Kutha kwa amaurosis: ndi chiyani, zimayambitsa zazikulu ndi chithandizo

Zamkati

• Zomwe zingayambitse
• Momwe mungatsimikizire matendawa
• Momwe mankhwalawa amachitikira

Amaurosis ya kanthawi kochepa yomwe imadziwikanso kuti kutayika kwakanthawi kapena kwakanthawi kochepa, ndikutayika, kuda kapena kuwona kwamaso komwe kumatha kukhala mphindi zochepa mpaka mphindi, ndipo kumangokhala m'modzi kapena m'maso onse. Zomwe zimachitika ndi kusowa kwa magazi olemera okosijeni pamutu ndi m'maso.

Komabe, maurosis osakhalitsa ndichizindikiro chazinthu zina, zomwe nthawi zambiri zimakhala kupsinjika ndi migraine, koma zomwe zimatha kuphatikizidwanso ndimatenda akulu monga atherosclerosis, thromboemboli ngakhale stroke (stroke).

Mwanjira imeneyi, chithandizo cha amaurosis chosakhalitsa chimachitika pochotsa chomwe chikuyambitsa, ndipo pachifukwa chake, ndikofunikira kupita kuchipatala vuto likazindikira, kuti chithandizo choyenera chiyambike komanso mwayi wotsatira kuchepa kuchepa kuchepa kwa oxygenation mu minofu.

Zomwe zingayambitse

Choyambitsa chachikulu cha amaurosis chosakhalitsa ndikusowa kwa magazi omwe ali ndi mpweya wochuluka m'dera lamaso, opangidwa ndi mtsempha wamagazi wotchedwa carotid artero, omwe panthawiyi sangathe kunyamula magazi omwe amafunikira mpweya wabwino.

Nthawi zambiri, amaurosis yopitilira imachitika chifukwa cha zinthu izi:

• Migraine kuukira;
• Kupsinjika;
• Mantha;
• Vitreous kukha magazi;
• Matenda oopsa;
• Anterior ischemic optic neuropathy;
• Kupweteka;
• Vertebrobasilar ischemia;
• Vasculitis;
• Matenda a m'mimba;
• Atherosclerosis;
• Hypoglycemia;
• Kulephera kwa Vitamini B12;
• Kusuta;
• Kulephera kwa thiamine;
• Zoopsa za Corneal;
• Nkhanza za Cocaine;
• Matenda a toxoplasmosis kapena cytomegalovirus;
• Mkulu plasma kukhuthala.

Maurosis osakhalitsa nthawi zonse amakhala osakhalitsa, chifukwa chake masomphenyawo amabwerera mwakale mumphindi zochepa, kuphatikiza kuti samasiya nthawi ina iliyonse, komabe ndikofunikira kuti dokotala afunidwe ngakhale amaurosis yatenga masekondi ochepa, kuti zitha kufufuzidwa. zinayambitsa.

Nthawi zambiri, munthuyo amatha kuwonetsa zizindikiro asanachitike maurosis, koma zikachitika, amamva kupweteka pang'ono komanso kuyabwa.

Momwe mungatsimikizire matendawa

Kuzindikira kwa amaurosis kwakanthawi kumapangidwa ndi dokotala kapena wamankhwala kudzera mu lipoti la wodwalayo, kuwunika komwe kungayang'ane ngati pali kuvulala kulikonse komwe kumachitika chifukwa cha kugwa kapena kumenyedwa, ndikutsatiridwa ndi kuwunika kwa maso kuti muwone kuvulala kwamaso komwe kungachitike.

Kuyesedwa monga kuwerengera kwathunthu kwa magazi, C-reactive protein (CRP), lipid gulu, kuchuluka kwa magazi m'magazi, echocardiogram ndikuwunika kufalikira kwa mitsempha ya carotid kungakhale kofunikira, komwe kungachitike ndi doppler kapena angioresonance, kuti mutsimikizire zomwe zinayambitsa amaurosis ndipo mwanjira imeneyi amayambitsa chithandizo choyenera.

Momwe mankhwalawa amachitikira

Chithandizo cha amaurosis chosakhalitsa chimafuna kuthetsa zomwe zimayambitsa, ndipo izi zimachitika nthawi zambiri kugwiritsa ntchito mankhwala monga ma antiplatelet agents, antihypertensives ndi corticosteroids, kuwonjezera pa kuphunzitsanso zakudya ndipo, ngati kuli kofunikira, kuchita masewera olimbitsa thupi kuti muchepetse kunenepa kwambiri ndikuyamba kuyeserera. njira zopumulira.

Komabe, pazochitika zowopsa kwambiri pomwe mtsempha wama carotid umasokonekera kwambiri, mwina chifukwa cha stenosis, atherosclerosis kapena kuundana, opareshoni ya carotid endarterectomy kapena angioplasty zitha kuwonetsedwa kuti zichepetse chiwopsezo cha sitiroko. Onani momwe angioplasty yachitidwira komanso kuopsa kwake.