Uxinzelelo oluqhelekileyo lwehydrocephalus: yintoni, iimpawu kunye nonyango

Umxholo

• Iimpawu eziphambili
• Uxilongo lwenziwa njani
• Oonobangela boxinzelelo oluqhelekileyo iHydrocephalus
• Unyango lwenziwa njani

Uxinzelelo oluqhelekileyo lweHydrocephalus, okanye i-PNH, yimeko ebonakaliswa kukuqokelelwa kwe-cerebrospinal fluid (CSF) kwingqondo kunye nokwandiswa kwee-ventricles ze-cerebral ngenxa yolwelo oluninzi, olunokukhokelela ekubonakaleni kweempawu zempawu ezintathu, ezinobunzima bokuhamba, ukungabikho komchamo kunye nokulahleka kwemisebenzi yokuqonda.

I-PNH ixhaphake kakhulu kubantu abangaphezu kweminyaka engama-65, nangona inokwenzeka nakweyiphi na iminyaka, kwaye inokubuyiselwa umva ngokupheleleyo, oko kukuthi, iyanyangeka ukuba nje ichongiwe kwaye inyangwa ngokukhawuleza. Kwiimeko ezininzi, unyango lwenziwa ngokukhupha i-CSF eqokelelweyo kwaye uyithumele kwenye indawo emzimbeni ukuze iphinde ibuyiselwe.

Iimpawu eziphambili

Ngaphandle kokugqitha kolwelo kwi-intracranial cavity, akukho kunyuka koxinzelelo, nangona kunjalo kukho ukukhula kweempawu ezintathu eziqhelekileyo, ezaziwa ngokuba yi-PNH triad: ukuhamba nzima, ukungahambelani nomchamo kunye nokulahleka okuqhubekayo kwememori kunye nemisebenzi yokuqonda. Ezi mpawu zinokubonakala kunye okanye ngokwahlukeneyo, musa ukulandela iodolo ethile kwaye uqhubeke ngokuqhubekayo. Ezinye iimpawu kunye neempawu ezibonisa i-PNH zezi:

• Ukuncipha kwengqwalaselo kunye noxinzelelo;
• Ukuphazamiseka;
• Utshintsho lobukrelekrele;
• Kunzima ukwenza iintshukumo ezintle, njengokuchola ipensile okanye usiba, umzekelo;
• Utshintsho lomntu;
• Ukuphazamiseka kokujonga okunyanzelekileyo, i-OCD;
• Ukungakhathali, apho umntu engenalo ihlombe okanye inkuthazo yokwenza imisebenzi.

Iimpawu ze-PNH zinokuqwalaselwa njengezibonakaliso eziqhelekileyo zokuguga okanye njengokubonakalisa isifo sengqondo esixhalabisayo, i-Alzheimer's, iParkinson okanye uxinzelelo, umzekelo. Ngesi sizathu, kubalulekile ukuba xa iimpawu kunye neempawu zoxinzelelo oluqhelekileyo lwe-hydrocephalus zichongiwe, umntu lowo ugqithiselwa kugqirha wemithambo-luvo ukuze kwenziwe uvavanyo olwahlukileyo kwaye ke, unyango luqala.

Uxilongo lwenziwa njani

Ukuchongwa kwe-PNH kufuneka kwenziwe ngugqirha oqhelekileyo okanye ugqirha wemithambo-luvo ngokusebenzisa ezinye iimvavanyo ezinje nge-computed tomography yokakayi okanye imaging resonance imaging ukuze ingqondo ibonwe, ichonge ukugxila kokuqokelelwa kolwelo kunye nokwandiswa kwee-ventricles zecerebral.

Ukongeza, uvavanyo lweTephu lunokwenziwa, oluvavanyo olusetyenziselwa ukujonga ukuba ngaba isigulana sinokuba nokuziphendulela okuhle kunyango lotyando. Olu vavanyo luquka ukuqhuba iimvavanyo ukuvavanya iimpawu zesigulana, ngakumbi utshintsho olwenziwe, kunye nokugqobhoza i-lumbar kwenziwa ukususa ulwelo oluninzi. Emva kweeyure ezintathu zokuhlatywa, uvavanyo lweempawu luyenziwa kwakhona kwaye ukuba kufunyenwe ukuba emva kweeyure ezi-3 akukho kubola kweempawu, luphawu lokuba ii-ventricles azizalisanga ngokupheleleyo kwaye umntu unamathuba amahle okuba iziphumo ezilungileyo zonyango.

Oonobangela boxinzelelo oluqhelekileyo iHydrocephalus

Uxinzelelo oluqhelekileyo lwe-hydrocephalus lunokuhlelwa njenge-idiopathic, apho kungaziwa ukuba kutheni bekukho ukwanda kwee-ventricles ngenxa yokuveliswa kwe-CSF ngokugqithileyo, okanye okwesibini, kulapho isifo senzeka khona ngenxa yesinye isimo.

Ke, i-PNH yesibini inokwenzeka njengesiphumo sotshintsho ngexesha lokukhula komntwana, ukonzakala kwengqondo ebuhlungu, ukubetha kunye nosulelo kwinkqubo ye-nervous, enjenge-bacterial meningitis kunye ne-mumps, umzekelo.

Unyango lwenziwa njani

Unyango lwehydrocephalus yoxinzelelo olujolise ekunciphiseni iimpawu zesi sifo ngokukhupha i-CSF eqokelelwe kwii-ventricles ukuya kwelinye ilungu lomzimba ukuze iphinde iphinde iphinde iphinde iphinde iphinde iphinde iphinde iphinde iphinde iphinde iphinde iphinde iphinde iphinde iphinde iphinde iphinde iphinde iphinde iphinde kwakhona Ngale ndlela, kunokwenzeka ukuba i-ventricle ibuyele kubungakanani bayo obuqhelekileyo kwaye iimpawu ziyakhululeka.

Ukongeza, ngexesha lenkqubo ugqirha unokuhambisa amayeza kwingqondo ukuze alawule inani le-CSF evelisiweyo, ethintela ukuqokelelana kungenzeki kwakhona. Qonda indlela olwenziwa ngayo unyango lwe-hydrocephalus.