Chii Chinonzi Postherpetic Neuralgia? Zviratidzo, Zvinokonzera, & Kurapa

Postherpetic neuralgia kurwadziwa kwematumbu kunoramba kuripo kwenguva refu mushure mekunge chirwere cheshingles chapora. Fungidzira sezvitsinga zvako zvichituma mameseji ekurwadziwa kunyange zvazvo chirwere chepakutanga chaenda—sechiratidzo chekuchengetedza chinoramba chichiridza kunyange njodzi yapfuura.

Iyi nyaya inokanganisa vanhu vanenge 10-20% vakambova ne shingles. Kurwadziwa kunogona kubva pakusagadzikana kushoma kusvika pakunzwa kupisa kwakasimba kunokanganisa hupenyu hwemazuva ese. Kunzwisisa zviri kuitika mumuviri mako kunogona kukubatsira kushanda nesangano rako rezvehutano kuti uwane rubatsiro runoshanda.

Chii Chinonzi Postherpetic Neuralgia?

Postherpetic neuralgia inoitika kana shingles ikakuvadza mafashama ako panguva yekutapukirwa. Kunyange mushure mekunge ganda re shingles rapera, aya mafashama akakuvadzwa anoramba achituma meseji dzekurwadziwa kuuropi hwako.

Iyi nyaya inoziviswa zviri pamutemo kana kurwadziwa kwematumbu kuchiramba kwemwedzi mitatu kana kupfuura mushure mekunge ganda rako re shingles rapora zvachose. Vamwe vanhu vanonzwa kurwadziwa kwemwedzi mishoma chete, nepo vamwe vangaramba vachirarama nako kwemakore.

System yako yematumbu kazhinji inotumira meseji dzekurwadziwa kuti ikudzivirire pakukuvadzwa. Ne postherpetic neuralgia, aya mafashama akakuvadzwa anokanganisa, achigadzira kurwadziwa pasina kukuvara kwezvinyama zviri kuitika.

Ndeapi Zviratidzo zve Postherpetic Neuralgia?

Chiratidzo chikuru ndechekurwadziwa kwenguva refu munzvimbo chaiyo kwaakanga ari ganda rako re shingles. Ichi kurwadziwa kazhinji kunonzwa zvakasiyana nemarwadzo emazuva ese aunogona kuwana kune dzimwe nzvimbo.

Heano zvinhu zvakawanda zvinoitika kune vanhu vane iyi nyaya:

• Kupisa, kubaya, kana kurwadziwa kunobaya kunogona kuuya mafungu
• Kunzwisisika kwakasimba kune kubata kwakasviba—kunyange nguo kana mhepo yakapfava inogona kutanga kurwadziwa kwakasimba
• Kurwadziwa kunorwadza kana kunorwadza kunonzwa kwakadzika pasi peganda
• Kusanzwa kana kunzwa kunyorova munzvimbo yakabatwa
• Kutsamwa kunogona kuva kunonetsa sezvakaita kurwadziwa
• Musoro kana kurwadziwa kwematumbu kuchikanganisa chiso chako kana ganda rako

Kurwadziwa kazhinji kunowedzera usiku kana uri kushushikana. Vanhu vakawanda vanorondedzera kunzwa sekunge ganda ravo “riri moto” kana kunzwa kunzwa kwakaita sekurova kwemagetsi kunogona kushamisa zvikuru.

Chii Chinokonzera Postherpetic Neuralgia?

Iyi nyaya inoitika kana varicella-zoster virus—uyo virus uyo unokonzera chickenpox ne shingles—ikakuvadza mafashama ako panguva yekutapukirwa kwe shingles. Virus inofamba ne nzira dzemafashama, ichikonzera kuzvimba nemakwapa.

Kana shingles ikaitika, virus inozvimba uye inokuvadza kuchengetedza kunodzivirira mafashama ako, kunonzi myelin sheath. Fungidzira izvi sekuvhara kwemapurasitiki pamatare emagetsi kuchikuvadzwa, zvichikonzera matare kutuma meseji dzisina kunaka.

Mafashama akakuvadzwa anoita kuti anzwe zvakanyanya uye anoramba achituma meseji dzekurwadziwa kuuropi hwako kwenguva refu mushure mekunge kutapukirwa kwapera. Uropi hwako hunodudzira aya masaini akavhiringidzika sekurwadziwa kwenguva refu, kunyange zvazvo pasina kukuvara kwezvinyama kuri kuitika.

Zera rinotamba basa rinokosha mune zvekuti nei vamwe vanhu vachiwana iyi nyaya. Zera rako rakakura kana wawana shingles, njodzi yako yekuwana postherpetic neuralgia inowedzera.

Rini Unofanira Kuona Chiremba we Postherpetic Neuralgia?

Unofanira kubata nehutano hwako kana uchinzwa kurwadziwa kwenguva refu munzvimbo kwamakanga mava ne shingles. Kurapa kwekukurumidza kazhinji kunotungamira kumigumisiro iri nani, saka usamirira kutsvaka rubatsiro.

Rongedza musangano kana kurwadziwa kwako kuchikanganisa hope, mabasa emazuva ese, kana kunaka kwako kwepfungwa. Kurapa kwakawanda kunoshanda kuripo, uye chiremba wako anogona kushanda newe kuti uwane musanganiswa wakakodzera.

Tsvaka rubatsiro rwekukurumidza rwezvehutano kana ukawana kurwadziwa kwakasimba kunowedzera kamwe kamwe, zviratidzo zvekutapukirwa munzvimbo yakabatwa, kana kurwadziwa kuchiwanda kunzvimbo itsva. Izvi zvinogona kuratidza matambudziko anoda kurapwa nekukurumidza.

Ndeapi Zvinokonzera Njodzi ye Postherpetic Neuralgia?

Zvinhu zvakati wandei zvinogona kuwedzera mukana wako wekuwana iyi nyaya mushure mekutapukirwa kwe shingles. Kunzwisisa aya njodzi kunogona kukubatsira iwe nechikurapa chako kuronga nzira dzakakodzera dzekuvimba nekurapa.

Zvinokonzera njodzi zvikuru zvinosanganisira:

• Zera pamusoro pe60—njodzi yako inowedzera zvakanyanya nemakore ese
• Kutapukirwa kwakasimba kwe shingles ne ganda rakafara kana rakarwadza zvakanyanya
• System yekudzivirira muviri yakasimba nekuda kwechirwere, mishonga, kana kurapwa kwemishonga
• Kurapwa kwakakanganiswa kwekutapukirwa kwako kwe shingles
• Vakadzi—vakadzi vanoita sekunge vari panjodzi yakakwira zvishoma
• Kuva ne shingles pachiso chako kana muviri wako, kunyanya pedyo nenharaunda dzakakosha

Kana uine chirwere cheshuga, unotora mishonga inoderedza simba remuviri, kana uine zvirwere zvakaita sekenza kana HIV, system yako yekudzivirira muviri inogona kurwisana zvakanyanya nekuparadzwa kwevirusi. Izvi zvinogona kutungamira kumatambudziko emafashama anoramba aripo.

Mashoko akanaka ndeawo ekunge kuva neimwe kana kupfuura njodzi hazvirevi kuti uchave ne postherpetic neuralgia. Vanhu vakawanda vane njodzi dzakawanda havambonzwi kurwadziwa kwenguva refu kwematumbu.

Ndeapi Matambudziko Anogona Kuitika e Postherpetic Neuralgia?

Kunyangwe postherpetic neuralgia pachayo isiri ngozi yehupenyu, kurwadziwa kwenguva refu kunogona kutungamira kumatambudziko akawanda echipiri anokanganisa zvakanyanya hupenyu hwako. Kuziva aya matambudziko anogona kukubatsira kutsvaka rubatsiro rwakakodzera pakutanga.

Matambudziko akajairika anosanganisira:

• Kufunganya nekushushikana kubva pakurarama nekurwadziwa kwenguva refu
• Kusagadzikana kwehope kunokusiya uchinetseka
• Kuparadzana nevanhu sezvo kurwadziwa kuchikanganisa mabasa
• Kudya kushoma uye kurasikirwa nehuremu pasina kuziva
• Kudzikira kwekutamira uye kushaya simba remumuviri
• Kunetseka kuisa pfungwa pabasa kana panguva yebasa remazuva ese

Vamwe vanhu vanowana chinonzi “central sensitization,” kwa system yako yose yematumbu inoita kuti inzwe kurwadziwa zvakanyanya. Izvi zvinogona kukusiya uri panjodzi yakawanda yemamwe marwadzo.

Kunetseka kwepfungwa kwekurwadziwa kwenguva refu hakufaniri kuderera. Vanhu vakawanda vanoona kuti kurairwa kana mapoka ekutsigira anovabatsira kuvandudza nzira dzinoshanda dzekukunda pamwe chete nekurapa kwemishonga.

Postherpetic Neuralgia Inoziviswa Sei?

Chiremba wako achaziva postherpetic neuralgia zvichienderana ne nhoroondo yako yezvehutano uye bvunzo yemuviri. Hapana bvunzo chaiyo yeropa kana bvunzo yekuona inosimbisa iyi nyaya.

Panguva yemusangano wako, chiremba wako achakuudza mibvunzo yakadzama nezvekutapukirwa kwako kwe shingles, kwakaitika, uye kunzwa kwakaita kurwadziwa kwako ikozvino. Vanoda kuziva chaizvo kuti kurwadziwa kuri kupi uye zvinhu zvinokonzera kuti zvive nani kana zvakanyanya kuipa.

Bvunzo yemuviri inosanganisira kuyedza kunzwa munzvimbo yakabatwa. Chiremba wako anogona kushandisa kubata kwakasviba, tembiricha, kana kumanikidza kwakasviba kunzwisisa kuti matumbu ako ari kupindura sei.

Dzimwe nguva chiremba wako anogona kuraira bvunzo dzimwe kuti adzivise mamwe mamiriro anogona kukonzera kurwadziwa kwakafanana. Izvi zvinogona kusanganisira bvunzo yeropa kuti aone chirwere cheshuga kana kushomeka kwemavhitamini, kana bvunzo dzekuona kana paine hanya nezvimwe zvirwere zvematumbu.

Kurapa kwe Postherpetic Neuralgia Ndeapi?

Kurapa kwe postherpetic neuralgia kazhinji kunosanganisira musanganiswo wemishonga nemamwe kurapa anokodzera mamiriro ako chaiwo. Chinangwa ndechekuderedza kurwadziwa, kuvandudza hope, uye kukubatsira kudzoka kumabasa ako enguva dzose.

Chiremba wako anogona kutanga neimwe kana kupfuura nzira idzi:

1. Mishonga ye anticonvulsant yakaita segabapentin kana pregabalin, inodzikamisa matumbu anoshanda zvakanyanya
2. Tricyclic antidepressants yakaita seamitriptyline, inokanganisa masaini ekurwadziwa muuropi hwako
3. Kurapa kwekunze kusanganisira mapatches elidocaine kana kirimu ye capsaicin inoshandiswa zvakananga kune nzvimbo dzinorwadza
4. Mishonga ye opioid yekurwadziwa kwakasimba kunopindura kune mamwe kurapa
5. Nerve blocks kwa mishonga inoiswa pedyo ne matumbu akabatwa

Vanhu vakawanda vanoona kuti kusanganisa kurapa kwakasiyana kunoshanda zvakanaka kupfuura kuvimba nenhambo imwe chete. Chiremba wako acashanda newe kuti uwane musanganiswa wakakodzera unopa zororo nemigumisiro inogona kutarisirwa.

Kurapa kwakasiyana-siyana sekupuncture, transcutaneous electrical nerve stimulation (TENS), kana physiotherapy zvinogona zvakare kupa zororo riri nani. Vamwe vanhu vanobatsirwa nenhambo dzekudzikama kana cognitive behavioral therapy kuti vabatsirwe kudzora zvinhu zvepfungwa zvekunetsa kwenguva refu.

Nzira Yekutarisira Postherpetic Neuralgia Kumba?

Kunyangwe kurapa kwemishonga kuchikosha, nzira dzakawanda dzekumba dzinogona kukubatsira kutarisira zviratidzo zvako uye kuvandudza kunyaradza kwako kwemazuva ese. Aya maitiro anoshanda zvakanaka kana akasanganiswa nekurapa kwako kwakanyorwa.

Funga nezve aya mazano ekutarisira kumba anobatsira:

• Isa jira rinotonhora, rakanyorova kune nzvimbo dzinorwadza kwemaminitsi 15-20 kanopfuura kamwe pazuva
• Pfeka nguo dzakasununguka, dzakapfava dzisingakuvadzi ganda rakaoma
• Ita kurovedza muviri kwakasviba kana kurovedza muviri kwakasviba sezvinobvumidzwa
• Shandisa nzira dzekudzikama sekufemera kwakadzika kana kufungisisa
• Chengeta nguva dzako dzehope kuti ubatsire muviri wako kupora
• Chengeta bhuku rekurwadziwa kuti uzive zvinokonzera uye kurapa kunoshanda

Vamwe vanhu vanoona kuti zvimwe zvekudya kana mabasa anowedzera kurwadziwa kwavo. Kuchengeta zvinhu izvi zvinogona kukubatsira kudzivisa zvinokonzera uye kuwedzera kunyaradza kwako zuva rese.

Rambai makabatana neshamwari nemhuri, kunyange kana kurwadziwa kuchikanganisa mabasa evanhu. Kuparadzana kazhinji kunoita kuti kurwadziwa kunzwe kwakasimba, nepo rutsigiro rwevanhu runogona kupa zvose kushambadzira nekutsigirwa kwepfungwa.

Postherpetic Neuralgia Inogona Kudzivirirwa Sei?

Nzira inonyanya kushanda yekudzivirira postherpetic neuralgia ndeyekudzivirira shingles pakutanga kana kurapa shingles nekukurumidza kana ikaitika. Jekiseni re shingles ndiro dziviriro yako yakanakisa pamwe chete nezvirwere zviviri.

CDC inokurudzira jekiseni re shingles kune vakuru vane makore 50 nekupfuura, kunyange kana wakambova ne shingles. Jekiseni rinoderedza zvakanyanya njodzi yako yekuwana shingles uye, kana ukawana shingles, rinoderedza mukana wekuwana postherpetic neuralgia.

Kana ukawana shingles, tsvaka kurapwa mukati memaawa 72 mushure mekunge ganda raonekwa. Mishonga ye antiviral yakaita seacyclovir, valacyclovir, kana famciclovir inogona kuderedza kukomba uye nguva ye shingles, zvichiita kuti kudzivirirwa kwekuvadza kwematumbu.

Kuchengeta system yekudzivirira muviri yakasimba kuburikidza nezvinhu zvehupenyu zvine hutano—hope dzakakwana, kurovedza muviri nguva dzose, kudzora kushushikana, uye kudya kwakanaka—zvinogona zvakare kubatsira kudzivirira shingles.

Unofanira Kugadzirira Sei Musangano Wako neChiremba?

Kuuya wakagadzirira kumusangano wako kunobatsira kuve nechokwadi chekuti unowana kurapwa kwakanakisa kunobvira. Chiremba wako anoda ruzivo rwakadzama nezviratidzo zvako nenhoroondo yezvehutano kuti agadzire chirongwa chekurapa chakanakisa.

Usati wasvika,unganidza ruzivo urwu rwakakosha:

• Zuva chairo rekutapukirwa kwako kwe shingles uye apo kurwadziwa kwazvino kwakatanga
• Rondedzero yakadzama yekurwadziwa kwako—kupisa, kubaya, kurwadza, kana kufanana nemagetsi
• Zvinhu zvinoita kuti kurwadziwa kwako kuve nani kana kuipa
• Mishonga yese yaunotora ikozvino, kusanganisira mishonga yekutengesa
• Nzira yekurwadziwa kwacho inokanganisa hope dzako, basa, uye mabasa emazuva ese
• Kurapa kwawakamboedza uye kushanda kwavo

Funga nezvekutora shamwari yakavimbika kana nhengo yemhuri kumusangano wako. Kurwadziwa kwenguva refu kunogona kukanganisa ndangariro yako nekutarisa, uye kuva nemunhu mumwe anoteerera kunogona kubatsira kuve nechokwadi chekuti hausi kupotsa ruzivo rwakakosha.

Nyora mibvunzo yaunoda kubvunza chiremba wako usati wasvika. Izvi zvinogona kusanganisira mibvunzo nezve nzira dzekurapa, nguva yekuvandudzika inotarisirwa, kana kuchinja mararamiro kunogona kubatsira.

Chii Chinonyanya Kukosha Nezve Postherpetic Neuralgia?

Postherpetic neuralgia inyaya inogona kutarisirwa, kunyange zvazvo ichikanganisa zvakanyanya hupenyu hwako hwemazuva ese. Chinhu chikuru kushanda pedyo nesangano rako rezvehutano kuti uwane musanganiswo wakakodzera wekurapa unoshanda kune mamiriro ako chaiwo.

Vanhu vakawanda vanoona kuvandudzika kukuru nekurapa kwakakodzera, kunyange zvazvo zvingatora nguva kuti uwane nzira inonyanya kushanda. Usatadza moyo kana kurapa kwekutanga kukupa zororo rakazara—nzira dzakawanda dziripo.

Yeuka kuti kudzivirira kunoramba kuri hurongwa hwako hwakanakisa. Kana uine makore 50 nekupfuura, taura nachiremba wako nezvejekiseni re shingles. Kana ukawana shingles, tsvaka kurapwa nekukurumidza kuderedza njodzi yako yekuwana iyi nyaya inonetsa.

Haufaniri kutambura uchinyarara ne postherpetic neuralgia. Nekurapa kwakakodzera, nzira dzekutarisira kumba, uye rutsigiro rwepfungwa, unogona kudzoka kutonga hupenyu hwako uye kuwana zororo rakakosha kubva muzviratidzo zvako.

Mibvunzo Inobvunzwa Kazhinji Nezve Postherpetic Neuralgia

Postherpetic neuralgia inogara kwenguva yakareba sei?

Nguva inosiyana zvakanyanya kubva kune munhu kune munhu. Vamwe vanhu vanonzwa kurwadziwa kwemwedzi mishoma, nepo vamwe vangave nezviratidzo kwemakore. Kazhinji, kurapa kunotanga nekukurumidza, mukana uri nani wekuti nguva pfupi uye migumisiro iri nani. Vanhu vakawanda vanoona kuvandudzika kwenguva refu nekurapa kwakakodzera.

Postherpetic neuralgia inogona kudzoka here mushure mekunge yapera?

Kana postherpetic neuralgia yapera, kazhinji haidzokeri munzvimbo imwechete. Zvisinei, kana ukawana shingles zvakare munzvimbo yakasiyana yemuviri wako, unogona kuwana postherpetic neuralgia munzvimbo itsva. Ndosaka jekiseni re shingles richikosha kunyange mushure mekunge wapora kubva kune zviitiko zvakapfuura.

Postherpetic neuralgia inotapuriranwa here?

Kwete, postherpetic neuralgia pachayo haitapuriranwi. Iyo mamiriro ematumbu anobva pakukuvara kwevirusi kwapfuura. Zvisinei, kana uchiri kuve nemaronda e shingles, mvura iri mumaronda iwayo inogona kutapurira chickenpox kune vanhu vasina kumbova ne chickenpox kana jekiseni. Kana ganda rako re shingles rapera zvachose, hauchazopari.

Kurwadziwa kwangu kwe postherpetic neuralgia kuchapera here zvachose?

Vanhu vakawanda vanoona kugadziriswa kwakazara kwekurwadziwa kwavo, kunyanya nekurapa kwekukurumidza kwakakodzera. Zvisinei, vamwe vanhu vangave nezviratidzo zvishoma zvinoramba zviripo kana zviitiko zvinowanzoitika. Mashoko akanaka ndeawo ekunge kunyange kana kurwadziwa kuchiramba kuripo, vanhu vakawanda vanogona kuwana kuvandudzika kukuru kunovabvumira kudzoka kumabasa avo enguva dzose uye kufara hupenyu.

Kushushikana kunogona kuita kuti postherpetic neuralgia ive yakanyanya kuipa here?

Hongu, kushushikana kunogona kuwedzera zviratidzo zve postherpetic neuralgia. Kushushikana kunokanganisa system yako yekudzivirira muviri uye kunogona kuwedzera kunzwa kwako kurwadziwa. Uyezve, kushushikana kazhinji kunokanganisa hope, izvo zvinogona kuita kuti kurwadziwa kunzwe kwakasimba. Kudzora kushushikana kuburikidza nenhambo dzekudzikama, kurovedza muviri nguva dzose, hope dzakakwana, uye rutsigiro rwevanhu kunogona kuva chikamu chakakosha chechirongwa chako chekurapa chose.