Kazhinji kumanikidzwa hydrocephalus

Hydrocephalus inovaka musana wemusana mukati memakamuri emvura europi. Hydrocephalus zvinoreva "mvura pahuropi."

Yakajairwa kumanikidza hydrocephalus (NPH) kukwira kwehuwandu hwecerebrospinal fluid (CSF) muuropi inobata huropi hunoshanda. Zvisinei, kumanikidzwa kwemvura yacho kunowanzoitika.

Iko hakuna kuzivikanwa chikonzero cheNPH. Asi mukana wekuvandudza NPH wakakwirira kune mumwe munhu anga aine chero cheanotevera:

• Kubuda ropa kubva mumudziyo weropa kana aneurysm muuropi (subarachnoid hemorrhage)
• Kumwe kukuvara kwemusoro
• Meningitis kana hutachiona hwakafanana
• Kuvhiya pauropi (craniotomy)

Sezvo CSF ​​inovaka muuropi, makamuri akazara nemvura (ventricles) ehuropi anozvimba. Izvi zvinokonzeresa kumanikidza kwetsinga dzehuropi. Izvi zvinogona kukuvadza kana kuparadza zvikamu zvehuropi.

Zviratidzo zveNPH zvinowanzotanga zvishoma nezvishoma. Pane zviratidzo zvitatu zvakakosha zveNPH:

• Shanduko munzira iyo munhu anofamba nayo: kunetseka kana achitanga kufamba (gait apraxia), kunzwa sekunge tsoka dzako dzakanamatira pasi (magnetic gait)
• Kunonoka kwekushanda kwepfungwa: kukanganwa, kunetseka kuteerera, kusava nehanya kana kusagadzikana
• Zvinetso kudzora weti (weti kusagadzikana), uye dzimwe nguva kudzora zvituru (ura kusagadzikana)

Kuongororwa kweNPH kunogona kuitwa kana paine chero zviratidzo zviri pamusoro zvikaitika uye NPH inofungidzirwa uye kuyedzwa kunoitwa.

Anopa hutano anozoongorora muviri uye obvunza nezve zviratidzo. Kana iwe uine NPH, mupi anogona kuona kuti kufamba kwako (gait) hakuna kujairika. Iwe unogona zvakare kuve nematambudziko ekurangarira.

Miedzo inogona kuitwa inosanganisira:

• Lumbar puncture (musana wepombi) nekunyatso kuyedzwa kwekufamba kumberi uye kurudyi mushure wepombi yepinini
• Musoro CT scan kana MRI yemusoro

Kurapa kweNPH kunowanzo kuvhiyiwa kuisa chubhu inonzi shunt iyo inodhonzera iyo yakawandisa CSF kunze kwehuropi ma ventricles uye kupinda mudumbu. Izvi zvinodaidzwa kuti ventriculoperitoneal shunt.

Pasina kurapwa, zviratidzo zvinowanzo kuwedzera uye zvinogona kutungamira kurufu.

Kuvhiya kunovandudza zviratidzo mune vamwe vanhu. Vaya vane zviratidzo zvishoma vane mhedzisiro yakanaka. Kufamba ndicho chiratidzo chinowanzoita nani.

Matambudziko anogona kukonzerwa neNPH kana kurapwa kwayo anosanganisira:

• Matambudziko ekuvhiyiwa (hutachiona, kubuda ropa, shunt isingashande zvakanaka)
• Kurasikirwa kwehuropi basa (dementia) iyo inova yakaipa nekufamba kwenguva
• Kukuvara kubva kudonha
• Yakafupiswa nguva yeupenyu

Fonera mupiki wako kana:

• Iwe kana munhu waunoda ari kuwedzera matambudziko nekurangarira, kufamba, kana weti kusagadzikana.
• Munhu ane NPH anowedzera kusvika pausingakwanise kutarisira munhu wacho pachako.

Enda kuimba yekukurumidzira kana kufonera 911 kana iyo yemuno emergency emergency kana kamwe kamwe shanduko yemamiriro epfungwa ikaitika. Izvi zvinogona kureva kuti chimwe chirwere chakaitika.

Hydrocephalus - zvemashiripiti; Hydrocephalus - idiopathic; Hydrocephalus - mukuru; Hydrocephalus - kutaura; Dementia - hydrocephalus; NPH

• Ventriculoperitoneal shunt - kubuda

• Central nervous system uye yekumusoro tsinga system
• Ventricles europi

Rosenberg GA. Brain edema uye kusagadzikana kwecerebrospinal fluid kutenderera. Mune: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology muClinical Dzidzira. 7th ed. Philadelphia, PA: Elsevier; 2016: chits 88.

Sivakumar W, Drake JM, Riva-Cambrin J. Basa rechitatu ventriculostomy muvakuru nevana: ongororo yakakosha. Mune: Winn HR, ed. Youmans uye Winn Neurological Kuvhiya. 7th ed. Philadelphia, PA: Elsevier; 2017: chits. 32.

Williams MA, Malm J. Kuongorora uye kurapwa kweiyo idiopathic yakajairwa kumanikidza hydrocephalus. Kuenderera mberi (Minneap Minn). 2016; 22 (2 Dementia): 579-599. PMCID: PMC5390935 www.ncbi.nlm.nih.gov/pmc/articles/PMC5390935/.