Mo ƒe akpa ɖeka ƒe ʋuʋu, to ƒe vevesesea? Mina míasrɔ̃ nu tso Ramsay Hunt Syndrome ŋu!

Ðe nèse le ɖokuiwò me kpɔ abe ɖe wò mo ƒe akpa ɖeka tsi dzodzodzoe zi ɖeka, alo wò nu ƒe dzogoe he ɖe anyia? Alo ɖe nède dzesii be ʋuʋudedi sue aɖe le wò to me si le veve sem veviea? Ðewohĩ ànɔ nusi le edzi yim ŋu bum. Egbea míele nu ƒom tso nɔnɔme tɔxɛ aɖe si ate ŋu ahe dzesi mawo tɔgbe vɛ, gake womeƒoa nu tso eŋu boo le hadome o. Emae nye Ramsay Hunt ƒe Dɔléle .

Nukae nye Ramsay Hunt ƒe Dɔléle?

Kpuie ko la, Ramsay Hunt Syndrome nye dɔlékuiwo abe koklozi alo herpes zoster (si woyɔna hã be shingles) ene ƒe kuxi. Wogayɔnɛ be Herpes Zoster Oticus kple Ramsay Hunt Syndrome type 2. Wotsɔ ŋkɔ nɛ tso James Ramsay Hunt, si nye Amerika asrafomegã kple ahɔhɔ̃ŋutinunyala si ƒo nu tso nɔnɔmea ŋu zi gbãtɔ le ƒe 1907 me la ƒe ŋkɔ me.

Èɖo ŋku edzi be koklozi ƒe dɔléle nɔ ye ŋu le yeƒe ɖevimea? Woyɔa dɔlékui si hea koklozi ƒe dɔléle vɛ be Varicella-Zoster Dɔlékui . Dɔlékui sia medzona keŋkeŋ le koklozi ƒe dɔléle megbe o. Ate ŋu amlɔ wò lãmekawo me ƒe geɖe. Gbeɖeka, le susu aɖewo ta (zi geɖe ne wò dɔlélenutsiŋutete gbɔdzɔ) la, dɔlékui sia si le alɔ̃ dɔm la gawɔa dɔ ake . Ɣemaɣie nèxɔa Herpes Zoster, alo shingles.

Fifia, ne Varicella-Zoster Dɔlékui sia gawɔa dɔ eye wògblẽa nu le wò mo ƒe lãmeka ŋu , ekema ɣemaɣie nɔnɔme aɖe si woyɔna be Ramsay Hunt Syndrome dzɔna. Nu vevitɔ si dzɔna le esia mee nye be mo ƒe lãmeka la tu, si fia be mo ƒe lãme tu eye to me vea ame vevie. Azɔ hã, ʋuʋudedi si le veve sem ate ŋu adze le to, mo, alo nu me.

Ameka dzie esia le dzɔdzɔm ɖo?

Ramsay Hunt Syndrome, si nye dɔléle si ate ŋu adze amesiame si xɔ koklozi alo shingles dzi la bɔ ɖe amesiwo xɔ wu ƒe 60. Mebɔ ɖe ɖevi suewo me o, gake wogblɔ be edzɔ le ɖevi siwo xɔ ƒe etɔ̃ pɛ ko ŋu.

Amesiwo ƒe dɔlélenutsiŋutete gbɔdzɔ (abe amesiwo ŋu HIV le, kansadɔnɔwo, kple amesiwo wodo ŋutinuwo na ene) le afɔku me be woaxɔ dɔlélea. Woƒe dzesiwo ate ŋu asẽ wu le amehawo katã gome, eye womate ŋu ahaya keŋkeŋ o.

Aleke gbegbee Ramsay Hunt ƒe Dɔlélea bɔe?

Le nyateƒe me la, esia nye nɔnɔme si mebɔ kura o. Le United States ƒe akɔntabubu nu la, edzea ame abe 5 ene le ame 100,000 ɖesiaɖe me ƒe sia ƒe.

Gake numekula aɖewo xɔe se be esi wònye be ɣeaɖewoɣi la, womekpɔa dɔlélea dzea sii o alo womekpɔnɛ nyuie o ta la , esesẽna be woagblɔ ame agbɔsɔsɔme si tututu wòxɔna ŋutɔŋutɔ.

Ramsay Hunt Syndrome nye nu evelia si hea mo ƒe lãmekawo ƒe lãmetutudɔ vɛ wu , eye wònyea mo ƒe lãmekawo ƒe lãmetutudɔ ƒe 7% lɔƒo. Nusi gbɔ mo ƒe lãmekawo ƒe lãmetutudɔ tsona wue nye Bell ƒe Dɔléle.

Nukatae Ramsay Hunt ƒe Dɔlélea dzɔna?

Abe alesi míegblɔe va yi ene la, nusi koŋ gbɔ Ramsay Hunt Syndrome tsonae nye Varicella-Zoster Virus , si gblẽa nu le mo ƒe lãmeka si tsɔa seselelãme yia wò mo, aɖe, kple to ememetɔ ŋu la ƒe dɔwɔwɔ ake. Esia nye dɔlékui ma ke si hea koklozi kple shingles vɛ.

Ne koklozi le ŋuwò le wò ɖevime la, dɔlékuia medzona keŋkeŋ o. Ate ŋu amlɔ wò lãmekawo me ƒe geɖe. Míeyɔa esia be dɔlékui si nye "dɔlékui si le alɔ̃ dɔm." Emegbe gbeɖeka, le susu aɖewo ta, dɔlékuia gafɔna ake. Ɣemaɣie nèxɔa herpes zoster, alo shingles. Dɔlékuia zɔna to lãmekawo me yia ŋutigbalẽa me, si wɔnɛ be ʋuʋudedi siwo me vevesese le la dona. Ɣeaɖewoɣi la, dɔlékuia ate ŋu akpɔ ŋusẽ ɖe mo ƒe lãmeka hã dzi, si ahe Ramsay Hunt Syndrome vɛ. Numekulawo menya nusi tututu tae dɔlékuia gblẽa nu le mo ƒe lãmeka ko ŋu ɣeaɖewoɣi o.

Nukae nye esia ƒe dzesiwo?

Le Ramsay Hunt Syndrome me la, le mo ƒe lãmeka ƒe alɔdze si ŋu wògblẽ nu le nu la, àte ŋu agbɔdzɔ alo asẽ le wò mo ƒe akpa ɖeka .

Mo ƒe dzedzeme

• Ŋkua tutu sesẽ: Ðewohĩ màte ŋu atu ŋku si le akpa si ŋu dɔlélea le la nyuie o.
• Ŋutete manɔanyi be yeaʋuʋu mo: Ne èdze agbagba be yeakɔ yeƒe ŋgonu ɖe ​​dzi ahaɖe mo ɖa hã la, ɖewohĩ akpa ma maʋuʋu o.
• Mo ƒe dzedzeme ɖeɖefia sesẽ: Ate ŋu asesẽ be woawɔ nuwo abe alɔgbɔnukoko kple movidzɔdzɔ ene.
• Mo ƒe akpa ɖeka ƒe gege alo lãmetutudɔ: Mo ƒe akpa si ŋu dɔlélea le ate ŋu aɖiɖi ayi anyime, eye ɖewohĩ wòazu lãmetututɔ keŋkeŋ gɔ̃ hã.
• Nuƒoƒo si me mekɔ o: Nua ate ŋu akɔ ɖe axa ɖeka, si ana nyawo yɔyɔ nasesẽ.
• Nuɖuɖu sesẽ: Ate ŋu asesẽ be nàna nuɖuɖu nanɔ wò nu me ahaɖui. Ðewohĩ tsi mimi hã asesẽ na wò.

Zi geɖe la, Ramsay Hunt Syndrome gblẽa nu le lãmeka siwo le mo ƒe akpa ɖeka ŋu, eyata zi geɖe la, mo ƒe akpa ma koe wokpɔa dzesiawo le.

To ƒe dzesi kple dzesi bubuwo

Tsɔ kpe ɖe mo ƒe dzedzeme ŋu la, dzesi bubu geɖewo ate ŋu anɔ eŋu:

• Vevesese ƒe ʋuʋudedi si ƒo xlã to, to, kple to ƒe akpa si le tome.
• Tsi yɔ fũu le to me kple to godo.
• Aɖe, ŋɔti, kple nu tame ƒe vevesese le akpa si dɔlélea le.
• To ƒe vevesese sesẽ.
• Tome ƒe ɖiɖi: Tome ƒe ɖiɖi atraɖii ƒe seselelãme.
• Hyperacusis: Seselelãme si nye be gbeɖiɖi siwo sɔ gɔ̃ hã sesẽna ŋutɔ.
• Tosese ƒe dɔmawɔmawɔ nyuie le akpa ɖeka: To si ŋu dɔa le ƒe tosese ate ŋu aɖe akpɔtɔ alo abu keŋkeŋ.
• Ŋku kple nu ƒuƒu.
• Gbeɖiɖi ƒe ɖiɖi.
• Nuvivinu ƒe seselelãme ƒe bu.
• Hadomegbenɔnɔ ƒe dzimaɖitsitsi le mo ƒe tɔtrɔ ta.

Ame aɖewo ate ŋu axɔ vertigo , si nye alakpasese le wo ɖokui me be nuwo le tsatsam, alo be woawo ŋutɔwo le tsatsam.

Ðe Ramsay Hunt ƒe Dɔlélea xɔa ame mea?

Nu vevi aɖe li si gɔme wòle be míase le afisia. Ramsay Hunt Syndrome ŋutɔ mexɔa ame o. Gake ne dɔlélea le ŋuwò la, efia be Varicella-Zoster Virus (VZV) si le dɔ wɔm le wò ŋutilã me la le ŋuwò. Dɔlékui ma ate ŋu akaka na ame bubu ne eva ka tsi si tso ʋuʋudedi siwo le dɔnɔa ƒe ŋutigbalẽ ŋu me.

Ne dɔlékuia kaka alea la, ame ate ŋu axɔ koklozi , vevietɔ ne amea mexɔ koklozi do ŋgɔ o alo mexɔ koklozi ƒe atike o. Azɔ hã, amesiwo ƒe dɔlélenutsiŋutete gblẽ ate ŋu axɔ lãmesẽkuxi sesẽwo le dɔlékui sia xɔxɔ me.

Eyata ne Ramsay Hunt Syndrome le ŋuwò la, ele be nàƒo asa na kadodo kplikplikpli kple amewo ƒe ƒuƒoƒo aɖewo vaseɖe esime wò ʋuʋudediwo naƒu eye woazu ƒuƒu. Esiawo dometɔ aɖewoe nye:

* Ame siwo mexɔ koklozi kpɔ o alo womexɔ koklozi ƒe atike o.

* Ame siwo ƒe dɔlélenutsiŋutete gbɔdzɔ.

* Vidzĩ siwo wodzi yeyee.

* Nyɔnu funɔwo.

Aleke nèwɔ de dzesi esia?

Wò ɖɔkta awɔ ŋutilãmedɔdada gbã atsɔ anya Ramsay Hunt Syndrome. Abia nya tso wò atikewɔwɔ ŋutinya kple dzesiwo ŋu, vevietɔ ne èdi be yeakpɔ ʋuʋudedi alo gbɔdzɔgbɔdzɔ le mo na ye.

Gake esi dɔléle sia ƒe dzesiwo medzena le ɣeyiɣi ɖeka me ɣesiaɣi o ta la, ate ŋu asesẽ ɣeaɖewoɣi be woakpɔe. Eyata wò ɖɔkta ate ŋu awɔ dodokpɔ le nudokpɔƒe atsɔ aɖo kpe dɔlélea dzi. Esia ate ŋu abia be nàɖe wò aɖuɖɔ, ʋu, alo tsi aɖe tso ʋuʋudedi me eye nàdoe kpɔ le nusuekpɔmɔ̃ me akpɔe ɖa be Varicella-Zoster Dɔlékuia le eme hã.

Togbɔ be mehiã ɣesiaɣi o hã la, wò ɖɔkta ate ŋu aɖo aɖaŋu hã be nàwɔ MRI scan (Magnetic Resonance Imaging - MRI scan) . Esia ate ŋu akpe ɖe ŋuwò nàkpɔ egbɔ be menye atikewɔwɔ ƒe nɔnɔme bubu aɖe gbɔe wò dzesiawo tso o.

Nukawoe nye atikewɔmɔnuawo?

Wozãa atike vovovowo tsɔ daa Ramsay Hunt Syndrome.

Atikewɔwɔ ƒe atikewɔwɔ

Wò ɖɔkta ate ŋu aŋlɔ atikewo abe:

• Dɔlékuiwutikewo: Da dɔlékui la alo nàɖe dzesiawo dzi akpɔtɔ. Le kpɔɖeŋu me, atikewo abe Acyclovir alo Valacyclovir .
• Corticosteroids: Eɖea lãmekaa ƒe vuvu dzi kpɔtɔna. Le kpɔɖeŋu me, atikewo abe Prednisone ene .
• Vevesesenutsitike: Ðe vevesese dzi kpɔtɔ.
• Atike Siwo Wozãna Na Vertigo: Atike vovovowo li siwo ate ŋu aɖe vertigo ƒe dzesiwo dzi akpɔtɔ.
• Atike si tsia alɔ̃madɔmadɔ nu: Atikewo abe carbamazepine ene tsɔ daa lãmekawo ƒe vevesese si nɔa anyi ɖaa (si woyɔna be postherpetic neuralgia ).

Nusiwo nàte ŋu awɔ le aƒeme

Àte ŋu azã atike si wotsɔna ƒoa nu fafɛ aɖe atsɔ aɖe vevesesea dzi akpɔtɔ. Azɔ hã, ne màte ŋu atu ŋkua nyuie o la, mɔnukpɔkpɔ geɖe li be ŋkua nagblẽ. Esi ŋkua ʋuna ɣesiaɣi ta la, ŋkume ƒe ŋkumeʋuʋu ate ŋu agblẽ. Le esia ta la, àte ŋu ado ŋkumeɖonu . Àte ŋu azã aɖatsi alo ŋkumemi siwo wowɔ kple asi hã atsɔ axe mɔ na ŋkuwo ƒe ƒuƒu.

Ne moa tu keŋkeŋ la, ɖɔkta ate ŋu aɖo aɖaŋu hã be woawɔ dɔ na amea . Amekoko sia kpena ɖe ame ŋu wòɖea mo ƒe lãmekawo ƒe nyaƒoɖeamenu dzi kpɔtɔna.

Ɣeyiɣi didi kae wòxɔna hafi wòhayana?

Ɣeyiɣi si wòxɔna hafi nàhaya tso Ramsay Hunt Syndrome me nɔ te ɖe alesi wò mo ƒe lãmetutudɔa nu sẽe dzi. Ne lãmekawo megblẽ boo o eye zi geɖe la, èle lãmesẽ me la, dzesiawo ate ŋu anyo ɖe edzi le kwasiɖa ʋɛ aɖewo va ɖo ɣleti ʋɛ aɖewo me . Gake eƒe hayahaya blibo ate ŋu axɔ ƒe ɖeka.Ate ŋu axɔ ɣeyiɣi aɖe. Ne nusiwo gblẽ le mo ƒe lãmeka ŋu nu sẽ la, mɔnukpɔkpɔ si li be wòahaya bliboe la dzi ɖena kpɔtɔna vie.

Vevietɔ ŋutɔ: Togbɔ be dɔlékuiwutikewo ate ŋu akpe ɖe ame ŋu hã la, mɔnukpɔkpɔ si li be wòahaya bliboe la lolo wu sã ne wodze atikewɔwɔ gɔme le ŋkeke etɔ̃ me tso esime dzesiawo dze . Wokpɔe be dɔlélea didi kaba kple dɔlékuiwutikewo zazã kaba nana nusiwo dona tso eme ɣeyiɣi didi nyona ɖe edzi. Ame siwo ŋu Ramsay Hunt Syndrome le la dometɔ siwo ade 70% ƒe mo gawɔa dɔ bliboe alo wòde blibo kloe. Gake ne wowɔ atike nɛ kaba gɔ̃ hã la, mo nate ŋu atɔ te tegbee alo eƒe tosese ate ŋu adzɔ ɣeaɖewoɣi.

Ðe esia ate ŋu agadzɔ akea?

Togbɔ be ƒã ŋutɔ hã la, abe alesi wòle le herpes zoster (shingles) dɔlékui gome ene la, Ramsay Hunt Syndrome ate ŋu agadzɔ ake . Esia le alea elabena Varicella-Zoster Dɔlékuia nɔa wò lãmekawo me tegbee.

Kuxi kawoe ate ŋu ado mo ɖa?

Ramsay Hunt Syndrome nye lãmekawo ƒe gbugbɔgadzɔ ƒe kuxi aɖe si nana lãmekawo gatsina nyuie. Esia ate ŋu ana amewo nawɔ nu ɖe ​​ame ƒe ʋuʋu aɖewo ŋu le mɔ si mesɔ o nu. Le kpɔɖeŋu me, ne èko alɔgbɔnu la, ŋku si meku ɖe eŋu o la ate ŋu atɔ.

Kuxi bubuwo ate ŋu anye:

• Mo ƒe nɔnɔme ƒe gbegblẽ le mo ƒe ʋuʋu ta.
• Tɔtrɔ le vivisese ŋu .
• Ŋku ƒe abi, ƒoƒo, kple dɔlékuiwo ate ŋu agblẽ nu le ŋkuwo ŋu eye wòana ame nate ŋu akpɔ nu nyuie o.
• Mo ƒe lãmekawo ƒe ʋuʋu .
• Hadomegbenɔnɔ ƒe dzimaɖitsitsi.

Ne dɔlékuia gblẽ nu le lãmeka bubuwo ŋu le wò ahɔhɔ̃ alo aklã me la, kuxi bubuwo ate ŋu ado mo ɖa. Esiawo dometɔ aɖewoe nye:

• Tɔtɔ.
• Alɔ̃dɔdɔ.
• Taɖuame.
• Gbɔdzɔgbɔdzɔ le wò abɔwo kple afɔwo ŋu.
• Lãmetsiŋusẽ ƒe vevesese.

Ðe dɔléle bubu aɖewo li siwo ŋu James Ramsay Hunt ke ɖoa?

Ðɔkta aɖe si ŋkɔe nye James Ramsay Hunt ƒo nu tso dɔléle ƒomevi etɔ̃ ya teti ŋu. Ƒomevi evelia si ŋu míeƒo nu tsoe, si nye Ramsay Hunt ƒe dɔléle ƒomevi 2, ye nye esi xɔ ŋkɔ wu le esiawo dome. Togbɔ be eƒe ŋkɔe wotsɔ na ƒomevi eve mamlɛawo hã la, womedo ƒome kple ƒomevi evelia sia o.

• Ramsay Hunt ƒe dɔléle ƒomevi 1 nye ahɔhɔ̃mekawo ƒe dɔléle si mebɔ o si hea alɔ̃madɔmadɔ, ʋuʋudedi, ŋutilã ƒe dɔmawɔmawɔ nyuie, kple susu ƒe nuwɔametɔ vɛ.
• Ramsay Hunt ƒe dɔléle ƒomevi 3 nye ahɔhɔ̃mekawo ƒe dɔléle si gblẽa nu le ulnar lãmeka si le asibidɛ me ŋu.

Nu vevitɔ si dzi wòle be míaɖo ŋkui enye

Ramsay Hunt Syndrome nye dɔléle si ate ŋu adzɔ abe herpes zoster (shingles) ƒe kuxi ene. Ate ŋu ana ʋuʋudedi nase veve, vevesese sesẽ, kple mo nazu lãmetututɔ. Ne dzesi siawo dometɔ aɖe le ŋuwò la, yi ɖɔkta gbɔ enumake. Zi alesi wokpɔ dɔlélea le ŋuwò hedae kaba la, zi nenemae mɔnukpɔkpɔ asu asiwò be nàhaya bliboe.

Àte ŋu abu herpes zoster (shingles) ƒe atike si woatsɔ axe mɔ ɖe dɔvɔ̃ siwo ava do le etsɔme nu hã ŋu. Ƒo nu tso esia ŋu kple wò ɖɔkta eye nàsrɔ̃ nu geɖe. Nɔ lãmesẽ me!

` Ramsay Hunt Syndrome, mo ƒe ʋuʋu, koklozi, herpes zoster, shingles, to ƒe vevesese, dɔlékui ƒe dɔléle