Kia ako tātou i ētahi atu kōrero mō te hydrocephalus, te kohikohinga wai i roto i te upoko.

Kua rongo koe i te kupu "wai e whakakī ana i tō mahunga"? Tērā pea kua pāngia tētahi o tō whānau, tētahi hoa, tētahi tamaiti nohinohi rānei e tēnei mate. He aha rawa te āhua? Ahakoa he āhua whakamataku pea, ki te mōhio tika koe, ka taea e koe te whakaiti i ngā raruraru maha. I tēnei rā ka kōrero tātou mō tēnei mate e kiia nei ko te Hydrocephalus .

He aha te Hydrocephalus?

Ki te kī māmā noa, ko te hydrocephalus he putunga wai rerekē i roto i tō roro . Ko te kupu "Hydro" he kupu Kariki mō te "wai" me te kupu "cephalus" mō te "upoko." I mua ko te "wai i roto i te mahunga" te ingoa. Engari ko tēnei "wai" he wai mārama, kore tae e kiia nei ko te wai cerebrospinal (CSF) . Ka karapotia tō roro me tō taurakira e tēnei wai.

Whakaarohia, kei roto i tō tātou roro he rūma iti e kiia nei ko ngā ventricles . Ka rere tēnei wai CSF mā roto i ēnei rūma. Ka whakaratohia e tēnei wai CSF te roro ki ngā matūkai e hiahiatia ana e ia, ā, ka tangohia ngā para mai i te roro. Waihoki, ka karapotia e tēnei wai CSF tō tātou roro me te taurakira rite ki te urunga, ka tiakina mai i ngā tūponotanga kino . Kātahi ka mimitia anō tēnei wai CSF ki roto i ō tātou toto.

I te nuinga o te wā, ka whakaputahia e tō tātou tinana te nui o te CSF e hiahiatia ana e ia rā, kātahi ka mimiti anō i te nui ōrite. He tukanga taurite tēnei. Heoi, ki te mea he aukati i te rere, i te mimiti rānei o tēnei wai CSF , ka tīmata te raruraru. Ina tupu tēnei, ka tīmata te kohikohi o te wai CSF, ā, ka nui haere ngā ventricles o te roro. Ka piki ake te pēhanga i roto i te upoko. Ina piki ake tēnei pēhanga, kāore e taea e te roro te mahi tika.

Ko wai ka pāngia e te hydrocephalus?

E ai ki ngā tatauranga i te Hononga o Amerika, kotahi, e rua rānei i roto i te 1,000 pēpi e whānau mai ana ka whānau mai me tēnei mate. Heoi, me mahara tātou ehara i te mea mō ngā pēpi nohinohi anake tēnei mate, engari ka pā anō hoki ki ngā tamariki pakeke ake, ngā pakeke, ngā kaumātua, me te tangata o ngā tau katoa .

He aha ngā momo matua o te hydrocephalus?

E whā ngā momo matua o te hydrocephalus. Me titiro tātou ki ēnei momo.

1. Te Whakawhitiwhiti i te Hydrocephalus:

Ka puta tēnei ina āraia te wai CSF, i muri i tōna wehenga atu i ngā ventricles o te roro, i tētahi wāhi i te ara e rere ana. Tērā pea nā te matotoru o ngā kiriuhi i te pūtake o te roro, pērā i te arachnoid . Ka kiia tēnei ko te "whakawhitiwhiti kōrero" nā te mea ka taea tonu e te wai CSF te rere i waenga i ngā ventricles o te roro, ko te tikanga kei te tuwhera ngā ventricles.

2. Te Mate Hukarere Kore-Hikorero / Te Mate Hukarere Ārai:

Ko te mea ka tupu i tēnei, ka aukatia tētahi, ētahi rānei o ngā uaua iti e hono ana i ngā ventricle o te roro, pērā i te paipa wai e mau ana i waenganui.

3. Te Hydrocephalus Pēhanga Noa (NPH):

He rerekē paku tēnei. I konei anō hoki, ka kohia te wai CSF, ka nui haere ngā ventricles o te roro, engari kāore te pēhanga i roto i te pane e piki ohorere ana, kāore rānei e piki iti rawa. Ko te rerekētanga o te NPH ki te whakataurite ki ētahi atu momo, ahakoa te nui rawa o te wai CSF, kei te taumata noa te pēhanga i roto i ngā ventricles. Ka āta kohia tēnei wai CSF, nō reira ka puta ngā tohu i roto i te wā. Ko te NPH te mea tino kitea i roto i te hunga kaumātua.

4. Te mate waikura i waho o te waikura:

Ka puta tēnei ina pakaru te roro, pērā i te whara o te upoko , i te whiu rānei . Ina tupu tēnei, ka mimiti te kiko roro e karapoti ana i ngā ventricles o te roro. Kātahi ka nui haere te wai CSF hei whakakī i te ātea. Ahakoa kua nui haere ngā ventricles, he noa tonu te pēhanga i roto i te roro.

Ina kōrerohia tēnei, ka rongo pea koe i te kupu ventriculomegaly . Ko te tikanga tēnei kua rahi haere ngā ventricles o te roro o te pēpi. Tērā pea nā te hydrocephalus tēnei, engari ka taea hoki e ēnei rūma te rahi haere mō ētahi atu take.

He aha ngā take o te hydrocephalus?

He maha ngā take ka pā mai ai te hydrocephalus. Ka whānau mai , ka riro mai rānei .

Ngā Take o te Hydrocephalus Congenital:

Tērā pea ka puta tēnei i te huinga o ngā āhuatanga ira me te taiao i te wā e whanake ana te pēpi i roto i te kōpū. Ko ngā tino take ko:

• Ko te spina bifida me ētahi atu hapa ngongo io o te roro me te taurakira.
• Ko te stenosis aqueductal he whaiti o te ara i waenganui i te ventricles tuatoru me te tuawhā o te roro.
• Ngā raruraru o te whānautanga o mua i te wā, hei tauira, te toto i roto i ngā rūma o te roro.
• Ka pupuhi pea ngā kiko roro o te pēpi i ngā mate pēnei i te rubela ka pā ki te whaea i te wā e hapū ana.

Ngā take o te hydrocephalus kua riro mai:

Ka taea tēnei te puta i ngā wā katoa i muri i te whānautanga, ahakoa te pakeke. Ko ngā tino take ko:

• Ngā whara nui o te upoko (ngā whara o te upoko).
• Te whiu.
• Ngā pukupuku e puta mai ana i roto i te roro, i te taurakira rānei.
• Ngā mate urutā o te roro, o te taurakira rānei, pērā i te meningitis .

Hei tāpiritanga, ka puta pea te hydrocephalus pēhanga noa (NPH) nā te toto, ngā raruraru rānei mai i te pokanga. Ka puta te NPH ki ētahi tāngata, kāore he take e kitea ana.

He aha ngā tohu o te Hydrocephalus?

Ka rerekē ngā tohu i runga i te pakeketanga, te haere whakamua o te mate, me te pai o te manawanui o te tangata ki te kohi o te wai CSF.

Ngā tohu i roto i ngā pēpi:

• He tino nui te upoko o te pēpi.
• Te āhua nei kei te pupuhi te fontanel i te tihi o te māhunga o te pēpi .
• Kei te anga whakararo ngā kanohi o te pēpi, me te mea kei te tō te rā (ngā kanohi tō-rā) .
• Te ruaki .
• Te hiamoe me te ngenge tonu .

Ngā tohu i roto i ngā tamariki pakeke:

• Te mamae o te upoko.
• Whakapairuaki me te ruaki.
• Te ngoikore o te tirohanga (hei tauira, te tirohanga takirua, te tirohanga pōuri).
• Ngā whakaroa whanaketanga (hei tauira, te whakaroa kōrero, te hikoi, ngā raruraru ako).

Ngā tohu i roto i ngā pakeke:

• Te mamae o te upoko.
• Whakapairuaki me te ruaki.
• Te ngoikore o te tirohanga.
• Te ngenge tonu.
• Ngā raruraru taurite me te taunga o ngā waewae (hei tauira, te tūwhera i te wā e hikoi ana).
• Te ngaronga o te mahara mō te wā poto (hei tauira, te warewaretanga ki ngā mahi o nā tata nei).

Ngā tohu i roto i ngā kaumātua (he maha ngā wā i roto i te NPH):

• Ngā raruraru o te hīkoi (hei tauira, te hīkoi me ngā takahanga pakupaku me ngā waewae wehe, me te uaua).
• Ko ngā tohu matua o te mate wareware ko te ngaromanga haere o te mahara.
• Te warewaretanga.
• Te ngaronga o te mana whakahaere o te pūkahukahu.

Me pēhea te tautuhi i te Hydrocephalus?

Ka tātaritatia tēnei mā te aromatawai io. Tērā pea ka whakamahia e tō tākuta ngā tikanga whakaahua pēnei i te matawai ultrasound, te matawai tomography rorohiko (CT), te matawai whakaahua aukume (MRI) rānei hei tirotiro i tō roro.

Kei te whakahaerehia ētahi atu whakamātautau hei tautuhi i tēnei mate i roto i ngā pakeke. Ko ēnei:

• Wero tuaiwi/pūwero hope.
• Te aroturuki i te pēhanga o roto o te angaanga (ICP): I roto i tēnei, ka whakauruhia he taputapu iti ki roto i te roro hei ine i te pēhanga i roto i te roro.
• Whakamātautau fundoscopic: Ko te tirotiro i te io whatu i roto i te kanohi me te whakamahi i tētahi taputapu motuhake.

Ka pai haere noa iho rānei te hydrocephalus?

Kāo. He āhuatanga noa iho tēnei e kore e pai ake.Ki te kore e rongoatia, ka mate pea. Nō reira, ki te kitea wawe te mate, ā, ki te rongoatia angitu, ka nui ake te tūponotanga o te ora pai.

Ka taea te rongoā i te hydrocephalus?

Āe. Ka taea te rongoā i te hydrocephalus. Ahakoa kāore anō kia kitea he huarahi hei whakaora katoa, hei ārai rānei i tōna whanaketanga, ka rongoāhia mā te pokanga.

Me pēhea te rongoā mō te hydrocephalus?

Ko te pokanga roro anake te maimoatanga o nāianei. E rua ngā momo pokanga matua hei rongoā i te hydrocephalus:

1. Te Whakatakoto i te Shunt:

Koinei te maimoatanga tino noa. He ngongo ngāwari te shunt e whakanohoia ana ki roto i te roro, ka haria te wai CSF nui ki tētahi atu wāhanga o te tinana (te puku). I reira, ka mimitia te wai ki roto i te tinana. Whakaarohia he rite ki te whakauru i tētahi ngongo mā roto i tō ihu hei tango i te wai nui.

2. Te Endoscopic Tuatoru Ventriculostomy (ETV):

I tēnei pokanga, ka hangaia he kōhao iti ki raro i te ventricle tuatoru o te roro. Mā tēnei ka puta he ara mō te wai CSF kia rere noa ki roto, ki te taha hoki o te roro. Ko te tikanga, ka mahia tēnei pokanga ki ngā tamariki neke atu i te 2 tau te pakeke.

He aha ngā raruraru o te maimoatanga o te hydrocephalus?

He maha ngā tāngata e ora pai ana mō ngā tau maha, kāore he raruraru. Heoi, ka puta ohorere mai ngā raruraru. Me tirotiro hauora te hunga whai shunt. Ka pakaru pea te shunt, ka mutu te mahi tika, ka pangia rānei. Ki te tupu tēnā, me mahi anō pea koe i tētahi atu pokanga roro. Ka taea hoki e te pokanga ETV te kati anō i ngā wā katoa, he mea morearea anō hoki tēnā.

Mena ka pāngia koe e ētahi tohu o te raruraru shunt, te aukati rānei o te ETV, me rapu tonu koe i te awhina hauora. Tērā pea he rite ēnei tohu ki ngā tohu tōmua o te hydrocephalus:

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* Te ānini o te upoko

* Te ngoikore o te tirohanga

* Whakapairuaki, ruaki rānei

* Ngenge tonu

Tērā pea ka puta mai ngā āhuatanga hou pēnei i ēnei:

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* Mamae uaua i te kaki, i ngā pakihiwi rānei

* Ngā mate hopuhopu

* Te whero, te mamae rānei ina pāngia te wāhi o te shunt

* Kirika iti

He aha te heke mai mō te tangata e pāngia ana e te hydrocephalus?

Mā te pokanga, te tiaki hauora tika, me te aroturukitanga hauora auau, ka taea e te nuinga o te hunga whai hydrocephalus te noho ora noa, harikoa hoki.Heoi anō, ka rerekē pea tēnei āhuatanga me ngā raruraru ka puta mai i te pokanga i ia tangata, i ia tangata. Nō reira, he mea nui kia mahi tahi koe me tō tākuta kia whiwhi ai koe i te maimoatanga me ngā tohutohu e tika ana.

Ina koa ka pāngia te whanaketanga hinengaro me te whanaketanga tinana o ngā tamariki e te hydrocephalus. Nō reira, me kōrero ngā mātua o ngā tamariki e pāngia ana e te hydrocephalus ki ā rātou tākuta, me mahi hoki kia puta ai ngā hua pai rawa atu mō tā rātou tamaiti.

He mea noa te mataku ina rongo koe he hydrocephalus tō tetahi e arohaina ana e koe. Engari kia maumahara, ehara i te mea ko koe anake. Ka taea e tō tākuta te tautoko me te mātauranga e hiahiatia ana e koe me tō whānau. Mā te mōhiotanga tika, te whakamahere, me te mahi tika, ka taea te whakatutuki i te moemoeā a tō hoa aroha kia noho noa, kia harikoa hoki.

Karere Whakamutunga mō te Tango ki te Kāinga

Ko te hydrocephalus he mate e kohikohi ai te wai CSF i roto i te roro. Ka taea te whakawhanake i roto i te tangata o ngā tau katoa.

• He mea tino nui kia mōhio wawe koe ki ngā tohu. Ina koa mēnā kei te nui haere te māhunga o tō pēpi, kei te pupuhi te karauna, kei te anga whakararo rānei ngā kanohi, me kawe tonu atu ki te tākuta.
• He mate tēnei ka taea te rongoā mā te pokanga . Ko te pokanga hūnihi, te pokanga ETV rānei te rongoā matua.
• Me tirotirohia tonutia te tinana e te rata i muri i te maimoatanga, nā te mea ka puta pea ngā raruraru ki te shunt.
• Kaua e manukanuka. Mēnā ka whiwhi maimoatanga tika me ngā tohutohu hauora, ka taea e te nuinga o te tangata te noho noa.
• Mena kei a koe, kei tētahi atu rānei e mōhio ana koe, ēnei tohu, rapua tonutia he tohutohu hauora.

Ko tāku tumanako ka whai hua ēnei kōrero ki a koe. Kia ora tonu!

` Te waikura o te roro, te wai i roto i te roro, te wai o te puku, te wai o te roro, te pokanga roro, te ETV, te pokanga roro