Matenda a Hydrocephalic kwa ana (kapena hydrocephalus) ndi kuphwanya kapangidwe kake, kayendedwe kapena kapangidwe ka cerebrospinal fluid (CSF), zomwe zimabweretsa kuwonjezeka kwa voliyumu yomwe imakhala ndi madziwa. Komanso, matendawa akhoza kuonedwa ngati matenda a hydrodynamic a CSF. Pali mitundu itatu ya hydrocephalus: yovuta (imayamba masiku angapo), subacute (mkatikati mwa masabata), ndi osapitirira (masabata, miyezi).
Matenda a Hydrocephalic kwa ana - amachititsa
Zomwe zimayambitsa matenda a hydrocephalic-hypertensive ana angagawidwe mu congenital ndi kupeza.
Zowonongeka ndizo :
- zovuta za ubongo, zomwe zimayambitsa stenosis (constriction) ya ubongo wa madzi ndipo zimakhala zovuta kusuntha CSF kuchokera kumalo ake opangidwira, kupita kumalo ake. Kodi 10% mwa zonsezi zimayambitsa matenda a hydrocephalic m'mabadwa;
- malformation a walker dandy. Ndi 2-4% mwa zifukwa zomwe zimayambitsa matenda a hydrocephalic mu makanda;
- chosowa cha arnold - kiari;
- toxoplasmosis yobadwa;
- matenda a biker-adams.
Zifukwa zomwe amapeza zimaphatikizapo :
- mavoti a ubongo amawerengera 20 peresenti ya zonse zomwe zimayambitsa matenda a hydrocephalic kwa ana. Kawirikawiri, mawonekedwewa ndi otupa (meduloblastoma, astrocytoma), koma zifukwa zina sizimatulutsidwa: kupuma kwa ubongo, kupanga mavitamini, maimfa;
- magazi omwe amapezeka m'mimba mwawo, omwe amapezeka m'mimba mwachinyamata, komanso pobereka kapena matenda ena;
- matenda - nthawi zambiri ndi matenda a meningitis, makamaka mabakiteriya;
- kuwonjezeka kwa mpweya wambiri - ndi thrombosis ya ubongo;
- hypervitaminosis A - kumawonjezera mapangidwe a cerebrospinal fluid;
- idiopathic hydrocephalus - n'zosatheka kuzindikira chifukwa chilichonse cha chitukuko cha matendawa.
Matenda a Hydrocephalic kwa ana - zizindikiro
Chithunzi cha kachipatala cha matenda a hydrocephalic chimakhudzidwa ndi zinthu zotsatirazi:
- zaka za wodwala;
- chifukwa;
- malo a stenosis (kapena kutseka kwa CSF kutuluka);
- nthawi (yovuta, subacute kapena yachilendo).
Zizindikiro za matenda a hydrocephalic makanda ndi makanda :
- mavuto ndi kudyetsa;
- mantha;
- chisokonezo;
- kubwezeretsedwa ndi "kasupe" .
Zizindikiro za matenda a hypertensive hydrocephalic kwa ana akuluakulu:
- kuchepetsedwa kwa njira zomwe amaganiza, kumverera kuti mwanayo "akuchedwa";
- mitu yammawa;
- kusanza, makamaka m'mawa;
- masomphenya osasangalatsa, kumverera kuti chirichonse "chimasowa pamaso";
- masomphenya awiri m'maso;
- kuima kapena kuchepa kwa kukula kwa thupi. Kutha msinkhu kumatha kuchitika;
- kupweteka kwa minofu, yomwe imayambitsa mavuto pakuyenda;
- kugona.
Matenda a Hydrocephalic kwa ana - mankhwala
Chithandizo cha matenda a hydrocephalic ana angakhale mankhwala komanso opaleshoni.
Mankhwalawa ndi kuchepetsa mapangidwe a CSF kapena kuwonjezera kuyamwa kwake.
Mtundu wa opaleshoni umatsimikiziridwa malinga ndi zizindikiro za wodwalayo. Kawirikawiri, ntchito zimagwiritsidwa ntchito poyendayenda, zomwe zimawongolera kwambiri moyo wa ana omwe ali ndi matenda a hydrocephalic.
Matenda a Hydrocephalic kwa ana - zotsatira
Zotsatira zake, kapena zovuta za matenda a hydrocephalus mwa ana akhoza kukhala motere:
1. Kupititsa patsogolo, komwe kumawonekera monga:
- kusintha kwa maso kwa mwana;
- kusiyana;
- ukodzo wosadziletsa, ntchentche ;
- kuphwanya malamulo, zovuta kusuntha.
2. Zotsatira za mankhwala osokoneza bongo ana a hydrocephalic:
- kusamvana kwa electrolyte;
- mavitamini a acidosis.
3. Zotsatira za chithandizo cha opaleshoni ya ana a hydrocephalic:
- hematoma;
- phokoso;
- chisokonezo;
- matenda.