Optical neuritis

Hāpai ke aʻalolo optic i nā kiʻi o ka mea a ka maka e ʻike ai i ka lolo. Ke hele a pehu a pehu paha kēia aʻalolo, kapa ʻia ʻo optic neuritis. Hiki ke kumu o ka maka ʻole a hoʻoliʻiliʻi paha i ka maka i hoʻopilikia ʻia.

ʻAʻole ʻike ʻia ke kumu kūpono o ka neuritis optic.

Lawe ke aʻalolo optic i ka ʻike ʻike mai kou maka a ka lolo. Hiki ke pehu i ke aʻalolo ke hele a wela koke. Hiki i ka ʻōhū ke hōʻino i nā olonā nerve. Hiki i kēia ke kumu o ka nalowale o ka hihiʻo wā lōʻihi.

ʻO nā kūlana i hoʻopili ʻia me ka neuritis optic me:

• Nā maʻi Autoimmune, e laʻa me lupus, sarcoidosis, a me ka maʻi Behçet
• ʻO Cryptococcosis, kahi maʻi fungus
• Nā maʻi o ke koʻohune, me tuberculosis, syphilis, maʻi Lyme, a me ka meningitis
• Nā maʻi virus, e like me ka viral encephalitis, measles, rubella, chickenpox, herpes zoster, mumps, a me mononucleosis
• Nā maʻi hanu, e like me ka mycoplasma pneumonia a me nā maʻi maʻi hanu luna o luna
• Sclerosis lehulehu

Pākuʻi ʻia paha nā ʻōuli:

• Lilo o ka hihiʻo ma ka maka hoʻokahi ma mua o hoʻokahi hola a i kekahi mau hola
• Nā hoʻololi i ke ʻano o ka hana a ka haumāna i ka mālamalama mālamalama
• Loaʻa o ka hihi kala
• ʻEha ke neʻe ʻoe i ka maka

Hiki i kahi hōʻike olakino piha ke kōkua i ka pale ʻana i nā maʻi e pili ana. E komo pū paha nā hoʻāʻo:

• ʻImi ʻike kala
• MRI o ka lolo, me nā kiʻi kūikawā o ke aʻalolo optic
• ʻO ka hoʻāʻo ʻana i ka ʻike maka
• Hōʻoia kahua kahua
• ʻO ka hoʻokolokolo ʻana i ka disk optic me ka hoʻohana ʻole i ophthalmoscopy

Hoʻi pinepine ka hihiʻo i ka maʻamau ma waena o 2 a 3 mau pule me ka ʻole o ka lāʻau.

Hāʻawi ʻia ʻo Corticosteroids ma o kahi aa (IV) a i ʻole lawe ʻia e ka waha (waha) e wikiwiki ai ka ola. Eia naʻe, ʻaʻole ʻoi aku ka maikaʻi o ka ʻike hope loa me nā steroid ma mua o ka ʻole. Hoʻonui maoli paha ka poʻe steroid oral i ka manawa o ka hoʻi hou ʻana.

Pono ʻia nā hoʻokolohua hou e ʻike i ke kumu o ka neuritis. Hiki ke mālama ʻia ke ʻano e hoʻopilikia nei i ka pilikia.

ʻO ka poʻe i loaʻa i ka neuritis optic me ka ʻole o kahi maʻi e like me nā sclerosis he nui ka manawa kūpono o ke ola.

ʻO ka neuritis optic i hoʻokumu ʻia e sclerosis maha a i ʻole nā ​​maʻi autoimmune ʻē aʻe i kahi ʻike maikaʻi ʻole. Eia nō naʻe, hoʻi paha ka hihiʻo i ka maka maka i ka maʻamau.

Komo pū nā pilikia:

• Nā hopena ʻaoʻao ākea mai nā corticosteroids
• Lilo hihio

ʻO kekahi poʻe i loaʻa kahi ʻāpana o ka optic neuritis e hoʻomohala i nā pilikia nerve i nā wahi ʻē aʻe i ke kino a hoʻomōhala paha i nā sclerosis he nui.

Kāhea koke i kāu kauka mālama inā loaʻa koke iā ʻoe ka hihiʻo o ka maka i hoʻokahi maka, keu hoʻi inā ʻeha kou maka.

Inā ua hōʻoia ʻia ʻoe me ka neuritis optic, kāhea i kāu kahu mālama ola inā:

• Hoemi i kāu ʻike.
• ʻOi aku ka ʻeha o ka maka.
• ʻAʻole hoʻomaikaʻi kāu mau ʻōuli ma waena o 2 a 3 mau pule.

Neuritis retro-bulbar; Multiple sclerosis - neuric optic; Optic nerve - neuritis optic

• Sclerosis maha - hoʻokuʻu

• Anatomy maka kūwaho a me loko

ʻO Calabresi PA. ʻO ka sclerosis maha a me nā kūlana demyelinating o ka ʻōnaehana waena. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 383.

ʻO Moss HE, ʻo Guercio JR, ʻo Balcer LJ. ʻO nā neuropathies optic inflammatory a me neuroretinitis. I: Yanoff M, Duker JS, eds. Ophthalmology. 5th lā. Piladelapia, PA: Elsevier; 2019: chap 9.7.

ʻO Prasad S, Balcer LJ. Nā kūpono ʻole o ke aʻalolo optic a me ka retina. I: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. ʻO Bradley's Neurology i ka hana lapaʻau. ʻEpekema 7 Piladelapia, PA: Elsevier; 2016: chap 17.