Kusanza mbali imodzi ya nkhope, kupweteka kwa khutu? Tiyeni tiphunzire za Ramsay Hunt Syndrome!

Kodi munamvapo ngati mbali imodzi ya nkhope yanu yachita dzanzi mwadzidzidzi, kapena ngodya ya pakamwa panu yagwetsedwa pansi? Kapena mwaona kachiphuphu kakang'ono mkati mwa khutu lanu komwe kamakhala ndi ululu waukulu? Mwina mukudabwa kuti chikuchitika ndi chiyani. Lero tikambirana za vuto lapadera lomwe lingayambitse zizindikiro zofanana, koma silimakambidwa kwambiri m'gulu la anthu. Imeneyo ndi Ramsay Hunt Syndrome .

Kodi Ramsay Hunt Syndrome ndi chiyani?

Mwachidule, Ramsay Hunt Syndrome ndi vuto la matenda opatsirana ndi mavairasi monga nkhuku kapena herpes zoster (yomwe imadziwikanso kuti shingles). Imadziwikanso kuti Herpes Zoster Oticus ndi Ramsay Hunt Syndrome mtundu wachiwiri. Imatchedwa dzina la James Ramsay Hunt, msilikali waku America komanso katswiri wa mitsempha yemwe adafotokoza koyamba za vutoli mu 1907.

Kodi mukukumbukira kudwala nthenda ya nkhuku muli mwana? Kachirombo kamene kamayambitsa nthenda ya nkhuku kamatchedwa Varicella-Zoster Virus . Kachiromboka sikatha konse katatha nthenda ya nkhuku. Kakhoza kukhala m'mitsempha yanu kwa zaka zambiri. Tsiku lina, pazifukwa zina (nthawi zambiri chitetezo cha mthupi lanu chikafooka), kachilomboka kameneka kamayambiranso kugwira ntchito . Pamenepo ndi pamene mumadwala Herpes Zoster, kapena shingles.

Tsopano, ngati kachilombo ka Varicella-Zoster kakuyambiranso kugwira ntchito ndikukhudza mitsempha ya nkhope yanu, ndiye kuti nthawi yomweyo matenda otchedwa Ramsay Hunt Syndrome amabuka. Chinthu chachikulu chomwe chimachitika pamenepa ndichakuti mitsempha ya nkhope imafooka, zomwe zikutanthauza kuti ziwalo za nkhope zimafooka komanso kupweteka kwambiri m'khutu. Komanso, ziphuphu zopweteka zimatha kuwoneka pakhutu, pankhope, kapena mkamwa.

Kodi izi zikuchitika kwa ndani?

Matenda a Ramsay Hunt Syndrome, omwe angakhudze aliyense amene wakhala ndi nthenda ya nkhuku kapena shingles, amapezeka kwambiri mwa anthu azaka zopitirira 60. Ndi osowa kwambiri kwa ana aang'ono, koma milandu yanenedwa mwa ana aang'ono ngati zaka zitatu.

Anthu omwe ali ndi chitetezo chamthupi chofooka (monga omwe ali ndi kachilombo ka HIV, odwala khansa, ndi omwe amalandira ziwalo zina) ali pachiwopsezo chachikulu chotenga matendawa. Zizindikiro zawo zitha kukhala zazikulu kuposa anthu wamba, ndipo nthawi zambiri sachira kwathunthu.

Kodi Ramsay Hunt Syndrome ndi yofala bwanji?

Izi ndi zachilendo kwambiri. Malinga ndi ziwerengero ku United States, zimakhudza anthu pafupifupi 5 pa anthu 100,000 aliwonse pachaka.

Komabe, ofufuza ena amakhulupirira kuti chifukwa nthawi zina matendawa sapezeka kapena sapezeka molakwika , n'zovuta kunena kuti ndi anthu angati omwe ali ndi matendawa.

Matenda a Ramsay Hunt ndi matenda achiwiri omwe amayambitsa matenda a mitsempha ya nkhope, ndipo amachititsa pafupifupi 7% ya matenda onse a mitsempha ya nkhope. Matenda omwe amayambitsa matenda a mitsempha ya nkhope ndi Bell's Palsy.

Nchifukwa chiyani Ramsay Hunt Syndrome imachitika?

Monga tanenera kale, chifukwa chachikulu cha Ramsay Hunt Syndrome ndi kubwezeretsanso kachilombo ka Varicella-Zoster , komwe kumakhudza mitsempha ya nkhope, yomwe imanyamula kumva kumaso, lilime, ndi khutu lamkati. Ichi ndi kachilombo komwe kamayambitsa nkhuku ndi ma shingles.

Mukakhala ndi nthenda ya nkhuku muli mwana, kachilomboka sikatha konse. Kakhoza kukhala m'mitsempha yanu kwa zaka zambiri. Timatcha kachilomboka kuti "kogona." Kenako, tsiku lina, pazifukwa zina, kachilomboka kamadzukanso. Pamenepo ndi pamene mumapeza herpes zoster, kapena shingles. Kachiromboka kamayenda kudzera mu ulusi wa mitsempha kupita pakhungu, zomwe zimapangitsa matuza opweteka. Nthawi zina, kachilomboka kamathanso kukhudza mitsempha ya nkhope, zomwe zimayambitsa Ramsay Hunt Syndrome. Ofufuza sakudziwabe chifukwa chake kachilomboka nthawi zina kamakhudza mitsempha ya nkhope yokha.

Kodi zizindikiro za izi ndi ziti?

Mu Ramsay Hunt Syndrome, kutengera nthambi ya mitsempha ya nkhope yomwe yakhudzidwa, mutha kukhala ndi kufooka kapena kuuma mbali imodzi ya nkhope yanu .

Mawonekedwe a nkhope

• Kuvuta kutseka diso: Mwina simungathe kutseka diso bwino mbali yokhudzidwayo.
• Kulephera kukwinya nkhope: Ngakhale mutayesa kukweza mphumi yanu ndi kukwinya nkhope, mbali imeneyo singasunthe.
• Kuvuta kusonyeza nkhope: Zingakhale zovuta kuchita zinthu monga kumwetulira ndi kukwinya nkhope.
• Kufooka kapena kufooka kwa mbali imodzi ya nkhope: Mbali yomwe yakhudzidwa ya nkhope ikhoza kugwa pansi, mwina mpaka kufooka kwathunthu.
• Kulankhula movutikira: Pakamwa pakhoza kukhala popendekera mbali imodzi, zomwe zimapangitsa kuti zikhale zovuta kutchula mawu.
• Kuvuta kudya: Zingakhale zovuta kusunga chakudya mkamwa mwanu ndikuchitafuna. Mungakhalenso ndi vuto lomeza madzi.

Matenda a Ramsay Hunt nthawi zambiri amakhudza mitsempha mbali imodzi ya nkhope, kotero zizindikiro nthawi zambiri zimawonekera mbali imodzi ya nkhope yokha.

Zizindikiro zokhudzana ndi khutu ndi zina

Kuwonjezera pa mawonekedwe a nkhope, pakhoza kukhala zizindikiro zina zingapo:

• Kutupa kowawa kuzungulira ntchafu ya khutu, ngalande ya khutu, ndi diso la khutu.
• Matuza odzaza ndi madzi mkati mwa ngalande ya khutu ndi kunja kwa khutu.
• Kupweteka kwa lilime, pakhosi, ndi padenga la pakamwa kumbali yokhudzidwa.
• Kupweteka kwambiri m'khutu.
• Kulira kwa makutu: Kumva kulira kosalekeza m'makutu.
• Hyperacusis: Kumva kuti ngakhale mawu wamba amakhala okwera kwambiri.
• Kumva kotayika mbali imodzi: Kumva kungachepe kapena kutayika kwathunthu m'khutu lomwe lakhudzidwa.
• Maso ndi pakamwa pouma.
• Kusamveka bwino kwa mawu.
• Kutaya mphamvu ya kukoma.
• Nkhawa pagulu chifukwa cha kusintha kwa nkhope.

Anthu ena amatha kukhala ndi chizungulire , chomwe ndi kumverera kolakwika kuti zinthu zowazungulira zikuzungulira, kapena kuti iwowo akuzungulira.

Kodi Ramsay Hunt Syndrome ndi yopatsirana?

Pali chinthu chofunikira kumvetsetsa apa. Ramsay Hunt Syndrome si matenda opatsirana. Komabe, kukhala ndi vutoli kumatanthauza kuti muli ndi kachilombo ka Varicella-Zoster Virus (VZV) m'thupi lanu. Kachiromboka kangathe kufalikira kwa wina ngati kakhudza madzi ochokera m'matuza pakhungu la wodwalayo.

Ngati kachilomboka kamafalikira motere, munthu akhoza kudwala nthenda ya chickenpox , makamaka ngati munthuyo sanadwalepo nthendayi kale kapena sanalandire katemera wa nthendayi. Komanso, anthu omwe ali ndi chitetezo chamthupi chofooka akhoza kukhala ndi mavuto aakulu azaumoyo chifukwa chotenga kachilomboka.

Choncho, ngati muli ndi Ramsay Hunt Syndrome, muyenera kupewa kukhudzana ndi magulu ena a anthu mpaka matuza anu atauma ndi kuphulika. Izi zikuphatikizapo:

* Anthu omwe sanakhalepo ndi katemera wa chickenpox kapena omwe sanalandire katemera wa chickenpox.

* Anthu omwe ali ndi chitetezo chamthupi chofooka.

* Makanda obadwa kumene.

* Amayi oyembekezera.

Kodi mumazindikira bwanji izi?

Dokotala wanu adzachita kaye mayeso akuthupi kuti adziwe Ramsay Hunt Syndrome. Iye adzakufunsani za mbiri yanu yachipatala ndi zizindikiro zake, makamaka pofufuza ziphuphu kapena kufooka pankhope panu.

Komabe, chifukwa zizindikiro za matendawa sizimawonekera nthawi imodzi, nthawi zina zimakhala zovuta kuzizindikira. Chifukwa chake, dokotala wanu angachite mayeso a labotale kuti atsimikizire matendawa. Izi zitha kuphatikizapo kutenga chitsanzo cha malovu anu, magazi, kapena madzi ochokera mu chithuza ndikuchiyang'ana pansi pa maikulosikopu kuti aone ngati chili ndi kachilombo ka Varicella-Zoster.

Ngakhale si nthawi zonse zofunikira, dokotala wanu angakulangizeninso kuti muyesedwe ndi MRI scan (Magnetic Resonance Imaging - MRI scan) . Izi zingathandize kuonetsetsa kuti zizindikiro zanu sizikuyambitsidwa ndi matenda ena.

Kodi mankhwala ake ndi otani?

Mankhwala osiyanasiyana amagwiritsidwa ntchito pochiza Ramsay Hunt Syndrome.

Chithandizo chamankhwala

Dokotala wanu angapereke mankhwala monga:

• Mankhwala oletsa mavairasi: Mankhwala opatsirana kapena kuchepetsa zizindikiro. Mwachitsanzo, mankhwala monga Acyclovir kapena Valacyclovir .
• Corticosteroids: Amachepetsa kutupa kwa mitsempha. Mwachitsanzo, mankhwala monga Prednisone .
• Chochepetsa ululu: Chimachepetsa ululu.
• Mankhwala a Vertigo: Pali mankhwala osiyanasiyana omwe angathandize kuchepetsa zizindikiro za vertigo.
• Mankhwala oletsa khunyu: Mankhwala monga carbamazepine ochizira ululu wopitirira muyeso wa mitsempha (wotchedwa postherpetic neuralgia ).

Zinthu zomwe mungachite kunyumba

Mungagwiritse ntchito compress yozizira kuti muchepetse ululu. Komanso, ngati simungathe kutseka diso lanu bwino, pali mwayi waukulu woti diso liwonongeke. Chifukwa diso limakhala lotseguka nthawi zonse, cornea ikhoza kuwonongeka. Pachifukwa ichi, mutha kuvala chigamba cha maso . Muthanso kugwiritsa ntchito mafuta opangira kapena mafuta odzola maso kuti mupewe maso ouma.

Ngati nkhope yafa ziwalo zonse, dokotala angakulangizenso opaleshoni . Opaleshoniyi imathandiza kuchepetsa kupanikizika kwa mitsempha ya nkhope.

Zimatenga nthawi yayitali bwanji kuti munthu achire?

Nthawi yomwe imatenga kuti munthu achire ku Ramsay Hunt Syndrome imadalira kukula kwa kufooka kwa nkhope yake. Ngati pali kuwonongeka kochepa kwa mitsempha ndipo nthawi zambiri muli ndi thanzi labwino, zizindikiro zimatha kusintha mkati mwa milungu ingapo mpaka miyezi ingapo . Komabe, kuchira kwathunthu kungatenge chaka chimodzi.Zingatenge nthawi. Ngati kuvulala kwa mitsempha ya nkhope kuli kwakukulu, mwayi wochira kwathunthu ndi wochepa pang'ono.

Chofunika Kwambiri: Ngakhale kuti mankhwala oletsa mavairasi angathandize, mwayi wochira mokwanira ndi waukulu kwambiri ngati chithandizo chiyamba mkati mwa masiku atatu kuchokera pamene zizindikirozo zayamba . Kuzindikira msanga ndi kuyamba msanga kwa chithandizo choletsa mavairasi kwawonetsedwa kuti kumathandizira zotsatira zabwino kwa nthawi yayitali. Pafupifupi 70% ya anthu omwe ali ndi Ramsay Hunt Syndrome amayambiranso kugwira ntchito bwino kwa nkhope. Komabe, ngakhale atalandira chithandizo msanga, nthawi zina amatha kufooka kwa nkhope kapena kumva.

Kodi izi zingachitikenso?

Ngakhale kuti sizichitika kawirikawiri, monga momwe zimakhalira ndi matenda a herpes zoster (shingles), Ramsay Hunt Syndrome imatha kubwereranso . Izi zili choncho chifukwa kachilombo ka Varicella-Zoster kamakhalabe m'mitsempha yanu kwamuyaya.

Kodi ndi mavuto otani omwe angachitike?

Ramsay Hunt Syndrome ndi vuto la kusinthika kwa mitsempha lomwe limapangitsa kuti mitsempha ibwererenso molakwika. Izi zingayambitse machitidwe osazolowereka pamayendedwe ena. Mwachitsanzo, mukamwetulira, diso losakhudzidwa lingatseke.

Mavuto ena angaphatikizepo:

• Kuwonongeka kwa nkhope chifukwa cha kutayika kwa kayendedwe ka nkhope.
• Sinthani kukoma .
• Zilonda za m'khosi, mikwingwirima, ndi matenda zimatha kuwononga maso ndikupangitsa kuti maso asaone bwino.
• Kupweteka kwa minofu ya nkhope .
• Nkhawa pagulu.

Ngati kachilomboka kakhudza mitsempha ina muubongo wanu kapena msana, mavuto ena angabwere. Izi zikuphatikizapo:

• Chisokonezo.
• Kugona tulo.
• Mutu.
• Kufooka m'manja ndi miyendo yanu.
• Kupweteka kwa mitsempha.

Kodi pali matenda ena omwe James Ramsay Hunt adapeza?

Dokotala wina dzina lake James Ramsay Hunt anafotokoza mitundu itatu ya matenda. Mtundu wachiwiri womwe takhala tikukambirana, Ramsay Hunt syndrome type 2, ndi wotchuka kwambiri mwa mitundu imeneyi. Ngakhale mitundu ina iwiriyi imatchedwa dzina lake, si yogwirizana ndi mtundu wachiwiriwu.

• Matenda a Ramsay Hunt mtundu 1 ndi matenda osowa kwambiri amitsempha omwe amayambitsa khunyu, kunjenjemera, kulephera kugwira ntchito bwino kwa thupi, komanso kulephera kwa nzeru.
• Ramsay Hunt syndrome mtundu wachitatu ndi matenda amitsempha omwe amakhudza mitsempha ya ulnar m'chikhatho cha dzanja.

Chinthu chofunika kwambiri chomwe tiyenera kukumbukira ndi

Ramsay Hunt Syndrome ndi matenda omwe angabwere chifukwa cha herpes zoster (shingles). Angayambitse matuza opweteka, kupweteka kwambiri, komanso kufooka kwa nkhope. Ngati muli ndi zizindikiro izi, pitani kwa dokotala nthawi yomweyo. Mukapezeka ndi matendawa mwachangu, mwayi wanu wochira mokwanira umakhala wabwino.

Mungafunenso kuganizira zolandira katemera wa herpes zoster (shingles) kuti mupewe kufalikira kwa matenda mtsogolo. Lankhulani ndi dokotala wanu za izi ndikuphunzira zambiri. Khalani ndi thanzi labwino!

Matenda a Ramsay Hunt, kufooka kwa nkhope, nthenda ya nkhuku, herpes zoster, shingles, kupweteka kwa khutu, matenda a kachilombo