Ramsay Hunt syndrome

Cudurka 'Ramsay Hunt Syndrome' waa nabar xanuun badan oo ku dhaca agagaarka dhegta, wejiga, ama afka. Waxay dhacdaa marka fayraska 'varicella-zoster virus' uu ku dhaco neerfaha madaxa.

Fayraska 'varicella-zoster virus' ee keena Ramsay Hunt syndrome waa isla fayraska keena busbuska iyo shingles.

Dadka qaba cilladan, fayraska waxaa la aaminsan yahay inuu ku dhaco neerfaha wajiga agagaarka dhegta gudaha. Tani waxay u horseedaa cuncun iyo barar dareemayaasha.

Xaaladda ayaa inta badan ku dhacda dadka waaweyn. Marar dhif ah, waxaa lagu arkaa carruurta.

Calaamadaha waxaa ka mid noqon kara:

• Xanuun daran oo dhegta ah
• Nabar xanuun badan oo ku dhaca dhegta, kanaalka dhegaha, xinjiraha, carrabka, iyo saqafka sare ee afka dhinaca neerfaha ay waxyeeladu gaadhay
• Maqal la'aanta hal dhinac
• Dareenka waxyaabaha wareegaya (vertigo)
• Tabar darri dhinac wajiga ka mid ah oo dhib ku ah in hal il la xiro, wax la cuno (cunnadu waxay ka soo dhacdaa geeska daciifka ee afka), muujinta muuqaalka, iyo dhaqdhaqaaqyada wanaagsan ee wejiga, iyo sidoo kale wejiga oo hoos u dhaca iyo curyaannimo dhinac ka mid ah wajiga

Bixiye daryeel caafimaad ayaa badanaa baari doona Ramsay Hunt Syndrome isaga oo raadinaya calaamadaha daciifnimo ee wajiga iyo finan nabar u eg.

Tijaabooyinka waxaa ka mid noqon kara:

• Tijaabinta dhiigga ee fayraska 'varicella-zoster virus'
• Electromyography (EMG)
• Daloolida lumbar (xaalado dhif ah)
• MRI madaxa
• Tabinta neerfaha (si loo ogaado xaddiga dhaawaca soo gaadhay wajiga wajigiisa)
• Baadhitaanka maqaarka ee fayraska busbuska-zoster

Daawooyin xoog leh oo ka hortagga bararka oo loo yaqaanno steroids (sida prednisone) ayaa badanaa la siiyaa. Daawooyinka fayraska ka hortaga, sida acyclovir ama valacyclovir waa la siin karaa.

Mararka qaar xanuun baabi'iyaha adag ayaa sidoo kale loo baahan yahay haddii xanuunku sii socdo xitaa iyadoo ay la socdaan steroids. Intaad wajiga ku liidato, xiro balastarka indhaha si aad uga hortagto dhaawac soo gaadha kiliyaha (xoqida jirka) iyo waxyeelada kale ee isha gaadha haddii ishu si buuxda u xidhi weydo. Dadka qaar ayaa laga yaabaa inay isticmaalaan saliid indhaha gaar ah habeenkii iyo ilmo macmal ah maalintii si looga hortago ishu inay qalasho.

Haddii aad dawakhsan tahay, takhtarkaagu wuxuu kula talin karaa daawooyinka kale.

Haddii uusan waxyeello badani ka soo gaadhin neerfaha, waa inaad ka bogsato gebi ahaanba toddobaadyo gudahood. Haddii waxyeeladu ka daran tahay, waxaa suuragal ah inaadan si buuxda u soo kaban, xitaa dhowr bilood ka dib.

Guud ahaan, fursadahaaga raysashada ayaa ka wanaagsan haddii daweynta lagu bilaabo 3 maalmood gudahood ka dib marka astaamuhu bilowdaan. Marka daaweynta la bilaabo waqtigan gudahiisa, dadka badankood waxay sameeyaan bogsasho buuxda. Haddii daaweyntu ay daahdo in ka badan 3 maalmood, waxaa yar fursadda soo kabashada oo dhameystiran. Carruurtu waxay u badan tahay inay helaan soo kabasho buuxda marka loo eego dadka waaweyn.

Dhibaatooyinka Ramsay Hunt syndrome waxaa ka mid noqon kara:

• Isbedelada muuqaalka wajiga (daciifnimada) luminta dhaqdhaqaaqa
• Beddel dhadhanka
• Dhaawaca isha (boogaha corneal iyo infekshannada), taasoo keentay aragga oo luma
• Neerfaha dib ugu soo noqda dhismayaasha qaldan kuna keena falcelin aan caadi ahayn dhaq dhaqaaq - tusaale ahaan, dhoollacaddayntu waxay keentaa in isha la xiro
• Xanuun joogto ah (neuralgia postherpetic)
• Xanuunka murqaha wajiga ama baalasha indhaha

Mararka qaarkood, fayrasku wuxuu ku faafi karaa neerfaha kale, ama xitaa maskaxda iyo laf-dhabarka. Tani waxay sababi kartaa:

• Jahwareer
• Hurdo
• Madax xanuun
• Adkee daciifnimada
• Xanuunka neerfaha

Haddii astaamahan ay dhacaan, joogitaan cisbitaal ayaa loo baahan karaa. Tubada laf-dhabarka ayaa laga yaabaa inay gacan ka geysato sidii loo go'aamin lahaa in meelaha kale ee habdhiska dareemayaasha uu ku dhacay.

Wac adeeg bixiyahaaga haddii uu kaa lumo dhaqdhaqaaq wajigaaga, ama aad finan ku leedahay wajigaaga iyo daciifnimada wajiga.

Ma jirto waddo la yaqaan oo looga hortago cudurka 'Ramsay Hunt syndrome', laakiin in lagu daweeyo daawo isla marka la arko astaamaha ayaa horumarin kara soo kabashada.

Hunt syndrome; Herpes zoster oticus; Geniculate ganglion zoster; Herpes genic; Ganglionitis hiddo-wadaha herpetic

Dinulos JGH. Burooyinka, herpes simplex, iyo infekshannada kale ee fayraska ku dhaca. Gudaha: Dinulos JGH, ed. Habif’s Clinical Dermatology. 7aad ed. Philadelphia, PA: Elsevier; 2021: cutubka 12.

Gantz BJ, Roche JP, Redleaf MI, Perry BP, Gubbels SP. Maareynta cudurka 'Pelly' iyo 'Ramsay Hunt syndrome'. Gudaha: Brackmann DE, Shelton C, Arriaga MA, eds. Qalliinka Otologic. 4aad. Philadelphia, PA: Elsevier; 2016: cutubka 27.

Naples JG, Brant JA, Ruckenstein MJ. Cudurrada dhegta dibedda. Gudaha: Flint PW, Francis HW, Haughey BH, et al, eds. Cummings Otolaryngology: Qalliinka Madaxa iyo Qoorta. 7aad ed. Philadelphia, PA: Elsevier; 2021: cutubka 138.

Waldman SD. Ramsay Hunt syndrome. Gudaha: Waldman SD, ed. Atlas of Syndromes xanuun aan caadi ahayn. 4aad. Philadelphia, PA: Elsevier; 2021: cutubka 14.