ʻO Ramsay Hunt Syndrome: he aha ia, kumu, a me nā hōʻailona

Anter

• He aha nā hōʻailona
• Nā kumu kūpono
• He aha ke kuhi
• Pehea e hana ai i ka lāʻau

ʻO Ramsay Hunt Syndrome, ka mea i kapa ʻia ʻo herpes zoster o ka pepeiao, he maʻi ia o ke aʻalolo a me ke aʻalolo lohe e hiki ai i ka maʻi lolo, nā pilikia lohe, vertigo a me ke ʻano o nā ʻulaʻula a me nā palapū ma ka pepeiao.

Hoʻokumu ʻia kēia maʻi e ka maʻi herpes zoster, ʻo ia ke kumu o ka moaʻi, e hiamoe nei i loko o ka ganglion nerve maka a i loko o nā kānaka immunosuppressed, diabetics, keiki a ʻelemakule hiki ke hoʻoulu hou.

ʻAʻohe maʻi lele ʻo Ramsay Hunt Syndrome, eia nō naʻe, ʻo ka maʻi herpes zoster i hiki ke loaʻa ma nā puʻupuʻu e waiho kokoke ana i ka pepeiao, hiki ke lawe ʻia i nā poʻe ʻē aʻe a hana i ka moa moa i kēlā me kēia kanaka i loaʻa ʻole i ka maʻi ma mua. E aʻo pehea e ʻike ai i nā ʻōuli o ka moa moa.

He aha nā hōʻailona

ʻO nā ʻōuli o Ramsay Hunt Syndrome hiki ke:

• Paralysis helehelena;
• ʻEha pepeiao koʻikoʻi;
• Vertigo;
• Nā ʻeha a me nā poʻo poʻo;
• Ka ʻōlelo paʻakikī;
• Fiva;
• Maka maloʻo;
• Hoʻololi i ka ʻono.

I ka hoʻomaka o ka hōʻike maʻi, hana ʻia nā pā pulu wai piha i loko o ka pepeiao o waho a me ka auwaha pepeiao, hiki ke hana ʻia ma ke alelo a me / a i ʻole ke kaupaku o ka waha. Hiki ke hoʻomau i ka nalo ʻana o ka lohe ʻana, a hiki i ka vertigo ke kū mau mai kekahi mau lā a i kekahi mau pule.

Nā kumu kūpono

Hoʻokumu ʻia ʻo Ramsay Hunt Syndrome e ka maʻi herpes zoster, ʻo ia ke kumu o ka moa a me nā shingles, e hiamoe nei i loko o kahi ganglion o nā aʻa maka.

ʻOi aku ka makaʻu o ka hoʻomohala ʻana i kēia maʻi i nā kānaka immunosuppressed, diabetics, keiki a i ʻole ʻelemakule, i ʻeha i ka moa.

He aha ke kuhi

Hoʻokumu ʻia ka hōʻailona o Ramsay Hunt Syndrome ma muli o nā ʻōuli i hōʻike ʻia e ka mea hoʻomanawanui, me ka hoʻokolohua pepeiao. Nā hoʻokolohua ʻē aʻe, e like me ka hoʻāʻo Schirmer, e nānā i ka haehae ʻana, a i ʻole ka hōʻike gustometry, e nānā ai i ka ʻono, hiki ke hana pū kekahi. ʻO kekahi mau hoʻokolohua hoʻokolohua, e like me PCR, hiki ke hana ʻia e ʻike i ke alo o ka maʻi.

Hana ʻia ka ʻike ʻokoʻa o kēia maʻi me nā maʻi e like me ka palsy a Bell, neuralgia post-herpetic a i ʻole neuralgia trigeminal.

Pehea e hana ai i ka lāʻau

Hana ʻia ka mālama ʻana o Ramsay Hunt Syndrome me nā lāʻau antiviral, e like me ka acyclovir a i ʻole fanciclovir, a me nā corticosteroids, e like me prednisone, no ka laʻana.

Eia hou, hiki i ke kauka ke koi aku i ka hoʻohana ʻana i nā lāʻau analgesic, nā lāʻau anti-inflammatory non-steroidal a me nā anticonvulsants, e hoʻomaha ai i ka ʻeha, a me nā antihistamines e hōʻemi i nā ʻōuli o ka vertigo a me nā lubricating maka kulu, inā he maka maloʻo ko ke kanaka. Paʻakikī e pani i ka maka.

Hiki ke lilo i ka hana ʻoki kino ke mea nui ke loaʻa ka compression o ke aʻalolo o ke alo, hiki ke hoʻokuʻu i ka maʻi lōlō. Kōkua ka haʻi ʻōlelo i ka minimia i nā hopena o ka maʻi ma ka lohe a me ka lōlō o nā mākala helehelena.