Shingles Cov Teeb Meem: Cov Tseeb, Txheeb Xyuas, thiab Koj

Zoo Siab

• Cov tsos mob ua pov thawj thiab mob zoo dua los ntawm tus mob pob ntseg yog dab tsi?
• Kab mob puas npog qhov ncauj ntau zaus?
• Dab tsi yog qhov muaj pheej hmoo ua rau rov mob tshwm sim?
• Dab tsi yog kev kho mob rau cov pob khaus thiab rov tshwm sim?
• Dab tsi yog qhov kev xam pom rau cov neeg uas muaj rov huam tuaj?
• Koj tuaj yeem tiv thaiv kom tsis txhob rov mob ib ce?

Qhov txawv txav dab tsi?

Tus kab mob varicella-zoster ua rau mob yoov. Nov yog tib hom kab mob uas ua rau mob qhua dej. Tom qab koj tau mob qhua maj thiab koj cov tsos mob twb ploj mus, tus kab mob nyob twj ywm rau hauv koj lub hlwb. Tus kab mob no tuaj yeem rov qab ua haujlwm tom qab lub neej raws li tus mob pob zeb. Cov neeg tsis paub vim li cas qhov no tshwm sim. Shingles tseem muaj lub npe hu ua herpes zoster. Ib tug neeg uas muaj mob qhua maj tus mob tom qab tuaj yeem hnoos tau.

Lub npe "shingles" yog los ntawm lo lus Latin rau "girdle," thiab hais txog tias lub pob zeb sawv hlwv feem ntau ua rau txoj phuam caj dab lossis txoj siv, feem ntau nyob ntawm ib sab ntawm lub npog tas ib ce. Tus mob shingles kuj tuaj yeem sab rau koj:

• caj npab
• tus ncej puab
• taub hau
• pob ntseg
• qhov muag

Cov neeg nyob hauv Tebchaws Meskas kwv yees li mob txhaws ntswg txhua xyoo. Txog cov tib neeg hauv tebchaws United States yuav kis tus mob shingles hauv lawv lub neej, thiab 68 feem pua ​​ntawm cov neeg no tshwm sim rau cov neeg 50 xyoo thiab laus dua. Cov neeg nyob txog 85 xyoo muaj ib lub sijhawm muaj rau mob voos.

Koj tseem tuaj yeem txav mus rau lub sijhawm ob. Qhov no yog qhov tsawg dua thiab muaj npe hu ua shingles recurrence.

Cov tsos mob ua pov thawj thiab mob zoo dua los ntawm tus mob pob ntseg yog dab tsi?

Thawj qhov tsos mob ntawm tus mob pobntseg feem ntau yog mob, ncus, lossis mob ncus nyob rau thaj chaw muaj kabmob. Hauv ob peb hnub, muab tso ua ke ua ke liab liab uas muaj kua paug tawm tuaj uas yuav tawg qhib thiab tom qab ntawd tshwm sim. Lwm cov tsos mob muaj xws li:

• khaus ntawm thaj chaw sib kis
• daim tawv nqaij yoog hauv qhov chaw tawm tsam
• qaug zog thiab lwm cov tsos mob ua npaws
• rhiab rwg mus rau lub teeb
• ua daus no

Rov muaj cov mob pob tsuas muaj cov tsos mob li qub, thiab feem ntau tshwm sim rau tib qho chaw. Hauv kev hais txog ntawm cov neeg mob, kev mob pob ntseg los ntawm pawg yog nyob rau lwm qhov chaw.

Kab mob puas npog qhov ncauj ntau zaus?

Cov ntaub ntawv hais txog pes tsawg zaus shingles recurs txwv. Ib qho kev tshawb fawb hauv Minnesota ntau dua xya xyoo pom tias ntawm 5.7 thiab 6.2 feem pua ​​ntawm cov neeg mob pob ntseg yog tus mob shingles zaum ob.

Feem ntau, qhov qhia tau tias koj qhov kev pheej hmoo yuav mob pob ntseg zaum ob yog hais txog tib yam li qhov kev pheej hmoo uas koj muaj mob yoov thawj zaug.

Lub sijhawm npaum li cas ntawm thawj kis ntawm tus mob pob khaus thiab rov tshwm sim tsis tau tshawb pom zoo. Hauv txoj kev tshawb fawb los ntawm 2011, qhov kev tshwm sim tsis tshua muaj tshwm sim los ntawm 96 hnub txog 10 xyoo tom qab thawj zaug mob pob sawv, tab sis qhov kev tshawb fawb no tsuas yog 12-xyoo lub sijhawm.

Dab tsi yog qhov muaj pheej hmoo ua rau rov mob tshwm sim?

Tib neeg tsis paub tias dab tsi ua rau mob duav ntxiv, tab sis qee yam muaj feem yuav ua rau kom koj muaj mob ntxiv dua.

Cov neeg uas lub cev tsis muaj zog tiv thaiv kab mob dua yuav rov huam mob dua. Ib txoj kev tshawb nrhiav tau txiav txim siab tias tus nqi ntawm yoov rov huam yog nyob ntawm cov neeg muaj kev tiv thaiv lub cev tsis muaj zog. Qhov no yog kwv yees li 2.4 npaug ntau dua li rau cov uas tsis muaj lub cev tsis cuam tshuam.

Koj yuav muaj lub cev tsis muaj zog yog tias koj:

• tau txais kev kho mob siv tshuaj lossis hluav taws xob
• muaj kev hloov khoom nruab nrog cev
• muaj HIV lossis AIDS
• tab tom noj tshuaj corticosteroids zoo ib yam li prednisone

Lwm yam kev pheej hmoo ntxiv suav nrog:

• ntev mus ntev thiab mob hnyav nrog thawj cov mob pob ntseg
• mob rau 30 hnub los yog ntau dua nrog thawj cov mob pob ntseg
• ua poj niam
• ua lub hnub nyoog dhau 50 xyoo

Yog koj muaj ib lossis ntau cov txheeb ze ntshav nrog tus mob pob ntseg kuj tseem yuav ua rau koj muaj feem ntau ua mob tau yooj yim.

Dab tsi yog kev kho mob rau cov pob khaus thiab rov tshwm sim?

Kev kho mob rau kev rov mob shingles yog tib yam li rau shingles.

Yog koj xav tias koj muaj cov mob pob ntseg no, mus ntsib koj tus kws kho mob sai li sai tau. Noj cov tshuaj tiv thaiv kev tiv thaiv zoo li acyclovir (Zovirax), valacyclovir (Valtrex), lossis famciclovir (Famvir) tuaj yeem txo qhov mob tawv nqaij ntawm cov pob khaus thiab txo tau kom ntev li cas.

Koj tus kws kho mob tseem tuaj yeem sau tshuaj noj kom txo koj qhov mob thiab pab koj tsaug zog. Cov no suav nrog cov hauv qab no:

• Cov tawv nqaij pleev xim nrog cov tshuaj pleev xim ua haujlwm lidocaine muaj. Koj tuaj yeem hnav lawv rau ntawm thaj chaw muaj cuam tshuam rau lub sijhawm ntev.
• Cov tawv nqaij ua khaus uas muaj 8 feem pua ​​capsaicin, ib qho kev rho tawm ntawm cov kua txob kua txob, muaj. Qee tus neeg tsis tuaj yeem tiv taus qhov kev hnov ​​mob kub, txawm tias daim tawv nqaij loog ua ntej cov ntaub qhwv.
• Cov tshuaj Antiseizure, xws li gabapentin (Neurontin, Gralise, Horizant) thiab pregabalin (Lyrica), txo qhov mob los ntawm kev txo lub zog ua si. Lawv muaj cov kev mob tshwm sim uas yuav txo qhov ntau ntawm cov tshuaj uas koj tuaj yeem tiv taus.
• Cov tshuaj tiv thaiv kab mob xws li duloxetine (Cymbalta) thiab nortriptyline (Pamelor) tuaj yeem siv tau, tshwj xeeb yog ua rau mob mob thiab ua kom koj tsaug zog.
• Tshuaj pleev pob txha pleev opio tuaj yeem txo cov mob, tab sis lawv muaj kev phiv, zoo li kiv taub hau thiab tsis meej pem, thiab lawv tuaj yeem dhau los ua tus quav.

Koj tseem tuaj yeem da dej txias nrog colloidal oatmeal kom yooj yim khaus, lossis thov txias txias rau thaj chaw muaj kev cuam tshuam. So kom txaus thiab txo kev ntxhov siab kuj tseem ceeb.

Dab tsi yog qhov kev xam pom rau cov neeg uas muaj rov huam tuaj?

Tus mob feem ntau feem ntau yuav tsis ploj mus li ntawm ob rau rau lub lis piam.

Hauv qee qhov mob me me, qhov mob tsuas yog tuaj yeem rov qab thaum lub pob khaus tau zoo. Qhov no hu ua postherpetic neuralgia (PHN). Txog 2 feem pua ​​ntawm cov neeg uas tau tus mob no muaj PHN los tsib xyoo lossis tshaj saud. Qhov kev pheej hmoo nce nrog lub hnub nyoog.

Koj tuaj yeem tiv thaiv kom tsis txhob rov mob ib ce?

Qhov rov zoo tshwm sim tuaj yeem tiv thaiv tsis tau. Koj tuaj yeem txo koj txoj kev pheej hmoo los ntawm kev txhaj tshuaj tiv thaiv tus mob shingles, txawm tias tom qab koj muaj tus mob shingles.

Ib qho kev tshawb fawb pom tau hais tias cov neeg uas txhaj koob tshuaj txhaj tiv thaiv tau muaj mob 51 feem pua ​​tsawg dua li tus mob shingles. Rau cov neeg muaj hnub nyoog 50-59 xyoo, txhaj tshuaj tiv thaiv tus mob shingles txo tus mob txhaws yog 69.8 feem pua.

Feem ntau cov neeg uas txhaj koob tshuaj txhaj tiv thaiv tus mob no mas tsis tshua raug tus mob no coob. Lawv kuj tau muaj tsawg dua qhov tshwm sim ntawm PHN.

Cov kws kho mob pom zoo rau cov tshuaj txhaj tiv thaiv tus mob rau cov neeg muaj hnub nyoog tshaj 50 xyoo tab sis tsis siv rau cov neeg uas lub cev tsis muaj zog tiv thaiv kab mob.