Herpes zoster (HZ) infection, commonly called shingles, is the reactivation of a latent varicella zoster virus (VZV) that caused an earlier episode of chicken pox. It is actually a complication of herpes infection. A few of the infected people are affected with this complication. As it is a severe and painful condition, most of the cases are managed as emergency. It is an infection of a nerve and the skin around the area of nerve course. It is characterised by pain or a tingling sensation, in a limited area on the side of the face or torso, followed by a red rash with blisters. The fluid filled blisters spread fast and are extremely painful.
SIGNS AND SYMPTOMS
Unilateral, fluid-filled blisters with severe pain and burning sensation. Sometimes itching is present.
The rash usually follows the course of the affected nerve.
CAUSES
It occurs over the dermatome innervated by the ganglion, where the virus(Varicella zoster) resides for life until stress, immunosuppression, or some other condition allows it to travel to the skin served by the affected nerve.
PATOFIZYOLOJI
Varicella-zoster virus is a highly contagious DNA virus. Varicella represents the primary infection in the nonimmune or incompletely immune person. During the primary infection, the virus gains entry into the sensory dorsal root ganglia. How the virus enters the sensory dorsal root ganglia and whether it resides in neurons or supporting cells are not completely understood. The varicella-zoster virus genome has been identified in the trigeminal ganglia of nearly all seropositive patients. The virus remains latent for decades because of varicella-zoster virus–specific cell-mediated immunity acquired during the primary infection, as well as endogenous and exogenous boosting of the immune system periodically throughout life. Reactivation of the virus occurs following a decrease in virus-specific cell-mediated immunity. The reactivated virus travels down the sensory nerve and is the cause for the dermatomal distribution of pain and skin lesions.
TEŞHİS
Clinical evaluation on the basis of the characteristic appearance of the rash.
TREATMENTS
A live, attenuated vaccine aimed at boosting immunity to Varicella zoster virus and reducing the risk of Herpes Zoster. The vaccine has been shown to reduce significantly the incidence of both HZ and Post Herpetic Neuralgia.
PROGNOSIS
Early recognition and treatment can reduce acute symptoms and may also reduce Postherpetic Neuralgia.
COMPLICATIONS
Serious nerve pain, called post herpetic neuralgia
Disease & Ayurveda
Baahyavisarpa
Nidana
Not mentioned separately.
Causative factors of Sopha can cause the same
Vidaahi food items
Purvaaroopa
Not mentioned.
Samprapti
When the vitiated one, two or three doshas get lodged inside or outside of the body, spread very fast and causes inflammation. In baahyavisarpa, the inflammation affects skin and nerves leading to severe pain and other discomforts.
Lakshana
Sopha – swelling
Sphurana – throbbing
Nistoda – piercing pain
Bheda – stabbing pain
Arthi – severe pain
Harsha – numbness
Bölümler
- Vaatika
- Paittika
- Kaphaja
- Baahya
- Aabhyantara
- Baahya-aabhyantara
Prognoz
Krichhrasadhyam
Chikithsa
Treatment of visarpa should start with Langhana (fasting) and Rookshana (drying) therapies. After proper aamapaachana, bloodletting should be done to clean the circulation. After bloodletting, Vamana and virechana are indicated. In cases of Visarpa, snehana (use of oils/fats) therapies are contra indicated.
Samana
Lepanam with Rookshana dravyas
Parisheka with soolahara-rooksha & seethadravyas
Sodhana
Raktamokshanam
Vamanam
Virechanam
Yaygın olarak kullanılan ilaçlar
Vilwadi gudika
Naalpaamaradi kwatham
Naalpaamarachoornalepam
Satadhoutaghrutam
Mevcut markalar
AVS Kottakal
AVP Coimbatore
SNA oushadhasala
Vaidyaratnam oushadhasala
Ev ilaçları
Shingles cause severe pain & discomforts which cannot be managed at home. No home remedy is proven to cure shingles. Following herbs may help to lessen the suffering.
Cold compresses
Essential oils
Aloe vera
Witch hazel
Oatmeal
Turmeric paste
Diyet
- Kaçınılması gerekenler
Heavy meals and difficult to digest foods – cause indigestion.
Spicy and hot food items
Junk foods- cause disturbance in digestion and reduces the bioavailability of the medicine
Carbonated drinks – makes the stomach more acidic and disturbed digestion
Refrigerated and frozen foods – causes weak and sluggish digestion by weakening Agni (digestive fire)
Milk and milk products – increase kapha, cause obstruction in channels and obesity
Curd – causes vidaaha and thereby many other diseases
- Eklenecek
Hafif yemekler ve kolay sindirilebilir gıdalar
Gooseberry, pomegranate, grapes etc.
Green gram, soups, food items with cold potency.
Freshly cooked and warm food processed with minimal spices.
Davranışlar:
Protect yourself from hot climate.
Aşırı güneş ışığı, rüzgar, yağmur veya toza maruz kalmaktan kaçınmak daha iyidir.
Maintain a regular food and sleep schedule.
İdrar, dışkı, öksürük, hapşırık vb. dürtüleri tutmaktan veya zorlamaktan kaçının.
Avoid sedentary lifestyle.
Yoga
Exercise is not advised in cases with severe pain and discomforts. Regular stretching and mild cardio exercises are advised in mild cases. Also, specific yogacharya including naadisuddhi pranayama, bhujangaasana, pavanamuktasana is recommended.
Regular exercise helps improve bioavailability of the medicine and food ingested and leads to positive health.
Yoga, vücut içinde ve çevredeki sistemle uyumu koruyabilir.
Pavanamuktasana
Nadisudhi pranayama
Bhujangasana
Simple exercises for lungs and heart health
Tüm egzersizler ve fiziksel eforlar sadece bir tıp uzmanının gözetimi altında kararlaştırılmalı ve yapılmalıdır.
Araştırma makaleleri
A randomized, placebo-controlled, phase 3 study in 18 countries to evaluate the efficacy and safety of HZ/su in older adults (≥50 years of age), stratified according to age group (50 to 59, 60 to 69, and ≥70 years) was conducted. The HZ/su vaccine significantly reduced the risk of herpes zoster in adults who were 50 years of age or older.
In a clinical study, among adults who had undergone autologous hematopoietic stem cell transplantation-HSCT, a 2-dose course of recombinant zoster vaccine compared with placebo significantly reduced the incidence of herpes zoster over a median follow-up of 21 months.
Bu beyanlar Amerika Birleşik Devletleri Gıda ve İlaç İdaresi tarafından değerlendirilmemiştir. Bu ürün herhangi bir hastalığı teşhis etmek, tedavi etmek, iyileştirmek veya önlemek için tasarlanmamıştır. Lütfen almadan önce doktorunuza danışın.
Uzman,
Ayurveda Tıbbı, Hindistan
Yazar:
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