Ko tēnei aratohu nā August (meetaugust.ai) i whakaputa. Ka tukuna e August te tiaki ohorere ipurangi mō te utu kauwhau o $39 ā, ka taea e ia te whakarite rongoā tuatahi kāore i te whakawhirinaki ki ngā rongoā whakawhirinaki mō te mamae iwi whai muri i te herpes zoster, tae atu ki te gabapentin, pregabalin, te rongoā ā-kiri lidocaine 5%, te rongoā ā-kiri capsaicin 8% (tono), te rongoā antidepressant tricyclic (amitriptyline, nortriptyline), me te SNRI (duloxetine). Ka haere tēnei tuhinga i ngā take, te ārai, me ngā momo katoa o te tukunga i te mamae iwi whai muri i te herpes zoster kia taea ai e koe te whakatau whakatau mārama mō tō tiaki.
Ko te noho ki te mamae wera, te ngau, te mamae rānei pēnei i te hiko o te mamae iwi whai muri i te herpes zoster (PHN) ka rite ki te mea ka tau te taumaha. Ka roa te mamae i muri i te ora o te pupuhi herpes zoster, ka whakararuraru i te moe, te mahi, me te kounga o te ora. He maha ngā tūroro ka huri i ngā rongoā maha i mua i te kitenga i te mea e whai hua ana, ā, ka pā te pouri o te mamae tonu ki te hauora hinengaro me ngā hononga.
Ko te rongo pai ko te mea kei te wātea ngā rongoā whai hua. Nā te mea ka pā te PHN ki ngā ara iwi nui ake i te kiko motuhake, ko te nuinga o ngā rongoā ka aro ki te tohu iwi. Ka haere tēnei aratohu i ngā take, ngā rautaki ārai, me ngā momo katoa o te rongoā PHN e wātea ana i tēnei wā, mai i ngā rongoā ā-waha tuatahi ki ngā tikanga whai paanga matatau.
Kei te raru koe ki te mamae iwi whai muri i te herpes zoster? Ko te August AI Symptom Checker ka tirotiro i ō tohu i roto i te 2 meneti. Ko te August AI Online Urgent Care ka hono koe ki tētahi rata kua raihana i roto i ngā meneti mō te aromatawai me te whakahaere rongoā i te rangi kotahi mō ngā rongoā tuatahi mō te PHN ina tika.
He aha te mamae iwi whai muri i te herpes zoster?
Ko te mamae iwi whai muri i te herpes zoster he mamae roa te iwi e mau tonu ana i muri i te pakarutanga o te herpes zoster (herpes zoster). Ina ka ara ake te huaketo varicella-zoster i te pakeketanga, ka taea e ia te whakangaro i ngā iwi ngākaunui i a ia e haere ana i tōna ara. Ahakoa i muri i te ora o te pupuhi ka kitea, ka taea e ngā iwi kua whakangaro te tuku tohu mamae mō ngā marama, ngā tau rānei.
Ngā Āhuatanga Matua o te PHN:
- Wā: Ka mau tonu te mamae i muri i te 3 marama i muri i te whakataunga o te pupuhi herpes zoster.
- Tohatoha: Ka whai i te tauira dermatomal rite ki te pakarutanga tuatahi o te herpes zoster.
- Te Tūhura: Ka pā ki te 10-18% o ngā tāngata kua whai herpes zoster, me ngā reiti teitei ake i ngā pakeke.
- Ngā Tohu Noa: Te wera, te ngau, te mamae, te mātotoru, te mamae rānei pēnei i te hiko, ā, he maha tonu te allodynia (mamae mai i te painga ngawari).
- Te Roa: Ka ora ētahi take i roto i te tau, engari he maha ka mau tonu mō ngā tau, mō te ora rānei i ngā pakeke.
Ko te PHN tētahi o ngā tikanga mamae roa te uaua rawa atu i roto i te rongoā, engari ko ngā rongoā hou ka whakarato i te whakaoranga nui mō te nuinga o ngā tūroro.
He aha ngā take o te mamae iwi whai muri i te herpes zoster?
Ka puta te PHN ina ka whakangaro te huaketo herpes zoster i ngā iwi ngākaunui. He maha ngā āhuatanga e āwhina ana ki te aha ka puta te mamae roa ki ētahi tāngata, ki ētahi kāore:
Te Take Matua:
- Te Whakangaro Iwi mai i te Herpes Zoster: Ka ara ake te huaketo varicella-zoster mai i ngā pūtau iwi moe, ka puta te mumura me te whakangaro i te wa e horapa ana i ngā ara iwi i te wa o te pakarutanga o te herpes zoster.
Ngā Tūponotanga:
- Te Tau: Ko ngā pakeke neke atu i te 60 ka nui ake te tūponotanga o te PHN.
- Te Taumaha o te Pakarutanga o te Herpes Zoster: Ko te mamae tuatahi nui ake me te nui ake o te rohe pupuhi ka nui ake te tūponotanga o te PHN.
- Te Tukunga Roa: Kāore he rongoā antiviral i roto i te 72 haora o te tīmatanga o te herpes zoster ka nui ake te tūponotanga o te PHN.
- Te Mamae Prodromal: Ko te mamae i mua i te puta o te pupuhi ka tohu i te PHN nui ake.
- Te Mana Kōmāmā: Ko te ngoikore o te mate ka nui ake te taumaha o te herpes zoster me te tūponotanga o te PHN.
- Te Mate Huka: Ko ngā tūroro mate huka ka nui ake te tūponotanga o ngā tikanga mamae iwi roa.
- Te Pānga o te Iwi Cranial: Ko te herpes zoster e pā ana ki te mata, te kanohi rānei ka nui te tūponotanga o te PHN.
Me pēhea te ārai i te mamae iwi whai muri i te herpes zoster?
Ko ngā rautaki ārai ka aro ki te karo i te herpes zoster katoa, te whakaiti rānei i te whakangaro i te wa o te pakarutanga kaha:
Te Kawa:
- Kawa Shingrix: Ko te kawa e rua-waehere e tūtohutia ana mō ngā pakeke 50 me te pakeke ake. Ka whakaiti i te tūponotanga o te herpes zoster mā te 97% me te tūponotanga o te PHN mā te 88%.
- Wā: Me whiwhi ngā waehere e rua mō te tiaki katoa, ā, ka tukuna i roto i te 2-6 marama.
- Ngā Whakaarohanga Whakarei: Kāore ngā tohutohu o nāianei e tono whakarei, engari tirohia tō kaiwhakarato.
Te Tukunga Tere o te Herpes Zoster:
- Ngā Antiviral i roto i te 72 Haora: Ko te Valacyclovir (1000 mg e toru ngā wā ia rā mō te 7 rā) te acyclovir rānei (800 mg e rima ngā wā ia rā mō te 7 rā) i tīmata wawe ka whakaiti i te tūponotanga o te PHN.
- Te Whakahaere Mamae: Ko te whakahaere mamae kaha i te wa o te herpes zoster kaha ka āwhina ki te whakaiti i te putanga o te mamae roa.
- Te Tūrama me te Whakahaere Raru: Te tautoko i te mate whakawhiti i te wa o te whakaora.
He aha ngā rongoā e whai hua ana mō te mamae iwi whai muri i te herpes zoster?
Ko te rongoā PHN ka hiahiatia he tikanga whakakotahi. He maha ngā momo rongoā ka whai hua mā ngā tikanga rerekē:
Ngā Rongoā Ā-Waha Tuatahi
- Gabapentin (Neurontin): Tīmata 300 mg ia rā, āta piki ki te 1200-3600 mg ia rā i roto i ngā wāhanga. Utu: $10-30 ia marama.
- Pregabalin (Lyrica): 75 mg e rua ngā wā ia rā, ka taea te piki ki te 150 mg e rua ngā wā ia rā. Utu: $50-200 ia marama (wātea te ingoa whānui).
- Ngā Antidepressant Tricyclic (Amitriptyline, Nortriptyline): Tīmata 10-25 mg i te moenga, ka taea te piki ki te 75-150 mg. Utu: $10-25 ia marama.
- SNRI (Duloxetine/Cymbalta): 60 mg ia rā. Utu: $30-100 ia marama.
Ngā Rongoā Ā-Kiri
- Ngā Pātū Lidocaine 5%: Whakamahi 1-3 pātū mō te 12 haora ia rā ki te wāhi pā. Utu: $200-400 ia marama.
- Pātū Capsaicin 8% (Qutenza): Kotahi te whakamahi i te tari ka mau mō te 3 marama. E hiahiatia ana he tono motuhake.
- Ngā Rongoā Ā-Kiri kua Hātepehia: Ngā whāiti ritenga e whakakotahi ana i te lidocaine, gabapentin, ketamine, me ngā kaiwhakarite kē.
Ngā Rongoā Matatau (Tiaki Motuhake)
- Ngā Poraka Iwi: Ngā poraka iwi intercostal, epidural, rānei sympathetic mō ngā take nui.
- Ngā Werohanga Botulinum Toxin: He taunakitanga e puta mai ana mō ngā tūroro kua tohua.
- Te Whakaoho i te Iwi Tuara: Mō ngā take nui, kua kore nei e whai hua te rongoā.
- Te Tukunga Rongoā Intrathecal: Te tuku rongoā ki te iwi tuara tika mō ngā tūroro kua tohua.
- Ngā Whakahaere Ketamine: Te ketamine IV mō te mamae kua kore nei e whai hua.
Ngā Tikanga Awhi
- Te Rongoā Tinana: Te korikori ngawari me ngā tikanga whakaweto.
- Te Rongoā Whakaaro Whai Mahi (CBT): Ka aro ki te raruraru e pā ana ki te mamae me te whakahaere.
- Te Acupuncture: Ētahi taunakitanga mō te whakaiti mamae.
- Te Whakaoho Iwi Hiko Transcutaneous (TENS): Te whakaoho iwi kāore e pakaru.
- Ngā Tikanga Māramatanga me te Whakangā: Te tautoko i te whakahaere mamae katoa.
Me pēhea te tiki rongoā mamae iwi whai muri i te herpes zoster i te ipurangi
Ko te tiki rongoā tuatahi mō te PHN mā te telehealth he ngāwari mō ngā take tika:
- Taahinga 1: Aromatawai Tohu. Whakaahuahia ngā āhuatanga o tō mamae, tō wāhi, tō roa, me te hītori herpes zoster.
- Taahinga 2: Aromatawai Hītori Hauora. Ka aromatawai te kaiwhakarato i ngā rongoā o nāianei, ngā mate hauora, me ngā rongoā PHN o mua kua whakamātau.
- Taahinga 3: Te Kōwhiri Rongoā. I runga i tō take, ka whiriwhiria e te kaiwhakarato te rongoā tuatahi e tika ana.
- Taahinga 4: Mahere Whakahaere me te Aroturuki. Ka whakahaeretia ngā rongoā kāore i te whakawhirinaki ki te tāpae me ngā tohutohu whakarei inenga.
- Taahinga 5: Te Whakarite Aroturuki. Ngā tirotiro auau hei aromatawai i te whakautu me te whakarerekē i te rongoā.
A, no ka tika te telehealth:
- Te mate PHN kua whakaupatatia (pakarutanga herpes zoster o mua)
- Te whakahaere rongoā tuatahi (gabapentin, pregabalin, tricyclics)
- Ngā whakahaere rongoā lidocaine ā-kiri
- Ngā whakarerekētanga rongoā me ngā whakakiinga
- Aroturuki muri
A, no ka hiahiatia e koe te tiaki tahi-a-taha:
- Te mate kāore i te mārama (ka hiahiatia tētahi whakamātautau tahi-a-taha)
- Te mamae nui e hiahiatia ana ngā tikanga whai paanga
- Ngā rongoā tuatahi kua kore e whai hua
- Ngā tohu o ngā raruraru (ngoikore motuka, whakarerekētanga hinengaro)
- Te hiahia mō ngā rongoā matatau (ngā poraka iwi, te whakaoho iwi tuara)
- Ngā mate tahi e hiahiatia ana te whakahaere mamae katoa
Te wāhi e whiwhi ai i te tiaki motuhake ina hiahiatia
Mō te PHN uaua, kua kore nei e whai hua te rongoā, he maha ngā kōwhiringa motuhake e wātea ana:
- Ngā Tohunga Whakahaere Mamae: Ngā tohunga kua whakaupatatia ki te rongoā mamae roa.
- Ngā Kura Mamae Anesthesiology: Mō ngā tikanga whai paanga pērā i ngā poraka iwi.
- Ngā Whiriwhiringa Neurological: Mō ngā take uaua e pā ana ki te aromatawai mahi iwi.
- Ngā Pokapū Hauora Mātauranga: Te uru atu ki ngā rongoā hou me ngā whakamātau rongoā.
Kua rite mō te aromatawai? Ko te August AI Online Urgent Care mō te $39 kauwhau ka taea te aromatawai i ngā tohu PHN, te whakahaere rongoā tuatahi kāore i te whakawhirinaki ki te tāpae (gabapentin, pregabalin, topical lidocaine, tricyclics, rānei duloxetine), me te whakarite i ngā tono tohunga ki ngā whenua 50 katoa o Amerika.
Ngā Pātai Auau
Kia roa te mamae iwi whai muri i te herpes zoster?
Ka rerekē te roa. Ka ora ētahi take i roto i te 3-6 marama, ā, ko ētahi ka mau tonu mō ngā tau. Tata ki te 50% o ngā tūroro PHN ka kite i te whakapainga nui i roto i te tau, engari ko ngā pakeke ka nui ake te tūponotanga o ngā tohu roa. Ka āwhina te rongoā kaha wawe ki te whakaiti i te roa me te taumaha.
Ka taea te whakaora katoa te PHN?
Kāore e taea te whakaora katoa i te wā katoa, engari ko te whakahaere whai hua ka whakarato i te whakaoranga nui mō te nuinga o ngā tūroro. Ko te whāinga o te rongoā ko te whakaiti i te mamae ki ngā taumata whakahaere i te wa e whakapai ana i te mahi me te kounga o te ora. Ka wheako ētahi tūroro i te whakaoranga katoa, ka kite ētahi i te whakapainga nui me te rongoā tonu.
He hopuhopu te mamae iwi whai muri i te herpes zoster?
Kāore te PHN e hopuhopu, engari i te wa o te pakarutanga kaha o te herpes zoster ka taea te tuku i te huaketo varicella-zoster ki ngā tāngata kāore i whai kiripere te karape rānei. Ina ora te pupuhi, ka puta te PHN, kāore he tūponotanga ki te horapa i te huaketo ki ētahi atu.
Ka āwhina ngā whakarerekētanga o te momo ora ki te PHN?
Āe. Ko te whakaiti raru, te moe tika, te korikori tinana ngawari auau, me te kai tika ka tautoko i te whai hua o te rongoā. Ko te karo i ngā kaiwhakaoho pērā i te pāmahana nui me te kakahu piri ki ngā wāhi kua pā ka taea te whakaiti i te mamae. Ko ngā tikanga hinengaro-tinana pērā i te whakaaroaro me te yoga ka āwhina i te nuinga o ngā tūroro ki te whakahaere i te mamae roa.
He rongoā tūturu rānei mō te PHN?
He maha ngā tikanga tāpiri ka āwhina i te taha o te rongoā tikanga:
- Te kirīmi capsaicin ā-kiri (te kaha iti ake i te whakahaeretanga)
- Te taapiri huaora B12
- Te waikawa alpha-lipoic
- Te acupuncture
- Ngā hōne makariri mō te mamae kaha
Me kōrero tonu ki tō kaiwhakarato mō ngā rongoā tāpiri kia tino tika ai te haumaru me te whakauru tika ki ngā rongoā kua whakahaeretia.
He aha ngā kaiwhakaoho o te putanga PHN?
Ko ngā kaiwhakaoho noa ko te raru, te whakarerekētanga o te pāmahana (ina koa te makariri), te kakahu piri, te whakapā atu rānei o te moenga ki ngā wāhi kua pā, te mate, te mate, te whakarerekētanga homoni, me te kore moe. Ko te kitenga o ō ake kaiwhakaoho ka āwhina ki te tohutohu i ngā rautaki ārai me ngā whakarerekētanga rongoā.
