He aha ka mea e hana nei i kou mau maka? Ke pilikia nei ʻoe i kou ʻike? E kamaʻilio kākou e pili ana i ka Optic Neuritis!

Ke ʻeha nei kou mau maka i kekahi manawa? A i ʻole ke manaʻo koke nei ʻoe e palalulu ana kou ʻike? Malia paha ʻaʻole hiki iā ʻoe ke ʻike maopopo i nā kala? Inā ʻoe e ʻike nei i kēia mau mea, ʻo kekahi kumu paha he maʻi i kapa ʻia ʻo Optic Neuritis . Mai hopohopo, e kamaʻilio mākou e pili ana i kēia ma ke ʻano maʻalahi e hiki ai iā ʻoe ke hoʻomaopopo.

He aha ka Optic Neuritis? I ka pōkole...

E noʻonoʻo, aia kekahi mea e like me ke kelepona ma waena o ko kākou mau maka a me ko kākou lolo. Kāhea mākou i kēia ʻo ke aʻalolo optic . ʻO kēia aʻalolo ka mea e lawe i nā mea a kākou e ʻike ai mai ko kākou mau maka i ko kākou lolo a hoʻomaopopo iā kākou, "ʻAuē, ʻo kēia kaʻu e ʻike nei." I kēia manawa, aia kahi uhi pale a puni kēia aʻalolo optic. Ua like ia me ka ʻūpā plastik a puni kahi uea uila. Kāhea nā kauka i kēia ʻūpā myelin . Inā no kekahi kumu ua hōʻino ʻia a pehu paha kēia ʻūpā myelin, ʻaʻole e hele pono nā leka ma kēlā uea kelepona, a ua hoʻopau ʻia nā hōʻailona e hele ana mai ka maka a i ka lolo. ʻO ia ka mea a mākou e kapa nei he Optic Neuritis . I ka ʻōlelo maʻalahi, he maʻi neurological kēia (`(Neuropathy)`) e kū nei i loko o ke aʻalolo optic. ʻO ia ke kumu e kū ai nā mea e like me ka ʻeha o ka maka a me nā loli o ka ʻike.

He aha nā ʻano nui o ka optic neuritis?

Hiki iā kākou ke kamaʻilio e pili ana i ʻekolu ʻano nui o kēia: 1. Typical Optic Neuritis: Hoʻopilikia pinepine kēia i hoʻokahi maka wale nō. Hoʻōla kekahi poʻe i loko o kekahi mau lā me ka ʻole o ka mālama ʻia. Eia nō naʻe, ʻōlelo nā loea he ʻoi aku ka maikaʻi o ka ʻimi ʻana i ka mālama ʻana no nā kumu ʻē aʻe. 2. Atypical Optic Neuritis: Hiki i kēia ʻano ke hoʻopilikia i nā maka ʻelua. Eia kekahi, he manawa pōkole e ho'ōla ai. Ua ʻike ʻia e ka noiʻi ua pili kēia me nā maʻi neurological paʻakikī ʻē aʻe. 3. Pediatric Optic Neuritis: E like me ka inoa e hōʻike nei, ʻo kēia ke ʻano e ulu ana i nā keiki ʻōpio. ʻOiai he like kekahi mau ʻano ʻelua ʻē aʻe, aia kekahi mau ʻokoʻa koʻikoʻi. Akā ʻo ka nūhou maikaʻi, ʻoi aku ka nui o ka manawa e ho'ōla ai kēia ʻano.

Pehea ka maʻamau o kēia ʻano?

ʻAe, he maʻi maʻamau ka optic neuritis. No ka laʻana, ma ʻAmelika Hui Pū ʻIa wale nō, ua hōʻike ʻia ma kahi o 5 o 100,000 mau hihia hou o kēia maʻi e kū mai ana i kēlā me kēia makahiki. No laila, he mea nui loa ia e makaʻala i kēia.

He aha nā hōʻailona o ka optic neuritis?

ʻO nā hōʻailona e ʻike ʻia ana ma kēia ʻano e pili ana i kou mau maka a me ka ʻike. ʻO ka hapa nui o ka manawa, ua hoʻokumu ʻia kēia mau hōʻailona e nā hopena "Retrobulbar" e kū mai ana ma hope o ka maka. E nānā kākou i kēia mau hōʻailona:

• ʻEha maka : Ma kahi o 90% o ka poʻe me ka optic neuritis e ʻike i kēia ʻeha. Hiki ke koʻikoʻi kēia ʻeha i ka wā e hoʻoneʻe ai i nā maka.Eia nō naʻe, i ke ʻano atypical i ʻōlelo ʻia ma mua, hiki i kekahi manawa ke hele me ka ʻole o ka ʻeha.
• Ka Poho ʻana o ka ʻIke Maka: ʻO ia hoʻi, ʻaʻole hiki iā ʻoe ke ʻike maopopo a ʻoi aku ka ʻoi o nā mea. Hiki ke ʻoi aku ka ʻino o kēia i nā keiki ʻōpio me ka optic neuropathy.
• Nā Kīnā o ke Kahua ʻIke a i ʻole ka Poho o ka ʻIke : ʻO kēia ka wā e nalowale ai ʻoe i kahi hapa o kāu ʻike piha. Me he mea lā ʻaʻole hiki iā ʻoe ke ʻike i waenakonu o ke kiʻi. I ka optic neuritis, ʻo ka wahi o ka nalowale o ka ʻike pinepine ʻia ma waenakonu o kāu kahua ʻike.
• Makapo kala (Dyschromatopsia): Hoʻemi kēia i kou hiki ke hoʻokaʻawale i nā kala. Loaʻa paha iā ʻoe nā pilikia e hoʻokaʻawale i ka ʻulaʻula ma ke ʻano kūikawā.

No ke aha e loaʻa ai iā mākou ka Optic Neuritis? He aha nā kumu?

ʻO ke kumu nui o ka optic neuritis ʻo ia ka mumū e hōʻino ana i ke aʻalolo optic. Aia kekahi mau kumu hiki ke kumu o kēia mumū.

1. Nā kūlana Autoimmune a me Inflammatory

Manaʻo nā kānaka noiʻi he kumu nui nā maʻi autoimmune (kahi e hoʻouka ai ka ʻōnaehana pale ponoʻī o ko mākou kino i kā mākou mau cell ponoʻī). Hiki ke ʻokoʻa nā maʻi autoimmune i pili i ke ʻano o ka optic neuritis.

• ʻO ka Neuritis Optic Maʻamau: Hoʻopili pinepine ʻia kēia me kahi maʻi i kapa ʻia ʻo Multiple Sclerosis (MS) . I kekahi manawa, hiki i ka optic neuritis ke lilo i hōʻailona mua o MS. Ua ʻike ʻia ma kahi o 50% o ka poʻe e loaʻa ana i ka optic neuritis maʻamau e loaʻa iā MS i loko o 15 mau makahiki.
• ʻO ka neuritis optic atypical: Pili kēia i nā kūlana i kapa ʻia ʻo neuromyelitis optica (NMO) a me ka maʻi pili i ka antibody MOG (MOGAD) . I ka wā mua, ua manaʻo ʻia ʻo MS, NMO, a me MOGAD he maʻi like. Eia naʻe, ua ʻike ʻia ma hope ua hoʻokumu ʻia ʻo NMO a me MOGAD e nā ʻano antibodies kikoʻī like ʻole.

2. Nā maʻi

Hiki ke hōʻino ʻia ko kākou mau aʻalolo e nā maʻi. ʻAʻole ʻokoʻa ke aʻalolo optic. ʻO nā maʻi ke kumu nui o ka optic neuritis, ʻoi aku hoʻi i nā keiki ʻōpio. ʻEhā ʻano nui o nā pathogens e hiki ke hoʻoulu i nā maʻi:

• Nā maʻi viral : He kumu maʻamau kēia o ka optic neuritis, ʻoi aku hoʻi i ka wā kamaliʻi. Nā laʻana:
• Nā kumu o ka maʻi puʻupuʻu, ka herpes zosterʻO ka maʻi `(Varicella-zoster virus)`
• ʻO nā maʻi herpes simplex ʻano 1 a me 2
• ʻO ka maʻi Cytomegalovirus (Cytomegalovirus)
• ʻO ka maʻi HIV `(HIV)`
• Nā maʻi i lawe ʻia e ka makika
• Nā maʻi viral i nā keiki e like me ka measles
• Nā maʻi bacteria : Hoʻoili pinepine ʻia kēia mau mea i nā kānaka mai nā holoholona a i ʻole nā ​​​​​​mea pepeke. Nā laʻana:
• Ka maʻi ʻōpala pōpoki
• ʻO ka maʻi Lyme, ka mea i hoʻouna ʻia e nā ʻuku
• ʻO ka maʻi puʻupuʻu
• ʻO ka maʻi syphilis
• Nā maʻi fungal : Hiki i kēia mau mea ke hana i ka optic neuritis. Nā laʻana:
• ʻO Cryptococcus neoformans `(Cryptococcus neoformans - cryptococcosis)`
• Nā ʻano Candida (candidiasis)
• ʻO ka Histoplasma capsulatum `(Histoplasma capsulatum - histoplasmosis)`
• Nā ʻano o Aspergillus `(Aspergillus - aspergillosis)`
• Nā maʻi parasitic: Hiki ke laha pinepine kēia mau mea mai nā holoholona, ​​​​ʻoi aku hoʻi nā pōpoki a me nā ʻīlio. Nā laʻana:
• ʻO Toxoplasma gondii (toxoplasmosis) mai nā pōpoki
• ʻO Toxocara canis mai nā ʻīlio (Toxocara canis - toxocariasis)

3. Nā lāʻau lapaʻau a me nā mea ʻawahia

Hiki i nā lāʻau lapaʻau i kuhikuhi ʻia a me nā lāʻau ʻē aʻe ke hōʻino i nā aʻalolo i kekahi manawa. ʻO nā hiʻohiʻona penei:

• Nā lāʻau lapaʻau no nā maʻi: `(Ethambutol)`, `(Chloramphenicol)`, `(Isoniazid)` a i ʻole nā ​​​​​​antibiotics ʻano Sulfa`
• Nā lāʻau lapaʻau no nā maʻi puʻuwai: `(Amiodarone)`, `(Digoxin)`
• Nā lāʻau lapaʻau ʻano Quinine i hoʻohana ʻia no ka malaria: Chloroquine, Hydroxychloroquine
• Nā lāʻau lapaʻau anticancer: `(Methotrexate)`, `(Vincristine)`, `(Tamoxifen)`
• Paka a me nā huahana i loaʻa ka nikotine
• ʻAila a methanol paha (i kekahi manawa i kapa ʻia ʻo "lāʻau ʻona lāʻau")

4. Nā Kumu ʻē aʻe

Hiki i kekahi mau kumu ʻē aʻe ke hoʻopilikia i kēia:

• Hoʻemi ʻia ke koko (Ischemia): Inā ʻaʻole lawa ke koko i ke aʻalolo optic, ʻaʻole paha e hana pono kāna mau cell a hiki ke hōʻino ʻia.
• Nā hemahema o ka wikamina: ʻO ka hemahema o nā wikamina B, ʻoi aku ka wikamina B12, hiki ke hōʻeha mau loa i nā aʻalolo.
• Ka Hoʻopili ʻana o ke Aʻalolo:Hiki ke hōʻino a me ka mumū ke kaomi kekahi mea ma ke aʻalolo optic. Hiki ke hana ʻia kēia e nā kūlana e like me nā puʻupuʻu a me ka hydrocephalus.
• Nā Kūlana Metabolic: Nā maʻi e like me ka Type 2 Diabetes Mellitus. Hoʻonui ka pilikia o ka hōʻino ʻana i ke aʻalolo optic i ka holomua ʻana o ka maʻi diabetes. ʻOi aku ka nui o kēia pilikia inā kiʻekiʻe ke kiʻekiʻe o ke kō koko.

I kekahi manawa hiki ke ulu ka neuritis optic me ka ʻike ʻole ʻia o ke kumu (idiopathic) .

ʻO wai ka mea i ʻoi aku ka paʻakikī o ka hoʻomohala ʻana i ka Optic Neuritis? (Nā kumu pilikia)

Hiki i kekahi mau kumu ke hoʻonui i kou pilikia o ka loaʻa ʻana o kēia maʻi. E nānā kākou i ko lākou ʻano:

• Kāne: ʻOi aku ka nui o nā wahine e hoʻomohala i ka optic neuritis maʻamau ma mua o nā kāne, akā ʻoi aku ka nui o nā kāne e hoʻomohala i ke ʻano atypical.
• Makahiki: ʻO ke ʻano maʻamau e ʻike pinepine ʻia i nā kānaka ma waena o 20 a me 40 mau makahiki. ʻO ke ʻano atypical ka mea e ʻike pinepine ʻia i nā kānaka ma lalo o 18 makahiki a ʻoi aku paha ma mua o 50 makahiki. ʻO ke ʻano pediatric e ʻike pinepine ʻia i nā keiki ma lalo o 10 makahiki.
• Lāhui: ʻOi aku ka nui o ka poʻe keʻokeʻo e loaʻa i ka optic neuritis. Hiki i ka lāhui ke hoʻopilikia i ka loaʻa ʻana o MS i kekahi me ka optic neuritis. Hōʻike ka noiʻi ʻana he emi loa ka loaʻa ʻana o MS i ka poʻe o ka hanauna ʻAsia ma hope o ka optic neuritis.
• Kahi āu e noho ai: Hiki i kahi āu e noho ai ke hoʻopilikia i kou pilikia o ka loaʻa ʻana o MS. ʻO ka poʻe e noho mamao aku ana mai ka equator he kiʻekiʻe iki aʻe ko lākou pilikia o ka loaʻa ʻana o MS. Manaʻo nā loea he kumu paha kēia o ka lā a/a i ʻole nā ​​pae wikamina D.
• Loaʻa kekahi maʻi autoimmune ʻē aʻe: ʻO ka poʻe me nā maʻi autoimmune e like me lupus erythematosus, sarcoidosis, a me ka maʻi ʻo Behçet e piʻi nui ana ka pilikia o ka hoʻomohala ʻana i ka optic neuritis.

He aha nā pilikia e hiki ai i kēia ke hana?

ʻO ka pilikia nui ka nalowale o ka ʻike. Hiki i kāu kauka maka ke haʻi iā ʻoe e pili ana i nā pilikia ʻē aʻe e pili ana i kou kūlana.

Pehea e ʻike ai nā kauka i ka Optic Neuritis? (Diagnosis)

E nānā ke kauka maka i kāu mau hōʻailona, ​​kou mōʻaukala olakino, a inā he mau kūlana ʻē aʻe kāu e hiki ai ke hana i ka optic neuritis e hana i kahi hōʻailona. He ʻāpana koʻikoʻi ka hoʻokolokolo maka o kēia kaʻina hana. Hiki i kēia hoʻokolokolo ke komo pū me:

• ʻIke maka
• Kahua ʻIke
• Ka hiki ke ʻike i ke kala
• Nā Reflexes o nā Haumāna
• Hoʻokolohua Kukui ʻoki

Hiki ke hana ʻia kēia mau hoʻāʻo i ka hoʻomaka ʻana:

• Nā Mana i Hoʻāla ʻia e ka ʻIke
• ʻO ka Tomography Hoʻohui Optical (OCT)

Inā hōʻike kēia mau hoʻokolohua he loaʻa paha iā ʻoe ka optic neuritis, e kuhikuhi aku kāu kauka maka iā ʻoe i kahi loea. He neurologist paha kēia, a he ophthalmologist paha i loea i nā maʻi o ka retina a me ke aʻalolo optic (neuro-ophthalmologist).

Nā hoʻokolohua hou aku

He hoʻāʻo koʻikoʻi loa ka MRI scan (Magnetic Resonance Imaging - MRI Scan) no ka ʻike ʻana i ka optic neuritis. Hoʻohana kēia scan i kahi wai kūikawā i kapa ʻia ʻo "Contrast", ka mea e ʻike nui ai i nā loli i loko o ke kino. Inā loaʻa iā ʻoe ka optic neuritis, e ʻike ʻia ke aʻalolo optic i hoʻopilikia ʻia ma mua o ke aʻalolo olakino. He mea nui ka MRI no ka mea hiki iā ia ke ʻike i nā ʻeha o ka lolo . Hiki i kēia ke lilo i hōʻailona koʻikoʻi inā loaʻa iā ʻoe ka MS. Hiki i ka MRI ke ʻike i nā pōʻino ʻē aʻe i ke aʻalolo optic a/a i ʻole ke kaula spinal, e like me nā kūlana e like me NMO a i ʻole MOGAD. Aia kekahi mau hoʻokolohua lab a kāu kauka e ʻōlelo ai. Hana pinepine ʻia kēia mau mea i:

• Ua hiki paha ke hoʻokumu ʻia ka optic neuritis e kahi maʻi.
• Inā hōʻike ka MRI i nā pōʻino, hiki ke MS, NMO, a i ʻole MOGAD paha.
• Inā kūlike kāu mau hōʻailona me NMO a i ʻole MOGAD ma mua o MS.

ʻO ka maʻamau, ʻo nā hoʻokolohua keʻena hoʻokolohua e komo pū me nā hoʻokolohua koko a me ka mimi. Hiki i kēia ke nānā i nā hōʻailona o ka maʻi a i ʻole nā ​​antibodies autoimmune (ʻoi aku hoʻi nā antibodies e hōʻike ana iā NMO a i ʻole MOGAD). Hiki i kahi lumbar puncture a i ʻole spinal tap ke nānā i nā hōʻailona o ka maʻi a i ʻole nā ​​​​loli ʻē aʻe i loko o ka wai cerebrospinal (CSF).

Pehea e mālama ʻia ai ka optic neuritis?

ʻElua ʻano nui o ka lāʻau lapaʻau: 1. Nā lāʻau anti-inflammatory intravenous (IV) (Steroids): Kōkua kēia mau lāʻau lapaʻau i ka hōʻemi ʻana i ka mumū a kaupalena i ka hōʻino ʻana i ke aʻalolo optic. Hiki i kēia ke kōkua i ka hōʻemi ʻana i ka ʻeha a hoʻihoʻi i ka ʻike. ʻO ka lāʻau lapaʻau maʻamau, ʻo ia ka hāʻawi ʻana iā ʻoe i nā dosis kiʻekiʻe o nā steroid intravenous a waha paha no ʻekolu a ʻelima mau lā. Ma hope o kēlā, hiki i kāu kauka ke hāʻawi iā ʻoe i nā dosis haʻahaʻa o nā steroid waha e hoʻomau i ka hoʻohana ʻana. (He mea nui e lawe i ka lāʻau lapaʻau e like me ke kuhikuhi ʻia, no ka mea, ua hoʻemi mālie ʻia ka nui o ka lāʻau lapaʻau waha.) 2. Ke mālama ʻana i ke kumu kumu a i ʻole ke kumu kōkua: ʻOkoʻa kēia mau lāʻau lapaʻau. No ka laʻana, ʻo ka hāʻawi ʻana i nā antibiotics no kahi maʻi bacteria, a inā hōʻoia nā hoʻokolohua he maʻi autoimmune kou e like me NMO a i ʻole MOGAD, hiki ke hoʻohana ʻia ka plasma exchange (PLEX) e hōʻemi i ka hana o ka ʻōnaehana pale.Nā lāʻau lapaʻau e like me. Hiki i nā mea ʻē aʻe ke hoʻopilikia i ka lāʻau lapaʻau āu e loaʻa ai. ʻO kāu kauka maka a i ʻole kekahi mea mālama ola kino ʻē aʻe ke kanaka maikaʻi loa e kamaʻilio pū me ʻoe e pili ana i kāu mau koho, nā hopena ʻaoʻao, nā pilikia, a me nā kikoʻī ʻē aʻe āu e pono ai e ʻike.

Hiki iā kākou ke pale aku i kēia maʻi i kapa ʻia ʻo Optic Neuritis?

Hoʻoulu pinepine ʻia ka neuritis optic a me ka hōʻino ʻana o ke aʻalolo no nā kumu i manaʻo ʻole ʻia. ʻOiai aia nā mea hiki iā ʻoe ke hana e hōʻemi i kou pilikia, ʻaʻohe ala e pale aku ai i nā kumu āpau. Eia kekahi mau hana hiki iā ʻoe ke hana:

• E hōʻalo a hoʻōki paha i ka hoʻohana ʻana i nā huahana paka (me ka vaping a me ka paka uahi ʻole).
• E kiʻi i ka lāʻau lapaʻau ma mua o ka laha ʻana o ka maʻi i nā aʻalolo optic.
• E hoʻohana i nā lāʻau lapaʻau i kuhikuhi ʻia e ke kauka e like me ke kuhikuhi ʻana, a e hoʻōki loa i ka lawe ʻana i nā lāʻau lapaʻau me ka ʻole o ke aʻo ʻana a ke kauka.
• E hoʻoikaika i ka meaʻai e pale aku i ka nele i nā huaora.
• E noho akahai i ka wā e inu ana i ka waiʻona a e pale i nā mea ʻawahia e like me ka methanol.
• E kāohi i nā kūlana autoimmune a i ʻole nā ​​​​​​kūlana mumū i hala mua.

He aha kāu e manaʻo ai inā loaʻa iā ʻoe ka optic neuritis?

ʻOkoʻa nā mea āu e manaʻo ai ma muli o ke ʻano o ka optic neuritis āu e loaʻa ai. He mea maʻamau ka ʻeha a me ka nalowale o ka ʻike, a hiki iā lākou ke hoʻopilikia i hoʻokahi a i ʻole nā ​​​​maka ʻelua. Hiki i ka ʻike ʻana i ka optic neuritis ke lilo i kaʻina hana hoʻoweliweli, a hiki iā ʻoe ke huhū i ka wā o ke kaʻina hana. E hoʻomanaʻo ʻaʻole ʻoe hoʻokahi. Ke kamaʻilio ʻoe me kāu kauka e pili ana i kou mau hopohopo, ʻike paha ʻo ia e pono ʻoe i ka hōʻoluʻolu a i ʻole ka hoʻoikaika. ʻAʻole hewa ka haʻi ʻana i kāu kauka maka a i ʻole nā ​​​​​​mea lawelawe olakino ʻē aʻe e pono ana ʻoe i kēlā ʻano kākoʻo.

Pehea ka lōʻihi o ke ola ʻana o ka optic neuritis?

ʻO ka lōʻihi o kēia e pili ana i ke ʻano, ka lāʻau āu e loaʻa ai, a me ka holomua o ia lāʻau.

• ʻO ka maʻamau o ka neuritis optic he pilikia pōkole ia. Nalo ka ʻeha i loko o kekahi mau lā (a i ʻole he mau pule), a hiki i ka lāʻau lapaʻau ke hoʻolalelale iā ia. I ka hopena, loaʻa hou i ka hapa nui o ka poʻe ko lākou ʻike maopopo, ʻoi, a me ke kala. Hiki ke hala i ʻelua pule a i ʻole ʻekolu mahina.
• Hiki i ka neuritis optic atypical ke ʻoi aku ka koʻikoʻi, a hiki i nā hopena ke lōʻihi, ʻoiai inā ʻaʻole mālama ʻia. ʻAʻole paha e ʻike kekahi poʻe i ko lākou ʻike e hoʻi hou mai no ʻeono pule a ʻoi aku paha, a hiki ke mau loa. No laila he mea nui e ʻike mua i kēia kūlana a ʻimi i ka lāʻau lapaʻau.

He aha ka manaʻo no kēia kūlana?

ʻOkoʻa ke ʻano o ka neuritis optic, ma muli o ke ʻano āu i loaʻa ai:

• ʻO ka neuritis optic maʻamau:Ma kahi o 90% o nā kānaka e hoʻi hou i ka ʻike maʻamau a kokoke paha i ka maʻamau i loko o 6 a 12 mau mahina. Hiki ke loaʻa nā pilikia ʻike no ka wā lōʻihi, akā he mea maʻamau ʻole ia. ʻO ka lāʻau lapaʻau e hōʻemi i ka mumū ma o nā aʻa koko he mea maikaʻi loa ia inā hoʻomaka mua.
• ʻO ka neuritis optic atypical: Hiki ke ʻokoʻa ka nānā ʻana no kēia ʻano ma muli o ke kumu kumu. Ma keʻano laulā, ʻoi aku ka ʻino o ka nānā ʻana i ka wā e lohi ai ka mālama ʻana.
• ʻO ka Neuritis Optic Pediatric: ʻOi aku ka maikaʻi o ka nānā ʻana no ka neuritis optic i nā keiki ʻōpio ma mua o nā pākeke. ʻAʻole nui ka loaʻa ʻana o nā hopena lōʻihi mai ka neuritis optic i nā keiki. Eia nō naʻe, e like me nā pākeke, aia nō ka pilikia e lilo ka neuritis optic i hōʻailona mua o MS. Inā ulu ka neuritis optic i ka wā kamaliʻi, ʻo ka pilikia o ka ʻike ʻia ʻana me MS i loko o 40 mau makahiki ma kahi o 26%.

Ma muli o ka pilina ma waena o ka optic neuritis a me nā kūlana ʻē aʻe, hiki i kāu kauka maka ke kuhikuhi iā ʻoe i kahi neurologist, kahi rheumatologist, a i ʻole nā ​​​​mea ʻelua. Hiki i kēia mau loea ke nānā i nā hōʻailona o MS a i ʻole nā ​​​​kūlana like. Hiki i kēia nānā ʻana ke kōkua i ka ʻike mua ʻana i kēia mau kūlana. He mea nui kēia no ka mea aia nā lāʻau lapaʻau e hiki ke kāohi i ka holomua o kēia mau kūlana.

Inā loaʻa iaʻu ka Optic Neuritis i kēia manawa, a i ʻole ua loaʻa iaʻu ma mua, pehea lā wau e mālama ai iaʻu iho?

Inā kānalua ʻoe he optic neuritis kou, pono ʻoe e ʻike i kahi ophthalmologist. Hiki iā ia ke ʻike i ke kūlana a hana i nā hana mua e hoʻomaka ai i ka mālama ʻana. Hiki iā ia ke kuhikuhi iā ʻoe i kahi neurologist, rheumatologist, a i ʻole kekahi loea ʻē aʻe e hiki ke kōkua i ka mālama ʻana i ke kūlana. ʻO ka wikiwiki o kou loaʻa ʻana o kahi hōʻailona a hoʻomaka i ka mālama ʻana, ʻoi aku ka maikaʻi o kou kūlana o ka holomua.

Āhea wau e ʻike ai i kaʻu kauka a ʻimi paha i ke aʻo lapaʻau?

E ʻike mau i ke kauka maka inā ʻike ʻoe i kekahi mau loli i kou ʻike, ʻoiai ka emi ʻana o ka ʻike. Inā nalowale koke kou ʻike a ʻaʻohe ou hōʻailona e hiki ke wehewehe iā ia, pono ʻoe i ka mālama olakino ulia pōpilikia koke. Inā loaʻa iā ʻoe kahi maʻi e hiki ai ke nalowale koke ka ʻike (e like me ka migraine), e haʻi aku kāu kauka maka a i ʻole kekahi mea mālama ola kino iā ʻoe i ka wā e ʻimi ai i ka mālama olakino ulia pōpilikia. Ma hope o kou ʻike ʻia ʻana me ka optic neuritis, e paipai kāu kauka maka (a me nā mea mālama ola kino ʻē aʻe, inā ua kuhikuhi ʻia ʻoe) i nā kipa hahai mau. Ma kēlā mau kipa, hiki iā lākou ke nānā i kou kūlana a me nā hōʻailona a hoʻoponopono i kāu lāʻau lapaʻau inā pono.

ʻO ke ʻano o ka Optic Neuritis anei ʻo MS?

ʻAʻole, ʻaʻole ia e hana mau. Akā, inā loaʻa iā ʻoe ka optic neuritisHe kiʻekiʻe loa ka pilikia o ka hoʻomohala ʻana i ka sclerosis lehulehu.

ʻO ka mea hope loa, kekahi mau mea āu e hoʻomanaʻo ai (Leka Lawe-Home)

Hiki i ka optic neuritis ke lilo i maʻi ʻeha a hoʻoweliweli i ke ola. ʻO ka mea pōmaikaʻi, mahalo i ka noiʻi nui ʻana i nā makahiki i hala iho nei, ua lako pono nā ophthalmologists a me nā mea lawelawe olakino ʻē aʻe e mālama i kēia maʻi.

Inā loaʻa iā ʻoe nā hōʻailona o ka optic neuritis, e ʻike koke i kahi loea maka. ʻO ka wikiwiki o kou loaʻa ʻana o kahi hōʻailona a hoʻomaka i ka mālama ʻana, ʻoi aku ka maikaʻi o kou kūlana o ka hopena maikaʻi.

Inā pili kāu neuritis optic me kahi maʻi mau e like me ka sclerosis maha, ka maʻi neuromyelitis optica spectrum, a i ʻole ka maʻi e pili ana i ka antibody MOG, hiki iā ia ke kōkua i ka loaʻa ʻana o ka ʻike a me ka mālama ʻana i ka wā mua. Aia nā lāʻau lapaʻau no kēia mau kūlana e hiki ke kaohi i ko lākou holomua, a hiki i kēlā mau lāʻau lapaʻau ke kōkua iā ʻoe me kou ola o kēlā me kēia lā a me nā hana e hiki mai ana. No laila, mai hopohopo, e noho ikaika, a e kiʻi i ka ʻōlelo aʻoaʻo lapaʻau e pono ai.