Neurogenic dundira

Neurogenic bladder idambudziko rekuti munhu anotadza kudzora dundira nekuda kwehuropi, musana, kana mamiriro etsinga.

Tsandanyama dzinoverengeka uye tsinga dzinofanirwa kushanda pamwechete kuti dundira ribate weti kusvikira wagadzirira kuidurura. Tsinga mameseji anoenda nekudzoka pakati pehuropi uye mhasuru dzinodzora dundira kubuda. Kana idzi tsinga dzakakuvara nehurwere kana kukuvara, mhasuru dzinogona kusakwanisa kusimbisa kana kuzorora panguva yakakodzera.

Kukanganisika kwepakati sisitimu yenzira kunowanzo kukonzera neurogenic bladder. Izvi zvinogona kusanganisira:

• Alzheimer chirwere
• Kuremara kwekuzvarwa kwetambo wesipinha, senge musana bifida
• Uropi kana musana tambo tumota
• Cerebral palsy
• Encephalitis
• Kudzidzira kuremara senge kushomeka kwekushomeka kwehutano kusagadzikana (ADHD)
• Multiple sclerosis (MS)
• Parkinson chirwere
• Spinal cord kukuvara
• Kurohwa

Kukuvadza kana kusagadzikana kwemitsipa inopa bladder kunogona kukonzera mamiriro aya. Izvi zvinogona kusanganisira:

• Kukuvara kwemitsipa (neuropathy)
• Tsinga kukuvara nekuda kwekureba-kwenguva, inorema doro kushandisa
• Tsinga kukuvara nekuda kweshuga-refu chirwere cheshuga
• Vitamin B12 kushomeka
• Tsinga kukuvara kubva njovhera
• Tsinga kukuvara nekuda kwekuvhiyiwa kwepelvic
• Tsinga kukuvara kubva kune herniated disk kana musana canal stenosis

Zviratidzo zvinoenderana nechikonzero. Ivo vanowanzo sanganisira zviratidzo zveweti kusagadzikana.

Zviratidzo zvechando chakanyanyisa zvinogona kusanganisira:

• Kuva neweti kakawanda kazhinji muzvishoma
• Matambudziko kuburitsa weti yese kubva padundira
• Kurasikirwa kwedundira kutonga

Zviratidzo zvechirwere chisina kushanda chinogona kusanganisira:

• Yakazara dundira uye pamwe weti kubuda
• Kusakwanisa kuudza kana dundira razara
• Matambudziko anotanga kuita weti kana kudurura weti yese kubva padundira (kuchengetedza weti)

Mishonga inogona kubatsira kubata zviratidzo zvako. Mubatsiri wako wehutano anogona kukurudzira:

• Mishonga inosunungura dundira (oxybutynin, tolterodine, kana propantheline)
• Mishonga inoita kuti dzimwe tsinga dzishande (bethanechol)
• Botulinum chepfu
• GABA inowedzera
• Antiepileptic zvinodhaka

Mupiki wako anogona kukuendesa kune mumwe munhu akadzidziswa kubatsira vanhu kugadzirisa matambudziko edundira.

Unyanzvi kana hunyanzvi hwaungadzidza hunosanganisira:

• Exercises yekusimbisa yako epilvic pasi tsandanyama (Kegel kurovedza muviri)
• Kuchengeta diary rekuti iwe paunenge uchiita weti, iyo huwandu hwawakaita, uye kana ukaburitsa weti. Izvi zvinogona kukubatsira iwe kudzidza paunofanira kudurura dundira rako uye pazvinenge zvakanaka kuti uve padyo neimba yekugezera.

Dzidza kuona zviratidzo zvehutachiona hutachiona (UTIs), senge kupisa paunenge uchiita weti, fivha, kurwadziwa kwepashure kudivi, uye kazhinji kuda kuita weti. Mahwendefa eCranberry anogona kubatsira kudzivirira UTIs.

Vamwe vanhu vangangoda kushandisa iyo yekuvhura catheter. Iri ndiro chubhu rakatetepa rinoiswa mudundira rako. Ungangoda catheter kuti uve:

• Panzvimbo nguva dzese (inogara catheter).
• Mu bladder yako kanomwe kana katanhatu pazuva kuitira kuti dundira rako risave rakazara (catheterization yepakati).

Dzimwe nguva kuvhiya kunodiwa. Kuvhiya kweeurogenic bladder kunosanganisira:

• Chakagadzirwa sphincter
• Chishandiso chemagetsi chakaisirwa padhuze nemitsipa yedundira kuti ikurudzire mhasuru dzedundira
• Kuvhiya kwechifuramabwe
• Kugadzirwa kwekuvhura (stoma) umo weti inoyerera ichipinda muhomwe yakasarudzika (izvi zvinonzi Urinary diversion)

Kukwidziridzwa kwemagetsi kwetibial nerve mumakumbo kunogona kukurudzirwa. Izvi zvinosanganisira kuisa tsono mukati meiyo tibial nerve. Tsono yacho yakabatana nemudziyo wemagetsi unotumira mameseji kune tibial nerve. Zviratidzo zvinobva zvakwira kusvika kumitsipa muzasi yepasi, iyo inodzora dundira.

Kana iwe uine urinary incontinence, masangano aripo kuti uwane rumwe ruzivo uye rutsigiro.

Zvinetso zveeurogenic bladder zvinogona kusanganisira:

• Nguva dzose weti inodonha iyo inogona kukonzera kuti ganda riputsike uye inotungamira kumanikidza maronda
• Itsvo kukuvara kana dundira rikava rakazara, zvichikonzera kumanikidza kuvaka mumatubu anotungamira kune itsvo uye muitsvo chaidzo.
• Urinary turakiti hutachiona

Fonera mupiki wako kana iwe:

• Kutadza kuburitsa dundira rako zvachose
• Iva nezviratidzo zvehutachiona hwechiropa (fivhiri, kupisa paunenge uchiita weti, kugara uchiita weti)
• Weta zvishoma, kazhinji

Neurogenic detrusor kunyanyisa; NDO; Neurogenic bladder sphincter kusagadzikana; NBSD

• Multiple sclerosis - kubuda
• Kudzivirira kumanikidzwa nemaronda

• Kuongorora cystourethrogram

Chapple CR, Osman NI. Iyo isingashande detrusor. Mune: Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, eds. Campbell-Walsh-Wein Urology. 12th ed. Philadelphia, PA: Elsevier; 2021: chitsauko 118.

Goetz LL, Klausner AP, Cardenas DD. Dundira kusagadzikana. Mune: Cifu DX, ed. Braddom's Panyama Mushonga uye Rehabilitation. 5 ed. Philadelphia, PA: Elsevier; 2016: chitsiko 20.

Panicker JN, DasGupta R, Batla A. Neurourology. Mune: Daroff RB, Jankovic J, Maziotta JC, Pomeroy SL, eds. Bradley's Neurology muClinical Dzidzira. 7th ed. Philadelphia, PA: Elsevier; 2016: chits. 47.