Kev tshawb fawb qhia pom tias tom qab herpetic neuralgia (PHN) yog mob hnyav heev uas qee zaum tshwm sim tom qab tus kab mob herpes zoster (shingles). Qhov mob PHN no tshwm sim nyob rau thaj tsam ntawm lub cev uas muaj pob khaus pob. Feem ntau, qhov mob no ua raws txoj hlab ntshav ntawm ib sab ntawm lub cev. Thaum mob, khaus khaus khaus khaus yog tus yam ntxwv tseem ceeb ntawm tus kab mob shingles, qhov mob hlab ntsha no tuaj yeem ua ntej nws pom. Heev heev, cov tsos mob ntxov tshaj plaws ntawm cov kab mob shingles yog qhov kub hnyiab lossis ua rau tawv nqaij. Cov kws tshaj lij sau tseg tias txoj hauv kev zoo tshaj los kho qhov mob hlab ntsha tawg no yog kho koj tus mob shingles, tswj koj qhov mob, thiab txo koj txoj kev pheej hmoo ntawm teeb meem.
Cov kauj ruam
Ntu 1 ntawm 5: Txo Qhov Mob thiab Ua Phem
Kauj Ruam 1. Sim ua kom tsis txhob khawb ntawm koj cov hlwv
Txawm nyuaj npaum li cas los xij, cia koj cov hlwv nyob ib leeg thiab zam kev khawb. Lawv yuav crust dua thiab tom qab ntawd poob ntawm lawv tus kheej. Yog tias koj khawb lawv, lawv yuav qhib thiab ua rau muaj kev kis mob yooj yim dua.
Koj tseem yuav kis tau cov kab mob nrog koj txhais tes yog tias koj khawb ntawm cov hlwv. Yog tias qhov no tshwm sim yam tsis tau npaj tseg, ib txwm ntxuav koj txhais tes tom qab ntawd kom huv si
Kauj Ruam 2. Siv cov baking soda muab tshuaj txhuam kom txo tau qhov khaus
Cov dej qab zib ci muaj pH ntau dua 7 (ua rau nws alkaline), muab nws lub peev xwm rau nruab nrab cov tshuaj uas tsim qhov khaus khaus. Cov tshuaj tsim qhov khaus khaus yog acidic nrog pH uas tsawg dua 7.
- Thov muab tshuaj txhuam ua los ntawm 3 teaspoons baking soda tov nrog 1 teaspoon dej. Qhov no tshem tawm qhov khaus thiab pab cov hlwv qhuav sai dua.
- Koj tuaj yeem thov cov tshuaj txhuam no ntau npaum li xav tau los daws qhov khaus.
Kauj Ruam 3. Ua kom txias txias rau koj cov hlwv
Siv txias, ntub dej kom yooj yim tsis xis nyob. Koj tuaj yeem thov qhov kev nrawm no txog li 20 feeb ntawm ib lub sijhawm, ob peb zaug hauv ib hnub.
Koj tuaj yeem ua kom txias txias los ntawm kev qhwv cov dej khov hauv cov phuam huv thiab nias nws tawm ntawm koj cov tawv nqaij. Xwb, koj tuaj yeem siv lub hnab khov zaub. Tsuas yog xyuas kom tsis txhob muab nws ncaj qha rau ntawm koj cov tawv nqaij thiab tsis txhob khaws nws ntawm koj cov tawv nqaij ntau dua 20 feeb nyob rau ib lub sijhawm vim tias ob qho xwm txheej no tuaj yeem ua rau cov nqaij puas
Kauj Ruam 4. Tshaj tawm Benzocaine qab zib rau ntawm koj cov hlwv tom qab koj tshem tawm qhov txias txias
Siv cov tshuaj pleev ib ce, xws li cov tshuaj tsis muaj npe tshuaj benzocaine, ncaj qha tom qab koj daim ntawv thov txias. Benzocaine ua haujlwm ua tshuaj loog, ua rau lub paj hlwb xaus rau ntawm daim tawv nqaij.
Ua lwm txoj hauv kev, tham nrog koj tus kws kho mob txog tshuaj 5% Lidocaine thaj ua rau thaj. Koj tuaj yeem thov thaj rau thaj chaw uas koj tab tom ntsib qhov mob, tsuav koj cov tawv nqaij tsis huv. Koj tuaj yeem thov ntau li 3 thaj ua ke ib zaug. Koj tuaj yeem hnav koj thaj ua haujlwm ntev txog 12 teev nyob rau 24 teev
Ntu 2 ntawm 5: Kev Kho Mob Qhov Mob
Kauj Ruam 1. Saib xyuas cov cim qhia tias koj lub qhov txhab kis mob
Cov kab mob kis tau yog xov xwm tsis zoo, yog li yog koj xav tias koj lub qhov txhab yuav kis tau tus kab mob, koj yuav tsum hu rau koj tus kws kho mob tam sim. Cov cim qhia tias koj lub qhov txhab kis mob muaj xws li:
- Ua npaws
- Kev nce hauv qhov mob uas ua rau mob ntxiv
- Qhov mob zoo li sov rau qhov kov
- Qhov mob yog ci thiab du
- Koj cov tsos mob zuj zus tuaj
Kauj Ruam 2. So koj cov kab mob hauv Burow txoj kev daws
Koj tuaj yeem tsau cov kab mob sib kis hauv Burow txoj kev daws (lub npe lag luam, Domeboro) lossis cov kais dej. Qhov no yuav pab txo qis o, tshem tawm cov tawv nqaij thiab ua kom tawv nqaij.
- Burow txoj kev daws teeb meem muaj cov kab mob tua kab mob thiab astringent. Koj tuaj yeem yuav nws yam tsis muaj daim ntawv yuav tshuaj ntawm koj lub tsev muag tshuaj.
- Hloov chaw ntawm so koj cov qhov txhab, koj tseem tuaj yeem siv Burow txoj kev daws teeb meem ncaj qha rau koj qhov txhab ntawm qhov txias txias. Koj tuaj yeem thov cov ntaub qhwv ntev txog 20 feeb, ntau zaus hauv ib hnub.
Kauj Ruam 3. Siv cov tshuaj capsaicin tom qab koj cov hlwv tau tawg lawm
Thaum muaj qhov txhab tau tawg lawm, koj tuaj yeem siv cov tshuaj capsaicin (piv txwv li Zostrix) rau nws. Koj tuaj yeem thov cov tshuaj capsaicin txog 5 zaug hauv ib hnub txhawm rau txhawb kev kho kom zoo.
Ntu 3 ntawm 5: Noj tshuaj tom qab cov hlwv ploj mus
Kauj Ruam 1. Siv daim npog lidocaine
Tom qab cov hlwv tau zoo lawm, koj tuaj yeem thov 5% lidocaine thaj rau koj cov tawv nqaij kom txo cov leeg mob. Lidocaine thaj muab kev kho mob zoo uas tsis muaj kev pheej hmoo ntawm kev phiv tsis zoo
Cov no muaj nyob ntawm ntau lub tsev muag tshuaj thiab online. Cov ntaub ntawv muaj zog tuaj yeem muaj los ntawm koj tus kws kho mob
Kauj Ruam 2. Siv cov tshuaj tsis-steroidal, tshuaj tiv thaiv kab mob kom yooj yim rau koj qhov mob
Cov tshuaj tsis-steroidal anti-inflammatory (NSAIDs) feem ntau tau sau ntxiv rau lwm cov tshuaj yeeb tshuaj txhawm rau txhawm rau txhim kho qhov mob. Lawv pheej yig thiab yuav muaj tseeb yog koj twb muaj tsawg kawg ib qho hauv koj chav dej.
Piv txwv ntawm NSAIDs suav nrog acetaminophen, ibuprofen lossis indomethacin. Cov tshuaj no tuaj yeem noj txog peb zaug hauv ib hnub - tsuas yog nco ntsoov ua raws daim ntawv lo rau cov lus qhia ntawm qhov ntau npaum li cas rau koj
Kauj Ruam 3. Sim corticosteroids los txo koj cov leeg mob
Corticosteroids feem ntau tau sau rau cov neeg laus noj qab haus huv uas tuaj nrog mob hnyav rau mob hnyav. Cov corticosteroids feem ntau tau muab ntxiv rau cov tshuaj tiv thaiv kab mob.
Tham nrog koj tus kws kho mob txog qhov kev xaiv no. Ua tau zoo (uas yog, muaj zog dua) corticosteroids muaj nyob hauv daim ntawv yuav tshuaj nkaus xwb
Kauj Ruam 4. Tham nrog koj tus kws kho mob txog kev siv tshuaj loog
Narcotic analgesics qee zaum tau sau tseg txhawm rau kho mob hnyav ua rau mob hlab ntsha tawg. Txawm li cas los xij, kev quav tshuaj yeeb quav tshuaj tsuas yog muab cov tsos mob txo - lawv tsis kho qhov ua rau mob.
Ib qho ntxiv, cov tshuaj quav yeeb quav tshuaj yog cov neeg quav yeeb quav tshuaj uas tus neeg mob tuaj yeem ua tau sai. Yog li ntawd lawv siv yuav tsum tau ua tib zoo saib xyuas los ntawm kws kho mob
Kauj Ruam 5. Tau txais daim ntawv yuav tshuaj tricyclic antidepressants
Qee lub sij hawm tricyclic antidepressants tau sau tseg los kho qee hom kev mob paj hlwb uas tshwm sim los ntawm kab mob qhua pias. Txawm hais tias lawv cov txheej txheem tsis paub meej, lawv ua haujlwm los ntawm thaiv cov neeg mob hauv lub cev.
Kauj Ruam 6. Siv tshuaj tiv thaiv kab mob vwm los kho mob hlab ntsha tawg
Cov tshuaj Antiepileptic tau siv dav hauv cov tsev kho mob kom kho qhov mob neuropathic. Muaj ntau hom tshuaj tiv thaiv kab mob, xws li phenytoin, carbamazepine, lamotrigine thiab gabapentin, ib yam ntawm cov tshuaj uas tuaj yeem siv los kho mob hlab ntsha hauv cov neeg mob shingles.
Rau ob theem saum toj no, koj tus kws kho mob yuav paub yog tias cov no yog kev kho mob rau koj. Feem ntau, ob qho no tau tshwj tseg rau qhov mob hnyav ntawm cov leeg mob
Ntu 4 ntawm 5: Kho Mob Lub Cev Nyuaj Siab nrog Cov txheej txheem phais
Kauj Ruam 1. Tau txais cawv los yog tshuaj phenol
Ib qho ntawm cov txheej txheem kev phais yooj yim tshaj plaws los daws qhov mob hlab ntsha tawg yog txhaj cawv lossis phenol rau hauv cov ceg ntawm cov hlab ntsha. Qhov no ua rau cov hlab ntsha puas tsuaj tas mus li, yog li pab tiv thaiv qhov mob.
Nov yog txheej txheem ua los ntawm kws kho mob. Koj keeb kwm kev noj qab haus huv thiab mob yuav txiav txim seb qhov no puas yog txoj hauv kev tsim nyog mus nrhiav
Kauj Ruam 2. Sim ua kom cov hluav taws xob hluav taws xob hloov pauv ntshav (TENS)
Qhov kev kho mob no cuam tshuam nrog kev tso cov electrodes hla lub paj hlwb uas ua rau mob. Cov hluav taws xob no xa cov hluav taws xob me me, tsis muaj mob rau cov hlab ntsha nyob ze.
- Raws nraim li cas cov kev xav no daws qhov mob tsis paub meej. Ib txoj kev xav yog tias qhov kev xav txhawb nqa kev tsim cov tshuaj endorphins, koj lub cev lub cev ua kom lub cev muaj zog.
- Hmoov tsis zoo, txoj kev kho mob no tsis ua haujlwm rau txhua tus, tab sis nws zoo li yuav muaj txiaj ntsig zoo dua yog tias nws tau muab ua ke nrog cov tshuaj hu ua pregabalin.
Kauj Ruam 3. Xav txog tus txha nqaj qaum lossis lub paj hlwb ib sab
Cov cuab yeej no zoo ib yam li TENS, tab sis tau cog '' hauv qab '' ntawm daim tawv nqaij. Zoo li TENS chav nyob, koj tuaj yeem qhib cov chav no thiab tawm raws li xav tau los tswj qhov mob.
- Ua ntej cov cuab yeej raug phais, cov kws kho mob tau sim ua ntej siv cov xov hlau nyias nyias. Kev sim tau ua tiav los xyuas kom meej tias tus neeg txhawb nqa yuav muab kev kho mob kom zoo.
- Cov hluav taws xob tau tso los ntawm koj cov tawv nqaij mus rau qhov chaw epidural hla tus txha nqaj qaum rau tus txha nqaj qaum, lossis hauv qab koj cov tawv nqaij saum lub paj hlwb ib sab thaum muaj cov hlab ntsha sab hauv.
Kauj Ruam 4. Tham nrog koj tus kws kho mob txog kev mob pulse radiofrequency lesioning (PRF)
Nov yog daim ntawv muaj kev nyab xeeb thiab muaj txiaj ntsig zoo ntawm kev kho qhov mob uas siv xov tooj cua hloov kho qhov mob ntawm qib molecular. Tom qab ib qho kev kho mob, qhov mob nyem tuaj yeem ntev txog 12 lub lis piam.
Ntu 5 ntawm 5: Sib Ntaus Shingles Ua Ntej Nws Pom
Kauj Ruam 1. Paub cov tsos mob ntawm tus mob shingles
Cov kab mob shingles xub pib ua mob, khaus thiab tingling ntawm daim tawv nqaij. Qee zaum cov tsos mob thawj zaug no tau ua raws los ntawm kev tsis meej pem, qaug zog, ua npaws, mob taub hau, tsis nco qab, mob plab thiab/lossis mob plab.
Mus txog tsib hnub tom qab pom cov tsos mob pib no, mob pob khaus tuaj yeem tshwm ntawm ib sab ntawm lub ntsej muag lossis lub cev
Kauj Ruam 2. Mus ntsib koj tus kws kho mob li ntawm 24 txog 48 teev yog tias koj xav tias koj muaj kab mob qhua pias
Yog tias koj xav tias koj muaj kab mob shingles, mus ntsib koj tus kws kho mob li ntawm 24 txog 48 teev. Cov tshuaj tua kab mob zoo li famciclovir, valtrex thiab acyclovir tuaj yeem siv los kho cov tsos mob ntawm tus mob shingles, tab sis tsuas yog tias lawv tau pib ua ntej 48 teev ntawm qhov pib.
Yog tias koj pib noj koj cov tshuaj tiv thaiv kab mob tom qab 48 teev, nws yuav tsis zoo li. Ib qho ntxiv, nco ntsoov tias koj cov tshuaj tiv thaiv kab mob yuav tsis tiv thaiv PHN
Kauj Ruam 3. Siv tshuaj pleev tshuaj txhawm rau tshem tawm cov pob ua pob ua ntej lawv mob zuj zus
Ntxiv nrog rau cov tshuaj tiv thaiv kab mob, koj tus kws kho mob yuav sau ntawv tshuaj noj, xws li caladryl. Caladryl tuaj yeem pab koj qhib qhov txhab los ntawm kev txo qhov mob thiab khaus.
- Caladryl ua haujlwm los ntawm kev cuam tshuam nrog qhov mob qhia tias lub paj hlwb xa mus rau lub hlwb thiab muaj nyob hauv gel, tshuaj pleev, tshuaj tsuag lossis daim ntawv lo.
- Caladryl tuaj yeem siv tau txhua txhua 6 teev, txog 4 zaug hauv ib hnub. Koj yuav tsum tau ntxuav thiab qhuav thaj chaw cuam tshuam ua ntej thov.
- Raws li lwm txoj hauv kev, nug koj tus kws kho mob txog ntawv yuav tshuaj 5% Lidocaine (Lipoderm) nplaum thaj ua rau thaj. Koj tuaj yeem thov thaj ua rau daim tawv nqaij tsis tu ncua los pab tswj koj qhov mob.
- Rau kev xaiv tom khw, siv cov tshuaj capsaicin (Zostrix, Zostrix HP). Siv cov tshuaj nplaum rau cov tawv nqaij tsis tu ncua 3 mus rau 4 zaug hauv ib hnub. Cov tshuaj nplaum tuaj yeem ua rau kub hnyiab lossis ua rau hnov mob thaum koj thov nws, tab sis cov kev mob tshwm sim no yuav tsum ploj mus. Yog tias nws tsis ua, tsum tsis txhob siv qab zib. Nco ntsoov ntxuav thiab so koj txhais tes kom huv si tom qab koj siv cov tshuaj nplaum.
Kauj Ruam 4. Tham nrog koj tus kws kho mob txog tshuaj noj qhov ncauj rau PHN
Koj tus kws kho mob tuaj yeem sau ntawv gabapentin (Neurontin) lossis pregabalin (Lyrica) los pab tswj koj cov tsos mob PHN. Koj tuaj yeem siv tshuaj tau ntev txog 6 lub hlis, txawm tias koj tus kws kho mob yuav ua rau koj tawm ntxov yog tias koj cov tsos mob ploj mus ua ntej 6 lub hlis cim. Tsis txhob tsum noj tshuaj sai li sai tau. Koj tus kws kho mob yuav pab koj txo qis nws.
Txhua yam tshuaj muaj kev phiv. Qhov tshwm sim tshwm sim ntawm cov tshuaj no suav nrog teeb meem nco, ua kom lub cev tsis txaus, electrolyte tsis txaus, thiab teeb meem daim siab. Tham nrog koj tus kws kho mob yog tias koj muaj kev phiv tshuaj
Kauj Ruam 5. Nug koj tus kws kho mob yog tias kev kho corticosteroid puas haum rau koj
Yog tias koj muaj mob me me mus rau mob hnyav los ntawm koj qhov kev kis mob, koj tus kws kho mob tuaj yeem sau tshuaj corticosteroid prednisone qhov ncauj, nrog rau acyclovir. Kev kho Corticosteroid tuaj yeem txo koj cov leeg mob, tab sis nws tsis ua haujlwm rau txhua tus.
- Koj tus kws kho mob tsuas yuav sau tshuaj corticosteroids yog tias koj tsis noj tshuaj uas cuam tshuam nrog lawv. Nco ntsoov koj qhia koj tus kws kho mob txog lwm yam tshuaj uas koj tab tom noj.
- Piv txwv li, koj tus kws kho mob tuaj yeem sau tshuaj txog 60 mg ntawm prednisone txog li 10-14 hnub, txo qis koj ua ntej koj tsis noj tshuaj.
