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Friday, December 19, 2014

Kayap @ Herpes Zoster.

    Korang pernah dengar pasal kayap? Mesti biasa kan? Kayap hanya kena pada orang yang dah pernah kena chicken pox (varicella zoster) sebelum ni. Haa....macam ni lah rupa kayap. Ikut orang kampung, kayap ni ada macam-macam jenis. Tapi, kalau ikut medical sama je semua. Hati-hati kalau kayap kena bahagian muka berdekatan mata, sebab boleh jadi buta.
Patient ni datang Rabu lepas.
Kayap kat bahagian kanan belakang badan.
Jenis ruam :
 - vesicular rash (berbiji-biji ada air, sakit sangat, kadangkala gatal).
- Site: Unilateral (selalunya sebelah badan je).
     Sila berjumpa doktor segera untuk decision samada pesakit need ubat antiviral (Acyclovir).
at

64 comments:

  1. Scdha Sein (SS)December 19, 2014 at 6:15 PM

    Kalu kaya tetiba jadi miskin pon dipanggil kayap juga... Gurau je... He He He...

    ReplyDelete
    Replies
    1. zarul farhanaDecember 19, 2014 at 7:21 PM

      heheehe tu kayap lain

      Delete
    2. anamizuDecember 19, 2014 at 10:18 PM

      si SS ni kan kalo x buat aku gelak besar mmg bukan die la hahaha

      Delete
    3. Farrah MFDecember 20, 2014 at 5:15 PM

      Macam tulah gaya si SS spread the love & laughter. Akak baru nak serius2 tengok kayap dah gelak besar tiba2 :D

      Delete
    4. zarul farhanaDecember 20, 2014 at 9:25 PM

      SS ni memang hahahaha..

      Delete
  2. Suria AmandaDecember 19, 2014 at 6:23 PM

    semoga dijauhkanlah.....sure gatal nanti kan

    ReplyDelete
  3. Inani HazwaniDecember 19, 2014 at 6:26 PM

    baru tahu boleh menyebabkan buta. bahayanya

    ReplyDelete
    Replies
    1. Farrah MFDecember 20, 2014 at 5:18 PM

      Itulah, bahaya juga ye...

      Delete
    2. drshikinzainal @ ekinDecember 20, 2014 at 6:33 PM

      Nama spesifik kayap tu yang bawah ni kalau nak Google image -
      Ophthalmic Herpes Zoster.

      Delete
  4. wardahannesaDecember 19, 2014 at 7:04 PM

    takut bila tengok,huhu

    ReplyDelete
  5. Maria FirdzDecember 19, 2014 at 7:13 PM

    Bahaya kayap nih... Ada yg maut kan..

    ReplyDelete
    Replies
    1. drshikinzainal @ ekinDecember 20, 2014 at 6:39 PM

      Patient's yang elderly (pakcik, makcik) memang ada tanya pasal ni juga.
      Actually HZ per se tak sebabkan maut, unless ada komplikasi.

      Delete
    2. zarul farhanaDecember 20, 2014 at 9:25 PM

      ingt ada boleh bawa maut ka

      Delete
  6. zarul farhanaDecember 19, 2014 at 7:22 PM

    kalau dia naik la biji2 besar mcm ni..kecik2 ja..pas2 byk tempat... kdg2 ja rasa gatai... kayap gak ka..ka perlu p jumpa doc ja.. sbb xla naik merah teruk sgt

    ReplyDelete
    Replies
    1. drshikinzainal @ ekinDecember 19, 2014 at 7:28 PM

      Mungkin tu allergic. Apa-apa pun kene examine /tengok dulu baru tau.
      Kayap ni painful/pedih.

      Delete
    2. Scdha Sein (SS)December 19, 2014 at 8:55 PM

      Itu kurap bihimmmm a.k.a kuraption... Kah kah kah....

      Delete
    3. zarul farhanaDecember 20, 2014 at 9:26 PM

      isshh SS nie... ada ja noh... hahaha

      Delete
    4. zarul farhanaDecember 20, 2014 at 9:28 PM

      ooo.. ok2.. nnt saya suggest p chek juga..
      sementara tggal sebulan lagi kt u ni.. kena gunakn perkhidmatan pusat kesihatan sepenuhnya la.. sbb dh bayar awai sem.. heheheh

      Delete
  7. Miss Mirror a.k.a SamDecember 19, 2014 at 7:35 PM

    Bila dah kena sekali.. bleh dtg balik bila immunity badan rendah kan?. Ada member tu ari kena kt bibir akibat test lipstik kt pasaraya.

    ReplyDelete
  8. Dr KDecember 19, 2014 at 9:02 PM

    Just to share my experience,recently about 1 month ago, I received a case of herpes zoster affecting the 7th cranial nerve ( facial nerve).
    So this makcik presented with typical " bell palsy" like symptoms & signs, plus classical zoster blister over the back of her right ear & surrounding neck region.

    It was a Ramsay Hunt syndrome.I never encountered it during my days in Govt service. Sadly, the rate of full recovery of facial's muscle paralysis is only approx 70%, if the patient received late treatment ( as opposed to clasicall pure Bell' palsy )

    ReplyDelete
    Replies
    1. drshikinzainal @ ekinDecember 19, 2014 at 9:12 PM

      If not mistaken, pernah jumpa 1 case RHS ni..vesicles inside ear canal.
      2 tawun lepas kot.
      DZ dah open own clinic ke?

      Delete
    2. drshikinzainal @ ekinDecember 19, 2014 at 9:21 PM

      Thanks for refreshing, DZ.

      Delete
  9. EtuzaDecember 19, 2014 at 9:25 PM

    nampak teruk juga ni..gatal tu ..harap ada ubatnya ya Doktor

    ReplyDelete
    Replies
    1. drshikinzainal @ ekinDecember 20, 2014 at 6:47 PM

      Kalau dah lewat sangat sampai hari kelima selalunya bagi antivirus pun not beneficial.

      Delete
  10. nora razalliDecember 19, 2014 at 9:30 PM

    eiii
    MG kalau yg jnis berair cmni takut betul
    sure pedih n gatal tu kan
    eish
    hope adik tu cpt sembuh

    ReplyDelete
  11. anamizuDecember 19, 2014 at 10:19 PM

    pnh gak dgr org2 tua ckp kalo kayap ular (means dia bercantum) cnth jd kat bhgan pinggang or leher, bila kayap tu sampai merebak & bercantum org tu boleh mati. uishh takot lak dgr..

    ReplyDelete
    Replies
    1. Scdha Sein (SS)December 20, 2014 at 12:01 PM

      Kesian ular... Tak memasal jadi punca kematian... He He He...

      Delete
    2. drshikinzainal @ ekinDecember 20, 2014 at 6:49 PM

      Tu lah, patient tanya saya jenis2 kayap. Yang saya pernah dengar, kayap ular tu lah..tapi, dalam medical takde istilah seumpama tu. Ermm..

      Delete
    3. zarul farhanaDecember 20, 2014 at 9:30 PM

      haa kawan saya ada gak jd kayap ular... kt leher.. dia kata kalau bercantum tu leh jadi apa tah... tapi dia pegi slalu la jumpa doc n ada buat perubatan islam gak

      Delete
  12. izzeydaDecember 19, 2014 at 10:22 PM

    Ishh boleh buta ye.. harap dijauhkanlah penyakit nih dari diri dan seluruh keluarga..

    ReplyDelete
  13. Anak IbuAyahDecember 19, 2014 at 10:41 PM

    Takutnye. Boleh cegah tak?

    Dulu pernah ada bintik2 dekat badan, pi klinik nurse pandang jijik jee. Sedihh. Nasib baik doktor rileks jee layan.

    ReplyDelete
    Replies
    1. drshikinzainal @ ekinDecember 20, 2014 at 6:50 PM

      Alolo kesiannya NA.
      Just maintain kesihatan badan.
      Sebab HZ ni jadi bila imuniti badan menurun.

      Delete
  14. UnknownDecember 19, 2014 at 11:35 PM

    selalu dngr org kena kayap ni masa dok asrama dulu. ada jugak disebabkan oleh air kotor o lain2 sebab ke Dr?

    ReplyDelete
  15. Nadia MansorDecember 19, 2014 at 11:46 PM

    dulu makcik saya kena kayap bahagian muka, berdekatan mata..jenuh jugak la berubat sana sini... susah jugak nak sembuh ye.. takutnya,..

    menulis tentang.. : Pendek sebab tak cukup kalsium?

    ReplyDelete
    Replies
    1. drshikinzainal @ ekinDecember 20, 2014 at 6:52 PM

      Betul, NM.
      Kadang2 blister/vesicles tu dah hilang pun, tapi ada patient yang masih sakit tang tempat lama.
      We called this -> Post-herpetic neuralgia.

      Delete
  16. UnknownDecember 20, 2014 at 1:26 AM

    tgk jer dah ngeri ...

    ReplyDelete
  17. arzmohaDecember 20, 2014 at 11:26 AM

    takut dengar pasal kayap

    ReplyDelete
  18. Blog SantaiDecember 20, 2014 at 12:19 PM

    oooo macam ni kayap ya..pernah dengar tapi tak pernah tau rupa bentuk sakit ni..thanks doc..

    ReplyDelete
  19. dear aniesDecember 20, 2014 at 1:15 PM

    Punca utama kayap?

    ReplyDelete
    Replies
    1. Farrah MFDecember 20, 2014 at 5:20 PM

      Yes,..nak tanya soalan sama gak. Apa yg boleh trigger kayap? Hygiene ke..bacteria ke virus ke...

      Delete
  20. Farrah MFDecember 20, 2014 at 5:19 PM

    Akak baru tahu the fact that kayap ni kena pada orang yang dah pernah kena chicken pox. Thanks, Shikin :)

    ReplyDelete
    Replies
    1. drshikinzainal @ ekinDecember 20, 2014 at 6:56 PM

      Betul tu k.Farrah.
      HZ (kayap @ shingles) just kena pada orang yang dah pernah kena VZ (varicella /chicken pox).
      Semasa seseorang tu sembuh dari VZ, virus dalam badan dia tak hilang terus, tapi remains dormant (tidoq) kat dalam saraf. Once immune system seseorang tu menurun, virus tu akan teraktivasi lalu sebabkan HZ ni.
      Harap jawapan ni membantu.

      Delete
    2. zarul farhanaDecember 20, 2014 at 9:33 PM

      baru tahu jgk..org yg dh kena chicken pox akan kena la... byknya info tntg ni.. thanks akak

      Delete
    3. drshikinzainal @ ekinDecember 21, 2014 at 12:43 AM

      Kayap kena pada orang yang dah kena chicken pox (VZ).
      Tapi, tak semestinya orang yang kene chicken pox akan kena kayap (HX)

      Delete
  21. Scha NazriDecember 20, 2014 at 9:04 PM

    aaa, geliii. wuwuwu

    ReplyDelete
  22. SaniahDecember 20, 2014 at 10:45 PM

    doc nak tanya,, maaf saya tak tahu apa itu kurang imuniti?? terima kasih daun keladi doc,,

    ReplyDelete
    Replies
    1. drshikinzainal @ ekinDecember 21, 2014 at 12:45 AM

      Good Q:)
      Maksud imuniti tu ialah DAYA KETAHANAN BADAN MELAWAN PENYAKIT.

      Delete
  23. CiknaDecember 21, 2014 at 8:17 AM

    Haritu mmbr ade bgtau klu nk b'ubat kayap cari bujang yg kahwin ngan janda.... pastu kalau kayap ni b'tembung blh bawa maut btl ke x xtau la ye xprnh alami...;-/

    ReplyDelete
  24. UnknownDecember 21, 2014 at 1:05 PM

    Baca komen2 diatas baru tahu bagaimana kayap ni berlaku.

    ReplyDelete
  25. Cik RoseDecember 21, 2014 at 1:20 PM

    Ros dah pernah kena waktu sekolah tendah.. jadi kat bahagian leher dan belakang bada,.. memang betul, sebelah bahagian je..

    ReplyDelete
  26. NAZLIANA SI CUTEDecember 22, 2014 at 10:46 AM

    hurmm ada setengah orang guna ubat kampung ja..ambk air penawar..

    ReplyDelete
  27. Nina MadsDecember 22, 2014 at 11:31 AM

    Xpenah kena lg walaupun dh kena chicken pox

    ReplyDelete
  28. Dunia ZumalDecember 22, 2014 at 1:08 PM

    Bahayanya kayap nie yer Doc...

    ReplyDelete
  29. Tinta Farah DDecember 22, 2014 at 7:21 PM

    eeeuuu... pernah tengok orang kena kayap...dulu time sekolah, ada jugak kawan2 yang kena...merah2 kat lengan..kat badan... dia sapu ubatkuning je kot...lepastu pantang makan, sebab gatal

    ReplyDelete
  30. Nurhaziq Abdul HafizDecember 22, 2014 at 9:53 PM

    Tak tahu pula nama sakit tu kayap. saya ingat ruam biasa. ilmu baru ni.

    ReplyDelete
  31. Yana YaniDecember 23, 2014 at 1:06 PM

    biasa dengar, tapi tak pernah tengok
    apa treatment dia

    ReplyDelete
  32. AnonymousDecember 24, 2014 at 8:11 PM

    uish dulu memula masuk hostel dok asrama kena attack gatal2 cemni kak.. terus request cikgu tukar tilam. ye laaa tah brapa zaman punya kan.. mengada tak mengada gua x peduli.. lepas tu jumpa doc kasi ubat sbiji rm20 hahaha stock untuk sminggu tp lepas makan dua biji terus tak gatal da..

    tak ingat nama ubat tapi kaler pink hehe

    ReplyDelete
  33. Calrase PatrickDecember 25, 2014 at 12:02 AM

    Sangat bermanfaat :)

    ReplyDelete
  34. Jari ManisJanuary 1, 2015 at 8:57 PM

    ha'a..mmg tahu pasal kayap ni cuma tak tahu puncanya

    ReplyDelete
  35. lynmunirApril 9, 2015 at 4:45 PM

    ooohh, kayap rupanya. Kayap ni nampak je macam tak bahaya, tapi bahaya juga sebenarnya kan doc ? Apa yang orang kata tu kayap ular ? Katanya jika bertemu lingkaran kiri dan
    kanan....., maka kena buat persiapan ler. Katanya..., ya ke doc ?

    ReplyDelete

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