Hydrocephalus: A chhan te, a lan chhuah dan te, a enkawl dan te chu a awlsam zawngin i zir ang u

I fate lu chu a kum aiin a lian deuhin i hria em? A nih loh leh, chhûngkaw member tar tawh tak pakhatin kal a harsat emaw, theihnghilh emaw a nei ṭan thut em? Hengte hi hydrocephalus an tih natna chhinchhiahna a ni thei a, chu chu ‘thluak chunga tui’ kan tih tlangpui a ni. He thu i hriat hian hlauthawng suh. A pawimawh ber chu he natna hi chiang taka hriat a, a hun takah damdawi lam pan a ni. Hemi chungchang hi vawiin hian han sawi ila.

A awlsam zawngin Hydrocephalus hi eng nge ni?

Kan thluak hi kan lu ruh chhunga thil awm mai a ni lo. A venhim a ni a, tui bik takah a float bawk. He tui hi Cerebrospinal Fluid (CSF) kan ti a. Car-a ‘shock absorber’ ang bawkin he CSF fluid hian kan thluak chu a lu a tihnghing emaw, a lu a deng emaw a tihchhiat loh nan a venghim a ni. Chu mai ni lovin, he tui hian thluak hian ei tur mamawh a pe a, thluak atanga bawlhhlawh paih chhuah a pui bawk.

He CSF fluid hi thluak chhunga cavities te te (ventricles) ah a lo chhuak reng a, a circulate a, taksaah a insiam leh thin. Tui bawm tuiin a khat a, pipe atanga a luang a, hman a nih a, a bak chu a luang chhuak ang maiin han ngaihtuah teh.

Hydrocephalus hi he thil kalphung tihbuai engemaw zat avang hian CSF fluid chu thluak chhunga cavities-ah a pung khawm a, thluak chungah pressure tul lo tak a siam thin. Tui pipe a inkhar lai ang bawkin hmun khatah tui a khat a, a luang chhuak ta a ni. He pressure hian thluak tissue a tichhe thei a ni.

Kum upat dan azirin eng symptom nge a inthlak thin?

He natna lan chhuah dan hi mi kum a zirin a danglam thei hle. Kum tin a nghawng dan hi han thlir ila.

Hydrocephalus natna thlentu berte chu engte nge ni?

Hei hi chhan lian tak pathum a awm a, chungte chu:

1. Blockage: CSF kalna kawng chu thluaka tumor, fluid-filled cyst, birth defect, lu hliam, stroke avanga block theih a ni. Hei hi a chhan tam ber a ni.

2. Poor Absorption: Thluak tissue hian CSF tui hip theihna a tlahniam thei. Hei hi infection, meningitis emaw, lu hliam avanga inflammation emaw avanga lo awm thei a ni.

3. Tui tam lutuk (overproduction of fluid): A tlem berah chuan thluak hian taksain a tuar theih aia tam CSF fluid a siam chhuak thin. Hei hi hri kai theihna nen pawh a inzawm thei bawk.

Engtin nge diagnosis hi siam a nih?

Nangmah emaw i fa emaw hian a chunga kan sawi ang chi hi i lan chhuah chuan doctor thiam tak pan nghal rawh.A pawimawh hle. Doctor chuan taksa a enfiah hmasa ang a, i natna lan chhuah dan a zawt ang. Tichuan, an natna hriat chian nan hetiang test hi an ti thei ang:

• Neurological exam: I balance, i taksa ruh chakna, i mit hmuhna leh i rilru hnathawh dan enfiah.
• Thluak scan dan: 1.1.
• CT scan (Computerized Tomography scan): Thluak cross-sectional image hrang hrang hmangin thluak cavities te chu a lian em tih emaw, blockage a awm em tih emaw hriat theih a ni.
• MRI scan (Magnetic Resonance Imaging): Hei hian thluak leh CSF kawng hrang hrangte thlalak chiang zawk, chipchiar zawka hmuh theih nan a pui a ni.
• Lumbar Puncture / Spinal Tap: CSF tui tlemte paih chhuah nan ruhroah hian needle te tak te dah a ni. Hei hian thluak chhunga pressure leh infection awm dan tur ngaihtuahna a pe thei a ni.
• Intracranial Pressure Monitoring (ICP): A then phei chuan thluak chhunga pressure direct-a teh theih nan thluaka hmanraw te tak te dah a ngai mai thei.

Enkawlnate chu engte nge ni?

Hydrocephalus enkawlna tum ber chu thluaka tui tam lutuk lo awm tawh chu paih chhuah a, thluaka pressure tihziaawm hi a ni.

Enkawlna ber chu shunt dah hi a ni .

A awlsam zawngin sawi ila, shunt chu plastic tube te tak te, flexible tak, vun hnuaia dah a ni. Thluaka CSF fluid tam lutuk lo awm chu taksa hmun dang (a tam zawkah chuan pum chhung)-ah a divert a, chutah chuan fluid chu awlsam takin a insiam thei a ni. Hei hi thluaka tui luang chhuak tur ‘bypass’ thar siam ang a ni. Shunt dah a nih hnuah chuan a thawk tha em tih hriat nan doctor pan fo a ngai dawn a ni.

A then phei chuan shunt tel lovin enkawl theih a ni. Chutiang surgery pakhat chu Endoscopic Third Ventriculostomy (ETV) hi a ni. Hetiang tih danah hian camera te tak te (endoscope) chu thluak chhungah dahin CSF kal tlang theihna tur kawng thar siam a ni. I doctor chuan eng enkawlna nge i tan a tha ber tih a rel ang.

Enkawlna hnua harsatna awm thei te chu hre reng ang che.

Shunt dah a nih hnuah a block emaw, infect emaw a ni thei. Chutiang a nih chuan hydrocephalus symptoms chu a lang leh tan ang.

Heng chhinchhiahnate hi lo thlir reng ang che:

• Lu na, luak chhuak
• Kawng hnih neia hmuh theih
• Shunt kalna kawngah sen leh natna
• Chhan awm lova khawsik
• Mutthilh lutuk