He aha ka Ramsay Hunt Syndrome? Nā Hōʻailona, Nā Kumu, a me ka Lapaʻau

ʻO ka Ramsay Hunt syndrome kahi maʻi ʻeha e hiki mai ana i ka wā e hoʻopilikia ai ka varicella-zoster virus (ka mea like me ka mea e hoʻoulu ai i ka chickenpox a me ka shingles) i ka facial nerve kokoke i kou pepeiao. ʻO kēia maʻi viral e hoʻoulu ai i kahi ʻili ʻokoʻa a puni kou pepeiao a me ka paralysis facial manawa ma kekahi ʻaoʻao o kou helehelena.

ʻOiai hiki i kēia maʻi ke manaʻo nui i ka wā e ʻike mua ʻia ai, hiki i ka hoʻomaopopo ʻana i nā mea e hana nei i loko o kou kino ke kōkua i ka hoʻoemi ʻana i kekahi o ka hopohopo. Hoʻōla maikaʻi ka hapa nui o nā kānaka me ka lapaʻau kūpono, ʻoi aku hoʻi i ka wā e hoʻomaka koke ai ka mālama.

He aha nā hōʻailona o ka Ramsay Hunt syndrome?

ʻO nā hōʻailona nui o ka Ramsay Hunt syndrome e ulu koke ana a hoʻopilikia i kekahi ʻaoʻao o kou helehelena. E ʻike pinepine ʻoe i ka nāwaliwali o ka helehelena a i ʻole ka paralysis me kahi ʻili ʻeha, a me nā ʻōpala wai.

Eia nā hōʻailona nui āu e ʻike ai:

• Facial paralysis a i ʻole nāwaliwali ma kekahi ʻaoʻao, e paʻakikī ai ka minoʻaka, pani ʻana i kou maka, a i ʻole ka hoʻoneʻe ʻana i nā ʻiʻo helehelena
• ʻO kahi ʻili ʻulaʻula, ʻeha me nā ʻōpala wai piha i ka wai a puni kou pepeiao, i loko o kou kahawai pepeiao, a i ʻole ma luna o kou eardrum
• ʻEha pepeiao nui e hele pinepine mai ma mua o ka ʻike ʻia ʻana o ka ʻili
• Nāwaliwali lohe a i ʻole ka kani ʻana i loko o ka pepeiao i hoʻopilikia ʻia (tinnitus)
• Nāwaliwali a i ʻole nā pilikia me ke kaulike
• Nāwaliwali ʻono ma ka ʻekolu o mua o kou alelo
• Waha maloʻo a me ka paʻakikī e hana i nā waimaka i loko o ka maka i hoʻopilikia ʻia

ʻIke kekahi poʻe i nā hōʻailona hou aku e hiki ke hoʻopilikia i nā hana o kēlā me kēia lā. Hiki i kēia ke komo pū me ka paʻakikī o ka ʻai ʻana a i ʻole ka inu ʻana ma muli o ka nāwaliwali o ka helehelena, a i ʻole ka maʻalahi i ke kani i loko o ka pepeiao i hoʻopilikia ʻia.

I nā hihia kakaikahi, hiki iā ʻoe ke hoʻomohala i nā hōʻailona ākea e like me ka nāwaliwali i nā ʻāpana ʻē aʻe o kou kino a i ʻole ka huikau, kahi e pono ai ka mālama ʻana i ka wikiwiki.

He aha ka mea e hoʻoulu ai i ka Ramsay Hunt syndrome?

E ulu ana ka Ramsay Hunt syndrome i ka wā e hoʻoulu hou ai ka varicella-zoster virus i loko o kou kino a hoʻopilikia kūikawā i ka facial nerve. Inā ua loaʻa iā ʻoe ka chickenpox i kekahi manawa o kou ola, e noho mālie kēia virus i loko o kou mau pūnaewele nerve a hiki ke hoʻāla hou i nā makahiki a i ʻole nā makahiki ma hope.

E hele ana ka virus ma ke ala facial nerve, e hoʻoulu ai i ka mumū a me ka hōʻino i ka nerve e kaohi ana i ka neʻe ʻana o ka helehelena, ka lohe, a me ka ʻono. E wehewehe kēia i ke kumu e hoʻopilikia ai ka maʻi i nā hana he nui i ka manawa hoʻokahi.

E mālama maʻamau kou ʻōnaehana pale i kēia virus, akā hiki i kekahi mau mea ke ʻae iā ia e lilo hou i mea hana. Hiki i ke kaumaha, ka maʻi, ka luhi, a i ʻole kekahi mea e hoʻonāwaliwali ai i kou ʻōnaehana pale ke hoʻoulu i kēia hoʻāla hou ʻana.

He mea nui e ʻike ʻaʻole hiki iā ʻoe ke hopu i ka Ramsay Hunt syndrome pololei mai kekahi kanaka ʻē aʻe. Eia naʻe, inā loaʻa iā ʻoe nā ʻōpala hana, hiki iā ʻoe ke hoʻolaha i ka varicella-zoster virus i nā kānaka i loaʻa ʻole ka chickenpox a i ʻole ka lāʻau chickenpox.

I ka wā hea ʻoe e ʻike ai i ke kauka no ka Ramsay Hunt syndrome?

Pono ʻoe e ʻimi i ka mālama lapaʻau koke inā loaʻa iā ʻoe ka nāwaliwali o ka helehelena me ka ʻeha pepeiao a i ʻole kahi ʻili a puni kou pepeiao. Hiki i ka lapaʻau mua i loko o nā lā mua ke hoʻomaikaʻi nui i kou manawa e hoʻōla piha ai.

Mai kali e ʻike inā e hoʻomaikaʻi nā hōʻailona ma o lākou iho. Hiki i ka facial nerve ke loaʻa ka hōʻino mau inā ʻaʻohe lapaʻau ʻana i ke kūlana, no laila he mea nui ka loaʻa ʻana o ka mālama lapaʻau koke no ka hopena maikaʻi loa.

Kāhea no ka mālama pilikia inā ʻike ʻoe i nā hōʻailona nui e like me ka paʻakikī o ka ʻai ʻana, ka pilikia o ka hanu ʻana, ka huikau, a i ʻole ka nāwaliwali e pālahalaha aku ma mua o kou helehelena. Hiki i kēia ke hōʻike i nā pilikia e pono ai ka mālama koke.

ʻOiai inā he mālie nā hōʻailona i ka mua, he mea kūpono ke loiloi ʻia e kahi mea mālama ola e hiki ke hōʻoia i ka maʻi a hoʻomaka i ka lapaʻau kūpono koke.

He aha nā mea pilikia no ka Ramsay Hunt syndrome?

ʻOiai e hoʻōla maikaʻi ka hapa nui o nā kānaka mai ka Ramsay Hunt syndrome, hiki ke loaʻa kekahi mau pilikia, ʻoi aku hoʻi inā hoʻokaʻulua ʻia ka lapaʻau. Hiki i ka hoʻomaopopo ʻana i kēia mau mea hiki ke kōkua iā ʻoe e ʻike i ka wā e ʻimi ai i ka mālama hou aku.

ʻO nā pilikia maʻamau loa e komo pū ana:

• Facial weakness a i ʻole paralysis mau, kahi e hoʻopilikia ai i kou hiki ke minoʻaka, pani i kou maka, a i ʻole ka hōʻike ʻana i nā manaʻo
• Lohe nāwaliwali a i ʻole ka kuli i loko o ka pepeiao i hoʻopilikia ʻia
• Nā pilikia kaulike mau a i ʻole ka nāwaliwali e hoʻopilikia ana i nā hana o kēlā me kēia lā
• ʻEha mau i ka wahi i hoʻopilikia ʻia e hoʻomau ana ma hope o ka hoʻomaikaʻi ʻana o nā hōʻailona ʻē aʻe
• Nā pilikia maka ma muli o ka hiki ʻole ke pani piha i ka maka, e alakaʻi ana i ka maloʻo a i ʻole ka hōʻino ʻana o ka cornea
• Nā loli ʻono e hiki ke mau loa

I nā hihia kakaikahi, hiki ke ulu nā pilikia koʻikoʻi. Hiki i kēia ke komo pū me ka pālahalaha ʻana o ka virus i nā ʻāpana ʻē aʻe o kou ʻōnaehana nerve, e hoʻoulu ai i ka mumū o ka lolo (encephalitis) a i ʻole nā pilikia o ka kīʻaha kuamoʻo.

ʻO ka ʻoiaʻiʻo maikaʻi, ʻo ka lapaʻau mua e hoʻemi nui i ka pilikia o kēia mau pilikia. ʻO ka hapa nui o nā kānaka e loaʻa ana i ka lapaʻau antiviral a me ka anti-inflammatory koke e ʻike i ka hoʻomaikaʻi nui i kā lākou mau hōʻailona.

Pehea ka hōʻoia ʻana o ka Ramsay Hunt syndrome?

Hiki i kāu kauka ke hōʻoia pinepine i ka Ramsay Hunt syndrome ma muli o kāu mau hōʻailona a me kahi hoʻokolokolo kino. ʻO ka hui pū ʻana o ka paralysis facial me ka ʻili pepeiao ʻano e hoʻomaʻalahi i ka hōʻoia ʻana i ka hapa nui o nā hihia.

I ka wā o kāu hālāwai, e nānā pono kāu mea mālama ola i kou helehelena, pepeiao, a me ka waha. E ho'āʻo lākou i kou ikaika ʻiʻo helehelena, e nānā i kou lohe, a e ʻimi i nā ʻōpala hōʻailona a puni kou pepeiao.

I kekahi manawa, hiki ke kōkua nā ho'āʻo hou aku e hōʻoia i ka maʻi a i ʻole ke kāpae ʻana i nā kūlana ʻē aʻe. Hiki i kēia ke komo pū me nā ho'āʻo koko e ʻike i ka varicella-zoster virus, nā ho'āʻo lohe e loiloi i kekahi lohe nāwaliwali, a i ʻole nā ho'āʻo kiʻi inā loaʻa nā manaʻo e pili ana i nā pilikia.

I nā hihia i ʻike ʻole ʻia ka ʻili akā loaʻa iā ʻoe ka nāwaliwali o ka helehelena a me ka ʻeha pepeiao, hiki i kāu kauka ke hoʻomaka i ka lapaʻau ma muli o ka manaʻo lapaʻau. Hiki i ka ʻili ke lawe i hoʻokahi a ʻelua paha lā e ulu ai ma hope o ka hoʻomaka ʻana o nā hōʻailona ʻē aʻe.

He aha ka lapaʻau no ka Ramsay Hunt syndrome?

Hana maikaʻi ka lapaʻau no ka Ramsay Hunt syndrome i ka wā e hoʻomaka ai i loko o 72 mau hola mai ka hoʻomaka ʻana o nā hōʻailona. ʻO ka pahuhopu nui, ʻo ia ka hoʻemi ʻana i ka hana viral, ka kaohi ʻana i ka mumū, a me ka pale ʻana i nā pilikia.

E kuhikuhi pinepine kāu kauka i nā lāʻau antiviral e like me ka acyclovir, valacyclovir, a i ʻole famciclovir e hakakā i ka virus. Hiki i kēia mau lāʻau ke kōkua i ka hoʻopōkole ʻana i ka lōʻihi o nā hōʻailona a me ka hoʻemi ʻana i ka pilikia o nā pilikia lōʻihi i ka wā e lawe koke ʻia ai.

Hoʻohana pinepine ʻia nā lāʻau anti-inflammatory, maʻamau nā corticosteroids e like me ka prednisone, me nā antivirals. E kōkua kēia i ka hoʻemi ʻana i ka pehu a puni ka facial nerve, kahi e hiki ai ke hoʻomaikaʻi i kou manawa e hoʻōla ai i ka hana helehelena piha.

No ka mālama ʻeha, hiki i kāu mea mālama ola ke kuhikuhi i nā mea hoʻoemi ʻeha ma luna o ka counter a i ʻole ke kuhikuhi i nā lāʻau ikaika inā pono. Hiki i ka ʻeha nerve ke ikaika loa, no laila mai kānalua e kūkākūkā i nā koho mālama ʻeha me kāu kauka.

E nānā nā lapaʻau hou aku i ka pale ʻana i kou maka i hoʻopilikia ʻia a me ka mālama ʻana i ka leo ʻiʻo helehelena. Hiki iā ʻoe ke pono i nā waimaka maka a i ʻole nā mea poni e pale aku i ka maloʻo, a hiki i nā hana helehelena mālie ke kōkua i ka mālama ʻana i ka palupalu o nā ʻiʻo i ka wā e hoʻōla ai.

Pehea ʻoe e hoʻokele ai i ka Ramsay Hunt syndrome ma ka home?

ʻOiai he mea nui ka lapaʻau lapaʻau, aia kekahi mau mea āu e hiki ke hana ai ma ka home e kākoʻo i kou hoʻōla a hoʻokele i nā hōʻailona me ka ʻoluʻolu.

No ka pale maka, e hoʻohana i nā waimaka maka lubricating i ka lā a e kau i ka poni maka i ka pō. Inā ʻaʻole hiki iā ʻoe ke pani piha i kou maka, e noʻonoʻo e hoʻohana i kahi pāpale maka a i ʻole ke kāpili ʻana i kou maka i ka wā e moe ai e pale aku i ka maloʻo a me ka hōʻino.

Hiki i ka mālama ʻeha ma ka home ke komo pū me ka kau ʻana i nā mea hoʻomehana, pulu i ka wahi i hoʻopilikia ʻia no 15-20 mau minuke i nā manawa he nui i kēlā me kēia lā. Hiki i kēia ke kōkua i ka hoʻoemi ʻana i ka ʻeha hohonu, ʻeha e hele pinepine pū me ke kūlana.

Hiki i nā hana helehelena mālie, e like me ka mea i kuhikuhi ʻia e kāu mea mālama ola, ke kōkua i ka mālama ʻana i ka leo o nā ʻiʻo a hiki ke hoʻokūkū i ka hoʻōla. Hiki i kēia ke komo pū me ka ho'āʻo ʻana e minoʻaka, hoʻokiʻekiʻe i kou mau kuʻemaka, a i ʻole ka puhi ʻana i kou mau papalina.

ʻO ka loaʻa ʻana o ka hoʻomaha kūpono a me ka hoʻokele ʻana i ke kaumaha he mea nui ia no ke kākoʻo ʻana i kou ʻōnaehana pale i ka wā e hoʻōla ai. E noʻonoʻo i nā ʻano hoʻomaha, nā hana mālie, a me ka mālama ʻana i kahi papa moe maʻamau.

Pehea ʻoe e hoʻomākaukau ai no kāu hālāwai kauka?

Hiki i ka hoʻomākaukau ʻana no kāu hālāwai lapaʻau ke kōkua i ka hōʻoia ʻana e loaʻa iā ʻoe ka mālama piha loa a ʻaʻole e poina i nā kikoʻī nui e pili ana i kāu mau hōʻailona.

Ma mua o kāu kipa, e kākau i ka wā i ʻike mua ʻia ai kāu mau hōʻailona a pehea lākou i holomua ai. E hoʻomaopopo i nā mea hoʻoulu āu i ʻike ai, e like me ke kaumaha hou, ka maʻi, a i ʻole nā loli i kou olakino.

E lawe mai i kahi papa inoa piha o kāu mau lāʻau i kēia manawa, me nā lāʻau ma luna o ka counter a me nā mea hoʻohui. Eia kekahi, e hōʻiliʻili i ka ʻike e pili ana i kāu moʻolelo lapaʻau, ʻoi aku hoʻi i nā hanana mua o ka chickenpox, shingles, a i ʻole nā pilikia o ka ʻōnaehana pale.

E hoʻomākaukau i nā nīnau e pili ana i kāu mau koho lapaʻau, ka manawa hoʻōla i manaʻo ʻia, a me nā hana āu e pale aku ai. Mai kānalua e nīnau e pili ana i nā hoʻolālā mālama ʻeha a i ʻole ka wā āu e manaʻo ai e ʻike i ka hoʻomaikaʻi.

E noʻonoʻo e lawe mai i kahi lālā ʻohana a i ʻole hoaaloha e hiki ke kōkua iā ʻoe e hoʻomanaʻo i nā ʻike nui a hāʻawi i ke kākoʻo i ka wā e hiki ai ke hopohopo.

He aha ka lawe nui e pili ana i ka Ramsay Hunt syndrome?

ʻO ka Ramsay Hunt syndrome kahi kūlana hiki ke mālama ʻia, ʻoiai he mea weliweli i ka mua, e hoʻomaikaʻi pinepine ʻia me ka mālama lapaʻau kūpono. ʻO ka mea nui loa i kou hoʻōla, ʻo ia ka loaʻa ʻana o ka lapaʻau i ka wikiwiki loa ma hope o ka ʻike ʻia ʻana o nā hōʻailona.

E hoʻomanaʻo he hopena kēia kūlana mai kahi virus i lawe nui nā kānaka i loko o ko lākou kino. ʻAʻole ia he mea āu i hana hewa ai, a ʻaʻole ia kou hewa i ulu ai.

Me ka lapaʻau antiviral a me ka anti-inflammatory mua, hoʻōla ka nui o nā kānaka i ka hana helehelena nui a i ʻole piha. ʻOiai inā mau kekahi mau hōʻailona, ​​aia nā ala e hoʻokele ai iā lākou a mālama i ka maikaʻi o ke ola.

E noho pili me kāu hui mālama ola i kou hoʻōla ʻana, a mai kānalua e hoʻopili inā loaʻa iā ʻoe nā manaʻo a i ʻole nā nīnau. Aia kāu mau mea mālama lapaʻau e kākoʻo iā ʻoe i kēia manawa paʻakikī a kōkua iā ʻoe e loaʻa ka hopena maikaʻi loa.

Nā nīnau i nīnau pinepine ʻia e pili ana i ka Ramsay Hunt syndrome

He mea hoʻolaha anei ka Ramsay Hunt syndrome?

ʻAʻole hiki iā ʻoe ke hoʻolaha pololei i ka Ramsay Hunt syndrome i nā poʻe ʻē aʻe, akā inā loaʻa iā ʻoe nā ʻōpala hana, hiki iā ʻoe ke hoʻolaha i ka varicella-zoster virus i nā kānaka i loaʻa ʻole ka chickenpox a i ʻole ka lāʻau. E hoʻoulu ka virus i ka chickenpox i kēia mau kānaka, ʻaʻole ka Ramsay Hunt syndrome. I ka wā e pōhaku ai kāu mau ʻōpala, ʻaʻole ʻoe e hoʻolaha hou.

Pehea ka lōʻihi o ka hoʻōla ʻana mai ka Ramsay Hunt syndrome?

Hoʻololi nui ka manawa hoʻōla ma waena o nā kānaka, akā ʻo ka hapa nui o ka hoʻomaikaʻi e hana ʻia i loko o nā pule mua a i nā mahina. Hoʻōla piha kekahi poʻe i loko o 2-3 mau mahina, ʻoiai kekahi poʻe e loaʻa paha nā hopena lōʻihi no ʻeono mahina a i hoʻokahi makahiki. Hoʻomaikaʻi nui ka lapaʻau mua i kou manawa e hoʻōla wikiwiki a piha ai.

Hiki i ka Ramsay Hunt syndrome ke hoʻi mai?

He mea kakaikahi loa ka hoʻi hou ʻana o ka Ramsay Hunt syndrome. I ka wā i loaʻa iā ʻoe kahi hanana, e hoʻomohala maʻamau kou kino i kekahi pale ʻana e hana ʻole ai i kahi hanana ʻē aʻe. Eia naʻe, hiki iā ʻoe ke hoʻomohala i ka shingles i nā ʻāpana ʻē aʻe o kou kino, ʻoiai ʻo ka virus like ke kumu o nā kūlana ʻelua.

E loaʻa anei iaʻu ka paralysis facial mau?

ʻO ka hapa nui o nā kānaka e loaʻa ana i ka lapaʻau mua e hoʻōla i ka hana helehelena nui, ʻoiai e hoʻololi ana ka manawa. Ma kahi o 70-80% o nā kānaka i mālama koke ʻia e hoʻihoʻi i ka neʻe ʻana o ka helehelena maʻamau a kokoke paha i ka maʻamau. ʻOiai inā mau kekahi nāwaliwali, he mea mālie pinepine ia a ʻaʻole hoʻopilikia nui i ke ola o kēlā me kēia lā a i ʻole ke ʻano.

Hiki i nā keiki ke loaʻa i ka Ramsay Hunt syndrome?

ʻAe, hiki i nā keiki ke loaʻa i ka Ramsay Hunt syndrome, akā he mea maʻamau ʻole ia ma mua o nā mākua. Loaʻa i nā keiki i loaʻa ka chickenpox i ka virus dormant a hiki ke hoʻomohala i ke kūlana, ʻoiai e mālama maʻamau kā lākou ʻōnaehana pale ikaika i ka virus. I ka wā e hana ai i nā keiki, hoʻōla pinepine lākou ma mua o nā mākua.