Amaurosis fugax

Cudurka 'Amaurosis fugax' waa lumis ku-meel-gaadh ah oo aragga ah mid ama labada indhoodba sababtoo ah socodka dhiigga ee xubinta dambe ee isha. Qeybta dambe ee isha waa lakabka nudaha xasaasiga ah ee nudaha xagga dambe ee kubbadda isha.

Amaurosis fugax lafteeda ma aha cudur. Taabadalkeed, waa calaamad muujinaysa cilado kale. Fugax Amaurosis waxay ka imaan kartaa sababo kala duwan. Mid ka mid ah sababaha ayaa ah marka xinjirowga dhiigga ama gabal gabal xaji xidid ku ah isha. Xinjirowga dhiigga ama huurada waxay sida caadiga ah ka soo baxdaa halbowle weyn, sida halbowlaha dhiigga ee qoorta ama halbowlaha wadnaha, illaa halbowlaha isha.

Huuradu waa walax adag oo samaysanta marka dufanka, kolestaroolka, iyo walxaha kale ay ku soo baxaan derbiyada xididdada. Waxyaabaha halista keena waxaa ka mid ah:

• Wadne xanuun, gaar ahaan garaaca wadnaha oo aan joogto ahayn
• Ku xadgudubka khamriga
• Isticmaalka kookaha
• Sonkorowga
• Taariikhda qoyska ee istaroogga
• Dhiig kar
• Kalastarol sare
• Da'da sii kordheysa
• Sigaar cabidda (dadka caba hal xirmo maalintii waxay laba jibaaraan halista istaroog)

Fugax Amaurosis sidoo kale way dhici kartaa sababtoo ah xanuuno kale sida:

• Dhibaatooyinka kale ee indhaha, sida caabuqa dareemaha indhaha (indhaha neuritiska)
• Cudurka marinka dhiigga ee loo yaqaanno polyarteritis nodosa
• Madax xanuunka dhanjafka
• Burada maskaxda
• Dhaawac madaxa ah
• Multiple sclerosis (MS), caabuq ku dhaca neerfaha sababo la xiriira unugyada difaaca jirka oo weerara nidaamka neerfaha
• Nidaamka lupus erythematosus, oo ah cudur isdifaaca jirka oo unugyada difaaca jirka ay weeraraan unugyo caafimaad qaba jirka oo dhan

Calaamadaha waxaa ka mid ah aragga oo si lama filaan ah u lumiya hal ama labada indhood. Tani badanaa waxay socotaa dhowr ilbiriqsi ilaa dhowr daqiiqo. Intaa ka dib, aragga ayaa caadi ku soo noqda. Dadka qaarkiis waxay ku sifeeyaan luminta aragga inay tahay hoos madow ama hoos madow oo ka soo dhacaya isha.

Bixiyaha xanaanada caafimaadka ayaa sameyn doona baaritaan dhameystiran oo indhaha iyo neerfaha ah. Xaaladaha qaarkood, baaritaanka indhaha wuxuu daaha ka rogi doonaa meel dhalaalaysa oo xinjirowga uu xannibayo halbowlaha isha.

Tijaabooyinka la qaadi karo waxaa ka mid ah:

• Ultrasound ama sawirka 'angiography' magnetic resonance angiography of the carotid artery si loo hubiyo xinjirowga dhiigga ama huurada
• Tijaabooyinka dhiigga si loo hubiyo heerka kolestaroolka iyo heerarka sonkorta dhiigga
• Tijaabooyinka wadnaha, sida ECG si loo hubiyo dhaqdhaqaaqa korantadiisa

Daaweynta fugax amaurosis waxay kuxirantahay sababta. Marka fugax amaurosis fugax ay sabab u tahay xinjirowga dhiigga ama huurada, walaaca ayaa ah in laga hortago istaroog. Kuwa soo socda ayaa kaa caawin kara kahortagga istaroogga:

• Ka fogow cunnooyinka dufanka leh oo raac cunto caafimaad leh oo dufanku ku yar yahay. HA cabbin wax ka badan 1 ilaa 2 cabitaanno aalkolo ah maalintii.
• Samee jimicsi joogto ah: 30 daqiiqadood maalintii haddii aanad culeysku saarnayn; 60 illaa 90 daqiiqo maalintii haddii aad cayillan tahay.
• Sigaar joojinta
• Dadka badankood waa inay higsadaan cadaadiska dhiigga ee ka hooseeya 120 illaa 130/80 mm Hg. Haddii aad qabtid sonkorow ama istaroog kugu dhacay, dhakhtarkaaga ayaa kuu sheegi kara inaad ujeedo cadaadis dhiig oo hooseeya.
• Haddii aad qabto sonkorow, wadne xanuun, ama adkaanshaha halbowlayaasha, kolestaroolkaaga LDL (xun) waa inuu ka hooseeyaa 70 mg / dL.
• Raac qorshayaasha daaweynta dhakhtarkaaga haddii aad qabtid dhiig kar, sonkorow, kolestarool sare, ama wadno xanuun.

Dhakhtarkaagu wuxuu kaloo kugula talin karaa:

• Daaweyn malaha. Waxaad u baahan kartaa oo keliya booqashooyin joogto ah si loo hubiyo caafimaadka wadnahaaga iyo halbowlayaasha carotid.
• Aspirin, warfarin (Coumadin), ama dawooyin kale oo khafiifiya dhiiga si loo yareeyo halista istaroog.

Haddii qayb weyn oo ka mid ah halbowlayaasha carotid ay u muuqdaan inay xirmeen, qalliinka carotid endarterectomy ayaa la sameeyaa si meesha looga saaro xannibaadda. Go'aanka qalliinka sidoo kale wuxuu ku saleysan yahay caafimaadkaaga guud.

Fugax Amaurosis waxay kordhisaa halista istaroogga.

Wac daryeel bixiyahaaga haddii wax araga daciif ahi yimaado. Haddii calaamadaha ay soconayaan in ka badan daqiiqado ama haddii ay jiraan calaamado kale oo leh aragga oo luma, isla markiiba raadso daryeel caafimaad.

Indho-la’aan ku-meel-gaadh ah oo ku-meel-gaadh ah; Luminta aragga ee ku-meel-gaadhka ah; TMVL; Luminta aragga ee ku-meel-gaadhka ah; Luminta aragga ee ku-meel-gaadhka ah; TBVL; Arag ku-meel-gaar ah oo lumis ah - amaurosis fugax

• Isha

Biller J, Ruland S, Schneck MJ. Cudurka maskaxda ku dhaca ee 'Ischemic cerebrovascular'. Gudaha: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology ee Tababbarka Caafimaadka. 7aad ed. Philadelphia, PA: Elsevier; 2016: cutubka 65.

Brown GC, Sharma S, Brown MM. Ocular ischemic syndrome. Gudaha: Schachat AP, Sadda SVR, Hinton DR, Wilkinson CP, Wiedemann P, eds. Ryan's Retina. 6aad ed. Philadelphia, PA: Elsevier; 2018: cutubka 62.

Meschia JF, Bushnell C, Boden-Albala B, iyo al. Tilmaamaha ka hortagga aasaasiga ah ee istaroogga: bayaan loogu talagalay xirfadlayaasha daryeelka caafimaadka ee ka socda Ururka Wadnaha Mareykanka / Ururka Stroke American. Faalig 2014; 45 (12): 3754-3832. PMID: 25355838 pubmed.ncbi.nlm.nih.gov/25355838/.