Yu tink se di pen we pɔsin kin gɛt na in yay kin mek i nɔ ebul fɔ si igen? Mek wi tɔk bɔt Optic Neuritis! (Optik Nyuraytis) .

Imajin se yu nɔ ebul fɔ si smɔl na wan yay wantɛm wantɛm, ɛn yu kin fil pen bak we yu muv yu yay. Sɔntɛm yu nɔ de si kɔlɔ dɛn fayn lɛk aw i bin de bifo, i tan lɛk se dɛn dɔn fade smɔl. Na nɔmal tin fɔ fil fɔ fred smɔl we sɔntin lɛk dis apin. Dis na di men sayn dɛm fɔ wan sik wae dɛn kɔl Optic Neuritis wae wi de tɔk bɔt tide. Pan ɔl we dɛn nɔ kin tɔk bɔt dis bad bad wan, i rili impɔtant fɔ mek wi ɔl no bɔt am bikɔs i kin afɛkt wi yay.

Fɔ tɔk am simpul wan, wetin na Optik Nyuraytis?

Optik Nyuraytis (ON) na wan sik we de mek pɔsin gɛt nyuro . I kin kam bikɔs di optik nɛv , we na di nɛv we de kɔnɛkt wi yay to wi bren, inflamɛns. Tink bɔt di optik nɛv lɛk ‘waya’ we de kɛr mɛsej frɔm wi yay to wi bren. dis 'waya' na in de sεnd di infכmeshכn we wi de si to wi bren, de tεl wi se, "Oh, dis na amazing."

Dɛn nɛv sɛl dɛn ya gɛt fat we de kɔba dɛn rawnd dɛn. I tan lɛk waya we gɛt insuleshɔn rawnd am. Wi kin kɔl dis di myelin sheath. we Optik Nyuraytis apin, dis protεktiv maylin sεt de pwεl. Dɔn di mɛsej dɛn we de go tru da waya de nɔ de go tru fayn. Di mɛsej dɛn kin kɔnfyus. Na dat mek dis sik kin mek pɔsin nɔ ebul fɔ si fayn , i kin fil pen, ɛn ɔda prɔblɛm dɛn we i kin gɛt we i de si .

Wetin na di men kayn Optic Neuritis?

Dis kכndyushכn kin sheb to tri men tכp dεm. Ɛni kayn we difrɛn smɔl. Lɛ wi si wetin dɛn bi.

Wetin na di sayn dɛm fɔ dis sik?

Di sayn dɛm fɔ Optic Neuritis kin gɛt fɔ du wit wi yay ɛn wi yay. כl di tεm dεm, dεn simptom dεm ya kin kכz bay we di nεv we de biεn di aybol (`retrobulbar`) dεn dכn pwεl. Lɛ wi tek wan luk pan di men sayn dɛm.

Wetin kin mek pɔsin gɛt Optik Nyuraytis?

Wi no naw se Optik Nyuraytis kin kam bikɔs ɔf inflamɛns na di optik nɛv. So bɔku tin dɛn de we kin mek pɔsin gɛt dis inflamɛns .

Awtoimyun ɛn inflammatory kɔndishɔn dɛn

Dis na wetin di wan dɛn we de stɔdi bɔt dis kin tink se na di men tin we kin mek i apin. Autoimyun sik na we wi bɔdi in difɛns sistɛm, di imyun sistɛm , mistek atak wi yon gud sɛl dɛn.

• Tipik Optik Nyuraytis: Dis kayn tin kin gɛt fɔ du wit wan sik we dɛn kɔl Multiple Sclerosis (MS) . Infakt, bɔku pipul dɛn kin fɔs no se dɛn gɛt MS we dɛn gɛt Optic Neuritis. Dɛn dɔn si se lɛk 50% pan di pipul dɛn we gɛt Ɔptik Nyuraytis go gɛt MS insay 15 ia.
• Atypical Optic Neuritis: Dis kayn tin kin gɛt fɔ du wit ɔda ɔtoimyun sik dɛm lɛk Nyuromyelitis Optica (NMO) ɛn MOG-antibody-associated disease (MOGAD) .

Infεkshכn dεm

Difrɛn infɛkshɔn kin pwɛl di nerv dɛn bak. Na di sem tin kin apin to di optik nɛv. Infεkshכn kin mek i gεt Optik Nyuraytis mɔ pan yכŋ pikin dεm.

• Vayral infεkshכn: Vayrus dεm lεk chikinpoks, hεpi, saytomegalovayrus, HIV, vayrus dεm we mכskito kin bכn, εn mizl.
• Baktri infεkshכn: Kat skrach fiva, Laym sik, TB, εn sifilis.
• Fכngal infεkshכn: Fכn infεkshכn lεk Cryptococcosis εn Candidiasis.
• Parasayt infεkshכn: Toxoplasmosis, we kin kכmכt frכm pusi, εn Toxocariasis, we kin kכmכt frכm dכg.

Sɔm drɔgs ɛn pɔyzin dɛn

Sɔm mɛrɛsin ɛn ɔda pɔyzin dɛn we wi kin tek kin mek dis sik bak.

• Mεdisin dεm we dεn gi fכ sכm infεkshכn dεm (e.g. ethambutol).
• di mεdikeshכn dεm we de mek di at ritm (e.g. amiodarone).
• Mɛrɛsin fɔ malaria (e.g. klorokin, haydroksiklɔrokin).
• Drug dɛn we de mek pɔsin nɔ gɛt kansa.
• Tin dɛn we dɛn kin mek wit tabak ɛn nikotin.
• Alkol ɛn mɛtanɔl.

Ɔda rizin dɛn

• Di blɔd saplai we de ridyus (ischemia): .If di optik nerve nɔ gɛt di blɔd we i nid, di nerve cells kin pwɛl.
• Vitamin we nɔ de: If pɔsin nɔ gɛt bɛtɛ vitamin B12 , i kin mek di nerv dɛn pwɛl bad bad wan ɛn fɔ ɔltɛm.
• Nεv kכmpreshכn: Kכmpreshכn fכ di optik nεv bikoz fכ wan bren tכmכro כ כda kכz.
• Dayabitis (Type 2 diabetes): If dɛn nɔ kɔntrol dayabitis, di risk fɔ mek di nerve damej bikɔs ɔf di ay blɔd shuga lɛvɛl go bɔku.

Udat de pan big risk fɔ gɛt dis sik?

Sɔm tin dɛn kin mek di risk fɔ gɛt Optic Neuritis bɔku.

• Jɛnda: Di tipik kayn kin apin mɔ pan uman dɛn pas man dɛn, we di atypical tayp kin bɔku pan man dɛn.
• Ej: De tipik kayn kin pasmak pan pipul dɛm wae ol bitwin 20 ɛn 40. De atypical kayn kin bɔrku pan pipul dɛm wae nɔr rich 18 ia ɔr pas 50 ia.
• Race: Wait pipul dɛn kin gɛt dis sik pasmak.
• Di say we dɛn de: Pipul dɛn we de na kɔntri dɛn we kol, we de fa frɔm di ekweta, kin gɛt smɔl risk fɔ gɛt optik nyuraytis we gɛt fɔ du wit MS. Dɛn tink se dis kin afɛkt we pɔsin de na di san ɛn di vaytamɛn D we i gɛt.
• Fɔ gɛt ɔda ɔtoimyun sik dɛm: Pipul dɛm wae gɛt sik lɛk lupus ɛn sarcoidosis kin gɛt bɔrku risk.

Aw di dɔktɔ kin no dis sik klia wan?

If yu gɛt dɛn sik ya, yu fɔ go to spɛshal pɔsin we de kia fɔ yu yay fɔs. I go aks yu bɔt yu sik ɛn yu mɛdikal histri. Dɔn, dɛn go du wan kɔmplit ay ɛgzam.

Di tɛst prɔses kin inklud:

• Fɔ chɛk aw pɔsin de si.
• Visual fild tɛst we dɛn kin du.
• Test aw di kɔlɔ dɛn de apia.
• We yu de luk di pupil riflɛks dɛn.

Afta dɛn tɛst ya, if di dɔktɔ sɔprayz se dis na Ɔptik Nyuraytis, i go rifer yu fɔ mek dɛn du ɔda tɛst dɛn. Pan dɛn wan ya, MRI skan rili impɔtant.

MRI skan kin sho klia wan if inflameshn de na di optik nerve. i kin luk bak fכ eni chenj na di bren (`brain lesions`) if eni dawt de se na MS de mek dis.

Apat frɔm dat, dɛn kin du blɔd tɛst ɛn urine tɛst fɔ chɛk if infɛkshɔn ɔ antibodies to sik dɛn lɛk NMO ɔ MOGAD. Sɔntɛnde, dɛn kin du lumbar pankchɔ bak.

Wetin na di tritmɛnt dɛm fɔ dis?

Tu men we dɛn de fɔ trit Optik Nyuraytis.

1. Stɛroyd fɔ ridyus inflamɛns: Bɔku tɛm dɛn kin gi stɛroyd insay di bɛlɛ (IV) fɔ 3-5 dez insay ay dos. Dis kin mek di nerve nɔ swel ɛn inflamɛns kwik kwik wan, i kin mek di pen nɔ bɔku, ɛn i kin ɛp fɔ mek pɔsin si bak. Dɔn, yu dɔktɔ kin gi yu stɛroyd dɛn we tan lɛk pils fɔ tek fɔ shɔt tɛm. I impɔtant fɔ tek dɛn mɛrɛsin ya jɔs lɛk aw yu dɔktɔ tɛl yu fɔ tek.

2. Fɔ trit di ɔndalayn kɔz: If na infɛkshɔn mek am, dɛn go gi am antibayɔtik. If na ɔtoimyun sik lɛk NMO ɔ MOGAD, yu kin nid fɔ du sɔm patikyula tritmɛnt dɛn lɛk plasma exchange (PLEX).

Yu dɔktɔ go disayd di bɛst tritmɛnt fɔ yu sik.

Aw lɔng dis sik go las? Yu tink se mi vishɔn go kam bak?

Dis kin difrɛn fɔ di kayn sik, di tritmɛnt we yu de gɛt, ɛn aw yu bɔdi de du am.

• Tipik Optik Nyuraytis: Bɔku tɛm dis na prɔblɛm we kin apin fɔ shɔt tɛm. Di pen kin go insay sɔm dez. I kin tek tu wik to tri mɔnt fɔ mek yu si di tin dɛn we yu de si fayn fayn wan. insay lεk 90% pan di kes dεm, di vishכn kin kam bak to nכmal כ nia nכmal insay wan ia.
• Atypical Optic Neuritis: Dis kin siriɔs smɔl. Di sayn dɛm kin las fɔ lɔng tɛm. Vishɔn nɔ kin rili wɛl. So, e fayn fɔ no dis kayn tin kwik kwik wan ɛn bigin fɔ trit am.
• Pikin dɛn: Pikin dɛn gɛt bɛtɛ chans fɔ wɛl pas big pipul dɛn. Di ifɛkt dɛn we kin apin fɔ lɔng tɛm nɔ kin bɔku. Bɔt if pikin gɛt dis, i kin bi sayn fɔ MS kwik kwik wan, so dɔktɔ dɛn kin tek tɛm wit am.

Wetin fɔ du we ɛnitin apin we nɔ izi fɔ du?

If yu lɔs yu yay wantɛm wantɛm , na mɛdikal imejensi. Yu fɔ go na di ɔspitul we de nia yu Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm. Dɔn bak, if yu gɛt ɛni chenj na yu yay, yu de fil pen, ɔ yu nɔ de si, nɔ ignore am ɛn go to dɔktɔ wantɛm wantɛm. Di kwik we yu bigin fɔ tek tritmɛnt, na di mɔ yu go gɛt chans fɔ sev yu yay.

Optik nyuraytis, yay pen, we yu nɔ de si fayn, MS, multiple sclerosis, nyurolɔjik sik