Ka tuyige ebisingawo ku bulwadde bwa hydrocephalus, okukuŋŋaanyizibwa kw’amazzi mu mutwe.

Wali owuliddeko ku "amazzi nga gajjula omutwe"? Oboolyawo omu ku bantu b’omu maka go, mukwano gwo oba omwana omuto abadde n’embeera eno. Ddala kye ki? Wadde nga kiyinza okulabika ng’ekitiisa katono, singa otegeezebwa bulungi, osobola okukendeeza ku bizibu bingi. Leero twogera ku mbeera eno eyitibwa Hydrocephalus .

Hydrocephalus kye ki?

Mu ngeri ennyangu, obulwadde bwa hydrocephalus buba amazzi agakuŋŋaanyizibwa mu ngeri etaali ya bulijjo munda mu bwongo bwo . "Hydro" Luyonaani ekitegeeza "amazzi" ate "cephalus" ekitegeeza "omutwe." Edda kyayitibwanga "amazzi mu mutwe." Naye "amazzi" gano mu butuufu mazzi matangaavu, agataliiko langi agayitibwa cerebrospinal fluid (CSF) . Amazzi gano geetoolodde obwongo bwo n’omugongo.

Teebereza, munda mu bwongo bwaffe mulimu obusenge obutonotono obuyitibwa ventricles . Amazzi gano aga CSF gakulukuta mu bisenge bino. Amazzi gano aga CSF gawa obwongo ebiriisa bye bwetaaga era gaggyawo ebisasiro mu bwongo. Ate era, amazzi gano aga CSF geetoolodde obwongo bwaffe n’omugongo ng’omutto, ne gagukuuma okuva ku kabi konna . Olwo amazzi gano aga CSF ne gadda mu musaayi gwaffe.

Mu budde obwabulijjo, omubiri gwaffe gukola omuwendo gwa CSF gwe gwetaaga buli lunaku olwo ne guddamu okunyiga omuwendo gwe gumu. Enkola ya bbalansi. Naye, singa wabaawo ekiziyiza kyonna ku kutambula oba okunyiga kw’amazzi gano aga CSF , olwo ekizibu kitandika. Kino bwe kibaawo, amazzi ga CSF gatandika okukuŋŋaanyizibwa, era obutoffaali bw’obwongo ne bunene. Kino kyongera puleesa munda mu mutwe. Puleesa eno bwe yeeyongera, obwongo tebusobola kukola bulungi.

Ani ayinza okulwala obulwadde bwa hydrocephalus?

Okusinziira ku bibalo ebiri mu Amerika, omu oba babiri ku buli baana 1,000 abazaalibwa basobola okuzaalibwa n’embeera eno. Kyokka, tulina okujjukira nti kino si kya balongo abato bokka, wabula kiyinza n’okukosa abaana abakulu, abantu abakulu, abakadde, n’omuntu yenna ow’emyaka gyonna .

Bika ki ebikulu eby’obulwadde bwa hydrocephalus?

Waliwo ebika bina ebikulu eby’obulwadde bwa hydrocephalus. Ka tulabe kiki kye bali.

1. Okuwuliziganya obulwadde bwa Hydrocephalus:

Kino kibaawo ng’amazzi ga CSF, nga gamaze okuva mu ventricles z’obwongo, ne gazibikira awalala mu kkubo lye gakulukuta. Kino kiyinza okuba nga kiva ku kugonza kw’obuwuka obuli wansi w’obwongo, gamba nga arachnoid . Kino kiyitibwa "okuwuliziganya" kubanga amazzi ga CSF gakyayinza okukulukuta wakati w'enkwaso z'obwongo, ekitegeeza nti ensuwa ziggule.

2. Hydrocephalus etali ya mpuliziganya / Obstructive Hydrocephalus:

Ekibaawo mu kino kwe kuba nti omusuwa gumu oba okusingawo ku misuwa emitono egigatta emisuwa gy’obwongo gizibikira, nga payipu y’amazzi okusibira wakati.

3. Obulwadde bwa puleesa obwa bulijjo Hydrocephalus (NPH): .

Kino kya njawulo katono. Wano era amazzi ga CSF gakuŋŋaanyizibwa era obutoffaali bw’obwongo ne buba bunene, naye puleesa eri munda mu mutwe teyongera mangu, oba yeeyongera kitono nnyo. Enjawulo mu NPH bw’ogeraageranya n’ebika ebirala eri nti, wadde nga amazzi ga CSF gayitiridde, puleesa munda mu ventricles eri ku ddaala lya bulijjo. Amazzi gano aga CSF gakuŋŋaanyizibwa mpola, n’olwekyo obubonero bulabika oluvannyuma lw’ekiseera. NPH esinga kubeera mu bantu abakadde.

4. Obulwadde bw’amazzi mu bwongo (hydrocephalus ex-vacuo):

Kino kibaawo ng’obwongo bwonoonese, gamba ng’okuva ku buvune ku mutwe oba okusannyalala . Kino bwe kibaawo, ebitundu by’obwongo ebyetoolodde ventricles z’obwongo bikendeera. Olwo amazzi ga CSF gazimba okujjuza ekifo. Wadde ng’obutoffaali obuyitibwa ventricles bugazi, puleesa eri munda mu bwongo etera okuba eya bulijjo.

Bw’oba ​​oyogera ku nsonga eno, oyinza n’okuwulira ekigambo ventriculomegaly . Kino kitegeeza nti ventricles z’obwongo bw’omwana ali mu lubuto zigaziye. Kino kiyinza okuba nga kiva ku hydrocephalus, naye ebisenge bino nabyo bisobola okugaziwa olw’ensonga endala.

Biki ebivaako obulwadde bwa hydrocephalus?

Hydrocephalus esobola okukula olw’ensonga ezitali zimu. Kiyinza okuba nga kyazaalibwa oba nga kyafunibwa .

Ebivaako Obulwadde bwa Congenital Hydrocephalus:

Kino kiyinza okuva ku nsonga z’obuzaale n’obutonde bwe zigatta nga omwana akula mu lubuto. Ebikulu ebivaako bino bye bino:

• Spina bifida n’obulema obulala obw’obusimu obuyitibwa neural tube mu bwongo n’omugongo.
• Aqueductal stenosis kwe kufunda kw’omukutu wakati w’ekisenge eky’okusatu n’eky’okuna eky’obwongo.
• Ebizibu ebiva mu kuzaala nga tebanneetuuka, okugeza, okuvaamu omusaayi munda mu bisenge by’obwongo.
• Yinfekisoni nga Rubella maama z’afuna ng’ali lubuto ziyinza okuvaako okuzimba ebitundu by’obwongo bw’omwana.

Ebivaako obulwadde bwa hydrocephalus obufunibwa:

Kino kiyinza okubaawo ekiseera kyonna oluvannyuma lw’okuzaalibwa, ku myaka gyonna. Ebikulu ebivaako bino bye bino:

• Obuvune obw’amaanyi ku mutwe (okulumwa omutwe).
• Storoko.
• Ebizimba ebikolebwa mu bwongo oba mu mugongo.
• Yinfekisoni z’obwongo oba mu mugongo, gamba ng’obulwadde bw’okuzimba omutwe .

Okugatta ku ekyo, obulwadde bwa normal pressure hydrocephalus (NPH) busobola okukula olw’okuvaamu omusaayi oba ebizibu ebiva mu kulongoosebwa. Abantu abamu bafuna NPH awatali nsonga.

Bubonero ki obulaga obulwadde bwa Hydrocephalus?

Obubonero bwawukana okusinziira ku myaka, obulwadde bwe bugenda mu maaso, n’engeri omuntu gy’agumira obulungi okukuŋŋaanyizibwa kw’amazzi ga CSF.

Obubonero mu baana abawere:

• Omutwe gw’omwana munene mu ngeri etaali ya bulijjo.
• Fontanel eri waggulu ku mutwe gw’omwana erabika ng’efuumuuka .
• Amaaso g’omwana gakyusiddwa wansi, nga galabika ng’enjuba egwa (amaaso g’enjuba ng’egwa) .
• Okusesema .
• Otulo buli kiseera n’okukoowa.

Obubonero mu baana abakulu:

• Okulumizibwa omutwe.
• Okuziyira n’okusiiyibwa.
• Obuzibu mu kulaba (e.g. okulaba emirundi ebiri, okulaba okuzibu).
• Okulwawo kw‟enkulaakulana (e.g., okulwawo okwogera, okutambula, obulemu mu kuyiga).

Obubonero mu bantu abakulu:

• Okulumizibwa omutwe.
• Okuziyira n’okusiiyibwa.
• Obuzibu mu kulaba.
• Bulijjo ng’owulira ng’okooye.
• Ebizibu by‟okutebenkeza n‟okukwatagana (e.g., okuwuguka ng‟otambula).
• Okufiirwa okujjukira okw’ekiseera ekitono (e.g. okwerabira ebibaddewo gye buvuddeko).

Obubonero mu bantu abakulu abakadde (ebiseera ebisinga mu NPH):

• Okutaataaganyizibwa mu ntambula (e.g., okutambula ng’amadaala amatono n’amagulu byawukanye, ng’olina obuzibu).
• Obubonero obukulu obw’okubulwa amagezi kwe kubulwa okujjukira mpolampola.
• Okwerabira.
• Okufiirwa okufuga ekibumba.

Hydrocephalus ezuulibwa etya?

Kino kizuulibwa nga bayita mu kwekenneenya obusimu. Omusawo ayinza okukozesa obukodyo bw’okukuba ebifaananyi ng’okukebera obwongo bwa ‘ultrasound scan’, ‘computer tomography (CT) scan, oba magnetic resonance imaging (MRI) okukebera obwongo bwo.

Okukebera okusingawo kukolebwa okuzuula embeera eno mu bantu abakulu. Bino bye bino:

• Taapu y’omugongo/okuboola omugongo.
• Okulondoola puleesa mu mutwe (ICP): Mu kino, ekyuma ekitono kiyingizibwa mu bwongo okupima puleesa eri munda mu bwongo.
• Fundoscopic exam: Kino kizingiramu okukebera obusimu bw’amaaso munda mu liiso n’ekintu eky’enjawulo.

Obulwadde bwa hydrocephalus bumala kutereera?

Nedda, eno mbeera yokka etajja kutereera.Singa tebujjanjabwa, kiyinza okutta omuntu. N’olwekyo, singa obulwadde buno buzuulibwa nga bukyali ne bujjanjabwa obulungi, emikisa gy’okuwona obulungi giba mingi nnyo.

Hydrocephalus esobola okujjanjabibwa?

Yee. Obulwadde bwa Hydrocephalus busobola okujjanjabibwa. Wadde mu kiseera kino tewali ngeri yonna gye bayinza kuguwonya ddala oba okuguziyiza okukula, gujjanjabwa n’okulongoosebwa.

Hydrocephalus ejjanjabwa etya?

Obujjanjabi bwokka obuliwo mu kiseera kino kwe kulongoosa obwongo . Waliwo ebika bibiri ebikulu eby’okulongoosa okujjanjaba obulwadde bwa hydrocephalus:

1. Okuteeka Shunt:

Buno bwe bujjanjabi obusinga okukozesebwa. Shunt ye ttanka ekyukakyuka (flexible tube) eteekebwa munda mu bwongo n’etwala amazzi ga CSF agasukkiridde mu kitundu ekirala eky’omubiri (ebiseera ebisinga ekituli ky’olubuto). Eyo, amazzi ago gayingizibwa mu mubiri. Kilowoozeeko ng’okuteeka ttanka mu nnyindo okufulumya amazzi agasukkiridde.

2. Okulongoosa omusuwa ogw’okusatu (ETV):

Mu kulongoosa kuno, ekituli ekitono kikolebwa wansi mu kitundu eky’okusatu eky’obwongo. Kino kireeta ekkubo amazzi ga CSF mwe gayita okukulukuta mu ngeri eya bulijjo mu bwongo n’okwetooloola. Okulongoosa kuno kutera kukolebwa ku baana abasukka mu myaka 2.

Bizibu ki ebiva mu kujjanjaba obulwadde bwa hydrocephalus?

Abantu bangi babeera bulungi okumala emyaka nga tebalina buzibu bwonna. Kyokka, ebizibu bisobola okujjawo mu bwangu. Abantu abalina shunts balina okwekebeza abasawo buli kiseera. Shunt esobola okukutuka, okulekera awo okukola obulungi oba okukwatibwa obuwuka. Ekyo bwe kibaawo, kiyinza okukwetaagisa okulongoosebwa obwongo obulala. Okuggulawo okutondebwawo okulongoosa kwa ETV nakyo kisobola okuddamu okuggalawo essaawa yonna, nga nakyo kya bulabe.

Bw’oba ​​olaba obubonero bwonna obw’obuzibu mu shunt oba ETV okuzibikira, olina okugenda ew’omusawo mu bwangu. Obubonero buno buyinza okufaananako n’obubonero obusooka obw’okulwala amazzi mu mutwe:

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* Okulumizibwa omutwe

* Okulemererwa okulaba

* Okuziyira oba okusiiyibwa

* Bulijjo akooye

Oba ebipya nga bino biyinza okujja:

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* Obulumi mu binywa mu bulago oba mu bibegabega

* Okukonziba

* Okumyuuka oba okulumwa ng’okwatiddwa mu kifo we bafunira shunt

* Omusujja omutono

Omuntu alina obulwadde bwa hydrocephalus mu biseera by’omu maaso biruwa?

Singa balongoosebwa, abajjanjabi abatuufu, n’okulondoola abasawo buli kiseera, abantu abasinga obungi abalina obulwadde bw’amazzi mu mutwe basobola okubeera mu bulamu obwa bulijjo era obw’essanyu.Kyokka embeera eno n’ebizibu ebiyinza okuva mu kulongoosebwa bisobola okwawukana okusinziira ku muntu. N’olwekyo, kikulu okukolagana n’omusawo wo okufuna obujjanjabi n’amagezi ageetaagisa.

Naddala abaana bwe baba n’obulwadde bwa ‘hydrocephalus’, buyinza okukosa enkula yaabwe mu birowoozo n’omubiri. N’olwekyo abazadde b’abaana abalina obulwadde bw’amazzi mu mutwe balina okwogera n’abasawo baabwe era bakole okufuna ebirungi eri omwana waabwe.

Kya bulijjo okuwulira ng’otya ng’okitegedde nti omuntu gw’oyagala alina obulwadde bwa ‘hydrocephalus’. Naye jjukira nti toli wekka. Omusawo wo asobola okukuwa n’ab’omu maka go obuyambi n’okumanya bye weetaaga. Bw’ofuna amawulire amatuufu, ng’oteekateeka, era n’okola, ekirooto ky’omwagalwa wo eky’okubeera mu bulamu obwa bulijjo era obw’essanyu kisobola okutuukirira.

Obubaka Obusembayo Okutwala Awaka

Hydrocephalus mbeera amazzi ga CSF mwe gazimba munda mu bwongo. Buyinza okukula mu bantu ab’emyaka gyonna.

• Kikulu nnyo okutegeera obubonero nga bukyali. Naddala omutwe gw’omwana wo bwe gugenda gweyongera obunene, engule ng’ebuguma, oba amaaso nga gakyusiddwa wansi, gatwale mangu ew’omusawo.
• Eno mbeera esobola okujjanjabibwa n'okulongoosebwa . Okuteeka shunt oba okulongoosa ETV bwe bujjanjabi obusinga.
• Bulijjo kyetaagisa okulabirira abasawo oluvannyuma lw’okujjanjabwa, kubanga obuzibu ku shunt buyinza okubaawo.
• Tofaayo. Abantu abasinga obungi bwe baba n’obujjanjabi obutuufu n’okubuulirirwa kw’abasawo, basobola okubeera mu bulamu obwa bulijjo.
• Bw’oba ​​ggwe oba omuntu gw’omanyi alina obubonero buno, genda mangu omusawo amagezi.

Nsuubira nti amawulire gano ga mugaso gy’oli. Sigala nga oli mulamu bulungi!

` Hydrocephalus, amazzi mu bwongo, CSF, amazzi g’omu bwongo, shunt, ETV, okulongoosa obwongo