Le m'dera zimawonetseredwa ndi Rashes zowawa pamodzi ndi mitsempha kapena minyewa ganglion. Kuphulika uku kumachitika chifukwa cha kuyambiransoko virus zomwe zimayambitsa nkhuku, varicella zoster virus (VVZ). Ma shingles nthawi zambiri amakhudza chifuwa or nkhope, koma ziwalo zonse za thupi zimatha kukhudzidwa.

Nthawi zina ululu oyambitsidwa ndi shingles amakhalabe kwa miyezi kapena zaka chiphuphu chikachira: kupweteka kumeneku kumatchedwa mitsempha kapena ululu wa postherpetic.

Zimayambitsa

Kutsata alireza, pafupifupi mavairasi onse amawonongeka kupatula ochepa. Iwo amakhala ogona mu mitsempha ganglia kwa zaka zingapo. Chifukwa cha ukalamba kapena matenda, chitetezo chamthupi chimalephera kulamulira virus, zomwe zimatha kuyambitsanso. A kutupa anachita ndiye kukhazikika mu ganglia ndi mu mitsempha, kuchititsa maonekedwe a vesicles anakonza masango pakhungu.

Zingakhale choncho akuluakulu omwe ali ndi kachilombo kale omwe adakumana ndi ana a nkhuku amapindula ndi a kutetezedwa kuchuluka motsutsana ndi shingles. Asayansi akukhulupirira kuti kachilombo kachiŵiri kaŵirikaŵiri kamakhala ndi kachilomboko kumalimbikitsa chitetezo chamthupi ndipo motero kumathandiza kuti kachilomboka kakhale kabata.

Ndani akukhudzidwa?

Pafupifupi 90% ya achikulire padziko lonse lapansi ali ndi nkhuku. Chifukwa chake ndi omwe amanyamula kachilombo ka varicella zoster. Pafupifupi 20 peresenti ya iwo adzalandira shingles m'moyo wawo wonse.

Evolution

Kusiyidwa popanda chithandizo, zotupa za m'dera kutha pafupifupi masabata atatu. Nthawi zambiri, kuukira kumodzi kokha kwa shingles kumachitika. Komabe, kachilomboka kamayambiranso kangapo. Izi ndi zomwe zimachitika pafupifupi 3% ya omwe akhudzidwa.

Zovuta zotheka

Ululu nthawi zina umapitilira zotupa pakhungu zikachira: izi ndiye post-shingles neuralgia (kapena postherpetic neuralgia). Ululu umenewu umafananizidwa ndi sciatica. Anthu omwe amavutika nawo amanena kuti amakumana ndi "zowopsa zamagetsi". Kutentha, kuzizira, kugundana kosavuta kwa chovala pakhungu kapena kuphulika kwa mphepo kungakhale kosapiririka. Ululu ukhoza kukhala kwa milungu kapena miyezi. Nthawi zina sichiyima.

Timayesetsa momwe tingathere kuti tipewe izi, zomwe zitha kukhala gwero lalikulu la kuvutika m’thupi ndi m’maganizo : Kupweteka kwa Neuralgic kungakhale kosalekeza, kwakukulu komanso kovuta kuchiza bwino. Kutenga mankhwala antiviral kuyambira kuyambika kwa ma shingles kungathandize kupewa (onani gawo la Chithandizo chamankhwala).

Kuopsa kwa postherpes zoster neuralgia kumawonjezeka ndim'badwo. Choncho, malinga ndi kafukufuku wopangidwa ku Iceland pakati pa anthu 421, 9% ya anthu okalamba 60 ndi kupitirira anamva kupweteka kwa miyezi 3 pambuyo pa kuukira koyamba kwa shingles, poyerekeza ndi 18% ya anthu azaka zapakati pa 70 ndi kupitirira.¹².

Post-shingles neuralgia imaganiziridwa kuti imayamba chifukwa cha kuwonongeka kwa mitsempha ya mitsempha, yomwe imayamba kutumiza mauthenga opweteka ku ubongo mosokonezeka (onani chithunzi).

Mitundu ina ya mavuto Zitha kuchitika, koma ndizosowa: mavuto a maso (mpaka khungu), ziwalo za nkhope, meningitis yopanda bakiteriya kapena encephalitis.

Kuphatikiza

Le m'dera sichimafalikira kuchokera kwa munthu kupita kwa munthu. Komabe, madzi mkati red vesicles Zomwe zimapangidwira panthawi ya shingles zimakhala ndi tinthu tambiri ta kachilombo ka nkhuku. Izi madzi Choncho opatsirana kwambiri : Munthu akachigwira amatha kudwala nkhuku ngati sanakhalepo nacho. Kuti alowe m'thupi, kachilomboka kamayenera kukumana ndi mucous nembanemba. Angathe kupatsira munthu amene amasisita m'maso, m'kamwa kapena mphuno, mwachitsanzo, ndi dzanja loipitsidwa.

Le kusamba m'manja zimathandiza kupewa kufala kwa kachiromboka. Ndibwinonso kupewa kukhudzana ndi thupi pamene madzi akutuluka kuchokera ku vesicles. Anthu omwe alibe nkhuku komanso omwe matenda awo angakhale nawo zotsatira zoyipa ayenera kukhala osamala kwambiri: izi ndizochitika, mwachitsanzo, za amayi apakati (matendawa amatha kukhala owopsa kwa mwana wosabadwayo), anthu omwe kufooketsa chitetezo chamthupi ndi chatsopano.