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Dompo (Herpes Zoster) – Causes, Symptoms and Treatment

dompo disease also known as herpes zoster causes a rash with blisters and very painful that may arise during 2-4 weeks. In some people, pain can still be felt for months or even years after the rash disappears.

About Dompo Disease

Dompo causes a rash that blisters and feels very painful. The risk increases with age. Please note, that herpes can be classified into two types, namely herpes zoster (better known as chickenpox) and herpes simplex. Both are caused by viruses, but the types of viruses are different
Dompo disease can cause pain in the medical world called Post-herpetic neuralgia  . This pain is one of the most common complications of dompo disease. The risk for developing dompo disease can increase with age.
Pain in dompo pain is described as achy, hot, like stabbing, and very disturbing. This pain is almost equated with labor pain or pain due to kidney stones. This pain can have an impact on depression, anxiety, difficulty concentrating, decreased appetite, and weight loss.
Dompo disease can also interfere with daily activities such as bathing, changing clothes, eating, cooking, shopping, and traveling. Dompo pain can also cause eye complications that can lead to blindness.

Causes of Dompo

Dompo is caused by the varicella zoster virus, the same virus that can cause chickenpox. After a person recovers from chickenpox, the virus falls asleep (becomes inactive) in the body.
Usually the varicella zoster virus will become active again if a person’s immune system is low so that it will reappear as herpes zoster. Keep in mind, dompo disease is not caused by a virus that causes genital herpes, which is transmitted through sexual intercourse.

Who Is At Risk of Having Dompo Disease?

Anyone who has had chickenpox has the opportunity to suffer from pneumonia, even though children. As you age, the risk of developing this disease is even greater. Approximately half of all dompo diseases occur in people aged 60 years or more.
Elderly people aged 60 years or older have a higher risk for:
  • Suffering from dompo disease.
  • Having severe pain due to dompo disease.
  • Experiencing Post-herpetic neuralgia  .
Some people have a greater risk of developing dompo, including:
  • People with immune systems that are not optimal, for example cancer patients such as leukemia and lymphoma and people with HIV.
  • People who get therapy with drugs that suppress the immune system, such as steroids.
In general, dementia suffered by a person once in his life. However, it does not rule out that there are people who suffer from dompo twice or more.

Is Dompo Disease Contagious?

Dompo disease is a disease that cannot be transmitted from one person to another. However, people who are suffering from dompo can transmit the varicella zoster virus to others. Someone who is infected with this virus will experience chickenpox for the first time, not dompo pain.
The varicella zoster virus can be transmitted through direct contact with the fluid that comes out of blisters on the skin of dompo sufferers.
People who are suffering from dompo can transmit the virus when the rash is in the blister phase (watery resilience appears). Before the blisters come out, the person cannot transmit the virus. After the blisters break and dry out, the person also cannot transmit the virus.
Transmission of varicella zoster virus in dompo disease tends to be smaller than chickenpox. The risk of a person with dompo transmitting the virus becomes very small after the rash disappears.
If you are suffering from dompo disease, you should do:
  • Cover the rash that appears, with clean gauze or cloth.
  • Don’t touch or scratch the skin that has a rash.
  • Wash your hands frequently to prevent the spread of the virus.
  • Until the rash dries, avoid contact with pregnant women who have never had chickenpox, premature babies or low birth weight, and people who have a low immune system (for example, people who are undergoing cancer chemotherapy and HIV sufferers).
  • Get enough rest at home.

Signs and Symptoms of Dompo Disease

Dompo disease causes a very painful rash on one side of the face or body. The rash then blisters, breaks, then dries in 7-10 days and usually disappears completely in 2-4 weeks.
Before the rash appears, the patient will usually feel pain or itching in the area of ​​the body which will then appear a rash. This can occur 1-5 days before the appearance of the rash.
Generally, the rash appears in one line or row on the left or right side of the body. In other cases, the rash appears on one side of the face. In rare cases (usually in people with low immunity), the rash spreads throughout the body and looks similar to a rash due to chickenpox.
In addition, the danger of dompo disease can also cause complications in the eye which can cause blindness, especially if it occurs on the face. Other symptoms can include fever, headache, chills, and unpleasant stomach.

Prevention and Treatment of Dompo Disease

Generally doctors will recommend taking analgesics (anti-pain) to help reduce pain caused by dompo disease. Warm compresses or anti-itchy powder can also help reduce the itching caused by dompo disease.
Several antiviral drugs are available to treat dompo pain. These dompo drugs can help alleviate disease and speed healing. To be effective, this drug should be given as soon as possible after the rash appears. So, if someone suspects he is suffering from a compressed disease, contact your doctor immediately to get the right and fast treatment.
For example Valacyclovir and acyclovir. The most effective antiviral drugs if taken in three days after the rash appears. However, if the patient has a risk of complications, this medication can be given before 7 days after the rash appears. Consumption of antiviral drugs is usually done for 7-10 days.
Some people who need antiviral drugs include seniors and people with a decreased immune system, such as people with cancer, HIV, and diabetes. In addition, antivirals are also given to people with rashes or severe pain and if dompo disease affects the eyes.
The best prevention is by vaccination. This vaccination can be done since children to prevent chickenpox so that they can eventually prevent dompo disease, or it can also be done to people at risk, for example in the elderly or people with low immune systems. In Indonesia alone, vaccination against the zooster varicella virus is still rare.
Because dompo disease is like chickenpox , there are no specific steps to dealing with shingles. The goal of treatment is to reduce symptoms until the disease resolves on its own.
The medical treatment step that can be done to speed up healing while reducing the risk of complications is by giving antiviral drugs.

Complications of Dompo Disease

The most common complications are Post-herpetic neuralgia (PHN). People with PHN experience severe pain in the area of ​​the body that previously had a rash, even if the rash has disappeared.
Pain due to PHN is very severe and painful, but usually resolves within a few weeks or several months, although there are also those who experience PHN for years.
The older a person is, the greater the risk of experiencing PHN and the pain that is felt will also be more severe. PHN is rare at the age of less than 40 years, but can occur in almost one third of people aged 60 years or more.
Dompo can also cause serious eye complications. Although very rare, dompo can also cause pneumonia, hearing loss, and inflammation of the brain (encephalitis).

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