Amaurosis fugax

Amaurosis fugax yog qhov tsis pom kev ib ntus nyob rau hauv ib lossis ob lub qhov muag vim tsis muaj ntshav txaus rau qhov retina. Tus retina yog lub teeb pom kev zoo ntawm cov nqaij hauv qab ntawm lub pob muag.

Amaurosis fugax tsis yog nws muaj mob. Hloov chaw, nws yog lub cim ntawm lwm qhov kev ntshawv siab. Amaurosis fugax tuaj yeem tshwm sim los ntawm ntau yam. Ib qho ua rau muaj thaum ntshav txhaws lossis ib qho quav hniav ua rau cov leeg ntshav ntawm lub qhov muag. Cov ntshav txhaws lossis cov quav hniav tawm feem ntau mus los ntawm cov leeg loj dua, xws li carotid leeg hauv caj dab lossis leeg ntshav hauv plawv, mus rau cov leeg ntawm lub qhov muag.

Cov quav hniav yog cov tshuaj tawv tawv uas tsim thaum rog, cov roj cholesterol, thiab lwm yam khoom tsim hauv cov hlab ntsha. Yam txaus ntshai muaj xws li:

• Kab mob hauv lub plawv, tshwj xeeb yog lub plawv dhia tsis xwm yeem
• Cawv kev quav cawv
• Siv yeeb siv tshuaj
• Mob ntshav qab zib
• Tsev neeg muaj keeb kwm mob ntshav khov
• Ntshav siab
• Cov roj (cholesterol) siab
• Nce hnub nyoog
• Haus luam yeeb (cov neeg uas haus luam yeeb ib hnub ntim ob zaug lawv yuav muaj mob hlab ntsha hlwb)

Amaurosis fugax kuj tseem tuaj yeem tshwm sim vim lwm qhov kev cuam tshuam xws li:

• Lwm qhov teeb meem qhov muag, xws li mob o ntawm cov leeg kho qhov muag (optic neuritis)
• Cov kab mob hauv cov hlab ntshav hu ua polyarteritis nodosa
• Mob taub hau heev
• Mob hlav
• Lub taub hau raug mob
• Ntau tus sclerosis (MS), mob rau cov leeg ntshav vim lub cev tiv thaiv kab mob rau cov leeg hlwb
• Systemic lupus erythematosus, tus kab mob autoimmune uas lub nruab nrog cev tiv thaiv cov kab mob noj qab haus huv thoob plaws lub cev

Cov tsos mob muaj xws li tsis pom kev sai sai hauv ib lossis ob lub qhov muag. Qhov no feem ntau kav rau ob peb feeb mus rau ob peb feeb. Tom qab ntawd, kev pom kev rov zoo li qub. Qee tus neeg piav qhia txog qhov tsis pom kev zoo li lub ntsej muag txho lossis tsaus nti tsaus nti los rau ntawm lub qhov muag.

Tus kws saib xyuas kev noj qab haus huv yuav ua tiav kev kuaj qhov muag thiab lub paj hlwb. Muaj qee kis, kev kuaj qhov muag yuav pom lub ntsej muag uas cov ntshav txhaws ua rau cov leeg ntshav ntws tau.

Kev ntsuam xyuas uas yuav ua tau muaj xws li:

• Ultrasound lossis sib nqus resonance angiography scan ntawm carotid leeg mus xyuas seb cov ntshav txhaws lossis cov quav hniav
• Kev kuaj ntshav ntsuam xyuas cov ntshav roj thiab ntshav qab zib kom ntshav
• Kev ntsuam xyuas lub plawv, xws li ECG los kuaj nws cov haujlwm hluav taws xob

Kev kho mob ntawm amaurosis fugax nyob ntawm nws qhov ua rau. Thaum amaurosis fugax yog vim ntshav txhaws lossis quav hniav, qhov txhawj xeeb yog los tiv thaiv kom txhob mob stroke. Cov hauv qab no tuaj yeem pab tiv thaiv kom txhob mob stroke:

• Zam kev ua zaub mov muaj roj thiab ua raws kev noj qab haus huv, kev noj haus kom tsawg. TSIS TXHOB haus ntau dua li 1 mus rau 2 khob cawv ib hnub.
• Kev tawm dag zog tsis tu ncua: 30 feeb nyob rau ib hnub yog tias koj tsis rog dhau; 60 rau 90 feeb ib hnub yog tias koj rog dhau.
• Txiav Luam Yeeb.
• Cov neeg feem ntau yuav tsum tsom rau qhov ntshav siab qis dua 120 txog 130/80 hli Hg. Yog tias koj muaj ntshav qab zib lossis muaj mob stroke, koj tus kws kho mob yuav hais kom koj ua kom ntshav qis.
• Yog tias koj muaj ntshav qab zib, mob plawv, lossis ua kom cov hlab ntshav txha hnyav, koj cov roj cholesterol LDL (phem) yuav tsum qis dua 70 mg / dL.
• Ua raws li koj tus kws kho mob cov phiaj xwm kho mob yog tias koj muaj ntshav siab, ntshav qab zib, ntshav siab, lossis mob plawv.

Koj tus kws kho mob tseem yuav hais kom:

• Tsis muaj kev kho mob. Koj tsuas yog xav tau kev mus ntsib ib ntus xwb txhawm rau kuaj kev noj qab haus huv ntawm koj lub plawv thiab cov hlab ntsha carotid.
• Cov tshuaj aspirin, warfarin (Coumadin), lossis lwm yam tshuaj ua ntshav muaj ntshav qis dua tuaj yeem txo koj cov ntshav phom sij tuaj.

Yog tias qhov loj ntawm cov carotid artery pom kev thaiv, carotid endarterectomy phais yog ua tiav kom tshem tawm qhov txhaws. Qhov kev txiav txim siab ua kev phais mob kuj yog los ntawm koj kev noj qab haus huv tag nrho.

Amaurosis fugax ntau ntxiv koj txoj kev pheej hmoo ntawm mob hlab ntsha tawg.

Hu rau koj tus kws kho mob yog tias tsis pom kev zoo. Yog tias cov tsos mob ntev dua ob peb feeb lossis yog tias muaj lwm cov tsos mob nrog lub zeem muag ploj, nrhiav kev kho kom sai.

Cov chaw dig muag hloov pauv sai; Cov sij hawm hloov chaw monocular tsis pom kev; TMVL; Cov sij hawm hloov chaw monocular tsis pom kev; Cov sij hawm rau cov hlauv hliv qhov muag pom ploj; TBVL; Lub qhov muag pom ib ntus - amaurosis fugax

• Retina

Biller J, Ruland S, Schneck MJ. Ischemic cerebrovascular tus kab mob. Hauv: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology nyob rau hauv Kev Soj Ntsuam. 7 tus ed. Philadelphia, PA: Elsevier; 2016: chap 65.

Xim av GC, Sharma S, Brown HLI. Cov leeg mob isrogenic. Hauv: Schachat AP, Sadda SVR, Hinton DR, Wilkinson CP, Wiedemann P, eds. Ryan's Retina. 6 tus ed. Philadelphia, PA: Elsevier; 2018: chap 62.

Meschia JF, Bushnell C, Boden-Albala B, li al. Cov lus qhia rau kev tiv thaiv kev tiv thaiv mob stroke thawj: ib nqe lus rau cov kws kho mob los ntawm American Heart Association / American Stroke Association. Mob stroke. Xyoo 2014; 45 (12): 3754-3832. PMID: 25355838 pubmed.ncbi.nlm.nih.gov/25355838/.