Mphuno, kapena herpes zoster, ndi matenda omwe amabwera ndi kachilombo komweko monga nkhuku . Kuthamanga kwapweteka kumakhala kofala kwambiri pamene munthu amakula, ndipo akukhulupirira kuti izi zikhoza kukhala chifukwa cha kuchepa kwa chilengedwe ndi zaka zomwe zimateteza thupi. Komabe, palinso malo ena omwe masamba amadziwika kuti amapezeka mwa anthu a mibadwo yonse - yomwe imakhala yofooketsa chitetezo cha mthupi.
Ndipo chifukwa chake muli ndi khansa ya m'magazi kapena lymphoma, ndi / kapena kuti mutha kuchipatala, zimakuika pangozi yaikulu yothetsera matendawa.
Mwachidule
Ngati mwakhalapo ndi nkhuku m'mbuyomu, kapena ngati mutapatsidwa katemera , kachilombo kameneka sikanasiya. Katemera wa nkhuku amakhala ndi kachilombo koyambitsa matenda omwe amakhala nawo, omwe amatha kuyambitsa zilonda. Ngakhale patangopita nthawi yaitali kutuluka kwa nkhuku kwadutsa, kachilomboka kamakhala mu chimbudzi kapena kupuma mu mitsempha ya mitsempha ya matupi athu. Zizindikiro za kachilombo kamatuluka, ndipo chitetezo cha mthupi chimatetezedwa ndi kachilombo ka HIV. Nthawi zina, kachilomboka kamatha kukhazikitsidwa ngati shingles.
Ndani Ali Pangozi?
Ngati simunayambe nkhukupo kapena mutemera katemera, mungakhale mulibe nsomba, koma zingakhale zovuta kudziwa kuti munthu wina alibe kachilombo ka HIV chifukwa cha mbiri yake, yekha.
Kuopsa kokhala ndi zibwenzi ndipamwamba kwambiri kwa anthu achikulire. Ndipotu, mwayi wokhala ndi kachilombo kameneka ukukambitsirana kamodzi pa zaka 10 zilizonse zoposa zaka 50.
Anthu omwe ali ndi chitetezo champhamvu choteteza chitetezo cha mthupi ali pachiopsezo chachikulu chotenga shingles. Pamene chitetezo chanu cha mthupi chimasokoneza chitetezo chake, kachilombo kamatenga mpata kuti akhalenso wathanzi.
Ngati muli ndi khansa ya magazi kapena khwangwala, monga lymphoma kapena khansa ya m'magazi, pali zifukwa zingapo zimene zimakuika pangozi kuti chitetezo chitachepa:
- Kansa yanu yokha
- Chemotherapy
- Mankhwala othandizira mazira m'thupi lanu ali ndi kuchuluka kwa mafupa , monga pelvis
- Steroid mankhwala
- Msuzi wa mafupa kapena kusuntha kwa maselo
Chinthu chachikulu chomwe chimayambitsa chiwopsezo cha tizilombo toyambitsa matenda monga shingles ndi kukula kwa zomwe zimadziwika kuti maselo osokoneza bongo. Vutoli likuwonjezeka ndi kuponderezedwa kwa T-maselo, maselo a msirikali wa thupi lanu, monga momwe akuwonera pa mlingo wa mavuto a tizilombo pakamwa ndi kachilombo ka T-cell alemtuzumab. Neutropenia - kapena maselo otsika a maselo oyera a neutrophil - akhoza kuonjezera chiopsezo cha matenda ena, koma neutropenia, yokha, imawoneka yosafunika kwenikweni pa nkhani ya shingles.
Malinga ndi mankhwala opatsirana ndi khansa, zotsatira zake pa chiopsezo cha nkhwangwa zingakhale zosiyana. Mwachitsanzo, kafukufuku wa APEX anasonyeza kuwonjezeka kwa shingles kwa odwala omwe amalandira bortezomib, choncho amalangizi othandizira kuti asagwiritse ntchito mankhwala ochepa a acyclovir kapena valacyclovir.
Zizindikiro
Matendawa amathamanga motsatira mitsempha yomwe idakhala. Kawirikawiri, zimapezeka m'gulu la mbali imodzi ya thupi.
Mphuno nthawi zambiri imakhala pamtambo koma ikhoza kupezeka paliponse, kuphatikizapo nkhope yanu ndi mapeto.
Chizindikiro choyamba chimene mungachimve ndikumva kupweteka, kuyabwa, kuwotchedwa kapena kuyimba pambali ya mitsempha ndi khungu lozungulira. Nthawi zina, izi zikhoza kukhala chizindikiro chokha chomwe muli nacho.
Anthu ambiri adzapitiriza kukula pakapita masiku asanu ndi atatu otsatira. Khungu pa mitsempha yowopsya idzawoneka ofiira ndi yotentha, ndipo padzakhala phokoso, kupweteka kowawa - ngati nkhuku. Msuzi uliwonse umakhala kwa sabata kapena masiku khumi asanayambe kuyanika ndi kutembenuza chikasu.
Mwinanso mumakhala ndi zizindikiro za chimfine (malungo, kutopa, kupweteka mutu) pamene muli ndi vutoli.
Kodi Ziphuphu Zimakhudzidwa?
Mpaka mitsempha yowuma, nkutheka kuti mutumize nkhuku kwa munthu yemwe sanakhalepo kale kapena wina yemwe sanatenge katemera. Anthu odwala omwe ali kale ndi nkhuku sangakhale ndi chiopsezo chachikulu chobwereza kachilombo ka HIV. Koma, muyenera kupewa kupezana ndi ena omwe ali ndi chitetezo champhamvu, okalamba kwambiri komanso ochepa kwambiri, omwe sanakhalepo ndi nkhuku, ndi amayi apakati.
Kudziwa
Madokotala ambiri amatha kuzindikira ming'oma pokhapokha akuyang'ana mwamsanga ndikumva mbiri yanu. Nthawi zina, anthu omwe ali ndi chitetezo chofooka akhoza kukhala ndi njira zosazolowereka zogawidwa, ndipo dokotala wanu angasankhe kutumiza swab kuti ayesetse kutsimikizira.
Chithandizo
Cholinga cha mankhwala okhwima ndikuthamangira machiritso ndikusunga wodwalayo. Kugwiritsa ntchito mankhwala oletsa tizilombo toyambitsa matenda - monga acyclovir, famciclovir, ndi valacyclovir - sudzapha tizilombo koma kumathandiza kufupikitsa kutalika kwa nthawi mpaka chiphuphu chimachiza ndi kuchepetsa zizindikiro.
Mankhwalawa amatchulidwa pamlomo, koma mankhwala osokoneza bongo angakhale ofunikira pa milandu yoopsa kapena mwapadera. Pofuna kukhala opambana kwambiri, mankhwala oletsa tizilombo toyambitsa matenda ayenera kuyamba mkati mwa maola 72 oyambirira omwe zizindikiro zilipo.
Kupweteka kwa ululu n'kofunikanso pochiza mabala. Mankhwala owonjezera, monga acetaminophen ndi ibuprofen, nthawi zambiri amatha kupweteka mabala , koma nthawi zina, steroids, anti-depressants, ndi mankhwala a antiticulsant angagwiritsidwe ntchito poonjezera kupweteka kwa ululu .
Chifukwa chakuti thupi lanu limatetezeka, muli pachiopsezo chotenga matenda kuchokera ku zilonda zotsegula pakhungu lanu. Izi zingapangitse zoipitsitsa ngati mutayamba kukwatulidwa. Ndikofunika kuti muteteze dera lanu. Kuzizira, kumangiriza mvula kungathandize, ndipo kungagwiritsidwe ntchito kambirimbiri tsiku lonse kwa mphindi 20 panthawi.
Mavuto
Kawirikawiri, kuphulika kwachisokonezo kumachitika kwa masabata angapo ndipo zotsatira zake ndizokhazikika. Komabe, n'zotheka kukhala ndi mavuto ena. Ena mwa awa ndi awa:
- Mitsuko pa khungu
- Matenda achiwiri kuchokera kumatenda otseguka
- Matenda a Ramsay Hunt , omwe akuphatikizapo kufooka kwa nkhope ndi kumva
- Matenda osokonezeka , omwe matendawa amakhudza mbali imodzi ya thupi. Pachifukwa ichi, kuthamanga ndi zizindikiro zidzakhala zoopsa ndipo zingayambitse chibayo kapena chiwindi ndi matenda a ubongo
- Zoster opthalmicus , momwe mitsempha ya diso imakhudzidwa. Izi zikhoza kuchititsa khungu
- Pambuyo pake, neuralgia , yomwe mitsempha imasokonekera ndi kachilomboka. Izi zidzamupangitsa wodwala kuti apitirize kumva ululu, ngakhale zizindikiro zina za matenda atha kale
Ngati mukuganiza kuti mungakhale ndi zibwenzi, funsani wothandizira zaumoyo mwamsanga mwamsanga. Kuyamba pa njira yoyenera pa nthawi yake kumachepetsa chiopsezo chanu cha mavuto a nthawi yaitali kuchokera ku shingles.
Chidule
Magazi ndi khansa monga khansa ya m'magazi kapena lymphoma, komanso mankhwala awo, amachititsa kuti chitetezo cha m'thupi chitetezeke, zomwe zimawoneka kuti zimakhala zoopsa kwambiri chifukwa chokhala ndi shingles.
N'zotheka kuti mabomba am'pangitse mavuto aakulu. Mwinamwake mavutowa amachepetsedwa pamene mankhwala akuyamba mkati mwa maola 72 oyambirira a zizindikiro. Kudziwa zizindikilo zowonongeka ndi kulumikizana ndi gulu la thanzi lanu nthawi yomweyo kungathandize kuti matenda anu asakhale ovuta.
> Zotsatira:
> Kelvin, J., Tyson, L. (2005). Mafunso ndi Mayankho Zokhudza Zizindikiro za Khansa ndi Cancer Treatment Side Effects. Jones ndi Bartlett: Sudbury, MA.
> Marrs, J. Rash: Kodi ndi Mabomba? Clinical Journal ya Oncology Nursing August, 2006. 10: 463-464.
> Sandy, M. Herpes Zoster: Kutsogola kwachipatala ndi azamwino. Clinical Journal ya Oncology Nursing August 2005. 9: 443- 445.
> Sandherr M, Hentrich M, von Lilienfeld-Toal M, et al. Antiviral Prophylaxis mwa Odwala Amene Ali ndi Matenda Olimba ndi Mavuto Oipa a Haematological - Kukonzekera kwa Njira Zopangira Matenda Opatsirana (AGIHO) a German Society for Hematology ndi Medical Oncology (DGHO). Ann Hematol. 2015; 94 (9): 1441-50.
> Chanan Khan, A Sonneveld P, Schuster MW, et al. Kufufuza kwa Herpes Zoster Zochitika Pakati pa Odwala a Bortezomib-Opitidwa mu Phunziro III la Phase III APEX. J Clin Oncol . 2008; 26: 4784-4790.
> Mayi OA, Ullmann AJ, Karthaus M. Matenda Opatsirana Patatha Chithandizo ndi Matenda a Monoclonal. Wien Med Wochenschr. 2004; 154: 209-217.