Kei tō kaumātua ēnei tohu? Me ako tātou mō te hydrocephalus pēhanga noa (NPH)

Kua kite koe i te ngaro o te mahara o tō whaea, tō pāpā, tō kuia rānei kua kaumātuatia, ā, he uaua ki te hikoi i a ia e pakeke haere ana? I ētahi wā ka whakaaro tātou he mea noa ēnei ka puta i a tātou e pakeke haere ana. Heoi, i ētahi wā, tera pea he take kē atu kei muri i ēnei āhuatanga. I tēnei rā, ka kōrero tātou mō tētahi āhuatanga motuhake e rite ana ki te mate wareware, engari ka taea te whakaora mēnā ka rongoatia . He āhuatanga tēnei e kiia nei ko te `(Normal Pressure Hydrocephalus)` ko te `(NPH)` rānei.

He aha te `(Normal Pressure Hydrocephalus - NPH)`?

Ki te whakarapopototanga, ko te `(Normal Pressure Hydrocephalus)`, `(NPH)` rānei, he āhuatanga e kohikohi ai te wai i roto, i te taha rānei o tō tātou roro, e whakararuraru ana i te mahi a te roro . Whakaarohia he rite ki te peere kī tonu i te wai. Ka pā pea tēnei ki ngā mahi maha e whakahaerehia ana e te roro, pērā i te whakaaro, te arotahi, te mahara, me te hikoi. Ko te mea motuhake, ahakoa he tino rite ngā tohu o tēnei ki te mate wareware, ka taea te rongoā me te whakaora i te āhuatanga `(NPH)` i ētahi wā .

Ko wai te hunga e tino pāngia ana e tēnei āhuatanga `(NPH)`?

Ko tēnei āhuatanga, e kiia nei ko te ``(NPH)`` , he mea tino kitea i roto i te hunga neke atu i te 65 tau te pakeke. Ka piki ake te mōrearea o te whakawhanake i tēnei āhuatanga i te pakeketanga. I te nuinga o te wā ka tīmata i te 70 tau te pakeke.

Ko te pakeketanga te tino take mō tēnei. Kāore ngā mea pēnei i te iwi, te tae kiri, me te ira tangata e pā ki tēnei.

He pēhea te noa o te `(NPH)`?

Ahakoa he mea onge, he mate rongonui te NPH i waenga i ngā tākuta. E kiia ana tata ki te 0.2% o te hunga i waenga i te 70 me te 80 tau te pakeke he mate tēnei, ā, tata ki te 5.9% o te hunga neke atu i te 80 tau te pakeke he mate tēnei. Ko te tikanga, tata ki te 8.4 miriona te hunga neke atu i te 80 tau te pakeke puta noa i te ao e pāngia ana e tēnei mate. E ai ki ngā tohunga, he tino onge tēnei mate i roto i te hunga kei raro iho i te 65 tau te pakeke, ā, e pāngia ana e te 0.003% anake o taua rōpū tau.

He aha te mea ka puta ina pāngia koe e te `(NPH)`? He aha te pānga ki te roro?

Ko te NPH ka puta mai i te kohikohinga o te wai e kiia nei ko te wai cerebrospinal (CSF) i roto i te roro . He rite tēnei wai ki te wai. Ka whāngai i te roro, ka tango hoki i ngā para. Tata ki te 150 miririta (5 auneke) o te CSF kei roto i te roro pakeke toharite. He iti iho i te haurua o te nui o roto i te kēne Coke. Ka hanga tonu, ka rere, ka mimiti anō hoki ō tātou tinana i tēnei wai kia mau tonu ai tōna taumata.

Ahakoa he iti te nui o tēnei wai, he nui tana mahi. Ka karapotia e tēnei wai "(CSF)" tō tātou roro me te taurakira i roto i te tuaiwi. Ara, ka mānu tō tātou roro i roto i tēnei wai . Ka mahi anō hoki hei urunga hei tiaki i te roro me te taurakira mai i ngā ru o waho.

Nō reira, ki te kore e taea e tō tātou tinana te rere tika i tēnei wai "(CSF)", te mimiti anō rānei, ka tīmata te kohikohi o tēnei wai ki roto i te angaanga i te nui atu i tōna e tika ana.

I roto i te `(NPH)`, ka āta hanga tēnei wai, ahakoa ka piki ake te pēhanga i roto i te angaanga `(Intracranial Pressure)`, ka noho tonu i roto i te awhe noa . (Koia i huaina ai ko `(Normal Pressure Hydrocephalus)` - "Normal Pressure Hydrocephalus"). Nā te mea, i roto i tō tātou roro he kōhao kī tonu i te wai e kiia nei ko `(Ventricles)`, ka taea te whakahaere i ētahi o tēnei hanga wai.

Engari, i te mea ka haere tonu te `(CSF)` ki te kohikohi, kāore he wāhi kē atu hei haere mā taua wai. Kātahi ka tīmata te roro ki te pupuhi, ki te pupuhi . Koinei te take o ngā tohu o tēnei mate. Ki te pupuhi pēnei te roro mō te wā roa, ka taea e te pēhanga te whakararu tuturu i te kiko o te roro, te whakangaro rānei.

He aha ngā tohu o te `(NPH)`?

Ko ngā tohu o te `(NPH)` ka āta puta , ka piki haere i roto i te toru ki te ono marama . E toru ngā tohu matua o te `(NPH)`, e mōhiotia ana ko te Hakim's Triad . I waenganui i te 50% me te 75% o te hunga whai `(NPH)` ka pāngia e ngā tohu e toru i te wā kotahi. Kei roto i te Hakim's Triad ēnei momo tohu e toru:

• Ngā raruraru hīkoi
• Te kore e taea te pupuri i te mimi
• Ngā uauatanga hinengaro

Te uaua ki te hikoi

Koinei ngā raruraru nekehanga e pā ana ki te hikoi. Ko tēnei tohu te mea tino kitea o ngā tohu e toru. I waenganui i te 80% me te 95% o te hunga whai NPH he tohu ēnei. Ko ētahi o ngā tohu ka rite ki ngā mate nekehanga o te mate a Parkinson , engari ko te rerekētanga matua ko te NPH, ko ngā waewae me ngā waewae anake ēnei tohu.

Mena kei a koe te `(NPH)`, ka puta pea ēnei mea:

• Ka uaua te hiki i ngā waewae . Nā tēnei ka āhua piri ngā waewae ki te whenua ina hikoi ana. E kiia ana he rite ki te uaua o te tango i te aukume mai i te mata.
• He iti, he wiriwiri ngā waewae . Nā tēnei ka āhua tōia ngā waewae ina hikoi. He nui hoki te tūponotanga ka tūtuki, ka hinga rānei.
• Tērā pea ka mutu ohorere te hikoi, ka haere pōhēhē rānei . Tērā pea te āhua nei kāore e taea e koe te whakatau mēnā ka hikoi koe, ka neke whakamua rānei i muri i te tīmatanga o te hikoi. Tērā pea ka ruarua koe ina huri nui ana koe i a koe e hikoi ana, ā, tērā pea ka uaua ki te tahuri.
• I te hikoi, ka hurihia ngā māikuku o ngā waewae ki waho . Mā tēnei ka taea e rātou te whera i ō rātou waewae me te hikoi taha ki taha, pērā i te penguin.

Te kore e taea te whakahaere i te mimi

Koinei te ngaronga o te mana whakahaere o te pūkahukahu me te turuturu o te mimi. I ngā wāhanga tōmua, ka hiahia pea koe ki te mimi i ngā wā katoa, ka hiahia rānei koe ki te mimi ohorere, nui rawa atu, he uaua ki te whakahaere.

Tērā pea ka whakama te hunga whai āhuatanga nei mēnā ka ngaro te mana whakahaere i ō rātou mimi. Heoi, kāore ētahi e mōhio ana ki tēnei, ā, ka whakama rātou.Kāore rawa i te rite. Tērā pea nā te uauatanga o te whakaaro tēnei, koinei te tuatoru o ngā āhuatanga o te tokotoru a Hakeem.

Te uaua ki te whakaaro me te maumahara

Ko te tuatoru o ngā āhuatanga matua o te NPH ko te uaua ki te whakaaro me te mahara. Ka puta pea ēnei āhuatanga pēnei i:

• Te puhoi o te hinengaro me te tinana . Te āhua nei he puhoi ake te whakaaro me te mahi a te tangata i te tikanga.
• Ngā raruraru mahara . He maha ngā wā ka wareware koe i ngā mea, ā, te āhua nei kei te mahi koe me te kore e whakaaro.
• Te ngoikore o te whakahaere : He uaua ki te whakahaere i ngā kare ā-roto, ngā whakaaro, me ngā mahi. He uaua ki te arotahi, ki te whakatau kaupapa, me te uaua ki te whakaaro mārama.
• Ngā huringa o ngā kare ā-roto . Tērā pea ka āhua koretake te hunga whai NPH, ka ngaro hoki te hiahia ki ngā mea i pai ai rātou ki mua.

He aha ngā take o te `(NPH)`?

E rua ngā momo matua o te `(NPH)`, ā, kotahi tonu te putanga mai o ēnei momo e rua. Ko ngā momo e rua ko:

• NPH Tuatahi (koretake)
• NPH Tuarua

Tuatahi (take kāore i te mōhiotia) `(NPH)`

Ko te tikanga o te NPH Tuatahi, kāore i puta mai i tētahi atu mate hauora. Ko tētahi atu kupu mō tēnei ko te idiopathic , he kupu e whakamahia ana e ngā tohunga hei whakaahua i ngā mate ka puta mai me te kore he take motuhake . E whakapono ana ngā tohunga he hononga pea te NPH idiopathic ki tētahi, ki ētahi atu raruraru rānei e puta mai ana i te koroheketanga i roto i te huarahi e hanga ai, e rere ai, e mimiti ai hoki te wai cerebrospinal (CSF) o ō tātou tinana. Tata ki te haurua o ngā tūroro NPH katoa ka taka ki tēnei wāhanga.

I raro i ngā āhuatanga noa, ka whakaputahia e ō tātou tinana i waenga i te 400 me te 600 miririta o te `(CSF)` ia rā. He nui rawa atu tēnā i tā tātou e hiahia ana. Nō reira, me mimiti tonu tātou i te `(CSF)` tawhito kia wātea ai he wāhi mō te `(CSF)` hou. Mena he raruraru kei te ara e rere ai te `(CSF)`, ka taea e tēnei wai te kohikohi nā te mea he nui ake te `(CSF)` e hangaia ana e te tinana i tāna e hiahia ana.

Kei reira anō ngā taunakitanga e whakaatu ana i te hononga pea o te NPH ki ngā mate roro pirau pērā i te mate a Alzheimer me te mate wareware tinana o Lewy . Kei te ngana tonu ngā kairangahau ki te rapu i te āhua me te take e whanake ai te NPH, me te aha hoki, mehemea ka pāngia e ētahi atu āhuatanga. Mā te whakautu i ēnei pātai ka āwhina pea ki te ārai, ki te pai ake rānei te rongoā i te āhuatanga ā muri ake nei.

Tuarua `(NPH)`

Ka puta te NPH tuarua ina pāngia te āhua o te hanga, te rere, te mimiti rānei o te wai cerebrospinal (CSF) e tētahi atu āhuatanga hauora. Ko ētahi āhuatanga ka puta ai te NPH tuarua ko:

• He aneurysm roro (he pupuhi i roto i te oko toto ka pakaru, ka toto ki roto i te kiko roro).
• Te toto i roto, i te taha rānei o te roro (Te toto i roto i te angaanga).
• Ngā pukupuku roro (tae atu ki te mate pukupuku)
• Ngā mate urutā o te roro, o ngā wāhanga rānei e pā ana ki te pūnaha io (hei tauira , te encephalitis , te meningitis rānei).
• Te whiu .
• Ko ngā whara roro whara (TBI) ko ngā whara ki te roro, ki ngā wāhi rānei e pā ana i te wā e rongoatia ana.

Me pēhea te tātaritanga o te `(NPH)`?

He ahua uaua te tautuhi i te NPH, nā te mea he rite tonu ngā tohu o te mate ki ērā o ētahi atu mate e pā ana ki te koroheketanga, pērā i te mate wareware . He mea noa anō hoki te NPH me ētahi atu mate e pā ana ki te koroheketanga. Tata ki te 30% o te hunga whai NPH he mate a Alzheimer, he mate roro rite rānei.

Ka tātaritatia te NPH e te tākuta mā te whakamahi i te huinga o ēnei tikanga:

• Whakamātautau tinana me te whakamātautau io . I roto i tēnei, ka rapu te tākuta i ngā tohu e kitea ana o te mate. Ka whakamātauhia hoki e ia ōu ira (tiro, whakarongo, pā), ngā urupare, me te kaha o ngā uaua o ōu peka.
• Te pātai mō tō hītori hauora me ngā tohumate . Ka taea e ō pūkete hauora, tō hītori hauora, me ngā tohumate te whakarato i ngā tohu nui hei tautuhi i te NPH.
• Whakaahua tātaritanga . Ko ngā matawai whakaahua aukume (MRI) te taputapu tino nui hei tātaritanga i te NPH. Mā tēnei ka taea e te tākuta te titiro ki roto i tō mahunga me te kite i te roro me ngā wāhi kua kohia te wai. Ka taea hoki e tō tākuta te tono i tētahi matawai cisternogram , engari kāore tēnei i te mea noa. Ka taea e ngā matawai rorohiko (CT) te āwhina ki te whakakore i ētahi atu mate, engari kāore i te tino āwhina ki te tātaritanga i te NPH.
• Ngā whakamātautau taiwhanga . Mā te pokanga lumbar ( he tikanga e tango ana i te wai iti mai i te tuaiwi) ka taea e te tākuta te tango tauira o te wai cerebrospinal (CSF) hei whakamātautau. Kāore e taea e tēnei te tautuhi tika i te NPH, engari ka taea e ia te āwhina ki te whakakore i ētahi atu āhuatanga. Ka taea hoki e ia te āwhina ki te tautuhi mēnā ko te NPH i puta mai i tētahi atu āhuatanga, pērā i te meningitis. Ka taea hoki e te pokanga lumbar te tango i ētahi o te CSF taikaha, ka taea pea te whakaora i ngā tohu mō te wā poto (engari ka hoki mai ngā tohu ina tāpirihia anō te CSF).

I runga anō i ō tohumate, ka tonoa pea e tō tākuta ētahi atu whakamātautau. Ko te tikanga o ēnei hei whakakore i ētahi atu mate e rite ana ngā tohumate ki te NPH. Mā tō tākuta koe e kōrero atu mō ēnei whakamātautau me te hiranga o aua whakamātautau.

Me pēhea te rongoā mō te `(NPH)`? He rongoā katoa kei reira mō tēnei?

I te nuinga o te wā, he mate ka taea te rongoā i te NPH.He rerekē te maimoatanga i runga i te mea he tuatahi/koretake, he tuarua rānei te NPH. He rerekē ki te maha atu o ngā mate roro, he onge te whakamahinga o ngā rongoā hei rongoā i te NPH. Nā te mea he maha ngā wā kāore te NPH e aro ki te rongoā (ahakoa ka taea te rongoā i ētahi tohu e pā ana ki te NPH ki te rongoā).

Te rongoā mō te `(NPH)` tuatahi/kore-whakaaro

Ko te take tuatahi/kore e mōhiotia (NPH) he mea ka taea te rongoā. Ko te maimoatanga tino noa – me te tino angitu – mō tēnei ko te whakaurunga pokanga o tētahi taputapu e kiia nei ko te shunt . E rua ngā ngongo (catheters) o te shunt, tētahi hei tuku i te wai ki roto, tētahi hei tuku i waho, me tētahi takirere i waenganui i ngā mea e rua. Mena ka kī rawa ngā ventricles o te roro i te wai, ka akiakihia te wai ki roto i te ngongo tomo, ka huaki te takirere, ka tukuna te wai nui kia rere ki waho mā te ngongo putanga.

Ko ētahi takirere shunt hou kua hangaia kia "ka taea te whakarite," ko te tikanga ka taea e te tākuta te whakarerekē i ā rātou tautuhinga me te kore pokanga. Ka kitea ēnei i runga i te "X-ray," kia taea ai e te tākuta te titiro ki te takirere me te whakarite kei te tika ngā tautuhinga. Ko ētahi shunt hou he "haumaru ki te MRI," ko te tikanga ka taea e koe te whai i tētahi matawai "MRI" ahakoa kei a koe tēnei momo takirere.

Ka puta te ngongo whakaheke wai mā roto i tētahi kōhao iti i roto i te angaanga (ka hangaia tēnei kōhao e te tākuta i te wā o te pokanga hei whakauru i te shunt). I muri i te putanga mai i te angaanga, ka huri te ngongo ki raro ka haere ki raro i te kiri. Ka tukuna e tēnei ngongo whakaheke wai te wai ki te uma, ki te puku rānei.

Ki te tukuna te ngongo ki roto i te puku (koinei te mahi e mahia ana i te nuinga o te wā), ka ngongohia te wai mai i te peritoneum, te kiriuhi e karapoti ana i te nuinga o ngā whekau puku. Ki te tukuna ki roto i te uma, ka ngongohia te CSF mai i te kiriuhi pleural e karapoti ana i ngā pukahukahu.

Tuarua `(NPH)`

Tērā pea ka taea te rongoā i te NPH tuarua, engari mēnā anake ka puta te mate i tētahi mate ka taea te rongoā . Ka rerekē te maimoatanga mō te NPH tuarua i runga i te take matua. Ko tō tākuta te tangata pai hei kōrero atu mō ngā maimoatanga e wātea ana me ā rātou e taunaki ana.

He aha ngā pānga taha, ngā raruraru rānei o te maimoatanga?

He rerekē ngā pānga taha o te rongoā i te NPH i runga i te maimoatanga. Mō te NPH tuatahi/kāore i te mōhiotia, ko te maimoatanga tino noa ko te pokanga i te whakatakoto i tētahi shunt hei aukati i te kohikohinga o te CSF nui ki roto i te angaanga. Ko ētahi o ngā pānga taha o tēnei pokanga ko (engari kāore i te herea ki):

• Ngā mate urutā
• He hapa, he korenga rānei o te shunt
• Ngā nekehanga tūranga i roto i te takirere me/ngā ngongo rānei
• Te turuturu nui o te `(CSF)` mā roto i te shunt (ka heke te pēhanga `(CSF)`, e kiia ana hoki ko te `(Intracranial hypotension)` ).

I roto i te NPH tuarua, ka rerekē pea ngā maimoatanga e wātea ana. Waihoki, ka rerekē pea ngā pānga taha me ngā raruraru. Nō reira, ko tō tākuta te tangata pai rawa atu hei kōrero ki a koe he aha ngā raruraru, ngā pānga taha rānei ka taea e koe te tumanako, me te aha hoki ka taea te mahi mō aua raruraru.

Me pēhea taku whakahaere i ngā tohu mēnā kāore au e tiaki i a au anō?

Ehara te NPH i te mate e taea e koe te tātaritanga, te rongoā rānei i a koe anō. Nō reira, kaua e warewarehia ngā tohumate, kaua hoki e ngana ki te rongoā i a koe anō, i tētahi atu rānei me ēnei tohumate .

Kia pēhea te roa ka pai ake ai taku āhua i muri i te maimoatanga? Kia pēhea te roa ka ora ake ahau i te maimoatanga?

Ka tere tonu te pai haere o ngā tohu o tēnei mate mā te whakatakotoranga o te shunt. Ko te tere o te tautuhi me te maimoatanga, ko te angitu ake.

Ka kite te nuinga o te tangata i te hekenga o ngā tohu i roto i ētahi hāora, i ētahi rā rānei i muri i te whakaurunga o te shunt. Heoi, nā te mea he pokanga nui te shunt, ka roa pea te ora o te tini tāngata i ētahi rā, i ētahi wiki rānei. Ko tō tākuta anake te tangata ka taea te kī atu ki a koe te roa o te ora mai i te pokanga, nā te mea he maha ngā āhuatanga e pā ana ki tō wā whakaora.

Ka taea e au te whakaiti i te mōrearea o te whanaketanga (NPH) me te ārai katoa rānei?

Ka puta ohorere te NPH, ā, tata ki te haurua o ngā keehi he idiopathic, arā, ka puta mai mō te kore take e mōhiotia ana. Kāore e taea te ārai i te NPH idiopathic , kāore hoki e taea te whakaiti i te mōrearea o te whanaketanga.

Heoi, ka taea e koe te whakaiti i tō tupono ki te whakawhanake i te NPH tuarua mā te karo i ētahi atu mate, āhuatanga rānei ka puta ai tēnei āhuatanga. Anei ētahi mea ka taea e koe te mahi:

• Kaua e warewarehia ngā mate pāwera , inā koa ngā mate kanohi me te taringa. Ka horapa ngāwari ēnei ki te roro, ā, ka puta he mate pēnei i te encephalitis , te meningitis rānei.
• Mauria ngā taputapu tiaki . Ka taea e ngā whara roro te whakaputa i te NPH tuarua. Ka taea e te mau i ngā taputapu tiaki pēnei i te potae te āwhina ki te ārai i ēnei whara.
• Whakahaerehia ō āhuatanga hauora . Ka taea e ngā āhuatanga pēnei i te toto toto tiketike te whakaputa i ngā aneurysms roro me te toto i roto i te roro. Ka taea e ēnei e rua te whakaputa i te NPH. Mā te whakahaere i tō toto toto me te whakahaere i ngā āhuatanga pēnei i te mate huka momo 2 , te cholesterol tiketike rānei, ka taea te whakaiti i tō tupono ki ēnei raruraru.

He aha taku e tumanako atu ai mēnā kei a au te `(NPH)`?

He take motuhake te NPH mō ngā āhuatanga rite ki te mate wareware nā te mea he maha ngā wā ka taea te whakakore . Heoi, ko te tūponotanga pai rawa atu ki te whakakore i tēnei āhuatanga ko te tautuhi wawe me te maimoatanga wawe . Ko te roa o te tautuhi me te maimoatanga, ko te tūponotanga ka pumau, ka kino hoki te kino o te roro i puta mai i te ahotea.

Nā te mea he pānga nui tō te NPH ki tō kaha ki te whakaaro, he tokomaha te hunga whai mate kāore e mōhio kei a rātou tēnei mate. Ko te whānau, ko ngā hoa, me ngā hoa mohio te hunga tuatahi ki te kite i ngā tohu o te NPH . Ko te tikanga o tēnei, he nui te mahi a te hunga e arohaina ana ki te tautuhi me te rongoā wawe i te NPH.

Kia pēhea te roa o te `(NPH)` e wātea ana?

He mate mau tonu te NPH. Ka āta puta ngā tohu i roto i te toru ki te ono marama. Heoi, kāore te NPH e pai ake i a ia anō; ka haere tonu te kino. I a ia e kino haere ana, ka taea e ia te whara nui, pumau hoki i te roro.

Ahakoa kāore pea te NPH e whakamate i a ia anō, ka puta pea ngā tohu e uaua ai, ā, e kore rawa ai hoki e taea e te tangata te noho motuhake. Ka taea hoki e ia te whai wāhi atu ki ngā raruraru nui, e morearea ai te ora, pērā i te hinganga.

Mā te maimoatanga, tera pea ka pai ake ngā tohu matua o te `(NPH)`. Mā te maimoatanga, ko te tūponotanga o te whakapai ake i aua tohu e toru koia tēnei:

• Te uaua ki te hikoi : Ka memeha haere ēnei tohu i roto i te 85% o ngā tūroro kua rongoatia.
• Te kore e taea te pupuri i te mimi : Ka taea te whakaora i tēnei tohu i roto i te 80% o ngā take mēnā ka rongoatia wawe. Ko te tūponotanga o te ora kei waenga i te 50% me te 60% mēnā ka rongoatia i muri mai.
• Ngā uauatanga ki te whakaaro me te mahara : Ka pai ake ēnei tohu i roto i te 80% o ngā tūroro i rongoatia.

He aha te tirohanga mō tēnei āhuatanga?

Ka rerekē rawa te tirohanga mō te `(NPH)`. Ko ngā take mō tēnei:

• He uaua te tautuhi i te NPH nā te mea he rite ōna tohu ki ērā e puta noa ana i te koroheketanga, ki ētahi atu mate rānei e pā ana ki te koroheketanga.
• Ka āta haere ngā tohu o te `(NPH)`.
• Tata ki te hautoru o te hunga whai NPH he mate roro pirau anō hoki pērā i te mate a Alzheimer.
• Ka nui haere te kitea o te NPH i a tātou e pakeke haere ana, ā, he maha ngā āhuatanga hauora e pā ana ki te koroheketanga ka whai wāhi atu, ka kino atu rānei.
• Nā te mea ka pāngia tō kaha ki te whakaaro e ngā tohu o te `(NPH)`, kāore pea koe e taea te kite i ō tohu.

Ngā āhuatanga e pā ana ki ngā hua `(NPH)`

Mena kei reira ēnei āhuatanga, he nui te tūponotanga kia whiwhi hua pai mai i te `(NPH)`:

• Te tautuhi me te maimoatanga wawe.
• He uaua ki te hikoi me/ranei ki te whakahaere mimi, ā, muri iho ka uaua ki te whakaaro me te mahara.
• Ka puta te NPH tuarua nā ngā take ka taea te whakaora, ka taea rānei te whakahuri.
• Ka heke ngā tohu o te NPH ina tangohia te CSF i te wā o te pokanga lumbar.

He iti ngā tūponotanga o te putanga pai mēnā kei roto ēnei āhuatanga:

• Te whakaroa i te tautuhi me te maimoatanga.
• Ka tīmata wawe ngā raruraru whakaaro me te mahara, inā koa ka tīmata i mua i te uaua ki te hikoi, i te whakahaere mimi rānei.
• Ngā uauatanga nui ki te whakaaro me te mahara.
• Kei te pāngia koe e ētahi atu mate roro (ina koa ko ngā mate roro e pirau ana pērā i te mate a Alzheimer).

Nā te mea he maha ngā āhuatanga e pā ana ki te putanga, ko tō tākuta te tangata pai rawa atu hei kōrero atu mō te putanga pea mōu, mō tētahi whanaunga rānei e pāngia ana e tēnei mate. Ko ngā mōhiohio e tukuna ana e rātou ko tō hītori hauora, te kaha o ō tohu, ngā maimoatanga pea, me ētahi atu taipitopito nui.

Me pēhea taku tiaki i ahau anō (whai muri i te pokanga shunt)?

Mena he NPH tōu, ko te maimoatanga tino pea ka whiwhi koe ko te pokanga hei whakatakoto i tētahi shunt hei aukati i te hanga wai i roto i te roro. Mena he shunt tōu, he maha ngā mea ka taea e koe te mahi hei āwhina i te ārai i ngā raruraru:

• Whaia ngā tohutohu a tō tākuta i muri i te pokanga . He mea nui rawa kia tiakina pai ngā wāhi i whakatakotoria ai ngā tuitui me ngā tāpiri. Mā te tiaki pai i ēnei ka āwhina i te ārai i ngā raruraru pēnei i te mate pāwera.
• Me noho tawhiti atu i ngā aukume mēnā e tika ana . Kāore i te katoa ngā shunt he takirere aukume, nō reira ehara tēnei i te mea e tika ana kia mahia e te hunga katoa he shunt. Ma tō tākuta koe e kōrero mō tēnei.
• Kia tūpato ki ngā nekehanga me ngā mahi . Āta karohia ngā mahi ā-tinana ka pā ki te shunt, te ngongo, tetahi atu mea rānei.
• Tirohia tō tākuta kia rite ki te taunakitanga . He mea nui kia kite i tō tākuta i ia wā, i ia wā, hei ārai i ngā raruraru o tēnei mate. I roto i ēnei haerenga, ka taea e tō tākuta te aroturuki i tō āhua me te whakatika i te shunt mēnā e tika ana.
• Kia mataara ki ngā tohu . Ki te kite koe i tētahi o ngā tohu o te `(NPH)` e hoki mai ana, me kōrero wawe atu ki tō tākuta. Tērā pea he tohu o te raru o te shunt te hokinga mai o ngā tohu. Ki te roa te noho me te kino haere o ngā tohu, ka nui ake te tūponotanga o ngā raruraru.

Āhea ahau me toro atu ki taku tākuta?

Me toro atu koe ki tō tākuta e ai ki ngā taunakitanga. Me toro atu hoki koe ki tō tākuta mēnā ka kite koe i tētahi hokinga mai o ō tohumate NPH, mēnā rānei ka pāngia koe e ētahi tohumate hou (ahakoa te āhua nei kāore e pā ana).

Āhea ahau me haere ki te Tari Whawhati Tata (ETU) ?

Mā tō tākuta koe e kōrero mō ngā tohu e tohu ana i ngā raruraru pea, i ngā raruraru rānei. Ko ētahi o ngā tohu e hiahia ana kia arohia wawetia e te rata ko:

• Mamae upoko . Ngā mamae upoko e whakararuraru ana i ō mahi o ia rā, ina koa ka tīmata, ka kino rānei ina noho, ina tū rānei koe. Tērā pea ka puta mai i te raruraru o te shunt (mēnā kāore e ranea te tango i te CSF), mēnā rānei kāore te shunt i te tika.
• Te kirika, te makariri rānei . Ka puta pea ngā mate i muri i te pokanga shunt. Ka pā pea ēnei mate ki tō roro, tō taurakira, tō peritoneum rānei, ā, ka tere te horapa. Kaua rawa e warewarehia ngā tohu o te mate i muri i te pokanga (NPH).
• Kaki mārō . Tērā pea he raruraru tēnei ki te shunt, ki te ara rere rānei.
• Te mamae i roto i te puku, i te uma rānei kei reira te awaawaKi te motu te ngongo waikeri, ka taea e ia te kōpiko, te kino rānei i ngā kiko tata. Ki te mamae koe i ēnei wāhi, inā koa te mamae ohorere, te mamae nui, me waea atu koe ki tō tākuta, me haere rānei ki te rūma whawhati tata tonu.

Tērā pea ētahi atu tohu e tika ana kia mōhio koe, ā, mā tō tākuta koe e kōrero atu mō ēnei. Ko ia anō hoki te tangata pai hei whakautu i ngā pātai mō ngā mea ka taea e koe te mahi hei ārai i ēnei raruraru.

He aha te rerekētanga i waenga i te `(Normal Pressure Hydrocephalus - NPH)` me te `(Hydrocephalus)`?

Ko te NPH he mate e kiia nei ko te hydrocephalus (upoko wai) e āta whanake ana, ā, ka kino haere i roto i te wā. Ko te tikanga o te "pēhanga noa" ko te pēhanga i roto i tō angaanga (pēhanga intracranial - ICP) kāore i te tino teitei, i te tino mōrearea rānei. I ēnei wā, tera pea kei te tata tō taumata ICP ki te pito o runga o te awhe e tumanakohia ana. Ka āta haere tēnei, ka pēhi, ka kōpeke hoki i te kiko o tō roro. He āhua noa te pēhanga, nō reira he wā tō te roro ki te tuku i te wai ki waho, koinei te mea ka puta ai ngā tohu.

Hei whakamutunga, ngā mea hei maumahara (Karere hei tango ki te kāinga)

He mate onge te Normal Pressure Hydrocephalus (NPH) e pāngia ana e te hunga neke atu i te 65 tau te pakeke. Tērā pea he idiopathic, nā te mate pēnei i te meningitis, nā te whara rānei o te roro. Ka taea e tēnei mate te whakaputa i ngā tohu rite ki te mate wareware , ka pā ki te hikoi, te whakaaro, me te kaha ki te whakahaere i te mimi.

He maha ngā āhuatanga e rite ana ki te mate wareware ka kino haere i roto i te wā, ā, he uaua ki te rongoā me te whakahaere. Heoi, he maha ngā wā ka taea te rongoā i te NPH, ā, i ētahi wā ka taea te whakakore . Ko te tūponotanga pai rawa atu ki te whakakore i ngā pānga o te NPH ko te tautuhi wawe me te rongoā wawe. Koia te mea nui kia kaua e warewarehia ō tohumate, ō te hunga rānei e arohaina ana. Mā te maimoatanga tere, ka taea e te tini o te hunga whai NPH te ora me te whakahoki mai i te nuinga - te katoa rānei - o ō rātou āheinga o mua.

Kia maumahara, ki te mea he ruarua āu mō tēnei mea, he pai ake te rapu tohutohu hauora.

Te pēhanga ki te roro, te NPH, te koroheketanga, te uaua ki te hikoi, te whakahaere mimi, te ngaronga mahara, te pokanga shunt