ʻO ka hydrocephalus kaomi maʻamau

ʻO Hydrocephalus kahi kūkulu o ka wai o ka iwi i loko o nā keʻena wai o ka lolo. ʻO ka manaʻo Hydrocephalus "ka wai ma ka lolo."

ʻO ka hydrocephalus pressure maʻamau (NPH) kahi piʻi o ka nui o ka wai cerebrospinal (CSF) i ka lolo e pili ana i ka hana o ka lolo. Eia naʻe, maʻamau ke kaomi o ka wai.

ʻAʻohe kumu i ʻike ʻia no NPH. Akā kiʻekiʻe ka manawa kūpono o ka hoʻomohala ʻana i ka NPH i kekahi i loaʻa kekahi o kēia mau mea:

• Kahe ʻana mai kahi kīʻaha koko a i ʻole aneurysm i ka lolo (subarachnoid hemorrhage)
• Nā hōʻeha poʻo poʻo kekahi
• Meningitis a i ʻole nā ​​maʻi like
• ʻOki kino ma ka lolo (craniotomy)

Ke kūkulu nei ʻo CSF ​​i ka lolo, kūhū nā keʻena piha piha i ka wai (ventricle) o ka lolo. ʻO kēia ke kumu o ke kaomi i kaʻiʻo o ka lolo. Hiki i kēia ke hōʻino a hōʻino paha i nā ʻāpana o ka lolo.

Hoʻomoe mālie nā ʻōuli o NPH. ʻEkolu mau hōʻailona nui o NPH:

• Nā loli i ke ala e hele ai ke kanaka: ka paʻakikī ke hoʻomaka e hele (gait apraxia), me he mea lā ua paʻa kou mau wāwae i ka honua (magnet gait)
• ʻO ka lohi o ka hana noʻonoʻo: poina, pilikia i ka nānā ʻana, apathy a ʻaʻohe ʻano
• Nā pilikia e kaohi ana i ka mimi (urinary incontinence), a i kekahi manawa kaohi ʻana i nā pahu (incontinence bowel)

Hiki ke hana ʻia ka diagnostical o NPH inā kū kekahi o nā ʻōuli i luna a kuhi ʻia ʻo NPH a hana ʻia ka hoʻāʻo.

E hana ka mea mālama ola i kahi hoʻokolokolo kino a nīnau e pili ana i nā hōʻailona. Inā he NPH kāu, e ʻike paha ka mea hāʻawi i kou hele wāwae ʻana (maʻamau) ʻaʻole maʻamau. Loaʻa paha iā ʻoe nā pilikia hoʻomanaʻo.

ʻO nā hoʻāʻo e hana ʻia ana paha:

• Lumbar puncture (iwi kuamoʻo) me ka hoʻāʻo pono o ka hele ʻana ma mua a ma hope pono hoʻi o ka ʻōiwi
• Head CT scan a i ʻole MRI o ke poʻo

ʻO ka hoʻomaʻamaʻa ʻana no ka NPH he ʻoki maʻamau e waiho i kahi paipu i kapa ʻia he shunt e hoʻokele i ka nui o ka CSF mai ka ventricle o ka lolo a i loko o ka ʻōpū. Kapa ʻia kēia mea he shunt ventriculoperitoneal.

Me ka ʻole o ka mālama ʻana, hele a hewa pinepine nā ʻōuli a hiki i ka make.

Hoʻomaikaʻi ke ʻoki kino i nā ʻōuli i kekahi poʻe. ʻO ka poʻe me nā ʻōuli akahai ka hopena maikaʻi loa. ʻO ka hele wāwae ka hōʻailona e hoʻomaikaʻi loa ai.

Nā pilikia i hopena ʻia mai ka NPH a i ʻole kāna mālama ʻana me:

• Nā pilikia o ke kaha ʻana (maʻi, kahe ʻana ke kahe, ka shunt ʻaʻole holo pono)
• Ka nalowale o ka hana lolo (dementia) e lilo i mea ʻoi aku ka hewa ma mua o ka manawa
• ʻO ka ʻeha mai ka hāʻule
• Hoʻopōkole ʻia ke kīnā o ke ola

Kāhea i kāu mea hāʻawi inā:

• Ke hoʻonui nei ʻoe a i ʻole kahi mea aloha i nā pilikia me ka hoʻomanaʻo, ka hele wāwae ʻana, a i ʻole ka mimi incontinence.
• ʻO ke kanaka me ka NPH e ʻinoʻino a hiki i kahi e hiki ʻole ai iā ʻoe ke mālama iā ʻoe iho.

E hele i ka lumi pilikia a kāhea paha iā 911 a i ʻole ka helu kūloko kūloko inā kū ka hoʻololi koke o ke kūlana noʻonoʻo. ʻO ke kumu paha kēia ua ulu aʻe kekahi maʻi ʻē aʻe.

ʻO Hydrocephalus - he hoʻokalakupua; Hydrocephalus - idiopathic; Hydrocephalus - makua; Hydrocephalus - kamaʻilio; Dementia - hydrocephalus; NPH

• Shunt Ventriculoperitoneal - hoʻokuʻu

• ʻŌnaehana ʻōnaehana waena a me ka ʻōnaehana ʻōnaehana peripheral
• Ventricles o ka lolo

ʻO Rosenberg GA. ʻO ka edema lolo a me nā maʻi o ka holo ʻana o ka wai cerebrospinal. I: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. ʻO Bradley's Neurology i ka hana lapaʻau. ʻEpekema 7 Piladelapia, PA: Elsevier; 2016: chap 88.

Sivakumar W, Drake JM, Riva-Cambrin J. Ke kuleana o ke kolu o ka ventriculostomy i nā mākua a me nā keiki: kahi loiloi koʻikoʻi. I: Winn HR, hoʻoponopono. ʻO Youmans a me Winn Neurological Surgery. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap 32.

Williams MA, Malm J. Diagnosis a me ka mālama ʻana i ka idiopathic normal pressure hydrocephalus. Hoʻomau (Minneap Minn). 2016; 22 (2 Dementia): 579-599. PMCID: PMC5390935 www.ncbi.nlm.nih.gov/pmc/articles/PMC5390935/.