Cudurka indhaha

Dareemaha indhaha wuxuu xambaarsan yahay sawirro waxa ay isha ku aragto maskaxda. Marka dareemahani bararo ama bararo, waxaa loo yaqaan 'optic neuritis'. Waxay ku keeni kartaa aragga si lama filaan ah, hoos u dhaca isha ay saameysay.

Sababta saxda ah ee neuritis optic lama yaqaan.

Dareemka indhaha wuxuu ishaada ka qaadaa macluumaadka indhahaaga illaa maskaxda. Dareemayaasha ayaa barari kara markay si lama filaan ah u bararaan. Bararku wuxuu dhaawici karaa fiilooyinka neerfaha. Tani waxay sababi kartaa aragti gaabni ama waqti-dheer.

Xaaladaha lala xiriiriyay cudurka neerfaha ee indhaha waxaa ka mid ah:

• Cudurada iswada, sida lupus, sarcoidosis, iyo cudurka Behçet
• Cryptococcosis, infekshan fungal ah
• Caabuqyada bakteeriyada, oo ay ka mid yihiin qaaxada, waraabowga, cudurka Lyme, iyo qoorgooyaha
• Infekshannada fayraska, oo ay kujiraan encephalitis-ka fayraska, jadeecada, rubella, busbuska, herpes zoster, qaamo-qashiirta, iyo mononucleosis
• Infekshannada neef-mareenka, oo ay ka mid yihiin mycoplasma oof-wareenka iyo cudurrada kale ee neef mareenka sare ee guud
• Cudurka 'sclerosis' oo badan

Calaamadaha waxaa ka mid noqon kara:

• Aragti lumis hal il ka badan saacad ama dhowr saacadood
• Isbedelada habka ardaygu ugu falcelinayo iftiinka dhalaalaya
• Luminta aragga midabka
• Xanuun markaad isha dhaqaajiso

Baadhitaan caafimaad oo dhammaystiran ayaa kaa caawin kara kahortagga cudurada la xiriira. Tijaabooyinka waxaa ka mid noqon kara:

• Tijaabinta aragtida midabka
• MRI maskaxda, oo ay ku jiraan sawirro gaar ah oo ku saabsan dareemaha indhaha
• Baadhitaanka aragga ee aragga
• Tijaabinta muuqaalka muuqaalka
• Baadhitaanka maqaarka indhaha iyadoo la adeegsanayo indhthalmoscopy aan toos ahayn

Aragtida badanaa caadi ayey ku soo noqotaa 2 ilaa 3 toddobaad gudahood iyada oo aan wax daawo ah la helin.

Corticosteroids lagaa siiyo xididka (IV) ama afka lagu qaato (afka) ayaa soo dedejin kara soo kabashada. Si kastaba ha noqotee, aragtida ugu dambeysa kama fiicna steroids iyada oo aan lahayn. Steroids-ka afka laga qaato ayaa runtii kordhin kara fursadda soo noqoshada.

Tijaabooyin dheeri ah ayaa loo baahan karaa si loo helo sababta neuritis-ka. Xaaladda dhibaatada keenta waa la daweyn karaa.

Dadka qaba optic neuritis-ka oo aan lahayn cudur sida cudurka loo yaqaan 'sclerosis' waxay leeyihiin fursad fiican oo ay ku bogsadaan.

Cudurka 'Optic neuritis' ee uu sababo cudurka 'sclerosis multiple' ama cudurada kale ee isdifaaca jirka ayaa leh aragti liidata. Si kastaba ha noqotee, aragga indhaha ay dhibaatadu saameysey ayaa wali caadi kusoo noqon kara.

Dhibaatooyinka waxaa ka mid noqon kara:

• Dhibaatooyinka jirka oo dhan ka yimaada corticosteroids
• Aragtida oo lumisa

Dadka qaarkiis ee ay dhacdo dhacdo neeritis indhaha ayaa ku dhici doona dhibaatooyinka neerfaha meelo kale oo jirka ka mid ah ama waxay ku dhici doonaan cudurka 'sclerosis'.

Wac daryeel caafimaad bixiyaha isla markaaba haddii si kadis ah araggaaga hal il kuugu dhaco, qaasatan haddii aad isha isku aragto.

Haddii lagaa helay cudurka neuritis optic, wac daryeel caafimaad bixiyaha haddii:

• Aragtidaadu way yaraanaysaa.
• Xanuunka isha ayaa ka sii daraya.
• Calaamadahaaga kuma soo hagaagayaan 2 ilaa 3 toddobaad gudahood.

Neuritis Retro-bulbar; Cudurka 'sclerosis' badan - neuritis indhaha; Dareemka indhaha - neuritis optic

• Cudurka 'sclerosis' - dheecaan badan

• Jirka anatomy ee dibadda iyo gudaha ah

Calabresi PA. Cudurka 'sclerosis' badan iyo xaaladaha demyelinating ee habka dhexe ee neerfayaasha. Gudaha: Goldman L, Schafer AI, eds. Daawada Goldman-Cecil. 26aad. Philadelphia, PA: Elsevier; 2020: baab 383.

Moss HE, Guercio JR, Balcer LJ. Cudurka 'neuropathies infakshanka' iyo 'neuroretinitis'. Gudaha: Yanoff M, Duker JS, eds. Indhaha. 5aad. Philadelphia, PA: Elsevier; 2019: baab 9.7.

Prasad S, Balcer LJ. Cilladaha ku dhaca dareemayaasha indhaha iyo isha. Gudaha: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology ee Tababbarka Caafimaadka. 7aad ed. Philadelphia, PA: Elsevier; 2016: cutubka 17.