Zviratidzo, Kuongororwa, Kurapa uye Kuparara kweNPH (Mvura Pakurota)
Kazhinji kushungurudzika hydrocephalus (NPH) inokonzerwa nechivako chechirebrospinal fluid (fluid inowanzowanikwa mumutsipa wepelinha uye uropi) zvikurukuru muuropi dzemhepo. Hydrocephalus, chaizvoizvo, zvinoreva "mvura muuropi."
Iyo inogadzirisa mvura inowanikwa apo pane bhokisi mukuyerera kana kushandiswa kwe cerebrospinal fluid. Kakawanda, pasinei nekugadzirwa kwemvura, pane kuwedzera kuduku kana kusina kuitika mukati mehenya, naizvozvo zita rokuti "rinowanzo" rinodzvinyiririwa hydrocephalus.
Izwi racho rakadzokera kuna Dr. Salomon Hakim pepa muna 1964, paakatanga kurondedzera tsananguro ye cerebrospinal fluid buildup.
NPH inowanzozivikanwa seAlzheimer's , Parkinson's kana Creutzfeldt-Jakob nokuti zviratidzo zvinowanikwa. Dzimwe nzvimbo dzinofungidzira kuti vazhinji vanenge 250 000 vanhu vane Alzheimer's, imwe dhementia kana Parkinson inogona kunge iine NPH, asi vamwe vanoisa nhamba yacho yakaderera.
Zvinokonzera
Dzimwe nguva pane zvikonzero zvakadai sekukuvara kwemusoro, kubuda kweuropi aneurysms, meningitis, nezvimwewo. Kazhinji, zvisinei, hapana chinokanganisa chinokonzera.
Zviratidzo
Pane zvitatu zvinoratidza zviratidzo zveNPH:
- Dambudziko nekufamba : Chiratidzo chekutanga chekutanga ndechekufamba mukufamba uye gumbo (kufamba kwemakumbo uye kukwira) kana kunzwa kuti tsoka dzakanamatirwa pasi. Nhare yako inogona kuva yakashata, uye iwe unogona kufamba nechepamusoro, zvishoma.
- Urinary frequency kana incontinence : Unogona kunetseka nekudonha urinha kana kunzwa sokuti iwe unofanirwa kupinda muimba yekugezera kazhinji. Iwe unogona kunge usingakwanise kuzviita kuvheji munguva.
- Kugadziriswa kwemafungiro : Vanhu vane NPH vanoratidza zviratidzo zvekuora mwoyo kwemuviri , zvakadai sekuvhiringidzika, kurasikirwa kwekanguva kwekurangarira nekuchinja maitiro.
NPH yakasiyana sei neAlzheimer's?
Iko kutanga kwezviratidzo zveNPH zvinowanzotariswa zvitatu zvakataurwa pamusoro apa. Zviratidzo zveAlzheimer, kune rumwe rutivi, zvinotangisa kunyanya sekunyatsoziva, zvakadai sokuderera kwechinguva chekuyeuka kwenguva uye kuoma kudzidza zvitsva.
Incontinence nezvinetso zvine mano okufamba-famba kazhinji zvinokura sezvo Alzheimer iri kufambira mberi, asi haisi zviratidzo zvepakutanga kweAlzheimer's.
Izvo zvinokwanisika kuva neNPH neAlzheimer panguva imwe chete, iyo inoita kuti kuongororwa uye kurapwa kwakaoma.
Kuziva
Kuongororwa kweNPH kunofungidzirwa apo munhu ane urema mukufamba uye kuenzanisa pamwe nekuwedzera kwekushaya kana kugona kusagadzikana. NPH inowanikwa inowanzoonekwa neyeurologist kana neurosurgeon kuburikidza nemuedzo wakawanda, unogona kusanganisira zvinotevera:
- CT scan
- MRI scan
- Mutsara wemutsotsi
Vamwe vanachiremba vanodawo kuti zvipatara zvemazuva akawanda zvigare apo vanogona kuramba vachiyera zviyero zvakasvibiswa mumvura kuburikidza nekuisa duku kuongorora muuropi. Chiremba anogonawo kuisa kanyoro kadha, iyo inoratidzika seyiduku duku inogadziriswa, kusvika kumucheto wakaderera, pamwe nomukomana. Izvi zvinogona kubvumira mamwe maruva emumumvuri kuti abve mumuviri. Bhidhiyo ichazoona kana zviratidzo zvichivandudza kana pane zvishoma zvishoma zvinoshandiswa. Kana kushanda kunovandudza zvakajeka, kuongororwa kunosimbiswa uye munhu wacho angangodaro anobatsirwa nehunt inowanikwa muuropi yake.
Kurapa
Mushonga unowanzobatanidzwa nekuisa shunt muuropi inonzi ventricle kuti iwedzere mvura yakawanda kuburikidza necatheter duku.
A shunt chirwere chokuvhiya. Kune marudzi maviri:
- Ventricoperitoneal shunt: Iyi shunt inowanikwa muuropi yeuropi uye ine catheter shoma, kana kuti tube, inotungamirira kumimba, uko inowedzera mvura inogona kusunungurwa nekudzorerwazve.
- Ventriculoatrial shunt: Catheter iyi inosungirirwa mukati memhepo uye inopinda mumhino yechipfuva, iri kumusoro kwechepamusoro pemwoyo.
Mukuwedzera, mishonga yakaita saacetazolamide dzimwe nguva inoshandiswa kurapa NPH.
Prognosis
Mafungiro aya anobva akasiyana neNPH. Kunyatsoongorora chirwere kunokosha. Kunyange zvazvo vamwe vanhu vasingashandise zvakawanda nekugadziriswa, vamwe vanoita kuti vawane zvakakwana kana NPH inowanikwa uye ichirapwa kare.
Kazhinji, mararamiro anofamba evanhu ndeyekutanga ekuvandudza, uye kusangana kwekuziva ndeyekupedzisira yekuvandudza, kana kuchidaro.
Sources:
Alzheimer's Association. Kazhinji Kushingaira Hydrocephalus. Yakasvika panaNovember 18, 2011. http://www.alz.org/alzheimers_disease_normal_pressure_hydrocephalus.asp
Hydrocephalus Association. Kazhinji Kushingaira Hydorcephalus. Yakasvika musi waDecember 21, 2011. https://www.hydroassoc.org/hydrocephalus-education-and-support/normal-pressure-hydrocephalus/
Upenyu NPH. Kuongororwa kweNPH. Yakasvika musi waDecember 22, 2011. http://www.lifenph.com/diagnosis.asp
MedlinePlus.gov. Kazhinji Kushingaira Hydrocephalus. Yakasvika musi waNovember 18, 2011. http://www.nlm.nih.gov/medlineplus/ency/article/000752.htm
National Institute of Neurological Disorders uye Stroke. National Institutes of Health. Kazhinji Kushingaira Hydrocephalus Page Information. Yakasvika musi waDecember 22, 2011. http://www.ninds.nih.gov/disorders/normal_pressure_hydrocephalus/normal_pressure_hydrocephalus.htm
Shprecher, David, Schwalb, Jason, uye Kurlan, Roger. Nhoroondo Yezvino Neurology Neuroscience Inoratidzira Kazhinji Kunetseka Hydrocephalus: Kuongororwa uye Kurapwa. Yakasvika musi waDecember 21, 2011. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2674287/
UCLA Health System. UCLA Neurosurgery. Kazhinji Kushingaira Hydrocephalus. Yakasvika musi waDecember 21, 2011. http://neurosurgery.ucla.edu/body.cfm?id=188