Mwina mwauzidwa kuti muli ndi mwayi wokhala ndi multiple sclerosis (MS) mtsogolomu ngati muli ndi optic neuritis. Kafukufuku wina anapeza kuti pafupifupi theka la anthu amene anayamba optic neuritis anayamba kukhala ndi MS mkati mwa zaka 15, ngakhale kuti sizinali zovuta ngati analibe zilonda pa MRI.
Ena amati, mpaka 80 peresenti ya anthu omwe ali ndi MS adzakhala ndi zizindikiro zokhudzana ndi masomphenya, omwe amakhala optic neuritis.
Pafupifupi 20 peresenti ya anthu omwe ali ndi MS amawona optic neuritis ngati chizindikiro chawo choyamba.
Zimayambitsa
Matendawa amatanthauza "kutupa kwa mitsempha ya optic." Mitsempha ya optic imagwirizanitsa maso ku ubongo, ndipo MS ingasokoneze dongosolo logwirizanitsa, zomwe zimayambitsa kusokonezeka kwa masomphenya. Nthenda yotsegula m'mimba ku MS imayambitsidwa ndi kutupa kwa thupi. Mwa kuyankhula kwina, njira yotupa imawononga bwalo la myelin kuzungulira mitsempha ya optic, zomwe zimayambitsa mitsempha kuti izikhala zosokoneza zomwe zimachititsa kuti zisokonezeke.
Zizindikiro ndi Zizindikiro
- Anthu ambiri omwe ali ndi optic neuritis (pafupifupi 90 peresenti) amamva kupweteka pamene akusuntha maso awo. Kupweteka kumeneku kumachepa pakapita masiku angapo, ngakhale masomphenya akadakalipo.
- Masomphenya osasintha, kuwala kochepa, kutsekemera, kapena kuwala kwa maso pamene maso akuthamangitsidwa (otchedwa photopsia), kutaya maonekedwe ( dyschromatopsia ), "malo opanda kanthu" pakati pa diso, wotchedwa scotoma.
- Kuyambira mofulumira (kawirikawiri), kuperewera kwa masomphenya kumachitika mkati mwa masabata awiri kapena awiri.
- Kawirikawiri zimakhudza diso limodzi panthawi. Pafupifupi 10 peresenti ya milandu, zizindikiro zimapezeka m'maso onse, panthawi imodzi kapena mwatsatanetsatane.
- Pambuyo pa optic neuritis, kawirikawiri zimakhala ndi chinachake chomwe chimatchedwa Uthoff , chomwe ndi masomphenya omwe amatha pamene thupi lanu likutentha, monga malungo kapena nyengo yotentha. Ndipotu, chochitika ichi chingakhale chisonyezero chakuti munthu anali ndi optic neuritis m'mbuyomu mwinamwake iwo sankadziwa.
- Pambuyo pokhala ndi optic neuritis, anthu amawona kuti masomphenya awo ali bwino masiku ena kusiyana ndi ena, kapena kuti amatha kuona bwino m'mawa kuposa momwe amachitira madzulo.
Kudziwa
Kufufuza kwa ophthalmologic ndi chinthu chofunikira kwambiri chozindikira optic neuritis, ndipo MRI yowonjezera ya gadolinium ya ubongo ndi mitsempha ya optic ingagwiritsenso ntchito. Ngati mwapezeka kale ndi MS, dokotala wanu angadumphe pomwepo kuti akuchiritsireni mukatha kukayezetsa, ngati optic neuritis ikupezeka.
Chithandizo
Mankhwala akuluakulu a corticosteroids , omwe amachititsa kuti Solu-Medrol , asonyezedwe kukhala othandiza kuchepetsa nthawi ya optic neuritis, koma mwinamwake sichigwira ntchito pamasomphenya a nthawi yaitali. Anthu oposa 90 pa 100 aliwonse amayamba kuchira okha mkati mwa mwezi popanda mankhwala a steroid. Ma steroids amlomo amaoneka kuti alibe phindu kapena amakhala ndi mavuto ndipo ayenera kupeĊµa.
Zikuwoneka ngati optic neuritis idzabwereranso mwa 33 peresenti ya anthu, mwina kubwerera mu diso lina kapena kukhudza diso lomwelo kachiwiri.
Kubwezeretsa ndi Kulimbana
Pakati pa optic neuritis, mawonedwe otayika m'maso kapena m'maso akukhudzidwa akhoza kukhala ofunika kwambiri-ngakhale khungu lathunthu silolendo. Zikondwerero, anthu ambiri amachira bwino ndipo amakhalanso ndi masomphenya awo, koma zingatenge miyezi yambiri kuti athetse bwino.
Komabe, kutayika kwina kosatha kwa kufotokoza kapena kuchepetsa mtundu wa maso mu diso lomwe lakhudzidwa kungathe kuchitika.
Ndikofunika kudziwa kuti optic neuritis ikhoza kukhala ndi zifukwa zosiyanasiyana (ndi njira zochizira), kotero ngati muli ndi MS ndipo mukukhulupirira kuti ndichifukwa chake mukukumana ndi mavuto, muyenera kuwona dokotala wanu. Adzakutumizirani kwa katswiri wa ophthalmologist kapena katswiri wamagetsi kuti aone. Mofanana ndi zizindikiro zambiri za MS, mavuto owonetsera akhoza kubwera ndikuyenda nthawi yonse ya matendawa.
> Zosowa
> Optic Neuritis. Chipatala cha Mayo.
> Optic Neuritis Study Group. Multiple Sclerosis Kuopsa kwa Optic Neuritis: Kutsiriza Kwambiri Kuwopsa kwa Matenda Omwe Amayesedwa. Archives of Neurology . 2008; 65 (6): 727-732. lembani: 10.1001 / archneur.65.6.727.