Iimpawu, ukuxilongwa, unyango kunye nokuhlaselwa kwe-NPH (Amanzi kwiBrain)
Uxinzelelo oluqhelekileyo i-hydrocephalus (i-NPH) yimeko ebangelwa yikhibhodi ye-cerebrospinal fluid (i-fluid efunyenwe kwintambo yomgogodla kunye nengqondo) ngokukodwa kwimigodi yeengqondo. I-Hydrocephalus, eqinisweni, ithetha "amanzi kwindawo yengqondo."
I-buildup yamanzi iyenzeka xa kukho ibhloko ekuphumeni okanye ukuxutywa kwe-cerebrospinal fluid. Ngokuqhelekileyo, nangona i-buildup yamanzi, akukho ukunyuka okuncinci okanye kungabikho kongcinezelo ngaphakathi ngaphakathi kwekrele, ngoko igama elithi "eliqhelekileyo" lucindezelo lwe-hydrocephalus.
Ixesha libuyele kwiDkt. Salomon Hakim ngowe-1964, apho waqala ukuchaza khona into eyenziwa yi-cerebrospinal buildup.
I-NPH idla ngokungaqondwanga kakubi njenge- Alzheimer's , i-Parkinson okanye i- Creutzfeldt-Jakob ngenxa yokuba iimpawu ziyaqhubeka. Ezinye izinto ziqikelela ukuba abaninzi abantu abangama-250,000 abane-Alzheimer's, enye ingqondo yokugula okanye iParkinson inokwenene ibe ne-NPH, ngelixa abanye bebeka inani eliphantsi kakhulu.
Izizathu
Ngamanye amaxesha kukho izizathu ezizodwa ezifana nokulimala kwentloko, ukuphuma kweengqondo ze-aneurysms, i-meningitis, njl. Njalo kunjalo, akukho nto inokuhlukanisa.
Iimpawu
Kukho iimpawu ezintathu eziphawulekayo ze-NPH:
- Ubunzima ngokuhamba : Uphawu lokuqala kukuguqulwa ekuhambeni nasekuhambeni (ukunyakaza komlenze kunye nomgca) okanye ukuziva ukuba unyawo luhlangene phantsi. Ibhalansi yakho ingaba yintlupheko, kwaye unokuhamba ngesinyathelo esincinci, esicothayo.
- Ubuninzi be-Urinary okanye ukungabikho komsebenzi : Unokuba neengxaki ngokuguqula umchamo okanye ukuziva ngathi ufuna ukuya kwindlu yokuhlambela rhoqo. Akunakukwazi ukuyenza kwindawo yokuhlambela ngexesha.
- Utshintsho lwengqondo : Abantu abane-NPH babonisa iimpawu zesifo sengqondo , njengokudideka, ukulahleka kweememori kunye neenguqu zokuziphatha.
I-NPH ihluke njani kwi-Alzheimer's?
Iimpawu zokuqala ze-NPH ziqhelekileyo zintathu zichazwe ngasentla. Ngakolunye uhlangothi, izibonakaliso ze-Alzheimer, ziqala ngokubanzi njengemiba engqondweni, njengokunciphisa imemori yesikhashana kunye nokufunda ubunzima bokufunda izinto ezintsha.
Ukungahambi kunye neengxaki ezinokukwazi ukujikeleza ngokuqhelekileyo zikhula njengoko i-Alzheimer iqhubela phambili, kodwa ayiyiyo impawu kwiimpawu zokuqala ze-Alzheimer's.
Kwakhona kunokwenzeka ukuba kunye ne-NPH kunye ne-Alzheimer ngexesha elifanayo, okwenza uxilongwe kunye nonyango lunzima.
Ukuxilongwa
Ukuxilongwa kwe-NPH kuqwalaselwe xa umntu enesisiphako ekuhambeni kunye nokulinganisela ngaphezu kokungabikho komsebenzi okanye ukungasebenzi kwemisebenzi. I-NPH ifunyanwe ngokuqhelekileyo yi-neurologist okanye i-neurosurgeon ngokusebenzisa iimvavanyo eziliqela, ezinokubandakanya oku kulandelayo:
- CT scan
- I-MRI scan
- Umtsalane
Abanye oogqirha banesidingo sokuhlala kwisibhedlele seentsuku ezininzi apho banokuqhubeka nokulinganisa amanqanaba e-cerebrospinal ngamanzi ngokubeka iliso elincinci kwingqondo. Ugqirha unokufaka kwakhona i-catheter drainter encinter, ebonakala ngathi ityhubhu encinci ye-flexible, kwi-back back, ecaleni komlenze. Oku kungavumela umbane wamanzi omninzi ukuba uphuphe emzimbeni. Ikomiti yezobugqirha iya kubona ukuba iimpawu ziphucula xa kunokwakheka kwamanzi. Ukuba ukusebenza kuphucula ngokucacileyo, ukuxilongwa kuqinisekiswa kwaye umntu uya kuzuza ngokusuka kwi-brain.
Unyango
Uphulo luvame ukuquka ukufaka i-shunt kwi- ventricle yokukhupha ukukhupha umthamo ogqithiseleyo nge-catheter encinci.
I-shunt yinkqubo yokucoca. Kukho iintlobo ezimbini:
- I-Ventricoperitoneal shunt: Le shunt ifakwa kwi-ventricle engqondweni kwaye ine-catheter encinci, okanye ityhubhu, ekhokelela kwisisu, apho i-fluid eyongezelelweyo ingakhululwa kwaye ibuyiswe kwakhona.
- I-ventriculoatrial shunt: I-cantter ye-shunt ifakwe kwi-ventricle kwaye idonsa kwi-veggy vein, ekhonjwe ngaphaya kwe-atrium yentliziyo.
Ukongezelela, amayeza afana ne-acetazolamide ngamanye amaxesha asetyenziswa ukuphatha i-NPH.
Prognosis
Isalathisi sisuka ku-NPH. Ukuxilongwa kwangaphambili kuyimfuneko. Nangona abanye abantu bengaphuculanga kakhulu ngokubeka indawo, abanye baphinda baphinde baphinde bafumane xa i-NPH ifunyaniswa kwaye iphathwa ngokukhawuleza.
Ngokuqhelekileyo, uhambo oluhambayo lomntu ngowokuqala ukuphucula, kunye nokusebenza kwengcamango kukugqibela ukuphucula, ukuba kuyenzeka.
Imithombo:
I-Alzheimer's Association. Uxinzelelo oluqhelekileyo Hydrocephalus. Kufumaneka ngoNovemba 18, 2011. http://www.alz.org/alzheimers_disease_normal_pressure_hydrocephalus.asp
Hydrocephalus Association. Uxinzelelo oluqhelekileyo Hydorcephalus. Ifike ngomhla weDisemba 21, 2011. https://www.hydroassoc.org/hydrocephalus-education-and-support/normal-pressure-hydrocephalus/
Life NPH. Ukuxilongwa kwe-NPH. Ufikelele kwiDisemba 22, 2011. http://www.lifenph.com/diagnosis.asp
MedlinePlus.gov. Uxinzelelo oluqhelekileyo Hydrocephalus. Kufumaneka ngoNovemba 18, 2011. http://www.nlm.nih.gov/medlineplus/article/000752.htm
Isiko seSizwe seNational Psychology and Stroke. AmaZiko eZiko lezeMpilo. Uxinzelelo oluqhelekileyo lwe-Hydrocephalus Ulwazi. Kufumaneka ngoDisemba 22, 2011. http://www.ninds.nih.gov/disorders/normal_pressure_hydrocephalus/normal_pressure_hydrocephalus.htm
U-Shprecher, David, Schwalb, Jason, no-Kurlan, uRoger. Iingxaki ze-Neurology zangoku kunye ne-Neuroscience ingxelo Iingxaki eziqhelekileyo Hydrocephalus: Ukuxilongwa kunye noTyango. Kufumaneka ngoDisemba 21, 2011. http://www.ncbi.nlm.nih.gov/pmc/article/PMC2674287/
Inkqubo yeMpilo ye-UCLA. UCLA Neurosurgery. Uxinzelelo oluqhelekileyo Hydrocephalus. Ufikelele kwiDisemba 21, 2011. http://neurosurgery.ucla.edu/body.cfm?id=188