Isinye se-Neurogenic

Isinye se-neurogenic siyinkinga lapho umuntu ehluleka ukulawula isinye ngenxa yobuchopho, umgogodla, noma isimo sezinzwa.

Imisipha nezinzwa eziningana kumele kusebenze ndawonye ukuze isinye sibambe umchamo uze ulungele ukuwuthulula. Imiyalezo yezinzwa iye emuva naphambili phakathi kobuchopho nemisipha elawula ukukhipha isinye. Uma lezi zinzwa zilinyazwa ukugula noma ukulimala, imisipha kungenzeka ingakwazi ukuqina noma ukukhululeka ngesikhathi esifanele.

Ukuphazamiseka kwesistimu yezinzwa emaphakathi kuvame ukudala isinye se-neurogenic. Lokhu kungafaka:

• Isifo i-Alzheimer
• Ukukhubazeka kokuzalwa komgogodla, njenge-spina bifida
• Izicubu zobuchopho noma zomgogodla
• Ukukhubazeka kobuchopho
• I-Encephalitis
• Ukukhubazeka kokufunda njengokuphazamiseka kokunakwa kokungasebenzi kahle (ADHD)
• I-Multiple sclerosis (MS)
• Isifo se-Parkinson
• Ukulimala komgogodla
• Unhlangothi

Ukulimala noma ukuphazamiseka kwemizwa enikeza isinye nakho kungadala lesi simo. Lokhu kungafaka:

• Ukulimala kwemizwa (i-neuropathy)
• Ukulimala kwemizwa ngenxa yokusebenzisa isikhathi eside, ukusetshenziswa kotshwala obunzima
• Ukulimala kwemizwa ngenxa yesifo sikashukela sesikhathi eside
• Ukuntuleka kwe-Vitamin B12
• Ukulimala kwemizwa ugcunsula
• Ukulimala kwemizwa ngenxa yokuhlinzwa okhalo
• Ukulimala kwemithambo yediski ye-herniated noma i-spinal canal stenosis

Izimpawu zincike embangela. Zivame ukufaka izimpawu zokungavumelani nomchamo.

Izimpawu zesinye esisebenza ngokweqile zingafaka:

• Ukuchama kaningi kakhulu ngamanani amancane
• Izinkinga zokukhipha wonke umchamo esinyeni
• Ukulahlekelwa ukulawula isinye

Izimpawu zesinye esingasebenzi kahle zingafaka:

• Isinye esigcwele futhi kungenzeka ukuvuza komchamo
• Ukungakwazi ukusho ukuthi isinye sigcwele nini
• Izinkinga eziqala ukuchama noma ukukhipha wonke umchamo esinyeni (ukugcinwa komchamo)

Imithi ingasiza ukuphatha izimpawu zakho. Umhlinzeki wakho wezokunakekelwa kwempilo angaphakamisa:

• Imithi eyehlisa isinye (i-oxybutynin, tolterodine, noma i-propantheline)
• Imithi eyenza izinzwa ezithile zisebenze kakhulu (i-bethanechol)
• Ubuthi beBotulinum
• Izengezo ze-GABA
• Izidakamizwa ze-antiepileptic

Umhlinzeki wakho angakudlulisela kumuntu oqeqeshwe ukusiza abantu ukuphatha izinkinga zesinye.

Amakhono noma amasu ongawafunda afaka:

• Ukuzivocavoca ukuqinisa imisipha yakho yaphansi ye-pelvic (izivivinyo zeKegel)
• Ukugcina idayari yokuthi uchama nini, inani olichithile, nokuthi uphume yini umchamo. Lokhu kungakusiza ufunde ukuthi kufanele ukhiphe nini isinye sakho futhi lapho kungakuhle ukuba seduze kwendlu yokugezela.

Funda ukubona izimpawu zokutheleleka nge-urinary (UTIs), njengokushisa lapho uchama, umkhuhlane, izinhlungu ezisezingeni eliphansi ngakolunye uhlangothi, kanye nesidingo esivame kakhulu sokuchama. Amaphilisi e-Cranberry angasiza ekuvikeleni ama-UTIs.

Abanye abantu bangadinga ukusebenzisa ipayipi lomchamo. Lena ishubhu elincanyana elifakwa esinyeni sakho. Ungadinga i-catheter ukuze ube:

• Endaweni ngaso sonke isikhathi (i-catheter yokuhlala).
• Esinyeni sakho izikhathi ezi-4 kuya kwezi-6 ngosuku ukugcina isinye sakho singagcwali kakhulu (i-catheterization emaphakathi).

Kwesinye isikhathi kudingeka ukuhlinzwa. Ukuhlinzwa kwesinye se-neurogenic kufaka:

• I-sphincter yokufakelwa
• Idivayisi kagesi ifakwe eduze kwemithambo yesinye ukuvuselela imisipha yesinye
• Ukuhlinzwa kwendwayimane
• Ukwakhiwa kwesikhala (i-stoma) lapho umchamo ugelezela khona esikhwameni esikhethekile (lokhu kubizwa ngokuthi ukuphambukiswa komchamo)

Ukunconywa kukagesi kwe-tibial nerve emlenzeni kunganconywa. Lokhu kufaka ukufaka inaliti emthanjeni we-tibial. Inaliti ixhunywe ocingweni lukagesi oluthumela amasiginali kunzwa ye-tibial. Izimpawu zibe sezikhuphukela emithanjeni yomgogodla ongezansi, elawula isinye.

Uma une-incontinence yokuchama, izinhlangano ziyatholakala ukuthola eminye imininingwane nokuxhaswa.

Izinkinga zesinye se-neurogenic zingafaka:

• Ukuvuza okuqhubekayo komchamo okungadala ukuthi isikhumba siwohloke futhi kuholele ezicindezelweni zomfutho
• Ukulimala kwezinso uma isinye sigcwala kakhulu, kubangele ingcindezi yokwakha kumashubhu aholela ezinso nasezinso uqobo
• Ukutheleleka ngomgudu womchamo

Shayela umhlinzeki wakho uma:

• Awukwazi ukukhipha isinye sakho nhlobo
• Yiba nezimpawu zesifo sesinye (umkhuhlane, ukuvutha lapho uchama, ukuchama kaningi)
• Chama amanani amancane, kaningi

Ukusebenza ngokweqile kwe-Neurogenic detrusor; NDO; Ukungasebenzi kahle kwe-neurogenic blhinder sphincter; I-NBSD

• Multiple sclerosis - ukukhipha
• Ukuvimbela izilonda zengcindezi

• Ukuvala i-cystourethrogram

UChapple CR, u-Osman NI. I-detrusor engasebenzi. Ku: Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, ama-eds. ICampbell-Walsh-Wein Urology. Umhla ka-12. IPhiladelphia, PA: Elsevier; 2021: isahluko 118.

IGoetz LL, iKlausner AP, uCardenas DD. Ukungasebenzi kahle kwesinye. Ku: Cifu DX, ed. I-Braddom's Physical Medicine kanye nokuvuselelwa. Umhlaka 5. IPhiladelphia, PA: Elsevier; 2016: isahluko 20.

IPanicker JN, iDasGupta R, iBatla A. Neurourology. Ku: Daroff RB, Jankovic J, Maziotta JC, Pomeroy SL, ama-eds. I-Neurology kaBradley ekwenziweni kwemitholampilo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2016: isahluko 47.