Ðe dzesi siawo le wò ame tsitsia ŋua? Mina míasrɔ̃ nu tso normal pressure hydrocephalus (NPH) ŋu .

Ðe nède dzesii kpɔ be dawò, fofowò, alo mamawò tsitsi megaɖoa ŋku nu dzi o eye wòsesẽna nɛ be wòazɔ ne ele tsitsim? Ɣeaɖewoɣi la, míesusuna be nusiawo nye nusiwo sɔ siwo dzɔna ne míele tsitsim. Gake ɣeaɖewoɣi la, susu bubu aɖe ate ŋu anɔ megbe na nɔnɔme siawo. Egbea la, míele nu ƒom tso nɔnɔme tɔxɛ aɖe si ate ŋu aɖi tagbɔdɔ, gake woate ŋu adae ne wodae ŋu . Ema nye nɔnɔme si woyɔna be `(Normal Pressure Hydrocephalus)` alo `(NPH)`.

Nukae nye `(Normal Pressure Hydrocephalus - NPH)`?

Kpuie ko la, `(Normal Pressure Hydrocephalus)` alo `(NPH)` nye nɔnɔme si me tsi ƒoa ƒu ɖe míaƒe ahɔhɔ̃ me alo ƒo xlãe, si doa kplamatse ahɔhɔ̃a ƒe dɔwɔwɔ . Bu eŋu abe gaze si me tsi yɔ fũ ene. Esia ate ŋu akpɔ ŋusẽ ɖe dɔ geɖe siwo dzi ahɔhɔ̃a kpɔ ŋusẽ ɖo, abe tamebubu, susu tsɔtsɔ ɖo nu ŋu, ŋkuɖoɖonudzi, kple azɔlizɔzɔ ene dzi. Nu tɔxɛae nye be togbɔ be esia ƒe dzesiwo ɖi tagbɔdɔ ŋutɔ hã la, woate ŋu ada nɔnɔme si nye `(NPH)` ɣeaɖewoɣi ahadae .

Amekae `(NPH)` nɔnɔme sia gblẽa nu le wu?

Nɔnɔme sia si woyɔna be ``(NPH)`` , bɔ ɖe amesiwo xɔ wu ƒe 65. Afɔku si le nɔnɔme sia xɔxɔ me dzina ɖe edzi ne ame tsi. Zi geɖe la, edzea egɔme le ƒe 70 xɔxɔ lɔƒo.

Ƒe si le dzidzim ɖe edzi ye nye nusi koŋ ate ŋu ahe esia vɛ. Nuwo abe ameƒomevinyenye, amadede, kple ŋutsu alo nyɔnu nyenye ene mekpɔa ŋusẽ ɖe esia dzi o.

Aleke gbegbee `(NPH)` bɔe?

Togbɔ be mebɔ kura o hã la, NPH nye dɔléle si wonya nyuie le ɖɔktawo dome. Wobu akɔnta be amesiwo xɔ tso ƒe 70 va ɖo ƒe 80 dometɔ siwo ade 0.2% ŋue dɔlélea le, eye amesiwo xɔ wu ƒe 80 dometɔ siwo ade 5.9% hã le eŋu. Ema fia be ame siwo ade miliɔn 8.4 siwo xɔ wu ƒe 80 le xexeame katã le dɔléle sia lém. Le eŋutinunyalawo ƒe nya nu la, ƒã ŋutɔ le amesiwo mexɔ ƒe 65 haɖe o gome, eye ƒe ma ƒe 0.003% koe wòdzena le.

Nukae dzɔna ne `(NPH)` le asiwò? Aleke wòkpɔa ŋusẽ ɖe ahɔhɔ̃a dzii?

Lã si woyɔna be cerebrospinal fluid (CSF) ƒe ƒuƒoƒo ɖe ahɔhɔ̃a me gbɔe NPH tsona . Lãmetsi sia le abe tsi ene. Enaa nunyiame ahɔhɔ̃a eye wòɖea gbeɖuɖɔwo ɖa. CSF si ade mililita 150 (ounces 5) le ame tsitsiwo ƒe ahɔhɔ̃ me le mama dedie nu. Ema mede Coke ƒe gaze ɖeka me ƒe afã o. Míaƒe ŋutilã wɔa tsi sia ɣesiaɣi, ƒoa xlãe, eye wògaxɔnɛ ake be wòanɔ teƒe ɖeka ɣesiaɣi.

Togbɔ be tsi sia ƒe agbɔsɔsɔ le sue hã la, ewɔa akpa gã aɖe. ``(CSF)`` tsi sia ƒo xlã míaƒe ahɔhɔ̃ kple aklã si le aklã me. Ne míagblɔe bubui la, míaƒe ahɔhɔ̃ nɔa tsi sia me . Ewɔa dɔ hã abe akɔtaɖonu si kpɔa ahɔhɔ̃ kple aklã ta tso gotagome ʋuʋudedi me.

Eyata, ne míaƒe ŋutilã mete ŋu le tsi sia si nye ``(CSF)`` la tsam nyuie alo gaxɔe ake o la, tsi sia dzea ƒoƒo ƒu gɔme wu alesi wòle be wòaƒo ƒu ɖe taɖua me.

Le `(NPH)` me la, tsi sia ƒoa ƒu vivivi, eyata togbɔ be wodzia nyaƒoɖeamenu si le taɖua me `(Intracranial Pressure)` ɖe edzi hã la, egakpɔtɔ le afisi wòle be wòanɔ . (Esia tae wogayɔnɛ be `(Normal Pressure Hydrocephalus)` - "Normal Pressure Hydrocephalus"). Elabena, le míaƒe ahɔhɔ̃ me la, do siwo me tsi yɔ fũu siwo woyɔna be `(Ventricles)`, siwo ate ŋu akpɔ tsi sia ƒe ƒuƒoƒo aɖe gbɔ.

Gake, esi `(CSF)` yi edzi le ƒoƒom ɖe enu la, teƒe bubu aɖeke megali si tsi ma ayi o. Emegbe, ahɔhɔ̃a dzea vuvu kple vuvu gɔme . Emae hea dɔléle sia ƒe dzesiwo vɛ. Ne ahɔhɔ̃a vuvu alea ɣeyiɣi didi aɖe la, nyaƒoɖeamenua ate ŋu agblẽ nu le ahɔhɔ̃mekawo ŋu tegbee, alo agblẽe gɔ̃ hã.

Nukae nye `(NPH)` ƒe dzesiwo?

Zi geɖe la, `(NPH)` ƒe dzesiwo dzena vivivi, eye wodzina ɖe edzi vivivi le ɣleti etɔ̃ va ɖo ade me . Dzesi vevi etɔ̃e le `(NPH)`, si woyɔna hã be Hakim ƒe Triad . Ame siwo ŋu `(NPH)` le ƒe 50% va ɖo 75% ƒe dzesi etɔ̃awo katã dzena le ɣeyiɣi ɖeka me. Hakim ƒe Triad la lɔ dzesi ƒomevi etɔ̃ siwo gbɔna ɖe eme:

• Azɔlizɔzɔ ƒe nyawo
• Aɖuɖɔtoe ƒe dɔmawɔmawɔ nyuie
• Sidzedze ƒe kuxiwo

Azɔlizɔzɔ sesẽ

Esiawo nye kuxi siwo le ʋuʋu ŋu si do ƒome kple azɔlizɔzɔ. Dzesi siae nye esi bɔ wu le etɔ̃awo dome. Dzesi siawo le amesiwo ŋu NPH le ƒe 80% va ɖo 95% dome. Dzesi aɖewo ate ŋu aɖi Parkinson ƒe dɔlélea ƒe ʋuʋu ƒe kuxiwo , gake vovototo vevitɔe nye be le NPH me la, zi geɖe la, afɔwo kple afɔwo koe dzesi siawo dzena le.

Ne `(NPH)` le asiwò la, nusiawo ateŋu adzɔ:

• Eva sesẽna be woakɔ afɔawo ɖe dzi . Esia nana wòdzena abe afɔawo lé ɖe anyigba ne wole zɔzɔm ene. Wogblɔ be ele abe alesi wòsesẽna be woadze agbagba aɖe magnet ɖa le anyigba dzi ene.
• Afɔawo le sue eye wole ʋuʋum . Esia nana wòdzena abe afɔawo le hehem ne wole zɔzɔm ene. Mɔnukpɔkpɔ gã aɖe hã li be woakli nu ahadze anyi.
• Azɔlizɔzɔ ate ŋu atɔ zi ɖeka alo azɔ kakaɖedzimanɔmee . Adze abe ɖe màte ŋu atso nya me nenye be yeaɖe afɔ aɖe alo ayi ŋgɔ ne èdze azɔlizɔzɔ gɔme o ene. Àte ŋu ahe ɖe megbe hã ne èle tɔtrɔ gãwo wɔm esime nèle zɔzɔm, eye ate ŋu asesẽ na wò be nàtrɔ.
• Ne wole zɔzɔm la, wotrɔa afɔbidɛwo ɖe gota . Esia wɔnɛ be wote ŋu kekea woƒe afɔwo ɖe vovo eye wozɔa axa ɖeka yia axadzi, abe penguin ene.

Aɖuɖɔtoe dzi ɖuɖu ƒe ŋutetemanɔamesi

Esiae nye tsinyegoea dzi ɖuɖu ƒe anyimanɔmanɔ kple aɖuɖɔ si dona le eɖokui si le lɔlɔ̃nu faa me. Le gɔmedzedzea me la, àte ŋu ase le ɖokuiwò me be ehiã be yeaɖe aɖuɖɔ enuenu, alo àte ŋu ase le ɖokuiwò me be yeaɖe aɖuɖɔ kpata, si gbɔ eme si dzi ɖuɖu sesẽ.

Ŋukpe ate ŋu akpe amesiwo ŋu nɔnɔme sia le ne womete ŋu ɖu woƒe aɖuɖɔ dzi o. Ke hã, ame aɖewo menya esia o, eye ŋu kpea wo.Mesena le eɖokui me gɔ̃ hã be ele nenema o. Esia ate ŋu atso alesi tamebubu sesẽe, si nye Hakeem ƒe ame etɔ̃lia ƒe nɔnɔme etɔ̃lia gbɔ.

Tamebubu kple ŋkuɖoɖo nu dzi sesẽ

Nu vevi etɔ̃lia si le NPH ŋue nye tamebubu kple ŋkuɖoɖonudzi ƒe sesẽ. Esia ate ŋu ahe nuwo abe:

• Susu kple ŋutilã me blewu . Edze abe ame bua tame hewɔa nu blewu wu alesi wònɔna ɖaa ene.
• Ŋkuɖodzinu ƒe kuxiwo . Zi geɖe la, èŋlɔa nuwo be eye wòdzena abe ɖe nèle dɔ wɔm tamebubu manɔmee ene.
• Dɔdzikpɔlawo ƒe dɔmawɔmawɔ nyuie : Seselelãme, tamesusuwo, kple nuwɔnawo dzi kpɔkpɔ sesẽ. Esesẽna be wò susu nanɔ nu ŋu, nyametsotsowo wɔwɔ, eye wòsesẽna na wò be nàbu tame nyuie.
• Seselelãmewo ƒe tɔtrɔ . Ðewohĩ adze abe amesiwo ŋu NPH le la metsɔ ɖeke le eme o ene eye womagatsɔ ɖeke le nusiwo doa dzidzɔ na wo tsã me o.

Nukae nye nusiwo gbɔ `(NPH)` tsona?

`(NPH)` ƒomevi vevi eve li, eye wo ame evea siaa dzɔna le mɔ ɖeka nu. Ƒomevi eveawoe nye:

• NPH gbãtɔ (si nye dɔléle si nye idiopathic).
• NPH ƒe evelia

Gbãtɔ (womenya nusi gbɔ wòtso o) `(NPH)`

NPH gbãtɔ fia be menye atikewɔwɔ ƒe nɔnɔme bubu aɖe gbɔe wòtso o. Nya bubu si wozãna na esiae nye idiopathic , si nye nya si eŋutinunyalawo zãna tsɔ ɖɔa nɔnɔme siwo doa mo ɖa evɔ wometso nusi koŋ gbɔ wòtso o . Eŋutinunyalawo xɔe se be idiopathic NPH ate ŋu atso kuxi ɖeka alo esi wu nenema siwo doa mo ɖa le tsitsi me le alesi míaƒe ŋutilã wɔa ahɔhɔ̃mekawo ƒe tsi (CSF) wɔa, ƒoa xlãe, kple alesi wògaxɔa nu ake me. NPH dɔnɔwo katã ƒe afã lɔƒo dzena le hatsotso sia me.

Le nɔnɔme siwo sɔ me la, míaƒe ŋutilã wɔa `(CSF)` mililita 400 va ɖo 600 gbesiagbe. Ema sɔ gbɔ wu esi míehiã. Eyata ele be míayi edzi anɔ `(CSF)` xoxoawo gbugbɔ xɔm be teƒe nanɔ `(CSF)` yeyewo ŋu. Ne kuxi aɖe le alesi `(CSF)` ƒoa xlãe alo wogbugbɔa xɔa me la, ŋutilãa ateŋu awɔ `(CSF)` geɖe wu alesi wòhiã, si ana tsi sia naƒo ƒu.

Kpeɖodziwo hã li be NPH ate ŋu ado ƒome kple ahɔhɔ̃medɔ siwo gblẽa nu le ame ŋu abe Alzheimer ƒe dɔléle kple Lewy ŋutilã ƒe tagbɔdɔ . Numekulawo gale agbagba dzem be yewoanya alesi NPH dzɔna kple nusitae, kple nenye be nɔnɔme bubuwo ate ŋu akpɔ ŋusẽ ɖe edzi. Nyabiase siawo ŋuɖoɖo ate ŋu akpe ɖe ŋuwò nàxe mɔ ɖe dɔlélea nu alo adae nyuie wu le etsɔme.

Evelia `(NPH)`

NPH evelia dzɔna ne atikewɔwɔ me nɔnɔme bubu aɖe kpɔ ŋusẽ ɖe alesi míaƒe ŋutilã wɔa ahɔhɔ̃mekawo ƒe tsi (CSF) wɔwɔ, tsatsam, alo gbugbɔgaxɔ dzi. Nɔnɔme aɖewo siwo ate ŋu ahe NPH evelia vɛ dometɔ aɖewoe nye:

• Ahɔhɔ̃ me ʋuka si me ʋu sina tona (ʋuka si me ʋu sina tona si ate ŋu agbã eye ʋu ado ɖe ahɔhɔ̃mekawo me).
• Ʋu si dona le ahɔhɔ̃a me alo ƒo xlãe (Intracranial hemorrhage).
• Ahɔhɔ̃ me dɔdzẽ (siwo dome kansa hã le) .
• Dɔlékui siwo le ahɔhɔ̃a me alo lãmekawo ƒe akpa siwo do ƒome kplii (le kpɔɖeŋu me , tagbɔdɔ alo taɖuame ).
• Gbagbãdᴐ .
• Ahɔhɔ̃ ƒe abixɔxɔ si me nuveviwɔame le (TBI) lɔ abi siwo woxɔna le ahɔhɔ̃a alo teƒe siwo do ƒome kplii ŋu le atikewɔwɔ me.

Aleke wokpɔa `(NPH)` ƒe dɔlélea?

NPH didi nye ayemɔ vie, elabena nɔnɔmea ƒe dzesi geɖe sɔ kple dɔléle bubu siwo do ƒome kple tsitsi, abe tagbɔdɔ ene . NPH bɔ hã kpe ɖe dɔléle bubu siwo do ƒome kple tsitsi. Alzheimer dɔléle alo ahɔhɔ̃medɔ ma tɔgbe hã le amesiwo ŋu NPH le ƒe 30% ŋu.

Ðɔkta zãa mɔnu siawo ƒe ƒuƒoƒo tsɔ dea dzesi NPH:

• Lãmesẽ kple ahɔhɔ̃mekawo ƒe dodokpɔ . Le esia me la, ɖɔkta la dia dɔléle ƒe dzesi siwo woate ŋu akpɔ. Edoa wò sidzenuwo (nukpɔkpɔ, nusese, asikaka nu ŋu), wò susu ƒe dɔwɔwɔ, kple lãmekawo ƒe ŋusẽ hã kpɔna le wò abɔwo kple afɔwo me.
• Nyabiase tso wò atikewɔwɔ ŋutinya kple dzesiwo ŋu . Wò atikewɔwɔ ŋuti nuŋlɔɖiwo, atikewɔwɔ ŋutinya, kple dzesiwo ate ŋu ana nàkpɔ kpeɖodzi veviwo be nànya NPH.
• Nɔnɔmetata siwo wotsɔ dia dɔlélewoe . Magnetic resonance imaging (MRI) scans ye nye dɔwɔnu vevitɔ kekeake le NPH didi me. Esia wɔnɛ be ɖɔktaa te ŋu léa ŋku ɖe wò ta me hekpɔa ahɔhɔ̃a kple teƒe siwo tsi ƒo ƒu ɖo. Wò ɖɔkta ate ŋu adɔ hã be woawɔ cisternogram scan , gake esia mebɔ o. Computed tomography (CT) scans ate ŋu akpe ɖe ame ŋu be woagbe nɔnɔme bubuwo, gake womekpena ɖe ame ŋu boo le NPH didi me o.
• dodokpɔ siwo wowɔna le dodokpɔxɔ me . Akɔta ƒe ʋuʋu ( dɔdamɔnu si me woɖea tsi sue aɖe tso akɔta) nana ɖɔktaa te ŋu xɔa ahɔhɔ̃mekawo ƒe tsi (CSF) ƒe kpɔɖeŋu hena dodokpɔ. Esia mate ŋu ade dzesi NPH tẽ o, gake ate ŋu akpe ɖe ame ŋu be woaɖe nɔnɔme bubuwo ɖa. Ate ŋu akpe ɖe ame ŋu hã be woanya nenye be dɔléle bubu abe taɖuame ene gbɔe NPH tso. Akɔta ƒe ʋuʋu ate ŋu aɖe CSF si sɔ gbɔ hã ɖa, si ate ŋu aɖe dzesiawo dzi akpɔtɔ hena ɣeyiɣi aɖe (gake dzesiawo agatrɔ ava ne wogatsɔ CSF la kpee).

Le wò dzesiwo nu la, wò ɖɔkta ate ŋu aɖe gbe be woawɔ dodokpɔ bubuwo hã. Zi geɖe la, esiawo nyea be woatsɔ agbe nɔnɔme bubu siwo ƒe dzesiwo sɔ kple NPH tɔ. Wò ɖɔkta agblɔ nu geɖe tso dodokpɔ siawo kple nusita wole vevie ŋu na wò.

Aleke wowɔa nu ɖe ​​`(NPH)` ŋui? Ðe atike blibo aɖe li na esia?

Le akpa gãtɔ gome la, NPH nye dɔléle si woate ŋu ada.. Atikewɔwɔ toa vovo le alesi NPH nye gbãtɔ/idiopathic alo evelia nu. To vovo na ahɔhɔ̃medɔ bubu geɖe la, ƒã hafi wozãa atikewo tsɔ daa NPH. Esia le alea elabena zi geɖe la, NPH mewɔa nu ɖe ​​atike ŋu o (togbɔ be woate ŋu atsɔ atike ada dzesi aɖewo siwo do ƒome kple NPH hã).

Dɔdamɔnu na gbãtɔ/idiopathic `(NPH)`

Zi geɖe la, woate ŋu ada nusi koŋ gbɔ wòtso/si womenya o (NPH). Atikewɔwɔ si bɔ wu – eye wòkpɔa dzidzedze wu – na esiae nye amekoko ƒe mɔ̃ aɖe si woyɔna be shunt . Tube (catheters) eve le shunt me, ɖeka naa tsi gena ɖe eme eye ɖeka nana wòdoa go, eye ʋuƒo aɖe nɔa wo ame evea dome. Ne tsi yɔ ahɔhɔ̃a ƒe ʋukawo me fũ akpa la, nyaƒoɖeamenu si dzi ɖe edzi la zia tsi la dzi wògena ɖe mɔ̃ si me tsi gena ɖo la me, si wɔnɛ be ʋua ƒe ʋuƒoa ʋuna eye wònana tsi si sɔ gbɔ ɖe eme la sina toa doa me.

Wowɔa shunt valve yeye aɖewo be ``woate ŋu awɔ ɖoɖo ɖe wo ŋu,'' si fia be ɖɔkta ateŋu atrɔ woƒe ɖoɖowo amekoko manɔmee. Wodzena le ``X-ray,'' dzi, eyata ɖɔkta ateŋu alé ŋku ɖe ʋuƒoa ŋu eye wòakpɔ egbɔ be ɖoɖoawo sɔ. Shunt yeye aɖewo nye ``MRI-safe,'' si fia be àteŋu awɔ ``MRI'' scan ne valve sia ƒomevi le asiwò gɔ̃ hã.

Tsidzɔƒea dona to do sue aɖe si le taɖua me (ɖɔktaa wɔa do sia le amekokoa me be wòatsɔ shunt la ade eme). Ne wodo go le taɖua me vɔ la, mɔ̃a trɔna yia anyime eye wògena ɖe ŋutigbalẽa te. Tsidzɔƒe sia kplɔa tsi si le eme la yia akɔta alo ƒodo me.

Ne woɖo mɔ̃a ɖe ƒodoa me (si wowɔna zi geɖe) la, woɖea tsi la tsoa ƒodoa me, si nye lãkusi si ƒo xlã ƒodoa ƒe ŋutinu geɖe. Ne woɖoe ɖe akɔta la, woɖea CSF la tso lãkusi si ƒo xlã lãkusia me.

Evelia `(NPH)`

Woate ŋu ada NPH evelia, gake ne nɔnɔme aɖe si woate ŋu ada gbɔe dɔlélea tso ko hafi . NPH evelia ƒe atikewɔwɔ ate ŋu ato vovo ŋutɔ le nusi gbɔ wòtso nu. Wò ɖɔktae nye ame nyuitɔ kekeake si nàƒo nu tso atikewɔmɔnu siwo li kple nusiwo wokafu ŋu na.

Nukawoe nye atikewɔwɔa ƒe nugbegblẽ le ame ŋu alo kuxi siwo dona tso eme?

NPH dada ƒe nugbegblẽ le ame ŋu toa vovo le atikewɔwɔa nu. Le NPH gbãtɔ/si womenya o me la, atikewɔwɔ si bɔ wue nye amekoko be woatsɔ shunt ade tagbɔ be CSF si sɔ gbɔ la nagaƒo ƒu ɖe taɖua me o. Amekoko sia ƒe nugbegblẽ aɖewo dometɔ aɖewoe nye (gake menye woawo koe o):

• Dɔlékuiwo
• Shunt ƒe dɔmawɔmawɔ nyuie alo eƒe kpododonu
• Teƒe ƒe tɔtrɔ le valvɔ kple/alo tubes me
• `(CSF)` ƒe sisi fũ to shunt la me (esia nana `(CSF)` ƒe nyaƒoɖeamenu dzi ɖena kpɔtɔna, si woyɔna hã be `(Intracranial hypotension)` ).

Le NPH evelia me la, atikewɔwɔ siwo li ate ŋu ato vovo. Azɔ hã, eƒe nugbegblẽ le ame ŋu kple kuxi siwo dona tso eme ate ŋu ato vovo. Eyata wò ɖɔktae nye ame nyuitɔ si agblɔ kuxi alo nugbegblẽ le ame ŋu siwo nàte ŋu akpɔ mɔ na kple nusi woate ŋu awɔ tso wo ŋu na wò.

Aleke mawɔ akpɔ dzesiawo gbɔ ne nyemelé be na ɖokuinye o?

NPH menye nɔnɔme si nàte ŋu akpɔ alo ada le ɖokuiwò si o. Eyata mègaŋe aɖaba ƒu dzesiawo dzi alo dze agbagba be ye ŋutɔ yeawɔ atike na ye ɖokui alo ame bubu si ŋu dzesi siawo le o .

Aleke gbegbee nye lãme asẽ le atikewɔwɔ vɔ megbe kpuie? Ɣeyiɣi didi kae wòxɔna hafi wòhayana tso atikewɔwɔ me?

Nɔnɔme sia ƒe dzesiwo ate ŋu adze egɔme anyo ɖe edzi enumake kloe ne woda shunt. Zi alesi wokpɔ dɔlélea kple edada kaba la, zi nenemae wòkpɔa dzidzedzee.

Ame akpa gãtɔ dea dzesii be dzesiawo dzi ɖena kpɔtɔna le gaƒoƒo alo ŋkeke ʋɛ aɖewo me le esi wodo shunt vɔ megbe. Gake esi wònye be shunt nye amekoko gã aɖe ta la, ate ŋu axɔ ame geɖe ŋkeke alo kwasiɖa geɖe hafi ahaya tso eme. Wò ɖɔkta koe ate ŋu agblɔ ɣeyiɣi didi si tututu wòaxɔ hafi nàhaya tso amekoko me na wò, elabena nu geɖe kpɔa ŋusẽ ɖe wò hayahayaɣi dzi.

Ðe mate ŋu aɖe afɔku si le dɔlélea xɔxɔ (NPH) me dzi akpɔtɔ alo axe mɔ ɖe enu kuraa?

NPH dzɔna le vome, eye dɔléleawo ƒe afã lɔƒo nyea dɔléle si nye idiopathic, si fia be wodzɔna le susu aɖeke si womenya o ta. Womate ŋu axe mɔ ɖe idiopathic NPH nu o , eye womate ŋu aɖe afɔku si le exɔlɔ̃ me hã dzi akpɔtɔ o.

Gake àte ŋu aɖe afɔku si le NPH evelia xɔxɔ me dzi akpɔtɔ ne èƒo asa na dɔléle alo nɔnɔme bubu siwo ate ŋu ahe nɔnɔme sia vɛ. Nu siwo nàte ŋu awɔ dometɔ aɖewoe nye esi:

• Mègaŋe aɖaba ƒu dɔlékuiwo dzi o , vevietɔ ŋku kple to me dɔlékuiwo. Esiawo ate ŋu akaka ɖe ahɔhɔ̃a me bɔbɔe eye woahe nɔnɔmewo abe tagbɔdɔ alo taɖuame ene vɛ .
• Do ametakpɔnu . Ahɔhɔ̃ ƒe abixɔxɔ sesẽwo ate ŋu ahe NPH evelia vɛ. Ametakpɔnu abe gakuku ene dodo ate ŋu akpe ɖe ame ŋu be woaxe mɔ ɖe abi siawo nu.
• Kpɔ wò lãmesẽnyawo dzi . Nɔnɔmewo abe ʋusɔgbɔdɔ ene ate ŋu ana ahɔhɔ̃a ƒe ʋukawo nado eye ʋu nado le ahɔhɔ̃a me. Esiawo evea siaa ate ŋu ahe NPH vɛ. Wò ʋu ƒe sisi dzi ɖuɖu kple nɔnɔmewo abe suklidɔ ƒomevi evelia alo ʋumemi ƒe agbɔsɔsɔ ene dzi ɖuɖu ate ŋu aɖe kuxi siawo ƒe afɔkua dzi akpɔtɔ.

Nukae wòle be makpɔ mɔ na ne `(NPH)` le asinye?

NPH nye nɔnɔme tɔxɛ aɖe si me nɔnɔme siwo ɖi tagbɔdɔléle le elabena zi geɖe la, woate ŋu atrɔe . Gake mɔnukpɔkpɔ nyuitɔ si li be woatrɔ nɔnɔme siae nye ne wokpɔ dɔlélea kaba eye wodae kaba . Zi alesi wova le dɔlélea kpɔm hedae emegbe la, zi nenemae wòanɔ bɔbɔe be nuteɖeamedzia ƒe nugbegblẽ le ahɔhɔ̃a ŋu anɔ anyi ɖaa eye wòasẽ.

Esi wònye be zi geɖe la, NPH kpɔa ŋusẽ ɖe wò tamebubu ŋutete dzi ta la, ame geɖe siwo ŋu dɔlélea le menya be ele yewo ŋu o. Zi geɖe la, ƒometɔwo, xɔlɔ̃wo, kple ame nyanyɛwoe dea dzesi NPH ƒe dzesiwo gbã . Esia fia be ame veviwo ate ŋu awɔ akpa gã aɖe le NPH ƒe dɔlélea didi kple edada kaba me.

Ɣeyiɣi didi kae `(NPH)` li?

NPH nye dɔléle si nɔa anyi didi . Dzesiawo dzena vivivi le ɣleti etɔ̃ va ɖo ade me. Gake NPH meganyona ɖe edzi le eɖokui si o; eyi edzi le gbegblẽm ɖe edzi. Ne ele gbegblẽm ɖe edzi la, ate ŋu agblẽ nu le ahɔhɔ̃a ŋu vevie eye wòanɔ anyi ɖaa mlɔeba.

Togbɔ be NPH mate ŋu awu ame le eɖokui si o hã la, ate ŋu ahe dzesi siwo ana wòasesẽ eye mlɔeba la, manya wɔ be ame nanɔ agbe le eɖokui si o. Ate ŋu ahe kuxi sesẽ siwo ate ŋu ade ame ƒe agbe afɔku me, abe anyidzedze ene hã vɛ.

Ne wowɔ atike na wo la, anɔ eme be `(NPH)` ƒe dzesi veviwo anyo ɖe edzi. Ne wowɔ atike na ame la, alesi wòanya wɔ be dzesi etɔ̃ mawo nanyo ɖe edzie nye esi:

• Azɔlizɔzɔ sesẽ : Dzesi siawo nu tsona le dɔnɔ siwo woda dɔ na ƒe 85% lɔƒo me.
• Dzesi sia ƒe dɔlélenutsiŋutete : Woate ŋu ada dzesi sia le dɔléle siwo ade 80% me ne wodae kaba. Mɔnukpɔkpɔ si li be woada dɔa le 50% va ɖo 60% ne wodae megbe.
• Tamebubu kple ŋkuɖoɖonudzi ƒe kuxiwo : Dzesi siawo nyona ɖe edzi le dɔnɔ siwo woda dɔ na ƒe 80% lɔƒo me.

Nukae nye nɔnɔme sia ƒe mɔkpɔkpɔ?

Mɔkpɔkpɔ na `(NPH)` ateŋu ato vovo ŋutɔ. Susu siwo tae wòle alea ɖoe nye:

• Esesẽ be woakpɔ NPH elabena eƒe dzesiwo sɔ kple esiwo dzena le tsitsime, alo dɔléle bubu siwo do ƒome kple tsitsi.
• `(NPH)` ƒe dzesiwo yia edzi vivivi.
• Ahɔhɔ̃medɔléle si gblẽa nu le ame ŋu abe Alzheimer ƒe dɔléle ene hã le amesiwo ŋu NPH le ƒe akpa etɔ̃lia lɔƒo ŋu.
• NPH va bɔ ɖe edzi ne míele tsitsim, eye lãmesẽkuxi geɖe siwo bɔ siwo do ƒome kple tsitsi ate ŋu awɔ akpa aɖe le NPH me eye wòagblẽ ɖe edzi.
• Esi `(NPH)` ƒe dzesiwo kpɔa ŋusẽ ɖe wò tamebubu ŋutete dzi ta la, ɖewohĩ wò ŋutɔ màte ŋu ade dzesi wò dzesiwo o.

Nusiwo kpɔa ŋusẽ ɖe `(NPH)` ƒe emetsonuwo dzi

Ne nu siawo li la, mɔnukpɔkpɔ si li be woakpɔ emetsonu nyui aɖe tso `(NPH)` me la lolo ŋutɔ:

• Dɔlélea didi kaba kple edada.
• Tamebubu kple ŋkuɖoɖonudzi ƒe sesẽ si kplɔe ɖo kple azɔlizɔzɔ sesẽ kple/alo aɖuɖɔtoe dzi ɖuɖu sesẽ.
• NPH evelia dzɔna le nusiwo woate ŋu ada alo esiwo woate ŋu atrɔ ta.
• Ne woɖe CSF le akɔta ƒe dodo me la, NPH ƒe dzesiwo dzi ɖena kpɔtɔna.

Mɔnukpɔkpɔ si li be nu nyui aɖe nado tso eme la le sue ne nu siawo li:

• Heheɖemegbe le dɔlélea didi kple edada me.
• Tamebubu kple ŋkuɖoɖonudzi ƒe kuxiwo ƒe gɔmedzedze kaba, vevietɔ ne edze egɔme hafi azɔlizɔzɔ alo aɖuɖɔtoe dzi ɖuɖu sesẽ.
• Tamebubu kple ŋkuɖoɖonudzi ƒe kuxi sesẽwo.
• Ahɔhɔ̃medɔ bubuwo (vevietɔ ahɔhɔ̃medɔléle siwo gblẽa nu le ame ŋu abe Alzheimer ƒe dɔléle ene) ƒe amesinɔnɔ.

Esi wònye be nu geɖe kpɔa ŋusẽ ɖe emetsonua dzi ta la, wò ɖɔktae nye ame nyuitɔ si nàƒo nu tso nusi ate ŋu ado tso eme na wò alo wò lɔlɔ̃tɔ aɖe si ŋu dɔléle sia le ŋu. Nyatakaka siwo woana la anye wò atikewɔwɔ ŋutinya, wò dzesiawo ƒe sesẽ, atike siwo nàte ŋu azã, kple nya vevi bubuwo.

Aleke malé be na ɖokuinye (le shunt wɔwɔ vɔ megbe)?

Ne NPH le ŋuwò la, atike si wòanya wɔ na wò wue nye be woawɔ dɔ na wò be nàde shunt be tsi nagaƒo ƒu ɖe ahɔhɔ̃a me o. Ne shunt le ŋuwò la, zi geɖe la, nu ʋɛ aɖewo li nàte ŋu awɔ atsɔ akpe ɖe ŋuwò nàxe mɔ ɖe kuxiwo nu:

• Wɔ ɖe wò ɖɔkta ƒe mɔfiamewo dzi le amekoko vɔ megbe . Ele vevie ŋutɔ be nàlé be na teƒe siwo woda aŋe alo aŋenuwo ɖo nyuie. Esiawo dzi kpɔkpɔ nyuie ate ŋu akpe ɖe ŋuwò nàxe mɔ ɖe kuxiwo abe dɔlékuiwo ene nu.
• Te ɖa le magnetwo ŋu ne ehiã . Menye shunt katãe magnetic valve le o, eyata esia menye nusi wòle be amesiame si si shunt le nawɔ o. Wò ɖɔkta aƒo nu tso esia ŋu na wò.
• Kpɔ nyuie le ʋuʋu kple dɔwɔnawo ŋu . Ƒo asa na kamedede siwo ate ŋu akpɔ ŋusẽ ɖe shunt, tube, alo nu bubu ɖesiaɖe dzi.
• Kpɔ wò ɖɔkta abe alesi wokafui ene . Ele vevie be nàyi ɖɔkta gbɔ edziedzi be nàxe mɔ ɖe kuxi siwo dona tso nɔnɔme sia me nu. Le sasrãkpɔ siawo me la, wò ɖɔkta ate ŋu alé ŋku ɖe wò nɔnɔmea ŋu eye wòatrɔ asi le shunt la ŋu ne ehiã.
• Kpɔ dɔlélea ƒe dzesiwo ɖa . Ne ède dzesii be `(NPH)` ƒe dzesi aɖe gadze la, gblɔe na wò ɖɔkta kaba ale si nàte ŋui. Dzesi siwo gbugbɔna ate ŋu afia be kuxi aɖe le shunt la ŋu. Zi alesi dzesiawo nɔa anyi didi eye wole gbegblẽm ɖe edzi la, zi nenemae kuxiwo ƒe afɔkua dzina ɖe edzii.

Ɣekaɣie wòle be makpɔ nye ɖɔkta?

Ele be nàkpɔ wò ɖɔkta abe alesi wokafui ene. Ele be nàkpɔ wò ɖɔkta hã ne ède dzesii be wò NPH ƒe dzesiwo gadze egɔme ake, alo ne èkpɔ dzesi yeye aɖewo (ne edze abe womedo ƒome kple wo nɔewo o ene gɔ̃ hã).

Ɣekaɣie wòle be mayi Dɔwɔƒe si Kpɔa Nudzɔdzɔ Kpatawo Gbɔ (ETU) ?

Wò ɖɔkta agblɔ dzesi siwo ate ŋu afia kuxi alo kuxi siwo ate ŋu ado mo ɖa la na wò. Dzesi aɖewo siwo ate ŋu ahiã be woakpɔ egbɔ enumake le atikewɔƒewo dometɔ aɖewoe nye:

• Taɖuame . Taɖuame si doa kplamatse wò dɔwɔna siwo nèwɔna ɖaa, vevietɔ ne edze egɔme alo ne egblẽ ɖe edzi ne èbɔbɔ nɔ anyi alo tsi tre. Esiawo ate ŋu atso kuxi aɖe si le shunt la ŋu (ne mele tsi si le CSF si sɔ gbɔ ɖem o), alo ne shunt la ʋu.
• Asrã alo vuvɔ . Dɔlékuiwo ate ŋu adze ame dzi le shunt dɔwɔwɔ vɔ megbe. Dɔlékui siawo ate ŋu agblẽ nu le wò ahɔhɔ̃, aklã, alo akɔta, eye woate ŋu akaka kabakaba. Mègaŋe aɖaba ƒu dɔléle ƒe dzesiwo dzi gbeɖe le (NPH) amekoko vɔ megbe o.
• Kɔ sesẽ . Esia ate ŋu anye kuxi le shunt alo outflow tract la ŋu.
• Vevesese le ƒodo alo akɔta si me ʋukaa leNe tsidzɔƒea ʋu la, ate ŋu aƒo lãkusi siwo te ɖe eŋu alo agblẽ nu le wo ŋu. Ne èle veve sem le teƒe siawo, vevietɔ vevesese kpata, si nu sẽ la, ele be nàƒo ka na wò ɖɔkta alo ayi xɔ si me wowɔa dɔ kpata le enumake.

Dzesi bubuwo ate ŋu anɔ anyi siwo ŋu wòle be nànya, eye wò ɖɔkta agblɔ wo ŋu nya geɖe na wò. Eya hãe nye ame nyuitɔ kekeake si aɖo nyabiase siwo ku ɖe nusi nàte ŋu awɔ atsɔ axe mɔ ɖe kuxi siawo nu ŋu.

Vovototo kae le `(Normal Pressure Hydrocephalus - NPH)` kple `(Hydrocephalus)` dome?

NPH nye dɔléle aɖe si woyɔna be hydrocephalus (tsi ƒe ta) si dona vivivi eye wògblẽna ɖe edzi le ɣeyiɣi aɖe megbe. "Nyaƒoɖeamenu si sɔ" fia be nyaƒoɖeamenu si le wò tagbɔ me (intracranial pressure - ICP) mekɔ le mɔ si mesɔ o alo afɔku nu o. Le nɔnɔme siawo me la, wò ICP ƒe agbɔsɔsɔme ate ŋu agogo afisi wokpɔ mɔ na ƒe nuwuwu si le etame. Esia dzɔna blewu, eye wòmia wò ahɔhɔ̃mekawo heƒonɛ. Nyaƒoɖeamenua sɔ vie, eyata ɣeyiɣi sua ahɔhɔ̃a si be wòaɖe asi le tsi si le eme ŋu, si nye nusi hea dzesiawo vɛ mlɔeba.

Mlɔeba la, nusi dzi nàɖo ŋkui (Take-Home Message) .

Normal Pressure Hydrocephalus (NPH) nye dɔléle si mebɔ o si dzea amesiwo xɔ wu ƒe 65. Ate ŋu anye dɔléle si nye idiopathic, si tso dɔlékui aɖe abe meningitis ene gbɔ, alo atso abi si woxɔ le ahɔhɔ̃a ƒe akpa aɖe gbɔ. Nɔnɔme sia ate ŋu ahe dzesi siwo le abe tagbɔdɔléle ene vɛ , si agblẽ nu le azɔlizɔzɔ, tamebubu, kple ŋutete si le esi be wòaɖu aɖuɖɔ dzi la dzi.

Ðeko nɔnɔme geɖe siwo le abe tagbɔdɔ ene la nu sẽna ɖe edzi le ɣeyiɣi aɖe megbe eye wo dada kple wo dzi kpɔkpɔ sesẽna. Gake zi geɖe la, woate ŋu ada NPH, eye ɣeaɖewoɣi la, woate ŋu atrɔe . Mɔnukpɔkpɔ nyuitɔ si li be woatrɔ NPH ƒe ŋusẽkpɔɖeamedziwoe nye ne wokpɔe kaba eye wodae kaba. Esia tae wòle vevie be màŋe aɖaba aƒu wò dzesiwo alo wò lɔlɔ̃tɔ aɖe ƒe dzesiwo dzi o. Ne wowɔ atike na ame geɖe siwo ŋu NPH le la, woate ŋu ahaya eye woƒe ŋutete siwo nɔ anyi do ŋgɔ la ƒe akpa gãtɔ – alo wo katã – nagasu wo si.

Ðo ŋku edzi be ne ɖikeke aɖe le mewò le esia ŋu la, anyo wu be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo.

` Nyaƒoɖeamenu ɖe ​​ahɔhɔ̃a dzi, NPH, tsitsi, azɔlizɔzɔ sesẽ, aɖuɖɔtoe dzi ɖuɖu, ŋkuɖoɖonudzi ƒe bu, shunt dɔwɔwɔ