Shingles - mālama mālama

ʻO Shingles kahi maʻi ʻeha, ʻehaʻeha o ka ʻili i hoʻokumu ʻia e ka maʻi maʻi varicella-zoster. ʻO kēia ka maʻi hoʻomaʻemaʻe like i kumu i ka moa. Kapa ʻia ʻo Shingles he herpes zoster.

Hoʻomoe mau kahi ʻōpala o ka shingles i ka papa aʻe:

• Hōʻike nā palapū a me nā pimples i kou ʻili a hōʻeha i ka ʻeha.
• Hoʻokumu ʻia kahi pā i luna o nā palapū a me nā pimples.
• I ka 2 a i ka 4 mau pule, hoʻōla ka pehu a me nā pimples. ʻAʻole lākou i hoʻi mai.
• ʻO ka ʻeha mai nā shingles mau no 2 a 4 mau pule. Hiki paha iā ʻoe ke kaniʻulu a i ʻole nā ​​kui-a-kui kiki e manaʻo ana, ʻili, ʻā, a me kahi ʻehaʻeha loa. ʻEhaʻeha loa kou ʻili ke hoʻopā ʻia.
• Loaʻa paha ʻoe i ke kuni.
• Loaʻa paha iā ʻoe ka nawaliwali wā pōkole o kekahi mau mākala. ʻAʻohe ola iki kēia.

E mālama i nā shingles, e kauoha paha kāu mea mālama ola:

• ʻO kahi lāʻau i kapa ʻia he antiviral e hakakā i ka maʻi
• ʻO kahi lāʻau i kapa ʻia he corticosteroid, e like me prednisone
• Nā lāʻau lapaʻau e mālama ai i kou ʻeha

Loaʻa paha iā ʻoe ka ʻeha neuralgia postherpetic (PHN). ʻO kēia ka ʻeha e ʻoi aku ka lōʻihi ma mua o hoʻokahi mahina ma hope o ka hoʻomaka ʻana o nā ʻōuli o ke shingles.

E hoʻokuʻu ai i ka aniani a me ka hōʻoluʻolu, e hoʻāʻo:

• ʻO kahi mea anuanu, pulu i ka ʻili i hoʻopili ʻia
• ʻO nā ʻauʻau hōʻoluʻolu a me nā wai ʻona, e like me ka ʻauʻau oatmeal colloidal, ʻauʻau starch, a i ʻole lotion calamine
• ʻO Zostrix, kahi kalima i piha ka capsaicin (kahi hua o ka pepa)
• Nā Antihistamines e hoʻēmi i ka makaʻu (lawe ʻia e ka waha a i ʻole noi ʻia i ka ʻili)

E hoʻomaʻemaʻe i kou ʻili. Kiola i nā bandages āu e hoʻohana ai e uhi i kou ʻeha. E hoʻolei a holoi paha i nā kapa wai wela i pili i kou ʻeha ʻili. E holoi i kāu mau pale a me nā kāwele i ka wai wela.

ʻOiai e hāmama ana kou ʻeha a ʻoluʻolu hoʻi, e hōʻalo i nā pilina āpau me nā mea i loaʻa ʻole i ka moa moa, ʻoi aku hoʻi i nā wahine hāpai.

E hoʻomaha i kahi moe a iho i lalo kou kuni.

No ka ʻeha, hiki iā ʻoe ke lawe i kahi ʻano lāʻau i kapa ʻia ʻo NSAIDs. ʻAʻole pono ʻoe i kahi palapala no NSAID.

• ʻO nā laʻana o NSAIDs he ibuprofen (e like me Advil a Motrin) a me naproxen (e like me Aleve a Naprosyn).
• Inā loaʻa ʻoe i ka maʻi puʻuwai, ke koko kiʻekiʻe, nā maʻi ʻōpū, a i ʻole loaʻa nā puʻuwai ʻōpū a i ʻole ke kahe ʻana o ke kō, e kamaʻilio me kāu mea hoʻolako ma mua o ka hoʻohana ʻana i kēia mau lāʻau.

Hiki iā ʻoe ke lawe i ka acetaminophen (e like me Tylenol) no ka ʻehaʻeha. Inā loaʻa ʻoe i ka maʻi akepaʻa, e kamaʻilio me kāu mea hoʻolako ma mua o ka hoʻohana ʻana iā ia.

Hāʻawi ʻia ʻoe i kahi mea hōʻoluʻolu ʻeha narcotic. Lawe iā ia e like me ke kuhikuhi. Hiki i kēia mau lāʻau:

• Hana ʻoe i ka hiamoe a huikau. Ke lawe nei ʻoe i kahi narcotic, mai inu i ka ʻalekohola a hoʻohana i nā mīkini kaumaha.
• E hōʻeha i kou ʻili.
• Kumu constipation (ʻaʻole hiki ke loaʻa i kahi ʻōpū maʻalahi me ka maʻalahi). E hoʻāʻo e inu i nā wai hou aʻe, ʻai i nā meaʻai fiber kiʻekiʻe, a i ʻole hoʻohana i nā mea palupalu.
• E hōʻoluʻolu ʻoe i kou ʻōpū. E hoʻāʻo e lawe i ka lāʻau me ka meaʻai.

Kāhea i kāu mea hāʻawi inā:

• Loaʻa ʻoe i kahi ʻehu e like a ʻano like paha me ka shingles
• ʻAʻole mālama maikaʻi ʻia kāu ʻeha shingles
• ʻAʻole e hala kāu mau hōʻailona ʻeha ma hope o 3 a 4 mau pule

Herpes zoster - lapaʻau

ʻO Dinulos JGH. ʻO Warts, herpes simplex, a me nā maʻi viral ʻē aʻe. I: Dinulos JGH. ʻO Habif's Clinical Dermatology: Kahi Alakaʻi Waihoʻoluʻu i ka Diagnosis a me Therapy. ʻEpekema 7 Piladelapia, PA: Elsevier; 2021: chap 12.

ʻO Whitley RJ. ʻO ka moa moa a me ka herpes zoster (maʻi maʻi varicella-zoster). I: Bennett JE, Dolin R, Blaser MJ, hua pā. ʻO Mandell, Douglas, a me Bennett's Principle a me ka hoʻomaʻamaʻa ʻana i nā maʻi kūpilikiʻi. 9th ed. Piladelapia, PA: Elsevier; 2020: chap 136.

• ʻO Shingles