Ake sifunde nge-Postherpetic Neuralgia, ubuhlungu obukhulu bemizwa obuvela ngemva kwe-shingles.

Wake waba ne-'herpes' noma 'shingles' njengoba sizibiza kanjalo? Ukhona umuntu omaziyo oke wabhekana nakho? Noma ubani oke wabhekana nakho uyazi ubuhlungu nokungakhululeki okungabangelwa yiko. Kodwa ngezinye izikhathi, ngisho nangemva kokuba ama-herpes blister esepholile ngokuphelele, kusekhona ubuhlungu obukhulu endaweni ethintekile obungahlala izinyanga, ngisho neminyaka. Yilokho esikubiza ngokuthi i-Postherpetic Neuralgia (PHN). Lesi yisimo esicasulayo kakhulu nesisongela impilo. Ngakho ake sithole okwengeziwe ngaso.

Kalula nje, iyini i-Postherpetic Neuralgia (PHN)?

Lokhu kuyinkinga evamile ye-shingles. Kwenzeka njengobuhlungu obuqhubekayo endaweni efanayo nama-blisters kanye nokuqubuka okuvela esikhumbeni ngemva kokuba i-herpes isipholile.

Uyakhumbula i-chickenpox useyingane? Igciwane elifanayo elibangela i-chickenpox (i-varicella-zoster virus) lingaphinde lisebenze emizimbeni yethu eminyakeni eminingi kamuva futhi libangele i-herpes zoster. Nakuba kungebona bonke abantu abathola i-herpes abazoyithola, cishe umuntu oyedwa noma ababili kwabayi-10 bazoba ne-PHN.

Lobuhlungu bungaba buthaka kakhulu, ngokomzimba, ngokwengqondo nangokomzwelo. Ngakho isinyathelo sokuqala nesibaluleke kakhulu ukukhuluma nodokotela wakho ngakho. Bese, ndawonye, ​​ningakha uhlelo oluhle lokuphatha lobu buhlungu.

Ziyini izimpawu zalesi simo?

Lezi zimpawu zingaqala ngesikhathi esifanayo ne-herpes rash. Noma zingavela amasonto noma ngisho nezinyanga ngemva kokuba i-rash isipholile ngokuphelele. Izimpawu eziyinhloko yilezi:

• Ubuhlungu: Lobuhlungu buzwiwa umuntu ngamunye ngendlela ehlukile. Nakuba abanye bangase bazizwe njengendawo ebuhlungu , abanye bangase bazizwe njengokusha . Abanye bangase bazizwe njengokugwazwa okubukhali , ukugwazwa , noma ukushaqeka kukagesi . Lobuhlungu bungase buhlale njalo noma bufike budlule.
• Isikhumba esilumayo: Kungase kube nokulunywa endaweni yobuhlungu.
• Ukungazwakali: Kungase kube nokuncipha kokuzwa noma ukungazwakali ngokuphelele endaweni.
• Ukuzwela kwesikhumba: Ngezinye izikhathi isikhumba siba nomuzwa onzima kakhulu. Ngisho nokuthinta okuncane kwezingubo noma umoya ovunguzayo kungabangela ubuhlungu obungabekezeleleki. Lobuhlungu bungabangelwa ngisho nokushintsha okuncane kwezinga lokushisa.

Kungani lokhu kwenzeka? Iyini imbangela?

Kalula nje, i-PHN ibangelwa yigciwane le-herpes elilimaza imicu yezinzwa zakho. Cabanga ngomzimba wakho njengenethiwekhi yezintambo zikagesi. Lezi zinzwa zithumela izimpawu ebuchosheni bakho. Lapho lezi 'zintambo' zonakaliswa yigciwane le-herpes, ziqala ukuthumela izimpawu zobuhlungu ezingalungile nezinamandla kakhulu ebuchosheni bakho. Yingakho uzizwa ubuhlungu ngaso sonke isikhathi ngaphandle kwesizathu.

Odokotela abakakwazi ukuthola ukuthi kungani abanye abantu abathola i-herpes empeleni beba nalesi simo kanti abanye abasitholi.

Ubani osengozini enkulu yokuthuthukisa lokhu?

Abanye abantu banamathuba amaningi okuthola i-PHN. Ake sibheke ukuthi bangobani.

Ezinye izinkinga ezingavela ngenxa yobuhlungu besikhathi eside

Ukuphila nobuhlungu usuku lonke akulula. Kungathinta izici eziningi zokuphila kwakho.

• Ukucindezeleka: Ukuzizwa udangele futhi ucindezelekile uma usezinhlungwini ezingapheli kungaholela ekucindezelekeni .
• Ukukhathala okuqhubekayo: Ungase uzizwe ukhathele futhi ukhathele ngaso sonke isikhathi.
• Ukungalali: Ungase ungakwazi ukulala kahle ebusuku ngenxa yobuhlungu.
• Isifiso sokudla: Isifiso sokudla singase sinciphe.
• Ubunzima bokugxila: Kungaba nzima ukugxila nokuhlala ugxile kokuthile.

Uma lobu buhlungu buphazamisa impilo yakho yansuku zonke, ungalokothi unqikaze ukucela usizo. Ungase ukuthole kuwusizo nokufuna iseluleko kuchwepheshe wezempilo yengqondo .

Odokotela bakuthola kanjani lokhu?

Esikhathini esiningi, udokotela angabona ukuthi une-PHN ngokuthi:

• Ngokulalela ngokucophelela izimpawu zakho .
• Ngokubuza ngomlando wakho wezokwelapha , ikakhulukazi ukuthi wakha kanjani i-herpes.
• Ngokwenza ukuhlolwa ngokomzimba .

Akuvamile kakhulu, abanye abantu bangaba ne-herpes ngaphandle kokuqubuka. Ezimweni ezinjalo, noma uma kuyinhlobo engavamile ethinta umphimbo, udokotela angase acele ukuhlolwa kwegazi noma ezinye izivivinyo zezithombe.

Iphathwa kanjani?

Nakuba kungekho ukwelashwa kwe-PHN, kunezindlela zokwelapha ezisebenzayo ezingasiza ekulawuleni ubuhlungu futhi zenze impilo yakho ibe lula. Udokotela wakho cishe uzokunikeza omunye wale mithi:

• Ama-antidepressant e-Tricyclic: Isibonelo, izidakamizwa ezifana ne-`(nortriptyline).` Nakuba lezi zisetshenziselwa ukucindezeleka, ziwusizo kakhulu ekulawuleni ubuhlungu bezinzwa.
• Imithi yokuvimbela ukuqunjelwa: Imithi efana ne-`(pregabalin)` noma `(gabapentin)`. Lezi ziyasebenza kakhulu ekulawuleni ubuhlungu bemizwa.
• Imithi ye-SNRI: Imithi efana ne-``(duloxetine)`` nayo isetshenziselwa le njongo.
• Ama-Sodium channel blockers: Izidakamizwa ezifana ne-`(carbamazepine)`.
• Ama-patches esikhumba noma amafutha: Ukusebenzisa okhilimu noma ama-patches aqukethe `(Lidocaine)` noma `(Capsaicin)` esikhumbeni kungadambisa ubuhlungu okwesikhashana.

Ngezinye izikhathi kungathatha isikhathi ukuthola ukwelashwa okufanele. Uma umuthi owodwa ungasebenzi, kungadingeka uzame omunye. Ngezinye izikhathi kungadingeka nisebenzise imithi eminingana ndawonye. Uma izimpawu zakho zingathuthuki, tshela udokotela wakho.

Ezinye izindlela zokwelapha ezimweni ezinzima

Uma ubuhlungu obukhulu buhlala isikhathi eside kakhulu futhi bungaphenduli emithini evamile, udokotela wakho angase ancome ukwelashwa okufana nalokhu:

• Ukuvinjwa kwemizwa: Umuthi wokubulala izinzwa unikezwa ngomjovo emsipheni obangela ubuhlungu.
• Ama-Epidural: Ukujova umuthi emgogodleni.
• Ukuvuselelwa kwentambo yomgogodla: Ukulawula ubuhlungu ngokuthumela izimpawu zikagesi entanjeni yomgogodla usebenzisa idivayisi encane.

Ingabe lesi simo asinakuvinjelwa?

Yebo, ungakwazi! Indlela engcono kakhulu nephumelela kakhulu yokuvimbela i-postherpetic neuralgia ukuthola umuthi wokugomela i-shingles . Lo muthi wokugomela unciphisa kakhulu ingozi yakho yokuthola i-shingles kanye nobuhlungu bemizwa obuhlala isikhathi eside obungabangelwa yiwo. Abantu abadala bavame ukunikezwa imithamo emibili yomjovo, ehlukaniswe ngezinyanga ezimbalwa.

Ngaphezu kwalokho, kubalulekile ukukhumbula ngomuthi wokugomela i-chickenpox . Uma wena noma izingane zakho ningakaze nibe ne-chickenpox, ukuthola lo muthi kungavimbela igciwane le-chickenpox ukuthi lingangeni emzimbeni. Umuntu ongakaze abe ne-chickenpox ngeke abe ne-herpes noma i-PHN kamuva.