Bladder nzira yekubuda

Bladder outlet obstruction (BOO) chivharo chiri pasi pechidzitiro. Iyo inoderedza kana kumisa kuyerera kwerini kupinda murethra. Urethra ndiyo chubhu inotakura weti kunze kwemuviri.

Izvi zvinowanzoitika kune vakwegura varume. Inowanzo kukonzerwa neyakawedzera prostate. Matombo edundira uye gomarara redundiro zvinowanzoonekwawo kuvarume kupfuura vakadzi. Sezvo murume achembera, mikana yekuwana idzi zvirwere inowedzera zvakanyanya.

Zvimwe zvinowanzoitika zvikonzero zveBOO zvinosanganisira:

• Zvironda zvepamuviri (cervix, prostate, chibereko, rectum)
• Kuderedza kwehubhu inotakura weti kubva mumuviri kubva mudundira (urethra), nekuda kwechiwonda kana zvimwe zvirema zvekuzvarwa

Zvikonzero zvishoma zvakajairika zvinosanganisira:

• Cystocele (apo dundira rinowira mumukadzi)
• Zvekunze zvinhu
• Urethral kana pelvic mhasuru mhasuru
• Inguinal (kugomera) hernia

Zviratidzo zveBoo zvinogona kusiyana, asi zvinogona kusanganisira:

• Marwadzo emudumbu
• Kuenderera mberi kwekunzwa kwechiropa chakazara
• Kakawanda weti
• Marwadzo panguva yekuita weti (dysuria)
• Zvinetso kutanga kuita weti (weti kuzeza)
• Inononoka, isina kuenzana weti kuyerera, dzimwe nguva isingakwanise kuita weti
• Kutwasuka kuita weti
• Urinary turakiti hutachiona
• Kumuka usiku kuti uite weti (nocturia)

Anopa hutano hwako anobvunza nezve ako zviratidzo uye nhoroondo yekurapa. Unozotorwa bvunzo dzemuviri.

Rimwe kana akawanda eanotevera matambudziko anogona kuwanikwa:

• Kukura kwemukati
• Cystocele (vakadzi)
• Yakawedzera dundira
• Yakawedzera prostate (varume)

Miedzo inogona kusanganisira:

• Ropa makemikari kutarisa zviratidzo zvekukuvara kweitsvo
• Cystoscopy uye retrograde urethrogram (x-ray) kutsvaga kudzikira kweiyo urethra
• Kuyedza kuona kuti urini inokurumidza kubuda sei mumuviri (uroflowmetry)
• Kuyedza kuona kuti urini inoyerera yakavharika zvakadii uye kuti chibvumirano chedundira zvakadii
• Ultrasound yekutsvaga iyo yakavharika weti uye uone kuti sei dundira rinobuda
• Urinalysis kutsvaga ropa kana zviratidzo zvehutachiona mumuguta
• Urine tsika yekutarisa hutachiona

Kurapa kweBOO kunoenderana nechakakonzera. Chubhu, inonzi catheter, inoiswa mudundira kuburikidza nererethra. Izvi zvinoitirwa kurerutsa kuvhara.

Dzimwe nguva, catheter inoiswa kuburikidza nenzvimbo yedumbu ichienda mudundira kuti ibudise dundira. Izvi zvinonzi suprapubic tube.

Kazhinji kazhinji, iwe uchada kuvhiyiwa kwenguva refu kurapwa kweBOO. Nekudaro, mazhinji ezvirwere zvinokonzeresa dambudziko iri anogona kurapwa nemishonga. Taura nemupi wako nezve zvinogona kurapwa.

Zvikonzero zvakawanda zveBoo zvinogona kurapwa kana zvikazivikanwa nekukurumidza. Nekudaro, kana kuongororwa kana kurapwa kukanonoka, izvi zvinogona kukonzera kukuvara zvachose kune dundira kana itsvo.

Fonera mupiki wako kana iwe uine zviratidzo zveBOO.

BOO; Kuderera kweurinary turakiti; Prostatism; Urinary chengetedzo - BOO

• Itsvo anatomi
• Yechikadzi weti turakiti
• Varume urinary turakiti
• Itsvo - kuyerera kweropa uye weti

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Berney D. Urinary uye echirume maturakiti. Mu: Muchinjikwa SS, ed. Underwood's Pathology. 7th ed. Philadelphia, PA: Elsevier; 2019: chitsiko 20.

Boone TB, Stewart JN, Martinez LM. Zvimwe zvekurapa zvekuchengetedza uye kubvisa kukundikana. Mune: Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, eds. Campbell-Walsh-Wein Urology. 12th ed. Philadelphia, PA: Elsevier; 2021: chitsauko 127.

Capogrosso P, Salonia A, Montorsi F. Kuongorora uye manejimendi manejimendi ebenign prostatic hyperplasia. Mune: Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, eds. Campbell-Walsh-Wein Urology. 12th ed. Philadelphia, PA: Elsevier; 2021: chits. 145.