Kupanikizika kwapadera hydrocephalus

Hydrocephalus ndi kuchuluka kwa madzimadzi amkati mwa zipinda zam'madzi zamaubongo. Hydrocephalus amatanthauza "madzi paubongo."

Kupanikizika kwapadera kwa hydrocephalus (NPH) ndikukula kwa kuchuluka kwa cerebrospinal fluid (CSF) muubongo komwe kumakhudza ubongo. Komabe, kupanikizika kwa madzimadzi nthawi zambiri kumakhala kwachibadwa.

Palibe chifukwa chodziwika cha NPH. Koma mwayi wokhala ndi NPH ndiwofunika kwambiri kwa munthu amene adakhalapo ndi izi:

• Kutuluka magazi mumtsuko wamagazi kapena aneurysm muubongo (subarachnoid hemorrhage)
• Kuvulala kwamutu
• Meningitis kapena matenda ofanana
• Kuchita opaleshoni pa ubongo (craniotomy)

CSF ikamakula muubongo, zipinda zodzaza madzi (ma ventricles) aubongo zimafufuma. Izi zimayambitsa kupanikizika kwa minofu yaubongo. Izi zitha kuwononga kapena kuwononga ziwalo zaubongo.

Zizindikiro za NPH nthawi zambiri zimayamba pang'onopang'ono. Pali zizindikiro zitatu zazikulu za NPH:

• Zosintha momwe munthu amayendera: zovuta poyambira kuyenda (gait apraxia), kumverera ngati kuti mapazi anu agwera pansi (magnetic gait)
• Kuchedwa kwa magwiridwe antchito: kuiwala, kuvuta kumvetsera, kusasamala kapena kusasangalala
• Mavuto owongolera mkodzo (kusagwira kwamikodzo), ndipo nthawi zina kuwongolera chimbudzi (kusagwirizana kwamatumbo)

Kuzindikira NPH kumatha kuchitika ngati chimodzi mwazizindikiro zomwe zatchulidwazi zachitika ndipo NPH ikukayikiridwa ndikuyesedwa kwachitika.

Wothandizira zaumoyo amayeza thupi ndikufunsa za zizindikilozo. Ngati muli ndi NPH, wothandizirayo apeza kuti mayendedwe anu siwachilendo. Muthanso kukhala ndi mavuto okumbukira.

Mayeso omwe angachitike ndi awa:

• Lumbar punct (mpopi wamtsempha) ndikuyesedwa mosamala poyenda musanadumphe msana
• Mutu CT scan kapena MRI yamutu

Chithandizo cha NPH nthawi zambiri chimakhala opaleshoni kuti ayike chubu chotchedwa shunt chomwe chimatulutsa CSF yochulukirapo kuchokera m'mitsempha yamaubongo ndikulowa m'mimba. Izi zimatchedwa ventriculoperitoneal shunt.

Popanda chithandizo, zizindikiro zimangokulirakulira ndipo zimatha kupha.

Opaleshoni imathandizira zizindikilo mwa anthu ena. Omwe ali ndi zizindikiro zochepa amakhala ndi zotulukapo zabwino. Kuyenda ndi chizindikiro chomwe chitha kusintha.

Mavuto omwe amabwera chifukwa cha NPH kapena chithandizo chake ndi monga:

• Zovuta zamankhwala (matenda, magazi, shunt omwe sagwira ntchito bwino)
• Kutayika kwa ntchito yaubongo (dementia) yomwe imakula kwambiri pakapita nthawi
• Kuvulala kwakugwa
• Atalikitsa moyo

Itanani omwe akukuthandizani ngati:

• Inu kapena wokondedwa wanu mukukumana ndi mavuto ochulukirapo pakukumbukira, kuyenda, kapena kukanika kwa mkodzo.
• Munthu amene ali ndi NPH amakula mpaka kufika poti sungathe kumusamalira wekha.

Pitani kuchipinda chadzidzidzi kapena itanani 911 kapena nambala yadzidzidzi yakomweko ngati kusintha kwadzidzidzi kwamalingaliro kukuchitika. Izi zikhoza kutanthauza kuti vuto lina labuka.

Hydrocephalus - zamatsenga; Hydrocephalus - chidziwitso; Hydrocephalus - wamkulu; Hydrocephalus - kulankhulana; Dementia - hydrocephalus; NPH

• Ventriculoperitoneal shunt - kutulutsa

• Central dongosolo lamanjenje ndi zotumphukira zamanjenje
• Mawonekedwe aubongo

Rosenberg GA. Edema wamaubongo ndi zovuta zamayendedwe amadzimadzi a cerebrospinal. Mu: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, olemba. Neurology ya Bradley mu Kuchita Zachipatala. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2016: chap 88.

Sivakumar W, Drake JM, Riva-Cambrin J. Udindo wachitatu wa ventriculostomy kwa akulu ndi ana: kuwunika kovuta. Mu: Winn HR, mkonzi. Opaleshoni ya Youmans ndi Winn Neurological. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2017: mutu 32.

Williams MA, Malm J. Kuzindikira ndi chithandizo cha idiopathic yanthawi zonse ya hydrocephalus. Kupitiliza (Minneap Minn). 2016; 22 (2 Dementia): 579-599. MAFUNSO: PMC5390935 www.ncbi.nlm.nih.gov/pmc/articles/PMC5390935/.