ʻO ka hydrocephalus kaomi maʻamau: he aha ia, nā ʻōuli a me nā lāʻau

Anter

• Nā hōʻailona nui
• Pehea e hana ʻia ai ke kuhi
• Nā Kumu o ka Hydrocephalus Pressure Normal Pressure
• Pehea e hana ai i ka lāʻau

ʻO ka Hydrocephalus Normal Pressure, a i ʻole PNH, kahi kūlana i hōʻike ʻia e ka hōʻiliʻili ʻana o ka wai cerebrospinal (CSF) i ka lolo a me ka hoʻonui ʻia ʻana o nā cerebral ventricle ma muli o ka nui o ka wai, a hiki i ke ʻano o nā hōʻailona ʻekolu, ka paʻakikī e hele wāwae, incontinence urinary a me ka nalo ʻana o nā hana ʻike.

ʻOi aku ka maʻamau o ka PNH i ka poʻe ma luna o 65 mau makahiki, ʻoiai hiki ke hiki i kēlā me kēia makahiki, a hiki ke hoʻi hou, ʻo ia hoʻi, hiki ke mālama ʻia ke ʻike koke ʻia a mālama ʻia. I ka hapanui o nā hihia, hana ʻia ka mālama ʻana e ka ninini ʻana i ka CSF i hōʻiliʻili ʻia a hoʻohuli ʻia i kahi wahi ʻē aʻe i ke kino e hoihoi hou ʻia ai.

Nā hōʻailona nui

ʻOiai ka nui o ka wai i loko o ka lua intracranial, ʻaʻohe piʻi o ke kaomi, eia nō naʻe ka hoʻomohala ʻia o ʻekolu mau hōʻailona maʻamau, i ʻike ʻia he triad PNH: ka hele wāwae paʻakikī, ka hoʻomau mimi a me ka nalo mua o ka hoʻomanaʻo a me nā hana noʻonoʻo. Hiki i kēia mau hōʻailona ke hele pū a i ʻole kaawale, mai ukali i kahi ʻoka kikoʻī a holomua holomua. Nā hōʻailona ʻē aʻe a me nā ʻōuli e hōʻike ana i ka PNH:

• Hoemi i ka nānā a me ka noʻonoʻo;
• Disorientation;
• Hoʻololi manaʻo;
• Ka paʻakikī e hana nei i nā neʻe maikaʻi, e like me ke ʻohi ʻana i kahi penikala a i ʻole ka peni, ʻo kahi laʻana;
• Hoʻololi i ka pilikino;
• ʻO ka maʻi Compessive Compulsive Disorder, OCD;
• Apathy, kahi a ke kanaka ʻaʻohe hoihoi a i ʻole hoʻoikaika i ka hana i nā hana.

Hiki ke noʻonoʻo ʻia nā ʻōuli o PNH ma ke ʻano he manifestations maʻamau o ka ʻelemakule a i ʻole he hōʻailona o dementia, Alzheimer, Parkinson a kaumaha paha, no ka laʻana. No kēia kumu, he mea nui ke ʻike ʻia nā hōʻailona a me nā ʻōuli o ka hydrocephalus puʻe maʻamau, ua hāʻawi ʻia ke kanaka i ka neurologist no nā hoʻokolohua ʻokoʻa e lawe ʻia a, no laila, hoʻomaka ka lapaʻau.

Pehea e hana ʻia ai ke kuhi

Pono e hana i ka diagnostical o PNH e ka mea hana maʻamau a i ʻole neurologist ma o kekahi mau hoʻokolohua e like me ka tomography i helu ʻia o ka iwi poʻo a me ka kiʻi ʻana o ka resonance magnet e hiki ai ke ʻike ʻia ka lolo, e ʻike ana i ke kiko o ka hoʻoliʻiliʻi wai a me ka hoʻonui ʻana o ka cerebral ventricle.

Hoʻohui ʻia, hiki ke hoʻokō ʻia ka Tap-Test, kahi hōʻike i hoʻohana ʻia e nānā inā e loaʻa kahi evolution maikaʻi me ka lāʻau lapaʻau. Aia kēia hoʻokolohua i ka lawe ʻana i nā hoʻokolohua e loiloi i nā ʻōuli o ka mea maʻi, ʻo ia hoʻi nā loli, a hana ʻia kahi lumbar puncture e hoʻoneʻe i ka nui o ka wai. Ma hope o ʻekolu mau hola o ka puncture, hana hou ʻia nā hōʻailona hōʻailona a inā ʻike ʻia ma hope o 3 mau hola ʻaʻohe worsening o nā ʻōuli, he hōʻailona ia ʻaʻole hoʻopiha piha nā ventricle a loaʻa i ke kanaka nā manawa kūpono he nui nā hopena maikaʻi no ma o ka hana ʻoki ʻana.

Nā Kumu o ka Hydrocephalus Pressure Normal Pressure

Hiki ke hoʻokaʻawale ʻia ka hydrocephalus pressure normal ma ke ʻano he idiopathic, kahi i ʻike ʻole ʻia ai ke kumu o ka hoʻonui ʻia ʻana o nā ventricle ma muli o ka hana ʻana o CSF ​​nui, a i ʻole ke kula kiʻekiʻe, ʻo ia ka manawa e kū ai ka maʻi ma muli o kahi kūlana ʻē aʻe.

No laila, hiki i ka PNH lua ke kū ma ke ʻano he hopena o nā loli i ka wā o ka ulu ʻana o ka fetal, nā ʻeha o ka lolo traumatic, hahau a me nā maʻi i loko o ka ʻōnaehana, e like me ka meningitis bacteria a me nā puʻupuʻu, no ka laʻana.

Pehea e hana ai i ka lāʻau

Hoʻolālā ka hoʻomaʻamaʻa ʻana i ka hydrocephalus kaomi maʻamau e hōʻemi i nā ʻōuli o ka maʻi ma ke kahe ʻana i ka CSF i hōʻiliʻili ʻia i loko o nā ventricle i kekahi ʻāpana o ke kino i hiki ke hoʻohana hou ʻia. I kēia ala, hiki ke hoʻihoʻi i ka ventricle i kona nui maʻamau a hoʻomaha ʻia nā ʻōuli.

Eia hou, i ke kaʻina hana hiki i ke kauka ke hoʻopuni i kahi lāʻau i ka lolo i mea e hoʻoponopono ai i ka nui o CSF ​​i hana ʻia, e pale ana i ka hōʻiliʻili ʻana mai ka hana hou ʻana. Hoʻomaopopo i ka hana ʻia ʻana o ka lāʻau hydrocephalus.