Amaurosis adlulayo: kuyini, izimbangela eziyinhloko nokwelashwa

-Delile

• Izimbangela ezingaba khona
• Ungakuqinisekisa kanjani ukuxilongwa
• Yelashwa kanjani

I-amaurosis edlulayo eyaziwa nangokuthi ukulahleka kokubuka kwesikhashana noma okudlulayo, ukulahleka, ukufiphaza noma ukufiphalisa umbono okungahlala kusuka kumasekhondi kuya kumizuzu, futhi kungaba iso linye noma womabili. Isizathu sokuthi lokhu kwenzeke ukungabi khona kwegazi elinothe oksijini lekhanda namehlo.

Kodwa-ke, i-amaurosis edlulayo iyisibonakaliso nje sezinye izimo, okuvame ukuba nokucindezelwa nokuhlaselwa yi-migraine, ngokwesibonelo, kepha okungabuye kuhlotshaniswe nezimo ezibucayi ezifana ne-atherosclerosis, thromboemboli ngisho nesifo sohlangothi (stroke).

Ngale ndlela, ukwelashwa kwamaurosis okudlulayo kwenziwa ngokususa ukuthi yini imbangela, futhi ngenxa yalesi sizathu, kubalulekile ukufuna usizo lwezokwelashwa ngokushesha lapho inkinga ibonwa, ukuze kuqale ukwelashwa okufanele namathuba we-sequelae ukwehla kuncishisiwe, ukungabikho komoya-mpilo ezicutshini.

Izimbangela ezingaba khona

Imbangela enkulu yamaurosis adlulayo ukungabi khona kwegazi elinomoya-mpilo esifundeni samehlo, elenziwa umthambo obizwa nge-carotid artery, kuleli cala ongakwazi ukuthwala inani elidingekayo legazi elinomoya-mpilo.

Imvamisa, amaurosis adlula kwenzeka ngenxa yokuba khona kwale mibandela elandelayo:

• Ukuhlaselwa kwe-Migraine;
• Ukucindezeleka;
• Ukuhlaselwa uvalo;
• Ukopha kwe-Vitreous;
• Inkinga yomfutho wegazi ophakeme;
• I-anterior ischemic optic neuropathy;
• Ukudlikizela;
• I-Vertebrobasilar ischemia;
• I-Vasculitis;
• I-arteritis;
• Isifo sokuqina kwemithambo yegazi;
• I-hypoglycemia;
• Ukuntuleka kwe-Vitamin B12;
• Ukubhema;
• Ukushoda kwethayamine;
• Ukuhlukunyezwa kwe-Corneal;
• Ukuhlukunyezwa kwe-cocoaine;
• Ukutheleleka nge-toxoplasmosis noma i-cytomegalovirus;
• I-viscosity ephezulu ye-plasma.

I-amaurosis edlulayo ihlale ingeyesikhashana, ngakho-ke umbono ubuyela kokujwayelekile emizuzwini embalwa, ngaphezu kokungajwayele ukushiya noma iyiphi i-sequelae, kepha-ke kuyadingeka ukuthi kufunwe udokotela noma ngabe i-amaurosis ihlale imizuzwana embalwa, ukuze kungaphenywa. kubangelwe.

Ezimweni ezingavamile, umuntu angakhombisa izimpawu ngaphambi kokuba amaurosis adlule, kodwa uma kwenzeka, kubikwa ubuhlungu obuthile namehlo alumayo.

Ungakuqinisekisa kanjani ukuxilongwa

Ukuxilongwa kwe-amaurosis okudlulayo kwenziwa ngudokotela ojwayelekile noma udokotela wezifo zamehlo ngombiko wesiguli, ukuhlolwa ngokomzimba okuzobheka ukuthi kukhona yini ukulimala okubangelwe ukuwa noma ukushaywa, kulandelwe ukuhlolwa kwamehlo ukuze kubonakale ukulimala kwamehlo okungenzeka.

Ukuhlolwa okufana nokubalwa kwegazi okuphelele, amaprotheni asebenza nge-C (CRP), iphaneli ye-lipid, izinga le-glucose yegazi, i-echocardiogram kanye nokuhlolwa kokujikeleza kwe-carotid vein nakho kungadingeka, okungenziwa nge-doppler noma i-angioresonance, ukuze kuqinisekiswe okudale amaurosis futhi ngale ndlela aqale ukwelashwa okufanele.

Yelashwa kanjani

Ukwelashwa kwe-amaurosis edlulayo kuhlose ukuqeda imbangela yayo, futhi lokhu kuvame ukwenziwa ngokusetshenziswa kwezidakamizwa ezinjenge-antiplatelet agents, antihypertensives kanye ne-corticosteroids, ngaphezu kokufundiswa kabusha kokudla futhi, uma kunesidingo, ukuzivocavoca ukuqeda isisindo esiningi bese uqala ukwenza. amasu okuphumula.

Kodwa-ke, ezimweni ezinzima kakhulu lapho umthambo we-carotid uvinjelwe kakhulu, kungaba ngenxa ye-stenosis, i-atherosclerosis noma amahlule, ukuhlinzwa kwe-carotid endarterectomy noma i-angioplasty kungakhonjiswa ukunciphisa ubungozi bokushaywa unhlangothi. Bona ukuthi i-angioplasty yenziwa kanjani nokuthi ziyini izingozi.