 

Shingles (Herpes
zoster)
What
is shingles?
Shingles is a painful rash caused by the Varicella zostervirus (Herpes varicellae),
which is the virus that causes chickenpox. Shingles occurs in people who
have had chickenpox and is a reactivation of the dormant virus. Shingles
often occurs long after the initial chickenpox infection maybe years.
Shingles is contagious and may itself cause chickenpox. However, contact
with a person with shingles or chickenpox cannot cause shingles.
The causes shingles
After the chickenpox virus has been
contracted, it travels from the skin along the nerve paths to the roots of
the nerves where it becomes inactive. The chickenpox virus then
'hibernates'. When the virus is reactivated, it travels via the nerve
paths to the skin. It is not known what factors trigger a reactivation of
the virus. Shingles generally affects the elderly, but occasionally occurs
in children who have had chickenpox within the first year of their lives
and in people with an immune deficiency.
Shingles can be a sign of immunodeficiency, caused by HIV or
chemotherapy,stress, long time after sickness for example, but most people
who get shingles have a normal immune system.
What are the symptoms?
The first sign that a reactivation of
the chickenpox virus is taking place is a burning sensation on the nerve
paths along which the virus is travelling. Nerve paths typically form
half-circles around the body. The pain and subsequent rash correspond to
the position of the nerve paths and are almost always on one side of the
body or face or limbs only, but more common in the trunk body .The rash is
typically accompanied by a fever and enlarged lymph nodes.
Two
to three days after the pain has begun, a typical rash appears: small
blisters on red, swollen skin. It resembles the type that is seen during
an attack of chickenpox but covers a smaller area.
The
rash usually reaches its peak after three to five days. Then, the blisters
burst and turn into sores, which gradually scab over. The scabs fall off
after two to three weeks.
Sometimes
the area where the rash was located becomes extremely painful after the
scabs have gone and can last from a few weeks to several months. This
highly unpleasant after-effect of shingles is called postherpetic
neuralgia.
The prevention.
People who have never had chickenpox
can reduce the risk of getting the virus by avoiding contact with people
with chickenpox and shingles. Shingles itself is not preventable.
Diagnosis
The patient's medical history in
combination with the appearance of the rash will usually be sufficient for
making a diagnosis. If necessary, a scrape from the blisters can help
identify the virus. A blood sample can also be used to confirm the initial
diagnosis.
What happens if it gets worse?
The rash can become infected by bacteria.
An attack of shingles near the eyes, or at the top of the nose can be
associated with scarring on the cornea, affecting vision.
Shingles on the face can, in rare cases, lead to a temporary hearing loss,
facial paralysis and a reduced sense of taste.
Future prospects
Shingles is rarely serious. In about 90 per cent of patients, the attack normally
subsides within a week after the appearance of the first symptoms if it
gets treated immediately. Otherwise they may suffer for months. Most
people only have one or two attacks.
Elderly people in particular may continue to feel intense pain, even after
the attack seems to have subsided. These could goes on for months of pain
and may cause depression.
What can be done at home?
Keep the rash uncovered.
Try not to scratch. Use calamine lotion to ease
the irritation.
When should a doctor be consulted for more help?
If the pain is getting worst and immobility.If the rash involves the eyes or the top of the
nose.The sores have not healed after 10 days.The patient has a high temperature.The patient has another serious illness at the
same time.We have the special ancient herbal for this pain
and shingers.
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