Kodi mwadzidzidzi mwataya masomphenya anu ndipo mwawapezanso? ​​Tiyeni tiphunzire za (Amaurosis Fugax)?

Kodi munayamba mwataya mwadzidzidzi masomphenya m'diso limodzi, kapena maso onse awiri, kwa kanthawi kochepa, kenako n’kuwabwezeretsa patangopita mphindi zochepa? Zingakhale zoopsa, ngati kuti nsalu yakuda yagwa pamaso panu, kapena winawake akukoka nsalu kuchokera m’mbali. Lero tikambirana za mtundu uwu wa kutayika kwa masomphenya kwakanthawi.

Kodi Amaurosis Fugax ndi chiyani?

Mwachidule, izi (Amaurosis Fugax)` zikutanthauza kuti mumataya maso anu m'diso limodzi, kapena nthawi zina maso onse awiri, kwakanthawi, ndiko kuti, kwa kanthawi kochepa. Koma simukumva kupweteka kulikonse mu izi. Chifukwa cha izi ndikuti magazi amalowa mu retina , yomwe ndi gawo la maselo kumbuyo kwa diso omwe amatumiza uthenga ku ubongo za zomwe timawona, imayima kwakanthawi ndipo imasokonezedwa. Tangoganizani kuti diso lathu lili ngati kamera, ndipo retina iyi imagwira ntchito ngati filimu yake. Kenako, ngati magazi sakuyenda bwino kupita kumeneko, zithunzi zimasiya kuoneka kwakanthawi.

Dzina lakuti ``Amaurosis Fugax'' limachokera ku liwu lachi Greek ``amaurosis'' lomwe limatanthauza 'mdima'' ndipo liwu lachi Latin ``fugax'' lomwe limatanthauza 'kanthawi kochepa'' kapena 'kwa kanthawi''. Monga momwe dzinalo likusonyezera, kutayika kwa masomphenya kumeneku nthawi zambiri kumatenga masekondi angapo mpaka mphindi zochepa . Nthawi zina masomphenya amatha kutayika kwathunthu, kapena gawo lina lokha la masomphenya limatha kusokonekera.

Madokotala nthawi zina amatcha vutoli kuti 'transient monocular blindness', 'transient monocular disaster', kapena 'transient binocular disaster'. Izi zikutanthauza 'kutayika kwakanthawi kwa masomphenya m'diso limodzi' kapena 'kutayika kwakanthawi kwa masomphenya m'maso onse awiri'.

Ngakhale zina mwa zifukwa zomwe zimayambitsa vuto la masomphenya amtunduwu zingakhale zazing'ono, zina zingakhale matenda akuluakulu omwe amafunika chisamaliro chapadera . Dokotala wanu wa maso adzakuthandizani kupeza chomwe chimayambitsa vutolo. Mukatero ndiye kuti mungayambe kulandira chithandizo choyenera.

Chofunika kwambiri ndi kukumbukira kuti ngati mwadzidzidzi maso anu atayika pazifukwa zilizonse, ndi vuto ladzidzidzi ndipo muyenera kufunafuna upangiri wa dokotala nthawi yomweyo.

Kodi zizindikiro za izi ndi ziti?

Ngati muli ndi `(Amaurosis Fugax)`, chizindikiro chachikulu ndi mdima wadzidzidzi, wopanda ululu, wosawoneka bwino, kapena kutayika kwathunthu kwa masomphenya m'mbali mwa masomphenya anu. Kwa ena, izi zimamveka ngati nsalu yotchinga ikugwa kuchokera pamwamba kapena kukoka nsalu yotchinga patsogolo pa diso. Zingakhale zofanana ndi nsalu yotchinga ikutsekedwa mu sewero.

Tangoganizani, pamene Nilanthi anali kumwa tiyi wake wa m'mawa, mwadzidzidzi nsalu yakuda inagwa patsogolo pa diso lake lamanja. Sanathe kuona chilichonse kwa mphindi imodzi. Anali ndi mantha kwambiri. Koma patapita kanthawi, anayambanso kuona. Umu ndi momwe `(Amaurosis Fugax)` imakhalira.

Monga momwe dzinalo likusonyezera, izi ndi zakanthawi kochepa.Izi zikutanthauza kuti zidzachira zokha pakapita kanthawi, ndipo maso anu adzabwerera. Komabe, izi zitha kuchitika kangapo. Choncho, kumbukirani, kutaya masomphenya mwadzidzidzi, kaya pali ululu kapena ayi, ndi chinthu chomwe muyenera kufunafuna upangiri wa dokotala nthawi yomweyo. Chifukwa pakhoza kukhala chifukwa chachikulu chomwe chikuchititsa izi.

N’chifukwa chiyani izi zikuchitika? Kodi zifukwa zake ndi ziti?

Chifukwa chachikulu cha `(Amaurosis Fugax)`, monga tafotokozera kale, mtsempha wamagazi womwe umatumiza magazi ku retina mkati mwa diso umatsekedwa pazifukwa zina. Chofunika kwambiri ndikupeza chomwe chimayambitsa kutsekeka kumeneku. Pokhapokha dokotala wanu adzatha kusankha chithandizo choyenera.

Pali zifukwa zingapo zomwe zingayambitse kutsekeka kwa mitsempha ya retinal:

• Magazi amaundana: Magazi amaundana omwe amapangika kwina m'thupi amatha kusweka n'kukhazikika mumtsempha wamagazi womwe umapereka magazi ku diso.
• Chikwangwani Chochokera ku Atherosclerosis: Nthawi zina makoma a mitsempha yathu ikuluikulu yamagazi amakhala okhuthala ndi mafuta ambiri (vuto lotchedwa atherosclerosis). Chidutswa chaching'ono cha chikwangwanichi chingasweke ndikukodwa mu mitsempha yamagazi. Chili ngati dothi lomwe limakodwa mu chitoliro.
• Kutupa kwa mitsempha yanu ya maso: Matenda kapena kutupa kwa mitsempha ya maso, yomwe imanyamula mauthenga kuchokera m'diso kupita ku ubongo (monga optic neuritis), ingayambitsenso kutayika kwa maso kwakanthawi.

Kuphatikiza apo, dokotala wanu adzafufuzanso ngati muli ndi matenda ena omwe angakhale chizindikiro cha "Amaurosis Fugax." Akuluakulu ndi awa:

• Kuukira kwa Ischemic kwa Nthawi Yaitali (TIA): Izi zili ngati sitiroko yaying'ono. Magazi opita ku ubongo amasiya kuyenda kwakanthawi kenako amabwerera mwakale. Ichi chingakhale chizindikiro chochenjeza kuti sitiroko yayikulu ikubwera.
• Stroke: Matenda oopsa omwe amapezeka pamene magazi opita ku gawo lina la ubongo atsekedwa kwathunthu.
• Matenda a Giant Cell Arteritis: Amatchedwanso Temporal Arteritis, matenda omwe amachititsa kuti mitsempha yayikulu komanso yapakatikati ya m'mutu ndi m'khosi itukuke ndikutupa. Amathanso kukhudza mitsempha yomwe imapereka magazi m'maso.
• Optic Neuritis: Kutupa kapena kutupa kwa mitsempha ya optic.
• Multiple Sclerosis (MS): Iyi ndi matenda omwe amakhudza mitsempha.
• Kuvulala mutu (Kuvulala kwa Ubongo Koopsa - TBI): Mavuto a maso amenewa nthawi zina amatha kuchitika mutu ukavulala.

Ndani amene ali pachiwopsezo chachikulu?

Pali zinthu zingapo zomwe zingayambitse matenda a `(Amaurosis Fugax)`. Zina mwa izi ndi zinthu zomwe zingathe kusinthidwa, pomwe zina ndi zinthu zosasinthika. Nazi zina mwa izo:

• Kutsekeka kwa Mitsempha ya Carotid: Ngati mtsempha waukulu wamagazi (mtsempha wa carotid) womwe umanyamula magazi kuchokera mbali zonse ziwiri za khosi kupita ku ubongo watsekedwa ndi mafuta ambiri.
• Kuthamanga kwa magazi (Kuthamanga kwa magazi): Ichi ndi chomwe kuthamanga kwa magazi kumatanthauza.
• Kuchuluka kwa cholesterol m'magazi (Hypercholesterolemia): Kuchuluka kwa cholesterol yoyipa m'magazi.
• Kusuta: Ichi ndi chinthu chomwe chimayambitsa matenda ambiri.
• Ngati munakhalapo ndi `(TIA)` kale.
• Matenda a shuga: Amatchedwanso matenda a shuga.
• Matenda a mtima: Chiwopsezochi ndi chachikulu kwa anthu omwe ali ndi matenda a mtima.
• Kugwiritsa ntchito mankhwala a cocaine.
• Kumwa mowa mopitirira muyeso ('Matenda ogwiritsira ntchito mowa').
• Zaka 50 kapena kuposerapo: Chiwopsezo cha matenda ena chimawonjezeka ndi ukalamba.

Monga mukuonera, zinthu zambiri zomwe zimayambitsa matendawa zimagwirizananso ndi matenda monga matenda a mtima ndi sitiroko, choncho ndikofunikira kudziwa izi.

Kodi izi zingakhale zoopsa? Kodi mavuto ake ndi otani?

Inde, kutengera chifukwa chomwe chimayambitsa kutayika kwakanthawi kwa masomphenya chotchedwa `(Amaurosis Fugax)` , mavuto omwe angabwere chifukwa cha izi akhoza kukhala akulu kwambiri. Makamaka ngati ndi chiyambi cha `(Stroke)` kapena `(chochitika cha mtima`), chingakhale choopsa ngakhale moyo. Ichi ndichifukwa chake timati ngati mwadzidzidzi mwataya masomphenya anu , musanyalanyaze konse, ndipo pitani kwa dokotala nthawi yomweyo . Ngati chifukwacho chapezeka msanga, mavuto akuluakulu amatha kupewedwa kwambiri.

Kodi madokotala amazindikira bwanji izi?

Mukapita kwa dokotala, iye adzakufunsani kaye za mbiri yanu yachipatala komanso zizindikiro zomwe mwakhala mukukumana nazo. Kenako, adzakuyesani maso mokwanira. Ndikofunikanso kudziwa ngati muli ndi matenda ena, monga kuthamanga kwa magazi kapena matenda a mtima.

Kodi mayeso ndi otani?

Ngati dokotala wanu akukayikira kuti muli ndi `(Amaurosis Fugax)`, iye angakupatseni mayeso osiyanasiyana. Ambiri mwa awa ndi mayeso okhudzana ndi `thanzi la mitsempha yanu yamagazi`. Nayi momwe amaonekera:

• Kuyezetsa thupi: Kuyezetsa kwachipatala konsekonse.
• Mayeso a magazi:
• Kuchuluka kwa Magazi Onse (CBC)
• Kuchuluka kwa shuga m'magazi (`kuyeza shuga m'magazi`)
• Taonani zinthu monga nthawi yothira magazi.
• Mayeso ojambulira a dongosolo lanu la mitsempha yamagazi:
• Kujambula kwa Ultrasound (`Ultrasounds`): Izi zimagwiritsidwa ntchito pofufuza momwe mitsempha ya carotid ilili, makamaka m'khosi.
• Kujambula kwa MRI (`Maginito Owonetsa Kugwirizana kwa Maginito - MRI`):Zithunzi zatsatanetsatane za ubongo ndi mitsempha yamagazi zitha kujambulidwa.
• Kujambula kwa CT (`Computed Tomography - CT`): Izi zithanso kujambula zithunzi za ubongo ndi mitsempha yamagazi.
• Kuyesa kwa ECG (`Electrocardiogram`): Kumayesa momwe mtima umagwirira ntchito.
• Kuyesa kwa Holter monitor: Chipangizo chomwe chimayang'anira kugunda kwa mtima kwa maola 24 kapena kuposerapo.
• Kuyesa kwa C-reactive protein (CRP): Kuyesa kutupa m'thupi.
• Kuyesa kwa Erythrocyte sedimentation rate (ESR): Izi zingaperekenso lingaliro la matenda otupa.

Kodi chithandizo cha izi ndi chiyani?

Chithandizo cha `(Amaurosis Fugax)` chimadalira chomwe chimayambitsa. Zina mwa zifukwa zomwe takambirana kale, monga `(Stroke)` zimafuna chithandizo chachangu. Ngati chayambitsidwa ndi vuto lina, monga `(Giant Cell Arteritis), ndiye kuti pali mankhwala enaake a vutoli.

Mwachidule, `(Amaurosis Fugax)` ndi chizindikiro. Chifukwa chake chithandizocho ndi cha matenda omwe amayambitsa chizindikirocho. Mwachitsanzo:

• Ngati chifukwa chake ndi magazi kuundana , mankhwala ochepetsa magazi (monga aspirin) angaperekedwe.
• Ngati mtsempha wa carotid wachepa kwambiri (Carotid Artery Stenosis) , madokotala angakulangizeni kuti muwutsegule mwa opaleshoni (Carotid Endarterectomy) kapena kuyika stent.
• Ngati ndi vuto la kutupa monga `Giant Cell Arteritis` , mankhwala oletsa kutupa monga `steroids` angaperekedwe.

Choncho, chofunika kwambiri ndikupeza mwachangu chomwe chikuyambitsa vutoli ndikuyamba chithandizo choyenera.

Kodi ndingayembekezere chiyani ndi vutoli?

Chiyembekezo chanu cha `(Amaurosis Fugax)` chimadaliranso chomwe chimayambitsa. Ngati ndi vuto lalikulu monga `(Stroke),` ndikofunikira kwambiri kupeza upangiri wa dokotala nthawi yomweyo.

"(Amaurosis Fugax)" ndi vuto la kanthawi kochepa, monga momwe dzinalo likusonyezera. Izi zikutanthauza kuti kutayika kwa masomphenya kudzatha kokha pakapita nthawi. Komabe, ngati pali matenda ena omwe amayambitsa vutoli, ayenera kuthandizidwa ndi kuthandizidwa.

Mwachitsanzo, ngati muli ndi matenda monga `Giant Cell Arteritis` kapena `Multiple Sclerosis (MS)`, muyenera kutsatira chithandizo chomwe dokotala wanu akukupatsani pa matenda amenewo. Matenda oyamba akachiritsidwa, chizindikiro cha `(Amaurosis Fugax)` chidzawongoleredwanso.

Kodi Amaurosis Fugax ingapewedwe?

Mwatsoka, palibe njira yopewera kwathunthu `(Amaurosis Fugax)`. Komabe, mutha kuchepetsa chiopsezo chanu chotenga matendawa mwa kusamalira bwino thanzi lanu lonse.

Kodi ndingachepetse bwanji chiopsezochi?

Zinthu izi zingathandize kuchepetsa chiopsezo chanu chotenga matenda a `(Amaurosis Fugax):

• Konzani matenda osatha: Konzani matenda omwe alipo monga kuthamanga kwa magazi, matenda a shuga, ndi cholesterol yambiri. Imwani mankhwala anu monga momwe dokotala wanu walangizira.
• Kutsatira zakudya zabwino: Idyani zipatso zambiri, ndiwo zamasamba, nyemba, tirigu wonse, nyama yopanda mafuta ambiri, ndi nsomba. Zakudya zathu zakomweko zilinso ndi zakudya zambiri zabwinozi. (Mwachitsanzo, zakudya za ku Mediterranean zimanenedwa kuti ndi zabwino.) Chepetsani zakudya zokhala ndi mafuta ambiri, shuga, ndi mchere wambiri momwe mungathere.
• Khalani ndi kulemera koyenera: Yesetsani kusunga kulemera koyenera kutalika kwanu.
• Pitirizani kuchita masewera olimbitsa thupi: Chitani zinthu monga kuyenda kapena kuchita masewera olimbitsa thupi kwa mphindi zosachepera 30 patsiku.
• Siyani kusuta: Ngati mukusuta, pemphani thandizo kuti musiye.
• Chepetsani kumwa mowa: Ngati mumwa mowa, ndi bwino kuchepetsa mowa pang'ono kwambiri, kapena kusiya kwathunthu.

Kodi ndiyenera kupita liti kwa dokotala chifukwa cha mavuto a masomphenya?

Izi ndizofunikira kwambiri. Ngati mwadzidzidzi mwataya masomphenya anu, kaya muli ndi ululu kapena ayi, pitani kuchipatala nthawi yomweyo. Chitani zimenezo ngati zadzidzidzi. Musataye nthawi.

Ngakhale si zadzidzidzi, pitani kukayezetsa maso nthawi zonse monga momwe dokotala wanu akulangizira. Izi zingathandize kuzindikira matenda ena asanayambe.

Ndi mafunso ati omwe ndiyenera kufunsa dokotala wanga okhudza Amaurosis Fugax?

Ngati muli ndi mafunso okhudza izi, musaope kufunsa dokotala wanu. Mutha kufunsa mafunso ngati awa:

• Kodi "Amaurosis Fugax" yanga ikugwirizana ndi matenda ena aliwonse?
• Pankhani yanga, kodi dokotala amaona kuti ndi chiyani chadzidzidzi? (monga, ndi zizindikiro ziti zomwe ndiyenera kubwera nthawi yomweyo ndikayamba kuziona?)
• Kodi mukundilangiza chithandizo chamtundu wanji?
• Kodi zotsatirapo zake zingakhale zotani chifukwa cha chithandizo chimenecho?
• Kodi mumalimbikitsa kuonana ndi katswiri kuti akalandire chithandizo?
• Kodi ndiyenera kutsatira ndondomeko yanji poyezetsa maso?

Ndiye, ndi zinthu ziti zofunika kwambiri zomwe tiyenera kutenga kuchokera m'nkhaniyi?

Chabwino, izi ndi zina mwa zinthu zomwe muyenera kukumbukira kuchokera pa zomwe takhala tikukambirana mpaka pano.

Ngati mwataya masomphenya kwa kanthawi kochepa - ngati kuti nsalu yagwera pamaso panu - ikhoza kukhala `(Amaurosis Fugax)`. Ngati izi zitachitika, kapena ngati mwataya masomphenya mwadzidzidzi nthawi iliyonse, muyenera kufunafuna upangiri wachipatala nthawi yomweyo. Madokotala adzagwira nanu ntchito kuti adziwe chomwe chikuyambitsa vuto la `(Amaurosis Fugax)`, komanso ngati muli ndi matenda ena ofanana nawo.

Kawirikawiri, matenda akapezeka msanga, chithandizo chimayamba msanga, ndipo zotsatira zake zimakhala zabwino.

Choncho, kaya mukumva ululu kapena ayi, musazengereze kufunafuna thandizo ngati mwadzidzidzi mwataya masomphenya. Komanso, musazengereze kufunsa dokotala wanu kuti akufotokozereni bwino mafunso aliwonse omwe mungakhale nawo okhudza matenda ndi chithandizo. Thanzi lanu ndi lofunika kwambiri kwa inu.

Amaurosis Fugax, kutayika kwakanthawi kwa masomphenya, masomphenya, retina, kutsekeka kwa mitsempha yamagazi, TIA, Stroke, kufooka kwa ziwalo