Neuritis e ui mai

Anotusi

• O ai e ono lamatia mo optic neuritis?
• O le a le mafuaʻaga neuritis optic?
• O a faʻailoga o le optic neuritis?
• Faʻafefea ona maua se faʻamaʻi neitis
• O a togafitiga mo neuritis optic neurology?
• O le a le vaaiga mamao?

O le a le optic neuritis?

O le neura e ui mai e aveina faʻamatalaga vaʻaia mai lou mata i lou faiʻai. Optic neuritis (ON) o le taimi na mu ai lou neura mata.

ON mafai ona oso faʻafuaseʻi mai se siama poʻo neula faamaʻi. O le mumu e masani ona mafua ai le leiloa vaʻai vaʻai e masani ona tupu i le tasi mata. O i latou e ON ONA o latou lagona le tiga.A e faʻamalolo ma aluese le fulafula, o lau vaʻai e ono toe foʻi.

O isi tuutuuga e aliaʻe i faʻailoga e foliga tutusa ma ON. Fomaʻi mafai faʻaaoga opitika soʻofaʻatasi tomography (OCT) poʻo le maneta resonance imaging (MRI) e fesoasoani e oʻo ai i le saʻo faʻamaoniga.

ON e le masani manaʻomia togafitiga ma mafai ona faʻamalolo na o ia lava. O vailaʻau, pei o le corticosteroids, e mafai ona fesoasoani e faʻavave ai ona toe faʻaleleia. Ole toʻatele e maua le poto masani I luga ole laiga atoatoa (pe toeititi maeʻa) vaʻai i totonu ole lua i le tolu masina, ae e ono oʻo atu ile 12 masina e maua ai le vaʻai mamao.

O ai e ono lamatia mo optic neuritis?

E sili atu ona e atiaʻe ON pe a fai:

• o oe o se fafine i le va o tausaga o 18 ma 45
• ua uma ona maua oe ile maʻi ole sclerosis (MS)
• oe nofo i le maualuga latitude (mo se faʻataʻitaʻiga, North United States, Niu Sila)

O le a le mafuaʻaga neuritis optic?

O le mafuaʻaga o ON e le malamalama lelei. Tele o mataupu e idiopathic, o lona uiga e leai se mafuaʻaga faʻailoa. Ole mafuaʻaga sili ona lauiloa ole MS. O le mea moni, ON e masani ona avea ma faʻailoga muamua o le MS. O le ON e mafai foi ona mafua mai i siama poʻo le tali atu o le immune system.

O faʻamaʻi neula e mafua ai le ON aofia ai:

• MS
• neuromyelitis optika
• Schilder's faamaʻi (o se faaumiumi demyelinating tuutuuga e amata i le tamaitiiti)

O faʻamaʻi e ono mafua ai le ON aofia ai:

• mumps
• misela
• mamapala
• Faamaʻi Lyme
• viral encephalitis
• sinusitis
• fiva faiʻai
• shingles

Isi mafuaʻaga o le ON aofia ai:

• sarcoidosis, o se maʻi e mafua ai le fulafula i totoga eseese ma aano o le tino
• Guillain-Barre syndrome, o se faʻamaʻi e osofai ai e lou tino sisitema lou tino popole
• tali atu postvaccination, o se tali atu puipuia pe a uma tui
• ni vailaʻau poʻo ni vailaʻau

O a faʻailoga o le optic neuritis?

O faʻailoga masani e tolu ole ON o le:

• leiloa mata i le tasi mata, lea e mafai ona fesuisuiaʻi mai le agamalu i le ogaoga ma tumau mo le 7 i le 10 aso
• periocular tiga, poʻo le tiga i ou mata e masani ona faʻateleina e gaioiga a le mata
• dischromatopsia, poʻo le le mafai ona vaʻai saʻo i lanu

O isi faʻailoga e mafai ona aofia ai:

• Photopsia, vaʻaia o moli uila (alu i le itu) i le tasi pe o mata uma e lua
• suiga i le auala e tali atu ai le tamaititi i le malamalama susulu
• Ole mea taua a Uhthoff (poʻo le faʻailoga a Uhthoff), a leaga le vaʻai a mata ile faʻatele ole vevela ole tino

Faʻafefea ona maua se faʻamaʻi neitis

O se suʻega faʻaletino, faʻailoga, ma talaʻaga faʻafomaʻi o loʻo avea ma faʻavae o se faʻamaoniga o le ON Ina ia mautinoa togafitiga saʻo, e mafai e lau fomaʻi ona faia ni faʻaopopo faʻasologa e fuafua ai le mafuaʻaga o lau ON.

Ituaiga o maʻi e mafua ai optic neuritis aofia ai:

• faʻamaʻi faʻamaʻi, pei ole MS
• neuropathies autoimmune, pei o systemic lupus erythematosus
• neuropathies faʻapipiʻi, pei o meningioma (o se ituaiga o faiʻai fula)
• afaina tulaga, pei o le sarcoidosis
• faʻamaʻi pipisi, pei o le sinusitis

ON e pei o le fulafula o neura mata. Tulaga ma faʻailoga e pei o le ON e le afaina e aofia ai:

• pito i luma ischemic optic neuropathy
• Leber hereditary optic neuropathy

Ona o le vavalalata vavalalata i le va o le ON ma le MS, atonu e manaʻo lau fomaʻi ona faia faʻatonuga nei:

• OCT scan, lea e vaʻai i neura i tua o ou mata
• faiʻai MRI scan, lea e faʻaaogaina ai se malae maneta ma galu o leitio e fausia ai se ata auiliili o lou faiʻai
• CT scan, lea e faʻatupuina se ata feʻaveaʻi o le faiai o lou faiʻai poʻo isi vaega o lou tino

O a togafitiga mo neuritis optic neurology?

Tele o mataupu o le ON toe faaleleia e aunoa ma togafitiga. Afai o lau ON o le iʻuga o se isi tulaga, togafitia o lena tulaga o le a masani ona fofo le ON.

Togafitiga mo le ON aofia ai:

• inthvenprous methylprednisolone (IVMP)
• intravenous immunoglobulin (IVIG)
• tui faʻasoesa

Faʻaaogaina o vailaʻau pei o le IVMP e ono iai ni aʻafiaga leaga. O aʻafiaga seasea o le IVMP e aofia ai le matua faʻanoanoaga ma pancreatitis.

O aʻafiaga masani ole togafitiga o vailaʻau e aofia ai:

• le lelei o le moe
• e suia le agamalu
• manava le manava

O le a le vaaiga mamao?

Tele o tagata ma ON o le a iai ni vaega e faʻamaeʻaina ai le toe faʻaleleia i totonu ole 6 i le 12 masina. Mulimuli ane, faʻamalologa fua faʻaititia ma faʻaleagaina e sili atu tumau. E oʻo lava i le lelei vaʻai mamao, o le tele o le a i ai lava se fesuiaiga aofaʻi o le faʻaleagaina o latou optic neura.

O le mata o se vaega taua o le tino. Talanoa faʻailo faʻailo o tumau tumau faʻaleagaina ma lau fomaʻi ae latou te le mafai ona toe suia. O nei lapataiga faʻailo aofia ai lau vaʻai faʻalauteleina mo le sili atu ma le lua vaiaso ma leai se faʻaleleia atili ina ua mavae le valu vaiaso.