Kei te ngaro tō mahara, ā, kei te uaua hoki tō hikoi i a koe e pakeke haere ana? Tērā pea he Normal Pressure Hydrocephalus (NPH) tēnei

Kei te tīmata te wareware haere o tētahi kaumātua i roto i tō whare, arā, tō whaea, tō pāpā, tō kuia rānei? Kei te āhua tōia ōna waewae ki te whenua ina hikoi ana? Kei te uaua haere hoki te whakahaere i tōna mimi ? He maha ā tātou whakaaro ki ēnei he "mea noa e puta ana i a tātou e pakeke haere ana." Engari he tohu anō hoki ēnei mō tētahi mate ka taea te rongoā me te whakaora. I tēnei rā kei te kōrero tātou mō tētahi o aua mate, ko te Normal Pressure Hydrocephalus, ko te NPH rānei.

He aha te Normal Pēhanga Hydrocephalus (NPH)?

Ki te kī ngāwari, ko te NPH te wā e nui ake ai te wai e kohia ana i roto i te roro i te mea e tika ana.

Whakaarohia kei te karapotia tō tātou roro me tō tātou tuaiwi, e rere ana i raro i tō tātou tuaiwi, e tētahi wai mārama, rite tonu ki te urunga. I roto i ngā kupu hauora, ka kiia tēnei ko te wai cerebrospinal (CSF) . Ka hangaia tēnei CSF i roto i ngā ventricles o tō tātou roro, ā, ka rere puta noa i a ia, ka whāngai i te roro me te tuaiwi, ka tango i ngā hua para, ka tiaki hoki i te roro kei pā ki te angaanga. I te nuinga o te wā, ka tukuna te CSF taikaha ki roto i te tinana mā roto i ngā uaua i runga i te roro.

Heoi, ki te mea he ārai kei roto i te pūnaha e tango ana i tēnei wai CSF, ka tīmata te kohikohi o tēnei wai ki roto i ngā kōhao o te roro. Koinei te mea e kiia nei e tātou ko te Hydrocephalus ( te whakakī wai o te roro ). Ko te NPH he momo motuhake o tēnei mate Hydrocephalus. He maha tonu te kitea i roto i te hunga neke atu i te 60 tau te pakeke.

He tino puhoi te whanaketanga o te NPH, he rerekē i ētahi atu momo hydrocephalus. Ka nui haere te wai CSF i roto i te wā. Nō reira, ka nui haere ngā kōhao i roto i te roro, ka pana ki ngā wāhanga o te roro. Koia te take kāore te pēhanga i roto i te roro e piki ohorere, koia i huaina ai ko "Pēhanga Noa." Engari he ahua hē te ingoa, nā te mea ka puta noa ngā tohu ina nui haere ngā kōhao, ka pana ki te roro.

Ngā āhuatanga matua e toru o te āhua NPH

E toru ngā tohu matua o te NPH. Kāore pea ēnei e kitea i te tīmatanga, engari ka piki haere i te roanga o te wā. Mēnā kei te kitea ēnei tohu e toru, me whakapae he NPH.

He aha ngā pūtake o te NPH?

Ina hoki, mō te nuinga o ngā tūroro NPH, kāore e kitea he tino take. Heoi, i ētahi wā, ko ēnei āhuatanga ka whai wāhi pea ki te mate:

• Te whara o te upoko
• Te toto e rere ana i te roro nā te mea i pā ki te upoko
• Whiu
• Ngā mate urutā pērā i te meningitis
• Puku roro
• Pokanga roro

Kāore anō kia mārama te katoa me pēhea te whakaputanga o te NPH i ēnei āhuatanga.

Me pēhea te tātaritanga tika o te NPH?

Tērā pea kei te whakaaro koe, "Āe, koinei ngā tohu, me pēhea taku tautuhi i tēnei?" He uaua tēnei. Nā te mea he rite ēnei tohu ki ngā mate a Alzheimer me Parkinson, he mea nui kia toro atu ki tētahi taote roro, ki tētahi taote pokanga roro rānei .

Ko te tukanga tātaritanga e whai ake nei:

1. Te kōrero ki te tākuta: Ka pātai atu te tākuta ki a koe mō ngā mea katoa mai i ō tohumate, te wā i tīmata ai, te hītori hauora o te whānau, me ngā rongoā e tangohia ana e koe.

2. Whakamātautau tinana: Ka tirohia tō āhua hinengaro (mā te pātai me te tono kia whai koe i ngā tohutohu māmā), te haere, me te taurite.

3. Ngā whakamātautau motuhake:

• Matawai CT, Matawai MRI rānei: Ka taea e ēnei matawai te whakaputa whakaahua 3D taipitopito o te roro. Ka taea e rātou te āwhina ki te whakatau mena kua whakanuia ngā ventricles i roto i te roro i roto i te NPH. Heoi, kāore e taea e te matawai anake te whakaū i te NPH.
• Werohanga Lumbar / Tap Spinal: Koinei tētahi o ngā mahi tino nui mō te tātaritanga. I ētahi wā ka kiia tēnei he 'spinal tap'. Kaua e manukanuka, mā te tākuta tēnei e mahi. Ka whakamahia he ngira iti hei tango i ētahi o te wai CSF e karapoti ana i te taurakira mai i te tuara o raro.

He aha ngā maimoatanga mō te NPH?

Ko te pokanga te rongoā tino whai hua mō te NPH. Kāore he rongoā, he maimoatanga hauora rānei e taea te whakaora i te mate.

Ko te pokanga matua he tāuta i te shunt.

Whakaarohia he ngongo iti e whakauruhia ana hei tango i te wai CSF nui rawa atu i roto i tō tātou roro, ka tukuna ki tētahi atu wāhanga o te tinana. Ka kiia tēnei he shunt. He ngongo tino angiangi tēnei. Ka whakauruhia e te taote pokanga roro tēnei ngongo ki roto i tētahi kōhao i roto i te roro, ka tukuna ki raro i te kiri ki tētahi wāhi e kiia nei ko te peritoneum. He takirere kei roto i tēnei ngongo e whakahaere ana i te pēhanga. Ina piki ake te pēhanga i roto i te roro, ka tuwhera tēnei takirere, ā, ka rere te wai nui ki roto i te kōhao peritoneal. I reira, ka mimitihia te wai, kāore e whara i te tinana.

Kāore tēnei pokanga shunt e angitu ōrite ana mō te katoa. Heoi, mō te tini o te tangata, ka tino heke ngā tohu i muri i tēnei pokanga, ā, ka tino pai ake te kounga o ō rātou oranga. Ko te tere o te tautuhi i te mate me te mahi i te pokanga, ka nui ake te angitu o ngā hua.

I ētahi wā, hei utu mō te shunt, ka mahia tētahi atu pokanga e kiia nei ko te Endoscopic Third Ventriculostomy , e whakamahia ai he endoscope (he ngongo angiangi me te kāmera) hei hanga i tētahi kōhao iti ki raro o te kōhao roro hei waihanga i tētahi ara rerekē mō te rere o te wai CSF.