Hydrocephalic syndrome hauv cov menyuam yaus (los yog hydrocephalus) yog ua txhaum kev tsim, kev qeeb lossis kev nqus ntawm cerebrospinal fluid (CSF), uas ua rau muaj qhov nce ntxiv ntawm qhov dej ntawm lub hauv nruab nrab ntawm lub paj hlwb. Tsis tas li ntawd, cov kab mob pathology no yuav suav tau tias yog ib txoj kev tsis haum ntawm hydrodynamic CSF. Muaj peb hom mob hydrocephalus: mob nyhav (tsim rau ob peb hnub), subacute (li ntawm lub lis piam), thiab mob (lub lis piam, lub hlis).
Hydrocephalic syndrome nyob rau hauv cov me nyuam - ua rau
Qhov ua rau ntawm tus mob hydrocephalic-hypertensive syndrome hauv cov me nyuam muaj peev xwm muab faib rau hauv lub cev thiab nrhiav tau.
Kev muaj teeb meem muaj xws li :
- txawv txav ntawm lub hlwb kev loj hlob, uas ua rau muaj tus mob stenosis (constriction) ntawm lub raj xa dej cerebral thiab ua rau nws nyuaj rau txav CSF los ntawm qhov chaw ntawm nws lub cev, mus rau qhov chaw ntawm nws qhov kev nqus. Yog 10% ntawm tag nrho cov kev ua rau ntawm tus mob hydrocephalic syndrome hauv cov me nyuam mos;
- malformation ntawm dandy taug kev. Nws yog 2-4% ntawm qhov ua rau ntawm tus mob hydrocephalic syndrome hauv cov me nyuam mos;
- qhov kev hloov ntawm arnold - kiari;
- Congenital toxoplasmosis;
- biker-adams syndrome.
Cov laj thawj tau muaj xws li :
- ntim paj hlwb sib txawv rau 20% ntawm txhua yam ua rau ntawm tus mob hydrocephalic syndrome hauv cov menyuam yaus. Feem ntau, cov formations yog qog (meduloblastoma, astrocytoma), tab sis lwm yam ua rau tsis raug tshem tawm: mob hlwb, kab mob hauv cystic, hematomas;
- mob ntshav qab zib, uas yog ib yam hauv cov me nyuam yug ntxov, nrog rau thaum yug los yog lwm yam kab mob craniocerebral;
- infections - feem ntau mob meningitis, feem ntau cov kab mob bacterial;
- nce venous siab - nrog thrombosis ntawm lub hlwb;
- hypervitaminosis A - tsub kom tsim muaj cov kab mob cerebrospinal;
- idiopathic hydrocephalus - nws yog tsis yooj yim sua kom paub cov kev ua rau ntawm kev mob ntawm tus mob no.
Hydrocephalic syndrome hauv cov me nyuam - cov tsos mob
Daim duab saib mob ntawm tus mob hydrocephalic syndrome no yog cov teeb meem nram qab no:
- hnub nyoog ntawm tus neeg mob;
- ua rau;
- qhov chaw ntawm stenosis (los yog blockage ntawm CSF outflow);
- ntev (mob loj, mob me me los yog kawm ntev ntev).
Cov tsos mob ntawm hydrocephalic syndrome hauv cov me nyuam mos thiab cov me nyuam mos liab :
- teeb meem nrog kev pub mis;
- nervousness;
- passivity;
- regurgitation nrog ib tug "tug ciav" .
Cov cim qhia ntawm hypertensive hydrocephalic syndrome hauv cov me nyuam loj:
- qhov qeeb ntawm kev xav kev xav, qhov kev xav tias tus me nyuam "qeeb";
- sawv ntxov taub hau;
- ntuav, feem ntau nyob rau yav sawv ntxov;
- tsis pom kev zoo, xav tias txhua yam "blurs ua ntej qhov muag";
- ob lub zeem muag hauv ob lub qhov muag;
- nres lossis qaug zog ntawm kev loj hlob ntawm lub cev. Ntxuas ntxov yuav pib tshwm sim;
- sib zog ntawm cov leeg, uas ua rau muaj teeb meem thaum mus kev;
- nkees.
Hydrocephalic syndrome nyob rau hauv cov me nyuam - kev kho mob
Kev kho mob ntawm hydrocephalic syndrome nyob rau hauv cov menyuam yaus yuav ua tau tshuaj thiab phais mob.
Tshuaj kho mob yog txo cov kev tsim tawm ntawm CSF los yog ua kom nws nqus tau.
Hom kev phais mob yog txiav txim siab nyob ntawm tus yam ntxwv ntawm tus neeg mob. Feem ntau, kev khiav dej num yog ua los ntawm hom kev bypass, uas ua kom zoo dua ntawm lub neej ntawm cov menyuam yaus uas muaj tus mob hydrocephalic syndrome.
Hydrocephalic syndrome nyob rau hauv cov menyuam yaus - lub txim
Cov kev rau txim, los yog teeb meem ntawm hydrocephalus syndrome nyob rau hauv cov me nyuam yuav ua raws li nram no:
1. Kev mob loj, uas ua rau nws tus kheej tshwm sim:
- kev hloov hauv qhov pom ntawm tus menyuam;
- kev sib txawv ntawm kev puas hlwb;
- urinary tuskheej, quav ;
- kev ua txhaum ntawm kev ua txhaum, kev nyuaj rau kev tsiv.
2. Kev txiav txim txog kev siv yeeb tshuaj hauv kev kho mob ntawm hydrocephalic syndrome hauv cov menyuam yaus:
- electrolyte tsis txaus;
- metabolic acidosis.
3. Kev txiav txim ntawm kev kho mob phais mob ntawm hydrocephalic syndrome hauv cov me nyuam:
- hematomas;
- kev sib ceg;
- ua tib zoo mloog;
- kab mob.