Uxinzelelo oluqhelekileyo lwehydrocephalus

IHydrocephalus yindawo yokwakha ulwelo lomqolo ngaphakathi kwamagumbi alulwelo engqondo. IHydrocephalus ithetha "amanzi kwingqondo."

Uxinzelelo oluqhelekileyo lwe-hydrocephalus (NPH) kukunyuka kwenani le-cerebrospinal fluid (CSF) kwingqondo echaphazela ukusebenza kwengqondo. Nangona kunjalo, uxinzelelo lolwelo luqhelekile.

Akukho sizathu saziwayo se-NPH. Kodwa ithuba lokuphuhlisa i-NPH liphezulu kumntu oye wafumana oku kulandelayo:

• Ukopha kwimithambo yegazi okanye i-aneurysm kwingqondo (subarachnoid hemorrhage)
• Ukonzakala entloko
• I-Meningitis okanye izifo ezifanayo
• Ugqirha kwingqondo (craniotomy)

Njengoko i-CSF isakha engqondweni, amagumbi agcwele ulwelo (ii-ventricles) zengqondo ziyadumba. Oku kubangela uxinzelelo kwizicubu zobuchopho. Oku kungonakalisa okanye kutshabalalise iinxalenye zobuchopho.

Iimpawu ze-NPH zihlala ziqala kancinci. Kukho iimpawu ezintathu eziphambili ze-NPH:

• Utshintsho kwindlela umntu ahamba ngayo: ubunzima xa eqala ukuhamba (gait apraxia), ukuziva ngathi iinyawo zakho zibambelele emhlabeni (umazibuthe)
• Ukucotha kokusebenza kwengqondo: ukulibala, ubunzima bokuhoya, ukungakhathali okanye ukungonwabi
• Iingxaki zokulawula umchamo (ukungahambisani nomchamo), kwaye ngamanye amaxesha ukulawula izitulo (ukungasebenzi kwamathumbu)

Ukuchongwa kwe-NPH kunokwenziwa ukuba ngaba kukho naziphi na kwezi mpawu zingasentla kwaye kuyakrokrelwa ukuba kwenziwe i-NPH.

Umboneleli wezempilo uya kwenza uvavanyo lomzimba kwaye abuze malunga neempawu. Ukuba unayo i-NPH, umboneleli uya kufumanisa ukuba ukuhamba kwakho (ukuhamba) akuqhelekanga. Unokuba neengxaki zememori.

Uvavanyo olunokwenziwa lunokubandakanya:

• Ukugqobhoza iLumbar (impompo yomqolo) kuvavanyo olucokisekileyo lokuhamba ngaphambi nasemva kwempompo yomqolo
• Intloko ye-CT scan okanye i-MRI yentloko

Unyango lwe-NPH luhlala lutyando lokubeka ityhubhu ebizwa ngokuba yi-shunt ehambisa i-CSF egqithisileyo ngaphandle kwee-ventricles zengqondo kunye nesisu. Oku kubizwa ngokuba yi-ventriculoperitoneal shunt.

Ngaphandle konyango, iimpawu zihlala zisiba mbi kwaye zingakhokelela ekufeni.

Utyando luphucula iimpawu kwabanye abantu. Abo baneempawu ezinobulali baneziphumo ezilungileyo. Ukuhamba luphawu olunokwenzeka ukuphucula.

Iingxaki ezinokubangelwa yi-NPH okanye unyango lwayo zibandakanya:

• Iingxaki zotyando (usulelo, ukopha, shunt engasebenzi kakuhle)
• Ukuphulukana nokusebenza kwengqondo (isifo sengqondo esixhalabisayo) esiba mandundu ngokuhamba kwexesha
• Ukwenzakala ngenxa yokuwa
• Ubomi obufutshane

Fowunela umnikezeli wakho ukuba:

• Wena okanye umntu omthandayo unengxaki ezandayo ngememori, ukuhamba, okanye ukungahambelani nomchamo.
• Umntu one-NPH uya esiba mandundu de uye ungakwazi ukumkhathalela umntu lowo.

Yiya kwigumbi likaxakeka okanye fowunela i-911 okanye inombolo yongxamiseko yendawo ukuba utshintsho ngesiquphe kwimeko yengqondo lwenzeka. Oku kunokuthetha ukuba kuye kwakho esinye isigulo.

IHydrocephalus - ubugqi; IHydrocephalus - idiopathic; IHydrocephalus - yabantu abadala; IHydrocephalus - ukunxibelelana; Isifo sengqondo esiyingozi - hydrocephalus; I-NPH

• I-Ventriculoperitoneal shunt - ukukhutshwa

• Inkqubo ye-nervous central kunye ne-peripheral system
• Iimpawu zengqondo

IRosenberg GA. I-edema yobuchopho kunye nokuphazamiseka kokujikeleza kolwelo lwe-cerebrospinal. Ku: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, ii-eds. I-Neurology kaBradley kwiKlinikhi yokuziqhelanisa. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2016: isahl 88.

USivakumar W, Drake JM, Riva-Cambrin J. Indima ye-ventriculostomy yesithathu kubantu abadala nasebantwaneni: uphononongo olunzulu. Ku: Winn HR, ed. Ugqirha we-Youmans kunye no-Winn Neurological. Umhla wesi-7. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 32.

UWilliam MA, uMalm J.Ukuchongwa kunye nokunyangwa kwe-idiopathic yesiqhelo yehydrocephalus. Ukuqhubeka (iMinneap Minn). Ngo-2016; 22 (2 isifo sengqondo esixhalabisayo): 579-599. I-PMCID: PMC5390935 www.ncbi.nlm.nih.gov/pmc/articles/PMC5390935/.