Zvirwere zvakapararira zvakapararira, izvo zvinokonzerwa nehutachiona, shingles inowanikwa paavhareji muvanhu gumi nemashanu kune umwe neumwe vane zviuru zana. Utachiona hunokonzera chirwere ichi ndechemhuri yakakurumbira yemakwenzi ake uye iyo inonzi causative agent yekoko .
Chii chinonzi shingles?
Herpes zoster (iyo inonzi chirwere, maererano nechirwere chinonzi pathogen), inobva kuGreek ἕρπειν ( herpein ) (kukamba, kukamba) uye ζωστηρ (bhanhire, bhanhire). Ichi chirwere chinoratidzika nechitarisiko chemashizha anosvika paganda (kunyanya mumatanda munzvimbo), iyo inofambidzana nehutano syndrome uye general malaise. Ngozi yehutachiona iyi ndeyokuti inogona kukonzera dzimwe, zvirwere zvisiri zvishoma. Shingles, mufananidzo waro unogona kuonekwa pasi apa, unozviratidza mumhando yekunamatira rashes.
Shingles - causative agent
Chirwere chinokonzera chirwere ichi chinonzi herpes zoster uye chinokonzerawo causative agent yekoko, saka zvakakosha kunzwisisa kuti munhu ane chirwere chekukutu haana kuchengeteka uye anogona kuva neshungu, iyo yakasiyana zvachose kupfuura yeiyo yehuku. Herpes yerudzi rwechitatu inowanzoonekwa muhuduku, uye nenzira yehepepes zoster inoratidzwa gare gare sekudzoka zvakare.
Ko, zoster inotapukirwa kana kwete?
Kuti vazvidzivirire kubva pachirwere zvakanyanya sezvinobvira, vazhinji vanofarira kana herpes zoster inopararira uye ichi chido chakanyatsokodzera. Saka, kune vanhu vairwara nehukoko, vacharwara kubva kune murwere vane shingles hazvina hanya. Zvisinei, nekuda kwekuti vanhu vazhinji chaizvo vane hutachiona hushoma nekuda kwezvikonzero zvakasiyana-siyana, mikana yehutachiona inowedzera. Kune boka iri rakawedzerwa neboka revanhu vane vane herpes, asi muviri hauna kugadzira chitunha chakanaka uye shingles kwavari inogona kupfuura kubva kune anotakura sezvezve kutapukirwa.
Saka, chirwere chacho chinoparidzwa sei uye rini?
- Zvose kuvana nevakuru, shingles inogona kuparadzirwa kana isina kumbove nehosikisi.
- Vana kazhinji vanowana chickenpox pakusangana nemunhu ane shingles.
- Nekunonzi chitachiona chepasi, ngozi yeutachiona inowedzera kazhinji.
- Zvinotapukira ndiro chirwere chete panhandare iyo vesicles inenge yakachena, kana ichinge yakafukidzirwa nehutachiona - hutachiona hwakachengeteka.
Tinea - Species
Tichifunga nezvechirwere chisingafadzi chakadai sechisimba mumunhu, vazhinji vanofarira mubvunzo wekuti izvi zvinorega zvisikwa nemafomu. Icho chinyaradzo hachina chero michero kana mafomu, asi zvichida ruzivo pamusoro pemarudzi akange aripo echeka uye maitiro awo achabatsira. Saka, chikafu chinowanikwa mumhando dzakasiyana-siyana, pakati peiyo inowanikwa zvikuru:
- herpes zoster (herpes);
- Ringworm;
- Dhaniki inorambidza, kana kubvisa Zhibera;
- ruvara ruvara ;
- dhena (nyeredzi) herpes;
- red red flat lichen ;
- scaly lichen.
Shingles - zvikonzero
Tsanangudzo pamusoro pokuti shepe (shingles) inobva kupi inogona kubatsira kune wese wese anoda kuda kuzvidzivirira uye kuzvidzivirira kubva kumaruva ake. Munzvimbo dzakawanda zvinokonzera chirwere ichi zvinogona kuvepo kune mamwe matambudziko ehutano, pakati pawo:
- kuderedzwa kwezvidziviriro zvemuviri (simba risina simba uye kupera kwarwo nezera rinowanzokonzera zvirwere, nhamba dzinoti vanhu vakwegura vanobata dambudziko rezvipembenene kanomwe kakawanda kupfuura mamwe mazera emakore);
- autoimmune zvinetso uye immunodeficiencies;
- chirwere cheshuga mellitus ;
- oncology, advanced chemotherapy uye radiation therapy;
- vatakuri vekutapukirwa kweHIV ;
- nhengo yokugadzirwa uye fufupa rekupisa;
- zvirwere zvisingaperi (tuberculosis, heart failure, cirrhosis, hepatitis, kusagadzikana kwetsvina);
- kukuvadzwa, kunyanya kwakaoma.
Pane huwandu hwezvimwe zvikamu zvehutano uye yehutano hwechirwere.
- Muchikwata chevanhu vane ngozi kune vanhu vanotora glucocorticosteroids, iyo inodzivisa kuchengetedza basa mumuviri.
- Mumamiriro ezvinhu apo munhu anenge atapukirwa kwekutanga, angave ane zviratidzo zvezvose zvirwere uye chickenpox uye herpes zoster.
- Muvanhu vaduku uye vane hutano, njodzi yokurwara inowedzera kungowedzera kwenguva yakareba muviri, kuora mwoyo uye hypothermia.
- Mumapoka evana, huku kune hutachiona hunogona kuitika nekushamwaridzana nemunhu mukuru anotambudzika ne herpes zoster.
Shingles - zviratidzo
Herpes zoster, zviratidzo zvatinorondedzera pasi apa, chirwere chinotarisana nezviratidzo zvisingafadzi uye zvinoda nzira yakakodzera yekurapa. Saka, zviratidzo zvikuru zvemakumbo ake uye zvinoshandiswa muhupenyu husiku hwechirwere ndezvekuti:
- kusimba, kuneta;
- headache;
- dyspeptic disorders;
- chills uye fever;
- apo pane mabhuru - marwadzo e-neuralgic uye kurira kunzvimbo yekurashi.
Shingles - rash
Chirwere chakadai, shingle mumunhu ane zviratidzo zvatakaongorora, nguva dzose inoperekedzwa nemakumbo emaperembudzi anorwadza. Rushana nechirwere ichi chinowanikwa mumhando yepapules, iri pa hypermic uye inoputirwa pasi. Kunyanya nzvimbo dzekunzvimbo dzayo ndiko nzvimbo dzisina kuchengetedzwa kwetatu uye humwe hutano hwenyika.
Papules of herpes zoster (lichen) nokukurumidza (kwehafu nehafu kusvika kwemazuva maviri) inoshanduka kuva blisters uye vesicles zvinorwadza zvikuru, izvo zvichangova pustules. Zvadaro kuvhara kwakafukidzwa nekwakaputika iyo inotapira mazuva gumi nemaviri ehutachiona. Mushure mekutarisa, unhu hunofungidzirwa hutachiona hunoramba huripo. Iro rinowanzopera zvachose pane imwe nguva kwemavhiki maviri kusvika mana, asi kurwadziwa kunogona kuramba kwenguva refu.
Pain with shingles
Tichifunga nezviratidzo zvehepepeoster mumunhu, zvakakosha kutaura pamusoro pechiratidzo chekurwadziwa pamwe chete nechirwere ichi. Neye herpes zoster, marwadzo ari herpes-akabatanidzwa, ane zvikamu zvitatu:
- rinopinza;
- subacute;
- chronic.
Zvose izvi nyika dzine maitiro avo ega.
- Acute neuralgia inowanikwa pamusoro pemwedzi panguva inenge ichidiwa kuti igadzirise kupera. Izvi zvinosangana nemarwadzo, kupisa, kurira. Iyo kurwadziwa inogona kunge ichikudzimbura, kugunun'una, kubata uye kuva nechigarire kana paroxysmal character.
- Subacute neuralgia inowanikwa pakarepo mushure mekurwadza, uye inogona kupedza mwedzi mitatu.
- Chronic neuralgia inotora mwedzi inopfuura mina uye inogona kupfuurira kwenguva yakareba, mune dzimwe nguva, kwemakore.
Herpes zoster - kuonekwa
Sezvo mutemo, iyo herpes zoster kuongororwa inorayirwa vakadzi vane pamuviri nekuda kwengozi yokubvisa pamuviri pakarepo, kuberekwa kwemwana akafa uye zvakasiyana-siyana zvinokonzera kusagadzikana (kukanganisa kwepfungwa, kukanganisa kune nhengo dzemaonero, kukurumidza kukura) kana pane chirwere chechickenpox panguva yekutanga kutarisana nehutachiona. Mune zvimwe zviitiko, kuvimbiswa kwehutachiona kunoitwa neongororo ye laboratori, kunyange zvazvo herpes zoster ine zviratidzo zvakadaro zvakaratidza kuti humwe hunoti huchapupu huripo hunodikanwa.
Shingles - kurapwa
Mubvunzo wakajeka kupfuura kuporesa shingles unoda kunyatsodzidza, nokuti mishonga haigoni kumira uye madhiragi ayo ave achishanda munguva pfupi yapfuura anogona kupa nzira itsva, yakachengeteka uye inobudirira. Pamwe nemararamiro emadzitateguru, vanhu vazhinji vanoshandisa mishonga yemagariro, asi zvakanyanyisa kuita izvi mushure mekubvunza chiremba.
Nzira yekurapa zvipembenene muvanhu - zvinodhaka
Zvinonyanya kukosha kuziva maitiro ekurapa herpes zoster kuitira kuti kurapwa ibudirire sezvinobvira. Izvi zvingaita sezvisinganzwisisiki, asi kana munhu ane hutano uye asina zvirwere zvisingaperi, ipapo kurapwa kwemhepo inoshaya hazvidiwi, asi chiremba chero chipi zvacho chinofanira kushanda. Zvinodhaka, izvo zvinowanzotaurwa mumhosva iyi - painkillers, pakati peiyo:
- Paracetamol ;
- Ibuprofen;
- Naproxen.
Mumatambudziko akaoma, zvinotevera zvinogona kugoverwa:
- Gabapentin;
- Pregabalin;
- Kugadzirira kweboka revanhu vanodzvinyirira, somuenzaniso, Amitriptyline;
- nonsteroidal anti-inflammatory drugs (Olfen, Diklak, Ketoprofen nevamwe).
Mukuwedzera kune painkillers uye anti-inflammatory drugs, zvinodhaka zvinodhaka zvinogona kupiwa, izvo zvakagadzirirwa kudzivisa matambudziko uye kukurudzira kuporesa kwepakutanga kwezvionda. Aya ndiwo magadzirira:
- Acyclovir:
- Penciclovir;
- Valaciclovir;
- Famiciclovir.
Shingles - vanhu nzira dzokurapa
Mishonga yemazuva ano inopa mapeji mazhinji, kushandiswa kwaro kunofanirwa kubvumiranwa nachiremba. Iyo herpes zoster virusi, iyo inorapwa yakareba uye inowanzorwadza, inoda nzira yakakodzera uye nguva dzose kushandisa nzira dzokurapa. Kurapa kwakasiyana-siyana kunopa zvakawanda mapeji, pakati pezvatakasarudza zvakanakisisa.
Ginger root tincture
Zvisungo:
- rhizome ye ginger - 150 g;
- vodka - 800 ml.
Kugadzirira uye kushandiswa
- Dururirai zvinhu zvakasvibirira ne vodka uye muende kunopinda munzvimbo ine rima.
- Zviri mukati memudziyo zvinofanira kuzununguswa nguva nenguva. Mumavhiki maviri, mhinduro ichagadzirira.
- Kunwa ginger tincture unoda kaviri pazuva usati wadya 50 g.
Tincture kubva pamidzi yemavillow
Zvisungo:
- chirwere chemishonga ye willow - 1 tbsp. spoon;
- mvura inopisa - 1 girazi.
Kugadzirira uye kushandiswa
- Dururirai mudzi nemvura inopisa uye rega iite kweawa.
- Tora hafu yekote mukombe katatu zuva rimwe nerimwe usati wadya.
Herbal compress
Zvisungo:
- burdock - 1 tbsp. spoon;
- tansy - 1 tbsp. spoon;
- immortelle - 1 tbsp. spoon;
- peppermint - 1 tbsp. spoon;
- mvura inopisa - 1 girazi.
Kugadzirira uye kushandiswa
- Mishonga inosanganiswa, tora puniki imwe yevhenganiswa uye uizadze negirazi yemvura inopisa.
- Ramba uchitonhora pasi.
- Shandisa kuiswa mumufananidzo wekumanikidzwa kune nzvimbo dzakakanganiswa kwemaawa maviri.
Nzira shoma shoma dzokurudzira vanhu vanorapa:
- Nguva dzose kugadziriswa kwenzvimbo dzinorwadza dzine sulfur uye glycerin, yakavhenganiswa muyero we1: 2.
- Nhengo dzomusika dzisina kuiswa mutsara cider vhiniga inoshandiswa pamatare emheta 4-5 kakawanda pazuva. Ichi chishandiso chinoderedza kuderedza kubvarura, kupisa uye kukurumidza kusimuka kwekuvandudzwa kwezvinhu.
Herpes zoster - zvinetso
Mubvunzo wezvinhu zvinogona kutarisirwa munyaya yakaipisisa mushure mokunge shingles inobvunzwa nevakawanda uye yakarurama. Migumisiro yechirwere chakakomba uye kudzivirira kudzivirira kunogona kuita seizvi:
- Nekuvhiringidzwa kweziso, kuonekwa zvakanaka kunogona kuora zvikuru uye optic neuritis inokura.
- Kana hutachiona hwebhakitiriya hwapinda muhutachiona hwehutachiwana, mamiriro ezvinhu emuurwere anogona kuwedzera kuipa, uye kurapwa kwemavanga kunogona kudhonza kwemwedzi yakawanda.
- Mune chimiro chakaipa chechirwere, kupora muviri kwehutano hwepiso kunogona kuitika.
- Panogona kuva nekuvhiringidzwa kwemukati maviri (pneumonia, matambudziko mu genitourinary system, matambudziko nehutano hwe duodenum).
- Kana herpes zoster (herpes) ine fomu ye encephalitis, iyo ingano yakaipisisa uye yakakomba inogona kunge iri meningoencephalitis, iyo inowanzotungamirira kukuremara.
Shingles - kudzivirira
Herpes zoster virusi ndeimwe yemisoro yakawanda yekutsvakurudza uye kukakavadzana munharaunda yenyika yezvehutano. Mishonga inogadziridzwa uye yakagadziridzwa nokuda kwezvinodzivirira, asi kubudirira kwavo hachiri kukwirira sezvatingadi. Nokudaro, chimwe chezvinhu zvakakosha zviri kuchengetedza mararamiro ehutano uye kuchengetedza maitiro ezvirwere mumuviri zvakakodzera.
Inoculation from herpes zoster
Kuti awane vachakonzerwa ne herpes zoster kuti akanganwe pamusoro payo nokusingaperi - nyanzvi pasi pose vanoita basa rokugadzira chirwere chakadaro, asi kusvika ikozvino hachikwanisi kuita 100%. Zvirwere zvemakambani ehurumende vari kupora, asi kubudirira kwayo hakuri kukwirira zvakakwana uye chirwere chinoshanda kune umwe neumwe nenzira dzakasiyana. Kunyange zvazvo kukakavadzana mumitambo yezvokurapa kusingaregi, mumusika wemazuva ano zvinogona kuonekwa zvirwere zviviri zvinorwisana neZoster virus.
- Izvo zvinotarisirwa zvizere zvinotaridzika zvinokonzera kupera kwe 32-34% muhutachiwana hwechirwere mushure mekushandisa chirwere cheGlaxoSmithKline.
- Vagadziri vemushonga uyu "Zostavax" vanovimbisa zvakawanda, maererano navo, zvinobudirira munyaya iyi inenge 60%.
Shingles - mavitamini
Kuti ubatsire muviri kukurira shingles (herpes zoster), unofanirwa kuhupa nemavithamini anodiwa uye microelements. Zvinonyanya kukosha uye zvinokosha kwavari ndezvi:
- Vitamini C - inokurumidza kugadziriswa kwemasumbu, inoderedza kuchema uye kunzwa kunorwadza.
- Zinc - chinhu chino chinopesana nekuberekwa kwehutachiona.
- Beta-carotene, iyo inobatsira kutsungirira chirwere ichi nokukurumidza.
- Vitamini E - inosimbisa masimba emuviri uye inodzivirira masero eropa eropa kubva mumavirusi.