I-Ramsay Hunt syndrome

I-Ramsay Hunt syndrome ukuqubuka okubuhlungu okuzungeze indlebe, ebusweni, noma emlonyeni. Kwenzeka lapho igciwane le-varicella-zoster lithelela inzwa ekhanda.

Igciwane le-varicella-zoster elibanga i-Ramsay Hunt syndrome yigciwane elifanayo elibanga ingxibongo kanye nama-shingles.

Kubantu abanalesi sifo, igciwane likholelwa ukuthi lithelela imizwa yobuso eduze kwendlebe yangaphakathi. Lokhu kuholela ukucasuka nokuvuvukala kwemizwa.

Lesi simo sithinta kakhulu abantu abadala. Ezimweni ezingavamile, kubonakala ezinganeni.

Izimpawu zingafaka:

• Ubuhlungu obukhulu endlebeni
• Ukuqhuma okubuhlungu ku-eardrum, endlebeni yendlebe, endlebeni, olimini, nasophahleni lomlomo ohlangothini ngenzwa ethintekile
• Ukulahlekelwa ukuzwa ngakolunye uhlangothi
• Ukuzwa kwezinto ukuphotha (i-vertigo)
• Ubuthakathaka ohlangothini lobuso obudala ubunzima bokuvala iso elilodwa, ukudla (ukudla kwehla ekhoneni elibuthakathaka lomlomo), ukwenza izinkulumo, nokwenza ukunyakaza okuhle kobuso, kanye nokwehla kobuso nokukhubazeka kolunye uhlangothi ubuso

Umhlinzeki wezokunakekelwa kwempilo uvame ukuxilonga iRamsay Hunt Syndrome ngokufuna izimpawu zobuthakathaka ebusweni nokuqubuka okufana nebhamuza.

Ukuhlolwa kungafaka:

• Ukuhlolwa kwegazi nge-varicella-zoster virus
• I-Electromyography (EMG)
• Ukubhoboza i-Lumbar (ezimweni ezingavamile)
• I-MRI yekhanda
• Ukuqhutshwa kwemithambo (ukunquma inani lomonakalo enhlanganweni yobuso)
• Ukuhlolwa kwesikhumba ngegciwane le-varicella-zoster

Izidakamizwa ezinamandla ezilwa nokuvuvukala ezibizwa nge-steroids (njenge-prednisone) zivame ukunikezwa. Imithi elwa namagciwane, efana ne-acyclovir noma i-valacyclovir inganikezwa.

Kwesinye isikhathi amaphilisi ezinhlungu aqinile nawo ayadingeka uma ubuhlungu buqhubeka ngisho ne-steroids. Ngenkathi unobuthakathaka ebusweni, gqoka isichibi seso ukuvimbela ukulimala ku-cornea (umhuzuko we-corneal) nokunye ukulimala esweni uma iso lingavali ngokuphelele. Abanye abantu bangasebenzisa i-lubricant ekhethekile yamehlo ebusuku nezinyembezi zokufakelwa emini ukuvimbela iso ekutheni lome.

Uma unesiyezi, umhlinzeki wakho angakweluleka ngeminye imithi.

Uma kungekho monakalo omkhulu enzwa, kufanele ube ngcono ngokuphelele phakathi kwamasonto ambalwa. Uma umonakalo unzima kakhulu, ungahle ungalulami ngokuphelele, noma ngemuva kwezinyanga ezimbalwa.

Sekukonke, amathuba akho okululama angcono uma ukwelashwa kuqalwa kungakapheli izinsuku ezintathu emva kokuqala kwezimpawu. Lapho ukwelashwa kuqalwa ngalesi sikhathi, abantu abaningi bayalulama ngokugcwele. Uma ukwelashwa kubambezeleka isikhathi esingaphezu kwezinsuku ezintathu, mancane amathuba okuthi alulame ngokuphelele. Izingane zinamathuba amaningi okuthi zilulame ngokuphelele kunabantu abadala.

Izinkinga zeRamsay Hunt syndrome zingafaka:

• Izinguquko ekubukekeni kobuso (ukungasebenzi komzimba) kusukela ekulahlekelweni ukunyakaza
• Shintsha ekunambithekeni
• Ukulimala kweso (izilonda zesisu nezifo), okuholela ekulahlekelweni kwamehlo
• Izinzwa ezikhula zibuyele ezakhiweni ezingafanele futhi zidale ukusabela okungajwayelekile enyakazweni - ngokwesibonelo, ukumomotheka kubangela iso ukuvala
• Ubuhlungu obuqhubekayo
• Ukuqhuma kwemisipha yobuso noma amajwabu amehlo

Ngezikhathi ezithile, igciwane lingasakazeka liye kwezinye izinzwa, noma ngisho nasebuchosheni nasemgogodleni. Lokhu kungadala:

• Ukudideka
• Ukozela
• Ukuphathwa ikhanda
• Ubuthakathaka bezitho
• Ubuhlungu bemizwa

Uma lezi zimpawu zenzeka, ukuhlala esibhedlela kungadingeka. Ukuthepha umgogodla kungasiza ekunqumeni ukuthi ngabe ezinye izindawo zesistimu yezinzwa zingenwe yini.

Shayela umhlinzeki wakho uma ulahlekelwa ukunyakaza ebusweni bakho, noma unokuqubuka ebusweni bakho nobuthakathaka bobuso.

Ayikho indlela eyaziwayo yokuvimbela i-Ramsay Hunt syndrome, kepha ukuyelapha ngomuthi ngemuva nje kokuvela kwezimpawu kungathuthukisa ukutakula.

I-Hunt syndrome; I-Herpes zoster oticus; Ukudala i-ganglion zoster; Izakhi zofuzo ze-herpes; I-Herpetic geniculate ganglionitis

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IGantz BJ, iRoche JP, iRedleaf MI, iPerry BP, iGubbels SP. Ukuphathwa kwesifo sikaBell nesifo iRamsay Hunt syndrome. Ku: Brackmann DE, Shelton C, Arriaga MA, eds. Ukuhlinzwa kwe-Otologic. Umhla wesi-4. IPhiladelphia, PA: Elsevier; 2016: isahluko 27.

INaples JG, uBrant JA, uRuckenstein MJ. Ukutheleleka kwendlebe yangaphandle. Ku: IFlint PW, uFrancis HW, uHaughey BH, et al, eds. I-Cummings Otolaryngology: Ukuhlinzwa Kwekhanda Nentamo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2021: isahluko 138.

I-Waldman SD. I-Ramsay Hunt syndrome. Ku: Waldman SD, ed. I-Atlas Yezimpawu Ezingavamile Zobuhlungu. Umhla wesi-4. IPhiladelphia, PA: Elsevier; 2021: isahluko 14.