Yini isinye se-neurogenic nezinhlobo eziyinhloko

-Delile

• Izimpawu eziyinhloko
• 1. Isinye esisebenza ngokweqile
• 2. Isinye esingasebenzi kahle
• Izimbangela ezingaba khona
• Ungakuqinisekisa kanjani ukuxilongwa
• Yelashwa kanjani
• Isinye se-neurogenic sinekhambi?

Isinye se-neurogenic ukungakwazi ukulawula isenzo sokuchama ngenxa yokungasebenzi kahle esinyeni noma ku-sphincter yomchamo, okungaba nezimbangela eziningi, kusuka ekushintsheni kwemizwa, okuvimba imisipha yesifunda ukuthi isebenze kahle, kanye izimo ezicasula isifunda, njengokushintsha kwe-hormonal, ukuvuvukala kwesinye noma izifo, isibonelo.

Isinye se-neurogenic singaphulukiswa noma singalapheki, esichazwa ngemuva kokuhlolwa yi-urologist, enquma izimbangela zayo bese ichaza ukuthi ngabe ilolo hlobo yini:

• Ukuzenzisa: lapho imisipha ingakwazi ukusontelana ngesikhathi esifanele;
• Ukungasebenzi kahle: lapho kunokusikwa okweqile kwemisipha nokulahleka komchamo ngokungazibambi.

Ngokuya ngohlobo lwesinye, udokotela uzokwazi ukuchaza phakathi kwezinketho zokwelashwa, okubandakanya ukusetshenziswa kwemithi, njenge-oxybutynin, tolterodine noma ukufaka i-botulinum toxin, ngokwesibonelo, ngaphezu kokwelapha ngokomzimba, ukusetshenziswa kwesinye iphenyo noma ukuhlinzwa.

Izimpawu eziyinhloko

Esinyeni se-neurogenic, kukhona ushintsho emithanjeni elawula imisipha ezungeze isinye noma i-sphincter yomchamo, engakwazi ukuphumula noma ukwenza isivumelwano ngesikhathi esifanele.

Ngakho-ke, umuntu onalolu shintsho ulahlekelwa yikhono lokuchama ngendlela ehlelekile, ngokwentando yakhe. Ngokuya ngohlobo lwezinguquko, isinye se-neurogenic kungaba:

1. Isinye esisebenza ngokweqile

Saziwa nangokuthi ispastic bladder noma i-nervous bladder, njengoba isinye sisebenza ngokungenazibopho, okwenza ukuthi ukulahleka komchamo kungalindelekile nangezikhathi ezingafanele.

• Izimpawu: ukungabanjwa umchamo, ukunxanela ukuchama kaningi futhi ngamanani amancane, ubuhlungu noma ukushiswa esifundeni sesinye, ukwehluleka ukulawula amandla okuchama.

Isinye esisebenza ngokweqile sivame kakhulu kwabesifazane futhi singakhuthazwa izinguquko zehomoni ekunqamukeni kokuya esikhathini, noma ngesibeletho esikhulisiwe ngesikhathi sokukhulelwa. Thola imininingwane eminingi yokuthi ungasibona kanjani isinye esisebenza ngokweqile.

2. Isinye esingasebenzi kahle

Yaziwa nangokuthi i-flaccid bladder, ngoba isinye asikwazi ukwenza isivumelwano ngokuzithandela, noma i-sphincter ayikwazi ukuphumula, okubangela ukugcinwa komchamo, ngaphandle kwekhono lokukuqeda kahle.

• Izimpawu: ukuzwa ukuthi isinye asikachithekanga ngokuphelele ngemuva kokuchama, ukuconsa ngemuva kokuchama noma ukulahleka komchamo ngokungenhloso. Lokhu kwandisa amathuba okutheleleka ngomgudu womchamo nokusebenza kwezinso okungasebenzi kahle, ngakho-ke ukwelashwa kufanele kuqalwe ngokushesha okukhulu.

Izimbangela ezingaba khona

Izimbangela zesinye se-neurogenic kungaba:

• Ukucasula kwesinye, ngokutheleleka komchamo noma ngokushintsha kwamahomoni, njengasesikhathini sokunqamuka kokuya esikhathini;
• Izinguquko zofuzo, njengakwi-myelomeningocele;
• Izifo ezibuyela emuva ezinjenge-neurocysticercosis noma i-neuroschistosomiasis;
• Ukucindezelwa kwemizwa esifundeni se-lumbar nge-disc ye-herniated;
• Ingozi elimaza umgogodla, ibangele i-paraplegia noma i-quadriplegia;
• Izifo zemizwa ezenzakalayo ezinjenge-multiple sclerosis noma i-Parkinson's;
• Ukukhubazeka kwemizwa ngemuva kokushaywa unhlangothi;
• Izinguquko zemizwa yezinzwa ngenxa yesifo sikashukela;
• Ukulahleka kwesikhumba ukuqina, okubangelwa ukuvuvukala, ukutheleleka noma izinguquko zemizwa ngokujwayelekile.

Emadodeni, i-prostate enwetshiwe ingalingisa izimpawu eziningi zesinye se-neurogenic, ekubeni yimbangela ebalulekile eguqukayo yokusebenza okushintshiwe kwemisipha yomchamo.

Ungakuqinisekisa kanjani ukuxilongwa

Ukuhlonza isinye se-neurogenic, udokotela we-urologist uzohlola umlando womtholampilo womuntu, afake izimpawu, nokuhlolwa komzimba, ngaphezu kokucela ukuhlolwa okungahlola ukusebenza kwepheshana le-urinary, njenge-ultrasound, i-radiography ehlukile, i-urethrocystography kanye ne-urodynamic , ukuhlola ukusikwa kwemisipha yomchamo ngesikhathi sokuchama.

Yelashwa kanjani

Ukwelashwa kwesinye se-neurogenic kuyinkimbinkimbi futhi kungabandakanya:

• Ukusetshenziswa kwemithi ama-agonists e-parasympathetic, njenge-bethanechol chloride, i-antimuscarinics, njenge-oxybutynin (Retemic) noma i-tolterodine, kanye namanye ama-ejenti asebenza kuma-neurotransmitter, njenge-glutamate, i-serotonin, i-norepinephrine, i-dopamine ne-gamma-aminobutyric acid (i-GABA), esetshenziswa ngokusho icala ngalinye;
• Ubuthi be-botulinum (botox), engasetshenziselwa ukunciphisa ukuqina kwemisipha ethile;
• Ukuvota okungapheli, okungukudlula kweshubhu lesinye, elingasetshenziswa ngezikhathi ezithile yisiguli uqobo (izikhathi ezi-4 kuye kwezingu-6 ngosuku) futhi lisuswe ngemuva kokukhipha isinye;
• Ukuhlinzwa, okungaba ukuthuthukisa ukusebenza kwesinye noma ukuguqula umchamo uye ekuvulekeni kwangaphandle (i-ostomy) okwenziwe odongeni lwesisu;
• I-Physiotherapy, ngokuzivocavoca ukuqinisa iphansi le-pelvic. Bona ukuthi ukwelashwa ngokomzimba kwenziwa kanjani ngokungahambisani nomchamo.

Uhlobo lwezokwelapha luzoya ngesizathu sesifo, kuhloswe ngaso isixazululo. Kodwa-ke, lapho lokhu kungenakwenzeka, udokotela angancoma inhlanganisela yokwelashwa ukuthuthukisa ikhwalithi yempilo yomuntu, ngaphezu kokugwema ukutheleleka okuphindaphindiwe nokukhubazeka kwezinso.

Bona kule vidiyo ukuthi ungenza kanjani izivivinyo ukuqinisa iphansi le-pelvic futhi ugweme isinye se-neurogenic:

Isinye se-neurogenic sinekhambi?

Isinye se-neurogenic singalapheka uma sibangelwa izimbangela ezingaguqulwa, njengokutheleleka komgudu womchamo noma ukutheleleka kobuchopho yi-neurocysticercosis, ngokwesibonelo, kukhombisa ukuthuthuka ngemuva kokwelashwa.

Kodwa-ke, ezimweni eziningi, isinye se-neurogenic asinakho ukwelashwa, kepha ukwelashwa kungasiza ekuthuthukiseni ithoni yemisipha, kunciphise izimpawu futhi kuthuthukise ikhwalithi yempilo yomuntu. Ngalokhu, kubalulekile ukuthi ulandelwe nge-urologist futhi, kwezinye izimo, udokotela wezinzwa.