Ib sab ntawm lub ntsej muag loog, mob pob ntseg? Cia peb kawm txog Ramsay Hunt Syndrome!

Koj puas tau muaj ib zaug xav tias ib sab ntawm koj lub ntsej muag tsis hnov ​​​​​​lus li, lossis ces kaum ntawm koj lub qhov ncauj raug rub cia? Los yog koj puas tau pom ib lub pob me me hauv koj pob ntseg nrog mob hnyav? Tej zaum koj yuav xav tsis thoob tias muaj dab tsi tshwm sim. Hnub no peb yuav tham txog ib qho mob tshwj xeeb uas tuaj yeem ua rau muaj cov tsos mob zoo sib xws, tab sis tsis tshua muaj neeg tham txog hauv zej zog. Ntawd yog Ramsay Hunt Syndrome .

Ramsay Hunt Syndrome yog dab tsi?

Hais yooj yim xwb, Ramsay Hunt Syndrome yog ib qho teeb meem ntawm cov kab mob viral xws li mob qaib ntxhw lossis mob herpes zoster (tseem hu ua shingles). Nws kuj hu ua Herpes Zoster Oticus thiab Ramsay Hunt Syndrome hom 2. Nws tau muab lub npe rau James Ramsay Hunt, ib tug tub rog Asmeskas thiab kws kho mob hlwb uas tau piav qhia thawj zaug txog tus mob no hauv xyoo 1907.

Koj puas nco qab tias koj tau mob qhua pias thaum koj tseem yog menyuam yaus? Tus kab mob uas ua rau mob qhua pias hu ua Varicella-Zoster Virus . Tus kab mob no tsis ploj mus tag tom qab mob qhua pias. Nws tuaj yeem pw tsaug zog hauv koj cov hlab ntsha tau ntau xyoo. Muaj ib hnub, vim qee qhov laj thawj (feem ntau thaum koj lub cev tiv thaiv kab mob tsis muaj zog), tus kab mob no rov ua haujlwm dua . Thaum ntawd koj yuav tau mob Herpes Zoster, lossis shingles.

Yog tias tus kab mob Varicella-Zoster no rov ua haujlwm dua thiab cuam tshuam rau koj lub paj hlwb ntawm lub ntsej muag , ces qhov ntawd yog thaum muaj mob hu ua Ramsay Hunt Syndrome tshwm sim. Qhov tseem ceeb uas tshwm sim hauv qhov no yog tias lub paj hlwb ntawm lub ntsej muag tsis ua haujlwm, uas txhais tau tias lub ntsej muag tsis ua haujlwm thiab mob hnyav hauv pob ntseg. Tsis tas li ntawd, cov pob khaus mob yuav tshwm sim ntawm pob ntseg, lub ntsej muag, lossis sab hauv lub qhov ncauj.

Qhov no tshwm sim rau leej twg?

Kab mob Ramsay Hunt, yog ib yam mob uas tuaj yeem cuam tshuam rau txhua tus neeg uas tau mob qhua pias lossis mob shingles, feem ntau yog rau cov neeg hnub nyoog tshaj 60 xyoo . Nws tsis tshua muaj rau cov menyuam yaus, tab sis tau muaj cov neeg mob hauv cov menyuam yaus hnub nyoog peb xyoos.

Cov neeg uas lub cev tiv thaiv kab mob tsis muaj zog (xws li cov neeg uas muaj tus kab mob HIV, cov neeg mob qog noj ntshav, thiab cov neeg tau hloov cev) muaj feem yuav mob hnyav dua. Lawv cov tsos mob yuav hnyav dua li cov pej xeem feem ntau, thiab lawv yuav tsis zoo tag nrho.

Ramsay Hunt Syndrome muaj ntau npaum li cas?

Qhov no yeej yog ib qho mob uas tsis tshua muaj. Raws li cov ntaub ntawv hauv Tebchaws Meskas, nws cuam tshuam txog li 5 ntawm txhua 100,000 tus neeg txhua xyoo.

Txawm li cas los xij, qee cov kws tshawb fawb ntseeg tias vim tias qee zaum tsis tau kuaj pom tus kab mob lossis kuaj tsis raug , nws nyuaj rau hais tias muaj pes tsawg tus neeg tau mob.

Ramsay Hunt Syndrome yog qhov thib ob ua rau lub ntsej muag tsis ua haujlwm, suav txog li 7% ntawm tag nrho cov neeg mob lub ntsej muag tsis ua haujlwm. Qhov ua rau lub ntsej muag tsis ua haujlwm feem ntau yog Bell's Palsy.

Vim li cas Ramsay Hunt Syndrome thiaj tshwm sim?

Raws li peb tau hais ua ntej lawm, qhov ua rau muaj Ramsay Hunt Syndrome yog qhov rov ua dua ntawm Varicella-Zoster Virus , uas cuam tshuam rau cov hlab ntsha ntawm lub ntsej muag, uas nqa qhov kev xav mus rau koj lub ntsej muag, tus nplaig, thiab pob ntseg sab hauv. Qhov no yog tib yam kab mob uas ua rau mob qaib ntxhw thiab mob shingles.

Thaum koj muaj mob qhua pias thaum koj tseem yog menyuam yaus, tus kab mob no tsis ploj mus tag. Nws tuaj yeem pw tsaug zog hauv koj cov hlab ntsha tau ntau xyoo. Peb hu qhov no ua tus kab mob "dormant." Tom qab ntawd, muaj ib hnub, vim li cas, tus kab mob rov qab los. Thaum ntawd koj tau txais herpes zoster, lossis shingles. Tus kab mob taug kev raws cov hlab ntsha mus rau ntawm daim tawv nqaij, ua rau mob pob khaus. Qee zaum, tus kab mob kuj tseem tuaj yeem cuam tshuam rau cov hlab ntsha ntawm lub ntsej muag, ua rau muaj Ramsay Hunt Syndrome. Cov kws tshawb fawb tseem tsis paub meej tias vim li cas tus kab mob qee zaum tsuas yog cuam tshuam rau cov hlab ntsha ntawm lub ntsej muag xwb.

Cov tsos mob ntawm qhov no yog dab tsi?

Hauv Ramsay Hunt Syndrome, nyob ntawm seb ceg twg ntawm cov hlab ntsha ntawm lub ntsej muag raug cuam tshuam, koj yuav muaj qhov tsis muaj zog lossis tawv ntawm ib sab ntawm koj lub ntsej muag .

Cov yam ntxwv ntawm lub ntsej muag

• Nyuaj kaw lub qhov muag: Tej zaum koj yuav kaw tsis tau lub qhov muag ntawm sab uas raug mob kom raug.
• Tsis muaj peev xwm ua ntsej muag tsis zoo: Txawm tias koj sim tsa koj lub hauv pliaj thiab ntsej muag tsis zoo los xij, sab ntawd yuav tsis txav.
• Nyuaj qhia kev qhia lub ntsej muag: Tej zaum yuav nyuaj rau ua tej yam xws li luag nyav thiab ntsej muag ntxhov siab.
• Qaug zog lossis tuag tes tuag taw ntawm ib sab ntawm lub ntsej muag: Sab uas raug mob ntawm lub ntsej muag yuav qaug zog mus rau hauv qab, tej zaum yuav ua rau tuag tes tuag taw tag nrho.
• Kev hais lus tsis meej: Lub qhov ncauj yuav tig mus rau ib sab, ua rau nws nyuaj rau hais cov lus.
• Nyuaj noj mov: Tej zaum yuav nyuaj rau khaws cov khoom noj hauv koj lub qhov ncauj thiab zom nws. Koj kuj tseem yuav muaj teeb meem nqos dej.

Ramsay Hunt Syndrome feem ntau cuam tshuam rau cov hlab ntsha ntawm ib sab ntawm lub ntsej muag, yog li cov tsos mob feem ntau tsuas pom ntawm sab ntawd ntawm lub ntsej muag xwb.

Cov tsos mob ntsig txog pob ntseg thiab lwm yam

Ntxiv rau cov yam ntxwv ntawm lub ntsej muag, tej zaum yuav muaj ntau lwm cov tsos mob:

• Mob pob ntseg ncig lub pob ntseg, lub qhov pob ntseg, thiab pob ntseg.
• Cov pob khaus uas muaj kua dej nyob hauv lub qhov pob ntseg thiab sab nraud lub pob ntseg.
• Mob ntawm tus nplaig, caj pas, thiab lub ru tsev ntawm lub qhov ncauj rau sab uas raug mob.
• Mob pob ntseg heev.
• Tinnitus: Ib qho kev xav ntawm lub suab nrov tas li hauv pob ntseg.
• Hyperacusis: Ib qho kev xav tias txawm tias cov suab ib txwm muaj suab nrov heev.
• Kev hnov ​​​​​​lus tsis zoo ntawm ib sab: Kev hnov ​​​​​​lus yuav raug txo qis lossis ploj tag nrho hauv pob ntseg uas raug mob.
• Qhov muag thiab qhov ncauj qhuav.
• Qaug zog.
• Tsis hnov ​​​​​​qab saj.
• Kev ntxhov siab hauv zej zog vim yog kev hloov pauv ntawm lub ntsej muag.

Tej zaum yuav muaj ib txhia neeg uas muaj mob kiv taub hau , uas yog ib qho kev xav tsis tseeb tias tej yam nyob ib puag ncig lawv tig, lossis lawv tus kheej tig.

Ramsay Hunt Syndrome puas kis tau?

Muaj ib yam tseem ceeb uas yuav tsum nkag siab ntawm no. Ramsay Hunt Syndrome nws tus kheej tsis yog kis tau. Txawm li cas los xij, qhov muaj tus mob no txhais tau tias koj muaj tus kab mob Varicella-Zoster Virus (VZV) nyob hauv koj lub cev. Tus kab mob ntawd tuaj yeem kis mus rau lwm tus yog tias lawv kov cov kua dej los ntawm cov hlwv ntawm daim tawv nqaij ntawm tus neeg mob.

Yog tias tus kab mob no kis tau li no, ib tug neeg tuaj yeem mob qaib ntxhw , tshwj xeeb tshaj yog tias tus neeg ntawd tsis tau mob qaib ntxhw ua ntej lossis tsis tau txhaj tshuaj tiv thaiv kab mob qaib ntxhw. Tsis tas li ntawd, cov neeg uas lub cev tiv thaiv kab mob tsis zoo tuaj yeem muaj teeb meem kev noj qab haus huv loj los ntawm kev kis tus kab mob no.

Yog li ntawd, yog tias koj muaj Ramsay Hunt Syndrome, koj yuav tsum tsis txhob nyob ze rau qee pawg neeg kom txog thaum koj cov hlwv qhuav thiab tawv. Cov no suav nrog:

* Cov neeg uas tsis tau mob qhua pias dua li lossis tsis tau txhaj tshuaj tiv thaiv kab mob qhua pias.

Cov neeg uas lub cev tiv thaiv kab mob tsis muaj zog.

* Cov menyuam mos tshiab.

* Cov poj niam cev xeeb tub.

Koj paub qhov no li cas?

Koj tus kws kho mob yuav xub kuaj koj lub cev kom paub tias muaj tus mob Ramsay Hunt Syndrome. Nws yuav nug txog koj keeb kwm mob thiab cov tsos mob, tshwj xeeb tshaj yog nrhiav seb puas muaj pob khaus lossis qaug zog ntawm koj lub ntsej muag.

Txawm li cas los xij, vim tias cov tsos mob ntawm tus kab mob no tsis tshua tshwm sim tib lub sijhawm, qee zaum nws yuav nyuaj rau kuaj mob. Yog li ntawd, koj tus kws kho mob yuav ua qhov kev kuaj mob hauv chav kuaj mob kom paub meej tias kuaj mob. Qhov no yuav suav nrog kev coj koj cov qaub ncaug, cov ntshav, lossis cov kua dej los ntawm lub blister thiab kuaj nws hauv qab lub tshuab microscope kom pom tias nws puas muaj tus kab mob Varicella-Zoster Virus.

Txawm hais tias tsis tas yuav tsum tau ua txhua lub sijhawm los xij, koj tus kws kho mob kuj tseem yuav pom zoo kom kuaj MRI (Magnetic Resonance Imaging - MRI scan) . Qhov no tuaj yeem pab kom paub tseeb tias koj cov tsos mob tsis yog los ntawm lwm yam mob.

Cov kev kho mob yog dab tsi?

Muaj ntau yam tshuaj siv los kho Ramsay Hunt Syndrome.

Kev kho mob

Koj tus kws kho mob yuav sau ntawv kom koj noj cov tshuaj xws li:

• Tshuaj tua kab mob: Kho tus kab mob lossis txo cov tsos mob. Piv txwv li, cov tshuaj xws li Acyclovir lossis Valacyclovir .
• Cov tshuaj Corticosteroids: Txo qhov o ntawm cov hlab ntsha. Piv txwv li, cov tshuaj zoo li Prednisone .
• Tshuaj kho mob: Txo qhov mob.
• Cov Tshuaj Kho Mob Vertigo: Muaj ntau yam tshuaj uas tuaj yeem pab txo cov tsos mob ntawm vertigo.
• Tshuaj tiv thaiv qaug dab peg: Cov tshuaj xws li carbamazepine los kho qhov mob ntawm cov hlab ntsha uas mob tas li (hu ua postherpetic neuralgia ).

Tej yam koj ua tau hauv tsev

Koj siv tau daim ntaub txias los pab txo qhov mob. Tsis tas li ntawd, yog tias koj kaw tsis tau koj lub qhov muag kom zoo, yuav muaj feem ntau dua rau kev puas tsuaj rau lub qhov muag. Vim tias lub qhov muag qhib tas li, lub cornea tuaj yeem puas tsuaj. Rau qhov no, koj tuaj yeem hnav daim ntaub qhov muag . Koj tuaj yeem siv cov kua muag cuav lossis cov roj pleev qhov muag kom tiv thaiv qhov muag qhuav.

Yog tias lub ntsej muag tsis ua haujlwm kiag li, tus kws kho mob kuj tseem yuav pom zoo kom phais . Qhov kev phais no pab txo qhov kev nyem rau ntawm cov hlab ntsha ntawm lub ntsej muag.

Yuav siv sijhawm ntev npaum li cas thiaj kho tau?

Lub sijhawm uas yuav siv los kho kom zoo los ntawm Ramsay Hunt Syndrome nyob ntawm seb koj lub ntsej muag puas tsuaj loj npaum li cas. Yog tias muaj kev puas tsuaj me me ntawm cov hlab ntsha thiab koj feem ntau noj qab nyob zoo, cov tsos mob yuav zoo dua hauv ob peb lub lis piam mus rau ob peb lub hlis . Txawm li cas los xij, kev kho kom zoo tag nrho tuaj yeem siv sijhawm txog ib xyoos.Tej zaum yuav siv sijhawm ntev. Yog tias qhov kev puas tsuaj rau cov hlab ntsha ntawm lub ntsej muag hnyav heev, qhov muaj feem yuav rov zoo tag nrho yuav qis dua me ntsis.

Tseem ceeb heev: Txawm hais tias cov tshuaj tua kab mob tuaj yeem pab tau, tab sis feem ntau yuav zoo rov qab los yog pib kho tsis pub dhau peb hnub tom qab muaj cov tsos mob . Kev kuaj mob thaum ntxov thiab kev pib kho mob tua kab mob thaum ntxov tau pom tias ua rau cov txiaj ntsig mus sij hawm ntev zoo dua. Kwv yees li 70% ntawm cov neeg uas muaj Ramsay Hunt Syndrome rov qab tau tag nrho lossis yuav luag tag nrho lub ntsej muag. Txawm li cas los xij, txawm tias kho thaum ntxov los xij, lub ntsej muag tuag tes tuag taw lossis hnov ​​​​​​lus tsis zoo qee zaum tuaj yeem tshwm sim.

Qhov no puas yuav tshwm sim dua?

Txawm hais tias nws tsis tshua muaj, ib yam li tus kab mob herpes zoster (shingles), Ramsay Hunt Syndrome tuaj yeem rov qab tshwm sim . Qhov no yog vim tias Varicella-Zoster Virus nyob hauv koj lub paj hlwb mus ib txhis.

Muaj teeb meem dab tsi tshwm sim tau?

Ramsay Hunt Syndrome yog ib qho teeb meem ntawm kev rov tsim cov hlab ntsha uas ua rau cov hlab ntsha loj hlob rov qab tsis raug. Qhov no tuaj yeem ua rau muaj kev tsis haum tshuaj rau qee qhov kev txav mus los. Piv txwv li, thaum koj luag ntxhi, lub qhov muag uas tsis koom nrog yuav kaw.

Lwm yam teeb meem yuav muaj xws li:

• Kev puas tsuaj ntawm lub ntsej muag vim tsis muaj zog txav ntawm lub ntsej muag.
• Kev hloov pauv ntawm saj .
• Cov qhov txhab ntawm lub qhov muag, cov khawb, thiab cov kab mob tuaj yeem ua rau lub qhov muag puas tsuaj thiab ua rau tsis pom kev.
• Cov leeg nqaij ntawm lub ntsej muag qaug zog .
• Kev ntxhov siab hauv zej zog.

Yog tias tus kab mob no kuj cuam tshuam rau lwm cov hlab ntsha hauv koj lub hlwb lossis tus txha caj qaum, lwm yam teeb meem tuaj yeem tshwm sim. Cov no suav nrog:

• Kev tsis meej pem.
• Kev tsaug zog tsis taus.
• Mob taub hau.
• Tsis muaj zog hauv koj txhais tes thiab ob txhais ceg.
• Mob hlab ntsha.

Puas muaj lwm yam mob uas James Ramsay Hunt nrhiav pom?

Ib tug kws kho mob hu ua James Ramsay Hunt tau piav qhia tsawg kawg yog peb hom mob no. Hom mob thib ob uas peb tau tham txog, Ramsay Hunt syndrome hom 2, yog hom mob uas nto moo tshaj plaws. Txawm hais tias ob hom mob no tau muab lub npe rau nws los, lawv tsis muaj feem cuam tshuam nrog hom mob thib ob no.

• Ramsay Hunt syndrome hom 1 yog ib qho mob tsis tshua muaj uas ua rau qaug dab peg, tshee hnyo, tsis ua haujlwm ntawm lub cev, thiab tsis muaj peev xwm txawj ntse.
• Ramsay Hunt syndrome hom 3 yog ib qho mob hlwb uas cuam tshuam rau cov hlab ntsha ulnar hauv xib teg.

Qhov tseem ceeb tshaj plaws uas peb yuav tsum nco ntsoov yog

Ramsay Hunt Syndrome yog ib yam mob uas tshwm sim los ntawm herpes zoster (shingles). Nws tuaj yeem ua rau mob o, mob hnyav, thiab lub ntsej muag tuag tes tuag taw. Yog tias koj muaj ib qho ntawm cov tsos mob no, mus ntsib kws kho mob tam sim ntawd. Thaum koj kuaj pom thiab kho sai npaum li cas, koj yuav muaj feem zoo dua los rov zoo.

Tej zaum koj kuj tseem xav txog kev txhaj tshuaj tiv thaiv kab mob herpes zoster (shingles) kom tiv thaiv kev kis kab mob yav tom ntej. Tham nrog koj tus kws kho mob txog qhov no thiab kawm paub ntau ntxiv. Nyob kom noj qab nyob zoo!

Ramsay Hunt Syndrome, mob ntsej muag tuag tes tuag taw, mob qaib ntxhw, mob herpes zoster, mob pob ntseg, mob kis kab mob los ntawm kab mob viral