Nukae le dzɔdzɔm ɖe wò ŋkuwo dzi? Ðe kuxiwo le fu ɖem na wò le wò nukpɔkpɔ ŋua? Mina míaƒo nu tso Optic Neuritis ŋu!

Ðe ŋku vea wò ɣeaɖewoɣia? Alo ɖe nèsena le ɖokuiwò me zi ɖeka be yeƒe ŋkuwo le blukɔm? Ðewohĩ màte ŋu akpɔ amadedewo gɔ̃ hã nyuie oa? Ne nu siawo me tom nèle la, nu ɖeka si ate ŋu ahe wò vɛ ate ŋu anye dɔléle aɖe si woyɔna be Optic Neuritis . Mègatsi dzi o, míaƒo nu tso esia ŋu le mɔ bɔbɔe aɖe si gɔme nàte ŋu ase nu.

Nukae Nye Ŋku ƒe Ahɔhɔ̃mekawo ƒe Dɔléle? Kpuie ko la,...

Bu eŋu kpɔ, nane le abe telefon ka ene le míaƒe ŋkuwo kple míaƒe ahɔhɔ̃ dome. Míeyɔa esia be ŋku ƒe lãmeka . Lãmetsi siae tsɔa nusi míekpɔna tso míaƒe ŋkuwo dzi yia míaƒe ahɔhɔ̃ me eye wònana míesea egɔme be, "Oo, esiae nye nusi mekpɔna." Fifia, ametakpɔnu aɖe le ŋku ƒe lãmeka sia ŋu. Ele abe aŋekotoku si wotsɔ ƒo xlã elektrikka ene. Ðɔktawo yɔa esia be myelin ƒe akɔta . Ne le susu aɖe ta myelin-kplu sia gblẽ alo xɔ dzo la, gbedasi siwo le telefon ka ma dzi metoa eme nyuie o, eye dzesi siwo tso ŋkua gbɔ yia ahɔhɔ̃a gbɔ la me tsona. Emae nye nusi míeyɔna be Optic Neuritis . Kpuie ko la, esia nye ahɔhɔ̃medɔ (`(Neuropathy)`) si dzɔna le ŋku ƒe lãmeka me. Esia tae nuwo abe ŋku ƒe vevesese kple ŋku ƒe tɔtrɔ ene dzɔna ɖo.

Nukawoe nye Optic Neuritis ƒomevi veviwo?

Míate ŋu aƒo nu tso esia ƒomevi vevi etɔ̃ ŋu: 1. Typical Optic Neuritis: Zi geɖe la, ŋku ɖeka koe esia dzea edzi. Ame aɖewo hayana le ŋkeke ʋɛ aɖewo megbe ne womewɔ atike na wo o. Ke hã, eŋutinunyalawo gblɔ be anyo wu be woadi atike le susu bubuwo ta. 2. Atypical Optic Neuritis: Esia ƒomevi ate ŋu adze ŋku eveawo siaa dzi. Azɔ hã, exɔa ɣeyiɣi aɖe hafi wòdaa gbe. Numekukuwo ɖee fia be esia do ƒome kple ahɔhɔ̃mekawo ƒe dɔléle sesẽ bubuwo. 3. Ðeviwo ƒe Ŋku ƒe Dɔléle: Abe alesi ŋkɔa ɖee fia ene la, esia ƒomevie dzena le ɖevi suewo me. Togbɔ be ƒomevi eve mamlɛawo ɖi wo nɔewo vie hã la, vovototo vevi aɖewo le wo dome. Gake nya nyuiae nye be zi geɖe la, mɔnukpɔkpɔ si li be woada gbe le ƒomevi sia ŋu wu.

Aleke gbegbee nɔnɔme sia bɔe?

Ẽ, ŋku ƒe ahɔhɔ̃mekawo ƒe dɔléle nye dɔléle si bɔ ŋutɔ. Le kpɔɖeŋu me, le United States ɖeɖe dzaa la, woka nya ta be ame siwo ade 5 le ame 100,000 me siwo xɔa dɔléle sia ƒe sia ƒe. Eyata, ele vevie ŋutɔ be nànya esia.

Nukawoe nye Optic Neuritis ƒe dzesiwo?

Dzesi siwo dzena le nɔnɔme sia me la katã kloe do ƒome kple wò ŋkuwo kple nukpɔkpɔ. Zi geɖe la, dzesi siawo tsoa ``Retrobulbar`` ƒe ŋusẽkpɔɖeamedzi siwo dzɔna le ŋkume ƒe akpa megbe gbɔ. Na míakpɔ nusiwo dzesi siawo nye ɖa:

• Ŋku ƒe vevesese : Ame siwo ŋu ŋku ƒe ahɔhɔ̃mekawo ƒe dɔléle le la dometɔ siwo ade 90% sea vevesese sia. Vevesese sia ate ŋu asẽ ŋutɔ ne wole ŋkuwo ʋuʋum.Gake le atypical type si míeyɔ va yi me la, ate ŋu nu ayi ɣeaɖewoɣi vevesese manɔmee.
• Vision Acuity Loss: Esia fia be màte ŋu akpɔ nuwo nyuie ahakpɔ nu nyuie o. Esia ate ŋu asẽ wu le ɖevi sue siwo ŋu ŋku ƒe ahɔhɔ̃mekawo ƒe dɔléle le ŋu.
• Nukpɔkpɔ ƒe Gblẽƒe alo Nukpɔkpɔ ƒe Bubu : Esiae nye ne èbu wò nukpɔkpɔ bliboa ƒe akpa aɖe . Ðeko wòle abe ɖe màte ŋu akpɔ nɔnɔmetata aɖe ƒe titina o ene. Le ŋku ƒe ahɔhɔ̃mekawo ƒe dɔléle me la, zi geɖe la, teƒe si nèkpɔa nu nyuie le la nɔa wò ŋku ƒe titina.
• Amadede ƒe ŋkumaʋumaʋu (Dyschromatopsia): Esia ɖea wò ŋutete be nàde vovototo amadedewo me dzi kpɔtɔna. Ðewohĩ kuxiwo ate ŋu ado mo ɖa le vovototodedeameme dzodzro me koŋ.

Nukatae míexɔa Optic Neuritis? Nukawoe gbɔ wòtsona?

Nu vevitɔ si gbɔ ŋku ƒe ahɔhɔ̃mekawo ƒe dɔléle tsonae nye dɔdzẽ si gblẽa nu le ŋku ƒe lãmeka ŋu. Nu geɖe li siwo ate ŋu ahe abi sia vɛ.

1. Dɔlélenutsiŋutete kple Dzoxɔxɔ ƒe Nɔnɔmewo

Numekulawo susui be dɔlélenutsiŋutete ƒe nɔnɔmewo (afisi míaƒe ŋutilã ŋutɔ ƒe dɔlélenutsiŋutete dzea mía ŋutɔwo ƒe lãmenugbagbeviwo dzi le) ye nye nu vevitɔ si gbɔ wòtsona. Dɔlélenutsiŋutete ƒe nɔnɔme siwo le eme ate ŋu ato vovo le ŋku ƒe ahɔhɔ̃mekawo ƒe dɔléle ƒomevi nu.

• Ŋku ƒe Ahɔhɔ̃mekawo ƒe Dɔléle si Bɔ: Zi geɖe la, esia do ƒome kple nɔnɔme aɖe si woyɔna be Multiple Sclerosis (MS) . Ɣeaɖewoɣi la, ŋku ƒe ahɔhɔ̃mekawo ƒe dɔléle ate ŋu anye MS ƒe dzesi gbãtɔ. Wokpɔe be amesiwo ade 50% siwo xɔa ŋku ƒe ahɔhɔ̃mekawo ƒe dɔléle si bɔ la axɔ MS le ƒe 15 me.
• Ŋku ƒe ahɔhɔ̃mekawo ƒe dɔléle si mebɔ o: Esia do ƒome kple nɔnɔme siwo woyɔna be neuromyelitis optica (NMO) kple MOG-antibody-associated disease (MOGAD) . Le gɔmedzedzea me la, wosusu be MS, NMO, kple MOGAD nye dɔléle ɖeka. Gake wova kpɔe emegbe be dɔlékuiwutike tɔxɛ ƒomevi vovovowo gbɔe NMO kple MOGAD tsona.

2. Dɔlékuiwo

Dɔlékuiwo ate ŋu agblẽ nu le míaƒe lãmekawo ŋu. Nukpɔkpɔ ƒe lãmeka hã meto vovo kura o. Dɔlékuiwo nye nu vevi aɖe si hea ŋku ƒe ahɔhɔ̃mekawo ƒe dɔléle vɛ, vevietɔ le ɖevi suewo gome. Dɔlékui ƒomevi vevi ene li siwo ate ŋu ahe dɔlékuiwo vɛ:

• Dɔlékuiwo ƒe dɔléle : Esiawo nye nusiwo gbɔ ŋku ƒe ahɔhɔ̃mekawo ƒe dɔléle tsona zi geɖe, vevietɔ le ɖevime. Kpɔɖeŋuwo:
• Koklozi, herpes zoster hea dɔléle vɛDɔlékui `(Varicella-zoster dɔlékui)`
• Herpes simplex dɔlékui ƒomevi 1 kple 2
• Cytomegalovirus `(Lãmenugbagbeviwo ƒe dɔlékui)`
• HIV dɔlékui `(HIV)`
• Dɔlékui siwo nudzodzoeviwo hena vɛ
• Ðevimenɔɣi ƒe dɔlékuiwo abe aɖitsi ene
• Dɔlékuiwo ƒe dɔlékuiwo : Zi geɖe la, lãwo alo nudzodzoewo gbɔe esiawo xɔa amegbetɔwo. Kpɔɖeŋuwo:
• Cat scratch fever ƒe dɔléle
• Lyme dɔléle, si woxɔna to ʋetsuviwo dzi
• Yɔmekpe ƒe dɔléle
• Syphilis ƒe dɔléle
• Fungal infections : Esiawo ate ŋu ahe ŋku ƒe ahɔhɔ̃mekawo hã vɛ. Kpɔɖeŋuwo:
• Cryptococcus neoformans `(Kriptococcus neoformans - lãgbalẽgolo)`
• Candida ƒomevi (candidiasis) .
• Histoplasma capsulatum `(Histoplasma capsulatum - lãmenugbagbeviwo ƒe dɔléle)`
• Aspergillus ƒomeviwo `(Aspergillus - aspergillosis)`
• Dɔlékui siwo tsoa dɔlékuiwo gbɔ: Zi geɖe la, woate ŋu axɔ esiawo tso aƒemelãwo gbɔ, vevietɔ tso avuwo kple avuwo gbɔ. Kpɔɖeŋuwo:
• Toxoplasma gondii (toxoplasmosis) si tso avuwo gbɔ
• Toxocara canis tso avuwo gbɔ (Toxocara canis - toxocariasis) .

3. Atikewo Kple Aɖinuwo

Atike siwo woŋlɔ na ame kple atike bubuwo ate ŋu agblẽ nu le lãmekawo ŋu ɣeaɖewoɣi. Kpɔɖeŋu aɖewoe nye:

• Atike siwo wozãna na dɔlékuiwo: `(Ethambutol)`, `(Chloramphenicol)`, `(Isoniazid)` alo Sulfa-ƒomevi dɔlékuiwutikewo`
• Atike siwo wozãna na dzi ƒe tsotso ƒe kuxiwo: `(Amiodarone)`, `(Digoxin)`
• Atike siwo nye quinine ƒomevi siwo wozãna na asrãdɔ: Chloroquine, Hydroxychloroquine
• Atike siwo tsia kansa nu: `(Methotrexate)`, `(Vincristine)`, `(Tamoxifen)`
• Atama kple nusiwo me nicotine le
• Aha alo methanol (si woyɔna ɣeaɖewoɣi be "ati aha") .

4. Nu Bubu Siwo Gbɔ Wòtso

Susu bubu geɖewo ate ŋu akpɔ ŋusẽ ɖe esia dzi:

• Ʋu ƒe sisi dzi ɖe kpɔtɔ (Ischemia): Ne ŋku ƒe lãmeka mexɔ ʋu o la, eƒe lãmenugbagbeviwo mate ŋu awɔ dɔ nyuie o eye woate ŋu agblẽ.
• Vitamin ƒe anyimanɔmanɔ: Vitamin B ƒe anyimanɔmanɔ, vevietɔ vitamin B12, ate ŋu agblẽ nu le lãmekawo ŋu tegbee.
• Lãmetsiŋusẽ ƒe Nutete:Nu gbegblẽ kple abi ate ŋu adzɔ ne nane te ŋku ƒe lãkusia. Esia ate ŋu atso nɔnɔmewo abe dɔdzẽ kple taɖuame ene gbɔ.
• Lãmetsiŋusẽ ƒe Nɔnɔmewo: Dɔlélewo abe Suklidɔ Ƒomevi 2 lia ene. Afɔku si le ŋku ƒe lãmeka ƒe gbegblẽ me dzina ɖe edzi ne suklidɔa le sesẽm ɖe edzi. Afɔku sia lolo wu gɔ̃ hã ne sukli sɔ gbɔ ɖe ʋu me.

Ɣeaɖewoɣi la, ŋku ƒe ahɔhɔ̃mekawo ƒe dɔléle ate ŋu adzɔ evɔ womake ɖe nusi gbɔ wòtso ŋu o (idiopathic) .

Amekae ate ŋu axɔ Optic Neuritis wu? (Afɔku siwo ate ŋu ahe ame) .

Nu aɖewo ate ŋu ana dɔléle sia xɔxɔ ƒe afɔkua nadzi ɖe edzi. Mina míalé ŋku ɖe nusiwo wonye ŋu:

• Ŋutsu alo nyɔnu nyenye: Nyɔnuwo ate ŋu axɔ ŋku ƒe ahɔhɔ̃mekawo ƒe dɔléle si bɔ wu ŋutsuwo, gake ŋutsuwo ya xɔa dɔléle si mebɔ o.
• Ƒe: Zi geɖe la, ƒomevi si bɔ la dzena le amesiwo xɔ tso ƒe 20 va ɖo ƒe 40. Ƒomevi si mebɔ o la dzena le amesiwo mexɔ ƒe 18 haɖe o alo esiwo xɔ wu ƒe 50. Zi geɖe la, ɖeviwo ƒe dɔlélea dzena le ɖevi siwo mexɔ ƒe 10 haɖe o ŋu.
• Ameƒomevinyenye: Anɔ bɔbɔe be yevuwo naxɔ ŋku ƒe ahɔhɔ̃mekawo ƒe dɔléle. Ameƒomevinyenye ate ŋu akpɔ ŋusẽ ɖe nenye be amesi ŋu ŋku ƒe ahɔhɔ̃mekawo ƒe dɔléle le la axɔ MS alo maxɔe o hã. Numekukuwo ɖee fia be amesiwo tso Asia la mexɔa MS le ŋku ƒe ahɔhɔ̃mekawo ƒe dɔléle megbe kura o.
• Afisi nèle: Afisi nèle hã ate ŋu akpɔ ŋusẽ ɖe afɔku si le eme be nàxɔ MS dzi. Ame siwo le didiƒe ʋĩ tso equator gbɔ la ate ŋu axɔ MS vie. Eŋutinunyalawo susui be esia ate ŋu atso ɣe ƒe keklẽ kple/alo vitamin D ƒe agbɔsɔsɔ gbɔ.
• Dɔléle bubu si dɔlélenutsiŋutete hena vɛ ƒe amesinɔnɔ: Amesiwo ŋu dɔlélenutsiŋutete ƒe dɔlélewo abe lupus erythematosus, sarcoidosis, kple Behçet ƒe dɔléle ene le la le afɔku me be woaxɔ ŋku ƒe ahɔhɔ̃mekawo ƒe dɔléle.

Kuxi kawoe esia ate ŋu ahe vɛ?

Kuxi vevitɔe nye ŋku ƒe nukpɔkpɔ. Wò ŋkudɔdala ate ŋu agblɔ kuxi bubu siwo ate ŋu ado mo ɖa le wò nɔnɔmea nu na wò.

Aleke ɖɔktawo wɔa dea dzesi Optic Neuritis? (Dɔléle ƒe dzesi) .

Ŋkudɔdala aɖe alé ŋku ɖe wò dzesiwo, wò atikewɔwɔ ŋutinya, kple nenye be dɔléle bubu aɖewo le ŋuwò si ate ŋu ana ŋku ƒe ahɔhɔ̃mekawo nawɔ dɔ nyuie hafi anya dɔlélea. Ŋkudodokpɔ nye dɔ sia ƒe akpa vevi aɖe. Dodokpɔ sia ate ŋu anye:

• Nukpɔkpɔ ƒe Ŋutete
• Nukpɔkpɔ ƒe Agble
• Ŋutete si le ame si be wòakpɔ amadede
• Sukuvi ƒe Ŋugbledede
• Slit Akaɖi Dodokpɔ

Woate ŋu awɔ dodokpɔ siawo hã le gɔmedzedzea me:

• Nukpɔkpɔ ƒe Ŋutete Siwo Woʋã
• Nukpɔkpɔ ƒe Ðekawɔwɔ ƒe Tomography (OCT) .

Ne dodokpɔ siawo ɖee fia be ɖewohĩ ŋku ƒe ahɔhɔ̃mekawo ƒe dɔléle le ŋuwò la, wò ŋkudɔdala atsɔ wò ayi atikewɔla bibi aɖe gbɔ. Esia ate ŋu anye ahɔhɔ̃ŋutinunyala, alo ŋkudɔdala si bi ɖe ŋkume kple ŋkume ƒe dɔlélewo me (ahɔhɔ̃ŋutinunyala).

Dodokpɔ geɖe wu

MRI scan (Magnetic Resonance Imaging - MRI Scan) nye dodokpɔ vevi aɖe ŋutɔ hena ŋku ƒe ahɔhɔ̃mekawo ƒe dɔléle didi. Scan sia zãa tsi tɔxɛ aɖe si woyɔna be ``Contrast``, si nana be tɔtrɔ siwo va le lãkusia me la dzena nyuie wu. Ne ŋku ƒe ahɔhɔ̃mekawo ƒe dɔléle le ŋuwò la, ŋku ƒe lãmeka si ŋu wògblẽ nu le la adze abe ɖe wòklẽ wu lãmeka si le lãmesẽ me ene. MRI le vevie elabena ate ŋu ade dzesi ahɔhɔ̃mekawo ƒe abi . Esiawo ate ŋu anye nu vevi aɖe si afia ne MS le ŋuwò. MRI ate ŋu ade dzesi nu bubu siwo gblẽ le ŋku ƒe lãkusi kple/alo aklã ŋu hã, abe nɔnɔmewo abe NMO alo MOGAD ene. Dodokpɔ geɖe hã li siwo nàwɔ le dodokpɔxɔ me siwo wò ɖɔkta ate ŋu akafu. Zi geɖe la, wowɔa esiawo be:

• Ðewohĩ dɔlékui aɖe gbɔe ŋku ƒe ahɔhɔ̃mekawo ƒe dɔléle tso.
• Ne MRI ɖee fia be nusiwo gblẽ la ate ŋu anye MS, NMO, alo MOGAD.
• Ne wò dzesiwo sɔ kple NMO alo MOGAD wu MS.

Zi geɖe la, ʋu kple aɖuɖɔ dodokpɔ lɔa dodokpɔ siwo wowɔna le nudokpɔƒe ɖe eme. Amesiawo ate ŋu adi dɔléle ƒe dzesiwo alo dɔlékuiwutike siwo tsoa dɔlélenutsiŋutete gbɔ (vevietɔ dɔlékuiwutike siwo fia NMO alo MOGAD). Akɔta ƒe ʋuʋu alo aklã ƒe pɔmpi hã ate ŋu adi dzesi siwo fia be dɔléle alo tɔtrɔ bubuwo le ahɔhɔ̃mekawo ƒe tsi (CSF) me.

Aleke wodaa ŋku ƒe ahɔhɔ̃mekawo ƒe dɔléle?

Atikewɔwɔ ƒomevi vevi eve li: 1. Atike siwo wodona ɖe ʋuka me (IV) siwo tsia dɔdzẽ nu (Steroids): Atike siawo kpena ɖe ame ŋu be dɔdzẽ dzi ɖena kpɔtɔna eye wòɖea ŋku ƒe lãkusi ƒe gbegblẽ dzi kpɔtɔna. Esia ate ŋu akpe ɖe ame ŋu wòaɖe vevesese dzi akpɔtɔ eye wòagakpɔ nu ake. Atikewɔwɔ si wozãna zi geɖee nye be woana steroid siwo wodona ɖe ʋuka me alo nono ƒe agbɔsɔsɔ gbogbo aɖe wò ŋkeke etɔ̃ va ɖo atɔ̃. Le ema megbe la, wò ɖɔkta ate ŋu ana steroid siwo woano ƒe agbɔsɔsɔ sue aɖe wò be nàyi edzi azãe. (Ele vevie be woano atikeawo abe alesi wogblɔe ene pɛpɛpɛ, elabena woɖea atike si woano ƒe agbɔsɔsɔme dzi kpɔtɔna vivivi.) 2. Atike si gbɔ wòtso alo nusi gbɔ wòtso la dada: Atikewɔwɔ siawo to vovo. Le kpɔɖeŋu me, ne èna dɔlékuiwutikewo na dɔlékui ƒe dɔléle, alo ne dodokpɔwo ɖo kpe edzi be dɔléle aɖe si tsoa dɔlélenutsiŋutete gbɔ abe NMO alo MOGAD ene le ŋuwò la, woate ŋu azã plasma exchange (PLEX) atsɔ aɖe dɔlélenutsiŋutete ƒe dɔwɔwɔ dzi akpɔtɔ.Atikewɔwɔwo abe. Nu bubuwo hã ate ŋu akpɔ ŋusẽ ɖe atike si wowɔ na wò dzi. Wò ŋkudɔdala alo lãmesẽdɔwɔla bubue nye ame nyuitɔ si nàƒo nu tso wò tiatiawɔblɔɖe, eƒe nugbegblẽ le ame ŋu, kuxi siwo dona tso eme, kple nyatakaka bubu siwo wòle be nànya ŋu tsitotsito.

Ðe míate ŋu axe mɔ ɖe nɔnɔme sia si woyɔna be Optic Neuritis nua?

Zi geɖe la, ŋku ƒe ahɔhɔ̃mekawo ƒe dɔléle kple lãmekawo ƒe gbegblẽ dzɔna le susu siwo womele mɔ kpɔm na o ta. Togbɔ be nanewo li nàte ŋu awɔ atsɔ aɖe wò afɔkua dzi akpɔtɔ hã la, mɔ aɖeke meli si dzi nàto axe mɔ ɖe nusiwo katã gbɔ wòtso nu o. Afɔɖeɖe aɖewo siwo nàte ŋu awɔe nye esi:

• Ƒo asa na atamanono alo dzudzɔ wo zazã (siwo dometɔ aɖewoe nye vaping kple atama si me dzudzɔ mele o).
• Di atike hafi dɔlékuia nakaka ɖe ŋku ƒe lãmekawo me.
• Zã atike siwo ɖɔkta ŋlɔ na wò pɛpɛpɛ, eye nàdzudzɔ atikewo nono keŋkeŋ atikewɔlawo ƒe aɖaŋuɖoɖo manɔmee.
• Tsɔ nunyiame ɖo nɔƒe gbãtɔ be nàxe mɔ ɖe vitamin ƒe anyimanɔmanɔ nu.
• Miwɔ nu le ɖoɖo nu ne miele aha nom eye miƒo asa na aɖinuwo abe methanol ene.
• Kpɔ dɔlélenutsiŋutete alo dɔdzẽ ƒe nɔnɔme siwo nɔ anyi do ŋgɔ dzi.

Nukae nàte ŋu akpɔ mɔ na ne Optic Neuritis le ŋuwò?

Nusi nàte ŋu akpɔ mɔ na ato vovo le ŋku ƒe ahɔhɔ̃mekawo ƒe dɔléle ƒomevi si le ŋuwò nu. Vevesese kple ŋku ƒe dɔmawɔmawɔ nyuie bɔ, eye woate ŋu adze ŋku ɖeka alo evea siaa dzi. Ŋku ƒe ahɔhɔ̃mekawo ƒe dɔléle ate ŋu anye dɔléle didi sesẽ, eye àte ŋu ase le ɖokuiwò me be yeate ɖe dzi le ewɔwɔ me. Ðo ŋku edzi be menye wò ɖeka koe o. Ne èƒo nu tso wò dzimaɖitsitsiwo ŋu na wò ɖɔkta la, ate ŋu anya be yehiã kakaɖedzi alo dzideƒoname. Magblẽ gbeɖe be nàgblɔ na wò ŋkudɔdala alo lãmesẽdɔwɔla bubuwo be yehiã kpekpeɖeŋu ma tɔgbe o.

Ɣeyiɣi didi kae Optic Neuritis nɔa anyi?

Ɣeyiɣi didi si esia anɔ te ɖe atike si ƒomevi, atike si nèxɔ, kple alesi gbegbe dɔdamɔnu ma kpɔ dzidzedzee dzi.

• Zi geɖe la, ŋku ƒe ahɔhɔ̃mekawo ƒe dɔléle si bɔ nyea kuxi si nɔa anyi ɣeyiɣi kpui aɖe. Vevesesea nu yina le ŋkeke ʋɛ aɖewo (alo kwasiɖa aɖewo gɔ̃ hã) me, eye atikewɔwɔ ate ŋu ana wòawɔ kabakaba. Ame akpa gãtɔ gakpɔa woƒe amadedewo me kɔna, woƒe nu me kɔna, eye woƒe amadedewo gadzena mlɔeba. Ate ŋu axɔ kwasiɖa eve alo ɣleti etɔ̃ pɛ ko.
• Ŋku ƒe ahɔhɔ̃mekawo ƒe dɔléle si mebɔ o ate ŋu asẽ wu, eye eƒe ŋusẽkpɔɖeamedzi ate ŋu anɔ anyi eteƒe nadidi, vevietɔ ne womewɔ atike nɛ o. Ðewohĩ ame aɖewo magakpɔe be yewoƒe ŋkuwo nagatrɔ ava o kwasiɖa ade alo esi wu nenema, eye ate ŋu anɔ anyi ɖaa. Esia tae wòle vevie be nàde dzesi nɔnɔme sia kaba eye nàdi atike.

Nukae nye nɔnɔme sia ƒe mɔkpɔkpɔ?

Mɔkpɔkpɔ na ŋku ƒe ahɔhɔ̃mekawo ƒe dɔléle le vovovo, vevietɔ le esi ƒomevi le ŋuwò nu:

• Nukpɔkpɔ ƒe ahɔhɔ̃mekawo ƒe dɔléle si bɔ:Ame siwo ade 90% gakpɔa nu nyuie alo wògogo nukpɔkpɔ le ɣleti 6 va ɖo 12 me. Nukpɔkpɔ ƒe kuxi siwo nɔa anyi didi ate ŋu ado mo ɖa, gake mebɔ o. Zi geɖe la, atikewɔwɔ be woaɖe dɔdzẽ dzi akpɔtɔ to ʋukawo me wɔa dɔ nyuie ne wodze egɔme kaba.
• Atypical optic neuritis: Mɔkpɔkpɔ na esia ƒomevi ate ŋu ato vovo le nusi gbɔ wòtso nu. Le goawo katã me la, mɔkpɔkpɔa gagblẽna ɖe edzi ne wohe atikewɔwɔa ɖe megbe.
• Ðeviwo ƒe Ŋku ƒe Dɔléle: Zi geɖe la, ŋku ƒe ahɔhɔ̃mekawo ƒe dɔléle ƒe mɔkpɔkpɔ le ɖevi suewo ŋu nyona wu ame tsitsiwo tɔ. Ðeviwo mete ŋu kpɔa ŋusẽ ɖe ɖeviwo dzi ɣeyiɣi didi tso ŋku ƒe ahɔhɔ̃mekawo ƒe dɔléle gbɔ o. Gake abe alesi wòle le ame tsitsiwo gome ene la, afɔku gakpɔtɔ li be ŋkume ƒe dɔléle ate ŋu anye MS ƒe nuxlɔ̃amedzesi gbãtɔ. Ne ŋku ƒe ahɔhɔ̃mekawo ƒe dɔléle dze le ɖevime la, afɔku si le eme be woakpɔ MS le ƒe 40 me anɔ abe 26% ene.

Le kadodo si le ŋku ƒe ahɔhɔ̃mekawo ƒe dɔléle kple nɔnɔme bubuwo dome ta la, wò ŋkudɔdala ate ŋu aɖo wò ɖe ahɔhɔ̃ŋutinunyala, lãmekaŋutinunyala, alo evea siaa gbɔ. Eŋutinunyala bibi siawo ate ŋu alé ŋku ɖe MS alo nɔnɔme mawo tɔgbe ƒe dzesiwo ŋu hã. Kpɔkpɔ sia ate ŋu akpe ɖe ame ŋu woade dzesi nɔnɔme siawo kaba. Esia le vevie elabena atikewɔmɔnu aɖewo li siwo ate ŋu akpɔ nɔnɔme siawo ƒe ŋgɔyiyi dzi.

Ne Optic Neuritis le ŋunye fifia, alo exɔe va yi la, aleke wòle be malé be na ɖokuinye?

Ne èsusu be ŋku ƒe ahɔhɔ̃mekawo ƒe dɔléle le ye ŋu la, ele be nàyi ŋkudɔdala gbɔ godoo. Ate ŋu anya dɔlélea eye wòaɖe afɔ gbãtɔ siwo adze atikewɔwɔ gɔme. Ate ŋu aɖo wò ɖe ahɔhɔ̃ŋutinunyala, lãmekaŋutinunyala, alo eŋutinunyala bibi bubu aɖe hã si ate ŋu akpe ɖe ŋuwò nàda dɔlélea. Zi alesi wokpɔ dɔlélea le ŋuwò kaba eye nèdze atikewɔwɔ gɔme la, zi nenemae mɔnukpɔkpɔ asu asiwò be nàkpɔ dzidzedze.

Ɣekaɣie wòle be makpɔ nye ɖɔkta alo adi atikewɔlawo ƒe aɖaŋuɖoɖo?

Yi ŋkudɔdala gbɔ ɣesiaɣi ne ède dzesi tɔtrɔ aɖewo le wò ŋkumekpɔkpɔ me, vevietɔ nukpɔkpɔ ƒe ɖiɖi. Ne wò ŋku bu zi ɖeka eye dɔléle aɖeke mele ŋuwò si ate ŋu aɖe eme o la, ke ahiã be woakpɔ egbɔ kpata enumake. Ne dɔléle aɖe le ŋuwò si ate ŋu ana nàkpɔ nu kpata (abe taɖuame ene) la, wò ŋkudɔdala alo lãmesẽdɔwɔla bubu agblɔ ɣeyiɣi si nàdi atikewɔla kpata na wò. Ne wokpɔe be ŋkudɔ le ŋuwò vɔ la, wò ŋkudɔdala (kple lãmesẽdɔwɔla bubuwo, ne woɖo wò ɖe dɔ me) aɖo aɖaŋu be nàva srã wò kpɔ edziedzi. Le sasrãkpɔ mawo me la, woate ŋu alé ŋku ɖe wò nɔnɔme kple dzesiwo ŋu eye woatrɔ asi le wò atikewɔwɔ ŋu ne ehiã.

Ðe Optic Neuritis fia MS ɣesiaɣia?

Ao, medzɔna ɣesiaɣi o. Gake, ne ŋku ƒe ahɔhɔ̃mekawo ƒe dɔléle le ŋuwòAfɔku si le ʋuka me dɔléle si nye multiple sclerosis xɔxɔ me lolo ŋutɔ.

Mlɔeba la, nu ʋɛ aɖewo siwo dzi wòle be nàɖo ŋkui (Take-Home Message) .

Ŋku ƒe ahɔhɔ̃mekawo ƒe dɔléle ate ŋu anye dɔléle si me vevesese le eye wòate ŋu ade ame ƒe agbe afɔku me. Dzɔgbenyuietɔe la, le numekuku geɖe siwo wowɔ le ƒe bla nane siwo va yi nyitsɔ laa me ta la, ŋkudɔdalawo kple lãmesẽdɔwɔla bubuwo le dzadzraɖoɖi nyuie be woate ŋu ada dɔléle sia.

Ne ŋku ƒe ahɔhɔ̃mekawo ƒe dɔléle ƒe dzesiwo le ŋuwò la, yi ŋkudɔdala gbɔ enumake. Zi alesi wokpɔ dɔlélea le ŋuwò kaba eye nèdze atikewɔwɔ gɔme la, zi nenemae mɔnukpɔkpɔ nyuiwo asu asiwò be nu nyui aɖe nado tso eme.

Ne wò ŋku ƒe ahɔhɔ̃mekawo ƒe dɔléle do ƒome kple dɔléle aɖe si nɔa anyi didi abe multiple sclerosis, neuromyelitis optica spectrum disorder, alo MOG-antibody-related disease ene la, ate ŋu akpe ɖe ŋuwò hã be woakpɔe ahadae kaba. Dɔdamɔnu aɖewo li na nɔnɔme siawo siwo ate ŋu aɖu woƒe ŋgɔyiyi dzi, eye atikewɔwɔ mawo ate ŋu akpe ɖe ŋuwò le wò gbesiagbegbenɔnɔ kple etsɔme dɔwɔnawo me. Eya ta, mègatsi dzodzodzoe o, nɔ te sesĩe, eye nàxɔ atikewɔlawo ƒe aɖaŋuɖoɖo siwo hiã.