CACH PHAN BIET ZONA THAN KINH VA GlOl LEO
PHAM MINH
I D nTKIinSmg
bfnh khic nhau.
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ien nay, ed rat nhilu ngudi nham tudng bfnh zona than kinh v i bfnh gidi leo l i mpt Hai blnh niy cd bieu hifn kha gifing nhau, tuy nhien ehiing lai l i hai benh khic nhau, do nhdng nguyfin nhin giy
Bfinh Zona thin kinh la do virus herpes zoster giy nfin: Virus tru ngu trong cdthi dtrang thii ngO ben trong eie diy thin kinh cam giac. Khi chiing t i i hoat dpng se di dpc theo diy than kinh cim giic vio da v i tao ra nhdng mang phit ban kem theo dau nhdc vimg efi phat ban.
Bfnh gidi leo la bj bong da do acid photpho hdu Cd td cfin triing: Benh gidi leo l i do bj mfit loai cfin triing (ban dim phit sing mau xanh lyc) bd Iln da de lai chat nhay chda aeid photpho hdu ed giy bdng da, nlu ehiing bj de nat thi mdc do ton thUdng tren da ning hdn, khdng edn l i nhdng dudng vft dii ma la mot dam Idn.
Nguyen nhan:
Benh zona: Zona khong phii l i mpt bfnh nhiem triing, m i la sd t i i phit eiia virus giy benh thiiy diu (Virus Varicella). Zona chl xay ra vdi ngudi d i tdng bi thOy diu. VI viy, nlu trfi em ddpc ehiing ngda thiiy diu td nhd, se khdng bi thiiy dau v i do dd se khfing bj Zona.
Bfnh gidi leo: Bfnh gidl leo l i td goi chung ed eic hifin tupng vilm da di dng do tiep xiic vdi con trung cd d$e tfnh. Loai cdn triing niy la ddng v i t thupc tdp Chan mdi (Chilopoda), cd kich thudc nhfi hon so vdi nhilu loai chin ret khac va cfi chin eao hem, bd khi nhanh, vimg sinh song da thieh l i eie gfic khuat, ngd ngich, cd t h i gap dddi gam giddng, ndi Im thip.
Tfnh chit xuat hiln:
Sfin/i zona; Ting cim giac da hoac dau nhde nhoi tai mfit vimg ca the, vai ngay sau xuat hifn nhdng tdn thaong ngay tai vimg dau. Bfinh gidi leo: Thiy rit, dau nhe hoac cim giic bat thudng tai mpt sfl vdng trfin da, eie bilu hifn nay td td tang dan, sau mfii ngiy lai nang hPn, hai hoae ba ngiy sau hinh thinh dim ming hoic vft tdn thUdng die hifu.
Vj trf xuft hiln:
Bln/)rona:ThudngchIdm6tvang CO the, thudc vOng chl phfii ciia mdt day than kinh cim giic don dfic. Bfnh gidi leo cfi dilm gfic (ning hdn, xlt hiln trddc) v i mfit sfi cho khic rii ric khip cd the mdi mde dfi nh^ hdn (do tay sd vio mang djch acid day sang viing da khic).
THAYTHUOC CUA BAN
Hinh Inh ton thiTffng tren da:
Binh Zona: Ton thuong l i nhdng myn rop (mun nudc) tren nen da mau dfi, chda djch vifim miu hdng ed ap ldc cao lam da cang bdng, cic myn cd t h i lien lai vdi nhau thinh dim (neu thanh dim ap lye bdn trong nhfi hon lam da bdt cing din hon).
Cic myn rop cd xu hUdng phit trien ra xung quanh gan theo true day than kinh. Thudng khfing cfi tfin thuong d ei 2 bfin eo t h i m i chi bj mfit bin. Sau khoing 7-10 ngiy cic mun nUdc nay cd the vd ra chiy nudc, hoac khfi dfit tao thinh viy khd.
Binh gidi leo: Khdi dau l i mot vung da bi ngiia, rat do, sau do phCi ne, xuat hifin mun nddc nhfi.
Tren be mat thaong ton cd miu trSng xim, cd vet thdong ton ed viing Idm d gida; ben trong chda djeh die mau trang. Cd the d mdt so noi khic cung cd bieu hifn tdong tu nhung nhe hon. Trong vdng 5 - 7 ngay, tiiy theo nang nhe, tfln thddng thoii lui de lai viing da xam ed viy da chet mdng phu len tren, hoac eie mun phdng trlng xim lien kit lai vdi nhau thinh dim Idn vd ra chiy nhilu djch, bilu hifn niy dien ra khoing vii ngiy vit lolt chpt khd dan, neu khdng bi hda mii d l lai mfit vfing da tham sam
Tien trien ciia bfnh:
Binh zona: Khoing 2 tuan sau, cic viy bong ra de lai seo md, seo niy hit din sau vii thing (nlu nhiem trung ton thUPng sau de lai seo Idm). Van edn trifu chdng dau tiiy theo mdc dd tdn thuong diy die hay ft. - Bfnh gidi leo: Khoing 7 - 8 ngiy cac vit chpt khd cd mpt ming den phfi Iln tr#n mai din d l lai mdt viing da tham. Cie v i t thim niy cd the tfin tai 1 - 2 thing da mdi trd v l binh thddng, trong gidi leo rit it khi de lai seo.
Dilu trj:
Benh zona: Sii dyng thudc khing virus, nhd acyelovir(Zovirax), valacyclovir (Valtrex) v i famci- clovir (Famvir) trong giai doan sdm ciia bfnh. Sd dung thude giim dau, khing vifim, khing histamin, eorticold (nlu can). Bfnh gidi leo: Diing kilm manh taing hfia djch acid. VI nguyen nhin la bfing da do acid photpho hiJU cd td cdn triing, nen cich chiia hieu qui nhat l i dung dung djch kilm trung hda lay tie nhan giy bdng ra khdi da. Trong dan gian thudng lay gao nip va dfi xanh nhai nhfi dip vio eho da ton thdong. Phii nhai nhd ehd khflng ddoc dimg cfll gii l i vl: khi nhal thim nddc bot, nUdc bpt l i mdt djch kiem cd tic dung trung hda acid dflng thdi bpt ngu cfic hut bdt chOng di.