Chii chinonzi neurogenic bladder uye akakosha mhando

Zvemukati

• Zviratidzo zvikuru
• 1. Kunyanyisa kuita dundira
• 2. Hypoactive dundira
• Zvinogona kukonzerwa
• Maitiro ekusimbisa kuongororwa
• Kurapwa kunoitwa sei
• Neurogenic bladder ine mushonga?

Iyo neurogenic bladder ndiko kutadza kudzora chiito chekuita weti nekuda kwekushomeka kwedundira kana weti sphincter, iyo inogona kuve nezvikonzero zvinoverengeka, zvichibva pakuchinja kwetsinga, izvo zvinodzivirira mhasuru dzedunhu kuti dzishande nemazvo, pamwe mamiriro ezvinhu anotsamwisa dunhu, senge shanduko yehomoni, kuzvimba kwedundira kana hutachiona, semuenzaniso.

Iyo neurogenic bladder inogona kana kusarapika, iyo inotsanangurwa mushure mekuongororwa nachiremba wezveuropi, anoona zvikonzero zvacho uye anotsanangura kana chiri cherudzi rwacho:

• Hunyengeri: apo mhasuru dzisingakwanise kubatika panguva yakakodzera;
• Kushanda nesimba: kana paine kudzvinyirira kwakanyanya kwemhasuru uye kurasikirwa kwekuita pasina weti.

Zvichienderana nerudzi rwedundira, chiremba anozokwanisa kutsanangura pakati pesarudzo dzekurapa, dzinosanganisira kushandiswa kwemishonga, yakadai se oxybutynin, tolterodine kana kushandisa botulinum toxin, semuenzaniso, kuwedzera pakurapa kwemuviri, kushandiswa kwedundira kuongorora kana kuvhiya.

Zviratidzo zvikuru

Mune neurogenic bladder, pane shanduko mumitsipa inodzora mhasuru dzakakomberedza dundira kana weti sphincter, iyo isingakwanise kuzorora kana kubatika panguva yakakodzera.

Nekudaro, munhu ane shanduko iyi anorasikirwa nekwaniso yekuita weti nenzira yakabatana, zvinoenderana nekuda kwake. Zvichienderana nerudzi rwechinja, iyo neurogenic bladder inogona kuva:

1. Kunyanyisa kuita dundira

Iyo inozivikanwawo se spastic bladder kana nervous bladder, sezvo bladder zvibvumirano zvisingaite, zvichidaro zvichikonzera weti kurasikirwa zvisingatarisirwi uye panguva dzisina kukodzera.

• Zviratidzo: kusagadzikana kweweti, kukurudzira kuita weti kakawanda uye muhuwandu hushoma, kurwadziwa kana kupisa mudundira dunhu, kurasikirwa kwekudzora kwekugona kuita weti.

Dundira rakanyanyisa kushanda rinowanzoitika kune vakadzi uye rinogona kusimudzirwa neshanduko yehormone mukuguma kuenda kumwedzi, kana nechibereko chakawedzerwa panguva yekuzvitakura. Tsvaga rumwe ruzivo rwekuti ungaziva sei iro rakanyanyisa kushanda dundira.

2. Hypoactive dundira

Iyo inozivikanwawo sechivharo chechidimbu, sezvo dundira risingakwanise kubatira nekuzvidira, kana sphincter haigone kuzorora, izvo zvinoita kuti kuchengeterwe weti, pasina kugona kuibvisa nemazvo.

• Zviratidzo: kunzwa kuti dundira harina kudurura zvachose mushure mekuita weti, kudonha mushure mekuita weti kana kurasikirwa kwekuita weti. Izvi zvinowedzera mikana yehutachiona hwehutachiona uye kukanganiswa kweitsvo, saka kurapwa kunofanira kutanga nekukurumidza sezvazvinogona.

Zvinogona kukonzerwa

Zvinokonzera neurogenic bladder zvinogona kuva:

• Kushungurudzika kwedundira, nehutachiona hwehutachiona kana shanduko yehomoni, sekumwedzi;
• Genetic shanduko, senge mune myelomeningocele;
• Zvinodzoreredzwa hosha dzetsinga senge neurocysticercosis kana neuroschistosomiasis;
• Kumanikidza kwemitsipa munzvimbo ye lumbar nedhisheni ye herniated;
• Njodzi inokuvadza musana, ichikonzera paraplegia kana quadriplegia;
• Degenerative neurological hosha dzakadai se multiple sclerosis kana Parkinson's;
• Kukanganiswa kweurouro mushure mekurohwa;
• Peripheral neurological shanduko nekuda kweshuga;
• Kurasikirwa kwedundira kusimba, kunokonzerwa nekuzvimba, hutachiona kana shanduko yetsinga mune zvese.

Mune varume, iyo yakawedzera prostate inogona kuteedzera akawanda zviratidzo zveeurogenic bladder, ichive chakakosha chinodzoserwa chikonzero cheakachinja mashandiro eiyo urinha mhasuru.

Maitiro ekusimbisa kuongororwa

Kuti uongorore neurogenic bladder, iyo urologist ichaongorora nhoroondo yemunhu yekiriniki, ichidonongodza zviratidzo, uye kuongororwa kwemuviri, kuwedzera pakukumbira bvunzo dzinogona kuona mashandiro eurinal turakiti, senge ultrasound, kusiyanisa radiography, urethrocystography uye urodynamic bvunzo , kuongorora kudzora kwetsandanyama dzemuguta panguva yekuita weti.

Kurapwa kunoitwa sei

Kurapa kweeurogenic bladder kwakaoma uye kunogona kusanganisira:

• Kushandiswa kwemishonga parasympathetic agonists, senge bethanechol chloride, antimuscarinics, senge oxybutynin (Retemic) kana tolterodine, pamwe nevamwe vamiririri vanoshanda pane maurotransmitter, akadai se glutamate, serotonin, norepinephrine, dopamine uye gamma-aminobutyric acid (GABA), inoshandiswa maererano kesi imwe neimwe;
• Botulinum chepfu (botox), iyo inogona kushandiswa kudzikisa kusimba kwemamwe mhasuru;
• Kuvhota kwepakati, inova nzira yekufamba kwedundira redhibhodhi, iro rinogona kushandiswa nguva nenguva nemurwere iye (kanokwana kana katanhatu pazuva) uye kubviswa mushure mekuburitsa dundira;
• Kuvhiya, iyo inogona kuve yekuvandudza mashandiro edundira kana kutsausa weti kuenda kune yekunze kuvhura (ostomy) yakagadzirwa mudumbu remadziro;
• Physiotherapy, ine maekisesaizi ekusimbisa pelvic floor. Ona maitirwo epanyama ekurapa kusagadzikana.

Mhando yekurapa inoenderana nechikonzero chechirwere ichi, chakanangana nemhinduro yacho. Nekudaro, kana izvi zvisingaite, chiremba anogona kukurudzira musanganiswa wemishonga yekurapa kuvandudza hupenyu hwomunhu, mukuwedzera pakudzivirira hutachiona hunowanzoitika uye kuora kweitsvo.

Ona muvhidhiyo iyi maitiro ekuita maekisesaizi ekusimbisa iyo pelvic pasi uye kudzivirira neurogenic bladder:

Neurogenic bladder ine mushonga?

Iyo neurogenic bladder inogona kurapwa kana ichikonzereswa nezvakachinjika zvikonzero, senge weti turakiti hutachiona kana hutachiona hutachiona neurocysticercosis, semuenzaniso, kuratidza kuvandudzwa mushure mekurapwa.

Nekudaro, mune dzakawanda zviitiko, iyo neurogenic bladder haina mushonga, asi kurapwa kunogona kubatsira kuvandudza mhasuru toni, kubvisa zviratidzo uye kugadzirisa hupenyu hwemunhu. Kune izvi, zvakakosha kuve nekutevera neuurologist uye, mune dzimwe nguva, chiremba wezveuropi.