Kupera amaurosis: zvazviri, zvikonzero zvikuru uye kurapwa
Zvemukati
Iyo maurosis inopera inozivikanwa zvakare seyenguva pfupi kana inononoka kurasikirwa kwekuona, ndiko kurasikirwa, kuita rima kana kupomhodza kwemaonero ayo anogona kugara kubva mumasekondi kusvika kumaminetsi, uye anogona kungova mune rimwe kana ese maziso. Chikonzero izvi zvinoitika kushomeka kweropa-rakapfuma reropa remusoro nemeso.
Nekudaro, amaurosis inopera chingori chiratidzo cheimwe mamiriro, ayo anowanzo kuve nekushushikana uye kurwiswa kwemigraine, semuenzaniso, asi izvo zvinogona zvakare kusangana nemamiriro akakomba seatherosclerosis, thromboemboli uye kunyangwe sitiroko (sitiroko).
Nenzira iyi, kurapwa kwemaurosis anokurumidza anoitwa nekubvisa izvo zvinokonzeresa, uye nekuda kwechikonzero ichocho, zvakakosha kutsvaga kurapwa nekukurumidza dambudziko parinoonekwa, kuitira kuti kurapwa kwakakodzera kutange uye mukana we sequelae wakakodzera kushomeka kwemweya munyama.
Zvinogona kukonzerwa
Chikonzero chikuru chekukurumidza maurosis kushomeka kweropa-rakazara ropa munzvimbo yeziso, inogadzirwa netsinga inonzi carotid arteri, mune ino kesi isingakwanise kutakura huwandu hunodiwa hweropa rine mweya.
Kazhinji, amaurosis inopfuura inoitika nekuda kwekuvapo kweanotevera mamiriro:
- Migraine kurwisa;
- Kushungurudzika;
- Kutya kwekutya;
- Vitreous kubuda ropa;
- Hypertensive dambudziko;
- Anterior ischemic optic neuropathy;
- Kubvunda;
- Vertebrobasilar ischemia;
- Vasculitis;
- Arteritis;
- Atherosclerosis;
- Hypoglycemia;
- Vitamin B12 kushomeka;
- Kusvuta;
- Kushaya Thiamine;
- Corneal trauma;
- Kushungurudzwa kwecocaine;
- Zvirwere ne toxoplasmosis kana cytomegalovirus;
- Yakakwira plasma viscosity.
Iko kurasika kwemaurosis kunogara kuri kwechinguvana, uye nekudaro chiratidzo chinodzokera pane zvakajairwa mumaminetsi mashoma, pamusoro pekusawanzo siya chero sequelae, zvisinei hazvo zvinodikanwa kuti chiremba atsvage kunyangwe iyo amaurosis yatora masekondi mashoma, kuti chii inogona kuferefetwa. zvakakonzera.
Muzviitiko zvisingawanzoitika, munhu wacho anogona kuratidza zviratidzo maurosis asati aitika, asi kana zvadaro, kurwadziwa kwakapfava uye maziso anonzwika anotaurwa.
Maitiro ekusimbisa kuongororwa
Kuongororwa kwemaurosis kwechinguva kunoitwa nemurapi kana ophthalmologist kuburikidza neshumo yemurwere, kuongororwa kwemuviri kunoongorora kana paine chero kukuvara kunokonzerwa nekudonha kana kurohwa, kuchiteverwa nekuongororwa kwemaziso kuti uone kukuvara kwemaziso kunogona kuitika.
Kuyedzwa kwakadai sekuzara kweropa kuverenga, C-inoshanda mapuroteni (CRP), lipid pani, ropa glucose level, echocardiogram uye kuongororwa kweiyo carotid vein kutenderera kunogona kudiwa, izvo zvinogona kuitwa nedoppler kana angioresonance, kuitira kusimbisa iyo izvo zvakakonzera amaurosis uye nenzira iyi kutanga kurapwa kwakakodzera.
Kurapwa kunoitwa sei
Kurapa kwemaurosis kwenguva pfupi kunovavarira kubvisa chinokonzeresa, uye izvi zvinowanzoitwa nekushandiswa kwemishonga yakadai seantiplatelet agents, antihypertensives uye corticosteroids, mukuwedzera pakudzidziswa kwekudya uye, kana zvichidikanwa, kurovedza muviri kubvisa huremu hwakawandisa uye kutanga maitiro. nzira dzekuzorora.
Nekudaro, mune dzakakomba zviitiko apo iyo carotid arteri inovharirwa zvakanyanya, kungave nekuda kwe stenosis, atherosclerosis kana kugwamba, carotid endarterectomy kuvhiyiwa kana angioplasty inogona kuratidzwa kudzikisa njodzi yekurwara kunogona kuitika. Ona kuti angioplasty inoitwa sei uye kuti njodzi dzipi.