Unokuxelelwa ukuba unethuba elihle lokudala i- multiple sclerosis (MS) kwixesha elizayo ukuba unayo i-optic neuritis. Olunye uphando lubone ukuba malunga nesiqingatha sabantu abaye bahlakulela i-optic neuritis yaba yi-MS kwiminyaka eyi-15, nangona kwakungenakwenzeka ukuba babengenayo izilonda kwi-MRI yengqiqo.
Ngokomlinganiselo othile, abantu abangama-80 ekhulwini labantu abane-MS baya kuba neempawu ezinxulumene nombono, eyona nto ixhaphakileyo yi-optic neuritis.
Phantse iipesenti ezingama-20 zabantu abane-MS bafumana i-optic neuritis njengempawu zabo zokuqala.
Izizathu
Le meko iguqulela "ukuvuvukala kwentsholongwane ye-optic." I-nertic optic idibanisa iliso kwingqondo, kwaye i-MS ingonakalisa isakhiwo esidibanisayo, esibangela ukuphazamiseka kombono. I-optic neuritis e-MS ibangelwa ukutshatyalaliswa kokutshatyalaliswa komzimba we-nertic optic. Ngamanye amazwi, inkqubo yokuvuvukala yonakalisa intsimbi ye-myelin ejikeleze i-nertic optic, eyenza iimbilini zisebenzise ukungasebenzi ngokubangele ukuphazamiseka okubonakalayo.
Izimpawu kunye neMpawu
- Uninzi lwabantu abane-optic neuritis (malunga neepesenti ezingama-90) baziva bebuhlungu xa behambisa amehlo abo. Le ntlungu isoloko iyancipha emva kweentsuku ezimbalwa, nangona umbono usakhuthazwa.
- Umbono otshitshiweyo, ukukhanya okucuthayo, ukugqabhuka, okanye ukukhanya kokukhanya xa amehlo eshukunyiswayo (ebizwa ngokuthi photopsia), ukulahleka kombala ( dyschromatopsia ), "indawo engenanto" phakathi kweso, elibizwa ngokuba yi-scotoma.
- Ukuqala ngokukhawuleza (ngokuqhelekileyo), kunye nokulahlekelwa kombono ophezulu kwithuba elilodwa ukuya kwiiveki ezimbini.
- Ngokuqhelekileyo ichaphazela iliso elinye ngexesha. Kwimizuzu engama-10 yeemeko, iimpawu zenzeke ngamehlo omabili, ngaxeshanye okanye ngokulandelelana ngokukhawuleza.
- Emva kokupheka kwe-optic neuritis, kuqhelekile ukuba ufumane into ebizwa ngokuba yi- Uthoff, into elahlekileyo yombono oza kwenzeka xa ukushisa komzimba wakho kunyuka, njengomkhuhlane okanye kwisimo sezulu eshushu. Enyanisweni, eli lizwe lingaba ngumqondiso wokuthi umntu une-neticitis ne-optic neuritis eyadlulayo ukuba ayengazi.
- Emva kokufumana i-optic neuritis, abantu banokubona ukuba umbono wabo uphezulu kwiintsuku ezimbalwa kunokuba ngabanye, okanye ukuba banokubona ngokucacileyo kusasa kunokuba benza ngokuhlwa.
Ukuxilongwa
Uvavanyo lwe-ophthalmologic luyinto ebalulekileyo yokuxilongwa kwe-optic neuritis, kunye ne-MRI ephuculweyo ye-MRI yengqondo kunye ne-optic nererve ingasetyenziswa kwakhona. Ukuba sele usufumene ukuba unesifo se-MS, ugqirha wakho angasenqa ngokukhawuleza ukuphatha emva kokuvavanywa kwakho, ukuba i-optic neuritis ifunyenwe.
Unyango
I- corticosteroids ye -high-dose, ebizwa ngokuthi i -Sra-Medrol , i - intravenous Solu-Medrol , iboniswe ukuba isebenze ekunciphiseni ubude be-optic neuritis, kodwa mhlawumbi ayinaso umphumo kwimboniselo yesikhathi eside. Amaphesenti angaphezu kwama-90 abantu aqala ukuzimela ngokwawo kwinyanga ngaphandle kwonyango lwe-steroid. I-Oral steroids ibonakala ingenakuncedo okanye ingaba nemiphumo emibi kwaye kufuneka igwenywe.
Kubonakala sengathi i-optic neuritis iya kuphinda ibe ngama-33 eepesenti yabantu, nokuba ibuyele kwelinye iliso okanye lichaphazele iso elifanayo kwakhona.
Ukubuyisela kunye nokuxhathisa
Ngethuba le-optic neuritis, ukulahleka kombono kwiihlo ezichaphazelekayo kunokuba luninzi-nokuba ukungafihli kakuhle kuqhelekanga. Ngombulelo, abaninzi abantu baphila kakuhle kwaye babuyisela kwakhona umbono wabo, kodwa kungathatha inyanga eziliqela ukufumana ngokupheleleyo.
Nangona kunjalo, ukulahleka okusisigxina komntu okanye ukuchithwa kombala kwiihlo elichaphazelekayo kuya kwenzeka.
Kubalulekile ukwazi ukuba i-optic neuritis ingaba nezizathu ezahlukileyo (kunye neendlela zokwenza unyango), ngoko ke nangona unayo i-MS kwaye uthembele ngokuqinisekileyo ukuba kutheni ufumana iingxaki ezibonakalayo, kufuneka ubone ugqirha wakho. Uya kukudlulisela kwi-ophthalmologist okanye i-neuro-ophthalmologist yokuvavanya. Njengoko zininzi kwezinye iimpawu kwi-MS, iingxaki ezibonakalayo ziza kwaye zihambe kuzo zonke izifo zesifo.
> Imithombo
> Optic Neuritis. Clinical Mayo.
> Iqela loPhando lwe-Optic Neuritis. I-Multiple Sclerosis Ingozi emva kwe-Optic Neuritis: I-Final Optic Neuritis Treatment Trial Trial. IiNqoloba zeNewurology . 2008; 65 (6): 727-732. i-doi: 10.1001 / archneur.65.6.727.