Ingabe umuntu osekhulile ekhaya lakho, mhlawumbe umama wakho, ubaba, noma ugogo wakho, useqala ukukhohlwa? Ingabe izinyawo zakhe zibonakala zihudula phansi lapho ehamba? Ingabe kuya kuba nzima ukulawula umchamo wakhe ? Sivame ukucabanga ngalokhu "njengezinto ezivamile ezenzeka njengoba sikhula." Kodwa kungaba futhi izimpawu zesimo esingelashwa futhi selapheke. Namuhla sikhuluma ngesinye salezo zimo, i-Normal Pressure Hydrocephalus, noma i-NPH.
Kuyini i-Normal Pressure Hydrocephalus (NPH)?
Kalula nje, i-NPH yilapho uketshezi oluningi luqongelela khona ebuchosheni bethu kunalokho okudingekayo.
Cabanga ukuthi ubuchopho bethu kanye nomgogodla, okwehla emgogodleni wethu, kuzungezwe uketshezi olucacile, olufana nomcamelo. Ngokwezokwelapha, lokhu kubizwa ngokuthi uketshezi lwe-cerebrospinal (CSF) . Le CSF ikhiqizwa ema-ventricles obuchopho bethu futhi ijikeleza kuyo yonke indawo, yondla ubuchopho kanye nomgogodla, isuse imfucuza, futhi ivikele ubuchopho ekushayeni ugebhezi. Ngokuvamile, i-CSF eningi ikhishwa ibuyele emzimbeni ngemithambo ephezu kobuchopho.
Kodwa-ke, uma kukhona ukuphazamiseka ohlelweni olukhipha lolu ketshezi lwe-CSF, lolu ketshezi luqala ukuqongelela ngaphakathi kwemigodi yobuchopho. Lokhu yilokho esikubiza ngokuthi i-Hydrocephalus ( ukugcwaliswa kwamanzi kobuchopho ). I-NPH uhlobo olukhethekile lwalesi simo se-Hydrocephalus. Ivame ukubonakala kubantu abangaphezu kweminyaka engama-60.
Ngokungafani nezinye izinhlobo ze-hydrocephalus, i-NPH ikhula kancane kakhulu. Uketshezi lwe-CSF luyakhula ngokuhamba kwesikhathi. Ngenxa yalokho, imigodi ebuchosheni iyanda kancane kancane, icindezela izingxenye zobuchopho. Yingakho ingcindezi ebuchosheni ingakhuphuki ngokuzumayo, yingakho ibizwa ngokuthi "Ukucindezela Okuvamile." Kodwa lelo gama liyadukisa kancane, ngoba izimpawu zenzeka kuphela lapho imigodi ikhula futhi icindezela ebuchosheni.
Okubalulekile ukuthi izimpawu ze-NPH zifana kakhulu nezesifo i-Alzheimer's kanye nesifo i-Parkinson's . Ngenxa yalokho, iziguli ze-NPH zivame ukuhlonzwa kabi njengezinye zezinye izifo ezimbili. Kodwa-ke, ngokungafani ne-Alzheimer's kanye ne-Parkinson's, uma zihlolwa kahle, i-NPH ingelapheka kakhulu ngokuhlinzwa.
Izici ezintathu eziyinhloko zesimo se-NPH
Kunezimpawu ezintathu eziyinhloko ze-NPH. Lezi zingase zingabi sobala ekuqaleni, kodwa ziyanda kancane kancane ngokuhamba kwesikhathi. Uma zonke lezi zimpawu ezintathu zikhona, kufanele kusolwe i-NPH.
| Isigaba sezimpawu | Izimpawu ezivame ukubonakala |
|---|---|
| 1. Izinkinga Zokuhamba |
|
| 2. Ukwehla Kwengqondo / Isifo Sokuwohloka Kwengqondo | |
| 3. Ukungakwazi ukuzibamba komchamo |
|
Yiziphi izimbangela ze-NPH?
Eqinisweni, ezigulini eziningi ze-NPH, akukho sizathu esithile esingatholakala. Kodwa-ke, kwezinye izimo, izici ezilandelayo zingase zibe nomthelela kulesi simo:
- Ukulimala ekhanda
- Ukopha ubuchopho ngenxa yokushaywa ekhanda
- Isifo sohlangothi
- Izifo ezifana ne-meningitis
- Isimila sobuchopho
- Ukuhlinzwa kobuchopho
Akukacaci ukuthi lezi zimo zibangela kanjani i-NPH.
I-NPH ihlolwa kanjani ngokunembile?
Manje ungase ucabange, "Kulungile, lezi yizimpawu, manje ngingakuthola kanjani lokhu?" Lokhu kuyinkimbinkimbi kancane. Ngenxa yokuthi lezi zimpawu zifana nezifo ze-Alzheimer's kanye ne-Parkinson's, kubalulekile ukubona udokotela wezinzwa noma udokotela wezinzwa .
Inqubo yokuxilonga ivame ukuhamba kanje:
1. Ukukhuluma nodokotela: Udokotela uzokubuza ngakho konke kusukela ezimpawini zakho, ukuthi zaqala nini, umlando wezokwelapha womndeni, kanye nemithi oyiphuzayo.
2. Ukuhlolwa komzimba: Isimo sakho sengqondo (ukubuza imibuzo nokukucela ukuthi ulandele imiyalelo elula), ukuhamba, kanye nokulinganisela kuzohlolwa.
3. Ukuhlolwa okukhethekile:
- I-CT Scan noma i-MRI Scan: Lezi ziskeni zingakhiqiza izithombe ze-3D ezinemininingwane yobuchopho. Zingasiza ekunqumeni ukuthi ama-ventricle ebuchosheni akhulisiwe yini ku-NPH. Kodwa-ke, ukuskena kuphela akukwazi ukuqinisekisa i-NPH.
- Ukubhoboza Ithambo Lomgogodla/Umpompi Womgogodla: Lesi ngesinye sezinyathelo ezibaluleke kakhulu ekuxilongweni. Ngezinye izikhathi sikubiza ngokuthi 'umpompi womgogodla'. Ungakhathazeki, udokotela uzokwenza lokhu. Inaliti encane isetshenziswa ukususa uketshezi lwe-CSF oluzungeze intambo yomgogodla kusukela emhlane ongezansi.
Lokhu kubhoboza kwe-lumbar kungasetshenziswa ukuhlola izinto ezimbili. Enye iwukukala ingcindezi yalolo ketshezi. Enye into ebalulekile ukubona ukuthi, ngemva kokususa cishe amamililitha angu-30-50 oketshezi ngale ndlela, ukuhamba kwesiguli kanye nenkumbulo kuzothuthuka okwesikhashana emahoreni ambalwa alandelayo. Uma kubonakala intuthuko enkulu kangaka, kuyisibonakaliso esihle sokuthi ukululama okukhulu kungatholakala ngokuhlinzwa.
Yiziphi izindlela zokwelapha i-NPH?
Ukwelashwa okuphumelelayo kakhulu kwe-NPH ukuhlinzwa. Akukho mithi noma olunye ukwelashwa okungelapha lesi simo.
Ukuhlinzwa okuyinhloko ukufaka i-shunt.
Cabanga ngepayipi elincane elifakwayo ukuze likhiphe uketshezi lwe-CSF oluningi ebuchosheni bethu bese luthunyelwa kwenye ingxenye yomzimba. Lokhu kubizwa ngokuthi i-shunt. Leli yipayipi elincane kakhulu. Udokotela ohlinzayo wezinzwa ufaka leli payipi emgodini osebuchosheni bese eliqondisa ngaphansi kwesikhumba endaweni ebizwa ngokuthi i-peritoneum. Kukhona i-valve kule payipi elawula ukucindezeleka. Lapho ukucindezeleka ebuchosheni kwanda, leli valve liyavuleka bese uketshezi oluningi lugeleza emgodini osebuchosheni. Lapho, uketshezi luyamuncwa ngaphandle kokulimaza umzimba.
Lokhu kuhlinzwa kwe-shunt akuphumelelanga ngokulinganayo kuwo wonke umuntu. Kodwa-ke, kubantu abaningi, izimpawu ziyancipha kakhulu ngemva kwalokhu kuhlinzwa futhi ikhwalithi yokuphila kwabo ithuthuka kakhulu. Uma lesi sifo sitholakala ngokushesha futhi kwenziwa ukuhlinzwa, imiphumela iba yimpumelelo kakhulu.
Kwezinye izimo, esikhundleni se-shunt, kwenziwa olunye ukuhlinzwa okubizwa ngokuthi i-Endoscopic Third Ventriculostomy , lapho kusetshenziswa i-endoscope (ithubhu elincane elinekhamera) ukwenza imbobo encane phansi komgodi wobuchopho ukudala enye indlela yokugeleza koketshezi lwe-CSF.
Umlayezo Wokuya Nawe Ekhaya
- Uma umuntu osekhulile eba nezimpawu ezifana nobunzima bokuhamba, ukulahlekelwa yinkumbulo, kanye nokungakwazi ukuzibamba umchamo , ungakuthathi njengento evamile "yokuguga."
- Nakuba lezi zimpawu zifana nesifo sika-Alzheimer noma sika-Parkinson, kungenzeka ukuthi lesi yisimo esingelapheka esibizwa ngokuthi i-NPH.
- Uma wena noma othandekayo wakho enalezi zimpawu, bonana nodokotela ngokushesha okukhulu, ikakhulukazi udokotela wezinzwa . Ukuxilongwa kusenesikhathi kubaluleke kakhulu.
- Ukuhlinzwa kwe-shunt kuyindlela eyinhloko yokwelapha i-NPH, futhi kungathuthukisa kakhulu ikhwalithi yokuphila kweziguli eziningi.
- Ukusekela nokuqonda kubalulekile kokubili esigulini kanye nomnakekeli phakathi nalolu hambo.
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