Masifunde nge-Postherpetic Neuralgia, intlungu yemithambo-luvo ebuhlungu eyenzeka emva kwe-shingles.

Ngaba wakha waba ne-'herpes' okanye 'shingles' njengoko sizibiza njalo? Ngaba kukho umntu omaziyo okhe wadibana nayo? Nabani na okhe wayifumana le nto uyazi ukuba intlungu kunye nokungonwabi okunokubangela ntoni. Kodwa ngamanye amaxesha, nokuba amaqhuqhuva e-herpes aphelile ngokupheleleyo, kusekho iintlungu eziqatha kwindawo echaphazelekayo ezinokuhlala iinyanga, kwaneminyaka. Yiyo loo nto siyibiza ngokuba yi-Postherpetic Neuralgia (PHN). Le yimeko ecaphukisayo kakhulu kwaye isongela ubomi. Ngoko ke masifumanise okungakumbi ngayo.

Ngamafutshane, yintoni i-Postherpetic Neuralgia (PHN)?

Le yingxaki eqhelekileyo ye-shingles. Ivela njengentlungu engapheliyo kwindawo efanayo nama-blisters kunye ne-rash ebonakala eluswini emva kokuba i-herpes ipholile.

Uyakhumbula i-chickenpox usengumntwana? Intsholongwane efanayo ebangela i-chickenpox (i-varicella-zoster virus) inokuphinda isebenze emizimbeni yethu emva kweminyaka emininzi kwaye ibangele i-herpes zoster. Nangona kungengabo bonke abantu abafumana i-herpes abaya kuyivelisa, malunga nomntu omnye okanye ababini kwabalishumi baya kuba ne-PHN.

Le ntlungu inokuba yingozi kakhulu emzimbeni, engqondweni, nangokweemvakalelo. Ngoko ke inyathelo lokuqala nelibalulekileyo kukuthetha nogqirha wakho ngayo. Emva koko, kunye, ningenza icebo elifanelekileyo lokulawula le ntlungu.

Zithini iimpawu zale meko?

Ezi mpawu ziqala ngexesha elinye ne-herpes rash. Okanye zinokuvela kwiiveki okanye kwiinyanga emva kokuba i-rash ipholile ngokupheleleyo. Iimpawu eziphambili zezi:

• Intlungu: Le ntlungu ifunyanwa ngumntu ngamnye ngendlela eyahlukileyo. Nangona abanye besenokuziva ngathi yindawo ebuhlungu , abanye basenokuziva ngathi kukho into etshayo . Abanye basenokuziva ngathi kukuhlatywa kabukhali , ukuhlatywa , okanye ukubethwa ngumbane . Le ntlungu inokuba yinto engapheliyo okanye ihambe.
• Ulusu olurhawuzelelayo: Kusenokubakho ukurhawuzelela kwindawo yentlungu.
• Ubungqindilili: Kusenokubakho ukuncipha kwemvakalelo okanye ubungqindilili obupheleleyo kuloo ndawo.
• Uvakalelo lolusu: Ngamanye amaxesha ulusu luba novakalelo olukhulu. Nokuba nje impahla ichukunyiswa kancinci okanye umoya ovuthuzayo kunokubangela iintlungu ezinganyamezelekiyo. Le ntlungu inokubangelwa nalutshintsho oluncinci lobushushu.

Kutheni oku kusenzeka? Yintoni unobangela?

Ngamafutshane, i-PHN ibangelwa yintsholongwane ye-herpes eyonakalisa imicu yemithambo-luvo yakho. Cinga ngomzimba wakho njengothungelwano lweentambo zombane. Ezi mithambo-luvo zithumela imiqondiso engqondweni yakho. Xa ezi 'ntambo' zonakaliswe yintsholongwane ye-herpes, ziqala ukuthumela imiqondiso yentlungu engalunganga nenamandla ngakumbi engqondweni yakho. Yiyo loo nto uziva intlungu ngalo lonke ixesha ngaphandle kwesizathu.

Oogqirha abakakwazi ukuqonda ukuba kutheni abanye abantu abafumana i-herpes benesi sifo, abanye bengenaso.

Ngubani osengozini enkulu yokuphuhlisa oku?

Abanye abantu banamathuba amaninzi okuba ne-PHN. Makhe sijonge ukuba bangoobani.

Ezinye iingxaki ezinokuvela kwiintlungu ezihlala ixesha elide

Ukuphila nentlungu imini yonke akulula. Ingachaphazela iinkalo ezininzi zobomi bakho.

• Uxinzelelo: Ukuziva ulusizi kwaye udandathekile xa usezintlungwini ezingapheliyo kunokukhokelela kuxinzelelo .
• Ukudinwa rhoqo: Usenokuziva udiniwe kwaye udiniwe ngalo lonke ixesha.
• Ukungalali: Usenokungakwazi ukulala kakuhle ebusuku ngenxa yentlungu.
• Umnqweno wokutya: Umnqweno wokutya unokuncipha.
• Ubunzima bokugxila: Kunokuba nzima ukugxila nokuhlala ugxile kwinto ethile.

Ukuba le ntlungu iphazamisa ubomi bakho bemihla ngemihla, ungaze ungathandabuzi ukucela uncedo. Ungafumana kuluncedo nokufuna iingcebiso kwingcali yezempilo yengqondo .

Oogqirha bayixilonga njani le nto?

Uninzi lwexesha, ugqirha unokubona ukuba une-PHN ngoku:

• Ngokumamela ngenyameko iimpawu zakho .
• Ngokubuza ngembali yakho yezonyango , ingakumbi indlela owaba ne-herpes ngayo.
• Ngokwenza uvavanyo lomzimba .

Kunqabile kakhulu, abanye abantu banokuhlakulela i-herpes ngaphandle kokuqhuma. Kwiimeko ezinjalo, okanye ukuba luhlobo olungaqhelekanga oluchaphazela umqala, ugqirha unokuyalela uvavanyo lwegazi okanye olunye uvavanyo lwemifanekiso.

Iphathwa njani?

Nangona kungekho nyango lwe-PHN, kukho unyango olusebenzayo olunokunceda ukulawula iintlungu nokwenza ubomi bakho bube lula. Ugqirha wakho usenokukunika enye yala mayeza:

• Ii-Tricyclic antidepressants: Umzekelo, iziyobisi ezifana ne-`(nortriptyline).` Nangona ezi zisetyenziselwa ukudakumba, zikwanceda kakhulu ekulawuleni iintlungu zemithambo-luvo.
• Amayeza okuthintela ukuxhuzula: Amayeza afana ne-`(pregabalin)` okanye `(gabapentin)`. La mayeza asebenza kakhulu ekulawuleni iintlungu zemithambo-luvo.
• Amayeza e-SNRI: Amayeza afana ne-``(duloxetine)`` nawo asetyenziselwa le njongo.
• Izithinteli zeSodium channel: Iziyobisi ezifana ne `(carbamazepine)`.
• Iziqwenga okanye amafutha okugcoba ulusu: Ukusebenzisa iikhrimu okanye iziqwenga ezine `(Lidocaine)` okanye `(Capsaicin)` eluswini kunokunciphisa iintlungu okwethutyana.

Ngamanye amaxesha kungathatha ixesha ukufumana unyango olufanelekileyo kuwe. Ukuba iyeza elinye alisebenzi, kunokufuneka uzame elinye. Ngamanye amaxesha kunokufuneka nisebenzise amayeza amaninzi kunye. Ukuba iimpawu zakho aziphucuki, xelela ugqirha wakho.

Ezinye iindlela zonyango kwiimeko ezinzima

Kwintlungu enzima ehlala ixesha elide kwaye engaphenduliyo kumayeza aqhelekileyo, ugqirha wakho unokucebisa unyango olufana nolu:

• Iibhloko zemithambo-luvo: Iyeza lokubulala iintlungu lifakwa ngenaliti kwimithambo-luvo ebangela iintlungu.
• Ii-Epidurals: Ukufaka amayeza kwi-spinal cord.
• Ukuvuselelwa kwentambo yomqolo: Ukulawula iintlungu ngokuthumela imiqondiso yombane kwintambo yomqolo usebenzisa isixhobo esincinci.

Ngaba le meko ayinakuthintelwa?

Ewe, unako! Eyona ndlela ilungileyo nesebenzayo yokuthintela i-postherpetic neuralgia kukufumana i-shingles vaccine . Le vaccine inciphisa kakhulu umngcipheko wakho wokuba ne-shingles kunye nentlungu yemithambo-luvo ehlala ixesha elide enokubangela. Abantu abadala badla ngokunikwa iidosi ezimbini ze-vaccine, ezihlukaniswe ngeenyanga ezimbalwa.

Ukongeza, kubalulekile ukukhumbula ngesitofu sokugonya i-chickenpox . Ukuba wena okanye abantwana bakho anikaze nibe ne-chickenpox, ukufumana esi sitofu kunokuthintela intsholongwane ye-chickenpox ukuba ingangeni emzimbeni. Umntu ongazange abe ne-chickenpox akayi kuba ne-herpes okanye i-PHN kamva.