Kubabara uruhande rumwe rw'isura, ububabare bw'amatwi? Reka twige ku ndwara ya Ramsay Hunt Syndrome!

Ese wigeze wumva uruhande rumwe rw'isura yawe rwacitse intege mu buryo butunguranye, cyangwa aho uruhande rw'umunwa wawe rwakuwe? Cyangwa wabonye agahu gato mu gutwi karimo ububabare bukomeye? Ushobora kuba wibaza ibiri kuba. Uyu munsi tugiye kuvuga ku ndwara yihariye ishobora gutera ibimenyetso nk'ibyo, ariko ntivugwaho cyane muri sosiyete. Iyo ni indwara ya Ramsay Hunt .

Indwara ya Ramsay Hunt Syndrome ni iki?

Muri make, Ramsay Hunt Syndrome ni ikibazo cy’indwara zandura nka chickenpox cyangwa herpes zoster (zizwi kandi nka shingles). Izwi kandi nka Herpes Zoster Oticus na Ramsay Hunt Syndrome type 2. Yitiriwe James Ramsay Hunt, umusirikare w’umunyamerika akaba n’inzobere mu ndwara z’imitsi wasobanuye bwa mbere iyi ndwara mu 1907.

Wibuka warwaye inkoko y'inkoko ukiri umwana? Virusi itera inkoko y'inkoko yitwa Virusi ya Varicella-Zoster . Iyi virusi ntishira burundu nyuma y'inkoko y'inkoko. Ishobora kumara imyaka myinshi idakora mu mitsi yawe. Umunsi umwe, bitewe n'impamvu runaka (akenshi iyo ubudahangarwa bw'umubiri wawe bucitse intege), iyi virusi y'inkoko irakora . Ni bwo urwara Herpes Zoster, cyangwa shingles.

Noneho, niba iyi Virusi ya Varicella-Zoster yongeye gukora kandi ikagira ingaruka ku mitsi yo mu maso yawe, icyo gihe ni bwo indwara yitwa Ramsay Hunt Syndrome ibaho. Ikintu nyamukuru kibaho muri ibi ni uko imitsi yo mu maso ipfa, bivuze ko ipfa mu maso no kubabara cyane mu gutwi. Nanone, hari uduheri tubabaza dushobora kugaragara ku gutwi, mu maso, cyangwa mu kanwa.

Ibi bibaho kuri nde?

Indwara ya Ramsay Hunt Syndrome, ishobora kwibasira umuntu wese warwaye inkoko cyangwa shingles, ikunze kugaragara cyane ku bantu barengeje imyaka 60. Ni gake cyane ku bana bato, ariko abana bafite imyaka itatu bagiye barwara.

Abantu bafite ubudahangarwa bw'umubiri budakomeye (nk'abafite agakoko gatera SIDA, abarwayi ba kanseri, n'abahabwa imiti igabanya ubukana bw'ingingo) bafite ibyago byinshi byo kurwara iyi ndwara. Ibimenyetso byabo bishobora kuba bikomeye kurusha mu baturage muri rusange, kandi ntibashobora gukira burundu.

Indwara ya Ramsay Hunt Syndrome ikunze kugaragara gute?

Iyi ni indwara idakunze kugaragara. Dukurikije imibare yo muri Leta Zunze Ubumwe za Amerika, ifata abantu bagera kuri 5 kuri buri 100.000 buri mwaka.

Ariko, abashakashatsi bamwe bemeza ko kubera ko iyo ndwara rimwe na rimwe itamenyekanye cyangwa ngo imenyekane nabi , bigoye kumenya neza umubare w’abantu bayirwaye.

Indwara ya Ramsay Hunt Syndrome ni yo ndwara ya kabiri ikunze gutera ubumuga bw'imitsi yo mu maso, ikaba ifata hafi 7% by'indwara zose zitera ubumuga bw'imitsi yo mu maso. Impamvu ikunze gutera ubumuga bw'imitsi yo mu maso ni Bell's Palsy.

Kuki indwara ya Ramsay Hunt ibaho?

Nkuko twabivuze mbere, impamvu nyamukuru itera indwara ya Ramsay Hunt Syndrome ni uko Virusi ya Varicella-Zoster yongera gukora, ikagira ingaruka ku mitsi yo mu maso, ijyana ibyiyumvo mu maso, ku rurimi no mu gutwi imbere. Iyi ni yo virusi itera indwara y'inkoko n'ibisebe.

Iyo urwaye indwara y'inkoko ukiri umwana, virusi ntishira burundu. Ishobora kumara imyaka myinshi idakora mu mitsi yawe. Iyi virusi tuyita "idakora." Hanyuma, umunsi umwe, ku mpamvu runaka, virusi yongera kubyuka. Ni bwo urwara herpes zoster, cyangwa shingles. Iyi virusi igenda mu mitsi ijya ku ruhu, igatera udusebe tubabaza. Hari igihe virusi ishobora no kugira ingaruka ku mitsi yo mu maso, igatera Ramsay Hunt Syndrome. Abashakashatsi ntibaramenya neza impamvu virusi rimwe na rimwe igira ingaruka ku mitsi yo mu maso gusa.

Ni ibihe bimenyetso by'ibi?

Mu ndwara ya Ramsay Hunt Syndrome, bitewe n'ishami ry'imitsi yo mu maso ifashwe n'iki kibazo, ushobora kugira intege nke cyangwa ubukana ku ruhande rumwe rw'isura yawe .

Ibiranga isura

• Kugorwa no gufunga ijisho: Ushobora kudashobora gufunga ijisho neza ku ruhande rwarwaye.
• Kudashobora gupfuka isura: Nubwo wagerageza kuzamura agahanga kawe no gupfuka isura, urwo ruhande rushobora kudahinduka.
• Kugorwa no kugaragaza isura: Bishobora kugorana gukora ibintu nko kumwenyura no gukanguka.
• Kugwa cyangwa gucika intege k'uruhande rumwe rw'isura: Uruhande rw'isura rwafashwe rushobora kugwa hasi, ndetse rukagera aho rugacika intege burundu.
• Imvugo idasobanutse: Umunwa ushobora kuba uhengamye ku ruhande rumwe, bigatuma bigoye kuvuga amagambo.
• Kugorwa no kurya: Bishobora kugorana kubika ibiryo mu kanwa no kubihekenya. Bishobora kandi kugorana kumira amazi.

Indwara ya Ramsay Hunt ikunze kugira ingaruka ku mitsi yo ku ruhande rumwe rw'isura, bityo ibimenyetso bikunze kugaragara gusa kuri urwo ruhande rw'isura.

Ibimenyetso bifitanye isano n'amatwi n'ibindi bimenyetso

Uretse imiterere yo mu maso, hashobora kubaho n'ibindi bimenyetso byinshi:

• Uduheri tubabaza dukikije umugongo w'amatwi, umuyoboro w'amatwi, n'agace k'amatwi.
• Udusebe twuzuye amazi imbere mu gutwi no hanze y'ugutwi.
• Kubabara ururimi, umuhogo, n'igisenge cy'umunwa ku ruhande rwarwaye.
• Ububabare bukomeye mu matwi.
• Kumva ijwi rituje: Kumva ijwi rituje rikomeza gucurama mu matwi.
• Hyperacusis: Ibyumviro byerekana ko n'amajwi asanzwe aba asakuza cyane.
• Kubura amatwi ku ruhande rumwe: Kumva bishobora kugabanuka cyangwa kubura burundu mu gutwi kwangiritse.
• Amaso n'umunwa byumye.
• Gushyuha.
• Kubura uburyohe.
• Guhangayika mu mibanire y'abantu guterwa n'impinduka mu maso.

Hari abantu bashobora kugira vertigo , ibyo bikaba ari igitekerezo cy’uko ibintu bibakikije birimo kuzunguruka, cyangwa ko na bo ubwabo barimo kuzunguruka.

Ese indwara ya Ramsay Hunt Syndrome yandura?

Hari ikintu cy'ingenzi ugomba gusobanukirwa hano. Indwara ya Ramsay Hunt ubwayo ntabwo yandura. Ariko, kugira iyi ndwara bivuze ko ufite Virusi ya Varicella-Zoster (VZV) mu mubiri wawe. Iyo virusi ishobora kwanduzwa undi muntu mu gihe ihuye n'amazi ava mu dusebe ku ruhu rw'umurwayi.

Iyo virusi yandujwe muri ubu buryo, umuntu ashobora kurwara inkoko , cyane cyane iyo umuntu atigeze arwara inkoko mbere cyangwa atarahabwa urukingo rwa korosho. Nanone, abantu bafite ubudahangarwa bw'umubiri budafite ubushobozi bwo kuvura bashobora kugira ibibazo bikomeye by'ubuzima bivuye mu kwandura iyi virusi.

Kubwibyo, niba ufite indwara ya Ramsay Hunt Syndrome, ugomba kwirinda kwegerana n'amatsinda amwe n'amwe y'abantu kugeza igihe udusebe twawe twumye kandi ducitse. Muri ibi harimo:

* Abantu batigeze barwara inkoko cyangwa batarahabwa urukingo rw'inkoko.

* Abantu bafite ubudahangarwa bw'umubiri budakomeye.

* Abana bavutse.

* Abagore batwite.

Ubimenya ute?

Muganga wawe azabanza gukora isuzuma ry’umubiri kugira ngo amenye indwara ya Ramsay Hunt. Azakubaza amateka y’ubuzima bwawe n’ibimenyetso byabwo, cyane cyane ashaka uduheri cyangwa intege nke mu maso hawe.

Ariko, kubera ko ibimenyetso by'iyi ndwara bitagaragara icyarimwe, rimwe na rimwe bishobora kugorana kuyisuzuma. Kubwibyo, muganga wawe ashobora gukora ikizamini cya laboratwari kugira ngo yemeze ko ari indwara. Ibi bishobora gusaba gufata icyitegererezo cy'amacandwe yawe, icyitegererezo cy'amaraso, cyangwa icyitegererezo cy'amazi ava mu gisebe hanyuma ukagisuzuma ukoresheje mikorosikopi kugira ngo urebe niba kirimo Virusi ya Varicella-Zoster.

Nubwo atari ngombwa buri gihe, muganga wawe ashobora no kukugira inama yo gupima MRI (Magnetic Resonance Imaging - MRI scan) . Ibi bishobora gufasha kwemeza ko ibimenyetso byawe bitaterwa n'indi ndwara.

Ni ubuhe buryo bwo kuvura?

Imiti itandukanye ikoreshwa mu kuvura indwara ya Ramsay Hunt.

Ubuvuzi

Muganga wawe ashobora kukwandikira imiti nk'iyi:

• Imiti igabanya ubukana bwa virusi: Ivura ubwandu cyangwa ikagabanya ibimenyetso. Urugero, imiti nka Acyclovir cyangwa Valacyclovir .
• Corticosteroids: Igabanya kubyimba mu mitsi. Urugero, imiti nka Prednisone .
• Umuti ugabanya ububabare: Ugabanya ububabare.
• Imiti ivura Vertigo: Hari imiti itandukanye ishobora kugabanya ibimenyetso by'vertigo.
• Umuti urwanya ihungabana: Imiti nka carbamazepine yo kuvura ububabare buhoraho bw'imitsi (yitwa postherpetic neuralgia ).

Ibintu ushobora gukora uri mu rugo

Ushobora gukoresha agakoresho gakonjesha kugira ngo ugabanye ububabare. Nanone, niba udashobora gufunga ijisho ryawe neza, hari amahirwe menshi yo kwangirika kw'ijisho. Kubera ko ijisho rihora rifunguye, cornea ishobora kwangirika. Kuri ibi, ushobora kwambara agapira k'amaso . Ushobora kandi gukoresha amavuta y'ubukorano cyangwa amavuta yo kwisiga kugira ngo wirinde ko amaso yumuka.

Iyo isura yacitse intege burundu, muganga ashobora no gusaba ko habaho kubagwa . Uku kubagwa bifasha kugabanya umuvuduko ku mitsi yo mu maso.

Bifata igihe kingana iki kugira ngo umuntu akire?

Igihe bifata kugira ngo ukire indwara ya Ramsay Hunt Syndrome giterwa n'ubukana bw'ubumuga bwo mu maso. Iyo imitsi yawe yangiritse cyane kandi muri rusange ukaba umeze neza, ibimenyetso bishobora kugabanuka mu byumweru bike cyangwa amezi make . Ariko, gukira burundu bishobora gufata umwaka.Bishobora gufata igihe. Iyo imitsi yo mu maso yangiritse cyane, amahirwe yo gukira burundu aba make gato.

Icy'ingenzi cyane: Nubwo imiti igabanya ubukana bw'indwara ya virusi ishobora gufasha, amahirwe yo gukira burundu aba menshi cyane iyo ubuvuzi butangiye mu minsi itatu uhereye igihe ibimenyetso byagaragaye . Gusuzuma kare no gutangira imiti igabanya ubukana bw'indwara ya virusi byagaragaye ko byongera umusaruro mu gihe kirekire. Abantu bagera kuri 70% barwaye indwara ya Ramsay Hunt Syndrome bongera kugira imikorere myiza mu maso. Ariko, nubwo ubuvuzi bwakozwe hakiri kare, rimwe na rimwe bashobora gucika intege mu maso cyangwa kumva nabi.

Ese ibi bishobora kongera kubaho?

Nubwo bidakunze kubaho cyane, kimwe n'ubwandu bwa herpes zoster (shingles), Ramsay Hunt Syndrome ishobora kugaruka . Ibi biterwa nuko Virusi ya Varicella-Zoster iguma mu bwonko bwawe iteka ryose.

Ni izihe ngorane zishobora kubaho?

Indwara ya Ramsay Hunt Syndrome ni ikibazo cyo kuvugurura imitsi bigatuma imitsi isubira gukura nabi. Ibi bishobora gutera ingaruka zidasanzwe ku ngendo zimwe na zimwe. Urugero, iyo umwenyuye, ijisho ritagize icyo rikora rishobora gufunga.

Izindi ngorane zishobora kuba zirimo:

• Kwangirika kw'isura bitewe no kubura uburyo bwo kugenda mu maso.
• Ihinduka mu buryohe .
• Ibisebe byo mu maso, iminkanyari, n'indwara zishobora kwangiza amaso bigatuma umuntu atabona neza.
• Kubabara imitsi yo mu maso .
• Guhangayika mu mibanire y'abantu.

Iyo virusi igize ingaruka ku yindi mitsi yo mu bwonko bwawe cyangwa mu ruti rw'umugongo, izindi ngorane zishobora kubaho. Izi zirimo:

• Urujijo.
• Gusinzira.
• Kuribwa umutwe.
• Intege nke mu maboko no mu maguru.
• Ububabare bw'imitsi.

Ese hari izindi ndwara zavumbuwe na James Ramsay Hunt?

Umuganga witwa James Ramsay Hunt yavuze nibura ubwoko butatu bwa syndrome. Ubwoko bwa kabiri twavuzeho, Ramsay Hunt syndrome type 2, ni bwo buzwi cyane muri ubwo. Nubwo ubundi bwoko bubiri bwitiriwe izina rye, ntabwo bufitanye isano n'ubu bwoko bwa kabiri.

• Indwara ya Ramsay Hunt type 1 ni indwara idakunze kugaragara mu mitsi itera indwara zo mu bwonko, gutitira, kubura imikorere y'umubiri, ndetse n'ubumuga bwo mu mutwe.
• Indwara ya Ramsay Hunt type 3 ni indwara y’imitsi ifata imitsi yo mu kiganza cy’ikiganza.

Ikintu cy'ingenzi tugomba kwibuka ni

Indwara ya Ramsay Hunt Syndrome ni indwara ishobora guterwa n’indwara ya herpes zoster (shingles). Ishobora gutera uduheri tubabaza, ububabare bukomeye, no gucika intege mu maso. Niba ufite kimwe muri ibi bimenyetso, jya kwa muganga vuba. Uko ubimenyeshejwe vuba kandi ukavurwa, niko amahirwe yawe yo gukira neza aba menshi.

Ushobora kandi gutekereza kubona urukingo rwa herpes zoster (shingles) kugira ngo wirinde ko hagira icyorezo cyandura mu gihe kizaza. Vugana na muganga wawe kuri ibi kandi umenye byinshi. Komeza ugire ubuzima bwiza!

Indwara ya Ramsay Hunt, indwara yo mu maso, indwara y'ibicurane, indwara ya herpes zoster, ububabare bw'amatwi, indwara ya virusi