Singles hnu pawha natna awm reng em? Chu chu postherpetic neuralgia (PHN) a ni em? I sawi dawn nia!

Sshingles i nei tawh em? A nih loh leh i hriat mi pakhatin a dawng tih i hmu tawh em? Rul seh hi thil hrehawm tak a ni. Mahse a chang chuan rul seh a dam hnuah pawh a natna chu a lo let leh thei a ni. Chu chu vawiina kan sawi tum chu a ni, Postherpetic Neuralgia (PHN). Lungngai suh, he thu hi awlsam takin, i hriatthiam theih dan tur angin kan sawi dawn a ni.

Postherpetic neuralgia (PHN) hi eng nge ni? Eng ang nge a nih?

A awlsam zawngin sawi ila, postherpetic neuralgia (PHN) hi shingles natna a ni. Singles hi chickenpox thlentu virus tho Varicella-zoster virus reactivation avanga lo awm a ni tih i hre reng mai thei. Herpes Zoster an ti bawk.

Rul seh a lo awm chuan taksa sir khatah, a bik takin rilru emaw, pum chhungah emaw, na tak, blister ang maia hnawih a lo lang thin. Hun kal zelah a vun a vawt deuh deuh chuan a natna chu a reh ang. Mahse, mi thenkhat tan chuan an sehna hmuna natna chu a awm reng thei. Hei hi `PHN` kan tih chu a ni a, rul seh a dam hnu pawha natna awm reng chu a ni.

Chuti a nih chuan he `PHN` natna hi engtin nge a awm?

Rul sehna hmunah hian natna i nei ang. He natna hi a awm reng thei a, a lo kal leh zel thei bawk. Mi ṭhenkhat chuan kangmei chhuak, hliam tuar, emaw, chhungril aṭanga natna nasa tak lo chhuak ang maiin a lang niin an sawi . Midang (a tam lo zawk) te chuan an awmna hmunah hian tingling emaw itching sensation emaw an nei thei bawk.

PHN hi eng chen nge a daih theih? Tuin nge a neih duh zawk?

PHN natna hi rul seh a dam hnuah kar tam tak, thla tam tak, kum tam tak chhung pawh a awm thei. Mi tam zawk tan chuan thla khat atanga thla thum chhungin a natna hi a reh thin. Mahse, mi panga zinga pakhat velin kum khat aia rei chu natna hi an nei dawn niin an chhut.

Mi thenkhat tan chuan PHN atanga natna hi a nasat em avangin an nitin nunah hnathawh a harsa hle. Mi thenkhatin hetiang natna na tak, rei tak daih thei an neih laiin thenkhatin an neih loh chhan hi zirchiangtute chuan an la hre chiang lo.

He `PHN` hi engtiang chiahin nge a awm?

Varicella-zoster virus hi chickenpox leh shingles natna thlentu a ni vek a. Kum 40 chunglam American zinga 99% vel chuan chickenpox an vei tawh a ni. Hei bakah hian American mi pathum zinga pakhat chuan an dam chhungin rul seh an nei dawn a ni. Rul seh vei zinga 10% leh 18% inkar chuan PHN an nei ang. Rul seh avanga harsatna awm tam ber chu PHN hi a ni.

Tute nge PHN vei theihna chance sang zawk?

A hnuaia thilte hian PHN vei theihna a tipung a ni:

• Kum pung zel: 1.1.Kum upat deuh deuh hian PHN vei theihna a sang chho zel a ni. I upa tawh a, rul seh i neih chuan PHN i vei tam zawk a, i naupan lai aiin a na a rei zawk ang a, a na zawk bawk ang. Kum 50 chunglam rul seh nei zinga 10% leh 13% inkar chuan PHN an nei thin. Kum 40 hnuai lam zingah PHN hi a tlem hle.
• Immune system chak lo: Kan upat deuh deuh chuan kan taksain natna a do theihna, a nih loh leh kan immune system a chak lo hle. Tichuan dormant varicella-zoster virus chu a thawk leh thei a, shingles a siam thei bawk. Immune system hi cancer, natna khirh tak tak (HIV/AIDS ang chi), taksa peng thlak emaw, taksa hriselna titawp thei damdawi (chemotherapy, immunosuppressant damdawi, steroid, leh taksa peng hnawlna tur damdawi ang chi) hman te hian a tichak lo thei bawk.
• Rul seh nasat dan: Rul seh na tak i neih chuan PHN i vei tam zawk.
• Rulin a seh hmaa natna, i hrual emaw, i rilru a hah emaw i neih chuan: Rulin a seh hma ni engemaw zat chhunga i vunah heng chhinchhiahnate hi i neih chuan PHN vei theihna a sang zawk a ni.
• Rul seh hnua doctor pan i tihkhawtlai chuan: Rul seh hnu ni thum aia rei i tihkhawtlai a, chu chu antiviral damdawi ei hun bituk i pelh tihna a ni a, PHN i vei theihna a sang zawk.

Engvangin nge PHN hi a lo thanglian? Eng nge a chhan?

`PHN` hi Rul seh laia nerve fiber a chhiat vang a ni. Ngaihtuah teh, nerve fiber hian kan vun atanga thluak thlengin natna ang chi sensation a phur a. Chuvangin rul seh na hmuna nerve fibers te a chhiat chuan thluak ah dik lo, i.e. natna signal tam lutuk an thawn tan thin. `Postherpetic neuralgia` tih awmzia chu `Herpes hnua nerve natna lo awm.` Rul seh hi `(Herpes Zoster)` an ti bawk.

A hmaa kan sawi tawh ang khan rul seh hi chickenpox (Varicella-zoster virus) thlentu virus ang chiah hian a awm a ni. Chickenpox i vei hnuah chuan virus hi i taksaah dam chhungin a awm reng a, mahse kum tam tak chhung chu a muhil emaw "silent" emaw a ni thei. He virus hi a active leh hunah chauh rul seh a awm thin. Rul seh zinga za zela tlemte (20% aia tlem) chuan PHN an vei thin.

PHN natna lan chhuah dan dik tak chu engte nge ni?

PHN natna lan chhuah dan tlangpui chu:

• Rul sehna hmuna kang, na tak, hliam na tak, emaw chhungril natna hriatna .
• Hliam hmasa na hmunah emaw , a bulah emaw, a hring emaw, a rilru a buai emaw .
• Natna chu a awm reng emaw, a lo kal leh zel emaw a ni. A natna hi a tlangpuiin hliam a dam hnuah thla thum vel a awm a, mahse kum khat aia rei a daih thei.
• Thawmhnaw pakhat emaw, khawih nêm tak emaw chuan vun natna hmun chu khawih mah se, a natna chu a zual thei a ni.
• Zanah emaw, khaw lum lutuk emaw, khaw vawt lutuk emaw pawhin a na zual thei.

Engtin nge doctor hian PHN hi a hriat theih ang?

Doctor chuan PHN hi i symptoms te, tun hnaia rul seh i neih leh neih loh te, leh taksa enfiahna te a zirin a enfiah tlangpui thin. Tun hnaia rul seh i neih a, i sehna hmunah natna i la neih chuan PHN i nei ngei ang. I doctor pawhin natna thlentu dang chu a paih chhuak duh mai thei a, mahse a tam zawkah chuan test dang neih belh a ngai tawh lo.

PHN hian harsatna dang a thlen thei em?

Ni e, PHN hian hetiang dinhmun hi a thlen thei a ni:

• Chau leh chau lutuk anga inhria.
• Mu thei lo.
• Chaw chu a thlum lo.
• Thil ngaihtuah harsa tak a ni.

Hun rei tak chhung PHN natna i neih chuan depression ang chi condition a thlen thei. Chuvang chuan hei hi uluk taka enkawl a pawimawh hle a ni.

PHN enkawlna tur engte nge ni?

Tunah chuan hei hian eng nge a tih theih tih i lo en ang u.

Rul seh atanga ni thum chhunga doctor i hmuh chuan antiviral damdawi an pe ngei ang. Entirnan, Acyclovir (Zovirax®), Valacyclovir (Valtrex®), emaw Famciclovir (Famvir®) te hi a ni. Heng damdawi te hian seh chu a dam thuai thei a, seh thar lo awm tur a titawp thei a, natna leh riltam a tiziaawm thei a, seh a dam hnua natna awm rei zawng a ti tawi thei bawk.

Mahse i rul seh i hriat hma loh chuan, emaw, hun remchang i hloh a nih chuan, doctor-te chuan i PHN symptoms enkawl dan tur kawng dang engemaw zat an nei a ni.

I natna a na lo a nih chuan doctor chuan hetiang hi a rawt thei ang:

• `Acetaminophen (Tylenol®)` emaw `NSAIDs` (nonsteroidal anti-inflammatory drugs) te chu `Ibuprofen (Advil®, Motrin®)` te hi a ni.
• Vun tihlum thei cream leh patch, entirnan, `Lidocaine (Lidoderm®)` leh `Capsaicin (Zostrix®)` awmna te.

I natna a nasat chuan doctor chuan hetiang damdawi hi a pe thei ang:

• Epilepsy ang chi natna enkawlna atana hman damdawi thenkhat (`Antiseizure drugs` tia koh), `Gabapentin (Neurontin®, Gralise®)` leh `Pregabalin (Lyrica®)` te hi nerve natna enkawlna atan an hmang fo thin.
• Antidepressant, Escitalopram (Lexapro®), Quetiapine (Seroquel®), emaw Amitriptyline te hian nerve natna a tidam thei bawk.
• Natna hmunah `Botulinum toxin (Botox®)` inject.

A pawimawh ber chu, PHN tan "hei hi enkawlna tha ber" a awm lo. I doctor chuDamdawi pakhat aia tam i enchhin duh mai thei a, damdawi inkawp pawh i pe thei bawk. Nang leh i doctor chuan in duhthlan turte in sawiho ang a, i tana tha tur chu in rel ang. I damdawi ei hnua i natna a reh loh chuan i doctor hnenah hrilh ngei ang che . Damdawi zawng zawng hi a pek ang chiah chiah ei a pawimawh hle.

PHN hi a dam kim thei ang em?

PHN hi damdawi a awm lo a, mahse enkawl theih a ni. Mi tam zawk tan chuan PHN atanga natna hi hun kal zelah a tlahniam zauh zauh a, a tawpah chuan a bo vek thin. Kan sawi tawh ang khan mi tam zawk chuan thla khat atanga thla thum chhungin hahdamna an nei ang.

PHN lo thang zel tur ven dan a awm em?

Ni e, hei hi a pawimawh ber a ni! PHN laka inven dan tha ber chu shingles laka inven hi a ni.

• Shingrix® vaccine: Food and Drug Administration chuan rul seh laka invenna vaccine siam a remti. Hei hian rul seh leh PHN vei theihna a tihziaawm thei a ni. He vaccine hi Shingrix® tia koh a ni a, kum 50 chunglam tan rul seh laka inven nan a tha hle. Vaccine dose hnih a ni a, a pahnihna hi thla hnih atanga thla ruk inkara pek thin a ni. He vaccine dose hnih hian rul seh leh PHN venna kawngah 90% zetin a thawk a ni. Vaccine i lak hnuah kum li tal venhim i ni ang.
• Chickenpox vaccine: Chickenpox i la nei ngai lo a nih chuan, emaw, i fate pawhin chickenpox an vei tawh a nih chuan, chickenpox vaccine (Varivax) lak hian a tir lamah he natna hi a veng thei a ni. Chickenpox i la vei ngai lo a nih chuan i taksaah varicella-zoster virus i nei lo a, chuvangin shingles emaw PHN emaw i vei lovang.

Shingrix® vaccine hi tuin nge dawng tur?

Shingrix® vaccine hi mi hrisel leh kum 50 aia upa zawng zawng tan a tha hle. Kum bithliah chunglam a awm lo. Vaccine hi i la tur a ni bawk a, i:

• Rul seh i nei tawh a nih pawhin.
• Chickenpox i neih lai chiah i hre lo a nih pawhin (American kum 40 chunglam zinga 99% velin chickenpox an vei tawh a, naupan lai pawhin an hre reng lo a nih pawhin).
• Zostavax vaccine i lo dawng tawh a nih pawhin (he vaccine hi United States-ah chuan hman a ni tawh lo) Shingrix® vaccine lak hun tha ber chungchang chu i doctor nen sawiho rawh.

Rul seh i neih tawh chuan hliam a dam hma chu nghah tur a ni. Shingrix® vaccine hman tan hun tha ber chungchang chu i doctor nen sawiho rawh.

PHN vei chuan eng ang result nge a beisei theih ang?

PHN symptoms hi standard treatment a awm lo. I natna nasat dan azirin over-the-counter damdawi hmangin i tan thei bawk. A natna a nasat chuan damdawi pakhat emaw a aia tam emaw i ei ve mai thei. PHN hi enkawl harsa tak a ni. Zirna pakhatah chuan PHN vei zinga a chanve aia tlem chuan symptom relief kimchang an hmu a ni.

PHN hi kum upa lam, hriselna lama harsatna dang nei thei te zingah a awm tlangpui. Hei hian enkawlna leh a rah chhuah a ti buai zual thei a ni. He natna hi kar tam tak, thla tam tak, kum khat aia rei pawh a awm thei. Mi thenkhat tan chuan a hrehawmna chu tuar theih loh khawpin a awm thei. Mahse mi tam zawk tan chuan PHN natna hi hun kal zelah a tlahniam zauh zauh thin.

Chickenpox i neih hnuah chuan varicella-zoster virus chu i taksaah dam chhungin a awm reng a ni. Virus hi a lo thawk leh a, rul seh i neih chuan, i vun atanga ni engemaw zat chhunga doctor pan a, antiviral damdawi ei hian i natna lan chhuah dan chu nasa takin a tihziaawm thei a ni. PHN i vei tak tak a nih chuan doctor-te chuan i natna lan chhuahna control-na tur damdawi chi hrang hrang an nei a. Chuvangin hlauthawng suh, Doctor nen inbia la, enkawlna dik tak hmu rawh.

Take-Home Thuchah: 1.1.

Okay, chuvangin he thawnthu thui tak atang hian kan hriat reng tur thilte hi han khaikhawm ila:

• PHN hi nerve natna a ni a, shingles a dam hnuah pawh a awm reng a ni.
• Hei hi a chhan ber chu Rul seh avanga nerve fiber a tihchhiat vang a ni.
• Kum upa lam, taksa peng hrang hrang chak lo zawkte leh rul seh na tak nei tawhte chuan PHN an vei tam zawk.
• PHN natna hi kang, hliam, tingling, emaw itching sensation ang maiin a awm thei.
• PHN hi damdawi awm lo mah se, a natna thunun thei tur enkawlna a awm. A tam zawkah chuan hun kal zelah a natna chu a reh mai ang.
• Rul seh hnua a rang thei ang bera enkawlna zawng (ni 3 hmasa chhunga) hian PHN vei theihna a ti tlem thei a ni.
• Shingrix® vaccine hian rul seh leh PHN hlauhawmna nasa takin a tihziaawm thei a ni. Kum 50 chunglam tan a tha hle.
• PHN i vei nia i inhriat chuan doctor pan hreh suh, thurawn la rawh.

He thu hi i tan a tangkai ngei ka beisei. Hrisel takin awm rawh!

` Postherpetic neuralgia, PHN, rul seh, shingles, herpes zoster, chickenpox, nerve na, Shingrix vaccine