Zizindikiro, Kuzindikira, Kuchiza ndi Kugonjetsa kwa NPH (Madzi pa Ubongo)
Mavuto ambiri a hydrocephalus (NPH) ndi chikhalidwe choyambitsa cerebrospinal fluid (chimbudzi chomwe chimapezeka mumtsempha ndi ubongo) makamaka m'magulu a ubongo. Hydrocephalus, kwenikweni, amatanthauza "madzi pa ubongo."
Madzi amadzimadzi amadzimadzi amapezeka pakakhala phokoso la kuthamanga kapena kuyamwa kwa cerebrospinal fluid. Kawirikawiri, ngakhale kuti madzi amadzimadzimadzi amadzimadzimutsa, pamakhala kuwonjezeka pang'ono kapena kopanda ponseponse mkati mwa chigaza, motero dzina loti "yachibadwa" limayambitsa hydrocephalus.
Mawuwa amachokera ku tsamba la Salomon Hakim mu 1964, pomwe adayambanso kufotokozera zochitika za cerebrospinal fluid buildup.
NPH nthawi zambiri sichidziwika ngati matenda a Alzheimer's , Parkinson kapena Creutzfeldt-Jakob chifukwa zizindikiro zimapezeka. Mabuku ena amanena kuti anthu 250,000 omwe ali ndi Alzheimer's, dementia ina kapena Parkinson akhoza kukhala ndi NPH, pamene ena amaika chiwerengero chotsika kwambiri.
Zimayambitsa
Nthawi zina pamakhala zovuta zenizeni monga kuvulala pamutu, kuthamanga kwa ubongo m'mimba, kupweteka kwa mimba, ndi zina zotero. Komabe, nthawi zambiri palibe chodziwika bwino.
Zizindikiro
Pali zizindikiro zitatu zomwe zimasonyeza zizindikiro za NPH:
- Zovuta ndi kuyenda : Chizindikiro choyambirira ndi kusintha kwa kuyenda ndi kupitako (kuyenda kwa mwendo ndi kuyendetsa) kapena kumverera kuti mapazi amamatiridwa pansi. Kulimbitsa kwanu kungakhale kosauka, ndipo mukhoza kuyenda ndizitali, pang'onopang'ono.
- Nthawi zambiri mumzinda wa Urinary kapena kusadziletsa : Mutha kukhala ndi vuto lokoka mkodzo kapena kumverera ngati mukuyenera kupita ku bafa nthawi zambiri. Simungathe kuzipanga ku bafa mu nthawi.
- Kusintha kwa chidziwitso : Anthu omwe ali ndi NPH amasonyeza zizindikiro za matenda a maganizo , monga chisokonezo, kutaya kwa nthawi yayitali komanso kusintha kwa khalidwe.
Kodi NPH Imasiyana Bwanji ndi Alzheimer's?
Zizindikiro zoyambirira za NPH ndizo zitatu zomwe tatchula pamwambapa. Zizindikiro za Alzheimer, kumbali inayo, zimayambira makamaka monga zidziwitso, monga kuchepa kwa kukumbukira kanthawi kochepa komanso kuvutika kuphunzira zinthu zatsopano.
Kulephera ndi mavuto omwe amatha kusuntha kawirikawiri amayamba ngati Alzheimer ikupita, koma sizomwe zimakhala zozizwitsa m'mayambiriro a Alzheimer's.
N'zotheka kukhala ndi NPH ndi Alzheimer pa nthawi yomweyo, zomwe zimapangitsa kuti matenda ndi zovuta zikhale zovuta.
Kudziwa
Kutulukira kwa NPH kumalingaliridwa ngati munthu ali ndi vuto poyenda ndi kuwonjezera pambali pa kusagwedeza kapena kusokonezeka kwa chidziwitso. NPH imapezeka kawirikawiri ndi katswiri wa sayansi ya ubongo kapena neurosurgeon kudzera mu mayesero angapo, omwe angaphatikizepo zotsatirazi:
- CT scan
- Kujambula kwa MRI
- Pampopu wamtsempha
Madokotala ena amafunikanso kukhala ndi chipatala cha masiku angapo kumene angapitirizebe kuyesa makina a cerebrospinal fluid mwa kuika khungu kakang'ono mu ubongo. Dokotala angathenso kuika kanyumba kakang'ono ka catheter, kamene kakuwoneka ngati kamtengo kakang'ono kosasinthasintha, mpaka kumbuyo, kumbuyo kwa msana. Izi zikhoza kulola zina zamtsempha kuti zichoke m'thupi. Gulu la zamankhwala lidzawone ngati zizindikiro zikuwoneka ngati kulibe madzi pang'ono. Ngati kugwiritsira ntchito bwino kumawoneka bwino, matendawa akutsimikiziridwa ndipo munthuyo angapindule ndi shunt yomwe imayikidwa mu ubongo wake.
Chithandizo
Chithandizochi chimaphatikizapo kuika shunt mu ubongo wa ventricle kukhetsa madzi owonjezera kudzera mu kanyita kakang'ono.
Shunt ndi kukhetsa opaleshoni. Pali mitundu iwiri:
- Ventricoperitoneal shunt: Izi zimayikidwa mu ventricle ya ubongo ndipo ili ndi catheter yaing'ono, kapena chubu, yomwe imatsogolera pamimba, kumene madzi ena amatha kumasulidwa ndi kubwezeretsanso.
- Chimake cha ventriculoatrial: Cathter ya shunt iyi imalowetsedwa mu ventricle ndipo imatuluka mu mitsempha yambiri, yomwe ili pamwambapa pamtima.
Komanso, mankhwala monga acetazolamide nthawi zina amagwiritsidwa ntchito pochiza NPH.
Kuthamangitsani
Zizindikirozi zimasiyana ndi NPH. Kufufuza koyambirira n'kofunikira. Ngakhale kuti anthu ena samapindula kwambiri ndi kusungidwa, ena amachira pafupifupi ngati kachilombo ka HIV kamapezeka ndi kuchiritsidwa msanga.
Kawirikawiri, kuyendayenda kwa munthuyo ndi koyamba kukonza, ndipo kugwiritsidwa ntchito koganizira ndikumaliza kusintha, ngati kumatero.
Zotsatira:
Alzheimer's Association. Kupanikizika Kwachilendo Hydrocephalus. Inapezeka pa November 18, 2011. http://www.alz.org/alzheimers_disease_normal_pressure_hydrocephalus.asp
Association Hydrocephalus. Kupanikizika Kwachibadwa Hydorcephalus. Idapezeka pa December 21, 2011. https://www.hydroassoc.org/hydrocephalus-education-and-support/normal-pressure-hydrocephalus/
Moyo NPH. Kuzindikira kwa NPH. Inapezeka pa December 22, 2011. http://www.lifenph.com/diagnosis.asp
MedlinePlus.gov. Kupanikizika Kwachilendo Hydrocephalus. Inapezeka pa November 18, 2011. http://www.nlm.nih.gov/medlineplus/ency/article/000752.htm
National Institute of Neurological Disorders ndi Stroke. National Institutes of Health. Kupanikizika Kwachilendo tsamba la Information Hydrocephalus. Inapezeka pa December 22, 2011. http://www.ninds.nih.gov/disorders/normal_pressure_hydrocephalus/normal_pressure_hydrocephalus.htm
Wowaza, David, Schwalb, Jason, ndi Kurlan, Roger. Mavuto Otsitsirako Masiku Ano ndi Sayansi ya Sayansi Ambiri Ambiri Ambiri Ambiri Ambiri Ambiri Ambiri Ambiri Ambiri Ambiri Ambiri Ambiri Ambiri Ambiri Ambiri Ambiri Ambiri Ambiri Ambiri Ambiri Ambiri Akudwala Idafika pa December 21, 2011. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2674287/
UCLA Health System. UCLA Neurosurgery. Kupanikizika Kwachilendo Hydrocephalus. Inapezeka pa December 21, 2011. http://neurosurgery.ucla.edu/body.cfm?id=188