kulesi sigaba sokuthuthukiswa.
Ukuqhubekela phambili kwegciwane emzimbeni kuhambisana nalezi zimpawu:
- ukubonakala kwamabala obomvana emzimbeni we-intercostal nerve kanye ne-trigeminal nerve;
- ukuvuvukala kwesikhumba endaweni yokuqhuma;
- ukuguqulwa kwamabala emva kwezinsuku ezingu-3-4 zibe ngamapulethi kanye namabhulebhu amancane anesisindo esicacile ngaphakathi;
- ubuhlungu obukhulu emilonyeni yesikhumba;
- ukwandisa ama-lymph nodes eziseduze;
- Ukomisa amabhuleki emva kwezinsuku ezingu-6-8;
- ukwakheka kwama-crusts ama-brownish-yellow emva kokuqhuma kwamabhulebhu, ukunyamalala kwawo;
- ukutholakala kobuhlungu phakathi nentshonalanga ewonakele (neuralgia ye-postherpetic).
Isikhathi esiphelele se-herpes zoster singamaviki angu-3-4, okungajwayelekile - kuze kube yizinsuku ezingu-10. I-syndrome yezinhlungu ingakwazi ukukhathazeka isikhathi eside, izinyanga ngisho neminyaka.
Ngezinhlobo eziyingozi zesifo, lezi zibonakaliso ngezinye izikhathi azikho, kepha ngokuvamile ukugula kubangela izinkinga eziyingozi - i-encephalitis, i-myelitis, i-necrosis yamathishu nezinye.
Ukwelashwa kwezimpawu ze-herpes zoster kumuntu omdala
Lesi sifo esicatshangelwayo siphelela ngokutholakala okuphelele ngisho nangaphandle kokwelashwa okufanele, kodwa kulula ukuba abantu bathwale uma kukhona izimali ezenza izimpawu ze-herpes ukutheleleka.
Elinye lamaphuzu aphambili yokwelashwa kwe-pathology yi-anesthesia. Ngenxa yalokhu, izidakamizwa ezihlukahlukene ezilwa nokuvuvukala ngaphandle kwe-steroids zisetshenziswa:
- Ketorolac;
- Ibuprofen;
- Ketoprofen;
- I-Naproxen;
- Dexketoprofen;
- I-Paracetamol.
Ukwelapha izimpawu ze-herpes zoster ebusweni kuphakamisa ukusebenzisa i-anesthetics yasendaweni, isibonelo, ama-gel ane-lidocaine. Ngezinhlungu ezinkulu, i-Oxycodone, i-Gabapentin (i-anticonvulsants) inqunywe. Ayanciphisi ukuvuvukala nje kuphela, kodwa futhi ukusikaza, kunciphise ukukhukhumeza nokukhumba isikhumba.
Kwezinye izimo, kubonakala ukuthi ukwelapha ngezidakamizwa ze-corticosteroid kanye nezidakamizwa zokucindezeleka. Ngokuvamile izindlela ezinjalo ziyadingeka phambi kwesifo esibuhlungu sosizi futhi kukhulunywa nge-neuralgia yangemva kwesikhathi.
Ukwelashwa okuyinhloko kwe-herpes zoster kubantu abadala
Ngaphandle kokwelashwa okuyisimangaliso, ukwelashwa okuyisisekelo kokutheleleka kwamanje kwenziwa. Umphumela we-antiviral wenziwa ngemithi ekhethekile:
- I-Zovirax ;
- I-Acyclovir;
- Virolex;
- I-Pentocyclophyres;
- I-Valtrex;
- I-Famciclovir;
- I-Valaciclovir.
Kubalulekile ukuqala ukwelapha ngesikhathi ngezigaba ezibalwe. Baveza umphumela oyifunayo uma kusetshenzwa ngaphakathi kwamahora angu-72 wokuqala emva kokuqala kokuqedwa kokuqala. Kuyinto efiselekayo ngesikhathi esifanayo ukusebenzisa kokubili uhlobo lwangaphandle lwezidakamizwa namaphilisi omlomo.