Optic neuritis

Mothapo oa mahlo o na le litšoantšo tsa seo leihlo le se bonang bokong. Ha methapo ena e ruruha kapa e ruruha, e bitsoa optic neuritis. E ka baka pono ea tšohanyetso le e fokotsehileng leihlong le amehileng.

Ha ho tsejoe hantle hore na optic neuritis e bakoa ke eng.

Mothapo oa mahlo o tsamaisa boitsebiso bo bonahalang ho tloha leihlong la hao ho ea bokong. Metsing e ka ruruha ha e ka ruruha ka tšohanyetso. Ho ruruha ho ka senya likhoele tsa methapo. Sena se ka baka pono e khuts'oane kapa e telele.

Maemo a amanang le optic neuritis a kenyelletsa:

• Ho itšireletsa mafung, ho kenyelletsa lupus, sarcoidosis le lefu la Behçet
• Cryptococcosis, tšoaetso ea fungal
• Tšoaetso ea baktheria, ho kenyelletsa lefuba, syphilis, lefu la Lyme le meningitis
• Ts'oaetso ea vaerase, ho kenyeletsoa encephalitis ea vaerase, mmaselese, rubella, khokonyane, herpes zoster, mumps le mononucleosis
• Ts'oaetso ea ho hema, ho kenyelletsa mycoplasma pneumonia le mafu a mang a tloaelehileng a tšoaetsanoang a phefumoloho
• Multiple sclerosis

Matšoao a ka kenyelletsa:

• Ho lahleheloa ke pono ka leihlo le le leng ho feta hora kapa lihora tse 'maloa
• Liphetoho tseleng eo seithuti se itšoarang ka eona ha se chabeloa ke leseli le khanyang
• Ho lahleheloa ke pono ea 'mala
• Bohloko ha o tsamaisa leihlo

Tlhahlobo e felletseng ea bongaka e ka thusa ho felisa mafu a amanang le ona. Liteko li ka kenyelletsa:

• Ho lekoa ha pono ea mebala
• MRI ea boko, ho kenyelletsa le litšoantšo tse ikhethang tsa methapo ea mahlo
• Teko ea mahlo a mahlo
• Teko ea tšimo ea pono
• Ho hlahlojoa ha disc ea optic ho sebelisa ophthalmoscopy e sa tobang

Pono hangata e khutlela setloaeling nakong ea libeke tse 2 ho isa ho tse 3 ntle le kalafo.

Corticosteroids e fanoang ka mothapo (IV) kapa e nkiloeng ka molomo (molomo) e ka potlakisa ho fola. Leha ho le joalo, pono ea ho qetela ha e betere ka li-steroid ho feta ntle le. Li-steroids tsa molomo li ka eketsa monyetla oa ho ipheta.

Ho ka hlokahala liteko tse ling ho fumana sesosa sa neuritis. Boemo bo bakang bothata bo ka khona ho phekoloa.

Batho ba nang le optic neuritis ntle le lefu le kang multiple sclerosis ba na le monyetla o motle oa ho fola.

Optic neuritis e bakoang ke multiple sclerosis kapa mafu a mang a ikemetseng a na le pono e futsanehileng. Leha ho le joalo, pono ponong ea leihlo le amehileng e ntse e ka khutlela setloaeling.

Mathata a ka kenyelletsa:

• Litla-morao tsa 'mele ka bophara ho tsoa ho corticosteroids
• Ho lahleheloa ke pono

Batho ba bang ba nang le sekhechana sa optic neuritis ba tla ba le mathata a methapo libakeng tse ling 'meleng kapa ba be le multiple sclerosis.

Bitsa mofani oa hao oa tlhokomelo ea bophelo hang-hang haeba u ka lahleheloa ke pono ka tšohanyetso ka leihlo le le leng, haholo-holo haeba u e-na le bohloko ba mahlo.

Haeba u fumanoe u e-na le optic neuritis, letsetsa mofani oa tlhokomelo ea bophelo haeba:

• Pono ea hau ea fokotseha.
• Bohloko bo ka leihlong boa mpefala.
• Matšoao a hau ha a ntlafatse nakong ea libeke tse 2 ho isa ho tse 3.

Retro-bulbar neuritis; Multiple sclerosis - optic neuritis; Optic methapo ea kutlo - optic neuritis

• Multiple sclerosis - ho tsoa

• Boemo ba mahlo ba kantle le ba kahare

Calabresi PA. Multiple sclerosis le maemo a demyelinating a sistimi ea methapo e bohareng. Ka: Goldman L, Schafer AI, li-eds. Phekolo ea Goldman-Cecil. La 26th. Philadelphia, PA: Elsevier; 2020: khaolo ea 383.

Mohlankana HE, Guercio JR, Balcer LJ. Ho ruruha ha optic neuropathies le neuroretinitis. Ka: Yanoff M, Duker JS, bahlophisi. Ophthalmology. La 5th. Philadelphia, PA: Elsevier; 2019: khaolo ea 9.7.

Prasad S, Balcer LJ. Lintho tse sa tloaelehang tsa methapo ea optic le retina. Ka: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, bahlophisi. Neurology ea Bradley ho Tloaelo ea Bongaka. La 7th. Philadelphia, PA: Elsevier; 2016: khaolo ea 17.