Chigadziriswa kune avo vasingakwanisi kutora kana kuregererwa pamishonga
Zvinetso zvechirwere mu multiple sclerosis zvinowanzoitika, zvinokanganisa anenge 80 muzana yevanhu. Vanove nemigumisiro yezvokurapa uye yepfungwa zvakare, sezvo inogona kukonzera kukanganiswa kwehutachiona, zvinetso zveputsvo, kusurukirwa kwevanhu, uye kuderera kwekuzviremekedza uye / kana hutano hwehupenyu.
Mashoko akanaka ndeokuti kune nzira dzakakosha dzokugadzirisa izvi zvinotambudza uye zvisingafadzi zvechiratidzo cheMS.
Izvi zvinyorwa zvinosanganisira tsika dzetsika dzakadai semararamiro emararamiro uye mishonga, uyewo zvisati zvisiri zvemaitiro zvakadai seBotox injections .
Usati watarisa Botox sechirwere chezvinetso zvako zveSMS-zvine bladder , zvinonzwisisika kutanga kutora zvidzidzo zvekushandiswa kwechirwere uye kuti zvinokanganiswa sei neMS.
Chirwere Chine Utano
Mune munhu ane hutano, urini inofamba kubva pamutsvo kuenda kumabhandi kuburikidza nematope maviri anonzi ureters. Kana imwe svondo iri kutakura maawa mana kusvika masere emuti, inowedzera, ichikonzera mitsetse kutumira zviratidzo kumutsara wemusana (izvo zvino zvinoratidza uropi) kuti chidimbu chinoda kubvisa. Iyi ndiyo inokupa manzwiro aunoda kuti urinate.
Zvadaro, mushure mekunge uwana pokugeza, mutsara muuropi inotumira zviratidzo kumutsara wepelinha kuti utange voiding reflex. Munguva iyi inofungidzirwa, detrusor yako (bladder) musungo mikonti kana kuti inobvisa kusunungura urini kubva pachikanda.
Panguva imwecheteyo, yako yekunze mushure mutsvuku inoderedza kubvumira urini kuti ibude kubva muchirwere, kuburikidza neurethra, uye kunze kwemuviri.
Chirwere Chisingaiti mu Multiple Sclerosis
Mu multiple sclerosis, zvipembenene zvinokonzera mushupa zviratidzo muuropi uye musipinha inowanzochengetedza mutsara wemudumbu uye yekunze sphincter muscle.
Izvi zvinogona kutungamirira kumatambudziko matatu akasiyana-siyana emuhara:
- Chidzara kuchengetedza zvinetso
- Chirwere chekuvhara matambudziko
- Kusanganiswa kwebhanhire kuchengeta nekudzinga matambudziko
Chidzara Kuchengetedza Zvinetso (Chirwere Chisingaiti)
Mune vamwe vanhu vane MS, musungo wekudzivirira unogona kubvumirana (kana kupisa) kana usingatauriwo (kana chirwere chako chiri kutakura muto muduku) zvichiita kuti unzwe sokuti unoda kurinha nguva yose. Zviratidzo izvi zvinotumidzwa sekukurumidzira kwekuvhenekera uye nguva dzose. Iwe unogonawo kuona kuti iwe uri kumuka usiku kuti ushandise imba yekugezera, kana iwe unogona kurasikirwa nehuni-inonzi kukurudzira incontinence .
Chirwere Kubvisa Matambudziko (Chikwata Chakazara)
Mune vamwe, kuvhara mafungiro kunenge kusina simba saka chipfuva chinowedzera-chinowedzera pasina kuisa pfungwa kune uropi nemutsipa wepelinha iyo munhu inoda kukwezva. Izvi zvinogona kutungamirira mumuginha kuputika, kusazadza pakuita kuti urambe, kana kuti kurasikirwa kusina kudzora kwemuti kunonzi kuputika incontinence.
Kusanganiswa Kwechigadziro Chekuchengetedza uye Kutora Matambudziko
Kunyange zvakadaro vamwe vanhu vanoona kusanganiswa kwemhando mbiri dzezvinetso zvechirwere. Muchiitiko ichi, MS masvosve muuropi uye musipinha unokonzera kukanganisa kuwirirana pakati pemisumbu yezvinoputika uye kunze kwemitsipa yephincter, zvichiita kuti zvose zvibvumirane panguva imwechete.
Izvi zvinosunga musungo mumucheka unoita kuti urinary kukurumidzira (sezvinodiwa kuti urinate kamwe kamwe), kusazadza pakutanga kurinate, urini inoputika (vanhu vakawanda vanopfeka ganda rinopisa), kana kurasikirwa kwemuti.
Kurapa Kwemagariro kweKushanda Kunoita Zvakawanda Kana Kupararira muSMS
Kana iwe uine MS uye uine zviratidzo zvechirwere chinopfurikidza (kufanana nekukurumidza kukurudzirwa kuti urinate uye urinating nguva zhinji) nyanzvi yako yeuropeti inogona kutanga inokurudzira kupindira kwemararamiro uye remishonga inopikisa anticholinergic.
Nzira dzekugara dzakasiyana-siyana dzinosanganisira kukanganisa caffeine uye kushandisa doro nekudzivirira mvura kana mushure mokudya uye musati marara.
Nyanzvi yako yezveuropi inogonawo kukurudzira kuti vakadzi vanopfeka ganda rinopinza kana varume vanopfeka katheter kondomu kuti vadzivirire kunetseka kwekupi kurasikirwa kwemuti mukati mezuva kunze kwevanhu.
Anticholinergic mishonga yakadai seDeterrol (tolterodine) kana Vesicare (solifenacin succinate) inogona kubatsira mukuderedza zviratidzo zvekuvhenekera kwekuvhenekera, kukurumidza, uye kusava nehanya-kunyange zvingakonzera kusagadzikana migumisiro yakadai sekuvhara, kurara, nemuromo wakaoma. Usashamiswa kunyange kana uchifanira kuedza vaviri vasati vatowana mishonga inoshanda kwauri.
Imwe mishonga inonzi Myrbetriq (mirabegron) inoshanda nokudzikinura mushutu unopoteredza chikwata, uchiita kuti uwane huta huzhinji. Kutsvakurudza kunoratidza kuti inoshanda seanicholinergics mukuderedza urinary incontinence (kunze kwekusaita svondo seVesicare).
Kutsvakurudza kunoratidza kuti zvingave zviri nani kubvumira, sezvo zvisiri kukonzera muromo wakaoma, chinhu chikuru chinokonzera chikamu chemaitiro akawanda anticholinergics. Izvo zvinotaurwa, zvinowanzovhiringidza zveMyrbetriq zvinosanganisira misoro, zvirwere zvinotonhora, kuwedzerwa kweropa, uye urinary tract infection.
Botox May Ive Iro Nyaya Inotevera Kana Mishonga Isingashandisi
Kana iwe uchiramba uchinge uchinge uine zvinetso zvinosangana neWS pasinei nemishonga inonzi anticholinergic, nyanzvi yako yeurourogist inogona kukurudzira onabotulinumtoxin A (BOTOX) -kurapa kunogamuchirwa neUnited States Food and Drug Administration (FDA) mukurapa kusaderera kubva pachirwere chisingaiti.
Ko Botox Inoshanda Mukurapa Chirwere Chisingabatsiri muSMS?
Chidzidzo chikuru muEuropean Urology chakaongorora migumisiro yeBotox pakuderedza kusagadzikana kune vanhu vane chirwere chisina simba kubva kune MS kana musara wechipinha. Migumisiro yekudzidza yakawana kuti mushure memavhiki gumi nemaviri, vatori vechikamu vane MS vakabatwa neBotox vakawana urinary incontinence ka1,5 kashoma pazuva pazuva revatori veSMS avo vairapwa nejovo ye placebo.
Mukuwedzera, chidzidzo chacho chakawanawo kuti vatori vechikamu naMS vakabata BOTOX vakavhara anenge mamiriyoni 86 emubhadharo rimwe nerimwe kunze kwevatori vechikamu vaiva ne placebo.
Zvaunotarisira Panguva Yako Botox Injection
Chiremba wako anotanga kuongorora mukati memucheka wako uchishandisa cystoscope-tambo ine tsvina ine kamera pamagumo.
Chiremba achazoisa mushonga wekutsvaira panzvimbo dzakasiyana-siyana (zvinenge 30) neBotox, zvichiita kuti izorore. Izvi zvinobvumira chirwere ichi kuti chive nemuginha kuitira kuti musuru urege kubvumirana kana kutengesa nguva dzose, nokudaro kuderedza zviratidzo zvekukurumidzira kwekuvhota, nguva zhinji, nekushaya.
Izvo zvikamu zviviri zvakawandisa zvinowanzoitwa BOTOX ndezvi:
- urinary tract infection
- kuchengetedza urin muchando
Kuti udzivise hutachiona hwechirwere husati hwaitika semugumisiro wechirongwa chacho, chiremba wako anonyanya kupa mishonga inorwisa mabhakitiriya kutora, nguva, uye kwemazuva mashomanana mushure mokurapa BOTOX.
Uyewo, pamusana pengozi yekuchengetedzwa kwekuvhenekera mushure mekurapwa kweBotox, chiremba wako achada kuve nechokwadi kuti iwe wakasununguka kuita zvakachena mukati-kati kachenteri iwe usati waenda kurapwa, sezvo izvi zvinowanzoitika.
Ichokwadi, mumakiriniki akadzidza pamusoro apa muEuropean Urology, vanenge makumi matatu kubva muzana yevatori vechikamu vakanga vasati vafanotanga kuzvidzora pamberi peBotox (uye vazhinji vakanga vari vatori veSMS), vaida kuzvidzora kwekuvhara urinary mushure meBotox kurapwa .
Botox inotakurawo nyevero yebhokisi inogona kukonzera kukanganisa, kunyange kuisa mungozi yemigumisiro yakaoma sezvinetso kumedza, kutaura, kana kufema nekuda kwekuderera kwemisumbu. Izvozvo zvinogona kupararira kune dzimwe nzvimbo dzomuviri uye zvinokonzera zviratidzo zvakakomba zviratidzo zvakadai sehutachiona husina simba kana maonero ekuona. Kunyange zvazvo zvisingawanzoitiki, nyevero idzi dzinotsigira kukosha kwekukurukurirana kwakanyatsofungisisa nachiremba wako usati wapinda muBotox.
Shoko Rinobva
Zvinetso zveUriin muSMS zvakajairika, saka usanzwa uchinetseka kana kunyara kutaura navo nechiremba wako. Mashoko akanaka ndeokuti kune mararamiro ehupenyu uye remishonga inogona kukubatsira kugadzirisa zviratidzo uye zvinogona kukanganisa-uye Botox inogonawo kusarudzo kana mamwe marapirwo asingashande.
> Sources:
> Allergan. (January 2016). Yakagamuchirwa neU.S. Food and Drug Administration. Mishonga Gwaro: Botox.
> Cruz F et al. Kubudirira uye Kuchengetedzwa kweOnototulinumtoxinA mune varwere Vane Urinary Incontinence Pamusana Neurogenic Detrusor Kusagadzikana: R randedzed, Double-Blind, Placebo-Controlled Trial. Eur Urol. 2011 Oct; 60 (4): 742-50.
> Maman K et al. Kuenzanisa Kubudirira uye Kuchengetedzwa Kwemishonga Zvokurapwa Kwekutungamirirwa Kwechirwere Chisinganyanyi Kuita: Kuongorora Kwemagadzirirwo Ezvinhu uye Kuenzaniswa Kwemagetsi Kuenzaniswa. Eur Urol . 2014 Apr; 65 (4): 755-65.
> National MS Society. (2016). Urinary Dysfunction uye MS .
> Weckx F, Tutolo M, De Ridder D, Van der Aa F. Basa reB Botulinum Toxin A Mukurapa Neurogenic Bladder. Shandura Androl Urol . 2016 Feb; 5 (1): 63-71.