Xav txog seb koj puas pom tias koj lub zeem muag hauv ib lub qhov muag ploj mus, nrog rau qhov mob thaum koj txav koj lub qhov muag. Cov xim yuav zoo li tsis ci lossis ploj mus. Kev xav ntshai los ntawm qhov kev hloov pauv no yog qhov ib txwm muaj. Qhov no yog qhov peb tab tom tham txog hnub no: cov tsos mob tseem ceeb ntawm tus mob hu ua Optic Neuritis. Txawm hais tias nws yuav tsis yog ib qho teeb meem hauv tsev neeg, kev nkag siab txog nws yog qhov tseem ceeb vim nws cuam tshuam ncaj qha rau koj lub zeem muag. Nirogi Lanka nyob ntawm no los pab koj taug kev qhov no.
Hauv lwm lo lus, Optic Neuritis yog dab tsi?
Kab mob Optic Neuritis (ON) yog ib qho mob uas ua rau cov hlab ntsha optic — txoj hlua txuas koj lub qhov muag mus rau koj lub hlwb — o. Xav txog cov hlab ntsha no zoo li ib txoj hlua uas xa cov duab los ntawm koj lub qhov muag mus rau koj lub hlwb kom koj thiaj li txhais tau qhov koj pom.
Cov hlwb no qhwv rau hauv ib txheej roj tiv thaiv hu ua myelin sheath , zoo ib yam li cov rwb thaiv tsev nyob ib puag ncig cov xov hluav taws xob. Thaum Optic Neuritis tshwm sim, txheej tiv thaiv no raug puas tsuaj. Qhov no cuam tshuam cov teeb liab mus rau koj lub hlwb, yog vim li cas koj thiaj li pom kev tsis meej, mob, thiab lwm yam kev tsis pom kev .
Cov hom mob Optic Neuritis tseem ceeb yog dab tsi?
Qhov mob no feem ntau yog muab faib ua peb hom. Cia peb saib seb lawv txawv li cas.
| Hom | Kev piav qhia |
|---|---|
| Ib txwm muaj | Qhov no yog hom mob uas feem ntau tshwm sim, feem ntau tsuas yog cuam tshuam rau ib lub qhov muag xwb. Muaj ntau tus neeg mob pom tias lawv zoo dua hauv ob peb hnub txawm tias tsis tau kho mob los xij, tab sis cov kws kho mob tshwj xeeb yuav pom zoo kom muaj kev kho mob tshwj xeeb kom ntseeg tau tias koj muaj kev noj qab haus huv mus sij hawm ntev. |
| Tsis zoo li qub | Hom no feem ntau cuam tshuam rau ob lub qhov muag thiab tej zaum yuav tsis zoo sai li sai tau. Kev tshawb fawb qhia tias nws feem ntau cuam tshuam nrog lwm yam mob hlwb nyuaj. |
| Menyuam yaus | Qhov no tshwm sim rau cov menyuam yaus. Txawm hais tias nws zoo sib xws li cov neeg laus, nws muaj cov yam ntxwv tshwj xeeb. Cov xov xwm zoo siab yog tias cov menyuam yaus feem ntau muaj feem yuav zoo tag nrho. |
Cov tsos mob yog dab tsi?
Feem ntau cov tsos mob cuam tshuam ncaj qha rau koj ob lub qhov muag thiab kev pom kev. Cov no feem ntau yog los ntawm kev o ntawm lub qhov muag tom qab lub pob qhov muag ('retrobulbar'). Nov yog cov cim tseem ceeb uas yuav tsum tau saib xyuas:
| Cov tsos mob | Kev piav qhia |
|---|---|
| Mob qhov muag | Qhov no yog cov tsos mob uas tshwm sim ntau tshaj plaws, cuam tshuam rau ntau dua 90% ntawm cov neeg mob. Qhov mob feem ntau zuj zus thaum koj txav koj lub qhov muag. Txawm li cas los xij, qee qhov teeb meem tsis zoo li qub yuav tsis mob. |
| Txo qhov muag pom kev tsis meej | Tej yam yuav zoo li tsis meej lossis tsis muaj cov ntsiab lus meej. Hauv cov menyuam yaus, qhov kev poob qhov muag no tuaj yeem ua rau mob hnyav heev. |
| Kev Poob Qis ntawm Lub Zeem Muag | Tej zaum koj yuav muaj qhov "blind spot" lossis qhov tsis pom kev hauv koj qhov kev pom, uas feem ntau tshwm sim hauv nruab nrab ntawm koj qhov kev pom. |
| Kev puas tsuaj rau cov hlwb (dyschromatopsia) | Cov xim yuav zoo li ploj mus los yog tsis muaj xim. Qhov tshwj xeeb, koj yuav pom tias nws nyuaj rau pom qhov ci ntsa iab ntawm cov xim liab . |
Dab tsi ua rau muaj mob Optic Neuritis?
Peb paub tias Optic Neuritis yog tshwm sim los ntawm kev o ntawm cov hlab ntsha optic, tab sis muaj ntau yam tseem ceeb uas ua rau muaj qhov txheej txheem no.
Cov mob autoimmune thiab inflammatory
Qhov no suav hais tias yog ib qho ua rau muaj teeb meem loj. Hauv cov mob autoimmune, koj lub cev tiv thaiv kab mob yuam kev tawm tsam koj lub cev cov hlwb noj qab haus huv.
- Feem ntau tus kab mob Optic Neuritis: Qhov no feem ntau yog txuam nrog Multiple Sclerosis (MS) . Qhov tseeb, rau ntau tus neeg, qhov mob Optic Neuritis yog thawj qhov cim ntawm MS. Kev tshawb fawb qhia tias kwv yees li 50% ntawm cov neeg uas muaj Optic Neuritis yuav mob MS hauv 15 xyoos.
- Kab mob Optic Neuritis uas tsis zoo li qub: Qhov no feem ntau cuam tshuam nrog cov mob xws li Neuromyelitis Optica (NMO) lossis MOG-antibody-associated disease (MOGAD) .
Kev kis kab mob
Ntau yam kab mob viral lossis bacterial tuaj yeem ua rau cov hlab ntsha puas tsuaj, uas yuav ua rau cov hlab ntsha optic o. Qhov no yog ib qho ua rau mob, tshwj xeeb tshaj yog rau cov menyuam yaus. Yog tias koj pom kev tsis meej tam sim ntawd, thov hu rau cov kev pabcuam thaum muaj xwm txheej ceev lossis mus ntsib tsev kho mob ze tshaj plaws tam sim ntawd.
- Cov Kab Mob Viral: 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, kab mob Lyme (los ntawm kev tom ntawm kab zuam), mob ntsws, thiab mob syphilis.
- Cov Kab Mob Fungal: Cov hom kab mob fungal xws li cryptococcosis thiab candidiasis.
- Cov Kab Mob Parasitic: Toxoplasmosis los ntawm miv thiab toxocariasis los ntawm dev.
Qee Cov Tshuaj thiab Cov Tshuaj Lom
Qee cov tshuaj uas koj noj thiab lwm yam tshuaj lom kuj tuaj yeem ua rau muaj tus mob no.
- Cov tshuaj tua kab mob tshwj xeeb siv rau kev kis kab mob (piv txwv li, ethambutol).
- Cov tshuaj kho mob plawv dhia ceev (piv txwv li, amiodarone).
- Cov tshuaj tiv thaiv kab mob malaria (piv txwv li, chloroquine, hydroxychloroquine).
- Cov tshuaj kho mob qog noj ntshav.
- Cov khoom luam yeeb thiab nicotine.
- Cawv thiab methanol.
Lwm Yam Ua Rau
- Txo cov ntshav ntws (ischemia): Yog tias cov hlab ntsha optic tsis tau txais cov ntshav txaus, cov hlwb hlab ntsha tuaj yeem raug kev puas tsuaj.
- Tsis txaus Vitamin: Tshwj xeeb, qhov tsis txaus vitamin B12 tuaj yeem ua rau cov hlab ntsha puas tsuaj loj heev, mus tas li.
- Kev nias ntawm cov hlab ntsha: Kev nias ntawm cov hlab ntsha qhov muag vim yog qog hauv hlwb lossis lwm yam ua rau.
- Kab mob ntshav qab zib hom 2: Yog tias tswj tsis tau kab mob ntshav qab zib zoo, cov ntshav qab zib ntau ntxiv yuav ua rau muaj kev pheej hmoo ntawm kev puas tsuaj rau cov hlab ntsha.
Leej twg muaj feem yuav mob no ntau dua?
Muaj tej yam uas yuav ua rau koj muaj feem mob Optic Neuritis ntau ntxiv.
- Txiv neej thiab poj niam: Tus mob no feem ntau tshwm sim rau cov poj niam ntau dua li cov txiv neej. Txawm li cas los xij, tus mob no tsis tshua muaj rau cov txiv neej.
- Hnub Nyoog: Feem ntau cov mob no tshwm sim thaum muaj hnub nyoog 20 txog 40 xyoo. Cov mob no feem ntau tshwm sim rau cov neeg hnub nyoog qis dua 18 xyoo lossis laus dua 50 xyoo.
- Haiv Neeg: Cov neeg Caucasian muaj feem yuav mob no ntau dua.
- Kev Nyob Hauv Tebchaws: Cov neeg nyob deb ntawm kab zauv (hauv huab cua txias dua) muaj feem yuav mob Optic Neuritis ntau dua me ntsis uas cuam tshuam nrog MS. Qhov no ntseeg tau tias muaj feem cuam tshuam nrog kev raug tshav ntuj thiab cov vitamin D ntau.
- Lwm yam kab mob autoimmune: Cov tib neeg uas muaj mob xws li lupus lossis sarcoidosis muaj feem yuav mob ntau dua.
Koj tus kws kho mob ua li cas thiaj kuaj tau qhov tseeb?
Yog koj muaj cov tsos mob no, koj yuav tsum mus ntsib kws kho qhov muag ua ntej. Lawv yuav nug txog koj cov tsos mob thiab keeb kwm kev kho mob, tom qab ntawd ua qhov kev kuaj qhov muag kom ntxaws.
Nco ntsoov, tsis txhob tsis quav ntsej txog tej kev hloov pauv hauv koj lub zeem muag, tshwj xeeb tshaj yog tias muaj mob nrog. Mus ntsib kws kho mob sai li sai tau.
Cov txheej txheem kuaj mob yuav muaj xws li:
- Kuaj qhov pom kev.
- Kev kuaj xyuas koj qhov pom kev.
- Sim pom xim.
- Kev soj ntsuam cov reflexes ntawm cov menyuam kawm ntawv.
Tom qab cov kev kuaj no, yog tias koj tus kws kho mob xav tias muaj mob Optic Neuritis, lawv yuav xa koj mus kuaj mob ntxiv. 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 txheeb xyuas seb puas muaj cov qhov txhab hauv lub hlwb, uas tej zaum yuav qhia tias tus mob no muaj feem cuam tshuam nrog MS.
Tsis tas li ntawd xwb, tej zaum yuav muaj kev kuaj ntshav thiab kuaj zis los xyuas seb puas muaj kab mob lossis cov tshuaj tiv thaiv kab mob tshwj xeeb uas cuam tshuam nrog cov mob xws li NMO lossis MOGAD. Qee zaum, yuav tsum tau siv lub qhov lumbar puncture (spinal tap).
Cov kev xaiv kho mob yog dab tsi?
Muaj ob txoj hauv kev tseem ceeb los kho Optic Neuritis.
1. Cov tshuaj steroids kom txo qhov o: Feem ntau, cov tshuaj steroids ntau hauv cov hlab ntsha (IV) raug muab rau 3-5 hnub. Qhov no pab txo cov hlab ntsha o thiab o sai sai, txo qhov mob, thiab rov qab pom kev zoo. Tom qab qhov no, koj tus kws kho mob yuav sau ntawv kom noj cov tshuaj steroids rau lub sijhawm luv luv. Nws yog ib qho tseem ceeb uas koj noj cov tshuaj no raws nraim li koj tus kws kho mob tau hais.
2. Kev kho qhov ua rau mob: Yog tias tus mob yog los ntawm kev kis kab mob, yuav muab tshuaj tua kab mob rau. Yog tias nws yog los ntawm tus mob autoimmune xws li NMO lossis MOGAD, tej zaum yuav xav tau kev kho mob tshwj xeeb xws li kev pauv plasma (PLEX).
Koj tus kws kho mob yuav txiav txim siab txoj kev kho mob zoo tshaj plaws raws li koj qhov xwm txheej tshwj xeeb.
Qhov no yuav kav ntev npaum li cas, thiab kuv puas yuav rov qab pom kev dua?
Cov txheej txheem kho mob nyob ntawm seb koj muaj mob dab tsi, kev kho mob uas koj tau txais, thiab koj lub cev teb li cas.
- Kab mob Optic Neuritis ib txwm muaj: Qhov no feem ntau yog ib qho teeb meem luv luv. Feem ntau qhov mob yuav ploj mus li ob peb hnub. Kev pom kev tuaj yeem siv sijhawm txij li ob lub lis piam mus rau peb lub hlis kom rov zoo tag nrho. Kwv yees li 90% ntawm cov neeg mob pom kev zoo li qub lossis ze li qub hauv ib xyoos.
- Kab mob qhov muag tsis zoo li qub: Qhov no hnyav dua. Cov tsos mob yuav nyob ntev dua, thiab qhov muag yuav tsis rov qab mus rau nws qhov qub tas li. Yog li ntawd, kev txheeb xyuas thaum ntxov thiab kev kho mob sai sai ntawm hom no yog qhov tseem ceeb heev.
- Menyuam Yaus (Menyuam Yaus): Feem ntau cov menyuam yaus muaj tus nqi rov zoo dua li cov neeg laus. Cov teebmeem mus sij hawm ntev tsis tshua muaj. Txawm li cas los xij, cov kws kho mob saib xyuas cov menyuam yaus ze ze vim tias nws yuav yog ib qho cim qhia ntxov ntawm MS.
Yuav ua li cas thaum muaj xwm txheej ceev?
Yog tias koj pom kev tsis meej sai sai thiab tsis meej , nws yog xwm txheej ceev hauv kev kho mob. Koj yuav tsum mus rau chav kho mob ceev hauv tsev kho mob (ER) ze tshaj plaws tam sim ntawd. Ntxiv mus, tsis txhob tsis quav ntsej txog kev hloov pauv ntawm kev pom, mob, lossis tsis meej pem; mus ntsib kws kho mob sai li sai tau. Thaum ntxov koj pib kho mob, qhov zoo dua ntawm kev tiv thaiv koj qhov kev pom.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Mob qhov muag thaum txav mus los thiab pom tsis meej lossis pom kev tsis meej yog cov cim tseem ceeb ntawm Optic Neuritis.
- Tsis txhob tso tseg cov tsos mob no. Mus ntsib kws kho qhov muag sai sai. Yog tias pom kev tsis meej tam sim ntawd, mus rau chav kho mob ceev ze tshaj plaws tam sim ntawd.
- Kab mob Optic Neuritis yog thawj qhov cim qhia txog lwm yam mob hnyav xws li Multiple Sclerosis (MS). Kev kuaj mob kom raug yog qhov tseem ceeb heev.
- Muaj kev kho mob zoo. Kev kho mob thaum ntxov ua rau muaj feem rov qab pom kev zoo dua.
- Ua raws li koj tus kws kho mob cov lus qhia kom zoo. Noj tshuaj raws li qhov ntau npaum li tau teev tseg thiab rau lub sijhawm uas xav tau.
Mob qhov muag, mob qhov muag o, mob qhov muag, tsis pom kev zoo, MS, mob ntau yam kab mob sclerosis, mob hlwb
