Matenda a Ramsay Hunt

Matenda a Ramsay Hunt ndi zotupa zopweteka kuzungulira khutu, nkhope, kapena pakamwa. Zimachitika pamene varicella zoster virus imayambitsa mitsempha pamutu.

Vuto la varicella-zoster lomwe limayambitsa matenda a Ramsay Hunt ndi kachilombo komweko kamene kamayambitsa nthomba ndi ma shingles.

Kwa anthu omwe ali ndi matendawa, kachilomboka kamakhulupirira kuti kamayambitsa mitsempha ya nkhope pafupi ndi khutu lamkati. Izi zimabweretsa kukwiya ndi kutupa kwa mitsempha.

Vutoli limakhudza kwambiri achikulire. Nthawi zambiri, zimawoneka mwa ana.

Zizindikiro zimaphatikizapo:

• Kupweteka kwambiri khutu
• Zotupa zotupa pamphuno, m'makutu, khutu, lilime, ndi padenga pakamwa ndi minyewa yomwe yakhudzidwa.
• Kutaya kwakumva mbali imodzi
• Kutengeka kwa zinthu zomwe zikuzungulira (vertigo)
• Kufooka mbali imodzi ya nkhope komwe kumapangitsa kuvuta kutseka diso limodzi, kudya (chakudya chimagwera pakona chofooka pakamwa), kuyankhula, ndikuyenda bwino pankhope, komanso kugwa kwa nkhope ndi ziwalo mbali imodzi ya nkhope

Wothandizira zaumoyo nthawi zambiri amatenga matenda a Ramsay Hunt Syndrome poyang'ana zizindikilo zofooka pankhope komanso zotupa ngati zotupa.

Mayeso atha kuphatikiza:

• Kuyezetsa magazi kwa varicella-zoster virus
• Electromyography (EMG)
• Lumbar puncture (nthawi zambiri)
• MRI ya mutu
• Kuchita misempha (kudziwa kuchuluka kwa kuwonongeka kwa mitsempha ya nkhope)
• Kuyesedwa kwa khungu kwa kachilombo ka varicella zoster

Mankhwala amphamvu odana ndi kutupa otchedwa steroids (monga prednisone) amaperekedwa nthawi zambiri. Mankhwala a ma virus, monga acyclovir kapena valacyclovir atha kuperekedwa.

Nthawi zina mankhwalawa amathandiza kwambiri ngati ululu ukupitilira ngakhale ndi ma steroids. Pomwe nkhope yanu ili ndi kufooka, valani chigamba cha diso kuti mupewe kuvulala kwa diso la cornea (kupwetekedwa kwaminyewa) ndikuwonongeka kwina kwa diso ngati diso silitseke kwathunthu. Anthu ena atha kugwiritsa ntchito mafuta amaso apadera usiku ndi misozi yokumba masana kuti diso lisaume.

Ngati muli ndi chizungulire, omwe amakupatsani akhoza kukulangizani mankhwala ena.

Ngati palibe kuwonongeka kwakukulu kwa mitsempha, muyenera kukhala bwino kwathunthu mkati mwa milungu ingapo. Ngati kuwonongeka kukukulira, mwina simungathe kuchira, ngakhale patatha miyezi ingapo.

Ponseponse, mwayi wanu wochira ndiwabwino ngati mankhwalawa ayambitsidwa patatha masiku atatu zizindikiro zitayamba. Chithandizo chikayambika munthawi imeneyi, anthu ambiri amachira. Ngati mankhwala akuchedwa kupitirira masiku atatu, pamakhala mwayi wochepa wochira. Ana amatha kuchira kwathunthu kuposa achikulire.

Zovuta za matenda a Ramsay Hunt atha kukhala:

• Kusintha kwa mawonekedwe a nkhope (mawonekedwe) kuchokera pakutha kuyenda
• Sinthani kukoma
• Kuwonongeka kwa diso (zilonda zam'mimba ndi matenda), zomwe zimapangitsa kuti munthu asamaone bwino
• Mitsempha yomwe imabwerera kuzinthu zolakwika ndipo imayambitsa kusayenda bwino kwa gulu - mwachitsanzo, kumwetulira kumapangitsa kuti diso litseke
• Kupweteka kosalekeza (postherpetic neuralgia)
• Kuphipha kwa nkhope nkhope kapena zikope

Nthawi zina, kachilomboka kangafalikire m'mitsempha ina, kapena mpaka muubongo ndi msana. Izi zitha kuyambitsa:

• Kusokonezeka
• Kusinza
• Kupweteka mutu
• Ziwalo zofooka
• Kupweteka kwamitsempha

Zizindikiro izi zikachitika, kukafunika kupita kuchipatala. Kupopera kwa msana kumatha kuthandizira kudziwa ngati madera ena amanjenje ali ndi kachilombo.

Itanani omwe akukuthandizani ngati simukuyenda pankhope panu, kapena muli ndi zotupa pankhope panu komanso kufowoka kwanu.

Palibe njira yodziwikiratu yopewera matenda a Ramsay Hunt, koma kuwachiritsa ndi mankhwala zizindikiro zikangoyamba kumene kumatha kuchira.

Matenda a Hunt; Nsungu zoster oticus; Chibadwa cha ganglion zoster; Matenda opatsirana; Herpetic geniculate ganglionitis

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Gantz BJ, Roche JP, Redleaf MI, Perry BP, Gubbels SP. Kusamalira matenda a Bell ndi matenda a Ramsay Hunt. Mu: Brackmann DE, Shelton C, Arriaga MA, olemba., Eds. Opaleshoni ya Otologic. Wolemba 4. Philadelphia, PA: Elsevier; 2016: chap 27.

Naples JG, Brant JA, Ruckenstein MJ (Adasankhidwa) Matenda a khutu lakunja. Mu: Flint PW, Francis HW, Haughey BH, et al, olemba. Cummings Otolaryngology: Opaleshoni ya Mutu ndi Khosi. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2021: mutu 138.

Waldman SD. Matenda a Ramsay Hunt. Mu: Waldman SD, mkonzi. Atlas of Syntr Pain Pain Syndromes. Wolemba 4. Philadelphia, PA: Elsevier; 2021: chaputala 14.