{"countAll":0,"orderType":null,"readLevel":"0","lyTopicReq":{"id":"1519","isDel":0,"createAt":0,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"userId":null,"title":null,"content":null,"barId":"1519","topicTypeId":null,"topicThemeId":"1032","readLevel":0,"files":null,"clickNoLikeCount":0,"clickLikeCount":0,"clickCount":0,"score":0,"partCount":0,"replayCount":0,"publishStatus":0,"publishTime":0,"isCream":null,"canReply":0,"shareUrl":null,"foodCouponVal":0,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":0,"metaSearch":null,"rn":null},"lyBarModerators":{"list":[],"list4Map":null,"pageBegin":0,"pageSize":8,"pageNumber":0,"totalPage":0,"totalRow":0},"metaSearch":{"description":"为病友提供:水痘论坛_病友交流平台_病友论坛，让病友在便捷的求医路上不花一分冤枉钱。","keywords":"水痘论坛_病友交流平台_病友论坛","title":"水痘论坛_病友交流平台_病友论坛","channels":null},"data":{"list":[{"id":"12956","isDel":0,"createAt":1520760420668,"createBy":"8abb11d0af1511e7a3d800163e04584d","createName":"良药苦口","updateAt":0,"updateBy":null,"updateName":null,"userId":"8abb11d0af1511e7a3d800163e04584d","title":"没想到我也得了水痘 我是成人啊","content":"

在昨天的时候，看到身上晶晶亮的露珠似的典型至极的水疱后，心里似乎有一万头草泥马飞奔过，从那时起各种不适纷至踏来，这一天是周五晚上啊，本来应该是美好至极的日子，然后却被一个小小的疱疹病毒搞得我寝食难安，实在是不能理解啊，我为什么会得水痘，我怎么会得水痘？到底是谁传给我的？哪里来的传染源？我就这么中招了！好吧，还是要接受的，坦然面对吧...

\"没想到我也得了水痘 


上网查了一下，所谓的水痘，英文名又叫chickenpox，是水痘－带状疱疹病毒初次感染导致的疾病，主要是10岁以下的小朋友，20岁以后发病者小于2%。（我就纳闷了，我这属于这小概率事件啊！）得赶紧治疗啊，从医院出来后，总结治疗心得如下：

 

1、好好休息，好好吃饭，多喝水。遵医嘱口服或静脉抗病毒的药。皮肤痒可以适当用些炉甘石洗剂局部涂擦，如疱疹破裂可用抗生素软膏防继发感染。

 

2、一定要努力调整好心情，在家休息可以听听音乐，如果实在是坐不住，可以起身收拾收拾自己家里，拖地什么的，能干啥干啥吧。

","barId":"1519","topicTypeId":"2","topicThemeId":"1032","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":778,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1520760420672,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1520760420672,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"8abb11d0af1511e7a3d800163e04584d","isDel":0,"createAt":1507789271266,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"良药苦口","password":"zx13401068656","level":0,"nickName":"周良药","realName":null,"signName":"良药苦口利于病，忠言逆耳利于行！","head":"http://01luntan.com/ly_img/1516263139285.jpg","phone":null,"mobile":null,"wechat":null,"qq":null,"email":"langlixunta@163.com","address":null,"identityType":6,"userType":2,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"110114","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"12955","isDel":0,"createAt":1520759804072,"createBy":"8abb11d0af1511e7a3d800163e04584d","createName":"良药苦口","updateAt":0,"updateBy":null,"updateName":null,"userId":"8abb11d0af1511e7a3d800163e04584d","title":"一个20好几的人与水痘的大作战","content":"

前几天，突然发现嘴角边长了两个小点，第一反应是痘痘。想着生理期刚结束，不应该是皮肤最好的时候吗？郁闷了小会儿没理。周日，发现这厮变大了，摸起来有点硬，继而发现额头上也长了几颗，手臂上也有一颗，已经长成水泡。感觉情况不妙，一度想看急诊，想着想着，还是默默上床睡觉了。

\"一个20好几的人与水痘的大作战\" 


到了第二天起床之后，看到自己红斑点点的脸，顿时觉得生无可恋。背上也长起来了，虽然死困死困，依稀还是记得自己昨晚有被痒醒的情况。到医院低头快步到皮肤科，护士还没上班，没挂号就溜进医生那了。医生也算好人，就穿上白大褂给我看，没两眼就说：“成人水痘哦，这个年龄长还是比较少的。”后来我查了查，成人得水痘的几率是2%，虽然不知道数据来源和准确性，但从亲朋好友“怎么那么大人了还长水痘”的雷同嘟囔中，我感觉自己中了头彩。

 

接下来的两天，我对水痘知识的饥渴度达到峰值，在度娘和知乎上搜了不少相关信息。感谢广大网友的热心分享，这也是我决定写这篇文章的原因，希望能分享一些经验，帮助一些人。

 

一个是关于能不能碰水的事宜

一开始有朋友帮我问了她的医生同学，说不能碰生水，连洗手都要用煮滚放凉的水。感觉略夸张，也遵循不来。网上信息是不能洗澡洗头，原因是怕痘痘破损然后感染。在忍了三天没洗头后，我问了两个医生，都说可以洗澡洗头，只是不能把水痘抓破。网上一些帖子说国外医生对这方面没有顾忌，让你该洗洗。想来，平时我们皮肤有破损也是不能碰生水，因为生水比较脏，怕感染伤口。所以，如果你的水痘破了，可能还是不要碰生水。

 

另一个是关于忌口

一定要注意的是，辛辣油腻不能吃，发物不能吃，特别提几个容易被忽略的：香菇和南瓜，我也好惊讶。另外，网上说不能吃肉不能吃鸡蛋的居多，所以我也乖乖吃了两天素。后来也有问医生，反而说可以吃肉和鸡蛋，说要增强抵抗力，多补充蛋白质。于是那天中午我吃了皮蛋瘦肉粥和肉沫蒸蛋，感觉腻上天了。吃完不放心，又度娘了一顿，发现原来鸡蛋真的是发物。算了，继续忌口，增强抵抗力就交给了维c泡腾片。

 

还有就是关于并发症

也是道听途说，有些说成人水痘会更严重，更多并发症。所以，要遵医嘱吃抗病毒的药物。即便如此，我脖子上还是有一块淋巴结肿大。摸到肿起来的时候夏得半死心急火燎去医院，还遇到个新手滴滴司机，说他不懂走。退单发现要扣5元，站在小区门口纠缠了半天，火不打一处来！医生说因为我的头皮和脸上痘痘比较多，所以会影响到周边淋巴因病毒影响肿大，叫我暂时不用理会。

 

最后关于在家打发时间

如果说是对于一个爱玩爱自由的人来说，宅家四天感觉肯定回事已经无法呼吸了。但是状态差的时候躺床上煲轻松搞笑的韩剧，和朋友聊聊天煲煲电话粥，状态好点的时候拖拖地，擦擦家里，边整理边听音乐，准备书来读读！

 

最后就是痘痘开始收口，略微有几个还会不时的痒。听说结痂的时候又是另一拨痒得你发狂时期。各位患友一定要忍住不要去挠痒痒！

","barId":"1519","topicTypeId":"2","topicThemeId":"1032","readLevel":0,"files":"","clickNoLikeCount":0,"clickLikeCount":0,"clickCount":774,"score":0,"partCount":0,"replayCount":0,"publishStatus":1,"publishTime":1520759804074,"isCream":0,"canReply":0,"shareUrl":null,"foodCouponVal":1,"emailNotice":0,"permission":0,"zlyShare":0,"status":0,"sort":0,"highlight":0,"highlightEffectTime":0,"digest":0,"digestEffectTime":0,"top":0,"topEffectTime":0,"closed":0,"stamp":0,"icon":0,"bgcolor":null,"fontcolor":null,"favtimes":0,"isAdopt":0,"adoptId":null,"sortDate":1520759804074,"metaSearch":null,"rn":0,"barTitle":null,"checkcode":null,"forumUser":{"id":"8abb11d0af1511e7a3d800163e04584d","isDel":0,"createAt":1507789271266,"createBy":null,"createName":null,"updateAt":0,"updateBy":null,"updateName":null,"username":"良药苦口","password":"zx13401068656","level":0,"nickName":"周良药","realName":null,"signName":"良药苦口利于病，忠言逆耳利于行！","head":"http://01luntan.com/ly_img/1516263139285.jpg","phone":null,"mobile":null,"wechat":null,"qq":null,"email":"langlixunta@163.com","address":null,"identityType":6,"userType":2,"isPhoneBind":0,"status":0,"accountSource":0,"isStrangerMsg":0,"departmentId":null,"departmentName":null,"sex":1,"provinceId":"110000","cityId":"110114","userLevel":0,"modifyNameCount":1},"lyTopicReply":null,"createAtStr":null,"lyBar":null,"lyTopic":null},{"id":"12954","isDel":0,"createAt":1520759157506,"createBy":"8abb11d0af1511e7a3d800163e04584d","createName":"良药苦口","updateAt":0,"updateBy":null,"updateName":null,"userId":"8abb11d0af1511e7a3d800163e04584d","title":"没想到28岁的我体验了一把成人水痘","content":"

事情是在五天前发生的，当时我感觉自己感冒了，四肢无力、头疼！没法集中精力工作，下班后我感觉自己有点低烧。其实听医生说，一般人都分不清楚水痘和感冒的症状，都会以为自己是感冒了而已。

\"没想到28岁的我体验了一把成人水痘\" 


第一天，低烧发热、头疼，晚上睡觉发梦，狂流汗，其实当时不知道的是，这就是要发水痘前的暗涌了。

 

第二天，起来后觉得四肢无力，身上有几个小包，脑袋上也有包有点疼，开始有溃疡，晚上一进浴室脱了衣服被镜子里的包给吓一跳，背上当时很夸张，但是都还没有小水泡，只是包，红红的包，然后我傻子似的去洗澡了，以为会好一些，然而并不会，我就开始狂搜，发烧后出疹子之类的，看了才了解到是有这种可能的，但那是宝宝的一种病迹，但是我的却有痒的反应，我有点急了，晚上睡觉又是做梦，又是一身汗，头发都汗湿了。

 

第三天，睡到早上六七点吧，醒了一摸脖子全是包，伸手试探性地摸了摸头皮，好多好多包，我整个人都不好了，立刻起来照镜子，立刻起身去楼下买口罩 打车去三甲医院看医生，果真确诊了是水痘。我也就开始了咽喉疼痛的漫长过程了。

第四天，

第四天，熬过了生不如死的第三个夜里，我已经接受了我身体上的密集恐惧 没完没了抹药，喝粥、吃药，重点是没有那么痒了 ！！

 

第五天，认认真真涂药后没有那么痒了，但是头皮里的包很痛，又不能洗澡洗头，很不舒服，然后去医院输液了，医生说我要多输液几天，我也听了，医生说头皮上的包要我用手抹药摸摸它，消消炎，周五再和我见面看看啥情况，叮嘱我多喝水，多喝水。

 

最后告诉大家，结痂一定不要扣掉，不要手贱，让自我恢复，在哪里看的病，就要在哪里输液，别的地方不会给你输液的！

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那么我就说说我被水痘困扰的问题吧。全段时间刚长的水痘，记录一下吧：第一天，手指和手臂上分别长出一小颗丘疹，后来变成水泡状，不敢碰。（以为是肠胃问题引起的湿疹，跑去看了内科医生开中药凉水打算调理）当天喝过凉水没其他处理。

 

\"我被水痘困扰了很长时间\"


第二天症状加重，头皮和额头，下巴，耳后，出现同样水痘。胸口及腹部，四肢均有小红点，部分也长成水泡第三天，在皮肤科医生处，医生说就是水痘，开了西药和中药，医生说应该要两周才会好，医嘱是避风避水，忌口，不碰不挠水痘（现场医生问有没有喉咙痛，后来才明白喉咙里也会长，不过不用理会，就是吃东西辛苦点而已）PS：在发病前连续两三天身体乏力酸痛，还有一部分牙龈肿痛，口腔有一小溃疡，眼球看东西模糊，大角度转动略痛（后来明白应该是低烧引起的）第四第五日低烧加全面爆发，特别是脸部和头皮很多，大部分都是红肿第六日全身水逗基本都发出，较为稳定，但精神一直不太好，直到晚上探热发现已经39.1度，赶紧吃了退烧药。

 

第七日：大部分早发水痘开始结痂，不过是不是掉落不好说，身体状态较为正常第十四天：时间倒推回去，从出现症状到现在为止应该有十四天，总体来说，熬过第一周之后的日子好过很多，每天观察身上“成熟的果实”慢慢枯萎凋谢。心态也从一开始每天想死想死到看开，忍痒能力提升了好几个等级。复诊医生说身体上还有些比较红，紧接着又开了一周的药，吃完估计就OK了，但是期间因为实在不知道怎么清洁皮肤，所以就也不怎么擦，只是拿烧开的水放凉后，毛巾沾水拧干清拍脸部+轻拭隐私部位。第四天身体较痒时拍了滑石粉（炉甘石更佳）总结：因为成人水痘比小孩的辛苦一点，确诊是水痘的话，首先心态要调整好，当成坐月子就是了。长出来的水痘要悉心呵护，特别是脸上的，只要不弄破，最后会自然好（所以第一时间把指甲剪掉）。最好有中医开的中药帮助调理。吃的方面一天三餐都是白粥加少量猪肉大量青菜，一天喝N杯水，不熬夜，勤休息。十几天下来，烟也戒掉了，睡眠饮食也规律了，因祸得福呀。


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\"专家告诉你宝宝出水痘如何护理\"


小宝宝得了水痘家长都很不知所措，下面了解一下宝宝得了水痘应该如何护理？

 

1、隔离“水痘儿”

　　一般在家中隔离即可。居室要通风，但避免直接被风吹到，谨防患儿受凉;光线要充足，但应避免阳光直射，发热时应卧床休息。家中如有其他未患过的水痘的小孩，应另择居住处或不与患者同住一房间。隔离应持续到全部疱疹干燥结痂时为止。水痘的症状之一，是温和的发烧。水痘扩散期间开始发烧，水痘消失时便退烧。发烧期间，不要服用阿斯匹灵来退烧，因为这样会增加发生并发症的机会。

 

　　2、给“水痘儿”剪指甲

　　避免用手抓破痘疹，特别注意不要抓破面部痘疹，以免疱疹被抓破化脓感染，若病变损伤较深，有可能留下疤痕。为了防止这一情况发生，要把孩子的指甲剪短，保持双手清洁。可缝制一副毛边向外的手套，或者用纱布包裹他的手部。

 

　　3、止痒有4招

　　(1)衣被不宜过多过厚过紧，太热了出汗会使皮疹发痒。

 

　　(2)洗澡水中放入4大汤匙碳酸氢钠苏打粉，每三至四个小时洗一次澡。

 

　　(3)旧袜子或者枕套里放些干燥燕麦，泡到澡盆里，过十分钟用这个水给宝宝洗澡能够起到很好的止痒效果。

 

　　(4)清洁皮肤后，在长水痘的局部使用含0.25％冰片的芦甘石洗剂涂抹。

 

　　4、注意勤消毒

　　对接触水痘疱疹液的衣服、被褥、毛巾、敷料、玩具、餐具等，根据情况分别采取洗、晒、烫、煮、烧消毒，且不与健康人共用。同时还要勤换衣被，保持皮肤清洁。家中如有其他未患过的水痘的小孩，应另择居住处或不与患者同住一房间。隔离应持续到全部疱疹干燥结痂时为止。

 

　　5、注意病情变化

　　注意病情变化，个别水痘宝宝可合并发生肺炎、脑炎，如发现出疹后持续高热不退、咳喘，或呕吐、头痛、烦躁不安或嗜睡，惊厥时应及时送到医院。


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\"小孩出水痘了怎么办？\"

小孩出水痘通常属较温和的病，不会引起严重的并发症。先了解出水痘的过程，再护理得当即可。
　　1、患者身上出现小红点，由胸部、腹部，再扩展至全身。小红点变大，成为有液体的水泡。
　　2、一两天后，水泡破裂、结成硬壳或疙瘩。
　　3、新的小红点再次在同一位置上出现，重复同一过程。
　　4、二至六天期间，新红点出现二至四次。
　　5、十至十四后，红点脱落，完全康复，不会留有疤痕。

护理 ：
　　避免小孩因痕痒难耐而抓破水泡，引致发炎，同时细菌亦会蔓延至其他皮肤破损的部位。
　　若婴儿染上水痘，可为他套上棉手套，避免他用手揉眼，令病毒感染眼睛，形成角膜炎，以致眼角膜上留下疤痕，影响视力。
　　水痘的症状之一，是温和的发烧。水痘扩散期间开始发烧，水痘消失时便退烧。发烧期间，不要服用阿斯匹灵来退烧，因为这样会增加发生并发症的机会。容易引起一种脑炎，雷氏症候群。
　　用温水(不是热水)洗澡，保持皮肤清洁，减少感染危险。

止痒：
　　水痘护理要加强卫生，保持皮肤清洁，皮疹可外涂龙胆紫，炉甘石洗剂等以消炎，止痒，具体应遵循临床医师的指导，以上供参考。

食疗：
　　虽然罹患水痘后，可以终身免疫，但同样的过滤性病毒，会潜伏体内，日后会引致带状匐行疹(俗称生蛇)。为免后患，应小心饮食，将病毒彻底消除。
　　忌吃燥热和滋补性的食物。

水痘的饮食原则：
　　(1)宜给予易消化及营养丰富的流质及半流质饮食。宜饮绿豆汤、银花露、小麦汤、粥、面片、龙须鸡蛋面等。
　　(2)忌油腻、姜、辣椒等刺激性食物及发物。忌吃燥热和滋补性的食物。如：鱼，鸡，鸭、香菇等刺激性食物及发物。
　　(3)宜多饮开水。

出疹期间，应每天用下列材料煲汤：紫草、芫荽、马蹄(荸荠)、白茅根、竹蔗、红萝卜。(若小孩有气喘、咳嗽等问题，不要用马蹄(荸荠)和红萝卜

出疹过后，应用：
　　(a) 膨鱼腮煲粥；
　　(b) 青天葵(或称乌青葵)加瘦肉、少量南北杏煲汤，以清肺热。


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水痘疫苗是经水痘病毒传代毒株制备而成，是预防水痘感染的唯一手段。接种水痘疫苗不仅能预防水痘，还能预防因水痘带状疱疹而引起的并发症。那么，为什么要给宝宝打水痘疫苗？

\"为什么要给宝宝打水痘疫苗\"


水痘疫苗可刺激机体产生抗水痘病毒的免疫力，用于预防水痘。水痘的病原体水痘带状疱疹病毒具有高度的传染性，人是唯一的宿主，极易传播，目前没有有效的药物治疗，接种水痘疫苗是预防该病的唯一有效的手段，尤其是在控制水痘爆发流行方面起到了非常重要的作用。

 

水痘疫苗的免疫持久性较好。在美国的调查表明，免疫5年后又93%的儿童和94%的承认具有VZV抗体，有87%的儿童和94%的成人具有细胞介导的免疫力。最近发表的关于承认接种疫苗的报告表明，在始于1979年的21年间，突破性水痘的患病率和严重性未增加，提示成人接种疫苗后免疫力没有明显衰退。

 

上幼儿园后，由于宝宝的接触面更广了，而水痘传染性较强，在幼儿园中往往一个宝宝感染水痘，就易造成整个幼儿园的宝宝发病。因此，水痘疫苗还是提前注射好。


 

水痘常见于2～10岁的儿童，是一种发病急、传染性很强的传染病。水痘好发于冬春两季，常在幼儿园或小学校内引起流行。

\"为什么要给宝宝打水痘疫苗\"

 

水痘的病原体是水痘——带状疱疹病毒，存在于患者的血液、疱疹的浆液和口腔分泌物中，主要通过飞沫经呼吸道传染。宝贝接触被病毒污染的尘土、衣服、用具等也可能被传染。也就是说，如果健康的儿童与患水痘的儿童经常一起玩耍、说话、密切接触都可能被感染而发病。所以一旦患了水痘应注意隔离，在完全治好以前不应去幼儿园或上学。即使是与水痘患者接触过的小孩，也应隔离观察2～3周。因为感染病毒后不是立即发病，一般要经14～17天的潜伏期，长者可达3周。

 

水痘传染性很强，病人是唯一的传染源，与之接触的儿童若未患过水痘或未接种过疫苗约有90%会发病。给孩子打水痘疫苗还是非常有必要的，并且还要清楚水痘的危害。那么，水痘给孩子产生哪些危害？一年四季都可发生，尤其在冬末与春初最多见，以10岁以下的儿童发病最多，年龄越大症状会越严重。水痘主要是通过空气飞沫经呼吸道传播，也可因接触患者使用过的衣服、玩具、用具等而被感染。水痘的传染性极强，易感者（以前未患过水痘的人，特别是儿童）接触病人后约90%会发病。本病的潜伏期（指从病原体侵入人体起，至开始出现临床症状为止的这段时间）为10～21天，平均为14天。

 

要是防控措施不得力，常常会在幼儿园、小学等儿童集中的地方出现水痘暴发流行。但患水痘后可获得持久免疫力，一般不会第二次再得水痘。

 

重要指出的是：虽然患水痘后不会再次得水痘，但儿童时感染这种病毒所产生的抗体太弱，不能将病毒彻底清除掉，会长期潜伏在体内脊髓神经组织中。等到年纪大了，当遇到过劳或抵抗力下降、外伤或发生恶性肿瘤等情况时，原潜伏在体内的水痘——带状疱疹病毒就会乘机繁殖：顺着潜伏的神经到皮肤，沿着神经分布的部位引起一串串的疱疹，医学上称“带状疱疹”。水痘是带状疱疹病毒引起的第二种疾病。

\"为什么要给宝宝打水痘疫苗\"


水痘的临床表现发病前症状：轻微发烧、身体不适、食欲欠佳等。起病后数小时或1～2日便会出现皮疹：首先见于躯干、头部，逐渐延及面部，最后达四肢。皮疹呈向心性分布：集中在皮肤受压或易受刺激处，以躯干为多，面部及四肢较少，有一定的瘙痒感。开始为粉红色针头大的红色斑疹，数小时内变为突出皮肤的红色丘疹，再经数小时变为水疱。从斑疹、丘疹、疱疹到开始结痂，短者仅需要6～8小时。

 

疱疹呈椭圆形，2～5毫米大小，初期呈清澈水珠状，经24小时以后变为混浊，疱疹壁较薄易破。疱疹持续3～4天，然后从中心开始干缩，迅速结痂，经1～2周脱落，不会留有疤痕。

 

水疱底部有红晕，当水疱干燥时红晕亦消退。因皮疹分批出现，在疾病高峰期可见到丘疹、新旧水疱和结痂同时存在。


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