Neuralgia Yepostherpetic
Pfupiso
Neuralgia yePostherpetic (post-hur-PET-ik noo-RAL-juh) chirwere chinonyanya kukanganisa shingles. Inokonzera kurwadziwa kunopfuta munzvimbo dzema nerves ne ganda. Kurwadziwa uku kunoramba kuripo kwenguva refu mushure mekunge zvironda zve shingles zvapera.
Ngozi yePostherpetic neuralgia inowedzera nekuwedzera kwezera. Inonyanya kukanganisa vanhu vakuru kupfuura makore 60. Hapana mushonga unogona kuirwisa, asi kurapwa kunogona kuderedza zviratidzo. Kune vakawanda, Postherpetic neuralgia inotonhora nekufamba kwenguva.
Zviratidzo
Kazhinji, zviratidzo zve postherpetic neuralgia zvinogumira munzvimbo yeganda uko kubuda kwe herpes zvakazoitika. Izvo zvinowanzova muhari yakapoteredza trunk yemuviri, kazhinji kune rumwe rutivi. Zviratidzo zvinogona kusanganisira: Kurwadziwa kunogara kwemwedzi mitatu kana kupfuura mushure mekunge ganda re herpes rapora. Kurwadziwa kunogona kunzwa kuchipisa, kuchikomba, uye kuchikanya. Kana kunogona kunzwa kwakadzika uye kurwadza. Kusakwanisa kutsungirira kubata kwakapfava. Vanhu vane postherpetic neuralgia kazhinji havafaniri kutsungirira kunyange kupfeka kwehembe paganda rakabatwa. Kutsamwa kana kurasikirwa nemanzwiro. Zvishoma, postherpetic neuralgia inogona kukonzera kunzwa kutsamwa kana kusanzwa. Ona chiremba pakutanga kuoneka kwe herpes. Kazhinji kurwadziwa kunotanga usati waona ganda. Njodzi ye postherpetic neuralgia inodzikira kana iwe uchitanga kutora mishonga inorwisa hutachiona inonzi antiviral mukati maawa 72 ekubuda kwe herpes.
Nguva yekunoona chiremba
Ona chiremba kana iwe uchinge watanga kuona zviratidzo zve herpes zoster. Kazhinji kurwadziwa kunotanga usati waziva kuti une utachiona hwepfupa. Njodzi yekurwadziwa kwenguva refu mushure meherpes zoster inodzikira kana iwe ukatanga kutora mishonga inorwisa hutachiona inonzi antiviral mukati memaawa 72 ekubuda kwemapoka ehudzi.
Zvinokonzera
Zitsamba ye shingles ine chekuita nekuzvimba kwemitsipa iri pasi peganda.
Virus ye chickenpox ndiyo inokonzera shingles. Kana wapedza kuva ne chickenpox, virus iyi inoramba iri mumuviri mako kweupenyu hwako hwese. Virus iyi inogona kuita basa zvakare ndokuita shingles. Njodzi iyi inowedzera nekuwedzera kwezera. Njodzi iyi inowedzerawo kana chimwe chinhu chikadzima sisitimu yemuviri, senge mishonga yechemotherapy yekurapa kenza.
Postherpetic neuralgia inoitika kana ma fiber emitsipa akakuvadzwa panguva yekubuda kwe shingles. Ma fiber akakuvadzwa haakwanisi kutumira meseji kubva paganda kuenda kuuropi sezvaanoita kazhinji. Pane kudaro, meseji inoshanduka uye inowedzera. Izvi zvinoita kuti kurwadziwa kunogona kugara kwemwedzi kana kunyange makore.
Zvinhu zvinokonzera njodzi
'Nezvinyongo, zvinhu zvinogona kuwedzera njodzi yepostherpetic neuralgia ndeizvi:\n\n- Age. Une makore anopfuura makumi matanhatu.\n- Zvakaipa sei chirwere chezvinyongo chaive. Waiva neutsvuku hwakakomba uye kurwadziwa kwakakutadzisa kuita mabasa ezuva nezuva.\n- Zvimwe zvirwere. Une chirwere chekare, sekushaya shuga.\n- Kwakabuda nezvinyongo. Waiva nezvinyongo pachiso kana pachipfuva.\n- Kudzoka kurapwa kwezvinyongo. Hauna kutanga kutora mishonga inorwisa hutachiona mukati memaawa makumi makombana nemana kubva pakabuda utsvuku hwako.\n- Hapana jekiseni rezvinyongo. Hauna kuve wakatarisana nezvinyongo.'
Matambudziko
Vanhu vane postherpetic neuralgia vanogona kuwana matambudziko mamwewo akajairika marwadzo anogara kwenguva refu. Zvinoenderana nekuti postherpetic neuralgia inogara kwenguva yakareba sei uye inorwadza sei. Aya matambudziko mamwewo anogona kusanganisira: Kuora mwoyo. Kushaya hope. Kuneta. Kusava nehanya sekudya kazhinji.
Kudzivirira
Vaccines dze shingles dzinogona kubatsira kudzivirira shingles ne postherpetic neuralgia. Bvunza mutariri wehutano hwako kuti ungawana riini jekiseni. MuUnited States, Centers for Disease Control and Prevention (CDC) inokurudzira kuti vakuru vane makore makumi mashanu nekupfuura vawane jekiseni re shingles rinonzi Shingrix. Sangano iri rinokurudzirawo Shingrix kune vakuru vane makore 19 nekupfuura vane masisitimu ekuzvidzivirira asina simba nekuda kwezvirwere kana kurapwa. Shingrix inokurudzirwa kunyangwe wakatove ne shingles kana jekiseni rekare, Zostavax. Shingrix inopiwa mune zvikamu zviviri, mwedzi miviri kusvika mitanhatu yakaparadzana. Pane zvikamu zviviri, Shingrix ine simba kupfuura 90% mukudzivirira shingles ne postherpetic neuralgia. Mamwe majekiseni e shingles anopiwa kunze kweUnited States. Taura nemupi wako wehutano kuti uwane rumwe ruzivo nezvekuti anodzivirira sei shingles ne postherpetic neuralgia.
Kuongorora
'Chiremba wenyu achazotarisisa ganda renyu. Vangabata ganda munzvimbo dzakasiyana-siyana kuti vawane migwagwa yenzvimbo yakabatwa. Muzviitiko zvizhinji, hapana bvunzo dzinoda kuitwa.'
Kurapa
Hapana mushonga mumwe chete unorwisa marwadzo epostherpetic neuralgia kune munhu wese. Kazhinji zvinoda musanganiswa wemishonga kuti zvidzikise marwadzo.
Capsaicin inobva mumbeu dzemiriwo inopisa. Huwandu hukuru hwe capsaicin hunowanikwa sepatch yeganda inodzikisa marwadzo inonzi Qutenza. Unofanira kuiwana kubva kune wako mushandi wehutano. Munyanzvi wehutano akarovedzwa anoisa patch paganda rako mushure mekushandisa mushonga wekunyungudutsa nzvimbo yakabatwa.
Maitiro acho anotora maawa maviri zvichikwira. Izvozvo ndizvo nekuti vanachiremba vanofanira kutarisa chero zvinokonzerwa nemishonga mushure mekunge patch yaiswa. Patch inodzikisa marwadzo evanhu vamwe kwenguva yakareba kusvika mwedzi mitatu. Kana ikashanda, unogona kuwana patch itsva mwedzi mitatu yega yega.
Mishonga yakawanda yekurwisa kufa kwema neurons inogona kudzikisawo marwadzo epostherpetic neuralgia. Inosanganisira gabapentin (Neurontin, Gralise, nezvimwe) uye pregabalin (Lyrica). Mishonga iyi inodzikamisa matumbo akakuvadzwa. Zvinokonzerwa nemishonga zvinosanganisira:
-
Kunzwa hope.
-
Kusakwanisa kufunga zvakanaka.
-
Kusanzwa wakasimba.
-
Kuchema tsoka.
-
Nortriptyline (Pamelor).
-
Amitriptyline.
-
Duloxetine (Cymbalta).
-
Venlafaxine (Effexor XR).
Zvinokonzerwa nemishonga yakajairika yemishonga iyi zvinosanganisira:
- Kunzwa hope.
- Kuoma mukanwa.
- Kunzwa kushaya simba.
- Kuwedzera uremu.
Opioids mishonga ine simba kwazvo inorwisa marwadzo iyo mushandi wehutano anogona kunyora. Vamwe vanhu vane postherpetic neuralgia vangada mishonga ine tramadol (Conzip, Qdolo, nezvimwe), oxycodone (Percocet, Oxycet, nezvimwe) kana morphine.
Opioids inogona kukonzera zvinokonzerwa nemishonga senge:
- Kunzwa kusinganzwisisike.
- Hope.
- Kusanzwisisika.
- Kusakwanisa kuita matumbo.
Panyika reUnited States, CDC inokurudzira vanachiremba kushandisa opioids chete pane zvirwere zvine chekuita nekenza nezvimwe zvirwere zvakakomba zvishoma. Sangano rinoda kuti vanachiremba vafunge kaviri vasati vanyora mishonga ine simba iyi yezvirwere zvakaita sepostherpetic neuralgia. Izvozvo ndizvo nekuti opioids inowedzera njodzi yekuzvara uye rufu kune vamwe vanhu.
Opioid inogona kunyorwa yepostherpetic neuralgia chete kana kurapwa kwakachengeteka kusina kushanda. Usati watanga kutora opioid, wako mushandi wehutano anofanira:
- Kutsanangura mabhenefiti nemishonga yemushonga.
- Kugadzira zvinangwa zvekurapa kuti udzikise marwadzo.
- Kugadzira chirongwa chekukubatsira kuti urege kushandisa mushonga zvakachengeteka kana njodzi dzikakura.
Tora dose yakaderera sezvinobvira ye opioid. Uye uende kuongororo kazhinji sezvinotaurwa nemupi wako wehutano.
Kutyaira uchitora opioids kunogona kunge kune ngozi. Uye hazvina kuchengeteka kutora opioid pamwe chete nedoro kana mishonga yakawanda.
Zvipfuyo zve steroids mumutsipa zvinogona kubatsira vamwe vanhu vane postherpetic neuralgia.
Chiziviso: August ipuratifomu yemashoko ehutano uye mhinduro dzayo haisi zano rekurapa. Gara uchibvunza nyanzvi yezvekurapa ine rezinesi pedyo newe usati waita chero shanduko.
Yakagadzirwa muIndia, kune nyika