Neuritis mataala

O le neura mata e aveina ata o mea o vaʻai i mata i le faiʻai. A fulafula pe mumu lenei neula, e taʻua o le optic neuritis. E ono mafua ai faʻafuaseʻi, faʻaititia le vaʻai ile mata ua aʻafia.

Le mafuaʻaga tonu o optic neuritis e leʻo iloaina.

O le neeaʻi mata e aveina faʻamatalaga vaʻaia mai lou mata i le faiʻai. E mafai ona fulafula le neula peʻa faʻafuaseʻi ona mu. O le fulafula mafai faʻaleagaina neura alava. Lenei mafai mafua ai puʻupuʻu poʻo se taimi umi leiloa o vaʻai.

Tulaga na fesoʻotaʻi ma optic neuritis aofia ai:

• O faʻamaʻi o le Autoimmune, e aofia ai le lupus, sarcoidosis, ma le Behçet faʻamaʻi
• Cryptococcosis, o se faʻamaʻi pipisi
• O siama siama, e aofia ai le fatafata vaivai, syphilis, faamaʻi Lyme, ma le fiva faiʻai
• O faʻamaʻi pipisi, e iai ma le viral encephalitis, misela, rubella, tanesusu, herpes zoster, mumps, ma mononucleosis
• Faʻamaʻi pipisi, e aofia ai le mycoplasma pneumonia ma isi faʻamaʻi masani o loʻo i luga
• Faʻatele sclerosis

Faʻailoga e ono aofia ai:

• Leiloa o le vaʻai i le tasi mata i le sili atu i le itula poʻo ni nai itula
• Suiga i le auala e tali atu ai le tamaititi i le malamalama susulu
• Leiloa o le vaʻai lanu
• Tiga pe a minoi lou mata

Ole suʻega faʻafomaʻi e mafai ona fesoasoani ile faʻateʻaina o faʻamaʻi. O suʻega e mafai ona aofia ai:

• Valivali vaʻai faʻaaliga
• MRI o le faiʻai, aofia ai faʻapitoa ata o le optic neula
• Suʻega vaʻai vaʻaia
• Suʻega vaʻai vaʻai
• Suʻega o le optic disc e faʻaaogaina ai le ophthalmoscopy e le tuʻufaʻatasia

Vaʻaia masani ona toe foi i le masani i totonu o le 2 i le 3 vaiaso e aunoa ma se togafitiga.

O Corticosteroids e avatua i le alatoto (IV) pe ave e le gutu (oral) e ono faʻateleina ai le toe malosi. Ae ui i lea, o le vaʻai mulimuli e le sili atu ma steroid nai lo le leai. Tautala fofo mafai moni faateleina ai le avanoa o le toe tupu.

O isi suʻega atonu e manaʻomia e saili ai le mafuaʻaga o le neuritis. O le tulaga mafua ai le faʻafitauli ono mafai ona togafitia.

O tagata e maua i le neuritis optic e aunoa ma se faʻamaʻi e pei o le tele o sclerosis e tele se avanoa e toe faʻaleleia ai.

Optic neuritis e mafua mai ile tele o sclerosis poʻo isi faʻamaʻi ole autoimmune e leaga lona manatu. Peitaʻi, o le vaʻai i mata ua afaina e ono toe foʻi lava i le tulaga masani.

Faʻafitauli e ono aofia ai:

• Tino-lautele itu aafiaga mai corticosteroids
• Leiloa se vaʻai

Nisi tagata o loʻo i ai se vaega o optic neuritis o le a atiaʻe neula faʻafitauli i isi nofoaga i le tino pe atiaʻe tele sclerosis.

Valaau vave lau fomaʻi pe a fai e te faʻafuaseʻi ona le toe vaʻai ile tasi mata, ae maise pe a tiga ou mata.

A faʻapea ua maua oe ile faʻamaʻi ole neuritis optic, valaʻau lau fomaʻi pe a fai:

• Lau vaʻai faʻaititia.
• E atili ai ona tiga le mata.
• O au faʻailoga e le alualu i luma i totonu o le 2 i le 3 vaiaso.

Neuritis Retro-bulbar; Faʻatele sclerosis - optic neuritis; Neivi opitika - neura o mata

• Tele sclerosis - faʻateʻaina

• Foaʻi i fafo ma totonu mata

Calabresi PA. Tele sclerosis ma demyelinating tuutuuga o le ogatotonu sisitema sisitema. I totonu: Goldman L, Schafer AI, eds. Faʻafomaʻi Goldman-Cecil. 26th lomiga. Filatelefia, PA: Elsevier; 2020: chap 383.

Moss HE, Guercio JR, Balcer LJ. Fuafua optic neuropathies ma neuroretinitis. I: Yanoff M, Duker JS, lomiga. Fomaʻi faʻapitoa. 5th ed. Filatelefia, PA: Elsevier; 2019: chap 9.7.

Prasad S, Balcer LJ. Le masani ai o le neura optic ma retina. I totonu: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology i Fomaʻi Faʻataʻitaʻi. 7th ed. Filatelefia, PA: Elsevier; 2016: mata 17.