Koj tus neeg laus puas muaj cov tsos mob no? Cia peb kawm txog qhov mob taub hau uas muaj zog (normal pressure hydrocephalus - NPH)

Koj puas tau pom tias koj niam, txiv, lossis pog laus uas laus lawm poob nws lub cim xeeb thiab pom tias nws nyuaj rau taug kev thaum nws laus zuj zus? Qee zaum peb xav tias cov no yog tej yam ib txwm muaj uas tshwm sim thaum peb laus zuj zus. Txawm li cas los xij, qee zaum yuav muaj lwm qhov laj thawj tom qab cov mob no. Hnub no, peb yuav tham txog ib qho mob tshwj xeeb uas zoo li dementia, tab sis tuaj yeem kho tau yog tias kho . Qhov ntawd yog ib qho mob hu ua '(Normal Pressure Hydrocephalus)' lossis '(NPH)'.

Dab tsi yog '(Normal Pressure Hydrocephalus - NPH)'?

Hais yooj yim xwb, '(Normal Pressure Hydrocephalus)' lossis '(NPH)' yog ib qho mob uas cov kua dej sib sau ua ke hauv lossis nyob ib puag ncig peb lub hlwb, cuam tshuam rau kev ua haujlwm ntawm lub hlwb . Xav txog nws zoo li lub thoob puv dej. Qhov no tuaj yeem cuam tshuam rau ntau yam haujlwm uas lub hlwb tswj hwm, xws li kev xav, kev tsom mus rau, kev nco qab, thiab kev taug kev. Qhov tshwj xeeb yog tias txawm hais tias cov tsos mob ntawm qhov no zoo ib yam li kev puas hlwb, qhov mob '(NPH)' qee zaum tuaj yeem kho thiab kho tau .

Leej twg raug kev cuam tshuam ntau tshaj los ntawm tus mob '(NPH)' no?

Tus mob no, hu ua "(NPH)" feem ntau tshwm sim rau cov neeg hnub nyoog tshaj 65 xyoos. Qhov kev pheej hmoo ntawm kev mob no yuav nce ntxiv thaum lawv laus zuj zus. Feem ntau nws pib thaum muaj hnub nyoog li ntawm 70 xyoo.

Qhov muaj hnub nyoog ntau zuj zus yog qhov ua rau muaj qhov teeb meem no. Tej yam xws li haiv neeg, xim tawv nqaij, thiab poj niam txiv neej tsis cuam tshuam rau qhov no.

'(NPH)' muaj pes tsawg zaus?

Txawm hais tias NPH tsis tshua muaj ntau los, nws yog ib qho mob uas cov kws kho mob paub zoo. Kwv yees li ntawm 0.2% ntawm cov neeg hnub nyoog 70 thiab 80 xyoo muaj tus mob no, thiab kwv yees li ntawm 5.9% ntawm cov neeg hnub nyoog tshaj 80 xyoo muaj tus mob no. Qhov ntawd txhais tau tias muaj li ntawm 8.4 lab tus neeg hnub nyoog tshaj 80 xyoo thoob ntiaj teb raug tus mob no. Raws li cov kws tshaj lij, nws tsis tshua muaj rau cov neeg hnub nyoog qis dua 65 xyoo, tsuas yog cuam tshuam rau 0.003% ntawm pawg hnub nyoog ntawd.

Thaum koj muaj '(NPH)', yuav muaj li cas? Nws cuam tshuam li cas rau lub hlwb?

NPH yog tshwm sim los ntawm kev sib sau ua ke ntawm cov kua dej hu ua cerebrospinal fluid (CSF) hauv lub hlwb . Cov kua dej no zoo li dej. Nws pub rau lub hlwb thiab tshem tawm cov khoom pov tseg. Lub hlwb laus feem ntau muaj li ntawm 150 milliliters (5 ooj) ntawm CSF. Qhov ntawd tsawg dua ib nrab ntawm cov kua dej hauv ib lub khob Coke. Peb lub cev ib txwm tsim, ncig, thiab rov nqus cov kua dej no kom nws nyob rau theem tas li.

Txawm hais tias cov kua no me me xwb los, nws tseem ceeb heev. Cov kua "CSF" no nyob ib puag ncig peb lub hlwb thiab cov hlab ntsha hauv lub hlwb. Hauv lwm lo lus, peb lub hlwb ntab hauv cov kua no . Nws kuj ua lub hauv ncoo uas tiv thaiv lub hlwb thiab cov hlab ntsha ntawm sab nraud.

Yog li, yog tias peb lub cev tsis tuaj yeem ncig cov kua dej "(CSF)" no kom zoo lossis rov nqus nws, cov kua dej no pib sib sau ua ke ntau dua li nws yuav tsum tau nyob hauv lub taub hau.

Hauv '(NPH)', cov kua dej no maj mam tsim, yog li txawm tias qhov siab hauv lub taub hau '(Intracranial Pressure)' nce ntxiv, nws tseem nyob hauv qhov ntau thiab tsawg . (Yog vim li cas nws thiaj hu ua '(Normal Pressure Hydrocephalus)' - "Normal Pressure Hydrocephalus"). Vim tias, hauv peb lub hlwb muaj cov qhov uas muaj kua dej hu ua '(Ventricles)', uas tuaj yeem tswj tau qee qhov kev sib sau ua ke ntawm cov kua dej no.

Tiam sis, thaum cov "(CSF)" txuas ntxiv mus sib sau ua ke, tsis muaj qhov twg rau cov kua ntawd mus. Tom qab ntawd, lub hlwb pib o thiab o . Qhov ntawd yog qhov ua rau muaj cov tsos mob ntawm tus kab mob no. Yog tias lub hlwb o li no ntev heev, qhov kev nyem tuaj yeem ua rau puas tsuaj mus tas li rau cov ntaub so ntswg ntawm lub hlwb, lossis txawm tias ua rau nws puas tsuaj.

Cov tsos mob ntawm '(NPH)' yog dab tsi?

Cov tsos mob ntawm '(NPH)' feem ntau tshwm sim qeeb qeeb, maj mam nce ntxiv mus rau lub sijhawm peb txog rau lub hlis . Muaj peb cov tsos mob tseem ceeb ntawm '(NPH)', tseem hu ua Hakim's Triad . Nruab nrab ntawm 50% thiab 75% ntawm cov neeg uas muaj '(NPH)' muaj tag nrho peb cov tsos mob tib lub sijhawm. Hakim's Triad suav nrog peb hom tsos mob hauv qab no:

• Teeb meem kev taug kev
• Kev tso zis tsis tu ncua
• Teeb meem kev paub

Kev taug kev nyuaj

Cov no yog teeb meem nrog kev txav mus los uas cuam tshuam nrog kev taug kev. Cov tsos mob no yog qhov tshwm sim ntau tshaj plaws ntawm peb yam. Nruab nrab ntawm 80% thiab 95% ntawm cov neeg uas muaj NPH muaj cov tsos mob no. Qee cov tsos mob tuaj yeem zoo ib yam li cov teeb meem kev txav mus los ntawm tus kab mob Parkinson , tab sis qhov sib txawv tseem ceeb yog tias hauv NPH, cov tsos mob no feem ntau tsuas yog txwv rau ob txhais ceg thiab taw.

Yog koj muaj '(NPH)', tej yam no yuav tshwm sim:

• Nws nyuaj rau tsa ob txhais ceg . Qhov no ua rau ob txhais ceg zoo li daig rau hauv av thaum taug kev. Lawv hais tias zoo li qhov nyuaj ntawm kev sim tshem lub hlau nplaum ntawm qhov chaw.
• Ob txhais taw me me thiab co . Qhov no ua rau nws zoo li ob txhais ceg rub thaum taug kev. Kuj tseem muaj feem ntau ntawm kev ntog thiab ntog.
• Kev taug kev yuav nres tam sim ntawd lossis taug kev tsis paub tseeb . Tej zaum yuav zoo li koj txiav txim siab tsis tau seb puas yuav taug ib kauj ruam lossis mus tom ntej tom qab pib taug kev. Koj kuj tseem yuav ua siab deb thaum tig loj thaum taug kev, thiab tej zaum yuav muaj teeb meem tig.
• Thaum taug kev, cov ntiv taw ntawm ob txhais taw yuav tig mus rau sab nraud . Qhov no tso cai rau lawv nthuav lawv ob txhais ceg sib nrug thiab taug kev ib sab mus rau ib sab, zoo li tus penguin.

Tsis muaj peev xwm tswj tau cov zis

Qhov no yog qhov tsis muaj peev xwm tswj tau lub zais zis thiab cov zis tawm tsis raug cai. Thaum ntxov, koj yuav xav tias yuav tsum tau tso zis ntau zaus, lossis koj yuav xav tau tso zis sai sai, hnyav heev uas nyuaj rau tswj.

Cov neeg uas muaj tus cwj pwm no yuav txaj muag yog tias lawv tsis tswj tau lawv cov zis. Txawm li cas los xij, qee tus neeg tsis paub qhov no, thiab lawv txaj muag.Nws tsis txawm xav li ntawd. Qhov no tej zaum yog vim qhov nyuaj hauv kev xav, uas yog tus cwj pwm thib peb ntawm Hakeem lub triad.

Nyuaj siab xav thiab nco qab

Qhov tseem ceeb thib peb ntawm NPH yog qhov nyuaj rau kev xav thiab kev nco. Qhov no tuaj yeem ua rau muaj tej yam xws li:

• Kev qeeb ntawm lub hlwb thiab lub cev . Ib tug neeg zoo li xav thiab ua qeeb dua li niaj zaus.
• Teeb meem nco qab . Koj feem ntau tsis nco qab tej yam thiab zoo li ua haujlwm yam tsis xav.
• Kev ua haujlwm tsis zoo : Nyuaj rau kev tswj hwm kev xav, kev xav, thiab kev ua. Nyuaj rau kev tsom ntsoov, kev txiav txim siab, thiab muaj teeb meem xav kom meej.
• Kev hloov pauv ntawm kev xav . Cov neeg uas muaj NPH yuav zoo li tsis quav ntsej thiab tsis xav ua tej yam uas lawv nyiam ua yav dhau los.

Dab tsi yog cov ua rau muaj '(NPH)'?

Muaj ob hom tseem ceeb ntawm `(NPH)`, ob qho tib si tshwm sim tib yam. Ob hom yog:

• NPH thawj zaug (idiopathic)
• NPH theem ob

Thawj (tsis paub qhov ua rau) `(NPH)`

NPH thawj zaug txhais tau tias nws tsis yog los ntawm lwm yam mob. Lwm lo lus rau qhov no yog idiopathic , uas yog ib lo lus uas cov kws tshwj xeeb siv los piav qhia txog cov mob uas tshwm sim yam tsis muaj laj thawj tshwj xeeb . Cov kws tshaj lij ntseeg tias idiopathic NPH tej zaum yuav cuam tshuam nrog ib lossis ntau qhov teeb meem uas tshwm sim nrog kev laus hauv txoj kev uas peb lub cev tsim, ncig, thiab rov nqus cov kua dej cerebrospinal (CSF). Kwv yees li ib nrab ntawm cov neeg mob NPH poob rau hauv pawg no.

Raws li qhov xwm txheej ib txwm muaj, peb lub cev tsim tau ntawm 400 thiab 600 milliliters ntawm '(CSF)' ib hnub. Qhov ntawd ntau dua li peb xav tau. Yog li ntawd, peb yuav tsum rov nqus cov '(CSF)' qub kom muaj chaw rau '(CSF)' tshiab. Yog tias muaj teeb meem nrog txoj kev '(CSF)' ncig lossis rov nqus, lub cev tuaj yeem tsim ntau '(CSF)' dua li nws xav tau, ua rau cov kua dej no sib sau ua ke.

Kuj tseem muaj pov thawj tias NPH tej zaum yuav txuas nrog cov kab mob hlwb xws li Alzheimer's tus kab mob thiab Lewy lub cev dementia . Cov kws tshawb fawb tseem tab tom sim xam seb NPH tshwm sim li cas thiab vim li cas, thiab seb lwm yam mob puas tuaj yeem cuam tshuam rau nws. Kev teb cov lus nug no tuaj yeem pab tiv thaiv lossis kho tus mob zoo dua yav tom ntej.

Qib Thib Ob (NPH)`

Qhov mob NPH theem ob tshwm sim thaum muaj lwm yam mob cuam tshuam rau txoj kev uas peb lub cev tsim, ncig, lossis rov nqus cov kua dej cerebrospinal (CSF). Qee yam mob uas ua rau muaj NPH theem ob suav nrog:

• Ib qho aneurysm hauv lub hlwb (ib qho o ntawm cov hlab ntsha uas tuaj yeem tawg thiab los ntshav rau hauv cov nqaij ntawm lub hlwb).
• Los ntshav hauv lossis ib puag ncig lub hlwb (Intracranial hemorrhage).
• Cov qog nqaij hlav hauv hlwb (xws li mob qog noj ntshav)
• Kev kis kab mob ntawm lub hlwb lossis lwm qhov ntawm lub paj hlwb (piv txwv li , mob hlwb lossis mob meningitis ).
• Mob stroke .
• Kev raug mob rau lub hlwb (TBI) suav nrog kev raug mob rau lub hlwb lossis cov cheeb tsam cuam tshuam thaum lub sijhawm kho mob.

Yuav kuaj mob '(NPH)' li cas?

Kev kuaj mob NPH nyuaj me ntsis, vim tias ntau cov tsos mob ntawm tus mob zoo ib yam li lwm yam kab mob uas cuam tshuam nrog hnub nyoog, xws li kev puas hlwb . NPH kuj tseem muaj ntau nrog rau lwm yam kab mob uas cuam tshuam nrog hnub nyoog. Kwv yees li 30% ntawm cov neeg uas muaj NPH kuj muaj tus kab mob Alzheimer lossis tus kab mob hauv lub hlwb zoo sib xws.

Tus kws kho mob kuaj mob NPH siv cov kev sib xyaw ua ke no:

• Kev kuaj lub cev thiab lub paj hlwb . Hauv qhov no, tus kws kho mob yuav nrhiav cov cim qhia tias muaj mob. Nws kuj tseem yuav kuaj koj tej kev xav (pom kev, hnov ​​lus, kov), tej yam uas ua rau koj xav tias koj lub cev tsis muaj zog, thiab tej leeg nqaij yuav muaj zog.
• Nug txog koj keeb kwm kev kho mob thiab cov tsos mob . Koj cov ntaub ntawv kho mob, keeb kwm kev kho mob, thiab cov tsos mob tuaj yeem muab cov lus qhia tseem ceeb rau kev kuaj mob NPH.
• Kev kuaj mob los ntawm kev siv tshuab duab . Kev siv tshuab duab magnetic resonance imaging (MRI) scans yog cov cuab yeej tseem ceeb tshaj plaws hauv kev kuaj mob NPH. Qhov no tso cai rau tus kws kho mob saib sab hauv koj lub taub hau thiab pom lub hlwb thiab thaj chaw uas cov kua dej tau sib sau ua ke. Koj tus kws kho mob kuj tseem yuav kom muaj kev kuaj mob cisternogram , tab sis qhov no tsis tshua muaj. Kev siv tshuab computer tomography (CT) scans tuaj yeem pab tshem tawm lwm yam mob, tab sis lawv tsis pab tau zoo hauv kev kuaj mob NPH.
• Kev kuaj mob hauv chav kuaj mob . Kev siv lub qhov lumbar puncture ( ib txoj kev kuaj uas siv me ntsis kua los ntawm tus txha nqaj qaum) tso cai rau tus kws kho mob coj ib qho qauv ntawm cov kua cerebrospinal (CSF) los kuaj. Qhov no tsis tuaj yeem kuaj mob NPH ncaj qha, tab sis nws tuaj yeem pab tshem tawm lwm yam mob. Nws kuj tseem tuaj yeem pab kuaj mob yog tias NPH yog los ntawm lwm yam mob, xws li mob meningitis. Kev siv lub qhov lumbar puncture kuj tseem tuaj yeem tshem tawm qee cov CSF ntau dhau, uas yuav ua rau cov tsos mob ploj mus ib ntus (tab sis cov tsos mob yuav rov qab los thaum CSF raug ntxiv rov qab).

Nyob ntawm seb koj cov tsos mob li cas, koj tus kws kho mob kuj tseem yuav kom koj kuaj lwm yam. Feem ntau cov no yog los txiav txim seb puas muaj lwm yam mob uas muaj cov tsos mob zoo ib yam li NPH. Koj tus kws kho mob yuav qhia koj ntxiv txog cov kev kuaj no thiab vim li cas lawv thiaj tseem ceeb.

Yuav kho tus mob "(NPH)" li cas? Puas muaj tshuaj kho tau tag nrho rau qhov no?

Feem ntau, NPH yog ib yam mob uas kho tau.Kev kho mob sib txawv nyob ntawm seb NPH yog thawj zaug/idiopathic lossis thib ob. Tsis zoo li ntau lwm yam kab mob hauv lub hlwb, cov tshuaj tsis tshua siv los kho NPH. Qhov no yog vim NPH feem ntau tsis teb rau cov tshuaj (txawm hais tias qee cov tsos mob cuam tshuam nrog NPH tuaj yeem kho nrog tshuaj).

Kev kho mob thawj zaug/idiopathic `(NPH`)

Feem ntau, qhov ua rau mob thawj zaug/tsis paub ua rau mob (NPH) yeej kho tau. Kev kho mob uas siv ntau tshaj plaws - thiab ua tau zoo tshaj plaws - rau qhov no yog kev phais ntxig ib lub cuab yeej hu ua shunt . Lub shunt muaj ob lub raj (catheters), ib lub rau cov kua dej nkag thiab ib lub rau cov kua dej tawm, nrog rau lub qhov dej ntawm ob lub raj. Yog tias cov hlab ntsha hauv lub hlwb puv dej ntau dhau, qhov siab ntxiv yuav ua rau cov kua dej nkag mus rau hauv lub raj nkag, qhib lub qhov dej thiab cia cov kua dej ntau dhau ntws tawm los ntawm lub raj tawm.

Qee cov shunt valves tshiab dua yog ua "programmable," txhais tau tias tus kws kho mob tuaj yeem hloov lawv cov chaw yam tsis tas phais. Lawv pom tau ntawm "X-ray," yog li tus kws kho mob tuaj yeem saib lub valve thiab xyuas kom meej tias cov chaw teeb tsa raug. Qee cov shunts tshiab dua yog "MRI-safe," txhais tau tias koj tuaj yeem muaj "MRI" scan txawm tias koj muaj hom valve no.

Lub raj xa dej tawm los ntawm lub qhov me me hauv lub taub hau (tus kws kho mob ua lub qhov no thaum lub sijhawm phais kom ntxig lub shunt). Tom qab tawm hauv lub taub hau, lub raj tig mus rau hauv qab thiab mus rau hauv qab daim tawv nqaij. Lub raj xa dej no coj cov kua dej mus rau hauv siab lossis lub plab.

Yog tias lub raj xa dej mus rau hauv lub plab (uas feem ntau ua), cov kua dej yuav raug nqus los ntawm peritoneum, lub membrane uas nyob ib puag ncig ntau lub plab hnyuv. Yog tias nws raug xa mus rau hauv lub hauv siab, CSF yuav raug nqus los ntawm lub pleural membrane uas nyob ib puag ncig lub ntsws.

Qib Thib Ob (NPH)`

Kab mob NPH theem ob yuav kho tau, tab sis tsuas yog tias qhov mob yog los ntawm ib yam mob uas kho tau . Kev kho mob rau kab mob NPH theem ob tuaj yeem sib txawv ntau nyob ntawm qhov ua rau muaj. Koj tus kws kho mob yog tus neeg zoo tshaj plaws los tham txog cov kev kho mob uas muaj thiab lawv pom zoo li cas.

Cov kev mob tshwm sim lossis teeb meem ntawm kev kho mob yog dab tsi?

Cov kev mob tshwm sim ntawm kev kho mob NPH sib txawv nyob ntawm seb kev kho mob zoo li cas. Hauv kev kho mob NPH thawj zaug/tsis paub meej, kev kho mob feem ntau yog phais kom tso ib lub shunt kom tiv thaiv cov CSF ntau dhau kom tsis txhob sib sau ua ke hauv lub taub hau. Qee qhov kev mob tshwm sim ntawm kev phais mob no suav nrog (tab sis tsis txwv rau):

• Kev kis kab mob
• Kev ua haujlwm tsis zoo lossis kev ua tsis tiav ntawm lub shunt
• Kev hloov pauv ntawm qhov chaw hauv lub valve thiab / lossis cov raj
• Kev xau ntawm "(CSF)" ntau dhau los ntawm lub shunt (qhov no ua rau lub siab "(CSF)" txo qis, tseem hu ua "(Intracranial hypotension)" .

Hauv NPH theem ob, cov kev kho mob uas muaj tuaj yeem sib txawv. Tsis tas li ntawd, cov kev mob tshwm sim thiab cov teeb meem kuj tuaj yeem sib txawv. Yog li ntawd, koj tus kws kho mob yog tus neeg zoo tshaj plaws los qhia rau koj paub txog cov teeb meem lossis cov kev mob tshwm sim uas koj tuaj yeem xav tau thiab yuav ua li cas txog lawv.

Kuv yuav tswj cov tsos mob li cas yog tias kuv tsis saib xyuas kuv tus kheej?

NPH tsis yog ib yam mob uas koj tuaj yeem kuaj mob lossis kho koj tus kheej. Yog li ntawd, tsis txhob tsis quav ntsej cov tsos mob lossis sim kho koj tus kheej lossis lwm tus neeg uas muaj cov tsos mob no ntawm koj tus kheej .

Tom qab kho mob tas, kuv yuav zoo dua sai npaum li cas? Yuav siv sijhawm ntev npaum li cas thiaj rov zoo los ntawm kev kho mob?

Cov tsos mob ntawm tus mob no tuaj yeem pib zoo dua tam sim ntawd nrog kev tso lub shunt. Qhov sai dua qhov kuaj mob thiab kho mob, qhov ntawd yuav ua tau zoo dua.

Feem ntau cov neeg pom tias cov tsos mob ploj mus li ob peb teev lossis ob peb hnub tom qab muab lub shunt tso rau. Txawm li cas los xij, vim tias lub shunt yog ib qho kev phais loj, nws yuav siv sijhawm ntau tus neeg ob peb hnub lossis ob peb lub lis piam kom rov zoo. Koj tus kws kho mob yuav yog tib tus neeg uas tuaj yeem qhia koj tias nws yuav siv sijhawm ntev npaum li cas los rov zoo los ntawm kev phais, vim muaj ntau yam cuam tshuam rau koj lub sijhawm rov zoo.

Kuv puas txo tau qhov kev pheej hmoo ntawm kev mob (NPH) lossis tiv thaiv nws tag nrho?

NPH tshwm sim tsis tau xav txog, thiab kwv yees li ib nrab ntawm cov neeg mob yog idiopathic, txhais tau tias lawv tshwm sim yam tsis paub vim li cas. Idiopathic NPH tsis tuaj yeem tiv thaiv tau , thiab tsis tuaj yeem txo qhov kev pheej hmoo ntawm kev tshwm sim.

Txawm li cas los xij, koj tuaj yeem txo koj txoj kev pheej hmoo ntawm kev mob NPH theem ob los ntawm kev zam lwm yam kab mob lossis tej yam mob uas tuaj yeem ua rau muaj tus mob no. Nov yog qee yam koj tuaj yeem ua tau:

• Tsis txhob tso tseg kev kis kab mob , tshwj xeeb yog kev kis kab mob ntawm qhov muag thiab pob ntseg. Cov no tuaj yeem kis mus rau lub hlwb thiab ua rau muaj mob xws li mob hlwb lossis mob hlwb meningitis .
• Hnav cov khoom siv tiv thaiv . Kev raug mob rau lub hlwb tuaj yeem ua rau muaj NPH thib ob. Kev hnav cov khoom siv tiv thaiv xws li lub kaus mom hlau tuaj yeem pab tiv thaiv cov kev raug mob no.
• Tswj koj cov mob nkeeg . Cov mob xws li ntshav siab tuaj yeem ua rau lub hlwb aneurysm thiab los ntshav hauv lub hlwb. Ob qho no tuaj yeem ua rau NPH. Kev tswj koj cov ntshav siab thiab kev tswj cov mob xws li ntshav qab zib hom 2 lossis cov roj cholesterol siab tuaj yeem txo koj qhov kev pheej hmoo ntawm cov teeb meem no.

Yog tias kuv muaj '(NPH)', kuv yuav tsum xav li cas?

NPH yog ib qho teeb meem tshwj xeeb ntawm cov mob zoo li dementia vim tias nws feem ntau tuaj yeem kho tau . Txawm li cas los xij, lub sijhawm zoo tshaj plaws los kho qhov mob no yog nrog kev kuaj mob thaum ntxov thiab kev kho mob thaum ntxov . Qhov kuaj mob thiab kev kho mob lig dua, qhov ntau dua uas kev puas tsuaj rau lub hlwb los ntawm kev ntxhov siab yuav mus tas li thiab hnyav.

Vim tias NPH feem ntau cuam tshuam rau koj lub peev xwm xav, ntau tus neeg uas muaj tus mob no tsis paub tias lawv muaj nws. Tsev neeg, cov phooj ywg, thiab cov neeg koj paub feem ntau yog thawj tus pom cov tsos mob ntawm NPH . Qhov no txhais tau tias cov neeg koj hlub tuaj yeem ua lub luag haujlwm tseem ceeb hauv kev kuaj mob NPH thiab kho thaum ntxov.

'(NPH)' tau muaj ntev npaum li cas lawm?

NPH yog ib yam mob uas mob ntev mus tas li . Cov tsos mob yuav maj mam tshwm sim li ntawm peb mus rau rau lub hlis. Txawm li cas los xij, NPH tsis zoo dua nws tus kheej; nws tseem mob zuj zus tuaj. Thaum nws mob zuj zus tuaj, nws tuaj yeem ua rau lub hlwb puas tsuaj loj heev thiab mus tas li.

Txawm hais tias NPH yuav tsis ua rau tuag taus nws tus kheej los xij, nws tuaj yeem ua rau muaj cov tsos mob uas ua rau nws nyuaj thiab thaum kawg tsis yooj yim sua rau ib tus neeg nyob ib leeg. Nws kuj tseem tuaj yeem ua rau muaj teeb meem loj, uas ua rau tuag taus, xws li ntog.

Yog kho mob, cov tsos mob tseem ceeb ntawm '(NPH)' yuav zoo dua. Yog kho mob, qhov tshwm sim ntawm peb yam tsos mob no yuav zoo dua yog raws li nram no:

• Kev nyuaj siab taug kev : Cov tsos mob no ploj mus li ntawm 85% ntawm cov neeg mob uas tau kho.
• Kev Tso Tsis Tau : Cov tsos mob no kho tau li ntawm 80% ntawm cov neeg mob yog tias kho thaum ntxov. Lub caij nyoog kho tau yog ntawm 50% thiab 60% yog tias kho lig.
• Teeb meem kev xav thiab kev nco : Cov tsos mob no zoo dua li ntawm 80% ntawm cov neeg mob uas tau kho.

Qhov xwm txheej no yuav zoo li cas?

Qhov kev cia siab rau `(NPH)` tuaj yeem sib txawv heev. Cov laj thawj rau qhov no yog:

• NPH nyuaj rau kuaj mob vim nws cov tsos mob zoo ib yam li cov uas tshwm sim ib txwm muaj thaum laus, lossis lwm yam kab mob ntsig txog hnub nyoog.
• Cov tsos mob ntawm '(NPH)' maj mam zuj zus.
• Kwv yees li ib feem peb ntawm cov neeg uas muaj NPH kuj muaj tus kab mob hlwb tsis zoo xws li tus kab mob Alzheimer.
• NPH yuav tshwm sim ntau dua thaum peb laus zuj zus, thiab ntau yam mob nkeeg uas cuam tshuam nrog hnub nyoog tuaj yeem ua rau thiab ua rau NPH hnyav zuj zus.
• Vim tias cov tsos mob ntawm '(NPH)' cuam tshuam rau koj lub peev xwm xav, koj yuav tsis tuaj yeem paub koj cov tsos mob koj tus kheej.

Cov yam tseem ceeb uas cuam tshuam rau cov txiaj ntsig ntawm `(NPH)`

Yog tias muaj cov yam no, qhov muaj feem yuav tau txais txiaj ntsig zoo los ntawm '(NPH)' yog siab:

• Kev kuaj mob thaum ntxov thiab kev kho mob.
• Muaj teeb meem xav thiab nco qab ua raws li muaj teeb meem taug kev thiab/lossis muaj teeb meem tswj cov zis.
• NPH theem ob tshwm sim vim yog cov ua rau kho tau lossis thim rov qab tau.
• Thaum CSF raug tshem tawm thaum lub sijhawm puncture lumbar, cov tsos mob ntawm NPH txo qis.

Yog tias muaj cov yam no ces yuav tsis muaj feem tau txiaj ntsig zoo:

• Kev qeeb hauv kev kuaj mob thiab kev kho mob.
• Muaj teeb meem kev xav thiab kev nco qab thaum ntxov, tshwj xeeb yog tias lawv pib ua ntej muaj teeb meem taug kev lossis tswj kev tso zis.
• Muaj teeb meem xav thiab nco qab heev.
• Muaj lwm yam kab mob hauv lub hlwb (tshwj xeeb yog cov kab mob hauv lub hlwb uas puas tsuaj xws li tus kab mob Alzheimer).

Vim muaj ntau yam cuam tshuam rau qhov tshwm sim, koj tus kws kho mob yog tus neeg zoo tshaj plaws los tham txog qhov tshwm sim rau koj lossis ib tus neeg koj hlub uas muaj tus mob no. Cov ntaub ntawv uas lawv muab yuav suav nrog koj keeb kwm kev kho mob, qhov hnyav ntawm koj cov tsos mob, kev kho mob uas yuav ua tau, thiab lwm yam ntsiab lus tseem ceeb.

Kuv yuav saib xyuas kuv tus kheej li cas (tom qab muaj kev phais shunt)?

Yog koj muaj NPH, qhov kev kho mob zoo tshaj plaws uas koj yuav tau txais yog phais kom muab lub shunt tso rau kom tsis txhob muaj kua dej ntau dhau hauv lub hlwb. Yog koj muaj lub shunt, feem ntau muaj ob peb yam uas koj ua tau los pab tiv thaiv teeb meem:

• Ua raws li koj tus kws kho mob cov lus qhia tom qab phais . Nws yog ib qho tseem ceeb heev uas yuav tsum saib xyuas cov chaw uas tau muab cov xov lossis cov staples tso rau. Kev saib xyuas cov no zoo tuaj yeem pab tiv thaiv cov teeb meem xws li kev kis kab mob.
• Nyob deb ntawm cov hlau nplaum yog tias tsim nyog . Tsis yog txhua lub shunts muaj cov hlau nplaum, yog li qhov no tsis yog ib yam dab tsi uas txhua tus neeg uas muaj shunt yuav tsum ua. Koj tus kws kho mob yuav nrog koj tham txog qhov no.
• Ceev faj nrog kev txav mus los thiab kev ua ub ua no . Tsis txhob ua ub ua no uas yuav cuam tshuam rau lub shunt, lub raj, lossis lwm yam.
• Mus ntsib koj tus kws kho mob raws li tau hais . Nws yog ib qho tseem ceeb uas yuav tsum mus ntsib koj tus kws kho mob tsis tu ncua kom tiv thaiv tau cov teeb meem los ntawm tus mob no. Thaum lub sijhawm mus ntsib no, koj tus kws kho mob tuaj yeem saib xyuas koj tus mob thiab kho qhov shunt yog tias tsim nyog.
• Saib xyuas cov tsos mob . Yog tias koj pom ib qho ntawm cov tsos mob ntawm '(NPH)' rov tshwm sim, qhia rau koj tus kws kho mob sai li sai tau. Cov tsos mob rov tshwm sim dua yuav qhia tau tias muaj teeb meem nrog lub shunt. Qhov ntev ntawm cov tsos mob tseem muaj thiab hnyav zuj zus, qhov kev pheej hmoo ntawm cov teeb meem ntau dua.

Kuv yuav tsum mus ntsib kuv tus kws kho mob thaum twg?

Koj yuav tsum mus ntsib koj tus kws kho mob raws li tau hais. Koj kuj yuav tsum mus ntsib koj tus kws kho mob yog tias koj pom tias koj cov tsos mob NPH rov tshwm sim dua, lossis yog tias koj muaj cov tsos mob tshiab (txawm tias lawv zoo li tsis muaj feem cuam tshuam los xij).

Kuv yuav tsum mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) thaum twg?

Koj tus kws kho mob yuav qhia koj txog cov tsos mob uas yuav qhia tau tias muaj teeb meem lossis teeb meem. Qee cov tsos mob uas yuav xav tau kev kho mob tam sim ntawd suav nrog:

• Mob taub hau . Mob taub hau uas cuam tshuam rau koj cov dej num ib txwm muaj, tshwj xeeb tshaj yog tias lawv pib lossis hnyav zuj zus thaum koj zaum lossis sawv ntsug. Cov no tuaj yeem tshwm sim los ntawm teeb meem nrog lub shunt (yog tias nws tsis ntws CSF txaus), lossis yog tias lub shunt tau tawm.
• Kub taub hau los yog mob khaub thuas . Kev kis kab mob tuaj yeem tshwm sim tom qab phais mob shunt. Cov kev kis kab mob no tuaj yeem cuam tshuam rau koj lub hlwb, tus txha caj qaum, lossis peritoneum, thiab tuaj yeem kis tau sai. Tsis txhob tsis quav ntsej cov cim qhia ntawm kev kis kab mob tom qab phais mob (NPH).
• Caj dab nruj . Qhov no yuav yog teeb meem nrog lub shunt lossis txoj kev ntws tawm.
• Mob hauv plab lossis hauv siab qhov twg cov hlab ntsha nyobYog tias lub raj xa dej tawm, nws tuaj yeem ntswj lossis ua rau cov nqaij ze ntawm koj lub cev puas tsuaj. Yog tias koj muaj mob rau cov cheeb tsam no, tshwj xeeb tshaj yog mob sai sai, mob hnyav, koj yuav tsum hu rau koj tus kws kho mob lossis mus rau chav kho mob ceev tam sim ntawd.

Tej zaum yuav muaj lwm yam tsos mob uas koj yuav tsum paub txog, thiab koj tus kws kho mob yuav qhia koj ntxiv txog lawv. Nws kuj yog tus neeg zoo tshaj plaws los teb cov lus nug txog yam koj ua tau los tiv thaiv cov teeb meem no.

Qhov txawv ntawm `(Normal Pressure Hydrocephalus - NPH)` thiab `(Hydrocephalus)` yog dab tsi?

NPH yog ib yam mob hu ua hydrocephalus (lub taub hau dej) uas maj mam tshwm sim thiab zuj zus tuaj raws sijhawm. "Lub siab ib txwm muaj" txhais tau hais tias lub siab hauv koj lub taub hau (lub siab intracranial - ICP) tsis siab dhau lossis siab txaus ntshai. Hauv cov xwm txheej no, koj qib ICP yuav nyob ze rau qhov kawg ntawm qhov xav tau. Qhov no tshwm sim maj mam, zawm thiab zawm koj cov ntaub so ntswg hauv lub hlwb. Lub siab yog qhov ib txwm muaj, yog li lub hlwb muaj sijhawm los tso cov kua dej tawm, uas yog qhov ua rau muaj cov tsos mob.

Thaum kawg, yuav tsum nco ntsoov li cas (Cov Lus Coj Mus Tsev)

Kab mob ntshav siab (Normal Pressure Hydrocephalus - NPH) yog ib yam mob tsis tshua muaj uas feem ntau cuam tshuam rau cov neeg hnub nyoog tshaj 65 xyoos. Nws tuaj yeem yog idiopathic, ua los ntawm kev kis kab mob xws li mob meningitis, lossis ua los ntawm kev raug mob rau ib feem ntawm lub hlwb. Cov mob no tuaj yeem ua rau muaj cov tsos mob zoo li dementia , cuam tshuam rau kev taug kev, kev xav, thiab lub peev xwm tswj cov zis.

Muaj ntau yam mob uas zoo li tus kab mob dementia tsuas yog zuj zus tuaj raws sijhawm thiab nyuaj rau kho thiab tswj. Txawm li cas los xij, NPH feem ntau kho tau, thiab qee zaum rov qab tau . Lub sijhawm zoo tshaj plaws los kho cov teebmeem ntawm NPH yog tias nws raug kuaj pom thaum ntxov thiab kho thaum ntxov. Yog vim li cas nws thiaj li tseem ceeb uas yuav tsum tsis txhob tsis quav ntsej koj cov tsos mob lossis cov tsos mob ntawm tus neeg koj hlub. Yog tias kho sai sai, ntau tus neeg uas muaj NPH tuaj yeem rov zoo thiab rov qab tau feem ntau - lossis tag nrho - ntawm lawv cov peev xwm uas twb muaj lawm.

Nco ntsoov, yog tias koj muaj lus nug txog qhov no, zoo dua mus nrhiav kev pab kho mob.

Kev nyem rau ntawm lub hlwb, NPH, kev laus zuj zus, kev nyuaj siab rau kev taug kev, kev tswj cov zis, kev nco tsis zoo, kev phais shunt