The Common Complications Of Shingles And How To Treat Them

Complications of shingles cause many troubles for patients
a) Skin: bacterial superinfection, causing cellulitis. Meanwhile, many inflammatory lesions, pus much, long healing, can leave scars (scar hypopigmentation). Superinfection can also lead to sepsis.
b) Neurological: many neurological complications, of which pain after shingles is most common. Pain persists after the skin has healed completely

. Common in the elderly, shingles eyes, shingles a lot. Pain after shingles can be a constant, natural burning sensation, can be a constant, throbbing natural pain, may be a spontaneous, throbbing pain, or a sense of tactile sensation with mild irritation. In most patients, these symptoms disappear after a few months Some other patients have this symptom that lasts long every year
c) Eyes: in the case of facial shingles, the distribution area of the trigeminal nerve, with eyelid swelling, conjunctival hyperemia, cornea usually only mildly stimulated. In severe cases can cause corneal ulcers leading to corneal scars later.



. More dangerous is the fact that when there is damage to the eyeball can blindness.
Treatment of shingles
a) On-site care: wash with 1/10000 diluted violet or 9% saline, apply color solution (eosine 2%, milian). Avoid using ointment, corticosteroids.
b) Analgesic: analgesic acetaminophen, nonsteroidal anti-inflammatory drugs, peripheral painkillers combined with central analgesia.
c) Antiviral drugs: because shingles often go away on their own, so it should be used only in some cases such as: shingles with diffuse lesions, lesions with hemorrhagic blisters, eye shingles, shingles in the elderly, in immunocompromised people
The time of taking the drug is 72 hours before the start of the rash A common drug used in Vietnam is acyclovir. Dosage in normal subjects without immunodeficiency is:
In Adults: Acyclovir 800mg 5 times / day x 7 days; to drink.
Children: Acyclovir 20mg 4 times / day x 7 days; to drink.
d) Treatment of complications
Superinfection: topical care combined with broad-spectrum antibiotics or antibiotics.



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Pain after shingles: very difficult to treat, should be transferred to a specialized hospital.
Eye damage: Specialized eye examination should be performed in patients with trigeminal shingles in order to detect eye damage for timely management.
KTV. KHONG VY

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