Ke ʻike nei ʻoe i ka nalowale o ka hoʻomanaʻo a me ka paʻakikī i ka hele ʻana i kou wā ʻelemakule? Hiki paha iā ia ke Normal Pressure Hydrocephalus (NPH)

Ke lilo nei kekahi ʻelemakule i loko o kou hale, ʻo kou makuahine paha, kou makuakāne, a kupuna wahine paha, i mea hoʻopoina nui? Me he mea lā e kauō ana ko lākou mau wāwae ma ka honua ke hele lākou? Ke lilo nei hoʻi i mea paʻakikī ke kāohi i ko lākou mimi ? Manaʻo pinepine mākou i kēia mau mea he "mau mea maʻamau e hana ʻia i ko mākou wā ʻelemakule." Akā hiki iā lākou ke lilo i mau hōʻailona o kahi maʻi hiki ke mālama ʻia a ho'ōla ʻia. I kēia lā, ke kamaʻilio nei mākou e pili ana i kekahi o ia ʻano maʻi, ʻo Normal Pressure Hydrocephalus, a i ʻole NPH.

He aha ka Normal Pressure Hydrocephalus (NPH)?

I ka ʻōlelo maʻalahi, ʻo NPH ka manawa e hōʻiliʻili ai ka wai i loko o ko mākou lolo ma mua o ka mea e pono ai.

E noʻonoʻo i ko kākou lolo a me ke kaula iwi kuamoʻo, e holo ana i lalo o ko kākou iwi kuamoʻo, ua hoʻopuni ʻia e kahi wai moakaka e like me ka uluna. Ma nā ʻōlelo lapaʻau, ua kapa ʻia kēia he wai cerebrospinal (CSF) . Hana ʻia kēia CSF i loko o nā ventricles o ko kākou lolo a kaʻapuni ma loko ona, e hānai ana i ka lolo a me ke kaula iwi kuamoʻo, e wehe ana i nā huahana ʻōpala, a e pale ana i ka lolo mai ke kuʻi ʻana i ke poʻo. ʻO ka maʻamau, hoʻihoʻi ʻia ka CSF keu i loko o ke kino ma o nā aʻa koko ma luna o ka lolo.

Eia nō naʻe, inā he mea keʻakeʻa i loko o ka ʻōnaehana e hoʻokahe ana i kēia wai CSF, hoʻomaka kēia wai e hōʻiliʻili i loko o nā lua o ka lolo. ʻO kēia ka mea a mākou e kapa nei he Hydrocephalus ( ka hoʻopiha wai o ka lolo ). ʻO NPH kahi ʻano kūikawā o kēia maʻi Hydrocephalus. ʻIke pinepine ʻia i nā poʻe ma luna o 60 mau makahiki.

ʻAʻole e like me nā ʻano hydrocephalus ʻē aʻe, lohi loa ka ulu ʻana o ka NPH. Hōʻiliʻili ka wai CSF i ka hala ʻana o ka manawa. ʻO ka hopena, hoʻonui mālie nā lua i loko o ka lolo, e paʻi ana i nā ʻāpana o ka lolo. ʻO ia ke kumu ʻaʻole e hoʻonui koke ʻia ke kaomi i loko o ka lolo, ʻo ia ke kumu i kapa ʻia ai ʻo "Normal Pressure." Akā he mea kuhihewa iki kēlā inoa, no ka mea, ʻike wale ʻia nā hōʻailona ke hoʻonui ʻia nā lua a paʻi i ka lolo.

ʻO nā ʻano nui ʻekolu o ke kūlana NPH

ʻEkolu mau hōʻailona nui o ka NPH. ʻAʻole paha e ʻike maopopo ʻia kēia i ka wā mua, akā e piʻi mālie lākou i ka hala ʻana o ka manawa. Inā loaʻa kēia mau hōʻailona ʻekolu, pono e kānalua ʻia ka NPH.

He aha nā kumu o ka NPH?

ʻO kaʻoiaʻiʻo, i ka hapa nui o nā maʻi NPH, ʻaʻohe kumu kikoʻī e hiki ke loaʻa. Eia nō naʻe, i kekahi mau hihia, hiki i nā kumu aʻe ke kōkua i ke kūlana:

• ʻEha poʻo
• Ke kahe koko a puni ka lolo ma muli o ka hahau ʻana i ke poʻo
• Hahau
• Nā maʻi e like me ka meningitis
• ʻŌpū lolo
• ʻO ke ʻoki lolo

ʻAʻohe maopopo maopopo i ke ʻano o kēia mau kūlana e hoʻoulu ai i ka NPH.

Pehea e ʻike pololei ʻia ai ka NPH?

I kēia manawa ke noʻonoʻo nei paha ʻoe, "ʻAe, eia nā hōʻailona, ​​​​pehea wau e ʻike ai i kēia?" He mea paʻakikī iki kēia. No ka mea ua like kēia mau hōʻailona me nā maʻi Alzheimer a me Parkinson, he mea nui e ʻike i kahi neurologist a neurosurgeon paha .

ʻO ke kaʻina hana diagnostic maʻamau penei:

1. Ke kamaʻilio ʻana me ke kauka: E nīnau ke kauka iā ʻoe e pili ana i nā mea āpau mai kāu mau hōʻailona, ​​​​i ka wā i hoʻomaka ai, ka mōʻaukala olakino ʻohana, a me nā lāʻau lapaʻau āu e lawe ai.

2. Hoʻokolokolo kino: E nānā ʻia kou kūlana noʻonoʻo (ke nīnau ʻana i nā nīnau a me ke noi ʻana iā ʻoe e hahai i nā kuhikuhi maʻalahi), ka hele ʻana, a me ke kaulike.

3. Nā hoʻokolohua kūikawā:

• CT Scan a i ʻole MRI Scan: Hiki i kēia mau scan ke hana i nā kiʻi 3D kikoʻī o ka lolo. Hiki iā lākou ke kōkua i ka hoʻoholo ʻana inā ua hoʻonui ʻia nā ventricles i loko o ka lolo ma NPH. Eia nō naʻe, ʻaʻole hiki i kahi scan wale nō ke hōʻoia i ka NPH.
• ʻO ka Lumbar Puncture / Spinal Tap: ʻO kēia kekahi o nā ʻanuʻu koʻikoʻi loa i ka ʻike ʻana. I kekahi manawa kapa mākou i kēia he 'spinal tap'. Mai hopohopo, e hana ke kauka i kēia. Hoʻohana ʻia kahi nila liʻiliʻi e wehe i kekahi o ke kahe CSF e hoʻopuni ana i ke kaula spinal mai ke kua haʻahaʻa.

He aha nā lāʻau lapaʻau no ka NPH?

ʻO ke ʻoki ʻana ka lāʻau lapaʻau kūpono loa no ka NPH. ʻAʻohe lāʻau lapaʻau a i ʻole kekahi lāʻau lapaʻau ʻē aʻe e hiki ke ho'ōla i ke kūlana.

ʻO ke ʻano hana nui ka hoʻokomo ʻana i kahi shunt.

E noʻonoʻo i kahi ʻōmole liʻiliʻi e hoʻokomo ʻia ana e hoʻokahe i ka wai CSF keu mai ko mākou lolo a hoʻouna iā ia i kahi ʻāpana ʻē aʻe o ke kino. Ua kapa ʻia kēia he shunt. He ʻōmole lahilahi loa kēia. Hoʻokomo kahi neurosurgeon i kēia ʻōmole i loko o kahi lua i loko o ka lolo a kuhikuhi iā ia ma lalo o ka ʻili i kahi i kapa ʻia ʻo peritoneum. Aia kahi valve i loko o kēia ʻōmole e hoʻomalu i ke kaomi. Ke piʻi aʻe ke kaomi i loko o ka lolo, wehe ʻia kēia valve a kahe ka wai keu i loko o ka lua peritoneal. Ma laila, ua omo ʻia ka wai me ka ʻole o ka hōʻeha ʻana i ke kino.

ʻAʻole like ka holomua o kēia ʻoki shunt no nā kānaka a pau. Eia nō naʻe, no nā kānaka he nui, ua emi nui nā hōʻailona ma hope o kēia ʻoki a ua hoʻomaikaʻi nui ʻia ko lākou ola. ʻO ka wikiwiki o ka ʻike ʻia ʻana o ka maʻi a me ka hana ʻana o ke ʻoki, ʻoi aku ka holomua o nā hopena.

I kekahi mau hihia, ma kahi o ka shunt, hana ʻia kekahi ʻoki kino i kapa ʻia ʻo Endoscopic Third Ventriculostomy , kahi e hoʻohana ʻia ai kahi endoscope (kahi ʻōmole lahilahi me kahi kāmela) e hana i kahi lua liʻiliʻi ma lalo o kahi lua o ka lolo e hana i kahi ala ʻē aʻe no ke kahe ʻana o ka wai CSF.