Neuralgia postherpetic - mālama

ʻO ka neuralgia Postherpetic ka ʻeha e hoʻomau mau ana ma hope o ka hopena o nā shingles. E mau ana paha kēia ʻeha mai nā mahina a i nā makahiki.

ʻO Shingles kahi maʻi ʻeha, ʻehaʻeha o ka ʻili i hoʻokumu ʻia e ka maʻi maʻi varicella-zoster. ʻO kēia ka maʻi hoʻomaʻemaʻe like i kumu i ka moa. Kapa ʻia ʻo Shingles he herpes zoster.

Hiki i ka neuralgia Postherpetic ke:

• Palena i kāu hana i kēlā me kēia lā a paʻakikī i ka hana.
• Pili i kou pili ʻana me nā hoaaloha a me ka ʻohana.
• Kumu i nā manaʻo hoʻohoka, huhū, a me ke koʻikoʻi. E hoʻonui paha kēia mau manaʻo i kou ʻeha.

ʻOiai ʻaʻohe lāʻau lapaʻau no ka neuralgia postherpetic, aia kekahi mau ala e mālama ai i kou ʻeha a me kou hōʻoluʻolu ʻole.

Hiki iā ʻoe ke lawe i kahi ʻano lāʻau i kapa ʻia ʻo NSAIDs. ʻAʻole pono ʻoe i kahi kauka no kēia mau mea.

• ʻElua ʻano NSAIDs he ibuprofen (e like me Advil a Motrin) a me naproxen (e like me Aleve a Naprosyn).
• Inā loaʻa ʻoe i ka maʻi puʻuwai, ke koko kiʻekiʻe, nā maʻi ʻōpala, a i ʻole loaʻa nā puʻuwai ʻōpū a i ʻole ke kahe ʻana o ke kō, e kamaʻilio me kāu mea mālama ola ma mua o ka hoʻohana ʻana i kēia mau lāʻau.

Hiki iā ʻoe ke lawe i ka acetaminophen (e like me Tylenol) no ka ʻehaʻeha. Inā loaʻa ʻoe i ka maʻi akepaʻa, e kamaʻilio me kāu mea hoʻolako ma mua o ka hoʻohana ʻana iā ia.

Kauoha paha kāu mea hāʻawi i kahi mea hōʻemi ʻeha narcotic. E aʻo ʻia ʻoe e lawe iā lākou:

• Ke loaʻa wale iā ʻoe ka ʻeha
• Ma kahi papa manawa maʻamau, inā paʻakikī kou ʻeha ke kāohi

Hiki i kahi mea hoʻomaha ʻeha narcotic ke:

• Hana ʻoe i ka hiamoe a huikau. Mai inu i ka wai ʻona a hoʻohana i nā mīkini kaumaha ke lawe ʻoe ia.
• E hōʻeha i kou ʻili.
• E hoʻolaki iā ʻoe (ʻaʻole hiki ke hoʻoneʻe i ka ʻōpū). E hoʻāʻo e inu i nā wai hou aʻe, ʻai i nā meaʻai fiber kiʻekiʻe, a i ʻole hoʻohana i nā mea palupalu.
• E hoʻokau i ka nausea, a i ʻole e hōʻeha ʻoe i kou ʻōpū. Hiki ke kōkua i ka lawe ʻana i ka lāʻau me ka meaʻai.

Hiki i kāu mea hāʻawi ke ʻōlelo i nā ʻili ʻili i piha i ka lidocaine (kahi lāʻau numbing). Ua kauoha ʻia kekahi a hiki iā ʻoe ke kūʻai ma kāu iho ma ka hale kūʻai lāʻau. Hoʻomaha paha kēia i kekahi o kou ʻeha no ka manawa pōkole. Hele mai ʻo Lidocaine ma ke ʻano he holika hiki ke hoʻopili ʻia i nā wahi kahi e hoʻohana maʻalahi ʻole ai kahi pāʻina.

ʻO Zostrix, kahi kalima i piha i ka capsaicin (kahi hua o ka pepa), e hoʻoliʻiliʻi paha i kou ʻeha.

Hiki i nā ʻano lāʻau lapaʻau ʻelua ʻē aʻe ke kōkua i ka hōʻemi ʻana i kou ʻeha.

• Hoʻohana pinepine ʻia nā lāʻau anti-seizure, e like me gabapentin a me pregabalin.
• Nā lāʻau e mālama ai i ka ʻeha a me ke kaumaha, ʻo ka mea pinepine i kapa ʻia he tricyclics, e like me amitriptyline a i ʻole nortriptyline.

Pono ʻoe e ʻai i nā lāʻau i kēlā me kēia lā. Lawe paha lākou i mau pule ma mua o ko lākou hoʻomaka ʻana e kōkua. Loaʻa nā hopena ʻelua i kēia ʻano lāʻau. Inā loaʻa iā ʻoe nā hopena ʻoluʻolu ʻole, mai hooki i ka lawe ʻana i kāu lāʻau me ke kamaʻilio ʻole ʻole ʻana me kāu mea hāʻawi. Hiki i kāu mea hāʻawi ke hoʻololi i kāu mea hana a i ʻole kuhikuhi i kahi lāʻau ʻokoʻa.

I kekahi manawa, hiki ke hoʻohana ʻia kahi poloka nerve e hōʻemi iki i ka ʻeha. E haʻi aku kāu mea hāʻawi iā ʻoe inā kūpono kēia iā ʻoe.

Hiki i nā ʻano hana lapaʻau ʻole ke kōkua iā ʻoe e hoʻomaha a hoʻēmi i ke kaumaha o ka ʻeha mau, e like me:

• Noʻonoʻo
• Hoʻoikaika hanu hohonu
• ʻO Biofeedback
• ʻO hypnosis ponoʻī
• Nā hana hōʻoluʻolu Muscle
• Acupuncture

ʻO kahi ʻano maʻamau o ke kamaʻilio kūkā kamaʻilio no nā poʻe me ka ʻeha mau ʻia i kapa ʻia he cognitive behavioral therapy. Hiki iā ia ke kōkua iā ʻoe e aʻo pehea e kū ai a mālama i kāu pane i ka ʻeha.

Kāhea i kāu mea hāʻawi inā:

• ʻAʻole mālama maikaʻi ʻia kou ʻeha
• Manaʻo ʻoe ua kaumaha paha ʻoe a paʻakikī paha i ka kaohi ʻana i kou mau naʻau

Herpes zoster - neuralgia postherpetic; ʻO Varicella-zoster - neuralgia postherpetic; Shingles - ʻeha; PHN

ʻO Dinulos JGH. ʻO Warts, herpes simplex, a me nā maʻi viral ʻē aʻe. I: Dinulos JGH. ʻO Habif's Clinical Dermatology: Kahi Alakaʻi Waihoʻoluʻu i ka Diagnosis a me Therapy. ʻEpekema 7 Piladelapia, PA: Elsevier; 2021: chap 12.

ʻO Whitley RJ. ʻO ka moa moa a me ka herpes zoster (maʻi maʻi varicella-zoster). I: Bennett JE, Dolin R, Blaser MJ, hua pā. ʻO Mandell, Douglas, a me Bennett's Principle a me ka hoʻomaʻamaʻa ʻana i nā maʻi kūpilikiʻi. 9th ed. Piladelapia, PA: Elsevier; 2020: chap 136.

• ʻO Shingles