Ukucindezeleka Okuvamile Hydrocephalus: Isizathu Esingasetshenziswa Sokulahlekelwa Kwememori

Izimpawu, Ukuxilongwa, Ukwelashwa Nokuguqulwa Kwe-NPH (Amanzi Ebuchopho)

Ingcindezi evamile i-hydrocephalus (i-NPH) yinkinga ebangelwa ukwakhiwa kwe-cerebrospinal fluid (uketshezi oluvame ukutholakala emthonjeni womgogodla nobuchopho) ngokuyinhloko ezingxenyeni zezobuchopho. I-Hydrocephalus, eqinisweni, isho ukuthi "amanzi echosheni."

I-buildup ewuketshezi iyenzeka uma kune-block ekugezeni noma ekutheni kufakwe umthamo we-cerebrospinal fluid. Ngokuvamile, naphezu kokwakhiwa kwamanzi, akukho ukunyuka okuncane noma okungenako ukucindezela ngaphakathi kwegazi, ngaleyo ndlela igama elithi "evamile" ingcindezi i-hydrocephalus.

Leli gama libuyela ephepheni likaDkt. Salomon Hakim ngo-1964, lapho eqala ukuchaza khona isimo se-cerebrospinal buildup.

I-NPH ivame ukubhekwa kabi njenge- Alzheimer's , i-Parkinson noma i- Creutzfeldt-Jakob isifo ngoba izimpawu ziyaqhubeka. Ezinye imithombo zilinganisela ukuthi abantu abangaba ngu-250 000 abane-Alzheimer's, omunye umqondo wokugula noma iParkinson bangase babe ne-NPH, kuyilapho abanye bebeka inombolo ephansi kakhulu.

Izimbangela

Ngezinye izikhathi kunezimbangela eziqondile ezifana nokulimala kwekhanda, ama-aneurysms ochopho oluphuma egazini, i-meningitis, njll. Ngokuvamile, noma kunjalo, ayikho into ehlukanisekayo.

Izimpawu

Kunezibonakaliso ezintathu eziphawulekayo ze-NPH:

1. Kunzima ngokuhamba : Uphawu lokuqala kunazo zonke luyishintsho ekuhambeni nasezintweni (ukunyakaza komlenze nokuhamba) noma nomuzwa wokuthi izinyawo zinyathelwe phansi. Ibhalansi yakho ingase ibe mpofu, futhi ungahamba ngesinyathelo esikhulu, esisheshayo.
2. Imvamisa ye-Urinary noma ukungabi nalutho : Ungase ube nenkinga ngokucwenga umchamo noma uzizwe sengathi kufanele uhambe endlini yokugezela njalo. Ungase ungakwazi ukuwenza endlini yokugezela ngesikhathi.

1. Izinguquko ezicatshangelwayo : Abantu abane-NPH babonisa ezinye izimpawu zengqondo , njengokudideka, ukulahlekelwa kwememori yesikhashana kanye nezinguquko zokuziphatha.

I-NPH ihluke kanjani ku-Alzheimer's?

Izimpawu zokuqala ze-NPH zivame ukuchazwa ngenhla ezintathu. Ngakolunye uhlangothi, izimpawu ze- Alzheimer, ziqala ngokuyinhloko njengezinkinga zokucatshangelwa, njengokunciphisa inkumbulo yesikhathi esifushane kanye nobunzima bokufunda izinto ezintsha.

I-incontinence nezinkinga ezinekhono lokuhamba zivame ukuthuthukisa njengoba i-Alzheimer iqhubeka, kodwa ayizona izimpawu ezijwayelekile ezinyathelweni zokuqala ze-Alzheimer's.

Kungenzeka futhi ukuba ne-NPH kanye ne-Alzheimer ngesikhathi esifanayo, okwenza ukuthi ukuxilongwa nokwelapha kube nzima.

Ukuxilongwa

Ukuxilongwa kwe-NPH kubhekwa uma umuntu enesisindo ekuhambeni nasekulinganiseni ngaphezu kokungasebenzi noma ukungasebenzi komqondo. I-NPH itholwe ngokuvamile yi-neurologist noma i-neurosurgeon ngezivivinyo eziningana, ezingafaka phakathi okulandelayo:

• CT scan
• Ukuskena kwe-MRI
• Ukuthinta umgogodla

Abanye odokotela badinga ukuhlala esibhedlela izinsuku eziningi lapho bengakwazi ukukala ngokuqhubekayo amazinga e-cerebrospinal fluid ngokubeka umlingo omncane ebuchosheni. Udokotela angase afake ne-catheter drain encane, ebonakala njengethubhu elincane eliguquguqukayo, elibheke emhlane, ngaphansi komgogodla. Lokhu kungavumela uketshezi oluthe xaxa lwamanzi omgogodla ukuphuma emzimbeni. Ithimba lezokwelapha lizobona ukuthi izimpawu ziyathuthuka uma kunoketshezi okuncane okwakhiwa. Uma ukusebenza kuthuthuka ngokuphawulekayo, ukuxilongwa kuqinisekisiwe futhi umuntu angase azuze ekuxhumeni okwenziwe ebuchosheni bakhe.

Ukwelapha

Ukwelashwa ngokuvamile kuhlanganisa ukufaka i-shunt engxenyeni yezobuchopho ukukhipha uketshezi oluthe xaxa ngokusebenzisa i-catheter encane.

I-shunt iyi-drain yokuhlinza. Kunezinhlobo ezimbili:

• I-Ventricoperitoneal shunt: Le shunt ifakwe engxenyeni yobuchopho futhi ine-catheter encane, noma i-tube, eholela esiswini, lapho uketshezi oluthe xaxa kungakhululwa khona futhi kuvuselelwe kabusha.
• I-shunt ye-ventriculoatrial: I-cathter ye-shunt ifakwe engxenyeni ye-ventricle iphinde igwebe emgodini we-jugular, etholakala ngaphezu kwenhliziyo.

Ngaphezu kwalokho, imithi efana ne-acetazolamide ngezinye izikhathi isetshenziselwa ukuphatha i-NPH.

Isibikezelo

I-prognosis iyahlukahluka ne-NPH. Ukuxilongwa kokuqala kuyadingeka. Ngenkathi abanye abantu bengathuthuki kakhulu ngokubeka indawo, abanye benza cishe ukutholakala ngokugcwele uma i-NPH itholakala futhi iphathwa ngokushesha.

Ngokujwayelekile, ukuhamba komuntu oyedwa kuwukuqala ukuthuthukisa, futhi ukusebenza kokuqonda kuyokugcina ukuthuthukisa, uma kwenzeka.

_Imithombo:

_{I-Alzheimer's Association. Ukucindezela Okuvamile Hydrocephalus. Kufinyelelwe ngo-Novemba 18, 2011. http://www.alz.org/alzheimers_disease_normal_pressure_hydrocephalus.asp}

_{I-Hydrocephalus Association. Ukucindezela Okuvamile Hydorcephalus. Kufinyelelwe kuDisemba 21, 2011. https://www.hydroassoc.org/hydrocephalus-education-and-support/normal-pressure-hydrocephalus/}

_{Ukuphila kwe-NPH. Ukuxilongwa kwe-NPH. Kufinyelelwe kuDisemba 22, 2011. http://www.lifenph.com/diagnosis.asp}

_{I-MedlinePlus.gov. Ukucindezela Okuvamile Hydrocephalus. Ifinyelele ngo-Novemba 18, 2011. http://www.nlm.nih.gov/medlineplus/ency/article/000752.htm}

_{I-National Institute of Neurological Disorders and Stroke. Izikhungo zezempilo zikazwelonke. Ukucindezelwa Okujwayelekile Page Hydrocephalus Page. Kufinyelelwe ngoDisemba 22, 2011. http://www.ninds.nih.gov/disorders/normal_pressure_hydrocephalus/normal_pressure_hydrocephalus.htm}

_{Umqashi, David, Schwalb, Jason, noRurlan, uRoger. Imibiko Ye-Neurology Neuroscience Current Current Pressure Hydrocephalus: Ukuxilongwa Nokunakekelwa. Ifinyelele ngomhla kaDisemba 21, 2011. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2674287/}

_{Uhlelo lwezempilo lwe-UCLA. UCLA Neurosurgery. Ukucindezela Okuvamile Hydrocephalus. Ifinyelele ngomhla kaDisemba 21, 2011. http://neurosurgery.ucla.edu/body.cfm?id=188}