Skip to main content

Muaj dab tsi tshwm sim rau koj ob lub qhov muag? Koj puas muaj teeb meem nrog koj qhov muag pom kev? Cia peb tham txog Optic Neuritis!

Muaj dab tsi tshwm sim rau koj ob lub qhov muag? Koj puas muaj teeb meem nrog koj qhov muag pom kev? Cia peb tham txog Optic Neuritis!
Koj puas muaj tej lub sij hawm mob qhov muag? Los yog koj puas xav tias koj lub zeem muag tsis meej? Tej zaum koj tsis pom xim meej? Yog tias koj tab tom ntsib cov teeb meem no, ib qho ua rau muaj qhov teeb meem no yog mob hu ua Optic Neuritis . Tsis txhob txhawj, peb yuav tham txog qhov no hauv ib txoj kev yooj yim uas koj nkag siab.

Kab mob Optic Neuritis yog dab tsi? Hais yooj yim xwb...

Xav txog seb, muaj ib yam dab tsi zoo li ib txoj xov tooj nyob nruab nrab ntawm peb lub qhov muag thiab peb lub hlwb. Peb hu qhov no ua lub paj hlwb pom . Lub paj hlwb no yog qhov uas coj yam peb pom los ntawm peb lub qhov muag mus rau peb lub hlwb thiab ua rau peb nkag siab tias, "Auj, qhov no yog qhov kuv pom." Tam sim no, muaj ib daim ntaub tiv thaiv nyob ib puag ncig lub paj hlwb pom no. Nws zoo li lub hnab yas nyob ib puag ncig ib txoj xov hluav taws xob. Cov kws kho mob hu qhov no ua lub hnab myelin . Yog tias vim li cas lub hnab myelin no puas tsuaj lossis o, cov lus ntawm txoj xov tooj ntawd tsis mus zoo, thiab cov teeb liab mus los ntawm lub qhov muag mus rau lub hlwb raug cuam tshuam. Qhov ntawd yog qhov peb hu ua Optic Neuritis . Hais yooj yim, qhov no yog ib qho kab mob neurological ('(Neuropathy)') uas tshwm sim hauv lub paj hlwb pom. Qhov no yog vim li cas tej yam xws li mob qhov muag thiab kev hloov pauv pom kev tshwm sim.

Cov hom mob Optic Neuritis tseem ceeb yog dab tsi?

Peb tuaj yeem tham txog peb hom tseem ceeb ntawm qhov no: 1. Kab mob Optic Neuritis ib txwm muaj: Qhov no feem ntau tsuas cuam tshuam rau ib lub qhov muag xwb. Ib txhia neeg rov zoo li qub hauv ob peb hnub yam tsis tau kev kho mob. Txawm li cas los xij, cov kws tshaj lij hais tias nws zoo dua los nrhiav kev kho mob rau lwm yam laj thawj. 2. Kab mob Optic Neuritis tsis zoo li qub: Hom no tuaj yeem cuam tshuam rau ob lub qhov muag. Tsis tas li ntawd, nws siv sijhawm ntev los kho. Kev tshawb fawb tau pom tias qhov no cuam tshuam nrog lwm yam kab mob neurological nyuaj. 3. Kab mob Optic Neuritis rau menyuam yaus: Raws li lub npe qhia, qhov no yog hom uas tshwm sim hauv cov menyuam yaus. Txawm hais tias ob hom ntxiv muaj qee qhov zoo sib xws, muaj qee qhov sib txawv tseem ceeb. Tab sis qhov xov xwm zoo yog tias hom no feem ntau muaj feem ntau dua los kho.

Tus mob no feem ntau tshwm sim li cas?

Yog lawm, mob optic neuritis yog ib qho mob uas pom ntau heev. Piv txwv li, nyob hauv Tebchaws Meskas xwb, muaj neeg tshaj tawm tias muaj li ntawm 5 ntawm 100,000 tus neeg mob tshiab ntawm tus kab mob no tshwm sim txhua xyoo. Yog li, nws yog ib qho tseem ceeb heev uas yuav tsum paub txog qhov no.

Cov tsos mob ntawm Optic Neuritis yog dab tsi?

Cov tsos mob uas tshwm sim hauv qhov mob no yuav luag txhua yam cuam tshuam nrog koj lub qhov muag thiab kev pom kev. Feem ntau, cov tsos mob no yog tshwm sim los ntawm "Retrobulbar" cov teebmeem uas tshwm sim tom qab lub qhov muag. Cia peb saib cov tsos mob no yog dab tsi:
  • Mob qhov muag : Kwv yees li 90% ntawm cov neeg uas muaj mob optic neuritis muaj qhov mob no. Qhov mob no tuaj yeem hnyav heev thaum txav lub qhov muag.Txawm li cas los xij, nyob rau hauv hom atypical uas tau hais ua ntej, nws qee zaum tuaj yeem ploj mus yam tsis muaj mob.
  • Kev Poob Qhov Muag Pom Kev: Qhov no txhais tau tias koj tsis pom tej yam meej thiab tsis pom tseeb. Qhov no tuaj yeem hnyav dua rau cov menyuam yaus uas muaj mob optic neuropathy.
  • Kev Tsis Pom Kev Zoo lossis Kev Poob Qhov Muag : Qhov no yog thaum koj poob ib feem ntawm koj qhov kev pom tag nrho. Nws zoo li koj tsis pom nruab nrab ntawm daim duab. Hauv kev mob hlwb optic, thaj chaw ntawm kev poob qhov muag feem ntau nyob hauv nruab nrab ntawm koj qhov kev pom.
  • Kev dig muag xim (Dyschromatopsia): Qhov no ua rau koj tsis paub qhov txawv ntawm cov xim. Tej zaum koj yuav muaj teeb meem paub qhov txawv ntawm cov xim liab.

Vim li cas peb thiaj muaj mob Optic Neuritis? Dab tsi yog cov ua rau muaj mob no?

Qhov ua rau mob hlab ntsha hauv qhov muag yog qhov o uas ua rau lub hlab ntsha hauv qhov muag puas tsuaj. Muaj ntau yam ua rau mob no.

1. Cov Mob Autoimmune thiab Inflammatory

Cov kws tshawb nrhiav xav tias cov kab mob autoimmune (qhov twg peb lub cev lub cev tiv thaiv kab mob tawm tsam peb cov hlwb) yog ib qho ua rau muaj kab mob no. Cov kab mob autoimmune uas cuam tshuam nrog yuav txawv nyob ntawm hom kab mob optic neuritis.
  • Kab mob qhov muag mob ib txwm muaj: Qhov no feem ntau cuam tshuam nrog ib yam mob hu ua Multiple Sclerosis (MS) . Qee zaum, kab mob qhov muag mob tuaj yeem yog thawj qhov cim ntawm MS. Nws tau pom tias kwv yees li 50% ntawm cov neeg uas muaj kab mob qhov muag mob ib txwm muaj yuav muaj MS hauv 15 xyoos.
  • Kab mob optic neuritis tsis zoo li qub: Qhov no yog hais txog cov mob hu ua neuromyelitis optica (NMO) thiab MOG-antibody-associated disease (MOGAD) . Chiv thawj, MS, NMO, thiab MOGAD tau xav tias yog tib yam kab mob. Txawm li cas los xij, tom qab ntawd tau pom tias NMO thiab MOGAD yog tshwm sim los ntawm ntau hom tshuaj tiv thaiv kab mob sib txawv.

2. Kev kis kab mob

Peb cov hlab ntsha tuaj yeem raug puas tsuaj los ntawm kev kis kab mob. Cov hlab ntsha qhov muag kuj zoo ib yam. Kev kis kab mob yog ib qho ua rau mob hlab ntsha qhov muag, tshwj xeeb tshaj yog rau cov menyuam yaus. Muaj plaub hom kab mob tseem ceeb uas tuaj yeem ua rau muaj kev kis kab mob:
  • Cov kab mob viral : Cov no yog ib qho ua rau mob optic neuritis, tshwj xeeb tshaj yog thaum yau. Piv txwv li:
  • Kab mob qaib ntxhw, ua rau mob herpes zosterKab mob Varicella-zoster (tus kab mob Varicella-zoster)
  • Kab mob Herpes simplex hom 1 thiab 2
  • Kab mob Cytomegalovirus (Cytomegalovirus)
  • Kab mob HIV (HIV)
  • Cov kab mob kis los ntawm yoov tshaj cum
  • Cov kab mob kis rau menyuam yaus xws li qhua pias
  • Cov kab mob bacterial : Cov no feem ntau kis mus rau tib neeg los ntawm tsiaj txhu lossis kab. Piv txwv li:
  • Kab mob khawb miv
  • Kab mob Lyme, uas kis tau los ntawm cov kab mob fleas
  • Kab mob ntsws
  • Kab mob syphilis
  • Cov kab mob fungal : Cov no kuj tuaj yeem ua rau mob optic neuritis. Piv txwv li:
  • Cryptococcus neoformans `(Cryptococcus neoformans - cryptococcosis)`
  • Cov kab mob Candida (candidiasis)
  • Histoplasma capsulatum `(Histoplasma capsulatum - histoplasmosis)`
  • Cov Hom Kab Mob Aspergillus (Aspergillus - aspergillosis)
  • Cov kab mob parasitic: Cov no feem ntau tuaj yeem kis tau los ntawm tsiaj, tshwj xeeb tshaj yog miv thiab dev. Piv txwv li:
  • Toxoplasma gondii (toxoplasmosis) los ntawm miv
  • Toxocara canis los ntawm dev (Toxocara canis - toxocariasis)

3. Tshuaj thiab Cov Tshuaj Lom

Cov tshuaj uas kws kho mob sau ntawv kom yuav thiab lwm yam tshuaj tej zaum yuav ua rau cov hlab ntsha puas tsuaj. Piv txwv li:
  • Cov tshuaj rau kev kis kab mob: `(Ethambutol)`, `(Chloramphenicol)`, `(Isoniazid)` lossis Sulfa-type antibiotics`
  • Cov tshuaj kho mob plawv dhia tsis zoo: (Amiodarone), (Digoxin)
  • Cov tshuaj quinine siv rau mob malaria: Chloroquine, Hydroxychloroquine
  • Cov tshuaj tiv thaiv kab mob qog noj ntshav: (Methotrexate), (Vincristine), (Tamoxifen)
  • Cov khoom muaj luam yeeb thiab nicotine
  • Cawv los yog methanol (qee zaum hu ua "cawv ntoo")

4. Lwm Yam Ua Rau

Muaj ntau lwm yam laj thawj uas yuav cuam tshuam rau qhov no:
  • Txo cov ntshav mus los (Ischemia): Yog tias cov hlab ntsha optic tsis tau txais ntshav txaus, nws cov cell yuav tsis ua haujlwm zoo thiab yuav raug puas tsuaj.
  • Tsis txaus Vitamin: Qhov tsis txaus cov vitamins B, tshwj xeeb tshaj yog vitamin B12, tuaj yeem ua rau cov hlab ntsha puas tsuaj mus tas li thiab hnyav.
  • Kev Nyuaj Siab Ntawm Cov Ntsws:Kev puas tsuaj thiab o tuaj yeem tshwm sim thaum muaj ib yam dab tsi nias rau ntawm cov hlab ntsha optic. Qhov no tuaj yeem tshwm sim los ntawm cov mob xws li qog nqaij hlav thiab hydrocephalus.
  • Cov Kab Mob Metabolic: Cov kab mob xws li Hom 2 Diabetes Mellitus. Qhov kev pheej hmoo ntawm kev puas tsuaj rau cov hlab ntsha optic nce ntxiv thaum tus kab mob ntshav qab zib zuj zus. Qhov kev pheej hmoo no yuav loj dua yog tias cov ntshav qab zib siab.
Qee zaum mob optic neuritis tuaj yeem tshwm sim yam tsis muaj laj thawj (idiopathic) .

Leej twg muaj feem yuav mob Optic Neuritis ntau dua? (Cov yam ua rau muaj kev pheej hmoo)

Tej yam uas yuav ua rau koj muaj feem mob no ntau dua. Cia peb saib seb lawv yog dab tsi:
  • Txiv neej thiab poj niam: Cov poj niam muaj feem ntau yuav mob optic neuritis ntau dua li cov txiv neej, tab sis cov txiv neej muaj feem ntau yuav mob hom atypical.
  • Hnub Nyoog: Hom mob no feem ntau tshwm sim rau cov neeg hnub nyoog ntawm 20 thiab 40 xyoo. Hom mob no feem ntau tshwm sim rau cov neeg hnub nyoog qis dua 18 xyoo lossis laus dua 50 xyoo. Hom mob menyuam yaus feem ntau tshwm sim rau cov menyuam yaus hnub nyoog qis dua 10 xyoo.
  • Haiv Neeg: Cov neeg dawb muaj feem yuav mob optic neuritis ntau dua. Haiv neeg kuj tseem tuaj yeem cuam tshuam seb ib tus neeg uas mob optic neuritis puas muaj MS. Kev tshawb fawb qhia tau tias cov neeg Esxias muaj feem yuav mob MS tsawg dua tom qab mob optic neuritis.
  • Qhov chaw koj nyob: Qhov chaw koj nyob kuj tuaj yeem cuam tshuam rau koj qhov kev pheej hmoo ntawm kev mob MS. Cov neeg uas nyob deb ntawm equator muaj kev pheej hmoo siab dua me ntsis ntawm kev mob MS. Cov kws tshaj lij xav tias qhov no yuav yog vim raug tshav ntuj thiab/lossis cov vitamin D.
  • Muaj lwm yam kab mob autoimmune: Cov neeg uas muaj cov kab mob autoimmune xws li lupus erythematosus, sarcoidosis, thiab Behçet's kab mob muaj feem yuav mob optic neuritis ntau dua.

Qhov no ua rau muaj teeb meem dab tsi?

Qhov teeb meem tseem ceeb yog qhov muag tsis pom kev. Koj tus kws kho qhov muag tuaj yeem qhia koj txog lwm yam teeb meem uas yuav tshwm sim nyob ntawm koj tus mob.

Cov kws kho mob kuaj mob Optic Neuritis li cas? (Kev kuaj mob)

Tus kws kho qhov muag yuav saib koj cov tsos mob, koj keeb kwm kev kho mob, thiab seb koj puas muaj lwm yam mob uas yuav ua rau mob optic neuritis los ua qhov kev kuaj mob. Kev kuaj qhov muag yog ib feem tseem ceeb ntawm cov txheej txheem no. Qhov kev kuaj mob no yuav suav nrog:
  • Kev Pom Kev Pom Kev
  • Kev Pom Kev
  • Muaj peev xwm pom xim
  • Cov Kev Xav Txog Cov Tub Ntxhais Kawm
  • Kev Ntsuas Teeb Ci
Cov kev ntsuam xyuas no kuj tseem yuav ua tau thaum pib:
  • Cov Peev Xwm Uas Ua Rau Pom Kev
  • Kev kuaj mob Optical Coherence Tomography (OCT)
Yog tias cov kev kuaj no qhia tias koj muaj mob optic neuritis, koj tus kws kho qhov muag yuav xa koj mus rau ib tus kws tshwj xeeb. Qhov no yuav yog tus kws kho mob hlwb, lossis tus kws kho qhov muag uas tshwj xeeb hauv cov kab mob ntawm lub retina thiab cov hlab ntsha optic (neuro-ophthalmologist).

Ntau qhov kev ntsuam xyuas

Kev kuaj MRI (Magnetic Resonance Imaging - MRI Scan) yog ib qho kev kuaj tseem ceeb heev rau kev kuaj mob optic neuritis. Kev kuaj no siv cov kua tshwj xeeb hu ua "Contrast", uas ua rau pom kev hloov pauv hauv cov ntaub so ntswg ntau dua. Yog tias koj muaj optic neuritis, cov hlab ntsha optic uas raug cuam tshuam yuav zoo li ci dua li cov hlab ntsha noj qab haus huv. Kev kuaj MRI yog qhov tseem ceeb vim nws tuaj yeem kuaj pom cov qhov txhab hauv lub hlwb . Cov no tuaj yeem yog qhov qhia tseem ceeb ntawm seb koj puas muaj MS. MRI kuj tseem tuaj yeem kuaj pom lwm yam kev puas tsuaj rau cov hlab ntsha optic thiab/lossis cov hlab ntsha caj qaum, xws li cov mob xws li NMO lossis MOGAD. Kuj tseem muaj ntau qhov kev kuaj hauv chaw kuaj mob uas koj tus kws kho mob yuav pom zoo. Cov no feem ntau ua rau:
  • Kab mob optic neuritis tej zaum yuav yog los ntawm kev kis kab mob.
  • Yog tias MRI qhia txog kev puas tsuaj uas yuav yog MS, NMO, lossis MOGAD.
  • Yog tias koj cov tsos mob zoo ib yam li NMO lossis MOGAD dua li MS.
Feem ntau cov kev kuaj hauv chav kuaj mob yuav muaj xws li kev kuaj ntshav thiab zis. Cov no tuaj yeem nrhiav cov cim qhia txog kev kis kab mob lossis cov tshuaj tiv thaiv kab mob autoimmune (tshwj xeeb tshaj yog cov tshuaj tiv thaiv uas qhia txog NMO lossis MOGAD). Kev tho qhov lumbar lossis kev tho qhov spinal kuj tseem tuaj yeem nrhiav cov cim qhia txog kev kis kab mob lossis lwm yam kev hloov pauv hauv cov kua dej cerebrospinal (CSF).

Yuav kho tus mob Optic Neuritis li cas?

Muaj ob hom kev kho mob tseem ceeb: 1. Cov tshuaj tiv thaiv kev o ntawm cov hlab ntsha (IV): Cov tshuaj no pab txo qhov o thiab txwv kev puas tsuaj rau cov hlab ntsha optic. Qhov no tuaj yeem pab txo qhov mob thiab rov qab pom kev zoo. Kev kho mob ib txwm yog muab cov tshuaj steroids ntau rau koj hauv cov hlab ntsha lossis noj rau peb txog tsib hnub. Tom qab ntawd, koj tus kws kho mob yuav muab cov tshuaj steroids tsawg rau koj kom txuas ntxiv siv. (Nws yog ib qho tseem ceeb kom noj cov tshuaj raws nraim li tau sau tseg, vim tias cov tshuaj noj maj mam txo qis.) 2. Kev kho qhov ua rau lossis qhov ua rau muaj: Cov kev kho mob no sib txawv. Piv txwv li, muab cov tshuaj tua kab mob rau kev kis kab mob bacterial, lossis yog tias kev kuaj pom tseeb tias koj muaj tus kab mob autoimmune xws li NMO lossis MOGAD, kev pauv plasma (PLEX) yuav raug siv los txo qhov kev ua haujlwm ntawm lub cev tiv thaiv kab mob.Kev kho mob xws li. Lwm yam tseem yuav cuam tshuam rau kev kho mob uas koj tau txais. Koj tus kws kho qhov muag lossis lwm tus kws kho mob yog tus neeg zoo tshaj plaws los tham txog koj cov kev xaiv, cov kev mob tshwm sim, cov teeb meem, thiab lwm yam ntsiab lus uas koj xav paub.

Peb puas tuaj yeem tiv thaiv tau qhov mob no hu ua Optic Neuritis?

Feem ntau cov kab mob optic neuritis thiab cov hlab ntsha puas tsuaj tshwm sim vim yog cov laj thawj uas koj tsis tau xav txog. Txawm hais tias muaj tej yam uas koj ua tau los txo koj qhov kev pheej hmoo, tsis muaj ib txoj hauv kev los tiv thaiv txhua yam ua rau. Nov yog qee cov kauj ruam uas koj ua tau:
  • Tsis txhob siv lossis tsum tsis txhob siv cov khoom luam yeeb (xws li kev haus luam yeeb hluav taws xob thiab cov yeeb nkab uas tsis muaj pa luam yeeb).
  • Tau txais kev kho mob ua ntej tus kab mob kis mus rau cov hlab ntsha ntawm qhov muag.
  • Siv cov tshuaj uas kws kho mob sau ntawv kom raws nraim li tau sau tseg, thiab tsum tsis txhob noj tshuaj kiag li yam tsis tau kev qhia los ntawm kws kho mob.
  • Ua ntej tshaj plaws, saib xyuas cov khoom noj kom tsis txhob muaj cov vitamins tsis txaus.
  • Thaum haus cawv, ua kom nruab nrab thiab tsis txhob haus cov tshuaj lom xws li methanol.
  • Tswj cov mob autoimmune lossis inflammatory uas twb muaj lawm.

Yog tias koj muaj mob Optic Neuritis, koj yuav xav li cas?

Qhov koj yuav tau txais yuav txawv nyob ntawm seb koj muaj hom mob optic neuritis li cas. Qhov mob thiab qhov muag tsis pom kev yog ib txwm muaj, thiab lawv tuaj yeem cuam tshuam rau ib lossis ob lub qhov muag. Kev kuaj mob optic neuritis tuaj yeem yog ib qho txheej txheem nyuaj, thiab koj yuav xav tias chim siab thaum lub sijhawm ua. Nco ntsoov tias koj tsis nyob ib leeg. Thaum koj tham nrog koj tus kws kho mob txog koj qhov kev txhawj xeeb, nws yuav paub tias koj xav tau kev nplij siab lossis kev txhawb siab. Nws yeej tsis yog qhov tsis ncaj ncees lawm los qhia rau koj tus kws kho qhov muag lossis lwm tus neeg muab kev pabcuam kho mob tias koj xav tau hom kev txhawb nqa ntawd.

Mob Optic Neuritis kav ntev npaum li cas?

Qhov no yuav kav ntev npaum li cas nyob ntawm hom kev kho mob, hom kev kho mob uas koj tau txais, thiab kev kho mob ntawd ua tiav li cas.
  • Feem ntau tus kab mob optic neuritis yog ib qho teeb meem luv luv xwb. Qhov mob yuav ploj mus li ob peb hnub (lossis txawm tias ob peb lub lis piam), thiab kev kho mob tuaj yeem ua rau nws sai dua. Cov neeg feem coob thaum kawg rov qab tau lawv qhov kev pom tseeb, kev ntse, thiab kev pom xim. Nws tuaj yeem siv sijhawm li ob lub lis piam lossis ntev txog peb lub hlis.
  • Kab mob optic neuritis uas tsis zoo li qub yuav hnyav dua, thiab cov teebmeem yuav kav ntev dua, tshwj xeeb tshaj yog tias tsis kho. Ib txhia neeg yuav tsis pom lawv qhov muag rov qab los rau rau lub lis piam lossis ntau dua, thiab nws tuaj yeem nyob mus ib txhis. Yog vim li cas nws thiaj li tseem ceeb kom paub txog qhov mob no thaum ntxov thiab nrhiav kev kho mob.

Qhov xwm txheej no yuav zoo li cas?

Qhov kev xav txog tus kab mob optic neuritis sib txawv, tshwj xeeb tshaj yog nyob ntawm hom koj muaj:
  • Cov kab mob optic neuritis ib txwm muaj:Kwv yees li 90% ntawm cov neeg rov qab pom kev zoo li qub lossis ze li qub hauv 6 txog 12 lub hlis. Cov teeb meem pom kev mus sij hawm ntev tuaj yeem tshwm sim, tab sis lawv tsis tshua muaj. Kev kho mob kom txo qhov o ntawm cov leeg feem ntau yog qhov zoo yog tias pib thaum ntxov.
  • Kab mob optic neuritis uas tsis zoo li qub: Qhov kev cia siab rau hom kab mob no yuav txawv nyob ntawm seb yog vim li cas. Feem ntau, qhov kev cia siab yuav phem zuj zus thaum kev kho mob qeeb.
  • Kab Mob Qhov Muag Rau Me Nyuam Yaus: Feem ntau cov menyuam yaus uas muaj kab mob qhov muag rau menyuam yaus feem ntau zoo dua li cov neeg laus. Cov menyuam yaus yuav tsis muaj teeb meem mus sij hawm ntev los ntawm kab mob qhov muag rau menyuam yaus. Txawm li cas los xij, ib yam li cov neeg laus, tseem muaj kev pheej hmoo tias kab mob qhov muag rau menyuam yaus yuav yog thawj qhov cim qhia txog MS. Yog tias kab mob qhov muag rau menyuam yaus tshwm sim thaum yau, qhov kev pheej hmoo ntawm kev kuaj mob MS hauv 40 xyoo yog li 26%.
Vim muaj kev sib txuas ntawm tus kab mob optic neuritis thiab lwm yam mob, koj tus kws kho qhov muag yuav xa koj mus rau tus kws kho mob hlwb, tus kws kho mob rheumatologist, lossis ob qho tib si. Cov kws tshwj xeeb no tuaj yeem kuaj xyuas cov cim ntawm MS lossis cov mob zoo sib xws. Qhov kev saib xyuas no tuaj yeem pab txheeb xyuas cov mob no thaum ntxov. Qhov no tseem ceeb vim tias muaj kev kho mob uas tuaj yeem tswj kev nce qib ntawm cov mob no.

Yog tias kuv muaj mob Optic Neuritis tam sim no, lossis tau muaj nws yav dhau los, kuv yuav tsum saib xyuas kuv tus kheej li cas?

Yog koj xav tias koj muaj mob optic neuritis, koj yuav tsum mus ntsib kws kho qhov muag. Nws tuaj yeem kuaj pom qhov mob thiab ua thawj kauj ruam los pib kho. Nws kuj tseem tuaj yeem xa koj mus rau kws kho mob hlwb, kws kho mob rheumatologist, lossis lwm tus kws tshwj xeeb uas tuaj yeem pab kho qhov mob. Thaum koj kuaj pom thiab pib kho sai npaum li cas, koj yuav muaj feem ua tiav zoo dua.

Thaum twg kuv yuav tsum mus ntsib kuv tus kws kho mob lossis nrhiav kev pab kho mob?

Mus ntsib kws kho qhov muag tas li yog tias koj pom muaj kev hloov pauv hauv koj qhov kev pom kev, tshwj xeeb tshaj yog qhov kev pom kev txo qis. Yog tias koj poob koj qhov kev pom kev tam sim ntawd thiab koj tsis muaj kev kuaj mob uas piav qhia tau, koj xav tau kev kho mob ceev tam sim ntawd. Yog tias koj muaj mob uas tuaj yeem ua rau poob qhov kev pom kev tam sim ntawd (xws li mob taub hau), koj tus kws kho qhov muag lossis lwm tus kws kho mob yuav qhia koj thaum twg yuav tsum nrhiav kev kho mob ceev. Tom qab koj tau kuaj pom tias muaj mob optic neuritis, koj tus kws kho qhov muag (thiab lwm tus kws kho mob, yog tias koj tau raug xa mus) yuav pom zoo kom mus ntsib kws kho mob tas li. Thaum mus ntsib ntawd, lawv tuaj yeem saib xyuas koj tus mob thiab cov tsos mob thiab kho koj txoj kev kho mob yog tias tsim nyog.

Puas yog Optic Neuritis yeej ib txwm txhais tau tias MS?

Tsis yog, nws tsis yog txhua lub sijhawm tshwm sim. Tab sis, yog tias koj muaj mob optic neuritisKev pheej hmoo ntawm kev tsim ntau yam sclerosis yog siab heev.

Thaum kawg, ob peb yam koj yuav tsum nco ntsoov (Cov Lus Coj Mus Tsev)

Kab mob optic neuritis yog ib yam mob uas mob heev thiab ua rau tuag taus. Zoo hmoo, ua tsaug rau kev tshawb fawb ntau yam hauv ob peb xyoos dhau los no, cov kws kho qhov muag thiab lwm cov kws kho mob tau npaj txhij los kho qhov mob no.
Yog koj muaj cov tsos mob ntawm tus kab mob optic neuritis, mus ntsib kws kho qhov muag tam sim ntawd. Thaum koj kuaj mob thiab pib kho sai npaum li cas, koj yuav muaj feem ntau dua rau qhov tshwm sim zoo.
Yog tias koj tus kab mob optic neuritis muaj feem cuam tshuam nrog tus mob ntev xws li multiple sclerosis, neuromyelitis optica spectrum disorder, lossis MOG-antibody-related disease, nws kuj tseem tuaj yeem pab kom kuaj tau thiab kho thaum ntxov. Muaj kev kho rau cov mob no uas tuaj yeem tswj lawv txoj kev loj hlob, thiab cov kev kho mob ntawd tuaj yeem pab koj nrog koj lub neej txhua hnub thiab cov dej num yav tom ntej. Yog li, tsis txhob ntshai, nyob twj ywm, thiab tau txais cov lus qhia kho mob tsim nyog.
⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.

💬 Comments (0)

Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.

Ntxiv koj cov lus

Thov xam: 2 + 8 =
Muaj dab tsi tshwm sim rau koj ob lub qhov muag? Koj puas muaj teeb meem nrog koj qhov muag pom kev? Cia peb tham txog Optic Neuritis!

Muaj dab tsi tshwm sim rau koj ob lub qhov muag? Koj puas muaj teeb meem nrog koj qhov muag pom kev? Cia peb tham txog Optic Neuritis!

Koj puas muaj tej lub sij hawm mob qhov muag? Los yog koj puas xav tias koj lub zeem muag tsis meej? Tej zaum koj tsis pom xim meej? Yog tias koj tab tom ntsib cov teeb meem no, ib qho ua rau muaj qhov teeb meem no yog mob hu ua Optic Neuritis . Tsis txhob txhawj, peb yuav tham txog qhov no hauv ib txoj kev yooj yim uas koj nkag siab.

Kab mob Optic Neuritis yog dab tsi? Hais yooj yim xwb...

Xav txog seb, muaj ib yam dab tsi zoo li ib txoj xov tooj nyob nruab nrab ntawm peb lub qhov muag thiab peb lub hlwb. Peb hu qhov no ua lub paj hlwb pom . Lub paj hlwb no yog qhov uas coj yam peb pom los ntawm peb lub qhov muag mus rau peb lub hlwb thiab ua rau peb nkag siab tias, "Auj, qhov no yog qhov kuv pom." Tam sim no, muaj ib daim ntaub tiv thaiv nyob ib puag ncig lub paj hlwb pom no. Nws zoo li lub hnab yas nyob ib puag ncig ib txoj xov hluav taws xob. Cov kws kho mob hu qhov no ua lub hnab myelin . Yog tias vim li cas lub hnab myelin no puas tsuaj lossis o, cov lus ntawm txoj xov tooj ntawd tsis mus zoo, thiab cov teeb liab mus los ntawm lub qhov muag mus rau lub hlwb raug cuam tshuam. Qhov ntawd yog qhov peb hu ua Optic Neuritis . Hais yooj yim, qhov no yog ib qho kab mob neurological ('(Neuropathy)') uas tshwm sim hauv lub paj hlwb pom. Qhov no yog vim li cas tej yam xws li mob qhov muag thiab kev hloov pauv pom kev tshwm sim.

Cov hom mob Optic Neuritis tseem ceeb yog dab tsi?

Peb tuaj yeem tham txog peb hom tseem ceeb ntawm qhov no: 1. Kab mob Optic Neuritis ib txwm muaj: Qhov no feem ntau tsuas cuam tshuam rau ib lub qhov muag xwb. Ib txhia neeg rov zoo li qub hauv ob peb hnub yam tsis tau kev kho mob. Txawm li cas los xij, cov kws tshaj lij hais tias nws zoo dua los nrhiav kev kho mob rau lwm yam laj thawj. 2. Kab mob Optic Neuritis tsis zoo li qub: Hom no tuaj yeem cuam tshuam rau ob lub qhov muag. Tsis tas li ntawd, nws siv sijhawm ntev los kho. Kev tshawb fawb tau pom tias qhov no cuam tshuam nrog lwm yam kab mob neurological nyuaj. 3. Kab mob Optic Neuritis rau menyuam yaus: Raws li lub npe qhia, qhov no yog hom uas tshwm sim hauv cov menyuam yaus. Txawm hais tias ob hom ntxiv muaj qee qhov zoo sib xws, muaj qee qhov sib txawv tseem ceeb. Tab sis qhov xov xwm zoo yog tias hom no feem ntau muaj feem ntau dua los kho.

Tus mob no feem ntau tshwm sim li cas?

Yog lawm, mob optic neuritis yog ib qho mob uas pom ntau heev. Piv txwv li, nyob hauv Tebchaws Meskas xwb, muaj neeg tshaj tawm tias muaj li ntawm 5 ntawm 100,000 tus neeg mob tshiab ntawm tus kab mob no tshwm sim txhua xyoo. Yog li, nws yog ib qho tseem ceeb heev uas yuav tsum paub txog qhov no.

Cov tsos mob ntawm Optic Neuritis yog dab tsi?

Cov tsos mob uas tshwm sim hauv qhov mob no yuav luag txhua yam cuam tshuam nrog koj lub qhov muag thiab kev pom kev. Feem ntau, cov tsos mob no yog tshwm sim los ntawm "Retrobulbar" cov teebmeem uas tshwm sim tom qab lub qhov muag. Cia peb saib cov tsos mob no yog dab tsi:
  • Mob qhov muag : Kwv yees li 90% ntawm cov neeg uas muaj mob optic neuritis muaj qhov mob no. Qhov mob no tuaj yeem hnyav heev thaum txav lub qhov muag.Txawm li cas los xij, nyob rau hauv hom atypical uas tau hais ua ntej, nws qee zaum tuaj yeem ploj mus yam tsis muaj mob.
  • Kev Poob Qhov Muag Pom Kev: Qhov no txhais tau tias koj tsis pom tej yam meej thiab tsis pom tseeb. Qhov no tuaj yeem hnyav dua rau cov menyuam yaus uas muaj mob optic neuropathy.
  • Kev Tsis Pom Kev Zoo lossis Kev Poob Qhov Muag : Qhov no yog thaum koj poob ib feem ntawm koj qhov kev pom tag nrho. Nws zoo li koj tsis pom nruab nrab ntawm daim duab. Hauv kev mob hlwb optic, thaj chaw ntawm kev poob qhov muag feem ntau nyob hauv nruab nrab ntawm koj qhov kev pom.
  • Kev dig muag xim (Dyschromatopsia): Qhov no ua rau koj tsis paub qhov txawv ntawm cov xim. Tej zaum koj yuav muaj teeb meem paub qhov txawv ntawm cov xim liab.

Vim li cas peb thiaj muaj mob Optic Neuritis? Dab tsi yog cov ua rau muaj mob no?

Qhov ua rau mob hlab ntsha hauv qhov muag yog qhov o uas ua rau lub hlab ntsha hauv qhov muag puas tsuaj. Muaj ntau yam ua rau mob no.

1. Cov Mob Autoimmune thiab Inflammatory

Cov kws tshawb nrhiav xav tias cov kab mob autoimmune (qhov twg peb lub cev lub cev tiv thaiv kab mob tawm tsam peb cov hlwb) yog ib qho ua rau muaj kab mob no. Cov kab mob autoimmune uas cuam tshuam nrog yuav txawv nyob ntawm hom kab mob optic neuritis.
  • Kab mob qhov muag mob ib txwm muaj: Qhov no feem ntau cuam tshuam nrog ib yam mob hu ua Multiple Sclerosis (MS) . Qee zaum, kab mob qhov muag mob tuaj yeem yog thawj qhov cim ntawm MS. Nws tau pom tias kwv yees li 50% ntawm cov neeg uas muaj kab mob qhov muag mob ib txwm muaj yuav muaj MS hauv 15 xyoos.
  • Kab mob optic neuritis tsis zoo li qub: Qhov no yog hais txog cov mob hu ua neuromyelitis optica (NMO) thiab MOG-antibody-associated disease (MOGAD) . Chiv thawj, MS, NMO, thiab MOGAD tau xav tias yog tib yam kab mob. Txawm li cas los xij, tom qab ntawd tau pom tias NMO thiab MOGAD yog tshwm sim los ntawm ntau hom tshuaj tiv thaiv kab mob sib txawv.

2. Kev kis kab mob

Peb cov hlab ntsha tuaj yeem raug puas tsuaj los ntawm kev kis kab mob. Cov hlab ntsha qhov muag kuj zoo ib yam. Kev kis kab mob yog ib qho ua rau mob hlab ntsha qhov muag, tshwj xeeb tshaj yog rau cov menyuam yaus. Muaj plaub hom kab mob tseem ceeb uas tuaj yeem ua rau muaj kev kis kab mob:
  • Cov kab mob viral : Cov no yog ib qho ua rau mob optic neuritis, tshwj xeeb tshaj yog thaum yau. Piv txwv li:
  • Kab mob qaib ntxhw, ua rau mob herpes zosterKab mob Varicella-zoster (tus kab mob Varicella-zoster)
  • Kab mob Herpes simplex hom 1 thiab 2
  • Kab mob Cytomegalovirus (Cytomegalovirus)
  • Kab mob HIV (HIV)
  • Cov kab mob kis los ntawm yoov tshaj cum
  • Cov kab mob kis rau menyuam yaus xws li qhua pias
  • Cov kab mob bacterial : Cov no feem ntau kis mus rau tib neeg los ntawm tsiaj txhu lossis kab. Piv txwv li:
  • Kab mob khawb miv
  • Kab mob Lyme, uas kis tau los ntawm cov kab mob fleas
  • Kab mob ntsws
  • Kab mob syphilis
  • Cov kab mob fungal : Cov no kuj tuaj yeem ua rau mob optic neuritis. Piv txwv li:
  • Cryptococcus neoformans `(Cryptococcus neoformans - cryptococcosis)`
  • Cov kab mob Candida (candidiasis)
  • Histoplasma capsulatum `(Histoplasma capsulatum - histoplasmosis)`
  • Cov Hom Kab Mob Aspergillus (Aspergillus - aspergillosis)
  • Cov kab mob parasitic: Cov no feem ntau tuaj yeem kis tau los ntawm tsiaj, tshwj xeeb tshaj yog miv thiab dev. Piv txwv li:
  • Toxoplasma gondii (toxoplasmosis) los ntawm miv
  • Toxocara canis los ntawm dev (Toxocara canis - toxocariasis)

3. Tshuaj thiab Cov Tshuaj Lom

Cov tshuaj uas kws kho mob sau ntawv kom yuav thiab lwm yam tshuaj tej zaum yuav ua rau cov hlab ntsha puas tsuaj. Piv txwv li:
  • Cov tshuaj rau kev kis kab mob: `(Ethambutol)`, `(Chloramphenicol)`, `(Isoniazid)` lossis Sulfa-type antibiotics`
  • Cov tshuaj kho mob plawv dhia tsis zoo: (Amiodarone), (Digoxin)
  • Cov tshuaj quinine siv rau mob malaria: Chloroquine, Hydroxychloroquine
  • Cov tshuaj tiv thaiv kab mob qog noj ntshav: (Methotrexate), (Vincristine), (Tamoxifen)
  • Cov khoom muaj luam yeeb thiab nicotine
  • Cawv los yog methanol (qee zaum hu ua "cawv ntoo")

4. Lwm Yam Ua Rau

Muaj ntau lwm yam laj thawj uas yuav cuam tshuam rau qhov no:
  • Txo cov ntshav mus los (Ischemia): Yog tias cov hlab ntsha optic tsis tau txais ntshav txaus, nws cov cell yuav tsis ua haujlwm zoo thiab yuav raug puas tsuaj.
  • Tsis txaus Vitamin: Qhov tsis txaus cov vitamins B, tshwj xeeb tshaj yog vitamin B12, tuaj yeem ua rau cov hlab ntsha puas tsuaj mus tas li thiab hnyav.
  • Kev Nyuaj Siab Ntawm Cov Ntsws:Kev puas tsuaj thiab o tuaj yeem tshwm sim thaum muaj ib yam dab tsi nias rau ntawm cov hlab ntsha optic. Qhov no tuaj yeem tshwm sim los ntawm cov mob xws li qog nqaij hlav thiab hydrocephalus.
  • Cov Kab Mob Metabolic: Cov kab mob xws li Hom 2 Diabetes Mellitus. Qhov kev pheej hmoo ntawm kev puas tsuaj rau cov hlab ntsha optic nce ntxiv thaum tus kab mob ntshav qab zib zuj zus. Qhov kev pheej hmoo no yuav loj dua yog tias cov ntshav qab zib siab.
Qee zaum mob optic neuritis tuaj yeem tshwm sim yam tsis muaj laj thawj (idiopathic) .

Leej twg muaj feem yuav mob Optic Neuritis ntau dua? (Cov yam ua rau muaj kev pheej hmoo)

Tej yam uas yuav ua rau koj muaj feem mob no ntau dua. Cia peb saib seb lawv yog dab tsi:
  • Txiv neej thiab poj niam: Cov poj niam muaj feem ntau yuav mob optic neuritis ntau dua li cov txiv neej, tab sis cov txiv neej muaj feem ntau yuav mob hom atypical.
  • Hnub Nyoog: Hom mob no feem ntau tshwm sim rau cov neeg hnub nyoog ntawm 20 thiab 40 xyoo. Hom mob no feem ntau tshwm sim rau cov neeg hnub nyoog qis dua 18 xyoo lossis laus dua 50 xyoo. Hom mob menyuam yaus feem ntau tshwm sim rau cov menyuam yaus hnub nyoog qis dua 10 xyoo.
  • Haiv Neeg: Cov neeg dawb muaj feem yuav mob optic neuritis ntau dua. Haiv neeg kuj tseem tuaj yeem cuam tshuam seb ib tus neeg uas mob optic neuritis puas muaj MS. Kev tshawb fawb qhia tau tias cov neeg Esxias muaj feem yuav mob MS tsawg dua tom qab mob optic neuritis.
  • Qhov chaw koj nyob: Qhov chaw koj nyob kuj tuaj yeem cuam tshuam rau koj qhov kev pheej hmoo ntawm kev mob MS. Cov neeg uas nyob deb ntawm equator muaj kev pheej hmoo siab dua me ntsis ntawm kev mob MS. Cov kws tshaj lij xav tias qhov no yuav yog vim raug tshav ntuj thiab/lossis cov vitamin D.
  • Muaj lwm yam kab mob autoimmune: Cov neeg uas muaj cov kab mob autoimmune xws li lupus erythematosus, sarcoidosis, thiab Behçet's kab mob muaj feem yuav mob optic neuritis ntau dua.

Qhov no ua rau muaj teeb meem dab tsi?

Qhov teeb meem tseem ceeb yog qhov muag tsis pom kev. Koj tus kws kho qhov muag tuaj yeem qhia koj txog lwm yam teeb meem uas yuav tshwm sim nyob ntawm koj tus mob.

Cov kws kho mob kuaj mob Optic Neuritis li cas? (Kev kuaj mob)

Tus kws kho qhov muag yuav saib koj cov tsos mob, koj keeb kwm kev kho mob, thiab seb koj puas muaj lwm yam mob uas yuav ua rau mob optic neuritis los ua qhov kev kuaj mob. Kev kuaj qhov muag yog ib feem tseem ceeb ntawm cov txheej txheem no. Qhov kev kuaj mob no yuav suav nrog:
  • Kev Pom Kev Pom Kev
  • Kev Pom Kev
  • Muaj peev xwm pom xim
  • Cov Kev Xav Txog Cov Tub Ntxhais Kawm
  • Kev Ntsuas Teeb Ci
Cov kev ntsuam xyuas no kuj tseem yuav ua tau thaum pib:
  • Cov Peev Xwm Uas Ua Rau Pom Kev
  • Kev kuaj mob Optical Coherence Tomography (OCT)
Yog tias cov kev kuaj no qhia tias koj muaj mob optic neuritis, koj tus kws kho qhov muag yuav xa koj mus rau ib tus kws tshwj xeeb. Qhov no yuav yog tus kws kho mob hlwb, lossis tus kws kho qhov muag uas tshwj xeeb hauv cov kab mob ntawm lub retina thiab cov hlab ntsha optic (neuro-ophthalmologist).

Ntau qhov kev ntsuam xyuas

Kev kuaj MRI (Magnetic Resonance Imaging - MRI Scan) yog ib qho kev kuaj tseem ceeb heev rau kev kuaj mob optic neuritis. Kev kuaj no siv cov kua tshwj xeeb hu ua "Contrast", uas ua rau pom kev hloov pauv hauv cov ntaub so ntswg ntau dua. Yog tias koj muaj optic neuritis, cov hlab ntsha optic uas raug cuam tshuam yuav zoo li ci dua li cov hlab ntsha noj qab haus huv. Kev kuaj MRI yog qhov tseem ceeb vim nws tuaj yeem kuaj pom cov qhov txhab hauv lub hlwb . Cov no tuaj yeem yog qhov qhia tseem ceeb ntawm seb koj puas muaj MS. MRI kuj tseem tuaj yeem kuaj pom lwm yam kev puas tsuaj rau cov hlab ntsha optic thiab/lossis cov hlab ntsha caj qaum, xws li cov mob xws li NMO lossis MOGAD. Kuj tseem muaj ntau qhov kev kuaj hauv chaw kuaj mob uas koj tus kws kho mob yuav pom zoo. Cov no feem ntau ua rau:
  • Kab mob optic neuritis tej zaum yuav yog los ntawm kev kis kab mob.
  • Yog tias MRI qhia txog kev puas tsuaj uas yuav yog MS, NMO, lossis MOGAD.
  • Yog tias koj cov tsos mob zoo ib yam li NMO lossis MOGAD dua li MS.
Feem ntau cov kev kuaj hauv chav kuaj mob yuav muaj xws li kev kuaj ntshav thiab zis. Cov no tuaj yeem nrhiav cov cim qhia txog kev kis kab mob lossis cov tshuaj tiv thaiv kab mob autoimmune (tshwj xeeb tshaj yog cov tshuaj tiv thaiv uas qhia txog NMO lossis MOGAD). Kev tho qhov lumbar lossis kev tho qhov spinal kuj tseem tuaj yeem nrhiav cov cim qhia txog kev kis kab mob lossis lwm yam kev hloov pauv hauv cov kua dej cerebrospinal (CSF).

Yuav kho tus mob Optic Neuritis li cas?

Muaj ob hom kev kho mob tseem ceeb: 1. Cov tshuaj tiv thaiv kev o ntawm cov hlab ntsha (IV): Cov tshuaj no pab txo qhov o thiab txwv kev puas tsuaj rau cov hlab ntsha optic. Qhov no tuaj yeem pab txo qhov mob thiab rov qab pom kev zoo. Kev kho mob ib txwm yog muab cov tshuaj steroids ntau rau koj hauv cov hlab ntsha lossis noj rau peb txog tsib hnub. Tom qab ntawd, koj tus kws kho mob yuav muab cov tshuaj steroids tsawg rau koj kom txuas ntxiv siv. (Nws yog ib qho tseem ceeb kom noj cov tshuaj raws nraim li tau sau tseg, vim tias cov tshuaj noj maj mam txo qis.) 2. Kev kho qhov ua rau lossis qhov ua rau muaj: Cov kev kho mob no sib txawv. Piv txwv li, muab cov tshuaj tua kab mob rau kev kis kab mob bacterial, lossis yog tias kev kuaj pom tseeb tias koj muaj tus kab mob autoimmune xws li NMO lossis MOGAD, kev pauv plasma (PLEX) yuav raug siv los txo qhov kev ua haujlwm ntawm lub cev tiv thaiv kab mob.Kev kho mob xws li. Lwm yam tseem yuav cuam tshuam rau kev kho mob uas koj tau txais. Koj tus kws kho qhov muag lossis lwm tus kws kho mob yog tus neeg zoo tshaj plaws los tham txog koj cov kev xaiv, cov kev mob tshwm sim, cov teeb meem, thiab lwm yam ntsiab lus uas koj xav paub.

Peb puas tuaj yeem tiv thaiv tau qhov mob no hu ua Optic Neuritis?

Feem ntau cov kab mob optic neuritis thiab cov hlab ntsha puas tsuaj tshwm sim vim yog cov laj thawj uas koj tsis tau xav txog. Txawm hais tias muaj tej yam uas koj ua tau los txo koj qhov kev pheej hmoo, tsis muaj ib txoj hauv kev los tiv thaiv txhua yam ua rau. Nov yog qee cov kauj ruam uas koj ua tau:
  • Tsis txhob siv lossis tsum tsis txhob siv cov khoom luam yeeb (xws li kev haus luam yeeb hluav taws xob thiab cov yeeb nkab uas tsis muaj pa luam yeeb).
  • Tau txais kev kho mob ua ntej tus kab mob kis mus rau cov hlab ntsha ntawm qhov muag.
  • Siv cov tshuaj uas kws kho mob sau ntawv kom raws nraim li tau sau tseg, thiab tsum tsis txhob noj tshuaj kiag li yam tsis tau kev qhia los ntawm kws kho mob.
  • Ua ntej tshaj plaws, saib xyuas cov khoom noj kom tsis txhob muaj cov vitamins tsis txaus.
  • Thaum haus cawv, ua kom nruab nrab thiab tsis txhob haus cov tshuaj lom xws li methanol.
  • Tswj cov mob autoimmune lossis inflammatory uas twb muaj lawm.

Yog tias koj muaj mob Optic Neuritis, koj yuav xav li cas?

Qhov koj yuav tau txais yuav txawv nyob ntawm seb koj muaj hom mob optic neuritis li cas. Qhov mob thiab qhov muag tsis pom kev yog ib txwm muaj, thiab lawv tuaj yeem cuam tshuam rau ib lossis ob lub qhov muag. Kev kuaj mob optic neuritis tuaj yeem yog ib qho txheej txheem nyuaj, thiab koj yuav xav tias chim siab thaum lub sijhawm ua. Nco ntsoov tias koj tsis nyob ib leeg. Thaum koj tham nrog koj tus kws kho mob txog koj qhov kev txhawj xeeb, nws yuav paub tias koj xav tau kev nplij siab lossis kev txhawb siab. Nws yeej tsis yog qhov tsis ncaj ncees lawm los qhia rau koj tus kws kho qhov muag lossis lwm tus neeg muab kev pabcuam kho mob tias koj xav tau hom kev txhawb nqa ntawd.

Mob Optic Neuritis kav ntev npaum li cas?

Qhov no yuav kav ntev npaum li cas nyob ntawm hom kev kho mob, hom kev kho mob uas koj tau txais, thiab kev kho mob ntawd ua tiav li cas.
  • Feem ntau tus kab mob optic neuritis yog ib qho teeb meem luv luv xwb. Qhov mob yuav ploj mus li ob peb hnub (lossis txawm tias ob peb lub lis piam), thiab kev kho mob tuaj yeem ua rau nws sai dua. Cov neeg feem coob thaum kawg rov qab tau lawv qhov kev pom tseeb, kev ntse, thiab kev pom xim. Nws tuaj yeem siv sijhawm li ob lub lis piam lossis ntev txog peb lub hlis.
  • Kab mob optic neuritis uas tsis zoo li qub yuav hnyav dua, thiab cov teebmeem yuav kav ntev dua, tshwj xeeb tshaj yog tias tsis kho. Ib txhia neeg yuav tsis pom lawv qhov muag rov qab los rau rau lub lis piam lossis ntau dua, thiab nws tuaj yeem nyob mus ib txhis. Yog vim li cas nws thiaj li tseem ceeb kom paub txog qhov mob no thaum ntxov thiab nrhiav kev kho mob.

Qhov xwm txheej no yuav zoo li cas?

Qhov kev xav txog tus kab mob optic neuritis sib txawv, tshwj xeeb tshaj yog nyob ntawm hom koj muaj:
  • Cov kab mob optic neuritis ib txwm muaj:Kwv yees li 90% ntawm cov neeg rov qab pom kev zoo li qub lossis ze li qub hauv 6 txog 12 lub hlis. Cov teeb meem pom kev mus sij hawm ntev tuaj yeem tshwm sim, tab sis lawv tsis tshua muaj. Kev kho mob kom txo qhov o ntawm cov leeg feem ntau yog qhov zoo yog tias pib thaum ntxov.
  • Kab mob optic neuritis uas tsis zoo li qub: Qhov kev cia siab rau hom kab mob no yuav txawv nyob ntawm seb yog vim li cas. Feem ntau, qhov kev cia siab yuav phem zuj zus thaum kev kho mob qeeb.
  • Kab Mob Qhov Muag Rau Me Nyuam Yaus: Feem ntau cov menyuam yaus uas muaj kab mob qhov muag rau menyuam yaus feem ntau zoo dua li cov neeg laus. Cov menyuam yaus yuav tsis muaj teeb meem mus sij hawm ntev los ntawm kab mob qhov muag rau menyuam yaus. Txawm li cas los xij, ib yam li cov neeg laus, tseem muaj kev pheej hmoo tias kab mob qhov muag rau menyuam yaus yuav yog thawj qhov cim qhia txog MS. Yog tias kab mob qhov muag rau menyuam yaus tshwm sim thaum yau, qhov kev pheej hmoo ntawm kev kuaj mob MS hauv 40 xyoo yog li 26%.
Vim muaj kev sib txuas ntawm tus kab mob optic neuritis thiab lwm yam mob, koj tus kws kho qhov muag yuav xa koj mus rau tus kws kho mob hlwb, tus kws kho mob rheumatologist, lossis ob qho tib si. Cov kws tshwj xeeb no tuaj yeem kuaj xyuas cov cim ntawm MS lossis cov mob zoo sib xws. Qhov kev saib xyuas no tuaj yeem pab txheeb xyuas cov mob no thaum ntxov. Qhov no tseem ceeb vim tias muaj kev kho mob uas tuaj yeem tswj kev nce qib ntawm cov mob no.

Yog tias kuv muaj mob Optic Neuritis tam sim no, lossis tau muaj nws yav dhau los, kuv yuav tsum saib xyuas kuv tus kheej li cas?

Yog koj xav tias koj muaj mob optic neuritis, koj yuav tsum mus ntsib kws kho qhov muag. Nws tuaj yeem kuaj pom qhov mob thiab ua thawj kauj ruam los pib kho. Nws kuj tseem tuaj yeem xa koj mus rau kws kho mob hlwb, kws kho mob rheumatologist, lossis lwm tus kws tshwj xeeb uas tuaj yeem pab kho qhov mob. Thaum koj kuaj pom thiab pib kho sai npaum li cas, koj yuav muaj feem ua tiav zoo dua.

Thaum twg kuv yuav tsum mus ntsib kuv tus kws kho mob lossis nrhiav kev pab kho mob?

Mus ntsib kws kho qhov muag tas li yog tias koj pom muaj kev hloov pauv hauv koj qhov kev pom kev, tshwj xeeb tshaj yog qhov kev pom kev txo qis. Yog tias koj poob koj qhov kev pom kev tam sim ntawd thiab koj tsis muaj kev kuaj mob uas piav qhia tau, koj xav tau kev kho mob ceev tam sim ntawd. Yog tias koj muaj mob uas tuaj yeem ua rau poob qhov kev pom kev tam sim ntawd (xws li mob taub hau), koj tus kws kho qhov muag lossis lwm tus kws kho mob yuav qhia koj thaum twg yuav tsum nrhiav kev kho mob ceev. Tom qab koj tau kuaj pom tias muaj mob optic neuritis, koj tus kws kho qhov muag (thiab lwm tus kws kho mob, yog tias koj tau raug xa mus) yuav pom zoo kom mus ntsib kws kho mob tas li. Thaum mus ntsib ntawd, lawv tuaj yeem saib xyuas koj tus mob thiab cov tsos mob thiab kho koj txoj kev kho mob yog tias tsim nyog.

Puas yog Optic Neuritis yeej ib txwm txhais tau tias MS?

Tsis yog, nws tsis yog txhua lub sijhawm tshwm sim. Tab sis, yog tias koj muaj mob optic neuritisKev pheej hmoo ntawm kev tsim ntau yam sclerosis yog siab heev.

Thaum kawg, ob peb yam koj yuav tsum nco ntsoov (Cov Lus Coj Mus Tsev)

Kab mob optic neuritis yog ib yam mob uas mob heev thiab ua rau tuag taus. Zoo hmoo, ua tsaug rau kev tshawb fawb ntau yam hauv ob peb xyoos dhau los no, cov kws kho qhov muag thiab lwm cov kws kho mob tau npaj txhij los kho qhov mob no.
Yog koj muaj cov tsos mob ntawm tus kab mob optic neuritis, mus ntsib kws kho qhov muag tam sim ntawd. Thaum koj kuaj mob thiab pib kho sai npaum li cas, koj yuav muaj feem ntau dua rau qhov tshwm sim zoo.
Yog tias koj tus kab mob optic neuritis muaj feem cuam tshuam nrog tus mob ntev xws li multiple sclerosis, neuromyelitis optica spectrum disorder, lossis MOG-antibody-related disease, nws kuj tseem tuaj yeem pab kom kuaj tau thiab kho thaum ntxov. Muaj kev kho rau cov mob no uas tuaj yeem tswj lawv txoj kev loj hlob, thiab cov kev kho mob ntawd tuaj yeem pab koj nrog koj lub neej txhua hnub thiab cov dej num yav tom ntej. Yog li, tsis txhob ntshai, nyob twj ywm, thiab tau txais cov lus qhia kho mob tsim nyog.
⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.

💬 Comments (0)

Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.

Ntxiv koj cov lus

Thov xam: 2 + 8 =