Ho sebetsana le shingles ena e utloisang bohloko
Lefu la ho qetela le neuralgia (PHN) ke boemo bo utloisang bohloko bo hlahang e le tlhaloso ea li-shingles , e bakoang ke kokoana-hloko e tšoanang e bakang khōhō : varicella-zoster. E ama methapo ea methapo le letlalo nako e telele ka mor'a li-shingle e fetile 'me e baka bohloko le ho chesa. Ho na le mefuta e meraro ea neuralgia ea morao-rao:
- Kakaretso ea herpetic neuralgia. Bohloko bo tsamaisana le ho phatloha 'me bo phehella ho fihlela matsatsi a 30 ka mor'a ho qhoma.
- Tšoaea bothata ba herpetic neuralgia. Bohloko bo ntse bo tsoela pele ka likhoeli tse 1 ho isa ho tse 4 ka mor'a ho qhoma.
- Ka mor'a lefu la neuralgia. Bohloko bo ntse bo tsoelapele ka likhoeli tse fetang 4 ka mor'a ho qhoma ha lebelo.
Mabaka a Bophelo bo Botle ba Bophelo bo Haufetseng
Haeba u ne u e-na le khōhō ha u sa le ngoana, li-shingles virus - varicella-zoster - e se e le ka hare ho uena. E lula e le telele ka lilemo tse ngata ho fihlela e khutlela mokhoeng oa letlalo le letlalo, e leng se etsang hore shingles e phatlohe. PHN e etsahala ha maqhubu a methapo a senyeha nakong ea ho phatloha ha marang-rang. Maqhubu a senyehileng a senyehileng a lebisa ho bohloko bo sa foleng bo phehelang ka likhoeli kapa esita le lilemo.
PHN, bothata ba li-shingles, e ka ba le mathata a mangata, ho kenyelletsa:
- Ho tepella maikutlong
- Ho thata ho tsepamisa maikutlo
- Ho thata ho robala
- Mokhathala
- Ho lahleheloa ke takatso ea lijo
Mekhoa ea Likotsi ka morao-rao ea Neuralgia
Kotsi ea ho ba le PHN e eketseha ka lilemo. Boholo ba batho ba amehang ba moholo ho feta 60. Phuputso e 'ngoe e fumane hore har'a batho ba lilemo li 60 ho isa ho tse 69 ba hlahisitseng li-shingles, karolo ea 6.9 lekholong e thehiloe PHN.
Bakeng sa batho ba ka holimo ho lilemo tse 70 ba hlahisitseng li-shingles, karolo ea 18,5 lekholong e thehiloe pHN.
Ho phaella botsofaling, mabaka a mang a maholo a kotsing a akaretsa ho ba le bohloko bo bohloko bo nang le maqeba a shingles le ho phatloha ho hoholo ha li-shingles. Hape u ka 'na ua ba le monyetla oa ho hlahisa PHN haeba u ne u itlama ka sefahleho sa hao kapa kutu.
Mokhoa oa ho itšireletsa mafung o fokolang ha e le hantle hase karolo ea kotsi ea PHN.
Matšoao a Posterpetic Neuralgia
Li-shingles le PHN li ka bakela bohloko haholo hoo bo sitisang bophelo ba hau. Matšoao a PHN a tloaelehile sebakeng seo ho sona ho phatloha ha li-shingles ho ileng ha etsahala. Matšoao a khethehileng a kenyeletsa:
- Boikutlo bo chesang sebakeng seo ho sona ho phatlohileng ho phatloha
- Bohloko bo tlisoang ke tšusumetso e tloaelehileng e seng e utloisang bohloko e kang ho tšoara leseli
- Ho hlatsoa
- Likarolo tsa ho senya le ho thatafalloa ho utloa mocheso le ho sisinyeha
Phekolo ea Posterpetic Neuralgia
U lokela ho bona ngaka ka letšoao la pele la shingles, hammoho le matšoao a PHN. Tlhahlobo ea PHN hangata ha e hloka teko. Phekolo ea PHN e rarahane mme hangata e hloka meriana e mengata. Ka bomalimabe, ha ho na phekolo e le 'ngoe e sebetsang batho bohle. Batho ba bangata ba tlameha ho sebelisa mekhoa e mengata ea phekolo ho fokotsa matšoao. Li akarelletsa:
- Lidocaine le li-patches tsa capsaicin
- Li-anticonvulsants (gabapentin le pregabalin)
- Ho tepella maikutlo (nortriptyline, duloxetine le venlafaxine)
- Li-opioids (tramadol, oxycodone, le morphine)
- Liente tsa steroid
Khalase ea Capsaicin e tumme ka lebaka la phekolo ea PHN. Capsaicin ke tlhaho ea tlhaho ea peo ea pepere 'me e kokobetsa bohloko le ho hlohlona.
Mokhoa oa ho thibela Posterpetic Neuralgia
Li-shingles ha li thibeloe ka ho feletseng, empa ho na le lintho tse seng kae tseo u ka li etsang ho fokotsa menyetla ea ho e fumana le mathata a eona:
- Sheba ngaka ea hau hang ha u bona matšoao a shingle .
- Fumana thibelo ea shingles. E fokotsa menyetla ea hau ea ho hlahisa li-shingles, PHN, le mathata a mang.
Lisebelisoa:
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Jung, Beth, et al. "Lintho Tse Kotsing tsa Posterpetic Neuralgia ho bakuli ba Herpes Zoster." Neurology 62 (2004): 1545-51.
Mayo Clinic Staff. Ka mor'a lefu la neuralgia. (2015, la 16 September). E tsositsoe ka la 2 April, 2016, ho tloha ho http://www.mayoclinic.org/diseases-conditions/postherpetic-neuralgia/basics/definition/con-20023743
Oxman, MN, le al. "Thibela ea ho Thibela Herpes Zoster le Posterpetic Neuralgia ho Batho ba baholo." New England Journal of Medicine 352 (2005): 2271-84.