Ingcindezi ejwayelekile i-hydrocephalus: kuyini, izimpawu nokwelashwa

-Delile

• Izimpawu eziyinhloko
• Ukuxilongwa kwenziwa kanjani
• Izimbangela Zokucindezela Okuvamile i-Hydrocephalus
• Yelashwa kanjani

Ingcindezi Ejwayelekile i-Hydrocephalus, noma i-PNH, yisimo esichazwa ukuqoqwa kwe-cerebrospinal fluid (CSF) ebuchosheni nokwandiswa kwama-ventricles we-cerebral ngenxa yoketshezi oluningi, okungaholela ekubonakaleni kwezimpawu ezintathu zesici, okuyizinkinga zokuhamba, ukungasebenzi kwe-urinary nokulahleka kwemisebenzi yokuqonda.

I-PNH ivame kakhulu kubantu abangaphezu kweminyaka yobudala engama-65, yize ingenzeka kunoma yisiphi isikhathi, futhi ibuyiselwa emuva ngokuphelele, okungukuthi, iyelapheka inqobo nje uma ikhonjwa ngokushesha futhi yelashwa. Ezimweni eziningi, ukwelashwa kwenziwa ngokukhipha i-CSF enqwabelene bese uyithumela kwenye indawo emzimbeni ozobuyiselwa kabusha.

Izimpawu eziyinhloko

Yize uketshezi oludlulele emgodini ongasebenzi, akukho kwanda kwengcindezi, kepha kukhona ukukhula kwezimpawu ezintathu ezijwayelekile, ezaziwa njenge-PNH triad: ukuhamba kanzima, ukungahambisani nomchamo kanye nokulahleka okuqhubekayo kwememori nokusebenza kwengqondo. Lezi zimpawu zingavela ndawonye noma ngokwehlukana, azilandeli i-oda elithile futhi ziqhubeke ngokuqhubekayo. Ezinye izimpawu nezimpawu ezibonisa i-PNH yilezi:

• Ukunciphisa ukunakwa nokugxila;
• Ukudideka;
• Izinguquko zengqondo;
• Kunzima ukwenza ukunyakaza okuhle, njengokuthatha ipensela noma ipeni, ngokwesibonelo;
• Ukushintsha kobuntu;
• I-Obsessive Compulsive Disorder, i-OCD;
• Ukunganaki, lapho umuntu engenawo umdlandla noma ugqozi lokwenza imisebenzi.

Izimpawu ze-PNH nazo zingathathwa njengezimpawu ezijwayelekile zokuguga noma njengezikhombisa ukuwohloka komqondo, i-Alzheimer's, iParkinson noma ukucindezeleka, isibonelo. Ngalesi sizathu, kubalulekile ukuthi lapho kutholakala izimpawu nezimpawu zengcindezi ejwayelekile ye-hydrocephalus, lowo muntu uyiswa kudokotela wezinzwa ukuze kwenziwe ukuhlolwa okwehlukile futhi, ngalokho, kuqala ukwelashwa.

Ukuxilongwa kwenziwa kanjani

Ukuxilongwa kwe-PNH kumele kwenziwe ngudokotela ojwayelekile noma i-neurologist ngokusebenzisa ezinye izivivinyo ezinjenge-computed tomography yogebhezi noma i-magnetic resonance imaging ukuze ubuchopho bubonakale, kukhombe ukugxila kokuqongelela uketshezi nokwandiswa kwama-ventricles ebuchosheni.

Ngaphezu kwalokho, iTap-Test ingenziwa, okuwukuhlolwa okusetshenziselwa ukubheka ukuthi ngabe isiguli sizoba nokuvela okuhle ngokwelashwa kokuhlinzwa. Lokhu kuhlolwa kuqukethe ukwenza izivivinyo ukuhlola izimpawu zesiguli, ikakhulukazi izinguquko zokuhamba, futhi kwenziwa isibhobo sombumbulu ukususa uketshezi oluningi. Ngemuva kwamahora amathathu wokubhoboza, ukuhlolwa kwezimpawu kuyenziwa futhi futhi uma kutholakala ukuthi ngemuva kwamahora amathathu akukho ukuwohloka kwezimpawu, kuwuphawu lokuthi ama-ventricles awakagcwalisi ngokuphelele nokuthi umuntu unamathuba amahle okuba imiphumela emihle yokwelashwa okuhlinzwa.

Izimbangela Zokucindezela Okuvamile i-Hydrocephalus

Ingcindezi ejwayelekile i-hydrocephalus ingahlukaniswa njenge-idiopathic, lapho kungaziwa ukuthi kungani kwakwandiswa ama-ventricles ngenxa yokukhiqizwa kwe-CSF ngokweqile, noma okwesibili, okuyilapho lesi sifo senzeka njengomphumela wesinye isimo.

Ngakho-ke, i-PNH yesibili ingenzeka njengomphumela wezinguquko ngesikhathi sokukhula komntwana, ukulimala kwengqondo okubuhlungu, isifo sohlangothi kanye nokutheleleka ohlelweni lwezinzwa, njenge-bacterial meningitis kanye ne-mumps, ngokwesibonelo.

Yelashwa kanjani

Ukwelashwa kwe-hydrocephalus yengcindezi ejwayelekile kuhlose ukwehlisa izimpawu zesifo ngokukhipha i-CSF eqoqwe kuma-ventricles iye kolunye uhlangothi lomzimba ukuze ikwazi ukubuyiselwa kabusha. Ngale ndlela, kungenzeka ukwenza i-ventricle ibuyele kusayizi wayo ojwayelekile futhi izimpawu ziyakhululeka.

Ngaphezu kwalokho, ngesikhathi senqubo udokotela futhi angahambisa umuthi ebuchosheni ukuze alawule inani le-CSF ekhiqizwayo, evimbela ukuqongelela ukuthi kungenzeki futhi. Qonda ukuthi ukwelashwa kwe-hydrocephalus kwenziwa kanjani.