Kwenzeka ntoni emehlweni akho? Ngaba unengxaki yokubona kwakho? Makhe sithethe nge-Optic Neuritis!

Ngaba ngamanye amaxesha ukhe ube neentlungu emehlweni? Okanye ngaba ngequbuliso uzive ngathi umbono wakho uya ufiphala? Mhlawumbi awukwazi nokubona imibala ngokucacileyo? Ukuba uhlangabezana nezi zinto, esinye isizathu esinokubakho sisenokuba yimeko ebizwa ngokuba yi -Optic Neuritis . Ungakhathazeki, siza kuthetha ngale nto ngendlela elula onokuyiqonda.

Yintoni i-Optic Neuritis? Ngamafutshane...

Khawucinge nje, kukho into efana nocingo lwefowuni phakathi kwamehlo ethu nengqondo yethu. Oku sikubiza ngokuba yi-optic nerve . Le mithambo yiyo ethatha oko sikubonayo emehlweni ethu ukuya engqondweni yethu ize isenze siqonde, "Owu, yile nto ndiyibonayo." Ngoku, kukho isigqubuthelo esikhuselayo esijikeleze le mithambo-luvo. Kufana nesigqubuthelo seplastiki esijikeleze ucingo lombane. Oogqirha bakubiza oku ngokuba yi-myelin sheath . Ukuba ngesizathu esithile le mithambo-luvo yonakele okanye ivuvukele, imiyalezo kuloo ntambo yefowuni ayihambi kakuhle, kwaye imiqondiso esuka elisweni iye ebuchotsheni iyaphazamiseka. Yiloo nto siyibiza ngokuba yi-Optic Neuritis . Ngamafutshane, esi sisifo se-neurological (`(Neuropathies)`) esenzeka kwi-optic nerve. Yiyo loo nto izinto ezifana nentlungu yamehlo kunye notshintsho lombono lwenzeka.

Ziziphi iintlobo eziphambili ze-Optic Neuritis?

Singathetha ngeentlobo ezintathu eziphambili zale meko: 1. I-Optic Neuritis eqhelekileyo: Oku kudla ngokuchaphazela iliso elinye kuphela. Abanye abantu bayaphila kwiintsuku ezimbalwa ngaphandle konyango. Nangona kunjalo, iingcali zithi kungcono ukufuna unyango ngezinye izizathu. 2. I-Atypical Optic Neuritis: Olu hlobo lunokuchaphazela omabini amehlo. Kwakhona, kuthatha ixesha ukuphiliswa. Uphando lufumanise ukuba oku kunxulunyaniswa nezinye iingxaki zemithambo-luvo ezintsonkothileyo. 3. I-Pediatric Optic Neuritis: Njengoko igama lisitsho, olu luhlobo olukhula kubantwana abancinci. Nangona ezinye iintlobo ezimbini zifana, kukho umahluko obalulekileyo. Kodwa iindaba ezimnandi zezokuba olu hlobo ludla ngokuba nethuba eliphezulu lokuphiliswa.

Ixhaphake kangakanani le meko?

Ewe, i-optic neuritis yimeko eqhelekileyo. Umzekelo, eMelika kuphela, kuxelwe ukuba malunga ne-5 kwi-100,000 yamatyala amatsha esi sifo ayenzeka minyaka le. Ngoko ke, kubaluleke kakhulu ukukwazi oku.

Zithini iimpawu ze-Optic Neuritis?

Iimpawu ezibonakala kule meko phantse zonke zinxulumene namehlo akho kunye nokubona kwakho. Uninzi lwexesha, ezi mpawu zibangelwa yimiphumo ye-"Retrobulbar" eyenzeka ngasemva kwebhola yeliso. Makhe sibone ukuba zeziphi ezi mpawu:

• Intlungu yamehlo : Malunga nama-90% abantu abane-optic neuritis bayayiva le ntlungu. Le ntlungu inokuba qatha ngakumbi xa ushukumisa amehlo.Nangona kunjalo, kuhlobo olungaqhelekanga olukhankanyiweyo ngaphambili, ngamanye amaxesha lunokuphela ngaphandle kwentlungu.
• Ukulahlekelwa yi-Acuity yokubona: Oku kuthetha ukuba awukwazi ukubona izinto ngokucacileyo nangokucacileyo. Oku kunokuba nzima ngakumbi kubantwana abancinci abane-optic neuropathy.
• Iziphene zeNdawo yokuBona okanye ukuLahlekelwa kokubona : Kulapho ulahlekelwa yinxalenye yoluhlu lwakho olupheleleyo lokubona . Kufana nokuba awukwazi ukubona embindini womfanekiso. Kwi-optic neuritis, indawo yokuLahlekelwa kokubona idla ngokuba phakathi kwendawo yakho yokubona.
• Ukungaboni imibala (iDyschromatopsia): Oku kunciphisa amandla akho okwahlula imibala. Usenokuba neengxaki zokwahlula umbala obomvu ngokukodwa.

Kutheni sifumana i-Optic Neuritis? Zithini izizathu?

Eyona nto ibangela i-optic neuritis kukudumba okonakalisa i-optic nerve. Zininzi izizathu ezinokubangela oku kudumba.

1. Iimeko zokuzikhusela komzimba kunye nezokuvuvukala

Abaphandi bacinga ukuba iimeko zokuzikhusela komzimba (apho inkqubo yomzimba wethu yokuzikhusela ihlasela iiseli zethu) zezona zibangela ziphambili. Iimeko zokuzikhusela komzimba ezibandakanyekayo zinokwahluka ngokuxhomekeke kuhlobo lwe-optic neuritis.

• I-Optic Neuritis eqhelekileyo: Oku kudla ngokunxulunyaniswa nemeko ebizwa ngokuba yiMultiple Sclerosis (MS) . Ngamanye amaxesha, i-optic neuritis inokuba luphawu lokuqala lwe-MS. Kufunyaniswe ukuba malunga nama-50% abantu abafumana i-optic neuritis eqhelekileyo baya kuba ne-MS kwiminyaka eli-15.
• I-optic neuritis engaqhelekanga: Oku kunxulumene neemeko ezibizwa ngokuba yi -neuromyelitis optica (NMO) kunye nesifo esinxulumene ne-MOG-antibody (MOGAD) . Ekuqaleni, i-MS, i-NMO, kunye ne-MOGAD zazicingelwa ukuba zizifo ezifanayo. Nangona kunjalo, kamva kwafunyaniswa ukuba i-NMO kunye ne-MOGAD zibangelwa ziintlobo ezahlukeneyo zee-antibodies ezithile.

2. Iintsholongwane

Imithambo-luvo yethu inokonakala zizifo. Imithambo-luvo ye-optic ayifani. Iintsholongwane zezona zibangela i-optic neuritis, ingakumbi kubantwana abancinci. Kukho iintlobo ezine eziphambili zezifo ezinokubangela izifo:

• Usulelo lweentsholongwane : Ezi zizinto eziqhelekileyo ezibangela i-optic neuritis, ingakumbi ebuntwaneni. Imizekelo:
• I-Chickenpox, i-herpes zoster ibangelaIntsholongwane `(intsholongwane yeVaricella-zoster)`
• Iintlobo ze-Herpes simplex virus 1 kunye ne-2
• I-Cytomegalovirus `(i-Cytomegalovirus)`
• Intsholongwane ye-HIV `(HIV)`
• Iintsholongwane ezithwalwa yiingcongconi
• Izifo ezibangelwa yintsholongwane ebantwaneni ezifana ne-measles
• Iintsholongwane : Ezi zidla ngokudluliselwa ebantwini zisuka kwizilwanyana okanye kwizinambuzane. Imizekelo:
• Umkhuhlane wokukrwela kwekati
• Isifo seLyme, esidluliselwa ziintakumba
• Isifo sephepha
• I-Syphilis
• Usulelo lwefungus : Ezi zinokubangela neuritis yamehlo. Imizekelo:
• I-Cryptococcus neoformans `(I-Cryptococcus neoformans - i-cryptococcosis)`
• Iintlobo zeCandida (candidiasis)
• I-Histoplasma capsulatum `(Histoplasma capsulatum - histoplasmosis)`
• Iintlobo ze- Aspergillus `(Aspergillus - aspergillosis)`
• Izifo ezibangelwa ziincukuthu: Ezi zinokudluliselwa rhoqo zisuka kwizilwanyana zasekhaya, ingakumbi iikati nezinja. Imizekelo:
• I-Toxoplasma gondii (i-toxoplasmosis) evela kwiikati
• I-Toxocara canis evela ezinjeni (Toxocara canis - toxocariasis)

3. Iziyobisi kunye neetyhefu

Amayeza asetyenziswa ngugqirha kunye namanye amayeza ngamanye amaxesha anokubangela umonakalo kwimithambo-luvo. Imizekelo ibandakanya:

• Amayeza osulelo: `(Ethambutol)`, `(Chloramphenicol)`, `(Isoniazid)` okanye ii-antibiotics zohlobo lweSulfa`
• Amayeza okuphazamiseka kwesantya sentliziyo: `(Amiodarone)`, `(Digoxin)`
• Amayeza ohlobo lwe-quinine asetyenziselwa i-malaria: i-Chloroquine, i-Hydroxychloroquine
• Amayeza okulwa nomhlaza: `(Methotrexate)`, `(Vincristine)`, `(Tamoxifen)`
• Iimveliso zecuba kunye ne-nicotine
• Utywala okanye i-methanol (ngamanye amaxesha ibizwa ngokuba yi-"wood alcohol")

4. Ezinye izizathu

Ezinye izizathu ezininzi zinokuchaphazela oku:

• Ukuncipha kokunikezelwa kwegazi (i-Ischemia): Ukuba i-optic nerve ayifumani igazi elaneleyo, iiseli zayo zisenokungasebenzi kakuhle kwaye zinokonakala.
• Ukunqongophala kweevithamini: Ukunqongophala kweevithamini ze-B, ingakumbi i-vitamin B12, kunokubangela umonakalo ongapheliyo nonzima wemithambo-luvo.
• Uxinzelelo lweMithambo:Umonakalo kunye nokudumba kunokwenzeka xa into icinezela umthambo we-optic. Oku kunokubangelwa ziimeko ezifana neethumba kunye ne-hydrocephalus.
• Iimeko zeMetabolic: Izifo ezifana neType 2 Diabetes Mellitus. Umngcipheko wokonakala kwe-optic nerve uyanda njengoko isifo seswekile siqhubeka. Lo mngcipheko mkhulu ngakumbi ukuba amanqanaba eswekile egazini aphezulu.

Ngamanye amaxesha i-optic neuritis inokukhula ngaphandle kokufunyanwa kwesizathu (idiopathic) .

Ngubani onokuba nethuba elikhulu lokufumana i-Optic Neuritis? (Izinto ezibangela umngcipheko)

Izinto ezithile zinokunyusa umngcipheko wakho wokuba nale meko. Makhe sijonge ukuba zeziphi:

• Isini: Abafazi banamathuba amaninzi okufumana isifo se-optic neuritis esiqhelekileyo kunamadoda, kodwa amadoda anamathuba amaninzi okufumana uhlobo olungaqhelekanga.
• Ubudala: Uhlobo oluqhelekileyo ludla ngokuvela kubantu abaphakathi kweminyaka engama-20 nama-40. Uhlobo olungaqhelekanga lunokwenzeka kakhulu kubantu abangaphantsi kweminyaka eli-18 okanye ngaphezulu kweminyaka engama-50. Uhlobo lwabantwana ludla ngokuvela kubantwana abangaphantsi kweminyaka eli-10.
• Uhlanga: Abantu abamhlophe banamathuba amaninzi okufumana i-optic neuritis. Uhlanga lunokuchaphazela nokuba umntu one-optic neuritis uba ne-MS okanye cha. Uphando lubonisa ukuba abantu baseAsia abanamathuba amaninzi okufumana i-MS emva kwe-optic neuritis.
• Apho uhlala khona: Apho uhlala khona kunokuchaphazela nomngcipheko wakho wokuba ne-MS. Abantu abahlala kude ne-equator banomngcipheko ophezulu kancinci wokuba ne-MS. Iingcali zicinga ukuba oku kusenokubangelwa kukukhanya kwelanga kunye/okanye amanqanaba e-vitamin D.
• Ukuba nesinye isifo sokuzikhusela komzimba: Abantu abanezifo zokuzikhusela komzimba ezifana ne-lupus erythematosus, i-sarcoidosis, kunye nesifo sikaBehçet basengozini enkulu yokuba ne-optic neuritis.

Zeziphi iingxaki ezinokubangela oku?

Eyona ngxaki iphambili kukulahlekelwa yimbono. Ugqirha wakho wamehlo unokukuxelela ngezinye iingxaki ezinokubakho ngokuxhomekeke kwimeko yakho.

Oogqirha bayixilonga njani i-Optic Neuritis? (Ukuxilongwa)

Ugqirha wamehlo uza kujonga iimpawu zakho, imbali yakho yezonyango, kunye nokuba unazo naziphi na ezinye iimeko ezinokubangela ukuba i-optic neuritis ikwazi ukuxilonga. Uvavanyo lwamehlo yinxalenye ebalulekileyo yale nkqubo. Olu vavanyo lungabandakanya:

• Ubuchule bokubona
• Intsimi ebonakalayo
• Ubuchule bokubona umbala
• Ukusabela Komfundi
• Uvavanyo lweSibane seSlit

Ezi mvavanyo zingenziwa kwasekuqaleni:

• Izinto Ezibonakalayo Ezinokuvela
• I-Optical Coherence Tomography (OCT)

Ukuba ezi mvavanyo zibonisa ukuba usenokuba une-optic neuritis, ugqirha wakho wamehlo uza kukuthumela kwingcali. Lo usenokuba yingcali ye-neurologist, okanye ingcali yamehlo egxile kwizifo ze-retina kunye ne-optic nerve (i-neuro-ophthalmologist).

Uvavanyo olungakumbi

I-MRI scan (Magnetic Resonance Imaging - MRI Scan) luvavanyo olubaluleke kakhulu ekuxilongeni i-optic neuritis. Olu vavanyo lusebenzisa ulwelo olukhethekileyo olubizwa ngokuba yi-``Contrast``, olwenza utshintsho kwizicubu lubonakale ngakumbi. Ukuba une-optic neuritis, i-optic nerve echaphazelekayo iya kubonakala ikhanya ngakumbi kune-nerve ephilileyo. I-MRI ibalulekile kuba inokubona izilonda zobuchopho . Ezi zinokuba luphawu oluphambili lokuba une-MS na. I-MRI inokubona neminye imonakalo kwi-optic nerve kunye/okanye kwi-spinal cord, njengeemeko ezifana ne-NMO okanye i-MOGAD. Kukwakho novavanyo oluninzi lwelabhoratri olunokucetyiswa ngugqirha wakho. Olu vavanyo ludla ngokwenziwa ukuze:

• I-optic neuritis isenokuba ibangelwe lusulelo.
• Ukuba i-MRI ibonisa umonakalo onokuba yi-MS, i-NMO, okanye i-MOGAD.
• Ukuba iimpawu zakho zihambelana kakhulu ne-NMO okanye i-MOGAD kune-MS.

Uvavanyo lwelabhoratri ludla ngokuquka uvavanyo lwegazi nomchamo. Olu vavanyo lunokukhangela iimpawu zosulelo okanye ii-antibodies zokuzikhusela komzimba (ingakumbi ii-antibodies ezibonisa i-NMO okanye i-MOGAD). Ukubhobozwa kwe-lumbar okanye i-spinal tap kunokukhangela iimpawu zosulelo okanye olunye utshintsho kwi-cerebrospinal fluid (CSF).

Inyangwa njani i-Optic Neuritis?

Kukho iintlobo ezimbini eziphambili zonyango: 1. Amayeza okulwa nokuvuvukala afakwa kwimithambo yegazi (iiSteroid): La mayeza anceda ekunciphiseni ukudumba nokunciphisa umonakalo kwimithambo-luvo. Oku kunokunceda ukunciphisa iintlungu nokubuyisela umbono. Unyango oluqhelekileyo kukunika iidosi eziphezulu zeesteroids ezifakwa kwimithambo-luvo okanye ezifakwa emlonyeni kangangeentsuku ezintathu ukuya kwezintlanu. Emva koko, ugqirha wakho unokukunika iidosi eziphantsi zeesteroids ezifakwa emlonyeni ukuze uqhubeke nokusebenzisa. (Kubalulekile ukuthatha amayeza kanye njengoko kumiselwe, njengoko idosi yamayeza afakwa emlonyeni incitshiswa kancinci kancinci.) 2. Ukunyanga unobangela oyintloko okanye into ebangela oku: Olu nyango luyahluka. Umzekelo, ukunika ii-antibiotics zosulelo lwebhaktheriya, okanye ukuba uvavanyo luqinisekisa ukuba unesifo sokuzikhusela komzimba njenge-NMO okanye i-MOGAD, ukutshintshana kweplasma (PLEX) kunokusetyenziswa ukunciphisa umsebenzi wenkqubo yomzimba yokuzikhusela.Unyango olufana nolu. Ezinye izinto zinokuchaphazela unyango olufumanayo. Ugqirha wakho wamehlo okanye omnye umboneleli wezempilo ngumntu ongcono onokuthetha naye malunga neendlela onokukhetha kuzo, iziphumo ebezingalindelekanga, iingxaki, kunye nezinye iinkcukacha ekufuneka uzazi.

Ngaba singayithintela le meko ibizwa ngokuba yi-Optic Neuritis?

I-optic neuritis kunye nomonakalo wemithambo-luvo zihlala zenzeka ngezizathu ezingalindelekanga. Nangona kukho izinto onokuzenza ukunciphisa umngcipheko wakho, akukho ndlela yokuthintela zonke izizathu. Nazi ezinye iindlela onokuzithatha:

• Ziphephe okanye uyeke ukusebenzisa iimveliso zecuba (kuquka i-vaping kunye necuba elingenamsi).
• Fumana unyango ngaphambi kokuba usulelo lusasazeke kwimithambo-luvo yamehlo.
• Sebenzisa amayeza anikwe ngugqirha kanye njengoko eyalelwe, kwaye uyeke ngokupheleleyo ukuthatha amayeza ngaphandle kwengcebiso kagqirha.
• Beka phambili ukutya okunesondlo ukuze kuthintelwe ukunqongophala kweevithamini.
• Yiba ngcathu xa usela utywala kwaye uphephe izinto ezinobuthi ezifana ne-methanol.
• Lawula iimeko zokuzikhusela komzimba okanye zokudumba esele zikhona.

Yintoni onokuyilindela ukuba une-Optic Neuritis?

Oko unokukulindela kuya kwahluka ngokuxhomekeke kuhlobo lwe-optic neuritis onayo. Iintlungu kunye nokulahlekelwa ngumbono ziqhelekile, kwaye zinokuchaphazela iliso elinye okanye omabini. Ukuchonga i-optic neuritis kunokuba yinkqubo eyoyikisayo, kwaye unokuziva udanile ngexesha lenkqubo. Khumbula ukuba awuwedwa. Xa uthetha nogqirha wakho malunga neenkxalabo zakho, usenokuyazi ukuba ufuna ukuqinisekiswa okanye ukukhuthazwa. Akunakuba yinto ephosakeleyo ukuxelela ugqirha wakho wamehlo okanye abanye ababoneleli bezempilo ukuba udinga olo hlobo lwenkxaso.

Ihlala ixesha elingakanani i-Optic Neuritis?

Ukuba oku kuhlala ixesha elingakanani kuxhomekeke kuhlobo, unyango olufumanayo, kunye nokuba olo nyango luphumelele kangakanani.

• I-optic neuritis eqhelekileyo idla ngokuba yingxaki yexesha elifutshane. Intlungu iyaphela kwiintsuku ezimbalwa (okanye iiveki), kwaye unyango lunokuyikhawulezisa. Uninzi lwabantu ekugqibeleni lufumana ukucaca, ubukhali, kunye nombono wombala. Kungathatha iiveki ezimbini okanye iinyanga ezintathu.
• I-optic neuritis engaqhelekanga inokuba yingozi ngakumbi, kwaye iziphumo zayo zinokuhlala ixesha elide, ingakumbi ukuba ayinyangwa. Abanye abantu basenokungabuyi ukubona kwabo iiveki ezintandathu nangaphezulu, kwaye inokuba yinto ehlala ihleli. Yiyo loo nto kubalulekile ukuqaphela le meko kwangethuba kwaye ufune unyango.

Iyintoni ikamva lale meko?

Imbonakalo ye-optic neuritis iyahluka, ngakumbi kuxhomekeke kuhlobo onalo:

• I-optic neuritis eqhelekileyo:Malunga nama-90% abantu baphinda babone kwakhona izinto eziqhelekileyo okanye eziphantse zibe zezoqhelekileyo kwiinyanga ezi-6 ukuya kwezili-12. Iingxaki zokubona ixesha elide zinokubakho, kodwa aziqhelekanga. Unyango lokunciphisa ukudumba ngemithambo ludla ngokusebenza ukuba luqalwe kwangethuba.
• I-Atypical optic neuritis: Imbonakalo yolu hlobo inokwahluka ngokuxhomekeke kwisizathu esiyintloko. Ngokubanzi, imbonakalo iba mandundu njengoko unyango lulibaziseka.
• I-Pediatric Optic Neuritis: Imbonakalo ye-optic neuritis kubantwana abancinci ngokubanzi ingcono kunakwabantu abadala. Abantwana abanakukwazi ukuba nemiphumo emihle yexesha elide ngenxa ye-optic neuritis. Nangona kunjalo, njengakwabantu abadala, kusekho umngcipheko wokuba i-optic neuritis isenokuba luphawu lokuqala lwe-MS. Ukuba i-optic neuritis ikhula ebuntwaneni, umngcipheko wokufunyanwa une-MS kwiminyaka engama-40 umalunga nama-26%.

Ngenxa yonxulumano phakathi kwe-optic neuritis nezinye iimeko, ugqirha wakho wamehlo unokukuthumela kwi-neurologist, i-rheumatologist, okanye zombini. Ezi ngcali zinokujonga iimpawu ze-MS okanye iimeko ezifanayo. Olu qwalaselo lunokunceda ekuchongeni ezi meko kwangethuba. Oku kubalulekile kuba kukho unyango olunokulawula ukuqhubela phambili kwezi meko.

Ukuba ndine-Optic Neuritis ngoku, okanye ndikhe ndanayo ngaphambili, ndingazinyamekela njani?

Ukuba ukrokrela ukuba une-optic neuritis, ngokuqinisekileyo kuya kufuneka ubonane nogqirha wamehlo. Uyakwazi ukuxilonga imeko aze athathe amanyathelo okuqala okuqala unyango. Usenokukuthumela kwingcali ye-neurologist, i-rheumatologist, okanye enye ingcali enokukunceda ekunyangeni le meko. Okukhona uxilongwa ngokukhawuleza kwaye uqala unyango, kokukhona amathuba akho okuphumelela enyuka.

Ndifanele ndimbone nini ugqirha wam okanye ndifune ingcebiso kagqirha?

Soloko ubona ugqirha wamehlo ukuba ubona naluphi na utshintsho ekuboneni kwakho, ingakumbi ukwehla kokubona. Ukuba ulahlekelwa ngumbono wakho ngequbuliso kwaye ungenaso isifo esinokubangela oko, udinga unyango olungxamisekileyo ngoko nangoko. Ukuba unemeko enokubangela ukulahleka kombono ngequbuliso (njenge-migraine), ugqirha wamehlo akho okanye omnye umboneleli wezempilo uya kukuxelela ukuba kufuneka ufune nini unyango olungxamisekileyo. Emva kokuba ufunyaniswe une-optic neuritis, ugqirha wamehlo akho (kunye nabanye ababoneleli bezempilo, ukuba uthunyelwe) baya kucebisa ukuba undwendwele rhoqo. Kwezo tyelelo, banokujonga imeko yakho kunye neempawu kwaye balungise unyango lwakho ukuba kuyimfuneko.

Ngaba i-Optic Neuritis isoloko ithetha i-MS?

Hayi, akusoloko kusenzeka. Kodwa, ukuba une-optic neuritisUmngcipheko wokuba ne-multiple sclerosis uphezulu kakhulu.

Okokugqibela, izinto ezimbalwa ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

I-optic neuritis inokuba yimeko ebuhlungu nesongela ubomi. Ngethamsanqa, ngenxa yophando olubanzi kwiminyaka yakutshanje, iingcali zamehlo kunye nabanye ababoneleli bezempilo baxhotyiswe kakuhle ukunyanga le meko.

Ukuba uneempawu ze-optic neuritis, bonana nengcali yamehlo ngokukhawuleza. Okukhona ufumanisa ukuba unesifo ngokukhawuleza kwaye uqale unyango, kokukhona amathuba akho okufumana iziphumo ezilungileyo enyuka.

Ukuba i-optic neuritis yakho inxulunyaniswa nesifo esinganyangekiyo esifana ne-multiple sclerosis, i-neuromyelitis optica spectrum disorder, okanye isifo esinxulumene ne-MOG-antibody, kunokunceda ekufumaneni isifo kwaye sinyangwe kwangethuba. Kukho unyango lwezi meko olunokulawula ukuqhubela phambili kwazo, kwaye olo nyango lunokukunceda kubomi bakho bemihla ngemihla kunye nemisebenzi yexesha elizayo. Ngoko ke, musa ukoyika, hlala uqinile, kwaye ufumane ingcebiso yezonyango efunekayo.