Yini i-post-herpetic neuralgia nokuthi ungayiphatha kanjani

-Delile

• Izimpawu eziyinhloko
• Ungakuqinisekisa kanjani ukuxilongwa
• Kungani kuvela i-post-herpetic neuralgia
• Yelashwa kanjani

I-post-herpetic neuralgia iyinkinga ye-herpes zoster, eyaziwa nangokuthi i-shingles noma i-shingles, ethinta izinzwa nesikhumba, okubangela ukuvela kokushisa okuhlala njalo emzimbeni, noma ngabe sezihambile izilonda ezibangelwa igciwane le-herpes zoster.

Imvamisa, i-post-herpetic neuralgia ivame kakhulu kubantu abaneminyaka engaphezu kwengama-60, kepha ingenzeka kunoma yisiphi isikhathi, inqobo nje uma ulibambile igciwane lengquza ngesikhathi usumdala.

Yize lungekho ikhambi, kunezinhlobo zokwelashwa ezinciphisa izimpawu, zenze ngcono izinga lempilo. Ngaphezu kwalokho, i-post-herpetic neuralgia ivame ukuba ngcono ngokuhamba kwesikhathi, idinga ukwelashwa okuncane nokuncane.

Izimpawu eziyinhloko

Izimpawu ezivame kakhulu ze-post-herpetic neuralgia zifaka:

• Ubuhlungu obufana nokushisa okuhlala izinyanga ezintathu noma ngaphezulu;
• Ukuzwela okukhulu ukuthinta;
• Ukulunywa noma ukuzwa ukuzwa.

Lezi zimpawu zivame ukuvela esifundeni sesikhumba esithintwe yizilonda ze-herpes zoster, yingakho kuvame kakhulu esiqwini noma futhi ohlangothini olulodwa lomzimba.

Imizwa evuthayo ingavela ngaphambi kwezilonda zesikhumba esikhunjeni futhi, kwabanye abantu, ingahle ihambisane nobuhlungu be-punctate, ngokwesibonelo.

Ungakuqinisekisa kanjani ukuxilongwa

Ezimweni eziningi, ukuxilongwa kuqinisekiswa ngudokotela wesikhumba kuphela ngokubheka indawo ethintekile nezimpawu ezibikwe ngumuntu uqobo.

Kungani kuvela i-post-herpetic neuralgia

Uma uthola igciwane lengxibongo yenkukhu ngesikhathi usumdala, leli gciwane lidala izimpawu ezinamandla futhi lingadala ukulimala kwemicu yezinzwa esikhunjeni. Uma lokhu kwenzeka, amandla kagesi aya ebuchosheni ayathinteka, abe nehaba kakhulu futhi abangele ukuqala kobuhlungu obungapheli obuchaza i-post-herpetic neuralgia.

Yelashwa kanjani

Akukho muthi okwaziyo ukwelapha i-post-herpetic neuralgia, noma kunjalo, kungenzeka ukunciphisa izimpawu ngezindlela ezahlukahlukene zokwelashwa ezinjenge:

• Ukugqokwa kweLidocaine: yiziqeshana ezincane ezingananyathiselwa esizeni sobuhlungu futhi ezikhipha i-lidocaine, into ebulala izinzwa zemisipha esikhunjeni, iqeda izinhlungu;
• Isicelo seCapsaicin: lokhu kuyinto enamandla kakhulu ye-analgesic enganciphisa ubuhlungu kuze kufike ezinyangeni ezintathu ngokufaka isicelo esisodwa nje. Kodwa-ke, isicelo sayo kufanele ngaso sonke isikhathi senziwe ehhovisi likadokotela;
• Amakhambi we-Anticonvulsant, njengeGabapentin noma iPregabalin: lezi yizidakamizwa eziqinisa izimpawu zikagesi emicimbini yezinzwa, ezinciphisa ubuhlungu. Kodwa-ke, la makhambi angadala imiphumela emibi efana nesiyezi, ukucasuka nokuvuvukala kwamaphethelo, isibonelo;
• Izidambisi, njenge-Duloxetine noma i-Nortriptyline: shintsha indlela ubuchopho obuhumusha ngayo ubuhlungu, kuqeda izimo ezibuhlungu ezingamahlalakhona ezifana ne-post-herpetic neuralgia.

Ngaphezu kwalokho, ezimweni ezinzima kakhulu, lapho kungekho nolunye lwalezi zindlela zokwelashwa olubonakala luthuthukisa ubuhlungu, udokotela angaphinde anikeze imishanguzo ye-opioid efana neTramadol noma iMorphine.

Kunezindlela zokwelashwa ezisebenza kangcono kwabanye abantu kunezinye, ngakho-ke kungadingeka ukuthi uzame izindlela zokwelashwa eziningana ngaphambi kokuthola okungcono kakhulu, noma ngisho nokuhlanganiswa kwezindlela ezimbili noma ngaphezulu zokwelashwa.