Ramsay Hunt Syndrome

Zamkati

• Zizindikiro
• Zomwe zimayambitsa komanso zoopsa
• Chithandizo
• Zithandizo zapakhomo
• Zovuta
• Momwe amadziwika
• Chiwonetsero

Chidule

Matenda a Ramsay Hunt amachitika ming'alu ikakhudza mitsempha kumaso kwanu pafupi ndi khutu lanu lililonse. Ziphuphu zomwe zimakhudza khutu lililonse ndizomwe zimayambitsidwa ndi kachilombo kotchedwa herpes zoster oticus. Tizilombo toyambitsa matenda a varicella zoster timayambitsanso matenda a nkhuku, omwe amapezeka kwambiri mwa ana. Ngati mwakhala mukumenyedwa ndi nthomba m'moyo wanu, kachilomboka kangayambitsenso mtsogolo m'moyo wanu ndikupangitsa ma shongo.

Ziphuphu zonse ndi nthomba zimadziwika kwambiri ndi zotupa zomwe zimapezeka mdera lomwe lakhudzidwa. Mosiyana ndi nthomba, kutupatupa pafupi ndi minyewa yamaso ndi makutu anu kumatha kubweretsa zovuta zina, kuphatikiza ziwalo za nkhope ndi kupweteka kwa khutu. Izi zikachitika, amatchedwa matenda a Ramsay Hunt.

Ngati mwayamba kuchita manyazi pankhope ndikuyamba kuzindikira zizindikiro monga kufooka kwa minofu ya nkhope, onani dokotala wanu mwachangu momwe mungathere. Chithandizo cham'mbuyomu chitha kuthandizira kuti musakumane ndi zovuta zilizonse kuchokera ku matenda a Ramsay Hunt.

Zizindikiro

Zizindikiro zowoneka bwino za matenda a Ramsay Hunt ndizophulika pafupi ndi khutu limodzi kapena makutu onse ndi ziwalo zosazolowereka pamaso. Ndi matendawa, ziwalo za nkhope zimawonekera mbali yamaso yomwe imakhudzidwa ndi zotupa. Pamene nkhope yanu ili wolumala, minofu imatha kukhala yovuta kapena yosatheka kuigwira, ngati kuti yataya mphamvu.

Ziphuphu zimatha kuwoneka ndi zotupa zake zofiira, zodzaza mafinya. Mukakhala ndi matenda a Ramsay Hunt, totupayo titha kukhala mkati, kunja, kapena kuzungulira khutu. Nthawi zina, zidzolo zimatha kuwonekeranso pakamwa panu, makamaka padenga pakamwa panu kapena pamwamba pakhosi panu. Nthawi zina, mwina simungakhale ndi zotupa zooneka konse, komabe mumakhala ndi ziwalo pankhope panu.

Zizindikiro zina zofala za matenda a Ramsay Hunt ndi monga:

• kupweteka khutu lanu lomwe lakhudzidwa
• kupweteka m'khosi mwako
• phokoso lakumveka khutu lanu, lotchedwanso tinnitus
• kutaya kumva
• vuto kutseka diso kumbali yakukhudzidwa ndi nkhope yanu
• kuchepa kwamamvekedwe
• kumverera ngati chipinda chikuzungulira, chomwe chimatchedwanso vertigo
• kusalankhula pang'ono

Zomwe zimayambitsa komanso zoopsa

Matenda a Ramsay Hunt sali opatsirana okha, koma zikutanthauza kuti muli ndi kachilombo ka shingles. Kuwonetsa wina ku kachilombo ka varicella zoster ngati alibe kachilombo koyambitsa matendawa kumatha kuwapatsa kachilombo kapena ming'alu.

Chifukwa Ramsay Hunt syndrome imayambitsidwa ndi ma shingles, ili ndi zifukwa zomwezo komanso zoopsa. Izi zikuphatikiza:

• poyamba anali ndi khola
• kukhala wamkulu kuposa zaka 60 (sizimachitika kawirikawiri mwa ana)
• kukhala ndi chitetezo chamthupi chofooka kapena chofooka

Chithandizo

Mankhwala odziwika bwino a Ramsay Hunt syndrome ndi mankhwala omwe amachiza matendawa. Dokotala wanu akhoza kukupatsani famciclovir kapena acyclovir pamodzi ndi prednisone kapena mankhwala ena a corticosteroid kapena jakisoni.

Angalimbikitsenso chithandizo chothandizidwa ndi zizindikilo zomwe muli nazo. Mankhwala osagwiritsidwa ntchito poletsa kutupa (NSAIDs) kapena mankhwala ochepetsa mphamvu ngati carbamazepine atha kuthandiza kuchepetsa kupweteka kwa matenda a Ramsay Hunt. Antihistamines itha kuthandizira kukhala ndi zizindikiritso zama vertigo, monga chizungulire kapena kumva ngati chipinda chikuzungulira. Madontho amaso kapena madzi amtundu womwewo amatha kuthandizira kuti diso lanu likhalebe ndi mafuta komanso kupewa kuwonongeka kwa diso.

Zithandizo zapakhomo

Mutha kuchiza zotupa panyumba pochita zotupa zoyera ndikugwiritsa ntchito compress yozizira kuti muchepetse kupweteka. Muthanso kumwa mankhwala owawa, kuphatikiza ma NSAID ngati ibuprofen.

Zovuta

Ngati matenda a Ramsay Hunt amathandizidwa m'masiku atatu atayamba kuonekera, simuyenera kukhala ndi zovuta zazitali. Koma ngati imapanda kuchiritsidwa kwa nthawi yayitali, mutha kukhala ndi kufooka kosatha kwa nkhope kapena kusamva.

Nthawi zina, simungathe kutseka kwathunthu diso lanu lomwe lakhudzidwa. Zotsatira zake, diso lanu limauma kwambiri. Mwinanso simungathe kupenya chilichonse kapena chinthu chomwe chili m'diso lanu. Ngati simugwiritsa ntchito madontho kapena diso lililonse, ndizotheka kuwononga nkhope ya diso, yotchedwa cornea. Kuwonongeka kumatha kuyambitsa kukwiya kwam'miyendo nthawi zonse kapena kuwonongera kwamuyaya (ngakhale kawirikawiri).

Ngati matenda a Ramsay Hunt awononga msana uliwonse wamaso anu, mutha kumva kuwawa, ngakhale mutakhala kuti mulibe vutoli. Izi zimadziwika kuti postherpetic neuralgia. Kupweteka kumachitika chifukwa mitsempha yowonongeka sazindikira kutengeka molondola ndipo imatumiza zizindikilo zolakwika ku ubongo wanu.

Momwe amadziwika

Dokotala wanu amatha kugwiritsa ntchito njira zingapo kuti akupatseni matenda a Ramsay Hunt:

• Kutenga mbiri yanu yazachipatala: Mwachitsanzo, ngati mudakhala ndi khola muli mwana, kuphulika kwa ziphuphu kumatha kuchititsa kuti nkhope yanu ipse.
• Kuyezetsa thupi: Pachifukwachi, dokotala wanu amayang'ana thupi lanu ngati ali ndi zizindikiro zina ndikuyang'anitsitsa malo omwe akhudzidwa ndi matendawa kuti atsimikizire kuti ali ndi matendawa.
• Kukufunsani mafunso pazizindikiro zina zilizonse: Atha kukufunsani za zisonyezo zina zomwe muli nazo, monga kupweteka kapena chizungulire.
• Kutenga biopsy (minofu kapena madzi amadzimadzi): Chitsanzo cha zotupa ndi dera lomwe lakhudzidwa zitha kutumizidwa ku labu kuti zitsimikizire kuti ali ndi matenda.

Mayesero ena omwe dokotala angakulimbikitseni ndi awa:

• kuyesa magazi kuti muwone ngati ali ndi kachilombo ka varicella zoster
• kuyesa khungu kuti muwone ngati ali ndi kachilombo
• Kutulutsa kwamadzi amtsempha kuti ayesedwe (komwe kumatchedwanso kuti lumbar puncture kapena tap tap)
• kujambula kwa maginito (MRI) pamutu panu

Chiwonetsero

Matenda a Ramsay Hunt amakhala ndi zovuta zochepa. Komabe, ngati sichitha chithandizo kwa nthawi yayitali, mutha kukhala ndi kufooka kosatha kumaso kwanu kapena kutaya kumva kwanu. Onani dokotala wanu mukangoona zizindikiro zilizonse zowonetsetsa kuti vutoli lithandizidwa mwachangu.

Katemerayu alipo chifukwa cha nthomba ndi ming'alu. Kulowetsa ana katemera akadali aang'ono kumathandiza kupewa kuphulika kwa nthomba. Kupeza katemera wa shingles mutakula kuposa zaka 60 kungathandizenso kupewa kuphulika kwa ziphuphu.