Yala i hakili bɛ to ka tiɲɛ ani taama gɛlɛya bɛ i la ni i bɛ kɔrɔbaya wa? A bɛ se ka kɛ Hydrocephale de pression normale (NPH) ye .

Yala mɔgɔkɔrɔba dɔ bɛ i ka du kɔnɔ, n’a sɔrɔ i ba, i fa walima i bamuso, bɛ ka ɲinɛ ka taa a fɛ wa? Yala a bɛ iko u senw bɛ sama duguma ni u bɛ taama wa? Yala a bɛ ka gɛlɛya ka taa a fɛ fana u ka sugunɛ kunbɛnni na wa ? An ka teli ka miiri ninnu na i n’a fɔ “fɛn gansan minnu bɛ kɛ ni an bɛ kɔrɔbaya.” Nka u bɛ se ka kɛ fana bana dɔ taamasiɲɛw ye min bɛ se ka furakɛ ka furakɛ. Bi an bɛ kuma o bana sugu dɔ kan, n’o ye Normal Pressure Hydrocephalus, walima NPH ye.

Hydrocephale de pression normale (NPH) ye mun ye?

N’an y’a fɔ cogo nɔgɔman na, NPH ye waati ye ni ji caman bɛ lajɛ an hakili la ka tɛmɛ a wajibiyalen kan.

Miiri k’a filɛ ko an kunkolo ni an kɔkolo, minnu bɛ boli ka jigin an kɔkolo la, ji jɛlen dɔ lamininen bɛ ni ji jɛlen ye min bɛ i n’a fɔ kuran. Furakɛcogo la, o bɛ wele ko kunsɛmɛnasumaya (CSF) . O CSF bɛ dilan an ka hakili kɔnɔbara la, ka yaala a fan bɛɛ la, ka kunsɛmɛ ni kɔkolo balo, ka fɛnɲɛnamafagalanw bɔ, ka kunsɛmɛ tanga a kana kungolo gosi. A ka ca a la, CSF tɛmɛnen bɛ segin ka don farikolo la jolisiraw fɛ minnu bɛ kunsɛmɛ sanfɛ.

Nka ni balili dɔ bɛ sigida la min bɛ nin CSF ji in bɔ, o ji bɛ daminɛ ka dalajɛ sugunɛ kɔnɔna na. An bɛ min wele ko Hydrocephalus ( ji fani min bɛ kɛ kunkolo la ). NPH ye nin Hydrocephalus bana suguya kɛrɛnkɛrɛnnen ye. A ka teli ka ye mɔgɔw la minnu si tɛmɛna san 60 kan.

NPH tɛ i n’a fɔ jisuma suguya tɔw, a bɛ bonya dɔɔni dɔɔni kosɛbɛ. CSF ji bɛ caya waati tɛmɛnen kɔfɛ. O de kosɔn, ɲɛgɛnɛsira minnu bɛ kunsɛmɛ na, olu bɛ bonya dɔɔni dɔɔni, ka kunsɛmɛ yɔrɔ dɔw gɛrɛntɛ. O de y'a To degun min bɛ sugunɛ na, o tɛ barika bonya, o de y'a To a bɛ Weele ko "Degun normal". Nka o tɔgɔ in bɛ mɔgɔ lafili dɔɔnin, barisa a taamasiɲɛw bɛ sɔrɔ dɔrɔn ni kɔnɔnatumuw bonyalen don ka u gɛrɛntɛ ka ɲɛsin kunsɛmɛ ma.

NPH cogoya jogo jɔnjɔn saba

NPH taamasiɲɛba saba bɛ yen. A bɛ se ka kɛ ko ninnu tɛ ye a daminɛ na, nka u bɛ bonya dɔɔni dɔɔni waati tɛmɛnen kɔfɛ. Ni nin taamasiɲɛ saba bɛɛ bɛ yen, a ka kan ka siga NPH la.

NPH sababu ye mun ye?

Tiɲɛ na, NPH banabagatɔ fanba la, sababu kɛrɛnkɛrɛnnen tɛ se ka sɔrɔ. Nka, a dɔw la, nin fɛn ninnu bɛ se ka kɛ sababu ye ka bana in sɔrɔ:

• Kungolo jogin
• Joli bɛ bɔ kunsɛmɛ lamini na ka a sababu kɛ gosili ye kunkolo la
• Kuru bɔ
• Banakisɛw i n’a fɔ ɲɛgɛnɛsiralabanaw
• Sugunɛbilenni
• Sugunɛ opereli

Hali bi, faamuyali jɛlen ma sɔrɔ o bana ninnu bɛ NPH lase mɔgɔ ma cogo min na.

NPH bɛ sɛgɛsɛgɛ cogo di ka ɲɛ?

Sisan aw bɛ se ka miiri ko "Okay, ninnu ye taamasiɲɛw ye, sisan ne bɛ se ka nin sɛgɛsɛgɛ cogo di?" Nin ye ko gɛlɛn ye dɔɔnin. Ikomi nin taamasiɲɛ ninnu ni Alzheimer ni Parkinson banaw bɔlen don ɲɔgɔn fɛ, a nafa ka bon ka taa hakililabaarakɛla walima hakililabaarakɛla dɔ fɛ .

A ka c’a la, bana sɛgɛsɛgɛli taabolo bɛ taa nin cogo la:

1. Ka kuma dɔgɔtɔrɔ fɛ: Dɔgɔtɔrɔ bɛna aw ɲininka fɛn bɛɛ la k’a ta aw ka bana taamasiɲɛw la, u daminɛna waati min na, denbaya ka furakɛli tariku, ani aw bɛ fura minnu ta.

2. Farikololajɛ : I hakili cogoya (ka ɲininkaliw kɛ ani k’a ɲini i fɛ i ka tugu cikan nɔgɔmanw kɔ), i taamacogo ani i ka balansi bɛna lajɛ.

3. Kɔrɔbɔli kɛrɛnkɛrɛnnenw:

• CT Scan walima MRI Scan: O scanw bɛ se ka ja caman dilan ni 3D ye, minnu bɛ kɛ ni hakili ye. U bɛ se ka dɛmɛ don ka a dɔn ni ɲɛgɛnɛsira minnu bɛ kunsɛmɛ na, olu bonyalen don NPH la. Nka, sɛgɛsɛgɛli dɔrɔn tɛ se ka NPH dafa.
• Lumbar Puncture / Spinal Tap : Nin ye fɛɛrɛ nafama dɔ ye bana sɛgɛsɛgɛli la. An b’o Weele tuma dɔw la ko ‘kɔkolo-pompi’. Aw kana aw hakili ɲagami, dɔgɔtɔrɔ bɛna nin kɛ. Pikirijikɛlan fitinin dɔ bɛ kɛ ka CSF ji dɔw bɔ kɔkolo duguma.

NPH furakɛcogo jumɛnw bɛ yen?

NPH furakɛcogo min ka fisa ni tɔw bɛɛ ye, o ye opereli ye. Fura walima fura wɛrɛ si tɛ se ka bana in furakɛ.

Opereli kunba ye ka shunt (shunt) bila.

Miiri k’a filɛ, tubabufura fitinin dɔ bɛ don a kɔnɔ walasa ka CSF ji tɛmɛnen bɔ an kunkolo la ka taa farikolo yɔrɔ wɛrɛ la. O bɛ Weele ko shunt. Nin ye tubabufura ye min ka fin kosɛbɛ. Hakilila-dɔgɔtɔrɔ dɔ bɛ o tubabufura don kunsɛmɛ na, k’a ɲɛsin fari jukɔrɔ ka taa yɔrɔ la min bɛ wele ko kɔnɔbara basigilen. Valve dɔ bɛ o tubabukan na min bɛ degun kɔlɔsi. Ni degun cayara kunsɛmɛ na, o dawolo bɛ da wuli ani ji tɛmɛnen bɛ woyo ka don kɔnɔbara la. O yɔrɔ la, ji bɛ minɛ k’a sɔrɔ a ma kojugu kɛ farikolo la.

Nin shunt opereli in tɛ ɲɛ sɔrɔ bɛɛ fɛ cogo kelen na. Nka, mɔgɔ caman fɛ, bana taamasiɲɛw bɛ dɔgɔya kosɛbɛ opereli in kɔfɛ, wa u ka ɲɛnamaya kɛcogo bɛ ɲɛ kosɛbɛ. Ni bana in sɛgɛsɛgɛra joona ani ni opereli kɛra, a nɔ bɛ ɲɛ ka taa a fɛ.

Tuma dɔw la, shunt nɔ na, ​​opereli wɛrɛ bɛ kɛ min bɛ wele ko Endoscopic Third Ventriculostomy , o la, endoskopu (tube finman min bɛ ni kamera ye) bɛ kɛ ka dingɛ fitini dɔ kɛ kunsɛmɛnasumaya jukɔrɔ walasa ka sira wɛrɛ dilan CSF ji ka se ka woyo.