He aha ka neuritis optic a pehea e ʻike ai

Anter

• Nā hōʻailona nui
• Pehea e ʻike ai
• He aha nā kumu
• Lapaʻau no optic neuritis

ʻO Optitis neuritis, i ʻike ʻia ʻo neurbulbulbar neuritis, ka pehu o ke aʻalolo optic e ālai i ka lawe ʻana o ka ʻike mai ka maka a ka lolo. ʻO kēia no ka nalowale ʻana o ke aʻalolo i ka uhi myelin, kahi papa e kau i nā aʻa a he kuleana no ka hoʻoili ʻana o nā impulses nerve.

ʻOi aku ka maʻi o kēia maʻi i nā mākua ma waena o nā makahiki he 20 a me 45, a he kumu hapa, a i ʻole i kekahi manawa ka huina o ka ʻike. Hoʻopili pinepine ia i hoʻokahi maka, ʻoiai hiki ke hoʻopili i nā maka ʻelua, a hiki ke hōʻeha i ka maka o ka maka a me nā loli i ka ʻike kala a i ʻole ka ʻike.

ʻIke nui ʻia ka neuritis optic ma ke ʻano he hōʻike o nā sclerosis he nui, akā hiki pū ʻia ia i ka maʻi lolo, kahi tumo a i ʻole ka ʻona ʻia e nā metala kaumaha, e like me ke kēpau, no ka laʻana. Hana pinepine ʻia ka hoʻōla ma hope o kekahi mau pule, akā naʻe, hiki i kāu kauka ke hoʻohana pū i nā corticosteroids e kōkua i ka wikiwiki i kekahi mau hihia.

Nā hōʻailona nui

ʻO nā ʻōuli o ka neuritis optic:

• ʻO ka nalo o ka hihiʻo, hiki ke hapa, akā i nā hihia ʻoi loa hiki ke loaʻa i ka huina, a hoʻokahi a ʻelua paha mau maka;
• ʻEhaʻeha maka, ʻinoʻino ke neʻe ʻana o ka maka;
• Loaʻa o ka hiki ke hoʻokaʻawale i nā kala.

ʻO ka nalo ʻana o ka hihi no ka manawa maʻamau, eia nō naʻe, koe nō paha ka sequelae, e like me nā pilikia i ka ʻike ʻana i nā waihoʻoluʻu a i ʻole ka ʻike hihi. E nānā i nā hōʻailona ʻē aʻe a me nā ʻōuli o nā pilikia o ka hihiʻo e hōʻailona ana i nā hōʻailona.

Pehea e ʻike ai

ʻO ka ʻike ʻana i ka neuritis optic i hana ʻia e ka ophthalmologist, ka mea hiki ke hana i nā hoʻokolohua e loiloi i ka ʻike a me ke kūlana o nā maka e like me ka campimetry ʻike, ʻike ʻia ka hiki ke ʻike ʻia, reflexes pupillary a i ʻole loiloi o ka waihona.

Hoʻohui ʻia, kauoha ʻia kahi scan MRI lolo, kahi e kōkua ai e ʻike i nā loli o ka lolo e like me nā mea i hoʻokumu ʻia e ka sclerosis he nui a i ʻole ka tumo lolo.

He aha nā kumu

Kū pinepine ʻo Optic neuritis ma muli o:

• Sclerosis lehulehu, ʻo ia kahi maʻi e hoʻonā ai a me ka nalo ʻana o ka uhi myelin o nā neurons lolo. E nānā he aha ia a pehea e ʻike ai i nā sclerosis he nui;
• Nā maʻi lolo, e like me ka meningitis a i ʻole viral encephalitis, i hoʻokumu ʻia e nā mea ʻino e like me ka moa a me ka herpes, a i ʻole ke komo ʻana i ka tuberculosis, no ka laʻana;
• Tumo lolo, ka mea hiki ke kaomi i ke aʻalolo optic;
• Nā maʻi maʻi autoimmune;
• Maʻi ʻo Graves, ka mea e hōʻino ai i nā maka i kapa ʻia ʻo Graves 'orbitopathy. Hoʻomaopopo pehea e ala aʻe a pehea e mālama ai i kēia maʻi;
• Lāʻau make lā, e like me kekahi mau antibiotic, a i ʻole nā ​​metala kaumaha, e like me ke kēpau, arsenic a i ʻole methanol, no ka laʻana.

Eia nō naʻe, i nā manawa he nui, ʻaʻole i ʻike ʻia ke kumu o ka neuritis optic, i kapa ʻia ʻo idiopathic optic neuritis.

Lapaʻau no optic neuritis

I nā manawa he nui, loaʻa i ka neuritis optic kahi reman spontan, a hoʻomaikaʻi nā hōʻailona a me nā ʻōuli me ka ʻole o ka pono o ka lapaʻau kūikawā.

Eia nō naʻe, mea nui mau ka ukali ʻana me ka ophthalmologist a me ka neurologist, ka mea hiki ke loiloi i ka pono o ka hoʻohana ʻana i nā lāʻau, e like me nā corticosteroids e hoʻemi ai i ka mumū o ke aʻa, a i ʻole ke kiʻi ʻana i ke ʻoki e hoʻohaʻahaʻa i ke aʻalolo optic, e pono ai paha i nā hihia tumo, o kahi laʻana.

ʻOiai, i kekahi mau hihia, ua pau ka hoʻōla, hiki nō ke hoʻomau i kekahi sequelae, e like me ka paʻakikī i ka hoʻokaʻawale ʻana i nā kala, nā loli i ka ʻike kiʻi, ka ʻike i ka malamalama a i ʻole nā ​​pilikia i ka loiloi ʻana i kahi mamao, no ka laʻana.