ʻO Ramsay Hunt maʻi maʻi

ʻO Ramsay Hunt Syndrome kahi ʻehaʻeha a puni ka pepeiao, ma ka maka, a i ʻole ma ka waha. Kū ia i ka wā e hoʻopili ai ka maʻi maʻi varicella-zoster i kahi nerve i ke poʻo.

ʻO ka maʻi varicella-zoster nāna i hoʻokumu i ka maʻi ʻo Ramsay Hunt ka maʻi like i loaʻa i ka moa a me nā shingles.

I ka poʻe me kēia maʻi, manaʻo ʻia ka maʻi e hoʻopili i ke aʻalolo o ka maka ma kahi o ka pepeiao o loko. ʻO kēia ke alakaʻi i ka huhū a me ka pehu o ke aʻalolo.

Hoʻopilikia ke ʻano i nā mākua. I nā hihia kakaikahi, ʻike ʻia i nā keiki.

Pākuʻi ʻia paha nā ʻōuli:

• ʻEha nui ma ka pepeiao
• ʻO ka ʻehaʻeha ma ka pepeiao, kēwa o ka pepeiao, ʻūlū, alelo, a me ke kaupaku o ka waha ma ka ʻaoʻao me ke aʻalolo i hoʻopilikia ʻia.
• Lohe lohe i kekahi ʻaoʻao
• Manaʻo o nā mea e wili (vertigo)
• Ka nāwaliwali ma kekahi ʻaoʻao o ka helehelena e hoʻopilikia ai i ka pani ʻana o hoʻokahi maka, ʻai ʻana (hāʻule ka meaʻai mai ke kihi nāwaliwali o ka waha), hana ʻana i nā hiʻohiʻona, a me ka neʻe ʻana o ka helehelena maikaʻi, a me ka hiolo ʻana o ka maka a me ka palalysis ma kekahi ʻaoʻao o ka maka

Hoʻomaopopo pinepine kahi mea mālama ola iā Ramsay Hunt Syndrome e ka nānā ʻana i nā ʻōuli o ka nāwaliwali i ka maka a me ka ʻehu like me ka ʻōpala.

E komo pū paha nā hoʻāʻo:

• Nā hōʻoia koko no ka maʻi ʻino varicella-zoster
• Uila (EMG)
• Lumbar puncture (i nā manawa kakaikahi)
• MRI o ke poʻo
• Conduction nerve (e hoʻoholo i ka nui o nā hōʻino i ke aʻalolo helehelena)
• Nā hoʻāʻo ʻili no ka mea hoʻomaʻi varicella-zoster

Hāʻawi pinepine ʻia nā lāʻau anti-inflammatory ikaika i kapa ʻia ʻo steroid (e like me prednisone). Hāʻawi ʻia nā lāʻau Antiviral, e like me acyclovir a i ʻole valacyclovir.

I kekahi manawa pono ʻia nā painkillers ikaika inā hoʻomau ka ʻeha me nā steroid. ʻOiai he nāwaliwali kou i ka maka, e ʻaʻapo i ka pale o ka maka e pale ai i ka hōʻeha ʻana i ke kōkō (kornea abrasion) a me nā mea ʻino ʻē aʻe i ka maka inā ʻaʻole paʻa paʻa ka maka. Hiki i kekahi poʻe ke hoʻohana i kahi lubricant maka kūikawā i ka pō a me nā waimaka hana i ke ao e pale ai i ka maka mai ka maka.

Inā loaʻa ʻoe i ka lōlō, hiki i kāu mea hāʻawi ke aʻoaʻo i nā lāʻau ʻē aʻe.

Inā ʻaʻole nui ka pōʻino i ke aʻalolo, pono ʻoe e ʻoi aku ka maikaʻi i loko o kekahi mau pule. Inā ʻoi aku ka nui o ka pōʻino, ʻaʻole paha ʻoe e ola hou, ʻoiai ma hope o kekahi mau mahina.

Ma ke ʻano holoʻokoʻa, ʻoi aku ka maikaʻi o kou manawa ke ola inā hoʻomaka ka lāʻau i loko o 3 mau lā ma hope o ka hoʻomaka ʻana o nā ʻōuli. Ke hoʻomaka ʻia ka lapaʻau ʻana i loko o kēia manawa, hoʻōla hou ka hapanui o ka poʻe. Inā hoʻolohi ʻia ka lāʻau lapaʻau ma mua o 3 mau lā, aia ka liʻiliʻi o ka manawa o ke ola loa. Loaʻa paha ke ola hou o nā keiki ma mua o nā mākua.

Komo pū kekahi nā pilikia o Ramsay Hunt Syndrome:

• Nā loli i ka helehelena o ke alo (disfigurement) mai ka nalo ʻana o ka neʻe
• Hoʻololi i ka ʻono
• ʻO ka hōʻino i ka maka (nā maʻi maʻi a me nā maʻi maʻi), e hopena ana i ka nalo ʻana o ka hihiʻo
• ʻO nā ʻalalā e ulu hou i nā hanana hewa a hana i nā hopena kūpono ʻole i kahi neʻe - e laʻa me ka minoʻaka ʻana e pani ai ka maka
• ʻEha mau (postherpetic neuralgia)
• Spasm o nā helehelena a i ʻole nā ​​lihilihi maka

I kekahi manawa, hoʻolaha paha ka maʻi i nā ʻāʻī ʻē aʻe, a i ʻole i ka lolo a me ka iwi kuamoo. Hiki i kēia ke kumu:

• Huikau
• Hiamoe
• Poʻo poʻo poʻo
• Nāwaliwali kaho
• ʻEha ʻeha

Inā kū kēia mau ʻōuli, pono paha kahi noho ma ka haukapila. Hiki paha i kahi ʻōiwi o ke kuamoʻo ke kōkua e hoʻoholo inā loaʻa nā maʻi ʻē aʻe o ka ʻōnaehana i nā maʻi.

Kāhea i kāu mea hāʻawi inā nalowale kāu neʻe i kou alo, a i ʻole he pākī kou helehelena a me kou nāwaliwali.

ʻAʻohe ala i ʻike ʻia e pale aku ai i ka maʻi maʻi ʻo Ramsay Hunt, akā ʻo ka mālama ʻana iā ia me ka lāʻau ma hope koke iho o ka hoʻomohala ʻana o nā hōʻailona hiki ke hoʻomaikaʻi i ke ola ʻana.

Maʻi maʻi Hunt; Herpes zoster oticus; Genulateate ganglion zoster; Genpesate herpes; ʻO Gangpetionitis genpetate genpetate

ʻO Dinulos JGH. ʻO Warts, herpes simplex, a me nā maʻi viral ʻē aʻe. I: Dinulos JGH, hoʻoponopono. ʻO Dermatology Lapaʻau ʻo Habif. ʻEpekema 7 Piladelapia, PA: Elsevier; 2021: chap 12.

ʻO Gantz BJ, Roche JP, Redleaf MI, Perry BP, Gubbels SP. Ka mālama ʻana i ka palsy a Bell a me Ramsay Hunt Syndrome. I: Brackmann DE, ʻo Shelton C, ʻo Arriaga MA, nā ʻaoʻao. ʻOki kino Otologic. ʻEhā ed. Piladelapia, PA: Elsevier; 2016: chap 27.

ʻO Naples JG, Brant JA, Ruckenstein MJ. Nā maʻi o ka pepeiao waho. I: Flint PW, Francis HW, Haughey BH, et al, eds. Cummings Otolaryngology: Ke poʻo poʻo a me ka ʻāʻī. ʻEpekema 7 Piladelapia, PA: Elsevier; 2021: chap 138.

Waldman SD. ʻO Ramsay Hunt maʻi maʻi. I: Waldman SD, hoʻoponopono. Nā Atlas o Uncommon Pain Syndromes. ʻEhā ed. Piladelapia, PA: Elsevier; 2021: chap 14.