I-Ramsay Hunt Syndrome

-Delile

• Izimpawu
• Izimbangela nezici zobungozi
• Ukwelashwa
• Amakhambi asekhaya
• Izinkinga
• Kutholakala kanjani
• Umbono

Ukubuka konke

I-Ramsay Hunt syndrome yenzeka lapho ama-shingles ethinta izinzwa ebusweni bakho eduze nenye yezindlebe zakho. Ama-shingles athinta noma iyiphi indlebe yisimo esidalwa yigciwane elibizwa nge-herpes zoster oticus. Igciwane le-varicella-zoster elijwayelekile nalo libanga umkhuhlane wenkukhu, ovame kakhulu ezinganeni. Uma uke waba nesibungu sezinkukhu empilweni yakho, igciwane lingaphinde lisebenze ngokuhamba kwesikhathi empilweni yakho futhi lidale ama-shingles.

Kokubili ama-shingles nenkukhu kuphuma kakhulu kubonakala ngokuqubuka okuvela endaweni ethintekile yomzimba. Ngokungafani nomkhuhlane wenkukhu, ukuqubuka kwama-shingles eduze kwezinzwa zobuso ngezindlebe zakho kungadala ezinye izinkinga, kufaka phakathi ukukhubazeka kobuso nobuhlungu bendlebe. Uma lokhu kwenzeka, ibizwa nge-Ramsay Hunt syndrome.

Uma uthola ukuqubuka ebusweni bakho bese uqala nokubona izimpawu ezifana nobuthakathaka bemisipha yobuso, bona udokotela wakho ngokushesha okukhulu. Ukwelashwa kusenesikhathi kungasiza ekuqinisekiseni ukuthi awunazo izinkinga ezivela ku-Ramsay Hunt syndrome.

Izimpawu

Izimpawu ezibonakala kakhulu zeRamsay Hunt syndrome ukuqubuka kwesikhumba eduze kwendlebe eyodwa noma zombili kanye nokukhubazeka okungavamile ebusweni. Ngalesi sifo, ukukhubazeka ebusweni kuyabonakala ohlangothini lobuso oluthinteka ukuqubuka kwamashingles. Lapho ubuso bakho bukhubazekile, imisipha ingazizwa ilukhuni noma ingenakwenzeka ukuyilawula, kube sengathi ilahlekelwe amandla.

Ukuqhuma kwama-shingles kungabonakala ngamabhamuza abomvu agcwele ubomvu. Uma une-Ramsay Hunt syndrome, ukuqubuka kungaba ngaphakathi, ngaphandle, noma ngasendlebeni. Kwezinye izimo, ukuqubuka nakho kungavela emlonyeni wakho, ikakhulukazi ophahleni lomlomo wakho noma ngaphezulu komqala wakho. Kwezinye izimo, ungahle ungabi nokuqubuka okubonakalayo, kepha ube nokukhubazeka okuthile ebusweni bakho.

Ezinye izimpawu ezijwayelekile zeRamsay Hunt syndrome zifaka:

• ubuhlungu endlebeni yakho ethintekile
• ubuhlungu entanyeni yakho
• umsindo wokukhala endlebeni yakho, obizwa nangokuthi ama-tinnitus
• ukulahlekelwa ukuzwa
• unenkinga yokuvala iso ohlangothini oluthintekile lobuso bakho
• ukuncipha komuzwa wokunambitha
• umuzwa wokuthi igumbi liyajikeleza, elibizwa nangokuthi i-vertigo
• inkulumo engacacile kahle

Izimbangela nezici zobungozi

I-Ramsay Hunt syndrome ayithelelani yodwa, kodwa kusho ukuthi unegciwane le-shingles. Ukuvezela umuntu igciwane le-varicella-zoster uma engazange athole ukutheleleka kwangaphambilini kungamnika umkhuhlane wezinkukhu noma ama-shingles.

Ngenxa yokuthi i-Ramsay Hunt syndrome ibangelwa ama-shingles, inezimbangela ezifanayo nezici zobungozi. Lokhu kufaka phakathi:

• phambilini ubephethwe umqubu wenkukhu
• ukuba mdala kuneminyaka engama-60 (kuyaqabukela kwenzeka ezinganeni)
• ukuba namasosha omzimba abuthakathaka noma abekeke engcupheni

Ukwelashwa

Imithi ejwayelekile yokwelashwa kweRamsay Hunt syndrome yimithi elapha ukutheleleka ngegciwane. Udokotela wakho angakunika i-famciclovir noma i-acyclovir kanye ne-prednisone noma eminye imishanguzo noma imijovo ye-corticosteroid.

Bangancoma nokwelashwa okususelwa kuzimpawu ezithile onazo. Izidakamizwa ezingezona ukuvuvukala (ama-NSAID) noma imishanguzo yokuqeda isisu efana ne-carbamazepine ingasiza ekunciphiseni ubuhlungu be-Ramsay Hunt syndrome. Ama-antihistamine angasiza ngezimpawu ze-vertigo, njengesizungu noma ukuzizwa ngathi igumbi liyajikeleza. Amaconsi wamehlo noma uketshezi olufanayo kungasiza ekugcineni iso lakho ligcotshisiwe futhi livimbele ukonakala kwe-cornea.

Amakhambi asekhaya

Ungaphatha ukuqubuka ekhaya ngokugcina ukuqhuma kuhlanzekile futhi usebenzise ukucindezela okubandayo ukunciphisa izinhlungu. Ungathatha futhi imishanguzo yezinhlungu ezingekho emthethweni, kufaka phakathi ama-NSAID afana ne-ibuprofen.

Izinkinga

Uma i-Ramsay Hunt syndrome yelashwa zingakapheli izinsuku ezintathu zivele izimpawu, akufanele ube nezinkinga zesikhathi eside. Kepha uma kungalashwa isikhathi eside ngokwanele, ungaba nobuthakathaka obuthile bezicubu zobuso noma ukulahleka kokuzwa okuthile.

Kwezinye izimo, ungahle ungakwazi ukuvala iso lakho elithintekile ngokuphelele. Ngenxa yalokho, iso lakho lingasoma ngokwedlulele. Ungahle ungakwazi ukucwayiza noma yiziphi izinto noma udaba olungena esweni lakho. Uma ungasebenzisi noma yimaphi amaconsi wamehlo noma i-lubrication, kungenzeka ukonakala kobuso beso, obubizwa nge-cornea. Ukulimala kungadala ukucasuka okuqhubekayo noma ukulahleka okungapheli (yize kuvame ukuba kuncane).

Uma i-Ramsay Hunt syndrome ilimaza noma yiziphi izinzwa zakho zobuso, ungahle uzwe nobuhlungu, noma ungasenaso leso simo. Lokhu kwaziwa ngokuthi i-postherpetic neuralgia. Ubuhlungu benzeka ngoba izinzwa ezilimele azitholi imizwa ngokufanele futhi zithumele izimpawu ezingafanele ebuchosheni bakho.

Kutholakala kanjani

Udokotela wakho angasebenzisa izindlela eziningi ukukuxilonga nge-Ramsay Hunt syndrome:

• Ukuthatha umlando wakho wezokwelapha: Isibonelo, uma ubuphethwe umkhuhlane wengane usengumntwana, ukuqubuka kwamashingles kungenzeka kube nomthelela wokuqubuka ebusweni.
• Ukwenza ukuhlolwa komzimba: Ngalokhu, udokotela wakho uhlola umzimba wakho nganoma yiziphi ezinye izimpawu futhi ubhekisisa indawo ethintekile yi-syndrome ukuqinisekisa ukuxilongwa.
• Ukukubuza imibuzo mayelana nezinye izimpawu: Bangakubuza ukuthi yiziphi ezinye izimpawu onazo, njengobuhlungu noma isiyezi.
• Ukuthatha i-biopsy (izicubu noma isampula ye-fluid): Isampula yokuqhuma nendawo ethintekile ingathunyelwa ebhodini ukuqinisekisa ukuxilongwa.

Ezinye izivivinyo ongazincoma udokotela zifaka:

• ukuhlolwa kwegazi ukuhlola igciwane le-varicella-zoster
• ukuhlolwa kwesikhumba ukuhlola igciwane
• ukukhishwa koketshezi lomgogodla ukuze kuhlolwe (okubizwa nangokuthi i-lumbar puncture noma umpompi womgogodla)
• i-magnetic resonance imaging (MRI) yekhanda lakho

Umbono

I-Ramsay Hunt syndrome inezinkinga ezimbalwa ezihlala njalo. Kodwa-ke, uma ingalashwa isikhathi eside kakhulu, ungahle ube nobuthakathaka obungapheli bemisipha ebusweni bakho noma ulahlekelwe ezinye zezindlebe zakho. Bona udokotela wakho ngokushesha nje lapho ubona noma iyiphi inhlanganisela yezimpawu ukuze uqiniseke ukuthi isimo siyelashwa ngokushesha.

Imithi yokugoma ikhona zombili izinkukhu nezinkukhu. Ukuthola izingane zigonywe zisencane kungasiza ukuvimbela ukuqubuka kwesibungu sezinkukhu ukuthi kungenzeki. Ukuthola umuthi wokugoma ama-shingles lapho usumdala kuneminyaka engama-60 kungasiza ekuvikeleni nokuqubuka kwama-shingles.