Kumbukirani kuti mutenge katemera kuti muteteze mabhungwa
Matendawa ndi matenda opweteka a pakhungu omwe amakhudza pafupifupi anthu miliyoni a ku America chaka chilichonse, malinga ndi Centers for Disease Control and Prevention, kapena CDC. Nkhumba zingayambitse mutu ndi ululu ngati zimakhudza mitsempha yambiri yomwe imateteza nkhope (yotchedwa mitsempha ya trigeminal ).
Kumvetsetsa Ming'oma
Mphuno ndi ntchentche yowawa yomwe imayambira pamzere wa mitsempha (wotchedwa dermatome ).
Chiwombankhanga chimapanga chifukwa cha kubwezeretsa kachilombo ka nkhuku, komwe kawirikawiri sikhala ndi mitsempha m'thupi lanu. Matenda a shingles ndi herpes zoster, omwe sayenera kusokonezeka ndi herpes, matenda opatsirana pogonana.
Ndikofunika kumvetsetsa kuti aliyense amene ali ndi nkhuku (kapena analandira chithandizo cha nkhuku) akhoza kukhala ndi zibwenzi. Izi zimati, shingles ndizofala kwambiri pa anthu akuluakulu a zaka zoposa 50, komanso anthu omwe ali ndi mphamvu zoziteteza kuthupi (mwachitsanzo, anthu omwe amatenga corticosteroids kapena anthu omwe ali ndi matenda a lymphoma, khansa ya m'magazi kapena kachilombo ka HIV .
Mphuno ndi Mutu kapena Chisoni
Mphuno ikhoza kukukhudzani kwina paliponse m'thupi lanu, ngakhale zimakhudza ganglion trigeminal pa milandu 10 mpaka 15% -ndipo izi zimapangitsa munthu kukhala mutu kapena kupweteka. Mawu achipatala chifukwa cha ululu wamutu kapena wa nkhope umene umachitika chifukwa cha matumbo ndi "kupweteka kwapadera kotchedwa neuropathy komwe kumachitika chifukwa cha herpes zoster."
Ganglion ya trigemine ndi imene maselo a mitsempha yotchedwa trigeminal nerve ayamba kugwedeza nkhope, pakamwa, ndi mutu. Mitsempha ya trigeminal ili ndi nthambi zitatu zikuluzikulu:
- Nthambi ya ophthalmic, yomwe ili pafupi ndi diso
- Maxillary nthambi, yomwe ili pamalo a cheek
- Nthambi ya Mandibular, yomwe ili m'dera la nsagwada
Nthambi ya mitsempha ya trigeminal yomwe imakhudzidwa kwambiri ndi herpes zoster ndi nthambi ya ophthalmic.
Nkhumba zomwe zimakhudza mitsempha ya trigeminal nthawi zambiri zimatchulidwa ngati kuyaka, kupweteka, kuyabwa, kugwa, kapena kupweteka kumutu kapena nkhope. Anthu amafotokozanso kuti kulimbikitsidwa komwe kumakhudza kwambiri m'mimba ya mitsempha yotchedwa allodynia .
Ndikofunika kuzindikira kuti musanapangitse kupwetekedwa kosautsa kwa nkhwangwa, anthu ena amawona zizindikiro zowonjezereka monga malaise, kupwetekedwa mutu, kukhudzidwa kuunika, kusokonezeka kwachibadwa (mwachitsanzo, kuyabwa kapena kuyaka). Nthaŵi zina, anthu amatha kutentha thupi. Zizindikirozi zimatha kufika masiku angapo kusanayambe kukuphulika.
Pamene chiwombankhanga chimawonekera, chimayamba ngati ziphuphu zofiira zomwe zimasanduka mabomba odzaza madzi, otchedwa vesicles. Matenda a vesicles masiku asanu ndi awiri kapena asanu, ndipo scabs imatha pafupifupi masabata awiri kapena anayi. Nthawi zina kuthamanga kumatha kusiya chilonda.
Kuchiza kwa Mphuno
Matendawa amachiritsidwa ndi mankhwala oletsa tizilombo toyambitsa matenda, monga Valtrex (valacyclovir) imene amadokotala. Ngati nthendayi ili pafupi kapena pafupi ndi diso lanu, mudzafunika mwamsanga kuona katswiri wamaso wotchedwa ophthalmologist.
Pomaliza, kuwonjezera pa mankhwala oletsa tizilombo toyambitsa matenda, dokotala wanu angapereke mankhwala opweteka kuti athetse vuto, zomwe zingakhale zocheperapo.
Zitsanzo za mankhwala opweteka omwe dokotala angakulimbikitseni kapena kuwapatsa ndi awa:
- Tylenol (acetaminophen)
- Mankhwala otsutsana ndi kutupa (osaperoidal anti-inflammatory drugs ( NSAIDs )
- Corticosteroids
- Mankhwala osokoneza bongo monga Neurontin (gabapentin) kapena Lyrica (pregabalin).
Pofuna kuchepetsa kuyabwa, kuthira madzi amadzimadzi ndi mavitamini angakhale othandiza.
Tidbits Awiri Kuti Tizikumbukira
Chinthu chimodzi chofunika kwambiri chomwe tiyenera kukumbukira ndi chakuti shingles sizowopsa. Izo zinati, pali kusiyana kwina. Ngati munthu sanakhalepo ndi nkhuku (ndipo sanakhale ndi katemera wa nkhuku) ndipo amakumana ndi kutukuka (pamene mphutsi ili pamsana kapena vesicle), akhoza kuigwira.
Mphuno siilimbikitsana musanayambe kupweteka kapena pamene mphutsi ikugwedezeka. Ngakhale zili choncho, malinga ndi Centers for Disease Control and Prevention, chiopsezo chotulutsa nkhuku kuchokera ku nkhwangwa ndi chochepa ngati mkangano ukuta. Komabe, ngati muli ndi ziphuphu, dokotala wanu angakulimbikitseni kuti musayandikire kwambiri ndi ana omwe sanalandire katemera wa nkhuku.
Nthiti yachiwiri yofunika kwambiri ndi yakuti shingles ingaletsedwe. Ndipotu, pakali pano pali katemera wa shingles. Katemera wina ndi katemera wa zoster (Zostavax) wotetezedwa bwino ndipo winayo ndi katemera wosakanizidwa wa zoster (Shingrix). Yachiwiriyo inavomerezedwa kuti igwiritsidwe ntchito mu United States mu October 2017, ndipo kafukufuku amasonyeza kuti zingakhale zothandiza kwambiri popewera herpes, makamaka kwa anthu akuluakulu.
Kuwonjezera pa kuthandizira kuteteza mitsempha, katemerawa amathandizanso kupewa kuthamanga kwa neuralgia -kumvetsa zowawa komanso nthawi zina zowonongeka.
Mawu Ochokera
Pamene shingles imakhudza ganglion trigeminal, imatha kupweteketsa mutu ndi nkhope. Izi zati, chonde funsani kuchipatala nthawi yomweyo ngati mukuganiza kuti mungakhale ndi ming'oma.
Kuphatikiza apo, ngati muli ndi zaka 60 kapena kupitako, lankhulani ndi dokotala wanu za kulandira katemera wa shingles. Pamapeto pake, kuteteza shingles kuti asachitike poyamba ndi yabwino kwambiri.
> Zotsatira:
> Albrecht MA. (2017). Katemera wopewa shingles (herpes zoster). Hirsch MS, ed. Zaposachedwa. Waltham, MA: UpToDate Inc.
> Zolinga za Kuletsa ndi Kuteteza Matenda. (2014). About Shingles (Herpes Zoster).
> Zolinga za Kuletsa ndi Kuteteza Matenda. (2014). Zindikirani pa Zolinga Zogwiritsira Ntchito Herpes Vaccine Zoster .
> Komiti Yoyang'anira Mutu Kumutu Wadziko Lapansi. (2013). "International Classification of Headache Disorders: Edition 3 (beta version)". Cephalalgia, 33 (9): 629-808.
> Klasser GD, Ahmed AS. Mmene mungagwiritsire ntchito mankhwala osokoneza bongo a zoster okhudza mitsempha ya trigeminal . J Ikhoza Kutaya Assoc . 2014; 80: e42.