Shingles (ICD-10 code - B02) yog ib qho mob uas tseem tsis tau kawm tiav. Tus kab mob no cuam tshuam rau cov neeg laus thiab menyuam yaus ntawm txhua lub hnub nyoog. Tab sis, raws li kev xyaum qhia, qhov tshwm sim siab tshaj plaws tshwm sim hauv cov neeg uas twb muaj 50.
Cov kab mob no tshwm sim los ntawm tus kab mob herpes. Muaj ib qho lesion tsis yog ntawm daim tawv nqaij xwb, tab sis kuj ntawm lub paj hlwb. Cov kab mob no thiab qaib pox muaj qhov zoo sib xws etiology thiab pathogenesis. Cov tshuaj niaj hnub no suav hais tias yog tus kab mob sib kis tau zoo heev, thiab tag nrho vim tias nws yog provoked los ntawm tus kab mob herpes. Nws yog ib qho tseem ceeb heev kom paub tus kab mob sai sai, pib kho thiab tsis txhob kis rau leej twg nyob ib puag ncig.
Txoj kev kis tus kabmob
Hauv tib neeg lub cev muaj cov tshuaj tiv thaiv kab mob uas tiv thaiv kab mob herpes kom tsis txhob kis. Tab sis tus kab mob shingles yog tus kab mob uas txawj ntse uas yooj yim yoog mus rau kev tua tshuaj, thaum nws tuaj yeem nkaum hauv cov hlab ntsha, cov leeg txha caj qaum thiab ua tiav nws cov haujlwm tseem ceeb hauv tib neeg lub cev rau lub sijhawm ntev.
Nyob rau hauv ib puag ncig sab nraud, tus kab mob no sai sai rau qhov kub thiab txiasraug rau ultraviolet lub teeb. Nws yog qhov nyuaj dua rau lawv kom kis tau tus kab mob hauv huab cua. Tab sis ntawm qhov kub qis, ntawm qhov tsis sib xws, nws tau txais lub zog, yog li nws muaj sia nyob zoo.
zaub mov tsis zoo, tsis zoo ib puag ncig ua rau muaj kev pheej hmoo kis tus kabmob.
Ntau tus neeg nug cov lus nug tseem ceeb: yog kab mob shingles kis tau? Alas, muaj ntau yam ua rau muaj kev cuam tshuam uas ua rau muaj tus kab mob nkag mus rau hauv lub cev thiab tsim tus kab mob:
- kev tiv thaiv qis;
- ua paug ib puag ncig thiab dej;
- tsis muaj cov vitamins thiab minerals hauv kev noj haus.
Tus kab mob kis tau los ntawm huab cua nrog cov kua dej, leej twg tuaj yeem kis tau yooj yim los ntawm kev kov lossis tuav tes. Tsis tas li ntawd, tsis txhob hnov qab tias nws tuaj yeem yog cov khoom siv hauv tsev, ntawm cov khoom siv tu cev, ntawm qhov rooj tuav, trolleys hauv tsev loj, hauv kev thauj mus los rau pej xeem. Qhov chaw tsim nyog tshaj plaws rau kev kis kab mob yog chav sov nrog cov av noo: saunas, pas dej thiab xuab zeb ntawm lub puam.
Ua rau kab mob
kab mob shingles kis li cas? Los ntawm cov tee dej hauv huab cua, tus neeg twg uas tsis saib xyuas lawv txoj kev noj qab haus huv thiab kev nyiam huv tuaj yeem kis tau. Tus kab mob no tshwm sim tom qab kab mob qhua pias los yog feem ntau los ntawm cov mucous daim nyias nyias thiab daim tawv nqaij, ces kis mus rau hauv lub circulatory system thiab nkag mus rau hauv tus txha caj qaum thiab intervertebral nodes, qhov uas nws tseem latent rau lub sij hawm ntev.
Tus kab mob no pib ua rau cov laj thawj hauv qab no:
mob hnyav heevxwm txheej;
- noj tshuaj tiv thaiv kab mob;
- qhov tshwm sim tom qab kev kho hluav taws xob;
- malignant hlav hauv lub cev;
- kab mob HIV;
- kev hloov pauv hauv nruab nrog cev.
Raws li qhov no, nws muaj peev xwm los teb cov lus nug ntawm seb tus kab mob shingles puas kis tau. Yog lawm, nws kis tau, thiab nws kis tau los ntawm tus neeg uas twb muaj mob mus rau tus neeg uas tseem tsis tau muaj nws. Tus kab mob no kis tau thaum lub sij hawm tsim hlwv, tom qab crusts tau pib tsim, shingles tsis kis.
Cov qauv thiab theem ntawm tus kab mob
Cov kws kho mob txheeb xyuas ntau hom kab mob:
- Ocular. Thaum pib cuam tshuam rau ceg ntawm cov hlab ntsha trigeminal. Cov pob khaus tshwm nyob rau hauv lub qhov muag thiab lub qhov muag. Muaj kev pheej hmoo ntawm kev tsim kab mob herpetic keratitis, uas tuaj yeem ua rau pom kev tsis pom kev.
- Pob ntseg (los yog nws tseem hu ua Ramsey-Hunt syndrome). Nws manifests nws tus kheej nyob rau hauv daim ntawv ntawm cov pob liab liab cuam tshuam lub ganglion ntawm lub ntsej muag paj hlwb. Ntxiv nrog rau cov pob khaus thiab mob, peripheral paresis ntawm lub ntsej muag cov leeg tuaj yeem txhim kho, cov khoom noj thaum noj mov poob tawm ntawm qhov ncauj thiab nkag mus rau hauv lub qhov ntswg, vim lub ntsej muag yog distorted. Tus neeg mob kaw tsis tau daim tawv muag.
- Necrotic. Nws cuam tshuam rau cov khaubncaws sab nraud povtseg ntawm daim tawv nqaij. Nrog rau daim ntawv no, qhov sib ntxiv ntawm cov kab mob thib ob yog yuav luag lav, tus kab mob hnyav heev, thiab tom qab rov qab los, cov caws pliav tseem nyob ntawm daim tawv nqaij. Daim ntawv no tsim kho rau cov neeg mob uas muaj kev tiv thaiv qis, xws li cov kab mob HIV.
- Npaj(los yog bullous). tshwm sim thaum lub sijhawm me me sib koom ua ke loj.
- Hemorrhagic. Nws raug kuaj pom lub sijhawm thaum cov ntshav pom nyob rau hauv cov ntsiab lus ntawm cov vesicles.
- Daim ntawv dav dav ntawm cov kab mob shingles tshwm nyob rau lub sijhawm thaum cov pob khaus kis thoob plaws hauv lub cev thiab tseem cuam tshuam rau cov mucous daim nyias nyias. Nws tshwm sim hauv cov neeg mob uas muaj kev ua haujlwm ntawm lub cev tsis muaj zog.
- Abortive form. Spots tshwm nyob rau hauv lub paj hlwb, thaum npuas tsis tsim. Daim ntawv yog me me, tsis muaj cov tsos mob ntawm intoxication thiab tej zaum yuav mus unnoticed los ntawm tus neeg mob.
Ib txhia kis, tus kab mob tuaj yeem mus rau hauv nruab nrab lub paj hlwb. Tom qab ntawd, qhov mob ntawm meninges, encephalitis, meningoencephalitis thiab myelitis tuaj yeem tsim. Cov ntawv no ua rau tuag taus.
Muaj peb theem ntawm shingles:
- Prodromal. Nws manifests nws tus kheej nyob rau hauv daim ntawv ntawm mob, kub hnyiab thiab khaus ua ntej cov pob liab liab tshwm. Tus kab mob tuaj yeem tshwm sim tau ob lub lis piam, tab sis qhov nruab nrab 3-5 hnub.
- Spicy. Nws manifests nws tus kheej nyob rau hauv daim ntawv ntawm cov pob liab liab, tom qab uas scabs tshwm, ntxiv rau qhov no, ib tug neuralgic syndrome yog ntxiv. Lub sijhawm ntawm lub sijhawm no yog mus txog ib hlis, tab sis qee zaum txog 15 hnub.
- Ntawm. Nws manifests nws tus kheej nyob rau hauv daim ntawv ntawm ib tug muaj zog mob syndrome nyob rau hauv lub cheeb tsam ntawm pob khaus, kav los ntawm ib hlis mus rau ib xyoos. Qee lub sij hawm cov tsos mob ntawm tus mob shingles hauv cov neeg laus tuaj yeem ntxiv los ntawm kev tsis zoo ntawm tus mob, kub taub hau, mob taub hau thiab kev nyuaj siab. Nws yuav siv ntau duaKev kho mob mus sij hawm ntev.
Cov tsos mob
Nws tsis tuaj yeem tsis pom qhov tshwm sim ntawm tus kab mob shingles, nws cov cim pom ntawm qhov muag liab qab. Cov tsos mob thawj zaug yog:
- kev tsis txaus siab;
- xav;
- lub cev kub;
- neuralgic mob syndrome;
- tingling sensation ntawm qhov chaw ntawm pob khaus uas tshwm tom qab.
Lub sijhawm dhau mus, muaj pob khaus ntau thiab feem ntau ntawm lub cev. Cov tsos mob ntawm tus kab mob manifest lawv tus kheej raws li nram no: tom qab edematous pinkish me ntsis tshwm, tom qab 3-4 hnub, pab pawg neeg ntawm papules tshwm. Lawv sai sai ua npuas nrog cov ntsiab lus pob tshab, lub sijhawm no qhov mob hnyav zuj zus thiab cov qog ntshav nce ntxiv.
Tom qab ib lub lim tiam, cov npuas qhuav qhuav, daim tawv daj daj, dhau sij hawm lawv poob, thiab pigmentation tshwm hauv lawv qhov chaw. Tom qab cov pob khaus dhau lawm, postherpetic neuralgia yuav nyob twj ywm, uas nyuaj kho.
Pathology ua rau herpes zoster
Shingles ntawm tus neeg uas nws cov tsos mob hnyav heev tuaj yeem ua rau muaj kab mob xws li:
- Ramse-Hunt Syndrome, uas yog tus cwj pwm los ntawm cov pob khaus hauv oropharynx, pob ntseg kwj dej, thiab tuag tes tuag taw ntawm cov leeg nqaij;
- ophthalmic herpes, cuam tshuam rau cov ceg ntoo ntawm cov hlab ntsha trigeminal;
Txoj kev kuaj mob
Tsuas yog los ntawm kev kuaj mob kom zoo thiaj tuaj yeem pom qhov kev kho mob zoo tshaj plawsua mob. Cov tsos mob yog pom tau thiab nws tsis yooj yim rau kev kuaj mob kom raug. Tab sis qee zaus, txhawm rau kom tsis txhob ua qhov kev kuaj mob tsis raug, nws yog ib qho tsim nyog yuav tsum ua cov txheej txheem tshawb fawb serological, ua microscopy, thiab cais tus kab mob ntawm cov ntaub so ntswg kab lis kev cai.
Suav zoster hauv cov menyuam yaus tuaj yeem kuaj pom los ntawm kev kuaj sim.
Yog tias koj kuaj ntshav, ces tus neeg mob uas muaj tus kab mob hnyav heev muaj leukocytosis, ESR nce nruab nrab, nce lymphocytes.
Kev tshawb fawb ntawm cov kua dej cerebrospinal tsuas yog yuav tsum tau muaj mob hnyav xwb. Nws yog qhov nyuaj dua rau kev kuaj mob nyob rau theem pib, vim tias daim tawv nqaij tshwm sim tsis meej pem nrog kev mob ntawm tus txiav, ob lub raum, mob plab thiab lub plawv nres. Nws kuj yog ib qho nyuaj rau kev kuaj mob vim qhov tseeb tias cov tsos mob zoo ib yam li mob eczema, erysipelas. Nyob rau hauv cov ntaub ntawv no, koj yuav tsum tau ua ib tug microscopic kev soj ntsuam, siv serological txoj kev, sim txiav txim seb hom kab mob los ntawm PCR los ntawm cov ntshav los yog cov ntsiab lus ntawm lub vesicles.
Kev nyuaj siab
Nws tsis tuaj yeem tsis quav ntsej cov tsos mob ntawm tus kab mob, thiab tag nrho vim tias kev ua haujlwm ntawm tus kab mob ntau dhau ua rau muaj teeb meem loj. Tej yam tshwm sim:
- kab mob siab;
- pneumonia;
- meningitis;
- deterioration lossis ua tiav tsis hnov lus thiab tsis pom kev.
Postherpetic neuralgia yog qhov phom sij tseem ceeb ntawm cov kab mob shingles. Ib qho xwm txheej zoo sib xws tshwm sim nws tus kheej nrog qhov mob hnyav nyob rau hauv cov chaw uas tau cuam tshuam los ntawm tus kab mob thiab pheej mus txawm tias tom qab lawv ploj mus. Cov tsos mob tshwm sim. Muaj cov txheej txheem inflammatory hauv cov leeg uas cuam tshuam lawv txoj haujlwm, suav nrog cov leeg tuag tes tuag taw.
Nyob rau hauv cov neeg muaj kab mob HIV, exacerbation tuaj yeem ua rau tus neeg mob tuag.
txoj kev kho
Tom qab kev kuaj mob herpes zoster tau dhau los thiab qhov kev kuaj mob tau lees paub, tus kws kho mob xaiv kev kho mob rau txhua tus neeg mob raws li nws daim ntawv mob. Txhua txoj kev kho mob tuaj yeem muab faib ua peb pawg:
- Etiotropic. Taw tes rau qhov ua rau tus kab mob.
- Pathogenetic. Cuam tshuam cov txheej txheem ntawm kev loj hlob ntawm pathology.
- Symptomatic. Nrog lawv pab, qhov tshwm sim ntawm tus kab mob no raug tshem tawm.
Etiotropic kev kho mob ntawm herpes zoster muaj nyob rau hauv kev siv cov tshuaj antiherpetic tshwj xeeb. Cov no suav nrog:
"Aciclovir";
- "V altrex";
- "Ganciclovir".
Tshuaj pab thaiv kev tsim tawm ntawm tus kab mob, tiv thaiv qhov tshwm sim ntawm foci tshiab ntawm cov pob liab liab, thiab txo qis thaj tsam ntawm cov pob liab liab. Txhais tau tias ceev kom qhuav ntawm crusts, tiv thaiv kab mob.
Kev npaj tuaj yeem nthuav tawm ntau hom: hmoov rau kev txhaj tshuaj, ntsiav tshuaj, tshuaj ntsiav, kua txiv hmab txiv ntoo, tshuaj pleev thiab qab zib rau kev siv sab nraud. Feem ntau, tus kws kho mob muab cov kev siv sab hauv thiab sab nraud.
Kev kho mob ntawm tus kab mob herpes zoster suav nrog kev siv tshuaj uas tawm tsam kev qaug cawv. Txhawm rau ua qhov no, siv tshuaj intravenouslyGlucose daws, "Ringer", "Rheosorbilact" thiab lwm yam. Hauv qee qhov xwm txheej, lawv ua ke nrog cov tshuaj diuretic - "Furosemide" lossis "Lasix" yuav tsum tau ua. Kev siv cov vitamins los ntawm pab pawg B tau pom, thiab tag nrho vim lawv xaiv ua haujlwm ntawm lub paj hlwb. Antiallergic tshuaj yuav siv tau: "Erius", "Suprastin", "Zodak" thiab lwm yam. Lawv pab txo qhov o thiab ua kom cov nyhuv analgesics. Kev xaiv cov tshuaj rau tus kab mob herpes zoster yog nyob ntawm daim ntawv ntawm tus kab mob, thiab tus neeg kam rau lub cev yuav tsum raug coj mus rau hauv tus account.
Kev kho mob ntawm tus mob shingles hauv tib neeg tau muab, uas suav nrog:
- tshuaj tiv thaiv kab mob: "Paracetamol", "Ibuprofen";
- tshuaj tua kab mob, tshuaj ua ke raws li NSAIDs, cov tshuaj yeeb tshuaj xws li Tramadol tuaj yeem siv tau;
- nrog mob hnyav, muaj kev thaiv kev siv tshuaj loog;
- yog qhov mob tiv thaiv tus neeg mob los ntawm so, tej zaum yuav pom zoo tshuaj tsaug zog.
Ntawm cov kws kho mob lub cev, ultraviolet irradiation tsom rau thaj tsam pob liab liab muab cov txiaj ntsig zoo. UHF, quartz thiab laser kho kuj pom zoo rau tus neeg mob.
Qee zaum, kev siv cov xim ntsuab thiab methylene xiav ci ntsa iab yog qhov ncaj ncees, uas pab ua kom cov npuas qhuav, thaum tseem muaj cov tshuaj tua kab mob. Tab sis cov nyiaj no yuav tsum tau siv pointwise, generosity nyob rau hauv cov ntaub ntawv no ua tautsuas mob.
Nrog cov kab mob shingles (ICD-10 - B02), nws yog qhov zoo dua los ua kom qhov cuam tshuam ntawm lub cev qhib kom muaj huab cua tsis tu ncua rau lawv. Tsuas yog nyob rau hauv txoj kev no muaj tsawg dua kev pheej hmoo ntawm kev kis kab mob thib ob, thiab foci qhuav sai dua.
Herpes zoster yog qhov tshwm sim tsis zoo ntawm kev rov ua haujlwm ntawm tus kab mob herpes hom 3, uas tshwm sim tawm tsam keeb kwm ntawm kev tiv thaiv qis. Lub ntsiab tshwm sim ntawm tus kab mob yog cov pob liab liab nyob rau hauv daim ntawv ntawm vesicles thiab mob nyob rau hauv lawv cov cheeb tsam, thiab tag nrho vim hais tias ntawm cov hlab ntsha cuam tshuam lub pob tw. Feem ntau, tus kab mob no muaj kev pom zoo thiab xaus nrog kev rov qab sai yog tias kev kho mob nyuaj pib raws sijhawm. Cov tshuaj niaj hnub no muaj ntau yam cuab yeej uas tiv thaiv kab mob.
kev kho neeg zoo
Kev sib xyaw tshuaj ib txwm siv nrog cov tshuaj pej xeem ua rau muaj txiaj ntsig sai dua. Ntawm ntau cov zaub mov txawv, cov no yog qhov zoo tshaj plaws:
- Burdock infusion. Nws yog ib qho tsim nyog yuav tsum noj cov khoom nyoos qhuav (1 tablespoon), ncuav dej npau npau tshaj nws (500 ml), tawm rau ib teev, lim thiab haus dej haus thaum nruab hnub hauv me me sips. Brew tshiab decoction txhua hnub.
- Ginger cag tincture. Grate ib lub hauv paus me me, ncuav 0.5 liv ntawm vodka rau hauv nws thiab tawm mus rau infuse rau 14 hnub. Tom qab ntawd, tshem lub ncuav mog qab zib, thiab noj cov tincture 1 tablespoon ua ntej noj mov. Cov cuab yeej no yuav ntxiv dag zog rau lub cev tiv thaiv kab mob, thiab nws yuav muaj peev xwm tiv thaiv tus kab mob sai sai thiab tiv thaiv kev kis kab mob thib ob.
- Tshuaj ntsuab iab. Ua raws li qhov sib npaugQhov ntau ntawm tansy, wormwood thiab yarrow, tom qab sib tov, xaiv 1 tbsp. l. thiab ncuav boiling dej. Nws raug nquahu kom haus 400-600 ml ib hnub.
- Europhorbia kua txiv yog siv rau kev siv sab nraud, txhuam nws ntawm daim tawv nqaij.
- Potassium permanganate yuav pab ua kom cov txheej txheem kho kom zoo yog tias koj ntuav cov tawv nqaij cuam tshuam nrog cov tsis muaj zog.
- Txhim kho lub cev tiv thaiv kab mob tincture ntawm willow bark. Koj yuav tsum tau noj ib tablespoon ntawm tws raw cov ntaub ntawv thiab ncuav ib khob ntawm boiling dej, tawm mus sawv ntsug rau ib teev, noj 1/4 khob peb zaug ib hnub twg.
- Tincture ntawm calendula thiab meadowsweet paj pab tiv nrog shingles nyob rau hauv cov me nyuam thiab cov neeg laus, nws relieves o thiab khaus, li no relieving cov tsos mob. Noj cov khoom nyoos hauv qhov sib npaug, ncuav dej npau npau (1 tablespoon ib khob dej) thiab cia nws brew. Siv los so cov kab mob ntawm daim tawv nqaij.
Cov tshuaj tiv thaiv kab mob sib kis tuaj yeem ua rau muaj txiaj ntsig zoo tsuas yog siv nrog kev kho ib txwm muaj. Yog li ntawd, ua ntej siv lawv, nws yog qhov zoo dua los sab laj nrog kws kho mob kom tsis txhob ua rau muaj qhov tshwm sim tsis zoo.
ntsuas kev tiv thaiv
Tshuaj mob shingles kis tau li cas twb paub lawm. Tus kab mob no tsis zoo nkauj heev, yog li nws yog qhov zoo dua los tiv thaiv koj tus kheej thiab cov neeg koj hlub los ntawm nws. Muaj ntau yam tshuaj zoo uas tuaj yeem tiv taus tus kab mob, tab sis nws tseem zoo dua los ua thiab tiv thaiv koj tus kheej los ntawm tus kab mob. Kev tiv thaiv kab mob muaj xws li hauv qab no:
- Yuav tsum ua kom lub cev tawv,yog li ntawd ntxiv dag zog rau lub cev tiv thaiv kab mob. Tsis tu ncua yuav tsum tau taug kev hauv huab cua ntshiab. Tsuas yog lub cev muaj zog xwb thiaj li muaj zog tiv thaiv kab mob thiab kis kab mob.
- Cov tshuaj tiv thaiv tau npaj yuav pab txhim kho kev tiv thaiv kab mob sai sai tua tus kab mob herpes.
- Nyob rau lub caij nplooj ntoos hlav thiab lub caij nplooj zeeg, thaum ib tug neeg tshwj xeeb tshaj yog cov kab mob ua pa, nws yog ib qho tsim nyog yuav tsum muaj cov khoom noj uas muaj cov vitamins ntau hauv cov zaub mov, lossis tsuas yog yuav cov vitamin complex hauv lub tsev muag tshuaj thiab kawm txog kev noj zaub mov zoo. noj.
Thaum lub sijhawm exacerbation thiab qee lub sijhawm tom qab cov pob khaus tshwm rau ntawm tus neeg lub cev, nws tseem kis tau, yog li koj yuav tsum tsis suav nrog nws. Yog hais tias qhov no yog ib tug neeg hauv tsev neeg, koj yuav tsum xyuas kom meej tias tus neeg mob muaj ib daim phuam nyias nyias, ntaub pua chaw pw, tais diav, thiab sim tshem tawm lub cev nrog nws, tshwj xeeb tshaj yog rau cov menyuam yaus uas tsis muaj kev tiv thaiv kab mob tseem tsis tau loj hlob thiab muaj kev cuam tshuam rau kev tawm tsam. los ntawm kab mob thiab kab mob.
Txhua tus neeg uas twb tau mob khaub thuas yuav tsum paub tseeb tias lichen zoo li cas thiaj li paub txog lub sijhawm thiab nrhiav kev pab los ntawm kws kho mob. Thawj theem ntawm tus kab mob no yooj yim kho dua li qhov siab tshaj, thiab nws yuav ua rau tus neeg mob tsis yooj yim dua.
