He ngoikore te taha kotahi o te mata, he mamae te taringa? Me ako tātou mō te Ramsay Hunt Syndrome!

Kua rongo koe i te ahua kua ngoikore tetahi taha o tō mata, kua tōia rānei te kokonga o tō waha ki raro? Kua kite rānei koe i tētahi pupuhi iti i roto i tō taringa me te mamae nui? Tērā pea kei te whakaaro koe he aha te mea e tupu ana. I tēnei rā ka kōrero tātou mō tētahi āhuatanga motuhake ka puta ai ngā tohu rite, engari kāore i te tino kōrerohia i roto i te hapori. Ko te Mate Ramsay Hunt tēnā .

He aha te mate Ramsay Hunt?

Ki te whakarapopototanga, ko te Ramsay Hunt Syndrome he raruraru o ngā mate huaketo pērā i te rewharewha heihei , te herpes zoster rānei (e mōhiotia ana ko te shingles). E mōhiotia ana hoki ko te Herpes Zoster Oticus me te Ramsay Hunt Syndrome momo 2. I tapaina i muri i a James Ramsay Hunt, he āpiha hōia o Amerika, he tohunga roro hoki, nāna i whakaahua tuatahi te mate i te tau 1907.

Kei te maumahara koe i te pāngia koe e te rewharewha i a koe e tamariki ana? Ko te huaketo e puta ai te rewharewha ko te Huakita Varicella-Zoster . Kāore tēnei huaketo e ngaro katoa i muri i te rewharewha. Ka taea e ia te noho puku i roto i ō io mō ngā tau. I tētahi rā, mō tētahi take (he maha ngā wā ina ngoikore tō pūnaha ārai mate), ka hoki anō tēnei huaketo moe. Koinā te wā ka pāngia koe e te Herpes Zoster, te herpes zoster rānei.

Nā, ki te whakaoho anō tēnei Huakita Varicella-Zoster, ā, ka pā ki tō io kanohi , koinā te wā ka puta ai tētahi āhuatanga e kiia nei ko te Ramsay Hunt Syndrome. Ko te mea nui ka puta i tēnei ko te pararutiki o te io kanohi, arā, ko te pararutiki o te kanohi me te mamae nui o te taringa. Waihoki, ka puta pea he ponana pupuhi mamae ki te taringa, ki te mata, ki roto rānei i te waha.

Ki a wai tēnei e pāngia nei?

Ko te mate Ramsay Hunt Syndrome, he mate ka pā ki te hunga kua pangia e te rewharewha, e te herpes zoster rānei, he mea tino noa i roto i te hunga neke atu i te 60 tau te pakeke . He onge tēnei i roto i ngā tamariki nohinohi, engari kua pūrongohia ngā take i roto i ngā tamariki e toru tau te pakeke.

Ko te hunga he ngoikore te pūnaha ārai mate (pērā i te hunga whai HIV, ngā tūroro mate pukupuku, me ngā tāngata i whakawhitia ō rātou okana) he nui ake te mōrearea ki te pāngia e te mate. Tērā pea he kino ake ō rātou tohu i tō te taupori whānui, ā, he iti ake te tūponotanga ka ora katoa rātou.

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He pēhea te noa o te mate Ramsay Hunt?

He mate tino onge tēnei. E ai ki ngā tatauranga i te Hononga o Amerika, e 5 i roto i te 100,000 tāngata ka pāngia ia tau.

Heoi, e whakapono ana ētahi kairangahau nā te mea kāore i te tautuhia te mate, i te tautuhia hē rānei, he uaua ki te kī tika e hia ngā tāngata e pāngia ana e tēnei mate.

Ko te Mate Ramsay Hunt te tuarua o ngā tino take o te pararutiki o ngā io kanohi, e 7% pea o ngā take katoa o te pararutiki o ngā io kanohi. Ko te Pararutiki a Bell te tino take o te pararutiki o ngā io kanohi.

He aha i puta ai te mate Ramsay Hunt?

E ai ki tā mātou i kōrero ai i mua ake nei, ko te tino take o te mate Ramsay Hunt Syndrome ko te whakaoho anō o te huaketo Varicella-Zoster , e pā ana ki te io kanohi, e kawe ana i ngā kare ā-roto ki tō kanohi, ki tō arero, me tō taringa o roto. Koinei anō te huaketo e hua ai te rewharewha me te herpes zoster.

Ina pāngia koe e te rewharewha i a koe e tamariki ana, kāore te huaketo e memeha rawa. Ka taea e ia te noho moe i roto i ō io mō ngā tau. Ka kiia tēnei e mātou ko te huaketo he "moe". Kātahi ka ara ake anō te huaketo i tētahi rā. Ko te wā tēnā ka pāngia koe e te herpes zoster, te shingles rānei. Ka haere te huaketo i roto i ngā muka io ki te kiri, ka puta he pupuhi mamae. I ētahi wā, ka pāngia hoki te io kanohi e te huaketo, ka puta te Ramsay Hunt Syndrome. Kāore anō kia mōhiotia e ngā kairangahau he aha i ētahi wā ka pāngia noa te io kanohi e te huaketo.

He aha ngā tohu o tēnei?

I roto i te Ramsay Hunt Syndrome, i runga i te peka o te io kanohi e pāngia ana, ka pāngia pea koe e te ngoikore, te pakari rānei i tetahi taha o tō kanohi .

Ngā āhuatanga o te kanohi

• Te uaua ki te kati i te kanohi: Kāore pea e taea e koe te kati tika i te kanohi i te taha e pāngia ana.
• Te kore e taea te kōkō: Ahakoa ka ngana koe ki te whakaara i tō rae me te kōkō, tērā pea kāore taua taha e nekeneke.
• Te uaua ki te whakaatu i ngā āhua o te kanohi: Tērā pea he uaua ki te mahi i ngā mea pēnei i te menemene me te kōingo.
• Te tūpoupou, te pararutiki rānei o tetahi taha o te mata: Ka tūpoupou pea te taha o te mata e pāngia ana ki raro, ā, ka tino pararutiki pea.
• Kōrero pōturi: Tērā pea ka piko te waha ki tetahi taha, ka uaua ai te whakapuaki kupu.
• Te uaua ki te kai: Tērā pea he uaua ki te pupuri i te kai ki roto i tō waha, me te ngaungau. Tērā pea ka uaua hoki ki te horomi i te wai.

Ko te mate Ramsay Hunt Syndrome ka pā ki ngā io i te taha kotahi o te mata, nō reira ka kitea noa ngā tohu i taua taha o te mata.

Ngā tohu e pā ana ki te taringa me ētahi atu

Haunga ngā āhuatanga o te kanohi, tera pea ētahi atu tohu:

• He ponana mamae huri noa i te pakirau taringa, te awa taringa, me te pū taringa.
• He pupuhi kī tonu i te wai i roto i te awa taringa, i waho hoki o te taringa.
• Mamae o te arero, te korokoro, me te tuanui o te waha i te taha e pāngia ana.
• Te mamae nui o te taringa.
• Tinnitus: He kare ā-roto e tangi tonu ana i roto i ngā taringa.
• Hyperacusis: He kare ā-roto e tino nui ana te haruru ahakoa ngā oro noa.
• Te ngaronga o te rongo i te taha kotahi: Ka iti pea te rongo, ka ngaro katoa rānei i te taringa e pāngia ana.
• Ngā kanohi me te waha maroke.
• Te reo pāorooro.
• Te ngaronga o te reka.
• Te manukanuka pāpori nā ngā panoni o te kanohi.

Tērā pea ka pāngia ētahi tāngata e te pororaru , he kare ā-roto teka kei te hurihuri ngā mea i tō rātou taha, kei te hurihuri rānei rātou anō.

He mate hopuhopu te mate Ramsay Hunt?

He mea nui tēnei hei mārama māu. Kāore te mate Ramsay Hunt e horapa. Heoi, ki te pāngia koe e tēnei mate, ko te tikanga kei roto i tō tinana te huaketo Varicella-Zoster (VZV) . Ka taea te horapa atu ki tētahi atu mēnā ka pā atu ki te wai o ngā mirumiru i te kiri o te tūroro.

Ki te pēnei te horapa o te huaketo, ka pāngia te tangata e te rewharewha , ina koa mēnā kāore anō kia pāngia te tangata e te rewharewha i mua, kāore rānei i whiwhi i te kano ārai mate rewharewha. Waihoki, ka pāngia te hunga he ngoikore te pūnaha ārai mate e ngā raruraru hauora nui nā te pangia e tēnei huaketo.

Nō reira, ki te pāngia koe e te mate Ramsay Hunt, me karo koe i te whakapā tata ki ētahi rōpū tāngata kia maroke rā anō ō mirumiru, kia kapi hoki ō kirinuku. Kei roto i ēnei ko:

* Ngā tāngata kāore anō kia pāngia e te rewharewha, kāore rānei i whiwhi i te kano ārai mate rewharewha.

* Ngā tāngata he ngoikore ō rātou pūnaha ārai mate.

* Ngā pēpi whānau hou.

* Ngā wāhine hapu.

Me pēhea koe e mōhio ai ki tēnei?

Ka whakahaerehia e tō tākuta he whakamātautau tinana tuatahi hei tautuhi i te mate Ramsay Hunt Syndrome. Ka pātai atu ia mō tō hītori hauora me ngā tohumate, inā koa mēnā he ponana, he ngoikore rānei i tō mata.

Heoi, nā te mea kāore ngā tohu o tēnei mate e puta tahi i te wā kotahi, he uaua pea ki te tautuhi i ētahi wā. Nō reira, ka whakahaerehia pea e tō tākuta he whakamātautau taiwhanga hei whakaū i te tautuhi. Tērā pea ko te tango i tētahi tauira o tō huware, he tauira toto, he tauira wai rānei mai i tētahi mirumiru, ka tirotirohia i raro i te karuārai hei tirotiro mēnā kei roto te Huakita Varicella-Zoster.

Ahakoa kāore e hiahiatia ana i ngā wā katoa, ka tūtohu pea tō tākuta i tētahi matawai MRI (Magnetic Resonance Imaging - MRI scan) . Mā tēnei ka āwhina kia kore ō tohumate e puta mai i tētahi atu mate hauora.

He aha ngā maimoatanga?

He maha ngā rongoā e whakamahia ana hei rongoā i te Ramsay Hunt Syndrome.

Te maimoatanga hauora

Ka tohua pea e tō tākuta ngā rongoā pēnei i:

• Rongoā ārai huaketo: Whakaorahia te mate, whakaitihia rānei ngā tohumate. Hei tauira, ngā rongoā pēnei i te Acyclovir , Valacyclovir rānei.
• Corticosteroids: Whakaiti i te pupuhi o te io. Hei tauira, ngā rongoā pēnei i te Prednisone .
• Whakamamae mamae: Whakaitihia te mamae.
• Ngā Rongoā mō te Pōturi: He maha ngā rongoā hei whakaora i ngā tohu o te pōturi.
• Rongoā ārai-ohorere: Ngā rongoā pēnei i te carbamazepine hei rongoā i te mamae io pumau (e kiia nei ko te postherpetic neuralgia ).

Ngā mea ka taea e koe te mahi i te kāinga

Ka taea e koe te whakamahi i tētahi kōpeke matao hei whakaiti i te mamae. Waihoki, ki te kore e taea e koe te kati tika i tō kanohi, he nui ake te tūponotanga ka pakaru te kanohi. Nā te mea e tuwhera tonu ana te kanohi, ka pakaru pea te cornea . Mō tēnei, ka taea e koe te mau i tētahi pātaki kanohi . Ka taea hoki e koe te whakamahi i ngā roimata hangai , i ngā hinu whakahinuhinu kanohi rānei hei ārai i te maroke o ngā kanohi.

Mena kua pararutiki rawa te mata, ka tūtohu pea te tākuta kia pokangahia . Ka āwhina tēnei pokanga ki te whakamama i te pēhanga ki ngā io o te mata.

Kia pēhea te roa o te wā e ora ai?

Ko te roa o te wā e ora ai i te Ramsay Hunt Syndrome e whakawhirinaki ana ki te kaha o tō pararutiki kanohi. Mena he iti noa te kino o ngā io, ā, kei te hauora koe, ka pai ake pea ngā tohu i roto i ētahi wiki ki ētahi marama . Heoi, ka roa pea te ora katoa tae atu ki te tau.Tērā pea ka roa te wā. Mena he kino te kino o te io kanohi, he iti ake te tūponotanga ka ora katoa.

He mea tino nui: Ahakoa ka taea e ngā rongoā ārai huaketo te āwhina, he nui ake te tūponotanga o te ora katoa mēnā ka tīmata te maimoatanga i roto i ngā rā e toru i muri i ngā tohu . Kua whakaatuhia e te tātaritanga wawe me te tīmatanga wawe o te maimoatanga ārai huaketo ka whakapai ake i ngā putanga roa. Tata ki te 70% o te hunga e pāngia ana e te Mate Ramsay Hunt ka hoki mai ki te mahi katoa o te kanohi, tata rānei ki te mahi katoa. Heoi, ahakoa te maimoatanga wawe, ka pāngia tonutia te kanohi e te pararutiki tuturu, te ngaronga rānei o te whakarongo i ētahi wā.

Ka taea anō tēnei te tupu?

Ahakoa he tino onge, pērā i te mate herpes zoster (shingles), ka taea e te mate Ramsay Hunt te hoki mai anō . Nā te mea ka noho tonu te huaketo Varicella-Zoster ki roto i tō pūnaha io mō ake tonu atu.

He aha ngā raruraru ka puta?

Ko te Mate Ramsay Hunt he raruraru o te whakahoutanga o ngā io e hua ai te tipu hē o ngā io. Ka puta pea he tauhohenga rerekē ki ētahi nekehanga. Hei tauira, ina menemene koe, ka kati pea te kanohi kāore i pāngia.

Ko ētahi atu raruraru pea ko:

• Te whakapōrearea o te kanohi nā te korenga o te nekehanga o te kanohi.
• Te huringa o te reka .
• Ka taea e ngā mate pukupuku o te kornea, ngā karawarawa, me ngā mate pāwera te kino i ngā kanohi , ā, ka ngaro hoki te tirohanga.
• Ngā mamae o te uaua o te mata .
• Te manukanuka pāpori.

Mena ka pāngia hoki ētahi atu io o tō roro, o tō taurakira rānei e te huaketo, ka puta pea ētahi atu raruraru. Ko ētahi o ēnei ko:

• Pōhēhētanga.
• Te hiamoe.
• Ngā mamae o te upoko.
• Te ngoikore o ō ringaringa me ō waewae.
• Te mamae o te io.

He aha atu anō ngā mate pāwera i kitea e James Ramsay Hunt?

I whakaahuahia e te tākuta ko James Ramsay Hunt te iti rawa e toru ngā momo mate pukupuku. Ko te momo tuarua kua kōrerohia e tātou, ko te momo mate pukupuku Ramsay Hunt momo 2, te mea rongonui o ēnei. Ahakoa i tapaina ngā momo e rua ki a ia, kāore rātou e pā ana ki tēnei momo tuarua.

• Ko te momo mate Ramsay Hunt 1 he mate pūnaha io onge e puta ai ngā haurangi, ngā wiri, te ngaronga o te mahi a te tinana, me te hauātanga hinengaro.
• Ko te momo 3 o te mate Ramsay Hunt he mate pūnaha io e pā ana ki te io ulnar i te nikau o te ringa.

Ko te mea nui rawa atu me maumahara tātou ko

Ko te Ramsay Hunt Syndrome he mate ka puta hei raruraru o te herpes zoster (shingles). Ka taea e ia te whakaputa i ngā mirumiru mamae, te mamae nui, me te pararutiki o te mata. Mena kei a koe tētahi o ēnei tohu, tirohia tonutia te tākuta. Ko te wawe o te tātaritanga me te maimoatanga i a koe, ka nui ake te tūponotanga ka ora katoa koe.

Tērā pea ka hiahia koe ki te whakaaro ki te werohanga mō te herpes zoster (shingles) hei ārai i ngā pakarutanga o muri mai. Kōrero ki tō tākuta mō tēnei, kia nui ake ai ō mōhiotanga. Kia ora tonu!

Te Mate Ramsay Hunt, te pararutiki kanohi, te rewharewha, te herpes zoster, te shingles, te mamae taringa, te mate huaketo