Kan sawi angin ‘herpes’ emaw ‘shingles’ emaw i nei tawh em? A nei tawh i hria em? A tawn tawh apiangin a natna leh lungawi lohna a thlen theih dan an hre vek. Mahse a chang chuan herpes blisters te chu a dam vek hnuah pawh a natna hmunah hian natna nasa tak a la awm reng a, thla tam tak, kum tam tak chhung pawh a daih thei. Chu chu Postherpetic Neuralgia (PHN) kan tih chu a ni. Hei hi thil tibuaitu leh nunna atana hlauhawm tak a ni. Chuvangin a chanchin hi i hrechiang lehzual ang u.
A awlsam zawngin, Postherpetic Neuralgia (PHN) hi eng nge ni?
Hei hi shingles natna avanga harsatna awm fo a ni. Herpes a dam hnua vunah blisters leh rash lo langte nen hmun khatah natna awm reng angin a awm thin.
Naupan lai khan chickenpox i hre reng em? Chickenpox (varicella-zoster virus) thlentu virus tho hi kum tam tak hnuah kan taksaah a thawk leh thei a, herpes zoster a thlen thei bawk. Herpes vei zawng zawng hian an vei vek lo nain, mi 10 zinga pakhat emaw pahnih emaw velin PHN an vei ang.
He natna hian a tichak lo thei hle a, taksa, rilru leh rilru lamah pawh a tichak lo thei hle. Chuvangin a hmasa ber leh pawimawh ber chu i doctor nen inbiakna neih hi a ni. Tichuan, in pahnih hian he natna hi enkawl dan tur ruahmanna tha tak in siam thei ang.
Hetiang natna lan chhuah dan hi engte nge ni?
Heng symptoms te hi herpes rash nen hian a intan thei bawk. A nih loh leh, a vun a dam vek hnu kar emaw, thla engemaw zat emaw hnuah pawh an lo lang thei bawk. A lan chhuah dan ber chu:
- Natna: He natna hi mi tin hian an tawn dan a inang lo. Ṭhenkhat chuan natna hmun ang maia an hriat laiin ṭhenkhat erawh chuan kang ang maiin an inhria thei thung . Mi dangte chuan hliam na tak , vuak emaw electric shock emaw ang maiin an inhria thei bawk . He natna hi a awm reng emaw, a lo kal leh zel emaw pawh a ni thei.
- Itchy skin: Natna hmunah hian itchy a awm thei.
- Numbness: A hmunah hian sensation a tlahniam emaw, a complete numbness emaw a awm thei.
- Skin sensitivity: A chang chuan vun hi rin loh takin a sensitive thin. Thawmhnaw khawih tlemte emaw, thli tleh emaw pawh hian tuar theih loh khawpin natna a thlen thei a ni. He natna hi temperature inthlak danglamna tlemte pawhin a thlen thei.
He natna hian i nitin hnathawh pawh a ti harsa thei a, chuvangin heng symptoms te hi ngaihthah suh.
Engvangin nge hetiang hi a lo awm? Eng nge a chhan?
A awlsam zawngin sawi ila, PHN hi herpes virus in i nerve fiber a tihchhiat vang a ni. I taksa hi electrical wire network angin ngaihtuah rawh. Heng nerve te hian i thluak ah signal an thawn thin. Heng ‘wire’ te hi herpes virus in a tihchhiat chuan i thluak ah natna signal dik lo, chak zawk tak tak an thawn tan thin. Chuvang chuan chhan awm lovin hrehawmna i nei fo thin.
Doctor-te chuan engvangin nge herpes vei tak tak mi thenkhatin he natna hi an neih a, thenkhatin an neih loh chhan chiang takin an la hre thei lo.
Tute nge hetiang hi vei theihna hlauhawm zawk?
Mi thenkhat chuan PHN vei an tam zawk. Tute nge an nih i han thlir teh ang.
| Risk factor a ni | Hrilhfiahna |
|---|---|
| Kum | Kum 50 chunglamte chu he natna hi an vei theihna a sang zawk. |
| Herpes vaccine pek a ni | Singles vaccine la lote chu an hlauhawm zual hle. |
| Herpes natna awm dan | Herpes a lo awm lai khan blisters chu a darh nasa hle a nih chuan a hlauhawmna a sang zawk a, a bik takin mit nena inzawm symptoms a awm chuan , emaw, natna nasa tak a awm chuan. |
| Natna dang | Diabetes ang chi natna nei te hi an hlauhawmna a sang zawk. |
| Immune system a ni | Immune system chak lo (e.g. cancer vei) te chu PHN vei theihna a sang zawk. |
Hun rei tak chhunga natna avanga lo awm thei harsatna dang
Nilengin hrehawm taka nun hi thil awlsam a ni lo. I nun kawng tam tak a nghawng thei a ni.
- Depression: Natna i neih reng laiin lungngaihna leh lungngaihna i neih hian lungngaihna a thlen thei .
- Chauh reng: I chau leh chau reng reng thei.
- Insomnia: Zanah i nat avangin i mut tha thei lo mai thei.
- Ei duhna: Ei duhna a tlahniam thei.
- Thil ngaihtuah harsa: Thil engemaw ngaihtuah leh ngaihtuahna seng reng chu a harsa thei hle.
He natna hian i nitin nun a tibuai a nih chuan tanpuina dil hreh ngai suh. Tin , rilru lam hriselna lama mithiam hnen atanga thurawn lak pawh a \angkai hle mai thei bawk .
Engtin nge doctor-te hian hei hi an hriat chian?
A tam zawkah chuan doctor chuan PHN i neih leh neih loh chu hetiang hian a hre thei a:
- I symptoms te uluk taka ngaihthlak hmangin .
- By asking about your medical history , a bik takin engtin nge herpes i vei tih.
- Taksa exam tih hmangin .
A tlem hle a, mi thenkhat chuan herpes hi vun rawng nei lovin an vei thei. Chutiang hunah chuan emaw, rilru tibuaitu chi tlemte a nih chuan doctor chuan thisen test emaw, imaging test dang emaw a ti thei a ni.
Engtin nge enkawl a nih?
PHN hi damdawi awm lo mahse, a natna control thei tur leh i nun awlsam zawka siam thei tur enkawlna tha tak tak a awm. I doctor chuan heng damdawi zinga pakhat hi a pe ngei ang:
- Tricyclic antidepressants: Entirnan, damdawi `(nortriptyline) ang chi te.`
- Antiseizure damdawi: Damdawi `(pregabalin)` emaw `(gabapentin)` ang chi. Hengte hian nerve natna control nan pawh a thawk tha hle bawk.
- SNRI damdawi: Hemi atan hian damdawi ``(duloxetine)`` ang chi pawh hman a ni.
- Sodium channel blocker: Damdawi `(carbamazepine)` ang chi te.
- Skin patches or ointments: Cream emaw patch `(Lidocaine)` emaw `(Capsaicin)` awmna vunah hnawih hian rei lo te chhungin natna a ti reh thei.
Damdawi tin hian side effect hrang hrang a nei thei. Damdawi dang i ei lai nen pawh a inzawm thei bawk. Chuvangin i doctor chuan heng zawng zawng hi a hrilhfiah ang che. Damdawi hi doctor-in a sawi ang chiah, a zat dik tak leh a hun chhung dik taka ei a pawimawh hle.
A châng chuan i tâna enkawlna dik zawng tûrin hun engemaw chen a la ngai thei. Damdawi pakhatin hna a thawh loh chuan a dang i enchhin a ngai mai thei. A châng chuan damdawi engemaw zat hman dun a ngai mai thei. I symptoms a that loh chuan doctor hnenah hrilh rawh.
Natna khirh tak tak tan enkawlna dang
Natna nasa tak, hun rei tak daih leh damdawi pangngai ei lo tan chuan i doctor chuan heng ang enkawlna hi a rawt thei ang:
- Nerve blocks: Anesthetic drug chu natna thlentu nerve-a injection hmanga pek a ni.
- Epidurals: Damdawi chu ruhroah injection a ni.
- Spinal cord stimulation: Thil te tak te hmanga spinal cord-a electrical signal thawn hmanga natna control.
Hetiang dinhmun hi a veng thei lo em ni?
Ni e, i ti thei! Postherpetic neuralgia venna kawng tha ber leh tangkai ber chu shingles vaccine lak hi a ni . He vaccine hian shingles vei theihna leh hun rei tak chhunga nerve natna a thlen theih te pawh nasa takin a ti tlem a ni. Puitlingte chu vaccine dose hnih pek an ni tlangpui a, thla engemaw zat inkar a ni.
Chu bakah, chickenpox vaccine chungchang pawh hriat reng a pawimawh hle . Nangmah emaw i fate emaw hian chickenpox i vei ngai lo a nih chuan he vaccine hi lak hian chickenpox virus taksaah a luh loh nan a veng thei a ni. Chickenpox vei ngai lo chuan a hnuah herpes emaw PHN emaw a nei lovang.
Take-Home Thuchah a ni
- Postherpetic neuralgia (PHN) hi shingles a dam hnua nerve natna nasa tak, rei tak daih, na tak a ni. Hei hi thudik lo mai a ni lo va, dinhmun tak tak a ni.
- He natna hi kang, hliam, electric shock ang maiin a awm thei. A châng chuan thawmhnaw taksaah a hnawih tih hriatna pawh hi tuar theih loh a ni thei.
- Hetiang natna laka invenna tha ber chu shingles vaccine lak hi a ni.
- Natna tihreh nan hian enkawlna tha tak tak a awm nual. Chuvangin heng symptoms te hi i neih chuan nangmah chauhin hrehawm ti suh la , i doctor hnenah thurawn dil ngei ang che .
- I tana enkawlna dik tak zawn nan hun engemaw chen a la ngai mai thei. Mahse enkawlna dik tak nen chuan nun pangngai, natna nei lo takin i nung leh thei tawh ang.
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