Yu tink se ol pɔsin na yu os, sɔntɛm yu mama, yu papa, ɔ yu grani, de fɔgɛt mɔ ɛn mɔ? I tan lɛk se dɛn fut de drɛg na grɔn we dɛn de waka? I de at bak fɔ kɔntrol dɛn urine ? Bɔku tɛm wi kin tink bɔt dɛn tin ya as "nɔmal tin dɛm we kin apin as wi de ol." Bɔt dɛn kin bi sayn bak fɔ wan sik we dɛn kin trit ɛn mɛn. Tide wi de tɔk bɔt wan pan dɛn kayn tin ya, we na Nɔmal Prɛshɔn Haydrosɛfalɔs, ɔ NPH.
Wetin na Nɔmal Prɛshɔn Haydrosɛfalɔs (NPH)?
Fɔ tɔk am simpul wan, NPH na we mɔ wata kin gɛda na wi bren pas aw i nid.
Imajin se wi bren ɛn spɛshal kɔd we de rɔn dɔŋ wi spayna, gɛt wan klia wata we tan lɛk kusɛn rawnd am. We wi de tɔk bɔt mɛrɛsin, dɛn kin kɔl dis sɛribrospaynal fluid (CSF) . dis CSF de kכmכt na di vεntrikl dεm na wi bren εn i de sכkכt tru am, i de gi di bren εn di spεnal kכd fכ it, i de pul di dɔti tin dεm, εn i de protεkt di bren fכ hit di sכkul. nכmal wan, di εksyכs CSF de drεn bak insay di bכdi tru di vein dεm we de pan tap di bren.
כltu, if enitin we de ambɔg di sistεm we de drεn dis CSF fכs wata, dis fכs wata de bigin fכ kכmכt insay di kכva dεm na di bren. Dis na wetin wi kɔl Hydrocephalus ( wata we de ful-ɔp di bren ). NPH na spɛshal kayn dis Hydrocephalus kɔndishɔn. Dɛn kin si am mɔ pan pipul dɛm wae dɔn pas 60 ia.
difrεnt lεk כda kayn haydrosεfalus, NPH de divεlכp sכmtεm sכmtεm. di CSF fluid de bil op ova tεm. Dis kin mek di say dɛn we de na di bren kin big smɔl smɔl, ɛn dɛn kin push sɔm pat dɛn na di bren. dis na di rizin we mek di prεshכn na di bren nכ de inkrεs wan wan, na dat mek dεn kכl am "Nכmal Prεshכn." Bɔt da nem de de mek pipul dɛn nɔ no di tru smɔl, bikɔs di sayn dɛn kin jɔs apin we di kaviti dɛn big ɛn push pan di bren.
Impɔtant tin na dat, di sayn dɛm fɔ NPH rili fiba di wan dɛm wae gɛt Alzaima ɛn Pakinsin sik . Dis dɔn mek dɛn nɔ kin no di NPH pasɛnt dɛn di rɔŋ we se dɛn gɛt wan pan di ɔda tu sik dɛn. Bɔt nɔ lɛk Alzaima ɛn Pakinsin, if dɛn no di sik kɔrɛkt wan, dɛn kin mɛn NPH bɔku pan dɛn wit ɔpreshɔn.
Di tri men kwaliti dɛm fɔ NPH kɔndishɔn
Tri men sayn dɛm de fɔ NPH. Dɛn tin ya nɔ kin klia fɔs, bɔt smɔl smɔl dɛn kin bɔku as tɛm de go. If ɔl dɛn tri pan dɛn simptom ya de, dɛn fɔ sɔprayz se NPH de.
| Kategori fɔ di simptom dɛn | Di sayn dɛm we dɛn kin si bɔku tɛm |
|---|---|
| 1. Prɔblɛm dɛn we pɔsin kin gɛt we i de waka |
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| 2. Kɔgnitiv Dɛklin / Dimɛnshɔn |
|
| 3. Urinary Inkontinɛns |
|
Wetin na di tin dɛn we kin mek pɔsin gɛt NPH?
Infakt, pan bɔku pan di NPH pasɛnt dɛn, dɛn nɔ kin fɛn ɛni patikyula kɔz. Bɔt sɔm tɛm dɛn de, dɛn tin ya kin mek pɔsin gɛt dis sik:
- Di injury na di ed
- Blɔd we de kɔmɔt rawnd di bren bikɔs ɔf wan blo na di ed
- Strok
- Infεkshכn dεm lεk mεningayt
- Bren tumor
- Dɛn kin du ɔpreshɔn pan di bren
Dɛn stil nɔr ɔndastand klia wan aw dɛn kɔndishɔn ya kin mek dɛn gɛt NPH.
Aw dɛn kin no di NPH kɔrɛkt wan?
Naw yu kin de tink se, "Okay, dis na di simptom dɛm, naw aw a go no dis?" Dis na tin we kɔmplikt smɔl. Bikɔs dɛn sayn ya tan lɛk Alzaima ɛn Pakinsin sik, i impɔtant fɔ go to dɔktɔ we de mɛn nyuro ɔ nyurosɔjɔn .
Di diagnostik prɔses kin go lɛk dis:
1. Fɔ tɔk to di dɔktɔ: De dɔktɔ go aks yu bɔt ɔltin frɔm yu sik dɛn, ustɛm dɛn bigin, famili mɛdikal histri, ɛn di mɛrɛsin dɛn we yu de tek.
2. Fɔ chɛk yu bɔdi: Dɛn go chɛk yu maynd (we yu de aks kwɛstyɔn ɛn aks yu fɔ fala simpul instrɔkshɔn dɛn), aw yu de waka, ɛn aw yu balans.
3. Speshal tɛst dɛn:
- CT Scan ɔ MRI Scan: Dɛn skan ya kin mek di bren fayn fayn 3D pikchɔ dɛn. dεn kin εp fכ no if di vεntrikl dεm na di bren dכn big na NPH. Bɔt, wan skan nɔmɔ nɔ go ebul fɔ kɔnfɔm NPH.
- Lumbar Puncture / Spinal Tap: Dis na wan pan di impɔtant step dɛm fɔ no di sik. Sɔntɛnde wi kin kɔl dis ‘spinal tap’. Nɔ wɔri, dɔktɔ go du dis. dεn de yuz sכm nidul fכ pul sכm pan di CSF fכs we de rawnd di spεnal kכd frכm di lכw bכk.
Dɛn kin yuz dis lumbar pankchɔ fɔ chɛk tu tin dɛn. Wan pan dɛn na fɔ mɛzhɔ di prɛshɔn we da wata de gɛt. Di ɔda impɔtant tin na fɔ si if, afta dɛn dɔn pul lɛk 30-50 mililita wata dis we, di pɔsin in waka ɛn mɛmori go bɛtɛ fɔ sɔm tɛm insay di nɛks sɔm awa dɛn. If dɛn si se dis kayn impɔtant tin dɔn bɛtɛ, i go fayn fɔ sho se dɛn kin gɛt big wɛlbɔdi we dɛn du ɔpreshɔn pan am.
Wetin na di tritmɛnt dɛm fɔ NPH?
Di tritmɛnt we go wok pas ɔl fɔ NPH na ɔpreshɔn. Nɔ mɛrɛsin ɔ ɔda mɛrɛsin nɔ go ebul fɔ mɛn di sik.
Di men ɔpreshɔn na fɔ put shunt.
Imajin se dɛn de put smɔl tiub fɔ pul di wata we pasmak na wi bren ɛn sɛn am to ɔda pat na di bɔdi. Dɛn kɔl dis shunt. Dis na wan tiub we rili tan. Nyurosɔjɔn kin put dis tiub insay wan say we de na di bren ɛn dayrɛkt am ɔnda di skin to wan ples we dɛn kɔl di peritoneum. Wan valv de insay dis tiub we de kɔntrol di prɛshɔn. we di prεshכn na di bren de inkrεs, dis valv de opin εn di wata we pasmak de fכlכ insay di pεritonial kεviti. Na de, di wata kin absɔb ɛn nɔ ambɔg di bɔdi.
Dis shunt ɔpreshɔn nɔ kin wok di sem we fɔ ɔlman. Bɔt fɔ bɔku pipul dɛn, di sik kin rili ridyus afta dis ɔpreshɔn ɛn dɛn kwaliti fɔ liv kin bɛtɛ pasmak. Di kwik we dɛn no di sik ɛn du di ɔpreshɔn, na di mɔ di rizɔlt go wok fayn.
Sɔntɛnde, instead fɔ shunt, dɛn kin du ɔda ɔpreshɔn we dɛn kɔl Endoscopic Third Ventriculostomy , we dɛn kin yuz ɛndoskop (wan tin tiub we gɛt kamɛra) fɔ mek smɔl ol na di bɔt ɔf wan bren kaviti fɔ mek ɔda we fɔ mek CSF fluid flɔ.
Mɛsej we dɛn kin kɛr go na os
- If ol pɔsin gɛt sɔm kayn sik lɛk fɔ waka, fɔ mɛmba tin, ɛn fɔ nɔ ebul fɔ urinary , nɔr dismis am as nɔmal pat fɔ "gɛt ol."
- Pan ɔl we dɛn sayn ya tan lɛk Alzaima ɔr Pakinsin sik, i pɔsibul se dis na wan sik we dɛn kin mɛn we dɛn kɔl NPH.
- If yu ɔ pɔsin we yu lɛk gɛt dɛn sik ya, go to dɔktɔ kwik kwik wan, mɔ to dɔktɔ we de mɛn nyuro . Fɔ no di sik kwik kwik wan rili impɔtant.
- Shunt ɔpreshɔn na di men tritmɛnt fɔ NPH, ɛn i kin rili ɛp fɔ mek bɔku sik pipul dɛn gɛt bɛtɛ layf.
- Sɔpɔt ɛn ɔndastandin impɔtant fɔ di pɔsin ɛn di pɔsin we de kia fɔ am we dɛn de travul.
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