Hydrocephalus yaro kurapwa

Hydrocephalus kunoratidzwa kuwedzera CSF nzvimbo ukuwo kudzikira Vhoriyamu uropi. Chikonzero kuwedzera ventricles hukuru chingava occlusion doro runoyerera mukati ventricular maitiro (occlusive hydrocephalus) kana vakadhakwa water drainage (resorption) doro subarachnoid nzvimbo kuburikidza arachnoid villi kupinda dural mhango uropi, inova huru nzira water drainage rimwe venous ropa kubva uropi (rakavhurika hydrocephalus.) For kuti dambudziko hydrocephalus kwave kuchibudirira zvikuru muna yokuzvifungidzira kunze zvigadziriswe pakati parinowanika. Nokuti kurapa hydrocephalus akashandisa zvose kuchinja uye zvomusejari nzira. The kuvhiya Mabatirwo hydrocephalus kazhinji nekuisa ventriculoperitoneal shunt endoscopic perforation pasi III zheludochka- endoscopic triventrikulostomiya. Zvinosuruvarisa, akavhiyiwa izvi hazvisi nguva dzose inobudirira uye panguva imwe chete aigona kutungamirira kukudziri- yematambudziko (Syndrome giperdrenirovaniya, inotungamirwa subdural hematomas, hweHIV kubva shunt hurongwa, uye zvichingodaro. D.). Saka, mubvunzo wekusarudza zvakakodzera zvikuru nzira Mabatirwo hydrocephalus kuchinja Kuvhiya kunokosha chaizvo. Zvakafanana rinokosha nyaya kushanda akagadzawo yokunzvenga maitiro uye ayo adequacy. Somugumisiro kuferefeta kwakaitwa pakati Neurology akaratidza nguva nokururamisira pachena pakati akazarurwa uye obstructive hydrocephalus. In pachena hydrocephalus vakanga aona sezvo kuipa tsika elasticity craniovertebral kugutsikana, uye ayo kuwedzera chinokosha kuderera tichienzanisa vasingambooni chakaipa nazvo. Panguva iyoyowo, obstructive hydrocephalus chakaitika chete kwomuzvarirwo tsika uye kwakawedzera elasticity. In ichi kuvhiya Mabatirwo hydrocephalus (ventrikuloperitonalnoe yokunzvenga, endoscopic triventrikulostomiya) kwakaita kuti kuchinja ropa kuyerera nouchapupu uye chinokosha chepfungwa uye venous craniovertebral volumetric ratios. The vasanyanye elasticity pakati ndozvakajairwa zvichienzaniswa asati avhiyiwa vakanga dzakaonekwa chete varwere Uine hydrocephalus. Zvisinei, kana occlusive hydrocephalus kuderedza elasticity kupfuura dzose asati avhiyiwa haana kuchengetwa. Panguva iyoyo avhiyiwa muchipatara pamwe obstructive hydrocephalus elasticity yekudyidzana yakaderera tichienzanisa migumisiro preoperative zvidzidzo. Open hydrocephalus zvinogona kukonzerwa siyana etiological zvinhu. Zvinofanira kurangarirwa kuti mune utano vanhu vasachembera inongogara kuenda rufu Tutsinga tunofambisa mashoko utwu, izvo inotungamirira atrophy uropi nenhumbi ndokuzotaura kuti nokuwedzera kuchengeterwa dzezvimwe craniovertebral mhango. Uku kunonzi apoptosis. Apo chirwere cheAlzheimer iri nokukurumidza vakwegura vane mwero intracellular kuunganidza kuparadzwa intracellular hurongwa uye pakupedzisira neuronal rufu. Pakati rakajairika kunotoda chimiro rakavhurika hydrocephalus dzinounzwa kuipa kumanikidzwa hydrocephalus, inova huru chezvinonhuwira chiratidzo Hakima- Adams (1965) (Hakim S, Adams R). Nokuti chirwere ichi kunoratidzwa kuwedzera muuropi ventricles panguva dzekudya intracranial kumanikidzwa. Mukuwedzera ari maitiro zviri chirwere Hakima- Adams vari kukura dementia, unsteadiness uye Urinary incontinence. Mamiriro varwere vakawanda vane chirwere Hakim -Adamsa yekudyidzana kuvandudza pashure shunting kushandiswa. Zvisinei, mune zvimwe zviitiko, izvi operatsii isashande. Zvisinei shunt akavhiyiwa kazhinji kutungamirira yematambudziko (muna 13-50% maererano nevatsvakurudzi yakasiyana). Saka, kusarudza varwere Hakim chirwere - Adams kuti kuvhiya kurapwa kunokosha chaizvo. Pari, nokuti chinangwa ichi, chichiri zvakasiyana invasive nzira (aizomupa kuti sesaline kupinda CSF nzvimbo kudzidza kuchinja kuitika apo intracranial kumanikidzwa, abudise kuti doro chete yera kuchinja chetsinga chinzvimbo, uye zvichingodaro. D.). Ivazivnost miedzo izvi yekudyidzana ichikutadzisa kushandisa kwavo pakiriniki . The soro Kukosha quantitative tsvakurudzo craniovertebral vhoriyamu reshiyo riri vana hydrocephalus, uyewo vakwegura kuwedzera ventriculomegaly (kuwedzera kukura uropi ventricles) uye dzakasiyana siyana pamusoro chirwere Hakima- Adams (ndangariro vanotaura, gait, dundira). Muzvidzidzo zvedu, kana Hakim chirwere - Adams kushinga chaiwanzova kuipa kana substantially akaderedzwa, uye vari varwere nemigumisiro craniocerebral travmy- uye zvakakomba chirwere chepfungwa elasticity zvakajairika kana yakawedzera, uye musiyano pakati mapoka aya maviri varwere yakasvika Statistical kukosha. Chikonzero dementia vakwegura chingava disintegration mashoko pezvakaitwa muuropi anokonzerwa dzakasiyana zvigadziriswe (chinopedza, vascular, metabolic pezvakaitwa). Chimwe chikonzero zvinetso vakwegura vanogona kuva kukura cheAlzheimer. Muchiitiko chino, pane kudavira kuti kusiyaniswa pahwaro kurapwa Data chete vascular dementia uye cheAlzheimer zvakaoma zvikuru. Zvisinei, izvozvo akasimbisa kuti cheAlzheimer ropa riyerere munzira extracranial uye intracranial midziyo mu yekudyidzana wakaderedzwa ichienzaniswa utano nerusarura. chirwere cheAlzheimer kunoratidzwa zvinoderedza intracranial kumanikidzwa uye vasanyanye pakuburitswa mwero nezvinobata.

Elasticity craniovertebral kugutsikana, ari zvokuimba chakanangana wegadziriro, zvisinei, correlates kune pamwero uye dzichipfekeka mamiriro ezvinhu uropi. Taiona zvishoma nezvishoma normalization mhango craniovertebral mukati iyo yakaitika panguva imwe chete chete normalization pamusoro dzichipfekeka mamiriro uropi (akavandudzika ndangariro, njere mashandiro, gait, normalization kuti weti). kuchinja izvi zvakaitika nokupesvedzera basa vascular, metabolic uye degitratatsionnoy kurapa.

In pachena hydrocephalus vakanga aona sezvo kuipa tsika elasticity craniovertebral kugutsikana, nezvibereko zvayo chinokosha kana kucherechedza kuderera tichienzanisa vasingambooni chakaipa nazvo. Panguva iyoyowo apo occlusal hydrocephalus vakachengeta chete kwomuzvarirwo tsika ikawanda elasticity, apo achidzikisa elasticity zvichienzaniswa kwomuzvarirwo tsika dzakanga kuchengetwa. Kuvhiya Mabatirwo obstructive hydrocephalus ventriculoperitoneal yokunzvenga, endoscopic triventrikulostomiya) kwakaita kuti chinokosha, statistically rinokosha zvinoderedza elasticity craniovertebral kugutsikana uye chitarisiko yakaderera chaizvo tsika pakati elasticity zvakafanana, sezvo mune dzimwe varwere dzakajeka hydrocephalus) Nokudaro Kuvhiya hydrocephalus kunokonzera kuti vachinje vasiri zvenhengo zvichikonzera occlusive hydrocephalus anova akafanana analogue Ary rakavhurika hydrocephalus.

Panguva iyoyo pashure endoscopic triventrikulostomii akaona statistically rinokosha kuderera chete elasticity uye kumhanya ropa aibuda venous, nepo pasina kuchinja zviri kuchengeterwa tangi craniovertebral kugutsikana hakuitiki. A statistically chinokosha kuderera elasticity pashure endoscopic triventrikulostomii akafanirwa vainyatsotarisirwa, sezvo paaishandisa invasive aizomupa bvunzo yakavimbika elasticity kuchinja zvinoratidzwa. Kwakadaro nemigumisiro akaipa nokuda invasive miedzo aizomupa sokuti pakatanga sesaline kupinda CSF panguva aizomupa hurongwa dzinosiyana bvunzo mamiriro kudyidzana vhoriyamu craniovertebral chikuru kugutsikana (uropi, ropa uye likovora), izvo zvingaita kuti yakakanganiswa zvabuda. Saka, Non-invasive kudzidza venous krovobrascheniya kwouropi, cerebrospinal mvura simba uye craniovertebral vhoriyamu reshiyo kunopa inokosha invormatsiyu kuti patafiziologicheskih zvigadziriswe intracranial gipetenzii uye hydrocephalus, uyewo kuyera kubudirira pathogenetic mishonga.