Yu kin gɛt it ɛn bɔn bak nia yu ɔda sholda we yu nɔ go ebul fɔ bia? I kin bi (Notalgia Paresthetica)!

Yu dɔn ɛva notis aw sɔm pipul dɛn kin skrach dɛn ɔda pat, mɔ dɛn sholda blad ɔltɛm? Ɔ yusɛf dɔn ɛva ɛkspiriɛns sɔntin lɛk dis? I so nɔr kin bia, sɔmtɛm i kin fil lɛk bɔn, lɛk tingling sɛns... I kin rili anɔynt. Tide wi go tok abaut jos dis kain inkonveniens.

Wetin na di sik we dɛn kɔl Notalgia Paresthetica?

Fɔ tɔk am simpul wan, Notalgia Paresthetica na wan sik we kin mek yu it, bɔn, ɔ swɛt na yu bak we yu nɔ go ebul fɔ bia, bɔku tɛm na di insay pat pan yu sholda blad. If yu skrach am so, bɔku pipul dɛn go gɛt wan ples we nɔ gɛt kɔlɔ ɛn blak na dɛn skin na da say de. Sɔmtɛm dis sik kin te fɔ sɔm mɔnt ɔr ivin sɔm ia.

Tink bɔt am, di wɔd "notalgia" min "pen na di bak." "Paraesthesia" min "bɔn, tingling, ɔ it." So, di nem de sho wetin dis bi, nɔto so?

Di men rizin fɔ dis na bikɔs di nɛf dɛn we de na da say de kin afɛkt ɔ pwɛl sɔm we dɛn. Bɔt nɔ wɔri, dis nɔto sik we de mek pɔsin in layf de pan denja ɔ we denja. Bɔt, fɔ liv wit dis diskɔmfɔt kin at smɔl.

Udat go mɔs gɛt dis?

Dis sik we dɛn kɔl notalgia paraesthetica , kin bɔku pan pipul dɛn we dɔn ol, mɔ di wan dɛn we dɔn pas 50. I kin apin bak smɔl pan uman dɛn pas man dɛn.

Bɔt, i nɔ kin apin so ɔltɛm, if dis sik apin to yɔŋ pikin dɛn, i kin bi wan sayn fɔ wan sik we nɔ kin apin so ɔltɛm, we dɛn kin gɛt frɔm dɛn mama ɛn papa we dɛn kɔl ``Multiple Endocrine Neoplasia 2A.`` So, i bɛtɛ fɔ go to dɔktɔ if yɔŋ pikin gɛt sɔntin lɛk dis.

Aw dis sik kin kɔmɔn?

Infakt, no statɛstik nɔr de bɔt aw notalgia paraesthetica de ɔlsay na di sosayti. Bɔt dɔktɔ dɛn biliv se na kɔmɔn sik . Wi no se chronic pruritus , na wan sik wae de teik lɔng tɛm, kin afɛkt lɛk 20% pan di pipul dɛm. Notalgia paraesthetica na wan pan dɛn kayn it ya we nɔ de dɔn. Dɛn biliv se lɛk 8% pan ɔl dɛn kayn it ya na notalgia paraesthetica.

Wetin na di sayn dɛm fɔ dis?

di men εn we de mכst bכku na we yu nכ de it (pruritus) na di bak, bitwin di sכlda blad dεm εn di spayna. Dis kin apin na wan say na di bak, bɔt sɔmtɛm i kin apin na ɔl tu di say dɛm.

Apat frɔm dis it, yu kin fil tin lɛk dis bak na di eria:

• Tingling - jɔs lɛk ant we de rɔn rawnd, ɔ lɛk ilɛktrishɔn.
• Numbness - I tan lɛk se yu nɔ ebul fɔ fil am.
• Swɛl(Burning) - Lɛk se chili pepa hit yu.
• Pen - Sɔm pipul kin gɛt it wit dɔl pen.
• Tεnda - I kin at we yu tɔch am ɔ prɛs am.
• Hɛt - I kin fil lɛk se di eria wam.
• Kol - Sɔm pipul kin fil kol na da eria de.

Naw, we yu de skrach so, yu kin stɔp fɔ skrach? I rili at, nɔto so? Bikɔs ɔf ɔl da skrach ɛn rɔb de ɔltɛm, bɔku tɛm di skin na da say de kin chenj in kɔlɔ, ɛn i kin mek wan pat pan di skin we nɔ gɛt kɔlɔ ɛn we kin tan lɛk brawn ɔ sɔntɛnde blak.

De impɔtant tin na dat dis sik wae dɛn kɔl notalgia paresthetica nɔr kin bigin wit rash. Na prɔblɛm wit di nyurolɔjik, nɔto wan sik we de apin na di skin. If yu gɛt rash wit it, i kin bi difrɛn kɔndishɔn.

Wetin mek dis nodalgia paraesthetica kin apin? Wetin na di tin dɛn we kin mek i apin?

Fɔ tɔk tru, di wan dɛn we de stɔdi bɔt dis stil nɔ dɔn no bɛtɛ bɛtɛ wan wetin kin mek pɔsin gɛt noctalgia paresthetica. Bɔt dɛn tink se i go bi bikɔs ɔf sɔm kayn nerve iritashɔn ɔ wan abnɔmal tin na di itch kɔntrol mɛkanism na wi nervɔs sistɛm .

כl di wan dεm we de du di risach gri se dis na wan nεv kכndyushכn we dεn kכl ``Nyuropathy.`` כltu, stil nכ klia opinion de fכ if i kכmכp fכ wan nεv we de kכmכt frכm di spayna (dεn kכl dis ``Radiculopathy`` ) כ bay wan nεv we nכ de wok fayn כ we de damej pan wan nεv na di skin (``Nyuropathy``).

Jɔs tink bɔt dis, difrɛn rizin dɛn de we mek wi bɔdi in nerv dɛn kin pwɛl ɔ afɛkt. Fɔ ɛgzampul:

• Dijenεraytiv Disk Disease - As wi de ol, wi spεnal disk dεm de dεgεnεret, we kin mek di nεv dεm kכmpreshכn.
• Herniated Disk - Wi kin se "herniated disk." Dis kin afɛkt di nerv dɛn bak.
• Osteoarthritic Lesions on your spine - Dis na wan kayn at at sik bak we kin kam wit di ej.
• Sɔm mεtabolik kכndishכn dεm, fכ egzampl, dayabεtis - Pipul dεm we gεt shuga kin gεt mכr lεk fכ divεlכp di nεv dεm we dεn dכn pwεl.
• Sɔm infεkshכn, fכ egzampl, shingles (hεpi zosta) - dis na infεkshכn bak we de afekt di nεv dεm.

So, fɔ rizin dɛn lɛk dis, di nerv dɛn kin afɛkt, ɛn sɔm sayn dɛn lɛk di it ɛn inflamɛns we yu tɔk bɔt kin apin.

Aw dɔktɔ kin no dis?

Bɔku tɛm, dɔktɔ kin no dis sik we dɛn kɔl notalgia paresthetica bay we i de du yu bɔdi ɛgzam ɛn tek yu mɛdikal istri.

We yu go to dɔktɔ, i go aks yu bɔt dɛn tin ya:

• Wetin na yu sayn dɛm? (Aw di it tan lɛk, ustɛm i kin wɔs, wetin ɔda tin yu kin fil?)
• Wetin na yu mɛrɛsin sik dɛn we yu bin dɔn gɛt trade? (Mɛdikal istri)
• Us mɛrɛsin yu de tek naw? (Mɛdikeshɔn dɛn we de naw)

Dɔn, di dɔktɔ ɔ nɔs go chɛk yu, mɔ yu bak.

Bɔrku tɛm , dɛn nɔr nid fɔ du ɛni big mɛdikal tɛst fɔ no dis sik. Dat min se dɛn nɔ kin du imej tɛst ɔ blɔd tɛst. Dɛn kin jɔs du dɛn if, apat frɔm di sayn dɛm we wi dɔn tɔk bɔt, dɛn kin sɔprayz se yu gɛt nyurolɔjik ɔ nyuromɔskul kɔndishɔn.

Wetin na di tritmɛnt dɛm fɔ dis?

Na dis na sɔntin we yu fɔ tink bɔt. Fɔ trit notalgia paresthetica kin tranga. Bɔku tritmɛnt dɛn de we pɔsin kin gɛt, bɔt nɔto ɔl dɛn tritmɛnt ya kin wok fɔ ɔlman. Wetin kin wok fɔ wan pɔsin nɔ kin wok fɔ ɔda pɔsin. Di tritmɛnt dɛn kin mɔs fɔ ridyus di sayn dɛm lɛk fɔ it fɔ sɔm tɛm. No mɛrɛsin nɔ de fɔ am yet.

Na sɔm pan di tritmɛnt dɛm wae de naw:

Medikeshɔn dɛn we dɛn kin yuz fɔ it

• Gabapentin: Dis na di mɛrɛsin we dɛn kin yuz mɔ fɔ notalgia paresthetica. Pan di mɛrɛsin dɛn we dɛn kin tek bay mɔt, i dɔn sho se gud tin fɔ du fɔ ridyus di it.
• Antihistamines: Sɔntɛnde, dɛn tin ya kin ɛp fɔ ridyus di it we yu de it na nɛt.

Mɛrɛsin dɛn we dɛn kin yuz fɔ mɛn pipul dɛn

Dɛn tin ya kin kam lɛk krim, loshan, ɛn jel.

• Ɔntmɛnt dɛn we gɛt kapsaysin: Dis na di tin we de mek chili pepa dɛn gɛt spays. Dis na di ɔntmɛnt we dɛn kin yuz mɔ fɔ dis sik. Yu kin fil lɛk se yu de bɔn smɔl fɔs, bɔt di it kin stɔp leta.
• Ɔntmɛnt dɛn we gɛt stɛroyd: Dɛn tin ya kin mek pɔsin nɔ gɛt inflamɛns ɛn i nɔ kin it.
• Ɔntmɛnt dɛn we gɛt anestetik (e.g., lidocaine): Dɛn tin ya kin mek di say nɔ gɛt bɛtɛ trɛnk fɔ sɔm tɛm ɛn i kin mek i nɔ it.

Botulinum toxin (Botox®) injεkshכn dεm

Dɛn kin yuz Botox® injɛkshɔn (Botulinum Toxin Injections) bak fɔ dis. Dɛn dɔn si se dɛn injɛkshɔn ya kin blok di nerve signal dɛm, rilaks di mɔsul dɛm, ɛn ridyus pen ɛn it. Bɔt, dɛn nɔ de wok fɔ ɔlman.

Transkyutan Ilektrikal Nεv Stimulεshכn (TENS) tεrapi

Pan ɔl we dis kin tan lɛk nem we kɔmplikt smɔl, .Transcutaneous Electrical Nerve Stimulation (TENS) na tritmɛnt we de yuz lɔw vɔlɔt ilɛktrik kɔrɛnt fɔ ridyus pen. Wan stɔdi sho se we dɛn yuz TENS fɔ 20 minit insay di de, fayv dez insay di wik, i kin ridyus di it bay 60% pan lɛk wan pat pan tri pan di wan dɛn we tek pat pan di stɔdi.

Spinal Nɛv Blɔk

Dis min se yu fɔ injɛkt wan kɔmbayn mɛrɛsin fɔ mek yu fil pen ɛn wan mɛrɛsin we de mek yu nɔ gɛt di sik na di nerv ɔ grup fɔ di nerv dɛn we di sik afɛkt. dis kayn injεkshכn dεn kin yus fכ trit notalgia paresthetica bay we dεn injεkt wan nεv blכk insay di nεv dεm we de gi di sכlda.

Fizik Tɛrapi

Sɔm pipul dɛn dɔn fɛn gud tin bak wit fizik tritmɛnt . spεshal wan, εksεsayz dεm we de mek di כp paraspinal mכsul dεm strכng εn fכ strεch di pεktoral mכsul dεm kin εp.

Yu tink se dɛn go ebul fɔ mek dis nɔ apin?

כnכfכs, naw dεn nכ no we fכ mek di divεlכpmεnt fכ nodalgia paraesthetica, biכs di εksakεt kכz stil nכ klia.

Wetin na di prɔgnosis fɔ dis sik?

Di kɔs fɔ notalgia paresthetica kin difrɛn frɔm wan pɔsin to ɔda pɔsin. Fɔ sɔm pipul dɛn, i kin go insay sɔm mɔnt, ɛn fɔ ɔda pipul dɛn i kin las fɔ lɔng lɔng tɛm. Tritmɛnt kin ɛp fɔ ridyus di sayn dɛm. Sɔmtɛm, de sik kin go insɛf as tɛm de go (dɛn kin kɔl dis rεmishɔn) .

Pan ɔl we i nɔto sik we de mek yu layf de pan denja, di prɔblɛm we i de mek yu nɔ fil fayn kin afɛkt yu kwaliti layf. I kin apin we yu de skrach ɔltɛm, we yu nɔ ebul fɔ slip na nɛt, ɛn we i nɔ izi fɔ yu fɔ du wok, nɔto so?

Ustɛm wi fɔ go to dɔktɔ?

If dɔktɔ dɔn no se yu gɛt notalgia paresthetica, ɛn di tritmɛnt dɛn we yu dɔn gɛt nɔ ɛp yu, ɔ if yu gɛt sɔm bad bad tin dɛn frɔm di tritmɛnt dɛn, mek shɔ se yu go to dɔktɔ bak fɔ tɔk bɔt ɔda tritmɛnt dɛn.

Pan ɔl we notalgia paresthetica nɔto siriɔs wɛlbɔdi prɔblɛm, in sayn dɛm kin rili nɔr fayn ɛn de mɔna yu. If dis sik de ambɔg yu kwaliti layf, i impɔtant fɔ tɔk to dɔktɔ. I kin tɛl yu fɔ du tritmɛnt plan we go fayn fɔ yu. I kin tek sɔm tɛm fɔ fɛn di rayt tritmɛnt fɔ yu, bɔt i fayn fɔ tray.

Faynal Mɛsej fɔ Tek-Hom

Okay, so na sɔm tin dɛn we yu nid fɔ mɛmba frɔm wetin wi dɔn tɔk bɔt:

• Notalgia paraesthetica na wan sik we kin apin na di bak ɛn di sholda dɛm.I kin it bad bad wan, bɔn, ɔ nɔ kin fil fayn.
• Dis na nyurolɔjik prɔblɛm , nɔto sik na di skin. So, no rash nɔ de fɔs.
• If yu de skrach ɔltɛm , dat kin mek di skin we de na da say de chenj in kɔlɔ.
• Pan ɔl we no kɔmplit mɛrɛsin nɔ de fɔ dis, tritmɛnt dɛn de fɔ kɔntrol di sik dɛn.
• If yu gɛt dɛn sik ya, nɔ shem ɔ tink se na prɔblɛm, bɔt go to dɔktɔ fɔ advays. Yu nɔ nid fɔ liv wit dis diskɔmfɔt.

A op se dis infɔmeshɔn go ɛp yu. If yu dɔn gɛt dis kayn tin, nɔ fɔgɛt fɔ tɔk to dɔktɔ bɔt dat.

` Notalgia Paresthetica, Bak it, Sɔlda it, Nɛv it, Skin rash, Inflameshɔn, Notalgia Paresthetica Sinhala