Khatello e tloaelehileng ea hydrocephalus

Hydrocephalus ke mokelikeli o mongata oa mokokotlo kahare ho likamore tse metsi tsa boko. Hydrocephalus e bolela "metsi bokong."

Khatello e tloaelehileng ea hydrocephalus (NPH) ke keketseho ea bongata ba mokelikeli oa cerebrospinal (CSF) bokong bo amang tšebetso ea boko. Leha ho le joalo, khatello ea mokelikeli hangata e tloaelehile.

Ha ho na sesosa se tsebahalang sa NPH. Empa monyetla oa ho hlahisa NPH o phahame ho motho ea nang le tse ling tsa tse latelang:

• Ho tsoa mali ho tsoa sejaneng sa mali kapa aneurysm bokong (subarachnoid hemorrhage)
• Likotsi tse itseng hloohong
• Meningitis kapa mafu a tšoanang
• Ho buuoa bokong (craniotomy)

Ha CSF e ntse e eketseha bokong, likamore tse tletseng metsi (li-ventricle) tsa boko lia ruruha. Sena se baka khatello liseleng tsa boko. Sena se ka senya kapa sa senya likarolo tsa boko.

Matšoao a NPH hangata a qala butle. Ho na le matšoao a mararo a mantlha a NPH:

• Liphetoho tseleng eo motho a tsamaeang ka eona: bothata ba ho qala ho tsamaea (gait apraxia), ho ikutloa eka maoto a hau a khomaretse fatše (magnetic gait)
• Ho lieha ha ts'ebetso ea kelello: ho lebala, ho thatafalloa ho ela hloko, ho iphapanya kapa ho se fetohe
• Mathata a ho laola moroto (ho se hloeke ha moroto), 'me ka linako tse ling ho laola litulo (ho se hloeke ha mala)

Tlhahlobo ea NPH e ka etsoa haeba ho na le matšoao a kaholimo a hlahang mme NPH e belaelloa mme ho etsoa liteko.

Mofani oa tlhokomelo ea bophelo o tla etsa tlhahlobo ea 'mele' me a botse ka matšoao. Haeba u na le NPH, mofani oa litšebeletso o tla fumana hore tsela eo u tsamaeang ka eona ha ea tloaeleha. U kanna oa ba le mathata a ho hopola.

Liteko tse ka etsoang li kenyelletsa:

• Lumbar puncture (pompong ea mokokotlo) ka tlhahlobo e hlokolosi ea ho tsamaea pele le hang hang kamora pompo ea mokokotlo
• Hlooho ea CT scan kapa MRI ea hlooho

Kalafo ea NPH hangata ke ho buuoa ho beha tube e bitsoang shunt e tsamaisang CSF e fetelletseng ka ntle ho li-ventricle tsa boko le ka mpeng. Sena se bitsoa ventriculoperitoneal shunt.

Ntle le kalafo, matšoao a lula a mpefala mme a ka lebisa lefung.

Ho buoa ho ntlafatsa matšoao ho batho ba bang. Ba nang le matšoao a bonolo ba na le sephetho se setle ka ho fetisisa. Ho tsamaea ke letšoao le ka ntlafatsang.

Mathata a ka hlahisoang ke NPH kapa kalafo ea ona a kenyelletsa:

• Mathata a ho buuoa (tšoaetso, ho tsoa mali, shunt e sa sebetseng hantle)
• Tahlehelo ea ts'ebetso ea boko ('dementia') e mpefalang ho feta nako
• Kotsi ea ho oa
• Nako e khutsufalitsoeng ea bophelo

Bitsa mofani oa hau haeba:

• Uena kapa motho eo u mo ratang o na le mathata a ntseng a eketseha ka mohopolo, ho tsamaea kapa ho se ts'oarehe ha moroto.
• Motho ea nang le NPH o mpefala ho fihlela moo o sitoang ho itlhokomela.

E-ea kamoreng ea maemo a tšohanyetso kapa letsetsa 911 kapa nomoro ea ts'ohanyetso ea lehae haeba phetoho ea tšohanyetso maemong a kelello e etsahala. Sena se ka bolela hore bothata bo bong bo hlahile.

Hydrocephalus - boloi; Hydrocephalus - idiopathic; Hydrocephalus - motho e moholo; Hydrocephalus - ho buisana; 'Dementia' - hydrocephalus; NPH

• Ventriculoperitoneal shunt - ho tsoa

• Sisteme ea methapo e bohareng le methapo ea methapo
• Li-ventricles tsa boko

Rosenberg GA. Edema ea boko le mathata a tsamaiso ea mokelikeli oa cerebrospinal. Ka: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, bahlophisi. Neurology ea Bradley ho Tloaelo ea Bongaka. La 7th. Philadelphia, PA: Elsevier; 2016: khaolo ea 88.

Sivakumar W, Drake JM, Riva-Cambrin J. Karolo ea karolo ea boraro ea ventriculostomy ho batho ba baholo le bana: tlhahlobo ea bohlokoa. Ka: Winn HR, e hlophisitsoeng. Phekolo ea Youmans le Winn Neurological. La 7th. Philadelphia, PA: Elsevier; 2017: khaolo ea 32.

Williams MA, Malm J. Diagnosis le kalafo ea khatello e tloaelehileng ea khatello ea maikutlo ea idiopathic. Tsoelo-pele (Minneap Minn). 2016; 22 (2 Dementia): 579-599. PMCID: PMC5390935 www.ncbi.nlm.nih.gov/pmc/articles/PMC5390935/.