Yu dɔn ɛva gɛt ‘hɛpi’ ɔ ‘shingles’ lɛk aw wi kin kɔl dɛn? Yu sabi pɔsin we dɔn gɛt am? Ɛnibɔdi we dɔn ɛkspiriɛns am no di pen ɛn diskɔmfɔt we i kin gɛt. Bɔt sɔmtɛm, ivin afta di hεpi blista dεm dɔn wɛl kpatakpata, bad bad pen kin stil de na di say we di sik dɔn afɛkt we kin las fɔ sɔm mɔnt, ivin sɔm ia. Na dat wi kin kɔl Postherpetic Neuralgia (PHN). Dis na tin we kin rili vɛks ɛn we kin mek pɔsin in layf de pan denja. So lɛ wi fɛn ɔda tin dɛn bɔt am.
Fɔ tɔk am simpul wan, wetin na Pɔstɛpɛtik Nyuraljia (PHN)?
Dis na wan kɔmɔn kɔmplikeshɔn fɔ shingles. I kin apin lɛk pen we nɔ de dɔn na di sem say we di blista ɛn rash we kin apin na di skin afta di hεpi dɔn wɛl.
Yu mɛmba chikinpoks we yu bin smɔl? Di sem vayrɔs we kin mek pɔsin gɛt chikinpoks (varicella-zoster virus) kin wok bak na wi bɔdi sɔm ia afta dat ɛn mek wi gɛt hεpi. Pan ɔl we nɔto ɔlman we gɛt hεpi go gɛt am, lɛk wan ɔ tu pan ɔl 10 pipul dɛm go gɛt PHN.
Dis pen kin mek yu nɔr gɛt bɛtɛ trɛnk, yu bɔdi, yu maynd, ɛn yu filin. So di fɔs ɛn impɔtant tin we yu fɔ du na fɔ tɔk to yu dɔktɔ bɔt am. Dɔn, togɛda, una kin kam wit gud plan fɔ kɔntrol dis pen.
Wetin na di sayn dɛm fɔ dis sik?
Dɛn sayn ya kin bigin di sem tɛm we di hεpis rεsh kin bigin. Ɔ dɛn kin apia sɔm wik ɔ ivin sɔm mɔnt afta di rash dɔn wɛl ɔl. Di men sayn dɛm wae de sho se yu gɛt dis sik na:
- Pen: Dis pen na difrɛn we fɔ ɛnibɔdi. Pan ɔl we sɔm kin jɔs fil lɛk se dɛn de fil pen , ɔda wan dɛn kin fil lɛk se dɛn de bɔn . Ɔda pipul dɛn kin fil lɛk se dɛn chuk dɛn shap shap , chuk dɛn , ɔ ilɛktrik shɔk . Dis pen kin de ɔltɛm ɔr kin kam ɛn go.
- Skin we de it: I kin it na di say we yu de fil pen.
- Numbness: I kin bi se yu nɔr de fil fayn ɔ yu nɔr de fil fayn na di say we yu de.
- Skin sensitivity: Sɔntɛnde di skin kin bi sensitivity we nɔr kin biliv. Ivin we yu tɔch klos smɔl ɔ we briz blo, dat kin mek yu fil pen we yu nɔ go ebul fɔ bia. Dis pen kin kam bay we yu ivin chenj smɔl na di tɛmpracha.
Dis pen kin mek i nɔr izi fɔ ivin du yu ɛvride, so nɔr ignore dis sayn dɛm.
Wetin mek dis de apin? Wetin na di rizin?
Fɔ tɔk am simpul wan, PHN na bikɔs di hεpi vayrɔs de pwɛl yu nerve fibers. Tink bɔt yu bɔdi lɛk wan nɛtwɔk we gɛt ilɛktrik waya dɛn. Dɛn nɛv ya kin sɛn signal to yu bren. we di hεpi vayrus dεn dכn pwεl dεn ‘ways’ dεm, dεn kin bigin fכ sεnd kכrekt, bכku strכng pen signal to yu bren. Na dat mek yu kin fil pen ɔltɛm fɔ natin.
Dɔktɔ dɛn stil nɔr kin ebul fɔ no gud gud wan wetin mek sɔm pipul dɛm wae gɛt hεpi kin gɛt dis sik ɛn ɔda wan dɛm nɔr kin gɛt am.
Udat de pan big risk fɔ gɛt dis?
Sɔm pipul dɛn kin gɛt PHN mɔ. Lɛ wi tek wan luk pan udat dɛn bi.
| Risk factor | Tɔk bɔt |
|---|---|
| Ej | Pipul wae dɔn pas 50 ia kin gɛt dis sik. |
| Vaysin fɔ di hεpis | Di wan dɛn we nɔ gɛt di shingles vaysin kin gɛt mɔ risk. |
| Di kayn we aw hεpi kin bi | Di risk kin pasmak if di blista dɛn spre bad bad wan we di hεpis apin, mɔ if sɔm sayn dεm bin de we gɛt fɔ du wit di yay , ɔr if i bin de fil bad bad wan. |
| Ɔda sik dɛn we pɔsin kin gɛt | Pipul wae gɛt sik lɛk dayabitis kin gɛt bɔrku risk. |
| Imyun sistɛm | Pipul dεm we wik imyun sistεm (e.g. kεnsar pasεnshכn) kin gεt hכy risk fכ divεlכp PHN. |
Ɔda prɔblɛm dɛn wae kin kam wae pɔrsin fil pen fɔ lɔng tɛm
Fɔ liv wit pen ɔl di de nɔ kin izi. I kin afɛkt bɔku tin dɛn na yu layf.
- Pwɛl hat: If yu fil bad ɛn pwɛl hat wae yu de fil pen ɔltɛm, dat kin mek yu gɛt pwɛl hat .
- Taya ɔltɛm: Yu kin fil taya ɛn taya ɔltɛm.
- Inshɔmnia: Yu nɔ go ebul fɔ slip fayn na nɛt bikɔs ɔf di pen.
- Di want fɔ it: Di want fɔ it kin stɔp.
- I nɔ kin izi fɔ pe atɛnshɔn: I kin at fɔ pe atɛnshɔn ɛn kɔntinyu fɔ pe atɛnshɔn pan sɔntin.
If dis pen de ambɔg yu ɛvride layf, nɔ ɛva shem fɔ aks fɔ ɛp. Yu go si se i fayn bak fɔ aks pɔsin we sabi bɔt mental wɛlbɔdi biznɛs fɔ advays .
Aw dɔktɔ dɛn kin no bɔt dis?
Bɔrku tɛm, dɔktɔ kin no if yu gɛt PHN bay:
- Na bay we yu tek tɛm lisin to yu sayn dɛn .
- Na bay wae yu aks bɔt yu mɛdikal histri , mɔr aw yu gɛt hεpi.
- Na bay we yu du wan ɛgzam fɔ yu bɔdi .
Na smɔl tɛm nɔmɔ, sɔm pipul dɛn kin gɛt hεpi we nɔr gɛt rεsh. Insay dɛn kayn tin ya, ɔ if na wan kayn tin we nɔ kin apin so ɔltɛm we kin afɛkt di trot, di dɔktɔ kin tɛl dɛn fɔ du blɔd tɛst ɔ ɔda tɛst fɔ tek pikchɔ.
Aw dɛn kin trit am?
Pan ɔl we no mɛrɛsin nɔ de fɔ PHN, fayn tritmɛnt dɛn de we go ɛp fɔ kɔntrol di pen ɛn mek yu layf izi. I go mɔs bi se yu dɔktɔ go gi yu wan pan dɛn mɛrɛsin ya:
- Tricyclic antidepressants: Fɔ ɛgzampul, drɔgs lɛk `(nortriptyline).` Pan ɔl we dɛn kin yuse dɛn tin ya fɔ pwɛl hat, dɛn kin ɛp bak fɔ kɔntrol di pen na di nerve.
- Antiseizure mεdikeshכn: Drug dεm lεk `(pregabalin)` כ `(gabapentin)`. Dɛn tin ya kin rili ɛp bak fɔ kɔntrol di pen na di nerve.
- SNRI drɔgs: Dɛn kin yuz drɔgs lɛk ``(duloxetine)`` bak fɔ dis.
- Sɔdiɔm chanɛl blɔk dɛm: Drug dɛm lɛk `(carbamazepine)`.
- Pat ɔ ɔntmɛnt na di skin: If yu put krim ɔ pat we gɛt `(Lidocaine)` ɔ `(Capsaicin)` pan di skin, i kin mek yu nɔ fil pen fɔ sɔm tɛm.
Ɛvri mɛrɛsin kin gɛt difrɛn sayd ɛfɛkt dɛn. I kin intarakt bak wit ɔda mɛrɛsin dɛm wae yu de tek. So, yu dɔktɔ go ɛksplen ɔl dis to yu. I impɔtant fɔ tek di mɛrɛsin jɔs lɛk aw di dɔktɔ tɛl yu fɔ tek am, di rayt we fɔ tek am, ɛn fɔ tek am di rayt tɛm.
Sɔntɛnde, i kin tek sɔm tɛm fɔ fɛn di rayt tritmɛnt fɔ yu. If wan mɛrɛsin nɔ wok, yu go nid fɔ tray ɔda wan. Sɔntɛnde, yu kin nid fɔ yuz bɔku mɛrɛsin dɛn togɛda. If yu sik nɔr de bɛtɛ, tɛl yu dɔktɔ.
Ɔda tritmɛnt fɔ di wan dɛn we gɛt siriɔs sik
Fɔ siriɔs pen wae kin teik lɔng tɛm ɛn nɔr kin ansa to di kɔmɔn mɛrɛsin dɛm, yu dɔktɔ kin tɛl yu fɔ trit yu lɛk dis:
- Nεv blɔk: Dɛn kin gi wan anestetik drɔg tru wan injεkshɔn insay di nerv we de mek di pen.
- Epidurals: Injεkshכn fכ mεdikeshכn insay di spεnal kכd.
- di spεnal kכd stimulashכn: kכntrol di pen bay we yu de sεnd ilektrikal signal to di spεnal kכd we yu de yuz sכmכl divays.
Yu nɔ tink se dɛn go ebul fɔ stɔp dis tin?
Yɛs, yu kin ebul! Di bɛst ɛn fayn we fɔ mek yu nɔ gɛt posthɛpɛtik nyuraljia na fɔ gɛt di shingles vaysin . Dis vaysin de ridyus ɔl tu yu risk fɔ gɛt shingles ɛn di lɔng tɛm nerve pen we i kin mek. Dɛn kin gi big pipul dɛn tu dos fɔ di vaysin, sɔm mɔnt bitwin dɛn.
Apat frɔm dat, i impɔtant fɔ mɛmba bɔt di chikinpoks vaysin . If yu ɔ yu pikin dɛn nɔ ɛva gɛt chukchuk, if yu gɛt dis vaysin, dat kin mek di kɔk kɔk vayrɔs nɔ go insay di bɔdi. Pɔsin wae nɔr ɛva gɛt chikinpoks nɔr go gɛt hεpi ɔr PHN leta.
Mɛsej we dɛn kin kɛr go na os
- Postherpetic neuralgia (PHN) na wan pen we de teik lɔng tɛm, we kin kam wit siriɔs nerve pen we kin apin afta we shingles dɔn wɛl. Dis nɔto jɔs lay lay stori, na rial kɔndishɔn.
- Dis pen kin fil lɛk se yu de bɔn, chuk yu, ɔ yu gɛt ilɛktrik shɔk. Sɔntɛnde, ivin di filin we di klos de rɔb pan di bɔdi kin mek pɔsin nɔ ebul fɔ bia.
- Di bɛst we fɔ mek yu nɔ gɛt dis sik na fɔ gɛt di shingles vaysin.
- Bɔku fayn tritmɛnt dɛn de fɔ mɛn di pen. So if yu gɛt dɛn sik ya, nɔ sɔfa yu wan ɛn fɔ tru, go to yu dɔktɔ fɔ advays.
- I kin tek sɔm tɛm fɔ fɛn di rayt tritmɛnt fɔ yu. Bɔt if yu gɛt di rayt tritmɛnt, yu go ebul fɔ liv nɔmal layf bak we nɔ go gɛt pen.
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