Whakaarohia kua ngaro whakarere te tirohanga o tētahi kanohi, ā, ka mamae anō hoki koe ina nekehia tō kanohi. Tērā pea kāore koe e kite pai ana i ngā tae pērā i mua, he āhua memeha haere. He mea noa te mataku ina puta mai tētahi mea pēnei. Koinei ngā tohu matua o tētahi mate e kiia nei ko te Optic Neuritis e kōrerohia ana e tātou i tēnei rā. Ahakoa kāore tēnei i te tino kōrerohia, he mea tino nui kia mōhio tātou katoa ki tēnei mea nā te mea ka pā ki ō tātou tirohanga.
He aha te Optic Neuritis?
Ko te Optic Neuritis (ON) he mate pūnaha io . Ka puta mai i te mumura o te io whatu , te io e hono ana i ō tātou kanohi ki tō tātou roro. Whakaarohia te io whatu hei 'waea' e kawe ana i ngā karere mai i ō tātou kanohi ki tō tātou roro. Ko tēnei 'waea' te mea e tuku ana i ngā mōhiohio e kitea ana e tātou ki tō tātou roro, e kī mai ana, "Āe, he mīharo tēnei."
He ngako kei roto i ēnei pūtau io . He rite ki te waea he ārai kei roto. Ka kiia tēnei ko te pūkahu myelin. Ina puta te Optic Neuritis, ka pakaru tēnei pūkahu myelin tiaki. Kātahi ka kore ngā karere e haere tika ana mā roto i taua waea. Ka pōhēhē ngā karere. Koia te take e ngaro ai te tirohanga , te mamae, me ētahi atu raruraru tirohanga i tēnei mate.
He aha ngā momo matua o te Neuritis Optic?
E toru ngā momo matua o tēnei āhuatanga. He rerekē ia momo. Kia tirohia tātou he aha ēnei.
| Momo | Whakaahuatanga |
|---|---|
| Noa | Koinei te momo tino noa. Kotahi anake te kanohi e pāngia ana. Ahakoa kāore he maimoatanga, ka ora te nuinga o te tangata i roto i ētahi rā. Heoi, e taunaki ana ngā tākuta i te maimoatanga mō tēnei mō ētahi atu take. |
| Kāore i te ōrite | Ka pāngia ngā kanohi e rua e tēnei momo mate. Kāore hoki e tere te ora. Kua kitea e ngā rangahau he hononga pea tēnei āhuatanga ki ētahi atu mate pūnaha io uaua. |
| Pediatric (momo e pā ana ki ngā tamariki nohinohi) | Koinei te momo o te mate roro whatu e pā ana ki ngā tamariki nohinohi. Ahakoa he rite ki ngā momo e rua, he rerekētanga nui kei reira. Engari ko te rongo pai he nui ake te tūponotanga ka ora katoa tēnei momo. |
He aha ngā tohu o tēnei mate?
Ko ngā tohu o te Optic Neuritis e pā ana ki ō tātou kanohi me te tirohanga. I te nuinga o te wā, ka puta ēnei tohu i te kino o te io i muri i te karu kanohi (`retrobulbar`). Me titiro tātou ki ngā tohu matua.
| Tohu | He Whakamārama Māmā |
|---|---|
| Mamae kanohi | Koinei te tohu matua. Neke atu i te 90% o te tangata ka pāngia e tēnei mamae. Ka piki ake te mamae, ina koa ka nekehia ngā kanohi . Heoi, i ētahi momo rerekē, ka ngaro katoa pea te mamae. |
| Te iti o te tirohanga | Ko te tikanga o tēnei ka pōuriuri, ka kore e mārama te tirohanga. Hei whakamārama, ka heke te koi o tō tirohanga. Tērā pea ka tino kino tēnei mō ngā tamariki nohinohi. |
| Te ngaronga o tētahi wāhanga o te whānuitanga tirohanga | Koinei te wā e ngaro ai tētahi āputa, tētahi wāhanga rānei o tō tirohanga. I roto i te Optic Neuritis, ka puta pinepine tēnei āputa i waenganui o tō tirohanga. |
| Matapo tae (Dyschromatopsia) | He mea anō tēnei e pā ana ki te tini o te tangata. Kāore ngā tae e puta mai ana i tōna āhua e tika ana. He āhua memeha, he pōuri hoki. He tino uaua ki te wehewehe i te tae whero . |
He aha te take o te Neuritis Optic?
E mōhio ana tātou ināianei ko te mumura o te io whatu te take o te mate neuritis whatu. Nō reira, he maha ngā take pea mō tēnei mumura .
Ngā āhuatanga autoimmune me te mumura
Koinei te whakapae a ngā kairangahau koinei te tino take. Ko te mate pūnaha ārai mate ko te whakaekenga hē a te pūnaha ārai mate o te tinana, arā, te pūnaha ārai mate , i ō tātou ake pūtau pai.
- Te Mate Pūngāwerewere Mata: He maha ngā wā ka honoa tēnei momo ki tētahi āhuatanga e kiia nei ko te Multiple Sclerosis (MS) . Inaa, he maha ngā tāngata ka kitea tuatahitia he MS ina pāngia rātou e te Mate Pūngāwerewere Mata. Kua kitea tata ki te 50% o ngā tāngata ka pāngia e te Mate Pūngāwerewere Mata ka pāngia e te MS i roto i ngā tau 15.
- Te Neuritis Whatu Āhua-kore: E pā ana tēnei momo ki ētahi atu mate pūnaha ārai mate pērā i te Neuromyelitis Optica (NMO) me te mate e pā ana ki te paturopi-MOG (MOGAD) .
Ngā mate urutā
Ka taea hoki e ngā mate pāwera te kino i ngā io. Pērā anō hoki mō te io whatu. Ko ngā mate pāwera te tino tūponotanga ka puta te mate roro i roto i ngā tamariki nohinohi.
- Ngā mate urutā: Ngā huaketo pēnei i te rewharewha, te herpes, te cytomegalovirus, te HIV, ngā huaketo e kawea ana e te namu, me te rewharewha.
- Ngā mate kitakita: Te kirika rakuraku ngeru, te mate Lyme, te mate kohi, me te syphilis.
- Ngā mate harore: Ngā mate harore pēnei i te Cryptococcosis me te Candidiasis.
- Ngā mate pirinoa: Ko te Toxoplasmosis, ka tukuna mai i ngā ngeru, me te Toxocariasis, ka tukuna mai i ngā kurī.
Ētahi rongoā me ngā paitini
Ka taea hoki e ētahi rongoā me ētahi atu paitini e tangohia ana e tātou te take o tēnei.
- Ngā rongoā e hoatu ana mō ētahi mate pāwera (hei tauira, ethambutol).
- Ngā rongoā mō te manawataki o te ngākau (hei tauira, amiodarone).
- Ngā rongoā mō te malaria (hei tauira, chloroquine, hydroxychloroquine).
- Ngā rongoā ārai matepukupuku.
- Ngā hua tupeka me te nikotīni.
- Waipiro me te methanol.
Ētahi atu take
- Te whakahekenga o te rere o te toto (ischemia):Ki te kore e whiwhi te io whatu i te nui o te toto e tika ana, ka pakaru pea ngā pūtau io.
- Te korenga o ngā huaora: Ka taea e te korenga o te huaora B12 te whakararu nui, tuturu hoki ki ngā io.
- Te pēhanga io: Te pēhanga o te io whatu nā te pukupuku roro, nā tētahi atu take rānei.
- Mate huka (mate huka momo 2): Ki te kore e whakahaeretia te mate huka, ka nui te mōrearea o te kino o ngā io nā te nui o te huka toto.
Ko wai kei te nui ake te mōrearea ki te whakawhanake i tēnei mate?
Ka piki ake pea te mōrearea o te whakawhanake i te Optic Neuritis i ētahi āhuatanga.
- Ira Tangata: Ko te momo noa ka nui ake te tūponotanga ka pā ki ngā wāhine i ngā tāne, ko te momo rerekē ia ka nui ake te kitea i ngā tāne.
- Tau: Ko te momo noa te mea e tino kitea ana i waenga i te hunga i waenga i te 20 me te 40 tau te pakeke. Ko te momo rerekē te mea e kitea nuitia ana i waenga i te hunga kei raro iho i te 18 tau te pakeke, neke atu rānei i te 50 tau te pakeke.
- Iwi: He nui ake te mōrearea o te hunga Pākehā ki te pāngia e tēnei mate.
- Tauwāhi: Ko te hunga e noho ana i ngā whenua makariri, tawhiti atu i te ekueta, he nui ake te mōrearea ki te whakawhanake i te mate neuritis whatu e pā ana ki te MS. E whakaarohia ana ko te pānga o te rā me ngā taumata huaora D te take o tēnei.
- Kei a rātou ētahi atu mate pūnaha ārai mate: He nui ake te mōrearea o te hunga whai mate pēnei i te lupus me te sarcoidosis.
Me pēhea te tautuhi tika a te tākuta i tēnei mate?
Mena kei a koe ēnei tohu, me toro atu koe ki tētahi tohunga tiaki kanohi i te tuatahi. Ka pātai atu ia ki a koe mō ō tohu me tō hītori hauora. Kātahi ka whakahaerehia e ia he whakamātautau kanohi katoa.
Kia maumahara, kaua rawa e warewarehia te panoni o tō tirohanga, ina koa mēnā kei te haere tahi mai me te mamae. Tirohia te tākuta i te wā e taea ai.
Kei roto pea i te tukanga whakamātautau:
- Te tirotiro i te koi o te tirohanga.
- Te whakamātautau i te mara tirohanga.
- Te whakamātautau i te puta mai o ngā tae.
- Te titiro ki ngā urupare a ngā ākonga.
I muri i ēnei whakamātautau, ki te whakapae te tākuta he mate roro tēnei, ka tukuna koe e ia mō ētahi atu whakamātautau. I roto i ēnei whakamātautau, he mea tino nui te matawai MRI .
Ka taea e te matawai MRI te whakaatu mārama mēnā kei te mumura te io whatu. Ka taea hoki te rapu i ngā huringa o te roro ('ngoi roro') mēnā he ruarua kei te puta mai i te MS.
Hei tāpiritanga, ka taea te whakahaere i ngā whakamātautau toto me ngā whakamātautau mimi hei tirotiro i te mate, i ngā paturopi rānei ki ngā mate pēnei i te NMO, te MOGAD rānei. I ētahi wā ka taea hoki te mahi i te werohanga hope.
He aha ngā maimoatanga mō tēnei?
E rua ngā tikanga matua mō te rongoā i te neuritis whatu.
1. Ngā steroids hei whakaiti i te mumura: He maha ngā wā ka tukuna ngā steroids mā roto i te uaua (IV) mō ngā rā 3-5 i roto i ngā horopeta teitei. Ka taea e tēnei te whakaiti tere i te pupuhi me te mumura o te io, te whakaiti i te mamae, me te āwhina ki te whakaora i te tirohanga. Kātahi, ka hoatu pea e tō tākuta he steroids hei pire hei tango māu mō te wā poto. He mea nui kia tangohia ēnei rongoā kia rite ki tā tō tākuta e tohutohu ana ki a koe.
2. Te rongoā i te pūtake o te mate: Mena he mate pāwera te take, ka hoatu he paturopi. Mena he mate pūnaha ārai mate pēnei i te NMO, i te MOGAD rānei te take, me whai maimoatanga motuhake koe pēnei i te whakawhiti plasma (PLEX).
Mā tō tākuta e whakatau te maimoatanga pai rawa atu mō tō āhua.
Kia pēhea te roa o tēnei āhuatanga? Ka hoki mai anō taku tirohanga?
Ka rerekē tēnei i runga i te momo mate, te maimoatanga e whiwhi ana koe, me te urupare a tō tinana ki taua mate.
- Te Mate Pūngāwerewere Mata Noa: He raruraru poto noa iho tēnei. Ka memeha te mamae i roto i ētahi rā. E rua wiki ki te toru marama pea ka hoki anō te tirohanga ki te āhua noa. I roto i te 90% o ngā take, ka hoki anō te tirohanga ki te āhua noa, tata rānei ki te āhua noa i roto i te tau kotahi.
- Te Mate Pūngāwerewere Whatu Kāore i te Tūturu: He ahua kino ake tēnei. Tērā pea ka roa ake ngā tohu. Tērā pea kāore te tirohanga e tino ora. Nō reira, he mea tino nui kia mōhio wawe ki tēnei momo, ā, kia tīmata te maimoatanga.
- Tamariki: He nui ake te tūponotanga o te ora o ngā tamariki i ngā pakeke. He onge ngā pānga mō te wā roa. Heoi, ki te pāngia te tamaiti e tēnei mate, he tohu tōmua pea tēnei o te MS, nō reira e tūpato ana ngā tākuta ki tēnei.
Me aha i roto i tētahi āhuatanga ohorere?
Ki te ngaro whakarere tō tirohanga , he āhuatanga hauora ohorere tēnā. Me haere tonu koe ki te Tari Ohorere (ETU) o te hōhipera tata. Waihoki, ki te puta he panoni ki tō tirohanga, he mamae, he pōuri rānei, kaua e warewarehia, engari me toro atu ki te tākuta tonu. Ko te wawe o te tīmatanga o te maimoatanga, ko te nui ake o te tūponotanga ka ora ō kanohi.
Karere Tangohia ki te Kāinga
- Ko te mamae i te nekehanga o ngā kanohi me te tirohanga pōuri, te tirohanga ngoikore rānei, koia ngā tohu matua o te mate neuritis whatu.
- Kaua rawa e warewarehia ēnei tohu. Tirohia he tākuta kanohi i te wā e taea ai. Ki te ngaro whakarere tō tirohanga, haere tonu ki te ETU o te hōhipera.
- Ko te neuritis whatu te tohu tuatahi o ētahi atu mate kino, pērā i te Multiple Sclerosis (MS), nō reira he mea tino nui te tautuhi tika.
- He rongoā whai hua kei reira mō tēnei. Mā te tere o te tīmatanga o te rongoā, ka nui ake te tūponotanga ka ora ake te tirohanga.
- Kia tika te whai i ngā tohutohu a tō tākuta. Tangohia te rongoā i te horopeta kua tohua, me te wā kua tohua.
Te neuritis whatu, te mamae o te kanohi, te ngaronga o te tirohanga, te MS, te sclerosis maha, te mate pūnaha io
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