Amaurosis fugax

ʻO Amaurosis fugax kahi nalowale manawa o ka hihiʻo i hoʻokahi a i ʻole nā ​​maka ʻelua ma muli o ka nele o ke kahe o ke koko i ka retina. ʻO ka retina ka ʻāpana māmā-maʻalahi o ka mea ma ke kua o ka eyeball.

ʻAʻole maʻi ʻo Amaurosis fugax ponoʻī. Akā, he hōʻailona ia o nā maʻi ʻē aʻe. Hiki i ka Amaurosis fugax ke hana mai nā kumu like ʻole. ʻO kekahi kumu ke ʻūlū ke koko a i ʻole kahi ʻāpana plake i ke aʻa i ka maka. Hele pinepine ke kīʻaha koko a i ʻole ka pā mai kahi aʻa nui, e like me ke aʻa carotid i ka ʻāʻī a i ʻole ke aʻa i loko o ka puʻuwai, i kahi aʻa o ka maka.

ʻO ka plaque kahi mea paʻakikī e hana ke momona, kolesterol, a me nā mea ʻē aʻe i kūkulu ʻia i nā paia o nā aʻa. ʻO nā kumu pilikia me:

• ʻO ka maʻi puʻuwai, ʻo ka puʻuwai puʻuwai maikaʻi ʻole paha
• ʻIno ʻino
• Hana Cocaine
• Diabetes
• ʻO ka mōʻaukala ʻohana o ka maʻi ʻōiwi
• Piʻi koko kiʻekiʻe
• Kolesterol kiʻekiʻe
• Ke hoʻonui nei i ka makahiki
• Puhi (nā poʻe puhi i hoʻokahi ʻūlū i ka lā e pāpālua i ko lākou makaʻu no ka hahau ʻana)

Hiki pū kekahi ʻo Amaurosis fugax ma muli o nā maʻi ʻē aʻe e like me:

• Nā pilikia ʻē aʻe, e like me ka mumū o ke aʻalolo optic (neuritis optic)
• ʻO ka maʻi maʻi koko i kapa ʻia ʻo polyarteritis nodosa
• ʻEha poʻo Migraine
• Tumo lolo
• Poino poʻo poʻo
• ʻO ka sclerosis maha (MS), ka mumū o nā aʻa ma muli o nā kino pale o ke kino e hoʻouka nei i ka ʻōnaehana
• ʻO ka lupus erythematosus ʻōnaehana, kahi maʻi autoimmune kahi e hoʻouka ai nā kino pale o ke kino i nā mea olakino holoʻokoʻa i ke kino.

Hoʻopili nā ʻōuli i ka nalowale ʻana o ka hihi i hoʻokahi a ʻelua paha mau maka. Kū mau kēia no kekona kekona i mau mau minuke. Ma hope, hoʻi ka ʻike i ka maʻamau. Hōʻike kekahi poʻe i ka nalo ʻana o ka hihiʻo ma ke ʻano he hina a ʻeleʻele paha e iho mai ana ma luna o ka maka.

E hana ka mea mālama ola i kahi hōʻike o ka ʻōnaehana ʻōnaehana maka a piha hoʻi. I kekahi mau hihia, e hōʻike ana kahi hoʻokolohua maka i kahi kiko mālamalama kahi e ālai ai ka ʻaʻa i ke aʻa retina.

ʻO nā hoʻāʻo e hana ʻia ana paha:

• ʻO ka ultrasound a i ʻole ka magnetic resonance angiography scan o ka carotid artery e nānā ai no ke koko a me ka plaque
• Nā ho'āʻo koko e nānā i nā kiʻekiʻe o ke kō a me ke kō
• Nā hoʻāʻo o ka naʻau, e like me ka ECG e nānā i kāna hana uila

Mālama ʻia ka amaurosis fugax ma muli o ke kumu. Ke loaʻa nei ka amaurosis fugax ma muli o ke kūpē ʻana o ke koko a i ʻole ka pālolo, ʻo ka hopohopo ka mea e pale aku ai i kahi hahau. Hiki i ka mea aʻe ke pale aku i ka hahau.

• Hōʻalo i nā meaʻai momona a hāhai i kahi papaʻai olakino momona. Mai inu ʻoi aku ma mua o 1 a 2 mau mea inu ʻona i ka lā.
• Hoʻomaʻamaʻa mau: 30 mau minuke i ka lā inā ʻaʻole ʻoe i kaumaha nui; 60 i 90 mau minuke i ka lā inā ʻoi kou kaumaha.
• E haʻalele i ka puhi pua ʻana.
• Pono ka hapa nui o ka poʻe i ke kaomi koko ma lalo o 120 a 130/80 mm Hg. Inā loaʻa ʻoe i ka maʻi diabetes a i ʻole loaʻa i ka maʻi kō, e haʻi paha kāu kauka iā ʻoe e ʻimi i kahi kaomi haʻahaʻa o ke koko.
• Inā loaʻa ʻoe i ka maʻi diabetes, maʻi maʻi puʻuwai, a i ʻole paʻakikī ka ʻaʻa, ʻoi aku ka haʻahaʻa o kāu LDL (maikaʻi) ma mua o 70 mg / dL.
• E hāhai i kāu kauka lāʻau lapaʻau ʻana inā loaʻa ʻoe i ke koko kiʻekiʻe, diabetes, high kolesterol, a i ʻole nā ​​maʻi puʻuwai.

E ʻōlelo paha kāu kauka:

• ʻAʻohe lāʻau. Pono paha ʻoe e kipa mau e nānā i ke olakino o kou naʻau a me nā aʻa carotid.
• Aspirin, warfarin (Coumadin), a i ʻole nā ​​lāʻau ʻokiʻoki koko e hoʻohaʻahaʻa ai i kou maka no ka hahau ʻana.

Inā kāpae ʻia kahi ʻāpana nui o ke aʻa carotid, hana ʻia ke ʻoki carotid endarterectomy e hemo ai ka paʻa. Hoʻoholo ʻia ka hoʻoholo e hana ʻoki kino i kou olakino holoʻokoʻa.

Hoʻonui ka Amaurosis fugax i kou makaʻi no ka maʻi kō.

Kāhea i kāu mea hāʻawi inā loaʻa ka nalowale hihi. Inā ʻoi aku ka lōʻihi o nā ʻōuli ma mua o kekahi mau minuke a i ʻole he mau hōʻailona ʻē aʻe me ka nalo ʻana o ka hihi, e ʻimi koke i ka lāʻau.

Makapō monocular kuapo; Lilo monocular ʻike maka ma mua; TMVL; Lilo monocular ʻike maka ma mua; Ka nalowale ʻike maka binocular; TBVL; Ka nalowale ʻike kuikawa - amaurosis fugax

• ʻO Retina

ʻO Biller J, Ruland S, Schneck MJ. ʻO ka maʻi cerebrovascular Ischemic. 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 65.

ʻO Brown GC, Sharma S, Brown MM. Ocular ischemic maʻi maʻi. I: Schachat AP, Sadda SVR, Hinton DR, Wilkinson CP, Wiedemann P, eds. ʻO Ryan's Retina. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2018: chap 62.

Meschia JF, Bushnell C, Boden-Albala B, et al. Nā ʻōkuhi no ka pale mua ʻana i ka hahau: kahi ʻōlelo no ka poʻe ʻoihana ola kino mai ka American Heart Association / American Stroke Association. Hahau. 2014; 45 (12): 3754-3832. PMID: 25355838 pubmed.ncbi.nlm.nih.gov/25355838/.