Kungenzeka ukuthi utshelwe ukuthi unethuba elihle lokuthuthukisa i- multiple sclerosis (MS) esikhathini esizayo uma uke wahlangabezana ne-neticitis optic. Ucwaningo oluthile oluthola ukuthi cishe ingxenye yabantu abathuthukisa i-optic neuritis baqala ukusebenza nge-MS engakapheli iminyaka engu-15, nakuba kwakuncane kakhulu uma bengenayo izilonda emgqeni we-MRI.
Ngezinye izilinganiso, abantu abangamaphesenti angama-80 abantu abane-MS bazoba nezimpawu ezihlobene nombono, okuvame kakhulu ukuba ne-neuritis ye-optic.
Abantu abangamaphesenti angama-20 abantu abane-MS bathola i-optic neuritis njengesifo sabo sokuqala.
Izimbangela
Lesi simo sisho ukuthi "ukuvuvukala kwesibindi se-optic." I-nertic optic ihlobanisa iso ebuchosheni, futhi i-MS ingalimaza lesi sakhiwo sokuxhuma, okuholela ekuphazamiseni kombono. I-neuritis esebenzayo e-MS ibangelwa ukudilizwa okuvuthayo kwesibindi se-optic. Ngamanye amazwi, inqubo yokuvuvukala yonakalisa umgogodla we-myelin owawuzungeza le nsimbi yokugcoba, okwenza ukuba nesibindi senze ukungasebenzi okuholela ekuphazamiseni okubonakalayo.
Izimpawu Nezibonakaliso
- Iningi labantu abane-optic neuritis (cishe amaphesenti angu-90) lizwa ubuhlungu lapho lihamba. Lobu buhlungu buvame ukuhamba ngemva kwezinsuku ezimbalwa, ngisho noma umbono usabathintekile.
- Umbono ophuphuthekile, ukukhanya okunciphisa, ukukhanya, noma ukukhanya kokukhanya lapho amehlo eshukunyiswa (okuthiwa i-photopsia), ukulahlekelwa kombala wombala (i- dyschromatopsia ), "indawo engenalutho" phakathi kweso, okuthiwa i-scotoma.
- Ukuqala okusheshayo (ngokuvamile), ngokulahlekelwa kombono okwedlule kwenzeka phakathi kwamasonto amabili kuya kwamabili.
- Ngokuvamile kuthinta iso ngalinye ngesikhathi. Ezingamaphesenti angaba ngu-10 amacala, izimpawu zenzeka emehlweni womabili, noma ngesikhathi esisodwa noma ngokulandelana okusheshayo.
- Ngemuva kwe-optic neuritis, kuvamile ukuzwa okuthile okubizwa ngokuthi yi- Uthoff , okuyinto ukulahleka kombono okuvela lapho ukushisa komzimba kwakho kuphakama , njengomkhuhlane noma eshisayo esishisayo. Eqinisweni, lokhu okuhlangenwe nakho kungaba yisibonakaliso sokuthi umuntu une-neticitis optic esikhathini esidlule okungenzeka ukuthi ayengazi.
- Ngemva kokubona i-neuritis optic, abantu bangabona ukuthi umbono wabo ungcono ezinsukwini ezithile kunabanye, noma ukuthi bangabona ngokucacile ekuseni kunokuba benza kusihlwa.
Ukuxilongwa
Ukuhlolwa kwe-ophthalmologic kuyisici esibucayi ekuhloleni i-optic neuritis, futhi i-MRI ekhulisiwe ye-griolinium yobuchopho ne-optic nererve ingasetshenziswa futhi. Uma usuvele uthola ukuthi une-MS, udokotela wakho angase aphule ngakwesokudla ekuphatheni ngemva kokuhlolwa kwakho, uma kutholakala neuritis optic.
Ukwelapha
I- corticosteroids ye -high-dose, okuyi -Solu-Medrol engaphakathi , iboniswe ukuthi iyasebenza ekunciphiseni ubude be-optic neuritis, kodwa cishe ayinamthelela embonweni wesikhathi eside. Abantu abangaphezu kwamaphesenti angama-90 baqala ukuzitholela bodwa phakathi nenyanga ngaphandle kokwelashwa kwe-steroid. I-steroid yomlomo ibonakala ingenayo inzuzo encane noma ingenayo imiphumela emibi futhi kufanele igwenywe.
Kubonakala sengathi i-optic neuritis izophindaphinda ngamaphesenti angu-33 abantu, noma ibuyele kwelinye ilanga noma liphinde lithinte iso elifanayo futhi.
Ukubuyisela nokubhekana
Ngesikhathi se-optic neuritis, ukulahleka kombono emehlweni noma othintekayo kungabonakala kukhulu-ngisho nokuphunga okuphelele akuvamile. Ngokujabulisayo, abantu abaningi baphila kahle futhi babuyisele umbono wabo, kodwa kungathatha izinyanga ezimbalwa ukuze bavuselele ngokugcwele.
Kodwa-ke, ukulahlekelwa okuqhubekayo okungapheli kokucacile noma ukunciphisa umbala wokubona kweso elithintekile kungenzeka.
Kubalulekile ukwazi ukuthi i-optic neuritis ingaba nezimbangela ezihlukahlukene (futhi isondela ekwelapheni), ngakho-ke ngisho noma une-MS futhi uqiniseka ngokuqinisekile ukuthi kungani ubhekana nezinkinga ezibukwayo, kufanele ubone udokotela wakho. Uzokutshela ophthalmologist noma i-neuro-ophthalmologist ukuze kuhlolwe. Njengezinye eziningi zezimpawu ze-MS, izinkinga ezibukwayo zingase zifike futhi zihambe kulo lonke lesi sifo.
> Imithombo
> I-Optic Neuritis. I-Mayo Clinic.
> I-Optic Neuritis Study Group. I-Multiple Sclerosis Risk emva kwe-Optic Neuritis: I-Final Optic Neuritis Treatment Trial Trial Ukulandelwa. I-Archives ye-Neurology . 2008; 65 (6): 727-732. doi: 10.1001 / archneur.65.6.727.