Hydrocephalus: E aʻo kākou e pili ana i nā kumu, nā hōʻailona, ​​a me ka mālama ʻana i nā huaʻōlelo maʻalahi

Manaʻo ʻoe ua ʻoi aku ka nui o ke poʻo o kāu keiki liʻiliʻi ma mua o kona mau makahiki? A i ʻole ua hoʻomaka koke kekahi lālā ʻohana ʻelemakule e paʻakikī i ka hele wāwae a poina paha? He mau hōʻailona paha kēia o kahi maʻi i kapa ʻia ʻo hydrocephalus, a mākou e kapa pinepine ai ʻo 'wai ma ka lolo'. Mai hopohopo ke lohe ʻoe i kēia. ʻO ka mea nui loa, ʻo ia ka ʻike piha i kēia maʻi a ʻimi i ke kōkua lapaʻau i ka manawa kūpono. E kamaʻilio kākou e pili ana i kēia i kēia lā.

I ka ʻōlelo maʻalahi, he aha ka Hydrocephalus?

ʻAʻole wale ko kākou lolo he mea i loko o ko kākou iwi poʻo. Pale ʻia a lana i loko o kahi wai kūikawā. Kāhea mākou i kēia wai ʻo Cerebrospinal Fluid (CSF) . E like me ka 'shock absorber' i loko o ke kaʻa, pale kēia wai CSF i ko kākou lolo mai ka pōʻino ke lulu a paʻi paha i kona poʻo. ʻAʻole wale ia, kōkua pū kēia wai i ka hāʻawi ʻana i ka lolo i ka meaʻai e pono ai a wehe i nā huahana ʻōpala mai ka lolo.

Hoʻopuka mau ʻia kēia wai CSF i loko o nā lua liʻiliʻi (ventricles) i loko o ka lolo, hoʻopuni ʻia, a hoʻihoʻi hou ʻia i loko o ke kino. E noʻonoʻo iā ia e like me kahi pahu wai e hoʻopiha ʻia me ka wai, e kahe ana ma o nā paipu, e hoʻohana ʻia ana, a e hoʻokahe ʻia ke koena.

ʻO ka Hydrocephalus kahi maʻi, ma muli o kekahi hoʻopilikia ʻana i kēia kaʻina hana, hōʻiliʻili ka wai CSF i loko o nā lua i loko o ka lolo , e hana ana i ke kaomi pono ʻole ma ka lolo. E like me ka wā e paʻa ai kahi paipu wai, piha ka wai ma kahi hoʻokahi a piha. Hiki i kēia kaomi ke hōʻino i nā ʻiʻo o ka lolo.

He aha nā hōʻailona e loli me ka makahiki?

Hiki ke ʻokoʻa loa nā hōʻailona o kēia maʻi ma muli o ka makahiki o ke kanaka. E nānā kākou pehea e pili ai i kēlā me kēia hui makahiki.

He aha nā kumu nui o ka hydrocephalus?

ʻEkolu mau kumu nui no kēia:

1. Pāpaʻa: ʻO ke ala e hiki ai ke ālai ʻia ke kahe ʻana o ka wai CSF ma muli o kahi puʻupuʻu lolo, cyst piha i ka wai, kīnā hānau, ʻeha poʻo, a i ʻole ka hahau ʻana. ʻO kēia ke kumu maʻamau.

2. Ka Hoʻopili Maikaʻi ʻole: Loaʻa paha i ka ʻiʻo lolo kahi hiki ke hoʻopili i ka wai CSF. Hiki ke hana ʻia kēia e nā maʻi e like me ka meningitis a i ʻole ka mumū i hoʻokumu ʻia e nā ʻeha poʻo.

3. Ka hana nui ʻana o ka wai: I kekahi mau hihia kakaikahi, hana ka lolo i ka wai CSF ma mua o ka hiki i ke kino ke lawelawe. Hiki ke pili pinepine ʻia kēia me nā maʻi maʻi.

Pehea e hana ʻia ai ka hōʻailona?

Inā hōʻike ʻoe a i ʻole kāu keiki i nā hōʻailona i luna, e ʻike koke aku i ke kauka kūpono.He mea nui ia. E hana mua ke kauka i kahi hoʻokolokolo kino a nīnau e pili ana i kāu mau hōʻailona. A laila, hiki iā lākou ke kauoha i nā hoʻokolohua e like me kēia e hōʻoia i ka hōʻailona:

• Hoʻokolohua Neurological: Ke nānā nei i kou kaulike, ka ikaika o nā ʻiʻo, ka ʻike, a me ka hana noʻonoʻo.
• Nā scan lolo:
• CT scan (Computerized Tomography scan): Hiki ke hoʻohana ʻia kekahi mau kiʻi ʻokiʻoki o ka lolo e ʻike ai inā ua hoʻonui ʻia nā lua o ka lolo a i ʻole he mau mea i ālai ʻia.
• MRI scan (Magnetic Resonance Imaging): Kōkua kēia i ka loaʻa ʻana o nā kiʻi maopopo a kikoʻī hoʻi o ka lolo a me nā ala CSF.
• Lumbar Puncture / Spinal Tap: Hoʻokomo ʻia kahi nila liʻiliʻi i loko o ke kaula spinal e wehe i kahi liʻiliʻi o ka wai CSF. Hiki i kēia ke hāʻawi i kahi manaʻo o ke kaomi i loko o ka lolo a me ke alo o ka maʻi.
• Ka Nānā ʻana i ke Kaomi Intracranial (ICP): I kekahi mau hihia, pono e hoʻokomo ʻia kahi mea liʻiliʻi i loko o ka lolo e ana pololei i ke kaomi i loko o ka lolo.

He aha nā lāʻau lapaʻau?

ʻO ka pahuhopu nui o ka mālama ʻana i ka hydrocephalus, ʻo ia ka wehe ʻana i ke kahe keu i hōʻiliʻili ʻia i loko o ka lolo a hoʻemi i ke kaomi ma luna o ka lolo.

ʻO ka hana nui e mālama ai, ʻo ia ke kau ʻana i kahi shunt .

I ka ʻōlelo maʻalahi, he ʻōmole palaki lahilahi a palupalu ka shunt i hoʻokomo ʻia ma lalo o ka ʻili. Hana ia ma ka hoʻohuli ʻana i ka wai CSF keu e hōʻiliʻili ana i loko o ka lolo i kahi ʻāpana ʻē aʻe o ke kino (ʻo ka ʻōpū pinepine) kahi e hiki ai ke komo maʻalahi i ka wai. Ua like kēia me ka hana ʻana i kahi 'bypass' hou no ke kahe ʻana o ka wai ma o ka lolo. Ma hope o ke kau ʻia ʻana o ka shunt, pono ʻoe e ʻike pinepine i kāu kauka e hōʻoia i ka hana pono ʻana.

I kekahi mau hihia, hiki ke hana ʻia ka lāʻau lapaʻau me ka ʻole o kahi shunt. ʻO ka Endoscopic Third Ventriculostomy (ETV) kekahi o ia ʻano hana. Ma kēia kaʻina hana, hoʻokomo ʻia kahi kāmela liʻiliʻi (endoscope) i loko o ka lolo a hana ʻia kahi ala hou no ke kahe ʻana o ka CSF. Na kāu kauka e hoʻoholo i ka lāʻau lapaʻau maikaʻi loa iā ʻoe.

E makaʻala i nā pilikia e hiki mai ana ma hope o ka mālama ʻana.

Ma hope o ke kau ʻia ʻana o kahi shunt, hiki ke ālai ʻia a loaʻa paha ka maʻi. Inā hana ʻia kēia, e hoʻomaka hou nā hōʻailona o ka hydrocephalus e ʻike ʻia.

E makaʻala no kēia mau hōʻailona:

• ʻEha poʻo, luaʻi
• ʻIke ʻelua ʻaoʻao
• ʻUlaʻula a me ka ʻeha ma ke ala o ka shunt
• Kuni me ke kumu ʻole
• Hiamoe nui