Mavuto amatha nthawi yomweyo chiwonongeko chikusowa
Mphuno (herpes zoster) ndi kupweteka koopsa chifukwa cha kubwezeretsa kachilombo komwe kamayambitsa nkhuku (varicella-zoster) . Sizingatheke kuti kuphulika kwa nkhwangwa kungakhale kovuta kwambiri, pangakhale zovuta zomwe zimawonjezereka kuposa kutulukira kwa mphutsi.
Zovuta zimakhala zosiyana kwa anthu omwe ali ndi machitidwe a chitetezo cha m'thupi (mwachibadwa) poyerekeza ndi omwe ali ndi machitidwe a chitetezo chamthupi (monga anthu omwe ali ndi HIV ).
Pakati pa anthu omwe ali ndi mphamvu yolimbana ndi chitetezo, vutoli limakhala motere:
- nthendagia yam'tsogolo pambuyo pake (kupwetekedwa kwa mitsempha pambuyo pa kuthamanga kwachiritsi) - 7.9%
- khungu la bakiteriya - 2.3%
- ululu wa maso ndi matenda - 1.6%
- kupopera kwa mpweya (kufooka kapena atrophy ya minofu) - 0.9%
- meningitis - 0.5%
- Matenda a Ramsey Hunt (kuphulika kwa mitsempha ya pakati pakumvetsera ndi kulemera) - 0.2%
Zizindikiro zazikulu zomwe zimayambitsa vutoli ndi zaka zakubadwa , kulandira chiwalo, komanso kukhala ndi matenda aakulu monga matenda a shuga, khansa, kapena kachilombo ka HIV.
Pambuyo pa Neuralgia
Pambuyo pa chithokomiro cha neuralgia chimakhala chovulaza kwambiri chomwe chimayambitsa ululu woyaka umene umatha kwa miyezi isanu ndi umodzi pambuyo pa kuphulika kwa mkuntho . Zizindikiro zikuphatikizapo:
- Kutentha kotentha kumalo kumene kutuku kwachiritsidwa kale
- ululu umene umabweretsedwera ndi kulankhulana kopanda kupweteka monga kukhudza kowala
- kuyabwa, nthawi zambiri kumapitiriza
- malo amdima
- kuvutika kumvetsa kutentha ndi kugwedeza
Mabakiteriya Achikopa Matenda
Chifukwa chakuti mathamangidwe amatha kutulutsa mitsempha yomwe imasiya zilonda zotseguka, chiopsezo cha matenda a bakiteriya ndi aakulu. Zitsanzo za matenda opatsirana a bakiteriya ndi awa:
- impetigo (kawirikawiri amayamba ndi mabakiteriya a staphylococcal kapena streptococcal)
- erysipelas (yomwe imatchedwanso St. Elmo's Fire)
- folliculitis (kutupa kwa mabakiteriya a mtundu wa tsitsi)
Kuwonongeka kwa Maso Kogwedeza Maso
Ngati kachilombo ka shingles kamakhudza mbali za nkhope kumutu kapena mphuno, zikhoza kukhudza diso. Kuphulika kotereku kumawoneka mbali imodzi ya nkhope ndi zomwe zimadziwika ngati dermatome (malo omwe khungu limatumikiridwa ndi mitsempha imodzi ya msana). Popanda mankhwala oletsa tizilombo toyambitsa matenda , pafupifupi theka la omwe athudzidwawo adzawonongeke kapena kuwonongeka kwamuyaya. Aliyense amene ali ndi ziphuphu pafupi ndi diso ayenera kuwonedwa ndi ophthalmologist mwamsanga.
Msewu wa Neuropathy
Msewu wamatendawa amatha kufooka kwa minofu yomwe imayambitsa matenda a shingles. Kawirikawiri kachilombo kamene kamakhudza khungu kokha, koma, kawirikawiri, limatha kulowa mu minofu. Pafupifupi 75 peresenti ya anthu omwe ali ndi mphutsi za m'magalimoto adzabwezeretsanso ntchito.
Maningitis
Maningitis ndi matenda a madzi ozungulira ubongo ndi chingwe cha msana chotchedwa cerebrospinal fluid . Zizindikiro zimaphatikizapo kutentha thupi, kupwetekedwa mtima, kukhudzidwa ndi kuwala, ndi minofu ya achy. Chifukwa mtundu uwu wa meningitis umayambitsidwa ndi kachilombo, osati mabakiteriya, sangathe kuchiritsidwa ndi mankhwala opha tizilombo. Izi zimayenera kuyendetsa njira yake, ngakhale kuti mankhwala opweteka angapangidwe kuti athetse mutu.
Ramsay Hunt Syndrome
Matenda a Ramsay (omwe amadziwika kuti herpes zoster oticus) ndi kutupa kwa mitsempha ya nkhope kumbali imodzi mwa makutu. Zizindikirozo zimaphatikizapo kufooka kwa nkhope, kumva ululu , ndi tizilombo tating'onoting'ono (zotchedwa vesicles ) mkati mwa ngalande ya khutu. Anthu omwe ali ndi Ramsay kuthamanga nthawi zambiri amakhala ndi chizungulire kapena kusowa malire. Kafukufuku waposachedwapa anasonyeza kuti anthu 10 peresenti ya anthu omwe ali ndi ziwalo zonse zowonongeka, amatha kuyambiranso kuyenda bwino, pamene 66 peresenti yokhala ndi ziwalo zina zimafa.
Kuopsa kwa Anthu Omwe Akutsutsidwa Mwachisawawa
Anthu omwe ali ndi chitetezo cha mthupi, makamaka anthu omwe ali ndi kachilombo ka HIV ndi othandizira kulumikiza thupi, ali ndi chiopsezo chowonjezereka chokumana ndi mavuto onse omwe ali pamwambawa (kupatulapo pambuyo pa neuralgia).
Pakati pa anthu omwe ali pachiopsezo chachikulu, kufalikira kwa matope kumadera ena a khungu (ngakhale mkati mwa thupi) kumadziwika kuti nkuchitika. Zambiri zokhudzana ndi kupweteka kwa mapapo kungapangitse imfa ngakhale ndi mankhwala oyambitsa matenda opatsirana pogonana. Matenda omwe amabwera kachilombo kawirikawiri ndi achilendo pakati pa anthu omwe ali ndi HIV.
Mawu Ochokera
Chithandizo chofulumira cha kuphulika kwa mitsempha ndi njira yabwino kwambiri yothetsera mavuto onse afupi ndi aatali. Njira yabwino kwambiri yothetsera vutoli lisanakhalepo.
Katemera wotchedwa Zostavax ukupezeka tsopano omwe angathe kuchepetsa kwambiri chiopsezo cha kuphulika kwa mimba. Ngakhale kuvomerezedwa ndi Food and Drug Administration (FDA) kuti agwiritsidwe ntchito kwa akuluakulu azaka 50 kapena pansi, Centers for Disease Control and Prevention (CDC) amalimbikitsa katemera kwa zaka 60 kapena pansi.
Zotsatira:
- > Volpi, A. "Mavuto aakulu a herpes zoster." Herpes. 2007; 2 (Supplement 14): 35-39.
- > Kumaliza, R .; Maki, D .; ndi Ronald, A. "Matenda a Varicella-Zoster Virus." Matenda Opatsirana, 2nd Edition. Mkonzi. Jonathan Cohen, et al. New York: Mosby, 2004; pp 125-129.