Pen we kin las ivin afta shingles? Na dat na posthɛpɛtik nyuraljia (PHN)? Lɛ wi tɔk bɔt am!

Yu dɔn ɛva gɛt shingles? Ɔ yu dɔn ɛva si pɔsin we yu sabi gɛt am? We snek bit am, i kin rili mek pɔsin fil pen. Bɔt sɔntɛnde, ivin afta we di snek bit dɔn wɛl, di pen kin kɔntinyu fɔ kam bak. Na dat wi de tɔk bɔt tide, Postherpetic Neuralgia (PHN). Nɔ wɔri, wi go tɔk bɔt dis simpul wan, di we we yu go ɔndastand.

Wetin na posthɛpɛtik nyuraljia (PHN)? Aw i kin fil?

Fɔ tɔk am simpul wan, posthɛpɛtik nyuraljia (PHN) na wan kɔmplikeshɔn fɔ shingles. Yu kin mɛmba se shingles kin kam bikɔs di sem vayrɔs we kin mek pɔsin gɛt chukchuk, we na di Varicella-zoster vayrɔs, kin wok bak. Dɛn kin kɔl am bak Ɛpis Zɔsta.

We snek bit, wan rɔsh we de mek pɔsin fil pen, we tan lɛk blista kin apia na wan say na di bɔdi, mɔ na di chɛst ɔ di bɛlɛ. As di rash de dray as tɛm de go, di pen go stɔp. Bɔt fɔ sɔm pipul dɛn, di pen we de na di say we dɛn bit dɛn kin kɔntinyu fɔ de. Dis na wetin wi kin kɔl `PHN`, di pen we kin de ivin afta di snek dɔn wɛl.

So aw dis `PHN` pen de fil?

Yu go fil pen na di sem say usay di snek bit am. Dis pen kin de ɔltɛm, ɔr kin kam ɛn go. Sɔm pipul dɛn kin se i kin tan lɛk se yu de bɔn, yu de chuk yu wit sɔd, ɔ yu de fil shap shap pen we de kɔmɔt insay . Ɔda pipul dɛn (we nɔ kin bɔku) kin fil lɛk se dɛn de swɛt ɔ it na di say we dɛn de.

Aw lɔŋ PHN kin las? Udat dɛn kin gɛt am mɔ?

PHN pen kin las fɔ wik, mɔnt, ɛn ivin ia afta we snek dɔn wɛl. Fɔ bɔrku pipul dɛm, de pen kin dɔn insay wan to tri mɔnt. Bɔt dɛn se na lɛk wan pan ɛvri fayv pipul dɛn go gɛt dis pen fɔ pas wan ia.

Fɔ sɔm pipul dɛm, de pen wae de kam wit PHN kin so bad dat e kin mek i nɔr izi fɔ woke na dɛn ɛvride layf. Risach pipul dɛm stil nɔr no bɛtɛ bɛtɛ wan wetin mek sɔm pipul dɛn kin gɛt dis kayn bad bad pen wae kin teik lɔng tɛm ɛn ɔda wan dɛn nɔr kin gɛt dis kayn pen.

Aw kɔmɔn dis `PHN`?

Varicella-zoster virus na di wan we de mek yu gɛt ɔl tu di sik ɛn shingles. Na lɛk 99% pan di pipul dɛm na Amɛrika we dɔn pas 40 ia dɔn gɛt chikinpoks. Apat frɔm dat, wan pan ɛvri tri pipul dɛn na Amɛrika go gɛt snek we dɛn go bit insay dɛn layf. Bitwin 10% ɛn 18% pan di pipul dɛm wae gɛt snek bayt go gɛt PHN. PHN na di kɔmplikeshɔn we kin apin we snek de bit.

Udat de pan ay risk fɔ gɛt PHN?

Dɛn tin ya kin mek di risk fɔ gɛt PHN kin bɔku:

• Di ej we de go ɔp:Di risk fɔ gɛt PHN de go ɔp wit di ej. If yu dɔn ol ɛn yu gɛt snek bayt, yu go gɛt PHN, ɛn di pen go las fɔ lɔng tɛm ɛn i go tranga pas if yu bin yɔŋ. Bitwin 10% ɛn 13% pan pipul dɛm wae dɔn pas 50 ia wae gɛt snek bit kin gɛt PHN. PHN nɔ kin bɔku pan pipul dɛn we nɔ rich 40 ia yet.
• Wikɛd di imyun sistɛm: As wi de ol, di ebul we wi bɔdi ebul fɔ fɛt sik, ɔ wi imyun sistɛm, de wik. Dɔn di dormant varicella-zoster vayrɔs kin riaktivet ɛn mek shingles. Di imyun sistɛm kin wik bak bikɔs ɔf tin dɛn lɛk kansa, infɛkshɔn we nɔ de dɔn (lɛk HIV/AIDS), fɔ transplant ɔgan dɛn, ɔ fɔ yuz mɛrɛsin dɛn we de stɔp di imyun sistɛm (lɛk kemotɛrapi, mɛrɛsin dɛn we de stɔp di imyun sistɛm, stɛroyd, ɛn drɔgs we de mek di ɔgan dɛn nɔ gri fɔ tek pat pan di bɔdi).
• Di kayn we aw snek de bit yu: If yu gɛt wan kayn bad bad we fɔ it snek, yu go gɛt PHN.
• If yu bin gɛt pen, it, ɔ swɛ bifo di snek bit: If yu bin gɛt dɛn sayn ya na yu skin sɔm dez bifo di snek bit, yu de pan ay risk fɔ gɛt PHN.
• If yu delay fɔ go to dɔktɔ afta yu dɔn bit yu snek: If yu delay pas tri dez afta yu bit yu, we min se yu mis di tɛm we yu fɔ tek antivayrɔs drɔgs, yu go gɛt PHN.

Wetin mek PHN de divɛlɔp? Wetin na di kɔz?

`PHN` de k כz fכ damej pan di nεv fayb dεm we snek de bit am. Tink bɔt am, di nerve fibers kin kɛr sɛns lɛk pen frɔm wi skin to di bren. so we di nεv fayb dεm na di εria usay di snek bayt dεn dכn pwεl, dεn kin stat fכ sεnd kכrekt, i.e. pasmak pen signal to di bren. `Postherpetic neuralgia` min `nεv pen we de kam afta hεpi.` dεn kכl am bak we snek bayt `(Herpes Zoster)`.

As wi bin dɔn tɔk, na di sem vayrɔs we kin mek pɔsin gɛt chukchuk (Varicella-zoster virus) kin mek snek bit am. Wae yu gɛt chikinpoks, di vayrɔs kin de na yu bɔdi fɔ layf, bɔt i kin de slip ɔ "saylent" fɔ lɔng lɔng tɛm. Na we dis vayrɔs bigin fɔ wok bak na in snek kin bit am. Smɔl pasɛnt (lɛs dan 20%) pan pipul dɛm we gɛt snek bayt kin gɛt PHN.

Wetin na di sayn dɛm fɔ PHN?

Di sayn dɛm wae kin kam pan PHN na:

• Bɔn, shap pen, pen we yu chuk yu, ɔ fil se yu de fil pen na yu bɔdi na di say we di snek bit am.
• It ɔ numbness in ɔ nia di say we di fɔs injury bin de.
• Di pen kin de ɔltɛm ɔ i kin kam ɛn go. Bɔku tɛm, di pen kin de fɔ lɛk tri mɔnt so afta di wund dɔn wɛl, bɔt i kin las fɔ pas wan ia.
• Ivin if wan klos ɔ we yu tɔch am saful saful tɔch di say we yu de fil pen, di pen kin bɔku.
• Di pen kin wɔs na nɛt ɔ we di ples wam ɔ kol pasmak.

Aw dɔktɔ kin no se yu gɛt PHN?

Dɔktɔ kin no PHN bay di sayn dɛm we yu gɛt, if yu dɔn gɛt snek bayt i nɔ tu te yet, ɛn ɛgzam pan yu bɔdi. If yu dɔn gɛt snek bayt i nɔ tu te yet ɛn yu stil de fil pen na di say we di bayt, yu go mɔs gɛt PHN. Yu dɔktɔ kin want bak fɔ pul ɔda tin dɛn we kin mek yu fil pen, bɔt bɔku tɛm, yu nɔ kin nid fɔ du ɔda tɛst.

PHN kin mek ɔda prɔblɛm dɛn?

Yes, PHN kin mek yu gɛt kɔndishɔn lɛk:

• Fɔ fil taya ɛn taya.
• Nɔ ebul slip.
• Di it nɔ de te.
• I nɔ kin izi fɔ mek yu pe atɛnshɔn to yu.

If yu gɛt lɔng tɛm PHN pen, e kin mek yu gɛt kɔndishɔn lɛk pwɛl hat. So, i rili impɔtant fɔ tek kia ɔf dis.

Wetin na di tritmɛnt dɛm fɔ PHN?

Naw lɛ wi si wetin dis kin du.

If yu go to dɔktɔ insay di fɔs tri dez we snek bit yu, i go mɔs bi se dɛn go gi yu mɛrɛsin fɔ fɛt di vayrɔs. Fɔ ɛgzampul, Acyclovir (Zovirax®), Valacyclovir (Valtrex®), ɔ Famciclovir (Famvir®). Dɛn mɛrɛsin ya kin ɛp di bayt fɔ wɛl kwik, stɔp nyu bayt fɔ fɔm, ridyus pen ɛn it, ɛn shɔt di pen we di bayt dɔn wɛl.

Bɔt if dɛn nɔ no se yu snek bit kwik, ɔ if yu mis di chans, dɔktɔ dɛn gɛt sɔm ɔda tin dɛn fɔ manej yu PHN simptom dɛn.

If yu nɔr de fil pen, dɔktɔ kin tɛl yu fɔ du tin lɛk:

• `Asetaminofen (Tylenol®)` ɔ `NSAID` (nɔ-stɛrɔyd anti-inflammatory drɔgs) lɛk `Ibuprofen (Advil®, Motrin®)`.
• krim εn pat dεm we de mek di skin kol, fכ egzampl, dεn wan dεm we gεt `Lidocaine (Lidoderm®)` εn `Capsaicin (Zostrix®)`.

If yu pen bad bad wan, dɔktɔ kin gi yu mɛrɛsin lɛk dɛn wan ya:

• Sɔm mɛrɛsin dɛm wae dɛn kin yuse fɔ trit sik dɛm lɛk ɛpilepsi (we dɛn kɔl `Antiseizure drugs`), lɛk `Gabapentin (Neurontin®, Gralise®)` ɛn `Pregabalin (Lyrica®)`, dɛn kin yuse bɔku tɛm fɔ trit di pen na di nerve.
• Di mɛrɛsin dɛn we de mek pɔsin fil bad, lɛk Escitalopram (Lexapro®), Quetiapine (Seroquel®), ɔ Amitriptyline, kin ɛp bak fɔ mek pɔsin gɛt pen na di nerve.
• Injekt `Botulinum toxin (Botox®)` insay di eria we yu de fil pen.

Di impɔtant tin na dat, nɔr de "dis na di bɛst tritmɛnt" fɔ PHN. Yu dɔktɔYu kin tray fɔ yuz mɔ pas wan mɛrɛsin, ɔ dɛn kin gi yu wan kɔmbayn mɛrɛsin. Yu ɛn yu dɔktɔ go tɔk bɔt di tin dɛn we yu go ebul fɔ du ɛn disayd wetin rayt fɔ yu. If yu pen nɔr bɛtɛ afta yu tek yu mɛrɛsin, mek shɔ se yu tɛl yu dɔktɔ . I rili impɔtant fɔ tek ɔl di mɛrɛsin dɛn jɔs lɛk aw dɛn tɛl yu fɔ tek.

Yu tink se PHN kin wɛl ɔltogɛda?

No mɛrɛsin nɔ de fɔ PHN, bɔt dɛn kin ebul fɔ kɔntrol am. Fɔ bɔrku pipul dɛm, de pen frɔm PHN kin stɔp smɔl smɔl as tɛm de go ɛn leta i kin dɔn. As wi bin dɔn tɔk, bɔrku pipul dɛn go gɛt fridɔm frɔm de pen insay wan to tri mɔnt.

We dɛn de fɔ mek PHN nɔ de divɛlɔp?

Yɛs, dis na di pat we impɔtant pas ɔl! Di bɛst we fɔ mek yu nɔ gɛt PHN na fɔ avɔyd shingles.

• Shingrix® vaysin: Di Food and Drug Administration dɔn gri fɔ wan vaysin fɔ mek snek nɔ it am. Dis kin ɛp fɔ ridyus yu risk fɔ gɛt snek bayt ɛn gɛt PHN. Dis vaysin, we dɛn kɔl Shingrix®, na fɔ pipul dɛn we ol 50 ia ɔ pas dat fɔ mek snek nɔ bit dɛn. Na tu doz vaysin, wit di sɛkɔn doz we dɛn kin gi tu to siks mɔnt apat. Dis tu doz vaysin de wok 90% fɔ mek snek nɔ it ɛn PHN. Yu go gɛt protɛkshɔn fɔ at le 4 ia afta yu dɔn gɛt di vaysin.
• Chickenpox vaccine: If yu nɔ ɛva gɛt chickenpox, ɔ if yu pikin dɛn dɔn gɛt chickenpox, fɔ gɛt di chickenpox vaccine (Varivax) kin mek yu nɔ gɛt dis infekshɔn fɔs. If yu nɔr ɛva gɛt chikinpoks, yu nɔr gɛt di varicella-zoster vayrɔs na yu bɔdi, so yu nɔ go gɛt shingles ɔ PHN.

Udat fɔ gɛt di Shingrix® vaysin?

Dɛn kin advays di Shingrix® vaysin fɔ ɔlman we gɛt wɛlbɔdi ɛn we ol 50 ia ɔ pas dat. No ɔpa ej limit nɔ de. Yu fɔ gɛt di vaysin bak if yu:

• Ivin if yu don get snek bait bifo.
• Ivin if yu nɔ mɛmba bɛtɛ bɛtɛ tɛm we yu bin gɛt chukchuk (lɛk 99% pan di pipul dɛn na Amɛrika we dɔn pas 40 ia dɔn gɛt chukchuk, ivin if dɛn nɔ mɛmba am we dɛn bin smɔl).
• Ivin if yu dɔn gɛt di Zostavax vaysin bifo (dɛn nɔ de yuz dis vaysin igen na Amɛrika), tɔk to yu dɔktɔ bɔt di bɛst tɛm fɔ gɛt di Shingrix® vaysin.

If yu dɔn ɔlrɛdi gɛt snek, yu fɔ wet te di wund wɛl. Tɔk to yu dɔktɔ bɔt di bɛst tɛm fɔ stat di Shingrix® vaysin.

Us kayn autkam pɔsin we gɛt PHN kin ɛkspɛkt?

Nɔ standad tritmɛnt nɔ de fɔ di PHN simptom dɛm. Dipen pan aw yu de fil bad, yu kin bigin wit mɛrɛsin dɛn we yu nɔ de bay. If di pen rili bad, yu kin tray wan ɔ mɔ mɛrɛsin dɛn we dɛn kin gi yu. PHN na wan sik wae nɔr kin izi fɔ trit. Insay wan stɔdi, less dan af pan di pasɛnt dɛn we gɛt PHN bin ajɔst kɔmplit di simptom rilif.

PHN kin apin pan ol pipul dɛm wae kin gɛt ɔda wɛl bɔdi prɔblɛm. Dis kin mek di tritmɛnt ɛn di tin dɛn we kin apin to am nɔ izi. De pen kin te fɔ sɔm wik, mɔnt, ɔr ivin pas wan ia. Fɔ sɔm pipul dɛn, di pen nɔ kin bia. Bɔt fɔ bɔku pipul dɛn, PHN pen kin go dɔŋ smɔl smɔl as tɛm de go.

Wae yu gɛt chickenpox, di varicella-zoster vayrɔs kin de na yu bɔdi fɔ yu layf. If di vayrɔs kam bak ɛn yu gɛt snek bayt, fɔ go to dɔktɔ insay sɔm dez afta di rash ɛn tek antivayrɔs mɛrɛsin kin ridyus yu sik dɛn bad bad wan. If yu gɛt PHN, dɔktɔ dɛn gɛt difrɛn mɛrɛsin fɔ ɛp fɔ kɔntrol yu sik dɛn. So nɔ panik, tɔk to dɔktɔ ɛn gɛt di rayt tritmɛnt.

Mɛsej we dɛn kin kɛr go na os:

Okay, so lɛ wi sɔma di tin dɛn we wi nid fɔ mɛmba frɔm dis lɔng stori:

• `PHN` na nerve pen we de kɔntinyu ivin afta shingles dɔn wɛl.
• Di men rizin fɔ dis na di damej we di nɛv fayv dɛn kin gɛt we snek kin bit am.
• Pipul dɛn we dɔn ol, di wan dɛn we gɛt wikɛd imyun sistɛm, ɛn di wan dɛn we dɔn gɛt siriɔs snek bit kin gɛt PHN.
• PHN pen kin fil lɛk fɔ bɔn, chuk, tingling, ɔ it .
• Pan ɔl we no mɛrɛsin nɔ de fɔ PHN, tritmɛnt dɛn de fɔ ɛp fɔ kɔntrol di pen. Bɔrku tɛm, de pen go stɔp as tɛm de go.
• If yu go fɛn tritmɛnt kwik kwik wan afta yu dɔn bit yu snek (insay di fɔs 3 dez) dat kin mek yu nɔ gɛt PHN.
• Di Shingrix® vaysin kin ridyus di risk fɔ snek ɛn PHN bad bad wan. I fayn fɔ ɔlman we dɔn pas 50 ia.
• If yu tink se yu gɛt PHN, nɔ shek fɔ go to dɔktɔ fɔ advays.

A op se dis infɔmeshɔn go yusful to yu. Stay wit wɛlbɔdi!

` Posthεrpetik nyuraljia, PHN, snek bayt, shingles, hεpi zosta, chikinpoks, nerve pen, Shingrix vaysin