Hydrocephalus iyo sida loo daweeyo

Hydrocephalus waxa lagu gartaa korodhka meel CSF, siday u kala horreeyaan hoos mugga unugyada maskaxda. Sababta sii kordhaya tirada intraventricular waxaa laga yaabaa in khamriga qabsamin ku qubanayo nidaamka ventricular (yiraahdo hydrocephalus occlusive) ama dheecaanka dhantaalan (resorption) khamriga meel subarachnoid dhex villi ee arachnoid galay maskaxda saabka dural, kuwaas oo ah waddooyinka ugu muhiimsan ee dheecaanka dhiigga arooriyaha ka maskaxda (yiraahdo hydrocephalus furan.) Waayo, in daaweyn jiray yiraahdo hydrocephalus ayaa aad u guulaysato gartaan farsamo ee ay dhacdo. Wixii lagu daaweyn jiray yiraahdo hydrocephalus isticmaalo labada hab muxaafid iyo qalliin. daaweynta qalliin of yiraahdo hydrocephalus inta badan ku rakibidda ventriculoperitoneal boodo daloolin endoscopic hoose III triventrikulostomiya endoscopic zheludochka-. Nasiib darro, hawlaha, kuwaas oo aan had iyo jeer ku ool ah oo waqti isku mid ah ay keeni karaan horumarinta dhibaatooyin (Syndrome giperdrenirovaniya, formation hematomas Subdural, cudurka nidaamka boodo ah, iyo D. sidaas on.). Sidaa darteed, su'aashu waxay doorashada habka ugu haboon ee daaweynta qalliin muxaafidka yiraahdo hydrocephalus waa mid aad u muhiim ah. Sidoo kale muhim ah arrin ka shaqaynaya nidaamka isku tallaalidda ku rakiban iyo filnaanshaha. Sidaas darteed of baaritaan ku sameeyey xarunta of neerfaha shaaca ka qaaday waqti si cadaalad ah oo nadiif ah oo u dhexeeya yiraahdo hydrocephalus furan iyo obstructive. In yiraahdo hydrocephalus furan ayaa lagu arkay sida qiimaha caadiga ah ee barti content craniovertebral, iyo sida weyn ee hoos u dhac weyn marka la barbardhigo iska caadi ah. Isla mar ahaantaana, yiraahdo hydrocephalus obstructive dhacay oo keliya qiimaha caadiga ah oo kordhay barti. In daaweynta qalliin this of yiraahdo hydrocephalus (isku tallaalidda ventrikuloperitonalnoe, triventrikulostomiya endoscopic) keentay isbedelka socodka dhiigga maskaxda ku ool ah oo la taaban karo iyo saamiga volumetric craniovertebral arooriyaha. Hoos u dhaca barti ee iska caadi ah marka la barbar dhigo qalliinka ka hor ayaa la ogaan karo oo kaliya in bukaanka qaba yiraahdo hydrocephalus furan. Si kastaba ha ahaatee, marka yiraahdo hydrocephalus occlusive yareeyo barti badan sida caadiga ah ka hor qaliin aan la arkay. Isla mar ahaantaana qaliinka ee cisbitaalka la barti yiraahdo hydrocephalus obstructive ka dib markii si weyn hoos u dhacay marka la barbardhigo natiijooyinka daraasaadka lamaguraan. yiraahdo hydrocephalus Open waxaa sababi kara arrimo kala duwan etiological. Waa in la dhasha maskaxda ku haysaa in dadka caafimaad qaba ee geedi socodka gaboobaya waxaa si joogto ah socday dhimashadii neurons, taas oo horseedaysa atrophy walax maskaxda oo sidaas awgeed in la kordhiyo goobaha reserve saabka craniovertebral. Marxaladani waxay dabiiciga ah waxaa loo yaqaan apoptosis. Marka cudurka Alzheimers waxaa la dedejiyey gaboobaya la raasamaal aan caadi ahayn intracellular of burburinta dhismayaasha intracellular iyo dhimasho ugu dambeyntii neuronal. Waxaa ka mid yiraahdo hydrocephalus ugu badan ee foomka clinical yiraahdo hydrocephalus furan qoondeeyey cadaadiska caadiga ah, taas oo qayb ka ugu weyn ee calaamad Hakima- Adams (1965) (Hakim S, Adams R,). Waayo, kanu syndrome waxa lagu gartaa in la kordhiyo intraventricular maskaxda cadaadiska intracranial caadiga ah. Intaa waxaa dheer sifooyinka caan ku syndrome ee Hakima- Adams yihiin horumarinta dementia, unsteadiness iyo Xukun la'aanta kaadida. xaaladda bukaannada badan leh Hakim syndrome ay si weyn u hagaajin -Adamsa ka dib markii shunting hawlgallada. Si kastaba ha ahaatee, mararka qaarkood, kuwaas oo operatsii xumaada. Si kastaba ha ahaatee hawlaha laga boodo si joogto ah u horseedi dhibaatooyin (in 13-50% sida ay cilmi kala duwan). Sidaa darteed, doorashada ee bukaanka qaba Hakim syndrome - Adams loogu daweeyo qalliinka waa mid aad u muhiim ah. Currently, waayo, sababtan aawadeed, waxaa si weyn loo isticmaalaa habab kala duwan invasive (faleebo ee biyaha cusbada meel CSF ah inaad wax ka barato isbedel yimaadda marka cadaadiska intracranial, dheecaan of khamriga la qiyaasta isbeddellada ku yimaada xaaladda maskaxda ah, iyo D. sidaas on.). Ivazivnost tijaabooyinkan ayaa waxay si weyn u xaddidaya adeegsiga in bukaan socod eegtada . Qiimaha ugu sareeya ee cilmi taranta ratio mugga craniovertebral waa in carruurta la yiraahdo hydrocephalus, iyo sidoo kale in dadka waayeelka ah la sii kordhaya ventriculomegaly (kordhay size of intraventricular maskaxda) iyo Lahjadaha kala duwan ee syndrome ee Hakima- Adams (dhantaalan xasuusta, wiiqmin, kaadi). In waxbarashada our, marka Hakim syndrome - Adams adkeysiga ahaa inta badan caadi ah ama si xooga la dhimay, iyo in bukaanka qaba cawaaqibka travmy- craniocerebral iyo xanuunada maskaxda daran barti ahaa mid caadi ah ama kor u kacay, iyo faraqa u dhexeeya labadan kooxood ee bukaanada gaarey muhiimad oo kala duwaanansho. Sababta of dementia ee dadka waayeelka ah waxaa laga yaabaa in ay burbur ka mid ah macluumaadka hababka in maskaxda ay keento kala duwan hababka (side, vascular, dheefshiidka geedi socodka). Mid ka mid ah sababta xanuunka ee dadka waayeelka ah waxay noqon kartaa horumarinta cudurka Alzheimers. Xaaladdan oo kale, waxaa jirta aaminaad ah in kala ku salaysan xogta caafimaad oo kaliya vascular dementia iyo cudurka Alzheimers waa mid aad u adag. Si kastaba ha ahaatee, waxay u dhisan tahay in cudurka Alzheimers socodka dhiigga ee weelasha extracranial iyo intracranial in si weyn u dhimay dadka caafimaad marka la barbar dhigo a. cudurka Alzheimers waxaa lagu gartaa hoos u cadaadiska intracranial iyo hoos u dhac in heerka wax soo saarka ee khamriga ah.

Barti content craniovertebral, isagoo caan ku ah farsamo nidaamka, si kastaba ha ahaatee, rabid ah ilaa xad gaar ah iyo xaaladda functional of maskaxda. Waxaan arkay saabka caadi ah waxyaabaha craniovertebral tartiib ah oo isku mar ka dhacay la caadi ee gobolka functional of maskaxda (xasuusta hagaagtay, hawlaha caqliga, wiiqmin, caadi kaadi). Isbeddelladan dhacay sarkhaansan vascular firfircoon, dheefshiidka iyo therapy degitratatsionnoy.

In yiraahdo hydrocephalus furan ayaa lagu arkay sida qiimaha caadiga ah ee barti content craniovertebral, iyo kordhay ama hoos u dhac weyn marka la barbardhigo iska caadi ah. Ugu isla waqti occlusal yiraahdo hydrocephalus la fiirsanayo kaliya caadiga ah qiyamka iyo korodhka barti, halka yaraynta barti Marka la barbar dhigo qiimaha caadiga ah ayaa lagu arkay. daaweynta Qalliinka bukaannada qaba yiraahdo hydrocephalus obstructive shunting ventriculoperitoneal, triventrikulostomiya endoscopic) waxay keentay in la taaban karo, hoos u tira weyn oo barti content craniovertebral iyo soo bixitaanka of qiimaha aad u yar ee barti oo isla, iyo sidoo kale qaar ka mid ah bukaanka qaba yiraahdo hydrocephalus ilqabatinka) Saasaana, daaweynta qalliin natiijada yiraahdo hydrocephalus occlusive in isbedel ay hababka jir, taasoo keenta yiraahdo hydrocephalus occlusive uu noqonayaa sida analoogga yiraahdo hydrocephalus furan ary.

Ugu isla waqti ka dib endoscopic triventrikulostomii fiirsanayo a tira-koob oo muhiim ah hoos u dhac kaliya barti iyo xawaaraha arooriyaha dhiigga socodka, halka ma la taaban karo isbeddelka ka dhacay reserve taangiga craniovertebral content ma dhici karto. hoos u dhac A tira-koob oo muhiim ah barti ka dib markii triventrikulostomii endoscopic qalmaa fiiro gaar ah, sida marka la isticmaalayo imtixaanka galiyey invasive lagu kalsoonaan karo isbedel barti la muujiyey. Natiijooyinka xun noocan oo kale ah ay sabab u tahay imtixaanada invasive faleebo u muuqataa in hordhaca ah ee cusbada galay CSF lagu jiro nidaamka galiyey kala duwan yihiin shuruudaha imtixaanka mugga dhexgalka content craniovertebral ugu muhiimsan (unugyada maskaxda, dhiigga iyo likovora), taas oo keeni karta in natiijada khalad. Sayidka, waxbarasho non-invasive maskaxda krovobrascheniya arooriyaha, dhaqdhaqaaqa dheecaan lafdhabarka iyo ratio mugga craniovertebral bixisaa invormatsiyu muhiim ah oo habab patafiziologicheskih gipetenzii intracranial iyo yiraahdo hydrocephalus, iyo sidoo kale qiimeeyaan wax ku oolnimada of therapy pathogenetic.