ʻO Ramsay Hunt Syndrome

Anter

• Nā ʻōuli
• Nā kumu a me nā kumu pilikia
• Lapaʻau
• Nā hoʻoponopono home
• Nā pilikia
• Pehea e hōʻoia ʻia ai
• Outlook

Hōʻike Overview

Hana ʻo Ramsay Hunt syndrome ke pili ka shingles i nā aʻalolo i kou alo kokoke i kekahi o kou mau pepeiao. ʻO ke shingles e pili ana i nā pepeiao ʻelua kahi ʻano i hoʻokumu ʻia e kahi maʻi i kapa ʻia ʻo herpes zoster oticus. ʻO ka maʻi ākea varicella-zoster ke kumu o ka moa pox, ka mea maʻamau i nā keiki. Inā loaʻa ʻoe i ka moa moa i kou ola, hiki i ka virus ke hoʻoulu hou ma hope i kou ola a kumu i ka shingles.

Hoʻomaopopo nui ʻia nā ʻūlū ʻelua a me ka moa moa e kahi ʻūlū e ʻike ʻia i nā wahi o ke kino i hoʻopili ʻia. ʻAʻole like me ka moa moa, kahi ʻūlū shingles kokoke i nā ʻāʻī o ka maka e kou mau pepeiao hiki ke hana i nā pilikia ʻē aʻe, e like me ka lōlō ʻana o ka maka a me ka ʻeha o ka pepeiao. Ke hiki kēia, kapa ʻia ʻo Ramsay Hunt Syndrome.

Inā loaʻa ʻoe i ka wīwī ma kou helehelena a hoʻomaka hoʻi ʻoe e ʻike i nā ʻōuli e like me ka nāwaliwali o nā mākala maka, e ʻike koke i kāu kauka. Hiki i ka mālama mua ʻana ke kōkua iā ʻoe e ʻike ʻole i nā pilikia mai ka maʻi ʻo Ramsay Hunt.

Nā ʻōuli

ʻO nā ʻōuli ʻike nui ʻia o ka maʻi ʻo Ramsay Hunt kahi ʻāwīwī kokoke i hoʻokahi a i ʻole ʻelua mau pepeiao a me ka maʻi palu ʻole i ka maka. Me kēia maʻi maʻi, ʻike maka ʻia ka lōlō o ka maka ma ka ʻaoʻao o ka maka e loli ʻia e ka ʻūlū shingles. Ke lōlō kou alo, e paʻakikī paha nā mākala a i ʻole hiki ʻole ke kāohi, me he mea lā ua nalowale ko lākou ikaika.

Hiki ke ʻike ʻia kahi ʻōpala shingles e kona mau ʻulaʻula piha i piha i ka pus. Ke loaʻa ʻoe i ka maʻi maʻi Ramsay Hunt, aia paha ka ʻūlū ma loko, ma waho, a puni paha ka pepeiao. I kekahi mau hihia, hiki ke ʻike ʻia ka hū i kou waha, keu hoʻi ma ka kaupaku o kou waha a i ʻole luna o kou ʻāʻī. I nā hihia ʻē aʻe, ʻaʻole paha ʻoe e ʻike i kahi ʻāwīwī i ʻike maka ʻia, akā aia nō kekahi paralysis i kou alo.

ʻO nā ʻōuli maʻamau o Ramsay Hunt maʻi pū kekahi:

• ʻeha ma kou pepeiao i hoʻopili ʻia
• ʻeha ma kou ʻāʻī
• kani i kou pepeiao, i kapa ʻia he tinnitus
• poho lohe
• pilikia e pani ana i ka maka ma ka ʻaoʻao i hoʻopili ʻia o kou alo
• hoʻemi i ke ʻano o ka ʻono
• he manaʻo e like me ka wili ʻana o ka lumi, a kapa ʻia hoʻi ʻo vertigo
• haʻi ʻōlelo pōpō iki

Nā kumu a me nā kumu pilikia

ʻAʻole maʻi ʻo Ramsay Hunt maʻi ma kāna ponoʻī, akā manaʻo ia he maʻi maʻi shingles kāu. Ke hōʻike nei i kekahi i ka maʻi varicella-zoster inā ʻaʻole i loaʻa mua kahi maʻi i hiki ke hāʻawi iā lākou i ka moa moa a i ʻole nā ​​shingles.

Ma muli o ka loaʻa ʻana o ka maʻi maʻi ʻo Ramsay Hunt e ka shingles, loaʻa nā kumu like a me nā kumu weliweli. Pākuʻi ʻia kēia mau mea:

• ma mua he moa moa
• ʻoi aku ma mua o 60 mau makahiki (ʻike pinepine ʻole ʻia i nā keiki)
• ka loaʻa ʻana o kahi ʻōnaehana pale nawaliwali a i ʻole hoʻopilikia ʻia

Lapaʻau

ʻO nā lapaʻau maʻamau no Ramsay Hunt Syndrome he lāʻau lapaʻau e mālama i ka maʻi maʻi. Hiki i kāu kauka ke kauoha aku iā famciclovir a i ʻole acyclovir me ka prednisone a i ʻole nā ​​lāʻau corticosteroid a i ʻole nā ​​injection.

Paipai paha lākou i nā mālama e pili ana i nā hōʻailona kikoʻī āu i loaʻa ai. ʻO nā lāʻau anti-inflammatory Nonsteroidal (NSAIDs) a i ʻole nā ​​lāʻau antiseizure e like me ka carbamazepine hiki ke kōkua i ka hōʻemi ʻana i ka ʻeha o ka maʻi ʻo Ramsay Hunt. Hiki i nā Antihistamines ke kōkua me nā ʻōuli vertigo, e like me ka lualua a manaʻo paha e like me ka wili ʻana o ka lumi. Hiki i nā kulu maka a i ʻole nā ​​wai like ke kōkua i ka mālama ʻana i kou maka a pale i ka hōʻino ʻana o ka ʻili.

Nā hoʻoponopono home

Hiki iā ʻoe ke mālama i kahi wīwī shingles ma ka home e ka hoʻomaʻemaʻe ʻana o ka ʻōhū a me ka hoʻohana ʻana i kahi kaomi anu e hoʻoliʻiliʻi i ka ʻeha. Hiki iā ʻoe ke lawe i nā lāʻau ʻehaʻeha loa, me nā NSAID e like me ka ibuprofen.

Nā pilikia

Inā mālama ʻia ʻo Ramsay Hunt maʻi maʻi ma loko o ʻekolu mau lā o ka hōʻike ʻia ʻana o nā ʻōuli, ʻaʻole pono ʻoe e loaʻa i kekahi pilikia lōʻihi. Akā inā lōʻihi ka mālama ʻia ʻana, loaʻa paha iā ʻoe kahi nāwaliwali mau o nā mākala maka a i ʻole ka nalo ʻana o ka lohe.

I kekahi mau hihia, ʻaʻole hiki iā ʻoe ke pani paʻa loa i kou maka i hoʻopili ʻia. A ʻo kahi hopena, e maloʻo loa paha kou maka. Hiki ʻole paha iā ʻoe ke kīpī i kekahi mea a i ʻole mea i loaʻa i kou maka. Inā ʻaʻole ʻoe e hoʻohana i nā kulu maka a i ʻole ka lubrication, hiki nō ke hōʻino i ka ʻili o ka maka, i kapa ʻia ʻo ke kornea. Hiki i ka hōʻino ke hoʻonāukiuki i ka ʻino mau a me ka hoʻomau mau ʻana (ʻoiai ʻo ka maʻamau maʻamau) ka nalo o ka ʻike.

Inā hōʻino ʻo Ramsay Hunt Syndrome i kekahi o nā ʻalolo helehelena, ʻike paha ʻoe i ka ʻeha, ʻoiai ma hope o kou loaʻa ʻole o ke ʻano. ʻIke ʻia kēia ʻo neuralgia postherpetic. Kū ka ʻeha ma muli o ka ʻike pono ʻole o nā aʻalolo pōʻino i nā sensation a hoʻouna i nā hōʻailona hewa i kou lolo.

Pehea e hōʻoia ʻia ai

Hiki i kāu kauka ke hoʻohana i nā ʻano hana e kuhikuhi iā ʻoe me Ramsay Hunt Syndrome:

• Ke lawe nei i kāu mōʻaukala olakino: ʻo kahi laʻana, inā loaʻa ʻoe i ka moa moa i kou wā kamaliʻi, ʻo ka wī ʻana o ka shingles ke kuleana no ka haki maka.
• Ke hana nei i kahi hoʻokolohua kino: No kēia, nānā kāu kauka i kou kino no nā ʻōuli ʻē aʻe a nānā pono i ka wahi i hoʻopili ʻia e ka maʻi maʻi e hōʻoia i kahi kuhi.
• Ke nīnau nei iā ʻoe i nā nīnau e pili ana i nā ʻōuli ʻē aʻe: E nīnau paha lākou e pili ana i nā hōʻailona ʻē aʻe āu, e like me ka ʻeha a me ka puʻupuʻu paha.
• Lawe i kahi biopsy (kahi aʻa a i ʻole hāpana wai): Hiki ke hoʻouna ʻia kahi laʻana o ka hū a me kahi i hoʻopili ʻia i kahi keʻena e hōʻoia i kahi kuhi.

ʻO nā hoʻokolohua ʻē aʻe a kāu kauka e koi ai:

• hōʻoia koko e nānā i ka maʻi maʻi varicella-zoster
• ʻili hoʻāʻo e nānā i ka maʻi
• ka unuhi ʻana o ka wai ākea no ka hoʻokolokolo ʻana (i kapa ʻia hoʻi he lumbar puncture a i ʻole ka piko ʻōiwi)
• imaging resonance imaging (MRI) o kou poʻo

Outlook

ʻO Ramsay Hunt Syndrome kekahi mau pilikia kū mau. Eia nō naʻe, inā lōʻihi ka lōʻihi o ka mālama ʻia ʻana, loaʻa paha iā ʻoe kahi nāwaliwali o nā mākala mau i kou alo a i ʻole lilo i kāu lohe. E ʻike i kāu kauka ke ʻike koke ʻoe i kahi hui o nā ʻōuli e hōʻoia e mālama koke ʻia ke ʻano.

Aia nā bakuna no nā pox moa a me nā shingles. ʻO ke kiʻi ʻana i nā keiki i ka wā ʻōpio hiki ke kōkua i ka pale ʻana i nā maʻi pox moa mai ka wā mau. Ke kiʻi ʻana i kahi lāʻau shingles keu ʻoe ma mua o 60 mau makahiki hiki ke kōkua i ka pale ʻana i nā maʻi shingles pū kekahi.