He mamae tonu ahakoa kua pangia e te shingles? He neuralgia postherpetic (PHN) rānei tēnā? Me kōrero tāua!

Kua pāngia koe e te mate kiri hūpē? Kua kite rānei koe i tētahi e mōhio ana koe e pāngia ana e te mate? He tino mamae te ngau a te nakahi. Engari i ētahi wā, ahakoa kua ora te ngau a te nakahi, ka hoki tonu te mamae. Koinei te mea e kōrerohia ana i tēnei rā, ko te Postherpetic Neuralgia (PHN). Kaua e manukanuka, ka kōrerohia e mātou tēnei mea mā te ngāwari, i roto i te huarahi e mārama ai koe.

He aha te neuralgia postherpetic (PHN)? He aha te āhua o taua mea?

He whakarāpopototanga noa iho, ko te neuralgia postherpetic (PHN) he raruraru o te shingles. Tērā pea ka mahara koe ko te take o te shingles ko te whakahohenga anō o te huaketo kotahi e hua ai te rewharewha, te huaketo Varicella-zoster. E kiia ana hoki ko Herpes Zoster.

Ina ngaua e te nakahi, ka puta he ponana mamae, he rite ki te mirumiru ki te taha kotahi o te tinana, inā koa ki te uma, ki te puku rānei. I te maroke haere o te ponana i roto i te wā, ka memeha haere te mamae. Heoi, mō ētahi tāngata, ka mau tonu pea te mamae i te wāhi i ngaua ai. Koinei te mea e kiia nei e tātou ko te 'PHN', te mamae e mau tonu ana ahakoa kua ora te ngau a te nakahi.

Nā, he aha te āhua o tēnei mamae 'PHN'?

Ka pāngia koe e te mamae i te wāhi i ngaua ai e te nakahi. Tērā pea ka mau tonu tēnei mamae, ka haere mai, ka haere atu rānei. E kī ana ētahi he rite ki te werawera, ki te wero, ki te mamae koi rānei e puta mai ana i roto . Ko ētahi atu (kāore i te tino kitea) ka pāngia e te ngau, te mākūkū rānei i te wāhi.

Kia pēhea te roa o te PHN? Ko wai te hunga ka nui ake te tūponotanga ka pāngia e tēnei mate?

Ka roa pea te mamae o te PHN mō ngā wiki, ngā marama, tae noa ki ngā tau i muri i te ora o te ngau a te nakahi. Mō te nuinga o te tangata, ka memeha te mamae i roto i te kotahi ki te toru marama. Heoi, e kiia ana ko te kotahi i roto i te rima o te tangata ka pāngia e te mamae mō te neke atu i te kotahi tau.

Ki ētahi tāngata, he tino kino te mamae o te PHN, ā, he uaua ki te mahi i roto i ō rātou oranga o ia rā. Kāore anō kia mōhiotia e ngā kairangahau he aha te take e pāngia ai ētahi tāngata e te mamae nui, roa, ko ētahi kāore.

He pēhea te noa o tēnei `PHN`?

Ko te huaketo Varicella-zoster te take o te rewharewha me te shingle. Tata ki te 99% o ngā Amerikana neke atu i te 40 tau te pakeke kua pāngia e te rewharewha. Hei tāpiri, kotahi i roto i te toru o ngā Amerikana ka ngaua e te nakahi i roto i ō rātou oranga. I waenga i te 10% me te 18% o te hunga ka ngaua e te nakahi ka pāngia e te PHN. Ko te PHN te raruraru tino noa o ngā ngau nakahi.

Ko wai kei te nui ake te mōrearea ki te whakawhanake i te PHN?

Ko ngā āhuatanga e whai ake nei ka whakanui ake i te mōrearea o te whakawhanake i te PHN:

• Te piki haere o te pakeketanga:Ka piki ake te mōrearea o te whakawhanake i te PHN i te kaumātuatanga. Mena kua pakeke koe, ā, kua ngaua koe e te nakahi, he nui ake te tūponotanga ka pāngia koe e te PHN, ā, ka roa ake te mamae, ka kaha ake i tō wā taitamariki. I waenganui i te 10% me te 13% o te hunga neke atu i te 50 tau te pakeke kua ngaua koe e te nakahi ka pāngia e te PHN. He tino onge te PHN i roto i te hunga kei raro iho i te 40 tau te pakeke.
• Te ngoikore o te pūnaha ārai mate: I a tātou e pakeke haere ana, ka ngoikore te kaha o tō tātou tinana ki te whawhai ki te mate, ki tō tātou pūnaha ārai mate rānei. Kātahi ka taea e te huaketo varicella-zoster e moe ana te whakahohe anō, ka puta ai te herpes zoster. Ka taea hoki te ngoikore o te pūnaha ārai mate e ngā mea pēnei i te mate pukupuku, ngā mate mau tonu (pēnei i te HIV/AIDS), ngā whakawhitinga okana, te whakamahi rānei i ngā rongoā e pehi ana i te pūnaha ārai mate (pēnei i te chemotherapy, ngā rongoā immunosuppressant, ngā steroids, me ngā rongoā e ārai ana i te whakakorenga okana).
• Te kaha o te ngau a te nakahi: Mena he momo ngau kino tōu, ka nui ake te tūponotanga ka pāngia koe e te PHN.
• Mena i pāngia koe e te mamae, te mākati, te ngoikore rānei i mua i te ngau a te nakahi: Mena i pāngia koe e ēnei tohu i tō kiri i ētahi rā i mua i te ngau a te nakahi, he nui ake tō tūponotanga ki te whakawhanake i te PHN.
• Ki te whakaroa koe i te toro atu ki te tākuta i muri i te ngau a te nakahi: Ki te whakaroa koe i te neke atu i te toru ngā rā i muri i te ngau, arā, ka ngaro i a koe te wā i whakaritea mō te tango i ngā rongoā ārai huaketo, ka nui ake te tūponotanga ka pāngia koe e te PHN.

He aha te take e puta ai te PHN? He aha te take?

Ko te `PHN` ka puta mai i te pakaru o ngā muka io i te wā e ngaua ana e te nakahi. Whakaarohia, ka haria e ngā muka io ngā kare ā-roto pērā i te mamae mai i tō tātou kiri ki te roro. Nō reira, ina pakaru ngā muka io i te wāhi i ngaua ai te nakahi, ka tīmata rātou ki te tuku tohu mamae hē, arā, he nui rawa atu ki te roro. Ko te `postherpetic neuralgia` te tikanga o te `mamae io e puta mai ana i muri i te herpes.` Ka kiia hoki ngā ngau nakahi ko `(Herpes Zoster)`.

E ai ki tā mātou i kōrero ai i mua ake nei, ko ngā ngau a te nakahi ka puta mai i te huaketo kotahi e puta ai te rewharewha heihei (huaketo Varicella-zoster). Kia pāngia koe e te rewharewha heihei, ka noho tonu te huaketo i roto i tō tinana mō te wā roa, engari ka taea e ia te noho puku, te "wā" rānei mō ngā tau. Ina hoki anō te kaha o tēnei huaketo ka puta te ngau a te nakahi. He iti noa te ōrau (iti iho i te 20%) o te hunga e ngaua ana e te nakahi ka pāngia e te PHN.

He aha tonu ngā tohu o te PHN?

Ko ngā tohu tino noa o te PHN ko:

• He wera, he mamae koi, he mamae wero, he mamae ā-roto rānei i te wāhi i ngaua ai e te nakahi.
• Te mākūkū, te ngoikore rānei i te wāhi i whara ai i mua, i te taha rānei o te whara.
• He mamae tonu, he mamae haere mai, he mamae haere. E toru marama te roa o te mamae i muri i te ora o te patunga, engari ka roa pea mō te neke atu i te tau.
• Ahakoa ka pā tetahi kākahu, tetahi pā ngawari rānei ki te wāhi kiri mamae, ka kaha ake te mamae.
• Ka kaha ake pea te mamae i te pō, i te tino wera, i te tino makariri rānei.

Me pēhea te tātaritanga a te tākuta i te PHN?

Ko te tikanga, ka tātaritatia e te tākuta te PHN i runga i ō tohumate, mēnā kua ngaua koe e te nakahi i ngā wā tata nei, me te whakamātautau tinana. Mēnā kua ngaua koe e te nakahi i ngā wā tata nei, ā, kei te mamae tonu koe i te wāhi i ngaua ai, tera pea he PHN tōu. Tērā pea ka hiahia tō tākuta ki te whakakore i ētahi atu take o te mamae, engari i te nuinga o te wā, kāore he whakamātautau anō e hiahiatia ana.

Ka taea e te PHN te whakaputa i ētahi atu raruraru?

Ae, ka taea e te PHN te whakaputa i ngā āhuatanga penei:

• Te ngenge me te ngoikore.
• Te kore moe.
• Kāore he reka o te kai.
• Te uaua ki te arotahi.

Ki te mamae tō PHN mō te wā roa, ka arahi pea tēnei ki ngā āhuatanga pēnei i te pouri. Nō reira, he mea tino nui kia tiakina tēnei.

He aha ngā maimoatanga mō te PHN?

Nā, kia kite tātou he aha te hua ka taea e tēnei.

Ki te kite koe i tētahi tākuta i roto i ngā rā tuatahi e toru o te ngau a te nakahi, tera pea ka tohua e rātou he rongoā ārai huaketo. Hei tauira, ko Acyclovir (Zovirax®), Valacyclovir (Valtrex®), Famciclovir (Famvir® rānei). Ka taea e ēnei rongoā te āwhina i te ngau kia tere ake te ora, te aukati i te puta mai o ngā ngau hou, te whakaiti i te mamae me te mākūkū, me te whakapoto i te roa o te mamae i muri i te ora o te ngau.

Engari, ki te kore e kitea wawetia te ngau a te nakahi, ki te kore rānei e kitea te whai wāhitanga, he maha atu ngā huarahi a ngā tākuta hei whakahaere i ō tohumate PHN.

Mena he ngawari te mamae, ka tūtohu pea te tākuta i ētahi mea penei:

• 'Acetaminophen (Tylenol®)' me ngā 'NSAID' (ngā rongoā anti-inflammatory kore-steroidal) pērā i te 'Ibuprofen (Advil®, Motrin®)'.
• Ko ngā kirīmi me ngā pāti e whakamarie ana i te kiri, hei tauira, ko ērā kei roto ko te 'Lidocaine (Lidoderm®)' me te 'Capsaicin (Zostrix®)'.

Mena he nui te mamae, ka tohua pea e te tākuta ngā rongoā penei:

• Ko ētahi rongoā e whakamahia ana hei rongoā i ngā mate pēnei i te mate haurangi (e kiia nei ko ngā 'rongoā antiseizure'), pēnei i te 'Gabapentin (Neurontin®, Gralise®)' me te 'Pregabalin (Lyrica®)', e whakamahia pinepine ana hei rongoā i te mamae o ngā io.
• Ka taea hoki e ngā rongoā ārai pouri, pērā i te Escitalopram (Lexapro®), Quetiapine (Seroquel®), Amitriptyline rānei, te āwhina i te mamae o ngā io.
• Te werohanga i te 'Botulinum toxin (Botox®)' ki te wāhi e mamae ana.

Ko te mea nui, kāore he "koinei te maimoatanga pai rawa atu" mō te PHN. Tō tākutaTērā pea ka hiahia koe ki te whakamātau i ngā rongoā neke atu i te kotahi, ka tohua rānei he huinga rongoā. Mā kōrua ko tō tākuta e kōrero ō whiringa, ka whakatau ko tēhea te mea tika māu. Ki te kore tō mamae e pai ake i muri i te tango i tō rongoā, me whakamōhio atu ki tō tākuta . He mea tino nui kia tangohia ngā rongoā katoa kia rite ki te mea i tohua.

Ka taea te whakaora katoa i te PHN?

Kāore he rongoā mō te PHN, engari ka taea te whakahaere. Mō te nuinga o te tangata, ka heke haere te mamae o te PHN i roto i te wā, ā, ka memeha haere. E ai ki tā mātou i kōrero ai i mua ake nei, ka kitea te whakaoranga i roto i te kotahi ki te toru marama.

He huarahi hei aukati i te whanaketanga o te PHN?

Āe, koinei te wāhanga tino nui! Ko te huarahi pai ki te ārai i te PHN ko te karo i te mate kiriuhi.

• Werohanga Shingrix®: Kua whakaaetia e te Whakahaere Kai me te Rongoā tētahi werohanga hei ārai i ngā ngau a te nakahi. Ka āwhina tēnei ki te whakaiti i tō tuponotanga ki te ngau a te nakahi me te whakawhanake i te PHN. Ko tēnei werohanga, e kiia nei ko Shingrix®, e taunakihia ana mō te hunga 50 tau te pakeke, neke atu rānei, hei ārai i ngā ngau a te nakahi. He werohanga e rua ngā horopeta, me te hoatu i te horopeta tuarua i waenganui i ngā marama e rua ki te ono. He 90% te whai huatanga o tēnei werohanga e rua ngā horopeta ki te ārai i ngā ngau a te nakahi me te PHN. Ka tiakina koe mō te iti rawa e whā tau i muri i te whiwhinga o te werohanga.
• Werohanga rewharewha: Mena kāore anō koe kia pangia e te rewharewha, mēnā rānei kua pangia e te rewharewha āu tamariki, mā te werohanga rewharewha (Varivax) ka taea te ārai i tēnei mate i te tuatahi. Mena kāore anō koe kia pangia e te rewharewha, kāore he huaketo varicella-zoster i roto i tō tinana, nō reira e kore koe e pangia e te shingles, e te PHN rānei.

Ko wai e tika ana kia whiwhi i te kano ārai mate Shingrix®?

E taunakihia ana te werohanga Shingrix® mō te hunga hauora katoa, ā, e 50 tau te pakeke, neke atu rānei. Kāore he rohe tau mōrahi. Me whiwhi hoki koe i te werohanga mēnā:

• Ahakoa kua ngaua koe e te nakahi i mua.
• Ahakoa kāore koe i te mahara tonu ki te wā i pāngia ai koe e te rewharewha (tata ki te 99% o ngā Amerikana neke atu i te 40 tau te pakeke kua pāngia e te rewharewha, ahakoa kāore rātou i te mahara ki a ia i a rātou e tamariki ana).
• Ahakoa kua whiwhi koe i te kano kano Zostavax i mua (kāore tēnei kano kano e whakamahia ana i te United States), kōrero ki tō tākuta mō te wā pai rawa atu hei whiwhi i te kano kano Shingrix®.

Mena kua ngaua kētia koe e te nakahi, me tatari koe kia ora rā anō te patunga. Kōrero ki tō tākuta mō te wā pai hei tīmata i te werohanga Shingrix®.

He aha te momo putanga ka taea e te tangata whai PHN te tumanako?

Kāore he rongoā paerewa mō ngā tohumate PHN. I runga i te kaha o tō mamae, ka taea e koe te tīmata me ngā rongoā ka taea te hoko kore-tohu. Mena he kino te mamae, ka hiahia pea koe ki te whakamātau i tētahi, i ētahi atu rongoā rānei. He uaua te rongoā i te PHN. I roto i tētahi rangahau, iti iho i te haurua o ngā tūroro me te PHN i whiwhi i te whakaoranga katoa o ngā tohumate.

I te nuinga o te wā ka pā te PHN ki ngā kaumātua he maha atu anō ngā raruraru hauora kei a rātou. Ka uaua ake pea te maimoatanga me ngā putanga. Ka roa pea te mamae mō ngā wiki, ngā marama, neke atu rānei i te tau. Mō ētahi tāngata, kāore e taea te manawanui te mamae. Engari mō te nuinga o te tangata, ka heke haere te mamae o te PHN i roto i te wā.

Kia pāngia koe e te rewharewha, ka noho tonu te huaketo varicella-zoster ki roto i tō tinana mō te wā roa. Mēnā ka hoki anō te huaketo, ā, ka ngaua koe e te nakahi, mā te toro atu ki te tākuta i roto i ngā rā torutoru i muri i te puta o te ponana me te tango i ngā rongoā ārai huaketo ka taea te whakaiti i ō tohumate. Mēnā ka pāngia koe e te PHN, he maha ngā rongoā a ngā tākuta hei āwhina i te whakahaere i ō tohumate. Nō reira kaua e mataku, kōrero ki te tākuta, ā, me whiwhi koe i te maimoatanga tika.

Karere hei kawe ki te kāinga:

Āe, me whakarāpopoto ngā mea hei maumahara mā tātou mai i tēnei kōrero roa:

• Ko te PHN he mamae io e mau tonu ana ahakoa kua ora te kiriuhi.
• Ko te tino take o tēnei ko te kino o ngā muka io i puta mai i ngā ngau a te nakahi.
• Ko te hunga kaumātua, ko te hunga he ngoikore te pūnaha ārai mate, me te hunga kua ngaua kinotia e te nakahi, ka nui ake te tūponotanga ka pāngia rātou e te PHN.
• Ka rite te mamae o te PHN ki te wera, te wero, te ngau, te mākūkū rānei .
• Ahakoa kāore he rongoā mō te PHN, he maimoatanga kei reira hei āwhina i te whakahaere i te mamae. I te nuinga o te wā, ka memeha haere te mamae i roto i te wā.
• Mā te rapu maimoatanga i muri tonu i te ngau a te nakahi (i roto i ngā rā tuatahi e 3) ka taea te whakaiti i te mōrearea o te PHN.
• Ka taea e te kano ārai mate Shingrix® te whakaiti i te mōrearea o te ngau a te nakahi me te PHN. E taunakihia ana mō te hunga katoa neke atu i te 50 tau te pakeke.
• Ki te whakaaro koe kei a koe te PHN, kaua e mangere ki te toro atu ki te tākuta mō ētahi tohutohu.

Ko tāku tumanako ka whai hua ēnei kōrero ki a koe. Kia ora tonu!

` Neuragia muri-herpetic, PHN, ngau a te nakahi, shingles, herpes zoster, rewharewha, mamae io, kano kano Shingrix