 |
 |
|
|
|
|
| |
| midditreidef |
| LOCATION: |
|
|
|
AGE: |
|
25 |
|
SEX: |
|
Male |
|
 |
0 Comments |
|
4 Views |
|
| Rating: |
|
 |
|
|
|
|
|
|
|
| |
|
| |
 |
|
| Posted |
| Nguyen nhan nao ung thuy la gi? 12 nguyen nhan thuong gap va cach dieu tri
Nguyen nhan nao ung thuy chu yeu lien quan den tinh trang tac nghen duong luu thong dich nao tuy, giam kha nang hap thu dich nao tuy hoac hiem gap hon la tang san xuat dich nao tuy. Khi luong dich tich tu bat thuong trong he thong nao that, cac nao that co the gian rong, gay anh huong den mo nao va chuc nang than kinh.
Nao ung thuy co the xuat hien o tre so sinh, tre nho, nguoi truong thanh va nguoi cao tuoi. Mot so truong hop hinh thanh tu thoi ky bao thai do bat thuong phat trien he than kinh, trong khi nhung truong hop khac xuat hien sau xuat huyet nao, viem mang nao, chan thuong so nao hoac khoi u noi so.
Viec xac dinh chinh xac nguyen nhan gay nao ung thuy co vai tro quan trong trong lua chon phuong phap dieu tri, tien luong kha nang hoi phuc va phong ngua bien chung.
Vay nao ung thuy do dau, nguyen nhan nao ung thuy o tre so sinh va nguoi lon co gi khac nhau, benh co di truyen khong va co chua khoi duoc khong? Bai viet duoi day cua Benh Vien Thien Hanh se giai dap chi tiet.
Nao ung thuy la gi?
Nao ung thuy (Hydrocephalus) la tinh trang dich nao tuy tich tu bat thuong trong he thong nao that, thuong gay gian nao that va co the anh huong den hoat dong cua nao.
Dich nao tuy la chat long trong suot bao quanh nao va tuy song, co nhung chuc nang quan trong nhu:
Bao ve nao va tuy song truoc cac tac dong co hoc.
Duy tri moi truong on dinh cho he than kinh trung uong.
Tham gia van chuyen va loai bo mot so san pham chuyen hoa.
Gop phan dieu hoa ap luc trong khoang so.
Binh thuong, dich nao tuy duoc san xuat chu yeu tai dam roi mach mac trong nao that, sau do luu thong qua he thong nao that va khoang duoi nhen truoc khi duoc hap thu vao he tuan hoan qua nhieu con duong.
Khi qua trinh luu thong hoac hap thu bi roi loan, dich nao tuy co the tich tu va gay nao ung thuy.
O tre nho co thop va duong khop so chua dong hoan toan, tinh trang nay co the lam vong dau tang nhanh. O nguoi lon, hop so khong the gian no dang ke nen benh thuong bieu hien bang nhung trieu chung than kinh.
12 nguyen nhan nao ung thuy thuong gap
1. Hep cong nao
Hep cong nao (Aqueductal stenosis) la mot trong nhung nguyen nhan gay nao ung thuy tac nghen.
Cong nao la duong dan dich nao tuy noi nao that III voi nao that IV.
Khi cong nao bi hep hoac tac, dich nao tuy khong the luu thong binh thuong xuong cac khoang phia duoi.
Hau qua la nao that ben va nao that III co the gian rong.
Hep cong nao co the lien quan den bat thuong bam sinh, ton thuong viem, xuat huyet hoac nhung nguyen nhan khac.
Dac diem goi y: Nao ung thuy co the duoc phat hien truoc sinh, o tre nho hoac muon hon tuy muc do hep va dien tien benh.
2. Di tat bam sinh cua he than kinh
Mot so bat thuong trong qua trinh phat trien nao va tuy song co the anh huong den duong luu thong dich nao tuy.
Nhung di tat lien quan bao gom:
Di dang Chiari type II.
Di dang Dandy–Walker va mot so bat thuong ho sau.
Mot so bat thuong cau truc nao that.
Nhung roi loan phat trien he than kinh trung uong khac.
Khong phai tat ca tre co nhung di tat nay deu bi nao ung thuy. Nguy co phu thuoc vao dac diem giai phau va muc do anh huong den luu thong dich nao tuy.
3. Nut dot song va thoat vi tuy – mang tuy
Thoat vi tuy – mang tuy (Myelomeningocele) la mot dang di tat ong than kinh.
Tinh trang nay thuong co lien quan den di dang Chiari type II, trong do cac cau truc vung ho sau co the bi thay doi vi tri.
Nhung bat thuong nay co the can tro luu thong dich nao tuy va gay nao ung thuy.
Tre mac thoat vi tuy – mang tuy can duoc theo doi chuc nang than kinh va su phat trien cua nao that.
4. Xuat huyet nao that o tre sinh non
Xuat huyet nao that la mot nguyen nhan quan trong gay gian nao that sau xuat huyet o tre sinh non.
O tre sinh non, cac mach mau tai vung mam duoi mang nao that con non yeu va de bi ton thuong.
Khi xay ra xuat huyet, mau co the di vao he thong nao that.
Cac san pham cua mau va phan ung viem co the:
Gay can tro luu thong dich nao tuy.
Anh huong den kha nang hap thu.
Dan den gian nao that tien trien.
Khong phai moi truong hop xuat huyet nao that deu gay nao ung thuy can phau thuat.
Nguyen nhan nao ung thuy o thai nhi
Nao ung thuy co the duoc phat hien trong qua trinh sieu am thai.
Mot so nguyen nhan co the lien quan gom:
Bat thuong phat trien he than kinh
Cac bat thuong nhu hep cong nao, di dang Chiari type II hoac mot so di tat ho sau co the gay gian nao that.
Bat thuong di truyen
Mot so bien the gen hoac hoi chung di truyen co the lien quan den nao ung thuy bam sinh.
Nhiem trung bao thai
Mot so nhiem trung trong thai ky, chang han cytomegalovirus hoac toxoplasma, co the gay ton thuong he than kinh thai nhi va gian nao that.
Xuat huyet noi so thai nhi
Mot so truong hop xuat huyet truoc sinh co the anh huong den su luu thong dich nao tuy.
Bat thuong khac
Gian nao that thai nhi cung co the lien quan den bat thuong cau truc nao hoac nhung tinh trang khac khong nhat thiet la nao ung thuy tien trien.
Luu y: Gian nao that tren sieu am thai khong dong nghia chac chan voi nao ung thuy. Thai phu can duoc danh gia chuyen sau de xac dinh nguyen nhan va tien luong.
Phan loai nao ung thuy theo nguyen nhan
1. Nao ung thuy bam sinh
La tinh trang co tu khi sinh ra hoac bat nguon tu nhung bat thuong xuat hien trong qua trinh phat trien thai nhi.
Nguyen nhan co the lien quan den di tat cau truc hoac yeu to di truyen.
2. Nao ung thuy mac phai
Xuat hien sau sinh do cac benh ly nhu xuat huyet, nhiem trung, chan thuong hoac khoi u.
3. Nao ung thuy tac nghen
Con goi la nao ung thuy khong thong thuong.
Dich nao tuy bi can tro tai mot vi tri trong he thong luu thong.
4. Nao ung thuy thong thuong
Dich nao tuy co the luu thong qua he thong nao that nhung qua trinh hap thu hoac dong hoc dich nao tuy bi roi loan.
5. Nao ung thuy ap luc binh thuong
La mot hoi chung lam sang dac biet, thuong duoc nhan biet qua roi loan dang di, suy giam nhan thuc va trieu chung tieu tien, ket hop voi nhung dac diem hinh anh phu hop.
Dau hieu nhan biet nao ung thuy
Trieu chung khac nhau tuy do tuoi va toc do tien trien.
Dau hieu nao ung thuy o tre so sinh
Vong dau tang nhanh bat thuong.
Thop truoc cang hoac phong.
Da dau cang.
Cac duong khop so gian rong.
Mat co xu huong nhin xuong, con goi la dau hieu mat troi lan.
Bu kem.
Non.
De kich thich.
Buon ngu bat thuong.
Co giat trong mot so truong hop.
Dau hieu nao ung thuy o tre lon
Dau dau.
Buon non hoac non.
Nhin mo.
Nhin doi.
Roi loan thang bang.
Thay doi hanh vi.
Giam kha nang tap trung.
Buon ngu.
Co giat trong mot so truong hop.
Dau hieu nao ung thuy o nguoi truong thanh
Dau dau.
Buon non.
Roi loan thi giac.
Mat thang bang.
Kho di lai.
Suy giam nhan thuc.
Thay doi y thuc neu benh tien trien nang.
Dau hieu nao ung thuy ap luc binh thuong o nguoi cao tuoi
Roi loan dang di noi bat.
Suy giam nhan thuc.
Tieu gap hoac tieu khong tu chu.
Khong phai nguoi benh nao cung co day du cac trieu chung.
Tham kham nao ung thuy tai Buon Ma Thuot
Doi voi nguoi dan tai Dak Lak va khu vuc Tay Nguyen, nhung trieu chung nhu dau dau tang dan, non, roi loan thang bang, suy giam nhan thuc hoac vong dau tre tang nhanh bat thuong can duoc danh gia de xac dinh nguyen nhan.
Benh vien Da khoa Thien Hanh tai Buon Ma Thuot la mot co so y te ma nguoi dan co the lien he de tim hieu ve cac dich vu tham kham than kinh, nhi khoa va chan doan hinh anh hien co.
Trong qua trinh danh gia nguoi benh nghi ngo nao ung thuy, bac si co the khai thac benh su, kham than kinh va can nhac cac phuong phap chan doan hinh anh phu hop.
Chup CT hoac MRI nao co vai tro quan trong trong viec phat hien gian nao that va tim kiem nhung nguyen nhan nhu khoi u, xuat huyet hoac bat thuong cau truc.
Doi voi tre nho, viec theo doi vong dau va danh gia phat trien than kinh cung co y nghia quan trong.
Neu nguoi benh duoc xac dinh co nao ung thuy tien trien, bac si se danh gia muc do nghiem trong va su can thiet cua dieu tri chuyen sau.
Mot so truong hop co the can phau thuat dat shunt hoac noi soi mo thong san nao that III tai co so co chuyen mon ngoai than kinh phu hop.
Nguoi benh nen lien he truc tiep Khoa noi tong hop - Benh Vien Da Khoa Thien Hanh de xac nhan cac dich vu chuyen khoa, chan doan hinh anh va kha nang tiep nhan dieu tri hien co.
Ket luan
Nguyen nhan nao ung thuy rat da dang, bao gom hep cong nao, di tat bam sinh, xuat huyet nao that, viem mang nao, chan thuong so nao, u nao, nang noi so va nhung roi loan lien quan den dong hoc dich nao tuy.
O tre so sinh, benh thuong lien quan den bat thuong bam sinh hoac xuat huyet nao that, trong khi o nguoi truong thanh va nguoi cao tuoi, nguyen nhan co the bao gom xuat huyet, khoi u, chan thuong hoac nao ung thuy ap luc binh thuong.
Viec xac dinh dung nguyen nhan co vai tro quan trong trong lua chon phuong phap dieu tri, tu theo doi den phau thuat dat shunt hoac noi soi mo thong san nao that III.
Doi voi nguoi dan tai Buon Ma Thuot va khu vuc Tay Nguyen, co the lien he BVDK Thien Hanh de tim hieu ve cac dich vu tham kham than kinh va chan doan hinh anh hien co. |
|
|
|
|
| |
|
|
|
| |
|
|
