I tar hian heng symptoms te hi a nei em? Normal pressure hydrocephalus (NPH) chungchang hi i zir dawn a ni.

I nu, i pa, a nih loh leh i pi tar tawh tak chuan a hriatrengna a hloh a, a upat deuh deuh chuan kal a harsat tih i hre ngai em? A chang chuan hengte hi kan upat deuh deuha thil thleng pangngaiah kan ngai thin. Mahse, a châng chuan heng dinhmunte hi chhan dang a awm thei bawk. Vawiin hian kan sawi dawn a, natna bik , dementia ang maia lang thei, mahse enkawl a nih chuan tihdam theih a ni . Chu chu `(Normal Pressure Hydrocephalus)` emaw `(NPH)` emaw an tih dinhmun a ni.

`(Normal Pressure Hydrocephalus - NPH)` tih hi eng nge ni?

A awlsam zawngin, `(Normal Pressure Hydrocephalus)` emaw `(NPH)` emaw hi kan thluak chhungah emaw, a chhehvelah emaw tui a lo awm khawm a, thluak hnathawh a tibuai thin Bucket tui khat ang maiin han ngaihtuah teh. Hei hian thluak thunun hnathawh tam tak, ngaihtuahna, ngaihtuahna, hriatrengna, leh kalna te a nghawng thei a ni. Thil danglam tak chu hei hi a lan chhuah dan hi dementia nen hian inang hle mahse, he natna `(NPH)` hi a chang chuan enkawl leh tihdam theih a ni .

He `(NPH)` dinhmun hian tute nge a nghawng ber?

He natna hi ``(NPH)`` tia koh hi kum 65 chunglam zingah a tam ber a, kum upat deuh deuh hian he natna hi vei theihna a sang chho zel a ni. Kum 70 vel atanga tan a ni tlangpui.

Kum upa lam hi hei hi a hlauhawm ber a ni. Hnam, rawng, leh mipa leh hmeichhia ang chi thilte hian hei hi a nghawng lo.

`(NPH)` hi engtiang chiahin nge a awm?

A awm lo hle nachungin NPH hi doctor-te zingah chuan hriat lar tak a ni. Kum 70 leh 80 inkar zinga 0.2% velin he natna hi an vei nia chhut a ni a, kum 80 chunglam zinga 5.9% velin he natna hi an vei nia chhut a ni. Chumi awmzia chu khawvel pumah kum 80 chunglam mi maktaduai 8.4 velin he natna hi an vei tihna a ni. Mithiamte sawi dan chuan kum 65 hnuai lam zingah a awm lo hle a, chu kum 0.003% chauh a nghawng a ni.

`(NPH)` i neih chuan eng nge thleng? Engtin nge thluak a nghawng?

NPH hi thluaka cerebrospinal fluid (CSF) an tih tui a lo awm khawm vang a ni . He tui hi tui ang a ni. Thluak a chawm a, bawlhhlawh a paih chhuak bawk. Puitling thluak zingah hian CSF milliliter 150 (5 ounces) vel a awm a. Chu chu Coke can khata awm zat zatve aia tlem a ni. Kan taksa hian he tui hi a siam reng a, a circulate a, a reabsorb leh a, chu chu a level a awm reng theih nan a ni.

He fluid hi a tlem hle nachungin hmun pawimawh tak a chang a ni. He ``(CSF)`` fluid hian kan thluak leh kan ruhro chhunga ruhro (spinal cord) te chu a hual vel a ni. Phên dangin sawi ila, kan thluak hi he tuiah hian a inphah a ni . Tin, cushion angin a thawk bawk a, chu chuan thluak leh ruhro chu pawn lam atanga thil thleng (sternal shock) laka a venghim a ni.

Chuvangin, kan taksa hian he ``(CSF)`` fluid hi a circulate tha thei lo emaw, a reabsorb leh thei lo emaw a nih chuan he fluid hi luruh chhungah a awm tur aia tam a awm tan thin.

`(NPH)` ah chuan he tui hi a pung zawi zawi a, chuvangin luruh chhunga pressure `(Intracranial Pressure)` tihpun ni mahse, a normal range chhungah a awm reng a ni (Chuvang chuan `(Normal Pressure Hydrocephalus)` - "Normal Pressure Hydrocephalus" an ti bawk). A chhan chu, kan thluak chhungah hian `(Ventricles)` tih hming pu fluid-filled cavities a awm a, chu chuan he fluid buildup thenkhat hi a tuar thei a ni.

Mahse, `(CSF)` chu a pung zel a, chu fluid chu kalna tur hmun dang a awm tawh lo. Tichuan, thluak chu a lo hring tan a, a lo hring chhuak ta a ni . Chu chu he natna lanchhuahna thlentu a ni. Hetiang hian thluak hi rei tak a lo hring a nih chuan pressure hian thluak tissue te chu a tichhe vek thei a, a tichhe thei hial a ni.

`(NPH)` natna lanchhuahna chu engte nge ni?

`(NPH)` symptoms hi a tlangpuiin zawi zawiin a lo lang a, thla thum atanga thla ruk chhungin a pung zauh zauh thin . `(NPH)`, Hakim's Triad tia hriat bawk hi chhinchhiahna lian pathum a awm a. `(NPH)` vei zinga 50% leh 75% inkar chuan symptom pathum hi a rualin an nei vek a ni. Hakim’s Triad hian a hnuaia symptom chi thum te hi a huam a ni.

• Gait chungchangah harsatna a awm
• Zun chhuah loh (Urinary incontinence) a awm
• Hriatna lama harsatna nei

Kal harsat

Hengte hi kea kalna nena inzawm chetna lama harsatna awmte an ni. He symptom hi pathum zingah hian a langsar ber a ni. NPH vei zinga 80% leh 95% inkar chuan heng symptoms hi an nei thin. A lan chhuah dan thenkhat chu Parkinson’s disease -a movement disorders nen a inang thei a , mahse a danglamna ber chu NPH-ah chuan heng symptoms te hi ke leh keah chauh a awm tlangpui.

`(NPH)` i neih chuan hengte hi a thleng thei a ni:

• Ke chu chawi sang a harsa ta hle mai . Hei hian kal laiin ke chu leiah a innghat ang maiin a lang. Surface atanga magnet lak chhuah tum harsat ang mai a ni an ti.
• Ke chu a te a , a inher chhuak bawk . Hei hian kal laiin ke chu a hrual ang maiin a lang. Tin, tlu leh tlukna chance a sang hle bawk.
• Kal chu a tawp nghal thei a , chiang lo takin a kal thei bawk . Kal tan hnua ke pen emaw, hmalam pan emaw i rel thei lo ang maiin a lang thei. Kal laiin turn lian tak tak i siam hian i hreh thei bawk a, turn pawh i harsat thei bawk.
• Kal lai chuan ke ruhte chu pawn lam hawiin an hawi a . Hei hian an ke chu a inthen darh thei a, penguin ang maiin a sir lehlamah a kal thei a ni.

Zun control theih lohna

Hei hi bladder control hloh leh duh loh vanga zun a chhuah vang a ni. A tir lamah chuan zun chhuah fo a ngai tih i hre thei a, a nih loh leh zun chhuah ngai thut, thunun harsa tak i nei thei bawk.

Hetiang mizia nei mite hian an zun an thunun theih loh chuan an mualpho thei a ni. Amaherawhchu, mi thenkhat chuan hei hi an hre lova, mualpho takin an inhria.A duh pawh a ni lo. Hei hi ngaihtuah harsat vang pawh a ni thei a, chu chu Hakeem-a triad ziarang pathumna a ni.

Ngaihtuahna leh hriatreng harsa

NPH thil langsar ber pathumna chu ngaihtuahna leh hriatrengna lama harsatna a ni. Hei hian hetiang hi a thlen thei a ni:

• Rilru leh taksa lama rilru hah lutuk . Mi chu a hma aia zawiin a ngaihtuah a, a che thei zawk niin a lang.
• Memory lama harsatna a awm . Thil i theihnghilh fo va, ngaihtuah lovin hna i thawk ang maiin i lang.
• Executive dysfunction : Emotion, ngaihtuahna leh thiltih enkawl harsa. Thil ngaihtuah harsa, thutlukna siam harsa, leh ngaihtuahna fim tak neih harsa.
• Emotion inthlak danglamna . NPH vei te chu ngaihsak lo ang maiin an lang thei a, an thil hlimawm tak takte chu an ngaihven tawh lo thei bawk.

`(NPH)` awm chhante chu engte nge ni?

`(NPH)` hi chi hnih lian tak a awm a, chungte chu a awm dan inang vek a ni. A chi hnih chu:

• NPH bulpui (idiopathic) a ni
• Secondary NPH a ni

Primary (a chhan hriat loh) `(NPH)`

Primary NPH tih awmzia chu damdawi lam thil dang avanga lo awm a ni lo tihna a ni. Hei hi idiopathic tih hi a ni a , chu chu specialist ten chhan bik nei lova lo awm thin dinhmun sawina atana an hman thin a ni Mithiamte chuan idiopathic NPH hi kan taksain cerebrospinal fluid (CSF) a siam dan, a circulate leh a reabsorb danah tar chakna avanga harsatna pakhat emaw a aia tam emaw nen a inzawm thei niin an ngai. NPH vei zawng zawng zinga a chanve vel chu he category-ah hian an tel a ni.

Thil awmdan pangngaiah chuan kan taksa hian ni khatah `(CSF)` millilitre 400 leh 600 inkar a siam chhuak thin. Chu chu kan mamawh aia tam a ni. Chuvangin `(CSF)` thar awmna tur hmun siam turin `(CSF)` hlui chu kan reabsorb chhunzawm zel a ngai a ni. `(CSF)` hi a circulate dan emaw, a reabsorb danah emaw harsatna a awm chuan he fluid hi a pung thei a, a chhan chu taksain a mamawh aia tam `(CSF)` a siam vang a ni.

NPH hi thluak natna degenerative tak tak Alzheimer’s disease leh Lewy body dementia te nen pawh a inzawm thei tih finfiahna a awm bawk. Zirchiangtute chuan NPH hi engtin nge a lo awm tih leh a lo awm chhan leh, dinhmun dangin a nghawng theih leh theih loh hriat an la tum reng a ni. Hêng zawhnate chhân hian nakin lawkah he natna hi venna emaw, enkawl ṭha zâwk emaw a ṭanpui thei a ni.

Secondary `(NPH)` tih a ni

Secondary NPH hi damdawi lam thil dangin kan taksain cerebrospinal fluid (CSF) a siam dan, a circulate dan, a reabsorb dan a nghawng a ni. Secondary NPH thlen thei dinhmun thenkhat chu:

• Brain aneurysm (thisen kalna bulge, a chhe thei a, thluak tissue-ah thisen a chhuak thei).
• Thluak chhung emaw a chhehvela thisen chhuak (Intracranial hemorrhage).
• Brain tumor (cancer pawh tel) .
• Thluak emaw, a kaihhnawih nervous system emaw a natna (entir nan , encephalitis emaw meningitis ).
• Thai .
• Traumatic brain injuries (TBI) tih hian damdawi hmanga enkawl laiin thluak emaw a kaihhnawih hmun emaw a hliam te a huam a ni.

Engtin nge `(NPH)` hi hriat chhuah a nih?

NPH hriatchhuah hi a harsa deuh a, a chhan chu he natna lan chhuah dan tam tak hi kum lama natna dang, dementia ang chi te nen a inang a ni. NPH hi kum lama natna dang nena inzawm pawhin a awm fo bawk. NPH vei zinga 30% vel chuan Alzheimer natna emaw, thluak natna ang chi emaw an nei bawk.

Doctor chuan hengte hi a inzawm khawm hmangin NPH a enfiah thin:

• Taksa leh thluak lam exam . Hemiah hian doctor chuan natna chhinchhiahna hmuh theih a zawng thin. Tin, i sense (mit, hriat, khawih), reflexes leh i taksa peng hrang hranga taksa chakna te pawh a test bawk.
• I medical history leh symptoms te zawt . I medical record, medical history leh symptoms te hian NPH hriat theihna tur clues pawimawh tak tak a pe thei a ni.
• Diagnostic imaging hmanga thil hmuhchhuah . NPH hriat theihna atana hmanraw pawimawh ber chu magnetic resonance imaging (MRI) scan a ni. Hei hian doctor chuan i lu chhung lam a en thei a, thluak leh tui awmkhawmna hmunte chu a hmu thei a ni. I doctor pawhin cisternogram scan a order thei bawk , mahse hei hi a awm lo. Computed tomography (CT) scan hian natna dang a awm loh nan a pui thei a, mahse NPH hriatchhuahna kawngah chuan a pui vak lo.
• Lab test neih a ni . Lumbar puncture ( ruhro atanga tui tlemte lak chhuahna) hmanga doctor chuan cerebrospinal fluid (CSF) sample lak chu test nan a la thei a ni. Hei hian NPH hi direct-in a diagnose thei lo a, mahse condition dang a awm loh nan a pui thei a ni. NPH hi natna dang, meningitis ang chi avanga lo awm a nih chuan hriatchhuahna atan a pui thei bawk. Lumbar puncture hian CSF tam lutuk thenkhat chu a paih chhuak thei bawk a, chu chuan hun eng emaw chen chu a natna lan chhuahna a tiziaawm thei (mahse CSF dah leh a nih chuan a lan chhuah dan chu a lo kir leh ang).

I natna lan chhuah dan azirin i doctor chuan test dang pawh a ti thei bawk. Hengte hi NPH nena inmil symptom nei condition dangte paih chhuah nan a ni tlangpui. I doctor chuan heng test te leh a pawimawh chhan te a hrilh belh ang che.

Engtin nge `(NPH)` hi enkawl a nih? Hei hi damdawi famkim a awm em?

A tam zawkah chuan NPH hi enkawl theih a ni.. NPH hi primary/idiopathic nge secondary a nih dan azirin enkawl dan a inang lo. Brain disorder dang tam tak ang lo takin damdawi hi NPH enkawlna atan hman a tlem hle. Hei hi a chhan chu NPH hian damdawi a dawng lo fo thin (NPH nena inzawm symptom thenkhat chu damdawi hmanga enkawl theih ni mahse).

Primary/idiopathic (NPH) enkawl dan tur .

Primary/unknown cause (NPH) hi a tlangpuiin enkawl theih a ni. Hei hi enkawlna tlanglawn ber – leh hlawhtling ber – chu shunt an tih hmanrua surgery hmanga dah hi a ni. Shunt hian tube (catheter) pahnih a nei a, pakhat chu tui luh theihna tur leh pakhat chu chhuah chhuahna tur a ni a, an pahnih inkarah hian valve a awm a ni. Thluak ventricle-te chu tuiin a khat lutuk a nih chuan, pressure sang chuan tui chu inlet tube-ah a luh tir a, valve chu a hawng a, tui tam lutuk chu outlet tube kaltlangin a luang chhuak thei a ni.

Shunt valve thar zawk thenkhat chu ``programmable''-ah siam a ni a, chu chu doctor chuan operation tel lovin an setting a thlak thei tihna a ni. ``X-ray''-ah an lang thei a, chuvang chuan doctor chuan valve chu a en thei a, settings dik tak a nih leh nih loh a enfiah thei bawk. Shunt thar zawk thenkhat chu ``MRI-safe,'' a ni a, chu chu hetiang valve chi hi nei mahse ``MRI'' scan i nei thei tihna a ni.

Drainage tube hi luruh chhunga khur te tak te atang hian a chhuak thin (doctor chuan operation neih laiin he khur hi shunt dah turin a siam thin). Luruh atanga a chhuah hnuah tube chu hnuai lam hawiin a inher a, vun hnuaiah a lut ta a ni. He drainage tube hian tui chu rilru emaw pum chhungah a hruai lut thin.

Tube chu pum chhungah a kal a nih chuan (chu chu tih tam ber a ni) chu tui chu peritoneum, pum chhunga taksa peng tam tak hualtu membrane atanga lak chhuah a ni. Chest-a a kal chuan CSF chu lung hualtu pleural membrane aṭangin a suck a ni.

Secondary `(NPH)` tih a ni

Secondary NPH hi tihdam theih a ni thei a, mahse chu natna chu enkawl theih natna avanga lo awm a nih chauhvin . Secondary NPH enkawlna hi a chhan bulpui a zirin a danglam thei hle. I doctor hi enkawlna awm thei leh an rawtna chungchang sawipui tur tha ber a ni.

Enkawlna avanga side effect emaw complication emaw awm thei chu engte nge ni?

NPH enkawl hian a side effects hi a enkawl dan azirin a inang lo. Primary/unknown NPH-ah chuan enkawlna tlanglawn ber chu surgery hmanga shunt dah a ni a, chu chuan CSF tam lutuk chu luruh chhunga a awm khawm loh nan a titawp thin. He surgery avanga side effect thenkhat chu (mahse a huam chin erawh a ni lo):

• Infection awm thei te
• Shunt a chhiat emaw, a chhiat emaw
• Valve leh/ emaw tube-a position inthlak danglamna
• Shunt kaltlangin `(CSF)` a leak tam lutuk (hei hian `(CSF)` pressure a tihhniam a, `(Intracranial hypotension)` an ti bawk ).

Secondary NPH-ah chuan enkawlna awm dan a inang lo thei. Tin, a side effect leh complication pawh a inang lo thei bawk. Chuvangin, i doctor hi eng complication emaw side effect emaw i beisei theih tur leh eng nge tih theih tih hrilh turin mi tha ber a ni.

Ka in enkawl loh chuan engtin nge symptoms hi ka enkawl theih ang?

NPH hi mahni chauha i hriat theih emaw, i enkawl theih tur condition a ni lo. Chuvangin, a natna lan chhuah dan chu ngaihthah suh la, nangmah emaw, midang emaw chu nangmah chauhin heng natna lan chhuahna nei hi enkawl tum suh .

Engtiang chiahin nge enkawl hnuah ka dam leh ang? Enkawlna atanga dam leh theih nan eng chen nge a duh?

Hetiang dinhmun chhinchhiahna hi shunt dah a nih atang hian a lo tha chho nghal mai thei . Diagnosis leh treatment tih hma poh leh a hlawhtling zawk thin.

Mi tam zawk chuan shunt an dah hnu darkar engemaw zat emaw, ni engemaw zat emaw chhungin an natna lan chhuah dan a tlahniam tih an hmuchhuak thin. Mahse, shunt hi surgery lian tak a nih avangin mi tam takin an dam leh theih nan ni engemaw zat emaw, kar engemaw zat emaw an hmang thei a ni. I doctor chauh hian operation atanga i dam leh theih nan eng chen nge a rei dawn tih chiang takin a hrilh thei ang che, thil tam takin i dam hun chhung a nghawng avangin.

I vei theihna (NPH) hi ka tihtlem thei ang em, ka veng thei ang em?

NPH hi beisei loh takin a thleng a, a chanve vel chu idiopathic an ni a, chhan hriat lohvin an lo awm tihna a ni. Idiopathic NPH hi ven theih a ni lo , a vei theihna pawh a tlahniam thei lo.

Mahse, he natna thlen thei natna dang emaw, dinhmun dang emaw pumpelh hian secondary NPH vei theihna i tihziaawm thei a ni . I tih theih ṭhenkhat chu hetiang hi a ni:

• Infection , a bik takin mit leh beng natna hi ngaihthah suh . Hengte hi awlsam takin thluak ah a darh thei a , encephalitis emaw meningitis ang chi natna a thlen thei bawk .
• Invenna hmanrua bun rawh . Traumatic brain injuries hian secondary NPH a thlen thei a ni. Helmet ang chi invenna hmanrua bun hian heng hliamte hi a veng thei a ni.
• I hriselna dinhmun control rawh . Thisen sang ang chi natna hian thluaka thisen zam (brain aneurysm) a thlen thei a, thluaka thisen a chhuak thei bawk. Heng pahnih hian NPH a thlen thei a ni. I thisen sang control leh type 2 diabetes emaw cholesterol sang emaw ang chi dinhmun enkawl hian heng harsatnate hi i neih theihna a ti tlem thei a ni.

`(NPH)` ka neih chuan eng nge ka beisei ang?

NPH hi dementia ang chi natna bik a ni a, a chhan chu a let leh theih fo avangin . Mahse, he natna hi tihdanglam theihna chance tha ber chu a hmaa hriatchhuah leh enkawl hmasak hi a ni . A hnu lama hmuhchhuah leh enkawl a nih poh leh stress avanga thluak chhiatna chu a awm reng ang a, a na hle bawk ang.

NPH hian i ngaihtuahna a nghawng tlangpui avangin, he natna vei tam tak chuan an nei tih an hre lo. Chhungte, ṭhiante, leh mi hriatte chu NPH natna lan chhuah dân hre hmasa ber an ni fo . Hei hian NPH natna hmuhchhuah leh enkawl hmasakna kawngah hian hmangaih tak takte hian chanvo lian tak an nei thei tihna a ni.

`(NPH)` hi eng chen nge a awm tawh?

NPH hi natna khirh tak a ni . Thla thum atanga thla ruk chhungin symptoms hi a lo lang zauh zauh thin. Mahse, NPH hi a mah chauhin a ṭha lo; a chhe zual zel a ni. A na zual zel chuan a tawpah chuan thluak na tak leh chatuan atan a tichhe thei a ni.

NPH hian a mah chauhin thihna a thlen lo thei a, mahse, mi pakhat tan mahni inrintawkna neia nun a harsat leh a tawpah chuan a theih loh phah thei symptoms a thlen thei a ni. Tin, harsatna lian tak tak, nunna atana hlauhawm, tlu ang chite pawh a thlen thei bawk.

Enkawlna nen chuan `(NPH)` natna lan chhuah dan ber chu a lo tha zawk a rinawm. Enkawlna a awm chuan chu natna lan chhuahna pathumte chu a lo ṭhat theihna chu hetiang hi a ni:

• Kal harsa : Heng natna lan chhuah dan hi enkawl damlo 85% vel ah a reh thin.
• Incontinence : He symptom hi enkawl hmasak chuan 80% velin a tidam thei a ni. Enkawl tlai a nih chuan a dam theihna chance chu 50% leh 60% inkar a ni.
• Ngaihtuahna leh hriatrengna lama harsatna : Heng symptoms hi enkawl damlo 80% vel ah a tha zawk.

Hetiang dinhmun hi eng nge a thlir ang?

`(NPH)` thlirna hi a inang lo thei hle. Hei hi a chhante chu:

• NPH hi hriat a harsa hle a, a chhan chu a natna lan chhuah dan chu tar ruala a lan dan pangngai nen a inang a, a nih loh leh kum upa lam natna dang nen a inang a ni.
• `(NPH)` symptoms te hi zawi zawiin a kal zel a.
• NPH vei hmun thuma ṭhena hmun khat vel chuan Alzheimer natna ang chi thluak natna (degenerative brain disease) an nei bawk.
• Kan tar chhoh zel chuan NPH hi a hluar chho zel a, kum upa lam nena inzawm hriselna lama harsatna awm fo tam tak hian NPH hi a thlen thei a, a ti na zual thei bawk.
• `(NPH)` symptoms hian i ngaihtuahna a nghawng avangin nangmah ngeiin i symptoms chu i hre thei lo mai thei.

`(NPH)` result tichhe thei thilte

Heng thilte hi a awm chuan `(NPH)` atanga result tha tak hmuh theihna chance a sang hle:

• A hmaa hriatchhuah leh enkawl.
• Kal leh/ emaw zun control harsatna a awm a, chu chu ngaihtuahna leh hriatrengna lama harsatna a awm bawk.
• Secondary NPH hi dam theih emaw, tihdanglam theih emaw avanga lo awm a ni.
• Lumbar puncture laiin CSF lakchhuah a nih chuan NPH symptoms a tlahniam thin.

Heng thilte hi a awm chuan result tha tak neih theihna chance a hniam hle:

• Diagnosis leh enkawl hun sawn hlat.
• Ngaihtuahna leh hriatrengna lama harsatna lo awm tan hma, a bik takin kea kal harsatna emaw, zun chhuah loh emaw atanga tan a nih chuan.
• Ngaihtuahna leh hriatrengna lama harsatna nasa tak.
• Thluak natna dang (a bik takin thluak natna degenerative Alzheimer’s disease ang chi) neih.

Thil tam takin a rah chhuah a nghawng avângin, i doctor chu nangmah emaw, he natna vei i hmangaih tak emaw tâna a rah chhuah theih tûr chungchâng sawipui tûr ṭha ber a ni. An thu hriatte chuan i damdawi lam chanchin, i natna lan chhuah dan nasat dan, enkawl dan tur leh thil pawimawh dangte a huam ang.

Engtin nge ka in enkawl ang (shunt ka neih hnuah)?

NPH i neih chuan enkawlna i dawn theih ber chu thluak chhunga tui awm loh nan shunt dahna tur surgery a ni. Shunt i neih chuan harsatna laka invenna tur thil tlemte i tih theih a awm tlangpui:

• Operation hnuah i doctor thupek zawm rawh . A bik takin stitch emaw staple emaw dahna hmunte hi uluk taka enkawl a pawimawh hle. Hengte hi uluk taka enkawl hian natna hrik ang chi harsatna a awm loh nan a pui thei a ni.
• A tul chuan magnet atanga hla takah awm rawh . Shunt zawng zawng hian magnetic valve an nei vek lo va, chuvangin hei hi shunt nei zawng zawngin an tih tur a ni lo. I doctor chuan hemi chungchang hi a sawipui ang che.
• Incheina leh thiltih danah fimkhur rawh . Shunt, tube emaw thil dang emaw tichhe thei taksa tihchakna chu pumpelh rawh.
• I doctor hnenah a rawt angin hmu rawh . Hetiang dinhmun atanga harsatna lo thleng tur ven nan doctor pan fo a pawimawh. Heng tlawhnaah hian i doctor chuan i dinhmun a enfiah thei a, a tul chuan shunt pawh a siamrem thei bawk.
• Symptoms te chu en reng rawh . `(NPH)` a lo lang leh tih i hriat chuan doctor hnenah a rang thei ang bera hrilh rawh. Symptoms lo lang leh hian shunt-ah harsatna a awm tih a tilang thei. Symptoms a awm rei leh a na zual poh leh complication a awm theihna a sang zawk.

Engtikah nge ka doctor ka hmuh ang?

Doctor rawt angin i hmu tur a ni. I NPH symptoms a lo lang leh tih i hriat chuan, emaw, symptom thar i neih chuan (a inzawm lo ang maia lang pawh nise) i doctor i pan tur a ni.

Engtikah nge Emergency Department (ETU) ah ka kal ang ?

I doctor chuan harsatna emaw, harsatna awm thei emaw tilang thei symptoms te a hrilh ang che. Damdawi lam pan vat ngai symptom thenkhat chu:

• Lu na . I thiltih pangngai tibuaitu lu na, a bik takin i thut emaw, i ding emaw atanga a intan emaw, a na zual emaw a nih chuan. Hengte hi shunt-a harsatna (CSF a chhuah tlem chuan), emaw, shunt a hmun atanga a chhuah loh vang emaw a ni thei.
• Khawsik emaw, khawsik emaw . Shunt surgery hnuah infection a awm thei. Heng natnate hian i thluak, i ruhro emaw, i peritoneum emaw a nghawng thei a, a darh chak thei bawk. (NPH) surgery hnuah natna kai chhinchhiahnate chu ngaihthah ngai suh .
• Kawngkhar khauh tak . Hei hi shunt emaw outflow tract emaw-ah harsatna a ni thei.
• Duct awmna pum emaw, rilru emaw a naDrainage tube a chhuah chuan a bula tissue te chu a pinch emaw a tichhia emaw a ni. Heng hmunah te hian natna i neih chuan, a bik takin natna rang tak, na tak i neih chuan doctor ko emaw, emergency room-ah emaw i kal nghal tur a ni.

I hriat tur chhinchhiahna dang pawh a awm thei a, i doctor chuan a sawi belh ang che. Heng harsatnate laka invenna atana i tih theih tur chungchanga zawhna chhangtu tha ber a ni bawk.

`(Normal Pressure Hydrocephalus - NPH)` leh `(Hydrocephalus)` te hi eng nge an danglamna?

NPH hi hydrocephalus (tui lu) an tih hi a ni a, a lo thang zauh zauh a, hun kal zelah a na zual zel bawk. "Normal pressure" tih hian i luruh chhunga pressure (intracranial pressure - ICP) chu a pangngai lo emaw, hlauhawm takin a sang lo tihna a ni. Hetiang a nih chuan i ICP level chu beisei ang range chunglam hnaih ber a ni thei. Hei hi zawi zawiin a thleng a, i thluak tissue chu a hrual a, a hrual bawk. Pressure hi a normal deuh a, chuvangin thluak hian tui chu chhuah tir turin hun a nei a, chu chu a tawpah chuan symptoms thlentu a ni.

A tawp berah chuan hriat reng tur (Take-Home Message) .

Normal Pressure Hydrocephalus (NPH) hi natna hlauhawm tak a ni a, kum 65 chunglamte a vei tam ber a, idiopathic a ni thei a, meningitis ang chi natna avanga lo awm a ni thei a, thluak hmun thenkhat hliam vang pawh a ni thei bawk. Hetiang dinhmun hian dementia ang chi symptoms a thlen thei a , kea kalna, ngaihtuahna, leh zun control theihna a nghawng thei a ni.

Dementia ang maia lang tam tak chu hun kal zelah a na zual zel a, enkawl leh enkawl a harsa hle. Mahse, NPH hi enkawl theih a ni fo va, a chang chuan tihdanglam theih a ni bawk . NPH nghawng tihdanglam theihna chance tha ber chu a hmaa hmuhchhuah a nih a, enkawl hmasak a nih chuan a ni. Chuvangin i symptoms emaw, i hmangaih tak symptoms emaw ngaihthah loh a pawimawh. Enkawlna rang tak pek a nih chuan NPH vei tam tak chu an dam leh thei a, an theihna awmsa tam zawk – emaw, a zawng zawng emaw – an nei leh thei a ni.

Hemi chungchangah hian rinhlelhna i neih chuan damdawi lam thurawn lak a tha ber tih hre reng ang che.

` Thluak pressure, NPH, tar, kal harsa, zun control, hriatrengna hloh, shunt surgery