Uma ngabe ubhekene nenkinga ngesilawuli sesilasha, usuke ubhekene nesimo esingase sibe nzima ukuhlala nayo. Kodwa kufanele wazi ukuthi kunezinketho nezindlela ezingakusiza ukuthi uthuthukise ukulawula kwakho ekuhambeni kwakho.
Kunezinhlobo eziningana ezihlukahlukene zezinkinga zokulawula isisu. Enye yalezi zibizwa ngokuthi i-neurogenic isisindo, okusho ukuthi imbangela yezinkinga zakho zokuvuthwa ihlobene nezinzwa ezilawula isisu sakho.
Izimpawu Ze-Neurogenic Bladder
Izimpawu zesibindi se-neurogenic zihlanganisa nezinkinga ezihlukahlukene zokuvuthwa, ezinye zazo okungenzeka zibonakala ziphikisana. Ngokuvamile, isifiso se-neurogenic siphumela ekuvuthweni okungenasidingo kanye nokungakwazi ukuvota ngokuzithandela. Abantu abaningi abane-vesiphonic neurogenic bahlangene nokuhlanganiswa kwalezi zinkinga.
Isibilini se-Neurogenic singabonakalisa njengokungabonakali okuncane noma okunamandla kokuvuthwa kwe-urinary (ukulahlekelwa kwesilawuli sekhanda) kanye nokugcina okuncane noma okwedlulele kwamanzi (ukungakwazi ukukhipha umchamo). Izimpawu ezijwayelekile zesibindi se-neurogenic zihlanganisa noma iyiphi inhlanganisela yalokhu okulandelayo:
- Uzwa isifiso sokuvuthwa kaningi
- Ukukhulula ama-urine ambalwa kuphela uma uya endlini yangasese
- Ukusuka komchamo ngaphandle kokuqaphela
- Ukuvuza umchamo ngaphandle kokukwazi ukuwuyeka
- Isifiso esiphuthumayo sokuchama, ngaphandle kokuxwayisa okuncane noma akukho
- Ayikwazi ukuqala ukusakaza komchamo
- Ayikwazi ukususa ngokuphelele isilonda
- Izinzwa ezingavamile, ezingakhululekile noma ezibuhlungu endaweni engaphansi kwesisu
Imiphumela ye-Neurogenic Bladder
I-incontinence kanye nokugcinwa komchamo kungabangela izinkinga ezihlukahlukene kanye nemiphumela engavamile kakhulu:
Imiphumela ye-incontinence (ukuvuza kwe-urinary):
- Izingubo zokugqoka
- Iphunga elingathandeki emanzini okuvuza
- Ukucasula isikhumba kusuka ekuvukeni komchamo
- Izilonda esikhumbeni ezingase zibuhlungu futhi zingatheleleka
- Ukungaqiniseki kokuncenga kwe-urinary
- Ukuthungatheka ngenxa yokuvuza umchamo omncane noma omkhulu lapho uhamba nabanye abantu
Imiphumela yokugcinwa kwamanzi (ukugcinwa kwesilinda):
- Ukungakhululeki ngokomzimba
- Ubuhlungu besisu noma ingcindezi
- Ukutheleleka kwe-urinary-lokhu kubangelwa emcimbini osele esithombeni isikhathi eside, okungavumela ukuthi amabhaktheriya aphefumulayo aphumelele. Ukutheleleka kwamagciwane okuvamise ukwelashwa kudinga ukwelashwa ngemishanguzo yamandla kadokotela.
Ukuxilongwa kwesisindo se-Neurogenic
Udokotela wakho angakwazi ukuthola ukuthi isifo sofuba se-neurogenic sisekelwe ngokuyinhloko kumlando wakho wezimpawu. Ngezinye izikhathi, ukuhlolwa komchamo noma ukuhlolwa okuqhubekayo kwesikhumba sakho kungase kudingeke.
Kukhona ezinye izimbangela zokungahlambuluki nokugcinwa kwe-urinary ngaphandle kwesihenqo se-neurogenic, ngakho-ke ungase ube nesinye sezimbangela zezimpawu zakho ngaphandle kwesinye isibelethwane esingazodinga ukwelashwa kuye ngokuthi kunjani. Yingakho kubalulekile ukukhuluma nodokotela wakho futhi uthole ukuxilongwa okufanele ukuze uthole ukwelashwa okuphumelelayo kakhulu.
Ukwelashwa kwesibiso se-neurogenic
Kunezinhlobo ezimbalwa zokwelapha okuphumelelayo kwesibindi se-neurogenic. Ukuphathwa kwezokwelapha kanye nokuhlinzwa kwesibindi se-neurogenic kuyinkimbinkimbi futhi kuvame ukuba kudinga iqembu labodokotela kanye nabahlengikazi.
Ngezinye izikhathi, ungadinga inhlanganisela yokwelashwa okuhlukile noma ungase udingeke ukuthi imishanguzo yakho noma ukwelashwa kwakho kulungiswe njengoba uqala ukwelashwa. Izindlela ezahlukene zokwelashwa kwesibindi se-neurogenic zihlanganisa:
- Ukwelashwa kwesizathu esiyinhloko sesisindo se-neurogenic (multiple sclerosis, neuropathy, njll)
- Imithi yokulawula imisipha yesisu. Ezinye izinhlobo ezahlukene zemithi zihlanganisa: Ukwelashwa kwe-Estrogen, Imipramine, Amitriptyline, Oxybutynin, Tolterodine, Fesoterodine, Trospium, Darifenacin, Solifenacin, Mirabegron. Le mithi yenza izinzwa noma imisipha ukukusiza ukuthi uphinde uphinde ulawule inqubo yokuchama.
- Ukwelapha okuhlinzekwa ukufaka ukufaka ukufakwa kwezidakamizwa zesishukela noma amadivaysi ukusiza ukwandisa umsebenzi wezinzwa nezisisindo esikhwameni se-neurogenic.
- Ukwelashwa kwemithi kungenziwa ngokuqondile emisipha elawula isilonda ezimweni ezithile ze-vestiva neurogenic.
- Ukuqeqeshwa kwesibindi ngokusebenzisa ukwelashwa ngokomzimba noma ukwelapha emsebenzini
- Ukusebenzisa i- catheter ukuze ungenalutho isirabhu : I-catheter iyishubhu enjenge-straw kunokuba ingeniswe kwisilonda ukuze kuvunyelwe umchamo. Le ndlela isebenza kuphela ngaphansi kwezimo ezithile zokugcina umchamo, futhi uzonikezwa imiyalo evela kuchwepheshe wezokunakekelwa kwezempilo uze uzizwe ulungele ukusebenzisa le ndlela ngokwakho.
- Ukuguqula indlela yokuphila kungakusiza ukuba ubhekane nalezi zimpawu, kodwa akukwazi ukuphulukisa izinkinga. Ukuguqula indlela yokuphila kuhlanganisa ukugqoka i-pad noma i-diaper, ukuvuthwa ngesimiso sokugwema ukumangala, nokugwema iziphuzo kanye nemithi ephuza noma ephethe umphumela (ukugqugquzela ukulahlekelwa ngokweqile komzimba emzimbeni).
Izimbangela Ze-Neurogenic Isinye
Kunezimbangela eziningi ze-vestiva neurogenic. Lezi zimo eziyinkimbinkimbi zezinzwa eziveza izimpawu eziningana ngaphandle kwesinye isibeletho se-neurogenic. Lezi zimo aziboni ngaso sonke isikhathi isirabhu ye-neurogenic, ngoba kungenzeka noma ingabandakanyi izinzwa ezihlotshaniswa nokulawula kwesinye. Isivame kakhulu sezimbangela zesibindi se-neurogenic zihlanganisa:
- Multiple sclerosis
- Isibungu
- Ukulimala kwesihlungu
- I-neuropathy
- I-Dementia
- I-Cancer
Indlela lezi zimiso ezibangela isirabhu se-neurogenic ngokuphazamisa umsebenzi wezinzwa ezilawula isisindo. Isikhwama ngokwawo yisigxobo se-muscular esithinta udoti lomzimba oluthile ngemuva kokuba luhlungiwe ezinso.
Ngokuvamile, isisindo sinamanzi amaningi kuze kube lula ukuvuthwa, bese imisipha yesikhumba ikhiphe ngokuzithandela ukukhipha umchamo emzimbeni (lokhu kuhanjiswa). Kukhona izinzwa ezenza 'kusebenze' imisipha yesisu ukuqala, ukumisa noma ukubamba umchamo, kuye ngokuthi isimo kanye nezinhloso zakho.
Isibilini se-neurogenic senzeke lapho izinzwa ezilawula ukuvuthwa ngokuzithandela kanye / noma ngokuzikhethela 'ukuzibamba' azikwazi ukugcina lokhu kulawulwa kokubamba emceni noma ukukhulula umchamo ngesikhathi esikahle kakhulu.
Izwi elivela
Isibilini se-Neurogenic singaba umphumela ongathandeki wezimo eziningana zezokwelapha. Ngaphandle kokuhlazeka nokungahambi kahle okuhambisana nokuntuleka kokulawulwa kwesisu, isisu sangomzimba singabangela nezinkinga ezengeziwe zezempilo, ezifana nezifo kanye nezilonda.
Kunezindlela eziphumelelayo zokuphatha isambatho se-neurogenic ukuze ukwazi ukuhola ukuphila okukhiqizayo ngokuphazamiseka okuncane kokungasebenzi kwakho kwesinye isikhathi ngangokunokwenzeka. Ithimba lakho lezokwelapha lingakunikela ezinsizakalo ezingcono kakhulu zokuphatha impilo yakho nge-vestiva neurogenic.
Njengoba ungadinga ukulungiswa kwendlela yokuphila kanye nokwelashwa kwezokwelapha, kubalulekile ukugcina uxhumano nethimba lakho lezokwelapha nokulandela eduze ukuze uzuze ohlelweni olungcono lokunakekelwa olutholakalayo kuwe.
> Imithombo:
> Ukwenzeka Okuzayo Ukwelashwa Kwemithi Ye-Bladder Dysfunction, Andersson KE, Basic Clinic Pharmacol Toxicol. 2016 Okthoba; 119 Ukusekela 3: 75-8