Kodi munthu wokalamba wanu ali ndi zizindikiro izi? Tiyeni tiphunzire za hydrocephalus ya normal pressure (NPH)

Kodi mwaonapo kuti amayi anu okalamba, abambo, kapena agogo anu akutaya kukumbukira kwawo ndipo akuvutika kuyenda akamakalamba? Nthawi zina timaganiza kuti izi ndi zinthu zachilendo zomwe zimachitika tikamakalamba. Komabe, nthawi zina pangakhale chifukwa china chomwe chikuchititsa izi. Lero, tikambirana za vuto lapadera lomwe lingawoneke ngati dementia, koma lingachiritsidwe ngati litachiritsidwa . Limenelo ndi vuto lotchedwa `(Normal Pressure Hydrocephalus)` kapena `(NPH)`.

Kodi `(Normal Pressure Hydrocephalus - NPH)` ndi chiyani?

Mwachidule, `(Normal Pressure Hydrocephalus)` kapena `(NPH)` ndi vuto lomwe madzi amasonkhana muubongo wathu kapena mozungulira ubongo wathu, zomwe zimasokoneza ntchito ya ubongo . Taganizirani ngati chidebe chodzaza ndi madzi. Izi zitha kukhudza ntchito zambiri zomwe ubongo umayendetsa, monga kuganiza, kuyang'ana kwambiri, kukumbukira, ndi kuyenda. Chinthu chapadera ndichakuti ngakhale zizindikiro za izi zimafanana kwambiri ndi matenda amisala, vuto la `(NPH)` nthawi zina limatha kuchiritsidwa ndikuchiritsidwa .

Ndani amene akukhudzidwa kwambiri ndi vutoli la `(NPH)`?

Matendawa, otchedwa ``(NPH)`` , amapezeka kwambiri mwa anthu azaka zopitirira 65. Chiwopsezo chotenga matendawa chimawonjezeka ndi ukalamba. Nthawi zambiri amayamba pafupifupi zaka 70.

Kuchuluka kwa zaka ndiye chinthu chachikulu chomwe chimayambitsa izi. Zinthu monga mtundu, khungu, ndi jenda sizikhudza izi.

Kodi `(NPH)` ndi yofala bwanji?

Ngakhale kuti matendawa ndi osazolowereka, matenda a NPH ndi odziwika bwino pakati pa madokotala. Akuti pafupifupi 0.2% ya anthu azaka zapakati pa 70 ndi 80 ali ndi vutoli, ndipo pafupifupi 5.9% ya anthu azaka zopitirira 80 ali nalo. Izi zikutanthauza kuti anthu pafupifupi 8.4 miliyoni azaka zopitirira 80 padziko lonse lapansi ali ndi vutoli. Malinga ndi akatswiri, matendawa ndi osowa kwambiri kwa anthu osapitirira zaka 65, ndipo amakhudza 0.003% yokha ya anthu azaka zimenezo.

Kodi chimachitika ndi chiyani mukakhala ndi `(NPH)`? Kodi zimakhudza bwanji ubongo?

NPH imayamba chifukwa cha kuchuluka kwa madzi otchedwa cerebrospinal fluid (CSF) mu ubongo . Madzi amenewa ali ngati madzi. Amadyetsa ubongo ndikuchotsa zinyalala. Ubongo wa munthu wamkulu uli ndi pafupifupi mamililita 150 (ma ounces 5) a CSF. Izi ndi zochepa kuposa theka la kuchuluka kwa Coke mu chidebe. Matupi athu nthawi zonse amapanga, amazungulira, ndikuyamwanso madziwa kuti akhalebe pamlingo wokhazikika.

Ngakhale kuti madzi awa ndi ochepa, amachita gawo lalikulu. Madzi awa a ``(CSF)`` amazungulira ubongo wathu ndi chingwe cha msana mkati mwa msana. Mwa kuyankhula kwina, ubongo wathu umayandama m'madzi awa . Amagwiranso ntchito ngati chishango chomwe chimateteza ubongo ndi chingwe cha msana ku zoopsa zakunja.

Kotero, ngati thupi lathu silingathe kufalitsa madzi a ``(CSF)`` bwino kapena kuyamwanso, madziwa amayamba kusonkhana mochulukira kuposa momwe ayenera kukhalira mkati mwa chigaza.

Mu `(NPH)`, madzi awa amasonkhana pang'onopang'ono, kotero ngakhale kuti kuthamanga mkati mwa chigaza `(Intracranial Pressure)` kumawonjezeka, kumakhalabe mkati mwa mulingo woyenera . (Ndicho chifukwa chake amatchedwanso `(Normal Pressure Hydrocephalus)` - "Normal Pressure Hydrocephalus"). Chifukwa, mkati mwa ubongo wathu muli mabowo odzaza ndi madzi otchedwa `(Ventricles)`, omwe amatha kuthana ndi kuchuluka kwa madzi kumeneku.

Koma, pamene `(CSF)` ikupitirira kusonkhana, palibe kwina komwe madziwo angapite. Kenako, ubongo umayamba kutupa ndi kutupa . Ndicho chimene chimayambitsa zizindikiro za matendawa. Ngati ubongo utupa chonchi kwa nthawi yayitali, kupanikizikako kungayambitse kuwonongeka kosatha kwa minofu ya ubongo, kapena kuiwononga.

Kodi zizindikiro za `(NPH)` ndi ziti?

Zizindikiro za `(NPH)` nthawi zambiri zimakula pang'onopang'ono, pang'onopang'ono zikuwonjezeka kwa miyezi itatu mpaka isanu ndi umodzi . Pali zizindikiro zitatu zazikulu za `(NPH)`, zomwe zimadziwikanso kuti Hakim's Triad . Pakati pa 50% ndi 75% ya anthu omwe ali ndi `(NPH)` amakhala ndi zizindikiro zonse zitatu nthawi imodzi. Hakim's Triad imaphatikizapo mitundu itatu yotsatirayi ya zizindikiro:

• Mavuto a kuyenda
• Kulephera kudziletsa mkodzo
• Mavuto a kuzindikira

Kuyenda movutikira

Izi ndi mavuto okhudzana ndi kuyenda. Chizindikiro ichi ndi chofala kwambiri mwa zitatuzi. Pakati pa 80% ndi 95% ya anthu omwe ali ndi NPH ali ndi zizindikirozi. Zizindikiro zina zimatha kufanana ndi matenda oyenda a matenda a Parkinson , koma kusiyana kwakukulu ndikuti mu NPH, zizindikirozi nthawi zambiri zimakhala miyendo ndi mapazi okha.

Ngati muli ndi `(NPH)`, zinthu izi zitha kuchitika:

• Zimakhala zovuta kukweza miyendo . Izi zimapangitsa miyendo kuoneka ngati yakhazikika pansi poyenda. Amati zimakhala ngati vuto loyesa kuchotsa maginito pamwamba.
• Mapazi ndi ang'onoang'ono komanso ogwedezeka . Izi zimapangitsa kuti miyendo iwoneke ngati ikukoka poyenda. Palinso mwayi waukulu wopunthwa ndi kugwa.
• Kuyenda kungasiye mwadzidzidzi kapena kuyenda mosadziwa . Zingawoneke ngati simungathe kusankha ngati mutenge sitepe kapena kupita patsogolo mutayamba kuyenda. Mungazengerezenso mukamapanga mapotolo akuluakulu mukuyenda, ndipo mungavutike kutembenuka.
• Poyenda, zala za mapazi zimatembenuzidwira kunja . Izi zimawathandiza kutambasula miyendo yawo ndikuyenda chammbali, ngati penguin.

Kulephera kulamulira mkodzo

Izi ndi kutayika kwa njira yowongolera chikhodzodzo ndi kutuluka kwa mkodzo mwadala. Poyamba, mungamve kufunikira kukodza pafupipafupi, kapena mungamve kufunikira kwadzidzidzi komanso kolemetsa komwe kumakhala kovuta kulamulira.

Anthu omwe ali ndi vutoli amatha kuchita manyazi akalephera kulamulira mkodzo wawo. Komabe, anthu ena sazindikira izi, ndipo amachita manyazi.Sizikumveka ngati choncho. Izi zitha kukhala chifukwa cha vuto la kuganiza, lomwe ndi khalidwe lachitatu la gulu la Hakeem.

Kuvuta kuganiza ndi kukumbukira

Chinthu chachitatu chachikulu cha NPH ndi kuvutika kuganiza ndi kukumbukira. Izi zingayambitse zinthu monga:

• Kuchedwa kwa maganizo ndi thupi . Munthu amaoneka kuti akuganiza ndi kuchita zinthu mochedwa kuposa masiku onse.
• Mavuto okumbukira . Nthawi zambiri umaiwala zinthu ndipo umawoneka ngati ukugwira ntchito popanda kuganiza.
• Kulephera kugwira ntchito bwino kwa ogwira ntchito : Kuvutika kulamulira malingaliro, malingaliro, ndi zochita. Kuvutika kuika maganizo pa zinthu, kupanga zisankho, komanso kuvutika kuganiza bwino.
• Kusintha kwa malingaliro . Anthu omwe ali ndi NPH angawoneke ngati osalabadira ndipo angasiye chidwi ndi zinthu zomwe ankasangalala nazo kale.

Kodi zifukwa za `(NPH)` ndi ziti?

Pali mitundu iwiri ikuluikulu ya `(NPH)`, yonse imachitika mofanana. Mitundu iwiriyi ndi iyi:

• NPH yoyamba (yosadziwika)
• NPH yachiwiri

Choyamba (choyambitsa sichidziwika) `(NPH)`

NPH yoyamba imatanthauza kuti siimayamba chifukwa cha matenda ena. Mawu ena a izi ndi idiopathic , lomwe ndi mawu omwe akatswiri amagwiritsa ntchito pofotokoza matenda omwe amakula popanda chifukwa chenicheni . Akatswiri amakhulupirira kuti idiopathic NPH ikhoza kukhala yogwirizana ndi vuto limodzi kapena angapo lomwe limachitika chifukwa cha ukalamba momwe matupi athu amapangira, kuzungulira, ndi kuyamwanso madzi a m'mitsempha (CSF). Pafupifupi theka la odwala onse a NPH ali m'gululi.

Muzochitika zachibadwa, matupi athu amapanga pakati pa ma milliliters 400 ndi 600 a `(CSF)` patsiku. Izi ndi zochuluka kuposa zomwe timafunikira. Chifukwa chake, tiyenera kupitiriza kuyamwa `(CSF)` yakale kuti tipeze malo `(CSF)` yatsopano. Ngati pali vuto ndi momwe `(CSF)` imayendera kapena kuyamwanso, madzi awa amatha kudziunjikira chifukwa thupi limapanga `(CSF)` yochulukirapo kuposa yomwe limafunikira.

Palinso umboni wakuti NPH ikhoza kugwirizanitsidwa ndi matenda owononga ubongo monga matenda a Alzheimer's ndi matenda a Lewy body dementia . Ofufuza akuyesetsabe kupeza momwe NPH imakulira komanso chifukwa chake, komanso ngati matenda ena angakhudze vutoli. Kuyankha mafunso awa kungathandize kupewa kapena kuchiza bwino vutoli mtsogolo.

Sekondale `(NPH)`

NPH yachiwiri imachitika pamene vuto lina lachipatala limakhudza momwe thupi lathu limapangira, kuzungulira, kapena kuyamwanso madzi a m'mitsempha ya ubongo (CSF). Matenda ena omwe angayambitse NPH yachiwiri ndi awa:

• Kutupa kwa mitsempha yamagazi muubongo (kutupa kwa mitsempha yamagazi komwe kumatha kuphulika ndikutuluka magazi muubongo).
• Kutuluka magazi mkati kapena mozungulira ubongo (Intracranial hemorrhage).
• Zotupa za muubongo (kuphatikizapo khansa)
• Matenda a muubongo kapena mbali zina zokhudzana ndi dongosolo la mitsempha (monga encephalitis kapena meningitis ).
• Stroke .
• Kuvulala kwa ubongo koopsa (TBI) kumaphatikizapo kuvulala kwa ubongo kapena madera ena okhudzana ndi izi panthawi ya chithandizo chamankhwala.

Kodi `(NPH)` imapezedwa bwanji?

Kuzindikira matenda a NPH n'kovuta pang'ono, chifukwa zizindikiro zambiri za matendawa zimafanana ndi za matenda ena okhudzana ndi ukalamba, monga matenda a dementia . NPH imapezekanso kwambiri limodzi ndi matenda ena okhudzana ndi ukalamba. Pafupifupi 30% ya anthu omwe ali ndi NPH alinso ndi matenda a Alzheimer's kapena matenda ofanana ndi a ubongo.

Dokotala amazindikira matenda a NPH pogwiritsa ntchito njira zotsatirazi:

• Kuyezetsa thupi ndi mitsempha . Pa izi, dokotala amafufuza zizindikiro zooneka za matenda. Amayesanso mphamvu zanu (kuona, kumva, kukhudza), mphamvu za minofu, ndi mphamvu ya minofu m'miyendo yanu.
• Kufunsa za mbiri yanu yachipatala ndi zizindikiro . Zolemba zanu zachipatala, mbiri yanu yachipatala, ndi zizindikiro zingapereke malangizo ofunikira pozindikira matenda a NPH.
• Kujambula zithunzi zodziwitsa matenda . Kujambula zithunzi zosonyeza maginito (MRI) ndiye chida chofunikira kwambiri pozindikira matenda a NPH. Izi zimathandiza dokotala kuyang'ana mkati mwa mutu wanu ndikuwona ubongo ndi madera omwe madzi asonkhana. Dokotala wanu angafunenso kuyitanitsa kujambulidwa kwa cistenogram , koma izi sizofala. Kujambula kwa computed tomography (CT) kungathandize kuthetsa matenda ena, koma sikuthandiza kwambiri pozindikira matenda a NPH.
• Mayeso a labu . Kuboola lumbar ( njira yomwe imaphatikizapo kutenga madzi pang'ono kuchokera ku msana) kumalola dokotala kutenga chitsanzo cha madzi a m'mitsempha ya ubongo (CSF) kuti akayesedwe. Izi sizingazindikire mwachindunji NPH, koma zingathandize kuchotsa matenda ena. Zingathandizenso kuzindikira ngati NPH yayamba chifukwa cha matenda ena, monga meningitis. Kuboola lumbar kungachotsenso CSF ​​yochulukirapo, yomwe ingachepetse zizindikiro kwakanthawi (koma zizindikiro zidzabwerera CSF ikawonjezeredwanso).

Kutengera ndi zizindikiro zanu, dokotala wanu angakupatseninso mayeso ena. Izi nthawi zambiri zimakhala zoti mupewe matenda ena omwe ali ndi zizindikiro zofanana ndi za NPH. Dokotala wanu adzakuuzani zambiri za mayesowa komanso chifukwa chake ndi ofunikira.

Kodi `(NPH)` imachiritsidwa bwanji? Kodi pali mankhwala athunthu a izi?

Kawirikawiri, NPH ndi matenda ochiritsika.Chithandizo chimasiyana malinga ndi ngati NPH ndi yoyamba/yosadziwika bwino kapena yachiwiri. Mosiyana ndi matenda ena ambiri a muubongo, mankhwala sagwiritsidwa ntchito kawirikawiri pochiza NPH. Izi zili choncho chifukwa NPH nthawi zambiri siilandira mankhwala (ngakhale zizindikiro zina zokhudzana ndi NPH zimatha kuchiritsidwa ndi mankhwala).

Chithandizo cha matenda oyamba/osadziwika bwino a `(NPH)`

Chifukwa chachikulu/chosadziwika (NPH) nthawi zambiri chimachiritsidwa. Chithandizo chofala kwambiri - komanso chopambana kwambiri - cha izi ndi kuyika chipangizo chotchedwa shunt pa opaleshoni . Shunt ili ndi machubu awiri (catheters), limodzi lolola madzi kulowa ndi lina lotulutsa, ndi valavu pakati pa awiriwa. Ngati ma ventricles a ubongo adzaza ndi madzi, kuthamanga kwakukulu kumakakamiza madzi kulowa mu chubu cholowera, kutsegula valavu ndikulola madzi ochulukirapo kutuluka kudzera mu chubu chotulutsira.

Ma valve ena atsopano a shunt amapangidwa kuti "azitha kukonzedwa," kutanthauza kuti dokotala akhoza kusintha makonda awo popanda opaleshoni. Amaoneka pa "X-ray," kotero dokotala akhoza kuyang'ana valavu ndikutsimikiza kuti makondawo ndi olondola. Ma shunt ena atsopano ndi "otetezeka ku MRI," kutanthauza kuti mutha kujambulidwa "MRI" ngakhale mutakhala ndi valavu yamtunduwu.

Chubu chotulutsira madzi chimatuluka kudzera m'kabowo kakang'ono m'chigaza (dokotala amapanga bowo ili panthawi ya opaleshoni kuti aike shunt). Pambuyo potuluka m'chigaza, chubucho chimatembenukira pansi ndikulowa pansi pa khungu. Chubu chotulutsira madzichi chimatsogolera madziwo pachifuwa kapena pamimba.

Ngati chubucho chalowetsedwa m'mimba (zomwe zimachitika nthawi zambiri), madziwo amatengedwa kuchokera ku peritoneum, nembanemba yomwe imazungulira ziwalo zambiri za m'mimba. Ngati chalowetsedwa m'chifuwa, CSF imatengedwa kuchokera ku nembanemba ya pleural yomwe imazungulira mapapo.

Sekondale `(NPH)`

NPH yachiwiri ikhoza kuchiritsidwa, koma pokhapokha ngati vutoli layamba chifukwa cha vuto lochiritsika . Chithandizo cha NPH yachiwiri chingasiyane kwambiri kutengera chomwe chimayambitsa. Dokotala wanu ndiye munthu wabwino kwambiri woti mulankhule naye za mankhwala omwe alipo komanso zomwe amalimbikitsa.

Kodi zotsatirapo zake kapena mavuto ake ndi otani?

Zotsatirapo za chithandizo cha NPH zimasiyana malinga ndi chithandizocho. Mu NPH yoyamba/yosadziwika, chithandizo chofala kwambiri ndi kuyika shunt mwa opaleshoni kuti CSF yochulukirapo isasonkhanitsidwe mkati mwa chigaza. Zina mwa zotsatirapo za opaleshoniyi ndi izi: (koma sizimangokhala izi):

• Matenda
• Kulephera kwa Shunt kapena kulephera
• Kusintha kwa malo mu valavu ndi/kapena machubu
• Kutuluka kochuluka kwa `(CSF)` kudzera mu shunt (izi zimapangitsa kuchepa kwa kuthamanga kwa `(CSF)`, komwe kumatchedwanso `(Intracranial hypotension)` ).

Mu NPH yachiwiri, mankhwala omwe alipo amatha kusiyana. Komanso, zotsatirapo zake ndi zovuta zake zimatha kusiyana. Chifukwa chake, dokotala wanu ndiye munthu wabwino kwambiri wokuuzani mavuto kapena zotsatirapo zake zomwe mungayembekezere komanso zomwe mungachite nazo.

Kodi ndingathe bwanji kuthana ndi zizindikiro ngati sindidzisamalira ndekha?

NPH si matenda omwe mungathe kuwazindikira kapena kuwachiza nokha. Chifukwa chake, musanyalanyaze zizindikirozo kapena kuyesa kudzichiritsa nokha kapena wina aliyense amene ali ndi zizindikirozi .

Kodi ndidzakhala bwino nthawi yayitali bwanji nditalandira chithandizo? Zimatenga nthawi yayitali bwanji kuti ndichire pambuyo pa chithandizo?

Zizindikiro za vutoli zimatha kuyamba kutha nthawi yomweyo akayika shunt. Kuzindikira ndi kulandira chithandizo msanga, kumakhala kothandiza kwambiri.

Anthu ambiri amaona kuchepa kwa zizindikiro mkati mwa maola ochepa kapena masiku angapo atayikidwa shunt. Komabe, chifukwa shunt ndi opaleshoni yayikulu, zingatenge anthu ambiri masiku angapo kapena milungu ingapo kuti achire. Dokotala wanu ndiye yekhayo amene angakuuzeni nthawi yeniyeni yomwe idzatenge kuti muchire kuchokera ku opaleshoni, chifukwa zinthu zambiri zimakhudza nthawi yanu yochira.

Kodi ndingachepetse chiopsezo cha matenda (NPH) kapena kuletsa kwathunthu?

NPH imachitika mosayembekezereka, ndipo pafupifupi theka la milandu ndi idiopathic, zomwe zikutanthauza kuti imayamba popanda chifukwa chodziwika. NPH ya idiopathic singapewedwe , komanso chiopsezo chotenga matendawa sichingachepe.

Komabe, mutha kuchepetsa chiopsezo chanu chokhala ndi NPH yachiwiri popewa matenda ena kapena zinthu zomwe zingayambitse vutoli. Nazi zina zomwe mungachite:

• Musanyalanyaze matenda , makamaka matenda a maso ndi makutu. Izi zimatha kufalikira mosavuta ku ubongo ndikuyambitsa matenda monga encephalitis kapena meningitis .
• Valani zida zodzitetezera . Kuvulala muubongo komwe kumakhudza ubongo kungayambitse NPH yachiwiri. Kuvala zida zodzitetezera monga chisoti kungathandize kupewa kuvulala kumeneku.
• Konzani thanzi lanu . Matenda monga kuthamanga kwa magazi kungayambitse aneurysms muubongo ndi kutuluka magazi muubongo. Zonsezi zingayambitse NPH. Kulamulira kuthamanga kwa magazi ndi kuthana ndi matenda monga matenda a shuga amtundu wachiwiri kapena cholesterol yambiri kungachepetse chiopsezo chanu cha mavutowa.

Kodi ndiyenera kuyembekezera chiyani ngati ndili ndi `(NPH)`?

NPH ndi vuto lapadera la matenda ofanana ndi a dementia chifukwa nthawi zambiri amatha kuthetsedwa . Komabe, mwayi wabwino kwambiri wothetsera vutoli ndi kupeza matenda msanga komanso kulandira chithandizo msanga . Kuzindikira ndi kulandira chithandizo mochedwa, kumakhala kosavuta kuti kuwonongeka kwa ubongo komwe kumachitika chifukwa cha kupsinjika maganizo kukhale kosatha komanso koopsa.

Popeza NPH nthawi zambiri imakhudza luso lanu loganiza, anthu ambiri omwe ali ndi vutoli sadziwa kuti ali nalo. Achibale, abwenzi, ndi anthu omwe amawadziwa nthawi zambiri amakhala oyamba kuzindikira zizindikiro za NPH . Izi zikutanthauza kuti okondedwa angathandize kwambiri kuti NPH ipezeke ndi kuchiritsidwa msanga.

Kodi `(NPH)` yakhalapo kwa nthawi yayitali bwanji?

NPH ndi matenda osatha . Zizindikiro zimakula pang'onopang'ono kwa miyezi itatu mpaka isanu ndi umodzi. Komabe, NPH siichira yokha; imapitirirabe kuipa. Pamene ikuipiraipira, pamapeto pake imatha kuwononga ubongo kwambiri komanso kosatha.

Ngakhale kuti NPH siingakhale yopha yokha, ingayambitse zizindikiro zomwe zimapangitsa kuti zikhale zovuta komanso zosatheka kuti munthu akhale payekha. Ikhozanso kuyambitsa mavuto aakulu komanso oopsa, monga kugwa.

Ndi chithandizo, zizindikiro zazikulu za `(NPH)` zimatha kutha. Ndi chithandizo, mwayi woti zizindikiro zitatuzi zithe ndi motere:

• Kuvutika kuyenda : Zizindikirozi zimatha mwa odwala pafupifupi 85% omwe amalandira chithandizo.
• Kusadziletsa : Chizindikiro ichi chimachiritsidwa pafupifupi 80% ya milandu ngati chachiritsidwa msanga. Mwayi wochira ndi pakati pa 50% ndi 60% ngati chachiritsidwa mochedwa.
• Mavuto oganiza ndi kukumbukira : Zizindikirozi zimachepa mwa odwala pafupifupi 80% omwe amalandira chithandizo.

Kodi chiyembekezo cha vutoli n'chiyani?

Chiyembekezo cha `(NPH)` chingasiyane kwambiri. Zifukwa zake ndi izi:

• NPH ndi yovuta kuizindikira chifukwa zizindikiro zake zimafanana ndi zomwe zimachitika nthawi zambiri mukakalamba, kapena matenda ena okhudzana ndi ukalamba.
• Zizindikiro za `(NPH)` zimapita pang'onopang'ono.
• Pafupifupi gawo limodzi mwa magawo atatu a anthu omwe ali ndi NPH alinso ndi matenda a ubongo ofooka monga matenda a Alzheimer's.
• NPH imafala kwambiri tikamakalamba, ndipo matenda ambiri okhudzana ndi ukalamba angayambitse ndikuipitsa NPH.
• Popeza zizindikiro za `(NPH)` zimakhudza luso lanu loganiza, simungathe kuzindikira zizindikiro zanu nokha.

Zinthu zomwe zimakhudza zotsatira za `(NPH)`

Ngati zinthu izi zilipo, mwayi wopeza zotsatira zabwino kuchokera ku `(NPH)` ndi wokwera:

• Kuzindikira matenda msanga ndi chithandizo.
• Kuvuta kuyenda ndi/kapena kulamulira mkodzo kutsatiridwa ndi kuvutika kuganiza ndi kukumbukira.
• NPH yachiwiri imachitika chifukwa cha zifukwa zomwe zimatha kuchiritsidwa kapena kubwezeretsedwa.
• Pamene CSF yachotsedwa panthawi yobowoledwa m'chiuno, zizindikiro za NPH zimachepa.

Mwayi woti zinthu ziyende bwino ndi wochepa ngati zinthu izi zikupezeka:

• Kuchedwa kupeza matenda ndi chithandizo.
• Kuyamba msanga kwa mavuto a kuganiza ndi kukumbukira, makamaka ngati ayamba asanayambe kuyenda kapena kulephera kuyendetsa mkodzo.
• Kuganiza kwambiri komanso kukumbukira zinthu zovuta.
• Kukhala ndi matenda ena a muubongo (makamaka matenda owononga ubongo monga matenda a Alzheimer's).

Popeza pali zinthu zambiri zomwe zimakhudza zotsatira zake, dokotala wanu ndiye munthu wabwino kwambiri woti mulankhule naye za zotsatira zomwe zingachitike kwa inu kapena wokondedwa wanu amene ali ndi vutoli. Chidziwitso chomwe angapereke chidzaphatikizapo mbiri yanu yachipatala, kuopsa kwa zizindikiro zanu, mankhwala omwe angagwiritsidwe ntchito, ndi zina zofunika.

Kodi ndimadzisamalira bwanji (nditachita shunt)?

Ngati muli ndi NPH, chithandizo chomwe mungalandire ndi opaleshoni yoyika shunt kuti madzi asadziunjikane muubongo. Ngati muli ndi shunt, nthawi zambiri pali zinthu zingapo zomwe mungachite kuti mupewe mavuto:

• Tsatirani malangizo a dokotala wanu mutachita opaleshoni . Ndikofunikira kwambiri kusamalira bwino malo omwe anasokedwapo kapena malo ofunikira. Kusamalira bwino izi kungathandize kupewa mavuto monga matenda.
• Pewani maginito ngati pakufunika kutero . Si ma shunt onse omwe ali ndi ma valve a maginito, kotero si aliyense amene ali ndi shunt ayenera kuchita izi. Dokotala wanu adzakulankhulani za izi.
• Samalani ndi mayendedwe ndi zochita . Pewani zochita zolimbitsa thupi zomwe zingakhudze shunt, chubu, kapena china chilichonse.
• Pitani kwa dokotala wanu monga momwe mukulangizidwira . Ndikofunikira kupita kwa dokotala wanu nthawi zonse kuti mupewe mavuto omwe amabwera chifukwa cha vutoli. Pa maulendo awa, dokotala wanu akhoza kuyang'anira vuto lanu ndikusintha shunt ngati pakufunika kutero.
• Yang'anirani zizindikiro . Ngati muwona zizindikiro zilizonse za `(NPH)` zikubwereranso, uzani dokotala mwamsanga. Zizindikiro zobwerezabwereza zingasonyeze vuto la shunt. Zizindikiro zikapitirira nthawi yayitali ndikuipiraipira, chiopsezo cha zovuta chimakula.

Ndiyenera kupita liti kwa dokotala wanga?

Muyenera kuonana ndi dokotala wanu monga momwe mwalangizidwira. Muyeneranso kuonana ndi dokotala wanu ngati muwona kubwereranso kwa zizindikiro zanu za NPH, kapena ngati mukukumana ndi zizindikiro zatsopano (ngakhale zikuoneka kuti sizikugwirizana).

Kodi ndiyenera kupita liti ku Emergency Treatment Unit (ETU) ?

Dokotala wanu adzakuuzani za zizindikiro zomwe zingasonyeze mavuto kapena zovuta zina. Zizindikiro zina zomwe zimafuna chithandizo chamankhwala mwachangu ndi izi:

• Mutu . Mutu womwe umasokoneza zochita zanu zachizolowezi, makamaka ngati uyamba kapena kuipiraipira mukakhala pansi kapena mutaimirira. Izi zitha kuchitika chifukwa cha vuto la shunt (ngati silikutulutsa madzi okwanira ku CSF), kapena ngati shunt ili pamalo osafunikira.
• Malungo kapena kuzizira . Matenda amatha kuchitika mutachita opaleshoni ya shunt. Matendawa angakhudze ubongo wanu, msana, kapena peritoneum, ndipo amatha kufalikira mofulumira. Musanyalanyaze zizindikiro za matenda mutachita opaleshoni ya (NPH).
• Khosi lolimba . Izi zitha kukhala vuto ndi shunt kapena njira yotulutsira madzi.
• Ululu m'mimba kapena pachifuwa pomwe pali ductNgati chubu chotulutsira madzi chatuluka, chingaphwanye kapena kuwononga minofu yapafupi. Ngati mukumva kupweteka m'malo awa, makamaka kupweteka kwadzidzidzi komanso koopsa, muyenera kuyimbira dokotala wanu kapena kupita kuchipatala chadzidzidzi nthawi yomweyo.

Pakhoza kukhala zizindikiro zina zomwe muyenera kuzidziwa, ndipo dokotala wanu adzakuuzani zambiri za izo. Iye ndiye munthu wabwino kwambiri woyankha mafunso okhudza zomwe mungachite kuti mupewe mavutowa.

Kodi kusiyana pakati pa `(Normal Pressure Hydrocephalus - NPH)` ndi `(Hydrocephalus)` ndi kotani?

NPH ndi matenda otchedwa hydrocephalus (madzi) omwe amakula pang'onopang'ono ndipo amakula pakapita nthawi. "Kupanikizika kwabwinobwino" kumatanthauza kuti kuthamanga kwa magazi mkati mwa chigaza chanu (kupanikizika kwa mkati mwa ubongo - ICP) sikukwera kwambiri kapena koopsa. Pazochitika izi, kuchuluka kwa magazi anu a ICP kungakhale pafupi ndi kumapeto kwa mlingo womwe mukuyembekezeredwa. Izi zimachitika pang'onopang'ono, kufinya ndi kufinya minofu ya ubongo wanu. Kupanikizika kumakhala kwabwinobwino, kotero ubongo uli ndi nthawi yotulutsa madziwo, zomwe zimapangitsa zizindikiro.

Pomaliza, zomwe muyenera kukumbukira (Uthenga Wopita Nawo Kunyumba)

Kupanikizika Kwabwinobwino Hydrocephalus (NPH) ndi matenda osowa omwe nthawi zambiri amakhudza anthu azaka zopitilira 65. Akhoza kukhala matenda osachiritsika, omwe amayamba chifukwa cha matenda monga meningitis, kapena kuvulala kwa gawo la ubongo. Matendawa angayambitse zizindikiro zofanana ndi za dementia , zomwe zimakhudza kuyenda, kuganiza, komanso kuthekera kolamulira mkodzo.

Matenda ambiri omwe amaoneka ngati matenda a dementia amakula kwambiri pakapita nthawi ndipo amakhala ovuta kuwachiza ndi kuwasamalira. Komabe, NPH nthawi zambiri imatha kuchiritsidwa, ndipo nthawi zina imatha kubwezeretsedwanso . Mwayi wabwino wobwezera zotsatira za NPH ndi ngati itapezeka msanga ndikuchiritsidwa msanga. Ndicho chifukwa chake ndikofunikira kuti musanyalanyaze zizindikiro zanu kapena za wokondedwa wanu. Ndi chithandizo chachangu, anthu ambiri omwe ali ndi NPH amatha kuchira ndikubwezeretsanso mphamvu zawo zonse - kapena zonse - zomwe anali nazo kale.

Kumbukirani, ngati muli ndi kukayikira kulikonse pankhaniyi, ndi bwino kufunsa upangiri wa dokotala.

Kupanikizika pa ubongo, NPH, ukalamba, kuyenda movutikira, kulamulira mkodzo, kuiwala zinthu, opaleshoni ya shunt