Kei te pāngia koe e te mamae o te upoko kāore i te whakamāramatia, te pōuri ohorere o te tirohanga, te tirohanga takirua rānei? Mena he rite tonu ēnei tohu ki a koe, tera pea kei te pāngia koe e te mate e mōhiotia ana ko te Papilledema. Kaua e mataku; me whakamārama tātou i te tikanga o tēnei i roto i ngā kupu māmā, mārama hoki.
He aha te Papilledema?
I ngā kupu māmā noa iho, ko te Papilledema e pā ana ki te pupuhi o te kōpae whatu , koinei te wāhi e uru ai te io whatu ki muri o tō kanohi. Ka puta tēnei pupuhi i te pikinga o te pēhanga o roto o te angaanga (te pēhanga i roto i tō angaanga).
Whakaarohia tō roro me tō taurakira e whakamarumaruhia ana e te wai mārama e mōhiotia ana ko te Wai Cerebrospinal (CSF) . Ka hangaia tonutia tēnei wai e tō tinana, ka mimitihia anō hoki. He rite tana mahi ki tētahi huinga 'ārai ru', e tiaki ana i tō roro mai i ngā pānga tinana me ngā ru.
Ki te kore e rere tika te wai o tēnei `CSF`, ki te nui rawa rānei te whakaputanga nā tētahi raruraru huna, ka nui haere te pēhanga i roto i tō angaanga. Ka panaia e tēnei pēhanga nui ake te io whatu — te taura nui e hono ana i tō kanohi ki tō roro — ka pupuhi te kōpae whatu .
Ko te tikanga, ko te pikinga o te pēhanga o roto o te angaanga ka hua ake he papilledema e rua ngā kanohi (ngā kanohi e rua) . Mēnā kotahi anake te kanohi e pupuhi ana, ka kiia ko te 'Optic Disc Edema ', he rerekē te take o tēnei mea, kāore e pā ana ki te pēhanga o roto o te angaanga.
Ko te mea nui, ko te Papilledema he āhuatanga ohorere hauora . Ka taea e te pikinga o te pēhanga o roto o te angaanga te whakararu i te ora, ā, me tere tonu te aro hauora.
Ko wai te hunga e tino pāngia ana e te Papilledema?
He nui ake te kitea o te papilledema i roto i ngā wāhine , inā koa ko te hunga i waenga i te 20 me te 44 tau te pakeke he nui ake te Taupū Papatipu Tinana (BMI). He nui ake te kitea i roto i ngā tāngata taumaha rawa (BMI neke atu i te 25) he momona rānei (BMI neke atu i te 30). E ai ki ngā tatauranga he tata ki te 13 te auau o te mate i roto i te 100,000 o tēnei taupori.
Heoi, i roto i te taupori whānui, he mea tino onge, e puta ana i raro i te 1 i roto i te 100,000 tāngata. Ahakoa ehara i te mea noa, he mate kino tēnei e tika ana kia tirotirohia wawetia e te hauora mēnā ka kite koe i ngā tohu whakatūpato.
He aha ngā tohu o te papilledema?
I ētahi wā, kāore pea he tohu o te mate , arā, kāore he tohu e kitea ana. Heoi, ko ngā tohu noa ko:
- Te ānini o te upoko: He tohu matua tēnei. Ko te nuinga o te wā ka tino kaha te ānini o te upoko i te ata, i te wā rānei e takoto ana koe , e whakaahuatia ana he kare e pupuhi ana, e pēhia ana rānei i roto i te upoko.
- Ngā pōuri tirohanga poto: He tohu tino motuhake ka pōuri whakarere te tirohanga o tētahi, o ngā kanohi e rua rānei, ka huri hina, ka pōuri rānei mō te wā poto, arā, 5 ki te 15 hēkona . He maha ngā wā ka puta tēnei ina huri whakarere koe i tō tū, pērā i te tū ake, te noho rānei.
- Te tirohanga takirua (Diplopia): Ka pā te pikinga o te pēhanga ki ngā io e whakahaere ana i te nekehanga o te kanohi, ka puta ai he āhua takirua.
- Whakapairuaki me te ruaki: Tērā pea ka haere tahi ēnei me te mamae nui o te upoko.
- Ētahi atu tohumate io: Ka pāngia pea ētahi tāngata e ngā raruraru taurite, ngā huringa haere, ngā nekehanga hinengaro rānei.
Kia maumahara: Ki te kore e rongoatia, ka taea e tēnei mate te arahi ki te ngaronga o te tirohanga tuturu i roto i te wā.
Whakaarohia te kōrero mō tētahi wahine taitamariki ko Nimali tōna ingoa, he taumaha rawa. Mō ngā marama, i pāngia ia e te mamae nui o te ata me te pōuri mō te wā poto i te tū tere. I whakaarohia e ia he ngenge, engari i te kitenga ohorere i te tirohanga rua, ka rapu awhina hauora ia. I tirotirohia e tana tākuta ōna kanohi, ā, i kitea he Papilledema tōna.
He aha te take o te papilledema?
E ai ki te kōrero, ka puta te papilledema nā te pikinga o te pēhanga i roto i te angaanga . Ko ngā take pea ko:
- Te toto toto tiketike kino: Ka taea e te toto toto tiketike rawa te arahi ki tēnei.
- Ngā pukupuku: Ka taea e ngā puranga i roto, i te taha rānei o te roro te whakanui ake i te pēhanga o roto o te angaanga.
- Ngā mate urutā, te mumura rānei: Ka pupuhi, ka piki ake hoki te pēhanga i roto i ngā āhuatanga pēnei i te meningitis, te toto rānei o te roro.
- Te totohu o te sinus uaua roro: Ka ārai pea te toto i roto i ngā uaua nui o te roro i te rerenga o te 'CSF', ka piki ake te pēhanga.
- Te mate toto ngoikore-rino: Kua whakaatuhia e ngā rangahau he hononga pea i waenga i te mate toto kino me te pikinga o te toto toto.
- Ētahi rongoā: I ētahi wā, ka honoa pea te whakamahinga o te Retin-A, ngā retinoid, te nui rawa o te huaora A, ētahi paturopi pēnei i te tetracyclines, me ngā corticosteroids ki tēnei mate.
- Te Toto Toto I roto i te Angaanga Idiopathic (IIH): I te nuinga o te wā, ka piki te pēhanga me te kore e taea te tautuhi i te take. Ko te tikanga o te "Idiopathic" kāore e mōhiotia te take. Ko te mea tino kitea tēnei i roto i ngā wāhine taitamariki, taumaha rawa.
He mate tuku iho te papilledema?
Kāo, ehara te papilledema i te mate tuku iho (ira) .
Ka puta te papilledema i te migraine?
Kāo, ehara te mate pōuri i te take o te Papilledema. Heoi, nā te mea ka puta te mate pōuri i te Papilledema, ā, ka rite te āhua ki te mate pōuri, he mea nui kia rapua he tātaritanga ngaio hei wehewehe i waenganui i ngā mea e rua.
Me pēhea te tautuhi i te papilledema?
Ki te toro atu koe ki te tākuta nā te mamae o te upoko, nā te rerekētanga rānei o te tirohanga, ka tirotirohia e rātou ngā tohu o te Papilledema. Ko te tikanga, ka tirotirohia e tō tākuta kanohi (ophthalmologist) te kanohi whānui, ā, ka whakamahia pea he whakamātautau tirohanga hei aromatawai i te hauora o tō kōpae whatu, hei whakatau mēnā kei te pupuhi.
Mena kei te pupuhi tō kōpae whatu, tera pea ka tukuna koe e tō tākuta kia tirohia he whakaahua . Ko te tikanga ka mahia tēnei mā te matawai MRI (Magnetic Resonance Imaging) , e āwhina ana ki te tiro i te roto o te roro hei whakakore i ngā raruraru pēnei i te pukupuku, i te toto rānei.
I ētahi wā, ka whakahaerehia pea e tō tākuta he pokanga lumbar (spinal tap) . Mā tēnei tikanga ka taea e mātou te ine i te pēhanga i roto i tō angaanga me te tirotiro i te wai cerebrospinal (CSF) mō ngā tohu o te mate.
Hei tāpiritanga, ka taea te whakahaere i ngā whakamātautau toto hei tirotiro i ngā take matua, pērā i te taumata rino o tō tinana.
Me pēhea te ine i te kaha o te papilledema?
Ka whakamahia e ngā tākuta ngā pūnaha pēnei i te tauine Frisén hei aromatawai i te kaha o te papilledema, e wehea ana ki ētahi wāhanga:
- Taumata 0: He āhua noa te kōpae whatu, ahakoa he pōuriuri pea ngā taha.
- Ngā wāhanga teitei ake, pērā i te Wāhanga V: Te āhua nei kua pupuhi, kua teitei te kōpae whatu katoa. He tino kino te pupuhi, ā, ka hunaia ngā oko toto e whiti ana i runga, e puta atu ana rānei i te kōpae.
I te kīanga māmā noa, e tohu ana ēnei wāhanga i te nui o te pupuhi.
Me pēhea te rongoā i te papilledema?
Ko te maimoatanga mō te papilledema e whakawhirinaki ana ki te take matua .
- Mena ko te papilledema te take o te Idiopathic Intracranial Hypertension (IIH):
- Tērā pea ka tohua e tō tākuta he rongoā aukati carbonic anhydrase, pērā i te acetazolamide., hei whakaiti i te hanga CSF me te whakaheke i te pēhanga intracranial.
- Ko te pupuri i te taumaha hauora he rautaki matua mō te wā roa.
- Mena kāore e whai hua ēnei tikanga, ka tūtohutia pea ngā tikanga pokanga — pēnei i te whakatakoto i tētahi shunt hei huri i te CSF — hei whakaiti i te pēhanga.
- Mena ko te papilledema i puta mai i ētahi atu mate hauora:
- Ka rongoā tika tō tākuta i te pūtake o te mate , pērā i te whakahaere i te pukupuku roro, te whakahaere i te toto toto tiketike, te whakakore rānei i te mate.
Ko te mea nui, me tere te rongoā i te papilledema. Ki te kore, ka taea e koe te matapo tuturu i tetahi o ngā kanohi, i ngā kanohi e rua rānei.
Ka taea e koe te whakaiti i te mōrearea o te whakawhanake i te papilledema?
Āe, mā te mahi i ngā mahi matatau ka āwhina i te whakaiti i tō mōrearea:
- Whakahaerehia tō toto toto hei ārai i ngā āhuatanga pēnei i te toto toto tiketike kino.
- Kia mau ki tō taumaha hauora , nā te mea e mōhiotia ana ko te momona tetahi o ngā take o te pikinga o te pēhanga o roto o te angaanga.
Hei tāpiri atu ki tēnā, he mea nui ngā whakamātautau kanohi auau . Pērā i ngā mate maha, mā te tautuhi wawe ka pai ake te āhua o tō mate.
He aha te mea ka tupu mēnā he papilledema tōku?
Ki te kitea wawetia te mate e kōrua ko tō tākuta, he pai te nuinga o te wā . Ko te arotahi matua ko te rongoā i te pūtake.
Heoi, kia maumahara he mea nui te rongoā mō te papilledema , kia āraia ai te ngaronga o te tirohanga me ētahi atu raruraru nui o te pūnaha io.
Āhea ahau me toro atu ki te tākuta mō te papilledema me ōna tohumate?
Ki te puta he ānini hou e kino haere ana, me te whakapairuaki me te ruaki , me rapu awhina hauora tonu koe. Waihoki, me arotake tonu e te tohunga hauora ngā panonitanga katoa o tō tirohanga .
He aha te rerekētanga i waenga i te Papilledema me te Pseudopapilledema?
He whakaaturanga "hē" te pseudopapilledema o te mate. Ahakoa te āhua teitei o te kōpae whatu, ehara i te mea nā te pupuhi tūturu. Ka puta pea tēnei nā ngā rerekētanga hanganga mai i te whānautanga, nā ngā āhuatanga rānei pēnei i te optic disc drusen (ngā putunga konupūmā i roto i te io whatu). Nā te mea he kino te papilledema tūturu, ki te pāngia koe e ngā huringa tirohanga—ina koa me te ānini, te whakapairuaki rānei—he mea nui kia kite i te tākuta mō te tātaritanga ngaio.
Te Karere Kawe-ā-Kāinga ki Nirogi Lanka
Ko te tumanako ka mārama ake koe ki te papilledema mā tēnei. Me whakarapopoto tātou i ngā mea nui:
- Ko te papilledema te pupuhi o ngā kōpae whatu i ngā kanohi e rua nā te pikinga o te pēhanga i roto i te angaanga .
- Kia tūpato ki ngā tohu pēnei i te ānini nui (ina koa i te ata), te pōuri o te tirohanga mō te wā poto, te tirohanga takirua, te whakapairuaki, me te ruaki .
- Ko ngā take ka rerekē mai i ngā pukupuku roro, te toto toto tiketike, me ngā mate pāwera ki ngā rongoā, te Idiopathic Intracranial Hypertension (IIH) rānei .
- He mea nui te tautuhi wawe me te maimoatanga tika hei pupuri i tō tirohanga. Ka taea e ngā whakaroa te arahi ki te matapo tuturu .
- Ki te kite koe i ēnei tohu, kaua e whakaroa - rapua tonutia he awhina hauora .
- Mā te pupuri i te taumaha hauora me te whakahaere i te toto totoka ka āwhina i te whakaiti i tō mōrearea.
He mea utu nui tō tirohanga. Ki te kite koe i tētahi mea rerekē, kaua e warewaretia. Ko te rapu wawe i ngā tohutohu hauora te huarahi whakaaro nui rawa atu.
