Ukunyanga izibonda, ezibizwa ngokuba yi-herpes zoster (HZ), zijolise kwizinto ezininzi: ukukhawulezisa ukuphilisa ukugqithisa nokunciphisa intlungu ehambelana nokuqhambuka nokunciphisa ingozi yeengxaki-ikakhulukazi i -neuralgia ye-neuralgia (PHN), eyenza ukubetha okanye ubuhlungu obuvuthayo obunokubethelela umntu ngeenyanga okanye kwiminyaka. Ekubeni i-PHN ingahlakulela kakuhle kwizithende zokuqhaqhazela, qaphela ukuba ezinye zeendlela zokwenza unyango zingabhekisela ngqo ekukhuliseni i-PHN.
Kwakhona kubalulekile ukuba uqaphele: Kubalulekile ukuphatha izibonda ezichaphazela indawo yamehlo, i-herpes zoster ophthalmicus, ngokukhawuleza. Ukuba ayilungiselelwanga ngokukhawuleza, kunokukhokelela kumonakalo ongapheliyo kwamehlo okanye nokuba yimfama. Ekubeni lolu hlobo lwesithintelo lusichaphazela iso, ezinye izicwangciso zokonyango kwezinye iindawo zomzimba azikhuselekile. Imirhumo yomlomo we-antiviral echazwe ngezantsi ibaluleke kakhulu. Kwaye ngamanye amaxesha ugqirha uya kumisela i-steroid ye-topical ngokuxhomekeke kwinqanaba leli lichaphazelekayo.
IziPhulo zaseKhaya kunye nokuPhila
Ngandlela-thile, iindwangu zinjengeyiphi na intsholongwane: Ukongeza ngaphezu kokubangela ukukhawuleza nokungaboni kakuhle, kukukwenza uzive utyhafile, ukhathele, kwaye uphile kakuhle. Ngoko ke, enye yezinto ezibaluleke kakhulu xa ungayenza ngexesha lokujongana nalo kukuzikhathalela ngokubanzi okanye, ukuba unakekela omnye umntu onamaqhankqalazo, ewahlamba nge-TLC.
Ngaphandle koko, kufuneka uthabathe amanyathelo okuphelisa intlungu.
- Tend kwi sikhumba sakho. Faka isicelo sokuncinciza okupholileyo njengoko kuyimfuneko ukunceda uhluthe ubuhlungu kwaye ume u-blisters. (Musa ukwenza oku ukuba usebenzisa i-cream cream okanye ipatch, njengalezo ezichazwe ngezantsi.)
- Thatha i-softening soak. Ukuhlamba i-oatmeal kunokunceda ukukhululeka entlungu. Ungathenga iimveliso zokuhlambela i-oatmeal e-packaged orgroidal, okanye wenze ngokwakho: i-Whir e-oatmeal rhoqo, uhlobo olusidla ngalo isidlo sakusihlwa, kwiprojekitri yokutya de ibe yiphunga elimnandi. Yongeza indebe ngamanzi intshi yamanzi kwisibhakabhaka esibushushu (asishushu).
- Ugqoke ukuze uthuthuzele. Ukuqhwala kwiingubo kunokunyusa intlungu. Ukuba ukukhawuleza kwakho kuyingxenye yomzimba wakho ofuna ukugqitywa xa uphuma, gquba into ehambelana ngokusesikweni kwaye yenziwe kwi-fiber yendalo.
- Fumana ukuphumla okuninzi. Ukongezelela ukuvalela ubuthongo obufanelekileyo bokulala ebusuku, apho abantu abaninzi bephakathi kweeyure ezingama-7 neye-9, bathabathe xa usuku ukuba uziva ubafuna.
- Yidla kakuhle. Oku kuthetha ukufumana iindlela ezahlukeneyo zokutya okunomsoco kunye naphakathi kokutya, nokugcina ezo ziphakamileyo kwioli egcweleyo, ityuwa kunye neekhalori ezingenanto.
- Hambisa umzimba wakho xa uziva unako. Zama izenzo ezilula ezifana nokwelula okanye ukuhamba. (Khangela ugqirha wakho ukuba ungumntu omtsha ukusebenzisa.)
- Zi pha zamise. Fumana iindlela zokwenza ingqondo yakho ingabuhlungu kwaye ungakhathazeki. Oku kungenza kube lula nje ngokuba nomhlobo phezu kwengxoxo okanye ugxininise kwinto yokuzilibazisa-ukhetha iphrojekthi yokuxuba kwakhona, umzekelo. Ukubandakanya umntwana ngeengqungquthela kumdlalo wekhadi, iphazili, okanye omnye umsebenzi omnandi.
- Ukuxinezeleka. Phendukela kwimisebenzi okanye kwizenzo ezikunceda ukuba uphumule, njengokucamngca, ukufunda, okanye ukuphulaphula umculo ocolileyo.
I-Over-the-Counter (OTC) Iipilisi
Ukuphucula oku ngakumbi intlungu kunye nokubethelwa kwindwangu kukuphela kohambo lwezilwanyana.
Le mveliso kulula ukuyifumana kwaye ayifuni imfuno kadokotela. Enyanisweni, abanye usenokuba sele unakho kwisifuba sakho samachiza ekhaya.
- I-OTC ubuhlungu bonyango. Imithi engeyiyo-stteroidal anti-inflammatory (NSAID) efana neTylenol (acetaminophen) okanye i-Motrin okanye i-Advil (ibuprofen) inokuphumelela ekunciphiseni ubuhlungu obukhulu ukuya kumlinganiselo. Ukuba unika i-NSAID kumntwana onamaqabunga, qiniseka ukuba umthamo ufanelekile ubudala bakhe kunye nesisindo (ilebula iya kukuxelela, kodwa unokumtshekisha nomntwana wezilwanyana). Musa ukunika umntwana aspirin okanye nayiphina imithi equkethe i-aspirin: Eli gulana linxulumene nobungozi obuninzi be-Reye's syndrome, isifo esingavamile esenza ukuvuvukala kwengqondo kunye nesibindi.
- Antihistamines. I-antihistamine yomlomo efana ne-Benadryl (diphenhydramine) inganciphisa ukubetha (kodwa ibangela ukulala, ngoko ungayithathi xa kufuneka ukuba ugxilwe okanye uqhube). Kananjalo ungazama i-antihistamine yesigcawu. Ngokomzekelo, iBenadryl iza njenge-spray, ukhilimu, okanye unamathele ekusebenziseni ngqo kwesikhumba.
- I-lotic lotion. Njengama-antihistamines e-headical, i-calamine lotion inganciphisa ukubetha kunye nentlungu. Ukuba awuyithandi izinto eziphambili zepinki eziphambili, unokufumana inkcazelo ecacileyo.
- Lidocaine. I-anesthetic yasekuhlaleni inceda ukunciphisa intlungu ngokukhawuleza ukuphazamiseka kwendawo eyonakalisayo. Itholakala kwiintlobo ezahlukeneyo ze-OTC zesikhumba, kunye nakwiqonga elibizwa ngokuthi yiLidoderm elithinta isikhumba aze akhiphe inani elincane le-lidocaine ukuya kwiiyure eziyi-12 ngosuku. Sebenzisa kuphela i-lidocaine (nangaluphi na uhlobo) elukhumbeni olusisigxina-oko kukuthi, isabunzima okanye ihlazo emva kokuba imilenze iphilise, njengokuba kunjalo xa i-shingles ilandelwa yi-neuralgia ye-postural (PHN).
ICapsaicin. Isithako esisebenzayo kwi-pepper esilungisa umlomo wakho emlilweni xa udibana nayo kwi-salsa ecocekileyo nayo inefuthe eliphazamisayo eluswini. Isebenza ngokususa i-neurochemical ebizwa ngokuba yi-P ehambisa izibonakaliso zentlungu. Izifundo ezininzi ziye zafumanisa ukuba i- capsaicin isebenza ngokuphumelelayo ekunciphiseni ubuhlungu bentlungu yomonakalo njengeFN. Uninzi luphando lubhekisele kumathenkethi e-prescription-kuphela aqulethe iqondo eliphezulu (iipesenti ezi-8) ze-capsaicin. (Igama lohlobo lweQutenza). Unokufumana ama-creams aqukethe amaqondo angaphantsi kwe-capsaicin kwizikhululo zokuthengisa izilwanyana, izitolo zokutya zezempilo kunye ne-intanethi. Enye yezi, i-Zostrix, iqulethe i-capsaicin ye-0.1 yepesenti. Thetha ugqirha wakho malunga nemali efanelekileyo kuwe. Nantoni na eyenzekayo, yinto efanelekileyo yokugqoka iiglavu xa usebenzisa i-capsaicin kwaye unokunyamekela ukuba ungathinteli indawo yamehlo okanye nayiphi na indawo yesikhumba esiphukileyo okanye esicacileyo.
Imigaqo
Uphulo lwangokokuqala luyintloko ekunciphiseni ubunzima bokuqhaqhazela, ukuqala ngamachiza omhlaza. Ezinye izidakamizwa zinokumiselwa ukunciphisa intlungu kunye nokungazinzi.
- Imithi yokulwa neyeza. Ezi zinto zikhusela intsholongwane ye-varicella ukuphindaphinda, ukuphulukiswa ngokukhawuleza kwesikhumba, kunye nokunciphisa ubunzima kunye nobude beentlungu. Ziyasebenza kakhulu xa zinikwe kwiiyure ezingama-72 zokuqala ukubonakala kwe-rash, ngoko ke ukuba ukrokreka ukuqubuka kwe-blisters kungabonakala, jonga ugqirha wakho ngokukhawuleza. Gcina ukhumbule ukuba ukuba awukwazi ukuqala unyango ngeyeza lokubulala untiviral zingama-72 iiyure, kusenokuba luncedo ukuthatha enye. Kukho izidakamizwa ezintathu ze-antiretroviral ekunakekeleni izibonda : i-Zovirax (acyclovir), i-Famvir (famciclovir) kunye ne-Valtrex (valacyclovir). Abantu abanesistim e-immune (egwenziwe ngabaxhasi kunye nabangenayo igciwane lesandulela-ngculazi, okanye i-HIV) bangadinga i-acyclovir. I-Acyclovir iyancipha ibe yindleko encinci kwezi zinto kodwa kufuneka ithathe rhoqo rhoqo kunezinye iziyobisi.
- Anticonvulsants . Ngenxa yokuphulukana nentlungu, ezinye iziyobisi ezisetyenziselwa ukulawula ukuxinwa ngamanye amaxesha kunceda. Imizekelo i-Neurontin (gabapentin) kunye neLyrica (pregabalin), enokuthi ikhuphe iintlungu ze-PHN xa zisetyenziswe nge-anti-virus.
- I-Tricyclic antidepressants. Eli klasi lezinto ezichasayo, ezahluke kwi-inhibitors ekhethiweyo-serotonin eyaziwayo, okanye ii-SSRI, ezifana neprozac (i-fluoxetine), ifumaneka ekunciphiseni ubuhlungu bentliziyo. Imizekelo ethile iquka i-amitriptyline (efumaneka kuphela kwifom ejwayelekile), i-Aventyl (i-nortriptyline), kunye ne-Norpramin (desipramine).
- Corticosteroids. Nangona aqhelekanga ukuba zikhishwe ngamashishini okanye i-PHN, ngamanye amaxesha i-corticosteroids isetyenziswa ngokubambisana kunye neyeza-anti virus kwiimeko ezinzima.
- Opioids . Ezinye iindlela zokulungisa i-opioid, ezifana ne-morphine-release-release patches okanye i-fentanyl patches, ziye zabonakalisa ziphumelelayo xa i-shingles okanye i-PHN ibangela intlungu ebuhlungu.
I-Alternative Medicine (CAM)
Nangona ezinye iindlela zonyango zonyango ziye zacatshangelwa, akukho nto iphandiwe ngokwaneleyo ukuba ithathelwe ingqalelo. Phakathi kwala ma-enzyme e-proteolytic, aveliswa ngokwemvelo ngama-pancreas ukunceda ukugaya iprotheni ekudleni. Kwakhona zifumaneka kwiindawo ezithile zokutya, ezifana nepapaya kunye neyinaninfo. Izibonelelo ezisuka kumpapaya (obizwa ngokuba yi- papain ), iinanimpe (ebizwa ngokuba yi- bromelain ), kunye neepancreas zezilwanyana ziyafumaneka kwi-intanethi, kwiindawo zokutya ezempilo nakwezinye izitolo zokutya kunye neziyobisi. Zivame ukuthengiswa njengezongezelo ze- enzyme zokugaya .
Kwisifundo se-German sama-192 abantu abangama-192 abaneengqungquthela, isiqingatha sithatha i-enzymes yeprotolytic iintsuku eziyi-14 kunye nesiqingatha sithatha i-acyclovir. La mabini maqela afumana uxinzelelo lweentlungu ezifana nokuphucula isikhumba, ngaphandle kokubomvu kwesikhumba, okubonisa ukuphucula okukhulu kunye nophatho lwe-acyclovir. Iqela elithatha i-proteolytic enzymes yayinemiphumo embalwa.
Nangona kunjalo, i-proteolytic enzymes ingaba nemiphumo emibi, kubandakanywa ukuphazamiseka kwesondlo kunye nokuphendula komzimba. Ngokukodwa, abantu abaneentlungu zepinapapayi okanye ipapaya kufuneka baphephe ukuxhaswa kwezi ziqhamo.
Ama-enzyme e-proteolytic, ngokukodwa i-bromelain ne-papain, akufanele ithathwe ngabaxakeli begazi njenge-aspirin okanye i-Coumadin (i-warfarin) njengoko inokunyusa umphumo walezi yobisi. I-enzyme ye-proteolytic pancreatin nayo inokuphazamisa ukuxutywa kwe-vitamin folate. Ngenxa yokuba kukho ubungqina obuncinane bokuthi i-proteolytic enzymes iyanceda ngokwenene ekunciphiseni iimpawu zentsholongwane kwaye zinokuba nemiphumo emibi, kufuneka uhlole ugqirha wakho ngaphambi kokuba uthathe ukuphatha izibonda.
> Imithombo:
> Derry, S, Rice, AS, Cole, P, Tan, T, noMore, RA. "Isihloko seCapsaicin (Ukugxininisa okuPhezulu) kwiPilisi ye-Neuropathic engapheliyo kubantu abadala." I-Cochrane Database Syst Rev. Jan 13, 2017; 1: CD007393. INGXELO: 10.1002 / 14651858.CD007393.pub4.
> I-MedlinePlus. "Ukukhawuleza-Emva kokunyamekela." Meyi 21, 2016.
> Isizwe seSizwe ekuguga. Amakhanda. "NgoDis 31, 2016.
> Amasebe ase-US okuLawula nokuVikela (i-CDC) yezifo. "I-Shingles (i-Herpes Zoster): Inkcazo yeKliniki." Atlanta, Georgia; Meyi 1, 2014.
> UpToDate. UAlbrecht, M., "Uqeqesho lweMonde: Iingxowa (ngaphaya kweZiseko)." Mar 6, 2018.