Lwesinye Overactive kwabasetyhini: unyango, oonobangela, iimpawu

lwesinye Overactive kwabasetyhini phantsi unyango kufuneka ngoko nangoko emva ekufumanekeni le ngxaki, oko kukwaphula umsebenzi umchamo nokwanda ukubonakala ziyiminqweno abukhali wesinye engenanto. Le imfuneko sivame yondele nezikhokelela ukukhululwa ngokuzenzekelayo ye umthamo othile umchamo (umchamo).

Ngokwemveli, unyango luqala isicelo yokuziphatha (zokuziphatha) izicwangciso - oogqirha bacebisa amanzi okusela kunye nezinye iziselo ngexesha, ukuya kwindlu zangasese yonke imihla ngexesha elithile ndizisindise isilingo ngequbuliso ukunceda izihlunu floor zangasese. Ukuba la manyathelo ongenelelo ndokusindisa, kukho ezinye iindlela ekunyangeni izifo.

iimpawu

Ukuba unayo nayiphi na iingxaki ukuchama, hayi yokuba unobangela yabo lwesinye nje overactive. Iimpawu kwabasetyhini zezi zilandelayo:

• ukubonakala ngesiquphe imfuneko ukutyelela yangasese, kwaye kunzima kakhulu eli isidingo ukulawula;
• ngumchamo umchamo, ngamanye ukukhululwa ngokuzenzekelayo ngoko nangoko emva kokuvela unqwenela ukuba bayikhuphe isinye;
• Ukuchama rhoqo, ngokuqhelekileyo ngaphezu kwesibhozo amaxesha ngosuku;
• polyuria ebusuku (nocturia) - umnqweno zasebusuku ukuya kwindlu zangasese, phindwa amaxesha ngaphezulu ezimbini ebudeni ubuthongo.

Nangona izigulane ezininzi ukulawula ukuya ngasese ngoko nangoko, kamsinya nje kukho yimfuneko elibukhali, phantse konke ukuhlupheka kwesi sifo, amava ntshikilelo ngesinyanzelo ingabi nanto lwesinye izihlandlo eziliqela ngemini.

Kwindlela eqhelekileyo yokusebenza umzimba

Izintso umchamo, ngoko ophuma ngaphandle lwesinye. Xa utyelela umchamo kwindlu yangasese lukhupha umzimba kumngxuma yokugcina emazantsi kwaye aphuma kumbhobho ebizwa i "urethra". Kwabasetyhini, ukuvulwa urethra kubekwe ngentla nje lobufazi, ngokuba abantu - ngencam lobudoda inkanda.

Njengoko ukuzaliswa esinyini ukuya imiyalezo ingqondo evela kwimithambo-, ekugqibeleni, kubangela imfuneko ukwenza zingabinanto. Xa uchama amaza luvo ilungelelanise ukunyenyiswa izihlunu floor zangasese kunye urethra (le yokugqibela wabhekisela izihlunu sphincter womchamo). Izihlunu zomzimba langoku (ukuncipha), kwanyanzeleka ukuba umchamo ngaphandle.

Kubanga zokugula

Xa izihlunu umzimba kuqala ixesha ngequbuliso (nokuba umthamo umchamo kuwo zisencinci), oogqirha ukufumanisa isinye overactive. Iimpawu kwabasetyhini ziquka ngaphezu kwabo bonke ukuvela elibukhali iimfuno kwaye ikhatshwe yi kweempawu zesi sifo, amagosa zinto zifuneka kuqala ukuze uphuhliso kugula. Noko ke, izifo ezingapheliyo - akanguye unobangela kuphela le ngxaki. Ingxenye esemqoka ukuya kwindlu yangasese kunye ngumchamo wokuchama angase alale:

• zizigulo zemithambo kuqukwa izifo, ukufa kwamalungu omzimba, zasasazwa (multiple) sclerosis Parkinson yakhe;
• Imveliso ngokunzulu umchamo evela ekusetyenzisweni imiqulu ezinkulu kolwelo, kidney umsebenzi amahlwempu, okanye isifo seswekile;
• amayeza, uqhu- okanye umchamo output zapivaniya ezifuna intabalala kolwelo;
• izifo ezihlasela zosulele le urethra, ebangela iimpawu isifo efanayo kunye neempawu ezifana wesinye overactive kwabasetyhini;
• ilungu ngezifo (nangezilonda, amatye);
• imiqobo echama yesiqhelo (kuba abantu oko kwandiswa yesinye, abasetyhini - ukuqhina okanye uqhaqho yangaphambili ukuba unyango ezinye iintlobo umchamo);
• ukusetyenziswa ngokugqithisileyo caffeine okanye iziselo ezinxilisayo;
• inhibition umsebenzi kwengqondo cognitive ngenxa ekugugeni kumzimba, apho esinyini ngenkankulu uyayiqonda imiyalezo engenayo;
• kunzima ukuhamba, ngenxa yawuphi na zonke izigulane zinokuba ngexesha ukuya kwindlu yangasese;
• yokulahla engaphelelanga lwesinye, nto leyo inokukhokelela iimpawu ukungahlaliseki ngenxa ekuncitshisweni isithuba simahla ukuba umchamo entsha ezayo nezintso.

Noko ke, nkqu iingcali andazi kanye yintoni unobangela yomzimba ukungahlaliseki syndrome.

ekuxilongweni

Ukuba unesifo iimfuno kunzima kakhulu rhoqo ukuya kwindlu zangasese, ugqirha kwindawo yokuqala aya kutshekisha umchamo wakho ubukho igazi okanye izifo. Kuyimfuneko kwakhona ukuze anizimase qongqololo isinyi yakho ngokupheleleyo kusini. uxilongo Full kusenokwenzeka ukuba zibandakanya le misebenzi ilandelayo:

• imbali yezonyango;
• zeemviwo zamabanga emzimbeni kunye kugxilwe ngokukodwa amalungu esisu kunye nasemiphakathweni;
• iimvavanyo umchamo ukukhangela usuleleko, amabala igazi kunye nezinye iimpawu zokugula;
• iimviwo ejolise luvo ukuchonga ukuphazamiseka oluvo okanye iingxaki kunye ukukhanya.

izifundo ezizodwa

Okokuqala, ugqirha ndikumisele ukuxilongwa kunye imiqathango conjectural kuphuhliso zikwimeko embi ezifana wesinye overactive kwabasetyhini. Unyango luya kuxhomekeka kwiimeko ezininzi, kodwa kuqala - umgangatho ukusebenza komzimba. Ukukwazi lwesinye rhoqo nangokupheleleyo qongqololo zitshekishwe kukufundisisa urodynamic, equka wohlalutyo ezininzi ezahlukeneyo.

Yintoni iqukiwe ingqikelelo uhlalutyo urodynamic

• Ukulinganiswa umthamo umchamo intsalela. Olu hlahlelo kubaluleke ngakumbi, ukuba umzimba ndiqongqothele ngokupheleleyo xa achame, okanye ukuba uphethwe ngumchamo. umchamo lentsalela ebangela iimpawu ezifana iimpawu ukungahlaliseki. Ukulinganisa amasalela ulwelo emva yoko, ugqirha uyakukumisela uviwo ultrasound esinyini okanye ufake i catheter ekhethekileyo (tube obhityileyo) ukubonisa kunye nokufunda iintsalela.
• Ukulinganiswa kwezinga umchamo kwemali. Ukuba ufuna ukuqikelela umthamo kunye isantya ukuchama, ugqirha uza kukucela ukuba bayikhuphe isinyi yakho Uroflowmeter - isixhobo ukuba umlinganiselo parameters amiselweyo kwaye luguqula zibe utshintsho kwishedyuli rate ingabi nanto.
• Ukuzimisela xi intravesical. indlela cystometry kulekelela uxinzelelo womlinganiselo kwi organ kunye ancedisana ezingqonge xa kuzaliswa ulwelo. Ngeli sifundo, ugqirha usebenzisa ityhubhu obhityileyo (catheter) ukuya kancinane bazalise esinyini ngamanzi ashushu. Enye catheter kunye woluvo ukumelana nokutshuntsha utshintsho kuxinzelelo, ifakwa lobufazi. Le nkqubo inceda ukucacisa ukuba kutheni kukho isinye overactive kwabasetyhini. Unyango luya kuxhomekeka oko kuya uhlalutyo Kuya kubonwa izishunqulelo ngokuzenzekelayo okanye iindonga ilungu okanye ukuqina yayo, ngenxa apho esinyini uba ayikwazi ukugcina umchamo ngamandla eliphantsi. Usenokucelwa ukuba engenanto ngethuba lophando ukulinganisa uxinzelelo eziyimfuneko lokusula umzimba, kwaye ukucacisa ubukho okanye ukungabikho ukuvaleka kunokwenzeka (kokuphazanyiswa). Uphazamiseko okwenzeka ngenxa prolapse amalungu zangasese, kungakhokelela ekubeni neempawu izifo isici ukuze wesinye overactive kwabasetyhini. Izizathu (unyango, njengoko yaziwa, ingatyumba kuphela umntu ofanelekayo) kulo mzekelo phantse lonke ziquka izifo luvo echaphazela umnqonqo.

Treatment ngu therapy yokuziphatha

unyango yokuziphatha, okanye ukuthenga kuyimfuneko ukulwa isifo nemikhwa emihle - linyathelo lokuqala nesebenza kwindlela alulame. Inzuzo okubonakalayo yale ndlela ukungabikho yeziphumo ebezingalindelekanga. Ukuba unayo nofifi indlela yokuphatha isinyi overactive kwabasetyhini, zama ubugcisa izinto ezilandelayo.

Eyona ndlela ibhetele ukuphelisa iingxaki

• Uqheliso ukuba izihlunu floor zangasese. Kegel umzimba hayi nto yafumana lonke udumo ibonwe: kukho mhlawumbi indlela lemvelo yokomeleza izihlunu zakho kumgangatho zangasese kunye sphincter womchamo. imisipha meleleyo ungakwazi ningakhathazeki izishunqulelo ngokuzenzekelayo lo lwesinye. Ugqirha uya kunika iingcebiso eneenkcukacha malunga nokuphunyezwa echanekileyo yokwenza umthambo odumileyo. Landela izindululo eyiyo ube nomonde; ngokuba uphuculo olubonakalayo zigula kuthatha ixesha elide (iiveki ezintandathu ukuya kwezisibhozo).
• Ukugcina umzimba usempilweni. Ukuba uphethwe ukutyeba, nokubuyela ubunzima eliqhelekileyo liya kunceda mbuna isinyi overactive kwabasetyhini. Unyango (reviews nga ukuba ufuna ukufumana phezu namaqonga eengxoxo) kulo mzekelo kuthetha ukuba kubanjelelwe ukutya esekelwe phezu kwemimiselo isondlo esifanelekileyo.
• Ukongamela ngenzuzo fluid. Ugqirha usenokuncomela umda ukusetyenziswa ulwelo kwaye iya kunceda ukudala ishedyuli ekhululekile ukuba kufuneka usele yakho yesiselo oyithandayo.
• yokulahla kabini. Ukuba esinyini alunanto ngokupheleleyo, linda imizuzu embalwa emva kokuba yokulahla yokuqala uze uzame kwakhona ukubhiyozela kancinane.
• echama olucwangcisiweyo. Ishedyuli Indlela kubalulekile nje kuphela ngokwemigaqo zokungenisa fluid, kodwa ukundwendwela yangasese. Ukuba ulandele ishedyuli ecwangcisiweyo (umzekelo, ukuya kwindlu yangasese qho kwiiyure 2-4), umzimba ithi eqhele imowudi enye, yaye akuyi kuba namava uxinzelelo elingaphezulu ngesiquphe uqengqa iimfuno.

Yiyiphi enye into enokwenziwa?

• catheterisation uveza. Xa unesifo wesinye overactive kwabasetyhini, kunye nohlaziyo unyango unyango emiselweyo ubukhulu becala kuxhomekeke ukusebenza ngamnye indlela echongiweyo. Noko ke, kukho izinto eziqhelekileyo ndlela, jikelele ukuze bawubuyise iimpawu zesifo, nto leyo ithetha ukusetyenziswa ngamaxesha kukho catheter ngenxa yokulahla ngokupheleleyo emzimbeni. Bonisana nogqirha weengxaki zomzimba phambi kokuba usebenzise le ndlela.
• Unxiba impahla zokubhala yomchamo. Ukusebenzisa zokubhala yomchamo okanye sangaphantsi eyodwa izifunxi kuya kunceda ukukhusela impahla kwimiphumo ngumchamo kwaye ukuphelisa uxinezeleko ezihambisana nasengqondweni. linings kunye yangaphantsi enjengale kuzo zonke ubukhulu kwaye intsebenzo yokufunxa ezahlukeneyo.
• uqeqesho lwesinye. Eli gama libhekisela kuphuhliso ikhono lawo ukunqanda kancinane. Kufuneka uqale okwexesha elifutshane - umzekelo, imizuzu engama-30, emva koko uyakwazi ngcembe ukwandisa amathuba logama nje akuyi ukuya kwindlu yangasese iiyure kanye kuphela zonke ezintathu ukuya kwisine. lwesinye Overactive kwabasetyhini (unyango, oonobangela, iimpawu, jonga ngentla) kunokwenzeka ukuba ukuzinzisa oko kuphela xa uyakwazi ngamandla (cut) izihlunu floor zangasese.

lwesinye Overactive kwabasetyhini: unyango (amayeza)

imithi buyasikhulula udonga umzimba ukunciphisa ukungahlaliseki disorder. Zezi:

• tolterodine ( "Detrol");
• oxybutynin ngohlobo kwesikhumba (transdermal) patch ( "Oksitrol");
• oxybutynin in ifomu gel ;
• trospium;
• solifenacin;
• darifenacin;
• fesoterodine.

qaphela

Amachiza ngasentla kunokubangela iziphumo ezingalindelekanga, kuquka umlomo owomileyo nokuqunjelwa, nto leyo mandundu iimpawu zesi sifo njengoko esinyini overactive kwabasetyhini. Unyango (tablets kunye namanye amalungiselelo zokusetyenziswa ngomlomo) kufuneka amiselwe ngugqirha, kodwa ukuba uphethwe zezi ziphumo bezingalindelekanga, kungcono ukuba umntu onjalo oyingcaphephe tablet replacement ziwe kunye namabala.