Pehea ka lōʻihi o ka holo ʻana o ka Shingles? He aha kāu e manaʻo ai

Anter

• He aha ka hana i kēlā me kēia pae
• He aha nā koho lapaʻau e loaʻa ai
• Nā hopena wā lōʻihi
• I ka manawa e ʻike ai i kāu kauka
• Pehea e pale ai i ka lawe

Hoʻopili mākou i nā huahana a mākou e manaʻo nei he pono no kā mākou poʻe heluhelu. Inā kūʻai ʻoe ma o nā loulou i kēia ʻaoʻao, loaʻa iā mākou kahi kōmike liʻiliʻi. Eia kā mākou hana.

He aha e manaʻo ai

ʻO Shingles kahi aniani, ʻāʻā a ʻeha hoʻi ka ʻeha ma muli o ka maʻi maʻi varicella-zoster. ʻO kēia ka maʻi hoʻomaʻemaʻe like i kumu i ka moa. Inā loaʻa mua ʻoe i ka moa, hiki i ka virus ke hoʻoulu hou ma ke ʻano he shingles. ʻAʻole ʻike ʻia ke kumu e hoʻoulu hou ai ka maʻi.

Ma kahi o hoʻokahi o ʻekolu mau mākua e loaʻa ai nā shingles. Noho mau ʻo Shingles i ʻelua a ʻeono pule, ma hope o ke ʻano paʻa o ka ʻeha a me ka hoʻōla.

E hoʻomau i ka heluhelu ʻana e aʻo hou aʻe.

He aha ka hana i kēlā me kēia pae

Ke hoʻomaka hou nei ka virus, ʻike paha ʻoe i kahi ʻoluʻolu ʻole, kani ʻana, a i ʻole ka ʻūlū ma lalo o kou ʻili, me he mea lā e hoʻonāukiuki ana i kahi kiko ma kekahi ʻaoʻao o kou kino.

Hiki i kēia ma kahi o kou kino, me kāu:

• pūhaka
• kua
• ʻūhā
• umauma
• alo
• pepeiao
• ʻāpana maka

Pilikia paha kēia wahi i ka hoʻopā. Hiki paha ke manaʻo:

• ʻōpala
• ʻākala
• wela, me he mea lā e lapalapa ana

ʻO ka maʻamau ma loko o ʻelima mau lā, e ʻike ʻia kahi ʻulaʻula i kēlā wahi. Ke ulu nei ka ʻōhū, e hoʻokumu pū ʻia nā pūʻulu liʻiliʻi i piha i ka wai. ʻAe paha lākou.

I loko o ka pule e hala a ʻelua paha, e hoʻomaka ka hoʻomaloʻo ʻana o kēia mau puʻupuʻu a maloʻo i luna e hana i nā ʻōpala.

No kekahi poʻe, hele pū kēia mau hōʻailona me nā ʻōuli like ʻole o ka flu. Pākuʻi ʻia kēia:

• fiva
• ʻeha poʻo
• luhi
• ʻālohilohi kukui
• manaʻo maʻamau o ka maikaʻi ʻole (malaise)

He aha nā koho lapaʻau e loaʻa ai

E ʻike i kāu kauka ke ʻike koke ʻoe i ka ʻōlapa. Hiki iā lākou ke kuhikuhi i kahi lāʻau antiviral e kōkua i ka hōʻoluʻolu i kāu mau ʻōuli a hoʻomaʻemaʻe i ka maʻi.

Loaʻa i kekahi mau koho antiviral:

• famciclovir (Famvir)
• valvalclovir (Valtrex)
• acyclovir (Zovirax)

Hiki paha i kāu kauka ke koi aku i nā koho a me nā koho koho e kōkua ai e hōʻoluʻolu i nā ʻeha a me nā huhū āu e ʻike nei.

No kaʻeha kaulike a me ka huhū, hiki iā ʻoe ke hoʻohana:

• nā lāʻau anti-inflammatory, e like me ibuprofen (Advil), e hōʻemi i ka ʻeha a me ka pehu
• antihistamines, e like me diphenhydramine (Benadryl), e hoʻēmi i ka aniani
• nā kalima numbing a i ʻole nā ​​pākuʻi, e like me ka lidocaine (Lidoderm) a i ʻole capsaicin (Capzasin) e hōʻemi i ka ʻeha

Inā ʻoi aku ka ʻeha o kou ʻeha, hiki i kāu kauka ke koi aku i ka lāʻau ʻehaʻeha. Hiki paha i kāu kauka ke koi aku i ka mālama ʻana me nā corticosteroids a i ʻole nā ​​anesthetics kūloko.

I kekahi mau hihia, hiki i kāu kauka ke kauoha i kahi lāʻau antidepressant haʻahaʻa e kōkua me ka ʻeha. Ua hōʻike ʻia kekahi mau lāʻau lapaʻau antidepressant e hōʻemi i ka ʻeha o nā shingles i ka hala ʻana o ka manawa.

Hoʻopili pinepine nā koho i:

• amitriptyline
• imipramine

ʻO nā lāʻau lapaʻau anticonvulsant kekahi koho ʻē aʻe. Ua hōʻoia lākou i ka maikaʻi i ka hōʻemi ʻana i ka ʻeha shingles, ʻoiai ʻo kā lākou hoʻohana nui i ka epilepsy. ʻO nā anticonvulsants i kuhikuhi pinepine ʻia he gabapentin (Neurontin) a me ka pregabalin (Lyrica).

ʻOiai he mea hoʻowalewale paha ia, ʻaʻole pono ʻoe e wīwī. Hiki i kēia ke alakaʻi i ka maʻi, i hiki ke hōʻeha i kou kūlana holoʻokoʻa a alakaʻi i nā ʻōuli hou.

Nā hopena wā lōʻihi

ʻO ka paʻakikī o ka shingles ka postoppetic neuropathy (PHN). Ke hiki mai kēia, noho lōʻihi nā manaʻo ʻeha ma hope o ka holoi ʻana o ka palapū. Hoʻokumu ʻia ia e ka ʻeha o ke aʻalolo ma ke kahua hū.

Hiki i ka PHN ke paʻakikī e mālama, a hiki i ka ʻeha ke mau i mau mahina a mau makahiki paha. E pili ana i ka poʻe ma mua o 60 e ʻike i ka shingles e hoʻomau i ka hoʻomohala PHN.

Hoʻonui ʻoe i ka makaʻu no ka PHN inā ʻoe:

• ma luna o 50 mau makahiki
• loaʻa kahi pūnaewele pale nāwaliwali
• loaʻa kahi hihia koʻikoʻi o nā shingles e uhi ana i kahi ākea

ʻO ka loaʻa ʻana o hoʻokahi o kēia mau kumuhana e hoʻonui ai i kou makaʻi. ʻO kahi laʻana, inā he wahine makua ʻoe me ka ʻeha a ʻeha a ʻeha hoʻi, hiki iā ʻoe ke loaʻa i kahi manawa o ka hoʻomohala ʻana iā PHN.

Ma waho o ka ʻeha, hiki i ka PHN ke hoʻopili i kou kino i ka pā a i nā loli o ka mahana a me ka makani. Pili pū ʻia me ke kaumaha, ka hopohopo, a me ka hiamoe ʻole.

ʻO nā pilikia ʻē aʻe:

• nā maʻi koʻohune ma ka ʻili ma ke kahua hū, mai Staphylococcus aureus
• nā pilikia ʻike, inā kokoke ka shingles a i ʻole kou maka
• ka nalo ʻana o ka pepeiao, ka lōlō ʻana o ka helehelena, ka nalowale ʻana o ka ʻono, ke kani nei i loko o kou mau pepeiao, a me ka vertigo, inā pili kahi nerve cranial
• pneumonia, hepatitis, a me nā maʻi ʻino ʻē aʻe, inā pili kāu mau ʻōpū o loko

I ka manawa e ʻike ai i kāu kauka

Pono ʻoe e ʻike i kāu kauka ke manaʻo ʻoe he shingles, a i ʻole ke ʻike ʻoe i kahi ʻūlū. Mālama ʻia nā shingles mua, hiki i nā ʻōuli ʻoi aku ke koʻikoʻi. Hiki i ka mālama mua ʻana i kou makaʻu no PHN.

Inā mau ka ʻeha ma hope o ka holoi ʻana o ka hū, e ʻike i kāu kauka i ka wā hiki loa. Hiki iā lākou ke hana pū me ʻoe e hoʻomohala i kahi hoʻolālā mālama ʻeha. Inā koʻikoʻi kou ʻeha, hiki iā lākou ke kuhikuhi iā ʻoe i kahi loea ʻeha no ke kūkā hou ʻana.

Inā ʻaʻole i loaʻa iā ʻoe ka lāʻau lapaʻau shingles, e nīnau i kāu kauka e pili ana i ka lāʻau ʻana. Paipai ka mea i ka lāʻau āpau shingles i ka hapanui o nā mākua āpau o nā makahiki 60. Hiki i ka Shingles ke hana hou.

Pehea e pale ai i ka lawe

ʻAʻole hiki iā ʻoe ke hopu i nā shingles, a ʻaʻole hiki iā ʻoe ke hāʻawi i nā shingles i kekahi ʻē aʻe. Akā 'o' oe hiki hāʻawi i ka moa moa.

Ma hope o kou loaʻa ʻana i ka paukū, noho mau ka maʻi ʻo varicella-zoster i kou kino. Inā hoʻoulu hou kēia virus, kū ka shingles. Hiki ke hoʻoili i kēia maʻi i nā poʻe ʻē aʻe pale ʻole i ka wā e hana mau ana ka ʻūlū shingles. He maʻi lele ʻoe i nā poʻe ʻē aʻe a hiki i ka wā e hoʻomaloʻo ʻia ai nā wahi āpau o ka hū.

No ka hopu ʻana i ka maʻi hoʻomaʻamaʻa varicella-zoster mai iā ʻoe, pono i kahi kanaka e hoʻopili pololei me kāu mau pehu wīwī.

Hiki iā ʻoe ke kōkua i ka pale ʻana i kāu lawe ʻia ʻana o ka maʻi varicella-zoster e:

• uhi paʻa ʻole ʻia ka hū
• e hoʻomaʻamaʻa pinepine ana i ka holoi lima
• e hōʻalo nei i ka launa pū ʻana me ka poʻe i loaʻa ʻole i ka maʻi puʻupuʻu a i ʻole i wili ʻia me ka moa