Matšoao, Tlhahlobo, Phekolo le Ts'oaetso ea NPH (Metsi a Brain)
Khatello e tloaelehileng ea hydrocephalus (NPH) ke boemo bo bakoang ke ho hahiloe ha cerebrospinal fluid (mokelikeli o tloaelehileng mokokotlong le boko) haholo-holo likokotlong tsa boko. Ha e le hantle, Hydrocephalus e bolela "metsi a boko."
Motlakase oa metsi o hlaha ha ho e-na le lekhalo ho phalla kapa ho kenngoa ha cerebrospinal fluid. Hangata, ho sa tsotellehe ho aha ha metsi, ho na le keketseho e fokolang kapa e seng ea khatello ka hare ho lehata, kahoo lebitso "khatello" ea khatello ea hydrocephalus.
Lentsoe lena le ngotsoe ho pampiri ea Dr. Salomon Hakim ka 1964, moo a ileng a qala ka ho hlalosa ts'ebetsong ea cerebrospinal fluid buildup.
Hangata lefu la NPH ha le nahane hantle ka lefu la Alzheimer's , Parkinson kapa Creutzfeldt-Jakob hobane matšoao a teng. Mehloli e meng e hakanya hore batho ba ka bang 250 000 ba nang le Alzheimer's, dementia e 'ngoe kapa Parkinson ba ka' na ba e-na le NPH, ha ba bang ba beha nomoro e tlaase haholo.
Lisosa
Ka linako tse ling ho na le lisosa tse tobileng tse kang likotsi tsa hlooho, li-aneurysms tsa bokooa, mali ea meningitis, joalo-joalo. Hangata, ha ho na sekhetho se khethollang.
Matšoao
Ho na le matšoao a mararo a matšoao a NPH:
- Bothata le ho tsamaea : Letšoao la mathomo ka ho fetisisa ke phetoho ea ho tsamaea le maoto (ho tsamaea leoto le maoto) kapa boikutlo ba hore maoto a khomaretsoe fatše. Ho leka-lekanya ha hao ho ka 'na ha e-ba mofutsana,' me u ka tsamaea ka mohato o moholo, o liehang.
- Kakaretso ea urinary kapa ho se tsitsisehe : U ka 'na ua ba le bothata ka ho tsuba moriri kapa ho ikutloa eka u lokela ho ea ka kamoreng ea ho hlapela khafetsa. U ka 'na ua sitoa ho e etsa ka kamoreng ea ho hlapela ka nako.
- Liphetoho tsa ho nahanisisa : Batho ba nang le NPH ba bonahatsa matšoao a lefu la 'dementia , joalo ka ho ferekanngoa, ho lahleheloa ke mohopolo oa nakoana le liphetoho tsa boitšoaro.
NPH e fapane joang le ea Alzheimer's?
Matšoao a pele a NPH hangata a hlalositsoe ka holimo. Matšoao a Alzheimer, ka lehlakoreng le leng, a qala ka ho khetheha e le lintlha tse sa utloisisoang, tse kang ho fokotsa mohopolo oa nakoana le bothata ba ho ithuta lintho tse ncha.
Ho se tsitsisehe le mathata a nang le bokhoni ba ho falla hangata ho hlahisa mekhoa ea hore Alzheimer e tsoele pele, empa ha e tšoane le matšoao matsatsing a pele a Alzheimer's.
Hape hoa khoneha ho ba le NPH le Alzheimer ka nako e le 'ngoe, e etsang hore ho hlahlojoa le phekolo e be phephetso.
Tsejoa
Ho fumanoa ha NPH ho nkoa ha motho a e-na le bothata ba ho tsamaea le ho leka-lekanngoa ho phaella ho ts'ebetsong kapa ho se sebetse hantle. NPH e fumanoa hangata ke ngaka ea methapo ea mafu kapa methapo ea likokoana-hloko ka liteko tse 'maloa, tse ka kenyelletsang tse latelang:
- CT scan
- Ho hlahloba MRI
- Mohala oa mokokotlo
Lingaka tse ling li boetse li hloka sebaka sa matsatsi a mangata sa sepetlele moo li ka khonang ho lekanya litekanyetso tsa cerebrospinal fluid ka ho beha litebelisoa tse nyenyane bokong. Ngaka e ka 'na ea boela ea kenya mochine o monyenyane oa catheter, o shebahalang eka o na le tube e nyenyane e feto-fetohang, e le ka morao ka tlaase, haufi le mokokotlo. Sena se ka lumella ho eketseha ha metsi a mokokotlo hore a tsoe 'meleng. Sehlopha sa bongaka se tla bona hore na matšoao a ntlafatsa ha ho na le mocheso o monyenyane o hahang. Haeba ho sebetsa ho ntlafatsa haholoanyane, lefu lena le tiisitsoe mme motho eo o ka rua molemo ka ho koaloa ha hae bokong.
Phekolo
Hangata phekolo e kenyelletsa ho kenella ka hare ho boko ba ventricle ho tlosa metsi a mangata ka catheter e nyenyane.
A shunt ke ts'ebetso ea ho buuoa. Ho na le mefuta e 'meli:
- Ventricoperitoneal shunt: Ho kenngoa hona ho kenngoa ka har'a ventricle ea boko 'me ho na le catheter e nyenyane, kapa tube, e lebisang mpeng, moo mokelikeli o eketsehileng o ka lokolloa' me o khutlisetsoa hape.
- Metsoana ea ventriculoatrial: Catheter ena ea shunt e kenngoa ka ventricle 'me e phalla monoaneng o motle, o ka holimo ho pelo ea pelo.
Ho phaella moo, ka linako tse ling meriana e kang acetazolamide e sebelisoa ho tšoara NPH.
Ho phatloha
Mantsoe ana a fapane le NPH. Ho hlahlojoa ha pele ho hlokahala. Le hoja batho ba bang ba sa ntlafatse ho hongata ka ho kenngoa ha marang-rang, ba bang ba etsa phomolo e feletseng haeba NPH e fumaneha 'me e phekoloa kapele.
Ka tloaelo, lebelo la ho tsamaea la motho ka boeena ke lona lekhetlo la pele le ntlafatsang, mme ts'ebetso ea ts'oaetso ke eona ea ho qetela ho ntlafatsa, haeba e etsa.
Lisebelisoa:
Mokhatlo oa Alzheimer's. Khatello e tloaelehileng ea Hydrocephalus. E fihliloe ka la 18 November, 2011. http://www.alz.org/alzheimers_disease_normal_pressure_hydrocephalus.asp
Mokhatlo oa Hydrocephalus. Khatello e Tloaelehileng Hydorcephalus. E fihlile ka la 21 December, 2011. https://www.hydroassoc.org/hydrocephalus-education-and-support/normal-pressure-hydrocephalus/
Bophelo ba NPH. Tlhahlobo ea NPH. E fihliloe ka la 22 December, 2011. http://www.lifenph.com/diagnosis.asp
MedlinePlus.gov. Khatello e tloaelehileng ea Hydrocephalus. E fihliloe ka la 18 November, 2011. http://www.nlm.nih.gov/medlineplus/ency/article/000752.htm
Setsi sa Sechaba sa Matšoenyeho a Neurological le Stroke. Mekhatlo ea Sechaba ea Bophelo. Khatello e tloaelehileng Leqephe la Boitsebiso la Hydrocephalus. E fihliloe ka la 22 December, 2011. http://www.ninds.nih.gov/disorders/normal_pressure_hydrocephalus/normal_pressure_hydrocephalus.htm
Moqhatelli, David, Schwalb, Jason, le Kurlan, Roger. Tlaleho e Tloaelehileng ea Phekolo ea Neurology le ea Neuroscience e Tloaelehileng ea Kelello Hydrocephalus: Tlhahlobo le Phekolo. E fihliloe ka la 21 December, 2011. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2674287/
UCLA Health System. UCLA Neurosurgery. Khatello e tloaelehileng ea Hydrocephalus. E fihliloe ka la 21 December, 2011. http://neurosurgery.ucla.edu/body.cfm?id=188