Ki tō whakaaro he nui ake te mahunga o tāu tamaiti i tōna tau? Kua tīmata rānei tētahi kaumātua o te whānau ki te uaua ki te hikoi, ki te wareware rānei? He tohu pea ēnei o tētahi mate e kiia nei ko te hydrocephalus, e kiia nei e tātou ko te 'wai i runga i te roro'. Kaua e mataku ina rongo koe i tēnei. Ko te mea nui ko te tino mōhio ki tēnei mate, me te rapu awhina hauora i te wā tika. Me kōrero tātou mō tēnei i tēnei rā.
He aha te Hydrocephalus?
Ehara tō tātou roro i te mea noa i roto i tō tātou angaanga. He mea tiaki, ā, e mānu ana i roto i tētahi wai motuhake. Ka huaina tēnei wai ko te Wai Cerebrospinal (CSF) . Pērā i te 'ārai ru' i roto i te motuka, ka tiakina e tēnei wai CSF tō tātou roro mai i te kino ina rūrū, ina pā rānei ki tōna mahunga. Ehara i te mea koinā anake, ka āwhina hoki tēnei wai ki te whakarato i te roro ki ngā matūkai e tika ana, me te tango i ngā para mai i te roro.
Ka hangaia tonutia tēnei wai CSF i roto i ngā kōhao iti (ventricles) i roto i te roro, ka tohatohahia, ka mimitia anō ki roto i te tinana. Whakaarohia he rite ki tētahi tāke wai e whakakīia ana ki te wai, e rere ana i roto i ngā paipa, e whakamahia ana, ā, ka ringihia atu te toenga.
Ko te Hydrocephalus he mate e kohikohi ai te wai CSF i roto i ngā kōhao i roto i te roro nā te mea he raruraru kei roto i tēnei tukanga, ka puta he pēhanga koretake ki te roro. Pērā i te wā e purua ana he paipa wai, ka kī te wai i te wāhi kotahi ka puea ake. Ka taea e tēnei pēhanga te kino i te kiko o te roro.
He aha ngā tohu ka rerekē i te pakeketanga?
Ka rerekē pea ngā tohu o tēnei mate i runga i te tau o te tangata. Me titiro tātou ki te pānga ki ia reanga tau.
| Rōpū tau | Ngā tohu noa |
|---|---|
| Ngā pēpi |
|
| Ngā tamariki nohinohi me ngā tamariki e haere ana ki te kura | |
| Ngā pakeke |
He aha ngā tino take o te hydrocephalus?
E toru ngā take matua mō tēnei:
1. Ārai: Ko te ara e rere ai te wai CSF ka āraia pea nā te pukupuku roro, te whēwhē kī tonu i te wai, te hapa whānau, te whara o te upoko, te whiu rānei. Koinei te tino take.
2. Te Ngongo Kino: Tērā pea he iti iho te kaha o te kiko roro ki te ngongo i te wai CSF. Tērā pea nā ngā mate pēnei i te meningitis, te mumura rānei i puta mai i ngā whara o te mahunga.
3. Te nui rawa o te wai: I ētahi wā onge, ka nui ake te wai CSF e whakaputaina ana e te roro i tā te tinana e kaha ai. He maha hoki ngā wā ka hono atu tēnei ki ngā mate pāwera.
Me pēhea te tautuhi i te mate?
Mena ka puta mai i a koe, i tāu tamaiti rānei ngā tohu o runga ake nei, me toro atu ki tētahi tākuta whai tohu tonu.He mea nui tēnei. Ka tirotirohia e te tākuta tō tinana i te tuatahi, ā, ka pātai atu mō ō tohumate. Kātahi ka tonoa pea e rātou ētahi whakamātautau pēnei hei whakaū i te mate:
- Whakamātautau io: Te tirotiro i tō taurite, tō kaha o ngā uaua, tō tirohanga, me tō mahi hinengaro.
- Ngā matawai roro:
- Matawai CT (Matawai Tomography Rorohiko): Ka taea te whakamahi i tētahi raupapa whakaahua whakawhiti-wāhanga o te roro hei tirotiro mēnā kua nui haere ngā kōhao o te roro, mēnā rānei he ārai.
- Matawai MRI (Whakaahua Āhua-Mate): Mā tēnei ka āwhina i te tiki whakaahua mārama ake, taipitopito ake hoki o te roro me ngā ara CSF.
- Werohanga o te Lumbar / Tap Spinal: Ka werohia he ngira iti ki roto i te taurakira hei tango i te wai CSF. Mā tēnei ka taea te whakaatu i te pēhanga i roto i te roro me te aroaro o te mate.
- Te Aroturuki i te Pēhanga o roto o te Angaanga (ICP): I ētahi wā, me whakauru he taputapu iti ki roto i te roro hei ine tika i te pēhanga i roto i te roro.
He aha ngā maimoatanga?
Ko te whāinga matua o te rongoā i te hydrocephalus ko te tango i te wai nui kua kohia i roto i te roro, me te whakaiti i te pēhanga ki runga i te roro.
Ko te mea nui, kāore e taea te whakaora katoa i tēnei mate mā te rongoā. Engari ka taea te whakahaere angitu mā te pokanga, ā, ka taea e koe te noho i te oranga noa.
Ko te maimoatanga matua ko te whakatakoto i tētahi shunt .
He whakarāpopototanga noa iho, he ngongo kirihou angiangi, ngāwari hoki te shunt e whakaurua ana ki raro i te kiri. Mā te huri i te wai CSF nui rawa e kohia ana i roto i te roro ki tētahi atu wāhanga o te tinana (te puku te nuinga o te wā) ka taea te mimiti ngāwari i te wai. He rite tēnei ki te hanga i tētahi 'takahi' hou kia rere ai te wai i roto i te roro. Whai muri i te whakatakotoranga o te shunt, me toro atu koe ki tō tākuta i ia wā kia mōhio ai kei te pai te mahi.
I ētahi wā, ka taea te whakahaere maimoatanga me te kore he shunt. Ko te Endoscopic Third Ventriculostomy (ETV) tētahi o aua momo pokanga. I roto i tēnei tikanga, ka whakauruhia he kāmera iti (endoscope) ki roto i te roro, ā, ka hangaia he ara hou hei rere mā te CSF. Mā tō tākuta e whakatau ko tēhea maimoatanga te mea pai māu.
Kia tūpato ki ngā raruraru ka puta i muri i te maimoatanga.
I muri i te whakatakotoranga o te shunt, ka āraia, ka pangia rānei. Mēnā ka puta tēnei, ka tīmata anō ngā tohu o te hydrocephalus.
Kia tūpato ki ēnei tohu:
- Te ānini, te ruaki
- Tirohanga taha-rua
- Te whero me te mamae i te ara o te shunt
- Te kirika, kāore he take
- Te hiamoe nui rawa
He mea tino nui: Mena he uaua ki te whakaara i te tamaiti, i te tūroro rānei, ki te kore rānei e mōhio, haria tonutia ia ki te Wāhanga Maimoatanga Ohotata (ETU) o te hōhipera, nā te mea kei roto pea ia i te koma.
Karere Tangohia ki te Kāinga
- Ko te hydrocephalus, arā, ko te 'wai i runga i te roro', he mate e nui haere ai te pēhanga i roto i te roro nā te kohi o te wai CSF. He mate kino tēnei.
- Ka rerekē ngā tohu i runga i te tau. Ko ngā tohu matua pea ko te māhunga nui i roto i ngā pēpi, me ngā raruraru ki te hikoi me te mahara i roto i ngā pakeke.
- He mea nui kia rapu tohutohu hauora i te wā tonu ka kitea ai ēnei tohu. Mā te kitenga wawe i te mate ka nui ake te tūponotanga o te angitu o te maimoatanga.
- Ko te maimoatanga matua ko te pokanga i te whakaurunga o te shunt. Ka roa pea tēnei mō te wā katoa, ā, me tirotirohia i ia wā kia mōhio ai kei te pai te mahi.
- Me whakapā atu ki tō tākuta, me ata whai i ana tohutohu, ā, me ripoata tonu atu mēnā he tohumate pea.
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