Munhu mukuru mumhuri mako, pamwe amai vako, baba vako, kana ambuya vako, ari kuramba achikanganwa here? Tsoka dzavo dzinoita sedziri kudhonzwa pasi here pavanenge vachifamba? Zviri kuramba zvichiwedzera kuoma kudzora weti yavo here? Tinowanzo funga nezveizvi se "zvinhu zvakajairika zvinoitika patinokura." Asi zvinogonawo kuva zviratidzo zvechirwere chinogona kurapwa uye kurapwa. Nhasi tiri kutaura nezvechimwe chezvirwere zvakadaro, Normal Pressure Hydrocephalus, kana NPH.
Chii chinonzi Normal Pressure Hydrocephalus (NPH)?
Zvichitaurwa zviri nyore, NPH inguva apo mvura yakawanda inoungana muuropi hwedu kupfuura zvinodiwa.
Fungidzira kuti uropi hwedu nemusana, zvinoyerera nemusana wedu, zvakakomberedzwa nemvura yakajeka, yakaita seyekutsvedza. Mukurapa, iyi inonzi cerebrospinal fluid (CSF) . Iyi CSF inogadzirwa mumaventricles europi hwedu uye inotenderera mukati mayo, ichipa hutano kuuropi nemusana, ichibvisa tsvina, uye ichidzivirira uropi kuti husarove padehenya. Kazhinji, CSF yakawandisa inodzoserwa mumuviri kuburikidza nemitsipa iri pamusoro peuropi.
Zvisinei, kana paine chipingamupinyi muhurongwa hwemuviri chinoburitsa mvura iyi yeCSF, mvura iyi inotanga kuungana mukati memipata yeuropi. Izvi ndizvo zvatinodaidza kuti Hydrocephalus ( kuzadza uropi nemvura ). NPH imhando yakasarudzika yechirwere ichi cheHydrocephalus. Inowanzoonekwa muvanhu vane makore anopfuura makumi matanhatu.
Kusiyana nedzimwe mhando dze hydrocephalus, NPH inokura zvishoma nezvishoma. Mvura yeCSF inoungana nekufamba kwenguva. Nekuda kweizvozvo, maburi ari muuropi anokura zvishoma nezvishoma, achisunda zvikamu zveuropi. Ichi ndicho chikonzero nei kumanikidzwa muuropi kusingawedzere kamwe kamwe, ndosaka kuchinzi "Normal Pressure." Asi zita iroro rinotsausa zvishoma, nekuti zviratidzo zvinongoitika chete kana maburi acho akura uye achisunda uropi.
Zvakakosha kuti zviratidzo zveNPH zvakafanana zvikuru nezvirwere zveAlzheimer's neParkinson 's . Nekuda kweizvozvo, varwere veNPH vanowanzoonekwa zvisirizvo sevari nechimwe chezvirwere zviviri. Zvisinei, kusiyana neAlzheimer's neParkinson's, kana zvikaonekwa nemazvo, NPH inogona kurapwa zvakanyanya nekuvhiyiwa.
Zvinhu zvitatu zvikuru zveNPH
Pane zviratidzo zvikuru zvitatu zveNPH. Izvi zvingasava pachena pakutanga, asi zvinowedzera zvishoma nezvishoma nekufamba kwenguva. Kana zviratidzo izvi zvitatu zvese zviripo, NPH inofanira kufungidzirwa.
| Chikamu chezviratidzo | Zviratidzo zvinowanzoonekwa |
|---|---|
| 1. Matambudziko Ekufamba |
|
| 2. Kudzikira Kwepfungwa / Dementia |
|
| 3. Kutadza kuzvidzora pakuita weti |
|
Ndezvipi zvikonzero zveNPH?
Kutaura zvazviri, muvarwere vazhinji veNPH, hapana chikonzero chaicho chinogona kuwanikwa. Zvisinei, mune dzimwe nguva, zvinhu zvinotevera zvinogona kukonzera chirwere ichi:
- Kukuvara kwemusoro
- Kubuda ropa muuropi nekuda kwekurohwa nemusoro
- Kurohwa
- Zvirwere zvakaita se meningitis
- Bundu reuropi
- Kuvhiyiwa kwehuropi
Hakusati kwava nekunzwisisa kwakajeka kwekuti mamiriro aya anokonzera sei NPH.
NPH inoongororwa sei nemazvo?
Zvino ungave uchifunga kuti, "Zvakanaka, izvi ndizvo zviratidzo, zvino ndingazviongorora sei?" Izvi zvakaoma zvishoma. Nekuti zviratidzo izvi zvakafanana nezvirwere zveAlzheimer's neParkinson, zvakakosha kuona chiremba wetsinga kana chiremba wetsinga .
Maitiro ekuongorora chirwere anowanzoita seizvi:
1. Kutaura nachiremba: Chiremba achakubvunza nezvese kubva pazviratidzo zvako, nguva yazvakatanga, nhoroondo yezveutano hwemhuri, uye mishonga yaunotora.
2. Kuongororwa kwemuviri: Pfungwa dzako (kubvunza mibvunzo uye kukukumbira kuti utevedzere mirairo iri nyore), kufamba, uye kuenzana zvichaongororwa.
3. Miedzo yakakosha:
- CT Scan kana MRI Scan: Kuongororwa uku kunogona kuburitsa mifananidzo ye3D yakadzama yeuropi. Kunogona kubatsira kuona kana maventricle ari muuropi akakura muNPH. Zvisinei, kuongororwa chete hakugone kusimbisa NPH.
- Kuboorwa Kwemusana/Kuboorwa Kwemusana: Iri ndiro rimwe rematanho akakosha pakuongorora chirwere. Dzimwe nguva tinoridaidza kuti 'kuboorwa kwemusana'. Usazvidya moyo, chiremba ndiye achaita izvi. Tsono diki inoshandiswa kubvisa mvura yeCSF yakakomberedza musana kubva kumusana wepazasi.
Kuboorwa uku kwechiuno kunogona kushandiswa kuongorora zvinhu zviviri. Chimwe ndechekuyera kumanikidzwa kwemvura iyoyo. Chimwe chinhu chakakosha ndechekuona kana, mushure mekubvisa mvura inosvika 30-50 milliliters nenzira iyi, kufamba kwemurwere nendangariro zvichavandudzika kwenguva pfupi mumaawa mashoma anotevera. Kana kuvandudzwa kwakakosha kwakadaro kukaonekwa, chiratidzo chakanaka chekuti kupora kukuru kunogona kuwanikwa nekuvhiyiwa.
Ndezvipi zvirongwa zvekurapa NPH?
Kurapa kweNPH kunoshanda zvikuru kuvhiyiwa. Hapana mushonga kana kumwe kurapwa kunogona kurapa chirwere ichi.
Kuvhiya kukuru kuisa shunt.
Fungidzira kachubhu kadiki kachiiswa kuti kabudise mvura yeCSF yakawandisa kubva muuropi hwedu koitumira kune imwe nhengo yemuviri. Izvi zvinonzi shunt. Iyi chubhu yakatetepa zvikuru. Chiremba wepfungwa anoisa chubhu iyi mugomba riri muuropi oitungamirira pasi peganda kunzvimbo inonzi peritoneum. Pane vharuvhu iri muchubhu iyi inodzora kumanikidzwa. Kana kumanikidzwa muuropi kwawedzera, vharuvhu iyi inovhurika uye mvura yakawandisa inoyerera ichipinda mugomba reperitoneal. Ikoko, mvura inonyudzwa pasina kukuvadza muviri.
Kuvhiyiwa uku kweshunt hakuna kubudirira zvakaenzana kune wese munhu. Zvisinei, kune vanhu vazhinji, zviratidzo zvinodzikira zvakanyanya mushure mekuvhiyiwa uku uye hupenyu hwavo hunovandudzika zvikuru. Kana chirwere chikaonekwa nekukurumidza uye kuvhiyiwa kwacho kuchiitwa, mhedzisiro yacho inobudirira zvikuru.
Mune zvimwe zviitiko, panzvimbo pekushandisa shunt, imwe oparesheni inonzi Endoscopic Third Ventriculostomy inoitwa, umo endoscope (chubhu diki ine kamera) inoshandiswa kugadzira buri diki pasi peuropi kugadzira imwe nzira yekuti CSF fluid ifambe.
Mharidzo Yekuenda Nayo Kumba
- Kana munhu akwegura akaona zviratidzo zvakaita sekufamba netsa, kutadza kurangarira, uye kusakwanisa kudzora weti , usazvitore sezvinhu zvakajairika "zvekukwegura."
- Kunyangwe zviratidzo izvi zvakafanana nechirwere cheAlzheimer's kana Parkinson's, zvinogoneka kuti ichi chirwere chinorapika chinonzi NPH.
- Kana iwe kana mumwe munhu waunoda aine zviratidzo izvi, enda kuna chiremba nekukurumidza, kunyanya chiremba wepfungwa . Kuongororwa kwechirwere nekukurumidza kwakakosha zvikuru.
- Kuvhiyiwa kweshunt ndiyo nzira huru yekurapa NPH, uye inogona kuvandudza hupenyu hwevarwere vazhinji zvakanyanya.
- Rutsigiro nekunzwisisana zvakakosha kune murwere nemutarisiri panguva iyi yerwendo.
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