Omukadde wo alina obubonero buno? Ka tuyige ku bulwadde bwa puleesa eya bulijjo (NPH) .

Wali okirabye nti maama wo, taata wo, oba jjajja wo omukadde alemererwa okujjukira era nga kizibu okutambula ng’agenda akaddiwa? Oluusi tulowooza nti bino bintu bya bulijjo ebibaawo nga tugenda tukaddiwa. Kyokka, oluusi wayinza okubaawo ensonga endala emabega w’embeera zino. Leero, tugenda kwogera ku mbeera ey’enjawulo eyinza okufaanana ng’obulwadde bw’okusannyalala, naye ng’esobola okuwona singa ejjanjabwa . Eyo mbeera eyitibwa `(Normal Pressure Hydrocephalus)` oba `(NPH)`.

`(Obulwadde bwa Puleesa obwa bulijjo - NPH)` kye ki?

Mu ngeri ennyangu, `(Normal Pressure Hydrocephalus)` oba `(NPH)` mbeera amazzi mwe gazimba mu bwongo bwaffe oba okwetooloola, ne gataataaganya enkola y'obwongo . Kilowoozeeko ng’ekibbo ekijjudde amazzi. Kino kiyinza okukosa emirimu mingi obwongo bwe bufugibwa, gamba ng’okulowooza, okussa essira, okujjukira, n’okutambula. Ekintu eky’enjawulo kiri nti wadde obubonero bwa kino bufaanagana nnyo n’obulwadde bw’okusannyalala, embeera `(NPH)` oluusi esobola okujjanjabibwa n’okuwona .

Ani asinga okukosebwa embeera eno eya `(NPH)`?

Embeera eno eyitibwa ``(NPH)`` , esinga kubeera mu bantu abasukka mu myaka 65. Obulabe bw'okufuna embeera eno bweyongera n'emyaka. Ebiseera ebisinga butandika ku myaka nga 70.

Okwongera emyaka kye kisinga okuleeta akabi ku kino. Ebintu ng’amawanga, langi, n’ekikula ky’omuntu kino tebikosa.

`(NPH)` ya bulijjo etya?

Wadde nga si ya bulijjo, NPH mbeera emanyiddwa nnyo mu basawo. Kiteeberezebwa nti abantu nga 0.2% abali wakati w’emyaka 70 ne 80 balina embeera eno, ate abantu nga 5.9% abali waggulu w’emyaka 80 balina obulwadde buno. Ekyo kitegeeza nti abantu nga obukadde 8.4 abasukka emyaka 80 mu nsi yonna balina embeera eno. Okusinziira ku bakugu, tekitera nnyo mu bantu abali wansi w’emyaka 65, nga kikwata ebitundu 0.003% byokka ku myaka egyo.

Kiki ekibaawo nga olina `(NPH)`? Kikwata kitya ku bwongo?

NPH eva ku kuzimba amazzi agayitibwa cerebrospinal fluid (CSF) mu bwongo . Amazzi gano galinga amazzi. Aliisa obwongo n’okuggyawo ebisasiro. Obwongo bw’omuntu omukulu obwa bulijjo bubaamu mililita nga 150 (5 ounces) eza CSF. Ekyo tekiwera kitundu kya ssente eziri mu kibbo kya Coke. Emibiri gyaffe buli kiseera gikola, gitambula, era ne giddamu okunyiga amazzi gano okusobola okugakuuma nga gali ku mutindo ogutakyukakyuka.

Wadde amazzi gano matono mu bungi, gakola kinene. Amazzi gano aga ``(CSF)`` geetoolodde obwongo bwaffe n'omugongo munda mu mugongo. Mu ngeri endala, obwongo bwaffe butengejja mu mazzi gano . Era kikola ng’omutto ogukuuma obwongo n’omugongo obutakubwa ebweru.

Kale, singa omubiri gwaffe tegusobola kutambuza bulungi mazzi gano ``(CSF)`` oba okuddamu okuganyiga, amazzi gano gatandika okukuŋŋaanyizibwa okusinga bwe galina okukuŋŋaanyizibwa munda mu kiwanga.

Mu `(NPH)`, amazzi gano gazimba mpola, kale newankubadde nga puleesa munda mu kiwanga `(Intracranial Pressure)` yeeyongera, gasigala mu bbanga erya bulijjo . (Y'ensonga lwaki era kiyitibwa `(Normal Pressure Hydrocephalus)` - "Normal Pressure Hydrocephalus"). Kubanga, munda mu bwongo bwaffe mulimu ebituli ebijjudde amazzi ebiyitibwa `(Ventricles)`, ebisobola okukwata ebimu ku bizimba bino eby’amazzi.

Naye, nga `(CSF)` bwe yeeyongera okukuŋŋaanyizibwa, tewali walala wonna amazzi ago we gagenda. Oluvannyuma, obwongo butandika okuzimba n’okuzimba . Ekyo kye kivaako obubonero bw’obulwadde buno. Singa obwongo buzimba bwe buti okumala ebbanga eddene, puleesa esobola okuleeta okwonooneka okw’olubeerera ku bitundu by’obwongo, oba n’okubisaanyaawo.

Bubonero ki obwa `(NPH)`?

Obubonero bwa `(NPH)` butera okukula mpola, nga bweyongera mpolampola mu bbanga lya myezi esatu okutuuka ku mukaaga . Waliwo obubonero busatu obukulu obwa `(NPH)`, era obumanyiddwa nga Hakim's Triad . Wakati wa 50% ne 75% ku bantu abalina `(NPH)` balina obubonero bwonna obusatu mu kiseera kye kimu. Hakim’s Triad erimu ebika by’obubonero bisatu bino wammanga:

• Ensonga z’entambula
• Obutakwata musulo
• Ebizibu mu kutegeera

Okukaluubirirwa okutambula

Bino bizibu mu ntambula ebikwatagana n’okutambula. Akabonero kano ke kasinga okulabika mu busatu. Abantu abalina NPH wakati wa 80% ne 95% balina obubonero buno. Obumu ku bubonero buyinza okufaananako n’obuzibu bw’okutambula kw’obulwadde bwa Parkinson , naye enjawulo enkulu eri nti mu NPH, obubonero buno butera kukoma ku magulu n’ebigere.

Bwoba olina `(NPH)`, ebintu bino biyinza okubaawo:

• Kifuuka kizibu okusitula amagulu . Kino kireetera amagulu okulabika ng’agasibye ku ttaka ng’otambula. Kigambibwa nti kiringa obuzibu bw’okugezaako okuggya magineeti ku ngulu.
• Ebigere bitono era biwuguka . Kino kirabika ng’amagulu gasikasika ng’otambula. Waliwo n’emikisa mingi egy’okwesittala n’okugwa.
• Okutambula kuyinza okuyimirira mu bwangu oba okutambula nga tolina bukakafu . Kiyinza okulabika ng’oyinza okusalawo oba ogenda kukwata ddaala oba okugenda mu maaso ng’omaze okutandika okutambula. Oyinza n’okulonzalonza ng’okyusakyusa ennene ng’otambula, era oyinza okukaluubirirwa okukyuka.
• Bw’oba ​​otambula, engalo z’ebigere zikyusibwa okudda ebweru . Kino kizisobozesa okubunyisa amagulu gaabwe okwawukana ne zitambula oludda ku ludda, ng’ensowera.

Obutasobola kufuga musulo

Kino kwe kufiirwa okufuga ekibumba n’okukulukuta kw’omusulo mu ngeri etaali ya kyeyagalire. Mu biseera ebisooka, oyinza okuwulira nga weetaaga okufulumya omusulo ennyo, oba oyinza okuwulira obwetaavu obw’amangu, obusukkiridde obw’okufulumya omusulo ekizibu okufuga.

Abantu abalina engeri eno bayinza okukwatibwa ensonyi singa babulwa obuyinza ku musulo gwabwe. Kyokka, abantu abamu kino tebakitegeera, era bawulira ensonyi.Tekiwulira na nga bwe kiri. Kino kiyinza okuba nga kiva ku buzibu bw’okulowooza, nga eno y’engeri ey’okusatu ey’obusatu bwa Hakeem.

Okukaluubirirwa okulowooza n’okujjukira

Ekintu eky’okusatu ekikulu ekikwata ku NPH kwe kukaluubirirwa mu kulowooza n’okujjukira. Kino kiyinza okuleeta ebintu nga:

• Okulwawo mu birowoozo n'omubiri . Omuntu alabika alowooza era n’akola mpola okusinga bulijjo.
• Obuzibu mu kujjukira . Otera okwerabira ebintu n’olabika ng’okola nga tolowooza.
• Executive dysfunction : Obuzibu mu kuddukanya enneewulira, ebirowoozo, n‟ebikolwa. Okukaluubirirwa okussa ebirowoozo byo ku kintu ekimu, okusalawo, n’okufuna obuzibu okulowooza obulungi.
• Enkyukakyuka mu nneewulira . Abantu abalina NPH bayinza okulabika ng’abatafaayo era ne babulwa obwagazi mu bintu bye baali banyumirwa.

Biki ebivaako `(NPH)`?

Waliwo ebika bibiri ebikulu ebya `(NPH)`, byombi bibaawo mu ngeri y'emu. Ebika bino ebibiri bye bino:

• NPH esookerwako (idiopathic).
• NPH ya siniya

Ekisookerwako (ekivaako tekimanyiddwa) `(NPH)`

Primary NPH kitegeeza nti tekiva ku mbeera ndala ya bujjanjabi. Ekigambo ekirala ekitegeeza kino ye idiopathic , nga kino kigambo abakugu kye bakozesa okutegeeza embeera ezikula awatali nsonga ntongole . Abakugu balowooza nti idiopathic NPH eyinza okuba nga yeekuusa ku kizibu kimu oba ebisingawo ebibaawo n’okukaddiwa mu ngeri emibiri gyaffe gye gikola, gye gitambulamu, n’okuddamu okunyiga amazzi g’omu bwongo (CSF). Nga kitundu ku balwadde bonna aba NPH bagwa mu kiti kino.

Mu mbeera eya bulijjo, emibiri gyaffe gifulumya wakati wa mililita 400 ne 600 eza `(CSF)` buli lunaku. Ekyo kisinga nnyo ku ekyo kye twetaaga. N’olwekyo, tulina okusigala nga tuddamu okunyiga `(CSF)` enkadde okusobola okufuna ekifo kya `(CSF)` empya. Singa wabaawo obuzibu mu ngeri `(CSF)` gy'etambulamu oba gy'eddamu okunyigibwa, amazzi gano gasobola okuzimba kubanga omubiri guba gukola `(CSF)` nnyingi okusinga bwe gwetaaga.

Waliwo n’obukakafu nti NPH eyinza okuba nga yeekuusa ku ndwadde z’obwongo ezivunda nga obulwadde bwa Alzheimer n’obulwadde bw’okusannyalala kw’omubiri gwa Lewy . Abanoonyereza bakyagezaako okuzuula engeri n’ensonga lwaki NPH gy’ekula, n’okumanya oba embeera endala ziyinza okugikosa. Okuddamu ebibuuzo bino kiyinza okuyamba okuziyiza oba okujjanjaba obulungi embeera eno mu biseera eby’omu maaso.

Ekyokubiri `(NPH)`

Secondary NPH ebaawo ng’embeera endala ey’obujjanjabi ekosa engeri omubiri gwaffe gye gukola, okutambula, oba okuddamu okunyiga amazzi g’omu bwongo (CSF). Embeera ezimu eziyinza okuleeta NPH ey’okubiri mulimu:

• Omusuwa gw’obwongo (okubumbulukuka mu musuwa oguyinza okukutuka ne guvaamu omusaayi mu bitundu by’obwongo).
• Okuvaamu omusaayi mu bwongo oba okwetooloola obwongo (Intracranial hemorrhage).
• Ebizimba ku bwongo (nga ne kookolo mw’otwalidde) .
• Yinfekisoni z’obwongo oba ebitundu ebikwatagana n’enkola y’obusimu (okugeza , encephalitis oba meningitis ).
• Storoko .
• Obuvune ku bwongo obuva ku buvune (TBI) mulimu obuvune ku bwongo oba ebitundu ebikwatagana nabyo nga bajjanjabwa.

`(NPH)` ezuulibwa etya?

Okuzuula NPH kizibu katono, kubanga obubonero bungi obw’embeera eno bufaananako n’obw’endwadde endala ezeekuusa ku myaka, gamba ng’okubulwa amagezi . NPH era ya bulijjo ng’ekwataganye n’endwadde endala ezeekuusa ku myaka. Abantu nga 30% abalina NPH nabo balina obulwadde bwa Alzheimer oba obulwadde bw’obwongo obufaananako bwe butyo.

Omusawo azuula obulwadde bwa NPH ng’akozesa enkola zino nga zigatta wamu:

• Okukebera omubiri n'obusimu . Mu kino, omusawo anoonya obubonero obulabika obw’obulwadde. Era agezesa obusimu bwo (okulaba, okuwulira, okukwata), okuddamu okukola, n’amaanyi g’ebinywa mu bitundu byo.
• Okubuuza ku byafaayo byo eby'obujjanjabi n'obubonero bwo . Ebiwandiiko byo eby’obujjanjabi, ebyafaayo by’obujjanjabi, n’obubonero bisobola okukuwa obubonero obukulu obw’okuzuula NPH.
• Okukuba ebifaananyi mu kuzuula obulwadde . Sikaani za magnetic resonance imaging (MRI) kye kisinga obukulu mu kuzuula NPH. Kino kisobozesa omusawo okutunula munda mu mutwe n’alaba obwongo n’ebitundu amazzi we gakuŋŋaanyizza. Omusawo wo ayinza n’okulagira okukeberebwa cisternogram scan , naye kino si kya bulijjo. Computed tomography (CT) scans zisobola okuyamba okugaana embeera endala, naye teziyamba nnyo mu kuzuula NPH.
• Ebigezo bya laabu . Okuboola omugongo ( enkola erimu okuggya amazzi amatono mu mugongo) esobozesa omusawo okutwala sampuli y’amazzi g’omu bwongo (CSF) okukeberebwa. Kino tekisobola kuzuula butereevu NPH, naye kiyinza okuyamba okugoba embeera endala. Era kiyinza okuyamba okuzuula oba NPH eva ku mbeera endala, gamba ng’obulwadde bw’okuzimba omutwe. Okuboola omugongo nakyo kisobola okuggyawo ebimu ku CSF ezisukkiridde, ekiyinza okumala akaseera obubonero (naye obubonero bujja kudda nga CSF eyongezeddwayo emabega).

Okusinziira ku bubonero bwo, omusawo ayinza n’okulagira okukeberebwa okulala. Bino bitera okuba okugaana embeera endala ezirina obubonero obufaananako ne NPH. Omusawo ajja kukubuulira ebisingawo ku bigezo bino n’ensonga lwaki bikulu.

`(NPH)` ekwatibwa etya? Waliwo eddagala erijjuvu eriwonya kino?

Okusinga, NPH mbeera esobola okujjanjabibwa.. Obujjanjabi bwawukana okusinziira ku oba NPH ya primary/idiopathic oba secondary. Okwawukanako n’obuzibu obulala bungi obw’obwongo, eddagala teritera kukozesebwa kujjanjaba NPH. Kino kiri bwe kityo kubanga NPH etera obutaddamu ddagala (wadde ng’obubonero obumu obukwatagana ne NPH busobola okujjanjabibwa n’eddagala).

Obujjanjabi bwa primary/idiopathic `(NPH)`

Ekivaako ekisookerwako/ekitali kimanyiddwa (NPH) kitera okujjanjabibwa. Obujjanjabi obusinga okumanyibwa – era obusinga okukola obulungi – ku kino kwe kulongoosa okuyingiza ekyuma ekiyitibwa shunt . Shunt erina ttanka bbiri (catheters), emu eyingiza amazzi ate endala efulumya, nga wakati w’ezo zombi waliwo vvaalu. Singa obutoffaali bw’obwongo bujjula nnyo amazzi, puleesa eyeeyongedde ewaliriza amazzi okuyingira mu ttanka eyingira, ne kiggulawo vvaalu ne kisobozesa amazzi agasukkiridde okukulukuta okufuluma nga gayita mu ttanka efuluma.

Shunt valves ezimu empya zifuulibwa ``programmable,'' ekitegeeza nti omusawo asobola okukyusa settings zazo nga talongooseddwa. Zirabika ku ``X-ray,'' omusawo n'asobola okutunuulira vvaalu n'akakasa nti ensengeka ntuufu. Shunts ezimu empya zibeera ``MRI-safe,'' ekitegeeza nti osobola okukola ``MRI'' scan ne bw'oba olina ekika kya valve kino.

Tubu y’okufulumya amazzi efuluma ng’eyita mu kinnya ekitono mu kiwanga (omusawo akola ekituli kino mu kiseera ky’okulongoosebwa okuyingiza shunt). Oluvannyuma lw’okufuluma mu kiwanga, ttanka eno ekyuka wansi n’egenda wansi w’olususu. Tubu eno efulumya amazzi elungamya amazzi mu kifuba oba mu lubuto.

Singa ttanka eno etunuulirwa mu lubuto (ekisinga okukolebwa), amazzi ago gasonseka okuva mu peritoneum, oluwuzi olwetoolodde ebitundu by’olubuto bingi. Singa kitunuulirwa mu kifuba, CSF esonseka okuva mu luwuzi lw’amawuggwe olwetoolodde amawuggwe.

Ekyokubiri `(NPH)`

Secondary NPH eyinza okuwona, naye singa embeera eva ku mbeera esobola okujjanjabibwa . Obujjanjabi bwa NPH ey’okubiri buyinza okwawukana ennyo okusinziira ku nsonga enkulu. Omusawo wo y’asinga okwogera naye ku bujjanjabi obuliwo ne by’akugamba.

Biki ebiva mu bujjanjabi oba ebizibu ebiva mu bujjanjabi?

Ebizibu ebiva mu kujjanjaba NPH byawukana okusinziira ku bujjanjabi. Mu NPH eyasooka/etamanyiddwa, obujjanjabi obusinga okukozesebwa kwe kulongoosa okuteeka shunt okukomya CSF eyitiridde okukuŋŋaanyizibwa munda mu kiwanga. Ebimu ku bizibu ebiva mu kulongoosa kuno mulimu (naye nga tebikoma ku bino):

• Yinfekisoni
• Shunt okukola obubi oba okulemererwa
• Enkyukakyuka mu kifo mu vvaalu ne/oba ttanka
• Okukulukuta okuyitiridde okwa `(CSF)` okuyita mu shunt (kino kireeta okukendeera kwa puleesa ya `(CSF)`, era eyitibwa `(Intracranial hypotension)` ).

Mu NPH ey’okubiri, obujjanjabi obuliwo buyinza okwawukana. Ate era, ebizibu ebivaamu n’ebizibu ebivaamu biyinza okwawukana. N’olwekyo, omusawo wo y’asinga okukubuulira ebizibu oba ebizibu by’oyinza okusuubira n’ebyo ebiyinza okubikola.

Nsobola ntya okuddukanya obubonero singa sifaayo?

NPH si mbeera gy’osobola okuzuula oba okujjanjaba ku bubwo. N’olwekyo, tobuusa maaso bubonero oba okugezaako okwejjanjaba oba omuntu omulala alina obubonero buno ku bubwo .

Nja kuwulira mangu ki nga mmaze okujjanjabibwa? Kitwala bbanga ki okuwona oluvannyuma lw’obujjanjabi?

Obubonero bw’embeera eno busobola okutandika okutereera kumpi amangu ddala nga bateeka ekyuma ekiyitibwa shunt. Gy’okoma okuzuula amangu n’okujjanjaba, gye kikoma okutuuka ku buwanguzi.

Abantu abasinga bakiraba nti obubonero bukendedde mu ssaawa ntono oba ennaku ntono oluvannyuma lw’okuteekebwako shunt. Kyokka olw’okuba shunt kulongoosa kwa maanyi, kiyinza okutwala abantu bangi ennaku oba wiiki eziwera okuwona. Omusawo wo ajja kuba yekka asobola okukubuulira ebbanga ddala lye kinaatwala okuwona oluvannyuma lw’okulongoosebwa, kubanga ensonga nnyingi zikwata ku budde bw’okuwona.

Nsobola okukendeeza ku bulabe bw’okukwatibwa (NPH) oba okubuziyiza ddala?

NPH ebaawo mu ngeri etasuubirwa, era nga kitundu ku balwadde ba idiopathic, ekitegeeza nti bakula awatali nsonga emanyiddwa. Idiopathic NPH tesobola kuziyizibwa , era n’obulabe bw’okugifuna tebuyinza kukendeera.

Wabula osobola okukendeeza ku bulabe bwo obw’okufuna NPH ey’okubiri nga weewala endwadde oba embeera endala eziyinza okuleeta embeera eno. Bino bye bimu ku bintu by’osobola okukola:

• Tobuusa maaso yinfekisoni , naddala obulwadde bw’amaaso n’amatu. Bino bisobola bulungi okusaasaana ku bwongo ne bireeta embeera nga encephalitis oba meningitis .
• Yambala ebyuma ebikuuma . Obuvune ku bwongo obuva ku buvune buyinza okuleeta NPH ey’okubiri. Okwambala eby’okwekuuma ng’enkoofiira kiyinza okuyamba okutangira obuvune buno.
• Fuga embeera z'obulamu bwo . Embeera nga puleesa ziyinza okuvaako emisuwa mu bwongo n’okuvaamu omusaayi mu bwongo. Bino byombi bisobola okuleeta NPH. Okufuga puleesa n’okuddukanya embeera nga sukaali ow’ekika eky’okubiri oba kolesterol omungi kiyinza okukendeeza ku bulabe bw’okufuna ebizibu bino.

Kiki kye nsuubira singa mba nnina `(NPH)`?

NPH mbeera ya njawulo ey’embeera eziringa ez’okusannyalala kubanga emirundi mingi esobola okukyusibwa . Kyokka, omukisa ogusinga obulungi ogw’okuzzaawo embeera eno kwe kuzuula amangu embeera eno n’okujjanjabibwa amangu . Gy’okoma okuzuula obulwadde n’okujjanjaba, gye kikoma okuba nti okwonooneka kw’obwongo okuva ku situleesi kujja kuba kwa lubeerera era kwa maanyi.

Olw’okuba NPH etera okukosa obusobozi bwo obw’okulowooza, abantu bangi abalina embeera eno tebamanyi nti bagirina. Ab’omu maka, emikwano, n’abo be bamanyi be batera okusooka okwetegereza obubonero bwa NPH . Kino kitegeeza nti abaagalwa basobola okukola kinene mu kuzuula NPH n’okujjanjabibwa nga bukyali.

`(NPH)` emaze bbanga ki?

NPH mbeera etawona . Obubonero buno bulabika mpola mu bbanga lya myezi esatu oba mukaaga. Wabula NPH tetereera ku bwayo; kyeyongera okusajjuka. Bwe bweyongera okusajjuka, okukkakkana ng’obwongo bukosebwa nnyo era obw’olubeerera.

Wadde nga NPH eyinza obutafa ku bwayo, eyinza okuleeta obubonero obukaluubiriza era okukkakkana nga tekisoboka muntu kubeera yeetongodde. Era kiyinza okuvaako ebizibu eby’amaanyi ebiyinza okutta omuntu, gamba ng’okugwa.

Nga olina obujjanjabi, obubonero obukulu obwa `(NPH)` bwolekedde okutereera. Bw’ofuna obujjanjabi, emikisa gy’obubonero obwo obusatu okutereera giri bwe giti:

• Obuzibu mu kutambula : Obubonero buno buwona mu balwadde nga 85% abajjanjabwa.
• Obutakwatagana : Obubonero buno buwona mu bitundu nga 80% singa bujjanjabwa nga bukyali. Emikisa gy’okuwona giri wakati wa 50% ne 60% singa ojjanjabwa ekikeerezi.
• Obuzibu mu kulowooza n‟okujjukira : Obubonero buno butereera mu balwadde nga 80% abajjanjabwa.

Embeera eno etunuuliddwa etya?

Endowooza ya `(NPH)` esobola okwawukana nnyo. Ensonga eziviiriddeko kino ze zino:

• NPH kizibu okuzuula kubanga obubonero bwayo bufaananako n’obwo obutera okubaawo ng’omuntu akaddiye, oba endwadde endala ezeekuusa ku myaka.
• Obubonero bwa `(NPH)` bugenda mu maaso mpola.
• Abantu nga kimu kya kusatu abalina NPH nabo balina obulwadde bw’obwongo obukendeera ng’obulwadde bwa Alzheimer.
• NPH yeeyongera okubeerawo nga tukaddiwa, era embeera nnyingi ez’obulamu ezitera okubeerawo ezeekuusa ku myaka zisobola okuvaako n’okwonoona NPH.
• Olw'okuba obubonero bwa `(NPH)` bukosa obusobozi bwo obw'okulowooza, oyinza obutasobola kutegeera bubonero bwo ggwe kennyini.

Ensonga ezikosa ebivudde mu `(NPH)`

Singa ensonga zino zibaawo, emikisa gy'okufuna ekivaamu ekirungi okuva mu `(NPH)` giri waggulu:

• Okuzuula obulwadde nga bukyali n’okujjanjaba.
• Obuzibu mu kutambula ne/oba okufuga omusulo nga bugobererwa obuzibu mu kulowooza n’okujjukira.
• Secondary NPH ebaawo olw’ensonga eziwona oba eziyinza okuddamu.
• CSF bw’eggyibwawo mu kiseera ky’okuboola omugongo, obubonero bwa NPH bukendeera.

Emikisa gy’okuvaamu ebirungi giba mitono singa ensonga zino zibaawo:

• Okulwawo okuzuula obulwadde n’okujjanjaba.
• Obuzibu bw’okulowooza n’okujjukira okutandika nga bukyali naddala nga butandika nga tonnafuna buzibu mu kutambula oba okufuga omusulo.
• Obuzibu obw’amaanyi mu kulowooza n’okujjukira.
• Okubeera n’endwadde endala ez’obwongo (naddala endwadde z’obwongo ezivunda nga obulwadde bwa Alzheimer).

Olw’okuba ensonga nnyingi zikwata ku bivaamu, omusawo wo y’asinga okwogera naye ku biyinza okuvaamu gy’oli oba omwagalwa wo alina embeera eno. Amawulire ge bakuwa gajja kubaamu ebyafaayo by’obujjanjabi bwo, obuzibu bw’obubonero bwo, obujjanjabi obuyinza okuweebwa, n’ebintu ebirala ebikulu.

Nze nneerabirira ntya (oluvannyuma lw’okufuna shunt)?

Bw’oba ​​olina NPH, obujjanjabi bw’ogenda okufuna kwe kulongoosebwa okuteeka ekyuma ekiziyiza amazzi okuziyiza amazzi okuzimba munda mu bwongo. Bw’oba ​​olina shunt, ebiseera ebisinga wabaawo ebintu ebitonotono by’osobola okukola okuyamba okutangira ebizibu:

• Goberera ebiragiro by'omusawo wo oluvannyuma lw'okulongoosebwa . Kikulu nnyo naddala okulabirira obulungi ebifo we baateekanga emisono oba ebisiba. Okulabirira obulungi bino kiyinza okuyamba okuziyiza ebizibu nga yinfekisoni.
• Weewale ne magineeti bwe kiba kyetaagisa . Shunt zonna tezirina magnetic valves, kale kino si kintu buli muntu alina shunt ky’alina okukola. Omusawo wo ajja kwogera naawe ku nsonga eno.
• Weegendereze entambula n'emirimu . Weewale okukola emirimu gy’omubiri egiyinza okukosa shunt, tube oba ekintu ekirala kyonna.
• Laba omusawo wo nga bw'akugambye . Kikulu okulaba omusawo buli kiseera okutangira ebizibu ebiva mu mbeera eno. Mu kukyala kuno, omusawo asobola okulondoola embeera yo n’okutereeza shunt bwe kiba kyetaagisa.
• Weetegereze obubonero . Bw’olaba obubonero bwonna obwa `(NPH)` okuddamu okulabika, tegeeza omusawo wo amangu ddala nga bwe kisoboka. Obubonero obuddirira buyinza okulaga nti waliwo obuzibu ku shunt. Obubonero gye bukoma okumala ebbanga eddene era ne bweyongera okusajjuka, emikisa gy’okufuna ebizibu gye gikoma okubeera eminene.

Ddi lwe nnina okulaba omusawo wange?

Olina okulaba omusawo nga bw’akugambye. Era olina okulaba omusawo wo singa olaba obubonero bwo obwa NPH okuddamu, oba bw’ofuna obubonero bwonna obupya (ne bwe bulabika nga tebukwatagana).

Ddi lwe nnina okugenda mu kitongole ekijjanjaba abalwadde ab’amangu (ETU) ?

Omusawo ajja kukubuulira ku bubonero obuyinza okulaga ebizibu oba ebizibu ebiyinza okubaawo. Obubonero obumu obusinga okwetaagisa okujjanjabibwa amangu mulimu:

• Okulumwa omutwe . Obulumi bw’omutwe obutaataaganya emirimu gyo egya bulijjo naddala nga butandika oba nga bweyongera ng’otudde oba ng’oyimiridde. Bino biyinza okuva ku buzibu ku shunt (bwe kiba nga tekifulumya CSF emala), oba singa shunt eba evudde mu kifo.
• Omusujja oba okuwunya . Yinfekisoni zisobola okukula oluvannyuma lw’okulongoosebwa shunt. Yinfekisoni zino zisobola okukosa obwongo bwo, omugongo oba peritoneum, era zisobola okusaasaana amangu. Tobuusa maaso bubonero bwa yinfekisoni oluvannyuma lw’okulongoosebwa (NPH).
• Obulago obukaluba . Kino kiyinza okuba ekizibu ku shunt oba outflow tract.
• Obulumi mu lubuto oba mu kifuba awali omukutuSinga ekyuma ekifulumya amazzi kivaamu, kiyinza okunyiga oba okwonoona ebitundu ebiriraanyewo. Bw’oba ​​olina obulumi mu bitundu bino naddala obulumi obw’amangu, obw’amaanyi, olina okuyita omusawo oba okugenda mu kisenge ky’abalwadde ab’amangu mu bwangu.

Wayinza okubaawo obubonero obulala bw’osaanidde okumanya, era omusawo ajja kukubuulira ebisingawo ku bubwo. Era y’asinga okuddamu ebibuuzo ku ky’oyinza okukola okutangira ebizibu bino.

Njawulo ki eri wakati wa `(Normal Pressure Hydrocephalus - NPH)` ne `(Hydrocephalus)`?

NPH mbeera eyitibwa hydrocephalus (omutwe gw’amazzi) ekula mpola era nga yeeyongera okusajjuka oluvannyuma lw’ekiseera. "Puleesa eya bulijjo" kitegeeza nti puleesa eri munda mu kiwanga kyo (intracranial pressure - ICP) si waggulu mu ngeri etaali ya bulijjo oba ey'akabi. Mu mbeera zino, omutindo gwo ogwa ICP guyinza okuba okumpi n’enkomerero eya waggulu ey’ekitundu ekisuubirwa. Kino kibaawo mpola, nga kinyigiriza n’okusika ebitundu by’obwongo bwo. Puleesa eno ya bulijjo, n’olwekyo obwongo buba n’obudde okufulumya amazzi, era ku nkomerero kye kireeta obubonero.

N’ekisembayo, by’olina okujjukira (Obubaka bw’okutwala awaka) .

Normal Pressure Hydrocephalus (NPH) mbeera etali ya bulijjo esinga okukwata abantu abasukka mu myaka 65. Eyinza okuba nga ya idiopathic, eva ku yinfekisoni nga meningitis, oba okuva ku buvune ku kitundu ky’obwongo. Embeera eno esobola okuleeta obubonero obulinga obw’okusannyalala , okukosa okutambula, okulowooza, n’obusobozi bw’okufuga omusulo.

Embeera nnyingi eziringa obulwadde bw’okusannyalala zeeyongera okwonooneka oluvannyuma lw’ekiseera era nga nzibu okuzijjanjaba n’okuziddukanya. Naye, NPH etera okujjanjabibwa, era oluusi ekyusibwamu . Omukisa ogusinga okuzzaawo ebiva mu NPH gwe singa ezuulibwa nga bukyali n’ejjanjabwa nga bukyali. Y’ensonga lwaki kikulu obutabuusa maaso bubonero bwo oba obw’omwagalwa wo. Nga bafunye obujjanjabi obw’amangu, abantu bangi abalina NPH basobola okuwona n’okuddamu okufuna obusobozi obusinga obungi – oba bwonna – obwaliwo edda.

Jjukira nti bw’oba ​​olina ky’obuusabuusa ku nsonga eno, kirungi n’onoonya amagezi g’omusawo.

` Puleesa ku bwongo, NPH, okukaddiwa, okukaluubirirwa okutambula, okufuga omusulo, okubulwa okujjukira, okulongoosa shunt