I-postherpetic neuralgia-emva kononophelo

I-postherpetic neuralgia yintlungu eqhubekayo emva kokuphuma kwe-shingles. Le ntlungu inokuhlala kwiinyanga ukuya kwiminyaka.

I-Shingles sisifo esibuhlungu, esikhanyayo esikhumbeni esibangelwa yintsholongwane ye-varicella zoster. Le yintsholongwane efanayo ebangela irhashalala. I-Shingles ikwabizwa ngokuba yi-herpes zoster.

I-postherpetic neuralgia inoku:

• Nciphisa imisebenzi yakho yemihla ngemihla kwaye wenze kube nzima ukusebenza.
• Ukuchaphazela indlela obandakanyeka ngayo nabahlobo kunye nosapho.
• Yenza iimvakalelo zokudana, inzondo, kunye noxinzelelo. Ezi mvakalelo zinokwenza ukuba intlungu yakho ibe mandundu.

Nangona kungekho lunyango lwe-postherpetic neuralgia, kukho iindlela zokunyanga iintlungu kunye nokungonwabi.

Ungathatha uhlobo lwamayeza abizwa ngokuba zii-NSAID. Awudingi ngugqirha woku.

• Iindidi ezimbini ze-NSAIDs ibuprofen (njengeAdvil okanye iMotrin) kunye neaproxen (njengeAleve okanye iNaprosyn).
• Ukuba unesifo sentliziyo, uxinzelelo lwegazi oluphezulu, isifo sezintso, okanye unesilonda esiswini okanye ukopha, thetha nomboneleli wakho wezempilo ngaphambi kokuba usebenzise la mayeza.

Unokuthatha i-acetaminophen (enje ngeTylenol) yokuphucula iintlungu. Ukuba unesifo sesibindi, thetha nomboneleli wakho ngaphambi kokuyisebenzisa.

Umboneleli wakho unokumisela ukuba kupheliswe iintlungu. Unokucetyiswa ukuba ubathathe:

• Kuphela xa unentlungu
• Kwishedyuli eqhelekileyo, ukuba intlungu yakho kunzima ukuyilawula

Ukunyanga iintlungu kwi-narcotic kunoku:

• Yenza uzive usozela kwaye udidekile. Musa ukusela utywala okanye usebenzise oomatshini abanzima ngelixa ubuthathayo.
• Yenza ulusu lwakho lurhawuzelele.
• Yenza ukuqunjelwa (ungabinakho ukushukuma ngokulula). Zama ukusela amanzi angaphezulu, ukutya ukutya okunefayibha ephezulu, okanye ukusebenzisa izinto ezithambisa isitulo.
• Yenza isicaphucaphu, okanye uzive ugula esiswini sakho. Ukuthatha amayeza ngokutya kunokunceda.

Umboneleli wakho unokucebisa ngeziqwengana zolusu eziqukethe i-lidocaine (iyeza elenzayo). Eminye imiselwe kwaye eminye ungayithenga ngokwakho kwikhemesti. Oku kunokuthomalalisa iintlungu zakho okwexeshana. I-Lidocaine iza njengekhrimu enokusetyenziswa kwiindawo apho kungafakwanga khona isichibi ngokulula.

I-Zostrix, ukhilimu oqukethe i-capsaicin (isicatshulwa sepepile), inokunciphisa iintlungu.

Ezinye iintlobo ezimbini zamachiza amayeza anokunceda ukunciphisa iintlungu zakho:

• Amachiza okulwa nokuthimba, afana ne-gabapentin kunye ne-pregabalin, asetyenziswa rhoqo.
• Iziyobisi ukunyanga iintlungu noxinzelelo, zihlala zibizwa ngokuba ziitriki, ezifana neamitriptyline okanye nortriptyline.

Kufuneka uthathe amayeza yonke imihla. Banokuthatha iiveki ezimbalwa phambi kokuba baqale ukunceda. Zombini ezi ntlobo zeziyobisi zineziphumo ebezingalindelekanga. Ukuba uneziphumo ebezingalindelekanga, sukuyeka ukuthatha amayeza akho ungakhange uthethe nomboneleli wakho kuqala. Umboneleli wakho unokutshintsha idosi okanye amisele iyeza elahlukileyo.

Ngamanye amaxesha, ibhloko ye-nerve ingasetyenziselwa ukunciphisa iintlungu okwexeshana. Umboneleli wakho uya kukuxelela ukuba oku kulungile kuwe.

Uninzi lweendlela ezingezizo ezonyango ezinokukunceda uphumle kwaye unciphise uxinzelelo lweentlungu ezingapheliyo, ezinje:

• Ukucamngca
• Ukuzilolonga ngokuphefumla nzulu
• Ukubuyela umva
• Ukuzithemba ngomlingo
• Iindlela zokuphucula izihlunu
• Unyango

Uhlobo oluqhelekileyo lonyango lokuthetha kubantu abaneentlungu ezingapheliyo lubizwa ngokuba lunyango lokuziphatha kwengqondo. Inokukunceda ufunde ukuba ungamelana njani kwaye ulawule iimpendulo zakho kwintlungu.

Fowunela umnikezeli wakho ukuba:

• Intlungu yakho ayilawulwa kakuhle
• Ucinga ukuba unokudakumba okanye kunzima ukulawula iimvakalelo zakho

Herpes zoster - neuralgia postherpetic; Varicella zoster - neuralgia postherpetic; Iimbumba - iintlungu; PHN

IDinulos JGH. Iimfazwe, i-herpes simplex, kunye nezinye izifo zentsholongwane. Ku: I-Dinulos JGH. I-Habif's Clinical Dermatology: Isikhokelo sombala kwiDiagnosis kunye nonyango. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2021: isahluko 12.

UWhitley RJ. I-chickenpox kunye ne-herpes zoster (varicella-zoster virus). Ku: Bennett JE, Dolin R, Blaser MJ, ii-eds. Mandell, Douglas, kunye neBennett's Principles and Practice of Infectious Diseases. Umhla we-9. IPhiladelphia, PA: Elsevier; 2020: isahluko 136.

• Izibophelelo