Matendawa amayamba chifukwa cha kachilombo koyambitsa matenda a varicella, omwe akayamba kuika thupi kumayambitsa nkhuku koma amatha kubisala mumatope. Chifukwa chake kachilombo kamene kamabweranso sikumamveka bwino, koma pali malingaliro.
Mphuno imapezeka kwambiri kwa anthu okalamba, mwachitsanzo, mwinamwake chifukwa chitetezo cha mthupi chimakhala chofooka ndi zaka.
Ndipotu, chitetezo cha chitetezo cha m'thupi chimagwiritsidwa ntchito makamaka ngati chiopsezo chachikulu cha ming'oma. Izi zikutanthauza kuti ngakhale achinyamata komanso ana omwe ali ndi zikhalidwe zina kapena amene amamwa mankhwala omwe amathandiza kuti chitetezo cha mthupi chitengeke pamtundu wawo akhoza kukhala pachiopsezo cha matendawa. Ochita kafukufuku amakhulupirira kuti anthu ena amavutika maganizo kwambiri.
Matendawa ndi matenda osasangalatsa kwambiri. Zimayambitsa kupweteka kwa khungu komanso zopweteka, komanso mavuto omwe angakhalepo kwa nthawi yaitali. Chinthu chofala kwambiri, chikhalidwe chodziwika kuti postherpetic neuralgia (PHN), chimadziwika ndi kuyaka moto kumalo kumene kumathamanga kanyumba. Ichi ndi chifukwa chake nkofunika kumvetsetsa zomwe zimayambitsa nkhuku, omwe ali pachiopsezo chotsika nawo, ndi momwe mungadzitetezere ngati mutseguka.
Kubwezeretsa kachilombo ka Varicella
Munthu akabwezeretsa nkhuku, zizindikiro zimatha koma kachilombo ka varicella kamene kamatulutsa kachilombo kamene kamatuluka kumaselo m'matope, komwe imatha kutuluka kwa zaka zambiri popanda kuchititsa mavuto.
Pamene kachilombo kamatulukanso, nthawi zambiri imayambiranso m'magulu a mitsempha ya mitsempha muzitsulo zamanjenje zomwe zimatchedwa gulu la ziphuphu. The ganglia kwambiri kulandira varicella ndi omwe ali pachibelekero, thoracic, ndi lumbar msana. Varicella nthawi zambiri imakhudzidwa ndi kagulu kakang'ono kamene kalikonse kamene kamakhala kamene kamakhala kamene kamangomvera.
Monga momwe dzina lake limasonyezera, izi zimakhala ndi nthambi zitatu. Mmodzi wogwiritsidwa ntchito ndi diso, nthambi ya ophthalmic, ndi nthawi 20 kuposa momwe zina ziwiri zimakhudzira.
Chiwalo cha thupi chimagwirizanitsidwa ndi maselo ena ammimba omwe kachilomboka kamadzuka ndi pamene zizindikiro za mkuntho-ululu wopweteka, kuthamanga kopanda chidwi-zidzakumbidwa. Popeza mchitidwe wamanjenje uli ndi nthambi zonga mtengo wa mitsempha, zotupazo zimatsatira njira yeniyeni ya mitsempha yokhudzidwa. Ndicho chifukwa chake kuphulika kumatuluka nthawi zambiri kufanana ndi mphepo yamatenda m'madera ena, osati kufalitsa thupi lonse (monga nkhukupo).
Zomwe Zimayambitsa
Chimene chimachititsa kachilombo ka varicella kukonzanso sikumvetsetsedwa kwathunthu. Vutoli ndi membala wa tizilombo toyambitsa matenda omwe amachititsa kuti tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda, monga zilonda za m'mimba komanso zilonda zozizira, zomwe zimatuluka ndikupita, kotero n'zosadabwitsa kuti varicella akhoza kuchita chimodzimodzi. Kusiyana kwakukulu ndiko, pamene matenda a herpes angathe kubwereza kangapo, anthu ambiri amangodzimenya kamodzi. Mulimonsemo, pali zifukwa zikuluzikulu ziwiri zomwe zimayambitsa shingles:
Chitetezo cha m'thupi chofooka
Pali mgwirizano woonekera pakati pa shingles ndi kufooka kwa chitetezo ku matenda.
Ngakhale kuti kachilombo ka varicella sichimalowa m'thupi nthawi yoyamba, chitetezo cha mthupi chimachitabe kusunga. Ndi pamene chitetezo cha mthupi sichili chokwanira kuchita izi kuti kachilombo ka HIV kangatenge mwayi wowononga. Izi zimapangitsa magulu ena a anthu omwe ali pangozi yaikulu kuposa ena omwe amapanga mabomba, kuphatikizapo omwe ali:
- Zaka 50 ndi kupitirira. Ndili ndi zaka, kuchepa kwachilengedwe kumatetezedwa m'thupi .
- Kulimbana ndi kachilombo koyambitsa matenda a immunodeficiency (HIV). Ngakhale kuti anthu ambiri omwe amayamba kukhala ndi kachilombo amakhala ndi kachilombo kamodzi, si zachilendo kuti munthu amene ali ndi kachilombo ka HIV akhale ndi matenda opatsirana .
- Ali ndi matenda aakulu monga khansa (makamaka khansa ya m'magazi kapena lymphoma ) kapena shuga
- Pa mankhwala omwe amaletsa chitetezo cha mthupi. Zitsanzo zina mwa izi ndi monga systemic steroids monga prednisone, chemotherapy mankhwala
- Kutenga mankhwala osamalidwa bwino chifukwa cha kuika thupi
Dziwani kuti zambiri mwazifukwazi zimakhala zovuta kwa achinyamata komanso ngakhale ana monga momwe amachitira anthu okalamba. Choncho ngakhale kuti nthawi zambiri matendawo amawoneka ngati matenda a ukalamba, izi sizili choncho nthawi zonse.
Kusokonezeka maganizo
Pali lingaliro lalitali lomwe lingaliro lakuti kupanikizika kosautsa kapena ngakhale nthawi imodzi ya kupsinjika maganizo kungayambitse kachilombo koyambitsa varicella kuti ikhale yogwira ntchito kachiwiri ndi kubweretsa kuphulika kwachisonga . Popeza kuti nthawi zambiri vutoli limagwirizana ndi kusintha kulikonse kwa thanzi, kuphatikizapo mavuto a m'mimba, migraines, ndi eczema, lingaliro ili silili lonse.
Ndipotu, pali umboni wina woti umuthandize. Mwachitsanzo, kafukufuku amene amatchulidwa kawirikawiri mu 1998 ndi achikulire omwe ali ndi thanzi labwino kwambiri kuposa 60 anapeza kuti anthu amene anali ndi zibwenzi kaŵirikaŵiri anali ndi moyo wosasokonezeka m'miyezi isanu ndi umodzi ya chiwopsezo. Akafunsidwa za zochitika m'miyezi iwiri kapena itatu yapitayi, omwe ali m'gulu lomwelo sanathe kufotokozera zochitika zina zosavuta kwenikweni kusiyana ndi anzawo omwe sagwirizana nawo, kutanthauza kuti maganizo a chochitika chaposachedwa monga chovuta, osati chochitikacho, anali wogwirizana ndi kuchuluka kwa kuchuluka kwa mabomba.
Kafukufuku waposachedwapa wathandiza kwambiri mfundo imeneyi. Ena asankha kuti izi zikutanthawuza kuti kuona kwathunthu kupsinjika ndi kuthekera kupirira, kungaphatikize ku zifukwa zomwe zimapangitsa mphepo yamkuntho kuti iwonongeke.
Kafukufuku wa 2003 pofuna kudziwa ngati Tai Chi , atagwiritsidwa ntchito ngati chida chochepetsera nkhawa, anali ndi vuto lililonse pamatenda akuluakulu. Ngakhale ali ochepa, ochita kafukufuku adatha kunena kuti Tai Chi, yomwe inkachitika kwa mphindi 45 katatu pa sabata, inkagwirizana ndi kuwonjezeka kwa chitetezo cha m'thupi mwa varicella.
Ngakhale kuti ofufuzawo sanathe kugwirizanitsa izi pofuna kuchepetsa vuto la kugwedeza, phunziroli linapereka kuti kuchepetsa kupanikizika komweko kungapereke kusintha kwabwino kwa thupi kwa akuluakulu omwe ali pangozi ya matenda opatsirana.
Zotsatira:
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> Eshleman, Emily, Shahzad, Aamir, ndi Chors, Randall J. "Varicella Zoster Virus Latency." Kuthamanga Kwamtsogolo . Mar 2011; 6 (3): 341-355. DOI ??????
> Blanks, L .; Polydefkis, M .; Moore, R .; et al. "Herpes Zoster Pakati pa Anthu Amene Ali ndi kachilombo ka HIV mu Current Antiretroviral Therapy Era." J Kupeza Zowonongeka Zachilengedwe Syndr. Oct 1, 2012; 61 (2): 203-207. DOI: 10.1097 / QAI.0b013e318266cd3c
> Ke CC, Lai HC, Lin CH, Hung CJ, Chen DY, AW WH, AW PW. "Kuwonjezeka kwa Mavuto a Zoweta Zosavuta Odwala Odwala Matenda Odwala Matenda Odwala Matenda Odwala Matenda Odwala Matenda a Kachilombo Odwala Matenda ndi Matenda a Microvascular: Phunziro Lochokera ku Anthu ku Taiwan." PLoS One . 2016 Jan 11; 11 (1): e0146750. DOI: 10.1371 / magazini.pone.0146750.
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> Schmader, K, George, LK, Burchett, BM, Hamilton, JD, ndi Pieper, CF. "Kupikisana ndi Kupsinjika Maganizo Pakuchitika kwa Zaka Zambiri Zakale Zakale." J Am Geriatr Soc . Aug 1998; 46 (8): 973-977. DOI: ???