Hydrocephalus a me kona lapaʻau

Hydrocephalus ua wehewehe aku ma ka mea ulu ma ka CSF makahiki, niioaaonoaaiii ka hōʻemiʻana ka leo o ka lolo'aʻaʻa. Ke kumu no ka hoʻoulu i ka ventricles nui like 'ole i ia i ka occlusion lama kahe ana i loko o ka ventricular'ōnaehana (occlusive hydrocephalus) a hihia hoʻi outflow (resorption) waiona subarachnoid ka lewa ma ka arachnoid villi i loko o dural lua lolo, a nō ka nui ala o outflow o ka venous koko mai ka lolo (hamama hydrocephalus.) No ka i ka iapaau ana o ka hydrocephalus i ua mākaukau holomua i kii mai i ka maomeka o kona hanana. No ka iapaau ana o ka hydrocephalus hoʻohana nā makeʻe kulana, aʻoki lāʻau lapaʻau ki ina hana like. Keʻoki lāʻau lapaʻau lapaʻau o hydrocephalus pinepine a hāpai ventriculoperitoneal shunt endoscopic perforation lalo III zheludochka- endoscopic triventrikulostomiya. Eia naʻe, mau i kēia mau hana a pau i pono, a ma ka mea ia manawa ke alakai i ka ulu ana o complications (maʻi pale giperdrenirovaniya, ho okumu subdural hematomas, maʻiʻaʻai o ka shunt'ōnaehana, a no laila, ma luna o. D.). No laila, i ka ninau o ke koho i ka iaoiaeii loa kūpono o ka hana maikaʻiʻole o hydrocephalus makeʻe kulanaʻoki kino ka mea nui. Like nui o ke kahe ana o ka functioning o ka hoʻouka kekahi holo alaʻokoʻa'ōnaehana a me kona adequacy. E like me ka hopena o ka hoʻokolokolo 'ana i i loko o ka konu o Neurology hoikeia mai kekahi' ano maopopo manawa ma waena o ka hamama a me ka obstructive hydrocephalus. Ma ka hamama hydrocephalus i malama like maʻamau aiee o elasticity craniovertebral maʻiʻo, a me konaʻiʻo ulu i loko o ka nui emi ma e like me ke kūmau. I ka Ia manawa, obstructive hydrocephalus hana wale maʻamau cia, a mahuahua elasticity. Ma keiaʻoki lāʻau lapaʻau lapaʻau o hydrocephalus (ventrikuloperitonalnoe holo alaʻokoʻa, endoscopic triventrikulostomiya) alakai aku i ka nui loa a me ka nui loli cerebral koko a me ka venous craniovertebral volumetric ka lākiō.. Ke emi ma ka elasticity o ke kūmau hoʻohālikelike i muaʻoki kino i akomi i wale i loko o nā mea maʻi me ka hamama hydrocephalus. Naʻe, ka wā occlusive hydrocephalus ho'ēmi i elasticity ma mua o maʻamau ma muaʻoki kino ia i malama. I ka Ia manawa ma hope o ka hana i loko o ka haukapila me ka obstructive hydrocephalus elasticity me ka nui loa ua hoʻemi ma e like me ka hopena o ka preoperative haʻawina. Open hydrocephalus hiki ke kena ae la ia e likeʻole etiological aʻe. It E e kaʻikaʻiʻia ma ka manaʻo i loko o ola kanaka i loko o ka kūnewa kaʻina ua mau hele ana ma luna o ka make ana o neurons, a hiki aku i ka atrophy o ka lolo waiwai, a nolaila, i ka hua ma ka hookoe hakahaka craniovertebral lua. Kēia maoli kaʻina ua kapaia apoptosis. A lohe o Alzheimer ka maʻi ua hōʻeleu i kūnewa me'āno'ē intracellular hoʻomāhuahua o ka make ana o intracellular hale, a ultimately neuronal make. Mawaena o ka loa e like me ka lapaʻau palapala hamama hydrocephalus anao? Aou maʻamau puʻe hydrocephalus, i mea he kumu nui ke keʻena o ka symptom Hakima- Adams (1965) (Hakim S, Adams R,). No keia maʻi pale ua wehewehe aku ma ka mahuahua ma ka lolo ventricles ma maʻamau intracranial puʻe. Eia hou, na ano hiʻona o ka maʻi pale Hakima- Adams i ka hooulu ana o ka dementia, naueue wale no hoi a me ka urinary incontinence. Ke ano o na mea he nui nā mea maʻi i ka maʻi pale Hakim -Adamsa me ka nui loa hoʻoikaika 'ana ma hope o shunting hana. Eia naʻe, ma kekahi hihia, i kēia mau operatsii ineffective. Eia naʻe shunt hana pinepine alakai i complications (i loko o 13-50% e like me kekahi noiʻi). No laila, i ke koho ana o nā mea maʻi me Hakim maʻi pale - Adams no kaʻoki lāʻau lapaʻau lapaʻau ka loa nui. Currently, no keia mea, ka mea, ua hoʻomano hoʻohana likeʻole invasive ano (infusion o Saline i loko o ka CSF makahiki e noiʻi i nā loli i ana i ka wa a ka intracranial puʻe, nōkahea o ka lama me ka olelo o ka loli ma ka neurological kūlana haʻahaʻa, a laila, ma luna o. D.). Ivazivnost kēia mau ho'āʻo ma me ka nui loa hoʻohaiki ana kā lākou hana i loko o ka? Aaieou . I ka lani kiekie loa waiwai o laupaʻi noiʻi craniovertebral ka leo hiʻohiʻona mea i na keiki me ka hydrocephalus, e like me ka pono me ia ma ka kūpuna me ka mahuahua ventriculomegaly (mahuahua ma ka nui o ka lolo ventricles) a me kekahi mau Lolina o ka maʻi pale Hakima- Adams (iaiyoe hoʻopilikia, ana, 'bladder). I ko makou haʻawina, ka wā Hakim maʻi pale - Adams resilience ua IeAUPIIe, IAa IO maʻamau a kūpono kou hoemi, a me nā mea maʻi i ka hopena o ka craniocerebral travmy- a me ka loa ka noʻonoʻo 'kāna hana elasticity ua maʻamau a mahuahua, a me ka likeʻole ma waena o kēia mau pūʻulu o nā mea maʻi i ana helu manaʻo nui. Ke Alahele o ka dementia i loko o ka kūpuna e ia i ka disintegration o ka keʻano o ka hanaʻana 'ike i loko o ka lolo, kena ae la ia e kekahi mau maomeka (degenerative, vascular, metabolic keʻano o ka hanaʻana). Kekahi kumu no kāna hana i loko o ka kūpuna hiki ia i ka hooulu ana o Alzheimer ka maʻi. Ma keia hihia, he mea i manaoio i differentiated ma luna o ke kumu o ka lapaʻauʻikepili wale vascular dementia a me Alzheimer ka maʻi mea paʻakikī loa. Naʻe, ka mea hookupaa ia ma Alzheimer ka maʻi he koko i loko o extracranial a intracranial moku ma me ka nui loa hoemi like me ka ola kanaka. Alzheimer ka maʻi ua wehewehe aku ma ka ka ho'ēmiʻana i loko o intracranial puʻe, a me ka emi ana ma ka? Iecaianoaaiiie uku o ka lama.

Elasticity craniovertebral maʻiʻo, i kekahi me mechanical ano o ka'ōnaehana, nae, correlates i ka kekahi loa, a me ka iaea ooieoeiiaeuiiai ano o ka lolo. he gradual normalization lua craniovertebral Contents i mai ai ka poʻe me ka normalization o ka iaea ooieoeiiaeuiiai moku'āina o ka lolo mākou malama (hou hoomanao ana, 'imi naʻauao oihana, ana,' normalization o urination). Mau loli hang nei ma lalo o ka aoao o kaʻeleu vascular, metabolic a me degitratatsionnoy Inc.

Ma ka hamama hydrocephalus i malama like maʻamau aiee o elasticity craniovertebral maʻiʻo, a me konaʻiʻo ulu a nui emi ma e like me ke kūmau. I ka Ia manawa ka wā occlusal hydrocephalus wale ka maʻamau cia malama, a māhuahua elasticity, oiai e hoemi i ka elasticity hoʻohālikelike me ka maʻamau Hawaiʻi i malama. ʻoki lāʻau lapaʻau lapaʻau o obstructive hydrocephalus ventriculoperitoneal holo alaʻokoʻa, endoscopic triventrikulostomiya) alakai aku ai i ka nui, statistically nui ka ho'ēmiʻana i loko o elasticity craniovertebral maʻiʻo a me ka nānā aku o ka loa haʻahaʻa aiee o ka elasticity o ka ia, me ia ma kekahi nā mea maʻi me ka overt hydrocephalus) Peneiʻoki kino hydrocephalus ke kumu no ia e hoʻololi physiological maomeka, ma o na la occlusive hydrocephalus lilo e like mea like ¶ hamama hydrocephalus.

I ka Ia manawa ma hope o endoscopic triventrikulostomii malama i ka statistically nui emi wale elasticity a me ka mämä holo o ka venous koko pele, akā,ʻaʻohe mea hou i loko o ka hookoe pahu craniovertebral maʻiʻo 'aʻole i kānāwai. A statistically nui emi ma ka elasticity ma hope o endoscopic triventrikulostomii hewaʻiʻo kūikawā noonoo, e like me ka ho'ākākaʻia mai ka wā hoʻohana invasive infusion ho'āʻo ike loea elasticity loli. Oia hopena maikaʻi nā hualoaʻa ma muli o ke invasive ho'āʻo ma infusion mea akaka i ka hoike o ka Saline i loko o ka CSF i infusion'ōnaehana loli aʻe ho'āʻo kūlana AaOIeIOUIeXAOAaIN ka leo craniovertebral ka papa kuhikuhiE maʻiʻo (lolo'aʻaʻa, ke koko a me ka likovora), a ke alakai i ka erroneous hualoaʻa. Penei, ai '-invasive study o venous krovobrascheniya lolo, cerebrospinal loliʻano a me craniovertebral ka leo hiʻohiʻona hoʻolako nui invormatsiyu o patafiziologicheskih maomeka intracranial gipetenzii a me ka hydrocephalus, e like me loiloi i ka laulā o pathogenetic Inc.