Ukuba ndikindiki kolunye uhlangothi lobuso, ubuhlungu bendlebe? Ake sifunde nge-Ramsay Hunt Syndrome!

Wake wazizwa sengathi uhlangothi olulodwa lobuso bakho luvele lwaphelelwa amandla ngokuzumayo, noma ikona lomlomo wakho ladonswa phansi? Noma uke wabona iqhubu elincane ngaphakathi kwendlebe yakho elinobuhlungu obukhulu? Ungase uzibuze ukuthi kwenzekani. Namuhla sizokhuluma ngesimo esikhethekile esingabangela izimpawu ezifanayo, kodwa okungakhulunywa ngaso kakhulu emphakathini. Leso yiRamsay Hunt Syndrome .

Iyini i-Ramsay Hunt Syndrome?

Kalula nje, i-Ramsay Hunt Syndrome iyinkinga yokutheleleka ngegciwane njenge- chickenpox noma i-herpes zoster (eyaziwa nangokuthi i-shingles). Iyaziwa nangokuthi i-Herpes Zoster Oticus kanye ne-Ramsay Hunt Syndrome uhlobo 2. Iqanjwe ngoJames Ramsay Hunt, isikhulu sezempi saseMelika kanye nodokotela wezinzwa owaqala ukuchaza lesi simo ngo-1907.

Uyakhumbula ukuthi unesifo senkukhu useyingane? Igciwane elibangela inkukhu libizwa ngokuthi i-Varicella-Zoster Virus . Leli gciwane alipheli ngokuphelele ngemva kwenkukhu. Lingahlala lilele emithanjeni yakho iminyaka eminingi. Ngolunye usuku, ngesizathu esithile (ngokuvamile lapho amasosha omzimba wakho ebuthakathaka), leli gciwane elilele liyaphinda livuke . Yilapho uthola khona i-Herpes Zoster, noma i-shingles.

Manje, uma leli Virus le-Varicella-Zoster livuselela futhi lithinte inzwa yakho yobuso , yilapho-ke kuvela khona isimo esibizwa ngokuthi i-Ramsay Hunt Syndrome. Into eyinhloko eyenzekayo kulokhu ukuthi inzwa yobuso ikhubazekile, okusho ukukhubazeka kobuso kanye nobuhlungu obukhulu endlebeni. Futhi, ukuqubuka okubuhlungu okuqhumayo kungavela endlebeni, ebusweni, noma ngaphakathi emlonyeni.

Lokhu kwenzeka kubani?

I-Ramsay Hunt Syndrome, isimo esingathinta noma ubani oke waba ne-chickenpox noma i-shingles, sivame kakhulu kubantu abangaphezu kweminyaka engama-60. Akuvamile ezinganeni ezincane, kodwa kuye kwabikwa amacala ezinganeni ezineminyaka emithathu ubudala.

Abantu abanezivikeli mzimba ezibuthakathaka (njengalabo abane-HIV, iziguli ezinomdlavuza, kanye nabantu abafakelwe izitho zomzimba) basengozini enkulu yokuthola lesi simo. Izimpawu zabo zingase zibe zimbi kakhulu kunasemphakathini jikelele, futhi mancane amathuba okuthi balulame ngokuphelele.

Ivame kangakanani iRamsay Hunt Syndrome?

Empeleni lesi yisimo esingavamile. Ngokwezibalo e-United States, sithinta abantu abacishe babe ngu-5 kwabangu-100,000 ngonyaka.

Kodwa-ke, abanye abacwaningi bakholelwa ukuthi ngenxa yokuthi lesi sifo ngezinye izikhathi asitholakali noma asitholakali kahle , kunzima ukusho ukuthi bangaki abantu abasitholayo.

I-Ramsay Hunt Syndrome iyimbangela yesibili evame kakhulu yokukhubazeka kwemizwa yobuso, ebangela cishe u-7% wazo zonke izimo zokukhubazeka kwemizwa yobuso. Imbangela evame kakhulu yokukhubazeka kwemizwa yobuso yi-Bell's Palsy.

Kungani kwenzeka i-Ramsay Hunt Syndrome?

Njengoba sishilo ngaphambili, imbangela eyinhloko ye-Ramsay Hunt Syndrome ukuvuselelwa kwe-Varicella-Zoster Virus , ethinta inzwa yobuso, ethwala umuzwa ebusweni bakho, olimini, kanye nasendlebeni yangaphakathi. Leli yigciwane elifanayo elibangela i-chickenpox kanye ne-shingles.

Uma une-chickenpox useyingane, igciwane alipheli ngokuphelele. Lingahlala lithule emithanjeni yakho iminyaka eminingi. Sibiza lokhu ngokuthi igciwane "elithule." Bese kuthi, ngolunye usuku, ngesizathu esithile, igciwane liphinde livuke. Yilapho uthola khona i-herpes zoster, noma i-shingles. Igciwane lihamba ngemicu yezinzwa liye esikhumbeni, libangele amabhamuza abuhlungu. Ngezinye izikhathi, igciwane lingathinta ne-facial nerve, libangele i-Ramsay Hunt Syndrome. Abacwaningi abasazi kahle ukuthi kungani igciwane ngezinye izikhathi lithinta kuphela i-facial nerve.

Ziyini izimpawu zalokhu?

Ku-Ramsay Hunt Syndrome, kuye ngokuthi yiliphi igatsha lenzwa yobuso elithintekile, ungase ube nobuthakathaka noma ukuqina kolunye uhlangothi lobuso bakho .

Izici zobuso

• Ubunzima bokuvala iso: Ungase ungakwazi ukuvala iso ohlangothini oluthintekile kahle.
• Ukungakwazi ukufinya: Ngisho noma uzama ukuphakamisa ibunzi lakho nokufinya, lolo hlangothi lungase lunganyakazi.
• Ubunzima bokubonisa ubuso: Kungaba nzima ukwenza izinto ezinjengokumomotheka nokububula.
• Ukuwa noma ukukhubazeka kohlangothi olulodwa lobuso: Uhlangothi oluthintekile lobuso lungase luwe phansi, mhlawumbe luze lukhubazeke ngokuphelele.
• Inkulumo engacacile: Umlomo ungase uthambekele ohlangothini olulodwa, okwenza kube nzima ukuphimisa amagama.
• Ubunzima bokudla: Kungaba nzima ukugcina ukudla emlonyeni wakho nokukuhlafuna. Ungase ube nesikhathi esinzima sokugwinya amanzi.

I-Ramsay Hunt Syndrome ivame ukuthinta imizwa ohlangothini olulodwa lobuso, ngakho-ke izimpawu zivame ukubonakala kuphela kulolo hlangothi lobuso.

Izimpawu ezihlobene nendlebe nezinye

Ngaphezu kwezici zobuso, kungase kube nezinye izimpawu eziningana:

• Ukuvuvukala okubuhlungu okuzungeze i-eardrum, umsele wendlebe, kanye ne-earlobe.
• Ama-blister agcwele uketshezi ngaphakathi komsele wendlebe nangaphandle kwendlebe.
• Ubuhlungu bolimi, umphimbo, kanye nophahla lomlomo ohlangothini oluthintekile.
• Ubuhlungu obukhulu endlebeni.
• I-Tinnitus: Umuzwa wokukhala okuqhubekayo ezindlebeni.
• I-Hyperacusis: Umuzwa wokuthi ngisho nemisindo evamile inomsindo omkhulu kakhulu.
• Ukulahlekelwa ukuzwa ohlangothini olulodwa: Ukuzwa kungase kunciphe noma kulahleke ngokuphelele endlebeni ethintekile.
• Amehlo nomlomo owomile.
• Ukusha kwezwi.
• Ukulahlekelwa umuzwa wokunambitha.
• Ukukhathazeka komphakathi okubangelwa izinguquko zobuso.

Abanye abantu bangase babe ne -vertigo , okuwumuzwa ongelona iqiniso wokuthi izinto ezibazungezile ziyajikeleza, noma ukuthi bona ngokwabo bayajikeleza.

Ingabe i-Ramsay Hunt Syndrome iyathelelana?

Kukhona into ebalulekile okufanele uyiqonde lapha. I-Ramsay Hunt Syndrome ngokwayo ayithelelani. Kodwa-ke, ukuba nalesi simo kusho ukuthi une -Varicella-Zoster Virus (VZV) esebenzayo emzimbeni wakho. Lelo gciwane lingadluliselwa komunye umuntu uma lithintana noketshezi oluvela emaqabungeni esikhumbeni sesiguli.

Uma igciwane lidluliselwa ngale ndlela, umuntu angaba ne -chickenpox , ikakhulukazi uma umuntu engakaze abe ne-chickenpox ngaphambili noma engazange athole umuthi wokugomela i-chickenpox. Futhi, abantu abanezivikeli mzimba ezibuthakathaka bangaba nezinkinga ezinkulu zempilo ngenxa yokutheleleka yileli gciwane.

Ngakho-ke, uma une-Ramsay Hunt Syndrome, kufanele ugweme ukusondelana namaqembu athile abantu kuze kube yilapho amabhamuza akho omile futhi eqhekekile. Lokhu kufaka phakathi:

* Abantu abangakaze babe ne-chickenpox noma abangazange bathole umuthi wokugomela i-chickenpox.

* Abantu abanezivikeli mzimba ezibuthakathaka.

* Izinsana ezisanda kuzalwa.

* Abesifazane abakhulelwe.

Ukubona kanjani lokhu?

Udokotela wakho uzoqala ngokukwenza ukuhlolwa ngokomzimba ukuze ahlole i-Ramsay Hunt Syndrome. Uzobuza ngomlando wakho wezokwelapha kanye nezimpawu, ikakhulukazi efuna ukuqubuka noma ubuthakathaka ebusweni bakho.

Kodwa-ke, ngenxa yokuthi izimpawu zalesi sifo aziveli ngaso sonke isikhathi ngesikhathi esisodwa, ngezinye izikhathi kungaba nzima ukuxilonga. Ngakho-ke, udokotela wakho angenza ukuhlolwa kwelabhorethri ukuqinisekisa ukuxilongwa. Lokhu kungabandakanya ukuthatha isampula yamathe akho, isampula yegazi, noma isampula yoketshezi oluvela ebhulohweni bese ulihlola ngaphansi kwe-microscope ukuze ubone ukuthi liqukethe yini i-Varicella-Zoster Virus.

Nakuba kungadingeki ngaso sonke isikhathi, udokotela wakho angase futhi ancome ukuthi kwenziwe i-MRI scan (Magnetic Resonance Imaging - MRI scan) . Lokhu kungasiza ukuqinisekisa ukuthi izimpawu zakho azibangelwa esinye isimo sezokwelapha.

Yiziphi izindlela zokwelapha?

Kusetshenziswa imithi ehlukahlukene ukwelapha i-Ramsay Hunt Syndrome.

Ukwelashwa kwezokwelapha

Udokotela wakho angase akunike imithi efana nalokhu:

• Imithi yokulwa namagciwane: Yelapha ukutheleleka noma yehlise izimpawu. Isibonelo, imithi efana ne -Acyclovir noma i-Valacyclovir .
• Ama-Corticosteroids: Yehlisa ukuvuvukala emthanjeni. Isibonelo, imithi efana ne -Prednisone .
• Ukuqeda ubuhlungu: Nciphisa ubuhlungu.
• Imithi Yokwelapha I-Vertigo: Kunemithi ehlukahlukene engaqeda izimpawu ze-vertigo.
• Umuthi wokulwa nokuquleka: Imithi efana ne -carbamazepine yokwelapha ubuhlungu obuqhubekayo bemizwa (okuthiwa i -postherpetic neuralgia ).

Izinto ongazenza ekhaya

Ungasebenzisa i-compress ebandayo ukunciphisa ubuhlungu. Futhi, uma ungakwazi ukuvala iso lakho kahle, kunethuba elikhulu lokulimala kweso. Ngenxa yokuthi iso lihlala livulekile, i-cornea ingonakala. Ngenxa yalokhu, ungagqoka i-eye patch . Ungasebenzisa futhi izinyembezi zokwenziwa noma izithambisi zamehlo ukuvimbela amehlo omile.

Uma ubuso bukhubazekile ngokuphelele, udokotela angase futhi ancome inqubo yokuhlinzwa . Lokhu kuhlinzwa kusiza ekunciphiseni ingcindezi ezinzwa zobuso.

Kuthatha isikhathi esingakanani ukuphulukiswa?

Isikhathi esithathayo ukuze ululame ku-Ramsay Hunt Syndrome sincike ebunzimeni bokukhubazeka kobuso bakho. Uma kunomonakalo omncane wemizwa futhi uphilile, izimpawu zingase zithuthuke phakathi kwamasonto ambalwa kuya ezinyangeni ezimbalwa . Kodwa-ke, ukululama okuphelele kungathatha unyaka.Kungathatha isikhathi. Uma umonakalo emsipheni wobuso umkhulu, amathuba okululama ngokugcwele aphansi kancane.

Kubaluleke kakhulu: Nakuba imithi yokulwa namagciwane ingasiza, amathuba okululama ngokugcwele aphezulu kakhulu uma ukwelashwa kuqalwa zingakapheli izinsuku ezintathu zezimpawu . Ukuxilongwa kusenesikhathi kanye nokuqala ukwelashwa kwamagciwane kusenesikhathi kuye kwabonakala kuthuthukisa imiphumela yesikhathi eside. Cishe abantu abangu-70% abane-Ramsay Hunt Syndrome baphinde bathole ukusebenza kobuso okugcwele noma okucishe kuphelele. Kodwa-ke, ngisho nangokwelashwa kusenesikhathi, ukukhubazeka kobuso okungapheli noma ukulahlekelwa ukuzwa ngezinye izikhathi kungenzeka.

Ingabe lokhu kungenzeka futhi?

Nakuba kungavamile kakhulu, njengokutheleleka kwe-herpes zoster (shingles), i-Ramsay Hunt Syndrome ingaphinde ivele . Lokhu kungenxa yokuthi i-Varicella-Zoster Virus ihlala ohlelweni lwakho lwezinzwa kuze kube phakade.

Yiziphi izinkinga ezingaba khona?

I-Ramsay Hunt Syndrome iyinkinga yokuvuselelwa kwemizwa ebangela ukuthi imizwa ikhule ngendlela engafanele. Lokhu kungabangela ukusabela okungavamile ekunyakaza okuthile. Isibonelo, uma umomotheka, iso elingahilelekile lingavala.

Ezinye izinkinga zingase zihlanganise:

• Ukonakala kobuso ngenxa yokulahlekelwa ukunyakaza kobuso.
• Shintsha ukunambitheka .
• Izilonda ze-cornea, imihuzuko, kanye nezifo kungalimaza amehlo futhi kuholele ekulahlekelweni kokubona.
• Ukuqina kwemisipha yobuso .
• Ukukhathazeka komphakathi.

Uma igciwane lithinta neminye imizwa ebuchosheni bakho noma emgogodleni, kungase kube nezinkinga ezengeziwe. Lezi zinkinga zifaka:

• Ukudideka.
• Ukozela.
• Ubuhlungu bekhanda.
• Ubuthakathaka ezingalweni nasemilenzeni yakho.
• Ubuhlungu bemizwa.

Ingabe zikhona ezinye izifo ezitholwe nguJames Ramsay Hunt?

Udokotela ogama lakhe linguJames Ramsay Hunt uchaze okungenani izinhlobo ezintathu zesifo. Uhlobo lwesibili esikhuluma ngalo, i-Ramsay Hunt syndrome uhlobo 2, ludume kakhulu kulezi. Nakuba ezinye izinhlobo ezimbili ziqanjwe ngaye, azihlobene nalolu hlobo lwesibili.

• I-Ramsay Hunt syndrome uhlobo 1 yisifo esingavamile sezinzwa esibangela ukuquleka, ukuthuthumela, ukulahlekelwa ukusebenza komzimba, kanye nokukhubazeka kwengqondo.
• I-Ramsay Hunt syndrome uhlobo 3 yisimo sezinzwa esithinta i-ulnar nerve entendeni yesandla.

Into ebaluleke kakhulu okudingeka siyikhumbule ukuthi

I-Ramsay Hunt Syndrome yisimo esingaba yinkinga ye-herpes zoster (ama-shingles). Singabangela amabhamuza abuhlungu, ubuhlungu obukhulu, kanye nokukhubazeka kobuso. Uma unezinye zalezi zimpawu, bona udokotela ngokushesha. Uma usheshe watholakala futhi welashwa, amathuba akho okululama ngokugcwele ayanda.

Ungase futhi uthande ukucabanga ngokuthola umuthi wokugomela i-herpes zoster (shingles) ukuze uvimbele ukuqubuka kwesikhathi esizayo. Khuluma nodokotela wakho ngalokhu futhi ufunde kabanzi. Hlala uphilile!

I- Ramsay Hunt Syndrome, ukukhubazeka kobuso, i-chickenpox, i-herpes zoster, ama-shingles, ubuhlungu bendlebe, ukutheleleka ngegciwane