Ofuna okubulwa okujjukira n’okukaluubirirwa okutambula ng’okaddiwa? Kiyinza okuba nga kya Normal Pressure Hydrocephalus (NPH) .

Omukadde mu maka go, oboolyawo maama wo, taata wo, oba jjajja wo, yeeyongera okwerabira? Ebigere byabwe birabika nga bisikasika ku ttaka nga batambula? Era kyeyongera okukaluba okufuga omusulo gwabwe ? Bino tutera okubirowoozaako nga "ebintu ebya bulijjo ebibaawo nga bwe tukaddiwa." Naye era ziyinza okuba obubonero bw’embeera esobola okujjanjabibwa n’okuwona. Leero twogera ku mbeera emu ng’ezo, Normal Pressure Hydrocephalus, oba NPH.

Obulwadde bwa puleesa obwa bulijjo (NPH) kye ki?

Mu ngeri ennyangu, NPH bwe buba amazzi amangi bwe gakuŋŋaanyizibwa mu bwongo bwaffe okusinga bwe kyetaagisa.

Teebereza obwongo bwaffe n’omugongo, ebikulukuta wansi mu mugongo gwaffe, byetooloddwa amazzi amatangaavu agalinga omutto. Mu ngeri y’obusawo, kino kiyitibwa amazzi g’omu bwongo (CSF) . CSF eno ekolebwa mu ventricles z’obwongo bwaffe era n’etambula mu bwongo bwonna, n’eriisa obwongo n’omugongo, n’eggyawo ebisasiro, n’okukuuma obwongo obutakuba kiwanga. Mu budde obwabulijjo, CSF eyitiridde ekulukutira mu mubiri ng’eyita mu misuwa waggulu ku bwongo.

Naye singa wabaawo ekiziyiza kyonna mu nkola efulumya amazzi gano aga CSF, amazzi gano gatandika okukuŋŋaanyizibwa munda mu binnya by’obwongo. Kino kye tuyita Hydrocephalus ( okujjuza amazzi mu bwongo ). NPH kika kya njawulo eky’embeera eno eya Hydrocephalus. Businga kulabibwa mu bantu abasukka mu myaka 60.

Okwawukanako n’ebika ebirala ebya hydrocephalus, NPH ekula mpola nnyo. Amazzi ga CSF gazimba okumala ekiseera. N’ekyavaamu, ebituli mu bwongo byeyongera mpolampola, ne binyigiriza ebitundu by’obwongo. Eno y'ensonga lwaki puleesa mu bwongo teyongera mangu, y'ensonga lwaki eyitibwa "Normal Pressure." Naye erinnya eryo libuzaabuza katono, kubanga obubonero buno bubaawo ng’ebituli bigaziye ne binyigiriza ku bwongo.

Ebintu ebikulu ebisatu ebiraga embeera ya NPH

Waliwo obubonero busatu obukulu obulaga nti omuntu alina obulwadde bwa NPH. Bino biyinza obutalabika mu kusooka, naye bigenda byeyongera mpolampola ng’ekiseera kigenda kiyitawo. Singa obubonero buno bwonna obusatu bubaawo, NPH erina okuteeberezebwa.

Biki ebivaako NPH?

Mu butuufu, mu balwadde ba NPH abasinga obungi, tewali nsonga ntongole eyinza kuzuulibwa. Kyokka, mu mbeera ezimu, ebintu bino wammanga biyinza okuvaako embeera eno:

• Obuvune ku mutwe
• Okuvaamu omusaayi okwetoloola obwongo olw’okukubwa ku mutwe
• Storoko
• Yinfekisoni nga obulwadde bwa meningitis
• Ekizimba ku bwongo
• Okulongoosa obwongo

N’okutuusa kati tewali kutegeera bulungi ngeri mbeera zino gye zireetamu NPH.

NPH ezuulibwa etya mu butuufu?

Kati oyinza okuba ng'olowooza nti, "Okay, buno bwe bubonero, kati kino nkizuula ntya?" Kino kizibu katono. Olw’okuba obubonero buno bufaananako n’obulwadde bwa Alzheimer ne Parkinson, kikulu okulaba omusawo w’obusimu oba omusawo alongoosa obusimu .

Enkola y’okuzuula obulwadde etera okugenda bweti:

1. Okwogera n’omusawo: Omusawo ajja kukubuuza ku buli kimu okuva ku bubonero bwo, ddi lwe bwatandika, ebyafaayo by’obujjanjabi bw’amaka, n’eddagala ly’omira.

2. Okukebera omubiri: Embeera yo ey’ebirowoozo (okubuuza ebibuuzo n’okukusaba okugoberera ebiragiro ebyangu), entambula, ne bbalansi bijja kukeberebwa.

3. Ebigezo eby’enjawulo:

• CT Scan oba MRI Scan: Sikaani zino zisobola okufulumya ebifaananyi ebikwata ku bwongo mu ngeri ya 3D. Ziyinza okuyamba okuzuula oba ventricles mu bwongo zigaziwa mu NPH. Wabula sikaani yokka tesobola kukakasa NPH.
• Lumbar Puncture / Spinal Tap: Guno gwe gumu ku mitendera emikulu mu kuzuula obulwadde. Kino oluusi tukiyita ‘spinal tap’. Tofaayo, omusawo ajja kukikola kino. Empiso entono ekozesebwa okuggyamu agamu ku mazzi ga CSF ageetoolodde omugongo okuva wansi mu mugongo.

Bujjanjabi ki obuweebwa NPH?

Obujjanjabi obusinga okukola obulungi ku NPH kwe kulongoosa. Tewali ddagala oba bujjanjabi bulala busobola kuwonya mbeera eno.

Okulongoosa okusinga kwe kuteeka shunt.

Teebereza akatundu akatono akayingizibwamu okufulumya amazzi ga CSF agasukkiridde mu bwongo bwaffe ne gasindika mu kitundu ekirala eky’omubiri. Kino kiyitibwa shunt. Eno ttanka nnyimpi nnyo. Omusawo alongoosa obusimu ayingiza ttanka eno mu kisenge ekiri mu bwongo n’agilungamya wansi w’olususu okutuuka mu kifo ekiyitibwa peritoneum. Mu ttanka eno mulimu vvaalu efugira puleesa. Puleesa mu bwongo bwe yeeyongera, vvaalu eno egguka era amazzi agasukkiridde ne gakulukuta mu kisenge ky’omu lubuto. Eyo, amazzi ago ganyigibwa nga tegakosezza mubiri.

Okulongoosa kuno okwa shunt si kwa buwanguzi kyenkanyi eri buli muntu. Wabula abantu bangi obubonero bukendeera nnyo oluvannyuma lw’okulongoosebwa kuno era omutindo gw’obulamu bwabwe gutereera nnyo. Obulwadde gye bukoma okuzuulibwa amangu n’okulongoosebwa, ebivaamu gye bikoma okubeera ebirungi.

Mu mbeera ezimu, mu kifo ky’okulongoosa shunt, okulongoosa okulala okuyitibwa Endoscopic Third Ventriculostomy kukolebwa, nga muno kukozesebwa endoscope (tube ennyimpi erimu kamera) okukola ekituli ekitono wansi mu kisenge ky’obwongo okukola ekkubo eddala amazzi ga CSF mwe gayinza okukulukuta.