Yu ol pɔsin gɛt dɛn sik ya? Lɛ wi lan bɔt nɔmal prɛshɔn haydrosɛfalɔs (NPH) .

Yu dɔn ɛva notis se yu mama, papa, ɔ grani we dɔn ol nɔ de mɛmba tin ɛn i nɔ kin izi fɔ yu fɔ waka as i de ol? Sɔntɛnde, wi kin tink se dɛn tin ya na nɔmal tin we kin apin as wi de ol. Bɔt sɔntɛnde, ɔda rizin kin de biɛn dɛn tin ya. Tide, wi go tɔk bɔt wan spɛshal sik wae kin tan lɛk dis maynia sik, bɔt kin wɛl if dɛn trit am . dat na wan kכndishכn we dεn kכl `(Nכmal Prεshכn Haydrosεfal)` כ `(NPH)`.

Wetin na `(Nɔmal Prɛshɔn Haydrosɛfalɔs - NPH)`?

Fɔ tɔk am simpul wan, `(Nɔmal Prɛshɔn Haydrosɛfalɔs)` ɔ `(NPH)` na wan kɔndishɔn we wata kin gɛda insay ɔ rawnd wi bren, we kin ambɔg di bren wok . Tink bɔt am lɛk bɔkit we ful-ɔp wit wata. Dis kin afɛkt bɔku pan di wok dɛn we di bren de kɔntrol, lɛk fɔ tink, fɔ pe atɛnshɔn, fɔ mɛmba tin, ɛn fɔ waka. De spɛshal tin na dat pan ɔl wae de simptom dɛm fɔ dis kin rili fiba dis maynia sik, sɔmtɛm dɛn kin trit de sik `(NPH)` ɛn mɛn .

Udat dɛn kin afɛkt mɔ pan dis `(NPH)` kɔndishɔn?

Dis kכndyushכn we dεn kכl ``(NPH)`` , kin kכmכn pan pipul dεm we pas 65. Di risk fכ gεt dis kכndyushכn kin bכku wit di ej. Bɔku tɛm, i kin bigin arawnd di ej we i ol 70 ia.

We yu ol ej na di men tin we kin mek yu gɛt dis. Tin dɛn lɛk rays, kɔlɔ, ɛn man ɔ uman nɔ de afɛkt dis.

Aw kɔmɔn tin na `(NPH)`?

Pan ɔl we i nɔ kin bɔku, NPH na wan sik we dɔktɔ dɛn sabi gud gud wan. Dɛn se lɛk 0.2% pan pipul dɛm wae ol bitwin 70 ɛn 80 ia gɛt dis sik, ɛn lɛk 5.9% pan pipul dɛm wae dɔn pas 80 ia gɛt dis sik. Dat min se na lɛk 8.4 milyɔn pipul dɛn we dɔn pas 80 ia ɔlsay na di wɔl de sɔfa wit dis sik. Akɔdin to masta sabi pipul dɛm, i kin rili rare pan pipul dɛm wae nɔr rich 65 ia, i kin afɛkt ɔl 0.003% pan da ej grup de.

Wetin kin apin we yu gɛt `(NPH)`? Aw i kin afɛkt di bren?

NPH kin bi we wan wata we dεn kכl sεribrospεnal fכluid (CSF) de bכku na di bren . Dis wata tan lɛk wata. I de gi di bren tin fɔ it ɛn i de pul dɔti tin dɛn. di avrej big pipul bren gεt lεk 150 mililita (5 כns) CSF. Dat na less dan haf di amount in wan kan of Coke. Wi bɔdi de mek dis wata ɔltɛm, i de go ɔlsay, ɛn i de tek am bak fɔ mek i kɔntinyu fɔ de ɔltɛm.

Pan ɔl we dis wata smɔl, i de ple big pat. dis ``(CSF)`` wata de rawnd wi bren εn di spεnal kכd insay di spayna. In ɔda wɔd dɛn, wi bren de flɔt insay dis wata . I de wok bak lɛk kusɛn we de protɛkt di bren ɛn spɛshal kɔd frɔm shɔk dɛn we de na do.

so, if wi bכdi nכ ebul fכ sכkכt dis ``(CSF)`` fכs fayn fayn wan כ i de abzכp am bak, dis fכs wata de bigin fכ kכmכt mכr pas aw i fכ kכmכt insay di sכkul.

insay `(NPH)`, dis wata de bil sכmtεm, so ivin if di prεshכn insay di sכkul `(Intracranial Pressure)` de inkrεs, i de stil insay di nכmal rεnj . (Na dat mek dɛn kin kɔl am bak `(Nɔmal Prɛshɔn Haydrosɛfalɔs)` - "Nɔmal Prɛshɔn Haydrosɛfalɔs"). biכs, insay wi bren, kכva dεm de we fulכp wit wata we dεn kכl `(Ventricles)`, we kin hεndl sכm pan dis fכs wata we de bכku.

bכt, as di `(CSF)` de kכntinyu fכ kכlכ, nכsay nכ de fכ dat fכ go. Dɔn, di bren kin bigin fɔ swel ɛn swel . Na dat kin mek pɔsin gɛt dis sik. If di bren swel lɛk dis fɔ lɔng tɛm, di prɛshɔn kin mek di bren tisu pwɛl fɔ ɔltɛm, ɔ ivin pwɛl am.

Wetin na di sayn dɛm fɔ `(NPH)`?

di simptom dεm fכ `(NPH)` kin divεl כp sכmtεm, sכmtεm i kin go כp fכ tri to siks mכnt . Tri men simptom dεm de fכ `(NPH)`, we dεn kכl bak Hakim in Triad . Bitwin 50% ɛn 75% pan di pipul dɛm wae gɛt `(NPH)` kin gɛt ɔl di tri simptom dɛm di sem tɛm. Hakim in Triad gɛt dɛn tri kayn sik ya:

• Di prɔblɛm dɛn we gɛt fɔ du wit di we aw pɔsin de waka
• Urinary incontinence
• Di prɔblɛm dɛn we kin apin we pɔsin kin ɔndastand

I nɔ izi fɔ waka

Dis na prɔblɛm wit muvmɛnt we gɛt fɔ du wit fɔ waka. Dis sayn na de sik wae de kam pan de tri. Bitwin 80% ɛn 95% pan pipul dɛm wae gɛt NPH gɛt dɛn kayn sik ya. Sɔm pan de sayn dɛm kin tan lɛk de muvmɛnt prɔblɛm wae gɛt dis sik , bɔt di men difrɛns na dat na NPH, dɛn sayn ya kin de na di leg ɛn fut nɔmɔ.

If yu gɛt `(NPH)`, dɛn tin ya kin apin:

• I kin at fɔ es di leg dɛn . Dis kin mek i tan lɛk se di leg dɛn kin stɔp na grɔn we dɛn de waka. Dɛn se i tan lɛk di prɔblɛm we pɔsin kin gɛt we i de tray fɔ pul magnet pan sɔntin.
• Di fut dɛn smɔl ɛn dɛn kin shek shek . Dis kin mek i tan lɛk se di leg dɛn de drɛg we yu de waka. Chans de bak fɔ mek yu stɔp ɛn fɔdɔm.
• Wach kin stɔp wantɛm wantɛm ɔ waka we yu nɔ shɔ . I kin tan lɛk se yu nɔ ebul fɔ disayd if yu fɔ tek wan stɛp ɔ go bifo afta yu dɔn bigin fɔ waka. Yu kin shem bak we yu de tɔn big big tɔn we yu de waka, ɛn i kin at fɔ tɔn.
• We yu de waka, dɛn kin tɔn di fut finga dɛn na do . Dis kin mek dɛn ebul fɔ spre dɛn leg dɛn apat ɛn waka sayd to sayd, lɛk pɔngwin.

Nɔ ebul fɔ kɔntrol di urine

dis na di lכs fכ di blad kכntrכl εn di lik we di urine de lik we i nכ want. We yu bigin fɔ pis, yu kin fil se yu nid fɔ pis bɔku tɛm, ɔ yu kin fil se yu nid fɔ pis wantɛm wantɛm we nɔ izi fɔ kɔntrol.

Pipul dɛn we gɛt dis kwaliti kin shem if dɛn nɔ ebul fɔ kɔntrol dɛn urine. Bɔt, sɔm pipul dɛn nɔ kin no dis, ɛn dɛn kin shem.I nɔ ivin de fil lɛk se na so i bi. Dis kin bi bikɔs i nɔ izi fɔ tink, we na di tɔd kwaliti we Hakeem in triad gɛt.

I nɔ kin izi fɔ tink ɛn mɛmba

Di tɔd men tin we de apin na NPH na we i nɔ izi fɔ tink ɛn mɛmba. Dis kin mek tin dɛn lɛk:

• We pɔsin de tink ɛn in bɔdi sloslo . I tan lɛk se pɔsin de tink ɛn du tin sloslo pas aw i kin bi.
• Prɔblɛm dɛn fɔ mɛmba . Bɔku tɛm yu kin fɔgɛt tin dɛn ɛn i kin tan lɛk se yu de wok we yu nɔ de tink.
• Executive dysfunction : I nɔ kin izi fɔ manej di filin, tink, ɛn akshɔn. I nɔ kin izi fɔ pe atɛnshɔn, fɔ disayd fɔ du sɔntin, ɛn fɔ gɛt prɔblɛm fɔ tink klia wan.
• Di chenj dɛn we de apin na di we aw pɔsin de fil . Pipul wae gɛt NPH kin tan lɛk se dɛn nɔr bisin bɔt ɔda pipul dɛm ɛn nɔr kin gɛt intres pan tin dɛm wae dɛn bin de ɛnjɔy trade.

Wetin na di tin dɛm we de mek `(NPH)`?

Tu men kayn `(NPH)` de, we dεn tu kin apin di sem we. Di tu kayn dɛn na:

• Praymari (idiopatik) NPH we dɛn kin kɔl
• Sɛkɔndari NPH

Praymari (dɛn nɔ no di rizin) `(NPH)`

Praymari NPH min se nɔto ɔda mɛdikal kɔndishɔn de mek i kam. Wan ɔda wɔd fɔ dis na idiopathic , we na wɔd we spɛshal pipul dɛn kin yuz fɔ tɔk bɔt kɔndishɔn dɛn we kin apin we nɔ gɛt ɛni patikyula kɔz . di masta sabi pipul dεm biliv se idiopathic NPH kin riliyt to wan כ mכr prכblεm dεm we kin apin we wi de ol di we aw wi bכdi de mek, sכkכt, εn riabsכp sεribrospεnal fכluid (CSF). Na lɛk af pan ɔl di NPH pasɛnt dɛn kin fɔdɔm insay dis kategori.

כnda nכmal tin, wi bכdi de prodyuz bitwin 400 εn 600 mililita `(CSF)` pan de. Dat pas wetin wi nid. So, wi fɔ kip de riabsɔb ol `(CSF)` fɔ mek rum fɔ nyu `(CSF)`. if prכblεm de wit di we aw `(CSF)` de sכkכt כ we i de abzכp bak, di bכdi kin mek mכr `(CSF)` pas aw i nid, we de mek dis wata de bכku.

Pruf de bak fɔ se NPH kin gɛt fɔ du wit di sik dɛm wae de pwɛl yu bren lɛk Alzaima sik ɛn Lewy bɔdi dimɛnshɔn . Risach pipul dεm stil de tray fכ no aw εn wetin mek NPH de divεlכp, εn if כda kכndyushכn kin afekt am. If yu ansa dɛn kwɛstyɔn ya, dat go ɛp fɔ mek yu nɔ gɛt dis sik ɔ fɔ trit am fayn fayn wan tumara bambay.

Sɛkɔndari `(NPH)`

Sεkɔndari NPH kin apin we ɔda mεdikal kכndyushכn de afekt di we aw wi bכdi de mek, sכkכt, כ riabsכp sεribrospεnal fכluid (CSF). Sɔm kɔndishɔn wae kin mek yu gɛt sɛkɔndari NPH na:

• wan bren aneurism (we de bulge na wan bכdi we kin brok εn blɔd go insay di bren tisu).
• Blɔd we de kɔmɔt na di bren ɔ rawnd di bren (Intracranial hemorrhage).
• Bren tumor (inklud kansa) .
• Infεkshכn dεm na di bren כ di pat dεm we de rilet to di nεv sεstem (fכ egzampl , εnεfalaytis כ mεningaytis ).
• Strok .
• Traumatik bren injuri (TBI) inklud injury na di bren ɔr ɔda tin dɛn we gɛt fɔ du wit am we dɛn de du mɛrɛsin.

Aw dɛn kin no di sik we dɛn kɔl `(NPH)`?

Fɔ no bɔt NPH kin tranga smɔl, bikɔs bɔrku pan de sayn dɛm fɔ dis sik kin fiba ɔda sik dɛm wae kin kam wit yu ej, lɛk dis maynia sik . NPH kin kɔmɔn bak wit ɔda sik dɛn we kin kam wit di ej. Na lɛk 30% pan di pipul dɛm wae gɛt NPH kin gɛt Alzaima sik ɔr wan kayn sik wae de kam pan dɛn bren.

Dɔktɔ kin no se i gɛt NPH bay we i yuz dɛn we ya:

• Fizik ɛn nyurolɔjik ɛgzam . Insay dis, di dɔktɔ kin luk fɔ sayn dɛn we pɔsin kin si fɔ se i sik. I kin tɛst yu sɛns bak (we yu de si, yɛri, tɔch), yu riflɛs, ɛn yu mɔsul dɛn trɛnk na yu an ɛn fut dɛn.
• Fɔ aks bɔt yu mɛdikal istri ɛn di sayn dɛm . Yu mεdikal rεkɔd, mεdikal histri, εn di sayn dεm kin gi yu impɔtant tin dεm fɔ no aw yu gɛt NPH.
• Diagnostik imej we dɛn kin yuz . magnεtik rεsכnans imej (MRI) skan na di mכst imכtant tul fכ no NPH. Dis kin mek di dɔktɔ ebul fɔ luk insay yu ed ɛn si di bren ɛn di say dɛn we wata dɔn gɛda. Yu dɔktɔ kin ɔda bak fɔ mek dɛn du cisternogram scan , bɔt dis nɔ kin apin. Kɔmpyuta tomografi (CT) skan kin ɛp fɔ pul ɔda sik dɛn, bɔt dɛn nɔ kin rili ɛp fɔ no if yu gɛt NPH.
• Lab tɛst dɛn . lכmba pankshכn ( wan we we dεn kin tek sכm wata frכm di spayna) de mek di dכkta tek sεmpl fכ di sεribrospεnal fluid (CSF) fכ tεst. Dis nɔ kin ebul fɔ no bɔt NPH dairekt wan, bɔt i kin ɛp fɔ pul ɔda kɔndishɔn dɛn. I kin ɛp bak fɔ no if NPH na ɔda tin lɛk mɛningaytis. Lumba pankchɔ kin pul sɔm pan di CSF we pasmak bak, we kin mek di sik nɔ kam fɔ sɔm tɛm (bɔt di simptom dɛn go kam bak we dɛn ad di CSF bak).

Dipen pan yu sayn dɛm, yu dɔktɔ kin ɔda ɔda tɛst dɛm bak. Dɛn tin ya kin bi fɔ pul ɔda kɔndishɔn dɛn we gɛt di sem kayn sayn to NPH. Yu dɔktɔ go tɛl yu mɔ bɔt dɛn tɛst ya ɛn wetin mek dɛn impɔtant.

Aw dɛn kin trit `(NPH)`? Yu tink se kɔmplit mɛrɛsin de fɔ dis?

Fɔ di bɔku pat, NPH na wan sik we dɛn kin trit.. Di tritmɛnt kin difrɛn difrɛn wan if NPH na praymari/idiopatik ɔ sɛkɔndari. Nɔ lɛk bɔku ɔda bren dizayd, dɛn nɔ kin yuz mɛrɛsin fɔ trit NPH. Dis na bikɔs bɔku tɛm NPH nɔ kin gri wit mɛrɛsin (pan ɔl we sɔm simptom dɛn we gɛt fɔ du wit NPH kin trit wit mɛrɛsin).

Tritmɛnt fɔ praymari/idiopatik `(NPH)`

Praymari/unknown cause (NPH) na in kin trit. di tritmεnt we kכmכn pas כl – εn we kin kכmכt pas כl – fכ dis na we dεn kin כpεrayshכn insay wan divays we dεn kכl shunt . Shunt gɛt tu tiub (kateta), wan fɔ mek wata kam insay ɛn wan fɔ mek i kɔmɔt, wit wan valv bitwin di tu. if di vεntrikl dεm na di bren fulכp wit wata, di prεshכn we de inkrεs de fכs di wata insay di inlet tכb, we de opin di valv εn alaw di wata we pasmak fכ fכlכ kכmכt tru di כlt tכb.

sכm nyu shunt valv dεm dεn mek dεm ``programmable,'' we min se di dכkta kin chenj dεn sεtin dεm we dεn nכ du כpεrayshכn. Dɛn kin si dɛn pan ``X-ray,'' so di dɔktɔ kin luk di valv ɛn mek shɔ se di sɛtin dɛn kɔrɛkt. sכm nyu shunt dεm na ``MRI-safe,'' we min se yu kin gεt ``MRI'' skan ivin if yu gεt dis kayn valv.

di drenaj tכb de kכmכt tru wan sכmכl ol na di sכkul (di dכkta de mek dis ol we dεn de du di כpεrayshכn fכ put di shunt insay). afta i kכmכt na di sכkul, di tכb de tכn dכn εn go כnda di skin. dis drenaj tכb de dayrekt di wata to di chεst כ di bεlε.

if di tכb de dayrekt insay di bכdi (we dεn kin du bכku tεm), dεn kin sכk di wata frכm di pεritoneum, di mεmbran we de rawnd bכku pan di bכdi כgan dεm. if dεn dayrεkt am insay di chεst, dεn de sכk di CSF frכm di pleura mεmbran we de rawnd di lכng dεm.

Sɛkɔndari `(NPH)`

Sεkɔndari NPH kin bi se i kin wɛl, bɔt na if di kכndyushכn kכz bay wan kכndyushכn we dεn kin trit . Di tritmɛnt fɔ sɛkɔndari NPH kin difrɛn bad bad wan dipen pan di ɔndalayn kɔz. Yu dɔktɔ na di bɛst pɔsin fɔ tɔk to bɔt di tritmɛnt dɛn we de ɛn wetin dɛn kin tɛl yu fɔ du.

Wetin na di sayd ɛfɛkt ɔ kɔmplikeshɔn dɛm wae de kam wit de tritmɛnt?

Di sayd ɛfɛkt dɛm we pɔsin kin gɛt we i de trit NPH kin difrɛn difrɛn wan bay di tritmɛnt. insay praymari/we dεn nכ no, di tritmεnt we dεn kכmכn pas כl na fכ sכja fכ put shunt fכ stכp di εksy CSF fכ kכmכt insay di sכkul. Sɔm pan di sayd ɛfɛkt dɛm we dis ɔpreshɔn kin gɛt na (bɔt nɔto jɔs):

• Infεkshכn dεm
• Shunt nɔ de wok fayn ɔ i nɔ de wok fayn
• di posishכn de shift na di valv εn/כ di tכb dεm
• di lik we pasmak fכ `(CSF)` tru di shunt (dis de mek di prεshכn we di `(CSF)` de dכn, we dεn kכl bak `(Intracranial hypotension)` ).

Insay sɛkɔndari NPH, di tritmɛnt dɛn we de kin difrɛn. Dɔn bak, di sayd ɛfɛkt ɛn prɔblɛm dɛn kin difrɛn. So, yu dɔktɔ na di bɛst pɔsin fɔ tɛl yu us kɔmplikeshɔn ɔ sayd ɛfɛkt yu kin ɛkspɛkt ɛn wetin dɛn kin du bɔt dɛn.

Aw a go ebul fɔ kɔntrol di sayn dɛm if a nɔr de kia fɔ misɛf?

NPH nɔto sik wae yu kin no ɔr trit yu wan. So, nɔr ignore de symptoms ɔr tray fɔ trit yusɛf ɔr ɔda pɔrsin wit dis symptoms fɔ yusɛf .

Aw kwik a go fil fayn afta dɛn dɔn trit mi? Aw lɔng i kin tek fɔ mek yu wɛl afta yu dɔn gɛt tritmɛnt?

Di sayn dɛm fɔ dis sik kin bigin fɔ impɔtant ɔlmost wantɛm wantɛm wit di ples we dɛn put shunt. Di kwik we dɛn de no di sik ɛn di tritmɛnt, na di mɔ i go wok fayn.

Bɔrku pipul dɛn kin notis se di sayn dɛm kin ridyus insay sɔm awa ɔr dez afta dɛn dɔn put shunt. Bɔt bikɔs shunt na big ɔpreshɔn, i kin tek bɔku pipul dɛn sɔm dez ɔ wik fɔ mek dɛn wɛl frɔm am. Na yu dɔktɔ nɔmɔ go tɛl yu ustɛm i go tek fɔ mek yu wɛl afta dɛn dɔn du yu ɔpreshɔn, bikɔs bɔku tin dɛn kin afɛkt di tɛm we yu go wɛl.

A kin ridyus di risk fɔ gɛt (NPH) ɔ fɔ mek a nɔ gɛt am ɔltogɛda?

NPH kin apin we yu nɔ bin de ɛkspɛkt, ɛn lɛk af pan di kes dɛm na idiopathic, we min se dɛn kin divɛlɔp fɔ no rizin. Idiopathic NPH nɔ kin ebul fɔ stɔp , ɛn di risk fɔ gɛt am nɔ kin ridyus.

Bɔt yu kin ridyus yu risk fɔ gɛt sɛkɔndari NPH bay we yu avɔyd ɔda sik ɔ kɔndishɔn dɛn we kin mek yu gɛt dis sik. Na sɔm tin dɛn we yu kin du:

• Nɔ ignore infɛkshɔn , mɔ di ay ɛn yes infɛkshɔn. Dɛn tin ya kin izi fɔ spre to di bren ɛn mek tin dɛn lɛk ɛnsɛfalaytis ɔ mɛningaytis .
• Wear tin dɛn fɔ protɛkt yusɛf . Traumatik bren injuri kin mek sɛkɔndari NPH. We yu wɛr tin dɛn fɔ protɛkt yusɛf lɛk ɛlmɛt, dat kin ɛp fɔ mek yu nɔ gɛt dɛn injury ya.
• Kɔntrol yu wɛlbɔdi kɔndishɔn . Kɔndishɔn lɛk ay blɔd prɛshɔn kin mek di bren anɛrizm ɛn blɔd kɔmɔt na di bren. Dɛn tu tin ya kin mek pɔsin gɛt NPH. If yu kɔntrol yu blɔd prɛshɔn ɛn manej tin dɛn lɛk tayp 2 dayabitis ɔ ay kɔlɔstrel, dat kin mek yu nɔ gɛt dɛn prɔblɛm ya.

Wetin a fɔ ɛkspɛkt if a gɛt `(NPH)`?

NPH na spɛshal kes wae gɛt dis maynia sik bikɔs bɔrku tɛm dɛn kin rivεs am . Bɔt di bɛst chans fɔ chenj dis sik na we dɛn no di sik kwik kwik wan ɛn trit am kwik kwik wan . Di leta we dɛn no di sik ɛn trit am, na di mɔ i go mɔs bi se di prɔblɛm we di strɛs kin mek di bren pwɛl go de sote go ɛn i go rili bad.

Bikɔs NPH kin afɛkt yu ebul fɔ tink, bɔrku pipul dɛm wae gɛt dis sik nɔr kin no se dɛn gɛt am. Bɔku tɛm, famili, padi, ɛn pipul dɛn we dɛn sabi na dɛn fɔs fɔ notis di sayn dɛm fɔ NPH . Dis min se di wan dɛn we dɛn lɛk kin ple big pat fɔ mek dɛn no se dɛn gɛt NPH ɛn trit dɛn kwik kwik wan.

Aw lɔŋ `(NPH)` dɔn de?

NPH na wan sik we nɔ de mɛn . Di sayn dɛm kin kam smɔl smɔl fɔ tri to siks mɔnt. Bɔt, NPH nɔ kin bɛtɛ fɔ insɛf; i de kɔntinyu fɔ wɔs. As i de wɔs, i kin dɔn mek yu bren pwɛl bad bad wan ɛn fɔ ɔltɛm.

Pan ɔl we NPH nɔ kin kil pɔsin insɛf, i kin mek i nɔ izi ɛn te i nɔ kin izi fɔ mek pɔsin liv in yon layf. I kin mek bak pɔsin gɛt siriɔs prɔblɛm dɛn we kin mek pɔsin in layf de pan denja, lɛk fɔdɔm.

Wit tritmɛnt, di men simptom dɛm fɔ `(NPH)` go mɔs bɛtɛ. Wit tritmɛnt, di chans fɔ mek dɛn tri sayn dɛn de bɛtɛ na dɛn wan ya:

• I nɔ kin izi fɔ waka : Dɛn sik ya kin dɔn pan lɛk 85% pan di wan dɛn we dɛn dɔn trit.
• Inkontinɛns : Dis simptom kin wɛl pan lɛk 80% pan di kes dɛm if dɛn trit am kwik. Di chans fɔ mɛn de bitwin 50% ɛn 60% if dɛn trit am let.
• I nɔ kin izi fɔ tink ɛn mɛmba : Dɛn sik ya kin bɛtɛ pan lɛk 80% pan di wan dɛn we dɛn dɔn trit.

Wetin na di lukin-grɔn fɔ dis sityueshɔn?

Di lukin-grɔn fɔ `(NPH)` kin difrɛn bad bad wan. Di rizin dɛn fɔ dis na:

• I nɔ izi fɔ no bɔt NPH bikɔs in sik dɛn kin tan lɛk di wan dɛn we kin apin nɔmal wan we pɔsin de ol, ɔ ɔda sik dɛn we kin kam wit di ej.
• Di simptom dɛm fɔ `(NPH)` de go bifo smɔl smɔl.
• Na lɛk wan pat pan tri pipul dɛm wae gɛt NPH gɛt dis sik bak na dɛn bren lɛk Alzaima sik.
• NPH kin kam mɔr as wi de ol, ɛn bɔrku kɔmɔn wɛl bɔdi prɔblɛm dɛm wae gɛt fɔ du wit ej kin ɛp ɛn mek NPH wɔs.
• Bikɔs di sayn dɛm fɔ `(NPH)` kin afɛkt yu ebul fɔ tink, yu nɔr kin ebul fɔ no yu simptom dɛm yusɛf.

Factors we de afekt `(NPH)` rizulyt

If dɛn tin ya de, di chans fɔ gɛt gud rizɔlt frɔm `(NPH)` bɔku:

• Fɔ no di sik kwik kwik wan ɛn fɔ trit am.
• I nɔ kin izi fɔ tink ɛn mɛmba we kin fala i nɔ kin izi fɔ waka ɛn/ɔ i nɔ kin izi fɔ kɔntrol di urine.
• Sɛkɔndari NPH kin apin bikɔs ɔf di kɔz dɛm we dɛn kin mɛn ɔ we kin chenj.
• we dεn pul di CSF we dεn de pankchכ di lכmba, di simptom dεm fכ NPH de dכn.

Di chans fɔ mek gud tin apin smɔl if dɛn tin ya de:

• Delay fɔ no di sik ɛn tritmɛnt.
• I kin bigin kwik fɔ tink ɛn mɛmba prɔblɛm, mɔ if i bigin bifo i nɔ izi fɔ waka ɔ fɔ kɔntrol di urinary.
• I nɔ kin izi fɔ tink ɛn mɛmba bad bad wan.
• Fɔ gɛt ɔda sik dɛn na yu bren (especially degenerative bren sik lɛk Alzheimer’s disease).

Bikɔs bɔku tin kin afɛkt di tin we kin apin, yu dɔktɔ na di bɛst pɔsin fɔ tɔk to bɔt di tin we go apin to yu ɔ pɔsin we yu lɛk we gɛt dis sik. De infɔmeshɔn wae dɛn go gi yu go gɛt yu mɛdikal histri, aw yu sik kin tranga, tritmɛnt wae yu kin gɛt, ɛn ɔda impɔtant tin dɛm.

Aw a kin tek kia ɔf misɛf (afta a dɔn gɛt shunt)?

If yu gɛt NPH, di tritmɛnt we yu go gɛt pas ɔl na ɔpreshɔn fɔ put shunt fɔ stɔp wata fɔ kam insay di bren. If yu gɛt shunt, bɔku tɛm sɔm tin dɛn de we yu kin du fɔ ɛp fɔ mek yu nɔ gɛt prɔblɛm:

• Fɔ fala wetin yu dɔktɔ tɛl yu afta yu dɔn du di ɔpreshɔn . I impɔtant mɔ fɔ tek kia gud wan pan di say dɛn we dɛn bin de put stich ɔ step. If yu tek kia ɔf dɛn tin ya fayn fayn wan, dat kin ɛp fɔ mek yu nɔ gɛt prɔblɛm dɛn lɛk infɛkshɔn.
• Stay away frɔm magnet if nid de . Nɔto ɔl shunt dɛn gɛt magnɛtik valv, so dis nɔto sɔntin we ɔlman we gɛt shunt fɔ du. Yu dɔktɔ go tɔk to yu bɔt dis.
• Tek tɛm wit di we aw yu de muv ɛn di tin dɛn we yu de du . Nɔ du tin dɛn we go afɛkt di shunt, di tiub, ɔ ɛni ɔda tin.
• Si yu dɔktɔ lɛk aw dɛn tɛl yu . I impɔtant fɔ go to yu dɔktɔ ɔltɛm fɔ mek yu nɔ gɛt prɔblɛm wit dis sik. We yu de du dɛn visit ya, yu dɔktɔ kin wach yu kɔndishɔn ɛn ajɔst di shunt if nid de.
• Wach fɔ di sayn dɛn we de sho se yu gɛt dis sik . If yu notis ɛni wan pan di sayn dɛm we de sho se `(NPH)` de apia bak, tɛl yu dɔktɔ kwik kwik wan. Di sayn dɛm we de kam bak kin sho se prɔblɛm de wit di shunt. Di lɔng we di sayn dɛm de kɔntinyu ɛn de wɔs, na di mɔr de risk fɔ gɛt kɔmplikeshɔn.

Ustɛm a fɔ go to mi dɔktɔ?

Yu fɔ go to yu dɔktɔ lɛk aw dɛn tɛl yu fɔ du. Yu fɔ go to yu dɔktɔ bak if yu notis se yu NPH simptom de kam bak, ɔ if yu gɛt ɛni nyu simptom (ivin if i tan lɛk se dɛn nɔ gɛt natin fɔ du wit dɛn).

Ustɛm a fɔ go na di Imejɛnsi Dipatmɛnt (ETU) ?

Yu dɔktɔ go tɛl yu bɔt di sayn dɛm wae kin sho se yu kin gɛt prɔblɛm ɔr prɔblɛm. Sɔm sayn dɛm wae kin mek yu nid fɔ go to dɔktɔ kwik kwik wan na:

• Ɛd we de at . Ɛd we de at we de ambɔg yu nɔmal tin dɛn fɔ du, mɔ if i bigin ɔ wɔs we yu sidɔm ɔ tinap. Dɛn tin ya kin bi bikɔs ɔf prɔblɛm wit di shunt (if i nɔ de dreyn inof CSF), ɔ if di shunt dɔn kɔmɔt.
• Fiva ɔ kol kol . Infεkshכn kin kam afta dεn du shunt כpεrayshכn. Dɛn infɛkshɔn ya kin afɛkt yu bren, yu spɛnal kɔd, ɔ yu bɛlɛ, ɛn dɛn kin skata kwik kwik wan. Nɔ ɛva ignore sayn dɛm fɔ infɛkshɔn afta yu dɔn du (NPH) ɔpreshɔn.
• Stif nɛk . Dis kin bi prɔblɛm wit di shunt ɔ di ɔtflɔ trakt.
• Pen na di bɛlɛ ɔ chɛst usay di dakt deIf di drenaj tiub kɔmɔt, i kin pinch ɔ pwɛl di tisu dɛn we de nia am. If yu gɛt pen na dɛn say ya, mɔ we yu de fil bad bad wan wantɛm wantɛm, yu fɔ kɔl yu dɔktɔ ɔ go na di imejensi rum wantɛm wantɛm.

Ɔda sayn dɛn kin de we yu fɔ no bɔt, ɛn yu dɔktɔ go tɛl yu mɔ bɔt dɛn. Na in na di bɛst pɔsin bak fɔ ansa kwɛstyɔn dɛn bɔt wetin yu go du fɔ mek dɛn nɔ gɛt dɛn prɔblɛm ya.

Wetin na di difrɛns bitwin `(Nɔmal Prɛshɔn Haydrosɛfalɔs - NPH)` ɛn `(Haydrosɛfalɔs)`?

NPH na wan sik we dɛn kɔl haydrosɛfalɔs (wata ed) we de divɛlɔp sloslo ɛn i de wɔs as tɛm de go. "Nכmal prεshכn" min se di prεshכn insay yu sכkul (intrakranial prεshכn - ICP) nכ de abnכmal כ denja hכy. Insay dɛn kayn tin ya, yu ICP lɛvɛl kin de nia di ɔpa ɛnd pan di rɛnj we dɛn de ɛkspɛkt. Dis kin apin sloslo, i kin swɛt ɛn swɛt yu bren tisu. Di prɛshɔn nɔmal, so di bren gɛt tɛm fɔ mek di wata kɔmɔt, ɛn na dat kin mek pɔsin gɛt di sik.

Fɔ dɔn, wetin fɔ mɛmba (Take-Home Message) .

Nɔmal Prɛshɔn Haydrosɛfalɔs (NPH) na wan sik we nɔ kin apin so ɔltɛm we kin afɛkt pipul dɛn we dɔn pas 65 ia. Dis sik kin mek yu gɛt sɔm kayn sik wae tan lɛk dis maynia sik , wae kin afɛkt aw yu de waka, aw yu de tink, ɛn aw yu kin ebul fɔ kɔntrol yu urine.

Bɔrku tin wae kin tan lɛk dis maynia sik kin ɔlrɛdi wɔs as tɛm de go ɛn i nɔr kin izi fɔ trit ɛn manej. Bɔt bɔku tɛm, dɛn kin trit NPH, ɛn sɔntɛnde dɛn kin chenj am . Di bɛst chans fɔ rivɛns di ifɛkt dɛm we NPH gɛt na if dɛn no am kwik ɛn trit am kwik. Na dat mek e fayn fɔ nɔr ignore de symptoms ɔr de wan wae de pɔrsin wae yu lɛk. If dɛn trit dɛn kwik kwik wan, bɔku pipul dɛn we gɛt NPH kin wɛl ɛn gɛt bɔku pan dɛn – ɔ ɔl – pan di tin dɛn we dɛn bin dɔn ebul fɔ du bifo tɛm.

Mɛmba se if yu gɛt ɛni dawt bɔt dis, i go fayn fɔ mek yu go to dɔktɔ.

` Prεshכn pan di bren, NPH, ol, difεlεnt fכ waka, urinary kכntrכl, mεmכri lכs, shunt כpεrayshכn