Chamawonedwe neuritis

Mitsempha yamafuta imanyamula zithunzi za zomwe diso limawona kuubongo. Minyewa imeneyi ikatupa kapena kutupa, imatchedwa optic neuritis. Itha kuyambitsa mwadzidzidzi, kuchepa kwamaso m'diso lakukhudzidwa.

Zomwe zimayambitsa optic neuritis sizidziwika.

Minyewa ya optic imanyamula zidziwitso kuchokera m'diso lanu kupita kuubongo. Mitsempha imatha kutupa ikayamba kutentha mwadzidzidzi. Kutupa kumatha kuwononga ulusi wamitsempha. Izi zitha kuyambitsa kutayika kwakanthawi kapena kwakanthawi.

Zinthu zomwe zakhudzana ndi optic neuritis ndi monga:

• Matenda osokoneza bongo, kuphatikiza lupus, sarcoidosis, ndi matenda a Behçet
• Cryptococcosis, matenda opatsirana
• Matenda a bakiteriya, kuphatikizapo chifuwa chachikulu, syphilis, matenda a Lyme, ndi meningitis
• Matenda a kachilombo, kuphatikizapo tizilombo ta encephalitis, chikuku, rubella, nkhuku, herpes zoster, mumps, ndi mononucleosis
• Matenda opuma, kuphatikizapo mycoplasma chibayo ndi matenda ena opatsirana apamwamba
• Multiple sclerosis

Zizindikiro zimaphatikizapo:

• Kutaya masomphenya m'diso limodzi kupitirira ola limodzi kapena maola angapo
• Zosintha momwe mwana amakhudzidwira ndi kuwala kowala
• Kutaya masomphenya amitundu
• Ululu mukasuntha diso

Kuyezetsa kwathunthu kwazachipatala kumatha kuthana ndi matenda okhudzana ndi matendawa. Mayeso atha kuphatikiza:

• Kuyesedwa kwamitundu
• MRI yaubongo, kuphatikiza zithunzi zapadera za mitsempha yamawonedwe
• Kuyesa kuyesa kwamaso
• Kuyesa kwam'malo owonera
• Kuyesedwa kwa disc yamawonedwe pogwiritsa ntchito ophthalmoscopy yosadziwika

Masomphenya nthawi zambiri amabwerera mwakale mkati mwa masabata awiri kapena atatu osalandira chithandizo.

Corticosteroids yoperekedwa kudzera mu mtsempha (IV) kapena yotengedwa pakamwa (pakamwa) imatha kufulumira kuchira. Komabe, masomphenya omaliza siabwino ndi ma steroids kuposa opanda. Steroid yamlomo imatha kuwonjezera mwayi wobwereranso.

Kuyesanso kwina kungafunike kuti mupeze chomwe chimayambitsa matenda amitsempha. Chomwe chimayambitsa vuto chitha kuthandizidwa.

Anthu omwe ali ndi optic neuritis opanda matenda monga multiple sclerosis ali ndi mwayi wabwino wochira.

Optic neuritis yoyambitsidwa ndi multiple sclerosis kapena matenda ena omwe amadzichotsera okha amakhala ndi malingaliro osauka. Komabe, masomphenya m'diso lakukhudzidwa atha kubwerera mwakale.

Zovuta zingaphatikizepo:

• Zotsatira zoyipa zathupi lonse kuchokera ku corticosteroids
• Kutaya masomphenya

Anthu ena omwe ali ndi gawo la optic neuritis amakhala ndi mavuto amitsempha m'malo ena m'thupi kapena amakhala ndi sclerosis.

Itanani nthawi yomweyo wothandizira zaumoyo ngati mwadzidzidzi diso lanu latayika, makamaka ngati mukumva kupweteka kwa diso.

Ngati mwapezeka kuti muli ndi optic neuritis, pitani kuchipatala ngati:

• Masomphenya anu amachepetsa.
• Kupweteka kwa diso kumawonjezeka.
• Zizindikiro zanu sizikula mkati mwa milungu iwiri kapena itatu.

Retro-bulbar neuritis; Multiple sclerosis - chamawonedwe neuritis; Mitsempha yamagetsi - optic neuritis

• Multiple sclerosis - kutulutsa

• Maonekedwe akunja ndi amkati amaso

Calabresi PA. Multiple sclerosis ndikuwononga mawonekedwe amkati amanjenje. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 383.

Moss IYE, Guercio JR, Balcer LJ. Yotupa optic neuropathies ndi neuroretinitis. Mu: Yanoff M, Duker JS, olemba. Ophthalmology. 5th ed. Philadelphia, PA: Elsevier; 2019: chaputala 9.7.

Prasad S, Balcer LJ. Zovuta zamitsempha yamafuta ndi diso. Mu: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, olemba. Neurology ya Bradley mu Kuchita Zachipatala. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2016: chap 17.