I-Hydrocephalic syndrome ezinganeni (noma i-hydrocephalus) ukwephulwa kwamakhemikhali, ukusabalalisa noma ukukhipha umthamo we-cerebrospinal fluid (CSF), okuholela ekunyuseni komthamo okhethwe yilolu buketshezi ohlelweni lwezinzwa eziphakathi. Futhi, lesi sifo singabhekwa njengesifo se-hydrodynamic se-CSF. Kunezinhlobo ezintathu ze-hydrocephalus: acute (iqala izinsuku eziningana), i-subacute (ngaphakathi kwamasonto), futhi ingapheli (amasonto, izinyanga).
I-Hydrocephalic syndrome ezinganeni - izimbangela
Izimbangela ze-hydrocephalic-hypertensive syndrome ezinganeni zingahlukaniswa zibe ngama-congenital futhi zitholakale.
Izimbangela ze-Congenital zifaka :
- ukungavamile kokuthuthukiswa kobuchopho, okuvusa ukuqina kwe-stenosis (constriction) yephayiphi yamanzi e-cerebral futhi ngaleyo ndlela kwenze kube nzima ukuhambisa i-CSF endaweni eyakhelwe kuyo, endaweni yesimiso sayo. Ingabe i-10% yazo zonke izimbangela ze-hydrocephalic syndrome ezinsana;
- ukuhlukunyezwa komuntu ohamba nge-dandy. Kuyi-2-4% yezimbangela ze-hydrocephalic syndrome ezinsana;
- i-anomaly ye-arnold - kiari;
- i-toxoplasmosis yesifo sofuba;
- i-biker-adams syndrome.
Izizathu ezitholakalayo zihlanganisa :
- ivolumu ama-formations angama-20% azo zonke izimbangela ze-hydrocephalic syndrome ezinganeni. Ngokuvamile, ukubunjwa kuyi-tumorous (meduloblastoma, astrocytoma), kodwa ezinye izimbangela azifakiwe: i-abscess ye-cerebral, ama-cystic formations, ama-hematomas;
- ukuphuma kwegazi, okuyinto evamile ezinsana ezingakabiphi, kanye nokuzalwa noma ezinye izifo ezinzima ze-craniocerebral;
- izifo - ngokuvamile nge-meningitis, ikakhulukazi amabhaktheriya;
- ukwanda kwengcindezi ye-venous - nge-thrombosis yobuchopho;
- i-hypervitaminosis A - yandisa ukwakheka kohlobo lwamakhemikhali;
- idiopathic hydrocephalus - akunakwenzeka ukubona ukuthi yisiphi isizathu sokuthuthukiswa kwalesi sifo.
I-Hydrocephalic syndrome ezinganeni - izimpawu
Isithombe somtholampilo se-hydrocephalic syndrome sithonywa yizici ezilandelayo:
- iminyaka yesiguli;
- imbangela;
- indawo ye-stenosis (noma ukuvinjelwa kokuphuma kwe-CSF);
- ubude (i-acute, i-subacute noma inkambo engapheli).
Izimpawu ze-hydrocephalic syndrome ezinsana nasezinsaneni :
- izinkinga ngokudla;
- ukwesaba;
- ukungahambisani;
- ukuvuselelwa "nomthombo" .
Izimpawu ze-hypertensive hydrocephalic syndrome ezinganeni ezindala:
- ukunciphisa izinqubo zokucabanga, umuzwa wokuthi ingane "iyancipha";
- ikhanda lokusa;
- ukuhlanza, ikakhulu ekuseni;
- umbono ongenangqondo, umuzwa wokuthi yonke into "iyahlanya phambi kwamehlo";
- umbono kabili emehlweni;
- ukumisa noma ukunciphisa ukuthuthukiswa ngokomzimba. Ukukhulelwa ngaphambi kwesikhathi kungase kwenzeke;
- ukuphambana kwemisipha, okubangela izinkinga ngesikhathi sokuhamba;
- ukulala.
I-Hydrocephalic syndrome ezinganeni - ukwelashwa
Ukwelashwa kwe-hydrocephalic syndrome ezinganeni kungaba yimithi futhi ihlinzekwe.
Ukwelashwa kwezidakamizwa ukunciphisa ukwakheka kwe-CSF noma ukwandisa ukumiswa kwayo.
Uhlobo lokungenelela kokuhlinzekwa kunqunywa kuye ngezici zesiguli. Ngokuvamile, imisebenzi yenziwa uhlobo lokudlula, okuthuthukisa kakhulu izinga lempilo yabantwana abane-hydrocephalic syndrome.
I-Hydrocephalic syndrome ezinganeni - imiphumela
Imiphumela, noma izinkinga ze-hydrocephalus syndrome ezinganeni zingaba kanje:
1. Ukuqhubekela phambili, okuyinto ebonakala ngokuthi:
- izinguquko emehlweni ebantwaneni;
- igebe lokuthuthukiswa kwengqondo;
- ukungabikho komchamo, udoti ;
- ukwephulwa kwemali, kunzima ukuhamba.
2. Imiphumela yokuphathwa kwezidakamizwa ze-hydrocephalic syndrome ezinganeni:
- ukungalingani kwe-electrolyte;
- i-acidosis ye-metabolic.
3. Imiphumela yokuphathwa kokwelashwa kwe-hydrocephalic syndrome ezinganeni:
- i-hematomas;
- ukuxubha;
- ukucindezela okungahambi kahle;
- ukutheleleka.