Ukunyangwa kwezi nkathazo ezibuhlungu
I-postherpetic neuralgia (PHN) yimeko ebuhlungu eyenzeka njengenkcenkceshe yeengqungquthela , ezibangelwa yintsholongwane efanayo ebangela inkukhu : i-varicella-zoster. Ichaphazela iimbilini ze-nerve kunye nesikhumba emva kokuba i-shingles ihambe kwaye ibangela iintlungu kunye nokutshisa. Kukho iintlobo ezintathu ze-neuralgia yangaphambili:
- I-neuralgia eyiyo. Ubuhlungu buhamba kunye nokuqhubela phambili ukuya kwiintsuku ezingama-30 emva kokuqala kokugqithisa.
- Ukutshatyalaliswa kwe-neuralgia. Ubuhlungu buyaqhubeka kwiinyanga ezili-1 ukuya kwezi-4 emva kokuqala kokukhawuleza.
- Postherpetic neuralgia. Ubunzima buqhubekayo ngaphezu kweenyanga ezi-4 emva kokuqala kokuhlaselwa.
Iingxaki ze-Postherpetic Neuralgia
Ukuba unesifo senkukhu njengomntwana, intsholongwane ye-shingles - varicella-zoster - sele isele ngaphakathi kwakho. Ihlala ihlala idlulileyo iminyaka emininzi de ibuye ibuyele emanzini kunye nekhanda, ibangele i-shingles. I-PHN iyenzeka xa i-nerve fibers ibonakaliswe ngexesha lokuqhaqhazela. Iimbilini ze-nerve ezilimele zikhokelela ekubuhlungu okungapheliyo okuqhubekayo kwiinyanga okanye kwiminyaka.
I-PHN, inkxalabo yeengqungquthela, inokubangela ukuba kubekho iingxaki ezininzi, kuquka:
- Ukuxinezeleka
- Unzima ukugxila
- Unzima ukulala
- Ukukhathala
- Ukuphelelwa kwesidlo
Iimpawu zobungozi be-posterpetic Neuralgia
Umngcipheko wokuphuhlisa i-PHN ukwanda kunye nobudala. Uninzi lwabantu abachaphazelekayo luneminyaka engaphezu kwama-60. Olunye uphando lubonise ukuba phakathi kwabantu abaneminyaka engama-60 ukuya kuma-69 abaye bahlakulela ama-shingles, ama-6.9 ekhulwini aphuhlise i-PHN.
Kubantu abangaphezu kweminyaka engama-70 ubudala abaye bahlakulela ama-shingles, i-18.5 ekhulwini yaba ne-pHN.
Ukongeza ngaphezu kweminyaka, ezinye izinto ezinobungozi zibandakanya ukuba nobuhlungu obunzima obubuhlungu obunzima kunye nokuqhaqhazela kweentsimbi kunye nokugqithisa okukhulu. Kananjalo ukwazi ukuhlakulela i-PHN ukuba unobhenqo ebusweni bakho okanye kwisiqu.
Isistim somzimba esibuthathaka sisoloko sisingumngcipheko we-PHN.
Iimpawu zePosterpetic Neuralgia
Ezi zibini kunye ne-PHN kunokubangela ubuhlungu obukhulu kangangokuba buphazamisa ubomi bakho. Iimpawu ze-PHN zivame ukuphela kwendawo apho kuqhutyelwa khona ukukhawuleza. Izimpawu ezithile ziquka:
- Ukuvutha komsindo kwindawo apho ukuphosa kuphilise khona
- Ubunzima obulethwa ngokuqhelekileyo okungenakubuhlungu njengento yokuthinta
- Ukutshiza
- Imimandla yoxinzelelo kunye nobunzima bokubona ukushisa nokugubha
Unyango lwe-Postherpetic Neuralgia
Umele ubone ugqirha kwindawo yokuqala yokubhinqa, kwakunye neempawu ze-PHN. I-diagnosis ye-PHN ayifuni naluphi na uvavanyo. Unyango lwe-PHN luyinkimbinkimbi kwaye ifuna amayeza amaninzi. Ngelishwa, akukho lonyango olulodwa olusebenza kubo bonke abantu. Abantu abaninzi kufuneka basebenzise uninzi lwezonyango zokunciphisa iimpawu. Ziquka:
- I-Lidocaine kunye neentambo ze-capsaicin
- I-Anticonvulsants (gabapentin kunye ne-pregabalin)
- I-Anti-depressants (i-nortriptyline, i-duloxetine kunye ne-venlafaxine)
- I-opioids (tramadol, oxycodone, kunye ne-morphine)
- Injini ze Steroid
I-Capsaicin cream iyathandwa kakhulu kwi-PHN counter-counter. I-Capsaicin iyimvelaphi yendalo yembewu ye-pepper kwaye iyanciphisa intlungu kunye nokubetha.
Indlela yokukhusela i-Postherpetic Neuralgia
Izibonda azikhuselekanga ngokupheleleyo, kodwa kukho izinto ezimbalwa onokuzenza ukuze unciphise amathuba okufumana kunye neengxaki zayo:
- Jonga ugqirha wakho ngokukhawuleza xa ubona iimpawu zentsholongwane .
- Fumana i-shingles vaccine. Inciphisa kakhulu umngcipheko wokuphuhlisa i-shingles, i-PHN kunye nezinye iingxaki.
Imithombo:
Bowsher, D. "I-Pathophysiology ye-neuralgia ye-postherpetic: ukuya kwonyango." I-Neurology 45 (1995): i-PosterpeticS56.
Bowsher, D. "Iimpembelelo zonyango olungaphambili lwe-neuralgia kunye ne-amitriptyline: ityala elingalawulwa ngokungaqhelekanga, eli-double-blind, elilawulwa yi-placebo." Umbhalo we-Pain Symptom Management 13 (1997): 327.
Dubinsky, RM, et al. "Yenza i-Parameter: I-Postherpetic Neuralgia." I-Neurology 63 (2004): 959-65.
Dworkin, RH, kunye noRK Portenoy. "Ubuhlungu kunye nokuphikelela kwayo kwi-herpes zoster." Ubuhlungu 67 (1996): 241-51.
UGnann, uJohn noRichard Whitley. "Herpes Zoster." I-New England Journal of Medicine 347 (2002): 340-6.
Jung, Beth, et al. Iingxaki zobungozi be-Neergiagia yangemva kwesigulane kwizigulane nge-Herpes Zoster. I-Neurology 62 (2004): 1545-51.
Abasebenzi beKliniki yabasebenzi. Postherpetic neuralgia. (2015, Septemba 16). Ukubuyiselwa ngo-Aprili 02, 2016, kwi-http: //www.mayoclinic.org/diseases-conditions/postherpetic-neuralgia/basics/definition/con-20023743
Oxman, MN, et al. "Isifo sokukhusela i-Herpes Zoster ne-Postherpetic Neuralgia kubantu abadala." I-New England Journal of Medicine 352 (2005): 2271-84.