NPH natna (Normal Pressure Hydrocephalus) chungchang hi a awlsam zawngin i zir vek ang u.

I nu, i pa, a nih loh leh i pi tar tawh tak chuan kal a harsat thut em? A kal zawi hle em ni? A nih loh leh i hriatrengna a chhe zauh zauh ang maiin i hria em? Hengte hi kan upat deuh deuha thil thleng pangngai angin kan ngai fo thin. Mahse a châng chuan, hengte hi enkawl theih dinhmun chhinchhiahna a ni thei bawk. Chutiang bawkin NPH hi mi tam takin dementia anga an ngaih sual a ni a, mahse a takah chuan enkawl theih a ni. Vawiin hian a chungchang hi i hrechiang zawk ang u.

A awlsam zawngin, NPH chu eng nge ni?

NPH awmzia kimchang chu Normal Pressure Hydrocephalus a ni. Sinhala tawng chuan "normal pressure hydrocephalus" tihna a ni. Mahse hei hi thluaka thil thleng a ni tih i hriat chuan chu thumal aiin hriatthiam a awlsam zawk.

A awlsam zawngin sawi ila, NPH hi kan thluak chhung leh a chhehvela tui (damdawi lam chuan Cerebrospinal Fluid - CSF kan ti) a lo awm khawm a, thluak hnathawh a tibuaitu a ni. He tui, CSF tia koh hian kan thluak a chawm a, thluak atanga bawlhhlawh paih chhuah a pui bawk. He tui hian thluak hi luruh chhunga a rawn nawr kual a, hliam a thlen loh nan a veng bawk.

Puitling thluak pangngaiah hian he tui hi milliliter 150 vel a awm a. Kan taksa hian he tui hi a siam reng a, a circulate a, tui hlui chu a la let leh thin. He cycle hi a kal dik chhung chuan harsatna a awm lo.

Mahse NPH-ah chuan eng emaw chhan vangin he tui hi a reabsorption emaw circulation emaw a tichhe thin. Tichuan, he tui hi zawi zawiin thluak chhunga ventricles-ah a awm khawm tan ta a ni. Hei hi a thleng fo thin avangin luruh chhunga pressure chu nasa takin a pung nghal lo. Chuvangin "Normal Pressure" an ti a ni. Mahse hun a kal zel a, he tui khawlkhawm hian thluak tissue chu a ti hrual tan a, a tichhia tan ta a ni. Chutah chuan NPH symptoms a lo lang ta a ni.

He NPH natna hi tuin nge vei tam ber?

NPH hi kum 65 chunglam natna vei tam ber a ni a, kum upat deuh deuh hian he natna vei theihna hi a sang chho zel a ni. A lo intan kum zat chu kum 70 vel a ni.

Hei hi hnam, sakhaw, leh mipa leh hmeichhia ang chi thilah a innghat lo. Tar hi a hlauhawm ber a ni. Statistics atanga a lan danin kum 70 leh 80 inkar mi 0.2% leh kum 80 chunglam zinga 5.9% te chuan he natna hi an vei a ni. Chu chu khawvel pumah mi maktaduai 8 chuang zetin he natna hi an vei tihna a ni.

NPH natna lan chhuah dan berte chu engte nge ni? "Hakim-a Triad" tih a ni.

NPH natna lanchhuahna lian ber 3 a awm. Chungte chu thla 3 atanga thla 6 chhungin a lo lang zauh zauh thin. Doctor-te chuan heng symptom pathumte hi "Hakim's Triad" an ti a. NPH vei zinga 50% leh 75% inkar chuan symptom pathumte hi an nei vek a ni.

Heng mizia pathumte hi eng nge ni tih i lo en ang u.

Engvangin nge he NPH hi a lo thanglian? A chhante chu engte nge ni?

NPH hi chi hnih a awm a, a chhan a zirin.

1. NPH bulpui (Idiopathic) a ni

Hei hi a tam ber chi a ni. Damlo zinga a chanve vel chuan he chi hi an nei a ni. "Idiopathic" tih awmzia chu a chhan dik tak hriat a ni lo tihna a ni.Tunah hian kan tar chhoh zel hian thluaka CSF fluid circulation leh absorption engemaw zat a inthlak vang niin an ngai.

2. Secondary NPH a ni

Hei hi damdawi lam dinhmun dang emaw, accident emaw avanga thleng a ni. Chu chu, thluaka CSF fluid luang chhuak tibuaitu chhan dang a awm tihna a ni. Chung chhan thenkhat chu:

• Thluak Hliam Natna (Traumatic Brain Injuries) te
• Thluak Tumors a awm
• Thai
• Lung chhunga thisen chhuak (Intracranial Hemorrhage) a awm
• Brain Aneurysm a awm thin
• Thluak natna, meningitis ang chi te
• Thluak surgery neih a ni

Engtin nge doctor hian NPH dik taka a hriat theih ang?

NPH hi hriat chian a harsa thei hle a, a chhan chu a natna lan chhuah dan hi Alzheimer natna ang chi dementia natna nen a inang hle a ni. A chang chuan NPH hi Alzheimer natna nen pawh a inzawm thei bawk.

Doctor chuan he natna hi a hriat theih nan test eng emaw zat a hmang thin.

• Taksa leh thluak enfiahna: Doctor chuan i kal dan, i balance, i reflexes, leh i taksa chakna te a enfiah ang.
• Symptoms leh medical history zawhna: I chhungte hnenah heng symptoms te hi engtin nge an lo intan tih leh eng chen nge an awm tawh tih zawt rawh.
• Brain scan: Hei hi test pawimawh ber a ni. MRI scan (Magnetic Resonance Imaging) hmangin CSF fluid awmkhawmna ventricles te chu a lian em tih chiang takin a lang thei a ni. A châng chuan CT scan (Computed Tomography) pawh tih a ni a, chu chuan natna dang a awm lo.
• Spinal Tap / Lumbar Puncture: Hei pawh hi test pawimawh tak a ni. Hetah hian spinal cord-ah needle te tak te dahin CSF fluid sample lak a ni. Hei hi hri kai dang awm leh awm loh enfiah nan hman theih a ni. Tin, a pawimawh ber chu, damlo symptoms, kea kal harsatna ang chi te chu CSF fluid extra thenkhat lakchhuah hnuah hun eng emaw chen a lo tha leh em tih en a pawimawh hle. A awm a nih chuan NPH a awm tih tilangtu nghet tak a ni.

Hei hi enkawl dan tur a awm em? Dam theih a ni em?

Awle! Hei hi NPH chanchin lawmawm tak a ni. Dementia ang deuhin lang mahse, NPH hi enkawl theih natna a ni fo . Damdawi hi a hlawk vak lo. Enkawlna ber leh hlawk ber chu surgery a ni.

He surgery hian tube ang chi thil te tak te, shunt an tih chu thluaka thluaka inzawm tir a ni.

• Hei hi tui tam zawk chhuahna pipe angin ngaihtuah rawh.
• He shunt tawp khat hi thluaka CSF fluid a khawlkhawmna chamber nen a inzawm a ni.
• A tawp dang chu vun hnuaiah pum chhung (ril) emaw, rilru chhungah emaw dah a ni.
• Chumi hnuah chuan thluaka CSF fluid awm khawm chu he tube hnuaiah hian a kal thla a, pum chhunga awm ang hmunah a chhuak a, chutah chuan taksa chuan chu tui chu a la lut leh thei a ni.

He operation hnu hian damlote natna lan chhuah dan chu darkar tlemte emaw ni engemaw zat emaw chhungin nasa takin a lo tha chho tan thin. Hei hian result tha tak a siam a, a bik takin kea kal harsat tan chuan.

Secondary NPH-ah chuan NPH thlentu natna (e.g., thluaka tumor) chu enkawl hmasak a ni.

Enkawlna hnuah eng harsatna nge thleng thei?

Shunt surgery hi a tlangpuiin a him viau nachungin, surgery dang ang bawkin, hlauhawmna engemaw zat a awm.

• Kaichhawng.
• Shunt chu a block emaw, a thawk tha lo emaw a ni.
• Shunt chu verr ah a awm a.
• Thluak atanga CSF fluid chhuak tam lutuk (hei hian lu na ang chi symptoms a thlen thei).

Hetiang thil hi a lo thleng a nih chuan hriatchhuah leh enkawl thuai theih a ni. Chuvangin, zai zawhah doctor thupek dik tak zawm a, ni ruat saah clinic-ah kal a pawimawh hle.

NPH nena in awm dun hian eng nge i beisei theih ang?

NPH result hi natna hmuhchhuah leh enkawl rang danah a innghat fo thin . A hnu lama enkawl a nih poh leh thluak chhiatna chu a awm reng theihna a sang zawk.

Damlo chuan an natna lan chhuah dan a hre lo mai thei a, chuvangin hemi kawngah hian chhungte leh hmangaihtute hian mawhphurhna lian tak an nei a ni. I hmangaih tak zingah heng symptoms te hi i hmu a nih chuan, tar lam thil pangngai anga ngaih ai chuan, doctor panpui a pawimawh hle.

Enkawlna hnua natna lan chhuah dan a reh theihna chance chu hetiang hi a ni:

• Kea kal harsatna: Damlo 85% vel chu an dam leh thin.
• Urinary incontinence: Damlo 80% vel chu an dam leh thin.
• Ngaihtuahna leh hriatrengna lama harsatna: Damlo 80% vel chu an dam leh thin.

A hnuaia table-ah hian NPH natna chhuah dan nghawng thei thilte hi han en ila.

Engtikah nge Doctor ka hmuh ang? ETU-a kal hun tur chu engte nge ni?

I chhungkuaa mi pakhatin shunt a neih chuan a bik takin symptom thenkhat i hriat chian a ngai a ni. Chungte chu shunt-a harsatna emaw, natna hrik emaw chhinchhiahna a ni thei.

• Lu na nasa tak: Lu na a zual a nih chuan, a bik takin thut emaw, ding emaw a nih chuan, hei hi shunt atanga tui chhuak a tlahniam emaw, a pung emaw tihna a ni thei.
• Khawsik emaw, khawsik emaw: Hei hi operation hnua natna kai chhinchhiahna a ni thei. Heng natna chi hrang hrangte hi a darh thuai theih avangin ngaihthah ngai suh.
• Kawngkhar khauh tak.
• Shunt tube kalna hmuna rilru emaw, pum emaw a na.
• NPH symptom hlui (kea kal harsa, zun lama harsatna) lo lang leh.