Kodi post-herpetic neuralgia ndi momwe mungamuthandizire

Zamkati

• Zizindikiro zazikulu
• Momwe mungatsimikizire matendawa
• Chifukwa post-herpetic neuralgia imatuluka
• Momwe mankhwalawa amachitikira

Post-herpetic neuralgia ndi vuto la herpes zoster, lomwe limadziwikanso kuti shingles kapena shingles, lomwe limakhudza mitsempha ndi khungu, zomwe zimapangitsa kuwoneka kotentha m'thupi, ngakhale zilonda zoyambitsidwa ndi herpes zoster virus zitapita.

Kawirikawiri, post-herpetic neuralgia imafala kwambiri kwa anthu azaka zopitilira 60, koma imatha kuchitika msinkhu uliwonse, bola mukadakhala ndi kachilombo ka nthomba mukadzakula.

Ngakhale kulibe mankhwala, pali mitundu ina ya chithandizo yomwe imachepetsa zizindikilo, ndikukhala ndi moyo wabwino. Kuphatikiza apo, neuralgia yotsalira pambuyo pake imakula bwino pakapita nthawi, imafuna chithandizo chochepa.

Zizindikiro zazikulu

Zizindikiro zofala kwambiri za matendawa pambuyo pake, ndi awa:

• Ululu wofanana ndi woyaka womwe umatha miyezi itatu kapena kupitilira apo;
• Kukhudzidwa kwakukulu kukhudza;
• Kuyabwa kapena kumva kulasalasa.

Zizindikirozi nthawi zambiri zimawoneka m'chigawo cha khungu chomwe chakhudzidwa ndi zotupa za herpes zoster, ndichifukwa chake zimafala kwambiri pa thunthu kapena mbali imodzi yokha ya thupi.

Kutentha komwe kumatha kuyaka kumatha kuoneka pamaso pa zilonda zam'mimba pakhungu ndipo, mwa anthu ena, zimatha kutsagana ndi kupweteka kwa punct, mwachitsanzo.

Momwe mungatsimikizire matendawa

Nthawi zambiri, matendawa amatsimikiziridwa ndi dermatologist pokhapokha atayang'ana tsamba lomwe lakhudzidwa ndi zizindikilo zomwe munthuyo adanenapo.

Chifukwa post-herpetic neuralgia imatuluka

Mukalandira kachilombo ka nthomba mukakula, kachilomboka kamayambitsa zizindikiro zamphamvu ndipo zitha kuwononga mitsempha pakhungu. Izi zikachitika, zoyambitsa zamagetsi zomwe zimapita kuubongo zimakhudzidwa, ndikukokomeza kwambiri ndikupangitsa kuyamba kwa ululu wopweteka womwe umadziwika pambuyo pake.

Momwe mankhwalawa amachitikira

Palibe mankhwala omwe amatha kuchiritsa pambuyo pa herpetic neuralgia, komabe, ndizotheka kuthetsa zizindikilo kudzera munjira zosiyanasiyana zamankhwala monga:

• Mavalidwe a Lidocaine: ndi timagulu ting'onoting'ono tomwe tikhoza kumata pamalo opwetekawo ndi kutulutsa lidocaine, chinthu chomwe chimatseketsa mitsempha ya khungu, yothetsa ululu;
• Ntchito ya Capsaicin: Ichi ndi mankhwala olimba kwambiri omwe amatha kuchepetsa kupweteka kwa miyezi itatu ndikungogwiritsa ntchito kamodzi. Komabe, kuyika kwake kuyenera kuchitidwa nthawi zonse muofesi ya dokotala;
• Mankhwala a anticonvulsant, monga Gabapentin kapena Pregabalin: awa ndi mankhwala omwe amalimbitsa mphamvu zamagetsi mu ulusi wamitsempha, amachepetsa kupweteka. Komabe, mankhwalawa amatha kuyambitsa mavuto monga chizungulire, kukwiya komanso kutupa kwa malekezero, mwachitsanzo;
• Mankhwala opatsirana pogonana, monga Duloxetine kapena Nortriptyline: sinthani momwe ubongo umatanthauzira zopweteketsa, kuthetseratu zovuta zopweteka monga post-herpetic neuralgia.

Kuphatikiza apo, pamavuto ovuta kwambiri, pomwe palibe njira iliyonse yamankhwala yomwe ikuwoneka kuti ikuthandizira kupweteka, adotolo amathanso kupereka mankhwala a opioid monga Tramadol kapena Morphine.

Pali mankhwala omwe amagwira ntchito bwino kwa anthu ena kuposa ena, chifukwa chake mungafunike kuyesa mitundu ingapo yamankhwala musanapeze mankhwala abwino, kapena kuphatikiza mitundu iwiri kapena ingapo.