E aʻo hou aʻe kākou e pili ana i ka hydrocephalus, ka hōʻiliʻili ʻana o ka wai i loko o ke poʻo.

Ua lohe paha ʻoe i ka "wai e hoʻopiha ana i kou poʻo"? Malia paha ua loaʻa i kekahi o kou ʻohana, he hoaaloha, a i ʻole he keiki liʻiliʻi kēia maʻi. He aha ia mea? ʻOiai he mea weliweli iki paha ia, inā ʻike pono ʻia ʻoe, hiki iā ʻoe ke hōʻemi i nā pilikia he nui. I kēia lā ke kamaʻilio nei mākou e pili ana i kēia maʻi i kapa ʻia ʻo Hydrocephalus .

He aha ka Hydrocephalus?

I ka ʻōlelo maʻalahi, ʻo ka hydrocephalus kahi hōʻiliʻili ʻano ʻē o ka wai i loko o kou lolo . ʻO "Hydro" ka ʻōlelo Helene no "wai" a ʻo "cephalus" no "poʻo." Ua kapa ʻia ʻo ia he "wai i loko o ke poʻo." Akā, ʻo kēia "wai" he wai moakaka a kala ʻole i kapa ʻia ʻo ka wai cerebrospinal (CSF) . Hoʻopuni kēia wai i kou lolo a me ke kaula spinal.

E noʻonoʻo, i loko o ko kākou lolo aia nā keʻena liʻiliʻi i kapa ʻia ʻo ventricles . Ke kahe nei kēia wai CSF ma o kēia mau keʻena. Hāʻawi kēia wai CSF i ka lolo me nā meaʻai e pono ai a hoʻoneʻe i nā huahana ʻōpala mai ka lolo. Eia kekahi, hoʻopuni kēia wai CSF i ko kākou lolo a me ke kaula spinal e like me ka uluna, e pale ana iā ia mai kekahi pōʻino . A laila hoʻihoʻi ʻia kēia wai CSF i loko o ko kākou koko.

ʻO ka maʻamau, hana ko mākou kino i ka nui o ka CSF e pono ai i kēlā me kēia lā a laila hoʻopili hou i ka nui like. He hana kaulike ia. Eia nō naʻe, inā he keʻakeʻa i ke kahe a i ʻole ka omo ʻana o kēia wai CSF , a laila hoʻomaka ka pilikia. Ke hana ʻia kēia, hoʻomaka ka hōʻiliʻili ʻana o ka wai CSF, a lilo nā ventricles o ka lolo i mea nui. Hoʻonui kēia i ke kaomi i loko o ke poʻo. Ke piʻi aʻe kēia kaomi, ʻaʻole hiki i ka lolo ke hana pono.

ʻO wai ka mea hiki ke loaʻa i ka hydrocephalus?

Wahi a nā helu helu ma ʻAmelika Hui Pū ʻIa, hoʻokahi a ʻelua paha o kēlā me kēia 1,000 pēpē i hānau ʻia e hiki ke hānau ʻia me kēia maʻi. Eia nō naʻe, pono kākou e hoʻomanaʻo ʻaʻole kēia no nā pēpē liʻiliʻi wale nō, akā hiki ke hoʻopilikia i nā keiki makua, nā pākeke, ka poʻe ʻelemakule, a me kekahi o kēlā me kēia makahiki .

He aha nā ʻano nui o ka hydrocephalus?

ʻEhā ʻano nui o ka hydrocephalus. E nānā kākou i ko lākou ʻano.

1. Ke kamaʻilio ʻana i ka Hydrocephalus:

Hana ʻia kēia i ka wā e ālai ʻia ai ka wai CSF, ma hope o kona haʻalele ʻana i nā ventricles o ka lolo, ma kekahi wahi ma ke ala e kahe ana. Hiki ke hana ʻia kēia ma muli o ka mānoanoa o nā membrane ma ke kumu o ka lolo, e like me ka arachnoid . Ua kapa ʻia kēia ʻo "communicating" no ka mea hiki nō i ka wai CSF ke kahe ma waena o nā ventricles o ka lolo, ʻo ia hoʻi ua hāmama nā ventricles.

2. Hydrocephalus Hoʻopili ʻole / Hydrocephalus Obstructive:

ʻO ka mea e hana ʻia ana ma kēia, ʻo ia ke ālai ʻia kekahi a ʻoi aku paha o nā aʻa liʻiliʻi e hoʻopili ana i nā ventricles o ka lolo, e like me ka paipu wai e paʻa ana i waenakonu.

3. ʻO ke kaomi maʻamau ʻo Hydrocephalus (NPH):

He ʻokoʻa iki kēia. Maanei hoʻi, hōʻiliʻili ka wai CSF a lilo nā ventricles o ka lolo i mea nui aʻe, akā ʻaʻole e piʻi koke ke kaomi i loko o ke poʻo, a i ʻole e piʻi iki. ʻO ka ʻokoʻa ma ka NPH i hoʻohālikelike ʻia me nā ʻano ʻē aʻe, ʻoiai ke keu o ka wai CSF, aia ke kaomi i loko o nā ventricles ma kahi pae maʻamau. Hōʻiliʻili mālie kēia wai CSF, no laila ʻike ʻia nā hōʻailona i ka hala ʻana o ka manawa. ʻO ka NPH ka mea maʻamau i ka poʻe ʻelemakule.

4. Hydrocephalus ex-vacuo:

Hana ʻia kēia ke hōʻino ʻia ka lolo, e like me ka ʻeha poʻo a i ʻole ka hahau ʻana . Ke hana ʻia kēia, emi ka ʻiʻo o ka lolo a puni nā ventricles o ka lolo. A laila hōʻiliʻili ka wai CSF e hoʻopiha i ka hakahaka. ʻOiai ua hoʻonui ʻia nā ventricles, maʻamau ke kaomi i loko o ka lolo.

Ke kamaʻilio e pili ana i kēia, lohe paha ʻoe i ka huaʻōlelo ventriculomegaly . ʻO ke ʻano kēia ua hoʻonui ʻia nā ventricles o ka lolo o ka fetus. Hiki ke kumu kēia o ka hydrocephalus, akā hiki ke hoʻonui ʻia kēia mau keʻena no nā kumu ʻē aʻe.

He aha nā kumu o ka hydrocephalus?

Hiki ke ulu aʻe ka hydrocephalus no nā kumu like ʻole. Hiki ke hānau ʻia a i loaʻa paha .

Nā kumu o ka Hydrocephalus Congenital:

Hiki ke hana ʻia kēia e ka hui pū ʻana o nā kumu genetic a me ke kaiapuni i ka wā e ulu ana ke pēpē i loko o ka ʻōpū. ʻO nā kumu nui:

• ʻO ka spina bifida a me nā hemahema neural tube ʻē aʻe o ka lolo a me ke kaula spinal.
• ʻO ka stenosis aqueductal ka haiki o ke ala ma waena o ke kolu a me ka hā o nā ventricles o ka lolo.
• Nā pilikia o ka hānau mua ʻana, no ka laʻana, ke kahe ʻana o ke koko i loko o nā keʻena o ka lolo.
• ʻO nā maʻi e like me ka rubella i loaʻa i ka makuahine i ka wā hāpai hiki ke hoʻoulu i ka pehu ʻana o ka ʻiʻo lolo o ka pēpē.

Nā kumu o ka hydrocephalus i loaʻa:

Hiki ke hana i kēia i kēlā me kēia manawa ma hope o ka hānau ʻana, i kēlā me kēia makahiki. ʻO nā kumu nui:

• Nā ʻeha poʻo koʻikoʻi (trauma poʻo).
• Hahau.
• Nā puʻupuʻu e hana ana i loko o ka lolo a i ʻole ke kaula kuamoʻo.
• Nā maʻi o ka lolo a i ʻole ke kaula kuamoʻo, e like me ka meningitis .

Eia kekahi, hiki ke ulu ka hydrocephalus kaomi maʻamau (NPH) ma muli o ke kahe koko a i ʻole nā ​​​​pilikia mai ke ʻoki ʻana. Hoʻomohala kekahi poʻe i ka NPH me ke kumu ʻole.

He aha nā hōʻailona o ka Hydrocephalus?

He ʻokoʻa nā hōʻailona me ka makahiki, ka holomua o ka maʻi, a me ke ʻano o ka hoʻomanawanui ʻana o ke kanaka i ka hōʻiliʻili ʻana o ka wai CSF.

Nā hōʻailona i nā pēpē:

• He nui loa ke poʻo o ke pēpē.
• Me he mea lā e puʻupuʻu ana ka fontanel ma luna o ke poʻo o ke pēpē .
• Ua huli ʻia nā maka o ke pēpē i lalo, me he mea lā e napoʻo ana ka lā (nā maka napoʻo lā) .
• Luaʻi .
• Ka hiamoe mau a me ka lethargy.

Nā hōʻailona i nā keiki makua:

• ʻEha poʻo.
• Ka luaʻi a me ka luaʻi.
• Ka hemahema o ka ʻike (e.g. ʻike pālua, ʻike pōwehiwehi).
• Nā lohi o ka ulu ʻana (e.g., lohi ka ʻōlelo, hele wāwae, pilikia aʻo).

Nā hōʻailona i nā mākua:

• ʻEha poʻo.
• Ka luaʻi a me ka luaʻi.
• Ka hemahema o ka ʻike maka.
• Luhi mau.
• Nā pilikia kaulike a me ka hoʻonohonoho ʻana (e like me ke kuʻia ʻana i ka wā e hele ana).
• Ka nalowale o ka hoʻomanaʻo no ka manawa pōkole (e.g. ka poina ʻana i nā hanana i hala koke aku nei).

Nā hōʻailona i nā mākua ʻelemakule (pinepine i ka NPH):

• Nā pilikia o ka hele ʻana (e.g., ka hele wāwae ʻana me nā kapuaʻi liʻiliʻi a me nā wāwae i ke kaʻawale, me ka paʻakikī).
• ʻO nā hōʻailona nui o ka dementia ka nalowale mālie o ka hoʻomanaʻo.
• Ka hoʻopoina ʻana.
• Ka nalowale ʻana o ke kaohi ʻana o ka ʻōpū mimi.

Pehea e ʻike ʻia ai ka Hydrocephalus?

Hoʻomaopopo ʻia kēia ma o ka loiloi neurological. Hiki i kāu kauka ke hoʻohana i nā ʻano hana kiʻi e like me ka ultrasound scan, kahi computer tomography (CT) scan, a i ʻole kahi magnetic resonance imaging (MRI) scan e nānā i kou lolo.

Ke hana ʻia nei nā hoʻokolohua hou aʻe e ʻike ai i kēia kūlana i nā pākeke. Eia kēia mau mea:

• ʻO ke kī ʻana o ka iwi kuamoʻo/ʻō ʻana o ka lumbar.
• Ka nānā ʻana i ke kaomi intracranial (ICP): Ma kēia, hoʻokomo ʻia kahi mea liʻiliʻi i loko o ka lolo e ana i ke kaomi i loko o ka lolo.
• Hoʻokolohua Fundoscopic: Pili kēia i ka nānā ʻana i ke aʻalolo optic i loko o ka maka me kahi mea hana kūikawā.

Ke hoʻomaikaʻi nei anei ka hydrocephalus?

ʻAʻole. He kūlana wale nō kēia ʻaʻole e maikaʻi aʻe.Inā ʻaʻole mālama ʻia, hiki ke hoʻoweliweli i ke ola. No laila, inā ʻike mua ʻia ka maʻi a mālama pono ʻia, ʻoi aku ka kiʻekiʻe o ka manawa e hoʻōla maikaʻi ai.

Hiki ke mālama ʻia ka hydrocephalus?

ʻAe. Hiki ke mālama ʻia ka Hydrocephalus. ʻOiai ʻaʻohe ala e ho'ōla loa ai a pale aku paha i kona ulu ʻana i kēia manawa, mālama ʻia me ke ʻoki kino.

Pehea e mālama ʻia ai ka Hydrocephalus?

ʻO ke ʻoki lolo wale nō ka lāʻau lapaʻau o kēia manawa. ʻElua ʻano nui o ke ʻoki ʻana e mālama ai i ka hydrocephalus:

1. Ke kau nei i kahi Shunt:

ʻO kēia ka lāʻau lapaʻau maʻamau. ʻO ka shunt kahi ʻōmole palupalu i waiho ʻia i loko o ka lolo a lawe i ke kahe CSF keu i kahi ʻāpana ʻē aʻe o ke kino (pinepine ka lua ʻōpū). Ma laila, ua komo ke kahe i loko o ke kino. E noʻonoʻo e like me ke kau ʻana i kahi ʻōmole ma kou ihu e hoʻokahe i ka wai keu.

2. Endoscopic ʻEkolu Ventriculostomy (ETV):

Ma kēia ʻoki kino, hana ʻia kahi lua liʻiliʻi ma lalo o ke kolu o ka ventricle o ka lolo. Hoʻokumu kēia i ala no ke kahe ʻana o ka wai CSF i loko a puni ka lolo. Hana pinepine ʻia kēia ʻoki kino i nā keiki ma luna o 2 mau makahiki.

He aha nā pilikia o ka mālama ʻana i ka hydrocephalus?

He nui ka poʻe e ola maikaʻi ana no nā makahiki me ka ʻole o nā pilikia. Eia nō naʻe, hiki ke kū koke mai nā pilikia. Pono ka poʻe me nā shunt e hana i nā nānā lapaʻau maʻamau. Hiki i ka shunt ke haki, hoʻōki i ka hana pono, a i ʻole e loaʻa i ka maʻi. Inā hana ʻia kēlā, pono paha ʻoe e hana hou i ke ʻoki lolo. Hiki i ka puka i hana ʻia e ke ʻoki ETV ke pani hou i kēlā me kēia manawa, he mea weliweli hoʻi ia.

Inā ʻike ʻoe i kekahi mau hōʻailona o ka pilikia shunt a i ʻole ka pale ʻana o ka ETV, pono ʻoe e ʻimi koke i ke kōkua lapaʻau. Hiki ke like kēia mau hōʻailona me nā hōʻailona mua o ka hydrocephalus:

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* ʻEha poʻo

* Ka hemahema o ka ʻike

* Ka luaʻi a i ʻole ka luaʻi ʻana

* Luhi mau

A i ʻole e hiki mai paha nā hiʻohiʻona hou e like me kēia:

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* ʻEha ʻiʻo ma ka ʻāʻī a i ʻole nā ​​poʻohiwi

* Nā hopu ʻana

* ʻUlaʻula a ʻeha paha ke hoʻopā ʻia ma kahi o ka shunt

* Haʻahaʻa ke kuni

He aha ka wā e hiki mai ana o kekahi me ka hydrocephalus?

Me ke ʻoki ʻana, ka mālama olakino kūpono, a me ka nānā mau ʻana i nā lāʻau lapaʻau, hiki i ka hapa nui o ka poʻe me ka hydrocephalus ke ola maʻamau a hauʻoli.Eia nō naʻe, ʻokoʻa kēia ʻano a me nā pilikia e kū mai ana mai ke ʻoki ʻana mai kēlā me kēia kanaka. No laila, he mea nui e hana pū me kāu kauka e loaʻa ai ka lāʻau lapaʻau a me ka ʻōlelo aʻoaʻo e pono ai.

ʻOiai inā loaʻa i nā keiki ka hydrocephalus, hiki iā ia ke hoʻopilikia i ko lākou ulu ʻana o ka noʻonoʻo a me ke kino. No laila, pono nā mākua o nā keiki me ka hydrocephalus e kamaʻilio me kā lākou mau kauka a hana e loaʻa nā hopena maikaʻi loa no kā lākou keiki.

He mea maʻamau ka makaʻu ke lohe ʻoe ua loaʻa i kekahi āu e aloha ai ka hydrocephalus. Akā e hoʻomanaʻo, ʻaʻole ʻoe hoʻokahi. Hiki i kāu kauka ke hāʻawi iā ʻoe a me kou ʻohana i ke kākoʻo a me ka ʻike āu e pono ai. Me ka ʻike kūpono, ka hoʻolālā, a me ka hana, hiki ke hoʻokō ʻia ka moeʻuhane o kāu mea aloha e ola i kahi ola maʻamau a hauʻoli.

Leka Hoʻihoʻi Hope Loa

ʻO ka Hydrocephalus kahi maʻi kahi e hōʻiliʻili ai ka wai CSF i loko o ka lolo. Hiki iā ia ke ulu i loko o nā kānaka o kēlā me kēia makahiki.

• He mea nui loa ka ʻike ʻana i nā hōʻailona i ka wā mua. ʻOiai inā e ulu nui ana ke poʻo o kāu pēpē, e puʻupuʻu ana ka lei aliʻi, a i ʻole e hoʻohuli ʻia nā maka i lalo, e lawe koke iā lākou i ke kauka.
• He kūlana kēia e hiki ke mālama ʻia me ke ʻoki kino . ʻO ke kau ʻana o shunt a i ʻole ke ʻoki kino ETV ka lāʻau lapaʻau nui.
• Pono mau ka nānā ʻana o ke kauka ma hope o ka mālama ʻana, no ka mea, hiki ke loaʻa nā pilikia me ka shunt.
• Mai hopohopo. Me ka mālama kūpono a me ke aʻo lapaʻau, hiki i ka hapa nui o ka poʻe ke ola i kahi ola maʻamau.
• Inā loaʻa iā ʻoe a i ʻole kekahi mea āu i ʻike ai kēia mau hōʻailona, ​​e ʻimi koke i ke kōkua lapaʻau.

Manaʻolana wau he mea pono kēia ʻike iā ʻoe. E ola kino!

ʻO ka Hydrocephalus, ka wai i loko o ka lolo, CSF, ka wai cerebrospinal, shunt, ETV, ʻoki lolo