Isifo sikaRamsay Hunt

I-Ramsay Hunt syndrome sisifo esibuhlungu esijikeleze indlebe, ebusweni, okanye emlonyeni. Kwenzeka xa intsholongwane ye-varicella zoster ichaphazela intsholongwane entloko.

I-varicella-zoster virus ebangela i-Ramsay Hunt syndrome yintsholongwane efanayo ebangela i-chickenpox kunye ne-shingles.

Kubantu abanale syndrome, intsholongwane kukholelwa ukuba iyosulela imithambo-luvo yobuso kufutshane nendlebe yangaphakathi. Oku kukhokelela ekucaphukeni nasekukhuleni kwemithambo-luvo.

Le meko ichaphazela abantu abadala. Kwiimeko ezinqabileyo, kubonakala ebantwaneni.

Iimpawu zingabandakanya:

• Intlungu ebuhlungu endlebeni
• Ukudumba okubuhlungu kwindlebe, indlebe, indlebe, ulwimi, kunye nophahla lomlomo ecaleni kwethambo elichaphazelekayo
• Ukuphulukana nokuva kwelinye icala
• Imvakalelo yezinto ezijikelezayo (i-vertigo)
• Ubuthathaka kwelinye icala lobuso obangela ubunzima bokuvala iliso elinye, ukutya (ukutya kuphuma kwikona ebuthathaka yomlomo), ukwenza intetho, kunye nokwenza intshukumo entle ebusweni, kunye nokujula kobuso kunye nokukhubazeka kwelinye icala ubuso

Umboneleli ngononophelo lwempilo uhlala echonga iRamsay Hunt Syndrome ngokujonga imiqondiso yobuthathaka ebusweni kunye nerhashalala elifana nqwa.

Uvavanyo lunokubandakanya:

• Uvavanyo lwegazi lwe-varicella-zoster virus
• Umbane we-Electromyography (EMG)
• Ukugqobhoza i-Lumbar (kwiimeko ezinqabileyo)
• I-MRI yentloko
• Ukuqhutywa kwemithambo (ukumisela ubungakanani bomonakalo kwimbilini yobuso)
• Uvavanyo lolusu lwe-varicella-zoster virus

Iziyobisi ezomeleleyo ezichasayo ezibizwa ngokuba yi-steroids (ezinje nge-prednisone) zihlala zinikwa. Amayeza antiviral, anje nge-acyclovir okanye i-valacyclovir anokunikwa.

Ngamanye amaxesha iipilisi zentlungu ezomeleleyo ziyafuneka ukuba iintlungu ziyaqhubeka nokuba zinee-steroids. Ngelixa unobuthakathaka ebusweni, nxiba isikizi seliso ukuthintela ukwenzakala kwi-cornea (corneal abrasion) kunye nomnye umonakalo kwiliso ukuba iliso alivalanga ngokupheleleyo. Abanye abantu banokusebenzisa into yokuthambisa iliso ebusuku kunye neenyembezi ezizenzekelayo emini ukunqanda iliso ukuba lingomi.

Ukuba unesiyezi, umboneleli wakho unokucebisa amanye amayeza.

Ukuba akukho monakalo ungako kwi-nerve, kuya kufuneka uphucule ngokupheleleyo kwiiveki ezimbalwa. Ukuba umonakalo unzima kakhulu, unokungaphili ngokupheleleyo, kwanasemva kweenyanga ezininzi.

Ngokubanzi, amathuba akho okubuyela kwimeko yesiqhelo angcono ukuba unyango luqalisiwe kwiintsuku ezi-3 emva kokuqala kweempawu. Xa unyango luqalisiwe ngeli xesha, uninzi lwabantu luyachacha ngokupheleleyo. Ukuba unyango lulibazisekile ngaphezulu kweentsuku ezi-3, mancinci amathuba okuba uphinde uchache ngokupheleleyo. Abantwana kusenokwenzeka ukuba babe nokuchacha okupheleleyo kunabantu abadala.

Iingxaki zeRamsay Hunt syndrome zinokubandakanya:

• Utshintsho kwinkangeleko yobuso (ukungcola) ukusuka ekulahlekelweni yintshukumo
• Guqula incasa
• Ukonakaliswa kwamehlo (izilonda zesisu kunye nosulelo), okukhokelela ekuphulukaneni nombono
• Imithambo ekhula ibuyele kulwakhiwo olungalunganga kwaye ibangele iimpendulo ezingaqhelekanga kwintshukumo-umzekelo, ukuncuma kubangela ukuvalwa kwamehlo
• Intlungu eqhubekayo (i-neuralgia ye-postherpetic)
• Ukudumba kwezihlunu zobuso okanye iinkophe

Ngamaxesha athile, intsholongwane inokuthi isasazeke kweminye imithambo-luvo, okanye kwingqondo nakumqolo. Oku kunokubangela:

• Ukudideka
• Ukozela
• Intloko ebuhlungu
• Ubuthathaka beLimb
• Intlungu yomqolo

Ukuba ezi mpawu zenzeka, kunokufuneka ukuba uhlale esibhedlele. Impompo yomqolo inokunceda ekuchongeni ukuba ingaba ezinye iindawo zenkqubo yeemvakalelo zisulelekile na.

Fowunela umboneleli wakho ukuba ulahlekelwa yintshukumo ebusweni bakho, okanye unokukhawuleza ebusweni bakho kunye nobuthathaka bobuso.

Akukho ndlela yaziwayo yokuthintela isifo iRamsay Hunt syndrome, kodwa ukuyinyanga ngamayeza kwakamsinya nje emva kokuba iimpawu zikhule kunokukwenza uchache.

Isifo seHunt; Herpes zoster oticus; Ukuvelisa i-ganglion zoster; Ukuvelisa i-herpes; I-Herpetic geniculate ganglionitis

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IGantz BJ, iRoche JP, iRedleaf MI, iPerry BP, iGubbels SP. Ulawulo lweBell's palsy kunye neRamsay Hunt syndrome. Ku: Brackmann DE, Shelton C, Arriaga MA, ii-eds. Utyando lweOtologic. Ngomhla we-4. IPhiladelphia, PA: Elsevier; 2016: isahluko 27.

INaples JG, uBrant JA, uRuckenstein MJ. Usulelo lwendlebe yangaphandle. Ku: IFlint PW, uFrancis HW, uHaughey BH, et al, ii-eds. I-Cummings Otolaryngology: Utyando lweNtloko kunye neNtamo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2021: isahluko 138.

Waldman SD. Isifo sikaRamsay Hunt. Ku: Waldman SD, ed. IiAtlas zeSyndromes zeNtlungu eziQhelekileyo. Ngomhla we-4. IPhiladelphia, PA: Elsevier; 2021: isahluko 14.