Amaurosis fugax

Amaurosis fugax ndikutaya kwakanthawi kwamaso m'maso kapena m'maso chifukwa chakuchepa kwamagazi kupita ku diso. Diso lake ndi kansalu kakang'ono kosalira kanthu kamene kali kumbuyo kwa diso lake.

Amaurosis fugax sindiwo matenda. M'malo mwake, ndi chizindikiro cha zovuta zina. Amaurosis fugax amatha kuchitika pazifukwa zosiyanasiyana. Chimodzi mwa zifukwa ndi pamene magazi amaundana kapena chidutswa cha chikwangwani chimatseka mtsempha m'maso. Chovala chamagazi kapena chikwangwani nthawi zambiri chimayenda kuchokera pamtsempha wokulirapo, monga mtsempha wa carotid m'khosi kapena mtsempha wamtima, kupita pamtsempha wamaso.

Plaque ndi chinthu cholimba chomwe chimapangidwa mafuta, cholesterol, ndi zinthu zina zikakhazikika m'makoma amitsempha. Zowopsa ndi izi:

• Matenda a mtima, makamaka kugunda kwamtima kosazolowereka
• Kumwa mowa kwambiri
• Kugwiritsa ntchito Cocaine
• Matenda a shuga
• Mbiri ya banja la sitiroko
• Kuthamanga kwa magazi
• Cholesterol wokwera
• Kukula msinkhu
• Kusuta (anthu omwe amasuta paketi imodzi patsiku kuwirikiza kawiri chiopsezo chawo cha sitiroko)

Amaurosis fugax amathanso kuchitika chifukwa cha zovuta zina monga:

• Mavuto ena amaso, monga kutupa kwa mitsempha ya optic (optic neuritis)
• Matenda amtundu wamagazi otchedwa polyarteritis nodosa
• Migraine mutu
• Chotupa chaubongo
• Kuvulala pamutu
• Multiple sclerosis (MS), kutupa kwa mitsempha chifukwa cha ma chitetezo amthupi omwe amalimbana ndi dongosolo lamanjenje
• Systemic lupus erythematosus, matenda omwe amangodziyimira pawokha momwe maselo amthupi amateteza minofu yathanzi mthupi lonse

Zizindikiro zimaphatikizapo kutaya mwadzidzidzi kwa masomphenya m'modzi kapena m'maso onse. Izi nthawi zambiri zimatenga masekondi angapo mpaka mphindi zingapo. Pambuyo pake, masomphenya amabwerera mwakale. Anthu ena amafotokoza kutayika kwa masomphenya ngati mthunzi wakuda kapena wakuda womwe umatsikira diso.

Wothandizira zaumoyo adzayesa maso athunthu ndi dongosolo lamanjenje. Nthawi zina, kuyezetsa diso kumawulula malo owala bwino pomwe chovalacho chimatseka mtsempha wamafuta.

Mayeso omwe angachitike ndi awa:

• Ultrasound kapena magnetic resonance angiography scan ya mtsempha wa carotid kuti muwone kuundana kwamagazi kapena zolengeza
• Kuyezetsa magazi kuti muwone cholesterol ndi shuga m'magazi
• Kuyesedwa kwa mtima, monga ECG kuti muwone momwe magetsi amagwirira ntchito

Chithandizo cha amaurosis fugax chimadalira chifukwa chake. Pamene amaurosis fugax imachitika chifukwa chamagazi kapena chipika, nkhawa ndikupewa sitiroko. Zotsatirazi zingathandize kupewa sitiroko:

• Pewani zakudya zamafuta ndikutsata chakudya chopatsa thanzi, chopanda mafuta. Musamwe zakumwa zoledzeretsa zoposa 1 kapena 2 patsiku.
• Muzichita masewera olimbitsa thupi nthawi zonse: Mphindi 30 patsiku ngati simukulemera kwambiri; Mphindi 60 mpaka 90 patsiku ngati mukulemera kwambiri.
• Siyani kusuta.
• Anthu ambiri amayenera kufuna kuthamanga kwa magazi kutsika 120 mpaka 130/80 mm Hg. Ngati muli ndi matenda ashuga kapena mwadwala sitiroko, adokotala angakuuzeni kuti muchepetse kuthamanga kwa magazi.
• Ngati muli ndi matenda ashuga, matenda amtima, kapena kuuma kwa mitsempha, cholesterol chanu cha LDL (choyipa) chiyenera kukhala chotsika kuposa 70 mg / dL.
• Tsatirani ndondomeko zamankhwala a dokotala wanu ngati muli ndi kuthamanga kwa magazi, matenda ashuga, cholesterol, kapena matenda amtima.

Dokotala wanu angalimbikitsenso:

• Palibe mankhwala. Mungafunike kuyendera pafupipafupi kuti muwone thanzi la mtima wanu ndi mitsempha ya carotid.
• Aspirin, warfarin (Coumadin), kapena mankhwala ena ochepetsa magazi kuti muchepetse chiopsezo cha sitiroko.

Ngati gawo lalikulu la mtsempha wa carotid likuwoneka lotsekedwa, opareshoni ya carotid endarterectomy yachitika kuti ichotse kutsekeka. Chisankho chochita opaleshoni chimadaliranso thanzi lanu lonse.

Amaurosis fugax amachulukitsa chiopsezo cha sitiroko.

Itanani omwe akukuthandizani ngati vuto lililonse la masomphenya likuchitika. Ngati zizindikilo zimatenga nthawi yayitali kuposa mphindi zochepa kapena ngati pali zina zomwe zachitika chifukwa cha masomphenya, pitani kuchipatala nthawi yomweyo.

Kanthawi kochepa monocular khungu; Kutaya kwakanthawi kwamaso amodzi; TMVL; Kutaya kwakanthawi kwamaso amodzi; Kutaya kwakanthawi kochepa kwamaso; TBVL; Kutaya kwakanthawi kwakanthawi - amaurosis fugax

• Diso

Wopanga J, Ruland S, Schneck MJ. Matenda a Ischemic cerebrovascular. Mu: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, olemba. Neurology ya Bradley mu Kuchita Zachipatala. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2016: chap 65.

Brown GC, Sharma S, Brown MM. Matenda a Ocular ischemic. Mu: Schachat AP, Sadda SVR, Hinton DR, Wilkinson CP, Wiedemann P, olemba. Retina wa Ryan. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier; 2018: mutu 62.

Meschia JF, Bushnell C, Boden-Albala B, ndi al. Maupangiri othandizira kupewa kupwetekedwa: mawu a akatswiri azaumoyo ochokera ku American Heart Association / American Stroke Association. Sitiroko. 2014; 45 (12): 3754-3832. (Adasankhidwa) PMID: 25355838 pubed.ncbi.nlm.nih.gov/25355838/.