Ese umuntu wawe ugeze mu zabukuru afite ibi bimenyetso? Reka twige ku bijyanye n'indwara isanzwe ya hydrocephalus (NPH)

Ese wigeze ubona ko nyoko wawe, papa wawe, cyangwa nyogokuru wawe ugeze mu za bukuru arimo gutakaza ubwenge bwe kandi bikamugora kugenda uko agenda akura? Hari igihe dutekereza ko ibi ari ibintu bisanzwe bibaho uko tugenda dusaza. Ariko, hari igihe hashobora kuba hari indi mpamvu inyuma y'ibi bibazo. Uyu munsi, tugiye kuvuga ku ndwara yihariye ishobora kumera nk'indwara yo kwibagirwa, ariko ishobora gukira iyo ivuwe . Iyo ni indwara yitwa `(Normal Pressure Hydrocephalus)` cyangwa `(NPH)`.

`(Umuvuduko usanzwe wa Hydrocephalus - NPH)` ni iki?

Mu magambo make, `(Normal Pressure Hydrocephalus)` cyangwa `(NPH)` ni indwara aho amazi yiyongera mu bwonko bwacu cyangwa hafi yabwo, akabangamira imikorere y'ubwonko . Tekereza nk'indobo yuzuye amazi. Ibi bishobora kugira ingaruka ku mirimo myinshi igenzurwa n'ubwonko, nko gutekereza, kwibanda ku bintu, kwibuka no kugenda. Ikintu cyihariye ni uko nubwo ibimenyetso byabyo bisa cyane n'indwara yo kwibagirwa, iyo ndwara `(NPH)` rimwe na rimwe ishobora kuvurwa no gukira .

Ni nde urebwa cyane n'iyi ndwara ya `(NPH)`?

Iyi ndwara, yitwa ``(NPH)`` , ikunze kugaragara cyane mu bantu barengeje imyaka 65. Ibyago byo kurwara iyi ndwara byiyongera uko umuntu agenda akura. Akenshi itangira ahagana ku myaka 70.

Ukwiyongera kw'imyaka ni cyo kintu nyamukuru gitera ibi. Ibintu nk'ubwoko, ibara ry'uruhu, n'igitsina ntabwo bigira ingaruka kuri ibi.

Ni gute `(NPH)` ikunze kugaragara?

Nubwo indwara ya NPH idakunze kugaragara, ni indwara izwi cyane mu baganga. Bivugwa ko abantu bagera kuri 0.2% bari hagati y'imyaka 70 na 80 bafite iyi ndwara, naho abantu bagera kuri 5.9% bari hejuru y'imyaka 80 bayirwaye. Ibyo bivuze ko abantu bagera kuri miliyoni 8.4 bari hejuru y'imyaka 80 ku isi barwaye iyi ndwara. Nk'uko abahanga babivuga, ni gake cyane ku bantu bari munsi y'imyaka 65, ikaba yibasira 0.003% gusa by'abo bantu.

Bigenda bite iyo ufite `(NPH)`? Bigira izihe ngaruka ku bwonko?

NPH iterwa no kwibumbira mu mazi yitwa cerebrospinal fluid (CSF) mu bwonko . Aya mazi ameze nk'amazi. Agaburira ubwonko kandi agakuraho imyanda. Ubwonko bw'umuntu mukuru busanzwe bugizwe na mililitiro 150 (ounces 5) za CSF. Ni munsi ya kimwe cya kabiri cy'ingano iri mu gacupa ka Coke. Imibiri yacu ihora ikora, izenguruka, kandi ikongera kuyifata kugira ngo ikomeze ku rugero ruhoraho.

Nubwo aya mazi ari make, agira uruhare runini. Aya mazi ya ``(CSF)`` akikije ubwonko bwacu n'umugongo uri mu ruti rw'umugongo. Mu yandi magambo, ubwonko bwacu bureremba muri aya mazi . Akora kandi nk'umusego urinda ubwonko n'umugongo guhungabana kw'inyuma.

Rero, iyo umubiri wacu udashobora kuzenguruka neza aya mazi ya ``(CSF)`` cyangwa kuyakurura, aya mazi atangira kwirundanya kurusha uko bikwiye mu gahanga.

Muri `(NPH)`, aya mazi yiyongera buhoro buhoro, bityo nubwo umuvuduko uri mu gahanga `(Umuvuduko wo mu mutwe)` wiyongera, uguma mu rugero rusanzwe . (Niyo mpamvu witwa `(Umuvuduko usanzwe Hydrocephalus)` - "Umuvuduko usanzwe Hydrocephalus"). Kubera ko, mu bwonko bwacu hari utwobo twuzuyemo amazi twitwa `(Ventricles)`, dushobora kwihanganira bimwe muri ibyo birundo by'amazi.

Ariko, uko `(CSF)` ikomeza kwiyongera, nta handi ayo mazi ashobora kujya. Hanyuma, ubwonko butangira kubyimba no kubyimba . Ibyo nibyo bitera ibimenyetso by'iyi ndwara. Iyo ubwonko bubyimbye gutya igihe kirekire, igitutu gishobora kwangiza burundu ingingo z'ubwonko, cyangwa kikabusenya.

Ni ibihe bimenyetso bya `(NPH)`?

Ibimenyetso bya `(NPH)` bikunze kwiyongera buhoro buhoro, bikiyongera buhoro buhoro mu gihe cy'amezi atatu kugeza kuri atandatu . Hariho ibimenyetso bitatu by'ingenzi bya `(NPH)`, bizwi kandi nka Hakim's Triad . Hagati ya 50% na 75% by'abantu bafite `(NPH)` bafite ibimenyetso bitatu icyarimwe. Hakim's Triad irimo ubwoko butatu bw'ibimenyetso:

• Ibibazo by'ingendo
• Kunanirwa kwihagarika inkari
• Ingorane zo mu mutwe

Kugorwa no kugenda

Ibi ni ibibazo byo kugenda bitewe no kugenda. Iki kimenyetso ni cyo kigaragara cyane muri bitatu. Hagati ya 80% na 95% by'abantu bafite NPH bafite ibi bimenyetso. Bimwe mu bimenyetso bishobora gusa n'indwara zo kugenda ziterwa na Parkinson , ariko itandukaniro rikomeye ni uko muri NPH, ibi bimenyetso akenshi biba ku maguru no ku birenge gusa.

Niba ufite `(NPH)`, ibi bintu bishobora kubaho:

• Biba bigoye guterura amaguru . Ibi bituma amaguru asa n'aho afashe hasi iyo agenda. Bivugwa ko bigoye kugerageza gukura rukuruzi hejuru y'ikintu.
• Ibirenge ni bito kandi biranyeganyega . Ibi bituma bigaragara nk'aho amaguru arimo gukurura iyo agenda. Hari kandi amahirwe menshi yo gusitara no kugwa.
• Kugenda bishobora guhagarara mu buryo butunguranye cyangwa kugenda utazi neza . Bishobora gusa nkaho udashobora gufata icyemezo cyo gutera intambwe cyangwa gukomeza urugendo nyuma yo gutangira kugenda. Ushobora kandi gutinda iyo urimo uhindukira cyane mu gihe ugenda, kandi ushobora no kugorwa no guhindukira.
• Iyo bagenda, ibirenge bireba inyuma . Ibi bituma babasha kurambura amaguru yabo no kugenda bava ku ruhande rumwe, nk'inyoni y'ingore.

Kudashobora kugenzura inkari

Ibi ni ukubura uburyo bwo kugenzura uruhago rw'inkari no kuva inkari mu buryo butunguranye. Mu ntangiriro, ushobora kumva ukeneye kunyara kenshi, cyangwa ukumva ukeneye kunyara mu buryo butunguranye kandi bugoye kugenzura.

Abantu bafite iyi ngeso bashobora kugira isoni iyo bananiwe kugenzura inkari zabo. Ariko, hari abantu batabizi, maze bakagira isoni.Nta nubwo bisa nkaho ari byo. Ibi bishobora guterwa n'ingorane zo gutekereza, ari na byo biranga itsinda rya gatatu rya Hakeem.

Kugorwa no gutekereza no kwibuka

Ikintu cya gatatu cy’ingenzi cya NPH ni ukugorwa no gutekereza no kwibuka. Ibi bishobora gutera ibintu nk'ibi:

• Gutinda mu mutwe no ku mubiri . Umuntu asa n'utekereza kandi akora buhoro kurusha uko bisanzwe.
• Ibibazo byo kwibuka . Akenshi wibagirwa ibintu kandi usa n'aho ukora udatekereje.
• Ubumuga mu mikorere : Kugorwa no gucunga amarangamutima, ibitekerezo, n'ibikorwa. Kugorwa no gushyira ibitekerezo ku murongo, gufata ibyemezo, no kugira ikibazo cyo gutekereza neza.
• Impinduka mu byiyumvo . Abantu barwaye NPH bashobora gusa n'abatitaye ku byo bakundaga mbere.

Ni izihe mpamvu za `(NPH)`?

Hari ubwoko bubiri bw'ingenzi bwa `(NPH)`, byombi bibaho mu buryo bumwe. Ubwo bwoko bubiri ni:

• Indwara y'ibanze (idiopathic) NPH
• NPH ya kabiri

Impamvu y'ibanze (impamvu itazwi) `(NPH)`

NPH y'ibanze bivuze ko idaterwa n'indi ndwara. Indi mvugo ni idiopathic , iri ni ijambo rikoreshwa n'inzobere mu gusobanura indwara zivuka nta mpamvu yihariye . Impuguke zizera ko NPH idafite idiopathic ishobora kuba ifitanye isano n'ikibazo kimwe cyangwa byinshi bibaho mu gusaza mu buryo imibiri yacu ikora, izenguruka, kandi ikongera gukurura amazi yo mu bwonko (CSF). Hafi kimwe cya kabiri cy'abarwayi bose ba NPH bari muri iki cyiciro.

Mu bihe bisanzwe, imibiri yacu ikora mililitiro 400 na 600 za `(CSF)` ku munsi. Ibyo ni byinshi cyane kurusha ibyo dukeneye. Kubwibyo, tugomba gukomeza kongera kwinjiza `(CSF)` ishaje kugira ngo haboneke umwanya wa `(CSF)` nshya. Niba hari ikibazo ku buryo `(CSF)` izenguruka cyangwa ikongera kwinjiza, umubiri ushobora gukora `(CSF)` nyinshi kurusha izo ukeneye, bigatuma aya mazi yiyongera.

Hari kandi ibimenyetso bigaragaza ko NPH ishobora kuba ifitanye isano n'indwara zo mu bwonko zitera kwangirika nka Alzheimer's disease na Lewy body dementia . Abashakashatsi baracyagerageza kumenya uburyo n'impamvu NPH ikura, ndetse niba izindi ndwara zishobora kuyigiraho ingaruka. Gusubiza ibi bibazo bishobora gufasha gukumira cyangwa kuvura neza iyo ndwara mu gihe kizaza.

`Ya kabiri` (NPH)`

NPH ya kabiri ibaho iyo indi ndwara igira ingaruka ku buryo umubiri wacu ukora, utembera, cyangwa ukongera gukurura amazi yo mu bwonko (CSF). Zimwe mu ndwara zishobora gutera NPH ya kabiri zirimo:

• Aneurysm yo mu bwonko (ikibyimba mu mitsi y'amaraso gishobora guturika no kuva amaraso mu bwonko).
• Kuva amaraso mu bwonko cyangwa hafi yabwo (kuva amaraso mu bwonko).
• Ibibyimba byo mu bwonko (harimo na kanseri)
• Indwara zo mu bwonko cyangwa ibice bifitanye isano n'ubwonko (urugero , indwara ya encephalite cyangwa meningitis ).
• Indwara yo mu bwonko (stroke) .
• Ibikomere byo mu bwonko bikomeretsa (TBI) birimo ibikomere byo mu bwonko cyangwa ibindi bifitanye isano nabyo mu gihe cyo kuvurwa n'abaganga.

Ni gute `(NPH)` ipimwa?

Gusuzuma NPH biragoye gato, kuko ibimenyetso byinshi by'iyi ndwara bisa n'iby'izindi ndwara ziterwa n'izabukuru, nka dementia . NPH nayo ikunze kugaragara hamwe n'izindi ndwara ziterwa n'izabukuru. Abantu bagera kuri 30% barwaye NPH nabo barwaye indwara ya Alzheimer cyangwa indwara isa n'iyo mu bwonko.

Umuganga asuzuma indwara ya NPH akoresheje uburyo bukurikira:

• Isuzuma ry'umubiri n'iry'imitsi . Muri ibi, muganga areba ibimenyetso bigaragara by'uburwayi. Apima kandi ibyumviro byawe (kubona, kumva, gukoraho), imbaraga z'imitsi n'imbaraga z'imitsi mu ngingo zawe.
• Kubaza amateka yawe y'uburwayi n'ibimenyetso byabwo . Inyandiko zawe z'ubuvuzi, amateka yawe y'uburwayi, n'ibimenyetso byabyo bishobora gutanga ibimenyetso by'ingenzi byo gusuzuma NPH.
• Isuzuma ry’indwara . Isuzuma rya MRI ni igikoresho cy’ingenzi cyane mu gusuzuma NPH. Ibi bituma muganga areba mu mutwe wawe akabona ubwonko n’ahantu amazi yakusanyirijwe. Muganga wawe ashobora kandi gutumiza isuzuma rya cistenogram , ariko ibi ntibikunze kubaho. Isuzuma rya CT (computed tomography) rishobora gufasha mu gukuraho izindi ndwara, ariko ntabwo rifasha cyane mu gusuzuma NPH.
• Ibizamini byo muri laboratwari . Gutobora mu ruti rw'umugongo ( uburyo busaba gufata amazi make mu ruti rw'umugongo) byemerera muganga gufata icyitegererezo cy'amazi yo mu bwonko (CSF) kugira ngo apimwe. Ibi ntibishobora gusuzuma NPH mu buryo butaziguye, ariko bishobora gufasha kumenya izindi ndwara. Bishobora kandi gufasha gusuzuma niba NPH iterwa n'indi ndwara, nka meningitis. Gutobora mu ruti rw'umugongo bishobora kandi gukuraho CSF ​​irenze, bishobora koroshya ibimenyetso by'agateganyo (ariko ibimenyetso bizagaruka iyo CSF ​​yongewemo).

Bitewe n'ibimenyetso byawe, muganga wawe ashobora no gutegeka ibindi bipimo. Ibi akenshi biba ari ukugira ngo hatabaho izindi ndwara zisa n'iz'indwara ya NPH. Muganga wawe azakubwira byinshi kuri ibi bipimo n'impamvu ari ingenzi.

`(NPH)` ivurwa ite? Ese hari umuti wuzuye w'ibi?

Muri rusange, indwara ya NPH ni indwara ishobora kuvurwa.Uburyo bwo kuvura buratandukanye bitewe n'uko NPH ari ingenzi/idiopathic cyangwa ari iya kabiri. Bitandukanye n'izindi ndwara nyinshi zo mu bwonko, imiti ntikunze gukoreshwa mu kuvura NPH. Ibi biterwa nuko NPH ikunze kudakira imiti (nubwo ibimenyetso bimwe na bimwe bifitanye isano na NPH bishobora kuvurwa n'imiti).

Kuvura indwara y’ibanze/idiopathike `(NPH)`

Impamvu y'ibanze/itazwi (NPH) ikunze kuvurwa. Uburyo bukunze kugaragara cyane - kandi bugira ingaruka nziza - ni ugushyiramo igikoresho cyitwa shunt . Shunt ifite imiyoboro ibiri (catheters), umwe wo kwinjiza amazi n'undi wo kuyasohora, hamwe n'agakingirizo hagati yayo yombi. Iyo imiyoboro y'ubwonko yuzuye amazi, umuvuduko wiyongereye ushyira amazi mu muyoboro w'amazi, ugafungura agakingirizo maze amazi arenze akanyura mu muyoboro w'amazi.

Hari ibyuma bishya bya shunt byakozwe "programmable", bivuze ko muganga ashobora guhindura imiterere yabyo nta kubagwa. Bigaragara kuri "X-ray", bityo muganga ashobora kureba icyuma gifunga icyuma no kwemeza ko imiterere yacyo ari yo. Hari ibyuma bishya bya shunt "bitagira ingaruka kuri MRI", bivuze ko ushobora gupimwa "MRI" nubwo waba ufite ubwo bwoko bwa mashini.

Umuyoboro w'amazi usohoka unyuze mu mwobo muto uri mu gahanga (muganga akora uyu mwobo mu gihe cyo kubaga kugira ngo ashyiremo shunt). Nyuma yo gusohoka mu gahanga, umuyoboro umanuka ujya munsi y'uruhu. Uyu muyoboro w'amazi uyobora amazi mu gituza cyangwa mu nda.

Iyo umuyoboro werekeje mu nda (ibikunze gukorwa), amazi aturuka mu gice cy'imbere cy'umubiri, ari cyo gice cy'umubiri gikikije ingingo nyinshi zo mu nda. Iyo unyuze mu gituza, CSF ituruka mu gice cy'umubiri gikikije ibihaha.

`Ya kabiri` (NPH)`

Indwara ya kabiri ya NPH ishobora gukira, ariko gusa iyo indwara itewe n'indwara ishobora kuvurwa . Uburyo bwo kuvura NPH ya kabiri bushobora gutandukana cyane bitewe n'impamvu nyamukuru. Muganga wawe ni we muntu mwiza wo kuganira na we ku bijyanye n'uburyo bwo kuvura buhari n'ibyo agusaba.

Ni izihe ngaruka mbi cyangwa ingorane zo kuvurwa?

Ingaruka mbi zo kuvura NPH ziratandukanye bitewe n'uburyo bwo kuvura. Muri NPH y'ibanze/itazwi, uburyo bukunze gukoreshwa ni ugushyiramo shunt mu kubaga kugira ngo CSF ​​irenze ikomeze kwirundanya mu gahanga. Zimwe mu ngaruka mbi z'ubu buryo bwo kubaga zirimo (ariko ntizigarukira gusa kuri):

• Indwara zandurira mu mubiri
• Gukora nabi cyangwa kunanirwa kwa Shunt
• Impinduka mu mwanya wa valve cyangwa imiyoboro
• Kugabanuka gukabije kwa `(CSF)` binyuze muri shunt (ibi bitera kugabanuka k'umuvuduko wa `(CSF), byitwa kandi `(Intracranial hypotension)` ).

Muri NPH ya kabiri, uburyo bwo kuvura bushobora gutandukana. Nanone, ingaruka mbi n'ingorane zishobora gutandukana. Kubwibyo, muganga wawe ni we muntu mwiza wo kukubwira ingorane cyangwa ingaruka mbi ushobora kwitega n'icyo wakora kuri zo.

Nakwitwara nte mu gihe ntari kwiyitaho?

NPH si indwara ushobora gusuzuma cyangwa kuyivura wenyine. Kubwibyo, ntukirengagize ibimenyetso cyangwa ngo ugerageze kwivura wowe ubwawe cyangwa undi muntu ufite ibyo bimenyetso .

Nzumva meze neza nyuma y'igihe kingana iki? Bifata igihe kingana iki kugira ngo nduhuke nyuma yo kuvurwa?

Ibimenyetso by'iyi ndwara bishobora gutangira kumera neza ako kanya iyo shunt ishyizwemo. Uko isuzuma n'ubuvuzi bivurwa vuba, niko bigenda neza.

Abantu benshi babona ko ibimenyetso bigabanuka mu masaha make cyangwa iminsi mike nyuma yo gushyirwaho shunt. Ariko, kubera ko shunt ari ukubagwa gukomeye, bishobora gufata abantu benshi iminsi cyangwa ibyumweru byinshi kugira ngo bakire. Muganga wawe ni we wenyine uzakubwira neza igihe bizatwara kugira ngo ukire nyuma yo kubagwa, kuko hari ibintu byinshi bigira ingaruka ku gihe cyo gukira kwawe.

Ese nshobora kugabanya ibyago byo kurwara (NPH) cyangwa nkabyirinda burundu?

NPH ibaho mu buryo butunguranye, kandi hafi kimwe cya kabiri cy'abarwayi ni idiopathic, bivuze ko barwara nta mpamvu izwi. NPH idafite idiopathic ntishobora kwirindwa , kandi ibyago byo kuyirwara ntibishobora kugabanuka.

Ariko, ushobora kugabanya ibyago byo kurwara indwara ya kabiri ya NPH wirinda izindi ndwara cyangwa ibindi bintu bishobora gutera iyi ndwara. Dore bimwe mu byo wakora:

• Ntukirengagize indwara zandura , cyane cyane iz'amaso n'iz'amatwi. Izi ndwara zishobora gukwirakwira mu bwonko byoroshye zigatera indwara nka encephalite cyangwa meningitis .
• Ambara ibikoresho byo kwirinda . Ibikomere byo mu bwonko bishobora gutera indwara ya NPH ya kabiri. Kwambara ibikoresho byo kwirinda nk'ingofero bishobora gufasha mu kwirinda ibi bikomere.
• Genzura uburwayi bwawe . Indwara nk'umuvuduko ukabije w'amaraso zishobora gutera imitsi yo mu bwonko no kuva amaraso mu bwonko. Ibi byombi bishobora gutera NPH. Kugenzura umuvuduko w'amaraso no guhangana n'indwara nka diyabete yo mu bwoko bwa 2 cyangwa cholesterol nyinshi bishobora kugabanya ibyago byo kurwara ibi bibazo.

Ni iki nkwiye kwitega mu gihe mfite `(NPH)`?

NPH ni ikibazo cyihariye cy’indwara nk’iz’ihungabana kuko akenshi ishobora gusubizwa inyuma . Ariko, amahirwe meza yo gusubiza inyuma iyi ndwara ni iyo umuntu asuzumwe hakiri kare kandi akavurwa hakiri kare . Uko umuntu asuzumwa agatinda, ni ko ubwonko burushaho kwangirika bitewe n’ihungabana rikabije kandi rirambye.

Kubera ko indwara ya NPH ikunze kugira ingaruka ku bushobozi bwawe bwo gutekereza, abantu benshi bayirwaye ntibazi ko bayirwaye. Umuryango, inshuti, n'abo tuzi akenshi ni bo ba mbere babona ibimenyetso bya NPH . Ibi bivuze ko abakunzi bashobora kugira uruhare runini mu gusuzuma NPH no kuvurwa hakiri kare.

`(NPH)` imaze igihe kingana iki?

NPH ni indwara idakira . Ibimenyetso bigenda bikura buhoro buhoro mu gihe cy'amezi atatu kugeza kuri atandatu. Ariko, NPH ntabwo igenda irushaho kuba nziza ubwayo; ikomeza kwiyongera. Uko irushaho kuba mbi, ishobora gutera kwangirika k'ubwonko gukomeye kandi burundu.

Nubwo indwara ya NPH ishobora kuba idapfa ubwayo, ishobora gutera ibimenyetso bituma umuntu adashobora kubaho mu buryo bwe bwite. Ishobora kandi gutera ingorane zikomeye, nko kugwa.

Mu kuvurwa, ibimenyetso by'ingenzi bya `(NPH)` bishobora kugabanuka. Mu kuvurwa, amahirwe y'uko ibyo bimenyetso bitatu bizagenda neza ni aya akurikira:

• Kugorwa no kugenda : Ibi bimenyetso birashira ku barwayi bagera kuri 85% bavuwe.
• Kudakoresha indorerwamo : Iki kimenyetso kirakira mu bantu bagera kuri 80% iyo kivuwe hakiri kare. Amahirwe yo gukira ari hagati ya 50% na 60% iyo kivuwe hakiri kare.
• Ingorane zo gutekereza no kwibuka : Ibi bimenyetso biragenda byiyongera ku barwayi bagera kuri 80% bavuwe.

Ni iki giteganyijwe kuri iki kibazo?

Icyerekezo cya `(NPH)` gishobora gutandukana cyane. Impamvu zibitera ni izi zikurikira:

• NPH iragoye kuyisuzuma kuko ibimenyetso byayo bisa n'ibisanzwe iyo umuntu ashaje, cyangwa izindi ndwara ziterwa n'izabukuru.
• Ibimenyetso bya `(NPH)` bigenda buhoro buhoro.
• Hafi kimwe cya gatatu cy'abantu barwaye NPH nabo bafite indwara yo mu bwonko itera kwangirika nk'indwara ya Alzheimer.
• NPH irushaho kwiyongera uko tugenda dusaza, kandi indwara nyinshi zisanzwe ziterwa n’izabukuru zishobora kugira uruhare mu gutuma NPH irushaho kuba mbi.
• Kubera ko ibimenyetso bya `(NPH)` bigira ingaruka ku bushobozi bwawe bwo gutekereza, ushobora kutabasha kumenya ibimenyetso byawe ubwawe.

Ibintu bigira ingaruka ku bisubizo bya `(NPH)`

Iyo ibi bintu bihari, amahirwe yo kubona igisubizo cyiza kuri `(NPH)` aba menshi:

• Gusuzuma indwara hakiri kare no kuyivura.
• Kugorwa no kugenda cyangwa kugenzura inkari bikurikirwa no kugorwa no gutekereza no kwibuka.
• NPH ya kabiri iterwa n'impamvu zishobora kuvurwa cyangwa zishobora gusubizwa inyuma.
• Iyo CSF ​​ikuweho mu gihe cyo gupfunyika mu ruhu, ibimenyetso bya NPH biragabanuka.

Amahirwe yo kugira umusaruro mwiza aba make iyo habayeho ibi bintu:

• Gutinda gusuzuma no kuvura indwara.
• Ibibazo byo gutekereza no kwibuka bitangira hakiri kare, cyane cyane iyo bitangiye mbere yo kugorwa no kugenda cyangwa kugenzura inkari.
• Gutekereza cyane no kugorana kwibuka.
• Kugira izindi ndwara zo mu bwonko (cyane cyane indwara zo mu bwonko zigenda zigabanuka nka Alzheimer).

Kubera ko hari ibintu byinshi bigira ingaruka ku ngaruka, umuganga wawe ni we muntu mwiza wo kuganira na we ku ngaruka zishobora kubaho kuri wowe cyangwa ku muntu ukunda ufite iyi ndwara. Amakuru batanga azaba arimo amateka y'ubuzima bwawe, uburemere bw'ibimenyetso byawe, uburyo ushobora kuvurwa, n'ibindi bintu by'ingenzi.

Nitwara nte (nyuma yo kugira shunt)?

Niba ufite NPH, uburyo bushoboka cyane bwo kuvura ni ukubagwa kugira ngo ushyiremo shunt kugira ngo amazi ahagarike kwiyongera mu bwonko. Niba ufite shunt, hari ibintu bike ushobora gukora kugira ngo wirinde ibibazo:

• Kurikiza amabwiriza ya muganga wawe nyuma yo kubagwa . Ni ngombwa cyane kwita ku bice byashyizwemo imyenda cyangwa udupira. Kubyitaho neza bishobora gufasha kwirinda ingorane nk'indwara.
• Irinde rukuruzi niba bibaye ngombwa . Si shunt zose zifite valve za rukuruzi, bityo rero iki si ikintu buri wese ufite shunt agomba gukora. Muganga wawe azakubwira kuri ibi.
• Witondere ingendo n'ibikorwa . Irinde imyitozo ngororamubiri ishobora kugira ingaruka ku gice cy'umubiri, ku muyoboro w'amazi, cyangwa ikindi kintu icyo ari cyo cyose.
• Jyana na muganga wawe nk'uko ubyifuza . Ni ngombwa kujya kwa muganga wawe buri gihe kugira ngo wirinde ingorane zikomoka kuri iyi ndwara. Muri uku gusura, muganga wawe ashobora gukurikirana ikibazo cyawe no guhindura shunt nibiba ngombwa.
• Itondere ibimenyetso . Niba ubonye kimwe mu bimenyetso bya `(NPH)` byongeye kugaragara, bwira muganga wawe vuba bishoboka. Ibimenyetso bigaruka bishobora kugaragaza ikibazo kuri shunt. Uko ibimenyetso bikomeza kandi bikarushaho kwiyongera, niko ibyago byo kugira ibibazo byiyongera.

Ni ryari ngomba kubonana na muganga wanjye?

Ugomba kujya kwa muganga wawe nk'uko byagusabye. Ugomba kandi kujya kwa muganga wawe niba ubonye ibimenyetso bya NPH byongeye kugaruka, cyangwa niba ubonye ibimenyetso bishya (nubwo bisa nkaho bitajyanye).

Ni ryari nkwiye kujya mu ishami rishinzwe ubutabazi bwihutirwa (ETU) ?

Muganga wawe azakubwira ibimenyetso bishobora kugaragaza ibibazo cyangwa ingorane zishobora kubaho. Bimwe mu bimenyetso bishobora gukenera ubuvuzi bwihuse birimo:

• Kuribwa umutwe . Kuribwa umutwe bibangamira imirimo yawe isanzwe, cyane cyane iyo bitangiye cyangwa bikarushaho gukomera iyo wicaye cyangwa uhagaze. Ibi bishobora guterwa n'ikibazo cya shunt (niba idasohora CSF ihagije), cyangwa niba shunt idakora neza.
• Umuriro cyangwa ubukonje . Indwara zishobora kuvuka nyuma yo kubagwa shunt. Izi ndwara zishobora kugira ingaruka ku bwonko bwawe, uruti rw'umugongo, cyangwa peritoneum, kandi zishobora gukwirakwira vuba. Ntuzigere wirengagiza ibimenyetso by'ubwandu nyuma yo kubagwa (NPH).
• Ijosi rikomeye . Ibi bishobora kuba ikibazo kuri shunt cyangwa inzira isohoka.
• Kubabara mu nda cyangwa mu gituza aho umuyoboro w'amazi uherereyeIyo umuyoboro w'amazi uvuyemo, ushobora gukurura cyangwa kwangiza ingingo zegereye aho hantu. Niba ufite ububabare muri ibi bice, cyane cyane ububabare butunguranye kandi bukomeye, ugomba guhamagara muganga wawe cyangwa kujya mu cyumba cy’ubutabazi bwihuse.

Hari ibindi bimenyetso ushobora kumenya, kandi muganga wawe azakubwira byinshi kuri byo. Ni we kandi muntu mwiza wo gusubiza ibibazo ku byo wakora kugira ngo wirinde ibyo bibazo.

Ni irihe tandukaniro riri hagati ya `(Hydrocephalus Normal Pressure - NPH)` na `(Hydrocephalus)`?

NPH ni indwara yitwa hydrocephalus (umutwe w'amazi) ikura buhoro buhoro kandi ikarushaho kwiyongera uko igihe kigenda gihita. "Umuvuduko usanzwe" bivuze ko umuvuduko uri mu gahanga kawe (umuvuduko wo mu mutwe - ICP) utari hejuru cyane cyangwa mu buryo buteye ubwoba. Muri ibi bihe, urugero rwa ICP rushobora kuba ruri hafi y'igice cyo hejuru cy'urugero rwitezwe. Ibi bibaho buhoro buhoro, bikanyunyuza kandi bikanyunyuza ingirangingo z'ubwonko bwawe. Umuvuduko uba usanzwe, bityo ubwonko bukagira umwanya wo gusohora amazi, ari na byo bituma ibimenyetso bikomeza.

Amaherezo, icyo ugomba kwibuka (Ubutumwa bwo kujyana mu rugo)

Umuvuduko usanzwe wa Hydrocephalus (NPH) ni indwara idakunze kugaragara ikunze kwibasira abantu barengeje imyaka 65. Ishobora kuba indwara idasanzwe, iterwa n'indwara nka meningitis, cyangwa igaterwa no gukomereka ku gice cy'ubwonko. Iyi ndwara ishobora gutera ibimenyetso nk'iby'indwara yo kwibagirwa , ikagira ingaruka ku kugenda, gutekereza, no ku bushobozi bwo kugenzura inkari.

Indwara nyinshi zisa n'indwara yo kwiheba zirushaho gukomera uko igihe kigenda kandi zigorana kuvura no kuzivura. Ariko, NPH ikunze kuvurwa, rimwe na rimwe irashobora gusubizwa inyuma . Amahirwe meza yo gusubiza inyuma ingaruka za NPH ni uko ivuwe hakiri kare ikavurwa hakiri kare. Niyo mpamvu ari ngombwa kutirengagiza ibimenyetso byawe cyangwa iby'uwo ukunda. Iyo ubuvuzi bwihuse, abantu benshi barwaye NPH bashobora gukira no kugarura ubushobozi bwabo bwose - cyangwa bwose - bari basanzwe bafite.

Wibuke ko niba ufite gushidikanya kuri ibi, ni byiza gushaka inama kwa muganga.

Umuvuduko ku bwonko, NPH, gusaza, kugorwa no kugenda, kugenzura inkari, gutakaza kwibuka, kubagwa shunt