Herpes zoster
Imvamisa
Ejwayelekile
Iqembu Leminyaka
Abantu Abadala & Abadala
Intuthuko
Acute
Kuyasabalala
Yebo
I-Herpes zoster, noma shingles, iwumfantu ebuhlungu edalwe ukuvuselelwa kwe-varicella-zoster virus, igciwane elifanayo elibangela i-chickenpox. Ivamise ukuthinta uhlangothi olulodwa lomzimba eduze nendlela yethambo futhi ingaholela ebuhlungwini obude uma ingelashwa kusenesikhathi.
Lena ulwazi jikelele. Ngehlolo uzothola ukuhlaziywa okunembile, okwenziwe ngokwezifiso — kuhlanganise nokuhlola ingcuphe, ukulandelela intuthuko nezinyathelo eziphakanyisiwe.
I-Herpes zoster idalwa ukuvuselelwa kwe-varicella-zoster virus ebilokhu ilele kumaseli wethambo kusukela esikhathini esidlule sokutheleleka nge-chickenpox. Uma amasosha omzimba ebuthaka noma esengcindezini, igciwane lingavuselelwa eduze nethambo elithile futhi libangele umfantu obuhlungu ohlangothini olulodwa.
Ingozi yakho ye-shingles iyanda ngokuhamba kwesikhathi, amasosha omzimba abuthaka, izifo ezingamahlalakhona, nemithi ethile efana ne-chemotherapy noma ama-steroids esikhathi eside. Abantu abake baba ne-chickenpox basengozini, futhi izinkinga zivame kakhulu kubantu abadala nabanezinkinga zamasosha omzimba.
Ukwelashwa okuyinhloko kwe-herpes zoster ukwelashwa nge-antiviral kusenesikhathi ngemithi efana ne-acyclovir, valacyclovir, noma famciclovir, okufanele kuqale phakathi nezinsuku ezi-72 zokuqala komfantu. Ukulawula ubuhlungu ngemithi yokwelapha ubuhlungu, imithi yobuhlungu bethambo, nokunakekelwa okuthambisayo kwesikhumba kubalulekile, futhi abanye abantu badinga ukwelashwa okukhethekile kwe-postherpetic neuralgia.
Ulwazi olunikezwe lapha lukhona ngenhloso yokufundisa kuphela futhi alukhulumi iseluleko sezokwelapha esifanele. Ngaso sonke isikhathi xhumana nodokotela wezokwelapha noma udokotela uma unokukhathazeka.
I-Herpes simplex iyisifo esivamile segciwane esibangela amaqoqo aphindaphindayo ama-blisters amancane, abuhlungu esikhumbeni noma kumaseli omzimba, ikakhulukazi azungeze umlomo noma izitho zangasese. Igciwane lihlala emzimbeni impilo yonke futhi lingaphinda livuke ngezikhathi ezithile, ikakhulukazi ngesikhathi sokucindezeleka, ukugula, noma ezinye izimbangela.
I-Genital herpes iyisifo esithathelwana ngocansi esibangelwa yigciwane le-herpes simplex izinhlobo 1 noma 2. Ivame ukuvela njengezibazi ezibuhlungu nezilonda ezitholakala noma eduze kwezitho zangasese, isitho sangasese, noma isikhumba esiseduze. Igciwane lihlala emzimbeni impilo yonke futhi lingavuka futhi ngezikhathi ezithile. Ukwelashwa akunakukhipha igciwane, kodwa kungafushanisa ukuqubuka, kunciphise izimpawu, futhi kunciphise ingozi yokudlulisela kwabanye.
Indlela ephumelela kakhulu yokuvimbela i-shingles nezinkinga zayo ukugoma ngokumelene ne-herpes zoster, ikakhulukazi kubantu abadala abangaphezu kweminyaka engu-50. Imikhuba yokuphila enempilo nokulawula kahle izifo ezingamahlalakhona nakho kusiza ukugcina amasosha omzimba akho eqinile futhi kwehlise ingozi yokuvuselelwa.
Kufanele ubone udokotela ngokushesha uma usola i-shingles, ikakhulukazi uma umfantu usebusweni bakho, eduze kweso lakho, noma uma ubuhlungu bukhulu. Udokotela angakwazi ukuqinisekisa ukuxilongwa, aqale ama-antivirals, aphathe ubuhlungu, futhi ahlole izinkinga ezifana nokulimala kwamehlo noma i-postherpetic neuralgia.
I-Shingles kufanele ihlolwe udokotela phakathi nezinsuku ezi-24 kuya kwezi-72 zokuqala zomfantu ukuze ukwelashwa nge-antiviral kuqale kusenesikhathi. Uma umfantu usebusweni bakho, eduze kweso lakho, noma uzizwa ungaphathekile kahle kakhulu, funa usizo oluphuthumayo ngosuku olufanayo noma usizo lwezokwelapha.
Amathumba ayisifo esithelelanayo esidalwa yigciwane le-varicella zoster, ngokuvamile elithinta izingane. Siqala ngomkhuhlane nokukhathala, kulandele isikhumba esibomvu esiklabalasa esiguquka sibe ngamathumba agcwele uketshezi bese kuba amaqhuqhuva. Ezinganeni eziphilile ngokuvamile siyaphela sodwa cishe ezinsukwini ezingu-7 kuya ku-10, kodwa singaba yingozi ezinganeni ezisencane, abesifazane abakhulelwe, abantu abadala, nabantu abanamasosha omzimba abuthakathaka. Ngemuva kwamathumba, igciwane lihlala emzimbeni futhi lingadala i-shingles kamuva.
