I-Ramsay Hunt Syndrome

Umxholo

• Iimpawu
• Oonobangela kunye nemingcipheko
• Unyango
• Unyango lwasekhaya
• Iingxaki
• Kufunyaniswa njani
• Imbonakalo

Ushwankathelo

I-Ramsay Hunt syndrome yenzeka xa i-shingles ichaphazela imithambo ebusweni bakho kufutshane nenye yeendlebe zakho. Izibambo ezichaphazela nayiphi na indlebe yimeko ebangelwa yintsholongwane ebizwa ngokuba yi-herpes zoster oticus. Intsholongwane ye-varicella-zoster intsholongwane ikwabangela irhashalala, exhaphake kakhulu ebantwaneni. Ukuba ukhe wanerhashalala ebomini bakho, intsholongwane inokuphinda isebenze kamva ebomini bakho kwaye ibangele i-shingles.

Zombini i-shingles kunye ne-chicken pox zibonakala kakhulu ngorhwaphilizo olubonakala kwindawo echaphazelekayo yomzimba. Ngokungafaniyo nenkuku yenkukhu, irhashisi erhashazayo kufutshane neentsholongwane zobuso ngeendlebe zakho inokubangela ezinye iingxaki, kubandakanya ukukhubazeka ebusweni kunye nentlungu yendlebe. Xa oku kusenzeka, ibizwa ngokuba yiRamsay Hunt syndrome.

Ukuba ufumana irhashalala ebusweni bakho kwaye uqalise ukuqaphela iimpawu ezinje ngobuthathaka bemisipha yobuso, jonga ugqirha wakho ngokukhawuleza. Unyango lwakwangoko lunokukunceda uqiniseke ukuba awufumani bunzima kwi-Ramsay Hunt syndrome.

Iimpawu

Ezona mpawu zibonakalayo zeRamsay Hunt's syndrome kukuqunjelwa kwe-shingles kufutshane nenye okanye zombini iindlebe kunye nokukhubazeka okungaqhelekanga ebusweni. Ngalesi sifo, ukukhubazeka kobuso kuyabonakala kwicala lobuso elichaphazeleka kukungunda kwe-shingles. Xa ubuso bakho bukhubazekile, izihlunu zinokuziva kunzima okanye zingenakwenzeka ukulawula, ngokungathi ziphelelwe ngamandla.

Irhashalala inokubonwa ngamadyungudyungu abomvu, agcwele ubomvu. Xa uneRamsay Hunt syndrome, irhashalala inokuba ngaphakathi, ngaphandle, okanye ecaleni kwendlebe. Ngamanye amaxesha, irhashalala inokubonakala nasemlonyeni wakho, ngakumbi eluphahleni lomlomo wakho okanye ngaphezulu komqala wakho. Ngamanye amaxesha, ngekhe ubenako ukugqabhuka okubonakalayo konke konke, kodwa usenokukhubazeka ebusweni.

Ezinye iimpawu eziqhelekileyo zeRamsay Hunt syndrome zibandakanya:

• intlungu kwindlebe yakho echaphazelekayo
• intlungu entanyeni yakho
• ingxolo yokukhala kwindlebe yakho, ekwabizwa ngokuba yi-tinnitus
• ukungeva kakuhle
• ingxaki yokuvala iliso kwicala elichaphazelekayo lobuso bakho
• Ukuncipha kwengqondo yokunambitha
• Ukuziva ngathi igumbi liyajikeleza, likwabizwa ngokuba yi-vertigo
• intetho engacacanga kakuhle

Oonobangela kunye nemingcipheko

I-Ramsay Hunt syndrome ayisosuleli yodwa, kodwa oko kuthetha ukuba unayo intsholongwane ye-shingles. Ukuveza umntu kwintsholongwane ye-varicella zoster ukuba khange babenosulelo lwangaphambili kunokubanika irhashalala okanye i-shingles.

Ngenxa yokuba i-Ramsay Hunt syndrome ibangelwa zii-shingles, inezizathu ezifanayo kunye nobungozi. Oku kubandakanya:

• ngaphambili ibinerhashalala
• ukuba mdala kuneminyaka engama-60 (kunqabile ukwenzeka ebantwaneni)
• ukuba namajoni omzimba abuthathaka okanye abuthathaka

Unyango

Olona nyango luqhelekileyo lweRamsay Hunt syndrome ngamayeza anyanga usulelo lwentsholongwane. Ugqirha wakho unokumisela i-famciclovir okanye i-acyclovir kunye ne-prednisone okanye amanye amayeza e-corticosteroid okanye inaliti.

Banokucebisa ngonyango olusekwe kwiimpawu onazo. Izidakamizwa ezichasayo ezichasayo (i-NSAID) okanye imishanguzo yokulwa ne-carbamazepine inokunceda ukunciphisa intlungu ye-Ramsay Hunt syndrome. I-Antihistamines inokunceda ngeempawu ze-vertigo, ezinje ngesiyezi okanye ukuziva ngathi igumbi liyajikeleza. Ukuhla kwamehlo okanye ulwelo olufanayo lunokunceda ukugcina iliso lakho lithanjisiwe kwaye kuthintele ukonakala kwe-cornea.

Unyango lwasekhaya

Unokuphatha i-shingles rash ekhaya ngokugcina i-rash icocekile kwaye usebenzisa i-compress ebandayo ukunciphisa iintlungu. Unokuthatha amayeza eentlungu ngaphezulu kwe-counter, kubandakanya ii-NSAID ezinje nge-ibuprofen.

Iingxaki

Ukuba i-Ramsay Hunt syndrome inyangwa zingaphelanga iintsuku ezintathu zokuvela kweempawu, akufuneki ube naziphi na iingxaki zexesha elide. Kodwa ukuba ayinyangwa ixesha elide, unokuba nobuthathaka obusisigxina bemisipha yobuso okanye ilahleko yokuva.

Ngamanye amaxesha, ngekhe ukwazi ukuvala iliso lakho elichaphazelekayo ngokupheleleyo. Ngenxa yoko, iliso lakho linokuma kakhulu. Usenokungakwazi ukucwayiza naziphi na izinto okanye umba ofika esweni lakho. Ukuba awusebenzisi nawaphi na amathontsi wamehlo okanye i-lubrication, kunokwenzeka ukonakalisa umphezulu wamehlo, abizwa ngokuba yi-cornea. Umonakalo unokubangela ukucaphuka kwe-corneal rhoqo okanye isigxina (nangona ihlala incinci) ukulahleka kombono.

Ukuba iRamsay Hunt syndrome yonakalisa nayiphi na imithambo-luvo yobuso bakho, usenokuziva ubuhlungu, nasemva kokuba ungenayo le meko kwakhona. Oku kwaziwa ngokuba yi-postherpetic neuralgia. Intlungu yenzeka ngenxa yokuba imithambo-luvo eyonakeleyo ayifumani mvakalelo ngokuchanekileyo kwaye ithumele imiqondiso engalunganga kwingqondo yakho.

Kufunyaniswa njani

Ugqirha wakho unokusebenzisa iindlela ezahlukeneyo ukukufumanisa une-Ramsay Hunt syndrome:

• Ukuthatha imbali yakho yezonyango: Umzekelo, ukuba ubune-pox yenkukhu usengumntwana, ukuqubuka kwe-shingles kunokuba noxanduva lokuqunjelwa ebusweni.
• Ukwenza uvavanyo lomzimba: Ngale nto, ugqirha wakho uhlola umzimba wakho naziphi na ezinye iimpawu kwaye ujongisisa indawo echaphazeleka sisifo ukuze aqinisekise isifo.
• Ukukubuza imibuzo malunga nazo naziphi na ezinye iimpawu: Basenokukubuza malunga nezinye iimpawu onazo, njengentlungu okanye isiyezi.
• Ukuthatha i-biopsy (izicwili okanye isampulu yolwelo): Isampulu yokukhubazeka kunye nendawo echaphazelekayo inokuthunyelwa kwilebhu ukuqinisekisa isifo.

Olunye uvavanyo olunokucebisa ugqirha lubandakanya:

• uvavanyo lwegazi ukukhangela intsholongwane ye-varicella zoster
• uvavanyo lolusu ukukhangela intsholongwane
• ukukhutshwa komgogodla ukulungiselela uviwo (ekwabizwa ngokuba kukugqobhoza i-lumbar okanye impompo yomqolo)
• imaging yamagnetic resonance (MRI) yentloko yakho

Imbonakalo

I-Ramsay Hunt syndrome ineengxaki ezimbalwa ezihlala zihleli. Nangona kunjalo, ukuba ayinyangwa ixesha elide, unokuba nobuthathaka obusisigxina ebusweni bakho okanye ulahlekelwe yindlebe. Yiya kugqirha ngokukhawuleza xa uqaphela nayiphi na indibaniselwano yeempawu ukuqinisekisa ukuba imeko inyangwa ngokukhawuleza.

Zikhona ke izitofu zokugonya irhashalala kunye namatyhalana. Ukufumana abantwana bagonywe besebancinci kunokunceda ekuthinteleni ukuqhambuka kwesifo sephuphu ukuba kungenzeki. Ukufumana ukugonywa kwe-shingles xa uneminyaka engaphezu kwe-60 kunokukunceda ukukhusela ukuqhuma kwe-shingles.