Uninzi lwabantu lukholelwa ukuba ukudluliselwa kwenkukhu kuphelisa ingozi yokuphuhliswa kwakhona kwesi sifo. Nangona kunjalo, intsholongwane ye-herpes eyayikhuphayo, ihlala emzimbeni kwaye isenokusebenza ngokukhawuleza ngakumbi, ngakumbi ukuba i-immune system ibuhlungu. Kwiimeko ezinjalo, i-shingles ikhula - iimpawu kunye nokonyango kubantu abadala bakule ntsholongwane zihluke kwiimpawu kunye nonyango lwenkukhu, nangona zombini izifo zibangelwa yintsholongwane efanayo i- Herpes zoster .
Iimpawu zokubethela abantu abadala
Ifom eqhelekileyo yenkxwaleko echazwe kumanyathelo okuqala ibonakaliswe ngolu hlobo lulandelayo:
- ukwanda (ukungabi namandla) ukushisa komzimba, ukuya kuma-37.5-38 degrees;
- i-malaise encinci, isifo sokukhathala;
- intlungu ebuthakathaka ye-neurologic kwindawo yokuphuphuma kwexesha elizayo;
- ukunqabisa isikhumba;
- Ngamanye amaxesha kuluhlu olulula kunye nokukhangela kwe-epidermis.
Ngokuqhelekileyo, umfanekiso weklinikhi ufana nokuqala kwezifo zokuphefumula okanye i-ARI, ngoko ke akunakwenzeka ukuxilonga izibhinqa kweli nqanaba lophuhliso.
Ukuqhubeka okuqhubekayo kwintsholongwane emzimbeni kuhamba kunye neempawu:
- ukubonakala kwimibala e-pinki kunye ne-intercostal nererve kunye ne-trigeminal nererve;
- ukuvuvukala kwesikhumba kwindawo yokulahla;
- utshintsho lwamabala emva kweentsuku eziyi-3-4 zibe ngamaphepha kunye namabhodlela amancinci anesilwanyana esicacileyo ngaphakathi;
- intlungu ebuhlungu kwesikhumba;
- kwanda i-lymph nodes;
- Ukomisa iintsholongwane emva kweentsuku ezingama-6-8;
- ukubunjwa kwee-crusts ezibomvu ezibomvu emva kokuqhaqha kwamabhubhu, ukunyamalala kwazo;
- ubukho beentlungu phakathi kwentsholongwane eyonakalisiweyo (i-neuralgia yangaphambili).
Ubungakanani bexesha le-herpes zoster li malunga neveki ezingama-3-4, okungafanekiyo - ukuya kwiintsuku ezili-10. I-syndrome yesifo iyakhathaza ixesha elide, iinyanga kunye neminyaka.
Ngeentlobo zesifo esiyingozi, ngezinye iinkalo iimpawu zikhona, kodwa ngokuphindaphindiweyo ukukhubazeka kubangela iingxaki ezinobungozi - i-encephalitis, i-myelitis, i-necrosis yamathambo kunye nabanye.
Ukunyanga kweempawu ze-herpes zoster kumntu omdala
Isifo esicatshulweyo siphelela ngokuzifumana ngokupheleleyo ngaphandle kweyonyango efanelekileyo, kodwa kulula ukuba abantu bathwale ukuba kukho imali ejongene neengxaki zokukhulelwa kwe-herpes.
Enye yezona ngongoma eziphambili zonyango lwe-pathology yi-anesthesia. Kule nto, izidakamizwa ezahlukeneyo ezichithwayo ngaphandle kwe-steroids zisetyenzisiweyo:
- Ketorolac;
- Ibuprofen;
- Ketoprofen;
- Naproxen;
- Dexketoprofen;
- Paracetamol.
Ukunyangwa kweempawu ze-herpes zoster ebusweni kubonisa ukusetyenziswa kwe-anesthetics yendawo, umzekelo, iigels ne-lidocaine. Ngobuhlungu obukhulu, i-Oxycodone, iGabapentin (i-anticonvulsants) imiselwe. Ayanciphisi nje ukuvuvukala, kodwa ukukhupha, ukukhulula ukukhukhumeza nokukhupha isikhumba.
Kwezinye iimeko, kukho unyango olwenziwe ngamachiza e-corticosteroid kunye ne-anti-depressants. Ngokuqhelekileyo iindlela ezinjalo zifunekayo phambi kobuhlungu besifo seentlungu kwaye zibiza nge-neuralgia yangaphambili.
Unyango oluphambili lwe-herpes zoster kubantu abadala
Ukongeza kwonyango olumqondiso, unyango oluyisiseko losulelo lwangoku luqhutyelwa. Impembelelo ye-antiviral yenziwa ngamachiza akhethekileyo:
- Zovirax ;
- Acyclovir;
- Virolex;
- Pentocyclophyres;
- Valtrex;
- I-Famciclovir;
- Valaciclovir.
Kubalulekile ukuqala unyango ngexesha kunye neendlela ezibonisiweyo. Zivelisa umphumo oyifunayo ukuba zisetyenziswe kwiiyure ezingama-72 zokuqala emva kokuqala kokugqithisa kokuqala. Kuyinto enqwenelekayo ukuba isebenzise enye indlela yangaphandle yeziyobisi kunye namacwecwe omlomo.