Anthu ambiri amakhulupirira kuti kutumiza kwa nkhuku kumathetsa chiopsezo cha kukonzanso matendawa. Komabe, kachilomboka kamene kamayambitsa, kamakhalabe m'thupi ndipo kamakhala kovuta kwambiri, makamaka ngati chitetezo cha mthupi chimakula. Zikatero, matenda amayamba - zizindikiro ndi chithandizo kwa anthu akuluakulu a matendawa ndi zosiyana ndi zizindikiro ndi mankhwala a nkhuku, ngakhale kuti matendawa amayamba chifukwa cha kachilombo komweko.
Zizindikiro za ming'oma mwa akuluakulu
Maonekedwe omwe amachititsa kuti matendawa ayambe kumayambiriro amayamba ndi zizindikiro zotsatirazi:
- kuwonjezeka (osati kolimba) kutentha kwa thupi, mpaka madigiri 37.5-38;
- pang'ono malaise, kumva kutopa;
- ululu wofooka wa ubongo wa m'thupi mmalo mwa kuphulika kwa mtsogolo;
- khungu;
- Nthawi zina zimakhala zosavuta komanso zowonongeka za epidermis.
Kawirikawiri, chithunzi cha kliniki chikufanana ndi chiyambi cha matenda opatsirana opuma kapena ARI, kotero ndizosatheka kuti tipeze shingles pa siteji iyi ya chitukuko.
Kuwonjezeka kwa kachilombo kameneka m'thupi kumakhala ndi zizindikiro zotere:
- maonekedwe a pinki pamtambo wa mitsempha yotchedwa intercostal nerve ndi trigeminal mitsempha;
- kutupa kwa khungu kumtunda;
- kusandulika kwa mawanga pambuyo pa masiku 3-4 mu mapepala ndi mabhula aang'ono ndi madzi omveka mkati;
- ululu wopweteka pakhungu;
- kuwonjezeka kwa ma lymph nodes pafupi;
- kuyanika mitsempha patatha masiku 6-8;
- mapangidwe a brownish-yellow crusts pambuyo pa kutuluka kwa thovu, kutha kwawo;
- Kukhalapo kwa ululu mkati mwa mitsempha yowonongeka (posterpetic neuralgia).
Nthawi yonse ya herpes zoster ndi pafupi masabata 3-4, kawirikawiri - mpaka masiku khumi. Matenda a kupweteka amatha kusokoneza, kwa miyezi komanso zaka.
Ndi mitundu yoopsa ya matendawa, nthawi zina zimakhala zosavuta, koma nthawi zambiri matendawa amachititsa mavuto owopsa - encephalitis, myelitis, necrosis ya tisses ndi ena.
Kuchiza zizindikiro za herpes zoster munthu wamkulu
Matenda omwe akugwiritsidwa ntchito nthawi zambiri amatherapo ngakhale popanda mankhwala oyenera, koma ndi kosavuta kuti anthu azisenza ngati pali ndalama zomwe zimathandiza kuti zizindikiro za matenda a herpes zifike.
Imodzi mwa mfundo zazikulu za chithandizo cha matenda ndi anesthesia. Pachifukwachi, mankhwala odana ndi zotupa popanda steroids amagwiritsidwa ntchito:
- Ketorolac;
- Ibuprofen;
- Ketoprofen;
- Naproxen;
- Dexketoprofen;
- Paracetamol.
Kuchiza zizindikiro za herpes zoster pamaso kumaphatikizapo kugwiritsira ntchito mankhwala osokoneza bongo akumwa, mwachitsanzo, mazira ndi lidocaine. Amamva ululu kwambiri, Oxycodone, Gabapentin (anticonvulsants). Amachepetsa kutentha, komanso kuyabwa, kuchepetsa kutupa ndi khungu.
Nthaŵi zina, mankhwala opatsirana ndi corticosteroid ndi anti-depressants amasonyezedwa. Kawirikawiri njira zoterezi zimafunikanso pamaso pa matenda opsinjika kwambiri ndipo amatchedwa kuti postural neuralgia.
Chithandizo chachikulu cha herpes zoster akuluakulu
Kuphatikiza pa chithandizo chamankhwala, mankhwala oyenera a matendawa alipo. Matenda a antiviral akuchitika kudzera mwa mankhwala apadera:
- Zovirax ;
- Acyclovir;
- Virolex;
- Chipulumutso;
- Valtrex;
- Famciclovir;
- Valaciclovir.
Ndikofunika kuyamba mankhwala pa nthawi ndi njira zowonjezera. Amapereka zotsatira zoyenera ngati atagwiritsidwa ntchito mkati mwa maola 72 oyambirira mutangoyamba kumene. Ndibwino kuti panthawi yomweyo mugwiritse ntchito mankhwala osokoneza bongo komanso mapiritsi.