Herpes zoster - Cudurka Herpeshttps://en.wikipedia.org/wiki/Shingles
Cudurka Herpes (Herpes zoster) waa cudur fayras ah oo lagu garto finan maqaarka ah oo xanuun leh oo leh nabarro ku yaal meel go'an. Caadi ahaan finanku waxay ku dhacaan hal, diil ballaaran oo dhinaca bidix ama midig ee jirka ama wejiga. Laba ilaa afar maalmood ka hor inta uusan finanku dhicin waxaa laga yaabaa in aagga uu jiro jidhidhicyo ama xanuun maxalli ah. Haddii kale, bukaannada qaarkood waxaa laga yaabaa inay yeeshaan qandho ama madax-xanuun, ama ay dareemaan daal la'aan finan caadiga ah. Finanka ayaa caadi ahaan ku bogsada laba ilaa afar toddobaad gudahood; si kastaba ha ahaatee, dadka qaarkiis waxay yeeshaan xanuunka neerfaha ee socda kaas oo socon kara bilo ama sanado, xaalad loo yaqaan postherpetic neuralgia (PHN). Kuwa difaaca jidhkoodu liito finanku waxa laga yaabaa inay si weyn u soo baxaan. Haddii firiiricdu ay ku lug leeyihiin isha, luminta aragga ayaa dhici karta. Waxa lagu qiyaasaa in saddex meelood meel dadka ka mid ahi ay la ildaran yihiin cudurka herpes (herpes zoster) mar uun noloshooda. Iyadoo cudurka herpes (herpes zoster) ay ku badan tahay dadka da'da ah, carruurtu waxay sidoo kale qaadi karaan cudurka.

Busbuska, oo sidoo kale loo yaqaan varicella, ayaa ka dhasha caabuqa bilowga ah ee fayraska, oo caadi ahaan dhaca inta lagu jiro caruurnimada ama qaan-gaarka. Marka busbuska uu bogsado, fayrasku waxa uu sii ahaan karaa mid aan firfircoonayn (hurdo) unugyada neerfaha bini'aadamka sanado ama tobanaan sano, ka dib waxaa laga yaabaa in uu dib u kiciyo. cudurka herpes (herpes zoster) natiijadu waa marka fayraska varicella ee hurda dib loo hawlgeliyo. Kadibna fayrasku waxa uu ku socdaa jidhka neerfaha ilaa darafyada neerfaha ee maqaarka, isaga oo soo saara finan. Inta lagu jiro dillaaca cudurka herpes (herpes zoster) , soo-gaadhista fayraska varicella ee laga helo cudurka herpes (herpes zoster) finan waxay u keeni karaan busbus qof aan weli qabin busbus.

Waxyaalaha khatarta ah ee dib-u-kicinta fayraska hurda waxaa ka mid ah gabowga, difaaca jirka oo liita, iyo busbuska oo ku dhacay ka hor 18 bilood jir. Fayraska Varicella zoster lama mid aha fayraska herpes simplex, in kasta oo labaduba ay ka tirsan yihiin isku qoys ee fayraska herpes.

Tallaalada cudurka herpes (herpes zoster) waxay yareeyaan halista cudurka herpes (herpes zoster) 50% ilaa 90%. Waxay sidoo kale hoos u dhigtaa heerarka neuralgia postherpetic, iyo, haddii cudurka herpes (herpes zoster) dhacdo, darnaanta. Haddii cudurka herpes (herpes zoster) kordho, daawooyinka fayraska sida aciclovir waxay yarayn karaan darnaanta iyo muddada cudurka haddii ay bilaabaan 72 saacadood gudahooda ka dib muuqaalka finanku.

Daawaynta
Haddii nabarradu ay si degdeg ah u faafaan, u tag dhakhtarkaaga sida ugu dhakhsaha badan ee daaweynta fayraska.
Daawooyinka fayraska ka hortaga iyo daawooyinka neuralgia labadaba waa loo baahan yahay. Waa inaad nasato oo aad joojisaa cabbitaanka khamriga.
#Acyclovir
#Fancyclovir
#Valacyclovir

#Gabapentin
#Pregabalin
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  • Herpes zoster finanka qoorta iyo garabka
  • Shingles - Maalinta 5; Haddii daawaynta la bilaabo, calaamadaha cudurku waxay caadi ahaan joogsadaan shan maalmood ka dib.
  • Kiisaska herpes zoster-ka ee baahsan, haddii daawaynta ka-hortagga fayraska ay daahdo, bukaanku waxa laga yaabaa inay ku xanuunsadaan finan xanuun badan muddo dheer.
  • Nabarrada waxaa laga yaabaa inay ka yimaadaan herpes zoster, kaas oo socon kara waqti dheer, xitaa haddii fayraska herpes ee jirka uu baaba'o.
  • Haddii fooddadu saamayso, waxa badanaa la socda madax-xanuun. Haddii nabarku uu saameeyay agagaarka sanka, waa muhiim inaad hubiso in araggaagu caadi yahay.
  • Kiiskan ayaa muujinaya qaybinta maqaarka maqaarka ee shingles.
  • Shingles - Maalinta1
  • Shingles - Maalinta2
  • Shingles Day6 - qolof iyo nabartu waxay sii jiri karaan in ka badan hal bil, inkastoo nabarku aanu sii socon.
  • Marxaladda dambe ee zoster-ka, qolof iyo erythema waxay socon karaan wax ka badan hal bil.
  • Shingles waxay ka tagi kartaa nabarro xitaa ka dib marka la daweeyo.
  • Shingles; nabarro
References Herpes Zoster and Postherpetic Neuralgia: Prevention and Management 29431387
Shingles, oo ay sababto dib-u-kicinta fayraska varicella zoster ee mas'uulka ka ah busbuska, wuxuu saameeyaa qiyaastii 1 milyan oo qof sanadkiiba gudaha Mareykanka, oo leh khatar nololeed oo ah 30%. Kuwa hab-dhiskooda difaaca jidhkoodu daciif yahay aad bay ugu nugul yihiin inay yeeshaan shingles, calaamadaha sida caadiga ah waxay ka bilaabmaan xanuunka, madax-xanuun, iyo qandho fudud, oo ay ku xigto dareemo maqaarka oo aan caadi ahayn dhowr maalmood ka hor muuqaalka finan. Firiiricdani, oo badanaa ka soo baxa meel gaar ah oo jidhka ah, waxay ka soo baxaan finan cad oo nabarro qolof leh toddobaad gudihiis ilaa toban maalmood. Daawaynta degdega ah ee dawooyinka ka hortagga fayraska (acyclovir, valacyclovir, or famciclovir) 72 saacadood gudahooda ee finan yaryar ayaa muhiim ah. Postherpetic neuralgia, oo ah cillad caadi ah oo lagu garto xanuunka daba dheeraada ee aagga ay dhibaatadu saameysey, waxay saamaysaa hal shantii bukaanba waxayna u baahan tahay maarayn joogto ah oo leh dawooyin sida gabapentin, pregabalin, ama antidepressants qaarkood, oo ay weheliyaan wakiilada jirka sida lidocaine ama capsaicin. Tallaalka ka hortagga fayraska varicella zoster ayaa lagula talinayaa dadka waaweyn ee da'doodu tahay 50 iyo wixii ka weyn si loo yareeyo khatarta shingles.
Shingles, caused by the reactivation of the varicella zoster virus responsible for chickenpox, affects around 1 million people annually in the United States, with a lifetime risk of 30%. Those with weakened immune systems are significantly more prone to developing shingles, with symptoms typically starting with malaise, headache, and a mild fever, followed by unusual skin sensations a few days before the appearance of a rash. This rash, usually appearing in a specific area of the body, progresses from clear blisters to crusted sores over a week to ten days. Prompt treatment with antiviral medications (acyclovir, valacyclovir, or famciclovir) within 72 hours of rash onset is crucial. Postherpetic neuralgia, a common complication characterized by prolonged pain in the affected area, affects about one in five patients and requires ongoing management with medications such as gabapentin, pregabalin, or certain antidepressants, along with topical agents like lidocaine or capsaicin. Vaccination against the varicella zoster virus is recommended for adults aged 50 and above to reduce the risk of shingles.
 Epidemiology, treatment and prevention of herpes zoster: A comprehensive review 29516900
Herpes zoster waxay u badan tahay inay si joogto ah ugu dhacaan dadka da'doodu tahay 50 iyo ka weyn, kuwa habdhiska difaaca daciifka ah, iyo kuwa qaata daawooyinka difaaca jirka. Waxaa kiciyay fayraska varicella-zoster, isla fayraska keena busbuska. Calaamadaha sida qandho, xanuun, iyo cuncun ayaa caadi ahaan ka horreeya muuqaalka finan sifada ah. Dhibaatada ugu caansan waa neuralgia post-herpetic, kaas oo ah neerfaha xanuunka joogtada ah ka dib marka finanku ay nadiifiyaan. Waxyaalaha halista ah iyo dhibaatooyinka la xiriira zoster-ka waa kala duwan yihiin iyadoo ku xiran da'da, caafimaadka difaaca, iyo waqtiga daawaynta la bilaabayo. Talaalka shakhsiyaadka da'doodu tahay 60 iyo wixii ka sareeya ayaa la muujiyay inuu si weyn u yareynayo dhacdooyinka herpes zoster iyo post-herpetic neuralgia. Bilawga dawooyinka ka hortagga fayraska iyo xanuun-yareyaasha 72 saacadood gudahooda ee finan yaryar ayaa yarayn kara darnaanta iyo dhibaatooyinka herpes zoster-ka iyo neuralgia post-herpetic.
Herpes zoster tends to occur more frequently in people aged 50 and older, those with weakened immune systems, and those taking immunosuppressant medications. It's triggered by the reactivation of the varicella-zoster virus, the same virus that causes chickenpox. Symptoms like fever, pain, and itching commonly precede the appearance of the characteristic rash. The most common complication is post-herpetic neuralgia, which is persistent nerve pain after the rash clears up. The risk factors and complications associated with herpes zoster vary depending on age, immune health, and timing of treatment initiation. Vaccination for individuals aged 60 and above has been shown to significantly reduce the occurrence of herpes zoster and post-herpetic neuralgia. Starting antiviral medications and pain relievers within 72 hours of rash onset can lessen the severity and complications of herpes zoster and post-herpetic neuralgia.
 Prevention of Herpes Zoster: A Focus on the Effectiveness and Safety of Herpes Zoster Vaccines 36560671 
NIH
Tijaabooyinka caafimaad ka hor ansixinta waxay muujinayaan in tallaalka zoster-ka nool uu shaqeeyo ku dhawaad ​​50 ilaa 70%, halka tallaalka dib-u-daawaynta uu si fiican u shaqeeyo, oo u dhexeeya 90 ilaa 97%. Daraasadaha dhabta ah ee adduunka, waxay taageeraan natiijooyinka tijaabooyinka, iyagoo muujinaya in tallaalka nool uu waxtar u leeyahay qiyaastii 46%, halka ka dib-u-dhiska uu yahay 85%.
The pre-licensure clinical trials show the efficacy of the live zoster vaccine to be between 50 and 70% and for the recombinant vaccine to be higher at 90 to 97%. Real-world effectiveness studies, with a follow-up of approximately 10 years, were reviewed in this article. These data corroborated the efficacy studies, with vaccine effectiveness being 46% and 85% for the live and recombinant vaccines, respectively.