SAY ni DOK | Herpes zoster o shingles

PTVPhilippines

8/28/2023

Transcript

00:00 According to the Center for Disease Control or CDC,

00:03 one in three people can have shingles or culebra in their lifetime.

00:09 But most of us are not familiar with this disease.

00:12 Because of that, we will have a free telemedicine

00:15 in the same e-doc about this disease.

00:17 And we will be joined again by Dr. Via Roderos,

00:20 a general physician.

00:21 Doc Via, welcome back to Rise and Shine Philippines.

00:24 Nice to have you again.

00:24 Good morning, Rise and Shine, Ms. Diane, Ms. Chi,

00:27 and happy National Heroes Day to all of us.

00:30 You are like doctors, you are like our heroes.

00:33 Modern day heroes, actually.

00:35 Doc, what is herpes zoster or shingles?

00:38 Or in Tagalog, culebra.

00:41 And what is the reason why we have this?

00:43 So that's a good question.

00:45 Because herpes zoster or shingles,

00:49 is a virus or viral infection

00:53 that can be contracted if you've already had chickenpox.

00:59 So the virus that causes herpes zoster

01:03 comes from the virus that causes chickenpox.

01:07 What happens when we have herpes zoster,

01:12 the virus, chickenpox,

01:16 when you have it, it can be with you for many years.

01:20 It becomes latent.

01:22 It can go to our nerves.

01:24 And if it's reactivated,

01:26 if it has an inciting factor

01:32 that activates the virus,

01:34 you can have shingles.

01:36 So if you haven't had chickenpox,

01:39 your chances are lesser.

01:41 You can't have herpes zoster.

01:44 I saw a lot of photos,

01:45 it's like a bird's nest.

01:48 It's like a bird's nest.

01:49 Is it painful when you have it?

01:51 That's actually a good question.

01:52 I can share my experience.

01:54 Because when I was younger,

01:56 I actually had this particular disease.

02:00 What happened was,

02:02 the first symptoms that manifested were the pain.

02:05 My herpes zoster was here on my face.

02:09 The first thing I noticed was the pain

02:12 on the side of my face,

02:13 on the side of my head.

02:15 And then after a few days,

02:16 I noticed the rash.

02:18 Which is usually common

02:20 for people with herpes zoster.

02:22 You might not notice the rash,

02:24 it's just red.

02:26 But the first thing you'll notice

02:28 is that the skin is a bit sensitive.

02:31 Especially if you have herpes zoster.

02:32 And the unique feature

02:36 of people with herpes zoster

02:37 is that it's only on one side of the body.

02:39 Because the pattern is very neural.

02:42 It affects the nerves more importantly.

02:45 That's what you need to remember.

02:46 You mentioned earlier that

02:48 the virus can reactivate.

02:51 What's the reason why it can reactivate?

02:54 How many times can you have this shingles?

02:57 Okay.

02:57 It's important to know that

03:01 this virus comes from chickenpox.

03:03 For example, when you were a kid,

03:06 you got chickenpox.

03:07 After many, many years,

03:10 it lives in your nerves.

03:15 If you have an immunocompromised state,

03:18 for example,

03:19 an old person with a severe illness,

03:23 the virus can reactivate.

03:25 Or like me,

03:26 during that time, I was so stressed

03:28 because of school, everything, work.

03:30 You might have herpes zoster.

03:33 What can actually be an inciting factor

03:36 to have stress?

03:38 If your immunity is down,

03:40 or if you have conditions

03:43 that can make you sicker

03:46 or can make you stressed,

03:48 that's what causes herpes zoster.

03:50 Who are the people

03:52 who are at risk of having shingles?

03:56 That's a good follow-up question, Ms. Chi.

03:58 I said earlier that

04:01 the inciting factor is stress.

04:03 Or those who are in an immunocompromised state.

04:06 It means if you have a severe illness,

04:09 for example, a terminal stage of cancer,

04:12 or any other terminal stage illness,

04:14 we usually see this in the elderly.

04:18 Or in children who are already sick

04:22 because it actually affects

04:25 not only your nerves but also your immunity.

04:28 Those people will be at risk

04:31 for having herpes zoster.

04:32 Can I get vaccinated

04:34 so that I won't have herpes zoster?

04:38 That's actually one of the preventive measures.

04:41 To prevent herpes zoster,

04:48 there are vaccines available.

04:51 And of course, for children,

04:52 to prevent chickenpox,

04:55 vaccines are still important.

04:58 Let's follow the schedule

04:59 of the National Immunization Program.

05:03 That's important.

05:04 But doc, is the vaccine for shingles

05:06 specifically for shingles

05:08 or is it included in the chickenpox?

05:10 Usually, you get a booster

05:12 or you get vaccinated for that

05:15 because you had shingles.

05:17 You can have it.

05:18 In other countries,

05:20 they use shing-varics.

05:23 But we give it to children.

05:26 Usually, children are followed

05:29 as part of the routine immunization.

05:33 How long does it take for shingles

05:35 to occur in an individual?

05:38 That's important

05:39 because we should minimize the pain.

05:42 It can last for 3 to 5 to 6 weeks.

05:44 It's a bit long.

05:46 The pain also disappears after a while.

05:49 I remember before,

05:51 I would wake up because of the pain.

05:54 That's how painful it is.

05:56 But it's not as life-threatening

05:58 as other diseases.

06:00 It should still be controlled

06:01 because I had to miss work

06:05 or I had to miss classes because of it.

06:07 If the symptoms are not controlled,

06:10 our productivity can be affected.

06:14 Is it contagious?

06:15 If it is, how long will you be contagious?

06:19 It's important.

06:22 Part of the measures we should take,

06:24 especially if we have people at home,

06:28 is to isolate them because it's contagious

06:30 through direct contact.

06:33 If you lie down on a pillow,

06:37 you may get a virus.

06:41 But if you haven't had chickenpox,

06:45 you may get chickenpox.

06:52 Are there possible complications

06:54 if a person has shingles?

06:57 This is very common for people with shingles.

07:02 Post-herpetic neuralgia is when you're already sick.

07:05 After a few weeks,

07:07 you're no longer sick or have no symptoms.

07:10 But the pain is still there.

07:12 It's like a current of pain that usually happens.

07:15 You think you're not sick anymore.

07:18 But that can be a complication of shingles,

07:23 post-herpetic neuralgia.

07:25 Apart from that,

07:27 skin lesions, for example,

07:29 if we don't take care of it,

07:30 there may be factors that make us prone to infection.

07:37 Especially since there are blisters.

07:40 So, if we're not observant about our hygiene,

07:45 we may get infected.

07:47 So, antibiotics are the answer.

07:50 Is that how you treat antibiotics?

07:53 Yes, if there's an infection.

07:55 But for herpes zoster,

07:57 you can actually treat it with antivirals.

08:01 I used to use Valacyclovir and Aciclovir.

08:05 Those kinds of diseases.

08:07 But since it's viral,

08:09 if we can keep our immune system healthy,

08:12 we can fight this disease

08:14 without the help of antivirals.

08:16 But I would suggest to have antivirals

08:20 to at least lessen the time you get sick.

08:25 Because it's really painful.

08:27 Maybe we should get vaccinated.

08:31 To avoid it.

08:32 Because some people are immunocompromised.

08:34 Doc, any message or reminder for our KRS-P?

08:38 Thank you so much for having me.

08:40 And of course, to our viewers,

08:43 prevention is still important.

08:45 Again, prevention is better than cure.

08:47 We should be observant about our feelings.

08:50 And it's important to always keep in mind

08:53 the things that keep us healthy.

08:55 Especially, getting vaccinated.

08:57 Preventing us from getting sick.

08:59 And of course, it will lead us to a healthier, happier life.

09:01 Alright. Thank you so much for Libreng Telemed.

09:05 We had Dr. Via Roderos again.

09:07 Another general physician.

09:09 Again, thank you.

09:10 Thank you, Dr. Via.

09:11 See you again soon.

09:12 Thank you, Ms. Chi, Ms. Diane.

SAY ni DOK | Herpes zoster o shingles

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