Ramsay Hunt ciwo

Ramsay Hunt ciwo wani ciwo ne mai zafi a kunne, a fuska, ko a baki. Yana faruwa ne lokacin da kwayar cutar varicella-zoster ta shafi jijiya a cikin kai.

Kwayar cutar varicella-zoster da ke haifar da cutar Ramsay Hunt ita ce kwayar cutar da ke haifar da kaza da shingles.

A cikin mutanen da ke fama da wannan ciwo, an yi imanin cewa ƙwayar cutar za ta lalata jijiyar fuska kusa da kunnen ciki. Wannan yana haifar da hangula da kumburin jijiya.

Yanayin yafi shafar manya. A cikin al'amuran da ba safai ake gani ba, ana ganin hakan a yara.

Kwayar cutar na iya haɗawa da:

• Tsanani mai zafi a kunne
• Rushewa mai raɗaɗi a kan kunne, canjin kunne, kunnen kunne, harshe, da kuma rufin bakin a gefe tare da jijiyar da ta shafa
• Rashin ji a gefe guda
• Jin abin da ke juyawa (vertigo)
• Rashin rauni a gefe ɗaya na fuska wanda ke haifar da wahalar rufe ido ɗaya, cin abinci (abinci ya faɗo daga ɓangaren rauni na baki), yin maganganu, da yin motsin fuska mai kyau, da faɗuwar fuska da nakasa a gefe ɗaya na fuska

Mai ba da sabis na kiwon lafiya yawanci zai bincikar cutar Ramsay Hunt Syndrome ta hanyar neman alamun rauni a fuska da kumburi mai kama da ƙura.

Gwaje-gwaje na iya haɗawa da:

• Gwajin jini don kwayar cutar varicella-zoster
• Kayan lantarki (EMG)
• Lumbar huda (a wasu lokuta ba safai ba)
• MRI na kai
• Gudanar da jijiyoyi (don ƙayyade yawan lalacewar jijiyar fuska)
• Gwajin fata don cutar varicella-zoster

Yawancin lokaci ana ba da ƙwayoyi masu ƙyamar kumburi da ake kira steroid (kamar su prednisone). Ana iya ba da magungunan rigakafi, kamar su acyclovir ko valacyclovir.

Hakanan wasu lokuta ana buƙatar masu ciwo mai ƙyama idan ciwon ya ci gaba har ma da masu maganin steroid. Duk da yake kuna da rauni na fuska, sanya facin ido don hana rauni ga laƙabi (ƙyamar ƙwarjin ƙafa) da sauran lahani ga idan idan ido bai rufe gaba ɗaya ba. Wasu mutane na iya amfani da man shafawa na musamman na dare da hawaye na wucin gadi da rana don hana idanuwa bushewa.

Idan kuna da damuwa, mai ba ku shawara zai iya ba da shawara ga wasu magunguna.

Idan babu lalacewar jijiya da yawa, ya kamata ku sami sauƙi gaba ɗaya cikin weeksan makonni. Idan lalacewa ta fi tsanani, mai yuwuwa ba za ku murmure ba, koda bayan watanni da yawa.

Gabaɗaya, damarku ta dawowa ta fi kyau idan aka fara maganin cikin kwanaki 3 bayan alamun sun fara. Lokacin da aka fara magani a tsakanin wannan lokacin, yawancin mutane suna samun cikakken warkewa. Idan an jinkirta jiyya fiye da kwanaki 3, akwai ƙananan damar samun cikakken warkewa. Yara sun fi samun cikakkiyar lafiya fiye da manya.

Matsalolin rashin lafiyar Ramsay Hunt na iya haɗawa da:

• Canje-canje a cikin bayyanar fuska (disfurement) daga asarar motsi
• Canja a dandano
• Lalacewa ga ido (cututtukan jiki da cututtuka), wanda ke haifar da rashin gani
• Jijiyoyi waɗanda suke girma zuwa mummunan tsari kuma suna haifar da halayen da ba daidai ba ga motsi - misali, murmushi yana sa ido ya rufe
• Jin zafi mai ci gaba (ƙananan ƙananan hanyoyi)
• Spasm na tsokoki na fuska ko fatar ido

Lokaci-lokaci, kwayar cutar na iya yaduwa zuwa wasu jijiyoyi, ko ma zuwa kwakwalwa da laka. Wannan na iya haifar da:

• Rikicewa
• Bacci
• Ciwon kai
• Barfin rauni
• Jin zafi

Idan waɗannan alamun sun faru, ana iya buƙatar zaman asibiti. Tapwanƙwasawa na kashin baya na iya taimakawa wajen tantance ko wasu wuraren na tsarin mai juyayi sun kamu.

Kira wa masu samar da ku idan kun rasa motsi a fuskarku, ko kuna da kurji a fuskarku da raunin fuska.

Babu wata hanyar da aka sani don hana cutar Ramsay Hunt, amma magance shi da magani ba da daɗewa ba bayan bayyanar cututtuka na iya inganta dawowa.

Ciwon Hunt; Herpes zoster oticus; Al'adar ganglion zoster; Cutar al'aura; Petwararriyar ƙwayar cuta ta ganglionitis

Dinulos JGH. Warts, herpes simplex, da sauran cututtukan ƙwayoyin cuta. A cikin: Dinulos JGH, ed. Habif’s Clinical Dermatology. 7th ed. Philadelphia, PA: Elsevier; 2021: babi na 12.

Gantz BJ, Roche JP, Redleaf MI, Perry BP, Gubbels SP. Gudanar da cututtukan Bell da cutar Ramsay Hunt. A cikin: Brackmann DE, Shelton C, Arriaga MA, eds. Yin aikin tiyata. 4th ed. Philadelphia, PA: Elsevier; 2016: babi na 27.

Naples JG, Brant JA, Ruckenstein MJ. Cututtuka na kunnen waje. A cikin: Flint PW, Francis HW, Haughey BH, et al, eds. Cummings Otolaryngology: Ciwon kai da wuya. 7th ed. Philadelphia, PA: Elsevier; 2021: babi na 138.

Waldman SD. Ramsay Hunt ciwo. A cikin: Waldman SD, ed. Atlas na Painunƙun Painunƙun Cutar Bazuwar. 4th ed. Philadelphia, PA: Elsevier; 2021: babi na 14.