I-postherpetic neuralgia - ukunakekelwa kwangemva kokunakekelwa

I-postherpetic neuralgia ubuhlungu obuqhubeka ngemuva kokuqubuka kwezinsini. Lobu buhlungu bungahlala ezinyangeni kuye eminyakeni.

I-Shingles ukuqhuma kwesikhumba okubuhlungu, okushayayo okubangelwa igciwane le-varicella-zoster. Leli yigciwane elifanayo elibanga ingxibongo. Ama-shingles abizwa nangokuthi i-herpes zoster.

I-postherpetic neuralgia inga:

• Nciphisa imisebenzi yakho yansuku zonke futhi wenze kube nzima ukusebenza.
• Thinta ukuthi uzibandakanya kangakanani nabangane nomndeni.
• Dala imizwa yokukhungatheka, inzondo, kanye nengcindezi. Le mizwa ingenza ubuhlungu bakho bube nzima kakhulu.

Noma lingekho ikhambi le-postherpetic neuralgia, kunezindlela zokwelapha ubuhlungu bakho nokungaphatheki kahle kwakho.

Ungathatha uhlobo lomuthi obizwa ngama-NSAID. Awudingi kadokotela walokhu.

• Izinhlobo ezimbili zama-NSAID yi-ibuprofen (njenge-Advil noma i-Motrin) ne-naproxen (njenge-Aleve noma iNaprosyn).
• Uma unesifo senhliziyo, umfutho wegazi ophakeme, isifo sezinso, noma uke waba nezilonda esiswini noma wopha, khuluma nomhlinzeki wakho wezempilo ngaphambi kokusebenzisa le mithi.

Ungathatha futhi i-acetaminophen (efana neTylenol) yokuqeda izinhlungu. Uma unesifo sesibindi, khuluma nomhlinzeki wakho ngaphambi kokusisebenzisa.

Umhlinzeki wakho angahle anikeze umuthi wokuqeda izinhlungu. Ungelulekwa ukuthi uwathathe:

• Kuphela lapho unezinhlungu
• Kuhlelo olujwayelekile, uma ubuhlungu bakho kunzima ukulawula

Isixazululo sezinhlungu se-narcotic singa:

• Kukwenze uzizwe ulele futhi udidekile. UNGABUPHUZI utshwala noma usebenzise imishini esindayo ngenkathi ubuthatha.
• Yenza isikhumba sakho sizwe siluma.
• Kwenze uqunjelwe (ungakwazi ukuba nokunyakaza kwamathumbu kalula). Zama ukuphuza uketshezi oluningi, udle ukudla okune-fiber eningi, noma usebenzise izithambisi zendle.
• Yenza isicanucanu, noma uzizwe ugula esiswini sakho. Ukuthatha umuthi ngokudla kungasiza.

Umhlinzeki wakho angancoma amabala esikhumba aqukethe i-lidocaine (umuthi onamafutha). Eminye inqunyiwe kanti eminye ungazithenga wedwa ekhemisi. Lokhu kungadambisa okunye kobuhlungu bakho isikhashana. ILidocaine nayo iza njengokhilimu ongasetshenziswa ezindaweni lapho kungasetshenziswa kalula isichibi.

I-Zostrix, ukhilimu oqukethe i-capsaicin (okukhishwe upelepele), nayo inganciphisa ubuhlungu bakho.

Ezinye izinhlobo ezimbili zemithi kadokotela zingasiza ekunciphiseni ubuhlungu bakho:

• Izidakamizwa ezilwa nokubanjwa, njenge-gabapentin ne-pregabalin, zisetshenziswa kakhulu.
• Izidakamizwa zokwelapha ubuhlungu nokudangala, imvamisa okubizwa ngokuthi ama-tricyclic, njenge-amitriptyline noma i-nortriptyline.

Kumele uphuze imithi nsuku zonke. Kungathatha amasonto ambalwa ngaphambi kokuba baqale ukusiza. Zombili lezi zinhlobo zemithi zinemiphumela engemihle. Uma unemiphumela engemihle, ungayeki ukuphuza umuthi wakho ngaphandle kokukhuluma nomhlinzeki wakho kuqala. Umhlinzeki wakho angashintsha isilinganiso sakho noma anikeze umuthi ohlukile.

Kwesinye isikhathi, ibhlokhi yezinzwa ingasetshenziselwa ukunciphisa izinhlungu okwesikhashana. Umhlinzeki wakho uzokutshela ukuthi ngabe lokhu kukufanele yini.

Izindlela eziningi ezingezona ezokwelapha zingakusiza uphumule futhi wehlise ukucindezeleka kobuhlungu obungapheli, obufana:

• Ukuzindla
• Ukuzivocavoca okuphefumula okujulile
• I-Biofeedback
• Ukuzikhohlisa
• Izindlela zokuphumuza imisipha
• Ukuthoma

Uhlobo oluvamile lokwelashwa kokukhuluma kubantu abanezinhlungu ezingapheli lubizwa ngokuthi ukwelashwa kokuziphatha kwengqondo. Kungakusiza ufunde ukuthi ungabhekana kanjani nokuphatha izimpendulo zakho ebuhlungwini.

Shayela umhlinzeki wakho uma:

• Ubuhlungu bakho abuphethwe kahle
• Ucabanga ukuthi ungahle ucindezeleke noma unenkinga yokulawula imizwa yakho

I-Herpes zoster - i-neuralgia yangemva kokuma komzimba; I-Varicella-zoster - i-neuralgia yangemuva; Ama-shingles - ubuhlungu; PHN

I-Dinulos JGH. Izinsumpa, i-herpes simplex, nezinye izifo ezibangelwa amagciwane. Ku: Dinulos JGH. IHabif's Clinical Dermatology: Umhlahlandlela Wombala Ekuxilongweni naseTherapy. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2021: isahluko 12.

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

• Amaswazi