Amaurosis fugax

Amaurosis fugax kurasikirwa kwenguva pfupi kwemaonero mune rimwe kana ese maziso nekuda kwekushayikwa kweropa kuyerera kune iyo retina. Iyo retina ndiyo yakajeka-inonzwika tambo yetishu kumashure kweziso reziso.

Amaurosis fugax hachisi pachayo chirwere. Pane kudaro, chiratidzo chekumwe kusagadzikana. Amaurosis fugax inogona kuitika kubva pazvikonzero zvakasiyana. Chimwe chikonzero ndechekuti kana ropa rovhara kana chidimbu chebepa chakavhara tsinga muziso. Ropa kana chipenga cheropa zvinowanzofamba kubva patsinga hombe, senge carotid arteri mumutsipa kana tsinga iri mumoyo, kune tsinga iri muziso.

Dombo chinhu chakaoma chinogadzirwa kana mafuta, cholesterol, nezvimwe zvinhu zvikavakwa mumadziro etsinga. Njodzi zvinhu zvinosanganisira:

• Chirwere chemwoyo, kunyanya kusagadzikana kwemoyo
• Kunwa doro zvisina kufanira
• Cocaine kushandisa
• Chirwere cheshuga
• Nhoroondo yemhuri yekurohwa
• Kuwedzera kweropa
• Cholesterol yakakwira
• Kuwedzera zera
• Kusvuta (vanhu vanosvuta pakiti rimwe pazuva zvakapetwa nengozi yavo yekurohwa)

Amaurosis fugax inogona zvakare kuitika nekuda kwehumwe kusagadzikana senge:

• Mamwe matambudziko eziso, akadai sekuputika kweiyo optic nerve (optic neuritis)
• Ropa remidziyo chirwere chinonzi polyarteritis nodosa
• Migraine misoro
• Bundu rebongo
• Kukuvara kwemusoro
• Multiple sclerosis (MS), kuzvimba kwemitsipa nekuda kwemasero emuviri emumuviri anorwisa tsinga
• Systemic lupus erythematosus, chirwere chinodzivirira muviri umo masero emumuviri anodzivirira nyama dzine hutano mumuviri wese

Zviratidzo zvinosanganisira kurasikirwa kamwe kamwe kwemaonero mune rimwe kana ese maziso. Izvi zvinowanzoitika kwemasekondi mashoma kusvika maminetsi akati wandei. Mushure mezvo, chiratidzo chinodzokera pane zvakajairwa. Vamwe vanhu vanotsanangura kurasikirwa kwechiono segrey kana mutema mumvuri unouya pasi pamusoro peziso.

Anopa hutano anozoita ziso rakazara uye hunyanzvi bvunzo. Mune zvimwe zviitiko, kuongororwa kwemaziso kucharatidza nzvimbo yakajeka apo iro clot riri kuvharira tsinga yetsinga.

Miedzo inogona kuitwa inosanganisira:

• Ultrasound kana magnetic resonance angiography scan yeiyo carotid arter kuti utarise kuwanda kweropa kana plaque
• Kuongororwa kweropa kutarisa cholesterol uye shuga zveropa
• Kuyedzwa kwemoyo, senge ECG kutarisa mashandiro ayo emagetsi

Kurapa kwemaurosis fugax kunoenderana nechikonzero chayo. Kana amaurosis fugax iri nekuda kweropa kana ganda, kunetsekana kuri kudzivirira sitiroko. Izvi zvinotevera zvinogona kubatsira kudzivirira sitiroko:

• Dzivisa chikafu chine mafuta uye uteedzere kudya kune hutano, kwakaderera-mafuta. Usanwa zvinopfuura 1 kana zviviri zvinwiwa zvinodhaka pazuva.
• Rovedza muviri nguva dzose: maminitsi makumi matatu pazuva kana usiri kufuta zvakanyanya; Maminetsi makumi matanhatu kusvika makumi mapfumbamwe pazuva kana uri kufuta.
• Regedza kusvuta.
• Vanhu vazhinji vanofanirwa kukoshesa kumanikidza kweropa pazasi pe120 kusvika 130/80 mm Hg. Kana iwe uine chirwere cheshuga kana uine sitiroko, chiremba wako anogona kukuudza iwe kuti utarise yakaderera BP.
• Kana uine chirwere cheshuga, chirwere chemwoyo, kana kuomarara kwetsinga, cholesterol yako yeLDL (yakaipa) inofanira kunge iri pasi pe70 mg / dL.
• Tevedza zvirongwa zvako zvekurapa zvechiremba kana uine yakakwira BP, chirwere cheshuga, cholesterol yakawanda, kana chirwere chemwoyo.

Chiremba wako anogona zvakare kukurudzira:

• Hapana kurapwa. Iwe unogona kungoda kushanyirwa nguva dzose kuti utarise hutano hwemwoyo wako uye carotid arteri.
• Aspirin, warfarin (Coumadin), kana zvimwe zvinodhaka-zvinoponda ropa kudzikisa njodzi yako yekurohwa.

Kana chikamu chikuru checarotid arteri chikaonekwa chakavharwa, kuvhiyiwa kwecarotid endarterectomy kunoitwa kubvisa kuvhara. Sarudzo yekuvhiya inoenderanawo nehutano hwako hwese.

Amaurosis fugax inowedzera njodzi yako yekurohwa.

Fonera mupiki wako kana chero kurasikirwa kwekuona kuchiitika. Kana zviratidzo zvichitora nguva yakareba kupfuura maminetsi mashoma kana kana paine zvimwe zviratidzo nekurasikirwa kwechiratidzo, tsvaga kurapwa nekukurumidza.

Kupfupika monocular upofu; Yechinguva monocular yekuona kurasikirwa; TMVL; Yechinguva monocular yekuona kurasikirwa; Kuderera kurasika kwekuona kwekuona; TBVL; Yenguva pfupi yekuona kurasikirwa - amaurosis fugax

• Retina

Biller J, Ruland S, Schneck MJ. Ischemic cerebrovascular chirwere. Mune: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology muClinical Dzidzira. 7th ed. Philadelphia, PA: Elsevier; 2016: chits 65.

Brown GC, Sharma S, Brown MM. Ocular ischemic chirwere. Mu: Schachat AP, Sadda SVR, Hinton DR, Wilkinson CP, Wiedemann P, eds. Retina yaRyan. 6th ed. Philadelphia, PA: Elsevier; 2018: chits. 62.

Meschia JF, Bushnell C, Boden-Albala B, uye al. Nongedzo dzekudzivirira kwekutanga sitiroko: chirevo chevashandi vezvehutano kubva kuAmerican Heart Association / American Stroke Association. Kurohwa. 2014; 45 (12): 3754-3832. PMID: 25355838 pubmed.ncbi.nlm.nih.gov/25355838/.