Puas tau hnov txog tus mob hu ua post-herpetic neuralgia (PHN)? Qhov tseeb, postherpetic neuralgia yog qhov xwm txheej cuam tshuam loj heev vim qhov mob nws ua rau, thiab qee zaum nws tshwm sim tom qab koj lub cev tau kis tus kab mob shingles. Qhov mob uas tuaj nrog postherpetic neuralgia feem ntau tshwm sim hauv thaj tsam ntawm lub cev cuam tshuam los ntawm pob, thiab feem ntau hnov zoo li ntawm txoj hlab ntshav ntawm ib sab ntawm lub cev. Thaum mob, khaus, ua pob liab liab yog lub cim tseem ceeb ntawm tus kab mob shingles, qee zaum mob hlab ntsha kuj tuaj yeem yog tus tsos mob. Feem ntau, thawj qhov tsos mob ntawm tus mob herpes zoster yog qhov pom ntawm qhov ua pa lossis kub hnyiab ntawm daim tawv nqaij thiab raws li cov kws tshaj lij, muaj peb txoj hauv kev uas koj tuaj yeem ua los kho qhov mob ntawm lub paj hlwb uas ua rau kis mob herpes zoster, uas yog: kho kis kab mob, tswj hwm qhov mob uas tshwm sim, thiab txo qhov pheej hmoo ntawm teeb meem.
Kauj ruam
Ntu 1 ntawm 5: Tshem Tawm Qhov Mob thiab Khaus Los Ntawm Herpes Zoster
Kauj Ruam 1. Tsis txhob khawb cov hlwv
Raws li nyuaj li nws yog, tsis txhob kov lub hlwv, cia nyob ib leeg khawb nws. Tom qab tag nrho, dhau sijhawm, cov hlwv yuav qhuav thiab tev tawm ntawm lawv tus kheej. Yog tias koj khawb nws, cov hlwv yuav rov qhib thiab ua rau muaj kev pheej hmoo kis mob ntau ntxiv!
Khaws cov hlwv kuj yuav kis tau cov kab mob thoob plaws saum koj txhais tes. Yog tias koj twb tau ua tiav lawm, tsis txhob hnov qab ntxuav koj txhais tes tom qab ua kom ib puag ncig puag ncig koj huv
Kauj Ruam 2. Thov muab cov tshuaj ci ci ci los daws qhov khaus
Cov dej qab zib ci muaj pH ntau dua 7 thiab yog li ntawd, yog alkaline. Raws li qhov tshwm sim, ci dej qab zib muaj peev xwm ua kom nruab nrab cov kua qaub, ua kom raug nrog pH qis dua 7, thiab daws qhov khaus tshwm sim los ntawm nws.
- Thov muab tshuaj txhuam ua los ntawm kev sib xyaw ntawm 3 tsp. ci dej qab zib nrog 1 tsp. dej. Tom qab ntawd, qhov khaus yuav tsum qis thiab cov hlwv yuav qhuav sai dua.
- Ci dej qab zib muab tshuaj txhuam tuaj yeem siv tau ntau npaum li sai tau los daws qhov khaus uas tshwm tuaj.
Kauj Ruam 3. Muab cov hlwv txias txias txias
Ua kom txias, ntub dej kom txo tau qhov tsis xis nyob rau 20 feeb, ob peb zaug hauv ib hnub.
Txhawm rau ua kom txias, koj tuaj yeem qhwv lub hnab yas ntim cov dej khov nrog cov phuam huv, tom qab ntawd siv nws rau koj cov tawv nqaij. Yog tias koj xav tau, lub luag haujlwm ntawm cov dej khov kuj tseem tuaj yeem hloov nrog cov zaub khov khov. Qhov tseem ceeb tshaj plaws, ua kom tawv nqaij tsis raug nias ntau dua 20 feeb kom tsis txhob puas cov nqaij
Kauj Ruam 4. Siv cov tshuaj benzocaine rau ntawm qhov chaw hlwv tom qab daim tawv nqaij zaws
Ib hom tshuaj pleev pleev uas tuaj yeem thov tam sim tom qab tawv nqaij tau nrawm yog cov tshuaj benzocaine uas tuaj yeem yuav yam tsis muaj kws kho mob sau ntawv. Tshwj xeeb, benzocaine ua haujlwm raws li tshuaj loog hauv zos muaj peev xwm ua rau loog lub paj hlwb nyob hauv qab daim tawv nqaij.
Xwb, koj tseem tuaj yeem nug koj tus kws kho mob kom sau 5% lidocaine thaj. Siv cov ntaub qhwv hla qhov chaw mob, kom deb li daim kab xev txuas rau ntawm daim tawv nqaij, tsis yog rau qhov txhab. Yog tias tsim nyog, koj tuaj yeem thov txog 3 daim kab xev ib zaug, thiab hnav lawv ntev txog 12 teev nyob rau ib hnub
Ntu 2 ntawm 5: Kev Kho Mob Qhov Mob
Kauj Ruam 1. Paub txog cov tsos mob ntawm qhov txhab mob
Kev kis tus kab mob qhia tias lub qhov txhab puas lawm. Tias yog vim li cas, koj yuav tsum sab laj nrog kws kho mob tam sim yog tias koj xav tias koj tab tom ntsib nws. Qee cov tsos mob kom saib xyuas yog:
- Ua npaws
- Ua kom mob hnyav ntxiv uas ua rau mob ntxiv
- Lub qhov txhab zoo li sov rau qhov kov
- Lub qhov txhab zoo li du thiab ci
- Qhov tshwm sim ntawm cov tsos mob zuj zus
Kauj Ruam 2. Tsau qhov txhab mob hauv Burow txoj kev daws
Txhawm rau txo qis cov kua dej txawv txav los ntawm lub qhov txhab, ntxuav cov txheej txheem khaus, thiab so tawv nqaij, koj tuaj yeem tsau thaj chaw muaj kab mob hauv Burow txoj kev daws teeb meem.
- Burow txoj kev daws teeb meem muaj cov tshuaj tua kab mob thiab cov tshuaj tua kab mob thiab tuaj yeem xaj yuav yam tsis muaj ntawv yuav tshuaj hauv ntau lub tsev muag tshuaj.
- Hloov chaw ntawm so lub qhov txhab, koj tuaj yeem muab lub qhov txhab nrog Burow txoj kev daws teeb meem siv lub ncoo txias rau 20 feeb, ob peb zaug hauv ib hnub.
Kauj Ruam 3. Thov cov tshuaj capsaicin tom qab cov hlwv qhuav lawm
Thaum cov hlwv zoo li tau npog nrog txheej qhuav, sim siv cov tshuaj capsaicin xws li Zostrix rau thaj chaw. Ua li no txog 5 zaug hauv ib hnub kom nrawm qhov txheej txheem kho qhov txhab.
Ntu 3 ntawm 5: Noj Tshuaj Tom Qab Quav Quav Tiav
Kauj Ruam 1. Thov daim kab xev lidocaine
Thaum cov hlwv ploj mus, koj tuaj yeem thov 5% lidocaine thaj rau thaj tsam cuam tshuam ntawm daim tawv nqaij kom txo qis qhov mob paj hlwb ntxiv. Cov tshuaj plaster muaj peev xwm daws qhov mob tau zoo yam tsis muaj kev pheej hmoo ntawm kev phom sij tsis zoo.
Lidocaine plasters tuaj yeem yuav tau ntawm ntau lub tsev muag tshuaj thiab khw muag khoom noj qab haus huv online. Yog tias koj xav tau koob tshuaj ntau dua, sim nug koj tus kws kho mob rau daim ntawv yuav tshuaj
Kauj Ruam 2. Sim noj cov tshuaj tsis-tshuaj tiv thaiv kab mob kom txo tau qhov mob ntxiv
Ntxiv rau cov tshuaj yeeb quav tshuaj, cov tshuaj tsis-steroidal anti-inflammatory feem ntau tau sau tseg kom ua rau mob sai sai. Tus nqi ntawm cov tshuaj no feem ntau tsis kim. Qhov tseeb, yuav muaj feem koj twb muaj nyob hauv tsev lawm!
Qee qhov piv txwv ntawm cov tshuaj tsis-tshuaj tiv thaiv kab mob yog acetaminophen, ibuprofen, lossis indomethacin. Txhua yam peb tuaj yeem haus tau txog peb zaug hauv ib hnub, txawm hais tias koj yuav tsum ua raws cov lus qhia ntau npaum li tau muab tso rau tom qab ntawm daim ntawv ntim khoom kom paub seb yuav siv nws li cas tshaj plaws
Kauj Ruam 3. Sim noj tshuaj corticosteroids txhawm rau txo cov leeg mob
Corticosteroids tau sau tseg ntau zaus rau cov neeg laus noj qab haus huv nrog mob hnyav rau qhov mob hnyav. Ib qho ntxiv, tus kws kho mob feem ntau yuav sau nws tib lub sijhawm li cov tshuaj tiv thaiv kab mob.
Tham nrog qhov no nrog koj tus kws kho mob, tshwj xeeb tshaj yog vim corticosteroids muaj txiaj ntsig zoo vim tias koob tshuaj ntau dua tuaj yeem tsuas yog yuav nrog tus kws kho mob daim ntawv xaj
Kauj Ruam 4. Tham nrog koj tus kws kho mob txog qhov muaj peev xwm noj tshuaj narcotic
Qee zaum, kev quav tshuaj yeeb quav tshuaj tau sau tseg los kho mob paj hlwb los ntawm tus mob herpes zoster. Txawm li cas los xij, nkag siab tias kev quav tshuaj tuaj yeem tsuas yog txo cov tsos mob, tsis kho lub hauv paus ua rau.
Ib qho ntxiv, tshuaj yeeb yog cov tshuaj uas ua rau muaj kev quav yeeb quav tshuaj hauv cov neeg mob. Tias yog vim li cas, nws txoj kev siv yuav tsum tau saib xyuas nruj me ntsis los ntawm kws kho mob
Kauj Ruam 5. Tau txais daim ntawv yuav tshuaj tricyclic antidepressant los ntawm koj tus kws kho mob
Qee zaum, cov kws kho mob yuav sau tshuaj tricylic antidepressants los kho qee qhov mob hlab ntsha uas tshwm sim los ntawm tus kab mob shingles. Txawm hais tias cov txheej txheem tsis paub meej, qee qhov kev xav qhia tias tricyclic antidepressants ua haujlwm los ntawm kev thaiv cov neeg mob hauv lub cev.
Kauj Ruam 6. Siv tshuaj tiv thaiv kab mob los kho cov leeg mob uas tshwm tuaj
Qhov tseeb, tshuaj tiv thaiv kab mob tau nquag siv hauv ntau qhov kev sim tshuaj los kho qhov mob neuropathic thiab niaj hnub no, muaj ntau cov tshuaj tiv thaiv kab mob uas tuaj yeem hais qhia los ntawm kws kho mob kom tswj hwm tus mob shingles, xws li phenytoin, carbamazepine, lamotrigine, thiab gabapentin.
Nco ntsoov, ob lub tswv yim kawg yuav tsum tsuas yog siv rau cov teeb meem mob paj hlwb loj dua. Yog li ntawd, tsis txhob hnov qab sab laj nrog ob tus kws kho mob ua ntej
Ntu 4 ntawm 5: Kho Mob Lub Cev Nyuaj Siab Siv Cov Txheej Txheem Kho Mob
Kauj Ruam 1. Tham nrog kws kho mob txog qhov muaj peev xwm txhaj tshuaj cawv lossis phenol
Ib qho ntawm cov txheej txheem phais yooj yim tshaj plaws uas tuaj yeem ua tau los daws qhov mob hauv qab haus huv yog txhaj cawv lossis phenol rau hauv cov hlab ntsha ib leeg. Cov txheej txheem yuav ua rau lub paj puas tas mus li thiab ua rau nws tsis mob ntxiv lawm.
Nco ntsoov, txoj haujlwm no tsuas yog ua los ntawm cov kws kho mob tshwj xeeb. Ib qho ntxiv, koj tus mob thiab keeb kwm tseem yuav cuam tshuam tus kws kho mob qhov kev txiav txim siab ua lossis tsis ua cov txheej txheem
Kauj Ruam 2. Sim ua cov txheej txheem hluav taws xob hluav taws xob sib kis (TENS)
Hauv cov txheej txheem no, tus kws kho mob yuav tso hluav taws xob los ntawm cov leeg mob. Cov electrodes tom qab ntawd xa cov hluav taws xob tsawg heev thiab tsis mob rau cov hlab ntsha ib puag ncig.
- Txog tam sim no, tsis muaj leej twg paub tias kev siv hluav taws xob ua haujlwm li cas los daws qhov mob hauv qab haus huv. Ib txoj kev xav yog tias cov khoom siv hluav taws xob txhawb nqa kev tsim cov tshuaj endorphins, lub cev lub cev tiv thaiv qhov mob.
- Hmoov tsis zoo, cov txheej txheem no tsis haum rau txhua tus. Txawm li cas los xij, nws cov txiaj ntsig zoo yuav nce ntxiv yog tias nws tau noj tib lub sijhawm nrog kev siv tshuaj hu ua pregabalin.
Kauj Ruam 3. Txiav txim siab txog txheej txheem txhawb lub paj hlwb sab hauv lossis txheej txheem kev txhawb nqa tus txha nqaj qaum
Cov cuab yeej siv zoo ib yam li TENS, tab sis tau cog tob hauv qab daim tawv nqaij. Zoo li TENS, nws tuaj yeem qhib thiab tawm raws li xav tau los tswj qhov mob.
- Ua ntej qhov kev phais cog qoob loo tau ua tiav, tus kws kho mob yuav sim siv cov electrodes lossis cov hlau txuas me me kom paub tseeb tias qhov kev txhawb nqa tuaj yeem daws qhov mob tau zoo.
- Thaum kuaj pom, cov hluav taws xob tau tso los ntawm daim nyias nyias uas ua kab ntawm tus txha nqaj qaum kom lawv mus txog qhov kab noj hniav sab hauv los txhawb tus txha nqaj qaum, lossis tau muab tso rau hauv qab daim tawv nqaij hla cov hlab ntsha sab hauv los txhawb cov hlab ntsha no.
Kauj Ruam 4. Tham nrog qhov ua tau ntawm kev ua haujlwm pulse radiofrequency lesioning (PRF)
Qhov tseeb, nws yog txoj hauv kev nyab xeeb thiab muaj txiaj ntsig zoo ntawm kev txo qhov mob nrog kev pab los ntawm xov tooj cua ntau zaus. Tshwj xeeb, txoj kev kho mob tuaj yeem tswj hwm qhov mob ntawm qib molecular. Tom qab ib qho txheej txheem, qhov mob yuav tsum ploj mus ntev tshaj 12 lub lis piam.
Ntu 5 ntawm 5: Yeej Herpes Zoster Thaum Ntxov
Kauj Ruam 1. Paub txog cov tsos mob ntawm tus mob herpes zoster
Cov tsos mob ntxov tshaj plaws uas feem ntau tshwm sim yog mob, khaus, thiab tingling ntawm daim tawv nqaij. Qee zaum, cov tsos mob no tau ua raws kev tsis meej pem, qaug zog, ua npaws, mob taub hau, nco tsis tau, thiab xeev siab lossis mob plab.
Mus txog tsib hnub tom qab pib pom cov tsos mob, mob pob khaus tuaj yeem tshwm ntawm ib sab ntawm lub ntsej muag lossis lub cev
Kauj Ruam 2. Mus ntsib kws kho mob li ntawm 24-48 teev tom qab kis kab mob
Yog tias koj xav tias koj muaj tus mob herpes zoster, tham nrog kws kho mob tam sim 24-48 teev tom qab ntawd. Cov tshuaj tua kab mob xws li famciclovir, valtrex, thiab acyclovir tuaj yeem siv los kho cov tsos mob ntawm tus mob herpes zoster tau zoo, tab sis tsuas yog yog kev kho mob pib hauv 48 teev tom qab kis mob.
Yog tias cov tshuaj tiv thaiv kab mob tshiab tau noj 48 teev tom qab kis tus kab mob, lawv yuav zoo li tsis muaj txiaj ntsig zoo. Ib qho ntxiv, nco ntsoov tias cov tshuaj tiv thaiv kab mob tsis tuaj yeem tiv thaiv qhov tshwm sim ntawm postherpetic neuralgia
Kauj Ruam 3. Siv tshuaj pleev tshuaj los kho tus mob shingles ua ntej qhov mob hnyav tuaj
Ntxiv rau qhov nug koj kom noj tshuaj tiv thaiv kab mob, koj tus kws kho mob yuav sau ntawv tshuaj noj, xws li Caladryl, uas tuaj yeem pab daws qhov mob thiab khaus ntawm qhov txhab.
- Caladryl ua haujlwm los ntawm kev xa cov cim rau lub hlwb kom zais qhov mob uas tshwm sim. Yog tias koj xav siv nws, koj tuaj yeem yuav nws hauv daim ntawv ntawm cov nplaum, cov kua nplaum, cov tshuaj pleev, thiab cov tshuaj tsuag ntawm cov chaw muag tshuaj.
- Caladryl tuaj yeem siv tau txhua txhua 6 teev, txog 4 zaug hauv ib hnub. Tsis txhob hnov qab ntxuav thiab ua kom tawv nqaij qhuav ua ntej thov Caladryl.
- Xwb, nug koj tus kws kho mob kom sau 5% lidocaine (Lipoderm) nplaum nplaum. Siv cov ntaub nplaum rau qhov teeb meem ntawm daim tawv nqaij los pab daws qhov mob uas tshwm tuaj.
- Ib qho kev xaiv tshuaj uas yuav tom khw uas tuaj yeem yuav yam tsis muaj daim ntawv yuav tshuaj tom khw muag tshuaj yog tshuaj capsaicin (Zostrix, Zostrix HP). Txhawm rau siv nws, cov tshuaj nplaum tsuas yog xav tau rau cov teeb meem ntawm daim tawv nqaij 3-4 zaug hauv ib hnub. Tej zaum yuav kub hnyiab lossis hnov qab tom qab siv cov nplaum, tab sis tsis txhob txhawj xeeb vim tias cov txiaj ntsig yuav tsis nyob ntev. Yog tias qhov kev xav tsis zoo ib yam, tsum tsis txhob siv qab zib! Tsis tas li, nco ntsoov tias koj ib txwm ntxuav koj txhais tes thiab kom qhuav kom zoo tom qab siv cov tshuaj nplaum.
Kauj Ruam 4. Tham nrog koj tus kws kho mob txog qhov muaj peev xwm noj tshuaj hauv qhov ncauj los kho tus mob ntshav qab zib
Koj tus kws kho mob yuav sau ntawv gabapentin (Neurontin) lossis pregabalin (Lyrica) los pab tswj cov tsos mob ntawm postherpetic neuralgia. Koj tuaj yeem noj cov tshuaj no ntev txog 6 lub hlis, txawm hais tias koj tus kws kho mob yuav txo qhov koob tshuaj ua ntej lub hli thib rau tuaj txog. Nco ntsoov, tsis txhob tsum noj tshuaj sai li sai tau! Hloov chaw, txo qhov koob tshuaj maj mam nrog kev pab ntawm kws kho mob.
Txhua yam tshuaj muaj cov kev mob tshwm sim. Txog hom tshuaj uas tau piav qhia saum toj no, qee qhov kev phiv uas yuav tshwm sim yog ua rau lub peev xwm tsis nco qab, tsaug zog, hloov pauv hauv electrolyte tshuav nyiaj li cas, thiab teeb meem daim siab. Yog tias koj muaj kev phom sij tsis zoo, tam sim tham nrog kws kho mob
Kauj Ruam 5. Tham nrog kws kho mob txog qhov ua tau ntawm kev kho corticosteroid
Yog tias koj mob me ntsis mus rau qhov mob hnyav vim yog mob herpes zoster virus, koj tus kws kho mob yuav yuav sau tshuaj corticosteroid prednisone thiab acyclovir rau koj noj. Kev kho Corticosteroid yuav tuaj yeem txo koj cov leeg mob, tab sis nkag siab tias nws tsis ua haujlwm zoo ib yam rau txhua tus.
- Koj tus kws kho mob tsuas tuaj yeem sau tshuaj corticosteroids yog tias koj tsis noj tshuaj uas yuav cuam tshuam tsis zoo nrog lawv. Txhawm rau zam kev pheej hmoo ntawm kev phiv tsis zoo, tsis txhob hnov qab qhia koj tus kws kho mob txog cov tshuaj uas koj tab tom noj.
- Piv txwv li, koj tus kws kho mob tuaj yeem sau tshuaj ntau tshaj ntawm 60 mg ntawm prednisone kom noj rau 10-14 hnub, thiab yuav txo qhov koob tshuaj ua ntej tso tseg cov tshuaj kom tag.
