I-optic neuritis

Imithambo-luvo ye-optic ithwala imifanekiso yento ebonwa liliso kwingqondo. Xa le luvo idumbile okanye idumbe, ibizwa ngokuba yi-optic neuritis. Ingabangela umbono okhawulezileyo, nocothisiweyo kwiliso elichaphazelekayo.

Oyena nobangela we-optic neuritis awaziwa.

Iimbilini ze-optic zithwala ulwazi olubonakalayo ukusuka kwiso lakho ukuya kwingqondo. Imithambo-luvo iyakudumba xa ithe yadumba ngesiquphe. Ukudumba kungonakalisa iintsinga zemithambo-luvo. Oku kunokubangela ukulahleka kombono okufutshane okanye kwexesha elide.

Imiqathango edityaniswe ne-optic neuritis ibandakanya:

• Izifo ezisebenza ngokuzenzekelayo, kubandakanya i-lupus, i-sarcoidosis, kunye nesifo se-Behçet
• I-Cryptococcosis, usulelo lokungunda
• Usulelo lwebacteria, kubandakanya isifo sephepha, igcushuwa, isifo seLyme, kunye ne-meningitis
• Usulelo lwentsholongwane, kubandakanya i-encephalitis yentsholongwane, imasisi, irubella, irhashalala, i-herpes zoster, uqwilikana, kunye ne-mononucleosis
• Usulelo lokuphefumula, kubandakanya i-mycoplasma pneumonia kunye nolunye usulelo oluphezulu lokuphefumla
• Isifo sokugubhuka

Iimpawu zingabandakanya:

• Ukuphulukana nombono kwiliso elinye ngaphezulu kweyure okanye iiyure ezimbalwa
• Utshintsho kwindlela umfundi asabela ngayo ekukhanyeni okuqaqambileyo
• Ukuphulukana nombono wombala
• Ubuhlungu xa uhambisa iliso

Uvavanyo olupheleleyo lwezonyango lunokunceda ukulawula izifo ezinxulumene noko. Uvavanyo lunokubandakanya:

• Ukuvavanywa kombono wombala
• I-MRI yengqondo, kubandakanya imifanekiso ekhethekileyo ye-optic nerve
• Uvavanyo lwe-acuity ebonakalayo
• Uvavanyo lwentsimi ebonakalayo
• Uviwo lwe-disc ye-optic usebenzisa i-ophthalmoscopy engathanga ngqo

Umbono uhlala ubuyela esiqhelweni kwiiveki ezi-2 ukuya kwezi-3 kungekho unyango.

ICorticosteroids enikezwe ngomthambo (IV) okanye ethathwe ngomlomo (ngomlomo) inokukhawulezisa ukubuyisela kwimeko yesiqhelo. Nangona kunjalo, umbono wokugqibela awungcono nge-steroids kunokuba ungenayo. I-Oral steroids yomlomo inokwandisa ithuba lokuphindaphinda.

Olunye uvavanyo lunokufuneka ukufumana unobangela we-neuritis. Imeko ebangela ingxaki inokukwazi ukunyangwa.

Abantu abane-optic neuritis ngaphandle kwesifo esifana ne-multiple sclerosis banethuba elihle lokuphola.

I-Optic neuritis ebangelwa kukuqina kwamathambo okanye ezinye izifo ezizimelayo inembono ehlwempuzekileyo. Nangona kunjalo, umbono kwiliso elichaphazelekayo usenokubuyela esiqhelweni.

Iingxaki zinokubandakanya:

• Iziphumo ebezingalindelekanga zomzimba ngokubanzi ezivela kwiicorticosteroids
• Ukulahleka kombono

Abanye abantu abanesiqendu se-optic neuritis baya kuphuhlisa iingxaki zemithambo-luvo kwezinye iindawo emzimbeni okanye bakhulele isifo sokuqina kwemisipha

Fowunela umboneleli wakho wezempilo kwangoko ukuba unokulahleka ngesiquphe kombono kwiliso elinye, ngakumbi ukuba unentlungu yamehlo.

Ukuba ufumene ukuba une-optic neuritis, tsalela umnikezeli wakho wezempilo ukuba:

• Umbono wakho uyancipha.
• Intlungu esweni iya isiba mandundu.
• Iimpawu zakho aziphuculanga kwiiveki ezi-2 ukuya kwezi-3.

I-Retro-bulbar neuritis; Multiple sclerosis - optic neuritis; I-optic nerve - i-optic neuritis

• Multiple sclerosis - ukukhutshwa

• I-anatomy yangaphandle yamehlo nangaphakathi

ICalabresi PA. I-Multiple sclerosis kunye neemeko zokupheliswa kwenkqubo ye-nervous system. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 383.

Moss HE, uGuercio JR, uBalcer LJ. Ukudumba kwe-optic neuropathies kunye neuroretinitis. Ku: Yanoff M, Duker JS, ii-eds. Ophthalmology. Umhla we-5. IPhiladelphia, PA: Elsevier; I-2019: isahluko 9.7.

IPrasad S, iBalcer LJ. Ukungaqheleki kwethambo le-optic kunye ne-retina. Ku: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, ii-eds. I-Neurology kaBradley kwiKlinikhi yokuziqhelanisa. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2016: isahluko 17.