Yu tink se i nɔ izi fɔ yu mama, papa, ɔ grani we dɔn ol fɔ waka wantɛm wantɛm? Yu tink se i de waka rili slo? Ɔ yu kin fil lɛk se yu de mɛmba smɔl smɔl? Bɔku tɛm wi kin tink bɔt dɛn tin ya as nɔmal tin dɛn we kin apin as wi de ol. Bɔt sɔmtɛm, dɛn tin ya kin bi sayn fɔ wan sik we pɔsin kin trit. Semweso, NPH na wan sik wae bɔrku pipul kin mistek kɔl dis maynia sik, bɔt fɔ tru, na sik wae dɛn kin trit. Lɛ wi fɛn ɔda tin dɛn bɔt am tide.
Fɔ tɔk am simpul wan, wetin na NPH?
Di ful minin fɔ NPH na Nɔmal Prɛshɔn Haydrosɛfalɔs. insay Sinhala, i min "nɔmal prɛshɔn haydrosɛfalɔs". Bɔt i izi fɔ ɔndastand pas da wɔd de we yu no se dis na sɔntin we kin apin to di bren.
Fɔ tɔk am simpul wan, NPH na wan kɔndishɔn we di wata we de insay ɛn rawnd wi bren (wi mɛdikal kɔl am Sɛribrospinal Fluid - CSF) de bil ɛn i de ambɔg di bren wok. Dis wata we dɛn kɔl CSF de gi wi bren tin fɔ it ɛn i de ɛp fɔ pul dɔti tin dɛn we de na di bren. Na dis wata bak we de protɛkt di bren fɔ mek dɛn nɔ jost am rawnd insay di skel ɛn mek i wund.
di avrej big pipul bren gεt lεk 150 mililita dis wata. Wi bɔdi de mek dis wata ɔltɛm, de mek i go ɔlsay, ɛn tek ol wata bak. As lɔng as dis saykl de apin fayn fayn wan, prɔblɛm nɔ de.
bכt insay di kes fכ NPH, fכ sכm rizin, di riabsכpshכn כ sεkyuleshכn fכ dis fכluid de pwεl. afta dat, dis wata de bigin fכ kכmכt sכmtεm na di vεntrikl dεm we de insay di bren. Bikɔs dis kin apin bɔku tɛm, di prɛshɔn we de insay di skel nɔ kin bɔku wantɛm wantɛm. Na dat mek dɛn kɔl am "Nɔmal Prɛshɔn". Bɔt as tɛm de go, dis wata we dɔn gɛda kin bigin fɔ swɛt di bren tisu ɛn pwɛl am. Na da tɛm de di sayn dɛm fɔ NPH kin apia.
Udat kin gɛt dis NPH kɔndishɔn pas ɔlman?
NPH na wan sik wae kin pasmak pan pipul dɛm wae dɔn pas 65. De risk fɔ gɛt dis sik kin go ɔp wae pɔrsin de ol. Di avrej ej fɔ bigin na lɛk 70 ia.
Dis nɔ dipen pan tin dɛn lɛk rays, rilijɔn, ɔ man ɔ uman. We pɔsin ol na di men tin we kin mek i gɛt prɔblɛm. Akɔdin to sɔm statystik, 0.2% pan pipul dɛm wae ol bitwin 70 ɛn 80 ia ɛn 5.9% pan pipul dɛm wae dɔn pas 80 ia gɛt dis sik. Dat min se i pas 8 milyɔn pipul dɛn ɔlsay na di wɔl we gɛt dis sik.
Wetin na di men sayn dɛm fɔ NPH? "Hakim in triad".
3 men sayn dɛm de fɔ NPH. Dɛn tin ya kin apin smɔl smɔl fɔ 3 to 6 mɔnt. Dɔktɔ dɛn kin kɔl dɛn tri men sayn ya "Hakim in Triad." Bitwin 50% ɛn 75% pan di NPH pasɛnt dɛn kin gɛt ɔl di tri simptom dɛn togɛda.
Lɛ wi si wetin na dɛn tri kwaliti dɛn ya.
| Di sayn we de sho se di sik de | Tɔk bɔt |
|---|---|
| 1. Isyu dɛn bɔt aw fɔ waka | Dis na di sayn we de sho se yu gɛt NPH. 80% - 95% pan di sik pipul dεm gεt dis. I kin tan lɛk se dɛn fut dɔn stɔp na grɔn. I rili at fɔ es wan stɛp. Di stɛp dɛn rili smɔl, lɛk se di leg dɛn de drɛg along di grɔn. So, dɛn de fɔdɔm ɔltɛm. Sɔntɛnde, dɛn kin stɔp wantɛm wantɛm we dɛn de waka, lɛk se dɛn nɔ ebul fɔ no aw fɔ du di nɛks step. Yu kin ivin si dɛn de waka wit dɛn wet na dɛn tu say, lɛk pɔngwin. |
| 2. Nɔ ebul fɔ kɔntrol di urine (Urinary Incontinence) . | I kin bigin wit di nid fɔ pis ɔltɛm. Ɛn we yu gɛt fɔ pis, yu kin fil lɛk fɔ pis we yu nɔ ebul fɔ kɔntrol. As tɛm de go, yu kin bigin fɔ lik yu urine we yu nɔ ivin no. Sɔm pipul dɛn kin shem fɔ dis, bɔt bikɔs dɛn bren nɔ de wok fayn, sɔm sik pipul dɛn nɔ kin ivin no se dɛn dɔn lik urine. |
| 3. Difikulti dɛn we de mek pɔsin no bɔt sɔntin | Dis kin rili fiba dis maynia sik. Di spid we pɔsin kin tink ɛn wok kin go dɔŋ. Dɛn kin du ɔltin rili sloslo. I nɔ de mɛmba bɛtɛ, ɛn bɔku tɛm pipul dɛn kin fɔgɛt bɔt tin dɛn. I kin at fɔ disayd fɔ du sɔntin ɛn fɔ kɔntrol di we aw pɔsin de fil. Yu nɔ kin bisin bɔt tin dɛn we yu bin de ɛnjɔy trade. |
Di tin we impɔtant pas ɔl na fɔ go to dɔktɔ, pas fɔ dismis dɛn simptom ya as nɔmal pat fɔ ol, bikɔs NPH na sik we dɛn kin trit.
Wetin mek dis NPH de divɛlɔp? Wetin na di tin dɛn we kin mek i apin?
Tu men kayn NPH de, i dipen pan di tin dɛm we de mek yu gɛt am.
1. Praymari (Idiopatik) NPH
Dis na di kayn we we pipul dɛn kin gɛt mɔ. Na lɛk af pan di sik pipul dɛn gɛt dis kayn. "Idiopathic" min se dεn nכ no di εksakεt kכz.naw dεn biliv se dis kin apin bikoz fכ sכm chenj dεm na di sεkyuleshכn εn absכpshכn fכ di CSF fכluid na di bren as wi de ol.
2. Sɛkɔndari NPH
Dis kin apin bikɔs ɔf ɔda mɛrɛsin ɔ aksidɛnt. Dat min se, ɔda rizin de we de ambɔg di flɔ we di CSF wata de flɔ na di bren. Sɔm pan dɛn rizin ya na:
- Traumatik Bren Injuri dɛn
- Bren Tumɔs dɛn
- Strok
- Intrakranial Ɛmoraji
- Bren Anɛrizm
- Infεkshכn dεm na di bren lεk mεningayt
- Dɛn kin du ɔpreshɔn pan di bren
Aw dɔktɔ kin no di kɔrɛkt we aw i gɛt NPH?
Fɔ no bɔt NPH kin tranga bikɔs in sayn dɛm kin rili fiba di dis maynia sik lɛk Alzaima sik. Sɔmtɛm, NPH kin kam wit Alzaima sik bak.
Dɔktɔ kin yuz bɔku tɛst dɛn fɔ no if i gɛt dis sik.
- Fɔ chɛk yu bɔdi ɛn yu nyurolɔjik: Di dɔktɔ go chɛk aw yu de waka, aw yu balans, aw yu de riflɛs, ɛn aw yu mɔsul dɛn trɛnk.
- Aks bɔt de sik ɛn mɛdikal histri: Aks yu fambul dɛm bɔt aw dɛn sik ya bigin ɛn aw lɔng dɛn dɔn de.
- Bren skan: Dis na di tɛst we impɔtant pas ɔl. wan MRI skan (Magnetic Resonance Imaging) kin si klia wan if di vεntrikl dεm, usay di CSF fכluid de kכmכt, dכn big. Sɔntɛnde, dɛn kin du CT skan (Computed Tomography) bak fɔ mek dɛn nɔ no ɔda tin dɛn we kin apin.
- Spinal Tap / Lumbar Puncture: Dis na test bak we rili impɔtant. na ya, dεn de put wan sכmכl nidul insay di spεnal kכd εn dεn tek wan sεmpl fכ CSF fכluid. Dɛn kin yuz dis fɔ chɛk fɔ ɔda infɛkshɔn. Dɔn bak, di tin we impɔtant pas ɔl na dat, i impɔtant fɔ si if di sikman in sik dɛn, lɛk we i nɔ izi fɔ waka, kin bɛtɛ fɔ sɔm tɛm afta dɛn dɔn pul sɔm pan di ɛkstra CSF wata. If i du dat, na strɔng tin we de sho se NPH de.
Yu tink se tritmɛnt de fɔ dis? Yu tink se dɛn kin mɛn am?
Yɛs! Dis na di gud nyus bɔt NPH. Pan ɔl we e kin tan lɛk dis maynia sik, bɔrku tɛm NPH na sik wae dɛn kin trit . Di mɛrɛsin dɛn nɔ kin rili wok. Di men tritmɛnt we go wok fayn pas ɔl na ɔpreshɔn.
Dis ɔpreshɔn na fɔ kɔnɛkt wan smɔl tin we tan lɛk tiub we dɛn kɔl shunt to di bren.
- Tink bɔt dis lɛk paip we de mek ɛkstra wata kɔmɔt.
- wan εnd pan dis shunt de kכnekt to wan chεmba na di bren usay di CSF fכluid dכn kכlekt.
- di כda εnd dεn kin put am כnda di skin insay di bכdi (bεlε) כ di chεst.
- di ekstra CSF wata we de kכmכt na di bren de travul dכn dis tכb εn i de εmpti insay wan ples lεk di bכdi kכva, usay di bכdi kin tek di wata bak.
Afta dis ɔpreshɔn, di sik dɛn we di sikman kin gɛt kin bigin fɔ bɛtɛ bad bad wan insay sɔm awa ɔ sɔm dez. Dis kin mek yu gɛt rili gud rizɔlt, mɔ fɔ mek i nɔ izi fɔ waka.
insay di kes fכ sεkכnd NPH, dεn kin trit di sik we kכz di NPH (e.g., wan bren tכmכro) fכs.
Us prɔblɛm dɛn kin apin afta dɛn dɔn trit am?
Pan ɔl we bɔku tɛm, shunt ɔpreshɔn nɔ kin sef, lɛk ɛni ɔpreshɔn, sɔm prɔblɛm dɛn de.
- Sik we de prɛd.
- Di shunt dɔn blok ɔ i nɔ de wok fayn.
- Di shunt de na di verr.
- di CSF wata we de kכmכt pasmak na di bren (dis kin mek yu si sayn dεm lεk ed we de at).
If sɔntin lɛk dis apin, dɛn kin no am ɛn trit am kwik kwik wan. So, i rili impɔtant fɔ fala di dɔktɔ in instrɔkshɔn dɛn jɔs afta dɛn dɔn du di ɔpreshɔn ɛn fɔ go na di klinik dɛn di de dɛn we dɛn dɔn plan fɔ du.
Wetin yu kin ɛkspɛkt we yu de liv wit NPH?
Bɔku tɛm di tin we kin kɔmɔt frɔm NPH kin dipen pan aw dɛn kin no di sik kwik kwik wan ɛn trit am . Di leta we dɛn de gi di tritmɛnt, na di mɔ i go bi se di bren we dɔn pwɛl go de sote go.
Bikɔs di pɔsin we sik nɔ kin no bɔt dɛn sik, in famili ɛn di wan dɛn we i lɛk gɛt big wok fɔ du pan dis. If yu notis dɛn sayn ya pan yu pɔsin we yu lɛk, i rili impɔtant fɔ kɛr dɛn go to dɔktɔ, pas fɔ tink se na nɔmal tin fɔ ol.
Na dis na de chans fɔ mek di sik nɔr dɔn afta dɛn dɔn trit am:
- I nɔ kin izi fɔ waka: Na lɛk 85% pan di sik pipul dɛn kin wɛl.
- Urinary incontinence: Na lɛk 80% pan di sik pipul dɛn kin wɛl.
- Wae yu nɔr de tink ɛn mɛmba fayn: Na lɛk 80% pan di sik pipul dɛm kin wɛl.
Lɛ wi luk di tin dɛm wae de afɛkt di autkam fɔ NPH sik na di tebul wae de dɔŋ ya.
| Factors wae de mek yu get gud outcome | Tin dɛn we de ridyus di chans fɔ mek gud tin apin |
|---|---|
| Fɔ no di sik kwik kwik wan ɛn fɔ trit am. | Delay fɔ no ɛn trit di sik. |
| Fɔs, i nɔ bin izi fɔ waka, dɔn i nɔ bin izi fɔ mɛmba. | Fɔs, prɔblɛm dɛn kin bigin fɔ mɛmba tin dɛn. |
| Di sik kin bɛtɛ fɔ sɔm tɛm afta yu dɔn tek wata na yu bak. | I nɔ kin izi fɔ mɛmba ɛn tink gud wan. |
| Sɛkɔndari NPH na wan sik we dɛn kin mɛn. | Di prɛzɛns fɔ ɔda bren sik dɛm lɛk Alzaima. |
Ustɛm a fɔ go to dɔktɔ? Wetin na di tɛm dɛn fɔ go na di ETU?
If pɔsin na yu famili gɛt shunt, yu fɔ no mɔ bɔt sɔm sayn dɛn. Dɛn tin ya kin bi sayn fɔ prɔblɛm wit di shunt ɔ infekshɔn.
If ɛni wan pan dɛn sayn ya apin, kɔl yu dɔktɔ wantɛm wantɛm ɔ kɛr yusɛf go na di ɔspitul in Imejɛnsi Tritmɛnt Yunit (ETU) .
- Siriv ed pen: If di ed pen de wɔs, mɔ we yu sidɔm ɔ tinap, dis kin bi sayn fɔ se di wata we de kɔmɔt na di shunt dɔn ridyus ɔ i dɔn bɔku.
- Fiva ɔ kol: Dis kin bi sayn fɔ se yu gɛt infekshɔn afta dɛn dɔn ɔpreshɔn yu. Nɔ ɛva ignore dɛn kayn infɛkshɔn ya bikɔs dɛn kin spre kwik kwik wan.
- Stif nɛk.
- Pen na di chɛst ɔ bɛlɛ eria usay di shunt tiub de pas.
- Di ol NPH simptom dεm we de apin bak (difεlεnt fכ waka, urinary prכblεm).
Mɛsej we dɛn kin kɛr go na os
- Nɔ dismis di prɔblɛm fɔ waka, fɔ nɔ ebul fɔ urinary, ɛn fɔ lɛ yu nɔ mɛmba fayn as "nɔmal ol." Dɛn tin ya kin bi sayn fɔ wan sik we dɛn kɔl NPH.
- NPH na wan kכndyushכn we de kכz we di sεribrospεnal fכluid (CSF) de kכmכt na di bren.
- Pan ɔl we i kin prɛzɛnt wit sayn dɛm we fiba dis maynia sik, bɔku tɛm NPH na sik we pɔsin kin mɛn wit ɔpreshɔn.
- Di kwik we dɛn no di sik, na di mɔ i go fayn. So, fɔ pe atɛnshɔn to di famili ɛn di wan dɛn we dɛn lɛk rili impɔtant na ya.
- If di pɔsin we yu lɛk gɛt dɛn sik ya, duya go to dɔktɔ we sabi du di wok ɛn nɔ de te.
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