Neuralgia Yokuzwa Ubuhlungu Emva Kokuba Ne-Herpes
Uhlolojikelele
Ubuhlungu be-neuralgia oluphelelwa yi-herpes (post-hur-PET-ik noo-RAL-juh) yinkinga evamile kakhulu ye-shingles. Lubangela ubuhlungu obuvuthayo emithanjeni nasekwebeni. Ubuhlungu buhlala isikhathi eside ngemva kokuba isihlungu nezinhlungu ze-shingles siye sahamba.
Ingozi ye-neuralgia ephelelwa yi-herpes ikhuphuka ngokwanda kweminyaka. Kuthinta ikakhulu abantu abadala kuneminyaka engama-60. Ayikho imithi yokwelapha, kepha ukwelashwa kunganciphisa izimpawu. Kubantu abaningi, i-neuralgia ephelelwa yi-herpes iyakhamba ngokuhamba kwesikhathi.
Izimpawu
Ngokuvamile, izimpawu ze-postherpetic neuralgia zihlala kuphela endaweni yesikhumba lapho isifo se-shingles siqale khona. Lokho kuvame ukuba yibhande elizungezile umzimba, ikakhulukazi ngakwesinye uhlangothi. Izimpawu zingafaka: Ubuhlungu obuhlala izinyanga ezintathu noma ngaphezulu ngemuva kokuba isihlungu se-shingles sipholile. Ubuhlungu bungase buzwakale bubushisa, obukhulu futhi obukhulu. Noma bungase buzwakale bujulile futhi buhlungu. Ukungakwazi ukuthwala ukuthinta okulula. Abantu abane-postherpetic neuralgia bavame ukungakwazi ukuthwala nokukhuthaza izingubo esikhumbeni esithintekile. Ukukhahlela noma ukulahleka kokuzwa. Ngokungavamile, i-postherpetic neuralgia ingabangela ukukhahlela noma ukungabi nakuzwa. Bheka udokotela lapho ubona isango lokuqala lesihlungu se-shingles. Ngokuvamile ubuhlungu buqala ngaphambi kokuba ubone isihlungu. Ingozi ye-postherpetic neuralgia iyancipha uma uqala ukuthatha imithi elwa ne-virus ebizwa ngokuthi yi-antivirals phakathi kwamahora angu-72 ngemuva kokuthola isihlungu se-shingles.
Isikhathi sokubona udokotela
Bona uhlinzeki wezempilo lapho uqala ukubona izimpawu ze-shingles. Ngokuvamile ubuhlungu buqala ngaphambi kokuba ubone isihlungu. Ingozi ye-postherpetic neuralgia iyancipha uma uqala ukuthatha imithi elwa ne-virus ebizwa ngokuthi yi-antivirals phakathi kwamahora angu-72 ngemuva kokuthola isihlungu se-shingles.
Izimbangela
Isihlungu se-shingles sihambisana nokuvuvukala kwama-nerve ngaphansi kwesikhumba.
Isifo se-chickenpox sibangela i-shingles. Uma usuvele waba ne-chickenpox, i-virus ihlala emzimbeni wakho impilo yakho yonke. I-virus ingabuya ibe namandla futhi ibe yimbangela ye-shingles. Le ngozi iyakhuphuka ngokwanda kweminyaka. Ingozi ikhuphuka futhi uma kukhona okuthoba uhlelo lokulwa nezifo lomzimba, njengezidakamizwa ze-chemotherapy zokwelapha umdlavuza.
Ukuhlunguluka kwe-Postherpetic kwenzeka uma ama-fiber e-nerve enqunywe ngesikhathi sokuqhuma kwe-shingles. Ama-fiber abuthakathaka awakwazi ukuthumela imiyalezo kusuka esikhumbeni uya ebuchosheni njengoba ajwayele ukwenza. Esikhundleni salokho, imiyalezo idideka futhi ibe phezulu. Lokhu kubangela ubuhlungu obungaqhubeka izinyanga noma iminyaka.
Izici eziyingozi
Ngokuqondene ne-shingles, izinto ezingandisa ingozi ye-postherpetic neuralgia yilezi:
- Ubudala. Uneminyaka engaphezu kwengu-60.
- Ubunzima besimo se-shingles. Ube nokuqhuma okukhulu nobuhlungu obukuvimbele ekwenzeni imisebenzi yansuku zonke.
- Ezinye izifo. Une-sickness yesikhathi eside, njengokusabela kweswekile.
- Indawo lapho i-shingles ivele khona. Ube ne-shingles ebusweni noma emzimbeni.
- Ukulibaziseka ekwelapheni i-shingles. Awuqalanga ukuthatha imithi yokulwa ne-virus phakathi kwamahora angu-72 ngemuva kokuba kuqale ukuqhuma.
- Ayikho i-vaccine ye-shingles. Awuzange uthathe i-vaccine ye-shingles.
Izingqinamba
Abantu abane-postherpetic neuralgia bangaba nezinkinga ezinye ezivamile ezinhlungwini zesikhathi eside. Kuxhomekeke ukuthi i-postherpetic neuralgia ihlala isikhathi esingakanani nokuthi ibuhlungu kangakanani. Lezi zinkinga ezinye zingafaka: Usizi. Ukuphazamiseka kokulala. Ukukhathala. Ukungabi nandlala njengokujwayelekile.
Ukuvimbela
Isivaccine se-shingles singasiza ekunqobeni i-shingles ne-postherpetic neuralgia. Buza umhlinzeki wakho wezempilo ukuthi nini kufanele uthole isivaccine. E-United States, i-Centers for Disease Control and Prevention (CDC) isikisela ukuthi abantu abadala abangama-50 nangaphezulu bathole isivaccine se-shingles ebizwa ngeShingrix. Uhlelo luphinde lukhuthaze iShingrix kubantu abadala abangama-19 nangaphezulu abanesistimu yabo yokukhululeka ebuthakathaka ngenxa yezifo noma ukwelashwa. I-Shingrix isikweletwa ngisho noma usuvele uthole i-shingles noma isivaccine esidala, i-Zostavax. I-Shingrix inikezwa ngezilinganiso ezimbili, ezinyangeni ezi-2 kuya kwezi-6. Ngezingxenye ezimbili, i-Shingrix inamandla angaphezu kuka-90% ekunqobeni i-shingles ne-postherpetic neuralgia. Ezinye izivaccine ze-shingles zinikezwa ngaphandle kwe-United States. Xoxa nomhlinzeki wakho ukuze uthole olunye ulwazi mayelana nendlela ezivimbela ngayo i-shingles ne-postherpetic neuralgia.
Ukuxilongwa
Umhlinzeki wakho wezempilo uzohlola isikhumba sakho. Bangase baqabule isikhumba ezindaweni ezahlukene ukuze bathole imingcele yendawo eathintekile.
Ezikhathini eziningi, azikho izivivinyo ezidingekayo.
Ukwelashwa
Alukileko olulodwa oluqeda ubuhlungu be-postherpetic neuralgia kubo bonke abantu. Ngokuvamile kudinga ukuxuba izindlela zokwelapha ukuze kuphephe ubuhlungu.
ICapsaicin ivela ezimbewu zepilipili ebilisiwe. Inani elikhulu le-capsaicin liyatholakala njengesiqwenga sesikhumba sokuqeda ubuhlungu esibizwa nge-Qutenza. Udinga ukuyithola kumhlinzeki wakho wezempilo. Uchwepheshe wezempilo oqeqeshwe ubeka isiqwenga esikhumbeni sakho ngemuva kokusebenzisa imithi yokunciphisa indawo ethintekile.
Inkqubo ithatha okungenani amahora amabili. Lokho kungenxa yokuthi ochwepheshe bezempilo badinga ukubuka noma yiziphi izingozi ezivela ngemuva kokubekwa kwesiqwenga. Isiqwenga sinciphise ubuhlungu babantu abathile iinyanga ezintathu. Uma sisebenza, ungathola isiqwenga esisha njalo ngenyanga ezintathu.
Eminye imithi yokubamba izifo zokubamba ingaqeda ubuhlungu be-postherpetic neuralgia. Ihlanganisa i-gabapentin (Neurontin, Gralise, nabanye) ne-pregabalin (Lyrica). Le mithi izola ama-nerve alimale. Imiphumela emibi ihlanganisa:
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Ukuzizwa ulele.
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Ukuphazamiseka kokucinga ngokucacile.
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Ukungazizwa uzinzile.
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Ukukhula ezinyaweni.
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INortriptyline (Pamelor).
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IAmitriptyline.
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IDuloxetine (Cymbalta).
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IVenlafaxine (Effexor XR).
Imiphumela emibi evamile yale mithi ihlanganisa:
- Ukuzizwa ulele.
- Ukuthola umlomo owomile.
- Ukuzizwa uthukuthele.
- Ukuzuza isisindo.
Ii-Opioids yimithi enamandla kakhulu yokuqeda ubuhlungu umhlinzeki wezempilo angayibhalela. Abanye abantu abane-postherpetic neuralgia bangadinga imithi ehlanganisa i-tramadol (Conzip, Qdolo, nabanye), i-oxycodone (Percocet, Oxycet, nabanye) noma i-morphine.
Ii-Opioids zingabangela imiphumela emibi efana nale:
- Ukuzizwa kukhulu okuncane.
- Ukulala.
- Ukuphazamiseka.
- Ukuphazamiseka kokwenza izisu.
E-United States, i-CDC ikhuthaza abahlinzeki bezempilo ukuba basebenzise ii-opioids kuphela ezindabeni ezihlobene nomdlavuza nezinye izinkinga ezimbi zempilo. Uhlelo lufuna abahlinzeki bacabange kabili ngaphambi kokuba babhale le mithi enamandla ezinkingeni zempilo ezifana ne-postherpetic neuralgia. Lokho kungenxa yokuthi ii-opioids zikhuphula ingozi yokulutha nokufa kwabanye abantu.
IOpioid ingabhalwa nge-postherpetic neuralgia kuphela uma izindlela zokwelapha eziphephile zingasebenzi. Ngaphambi kokuba uqale ukuthatha i-opioid, umhlinzeki wakho kufanele:
- Chaza izinzuzo nezingozi zomuthi.
- Misa imigomo yokwelapha yokuqeda ubuhlungu.
- Yenza uhlelo lokusiza ukuba uyeke ukusebenzisa imithi ngokuphephile uma izingozi zikhulu kakhulu.
Thatha inani elincane kangangokunokwenzeka le-opioid. Futhi thola ukuhlolwa njalo njengoba umhlinzeki wakho wezempilo ekuphakamisa.
Ukuqhuba ngenkathi usebenzisa ii-opioids kungaba yingozi. Futhi akuphephile ukuthatha i-opioid kanye ne-alchoholi noma eminye imithi.
Iziqephu ze-steroids eziqondiswe esigxotsheni zingasiza abanye abantu abane-postherpetic neuralgia.
Umshwana wokuzihlangula: I-August iyinkundla yolwazi lwezempilo futhi izimpendulo zayo azihlanganisi iseluleko sezokwelapha. Njalo thintana nochwepheshe bezokwelapha onelayisensi eduze nawe ngaphambi kokwenza noma yiluphi ushintsho.