Vanhu vazhinji vanotenda kuti kutumirwa kwekukutuku kunobvisa njodzi yokuvandudzazve chirwere chacho. Zvisinei, iyo herpes virusi inomutsa, inoramba iri mumuviri uye inogona kuva nyore kushanda, kunyanya kana masimba ezvirwere zvezvirwere anowedzera. Mumamiriro ezvinhu akadaro, shingles inobudirira - zviratidzo uye kurapwa kune vanhu vakuru zvehutano uku zvakasiyana nezviratidzo uye chirwere chekukutuka, kunyange zvazvo zvirwere zvose zvinokonzerwa nechirwere chimwechete Herpes zoster .
Zviratidzo zvekudzora vanhu vakuru
Chimiro chechimiro chinorondedzerwa kutambura mumatambo okutanga chinoratidzwa nezvishamiso izvi zvisiri izvo:
- kuwedzera (kwete kusimba) kutonhora kwemuviri, kusvika ku 37.5-38 degrees;
- zvishoma malaise, kunzwa kuneta;
- kunetseka kweutachiona hwehutano muhupenyu hwekuputika kwemangwana;
- ganda rinotinhira;
- Dzimwe nguva inongova nyore kutema uye kufungidzira kwepidermis.
Nenzira yakawanda, chimiro chechipatara chinofananidzwa nekutanga kwezvirwere zvekuporesa zvakanyanya kana ARI, saka hazvibviri kuongorora shingles panguva ino yekubatsira.
Kuwedzera kwekuwedzera kwehutachiwana mumuviri kunofambidzana nezviratidzo zvakadaro:
- kuonekwa kwemavara emucheka pamwe nekatini re intercostal uye trigeminal nerve;
- kuzvimba kweganda mukati mekumhanya;
- kuchinjwa kwemavara mushure memazuva 3-4 mumapuleti uye mabhuru maduku ane mvura yakachena mukati;
- kurwadziwa kukuru mukati meganda;
- yakakura pedo nhengo dzenzou;
- kumisa mabhanti mushure memasere 6-8;
- kuumbwa kwe-brownish-yellow crusts mushure mokuputika kwemabvu, kuparara kwavo;
- kuvapo kwekutambudzika pamwe chete nemakumbo ematambudziko (postherpetic neuralgia).
Nguva yakazara yehepepe zoster inenge masvondo 3-4, kazhinji - kusvika mazuva gumi. Pain syndrome inogona kunetsa kwenguva refu, kwemwedzi uye kunyange nemakore.
Nezvipembenene zvechirwere chechirwere, zviratidzo izvi dzimwe nguva hazvipo, asi kazhinji zvirwere zvinokonzera zvinetso zvinokonzera - encephalitis, myelitis, necrosis yemasukisi nevamwe.
Kurapa kwezviratidzo zve herpes zoster mune munhu mukuru
Chirwere ichi chiri kuongororwa chinoguma nekugadzirisa zvakakwana kunyange pasina chirongwa chakakodzera, asi zviri nyore kuti vanhu vatakure kana pane mari iyo inobatsira zviratidzo zvemaronda ake.
Chimwe chemashoko makuru ekurapwa kwehutachiona is anhehesia. Nokuda kweizvi, zvakasiyana-siyana zvinopesana nemishonga pasina steroid zvinoshandiswa:
- Ketorolac;
- Ibuprofen;
- Ketoprofen;
- Naproxen;
- Dexketoprofen;
- Paracetamol.
Kurapa kwezviratidzo zve herpes zoster pachiso kunoratidza kushandiswa kwemaanesthetics emunharaunda, semuenzaniso, giro ne lidocaine. Nokurwadziwa kukuru, Oxycodone, Gabapentin (anticonvulsants) inorayirwa. Vanoderedza kwete kungoputika chete, asiwo kuchenesa, kubvisa kuzvimba uye ganda rinotsamwisa.
Mune zvimwe zviitiko, therapy ne corticosteroid madhiragi uye antidipressants inoratidzwa. Kazhinji nzira dzakadaro dzinodiwa muhupo hwehutano hwakasimba hwehutano uye hunonzi postherpetic neuralgia.
Iko kunyanya kurapwa kwehepepe zoster muvanhu vakuru
Kunze kwechirwere chinoratidzira, kurapa kwakanyanya kwehutachiona ikozvino kunoitwa. Izvozvo zvinoshandiswa nehutachiona hunoitwa nemishonga inokosha:
- Zovirax ;
- Acyclovir;
- Virolex;
- Pentocyclophyres;
- Valtrex;
- Famiciclovir;
- Valaciclovir.
Zvakakosha kutanga utachiona pane nguva pamwe nematanho akaiswa. Vanobudisa zvinodikanwa zvinoshandiswa kana zvichishandiswa mukati maawa 72 ekutanga mushure mokutanga kwekumhanya kwekutanga. Izvo zvinodiwa panguva imwecheteyo kushandisa zvose zviri kunze kwezvinodhaka uye mapiritsi emuromo.