Watch out for shingles in the fall

  In folklore, it is jokingly called “snake wrapped around the waist”, the legend says that as long as it is “wrapped around”, it will become more and more entangled, tighter and tighter, and untreatable until the end of life …… common people say “snake wrapped around the waist”, it is shingles. The “snake wrapped around the waist” is shingles, but it is not that evil and far from incurable. In fact, herpes zoster is a skin disease caused by varicella-herpes zoster virus infection, because the virus invades the peripheral nerve (such as the trigeminal nerve, cervical nerve, intercostal nerve, lumbar corpus nerve, etc.) innervation area, in the head and face, neck, waist abdomen and other places appear herpes, in the shape of a belt, so called “herpes zoster”.  In Chinese medicine, herpes zoster is known as “waist-wrapping fire pills”, which is similar to “snake wrapping waist”.  Generally speaking, after herpes zoster is cured, the patient is immune for life, which means that if you have suffered once, you will not suffer again. However, if you have it once, you have to choose the right medicine and treat it properly. Occasionally, there is a possibility that shingles may occur again.  There are two types of medication for shingles: systemic and local. First of all, herpes zoster is essentially a viral infection and treatment naturally requires antiviral, which can be commonly used with three kinds of drugs: acyclovir, moringa and interferon.  1, the condition of the average person can take oral acyclovir. Once the herpes should be used immediately to play the best efficacy; drink more boiled water during the medication to prevent drug deposition in the renal tubules; can not be used in combination with drugs with nephrotoxicity (such as gentamicin, kanamycin, neomycin, streptomycin, minomycin, erythromycin, etc.).  2, less severe disease, or previous use of acyclovir have adverse reactions or contraindications, can be used as appropriate oral morpholine bisphosphonate.  3, the disease is more serious (meningitis type, visceral type) should go to the hospital intramuscular injection interferon; general or light disease, or regardless of the severity of the disease as soon as the herpes symptoms, in order to avoid aggravation (because the prognosis of the disease is difficult to estimate) can also be used immediately interferon. Secondly, shingles is often associated with severe pain, and antiviral treatment cannot be done overnight, which requires temporary pain relief. For pain in the acute phase, oral disulfiram may be used. Ibuprofen and diclofenac sodium extended release may also be used as appropriate. Adverse reactions may include stomach upset, loss of appetite, etc., but are mild, with occasional dizziness and rash, etc. Use with caution in cases of peptic ulcer and bleeding tendency. If the pain is severe, intramuscular injection of tramadol, etc. can be given in hospital if necessary, and patients with posterior neuralgia can take oral amytalin, but these two types of drugs need to be operated by a doctor and must not be taken by themselves. Finally, in order to reduce nerve cell damage and promote cell recovery, nutritional nerve drugs can be used along with the above mentioned drugs. Vitamin B1 and vitamin B12 can be taken orally. Pay attention to symptomatic treatment and prevention of secondary infection with topical medication.  Some data show that after herpes zoster in elderly people over 60 years old, 50% of them develop posterior neuralgia. Therefore, please go to the regular hospital for treatment in time to reduce the incidence of post-herpetic neuralgia. In addition, facial herpes zoster has the potential for serious complications such as facial paralysis and viral meningitis, which should also be taken seriously.