Ka daweynta dhibaatooyinka xanuunka badan ee xanuunka
Postherpetic neuralgia (PHN) waa xaalad xannuun ah oo dhacda sida dhibaatada shingles , taas oo ay sababto isla fayras keena busbuska : varicella-zoster. Wuxuu saameeyaa jeexjeexyada dareeraha iyo maqaarka ka dib markii shingles uu baxo oo uu keeno xanuun badan iyo gubasho. Waxaa jira saddex nooc oo neuralgia ah:
- Nuujijiyo daran oo loo yaqaan 'neuralgia'. Xanuunka waxaa la socda firiiriciisa wuxuuna sii soconayaa ilaa 30 maalmood kadib marka uu bilaabmo firiiricu.
- Subacute neuralgia fara badan. Xanuunku wuxuu ku sii jiraa 1 illaa 4 bilood kadib bilowga firiiricu.
- Postherpetic neuralgia. Xanuunku wuxuu ku sii jirayaa muddo ka badan 4 bilood ka dib bilawga finanku.
Sababaha keena Neuralgia
Haddii aad busbus ku haysatid ilmo, fayraska shingles - varicella-zoster - ayaa horeyba kuugu jira. Waxay ku sii jiraysaa sanado badan illaa iyo markii ay dib ugu soo noqoto qulqulka iyo maqaarka, taas oo keenta shingles finan yaryar. PHN wuxuu dhacaa marka faytooyinku dareemaan waxyeelo inta lagu jiro shingles dillaac. Xuubabka dareemayaasha ee waxyeelloobay ayaa horseedi kara xanuun joogto ah oo sii socdo bilaha ama xitaa sanado.
PHN, dhibaatada shingles, waxay dhab ahaantii horseedi kartaa dhibaatooyin badan, oo ay ka mid yihiin:
- Murugo
- Way adag tahay in la xoojiyo
- Hurdada oo adkaata
- Daal
- Cunto xumo
Waxyaabaha Halista ah ee 'PoserPatel'
Khatarta ah inuu ku dhaco PHN wuxuu kordhiyaa da'da. Inta badan dadka ay saameeyeen waa 60 jir. Hal daraasad ayaa lagu ogaaday in dadka da'doodu u dhaxayso 60 ilaa 69 ee soo saara shingles, 6.9 boqolkiiba ay sameeyeen PHN.
Dadka da'doodu ka weyn tahay 70 sanno oo ay sameeyeen shingles, 18.5 boqolkiiba ayaa soo saaray pHN.
Marka laga soo tago da ', arrimaha kale ee waaweyn ee halista ah waxaa ka mid ah in uu ku dhacay xanuun daran oo daran oo ku dhaca finanka finanka iyo finan yaryar oo finan ah. Waxa kale oo aad u badan tahay in aad sameysid PHN haddii aad shingles ku leedahay wajigaaga ama gadaal.
Nidaamka difaaca ee daciifka ah dhab ahaantii ma aha arrin halis ah ee PHN.
Calaamadaha neverejia-ka
Labada xarkood iyo PHN waxay keeni karaan xanuun aad u daran oo saameyn ku leh noloshaada. Calaamadaha PHN ayaa sida caadiga ah ku xaddidan aagga meesha shingles finanku ka dhaceen. Calaamadaha gaarka ah waxaa ka mid ah:
- Dareenka gubashada ee aagga meesha ay finanku ay bogsadeen
- Xanuunku wuxuu keenaa dareemo aan caadi ahayn sida nalalka fudud
- Cuncun
- Meelaha kabuubyada iyo adkaanta xasaasiga ah iyo heerkulka
Daaweynta Neuralgia Positive
Waa in aad dhakhtar aragto calaamadaha ugu horreeya ee shingles, iyo sidoo kale calaamadaha PHN. Baarista PHN caadi ahaan uma baahna wax baaris ah. Daaweynta PHN waa mid adag waxayna badanaa u baahan tahay daawooyin badan. Nasiib darro, ma jirto daaweyn keliya oo u shaqeeya dadka oo dhan. Dad badan ayaa u baahan in la isticmaalo tiro daaweyn ah si ay u yareeyaan calaamadaha. Waxaa ka mid ah:
- Lidocain iyo dhejisyo capsaicin ah
- Anticonvulsants (gabapentin iyo pregabalin)
- Dawooyinka liddi ku ah (nortriptyline, duloxetine, iyo venlafaxine)
- Opioids (tramadol, oxycodone, iyo morphine)
- Calaamadaha steroidska
Kareemka Capsaicin waa mid caan ah daaweynta daaweynta PHN. Capsaicin waa nooc ka soo jeeda dabiiciga ah bacriminta bacaha waxayna yareyneysaa xanuunka iyo cuncunka.
Sidee looga hortagi karaa Neuralgia foosha
Shingles si buuxda looma hortagi karo, laakiin waxaa jira waxyaabo aad sameyn kartid si aad u yareyso fursadaha aad ku heli kartid iyo dhibaatooyinkooda:
- U fiirso dhakhtarkaaga sida ugu dhakhsaha badan marka aad dareento calaamadaha shingles .
- Ka hel tallaalka shingles. Waxay si weyn hoos u dhigeysaa khatarta aad ku yeelan karto shingooyinka, PHN, iyo dhibaatooyin kale.
Ilaha:
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