讀後心得

Shingles, also known as herpes zoster, is caused by the varicella-zoster virus. When immunity declines, the virus, which lies dormant in the nerve ganglia, may reactivate, leading to pain and rashes. Expert Professor 孫維仁 points out that the three main warning signs are "pain, fatigue, and rash." Early treatment with antiviral medications is essential in the initial stage of shingles to reduce complications. In addition to vaccination to lower the incidence rate, acute pain can be alleviated through nerve block techniques, and subsequent neuropathic pain may require the implantation of a spinal cord stimulator for treatment. Along with the physical pain, mental health issues accompany this disease, which has a significant impact on the elderly.

Shingles is a disease caused by the varicella-zoster virus, also known as herpes zoster. There is a saying that "herpes zoster wrapping around the body may be life-threatening." This virus is quite cunning, typically erupting when immunity is weakened, with three major warning signs appearing in the body: pain, fatigue, and rash.

• Pain: The pain from shingles often presents as a persistent burning and stabbing sensation, making it difficult to sleep.
• Fatigue: Often accompanied by fatigue and poor sleep before inflammation occurs.
• Rash: The skin may show clustered red rashes, usually in a band-like pattern on the chest, occurring at various locations.

The shingles virus can lie dormant in peripheral nerve ganglia, becoming active again when immunity declines, causing pain. Since the human body has dozens of pairs of nerves, the virus can erupt from any nerve ending, which is why different people may experience outbreaks in different areas. Even past minor injuries can become targets for the virus attack.

For many patients, the aftereffects of shingles can be quite painful, with about 15% to 20% of patients potentially experiencing postherpetic neuralgia, leading to a significant decline in quality of life. This condition has even become the third leading cause of suicide among older adults.

Response Strategies

• Before Eruption: Getting the varicella-zoster vaccine can reduce the likelihood of an outbreak. A complete course requires two doses, with the second dose being more effective.
• At Onset: Timely use of antiviral medications within the first three days of the outbreak can significantly reduce the risk of complications.
• Acute Pain: Intense pain may occur when sensory nerves are stimulated, and intervention may be needed to alleviate the pain.
• Post-Neuralgia: Pain may persist even after the skin has healed, and a spinal cord stimulator may need to be installed to improve pain, though the cost is relatively high.

At any stage, timely response measures are crucial when facing shingles. Through effective prevention and treatment, the distress caused by this condition can be minimized.