{"id":151258,"date":"2025-03-04T10:44:20","date_gmt":"2025-03-04T08:44:20","guid":{"rendered":"https:\/\/novanews.co.za\/rooirose\/?p=151258"},"modified":"2025-03-04T10:45:22","modified_gmt":"2025-03-04T08:45:22","slug":"gordelroos-wat-jy-moet-weet","status":"publish","type":"post","link":"https:\/\/novanews.co.za\/rooirose\/gordelroos-wat-jy-moet-weet\/","title":{"rendered":"Gordelroos: Wat jy moet weet"},"content":{"rendered":"<p><em><span style=\"font-weight: 400;\">Deur Mariette Snyman<\/span><\/em><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">\u00a0As jy of iemand na aan jou gordelroos \u2013 ook bekend as <\/span><i><span style=\"font-weight: 400;\">shingles<\/span><\/i><span style=\"font-weight: 400;\"> of herpes zoster \u2013 gehad het, weet jy daar\u2019s niks rooskleurigs omtrent di\u00e9 toestand nie. Dit kan akute senuweepyn veroorsaak en kommerwekkende komplikasies tot gevolg h\u00ea. Hoe gouer dit gediagnoseer en behandel word, hoe beter.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">\u201cGordelroos kom redelik algemeen voor, veral tydens sekere seisoene, soos herfs en lente,\u201d s\u00ea dr Johan le Roux, \u2019n algemene praktisyn van Johannesburg. \u201cEnigiemand wat waterpokkies gehad het, kan dit kry: Die waterpokkievirus is steeds in die liggaam en word geheraktiveer. Hoewel een van my pasi\u00ebnte met gordelroos \u2019n kind was, is dit meer algemeen by 50-plussers en mense wie se immuunstelsel onder druk is, byvoorbeeld individue wat MIV-positief toets.\u201d\u00a0\u00a0\u00a0<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><strong>Dr Johan le Roux werp lig op nog \u2019n paar algemene vrae hieronder:<\/strong><\/p>\n<p>&nbsp;<\/p>\n<h4><b>Watter tekens kan op gordelroos dui?<\/b><\/h4>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">In die prodroom- of beginfase is daar \u2019n brand- of jeuksensasie op die vel. Twee tot drie dae later vorm \u2019n rooi uitslag wat aanvanklik soos \u2019n insekbyt kan lyk, maar dan n\u00f3g blasies vorm. Wanneer die uitslag ten volle ontwikkel het, kan die letsels besonder pynlik wees en komplikasies tot gevolg h\u00ea.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Gordelroos kan op verskillende maniere uitspeel. Afgesien van die herpes zoster generalisata of algemene zoster-uitslag, soos mense dit ken, behels Ramsay Hunt-sindroom die aantasting van die gesigsenuwee naby een van die ore. Die simptome kan duiseligheid en gehoorverlies in di\u00e9 oor insluit. Ek verwys\u00a0 pasi\u00ebnte met di\u00e9 simptome na \u2019n oor-, neus- en keelspesialis.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Soms tas gordelroos die oftalmiese senuwee aan. Dit affekteer die oog en kan in ernstige gevalle die verlies van sig veroorsaak. Hierdie pasi\u00ebnte word na \u2019n oogspesialis verwys.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Intra-orale zoster \u2013 \u2019n skaars toestand \u2013 veroorsaak letsels aan die binnekant van die mond en ek verwys die persoon na \u2019n oor-, neus- en keelspesialis.\u00a0\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Die belangrikste tekens om na op te let, is die brand- of jeuksensasie op die vel, veral as dit net aan die een kant van die liggaam voorkom \u2013 aan die linker- \u00f3f regterkant. Gordelroos kan enige deel van die liggaam aantas. Dis noodsaaklik om onmiddellik dokter toe te gaan, beklemtoon dr Johan. As jy \u2019n bietjie langer wag, wat beslis nie aanbeveel word nie, sal \u2019n rooi uitslag vorm, s\u00ea hy.\u00a0\u00a0\u00a0\u00a0<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-151261 aligncenter\" src=\"https:\/\/novanews.co.za\/rooirose\/wp-content\/uploads\/2025\/03\/pexels-towfiqu-barbhuiya-3440682-13005383-500x334.jpg\" alt=\"\" width=\"500\" height=\"334\" \/><\/p>\n<p>&nbsp;<\/p>\n<h4><b>Waaruit bestaan die behandeling?<\/b><\/h4>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">Hoe gouer \u2019n antivirale middel toegedien word, hoe beter; verkieslik binne 72 uur nadat die uitslag verskyn het. In sommige gevalle word kortisoon gebruik, maar in \u2019n<\/span> <span style=\"font-weight: 400;\">algemene praktyk gebeur dit selde. Dis baie belangrik om doeltreffende pynverligting te verskaf. In die akute fase het pynverligting ook \u2019n ander funksie: Dit verskraal die kans dat post-herpetiese neuralgie, \u2019n ongewensde komplikasie, ontwikkel.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Soms skryf ons \u2019n antidepressant voor. Dit dra tot pynverligting by en kan \u2019n pasi\u00ebnt help om beter te slaap. Party dokters gee \u2019n antihistamien om die jeuksensasie te help onderdruk.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Daar is lokale middels wat aan die vel gesmeer kan word sodra die blasies genees het, maar hierdie middels mag glad nie gebruik word terwyl daar nog blasies is nie.\u00a0\u00a0<\/span><\/p>\n<p>&nbsp;<\/p>\n<h4><b>Is dit waar dat herpes zoster aansteeklik is?<\/b><\/h4>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">Ja, solank die blasies teenwoordig is, kan \u2019n pasi\u00ebnt met gordelroos waterpokkies aan iemand wat nog nie waterpokkies gehad het nie, oordra. Jy kan nie gordelroos aansteek by \u2019n pasi\u00ebnt met gordelroos nie.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Sodra die blasies weg is en die hele gebied \u2019n kors gevorm het \u2013 wat ongeveer sewe dae neem \u2013 is die persoon nie meer aansteeklik nie. Dis belangrik om te verstaan dat die virus deur direkte kontak met die blasies oorgedra word. As die uitslag onder jou klere is, byvoorbeeld op jou rug, is jy minder aansteeklik as wanneer die uitslag op jou gesig is.<\/span><\/p>\n<p>&nbsp;<\/p>\n<h4><b>Komplikasies en voorkoming<\/b><\/h4>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">Daar kan verskeie ernstige komplikasies wees, s\u00ea dr Johan. Die algemeenste is post-herpetiese neuralgie. Neuralgie beteken senuweepyn. Om dit eenvoudig te stel: Die spesifieke senuweevesels waar die infeksie was, is beskadig. Gevolglik is die boodskappe wat van die vel na die brein teruggaan nie normaal nie, maar \u201cdeurmekaar\u201d. Dis hierdie boodskappe wat die chroniese pyn veroorsaak. Die toestand kan weke, maande of selfs \u2019n jaar lank duur.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u2019n Verdere moontlike komplikasie behels verlies aan sig, selfs \u2019n permanente verlies, weens skade aan die oog. Gordelroos kan ook ander neurologiese komplikasies , onder meer infeksie in die brein of enkefalitis, veroorsaak. Dit kan ook sekere gesigsenuwees aantas sodat die een kant van die gesig verlam raak.\u00a0 Soms herstel dit volledig, soms gedeeltelik, soms glad nie en lei tot permanente gesigsverlamming. Neurologiese komplikasies sluit gehoor- en balansversteurings in. Gordelroos wat nie doeltreffend behandel word nie, kan verder ernstige, sekond\u00eare bakteri\u00eble velinfeksies tot gevolg h\u00ea.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Om herpes zoster te help voorkom, is dit raadsaam om \u2019n gesonde, gebalanseerde leefstyl te handhaaf. Dit klink dalk geyk, maar gesonde eetgewoontes, genoeg oefening en voldoende slaap is noodsaaklik. Moet jou nie oorwerk nie \u2013 sorg vir tyd om te ontspan en te herlaai. Hoe meer spanning jy beleef, hoe swakker funksioneer jou immuunstelsel en hoe makliker kan jy gordelroos kry. Vind maniere om jou stresvlak te verlaag en neem daagliks \u2019n goeie multivitamien.\u00a0\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Daar is \u2019n inenting teen gordelroos beskikbaar; dit word sterk aanbeveel vir mense bo 50 wat waterpokkies gehad het. Daar is ook \u2019n inenting vir mense van 19 jaar en ouer wie se immuunstelsel onder druk is.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Die inenting gaan nie noodwendig keer dat jy gordelroos kry nie, maar wel daartoe bydra dat die verloop van die siekte en moontlike komplikasies soos post-herpetiese neuralgie minder ernstig is.\u00a0<\/span><\/p>\n<p>Lees ook:\u00a0<a href=\"https:\/\/novanews.co.za\/rooirose\/epilepsie-werk-swot\/\">Epilepsie: wat ek as \u2019n vrou met epilepsie wens jy weet<\/a><\/p>\n<p>&nbsp;<\/p>\n<h4><b>Is daar enige verband tussen gordelroos en seksueel oordraagbare infeksies?<\/b><\/h4>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">Nee. Die ander tipe herpes, herpes simplex tipes 1 en 2, is onderskeidelik vir koorsblare en die seksueel oordraagbare infeksie verantwoordelik. Dit het niks met gordelroos te make nie. Herpes simplex veroorsaak nie waterpokkies nie, affekteer nie deurgaans dieselfde gedeelte nie en kom nie noodwendig net aan die een kant van die liggaam voor nie. Die blasies lyk ook \u2019n bietjie anders.\u00a0\u00a0<\/span><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\"><em>Dr Johan le Roux werk by die Meldene Medicross, Randburg en kan by 011 482 2291 gekontak word.<\/em><\/span><\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Lees ook:\u00a0<\/strong><a href=\"https:\/\/novanews.co.za\/rooirose\/swaar-menstruasie\/\">Swaar menstruasie: het jy endometriose?<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Deur Mariette Snyman &nbsp; \u00a0As jy of iemand na aan jou gordelroos \u2013 ook bekend as shingles of herpes zoster \u2013 gehad het, weet jy daar\u2019s niks rooskleurigs omtrent di\u00e9 toestand nie. Dit kan akute senuweepyn veroorsaak en kommerwekkende komplikasies [&hellip;]<\/p>\n","protected":false},"author":58,"featured_media":151260,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[2949,667],"tags":[200,1709,4204,4205,60091,86188],"class_list":["post-151258","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-leef-gesond","category-gesondheid","tag-siekte","tag-siektes","tag-waterpokkies","tag-gordelroos","tag-shingles","tag-herpes-zoster"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Gordelroos: Wat jy moet weet | rooi rose<\/title>\n<meta name=\"description\" content=\"Gordelroos is \u2019n uiters pynlike toestand wat sowat een derde van die bevolking raak. 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