Moderator: What kind of disease is herpes zoster?
Chen: Herpes zoster is a common disease, which is caused by herpes virus. The main manifestation is blisters on the skin. The blisters are as big as mung beans, basically the same size. Blisters form bands in groups. Medically, it's called herpes zoster, and it's called girdle dragon in the north and spider belt in the south.
Moderator: I heard that once herpes is wrapped around the waist, it is incurable. Is that so?
Chen: No, herpes virus will only invade one nerve root and form a blister, but it will not invade the nerves on both sides and will not cause life-threatening.
Moderator: What is the cause of herpes zoster?
Xie Hongfu: 70% of people will be infected with varicella-zoster virus before 15 years old. After being infected by the virus, they won't get sick. A few people will get chicken pox, but most people will never get sick. When the human body's resistance is reduced or overworked, the virus will multiply in large numbers and herpes zoster will appear.
Moderator: Where does herpes zoster grow?
Chen: Herpes zoster mainly occurs in the head, face, neck, chest, back and waist. It is distributed along a peripheral nerve belt and generally does not exceed the midline of the human body.
Moderator: I heard that herpes zoster is very painful. Is it caused by herpes
Chen: This is not the pain caused by herpes, but neuralgia. After the virus invades the nerve root, it causes inflammation and pain, which is a tingling sensation. First there is pain, then there is blisters. If pain occurs in the chest, it is often misdiagnosed as angina pectoris, if it occurs in the abdomen, it is often misdiagnosed as biliary tract disease, and if it occurs in the limbs, it is often misdiagnosed as sciatica. The degree of pain is related to age and severity of illness. The older you get, the greater the chance of onset and the longer the pain lasts. Generally, there will be pain after herpes disappears.
Chen: Herpes zoster often occurs at the turn of spring and summer.
Moderator: Let's listen to the patient:
At first, the pain began on April 20. I thought it was a physiological reaction. It happened that the holiday was coming. I thought it was a physiological reaction of lobular hyperplasia. Never before, but my back is getting more and more painful. After the holiday, the pain did not go away. As a result, erythema appeared. I was a little nervous. Is there anything wrong with gynecology? Then I went to the hospital. The other is the hot weather and the clothes I wore that day. If there is nothing wrong with gynecology, it is heat. I didn't go to the hospital at that time, so I applied some medicine to burn myself. I thought it was too hot and blistered, but it still didn't work. I thought the universal painkiller might work, but it still didn't work, and the pain got worse and worse. I find this symptom very strange. I thought few people had this problem, but I didn't expect to see many people have this problem when I went to the hospital.
Moderator: How to diagnose herpes zoster?
Xie Hongfu: If the symptoms are typical, an experienced doctor can diagnose them by observation. If there is no skin herpes, then the diagnosis will be difficult. It is suggested that patients pay attention to the changes of skin in the painful area.
Moderator: How to treat herpes zoster?
Chen: Early treatment of herpes zoster is very important. Patients should pay attention to rest to avoid fatigue and infection. Some antiviral drugs can be used, such as Ming Dexin, nutrition and nerve protection drugs, analgesic drugs, acupuncture and physiotherapy (local skin irradiation with light bulbs at a distance of 15 cm can also be used).
Moderator: Is herpes zoster contagious? How should it be isolated? Will it be hereditary?
Chen: Herpes zoster is not contagious, does not need isolation and is not hereditary. If pregnant women suffer from herpes zoster, they need to pay attention to treatment.
Moderator: Mr. Wang in Gansu suffers from herpes zoster 1 week, and there are a lot of blisters in his right abdomen. I want to break it. Is it suitable?
Xie Hongfu: After the blister is broken, it is easy to cause bacterial infection. You can use some anti-inflammatory or anti-blister drugs for external use. After the blister is broken, anti-inflammatory liquid should be used in time.
Moderator: Ms. Shi from Guangxi suffers from herpes zoster, and now she has obvious pain and tuberculosis. Can she take oral hormones to relieve the pain?
Chen: If the patient is young and has no internal diseases, she can use hormones to relieve the pain. She has tuberculosis, so it is recommended not to use hormones.
Moderator: Mr. Wang from Jiangxi 1998 suffered from foreskin inflammation. During the treatment, there was a blood rash and itchy foreskin. What's the matter?
Xie Hongfu: This may be dermatitis caused by bacterial infection or genital herpes. It is recommended to go to the hospital for examination.
Moderator: Mr. Shang of Beijing, will herpes zoster recur after being cured?
Chen: Herpes zoster is a lifelong immune disease. If the patient's resistance is low, it may happen again, but this possibility is rare.
Moderator: Ms. Zhou from Shanghai heard from her mother that she had blisters when she was 5 years old. Is it possible to get herpes zoster?
Xie Hongfu: If you have chickenpox, you will get herpes zoster, but if you have herpes zoster, you won't get chickenpox.
Moderator: Mr. Wu's father in Hubei has been suffering from herpes zoster for three days and is resting at home. Some people say that this disease is related to spiders crawling on the skin. Will my family carry out thorough pest control?
Chen: Herpes zoster is caused by a virus and has nothing to do with spider crawling.
Moderator: Ms. Wu from Jilin, 1994 suffered from herpes zoster in her head. After being treated with traditional Chinese medicine, she didn't recover. Now her pain gets worse when she eats spicy food. Can she be cured now?
Xie Hongfu: The aggravation of pain after eating spicy food may have nothing to do with herpes zoster. It is recommended to have a physical examination.
Moderator: Mr. Liu from Inner Mongolia has been suffering from herpes zoster for more than 2 months. How to treat it?
Chen: It has been more than two months. I think the blister should have subsided. Maybe it's neuralgia. It is suggested to continue to nourish nerves to promote the recovery of injured nerves. Vitamin B 1 vitamin B 12 is ok.
Xie Hongfu: Some patients can heal themselves without treatment, but there will be pain problems. It is recommended that they be treated. Generally it can be cured within 1 month.
Moderator: Mr. Lin in Beijing has herpes zoster on his left face. After 3 months of treatment, the effect is not good. Now he can't open his left eye, it's red and swollen. How to treat it?
Chen: Herpes zoster damages the eyes. It is suggested that antiviral eye drops be used locally to control infection.
Moderator: Mr. Wu from Shandong 10 years ago got herpes zoster, and the effect of taking medicine was not good. In the past two years, his condition has deteriorated, and his right intercostal neuralgia. Is intercostal neuralgia related to herpes zoster? How to relieve pain?
Xie Hongfu: It is recommended to use some drugs that nourish the nerves. If the pain is severe, you can also use painkillers under the guidance of a doctor.
Moderator: Ms. Liu from Shenyang has had blisters on her back for half a month, and more and more. The doctor said pemphigus. Is this the same as herpes zoster?
Chen: No, pemphigus is an autoimmune chronic disease.
Moderator: After suffering from herpes zoster, the blister subsided, but it still hurts. How to treat it?
Xie Hongfu: The pain of herpes zoster is difficult to treat. You can use some drugs that nourish the nerves, or you can choose some analgesic drugs, local blocking treatment or surgical treatment.
Moderator: Mr. Li from Guangdong was diagnosed with genital herpes in the hospital six months ago. I heard that this is caused by herpes virus. Is this a disease?
Chen: Genital herpes is not the same as herpes zoster.
Moderator: Ms. Li from Shandong Province developed blisters from her chest to her armpit to her back in May 1999. Two months after treatment, she scabbed, but it still hurts. How to treat it?
Xie Hongfu: It is recommended to use drugs that nourish nerves for treatment.
Moderator: Ms. Yang from Beijing had blisters on her back a while ago. It would be fine if she didn't treat it. Now I think it's herpes zoster when I watch the show. Is it possible to cure this disease?
Chen: Yes, if you are healthy and have strong resistance, you can heal yourself without treatment.
Moderator: Ms. Chen's daughter 14 years old. She has herpes zoster on her face and the blister is broken. What should she do? Will it leave a scar?
Xie Hongfu: If the blister is broken, you should prevent infection. Some anti-inflammatory drugs can be used locally. As long as the treatment is timely, there will be no scars. It is suggested that water should not touch blisters when washing your face.
Moderator: Mr. Qin's father in Sichuan got herpes zoster last month, and now his lower limbs are numb and weak, and sometimes he can't control his urine and urine. What's going on here? How to treat it?
Chen: It may be that the nerve at the bottom of the waist is damaged, which affects urination. It is suggested that nerve nourishing drugs and acupuncture should be used for treatment.
Moderator: Last week, Ms. Wang's mother went to the hospital because of headache, vomiting, fever and pimples on her skin. The doctor diagnosed her with herpes zoster meningitis. How did this happen?
Xie Hongfu: Skin diseases can also lead to viral meningitis. It is recommended to treat with antiviral drugs.
Moderator: Mr. Ren's grandfather in Shandong is almost 80 years old. Herpes zoster appeared on his body during the Spring Festival this year. After treatment, the wound is basically healed now, but it still hurts. What's going on here?
Chen: It may be that the early protection of nerves is not enough. It is suggested that some drugs be used to nourish the nerves.
Moderator: Ms. Zhang from Liaoning has had herpes zoster on her head for a week. She has a bad headache and her right eye is red and watery. Will it affect her eyesight?
Xie Hongfu: Herpes zoster can cause eye inflammation. If not treated in time, it will affect your vision. It is recommended to use antiviral drugs, antibacterial eye drops and antiviral eye drops.
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