ʻO Shingles

ʻO Shingles (herpes zoster) kahi ʻeha, ʻeha ka ʻili o ka ʻili. Hoʻokumu ʻia ia e ka maʻi huakaʻi varicella-zoster, kahi lālā o ka ʻohana herpes o nā maʻi ʻino. ʻO kēia ka maʻi hoʻomaʻemaʻe pū kekahi i ka moa.

Ma hope o kou loaʻa ʻana i ka paukū, ʻaʻole e pakele kou kino i ka maʻi. Ma kaho, noho ka virus i loko o ke kino akā hana ʻole (lilo i hiamoe) i kekahi aʻa o ke kino. Kū ka Shingles ma hope o ka lilo hou ʻana o ka maʻi ma kēia ʻāʻī ma hope o nā makahiki. He nui ka poʻe i loaʻa i kahi hihia maʻalahi o ka moa moa ʻaʻole lākou i ʻike ua loaʻa lākou i ka maʻi.

ʻAʻole maopopo ke kumu o ka virus hou. Hoʻokahi wale nō hoʻouka kaua ʻana.

Hiki i nā shingles ke hoʻomohala i nā makahiki like ʻole. E hoʻomohala paha ʻoe i ke ʻano inā:

• ʻOi aku kou mau makahiki ma mua o 60
• Ua loaʻa ʻoe i ka paukena ma mua o ka makahiki 1
• Ua hoʻonāwaliwali ʻia kou ʻōnaehana pale e nā lāʻau a me nā maʻi

Inā pili pololei ka makua a keiki paha i ka hū o ka shingles a ʻaʻohe o ka moa kaʻi ma ke kamaliʻi a loaʻa paha i ka lāʻau vaccine chickenpox, hiki iā lākou ke hoʻomohala i ka moa, ʻaʻole shingles.

ʻO ka hōʻailona mua he ʻeha, ʻūlū, a puhi paha e kū ma kekahi ʻaoʻao o ke kino. ʻĀwī paha ka ʻeha a me ke kuni ʻana a aia mau ma mua o ka ʻike ʻia ʻana o kahi ʻino.

Pākuʻi ʻulaʻula ma ka ʻili, ukali ʻia e nā puʻupuʻu liʻiliʻi, hana i ka hapa nui o ka poʻe:

• Haki nā pā, hana i nā ʻeha liʻiliʻi e hoʻomaka a hoʻomaloʻo a hana i nā pā. Hāʻule nā ​​ʻōpala i 2 a 3 mau pule. Kākaʻikahi ka scarring.
• Hoʻopili pinepine ka ʻōpala i kahi wahi ololi mai ka iwi kuamoʻo a puni i ka ʻōpū a i ʻole ka umauma.
• Pili paha ka ʻōpala i ka maka, maka, waha, a me nā pepeiao.

Hiki i nā ʻōuli ʻē aʻe ke:

• Fiva a me nā anuanu
• Manaʻo maʻi laulā
• ʻEha poʻo
• ʻEha hui
• Pehu nā kelena (lymph nodes)

Loaʻa paha iā ʻoe ka ʻeha, nāwaliwali o nā mākala, a me kahi ʻāʻī e pili ana i nā ʻāpana like ʻole o kou alo inā pili ka shingles i kahi nerve i kou alo. Pākuʻi ʻia paha nā ʻōuli:

• Ka paʻakikī e hoʻoneʻe i kekahi o nā mākala i ka maka
• Hoʻopili maka maka (ptosis)
• Lohe hoʻolohe
• Lilo o ka neʻe ʻana o ka maka
• Nā pilikia ʻono
• Nā pilikia ʻike

Hiki i kāu mea mālama ola ke hana i ke kuhi ma ka nānā ʻana i kou ʻili a nīnau e pili ana i kāu mōʻaukala.

ʻAʻole makemake iki ʻia nā hoʻāʻo, akā hiki ke hoʻopili ʻia i ka lawe ʻana i kahi laʻana o ka ʻili e ʻike inā ʻike ʻia ka ʻili me ka maʻi.

Hōʻike paha nā hoʻokolohua koko i ka hoʻonui ʻana o nā hunaola keokeo a me nā mea ʻino i ka maʻi hoʻomaʻuna moa. Akā ʻaʻole hiki i nā hoʻāʻo ke hōʻoia i ka ʻūlū ma muli o ke shingles.

Kauoha paha kāu mea hāʻawi i ka lāʻau e hakakā ai i ka maʻi, i kapa ʻia he lāʻau antiviral. Kōkua kēia lāʻau i ka hōʻemi i ka ʻeha, pale i nā pilikia, a hoʻopōkole i ka papa o ka maʻi.

ʻOi aku ka maikaʻi o nā lāʻau i ka wā i hoʻomaka ʻia i loko o 72 mau hola o ka manawa e ʻike ai ʻoe i ka ʻeha a i ʻole ke ahi. ʻOi aku ka maikaʻi e hoʻomaka e lawe iā lākou ma mua o ka ʻike ʻia ʻana o nā palapū. Hāʻawi pinepine ʻia nā lāʻau i ka pill pill. Pono paha i kekahi poʻe e loaʻa ka lāʻau ma o ke aa (e IV).

ʻO nā lāʻau lapaʻau anti-inflammatory ikaika i kapa ʻia ʻo corticosteroids, e like me prednisone, hiki ke hoʻohana ʻia e hōʻemi i ka pehu a me ka ʻeha.ʻAʻole holo pono kēia mau lāʻau i nā poʻe āpau.

Pili pū nā lāʻau ʻē aʻe:

• Nā Antihistamines e hoʻēmi i ka makaʻu (lawe ʻia e ka waha a i ʻole noi ʻia i ka ʻili)
• Nā lāʻau ʻeha
• ʻO Zostrix, kahi kalima i piha i ka capsaicin (kahi huki o ka pepa) e hoʻēmi i ka ʻeha

E hāhai i nā ʻōlelo aʻoaʻo a kāu mea hāʻawi e pili ana i ka mālama ʻana iā ʻoe iho ma ka home.

Hiki i nā ana ʻē aʻe ke:

• Mālama i kou ʻili ma ka hoʻopili ʻana i nā compresses pulu, pulu e hoʻēmi i ka ʻeha, a me ka ʻau ʻana i nā ʻauʻau hōʻoluʻolu
• E hoʻomaha ana i kahi moe a hiki i ka iho ʻana o ke kuni

E haʻalele i ka poʻe ʻoiai ke kuʻi nei kou ʻeha e hōʻalo i ka poʻe i loaʻa ʻole i ka paukū - ʻo nā wahine hāpai hoʻi.

Holoi pinepine ka herpes zoster i ka 2 a i ka 3 mau pule a ʻaʻole hoʻi pinepine. Inā pili ka virus i nā ʻāʻī e kaohi i ka neʻe (nā ʻenekini kaʻa), loaʻa paha iā ʻoe ka nawaliwali a paʻa mau paha a i ʻole ka maʻi lōlō.

I kekahi manawa ʻeha ka ʻeha ma kahi i kū ai ka shingles mai mau mahina a i mau makahiki. Kapa ʻia kēia ʻeha he neuralgia postherpetic.

Kū ʻia ia i ka wā i hōʻino ʻia nā aʻalolo ma hope o ka pā ʻana o ka shingles. Paʻa ka ʻeha mai ke akahai a i ʻole koʻikoʻi loa. ʻOi aku ka hanana neuralgia postherpetic i ka poʻe ma mua o 60 mau makahiki.

Komo pū nā pilikia:

• Hoʻouka hou aʻe o ka shingles
• Nā maʻi ʻili bacteria
• Makapō (inā loaʻa nā shingles i ka maka)
• Kuli ke kuli
• Infection, me encephalitis o sepsis (ke koko maʻiʻaʻai) i loko o ka poʻe me ka nāwaliwali nā pūnaewele pale
• ʻO Ramsay Hunt Syndrome inā hoʻopili ka shingles i nā ʻalalā o ka maka a pepeiao paha

Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe nā ʻōuli o ke shingles, keu hoʻi inā loaʻa kahi ʻōnaehana nāwaliwali nāwaliwali a i ʻole inā hoʻomau a hōʻeha paha kāu mau ʻōuli. Hiki i nā shingles ke hoʻopili i ka maka ke alakaʻi i ka makapō mau inā ʻaʻole ʻoe e mālama i ka lāʻau olakino olakino.

Mai hoʻopā i ka hū a me ka hū i ka poʻe me nā shingles a i ʻole ka moa moa inā ʻaʻole ʻoe i loaʻa i ka paukū a i ʻole ka lāʻau lapaʻau ʻo ka moa.

Loaʻa nā lāʻau lapaʻau shingles ʻelua i ka lāʻau ola a me ka recombinant. ʻOkoʻa ka lāʻau koʻokoʻo shingles ma mua o ka lāʻau vaccine chickenpox. ʻAʻole hiki i nā mākua ʻelemakule ke loaʻa ka lāʻau lapaʻau shingles ke loaʻa nā pilikia mai ke ʻano.

Herpes zoster - shingles

• Herpes zoster (shingles) ma ke kua
• Dermatome makua
• ʻO Shingles
• Herpes zoster (shingles) - pili kokoke i ka leona
• Herpes zoster (shingles) ma ka ʻāʻī a me ka papalina
• Herpes zoster (shingles) ma ka lima
• Hoʻolahalaha ʻia ʻo Herpes zoster (shingles)

ʻO Dinulos JGH. ʻO Warts, herpes simplex, a me nā maʻi viral ʻē aʻe. I: Dinulos JGH, hoʻoponopono. Dermatology Lapaʻau. 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.