{"id":11564,"date":"2022-06-28T08:00:00","date_gmt":"2022-06-28T05:00:00","guid":{"rendered":"http:\/\/blog.ulubat.org\/?p=11564"},"modified":"2022-06-28T09:09:08","modified_gmt":"2022-06-28T06:09:08","slug":"ramsay-hunt-sendromu","status":"publish","type":"post","link":"https:\/\/blog.ulubat.org\/index.php\/genel\/ramsay-hunt-sendromu\/","title":{"rendered":"Ramsay\u00a0Hunt\u00a0Sendromu?\u00a0"},"content":{"rendered":"\n<p class=\"has-white-color has-text-color has-background\" style=\"background-color:#89bbea\">Ge\u00e7ti\u011fimiz g\u00fcnlerde, Grammy \u00f6d\u00fcll\u00fc d\u00fcnyaca \u00fcnl\u00fc \u015fark\u0131c\u0131 Justin Bieber payla\u015ft\u0131\u011f\u0131 video ile medyaya Ramsay Hunt Sendromuna ba\u011fl\u0131 olarak y\u00fcz felci ge\u00e7irdi\u011fini a\u00e7\u0131klam\u0131\u015ft\u0131. A\u00e7\u0131klamas\u0131nda y\u00fcz\u00fcn\u00fcn sa\u011f taraf\u0131nda fonksiyon kayb\u0131 oldu\u011fundan bahsetmi\u015fti. Sevenlerini \u00fczen bu a\u00e7\u0131klama sonucu RHS internet \u00fcst\u00fcnden s\u0131k\u00e7a ara\u015ft\u0131r\u0131lan bir konu haline geldi. <strong>Peki nedir Ramsay Hunt Sendromu, nas\u0131l olu\u015fur ve tedavisi gibi \u00e7e\u015fitli sorular\u0131n\u0131za bu yaz\u0131m\u0131zda yan\u0131t bulabilirsiniz.<\/strong><\/p>\n\n\n\n<p class=\"has-white-color has-text-color has-background\" style=\"background-color:#89bbea\">J Ramsay Hunt ganglion geniculi&#8217; nin (fasyal sinirin ganglionu) herpes enfeksiyonu ile kula\u011f\u0131n sensomotor kusurlar\u0131 aras\u0131ndaki patojenetik ba\u011flant\u0131y\u0131 ilk kez bildiren Amerikal\u0131 n\u00f6rologtur ve sendroma ismini vermi\u015ftir. <strong>Ramsay Hunt Sendromu\u2019nun ba\u015fl\u0131ca belirtileri \u00e7evresel sinir sistemine ait olan fasiyal sinirlerde i\u015flevsel s\u0131k\u0131nt\u0131 olu\u015fturacak lezyonlar olu\u015fmas\u0131 buna m\u00fcteakiben fel\u00e7e sebep olmas\u0131 ve eritemli (iltihapl\u0131 k\u0131zar\u0131kl\u0131k) ka\u015f\u0131nt\u0131 olmas\u0131d\u0131r. <\/strong>K\u0131zar\u0131kl\u0131k, ka\u015f\u0131nt\u0131 ve iltihaplar daha \u00e7ok kulak veya a\u011f\u0131zda g\u00f6zlenir. J Ramsay Hunt bu semptomlar\u0131n\u0131n yan\u0131 s\u0131ra di\u011fer olas\u0131 semptomlar\u0131 da a\u00e7\u0131klam\u0131\u015ft\u0131r. Bunlar: Kulak \u00e7\u0131nlamas\u0131, duyma kayb\u0131, kusma,vertigo, g\u00f6zbebe\u011finin istemsiz sa\u011fa sola titremesidir.&nbsp;<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large is-resized\"><img loading=\"lazy\" src=\"https:\/\/blog.ulubat.org\/wp-content\/uploads\/2022\/06\/image-1-1024x1024.jpeg\" alt=\"\" class=\"wp-image-11568\" width=\"358\" height=\"358\" srcset=\"https:\/\/blog.ulubat.org\/wp-content\/uploads\/2022\/06\/image-1-1024x1024.jpeg 1024w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2022\/06\/image-1-150x150.jpeg 150w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2022\/06\/image-1-1536x1536.jpeg 1536w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2022\/06\/image-1-2048x2048.jpeg 2048w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2022\/06\/image-1-768x768.jpeg 768w\" sizes=\"(max-width: 358px) 100vw, 358px\" \/><figcaption>https:\/\/www.mayoclinic.org\/-\/media\/kcms\/gbs\/patient-consumer\/images\/2016\/10\/20\/20\/32\/r7_facialparalysis-8col.jpg<\/figcaption><\/figure><\/div>\n\n\n<p class=\"has-white-color has-text-color has-background\" style=\"background-color:#89bbea\"><strong>Yap\u0131lan ara\u015ft\u0131rmalar sonucunda Varicela zoster vir\u00fcs\u00fcn\u00fcn (VZV) Ramsay Hunt sendromuna yol a\u00e7t\u0131\u011f\u0131 anla\u015f\u0131lm\u0131\u015ft\u0131r<\/strong>. Hastal\u0131\u011f\u0131n olu\u015fmas\u0131nda \u00e7e\u015fitli risk fakt\u00f6rleri de etkilidir. \u00d6rne\u011fin: zay\u0131f ba\u011f\u0131\u015f\u0131kl\u0131k sistemine sahip bireyler, yenido\u011fanlar, hamiller, daha \u00f6nce su\u00e7i\u00e7e\u011fi ge\u00e7irmemi\u015f bireyler veya daha \u00f6nce su\u00e7i\u00e7e\u011fi a\u015f\u0131s\u0131 olmam\u0131\u015f bireyler i\u00e7in yakalanma olas\u0131l\u0131\u011f\u0131 daha y\u00fcksektir. Primer VZV genellikle su \u00e7i\u00e7e\u011fine sebep olurken daha sonras\u0131nda vir\u00fcs kranial sinir gangliyonlar\u0131nda ve nevraksi boyunca t\u00fcm dorsal k\u00f6k ganglionlarda latent hale gelir. Spesifik bir VZV proteini enfekte olmu\u015f ganglionlardan eksprese edilir. Vir\u00fcs k\u00fclt\u00fcrlenmezse southern blot, PCR ve in situ hibridizasyon yoluyla ganglionlarda tespit edilir. Tedavisinde, kortikosteroidlerle kombinasyon halinde asiklovirin intraven\u00f6z uygulanmas\u0131na ba\u015fvurulur. Yeterli analjezi de \u00f6nem arz etmektedir.<\/p>\n\n\n\n<p><\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-medium is-resized\"><img loading=\"lazy\" src=\"https:\/\/blog.ulubat.org\/wp-content\/uploads\/2022\/06\/image-382x400.jpeg\" alt=\"\u00a9 2016 Mayo Foundation for Medical Education and Research (MFMER).\u00a0\" class=\"wp-image-11566\" width=\"367\" height=\"367\" srcset=\"https:\/\/blog.ulubat.org\/wp-content\/uploads\/2022\/06\/image-150x150.jpeg 150w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2022\/06\/image-1536x1536.jpeg 1536w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2022\/06\/image-2048x2048.jpeg 2048w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2022\/06\/image-768x768.jpeg 768w, https:\/\/blog.ulubat.org\/wp-content\/uploads\/2022\/06\/image-1024x1024.jpeg 1024w\" sizes=\"(max-width: 367px) 100vw, 367px\" \/><figcaption>https:\/\/www.mayoclinic.org\/-\/media\/kcms\/gbs\/patient-consumer\/images\/2016\/10\/20\/20\/30\/r7_facialnerve-8col.jpg<\/figcaption><\/figure><\/div>\n\n\n<p class=\"has-white-color has-text-color has-background\" style=\"background-color:#89bbea\">Bell\u2019s felci ile k\u0131yasland\u0131\u011f\u0131 zaman (d\u00f6k\u00fcnt\u00fcs\u00fcz y\u00fcz felci) daha \u015fiddetli fel\u00e7 g\u00f6r\u00fcl\u00fcr ve tamamen iyile\u015fme olas\u0131l\u0131klar\u0131 daha d\u00fc\u015f\u00fckt\u00fcr. Erken te\u015fhis olduk\u00e7a \u00f6nemlidir. Ancak d\u00f6k\u00fcnt\u00fc hari\u00e7 benzer \u00f6zellikler g\u00f6stermelerinden dolay\u0131 ba\u015flang\u0131\u00e7ta birbirinden ay\u0131rt edilmekte zorlan\u0131labilir.&nbsp;Hastal\u0131k i\u00e7in erken d\u00f6nemde sa\u011fl\u0131k \u00f6nlemleri al\u0131nabilir. Bunlardan en \u00f6nemlisi ba\u011f\u0131\u015f\u0131klamad\u0131r. <strong>\u00c7ocuklar d\u00fczenli olarak a\u015f\u0131lanmaktad\u0131r. Bu a\u015f\u0131lar su \u00e7i\u00e7e\u011fi de kapsamaktad\u0131r. Bu a\u015f\u0131 sayesinde yakalanma oran\u0131 dikkate de\u011fer bir oranda azalm\u0131\u015ft\u0131r. 50 ya\u015f\u0131ndan b\u00fcy\u00fck bireyler i\u00e7inse zona hastal\u0131\u011f\u0131n\u0131n a\u015f\u0131s\u0131 \u00f6nerilir.<\/strong><\/p>\n\n\n\n<p class=\"has-white-color has-text-color has-background\" style=\"background-color:#89bbea\"><strong>Epidemiyolojik a\u00e7\u0131dan de\u011ferlendirecek olursak Ramsay Hunt Sendromu atravmatik y\u00fcz fel\u00e7lerinin i\u00e7erisinde en \u00e7ok rastlanan ikinci t\u00fcrd\u00fcr. <\/strong>Klinik bulgular de\u011ferlendirildi\u011fi zaman cinsiyetin ve ya\u015f\u0131n kayda de\u011fer de\u011fi\u015fim yaratmad\u0131\u011f\u0131 g\u00f6zlemi\u015ftir. Vakalar de\u011ferlendirildi\u011finde sendromun histopatolojik a\u00e7\u0131dan olduka \u00e7e\u015fitlilik i\u00e7erdi\u011fi anla\u015f\u0131lm\u0131\u015ft\u0131r. Tedavisi i\u00e7in hala ara\u015ft\u0131rmalar s\u00fcrmekte ve \u00e7e\u015fitli ara\u015ft\u0131rmalar yap\u0131lmaktad\u0131r.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><\/p>\n\n\n\n<p class=\"has-text-align-center has-white-color has-black-background-color has-text-color has-background\"><strong>KAYNAK\u00c7A:<\/strong><\/p>\n\n\n\n<ul><li>Sweeney, C. J., and D. H. Gilden. &#8220;Ramsay hunt syndrome.&#8221; Journal of Neurology, Neurosurgery &amp; Psychiatry 71.2 (2001): 149-154.<\/li><\/ul>\n\n\n\n<p><\/p>\n\n\n\n<ul><li> Wagner, Gunnar, Harald Klinge, and Michael Max Sachse. &#8220;Ramsay hunt syndrome.&#8221; JDDG: Journal der Deutschen Dermatologischen Gesellschaft 10.4 (2012): 238-243.<\/li><\/ul>\n\n\n\n<p><\/p>\n\n\n\n<ul><li>(<a href=\"http:\/\/www.mayoclinic.org\/\" target=\"_blank\" rel=\"noreferrer noopener\">www.mayoclinic.org<\/a>) https:\/\/www.mayoclinic.org\/diseases-conditions\/ramsay-hunt-syndrome\/symptoms-causes\/syc-20351783<\/li><\/ul>\n\n\n\n<p><\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ge\u00e7ti\u011fimiz g\u00fcnlerde, Grammy \u00f6d\u00fcll\u00fc d\u00fcnyaca \u00fcnl\u00fc \u015fark\u0131c\u0131 Justin Bieber payla\u015ft\u0131\u011f\u0131 video ile medyaya Ramsay Hunt Sendromuna ba\u011fl\u0131 olarak y\u00fcz felci<\/p>\n","protected":false},"author":1098,"featured_media":11577,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[1,2172],"tags":[2186,2185,2190,2191,2193],"acf":[],"views":678,"_links":{"self":[{"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/posts\/11564"}],"collection":[{"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/users\/1098"}],"replies":[{"embeddable":true,"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/comments?post=11564"}],"version-history":[{"count":19,"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/posts\/11564\/revisions"}],"predecessor-version":[{"id":11588,"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/posts\/11564\/revisions\/11588"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/media\/11577"}],"wp:attachment":[{"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/media?parent=11564"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/categories?post=11564"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/blog.ulubat.org\/index.php\/wp-json\/wp\/v2\/tags?post=11564"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}