Kana iwe wakanga uine dambudziko nekudzora bladder, iwe uri kutarisana nemamiriro ezvinhu anogona kunetseka kuti ugare nawo. Asi iwe unofanirwa kuziva kuti pane zvingasarudzwa uye nzira dzinogona kukubatsira kuti uwedzere kutonga kwako pamusoro pokudzora kwako.
Kune marudzi akasiyana-siyana akasiyana-siyana ekugadzirisa zvinetso zvekuvira. Imwe yeiyi inonzi neurogenic bladder, iyo inoreva kuti chinokonzera kukanganisika kwako kunobatana nemishonga inodzora chidimbu chako.
Symptoms of Neurogenic Bladder
Zviratidzo zvehutachiona hweeurogenic zvinosanganisira matambudziko akasiyana-siyana ekudhonza, zvimwe zvingangoita sezviri kupesana nemumwe. Kakawanda, chirwere chinonzi neurogenic chinokonzera kukanganisa kusingabatsiri pamwe nekushaya kukwanisa kuzvidira. Vanhu vazhinji vane chirwere chinoputika neurogenic vanoona kusangana kwezvinetso izvi.
Neurogenic bladder inogona kuratidza sechinhu chiduku kana chakakomba urinary incontinence (kurasikirwa kwechirwere chetachiona) pamwe nekunyoroka kana kunyanyisa kuchengetedza urin (kusakwanisa kusunungura urini). Zviratidzo zvinozivikanwa zvechirwere chepurojeni zvinosanganisira chero kusanganiswa kweizvi:
- Kunzwa chido chokuramba kakawanda
- Kununura huwandu hudiki rwemuti nguva dzose kana uchienda kuchimbudzi
- Kusvetuka kwemuti musingazvioni
- Kusvetuka kwemuti usina kukwanisa kuimisa
- Izvo zvinokurumidza kukurudzira kubata, nechinguva chiduku kana kwete
- Haikwanise kutanga rukova rwemuti
- Haikwanisi kubvisa zvachose bladder
- Kushamisa, kusanzwisisika kana kunzwa kunorwadza munharaunda yepasi
Migumisiro yeNeurogenic Bladder
Incontinence uye kuchengetedza urinary zvinogona kukonzera matambudziko akasiyana-siyana uye kazhinji migumisiro isingafadzi:
Migumisiro yekudzivirira (kubvisa urinary):
- Zvokupfekedza nguo
- Hazvina kunaka kunhuhwirira kubva mumugodhi kubuda
- Kushatirwa kweganda kubva mumuti kunokonzera
- Zvironda paganda zvinogona kurwadza uye zvinogona kutapukirwa
- Unpredictability yekukurudzira urinary
- Embarrassment nemhaka yekudonha maduku maduku kana akawandisa emuti kana kune vamwe vanhu
Migumisiro yekuchengetedza urin (kubvisa chiganda):
- Kusagadzikana mumuviri
- Masurupa emimba kana kushanda
- Urinary tract infection-iyi inoguma kubva mumurini yakasara mubakoti kwenguva refu, iyo inogona kubvumira mabhakitiriya anotapukira kuti abudirire. Chirwere chekuvhiringidza chinowanzoda kurapwa nemishonga yemishonga yemishonga.
Kuongororwa kweNeurogenic Bladder
Chiremba wako anogona kuongorora neurogenic bladder inonyanya kuitika munhoroondo yako yezviratidzo. Dzimwe nguva, kuongorora kwemuti kana kuenderera mberi nekuedzwa kwebasa rako rinogona kudiwa.
Pane zvimwe zvinokonzera kusava nekunyanya kwekuvhenekera kunze kwechirwere cheropa, saka iwe unogona kuva nechimwe chikonzero chezviratidzo zvako kunze kweeurogenic bladder iyo inoda kubatwa zvichienderana nezvingave. Ichi ndicho chikonzero zvakakosha kutaura nachiremba wako uye kuwana chirongwa chakakodzera chekurapa kwakanyanya.
Kurapa kweNeurogenic Bladder
Kune mishonga yakasiyana-siyana inobatsira yetsuro yeurovheni. Kurapa uye kuporesa kutarisira chirwere cheropa neurogenic kwakaoma uye kazhinji kunoda boka rechiremba nevarapi.
Dzimwe nguva, iwe unogona kuve nekubatanidzwa kwezvirwere zvakasiyana-siyana kana iwe ungada kuve nemishonga yako kana chirwere chinogadziriswa sezvaunenge watanga pakurapwa. Zvirwere zvakasiyana-siyana zvehutachiona hwechiropa zvinosanganisira:
- Kurapa kwechikonzero chinokonzera neurogenic bladder (multiple sclerosis, neuropathy, nezvimwewo)
- Mishonga yekudzora mishonga yemahara. Mimwe yemhando dzakasiyana dzemishonga inosanganisira: Estrogen therapy, Imipramine, Amitriptyline, Oxybutynin, Tolterodine, Fesoterodine, Trospium, Darifenacin, Solifenacin, Mirabegron. Iyi mishonga inoshanda pamisungo kana mutsara kukubatsira kuti uwanezve mamwe masimba ekugadzirisa.
- Kushandisa kurapwa kunosanganisira kugadziriswa kwemashubu anokurudzira kana zviyero kuti zvibatsire kugadzirisa mitsetse uye musuru inoshanda muurovheti yeurostenic.
- Injections yemishonga inogona kugadziriswa zvakananga mumisumbu inodzora chirwere mune dzimwe mamiriro ezvinhu eurostenic chiropa.
- Chidzara kudzidzisa kuburikidza nehutano hwepanyama kana chirwere chebasa
- Kushandisa catheter kuti urege kubvisa bladder : A catheter isati yakasvibirira shati kupfuura iyo inogona kuiswa muchechi kuitira kuti urini ibude. Iyi nzira inobatsira pane dzimwe mamiriro ekuchengetedza urinary, uye iwe uchapiwa mirayiridzo kubva kune unyanzvi hwehutano kusvikira iwe unonzwa wakagadzirira kushandisa nzira iyi iwe pachako.
- Lifestyle modification ingakubatsira kuti utsungirire zviratidzo, asi hazvigone kuporesa matambudziko. Maitiro ekuchinja mararamiro anosanganisira kuvhara padhi kana kuvhara, kurinha pane purogiramu yekudzivisa kushamisika, nekudzivisa zvinwiwa nemishonga iyo inenge yakasvibisa kana iyo inobata maitiro (kukurudzira kudarika kwechirwere chechirwere kubva mumuviri).
Zvinokonzera Neurogenic Bladder
Pane zvikonzero zvinokonzera neurogenic bladder. Izvi zvinowanzoitika mamiriro ezvinhu ehutano ane hutano anogadzira zviratidzo zvakasiyana zvakasiyana kunze kwechirwere chesurogenic. Aya mamiriro ezvinhu haasi nguva dzose anokonzera neurogenic bladder, nokuti inogona kana kuti isingasanganisi mishonga inobatanidzwa nekudzora shanje. Zvinonyanya kukonzera zvinokonzera neurogenic bladder zvinosanganisira:
- Multiple sclerosis
- Stroke
- Kukuvara kwepasipo
- Neuropathy
- Dementia
- Cancer
Nzira iyo mamiriro aya aya anoita kuti chirwere cheyeurogenic chisimbiswe nekupindira nebasa remitsipa inodzora chirwere. Iyo bhandi pachayo is muscle sac inobata tsvina yemuviri mushure mokunge inosvibiswa muitsvo.
Kazhinji, chirwere ichi chinokonzera muto wakakwana kusvikira zvichiita kuti urinate, uye mushure wechipfuva unopedza uchida kusunungura urinho kubva mumuviri (uku ndiko kunyura). Kune mishonga inobata 'mishonga yemukaka kuti itange, inomira kana kubata murudo, zvichienderana nemamiriro ezvinhu uye pamusoro pezvinangwa zvako.
Neurogenic bladder inowanikwa apo mishonga inodzora kudira nokuzvidira uye / kana kuzvipira 'kuibata' haikwanisi kuchengetedza izvi zvekuchengetedza mumuguta kana kusunungura urini panguva yakanakisisa.
Shoko Rinobva
Neurogenic bladder inogona kuva chigumbuso chisina kunaka chezvipatara zvakawanda zvehutano. Mukuwedzera pane kunyadziswa uye kusagadzikana kunosangana nekushayikwa kwechirwere chekudzora, chirwere cheshuga chinogona kukonzerawo zvimwe zvinetso zvehutano, zvakadai sezvirwere uye maronda.
Pane nzira dzakanakisisa dzokugadzirisa neurogenic bladder kuitira kuti iwe utange kutungamirira hupenyu hunogutsa nekusavhiringidzwa kuduku kwekubata kwako kushanda sezvinobvira. Bhii renyu rezvehutano rinogona kukuendesai kune zvakanakisisa zvishandiso zvekutarisira hupenyu hwako neurourogenic bladder.
Sezvo iwe uchida kuve nekugadzirisa mararamiro ehupenyu pamwe nekurapa kurapa, zvinokosha kuti urambe uchitarisana neboka rako rezvechiremba uye kuti uite zvekutevera zvakasimba kuitira kuti iwe unogona kubatsirwa kubva pane chirongwa chinotarirwa kurapwa chinowanikwa kwauri.
> Sources:
> Zvingangobvira Ramangwana Kurapa Kwechifuva Chisingaiti, Andersson KE, Basic Clin Pharmacol Toxicol. 2016 Oct; 119 Suppl 3: 75-8