Puas yog mob qhov muag ua rau pom tsis meej? Cia peb tham txog Optic Neuritis! (Optic Neuritis)

Xav txog tias koj cia li poob qhov muag me ntsis, thiab koj kuj hnov ​​​​​​mob thaum koj txav koj lub qhov muag. Tej zaum koj tsis pom cov xim zoo li yav dhau los, lawv zoo li ploj me ntsis. Nws yog ib txwm muaj kev ntshai me ntsis thaum muaj qee yam zoo li no tshwm sim. Cov no yog cov tsos mob tseem ceeb ntawm tus mob hu ua Optic Neuritis uas peb tab tom tham txog hnub no. Txawm hais tias qhov no tsis tshua muaj neeg tham txog, nws tseem ceeb heev rau peb txhua tus kom paub txog nws vim nws cuam tshuam rau peb qhov muag pom.

Hauv lwm lo lus, Optic Neuritis yog dab tsi?

Optic Neuritis (ON) yog ib qho mob ntawm lub paj hlwb . Nws yog tshwm sim los ntawm kev o ntawm lub paj hlwb optic , lub paj hlwb uas txuas peb lub qhov muag rau peb lub hlwb. Xav txog lub paj hlwb optic zoo li 'xov hlau' uas nqa cov lus los ntawm peb lub qhov muag mus rau peb lub hlwb. Lub 'xov hlau' no yog qhov xa cov ntaub ntawv peb pom mus rau peb lub hlwb, qhia peb tias, "Auj, qhov no zoo kawg nkaus."

Cov hlwb no muaj cov rog npog ib puag ncig lawv. Nws zoo li ib txoj hlau uas muaj rwb thaiv tsev nyob ib puag ncig nws. Peb hu qhov no ua lub plhaub myelin. Thaum Optic Neuritis tshwm sim, lub plhaub myelin tiv thaiv no raug puas tsuaj. Tom qab ntawd cov lus uas hla dhau txoj hlau ntawd tsis hla mus zoo. Cov lus tsis meej pem. Yog vim li cas tus kab mob no ua rau pom kev tsis meej, mob, thiab lwm yam teeb meem pom kev .

Cov hom mob Optic Neuritis tseem ceeb yog dab tsi?

Cov mob no muaj peb hom loj. Txhua hom txawv me ntsis. Cia peb saib seb lawv yog dab tsi.

Cov tsos mob ntawm tus mob no yog dab tsi?

Cov tsos mob ntawm Optic Neuritis yuav luag txhua yam cuam tshuam nrog peb lub qhov muag thiab kev pom kev. Feem ntau, cov tsos mob no yog tshwm sim los ntawm kev puas tsuaj rau cov hlab ntsha tom qab lub qhov muag ('retrobulbar'). Cia peb saib cov tsos mob tseem ceeb.

Dab tsi ua rau muaj mob Optic Neuritis?

Tam sim no peb paub tias Optic Neuritis yog tshwm sim los ntawm kev o ntawm cov hlab ntsha optic. Yog li muaj ntau yam ua rau muaj qhov o no.

Cov mob autoimmune thiab inflammatory

Qhov no yog qhov uas cov kws tshawb fawb xav tias yog qhov ua rau muaj kab mob no. Kab mob autoimmune yog thaum peb lub cev tiv thaiv kab mob, lub cev tiv thaiv kab mob , ua yuam kev tawm tsam peb cov hlwb zoo.

• Feem ntau tus kab mob Optic Neuritis: Hom kab mob no feem ntau cuam tshuam nrog tus mob hu ua Multiple Sclerosis (MS) . Qhov tseeb, ntau tus neeg raug kuaj pom tias muaj MS thaum lawv mob Optic Neuritis. Tau pom tias kwv yees li 50% ntawm cov neeg uas mob Optic Neuritis yuav mob MS hauv 15 xyoos.
• Kab mob Optic Neuritis tsis zoo li qub: Hom kab mob no cuam tshuam nrog lwm yam kab mob autoimmune xws li Neuromyelitis Optica (NMO) thiab MOG-antibody-associated disease (MOGAD) .

Kev kis kab mob

Ntau yam kab mob kuj tuaj yeem ua rau cov hlab ntsha puas tsuaj. Tib yam li ntawd rau cov hlab ntsha pom kev. Cov kab mob feem ntau yuav ua rau muaj mob Optic Neuritis rau cov menyuam yaus.

• Cov kab mob kis: Cov kab mob xws li mob qaib ntxhw, mob herpes, cytomegalovirus, HIV, cov kab mob kis los ntawm yoov tshaj cum, thiab mob qhua pias.
• Cov kab mob bacterial: Mob khaub thuas khawb miv, mob Lyme, mob ntsws, thiab mob syphilis.
• Cov kab mob fungal: Cov kab mob fungal xws li Cryptococcosis thiab Candidiasis.
• Cov kab mob parasitic: Toxoplasmosis, uas kis tau los ntawm miv, thiab Toxocariasis, uas kis tau los ntawm dev.

Qee cov tshuaj thiab cov tshuaj lom

Qee cov tshuaj thiab lwm yam tshuaj lom uas peb noj kuj tuaj yeem ua rau qhov no.

• Cov tshuaj uas muab rau qee yam kab mob (piv txwv li ethambutol).
• Cov tshuaj kho mob plawv dhia ceev (piv txwv li amiodarone).
• Cov tshuaj kho mob malaria (piv txwv li chloroquine, hydroxychloroquine).
• Cov tshuaj tiv thaiv kab mob qog noj ntshav.
• Cov khoom luam yeeb thiab nicotine.
• Cawv thiab methanol.

Lwm yam laj thawj

• Txo cov ntshav ntws (ischemia):Yog tias cov hlab ntsha optic tsis tau txais cov ntshav txaus, cov hlwb hlab ntsha tuaj yeem raug puas tsuaj.
• Tsis txaus Vitamin: Qhov tsis txaus Vitamin B12 tshwj xeeb tshaj yog tuaj yeem ua rau muaj kev puas tsuaj loj heev, mus tas li rau cov hlab ntsha.
• Kev nias ntawm cov hlab ntsha: Kev nias ntawm cov hlab ntsha qhov muag vim yog qog hauv hlwb lossis lwm yam.
• Kab mob ntshav qab zib (Hom kab mob ntshav qab zib 2): Yog tias tsis tswj tau kab mob ntshav qab zib, qhov kev pheej hmoo ntawm kev puas tsuaj rau cov hlab ntsha vim yog cov ntshav qab zib ntau dhau yuav siab heev.

Leej twg muaj feem yuav mob no ntau dua?

Muaj tej yam tseem ceeb uas yuav ua rau muaj kev pheej hmoo ntawm kev mob Optic Neuritis.

• Txiv neej thiab poj niam: Hom mob no feem ntau yuav tshwm sim rau cov poj niam ntau dua li cov txiv neej, thaum hom mob no feem ntau tshwm sim rau cov txiv neej.
• 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 hnub nyoog tshaj 50 xyoo.
• Haiv Neeg: Cov neeg dawb muaj feem yuav mob no ntau dua.
• Qhov Chaw Nyob: Cov neeg nyob hauv cov teb chaws txias dua, deb ntawm lub equator, muaj feem yuav mob MS ntau dua me ntsis. Qhov no xav tias yog vim raug tshav ntuj thiab cov vitamin D ntau.
• Muaj lwm yam kab mob autoimmune: Cov neeg uas muaj kab mob xws li lupus thiab sarcoidosis muaj feem yuav mob ntau dua.

Tus kws kho mob kuaj mob li cas tiag?

Yog koj muaj cov tsos mob no, koj yuav tsum mus ntsib kws kho qhov muag ua ntej. Nws yuav nug koj txog koj cov tsos mob thiab koj keeb kwm kev kho mob. Tom qab ntawd, lawv yuav kuaj qhov muag tag nrho.

Cov txheej txheem kuaj mob yuav muaj xws li:

• Kuaj xyuas qhov pom kev.
• Kev kuaj pom kev hauv thaj chaw pom kev.
• Sim seb cov xim tshwm sim li cas.
• Saib cov reflexes ntawm cov menyuam kawm ntawv.

Tom qab cov kev kuaj no, yog tias tus kws kho mob xav tias qhov no yog Optic Neuritis, nws yuav xa koj mus kuaj ntxiv. Ntawm cov kev kuaj no, kev kuaj MRI yog qhov tseem ceeb heev.

Kev thaij duab MRI tuaj yeem qhia meej meej seb puas muaj kev o ntawm cov hlab ntsha qhov muag. Nws kuj tseem tuaj yeem nrhiav kev hloov pauv hauv lub hlwb ('mob hlwb') yog tias muaj kev tsis ntseeg tias qhov no yog los ntawm MS.

Ntxiv mus, yuav muaj kev kuaj ntshav thiab kuaj zis los xyuas seb puas muaj kab mob lossis cov tshuaj tiv thaiv kab mob rau cov kab mob xws li NMO lossis MOGAD. Qee zaum kuj yuav muaj kev tho qhov lumbar puncture.

Cov kev kho mob rau qhov no yog dab tsi?

Muaj ob txoj kev tseem ceeb los kho Optic Neuritis.

1. Cov tshuaj steroids kom txo qhov o: Cov tshuaj steroids feem ntau muab rau hauv cov hlab ntsha (IV) rau 3-5 hnub nrog cov koob tshuaj ntau. Qhov no tuaj yeem txo qhov o thiab o ntawm cov hlab ntsha sai sai, txo qhov mob, thiab pab rov qab pom kev. Tom qab ntawd, koj tus kws kho mob yuav muab cov tshuaj steroids rau koj noj rau lub sijhawm luv luv. Nws yog ib qho tseem ceeb uas yuav tsum noj cov tshuaj no raws li koj tus kws kho mob qhia rau koj.

2. Kev kho qhov ua rau mob: Yog tias nws yog los ntawm kev kis kab mob, yuav muab tshuaj tua kab mob rau koj. Yog tias nws yog los ntawm tus kab mob autoimmune xws li NMO lossis MOGAD, koj yuav tsum tau txais kev kho mob tshwj xeeb xws li kev pauv plasma (PLEX).

Koj tus kws kho mob yuav txiav txim siab seb yuav kho qhov twg zoo tshaj plaws rau koj tus mob.

Qhov mob no yuav kav ntev npaum li cas? Kuv puas yuav rov qab pom kev dua?

Qhov no txawv nyob ntawm hom kab mob, kev kho mob uas koj tau txais, thiab koj lub cev teb li cas rau nws.

• Kab mob Optic Neuritis ib txwm muaj: Qhov no feem ntau yog teeb meem luv luv xwb. Qhov mob yuav ploj mus li ob peb hnub. Nws yuav siv sijhawm ob lub lis piam mus rau peb lub hlis kom pom kev rov qab zoo li qub. Kwv yees li 90% ntawm cov neeg mob, pom kev rov qab zoo li qub lossis ze li qub hauv ib xyoos.
• Kab mob qhov muag tsis zoo li qub: Qhov no hnyav dua me ntsis. Cov tsos mob yuav kav ntev dua. Qhov muag yuav tsis zoo tag nrho. Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum paub txog hom no thaum ntxov thiab pib kho.
• Menyuam yaus: Cov menyuam yaus muaj feem yuav zoo dua li cov neeg laus. Cov teebmeem mus sij hawm ntev tsis tshua muaj. Txawm li cas los xij, yog tias ib tug menyuam muaj qhov no, nws tuaj yeem yog ib qho cim qhia ntxov ntawm MS, yog li cov kws kho mob ceev faj txog nws.

Yuav ua li cas thaum muaj xwm txheej ceev?

Yog tias koj cia li poob koj qhov muag pom kev , nws yog ib qho xwm txheej ceev. Koj yuav tsum mus rau lub tsev kho mob ze tshaj plaws Chav Kho Mob Ceev (ETU) tam sim ntawd. Tsis tas li ntawd, yog tias koj muaj kev hloov pauv hauv koj qhov muag pom kev, mob, lossis tsis meej, tsis txhob tsis quav ntsej thiab mus ntsib kws kho mob tam sim ntawd. Thaum koj pib kho sai npaum li cas, koj yuav muaj feem cawm koj lub qhov muag tau zoo dua.

Mob qhov muag, mob qhov muag, tsis pom kev, MS, mob ntau yam sclerosis, kab mob ntawm lub paj hlwb