Le Indawo kubonakala nge Ukuhlambalaza kubuhlungu eceleni kwe-nerve noma i-nerve ganglion. Lokhu kuqhuma kwenzeka ngenxa yokuvuselelwa kwe- igciwane okubanga ingxibongo, igciwane le-varicella zoster (VVZ). Ama-shingles avame ukuthinta i- isifuba or ubuso, kepha zonke izitho zomzimba zingathinteka.

Kwesinye isikhathi i- ubuhlungu okubangelwa ama-shingles kuqhubeka izinyanga noma ngisho neminyaka ngemuva kokuphola ukuqubuka: lobu buhlungu bubizwa i-neuralgia noma ubuhlungu be-postherpetic.

Izimbangela

Ukulandela a vicella, cishe wonke amagciwane abhujiswa ngaphandle kwembalwa. Zihlala zilele ku-nerve ganglia iminyaka eminingana. Ngokukhula noma ngenxa yokugula, amasosha omzimba angalahlekelwa amandla akhe okulawula igciwane, engasebenza futhi. A ukusabela okuvuthayo bese ihlala ku-ganglia nasezinzwa, kubangele ukuvela kwama-vesicles ahlelwe ngamaqoqo esikhunjeni.

Kungenzeka kube yilokho abadala asebevele bethelelekile asebeke baxhumana nezingane ezinechickenpox bayazuza ku-a evikelwe yanda ngokuqhathaniswa namasongo. Ososayensi bakholelwa ukuthi ukuvezwa okwesibili kwaleli gciwane kuvuselela amasosha omzimba futhi ngaleyo ndlela kusize ekugcineni leli gciwane lilele.

Ubani othintekayo?

Cishe ama-90% abantu abadala emhlabeni wonke bake baba nenkukhu. Ngakho-ke bangabathwali begciwane le-varicella zoster. Cishe ama-20% abo azothola ama-shingles empilweni yabo.

Evolution

Ishiywe ingalashwa, izilonda ze Indawo kugcina isilinganiso samaviki ama-3. Isikhathi esiningi, kuhlaselwa kuphela ama-shingles. Noma kunjalo, leli gciwane lingasebenza kaningana. Lokhu kwenzeka uma kwenzeka cishe u-1% walabo abathintekile.

Izinkinga ezingenzeka

Ubuhlungu kwesinye isikhathi buqhubeka ngemuva kokuthi izilonda zesikhumba seziphulukile: le yi i-post-shingles neuralgia (noma i-neuralgia ye-postherpetic). Lobuhlungu buqhathaniswa nobuka-sciatica. Abantu abahlushwa yiyo bathi babhekana “nokushaqeka kukagesi” kwangempela. Ukushisa, ukubanda, ukungqubuzana okulula kwengubo esikhunjeni noma ukuqhuma komoya kungabekezeleleka. Ubuhlungu bungahlala amasonto noma izinyanga. Kwesinye isikhathi ayipheli.

Sizama ngangokunokwenzeka ukugwema lesi simo, esingaba ngumthombo obonakalayo we ukuhlupheka ngokomzimba nangokwengqondo : Ubuhlungu be-Neuralgic bungaphikelela, bukhulu futhi kube nzima ukubelapha ngempumelelo. Ukuthatha imishanguzo yokulwa namagciwane kusukela ekuqaleni kwama-shingles kuzosiza ukuwavimbela (bheka isigaba sokwelapha).

Ubungozi be-post-herpes zoster neuralgia buyanda ngeage. Ngakho-ke, ngokocwaningo olwenziwe e-Iceland phakathi kwabantu abangama-421, i-9% yabantu abaneminyaka yobudala 60 nangaphezulu wezwa ubuhlungu ezinyangeni ezi-3 ngemuva kokuhlaselwa kokuqala kwama-shingles, uma kuqhathaniswa ne-18% yabantu abaneminyaka engama-70 nangaphezulu¹².

I-post-shingles neuralgia kucatshangwa ukuthi ibangelwa ukulimala kwezintambo zemizwa, eziqala ukuthumela imiyalezo yobuhlungu ebuchosheni ngendlela edidekile (bona umdwebo).

Ezinye izinhlobo ze izinkinga kungenzeka, kepha akuvamile: izinkinga zamehlo (kuze kufike ebumpumputheni), ukukhubazeka ebusweni, i-meningitis engeyona eyamagciwane noma i-encephalitis.

Contagion

Le Indawo akusakazeki kumuntu kuye komunye. Noma kunjalo, uketshezi olungaphakathi kwe- ama-vesicles abomvu lelo fomu ngesikhathi sokuhlaselwa kwe-shingles liqukethe izinhlayiya eziningana zegciwane le-chickenpox. Lolu ketshezi lunjalo kuthelelana kakhulu : Umuntu oyithintayo angathola ingxibongo uma engakaze ayithole. Ukungena emzimbeni, igciwane kufanele lihlangane nolwelwesi lwamafinyila. Ingangena kumuntu ohlikihla amehlo akhe, umlomo noma ikhala, ngokwesibonelo, ngesandla esinezifo.

Le ukugeza izandla isiza ukuvimbela ukudluliswa kwegciwane. Kuyalulekwa futhi ukuthi ugweme ukuthintana ngokomzimba lapho uketshezi lukhipha kuma-vesicles. Abantu abangenayo ingxibongo futhi okungenzeka ukuthi ukutheleleka kwabo kungakanani imiphumela emibi kufanele uqaphele kakhulu: lokhu kunjalo, ngokwesibonelo, kwe- abesifazane abakhulelwe (ukutheleleka kungaba yingozi embungwini), abantu abane amasosha omzimba abuthakathaka futhi izingane ezisanda kuzalwa.