Ko e ngaahi meʻa mahuʻinga fekauʻaki mo e Zona (Tūkia Poʻuli) ʻoku totonu ke ʻiloʻi

Ko e hā ʻa e Zona?

Ko e zona, ʻi he lea fakafaitoʻo ko herpes zoster, ko ha mahaki fakainfectious ʻoku fakatupu ʻe he vailasi Varisella Zoster (VZV), pea ʻoku faingataʻa mo ha ngaahi toloʻi ʻi he kili ʻoku ʻi ai ha mamahi mo ha ngaahi fufulu. ʻE lava ke nofo fakapōpō ʻi ho sino ʻa e vailasi ni hili hono maʻu ʻa e mahaki vaiʻosi ʻi he taimi ʻo e fanau. Hili ha ngaahi taʻu, kapau ʻoku ngoikoloa ʻa e sisitemi maluʻi ʻo e sino, ʻe toe fakatupulekina ʻa e vailasi pea fakatupu ai ʻa e zona. Ko e ngaahi toloʻi ʻoku faingataʻa ʻi ha konga pē ʻo e sino, ʻaupito ʻi he fata, tuʻapuleʻanga, konga konga, mata pe toʻonima. ʻE lava ke fakatupu ʻe he zona ha mamahi lahi ʻi he kili, vela mo ha fiemaʻu ke kākā.

Ko e hā ʻa e ngaahi fakaʻilonga ʻo e mahaki zona?

ʻOku kamata ʻa e zona ʻaki ha mamahi lahi, vela mo ha mamahi ʻi ha konga pē ʻo e sino. Ko e ngaahi fakaʻilonga kehe ko ʻeni:

• Vela, fiemaʻu ke kākā mo ha kākā ʻi he feituʻu ʻo e toloʻi

• Fakaongoongo mo ha loto mamahi ʻi he kili

• Kula, pea ʻi loto taimi nounou ʻoku hoko ko ha ngaahi fufulu ʻoku ʻi ai ha vai

• Mamahi fakafeituʻu mo ha ongo piki

• Fakaongoongo ki he mālamalama

• Mahaki mafana mo ha ʻulu mamahi

• Fakaongoongo lahi mo fiemaʻu ke malōlō

ʻOku hā mai ʻa e ngaahi toloʻi hili ha ʻaho ʻe 2–3 mei he kamata ʻo e mamahi mo e fakaongoongo. ʻOku toe hoko ʻa e ngaahi toloʻi ni ʻi he ngaahi ʻaho ʻe 10–15. Hili hono hoko ʻa e ngaahi toloʻi ko e ngaahi fufulu, ʻoku siʻisiʻi ange ʻa e faingataʻa ke mafola.

Fēfē hono hoko mai ʻo e mahaki zona?

ʻOku hoko ʻa e zona ʻi he kakaí kuo nau maʻu ʻeni ʻa e vaiʻosi. Ko e vailasi Varisella Zoster ʻoku nofo fakapōpō ʻi he ngaahi ngaahi konga ʻo e neva hili hono maʻu ʻa e vaiʻosi. Hili ha ngaahi taʻu, kapau ʻoku ngoikoloa ʻa e sisitemi maluʻi ʻo e sino, ʻe toe fakatupulekina ʻa e vailasi. ʻAupito ʻi he:

• Kakai ʻi he taʻu 60 mo ʻi ʻolunga

• Kakai ʻoku ngoikoloa ʻa e sisitemi maluʻi (fakatatau: kakai ʻoku fai ki ai ha faitoʻo kanisā, kakai kuo fai ki ai ha fakamāu toʻonga, kakai ʻoku maʻu ʻa e HIV/AIDS)

• Kakai ʻoku fehangahangai mo e ngaahi faingataʻa fakasino pe fakalaumālie

ʻOku lahi ange ʻa e faingataʻa ke hoko ai. ʻE lava ke maʻu ʻe ha taha ʻa e zona ʻi he taimi ʻe taha ʻi he moʻui, ka ʻoku siʻisiʻi pe ke toe hoko. ʻI he kakai ʻoku ʻikai lelei ʻa e maluʻi ʻo e sino, ʻoku lahi ange ʻa e faingataʻa ke toe hoko.

Ngaahi founga fakafaitoʻo ʻi he zona

ʻI he ngaahi ʻaho ni, ʻikai ha faitoʻo totonu ʻoku lava ke fakafoki katoatoa ʻa e zona. Ka ʻoku ʻi ai ha ngaahi founga lelei ʻi he faitoʻo fakaonopooni ke fakasiʻi ʻa e ngaahi nunuʻa mo e ngaahi palopalema. Ko e taumuʻa lahi ʻo e faitoʻo, ko e fakasiʻi ʻa e ngaahi fakaʻilonga mo e taʻe fie maʻu ʻa e ngaahi nunuʻa.

ʻOku fakasiʻi ʻe he ngaahi faitoʻo antiviral ʻa e tupulaki ʻo e vailasi kapau ʻe kamata ʻi he ʻaho ʻe 3 mei he kamata ʻo e ngaahi fakaʻilonga pea ʻe vave ange ai ʻa e moʻui. Ko ia, ʻoku mahuʻinga ke ʻave vave ʻa e kakai ʻoku maʻu ʻa e ngaahi fakaʻilonga ki he toketā kili.

ʻI he ngaahi tuʻunga kehe, ʻe lava ke fakahoko ʻa e faitoʻo mamahi, ngaahi kremi anesthetic fakafeituʻu pe ngaahi losoni, pea mo e ngaahi faitoʻo ke fakalalakaʻi ʻa e kili hili hono tā. Ke maluʻi ʻa e kili mei he mahaki fakainfectious, ʻoku fakahoko ʻa e fufulu mo e ngaahi solusoni antiseptic pea ke tokanga ki he ngaahi fufulu. Kapau ʻoku mafana ʻa e mahaki, ʻe lava ke fakahoko ʻa e faitoʻo fakasiʻi mafana.

Ko e mamahi lahi mo e mamahi ʻoku toe hoko (ʻaho lahi pe ngaahi taʻu nounou) ʻoku ui ko e postherpetic neuralgia. ʻI he kakaí ʻoku motuʻa mo e kakai ʻoku ngoikoloa ʻa e maluʻi ʻo e sino, ʻoku lava ke fakahoko ʻa e faitoʻo fakafiefia, ngaahi faitoʻo neurological mo e ngaahi pepa mamahi fakapitoa.

Kakai fafine ʻoku maʻitaki ʻoku maʻu ʻa e zona, ʻoku fiemaʻu ke fehuʻi ki heʻenau toketā fekauʻaki mo e faitoʻo antiviral. ʻAupito ki he kakai ʻoku maʻu ʻa e faitoʻo fakasiʻi maluʻi, ʻe fiemaʻu ke fai ʻa e faitoʻo ʻi he falemahaki ʻaki e faitoʻo ʻi he uaua.

Zona taʻe toloʻi: Fēfē hono ʻilo ʻa e ngaahi fakaʻilonga?

Ko e zona taʻe toloʻi, pe "herpes zoster sine herpete", ko ha tuʻunga siʻisiʻi ʻoku hoko. ʻI he tuʻunga ni, ʻikai ha ngaahi fufulu pe toloʻi ʻi he kili, ka ʻoku hā mai ʻa e mamahi lahi, vela pe kākā ʻi he hala ʻo e neva. Pea ʻikai ha leison ʻi he feituʻu, ka ʻoku lava ke hoko ʻa e mamahi mo e fakaongoongo ʻi he moʻui ʻo e mahaki. ʻOku mahuʻinga ʻa e vakai ʻa e toketā ʻi heʻene ʻilo ʻa e zona ni pea ʻe lava ke fai ʻa e tokanga mamahi ʻaki e ngaahi faitoʻo tatau mo e zona masani.

Meʻa ʻoku fiemaʻu ke ʻilo fekauʻaki mo e mafola ʻo e zona

ʻOku ʻikai mafola ʻa e zona ʻi he kakai kuo nau maʻu pe kuo nau tui ki he vaiʻosi. Ka, kapau ʻe fetuʻutaki ha taha ʻoku ʻikai maʻu pe tui ki he vaiʻosi mo e vai ʻi he toloʻi ʻo ha taha ʻoku maʻu ʻa e zona, ʻe lava ke maʻu ʻa e vaiʻosi. ʻOku mafola ʻa e zona ʻi he fetuʻutaki, ko ia ʻoku totonu ke ufiufi ʻa e ngaahi feituʻu toloʻi pea fakasiʻi ʻa e faingataʻa ke fetuʻutaki. ʻAupito ki he kakai ʻoku ngoikoloa ʻa e maluʻi ʻo e sino, fafine maʻitaki mo e fānau siʻi ʻi lalo ʻo e māhina taha, ʻoku totonu ke ʻaloʻi ʻa e fetuʻutaki.

Ngaahi founga maluʻi mei he zona mo e fakamatala ki he tui

Ko e founga maluʻi lelei taha mo fakamoʻoni mei he zona ko e tui. Ko e ngaahi tui zona (herpes zoster) kuo ʻosi tali ʻe he FDA pea ʻoku fakasiʻi lahi ʻa e hoko mo e mamahi ʻo e mahaki. ʻOku fakahā ʻa e tui ki he kakai motuʻa ʻi he taʻu 50 mo ʻi ʻolunga pea ʻaupito ʻi he taʻu 60. Ko e tui zona ʻoku kehe mei he tui vaiʻosi (varisella) pea ʻoku fai ʻi he ngaahi dose ʻe 1–2.

ʻOku lava ke hoko ha ngaahi fakaʻilonga nounou hili hono tui (mamahi ʻi he feituʻu tui, kula, ʻulu mamahi nounou, fiemaʻu ke malōlō). ʻOku vave pe ʻikai ke fuoloa ʻa e ngaahi fakaʻilonga ni; ka kapau ʻe hoko ha meʻa taʻe mahino, ʻoku totonu ke fetuʻutaki ki ha tokotā.

Meʻa ʻoku totonu ke tokanga ki ai ʻi he mahaki zona

• Ke tauhi ke mamā mo mālohi ʻa e feituʻu toloʻi, ʻaloʻi ke kākā ʻa e ngaahi fufulu.

• Ko hono ufiufi ʻa e ngaahi toloʻi ʻoku fakasiʻi ʻa e faingataʻa ke mafola ʻa e vailasi. Ka ʻoku totonu ke ʻoua ʻe fetuʻutaki tuʻusaʻo ʻa e ufiufi mo e kili.

• ʻOua ʻe fakaʻaongaʻi e kremi antibiotic ʻi he fufulu, ʻe faingataʻa ai ʻa e moʻui.

• Fakaaoga ha tauolunga malū ki he fufulu pea ʻoua ʻe fetongi mo ha taha kehe.

• Fakafou ʻi he kofu cotton mo e kofu malōlō.

• Kapau ʻe fakahoko ha ʻice, ke ʻikai ke tuʻusaʻo, ka ke ʻi ai ha tau cloth ʻi he vahaʻa.

• ʻAloʻi ʻa e fetuʻutaki mo e kakai ʻoku ʻikai maluʻi, maʻitaki, fānau foʻou pe kakai ʻoku maʻu ha mahaki lahi.

• ʻI he ngaahi feituʻu fakasosiale, tokanga ki he fufulu nima, ʻoua ʻe fetongi ʻa e kofu mo e ngaahi meʻa fakataautaha.

• ʻOku totonu ke ʻaloʻi ʻa e ngaahi sipoti fetuʻutaki ʻo aʻu ki he taimi ʻe mole ai ʻa e ngaahi toloʻi.

Ko e hā e lōloa ʻo e zona pea ʻe toe hoko nai?

ʻOku toe moʻui ʻa e zona ʻi he ngaahi uike ʻe 2–4. Hili hono kamata ʻo e faitoʻo, ʻoku siʻisiʻi ʻa e ngaahi fakaʻilonga ʻi loto uike ʻe 2. Ka, ʻi he kakai motuʻa mo e kakai ʻoku ngoikoloa ʻa e maluʻi ʻo e sino, ʻe lōloa ange ʻa e taimi moʻui pea ʻe lava ke hoko ʻa e postherpetic neuralgia. Hili hono moʻui ʻa e zona, ʻoku siʻisiʻi pe ke toe hoko, ka ʻi he kakai ʻoku ngoikoloa ʻa e maluʻi ʻo e sino, ʻe lava ke toe hoko. Kapau ʻoku lōloa ange ʻa e ngaahi fakaʻilonga pe ʻikai ke lava ke puleʻi ʻa e mamahi, ʻoku totonu ke fehuʻi ki ha tokotā.

Ngaahi fehuʻi ʻoku fai lahi

1. ʻOku mafola nai ʻa e mahaki zona?

ʻOku lava ke mafola ʻa e zona ki ha taha ʻoku ʻikai maʻu pe tui ki he vaiʻosi ʻaki ha fetuʻutaki tuʻusaʻo. ʻOku ʻi ai ʻa e vailasi moʻui ʻi he vai ʻo e toloʻi ʻo e mahaki; ko ia ʻoku totonu ke ʻaloʻi ʻa e fetuʻutaki mo e toloʻi. Ka, ʻoku ʻikai mafola tuʻusaʻo ʻa e zona mei ha taha ki ha taha; ʻoku mafola ʻaki e fetuʻutaki ko e vaiʻosi.

2. ʻOku toe hoko nai ʻa e zona ʻi he kakai kotoa?

Ko e tokolahi ʻo e kakai ʻoku nau maʻu ʻa e zona ʻi he taimi ʻe taha pē. Ka, ʻi he kakai ʻoku ngoikoloa ʻa e maluʻi ʻo e sino, ʻoku lahi ange ʻa e faingataʻa ke toe hoko.

3. Fēfē hono ʻilo ʻoku ou maʻu ʻa e zona?

ʻOku kamata ʻaki ha mamahi lahi fakafeituʻu, vela, kākā pea toe hoko ʻa e toloʻi ʻi ha konga pē ʻo e sino. ʻI he ngaahi fakaʻilonga ni, ʻoku totonu ke ʻave ki ha toketā kili ke fakapapauʻi ʻa e mahaki.

4. Ko e hā e lōloa ʻo e faitoʻo zona?

Kapau ʻe kamata vave ʻa e faitoʻo, ʻoku sio ʻi he ngaahi uike ʻe 2 ʻa e moʻui ʻo e ngaahi fakaʻilonga. Ko e lōloa ʻo e mahaki ʻoku ʻi he uike ʻe 2–4.

5. Ko e hā e ngaahi faitoʻo ʻoku fakaʻaongaʻi ki he zona?

Ko e ngaahi faitoʻo antiviral ko e faitoʻo lahi taha. ʻAupito kapau ʻe kamata ʻi he ʻaho ʻe 3, ʻe lelei ange. ʻOku fakaʻaongaʻi ʻa e ngaahi faitoʻo mamahi, ngaahi faitoʻo mamahi neva mo e ngaahi faitoʻo fakafiefia ʻi he ngaahi tuʻunga kehe.

6. ʻE lava nai ke nofo fakataha mo ha taha ʻoku maʻu ʻa e zona ʻi he fale?

ʻIo, ka ʻoku totonu ke ʻoua ʻe fetuʻutaki tuʻusaʻo mo e feituʻu toloʻi pea maluʻi ʻa e kakai ʻoku ʻi he faingataʻa (maʻitaki, fānau, kakai ʻoku ngoikoloa ʻa e maluʻi).

7. ʻOku maluʻi katoatoa nai ʻe he tui ʻa e zona?

ʻIkai ha tui ʻoku maluʻi ʻi he peseti ʻe 100, ka ʻoku fakahā ʻe he ngaahi fakatotolo ʻo e tui zona ʻoku fakasiʻi lahi ʻa e faingataʻa ke hoko mo e mamahi ʻo e mahaki.

8. ʻE toe ʻi ai ha fakaʻilonga ʻo e zona?

Hili hono moʻui ʻo e ngaahi matātā, ʻe lava ke toe ʻi ai ha liliu ʻi he lanu ʻo e kili pe ha fakaʻilonga siʻi ʻi he niʻihi. ʻOku tokoni ke fakasiʻisiʻi ha fakaʻilonga ʻaki ʻaki ʻikai ke ʻai ha kākā pea mo e tokanga lelei ki he ngaahi lavea.

9. Ko e hā ʻoku fuoloa ai ʻa e mamahi ʻo e zona?

ʻOku lava ke hoko ha mamahi fuoloa mo fakavaivai ʻi he niʻihi ʻi he ngaahi fakatamaki ʻo e ngaahi sinilá (postherpetic neuralgia). ʻI he ngaahi tuʻunga ko ʻeni, ʻe lava ke fakalakalaka ʻa e moʻui ʻaki ha ngaahi faitoʻo mamahi totonu.

10. ʻOku ʻi ai ha ngaahi ngaahi konga kovi ʻo e huhuʻi zona?

Hili hono huhuʻi, ʻoku masani ke hoko ha ngaahi konga kovi siʻi pē (kula, mamahi, fievela siʻi). ʻOku ʻikai ke fuoloa ʻa e ngaahi konga kovi ko ʻeni pea ʻoku nau mole vave.

11. ʻOku matuʻaki fakatuʻutāmaki ʻa e zona ʻi he taimi ʻo e maʻitaki?

ʻOku siʻisiʻi pē hono hoko ʻo e zona ʻi he ngaahi maʻitaki, ka ʻoku fiemaʻu ke vakaiʻi lelei ʻe he toketā ki he faitoʻo. ʻOku totonu ke maʻu ha fakamatala mei he toketā kimuʻa pea toki kamata ha faitoʻo.

12. Founga ke fakamoʻoniʻi ʻa e zona ʻikai ha matātā?

Kapu ʻikai ke ʻi ai ha matātā fakaklasiká, ʻe faingataʻa ke fakamoʻoniʻi. Kapau ʻoku ʻi ai ha mamahi lahi pea ʻoku fakangatangata ki ha feituʻu pē, ʻoku lelei ke fetuʻutaki ki ha toketā kili pe toketā neulolosi.

Ngaahi Konga Fakatotolo

• Kautaha Moʻui ʻo e Mamani (WHO), "Herpes Zoster (Shingles) – Ngaahi fakamatala fakamoʻoni".

• Kautaha ki he Puleʻi ʻo e Mahaki mo e Puipui (CDC), "Shingles (Herpes Zoster)".

• Kautaha ʻo e American Academy of Dermatology, “Shingles: Fakamoʻoniʻi, Faitoʻo, mo e Puipui”

• Mayo Clinic, "Shingles: Ngaahi Fakatātā mo e ʻUhinga".

• Kautaha Fakamamani Lahi ki he Ngaahi Faitoʻo (EMA), "Ngaahi huhuʻi Herpes Zoster".