I-neurogenic bladder: izizathu, iimpawu kunye neyeza

Ngaphantsi kwegama elithi "neurogenic bladder" kwipilisi, iyavunyelwa ukuqonda iingxaki ezininzi zesistim sokungena. Kodwa kwimeko nganye le nto ibangelwe, okokuqala, ekusebenzeni kakubi kwinkqubo yomthetho wesifo.

I-neurogenic bladder - yintoni na?

Isibhambiso siyinxalenye kunye nesakhiwo esiyinkimbinkimbi kunye nemisebenzi ebalulekileyo. Uqokelela kwaye, njengoko kuyimfuneko, kususa umchamo kumzimba. Zonke ezi nkqubo zilawulwa, okokuqala, yinkqubo yenzwa, zombini kwipheripha kunye nendawo.

I-neurogenic bladder yintlungu yesifo sokutya. Iqumrhu lilahlekelwa yimisebenzi yalo yemvelo ngenxa yomonakalo kwinkqubo yesantya. Ngokomzekelo, iyakwazi ukulahlekelwa ukukwazi ukwenza isivumelwano kunye, ngokufanelekileyo, ukungazi kakuhle umchamo ukusuka emzimbeni kuyaphazamiseka. Okanye, ngokuphambene noko, kunokuhlaziya rhoqo, kubangele ukunyanzelisa. Kwimeko nayiphi na into, i-NMP ayikwazi ukuthathwa njengesifo esizimeleyo. Ngokuqhelekileyo oku kuluphawu nje lomonakalo kwinkqubo yenzwa.

I-neurogenic bladder iqhelekile kubantwana. Nangona iziganeko zokugula phakathi kwabemi abadala beeplanethi ayithathwa njengento engekho.

I-neurogenic bladder: izizathu ezibalulekileyo

Njengoko kuchazwe ngasentla, ukuphulwa okunjalo kubangelwa kukutshatyalaliswa kwenkqubo yesifo. Kodwa kwimichiza yamukelwa ukuhlukanisa izinto ezincinci:

• I-NMP ingaba ngumphumo weziphene ezithile zokuzalwa kwisakhiwo se-anatomical se-neripheral nerve, intambo yomgudu okanye umgudu.
• Kwakhona, ukungaphumeleli kwesibhambiso kungabangelwa kukulimala kokubili ingqondo kunye nomgudu womgudu. Ngokomzekelo, le mpawu ingabonakala emva kokutshabalalisa, ukutshatyalaliswa okanye ukunyanzeliswa okukhulu kweethambo zomzimba. Ngokuqhelekileyo imbangela yesikhumba se-cerebral hemorrhage. Ngamanye amaxesha i-NRM ikhula emva kweenkqubo zokugonywa kwimizimba ye-pelvic, xa iimeko zomnxeba zathinteka.
• Ukongezelela, i-syndrome efanayo ifumaneka phambi kweenkqubo ezichithwayo okanye ezivuthayo kwinkqubo yeentlanzi, kubandakanya i-encephalitis, i-alcohol and diabetes neuropathies, kunye nezicubu zengqondo kunye nomgudu womgudu.

Kwimeko nayiphi na into, kufuneka ufunde ugqirha ngokukhawuleza.

I-neurogenic bladder: iimpawu eziphambili kunye nezifo zesifo

Isifo sinokuvela ngeendlela ezahlukeneyo. Kwezinye iimeko, umntu ukhononda ngezikhalazo ezihlala zihlala njalo, njengoko ibhola liqala ukuqhaqhaxhaza kwaye liqine. Ezinye izigulane zinenkinga eyahlukileyo - abavakalelwa ukuzalisa isisu kwaye abaziveki ukuba banqande.

Ngokwemvelo, i-syndrome ye-neurogenic bladder inokuqhubeka ngokwezicwangciso ezahlukeneyo. Ngamanye amaxesha i-sphincter ye-bladder ayihambelani nomsebenzi we-system ye-nervous. Kule meko, umchamo awuqokeleli kwi-bladder, kodwa ngokusoloko ushiya umzimba emacaleni amancinci. Ngenxa yoko isigulane asiziveki zendalo kwaye ayikwazi ukulawula isenzo sokucoca.

Kwezinye iimeko, i-sphincter, ngokuchaseneyo, ihlala ihleli. Njengoko ugcwalisa umthamo we-bladder ukwandisa kakhulu, kodwa inkqubo ye-nervous does not react to it - loo mntu akayi kuthanda umnqweno. Umchamo oqokelelweyo ungangena kwi-ureters aze abuyele ezintsheni, ezenza umngcipheko omkhulu kwiimeko zabo.

I-neurogenic bladder: unyango kunye neendlela zokuxilonga

Ukuxilongwa kwephulo lolophulo - inkqubo inzima kunzima, idinga ingqalelo yongcali onolwazi. Ngokwemvelo, xa ufumanisa ukuxilongwa, iziphumo zokuhlolwa kwegazi kunye nomchamo zisetyenziswa. Kodwa kwakhona ukuqhuba i-ultrasound, i-radiography, i-pyelography, urography kunye nezinye iimvavanyo.

Ngokuphathelele unyango, kuyimfuneko ukuba kuqala ugqibe isifo esiyintloko - emva kokuphelisa imbangela ebangela impawu ze-neurogenic bladder, idlula. Ngokuqhelekileyo, izigulane zifuna nje ukunyanyiswa kwe-bladder ukubuyisela ukuphuma kwamanzi. Maxa wambi ama-tissue aphathwa ngama-antiseptic agents kunye nee-antibiotics, njengoko ukuqokelela kwamanzi emzimbeni kudala izimo ezintle zokuphuhlisa ii-microorganisms ze-pathogenic.