Ramsay Hunt chirwere

Ramsay Hunt syndrome inorwadza kukurumidza kutenderera nzeve, kumeso, kana pamuromo. Izvo zvinoitika kana iyo varicella-zoster hutachiona inotapura tsinga mumusoro.

Iyo varicella-zoster hutachiona iyo inokonzeresa Ramsay Hunt syndrome ndiyo imwechete hutachiona hunokonzeresa chickenpox uye shingles.

Muvanhu vane chirwere ichi, hutachiona hunofungidzirwa kuti hunokanganisa tsinga yechiso padyo nenzeve yemukati. Izvi zvinotungamira mukutsamwa uye kuzvimba kwetsinga.

Mamiriro acho anonyanya kubata vanhu vakuru. Mune zvisingawanzoitika zviitiko, zvinoonekwa muvana.

Zviratidzo zvinogona kusanganisira:

• Kurwadziwa kwakanyanya munzeve
• Kuputika kunorwadza paeardrum, nzeve yemakutu, nzeve, rurimi, uye padenga remuromo padivi neiyo yakakanganiswa tsinga
• Kunzwa kurasikirwa kune rimwe divi
• Kunzwa kwezvinhu zvinotenderera (vertigo)
• Kushaya simba kune rimwe divi rechiso kunokonzeresa kuvhara rimwe ziso, kudya (chikafu chinodonha kubva pakona isina kusimba yemuromo), kutaura, uye kufamba kwakanaka kwechiso, pamwe nekumira kumeso uye kuoma mitezo kune rimwe divi kumeso

Anopa hutano anowanzoongorora Ramsay Hunt Syndrome nekutsvaga zviratidzo zvekushaya simba kumeso uye blister-kunge rash.

Miedzo inogona kusanganisira:

• Ropa bvunzo yevaricella-zoster hutachiona
• Electromyography (EMG)
• Lumbar puncture (mune zvisingawanzoitika zviitiko)
• MRI yemusoro
• Nerve conduction (kuona huwandu hwekukuvara kumeso etsinga)
• Ganda bvunzo dzevaricella-zoster hutachiona

Yakasimba inorwisa-kupisa mishonga inonzi steroid (senge prednisone) inowanzo kupihwa. Mishonga yeAntiviral, yakadai seacyclovir kana valacyclovir inogona kupihwa.

Dzimwe nguva painkillers dzakasimba dzinodikanwawo kana kurwadziwa kuchipfuurira kunyangwe nema steroid. Paunenge uine kushaya simba kwechiso, pfeka chigamba cheziso kudzivirira kukuvara kune iyo cornea (corneal abrasion) uye kumwe kukuvara kuziso kana ziso risingavhare zvachose. Vamwe vanhu vanogona kushandisa mafuta ekuzora eziso husiku uye misodzi yekunyepedzera mukati mezuva kudzivirira kuti ziso riome.

Kana uine dzungu, mupi wako anogona kuraira mimwe mishonga.

Kana pasina kukuvara kwakawanda mutsinga, iwe unofanirwa kuwana zvirinani zvachose mukati memavhiki mashoma. Kana kukuvara kwakanyanya, haugone kupora zvizere, kunyangwe mushure memwedzi yakati wandei.

Pakazara, mikana yako yekudzoka iri nani kana kurapwa kukatangwa mukati memazuva matatu mushure mekunge zviratidzo zvatanga. Kana kurapwa kukatangwa mukati menguva ino, vanhu vazhinji vanoita kupora kuzere. Kana kurapwa kukanonoka kweanopfuura mazuva matatu, pane mukana mushoma wekuzorora zvakakwana. Vana vanowanzoita kupora kwakazara kupfuura vanhu vakuru.

Zvinetso zveRamsay Hunt syndrome zvinogona kusanganisira:

• Shanduko mukuonekwa kwechiso (kushanduka) kubva pakurasikirwa kwekufamba
• Chinja kuravira
• Kukuvadza kune ziso (corneal ulcers uye hutachiona), zvichikonzera kurasikirwa kwemaonero
• Tsinga dzinokura dzichidzokera kuzvimiro zvisina kunaka uye dzinokonzeresa kusanzwisisika kune kufamba - semuenzaniso, kunyemwerera kunoita kuti ziso rivhare
• Kuramba uchirwadziwa (postherpetic neuralgia)
• Kupenga kwemasuru kumeso kana maziso eyelids

Dzimwe nguva, hutachiona hunogona kupararira kune dzimwe tsinga, kana kunyangwe kuuropi nemuzongoza. Izvi zvinogona kukonzera:

• Kuvhiringidzika
• Kukotsira
• Kutemwa nemusoro
• Limb kushaya simba
• Mutsipa kurwadziwa

Kana zviratidzo izvi zvikaitika, kugara muchipatara kunogona kudikanwa. Iyo pombi yemusana inogona kubatsira kuona kana dzimwe nzvimbo dzetsinga dzakatapukirwa.

Fonera mupi wako kana iwe ukarasikirwa nechitarisiko kumeso kwako, kana iwe uine kukurumidza kumeso kwako uye kushaya simba kumeso.

Iko hakuna inozivikanwa nzira yekudzivirira Ramsay Hunt syndrome, asi kuirapa nemushonga nguva pfupi mushure mekunge zviratidzo zvavapo zvinogona kugadzirisa kupora.

Hunt chirwere; Herpes zoster oticus; Geniculate ganglion zoster; Kubereka herpes; Herpetic geniculate ganglionitis

Dinulos JGH. Warts, herpes simplex, uye zvimwe hutachiona hutachiona. Muna: Dinulos JGH, ed. Habif's Clinical Dermatology. 7th ed. Philadelphia, PA: Elsevier; 2021: chits.

Gantz BJ, Roche JP, Redleaf MI, Perry BP, Gubbels SP. Kutungamira kweBell's palsy uye Ramsay Hunt syndrome. Mune: Brackmann DE, Shelton C, Arriaga MA, eds. Kuvhiya kweOtologic. 4th ed. Philadelphia, PA: Elsevier; 2016: chitsiko 27.

Naples JG, Brant JA, Ruckenstein MJ. Zvirwere zvekunze kwekunze. Mune: Flint PW, Francis HW, Haughey BH, et al, eds. Cummings Otolaryngology: Musoro uye Neck Kuvhiya. 7th ed. Philadelphia, PA: Elsevier; 2021: chitsiko 138.

Waldman SD. Ramsay Hunt chirwere. Mune: Waldman SD, ed. Atlas Yeasingawanzo Marwadzo Syndromes. 4th ed. Philadelphia, PA: Elsevier; 2021: chitsiko 14.