Hōʻea hou ʻo Shingles: ʻoiaʻiʻo, ʻIkepilihelu, a me ʻoe

Anter

• He aha nā ʻōuli o ke shingles a me nā ʻōiwi hou?
• Ehia mau manawa e hoʻi hou ai nā shingles?
• He aha nā mea pilikia no ka pī hou ʻana?
• He aha ka lāʻau no ka shingles a me nā shing hou?
• He aha ke kuanaʻike no ka poʻe me nā shingle hou?
• Hiki iā ʻoe ke pale i nā shingles hou?

He aha nā shingles?

Hoʻokumu ka maʻi maʻi varicella-zoster i ke alohilohi. ʻO kēia ka maʻi hoʻomaʻemaʻe like i kumu i ka moa. Ma hope o kou loaʻa ʻana i ka maʻi puʻupuʻu a ua hala aku kāu mau hōʻailona, ​​noho ʻole ka virus i kāu mau pūnana nerve. Hiki i ka virus ke hoʻoulu hou i ke ola ma ke ʻano he shingles. ʻAʻole maopopo ka poʻe i ke kumu o kēia kū ʻana. ʻIke ʻia ʻo Shingles ma ke ʻano he herpes zoster. ʻO kēlā me kēia mea i loaʻa i ka paukū e hiki ke loaʻa i nā shingles ma hope.

ʻO ka inoa "shingles" mai ka huaʻōlelo Latina no "girdle," a pili i ke ʻano e hana ai nā ʻōiwi shingles i kahi kāʻei a i ʻole kāʻei, maʻamau ma kekahi ʻaoʻao o ke kino. Hiki i nā Shingles ke hū i kāu:

• lima
• ʻūhā
• poʻo
• pepeiao
• maka

Kuhi ʻia kahi poʻe i ʻAmelika Hui Pū ʻIa i nā shingles i kēlā me kēia makahiki. No nā poʻe maʻAmelika Hui Pū ʻIa e loaʻa ai nā shingles i ko lākou wā e ola ana, a 68% o kēia mau hihia e kū nei i ka poʻe 50 mau makahiki a ʻoi paha. Loaʻa ka manawa o ka poʻe e ola ana i 85 mau makahiki i ka hoʻomohala ʻana i nā shingles.

Hiki iā ʻoe ke kiʻi i nā shingles i ka manawa ʻelua. ʻOi aku ka liʻiliʻi o kēia a ʻike ʻia e like me ka hoʻi hou ʻana o ka shingles.

He aha nā ʻōuli o ke shingles a me nā ʻōiwi hou?

ʻO ka ʻōuli mua o ka shingles ka ʻeha mau, ka ʻūlū ʻana, a i ʻole ka wela o ka naʻau i ka wahi kahe. I loko o nā lā, kahi hui ʻana o nā ʻulaʻula, piha piha i ka wai e haki a wehe ʻia ka pā. ʻO nā ʻōuli ʻē aʻe e like me:

• ʻalalā i ka wahi kahe
• ʻike ka ʻili i ka wahi kahe
• ka luhi a me nā hōʻailona like flu
• ʻike i ka mālamalama
• haʻalulu

Loaʻa i nā shingles hou ka like o nā ʻōuli, a pinepine ka laha i ka wahi like. E pili ana i nā hihia, ua kū ka maʻi shingles ma kahi ʻokoʻa.

Ehia mau manawa e hoʻi hou ai nā shingles?

Kuhi ʻia nā ʻikepili e pili ana i ka pinepine o ka shingles recurs. Ua ʻike ʻia kahi noiʻi ma Minnesota ma luna o ʻehiku mau makahiki aia ma waena o 5.7 a me 6.2 ka pākēneka o ka poʻe shingles i loaʻa i nā shingles i ka manawa ʻelua.

Ma ka laulaha, hōʻike ka mea i kou makaʻu i ke kiʻi ʻana i nā shingles i ka manawa ʻelua e like me ka makaʻu āu i loaʻa ai i nā shingles i ka manawa mua.

ʻAʻole i noiʻi maikaʻi ʻia ka manawa o ka manawa ma waena o ka hihia mua o nā shingles a me ka recurrence. I ke aʻo ʻana mai 2011, ua hana hou kēia mai 96 mau lā a 10 mau makahiki ma hope o ka laha ʻana o ka shingles mua, akā ua uhi wale kēia hoʻopaʻa ʻana i kahi manawa o 12 mau makahiki wale nō.

He aha nā mea pilikia no ka pī hou ʻana?

ʻAʻole ʻike ka poʻe i ke kumu o ke kī hou ʻana, akā ʻo kekahi mau mea e hoʻonui ai i kou manawa e loaʻa hou ai nā shingles.

ʻO ka poʻe me nā ʻōnaehana pale nawaliwali e loaʻa hou i ka shingles. Hoʻoholo hoʻokahi kahi noiʻi i ka helu o ka hoʻi hou ʻana o ka shingles i waena o ka poʻe me nā ʻōnaehana pale pale i hoʻohuli ʻia. ʻO kēia kahi ma kahi o 2.4 mau manawa ke kiʻekiʻe ma mua o ka poʻe i hōʻole ʻole i nā ʻōnaehana pale.

Loaʻa paha iā ʻoe kahi ʻōnaehana pale pale kūpilikiʻi inā ʻoe:

• ke loaʻa nei iā chemotherapy a i ʻole radiation radiation
• loaʻa nā mea hoʻoliʻiliʻi organ
• loaʻa iā HIV a me AIDS paha
• ke lawe nei i nā koina kiʻekiʻe o nā corticosteroids e like me prednisone

ʻO nā kumu pilikia ʻē aʻe e pili pū me:

• ʻoi aku ka lōʻihi o ke kaumaha a me ka ʻeha ʻoi loa me ka hihia mua o ke shingles
• ʻeha no 30 mau lā a ʻoi paha me ka hihia mua o ke shingles
• he wahine
• ma luna o 50 mau makahiki

ʻO ka loaʻa ʻana o hoʻokahi a ʻoi aku paha o nā pili koko me nā zingles e hoʻonui paha i kou makaʻu i ka loaʻa ʻana o ka shingles.

He aha ka lāʻau no ka shingles a me nā shing hou?

ʻO ka mālama ʻana no nā shing hou e like me nā shingles.

Inā manaʻo ʻoe he shingles hou kāu, e ʻike i kāu kauka i ka wā hiki. Lawe i kahi lāʻau antiviral e like me acyclovir (Zovirax), valacyclovir (Valtrex), a i ʻole famciclovir (Famvir) hiki ke hōʻemi i ke koʻikoʻi o nā shingles a hoʻemi i ka lōʻihi o kona lōʻihi.

Kau kauka paha i kau kauka e hoʻoliʻiliʻi i kou ʻeha a kōkua iā ʻoe e hiamoe. Pākuʻi ʻia kēia mau mea penei:

• Loaʻa nā pā o ka ʻili me ka painociller lidocaine. Hiki iā ʻoe ke ʻaʻahu iā lākou ma ka wahi i hoʻopilikia ʻia no kahi lōʻihi kikoʻī.
• Nā pākuʻi ʻili i loaʻa he 8 pākēneka capsaicin, kahi unuhi o nā pepelu, i loaʻa. ʻAʻole hiki i kekahi poʻe ke hoʻomanawanui i ka ʻā ʻana o ke ahi, ʻoiai ʻānō ka ʻili ma mua o ka kau ʻana o ka pā.
• ʻO nā lāʻau Antiseizure, e like me gabapentin (Neurontin, Gralise, Horizant) a me pregabalin (Lyrica), hoʻemi i ka ʻeha ma ka hōʻemi ʻana i ka hana nerve. Loaʻa iā lākou nā hopena ʻē aʻe i kaupalena ʻia i ka nui o nā lāʻau i hiki iā ʻoe ke hoʻomanawanui.
• ʻO nā Antidepressants e like me duloxetine (Cymbalta) a me nortriptyline (Pamelor) hiki ke lilo i mea pono, keu hoʻi e hōʻoluʻolu i ka ʻeha a ʻae iā ʻoe e hiamoe.
• Hiki i nā painkillers opioid ke hōʻoluʻolu i ka ʻeha, akā loaʻa iā lākou nā hopena ʻaoʻao, e like me ka puʻupuʻu a me ka huikau, a hiki iā lākou ke lilo i mea addictive.

Hiki iā ʻoe ke lawe i nā ʻauʻau ʻoluʻolu me ka colatidal oatmeal e hōʻoluʻolu i ka ʻume, a hoʻopili i nā kaomi anuanu i ka wahi i hoʻopilikia ʻia. He mea nui ka hoʻomaha a me ka hoʻohaʻahaʻa kaumaha.

He aha ke kuanaʻike no ka poʻe me nā shingle hou?

Hoʻomaʻemaʻe ʻo Shingles i loko o ʻelua a ʻeono pule.

I kahi liʻiliʻi o nā hihia, hiki i ka ʻeha ke noho i ka manawa i hoʻōla ai ka hū. Kāhea ʻia kēia ʻo postherpetic neuralgia (PHN). Hiki i ka 2 pākēneka o ka poʻe i loaʻa nā shingles i loaʻa iā PHN no ʻelima mau makahiki a ʻoi. Hoʻonui ka makaʻi me ka makahiki.

Hiki iā ʻoe ke pale i nā shingles hou?

ʻAʻole hiki ke pale ʻia nā shing hou. Hiki iā ʻoe ke hōʻemi i kou makaʻu ma ka loaʻa ʻana o ka lāʻau koʻokoʻo shingles, ʻoiai ma hope o ka loaʻa ʻana o ka shingles.

Ua hōʻike ʻo ia i ka poʻe i loaʻa ka lāʻau koʻokoʻo shingles i ka 51 pakeneka o ka liʻiliʻi o nā hihia shingles. No ka poʻe 50-59 mau makahiki, ua hōʻemi ka lāʻau lapaʻau shingles i ka makaʻu o ka shingles e 69.8 pakeneka.

ʻO ka poʻe i loaʻa i ka lāʻau koʻokoʻo shingles i ka nui o nā hihia shingles. Loaʻa ka liʻiliʻi o kā lākou hanana o PHN.

Paipai nā kauka i ka lāʻau lapaʻau shingles no ka poʻe ma mua o 50 akā ʻaʻole no ka poʻe i loaʻa ka ʻōnaehana pale nawaliwali.