Kuchiza mabomba, omwe amadziwikanso kuti herpes zoster (HZ), umayang'ana pa zinthu zingapo: kuthamangitsa machiritso ndi kuchepetsa ululu wokhudzana ndi kuphulika ndi kuchepetsa chiopsezo cha mavuto - makamaka chithandizo cha neuralgia (PHN), chomwe chimayambitsa kupweteka kapena kupweteka koopsa kumene kumatha kumupha munthu kwa miyezi kapena zaka. Popeza PHN ikhoza kumangoyamba kumeneku, dziwani kuti njira zina zomwe mungatsatire zingakhale zothandiza kuthetsa PHN.
Chofunika kwambiri kuti muzindikire: Ndikofunika kuti muzitha kumenyana ndi malo omwe maso anu amachititsa kuti mukhale ndi maso, a herpes zoster ophthalmicus, mofulumira. Ngati simunayambe kuchitapo kanthu nthawi yomweyo, ikhoza kuwonongera kotheratu maso kapena ngakhale khungu. Popeza mtundu uwu wamatope umakhudza diso, njira zina zamankhwala zothandizira ziwalo zina za thupi sizitetezeka. Mankhwala oletsa tizilombo toyambitsa matenda omwe tatchulawa ndi ofunika kwambiri. Ndipo nthawi zina adokotala amapereka mankhwala otchedwa steroid pogwiritsa ntchito mbali ya diso.
Zothetsera Pakhomo ndi Moyo Wamoyo
Mu njira zambiri, shingles ali ngati matenda ena aliwonse: Kuphatikiza pa kuyambitsa kuthamanga kosasangalatsa ndi kosasamala, zimakupangitsani kumva kuti ndiwotopa, watopa, ndipo mumakhala bwino. Choncho, chimodzi mwa zinthu zofunika kwambiri zomwe mungachite panthawiyi ndikudziyang'anira nokha, kapena ngati mukusamalira wina yemwe ali ndi zibambo, akuwatsuka ndi TLC.
Pambuyo pazimenezi, inunso muyenera kutengapo mbali kuti muthetse ululu.
- Sungani khungu lanu. Ikani makompyuta ozizira ngati mukufunikira kuthandizira kuchepetsa ululu ndi zotupa. (Musati muchite izi ngati mukugwiritsa ntchito zonunkhira zamtengo wapatali, monga zomwe zafotokozedwa pansipa.)
- Tengani zochepetsetsa zowongoka. Kusamba kwa oatmeal kungapereke mpumulo ku ululu. Mukhoza kugula mankhwala ogulitsira oatmeal podyera mankhwala kapena masitolo, kapena muzipanga nokha: Whiratu nthawi zonse oatmeal, mtundu umene mumadya chakudya cham'mawa, mu pulogalamu ya chakudya mpaka ufa wabwino. Onjezerani kapu yamadzi ndi madzi otentha (osati otentha).
- Vvalani kuti mutonthoze. Kutsekemera kuchokera ku zovala kungapangitse ululu. Ngati mphutsi yanu ili mbali ya thupi lanu imene iyenera kuti ikhale yotsekedwa mukakhala panja, valani chinthu chogwirizana mosagwirizana ndipo chapangidwa kuchokera ku chilengedwe.
- Pumula pang'ono. Kuwonjezera pa kutseka mokwanira kugona tulo, komwe anthu ambiri ali pakati pa maola 7 ndi 9, tenga nthawi patsiku ngati mukumva kuti mumawafuna.
- Idyani bwino. Izi zikutanthauza kupeza zakudya zolimbitsa thupi pakati pa chakudya, ndi kusunga zakudya zomwe zili ndi mafuta odzaza, mchere, ndi zoperewera zopanda kanthu.
- Sungani thupi lanu pamene mukumva. Yesani kuchita zosavuta monga kutambasula kapena kuyenda. (Fufuzani ndi adokotala ngati mwatsopano kuti muchite masewera olimbitsa thupi).
- Dzidodometse nokha. Pezani njira zotengera malingaliro anu kuti musamve ululu ndi kusokonezeka. Izi zikhoza kukhala zophweka monga kukhala ndi mnzanu pazokambirana kapena kuganizira zochita zowonetsera - kutengapo polojekiti yachitsulo kachiwiri. Gwiritsani mwana ndi masewera mumasewero a khadi, puzzles, kapena ntchito zina zosangalatsa.
- Kusokonezeka maganizo. Tembenuzani kuzinthu zomwe zimakuthandizani kuti mukhale osangalala, monga kusinkhasinkha, kuwerenga, kapena kumvetsera nyimbo zabwino.
Over-the-Counter (OTC) Mankhwala
Kupumula kwina kwa kupweteka ndi kuyabwa kuchokera ku shingles kumangopita ulendo wa mankhwala osokoneza bongo.
Zogulazi n'zosavuta kupeza ndipo safuna chilolezo cha dokotala. Ndipotu, ena mumakhala kale ndi mankhwala anu pamtima.
- Mankhwala opweteka a OTC. Mankhwala osagwiritsidwa ntchito poletsa kupweteka (NSAID) monga Tylenol (acetaminophen) kapena Motrin kapena Advil (ibuprofen) akhoza kuthandizira kuthetsa ululu wofatsa mpaka wochepa. Ngati mukupereka NSAID kwa mwanayo pogwiritsa ntchito shingles, onetsetsani kuti mlingoyo ndi woyenera pa msinkhu wake ndi kulemera kwake (chizindikirocho chidzakuwuzani, koma mukhoza kuyang'ananso ndi ana awo). Musamapatse mwana aspirin kapena mankhwala aliwonse omwe ali ndi aspirin: Mankhwalawa amathandizidwa ndi chiopsezo chowonjezeka cha matenda a Reye, matenda osadziwika omwe amachititsa kutupa kwa ubongo ndi chiwindi.
- Antihistamines. Antihistamine ya m'kamwa monga Benadryl (diphenhydramine) ikhoza kuyambitsa kuyabwa (komanso imayambitsa kugona, choncho musati mutenge pamene mukufunikira kuyang'ana kapena kuyendetsa galimoto). Inunso mukhoza kuyesa antihistamine. Mwachitsanzo, Benadryl amabwera ngati mankhwala, kirimu, kapena amamatira kuti agwiritse ntchito pakhungu.
- Mbalame yotsekemera. Mofanana ndi antihistamines zam'mutu, mavitamini amatha kuchepetsa kuyabwa ndi kupweteka. Ngati simukukonda zinthu zakuda zakuda pinki, mungapezepo momveka bwino.
- Lidocaine. Mankhwalawa amathandiza kuchepetsa ululu mwa kufooketsa kanthawi komwe kumakhala kovuta. Amapezeka m'makina osiyanasiyana a khungu la OTC, komanso patch yomwe imatchedwa Lidoderm yomwe imamatira khungu ndipo imatulutsa zing'onozing'ono za lidocaine kwa maola 12 pa tsiku. Gwiritsirani ntchito lidocaine (mwa mtundu uliwonse) khungu lomwe lili lolimba-ndiko kuti, lopwetekabe kapena lopweteka pakatha matenda a mitsempha atachiritsidwa, monga momwe zimakhalira pamene shingles imatsatiridwa ndi pambuyo pena neuralgia (PHN).
Capsaicin. Zosakaniza zowonjezera pa tsabola zomwe zimayambitsa pakamwa panu mukakumana nazo mu salsa zokometsera zokometsetsa zimakhudzanso khungu. Zimagwira ntchito pochotsera ubongo wodzinso wotchedwa substance P yomwe imatulutsa zizindikiro zopweteka. Kafukufuku wochuluka apeza kuti capsaicin imathandiza kuthetsa ululu wosokoneza ubongo monga PHN. Kafukufuku wochuluka akuyang'ana pa mapepala omwe ali ndi mankhwala okhaokha omwe ali ndi ndende yaikulu (8 peresenti) ya capsaicin. (Dzina lake ndi Qutenza). Mungapeze mavitamini okhala ndi mankhwala otsika a capsaicin m'masitolo ogulitsa mankhwala, masitolo ogulitsa zakudya, komanso pa intaneti. Chimodzi mwa izi, Zostrix, chili ndi 0.1% capsaicin. Lankhulani ndi dokotala wanu za kuchuluka kwa inu. Kaya zili zotani, ndibwino kuvala magolovesi otsala mukamagwiritsira ntchito capsaicin ndikusamala kuti musakhudze dera la maso kapena malo ena osweka.
Malemba
Mankhwala oyambirira ndi ofunika kuti kuchepetsa kuphulika kwa chibwibwi, kuyamba ndi mankhwala opatsirana pogonana. Mankhwala ena angapangidwe kuti achepetse ululu ndi zovuta.
- Mankhwala osokoneza bongo. Izi zimateteza kachilombo ka varicella kuti isapitirire, kuchira mofulumira kwa zilonda za khungu, ndi kuchepetsa kupsinjika komanso kupweteka kwa ululu. Zimapindulitsa kwambiri mutaperekedwa mkati mwa maola 72 pa maonekedwe oyambirira, choncho ngati mukuganiza kuti kuphulika kwa mitsempha kungakhale kuswa, onani dokotala nthawi yomweyo. Kumbukirani kuti ngati simungathe kuyamba mankhwala ndi mankhwala osokoneza bongo mkati mwa maola 72, zingakhale zothandiza kutenga chimodzi. Palinso mankhwala oletsa tizilombo toyambitsa matenda atatu kuti tipeze zilonda: Zovirax (acyclovir), Famvir (famciclovir), ndi Valtrex (valacyclovir). Anthu omwe ali ndi ma chitetezo a mthupi (monga donors ndi anthu omwe ali ndi kachilombo koyambitsa matenda a munthu, kapena kachilombo ka HIV) angafunike acyclovir. Acyclovir amayamba kukhala otsika mtengo kwambiri koma izi ziyenera kutengedwa mobwerezabwereza kuposa mankhwala ena.
- Anticonvulsants . Pofuna kupweteka, mankhwala ena omwe amachititsa kuchepetsa kupweteka nthawi zina amathandiza. Zitsanzo ndi Neurontin (gabapentin) ndi Lyrica (pregabalin), zomwe zingathetsere ululu wa PHN ngati wagwiritsidwa ntchito ndi mankhwala oletsa tizilombo toyambitsa matenda.
- Tricyclic zowonongeka. Kalasiyi ya anti-depressants, yomwe imasiyanasiyana ndi otchuka kwambiri-serotonin reuptake inhibitors, kapena SSRI, monga Prozac (fluoxetine), yapezeka kuti athetse ululu wa mitsempha. Zitsanzo zenizeni zikuphatikizapo amitriptyline (yomwe ilipo mwachibadwa), Aventyl (nortriptyline), ndi Norpramin (desipramine).
- Corticosteroids. Ngakhale kuti kawirikawiri sanagwiritsidwe ntchito kwa shingles kapena PHN, nthawi zina amagwiritsira ntchito corticosteroids mogwirizana ndi mankhwala opatsirana pogonana.
- Opioids . Njira zina zothandizira opioid, monga morphine-release release-patches kapena fentanyl patches, zatsimikizirika bwino pamene shingles kapena PHN amachititsa ululu waukulu.
Mankhwala Osakaniza Owonjezera (CAM)
Ngakhale kuti pali njira zina zochiritsira zopweteketsa zazing'onong'ono, zakhala zikufufuzidwa mokwanira kuti ziwoneke ngati zothandiza. Zina mwazo ndi mavitamini a proteolytic, omwe amapangidwa mwachibadwa ndi makoswe kuti athandize kupopera mapuloteni kuchokera ku zakudya. Amapezanso zakudya zina monga papaya ndi chinanazi. Zakudya zomwe zimachokera ku papaya (wotchedwa papain ), chinanazi (wotchedwa bromelain ), ndi ziphuphu za nyama zingapezeke pa intaneti, m'masitolo ogulitsa zakudya, komanso m'masitolo ena ogulitsa zakudya. Nthawi zambiri zimagulitsidwa monga mavitamini operekera m'mimba .
Mu kafukufuku wa German wa 192 wa anthu 192 omwe anali ndi ziboda, theka linatenga mapuloteni a proteolytic masiku 14 ndi theka anatenga acyclovir. Magulu onse awiriwa anali ndi ululu wofanana ndi kupukuta khungu, kupatula khungu lofiira, lomwe linasonyeza kusintha kwakukulu ndi mankhwala acyclovir. Gulu lomwe limatenga mapuloteni a proteolytic linali ndi zotsatira zochepa.
Ngakhale zili choncho, mavitamini a proteolytic akhoza kukhala ndi zotsatirapo zina, kuphatikizapo kusokonezeka maganizo komanso kusokonezeka maganizo. Makamaka, anthu omwe ali ndi chifuwa chachikulu kwa chinanazi kapena papaya ayenera kupewa zowonjezerapo zomwe zimachokera ku chipatso chimenecho.
Mavitamini a puloteniyake, makamaka bromelain ndi papain, sayenera kutengedwa ndi odwala magazi monga aspirin kapena Coumadin (warfarin) chifukwa akhoza kuwonjezera zotsatira za mankhwalawa. Mavitamini a proteolytic pancreatin amatha kusokoneza mavitamini folate. Popeza pali umboni wochepa kwambiri wakuti mavitamini a proteolytic ndi othandiza kwambiri pakuthana ndi ziphuphu komanso kuti akhoza kukhala ndi zotsatirapo, muyenera kukaonana ndi dokotala musanawatenge kuti azisamalira matenda.
> Zotsatira:
> Derry, S, Rice, AS, Cole, P, Tan, T, ndi Moore, RA. "Topical Capsaicin (High Concentration) ya Matenda Ovutika Kwambiri Okhudza Anthu Achikulire." Cochrane Database Rev Rev Jan 13, 2017; 1: CD007393. DOI: 10.1002 / 14651858.CD007393.pub4.
> MedlinePlus. "Kumangirira-Pambuyo Pambuyo." May 21, 2016.
> National Institue on Aging. Mabomba. "Dec 31, 2016.
> Zomwe Zilikulu za US Zokhudza Kuletsa ndi Kupewa Matenda (CDC). "Shingles (Herpes Zoster): Kupita kuchipatala." Atlanta, Georgia; May 1, 2014.
> UpToDate. Albrecht, M., "Maphunziro a Odwala: Mabomba (Pambuyo pa Zowona)." Mar 6, 2018.