Kodi hydrocephalus, zizindikiro, zomwe zimayambitsa komanso chithandizo
Zamkati
Hydrocephalus ndimkhalidwe womwe umadziwika ndikudzikundikira kwamadzimadzi mkati mwa chigaza komwe kumabweretsa kutupa ndikuwonjezera kuthamanga kwa ubongo, komwe kumatha kuchitika chifukwa cha matenda am'magazi monga meningitis kapena chifukwa cha zotupa kapena kusintha pakukula kwa mwana.
Hydrocephalus siyichiritsidwa nthawi zonse, komabe, imatha kuchiritsidwa ndikuwongoleredwa kudzera pakuchita opareshoni kutulutsa madziwo ndikuthana ndi kupsinjika kwa ubongo. Ngati sanalandire chithandizo, sequelae wa hydrocephalus atha kuphatikizira kuchedwa kwakuthupi ndi kwamaganizidwe, kulumala kapena kufa kumene.
Zizindikiro zazikulu
Zizindikiro za hydrocephalus zimasiyanasiyana malinga ndi msinkhu, kuchuluka kwa madzimadzi omwe amapeza komanso kuwonongeka kwa ubongo. Tebulo lotsatirali likuwonetsa zizindikilo zazikulu zomwe zimapezeka mwa ana osaposa chaka chimodzi:
Pansi pa chaka chimodzi | Oposa chaka chimodzi |
Mutu wokulirapo kuposa wamba | Mutu |
Mitsempha yamutu yofewa ndi yotanuka | Kuvuta kuyenda |
Kukula kwa chigaza mwachangu | Kutalikirana pakati pa maso ndi strabismus |
Zovuta pakuwongolera mutu | Kutaya mayendedwe |
Kukwiya | Kukwiya komanso kusinthasintha kwamaganizidwe |
Maso omwe amawoneka ngati akuyang'ana pansi | Kukula pang'onopang'ono |
Matenda a khunyu | Kusadziletsa kwamikodzo |
Kusanza | Kusanza |
Chisokonezo | Kuphunzira, kuyankhula komanso kukumbukira kukumbukira |
Pankhani ya akuluakulu ndi okalamba, zizindikilo zomwe zimawonedwa ndizovuta kuyenda, kusadziletsa kwamikodzo komanso kukumbukira kukumbukira pang'ono. Hydrocephalus ikamachitika msinkhuwu, pamakhala kukula pamutu, chifukwa mafupa a chigaza adakonzedwa kale.
Zimayambitsa hydrocephalus
Hydrocephalus imachitika pakakhala kutsekeka kwa kutuluka kwa madzi amadzimadzi (CSF), kuwonjezeka kwa kupanga kapena kusungunuka kofananako ndi thupi, komwe kumatha kuchitika chifukwa chaziphuphu za fetus, kupezeka kwa zotupa, matenda kapena kuchitika chifukwa cha sitiroko, Mwachitsanzo. Malinga ndi chifukwa chake, hydrocephalus itha kugawidwa m'mitundu itatu yayikulu:
- Fetal kapena Congenital Hydrocephalus: kumachitika mwana wosabadwayo, chifukwa cha majini zinthu zomwe zimayambitsa kusokonekera kwa chapakati mantha dongosolo, chifukwa cha kumeza mankhwala ndi mayi wapakati pa mimba kapena matenda pa mimba, monga toxoplasmosis, chindoko, rubella kapena cytomegalovirus;
- Khanda Hydrocephalus: amapezeka muubwana ndipo amatha kuyambika chifukwa cha kusokonekera kwa ubongo, zotupa kapena zotupa zomwe zimalepheretsa, kutchedwa cholepheretsa kapena kusalankhulana ndi hydrocephalus, potuluka magazi, magazi, kukhumudwa kapena matenda amkati mwa ubongo, monga meningitis omwe amayambitsa kusamvana pakati kupanga CSF ndi mayamwidwe ake, otchedwa kulumikizana ndi hydrocephalus;
- Kupanikizika Kwachilendo Hydrocephalus: imachitika mwa akulu kapena okalamba, makamaka azaka zopitilira 65, chifukwa chakupwetekedwa mutu, sitiroko, zotupa zamaubongo, kukha magazi kapena chifukwa cha matenda monga Alzheimer's. Nthawi izi, pali CSF malabsorption kapena kupanga mopitilira muyeso.
Ndikofunika kuti chifukwa cha hydrocephalus chizindikiridwe, chifukwa ndizotheka kuti katswiri wa zamagulu awonetse chithandizo choyenera kwambiri. Nthawi zina zimakhala zotheka kuchiza, makamaka m'malo omwe hydrocephalus imayambitsidwa ndi matenda, ndichifukwa choti kuyambira pomwe matendawa amathandizidwa, kupanikizika kumachepa.
Momwe mankhwalawa amachitikira
Chithandizo cha Hydrocephalus chitha kuchitidwa ndikuchita opareshoni yotulutsa CSF mbali ina ya thupi, monga pamimba, mwachitsanzo, neuroendoscopy, yomwe imagwiritsa ntchito chida chochepa kwambiri kuti muchepetse kupsinjika kwaubongo ndikuzungulira madzi kapena mankhwala oletsa kupanga CSF yambiri .
Kuphatikiza apo, pali maopaleshoni ena omwe atha kuchitidwa kuti athetse hydrocephalus, monga opaleshoni kuchotsa zotupa kapena ziwalo zaubongo zomwe zikupanga CSF yambiri. Chifukwa chake, kutengera zomwe zimayambitsa, katswiri wa mitsempha ayenera kuwonetsa chithandizo choyenera. Mvetsetsani momwe mankhwala a hydrocephalus ayenera kuchitidwira.