ʻEha e mau ana ma hope o ka shingles? ʻO ia anei ka postherpetic neuralgia (PHN)? E kamaʻilio kākou e pili ana!

Ua loaʻa anei iā ʻoe ka maʻi ʻili? A i ʻole ua ʻike anei ʻoe i kekahi āu i ʻike ai e loaʻa ana? He ʻeha loa ka nahu ʻana o ka nahesa. Akā i kekahi manawa, ma hope o ka ho'ōla ʻana o ka nahu ʻana o ka nahesa, hiki i ka ʻeha ke hoʻi hou mai. ʻO ia ka mea a mākou e kamaʻilio nei i kēia lā, ʻo ia hoʻi ka Postherpetic Neuralgia (PHN). Mai hopohopo, e kamaʻilio maʻalahi mākou e pili ana i kēia, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.

He aha ka postherpetic neuralgia (PHN)? Pehea kona manaʻo?

I ka ʻōlelo maʻalahi, ʻo ka postherpetic neuralgia (PHN) he pilikia o ka shingles. E hoʻomanaʻo paha ʻoe ua hoʻokumu ʻia ka shingles e ka hoʻāla hou ʻana o ka maʻi like e hoʻoulu ai i ka chickenpox, ka maʻi Varicella-zoster. Ua kapa ʻia hoʻi ʻo Herpes Zoster.

Ke nahu ʻia ka nahesa, ʻike ʻia kahi ʻulaʻula ʻeha e like me ka pehu ma kekahi ʻaoʻao o ke kino, ʻoi aku hoʻi ma ka umauma a i ʻole ka ʻōpū. I ka wā e maloʻo ai ka ʻulaʻula i ka hala ʻana o ka manawa, e emi iho ka ʻeha. Eia naʻe, no kekahi poʻe, hiki ke hoʻomau ka ʻeha ma kahi i nahu ʻia ai. ʻO kēia ka mea a mākou e kapa nei he 'PHN', ʻo ia ka ʻeha e mau ana ma hope o ka ho'ōla ʻana o ka nahesa.

No laila pehea ke ʻano o kēia ʻeha 'PHN'?

E ʻeha ʻoe ma kahi like i loaʻa ai ka nahesa. Hiki ke mau kēia ʻeha, a i ʻole e hele mai a hele aku. Wahi a kekahi poʻe ua like ia me ka ʻeha wela, ka ʻeha hou, a i ʻole ka ʻeha ʻoi e puka mai ana mai loko mai . ʻO kekahi poʻe (ʻaʻole i maʻamau) e ʻeha paha i ka ʻūlū a i ʻole ka maneʻo ma ia wahi.

Pehea ka lōʻihi e hiki ai i ka PHN ke mau? ʻO wai ka mea e ʻoi aku ka paʻakikī o ka loaʻa ʻana?

Hiki i ka ʻeha PHN ke mau no nā pule, nā mahina, a me nā makahiki ma hope o ka ho'ōla ʻana o kahi nahu nahesa. No ka hapa nui o nā kānaka, nalowale ka ʻeha i loko o hoʻokahi a ʻekolu mahina. Eia nō naʻe, ua manaʻo ʻia ma kahi o hoʻokahi o ʻelima mau kānaka e loaʻa ka ʻeha no ka ʻoi aku ma mua o hoʻokahi makahiki.

No kekahi poʻe, ʻo ka ʻeha mai ka PHN he mea koʻikoʻi loa ia e paʻakikī ai ke hana i ko lākou ola o kēlā me kēia lā. ʻAʻole maopopo i nā kānaka noiʻi ke kumu o ka ʻeha nui a lōʻihi o kekahi poʻe a ʻo kekahi ʻaʻole.

Pehea ka maʻamau o kēia 'PHN'?

ʻO ka maʻi Varicella-zoster ke kumu o ka moa a me ka shingles. Ma kahi o 99% o nā ʻAmelika ma luna o 40 mau makahiki i loaʻa i ka moa. Eia kekahi, hoʻokahi o ʻekolu ʻAmelika e loaʻa i ka nahu nahesa i ko lākou ola. Ma waena o 10% a me 18% o ka poʻe i loaʻa i ka nahu nahesa e loaʻa iā lākou ka PHN. ʻO PHN ka pilikia maʻamau o nā nahu nahesa.

ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka hoʻomohala ʻana i ka PHN?

ʻO nā kumu aʻe e hoʻonui i ka pilikia o ka hoʻomohala ʻana i ka PHN:

• Ke piʻi nei ka makahiki:Piʻi ka pilikia o ka loaʻa ʻana o ka PHN me ka makahiki. Inā ʻelemakule ʻoe a loaʻa iā ʻoe kahi nahesa, ʻoi aku ka nui o ka loaʻa ʻana o ka PHN, a e lōʻihi ka ʻeha a ʻoi aku ka koʻikoʻi ma mua o kou wā ʻōpiopio. Ma waena o 10% a me 13% o ka poʻe ma luna o 50 mau makahiki i loaʻa i kahi nahesa e loaʻa iā lākou ka PHN. He mea kākaʻikahi loa ka PHN i ka poʻe ma lalo o 40 mau makahiki.
• ʻŌnaehana pale kino nāwaliwali: I ko kākou ʻelemakule ʻana, nāwaliwali ka hiki o ko kākou kino ke pale aku i nā maʻi, a i ʻole ko kākou ʻōnaehana pale kino. A laila hiki i ka maʻi varicella-zoster hiamoe ke hoʻāla hou a hoʻoulu i nā shingles. Hiki ke hoʻonāwaliwali ʻia ka ʻōnaehana pale kino e nā mea e like me ke kanesa, nā maʻi maʻi mau (e like me ka HIV/AIDS), nā hoʻoili kino, a i ʻole ka hoʻohana ʻana i nā lāʻau lapaʻau e kāohi ana i ka ʻōnaehana pale kino (e like me ka chemotherapy, nā lāʻau immunosuppressant, nā steroid, a me nā lāʻau lapaʻau e pale ai i ka hōʻole ʻana o nā kino).
• Ke koʻikoʻi o ka nahu ʻana o ka nahesa: Inā loaʻa iā ʻoe kahi ʻano koʻikoʻi o ka nahu ʻana o ka nahesa, ʻoi aku ka nui o ka loaʻa ʻana o ka PHN.
• Inā loaʻa iā ʻoe ka ʻeha, ka maneʻo, a i ʻole ka mae ʻana ma mua o ka nahu ʻana o ka nahesa: Inā loaʻa kēia mau hōʻailona ma kou ʻili i kekahi mau lā ma mua o ka nahu ʻana o ka nahesa, ʻoi aku kou pilikia o ka hoʻomohala ʻana i ka PHN.
• Inā hoʻopaneʻe ʻoe i ka ʻike ʻana i ke kauka ma hope o ka nahu ʻana o ka nahesa: Inā hoʻopaneʻe ʻoe ma mua o ʻekolu mau lā ma hope o ka nahu ʻana, ʻo ia hoʻi, ua hala ʻoe i ka palena manawa no ka lawe ʻana i nā lāʻau antiviral, ʻoi aku ka nui o kou loaʻa ʻana o PHN.

No ke aha e ulu ai ka PHN? He aha ke kumu?

Hoʻokumu ʻia ka `PHN` e ka hōʻino ʻia ʻana o nā olonā nerve i ka wā o ka nahu ʻana o ka nahesa. E noʻonoʻo e pili ana i ia mea, lawe nā olonā nerve i nā manaʻo e like me ka ʻeha mai ko mākou ʻili a i ka lolo. No laila, i ka wā e hōʻino ʻia ai nā olonā nerve ma kahi i nahu ʻia ai ka nahesa, hoʻomaka lākou e hoʻouna i nā hōʻailona ʻeha hewa, ʻo ia hoʻi nā hōʻailona ʻeha nui i ka lolo. ʻO ke ʻano o ka `postherpetic neuralgia` ʻo ia hoʻi ka `ʻeha nerve e hele mai ma hope o ka herpes.` Ua kapa ʻia hoʻi nā nahu nahesa ʻo `(Herpes Zoster)`.

E like me kā mākou i ʻōlelo ai ma mua, ua hoʻokumu ʻia nā nahu nahesa e ka maʻi like e hoʻoulu ai i ka moa (Varicella-zoster virus). Ke loaʻa iā ʻoe ka moa, noho ka maʻi i loko o kou kino no ke ola, akā hiki iā ia ke moe a "mālie" paha no nā makahiki. ʻO ka wā wale nō e hana hou ai kēia maʻi e hana hou ai kahi nahu nahesa. ʻO kahi pakeneka liʻiliʻi (ʻaʻole i hiki i ka 20%) o ka poʻe i loaʻa i ka nahu nahesa e hoʻomohala i ka PHN.

He aha nā hōʻailona maoli o ka PHN?

ʻO nā hōʻailona maʻamau o ka PHN:

• ʻEha wela, ʻeha ʻoi, ʻeha hou, a i ʻole ka manaʻo o ka ʻeha kūloko ma kahi i nahu ʻia ai e ka nahesa.
• Ka maneʻo a i ʻole ka mae ʻana i loko a kokoke paha i kahi o ka ʻeha ma mua.
• He mau ka ʻeha a hele mai a nalo. ʻO ka maʻamau, mau ka ʻeha no ʻekolu mahina ma hope o ka ho'ōla ʻana o ka ʻeha, akā hiki ke mau no hoʻokahi makahiki a ʻoi.
• ʻOiai inā e pā kahi ʻāpana lole a i ʻole kahi pā mālie loa i ka ʻili ʻeha, hiki ke hoʻonui ʻia ka ʻeha.
• Hiki ke ʻoi aku ka ʻeha i ka pō a i ʻole i ka wela nui a i ʻole ke anu.

Pehea e ʻike ai ke kauka i ka PHN?

Hoʻoholo pinepine ke kauka i ka PHN ma muli o kāu mau hōʻailona, ​​inā paha ua loaʻa iā ʻoe kahi nahu nahesa i hala koke aku nei, a me kahi hoʻokolokolo kino. Inā ua loaʻa iā ʻoe kahi nahu nahesa i hala koke aku nei a ke ʻeha mau nei ʻoe ma kahi o ka nahu ʻana, he PHN paha kāu. Makemake paha kāu kauka e kāpae i nā kumu ʻē aʻe o ka ʻeha, akā i ka hapa nui o ka manawa, ʻaʻohe pono o nā hoʻokolohua hou aʻe.

Hiki i ka PHN ke hoʻoulu i nā pilikia ʻē aʻe?

ʻAe, hiki i ka PHN ke hana i nā kūlana e like me:

• Manaʻo luhi a pau loa.
• ʻAʻole hiki ke hiamoe.
• ʻAʻohe ʻono o ka meaʻai.
• Paʻakikī i ka noʻonoʻo ʻana.

Inā loaʻa iā ʻoe ka ʻeha PHN no ka manawa lōʻihi, hiki iā ia ke alakaʻi i nā kūlana e like me ke kaumaha. No laila, he mea nui loa ka mālama ʻana i kēia.

He aha nā lāʻau lapaʻau no ka PHN?

I kēia manawa, e nānā kākou i ka mea hiki i kēia ke hana.

Inā ʻike ʻoe i ke kauka i loko o nā lā ʻekolu mua o ka nahu ʻana o ka nahesa, e kuhikuhi paha lākou i ka lāʻau antiviral. No ka laʻana, ʻo Acyclovir (Zovirax®), Valacyclovir (Valtrex®), a i ʻole Famciclovir (Famvir®). Hiki i kēia mau lāʻau ke kōkua i ka nahu e ho'ōla wikiwiki, e pale i nā nahu hou mai ka hoʻokumu ʻana, e hōʻemi i ka ʻeha a me ka maneʻo, a hoʻopōkole i ka lōʻihi o ka ʻeha ma hope o ka ho'ōla ʻana o ka nahu.

Akā inā ʻaʻole ʻike mua ʻia kāu nahu nahesa, a inā paha ua hala ka manawa kūpono, loaʻa i nā kauka kekahi mau koho ʻē aʻe e hoʻokele ai i kāu mau hōʻailona PHN.

Inā ʻoluʻolu kou ʻeha, hiki i ke kauka ke ʻōlelo i nā mea e like me:

• ʻO ka ʻAcetaminophen (Tylenol®) a i ʻole nā ​​​​​​NSAID (nā lāʻau anti-inflammatory nonsteroidal) e like me ka ʻIbuprofen (Advil®, Motrin®)`.
• ʻO nā kirimina a me nā ʻāpana hoʻomālielie ʻili, no ka laʻana, nā mea i loaʻa ka 'Lidocaine (Lidoderm®)' a me ka 'Capsaicin (Zostrix®)'.

Inā koʻikoʻi kou ʻeha, hiki i ke kauka ke kuhikuhi i nā lāʻau lapaʻau e like me kēia:

• ʻO kekahi mau lāʻau lapaʻau i hoʻohana ʻia e mālama i nā kūlana e like me ka maʻi epilepsy (i kapa ʻia ʻo 'Nā lāʻau Antiseizure'), e like me 'Gabapentin (Neurontin®, Gralise®)' a me 'Pregabalin (Lyrica®)', hoʻohana pinepine ʻia e mālama i ka ʻeha o ke aʻalolo.
• Hiki i nā lāʻau antidepressants, e like me Escitalopram (Lexapro®), Quetiapine (Seroquel®), a i ʻole Amitriptyline, ke kōkua i ka ʻeha o ke aʻalolo.
• Ke hoʻokomo ʻana i ka 'Botulinum toxin (Botox®)' i loko o ka wahi ʻeha.

ʻO ka mea nui, ʻaʻohe "ʻo kēia ka lāʻau lapaʻau maikaʻi loa" no PHN. ʻO kāu kaukaMakemake paha ʻoe e hoʻāʻo i nā lāʻau lapaʻau he nui, a i ʻole e kuhikuhi ʻia paha ʻoe i ka hui pū ʻana o nā lāʻau lapaʻau. E kūkākūkā ʻoe a me kāu kauka i kāu mau koho a hoʻoholo i ka mea kūpono iā ʻoe. Inā ʻaʻole e hoʻomaikaʻi kou ʻeha ma hope o ka lawe ʻana i kāu lāʻau lapaʻau, e hōʻoia e haʻi i kāu kauka . He mea nui loa ka lawe ʻana i nā lāʻau lapaʻau a pau e like me ke kuhikuhi ʻia.

Hiki ke ho'ōla loa ʻia ka PHN?

ʻAʻohe lāʻau lapaʻau no ka PHN, akā hiki ke mālama ʻia. No ka hapa nui o nā kānaka, e emi mālie ana ka ʻeha mai ka PHN i ka hala ʻana o ka manawa a nalowale loa. E like me kā mākou i ʻōlelo ai ma mua, e loaʻa i ka hapa nui o nā kānaka ka hōʻoluʻolu mai ka ʻeha i loko o hoʻokahi a ʻekolu mahina.

Aia kekahi mau ala e pale aku ai i ka ulu ʻana o ka PHN?

ʻAe, ʻo kēia ka ʻāpana koʻikoʻi loa! ʻO ke ala maikaʻi loa e pale aku ai i ka PHN, ʻo ia ke pale aku i nā shingles.

• Palekana Shingrix®: Ua ʻāpono ka ʻOihana Meaʻai a me nā Lāʻau Lapaʻau i kahi palekana e pale aku i nā nahu nahesa. Hiki i kēia ke kōkua i ka hōʻemi ʻana i kou pilikia o ka loaʻa ʻana o kahi nahu nahesa a me ka hoʻomohala ʻana i ka PHN. ʻO kēia palekana, i kapa ʻia ʻo Shingrix®, ua ʻōlelo ʻia no ka poʻe he 50 mau makahiki a ʻoi aʻe e pale aku i nā nahu nahesa. He palekana ʻelua mahele ia, me ka lua o ka mahele i hāʻawi ʻia i ʻelua a ʻeono mahina ka mamao. He 90% ka maikaʻi o kēia palekana ʻelua mahele i ka pale ʻana i nā nahu nahesa a me ka PHN. E palekana ʻia ʻoe no ka liʻiliʻi o ʻehā mau makahiki ma hope o ka loaʻa ʻana o ka palekana.
• Lāʻau pale ʻūlū: Inā ʻaʻole ʻoe i loaʻa i ka ʻūlū, a inā paha ua loaʻa i kāu mau keiki ka ʻūlū, hiki i ka loaʻa ʻana o ka lāʻau pale ʻūlū (Varivax) ke pale aku i kēia maʻi ma kahi mua. Inā ʻaʻole ʻoe i loaʻa i ka ʻūlū, ʻaʻohe ou maʻi varicella-zoster i loko o kou kino, no laila ʻaʻole ʻoe e loaʻa i ka shingles a i ʻole PHN.

ʻO wai ka mea e pono ke loaʻa i ka lāʻau pale Shingrix®?

Ua ʻōlelo ʻia ka lāʻau pale Shingrix® no nā kānaka a pau i olakino a he 50 makahiki a ʻoi paha. ʻAʻohe palena makahiki kiʻekiʻe. Pono nō hoʻi ʻoe e kiʻi i ka lāʻau pale inā ʻoe:

• ʻOiai inā ua loaʻa iā ʻoe kahi nahesa ma mua.
• ʻOiai inā ʻaʻole ʻoe e hoʻomanaʻo pono i ka wā i loaʻa ai iā ʻoe ka maʻi moa (ma kahi o 99% o nā ʻAmelika ma luna o 40 mau makahiki i loaʻa i ka maʻi moa, ʻoiai inā ʻaʻole lākou e hoʻomanaʻo iā ia i ko lākou wā kamaliʻi).
• ʻOiai inā ua loaʻa iā ʻoe ka lāʻau pale Zostavax ma mua (ʻaʻole hoʻohana hou ʻia kēia lāʻau pale ma ʻAmelika Hui Pū ʻIa), e kamaʻilio me kāu kauka e pili ana i ka manawa kūpono e loaʻa ai ka lāʻau pale Shingrix®.

Inā ua loaʻa iā ʻoe kahi nahesa, pono ʻoe e kali a hiki i ka ho'ōla ʻana o ka ʻeha. E kamaʻilio me kāu kauka e pili ana i ka manawa kūpono e hoʻomaka ai i ka lāʻau pale Shingrix®.

He aha ke ʻano o ka hopena e hiki i kekahi me PHN ke manaʻo?

ʻAʻohe lāʻau maʻamau no nā hōʻailona PHN. Ma muli o ke koʻikoʻi o kou ʻeha, hiki iā ʻoe ke hoʻomaka me nā lāʻau lapaʻau ma luna o ke kauka. Inā koʻikoʻi ka ʻeha, makemake paha ʻoe e hoʻāʻo i hoʻokahi a ʻoi aku paha nā lāʻau lapaʻau i kuhikuhi ʻia. He maʻi paʻakikī ka mālama ʻana i ka PHN. Ma kekahi noiʻi, ʻaʻole i hiki i ka hapalua o nā maʻi me PHN ke hoʻopau piha i nā hōʻailona.

ʻO ka maʻamau, loaʻa ka PHN i nā poʻe ʻelemakule i loaʻa paha nā pilikia olakino ʻē aʻe. Hiki i kēia ke hoʻolilo i ka lāʻau lapaʻau a me nā hopena i mea paʻakikī. Hiki i ka ʻeha ke mau no nā pule, nā mahina, a ʻoi aku paha ma mua o hoʻokahi makahiki. No kekahi poʻe, hiki ke hoʻomanawanui ʻole i ka ʻeha. Akā no ka hapa nui o nā kānaka, emi mālie ka ʻeha PHN i ka hala ʻana o ka manawa.

Ke loaʻa iā ʻoe ka maʻi puʻupuʻu, noho ka maʻi varicella-zoster i loko o kou kino no ke ola. Inā hoʻāla hou ka maʻi a loaʻa iā ʻoe kahi nahesa, ʻo ka ʻike ʻana i ke kauka i loko o kekahi mau lā o ka ʻōhū a me ka lawe ʻana i ka lāʻau antiviral hiki ke hōʻemi nui i kāu mau hōʻailona. Inā loaʻa iā ʻoe ka PHN, loaʻa i nā kauka nā ʻano lāʻau like ʻole e kōkua i ka kaohi ʻana i kāu mau hōʻailona. No laila, mai hopohopo, e kamaʻilio me ke kauka a loaʻa ka lāʻau kūpono.

Leka Lawe-Home:

ʻAe, e hōʻuluʻulu kākou i nā mea e pono ai kākou e hoʻomanaʻo mai kēia moʻolelo lōʻihi:

• ʻO ka 'PHN' ka ʻeha o nā aʻalolo e mau ana ma hope o ka ho'ōla ʻana o ka shingles.
• ʻO ke kumu nui o kēia, ʻo ia ka hōʻino ʻia ʻana o nā olonā nerve i hana ʻia e nā nahu nahesa.
• ʻO ka poʻe ʻelemakule, ka poʻe me nā ʻōnaehana pale kino nāwaliwali, a me ka poʻe i loaʻa i nā nahu nahesa koʻikoʻi, ʻoi aku ka nui o ka loaʻa ʻana o ka PHN.
• Hiki i ka ʻeha PHN ke manaʻo e like me ke kuni, ke ʻoki ʻana, ke kani ʻana, a i ʻole ka maneʻo.
• ʻOiai ʻaʻohe lāʻau lapaʻau no ka PHN, aia nā lāʻau lapaʻau e kōkua i ka kaohi ʻana i ka ʻeha. I ka hapanui o nā hihia, e emi ka ʻeha i ka hala ʻana o ka manawa.
• ʻO ka ʻimi ʻana i ka lāʻau lapaʻau i ka wā hikiwawe ma hope o ka nahu ʻia ʻana e ka nahesa (i loko o nā lā 3 mua) hiki ke hōʻemi i ka pilikia o ka PHN.
• Hiki i ka lāʻau pale Shingrix® ke hōʻemi nui i ka pilikia o ka nahu ʻana o ka nahesa a me ka PHN. Paipai ʻia no nā mea a pau ma luna o 50 mau makahiki.
• Inā manaʻo ʻoe he PHN kou, mai kānalua e ʻike i ke kauka no ka ʻōlelo aʻo.

Manaʻolana wau he mea pono kēia ʻike iā ʻoe. E ola kino!

ʻO ka neuralgia postherpetic, PHN, nahu nahesa, shingles, herpes zoster, chickenpox, ʻeha aʻalolo, lāʻau pale Shingrix