Optic Neuritis

Zoo Siab

• Leej twg yuav muaj teeb meem rau optic neuritis?
• Dab tsi ua rau optic neuritis?
• Cov tsos mob ntawm optic neuritis zoo li cas?
• Yuav kuaj li cas thiaj paub tias cov tshuaj tiv thaiv kab mob optic neuritis?
• Cov kev kho rau optic neuritis yog dab tsi?
• Dab tsi yog qhov ntev ntawm kev saib xyuas?

Dab tsi yog optic neuritis?

Cov qhov muag zaws hluav taws nqa cov ntaub ntawv pom los ntawm koj lub qhov muag mus rau koj lub hlwb. Optic neuritis (ON) yog thaum koj lub paj optic ua rau mob.

ON tuaj yeem tawg sai sai los ntawm kev kis mob lossis kab mob hlab ntsha. Qhov mob feem ntau ua rau tsis pom kev ib ntus uas feem ntau tshwm sim hauv tsuas yog ib qhov muag. Qee zaus cov neeg mob ON muaj qhov mob.Thaum koj rov zoo thiab qhov mob yuav ploj mus, koj lub zeem muag yuav rov qab los.

Lwm yam mob uas ua rau cov tsos mob uas zoo li ON ntawm. Cov kws kho mob yuav siv cov duab sib dhos (OCT) los yog cov duab kev sib nqus (MRI) txhawm rau pab txhawm rau kuaj pom qhov tseeb.

ON tsis tas yuav tsum tau kho thiab nws tuaj yeem kho tau ntawm nws tus kheej. Cov tshuaj noj, xws li corticosteroids, tuaj yeem pab kho kom rov zoo tuaj. Cov neeg feem ntau uas tau ntsib ON ua tiav (lossis yuav luag tiav) kev pom kev zoo nyob hauv ob mus rau peb hlis, tab sis nws yuav siv sijhawm ntev txog 12 lub hlis kom ua tiav qhov pom kev rov qab zoo.

Leej twg yuav muaj teeb meem rau optic neuritis?

Koj yuav tsis tsim nyob yog tias:

• koj yog poj niam hnub nyoog 18 txog 45 xyoos
• koj tau kuaj mob nrog ntau yam sclerosis (MS)
• koj nyob ntawm qhov chaw siab (piv txwv li, Qaum Teb Asmeskas, New Zealand)

Dab tsi ua rau optic neuritis?

Qhov ua rau ON tsis tau to taub zoo. Feem ntau yog idiopathic, uas txhais tau tias lawv tsis muaj qhov ua rau pom tseeb. Cov teeb meem uas paub ntau tshaj yog MS. Qhov tseeb, ON feem ntau yog thawj tus tsos mob ntawm MS. ON tuaj yeem tshwm sim vim yog kis mob lossis tiv thaiv kab mob hauv lub cev.

Cov kab mob hauv lub paj hlwb uas tuaj yeem ua rau ON muaj:

• MS
• neuromyelitis optica
• Schilder's mob (mob li mob tau pib thaum tseem yau)

Cov kab mob uas ua rau ON suav nrog:

• mob qog
• qhua pias
• tuberculosis
• Lyme kab mob
• txha caj mob viral
• mob hlab ntsws
• mob rau daim npluag qhwv
• txhav xaj

Lwm cov laj thawj ntawm ON suav nrog:

• sarcoidosis, ib qho mob uas ua rau mob rau ntau qhov hauv nruab nrog cev thiab cov ntaub so ntswg
• Guillain-Barre syndrome, tus kab mob uas koj lub cev tiv thaiv koj lub cev tsis muaj zog
• tom qab txhaj tshuaj tiv thaiv kab mob, tiv thaiv kab mob tom qab txhaj tshuaj
• qee yam tshuaj lom lossis tshuaj siv

Cov tsos mob ntawm optic neuritis zoo li cas?

Peb qhov mob feem ntau ntawm ON yog:

• tsis pom kev hauv ib lub qhov muag, uas tuaj yeem sib txawv ntawm mob me mus rau mob hnyav thiab kav ntev li 7 txog 10 hnub
• mob periocular, lossis mob ncig koj lub qhov muag uas feem ntau cuam tshuam los ntawm qhov muag txav
• dyschromatopsia, lossis qhov tsis tuaj yeem pom xim kom raug

Lwm cov tsos mob tuaj yeem suav nrog:

• photopsia, pom cov teeb cig ntsais ntsais (tawm mus rau ib sab) hauv ib lossis ob lub qhov muag
• kev pauv ntawm txoj kev uas tus tub kawm ntawv hnov ​​mob rau lub teeb ci ntsa iab
• Uhthoff's qhov tshwm sim (lossis Uhthoff's kos npe), thaum lub qhov muag pom kev tsis zoo nrog qhov nce hauv lub cev kub

Yuav kuaj li cas thiaj paub tias cov tshuaj tiv thaiv kab mob optic neuritis?

Kev kuaj mob lub cev, cov tsos mob, thiab keeb kwm kev kho mob ua lub hauv paus ntawm kev txheeb xyuas ntawm ON. Txhawm rau kom ntseeg tau txoj kev kho kom raug, koj tus kws kho mob yuav ua cov kev sim ntxiv los txiav txim qhov ua rau koj ON.

Hom mob uas tuaj yeem ua rau optic neuritis muaj xws li:

• demyelinating tus kab mob, xws li MS
• autoimmune neuropathies, xws li cov kab ke lupus erythematosus
• mob neuropathies, xws li meningioma (hom mob hlwb)
• cov mob o, xws li sarcoidosis
• kev kis mob, xws li mob sinusitis

ON yog raws li o ntawm cov leeg optic. Cov mob uas muaj cov tsos mob zoo li ON tsis hnov ​​mob nrog:

• lub xub ntiag ischemic optic neuropathy
• cov leeg tawv roj rau neeg cov leeg tso zis tso pa tawm

Vim tias kev sib txheeb ze ntawm ON thiab MS, koj tus kws kho mob yuav xav ua cov kev sim nram no:

• OCT scan, uas saib cov leeg hauv qab koj lub qhov muag
• lub hlwb MRI scan, uas siv lub zog sib nqus thiab xov tooj cua vuam los tsim cov duab ntxaws ntawm koj lub hlwb
• CT scan, uas tsim duab duab xoo hluav taws xob los ntawm koj lub hlwb lossis lwm qhov ntawm koj lub cev

Cov kev kho rau optic neuritis yog dab tsi?

Feem ntau ntawm ON rov qab yam tsis tau kho. Yog tias koj ON yog los ntawm lwm qhov mob, kho qhov mob ntawd feem ntau yuav daws tau ON.

Kev Kho Mob Rau ON suav nrog:

• tso ntshav methylprednisolone (IVMP)
• Tso tshuaj immunoglobulin (IVIG)
• interferon hno

Kev siv tshuaj corticosteroids xws li IVMP yuav muaj kev phom sij tsis zoo. Cov kev mob tshwm sim tsis tshua muaj mob ntawm IVMP suav nrog kev nyuaj siab hnyav thiab kev mob ua tiav.

Feem ntau cov kev mob tshwm sim ntawm kev kho steroid muaj xws li:

• pw tsaug zog
• kev hloov pauv me me
• mob plab dhau

Dab tsi yog qhov ntev ntawm kev saib xyuas?

Cov neeg feem ntau nrog ON yuav muaj ib feem los ua kom tiav cov tsis pom kev zoo nyob rau hauv 6 txog 12 hlis. Tom qab ntawd, kev kho kom zoo dua li qub txo thiab kev puas tsuaj yog qhov ntxiv tas mus li. Txawm hais tias muaj lub zeem muag rov zoo, ntau yam tseem yuav muaj qhov sib txawv ntawm kev puas tsuaj rau lawv cov leeg paj.

Lub qhov muag yog qhov tseem ceeb ntawm lub cev. Chaw nyob ceeb toom cov cim qhia txog kev puas tsuaj mus ntev nrog koj tus kws kho mob ua ntej lawv tsis tuaj yeem hloov kho. Cov kev qhia ceeb toom no suav nrog koj lub zeem muag zuj zus mus ntev dua ob asthiv thiab tsis muaj kev txhim kho zoo tom qab yim lub lis piam.