Zojambulajambula neuralgia - pambuyo pa chisamaliro

Postherpetic neuralgia ndi ululu womwe umapitilira pambuyo poti ma shingles aphulika. Kupweteka kumeneku kumatha miyezi ndi zaka.

Shingles ndi khungu lopweteka, lotuluka khungu lomwe limayambitsidwa ndi varicella zoster virus. Ndiwo womwewo womwe umayambitsa matenda a nthomba. Matenda amatchedwanso herpes zoster.

Postherpetic neuralgia imatha:

• Chepetsani zochita zanu za tsiku ndi tsiku ndipo zikhale zovuta kuti mugwire ntchito.
• Khudzani momwe mumakhudzidwira ndi anzanu komanso abale.
• Kuyambitsa kukhumudwa, kuipidwa, komanso kupsinjika. Malingaliro awa atha kukulitsa kupweteka kwanu.

Ngakhale kulibe mankhwala a postherpetic neuralgia, pali njira zothanirana ndi kupweteka kwanu.

Mutha kutenga mtundu wa mankhwala otchedwa NSAIDs. Simufunikanso mankhwala a izi.

• Mitundu iwiri ya NSAID ndi ibuprofen (monga Advil kapena Motrin) ndi naproxen (monga Aleve kapena Naprosyn).
• Ngati muli ndi matenda a mtima, kuthamanga kwa magazi, matenda a impso, kapena muli ndi zilonda zam'mimba kapena magazi, kambiranani ndi omwe amakuthandizani musanagwiritse ntchito mankhwalawa.

Muthanso kutenga acetaminophen (monga Tylenol) kuti muchepetse ululu. Ngati muli ndi matenda a chiwindi, lankhulani ndi omwe akukuthandizani musanagwiritse ntchito.

Wothandizira anu akhoza kukupatsani mankhwala ochepetsa ululu. Mutha kulangizidwa kuti muwatenge:

• Pokhapokha mutamva zowawa
• Nthawi zonse, ngati ululu wanu ndi wovuta kuwongolera

Wothandizira ululu wamankhwala amatha:

• Pangani inu kukhala ogona ndi osokonezeka. Musamamwe mowa kapena kugwiritsa ntchito makina olemera mukamamwa.
• Pangani khungu lanu kumverera kuyabwa.
• Kukupangitsani kudzimbidwa (osakhoza kuyendetsa matumbo mosavuta). Yesetsani kumwa madzi ambiri, idyani zakudya zopatsa mphamvu, kapena gwiritsani ntchito zofewetsa chopondapo.
• Yambitsani nseru, kapena kukupangitsani kudwala m'mimba mwanu. Kumwa mankhwala ndi chakudya kungathandize.

Woperekayo angakulimbikitseni zigamba za khungu zomwe zili ndi lidocaine (mankhwala osungunula). Zina zimaperekedwa ndipo zina mutha kugula nokha ku pharmacy. Izi zitha kuchepetsa mavuto anu kwakanthawi kochepa. Lidocaine imabweranso ngati kirimu chomwe chingagwiritsidwe ntchito m'malo omwe chigamba sichingagwiritsidwe ntchito mosavuta.

Zostrix, kirimu wokhala ndi capsaicin (tsabola wochuluka), amathanso kuchepetsa kupweteka kwako.

Mitundu ina iwiri ya mankhwala omwe mungalandire ingakuthandizeni kuchepetsa kupweteka kwanu:

• Mankhwala oletsa kulanda, monga gabapentin ndi pregabalin, amagwiritsidwa ntchito nthawi zambiri.
• Mankhwala ochizira kupweteka komanso kukhumudwa, nthawi zambiri amatchedwa tricyclics, monga amitriptyline kapena nortriptyline.

Muyenera kumwa mankhwala tsiku lililonse. Amatha kutenga milungu ingapo asanayambe kuthandiza. Mitundu yonseyi ya mankhwala imakhala ndi zovuta zina. Ngati muli ndi zovuta zina, osasiya kumwa mankhwala anu musanalankhule ndi omwe akukuthandizani. Wothandizira anu akhoza kusintha mlingo wanu kapena angakupatseni mankhwala ena.

Nthawi zina, mitsempha ingagwiritsidwe ntchito kuchepetsa kwakanthawi kupweteka. Wopereka wanu angakuuzeni ngati izi ndi zoyenera kwa inu.

Njira zambiri zopanda zamankhwala zimatha kukuthandizani kupumula ndikuchepetsa kupsinjika kwa zopweteka, monga:

• Kusinkhasinkha
• Zochita zopumira kwambiri
• Zowonjezera
• Kudzidzimva
• Njira zopumira pamisempha
• Kutema mphini

Njira yodziwika bwino yothandizira anthu omwe ali ndi ululu wopweteka amatchedwa chidziwitso cha mankhwala. Zingakuthandizeni kuphunzira momwe mungathanirane ndi mayankho anu ndikamva kuwawa.

Itanani omwe akukuthandizani ngati:

• Kupweteka kwanu sikuyendetsedwa bwino
• Mukuganiza kuti mutha kukhala opsinjika kapena mukuvutika kuwongolera malingaliro anu

Nsungu zoster - postherpetic neuralgia; Varicella zoster - postherpetic neuralgia; Ziphuphu - kupweteka; PHN

Dinulos JGH. Warts, herpes simplex, ndi matenda ena a ma virus. Mu: Dinulos JGH. Habif's Clinical Dermatology: Upangiri Wamitundu mu Kuzindikira ndi Therapy. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2021: chaputala 12.

Whitley RJ. Nkhuku ndi herpes zoster (varicella-zoster virus). Mu: Bennett JE, Dolin R, Blaser MJ, olemba., Eds. Mandell, Douglas, ndi Bennett's Principles and Practice of Infectious Diseases. 9th ed. Philadelphia, PA: Elsevier; 2020: chap 136.

• Ziphuphu