Ukuba ndindisholo kwelinye icala lobuso, intlungu yendlebe? Masifunde ngeRamsay Hunt Syndrome!

Ngaba wakha waziva ngathi icala lobuso bakho liphelelwe ngamandla ngequbuliso, okanye ikona yomlomo wakho itsaliwe phantsi? Okanye ngaba ukhe waphawula ithumba elincinci ngaphakathi endlebeni yakho elinentlungu enzima? Usenokuba uzibuza ukuba kwenzeka ntoni. Namhlanje siza kuthetha ngemeko ekhethekileyo enokubangela iimpawu ezifanayo, kodwa engathethwa kangako ngayo kuluntu. Leyo yiRamsay Hunt Syndrome .

Yintoni iRamsay Hunt Syndrome?

Ngamafutshane, iRamsay Hunt Syndrome yingxaki yosulelo lwentsholongwane olufana ne -chickenpox okanye i-herpes zoster (ekwaziwa ngokuba yi-shingles). Ikwaziwa ngokuba yiHerpes Zoster Oticus kunye neRamsay Hunt Syndrome uhlobo 2. Ithiywe ngoJames Ramsay Hunt, igosa lomkhosi laseMelika kunye nengcali yezifo zengqondo owaqala ukuchaza le meko ngo-1907.

Uyakhumbula ukuba unesifo senkukhu usengumntwana? Intsholongwane ebangela inkukhu ibizwa ngokuba yiVaricella-Zoster Virus . Le ntsholongwane ayipheli ngokupheleleyo emva kwenkukhu. Ingalala kwimithambo-luvo yakho iminyaka emininzi. Ngenye imini, ngesizathu esithile (rhoqo xa inkqubo yakho yokuzikhusela yomzimba ibuthathaka), le ntsholongwane ingasebenziyo iphinda ivuseleleke . Kulapho ufumana khona iHerpes Zoster, okanye iishingles.

Ngoku, ukuba le Varicella-Zoster Virus iphinda ivuseleleke kwaye ichaphazele umthambo wobuso bakho, kulapho ke imeko ebizwa ngokuba yiRamsay Hunt Syndrome ibakho khona. Eyona nto iphambili eyenzekayo koku kukuba umthambo wobuso uyafa, oko kuthetha ukukhubazeka kobuso kunye nentlungu eqatha endlebeni. Kwakhona, irhashalala ebuhlungu inokuvela endlebeni, ebusweni, okanye ngaphakathi emlonyeni.

Ingaba oku kwenzeka kubani?

I-Ramsay Hunt Syndrome, imeko enokuchaphazela nabani na okhe waba ne-chickenpox okanye i-shingles, ixhaphake kakhulu kubantu abangaphezu kweminyaka engama-60 ubudala. Ayiqhelekanga kubantwana abancinci, kodwa kuye kwaxelwa amatyala kubantwana abaneminyaka emithathu ubudala.

Abantu abaneenkqubo zomzimba ezibuthathaka (njengabo bane-HIV, izigulane ezinomhlaza, kunye nabantu abafumene izitho zomzimba) basengozini enkulu yokuba nale meko. Iimpawu zabo zinokuba nkulu kakhulu kunakuluntu ngokubanzi, kwaye abanakukwazi ukuphila ngokupheleleyo.

Ixhaphake kangakanani iRamsay Hunt Syndrome?

Esi sisifo esingaqhelekanga ngokwenene. Ngokwezibalo eMelika, sichaphazela abantu abamalunga naba-5 kwabayi-100,000 ngonyaka.

Nangona kunjalo, abanye abaphandi bakholelwa ukuba ngenxa yokuba esi sifo ngamanye amaxesha singafunyaniswa okanye singafunyaniswa ngendlela engafanelekanga, kunzima ukutsho ukuba bangaphi abantu abasifumanayo.

I-Ramsay Hunt Syndrome yeyona nto ixhaphakileyo ebangela ukukhubazeka kwemithambo-luvo yobuso, imalunga ne-7% yazo zonke iimeko zokukhubazeka kwemithambo-luvo yobuso. Eyona nto ixhaphakileyo ebangela ukukhubazeka kwemithambo-luvo yobuso yiBell's Palsy.

Kutheni iRamsay Hunt Syndrome isenzeka?

Njengoko besitshilo ngaphambili, eyona nto ibangela iRamsay Hunt Syndrome kukuvuselelwa kweVaricella-Zoster Virus , echaphazela umthambo wobuso, othwala imvakalelo ebusweni bakho, elulwimini, nakwindlebe yangaphakathi. Le yintsholongwane efanayo ebangela i-chickenpox kunye ne-shingles.

Xa une-chickenpox usengumntwana, intsholongwane ayipheli ngokupheleleyo. Ingalala ingasebenzi kwimithambo-luvo yakho kangangeminyaka. Siyibiza le ntsholongwane ngokuthi "ayisebenzi." Emva koko, ngenye imini, ngesizathu esithile, intsholongwane iyavuka kwakhona. Kulapho ufumana khona i-herpes zoster, okanye iishingles. Intsholongwane ihamba ngemicu yemithambo-luvo iye eluswini, ibangele amadyungudyungu abuhlungu. Ngamanye amaxesha, intsholongwane inokuchaphazela nemithambo-luvo yobuso, ibangele iRamsay Hunt Syndrome. Abaphandi abasazi ukuba kutheni intsholongwane ngamanye amaxesha ichaphazela kuphela imithambo-luvo yobuso.

Zithini iimpawu zoku?

KwiRamsay Hunt Syndrome, kuxhomekeke ekubeni leliphi isebe lomthambo wobuso elichaphazelekileyo, unokufumana ubuthathaka okanye ukuqina kwelinye icala lobuso bakho .

Iimpawu zobuso

• Ubunzima bokuvala iliso: Usenokungakwazi ukuvala iliso kwicala elichaphazelekileyo ngokufanelekileyo.
• Ukungakwazi ukufinga ibunzi: Nokuba uzama ukuphakamisa ibunzi lakho nokufinga ibunzi, elo cala lisenokungashukumi.
• Ubunzima bokubonisa imbonakalo yobuso: Kunokuba nzima ukwenza izinto ezinje ngokuncuma nokufinga iintshiya.
• Ukuwa okanye ukushwabana kwecala elinye lobuso: Icala elichaphazelekayo lobuso lisenokuwa liphantsi, mhlawumbi lide lishwabane ngokupheleleyo.
• Intetho engacacanga: Umlomo usenokutyekela ecaleni, nto leyo eyenza kube nzima ukubiza amagama.
• Ubunzima bokutya: Kunokuba nzima ukugcina ukutya emlonyeni wakho nokukuhlafuna. Usenokuba nobunzima bokuginya amanzi.

I-Ramsay Hunt Syndrome idla ngokuchaphazela imithambo-luvo kwelinye icala lobuso, ngoko ke iimpawu zihlala zibonakala kuphela kwelo cala lobuso.

Iimpawu ezinxulumene nendlebe kunye nezinye iimpawu

Ukongeza kwiimpawu zobuso, kunokubakho ezinye iimpawu ezininzi:

• Ukurhawuzelela okubuhlungu okujikeleze i-eardrum, umjelo wendlebe, kunye ne-earlobe.
• Amadyungudyungu azaliswe lulwelo ngaphakathi komjelo wendlebe nangaphandle kwendlebe.
• Ubuhlungu bolwimi, umphimbo, kunye nophahla lomlomo kwicala elichaphazelekayo.
• Intlungu ebuhlungu yendlebe.
• I-Tinnitus: Imvakalelo yokukhala okuqhubekayo ezindlebeni.
• I-Hyperacusis: Imvakalelo yokuba nezandi eziqhelekileyo zivakala kakhulu.
• Ukulahlekelwa kukuva kwelinye icala: Ukuva kunokuncipha okanye kuphele ngokupheleleyo kwindlebe echaphazelekayo.
• Amehlo nomlomo owomileyo.
• Ukurhawuzela.
• Ukulahlekelwa yimvakalelo yokungcamla.
• Ixhala lentlalo ngenxa yotshintsho lobuso.

Abanye abantu banokuba ne -vertigo , into engeyiyo yokuba izinto ezibangqongileyo ziyajikeleza, okanye bona ngokwabo bayajikeleza.

Ngaba iRamsay Hunt Syndrome iyasulela?

Kukho into ebalulekileyo ekufuneka uyiqonde apha. I-Ramsay Hunt Syndrome ngokwayo ayosuleli. Nangona kunjalo, ukuba nale meko kuthetha ukuba une -Varicella-Zoster Virus (VZV) esebenzayo emzimbeni wakho. Elo gciwane linokudluliselwa komnye umntu ukuba lidibana nolwelo oluvela kuma-blisters eluswini lomguli.

Ukuba intsholongwane idluliselwa ngale ndlela, umntu unokuba ne -chickenpox , ingakumbi ukuba umntu akakaze abe ne-chickenpox ngaphambili okanye akakafumani i-chickenpox vaccine. Kwakhona, abantu abaneenkqubo zomzimba ezibuthathaka banokuba neengxaki zempilo ezinzulu ngenxa yokosulelwa yile ntsholongwane.

Ngoko ke, ukuba uneRamsay Hunt Syndrome, kufuneka uphephe ukudibana ngokusondeleyo namaqela athile abantu de amaqhubu akho ome aze aqhekeke. Oku kuquka:

* Abantu abangazange babe ne-chickenpox okanye abangazange bafumane ugonyo lwe-chickenpox.

* Abantu abaneenkqubo zomzimba ezibuthathaka.

* Iintsana ezisandul’ ukuzalwa.

* Abafazi abakhulelweyo.

Uyibona njani le nto?

Ugqirha wakho uza kuqala enze uvavanyo lomzimba ukuze afumanise iRamsay Hunt Syndrome. Uza kubuza ngembali yakho yezonyango kunye neempawu, ingakumbi ekhangela irhashalala okanye ubuthathaka ebusweni bakho.

Nangona kunjalo, ngenxa yokuba iimpawu zesi sifo azisoloko zibonakala ngaxeshanye, ngamanye amaxesha kunokuba nzima ukuxilonga. Ke ngoko, ugqirha wakho unokwenza uvavanyo lwelabhoratri ukuqinisekisa ukuxilongwa. Oku kunokubandakanya ukuthatha isampuli yamathe akho, isampuli yegazi, okanye isampuli yolwelo oluvela kwiblister uze uluhlolisise phantsi kwemicroscope ukuze ubone ukuba lunayo na iVaricella-Zoster Virus.

Nangona kungasoloko kuyimfuneko, ugqirha wakho unokucebisa ukuba kwenziwe i-MRI scan (Magnetic Resonance Imaging - MRI scan) . Oku kunokunceda ukuqinisekisa ukuba iimpawu zakho azibangelwa yenye imeko yezonyango.

Zithini iindlela zonyango?

Kusetyenziswa amayeza ahlukeneyo ukunyanga iRamsay Hunt Syndrome.

Unyango lwezonyango

Ugqirha wakho angakunika amayeza anjengala:

• Amayeza okulwa nentsholongwane: Anyanga usulelo okanye anciphise iimpawu. Umzekelo, amayeza anjenge -Acyclovir okanye i-Valacyclovir .
• IiCorticosteroids: Zinciphisa ukudumba kwimithambo-luvo. Umzekelo, iziyobisi ezifana nePrednisone .
• Isithomalalisi sentlungu: Nciphisa iintlungu.
• Amayeza e-Vertigo: Kukho amayeza ahlukeneyo anokunciphisa iimpawu ze-vertigo.
• Amayeza okulwa nokuxhuzula: Amayeza anjenge- carbamazepine okunyanga iintlungu zemithambo-luvo ezingapheliyo (ezibizwa ngokuba yi -postherpetic neuralgia ).

Izinto onokuzenza ekhaya

Ungasebenzisa i-compress ebandayo ukunciphisa iintlungu. Kwakhona, ukuba awukwazi ukuvala iliso lakho kakuhle, kukho ithuba elikhulu lokonakala kweliso. Ngenxa yokuba iliso lihlala livulekile, i-cornea inokonakala. Ngenxa yoku, unganxiba i-eye patch . Ungasebenzisa ne-eye drains okanye i-eye lubricants yokwenziwa ukuthintela amehlo omileyo.

Ukuba ubuso bukhubazekile ngokupheleleyo, ugqirha angacebisa ukuba kwenziwe utyando . Olu tyando lunceda ekunciphiseni uxinzelelo kwimithambo-luvo yobuso.

Kuthatha ixesha elingakanani ukuphiliswa?

Ixesha elithathwayo ukuze uphile kwiRamsay Hunt Syndrome lixhomekeke kubukhulu bokukhubazeka kobuso bakho. Ukuba akukho monakalo mkhulu kwimithambo-luvo kwaye usempilweni ngokubanzi, iimpawu zingaphucuka kwiiveki ezimbalwa ukuya kwiinyanga ezimbalwa . Nangona kunjalo, ukuphinda uphile ngokupheleleyo kunokuthatha unyaka.Kungathatha ixesha. Ukuba umonakalo kwimithambo-luvo yobuso unzima, amathuba okuchacha ngokupheleleyo aphantsi kancinci.

Kubaluleke kakhulu: Nangona amayeza okulwa neentsholongwane anokunceda, amathuba okuchacha ngokupheleleyo aphezulu kakhulu ukuba unyango luqalwe kwiintsuku ezintathu emva kweempawu . Ukuxilongwa kwangoko kunye nokuqaliswa kwangoko konyango lokulwa neentsholongwane kuye kwabonakala kuphucula iziphumo zexesha elide. Malunga nama-70% abantu abaneRamsay Hunt Syndrome babuyela ekusebenzeni ngokupheleleyo kobuso. Nangona kunjalo, nokuba unyango luqalile kwangoko, ukukhubazeka kobuso okungapheliyo okanye ukulahlekelwa kukuva ngamanye amaxesha kunokwenzeka.

Ngaba oku kungenzeka kwakhona?

Nangona kunqabile kakhulu, njengosulelo lwe-herpes zoster (shingles), iRamsay Hunt Syndrome inokuphinda ivele . Oku kungenxa yokuba iVaricella-Zoster Virus ihlala kwinkqubo yakho yemithambo-luvo ngonaphakade.

Zeziphi iingxaki ezinokwenzeka?

I-Ramsay Hunt Syndrome yingxaki yokuvuselelwa kwemithambo-luvo ebangela ukuba imithambo-luvo ikhule ngendlela engafanelekanga. Oku kunokubangela iimpendulo ezingaqhelekanga kwiintshukumo ezithile. Umzekelo, xa uncuma, iliso elingabandakanyekiyo linokuvala.

Ezinye iingxaki zingabandakanya:

• Ukonakala kobuso ngenxa yokulahlekelwa kukunyakaza kobuso.
• Tshintsha incasa .
• Izilonda ze-cornea, imikrwelo, kunye nosulelo zingonakalisa amehlo kwaye zikhokelele ekulahlekelweni kokubona.
• Ukuqaqamba kwemisipha yobuso .
• Ixhala lentlalo.

Ukuba intsholongwane ichaphazela eminye imithambo-luvo engqondweni yakho okanye emgogodleni, iingxaki ezingakumbi zingavela. Ezi ziquka:

• Ukudideka.
• Ukozela.
• Intloko ebuhlungu.
• Ubuthathaka kwiingalo zakho nasemilenzeni.
• Intlungu yemithambo-luvo.

Ngaba zikho ezinye izifo ezifunyenwe nguJames Ramsay Hunt?

Ugqirha ogama linguJames Ramsay Hunt uchaze ubuncinane iintlobo ezintathu zesifo. Uhlobo lwesibini ebesithetha ngalo, uhlobo lwesibini lwesifo iRamsay Hunt, lolona ludumileyo kwezi. Nangona ezinye iintlobo ezimbini zibizwa ngaye, azinanto yakwenza nolu hlobo lwesibini.

• Isifo iRamsay Hunt syndrome uhlobo 1 sisifo esingaqhelekanga semithambo-luvo esibangela ukuxhuzula, ukungcangcazela, ukungasebenzi kakuhle komzimba, kunye nokukhubazeka kwengqondo.
• Isifo sikaRamsay Hunt uhlobo lwesithathu sisifo semithambo-luvo esichaphazela umthambo we-ulnar entendeni yesandla.

Eyona nto ibalulekileyo ekufuneka siyikhumbule kukuba

I-Ramsay Hunt Syndrome yimeko enokwenzeka njengengxaki ye-herpes zoster (shingles). Ingabangela amadyungudyungu abuhlungu, iintlungu eziqatha, kunye nokukhubazeka kobuso. Ukuba unayo nayiphi na kwezi mpawu, bona ugqirha ngokukhawuleza. Okukhona ufunyaniswa kwaye unyangwa ngokukhawuleza, kokukhona amathuba akho okuchacha ngokupheleleyo eba mancinci.

Usenokufuna nokucinga ngokufumana isitofu sokugonyela i-herpes zoster (shingles) ukuthintela ukuqhambuka kwezifo kwixesha elizayo. Thetha nogqirha wakho ngale nto uze ufunde okungakumbi. Hlala usempilweni!

Isifo sikaRamsay Hunt, ukudumba kobuso, i-chickenpox, i-herpes zoster, ii-shingles, iintlungu zendlebe, usulelo lwentsholongwane