Pambuyo Pambuyo pa Neuralgia ndi Pambuyo Pambuyo pa Shingles

Kuthetsa vutoli lopweteketsa

Pambuyo pake, neuralgia (PHN) ndi vuto lopweteka lomwe limakhala ngati vuto la ming'oma , yomwe imayambitsidwa ndi kachilombo komwe kamayambitsa nkhuku : varicella-zoster. Zimakhudza mitsempha ya mitsempha ndi khungu nthawi yayitali pambuyo pa matanthwe apita ndipo amachititsa ululu ndi kuwotcha. Pali mitundu itatu ya pambuyo pake ya neuralgia:

• Mwamtheradi wake wa neuralgia. Ululu umayendayenda ndipo imapitirira kwa masiku 30 mutangoyamba.

• Subacute herpetic neuralgia. Ululu umapitirira kwa miyezi 1 kapena 4 chiyambireni chiwombankhanga.
• Zakale zakuthambo za neuralgia. Ululu umapitirira kwa miyezi yoposa 4 chiyambireni chiwombankhanga.

Zifukwa za Pambuyo Pambuyo pa Neuralgia

Ngati mudakhala ndi nkhuku mukakhala mwana, kachilomboka kansalu - varicella-zoster - kakakhala mkati mwanu. Imakhalabe yolimba kwa zaka zambiri mpaka itabwerera mmbuyo kudzera m'mitsempha ndi khungu, zomwe zimayambitsa kupweteketsa. PHN imachitika pamene mitsempha ya mitsempha yowonongeka panthawi ya chiphuphu. Mitsempha ya mitsempha yowonongeka imayambitsa kupweteka kosatha komwe kumachitika kwa miyezi kapena ngakhale zaka.

PHN, vuto la mabwinja, lingabweretse mavuto ena, kuphatikizapo:

• Kusokonezeka maganizo
• Kuvuta kuika maganizo
• Kuvuta kugona
• Kutopa
• Kutaya njala

Zochitika Zakale Zam'mbuyo za Neuralgia

Kuopsa kwa PHN kumakula ndi msinkhu. Ambiri mwa anthu okhudzidwa ndi okalamba kuposa 60. Phunziro limodzi linapeza kuti pakati pa anthu a zaka zapakati pa 60 ndi 69 omwe adakula shingles, 6.9 peresenti anayamba PHN.

Kwa anthu a zaka zoposa 70 omwe adakula msanga, 18.5 peresenti inayamba pHN.

Kuwonjezera pa msinkhu, zina mwazikuluzikulu zoopsa zimaphatikizapo kukhala ndi ululu wopweteka kwambiri ndi kupweteka kwa msupa komanso kuphulika kwakukulu. Momwemonso mumakhala ndi PHN ngati mudakalipa nkhope kapena thunthu.

Kufooka kwa chitetezo cha chitetezo cha mthupi sikuli chinthu choopsa cha PHN.

Zizindikiro za Posterpetic Neuralgia

Zilonda zonse ndi PHN zingayambitse kupweteka kwambiri moti zimasokoneza moyo wanu. Zizindikiro za PHN nthawi zambiri zimakhala zochepa kuderalo kumene kunkapwetekedwa. Zizindikiro zenizeni zikuphatikizapo:

• Kutentha kumoto kumalo kumene kutukuka kwachiritsidwa
• Ululu umene umabweretsedwera ndi zovuta zomwe sizimapweteka monga kukhudza kuwala
• Kuyabwa
• Madera a kufooka ndi kuvutika kutengera kutentha ndi kugwedeza

Kuchiza kwa Posterpetic Neuralgia

Muyenera kuwona dokotala pachizindikiro choyamba cha shingles, komanso zizindikiro za PHN. PHN matendawa sichiyenera kuyesedwa. Mankhwala a PHN ndi ovuta ndipo nthawi zambiri amafunika mankhwala ambiri. Tsoka ilo, palibe mankhwala amodzi amene amagwira ntchito kwa anthu onse. Anthu ambiri amagwiritsa ntchito mankhwala angapo kuti athetse zizindikiro. Zikuphatikizapo:

• Lidocaine ndi makina a capsaicin
• Anticonvulsants (gabapentin ndi pregabalin)
• Matenda oletsa kupanikizika (nortriptyline, duloxetine, ndi venlafaxine)
• Opioids (tramadol, oxycodone, ndi morphine)
• Steroid jekeseni

Kachisaicin kirimu ndi wotchuka pa mankhwala a PHN. Capsaicin ndizochokera ku chilengedwe cha mbewu za tsabola ndi kuchepetsa ululu ndi kuyabwa.

Mmene Mungapewere Kutsirizira Kwambiri kwa Neuralgia

Nkhumba sizitetezedwa kwathunthu, koma pali zinthu zingapo zomwe mungachite kuti muchepetse mwayi wanu wozipeza ndi mavuto ake:

• Onaninso dokotala wanu mutangozindikira zizindikiro za bongo .
• Pezani katemera wa shingles. Zimachepetsa kwambiri chiopsezo chanu chokhala ndi zibwenzi, PHN, ndi mavuto ena.

_Zotsatira:

Bowsher, D. "Maganizo okhudza chithandizo cham'tsogolo cha neuralgia: kuchipatala choyenera." Neurology 45 (1995): PosterpeticS56.

_{Bowsher, D. "Zotsatira za kuyambitsanso chithandizo cham'mbuyo pambuyo pa neuralgia ndi amitriptyline: yesero lopangidwa mozungulira, lopumphuka, lopanda malo." Journal of Pain Symptom Management 13 (1997): 327.}

_{Dubinsky, RM, et al. "Pangani Parameter: Pambuyo Pambuyo pa Neuralgia." Neurology 63 (2004): 959-65.}

_{Dworkin, RH, ndi RK Portenoy. "Kupweteka ndi kupitiriza kwake mu herpes zoster." Ululu 67 (1996): 241-51.}

_{Gnann, John, ndi Richard Whitley. "Herpes Zoster." The New England Journal of Medicine 347 (2002): 340-6.}

_{Jung, Beth, et al. "Zinthu Zowopsa kwa Pambuyo Pambuyo la Neuralgia Pakati pa Odwala ndi Herpes Zoster." Neurology 62 (2004): 1545-51.}

_{Ophunzira a Mayo Clinic. Zakale zakuthambo za neuralgia. (2015, September 16). Inabweranso pa April 2, 2016, kuchokera ku http://www.mayoclinic.org/diseases-conditions/postherpetic-neuralgia/basics/definition/con-20023743}

_{Oxman, MN, et al. "Katemera Wothandizira Kuteteza Ziphuphu Zoster ndi Posterpetic Neuralgia M'zolamba Zakale." The New England Journal of Medicine 352 (2005): 2271-84.}