Optic neuritis

Tsinga yemaziso inotakura mifananidzo yezvinoonekwa neziso kuuropi. Kana tsinga iyi yazvimba kana kuzvimba, inonzi optic neuritis. Zvinogona kukonzera kamwe kamwe, kuderedzwa kuona muziso rakabatwa.

Chikonzero chaicho che optic neuritis hachizivikanwe.

Iyo optic nerve inotakura ruzivo rwekuona kubva paziso rako kuenda kuuropi. Iyo tsinga inogona kuzvimba kana ikangoerekana yatsva. Iko kuzvimba kunogona kukuvadza tsinga dzemagetsi. Izvi zvinogona kukonzera kurasikirwa kwenguva pfupi kana kwenguva refu kwemaonero.

Mamiriro ezvinhu akave akabatanidzwa ne optic neuritis anosanganisira:

• Zvirwere zvemuviri, zvinosanganisira lupus, sarcoidosis, uye chirwere cheBehçet
• Cryptococcosis, hutachiona hutachiona
• Hutachiona hutachiona, kusanganisira tibhii, syphilis, chirwere cheLyme, uye meningitis
• Utachiona hwehutachiona, kusanganisira hutachiona encephalitis, gwirikwiti, rubella, chickenpox, herpes zoster, mumps, uye mononucleosis
• Zvirwere zvekufema, zvinosanganisira mycoplasma pneumonia uye zvimwe zvinowanzoitika zvepamusoro zvekupemha hutachiona
• Multiple sclerosis

Zviratidzo zvinogona kusanganisira:

• Kurasikirwa kwekuona mune rimwe ziso pamusoro peawa kana maawa mashoma
• Shanduko munzira iyo mudzidzi anopindura nayo kuchiedza chakajeka
• Kurasikirwa kwekuona kwemavara
• Marwadzo kana iwe uchifambisa ziso

Kuongorora kwakakwana kwekurapa kunogona kubatsira kutonga kunze kwezvirwere zvinoenderana. Miedzo inogona kusanganisira:

• Ruvara rwekuona chiratidzo
• MRI yeuropi, kusanganisira yakasarudzika mifananidzo yeiyo optic nerve
• Kuona acuity kuyedza
• Kuona munda kuyedzwa
• Kuongorora kweiyo optic disc uchishandisa isina kunangana ophthalmoscopy

Chiratidzo chinowanzodzokera kuchimiro mukati memavhiki maviri kusvika matatu pasina kurapwa.

Corticosteroids inopihwa kuburikidza netsinga (IV) kana kutorwa nemuromo (muromo) inogona kukurumidza kupora. Zvisinei, chiratidzo chekupedzisira hachisi nani nesteroid kupfuura kunze. Oral steroids inogona kuwedzera mukana wekudzokazve.

Kupfuurirazve bvunzo dzinogona kudikanwa kuti uwane chinokonzera iyo neuritis. Mamiriro acho anokonzera dambudziko anogona kurapwa.

Vanhu vane optic neuritis vasina chirwere chakadai se multiple sclerosis vane mukana wakanaka wekupora.

Optic neuritis inokonzerwa neakawanda sclerosis kana zvimwe zvirwere zvemuviri zvine maonero akashata. Nekudaro, chiratidzo muziso rakakanganiswa chingangodzokera kuchinyakare.

Zvinetso zvinogona kusanganisira:

• Muviri-wakapamhama mhedzisiro kubva ku corticosteroids
• Chiratidzo kurasikirwa

Vamwe vanhu vane episode ye optic neuritis vanozokudziridza matambudziko etsinga mune dzimwe nzvimbo mumuviri kana kukura multiple sclerosis.

Fonera wako mupi wezvehutano ipapo ipapo kana iwe ukangoerekana warasikirwa nechiono mune rimwe ziso, kunyanya kana iwe uine kurwadziwa kwemaziso.

Kana iwe wakamboonekwa uine optic neuritis, fonera mupi wako wezvehutano kana:

• Chiono chako chinodzikira.
• Marwadzo muziso anowedzera.
• Zviratidzo zvako hazviite nani mukati memavhiki maviri kusvika matatu.

Retro-bulbar neuritis; Multiple sclerosis - optic neuritis; Optic tsinga - optic neuritis

• Multiple sclerosis - kubuda

• Kunze uye kwemukati ziso anatomy

Calabresi PA. Multiple sclerosis uye demyelinating mamiriro epakati sisitimu system. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chitsiko 383.

Moss Iye, Guercio JR, Balcer LJ. Inokuvadza optic neuropathies uye neuroretinitis. Mune: Yanoff M, Duker JS, eds. Ophthalmology. 5 ed. Philadelphia, PA: Elsevier; 2019: chitsiko 9.7.

Prasad S, Balcer LJ. Kusagadzikana kweiyo optic nerve uye retina. Mune: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology muClinical Dzidzira. 7th ed. Philadelphia, PA: Elsevier; 2016: chits. 17.