Hydrocephalus da kuma Jiyya

Hydrocephalus ne halin da karuwa a CSF sarari, bi da bi ragewa girma na kwakwalwa nama. Dalili na karuwa a girman girman ventricles na kwakwalwa zai iya zama haɗuwa da ruwa mai ciki a cikin tsarin ventricular (abubuwar hydrocephalus) ko kuma cin zarafi na maye gurbin ruwan ƙwayar cuta ta hanyar ƙuƙwalwa a cikin ƙananan kwakwalwar kwakwalwa, wanda shine manyan hanyoyi na zubar da jini daga kwakwalwa (bude hydrocephalus). Don haka maganin hydrocephalus ya ci nasara a gano hanyoyin da ya faru. Don bi da hydrocephalus, ana amfani da mazan jiya da magunguna. A cikin magunguna na hydrocephalus, shunt na ventriculoperitoneal ya fi sau da yawa yayi ta hanyar endoscopic perforation na kasa na uku na ventricle-endoscopic triventriculostomy. Abin takaici, waɗannan ayyukan ba su da tasiri sosai a lokaci guda kuma a lokaci guda zai iya haifar da ci gaba da rikitarwa (ciwon hauka na hyperdrilling, da ciwon hematomas, da kamuwa da tsarin shunting, da dai sauransu). Saboda haka, zabi na hanyar da yafi dacewa don kula da magungunan na hydrocephalus mai mahimmanci yana da matukar dacewa. Babu wani mahimmancin muhimmancin tambaya game da aiki da tsarin shunting wanda ya riga ya kafa, dacewa. A sakamakon binciken da ya yi a tsakiyar ilimin tsarin jijiyoyi saukar da wani fairly bayyananne lokaci tsakanin bude da kuma obstructive hydrocephalus. Tare da samfurin hydrocephalus, an lura da dabi'un al'ada na rubutun ƙwayoyin craniovertebral, kuma karuwar da ya karu shine karuwa mai mahimmanci idan aka kwatanta da al'ada. A lokaci guda, tare da occlusal hydrocephalus, kawai al'ada da ƙãra girma na elasticity da aka lura. A lokaci guda kuma, maganin hydrocephalus (ventriculoperitoneal shunting, endoscopic triventriculostomy) ya haifar da wani muhimmiyar mahimmanci a cikin yaduwar cutar jini da kwakwalwa da craniovertebral girma. Ragewar elasticity a kwatanta da ka'idar kafin a gano aikin kawai a marasa lafiya tare da bude hydrocephalus. Bugu da kari, tare da occlusal hydrocephalus, babu rage a cikin elasticity idan aka kwatanta da al'ada kafin aiki. Bugu da kari, bayan an tilastawa a asibiti tare da isasshen hydrocephalus, haɓakarwa ta ragu sosai idan aka kwatanta da sakamakon binciken binciken. Open hydrocephalus za a iya lalacewa ta hanyar daban-daban dalilai etiological. A wannan yanayin, dole ne muyi la'akari da cewa a cikin lafiyar mutane da mutuwar ƙwayoyin hannu kullum suna faruwa ne a cikin tsufa, wanda ke haifar da atrophy na kwakwalwa abu kuma, bisa ga haka, zuwa karuwa a wuraren da ake ajiyewa na kogin craniovertebral. Wannan tsari na halitta ana kiranta apoptosis. Lokacin da Alzheimer ta cutar da aka kara tsufa tare da mahaukaci kwayuka jari na halakar kwayuka Tsarin da kuma kyakkyawan neuronal mutuwa. Daga siffofin asibiti mafi mahimmanci na bude hydrocephalus, ka'idodin hydrocephalus na yau da kullum ya kasance shahararren, wanda shine babban sashi na alamar Hakim-Adams (1965) (Hakim S, Adams R,). Wannan ciwo yana nuna karuwa a cikin ventricles na kwakwalwa tare da matsa lamba ta intracranial. Bugu da kari halayyar fasali na ciwo Hakima- Adams ne da ci gaban gigin-tsufa, unsteadiness kuma urinary incontinence. Yanayin marasa lafiya da yawa tare da ciwo na Hakim-Adams an inganta shi sosai bayan aikin da ake amfani da giya. Duk da haka, a cikin wasu lokuta wadannan ayyukan suna tabbatar da rashin amfani. Bugu da kari, aikin sarrafa giya yana haifar da rikitarwa (a cikin kashi 13-50% bisa ga bayanai na masu bincike daban-daban). Saboda haka, zabin marasa lafiya da rashin lafiya na Hakim-Adams don maganin jiyya yana da matukar dacewa. A halin yanzu, domin wannan dalili, shi ne yadu amfani daban-daban masu cin zali hanyoyin (jiko na Saline cikin CSF sarari don nazarin canje-canje da suka faru a lokacin da intracranial matsa lamba, magudanun ruwa na sayar da giya da kimanta na canje-canje a cikin neurological matsayi, da sauransu. D.). Ivazivnost wadannan gwaje-gwaje muhimmanci takaita su amfani a cikin asibitin . Mafi girman darasi na binciken nazarin craniovertebral girma dangantaka a cikin yara tare da hydrocephalus, da kuma a cikin tsofaffi da girma ventriculomegaly (ƙara yawan girman ventricles na kwakwalwa) da kuma daban-daban bambancin na ci gaba da haɓakar Hakim-Adams (memory, gait, urination). A cikin karatunmu tare da ciwo na Hakim-Adams, yawancin zafin jiki yana da mahimmanci ko ragewa ƙwarai, kuma a cikin marasa lafiya da sakamakon ciwo da kuma ciwo da ƙwayar cuta, lalatawar ta kasance ta al'ada ko ta karu, kuma bambancin dake tsakanin ƙungiyoyi biyu na marasa lafiya sun isa mahimmanci. Dalili na rikici a cikin tsofaffi na iya zama raguwa da matakan bayanai a cikin kwakwalwa, saboda wasu nau'o'i (degenerative, vascular, metabolic processes). Daya dalilin cuta a cikin tsofaffi iya zama da ci gaban Alzheimer ta cutar. A wannan yanayin, akwai wani imani cewa bambanta a kan tushen da na asibiti data kawai jijiyoyin bugun gini gigin-tsufa da kuma Alzheimer ta cutar ne musamman wuya. Bugu da} ari, an tabbatar da cewa a cikin cutar Alzheimer cutar yawan jini a cikin tasoshin ƙananan ƙananan ruwa da na intracranial yana da muhimmanci ƙwarai a kwatanta da mutanen lafiya. Haka kuma cututtukan Alzheimer suna nuna rashin karuwa a cikin matsin intracranial da ragewa a cikin nauyin samar da ruwan sanyi.

Abubuwan da ke cikin nau'in craniovertebral, kasancewa halayen tsarin injiniya na tsarin, a daidai lokaci guda yana daidaita zuwa wani matsayi tare da aikin aikin kwakwalwa. Mun lura a hankali a hankali daidaita rami craniovertebral abinda ke ciki wanda ya faru lokaci guda tare da daidaita aikin jiha na kwakwalwa (inganta ƙwaƙwalwar ajiya, ilimi ayyuka, Gait, daidaita urination). Wadannan canje-canje sun faru ne a ƙarƙashin rinjayar tasirin maganin na jijiyoyin jini, na rayuwa da kuma ciwon sukari.

Tare da bude hydrocephalus, an lura da al'amuran al'ada na rubutun ƙwayoyin craniovertebral, da mahimmancin karuwa ko raguwar karuwar kwatanta da na al'ada. Bugu da kari, tare da occlusal hydrocephalus, kawai al'ada da kuma ƙara yawan dabi'u na elasticity aka lura, yayin da rage a cikin elasticity idan aka kwatanta da al'ada dabi'u ba a kiyaye. Magani marasa lafiya na marasa lafiya tare da haɗuwa da ƙwayar ventriculoperitoneal mai zurfi, endoscopic triventriculostomy) ya haifar da ƙananan muhimmanci a cikin adadi na craniovertebral abun ciki da kuma bayyanar da ƙananan dabi'un da ake yiwa kamar yadda a cikin wasu marasa lafiya tare da hydrocephalus mai budewa) Saboda haka, magani na occlusal hydrocephalus zai kai ga canji a cikin Tsarin aikin jiki, sakamakon abin da occlusion hydrocephalus ya zama, kamar yadda yake, analog Ary bude hydrocephalus.

Bugu da kari, bayan endoscopic triventriculostomy, yawan ƙididdigar ƙididdigar yawanci ne kawai yake lura kawai a cikin ƙirar da ƙananan jini na jini, yayin da babu wani canje-canje mai mahimmanci a cikin tanadin damar craniovertebral. Ƙimar mahimmanci na ƙididdiga a cikin elasticity bayan endoscopic triventriculostomy ya cancanci kulawa ta musamman, tun da babu wani canje-canje mai mahimmanci a lokacin da ake amfani da gwaje gwaje-gwaje mai jituwa. Irin wannan sakamakon mummunan gwagwarmayar gwaje-gwaje na janyo gwagwarmaya ya faru ne saboda gaskiyar cewa gabatarwar saline a cikin ruwan sanyi a lokacin jigilar jigilar jigilar jigilar jigilar kwayoyin halitta (nau'in kwakwalwa, jini da lycourus), wanda zai haifar da sakamako mara kyau. Sabili da haka, nazarin zane-zane game da zubar da jini na kwakwalwar kwakwalwar, kwakwalwa da craniovertebral nauyin halayen ya ba da damar samun bayanai mai mahimmanci game da hanyoyin maganin cututtuka na intracranial hyphenia da hydrocephalus, da kuma kimanta tasiri na farfadowa.