Zvinowanzoitika muUriin uye Chirapa neChipinson's Disease
Kana uine chirwere chePasinson , iwe ungazopedzisira uchitarisana nezvinetso zvekuvhenekera-zvidzidzo zvinoratidza kuti kunetseka kwekurota kunowanzoonekwa pane zvimwe zviratidzo zvePasinson. Sezvo urinary zviratidzo zvinogona kutungamirira kune dzimwe matambudziko, zvakadai sokuvhiringidzika kurara uye kupindira nemagariro evanhu, zvinokosha kuti uzive nezvezvinetso izvi uye udzidze zvingaitwa kuti ubatsire.
Kuwanda
Apo Parkinson yako inowedzera kuipa, dambudziko rako rekuve nehutano hwekuvhenekera huchawedzera. Kakawanda, kusvika 39 kubva muzana yevanhu vane chirwere chePasinson vanoona dzimwe nenyaya nehutano hwavo. Nenzira yakanaka, njodzi yako yekunze urinary incontinence ishoma-inenge inenge 15 kubva muzana.
Nighttime Urination (Nocturia)
Nechiito chikuru chekuvhenekera kune avo vane chirwere chePasinson, chinokanganisa makumi matanhatu kubva muzana yevanhu (pamwe chete nevamwe vanhu vazhinji vari muzera rimwechete) ndicho chikonzero chekudzoka usiku, inonziwo nocturia . Ichi chiratidzo, zvakare, chinogona kuva nezvikonzero zvakasiyana-siyana zvakasiyana uye zviratidzo nehosha yaPasinson.
Urge Incontinence
Chimwe chinotevera chinetso chekuvhota ndeyekuda kuenda kakawanda-kune vamwe vanhu, kakawanda. Izvi zvinoita kuti zviitike nokuti zviratidzo zvemashupakati pakati pechifuva chako uye uropi hwako huri kuitika zvakanaka.
Ichi chinodiwa kuti urinate kazhinji chinogona kukonzera mhando dzose dzekuvhiringidza.
Imwe yezvinotambudza zvakanyanya isingaiti, iyo inogona kuitika kana iwe uchinzwa sokuti iwe haugone kumirira kuti usvike muimba yekushambidzira uye kukurumidza kukurumidza kurinate kunoteverwa nekubvisa kusina kuchena kwechidimbu. Zviri pachena, izvi zvinogona kunyadzisa.
Kurudzira incontinence inogona kuitika kamwe-kamwe masikati, kana kuti kuita kuti usiku hurumidze kumuka kana kumarara-mubhedha.
Inogona kunonoka nemvura yekunwa, kana kunyanya, kunzwa mvura inopinda muimba yekugezera kana mukicheni.
Kune mhando dzakasiyana dzemishonga inogona kubatsira kugadzirisa dambudziko iri rekuda kuenda kakawanda. Kana uri nechinetso ichi, taura nachiremba wako nezvazvo kuitira kuti anogona kukubatsira kuti uchitarise.
Kurara Matambudziko
Imwe dambudziko nekudzoka nguva dzose muPalinson's disease ndeyokuti inokanganisa kurara kwako. Hazvina maturo kutaura, vanhu vane Parkinson vane zvinokwana zvinokonzerwa nehope asi vasingasimuki uye kuenda kumabhedha maawa akawanda!
Saka chii chaungaita pamusoro pekuda kwekuenda kazhinji usiku? Vanazhinji vanachiremba vanokurudzira kuderedza manheru enyu emvura kudya uye kubvisa chifuva chako pakarepo vasati vaenda kunorara. Kugadzirisa kurara pamubhedha kuitira kuti kana iwe uchida kuenda usiku iwe unofanirwa kuitei kugara kana kumira pedyo nemubhedha kunogona kubatsirawo. Pakupedzisira, iwe unogona kutarisa kushandiswa mukati mejasi sezvinonzi Kunotarisira usiku kuti usapinda maitiro akawanda kuimba yekugezera.
Chirwere chisina kukwana Kubuda
Chirwere chePalinson chinogonawo kuita kuti zvive zvakaoma kuti iwe urege kubvisa chidimbu chako zvachose. Izvi zvinoitika zvishoma pane zvinodiwa kuti urinate kakawanda, asi ichiri kukanganisa vanhu vazhinji vane Parkinson's.
Mishonga yako ndiyo inokonzera dambudziko iri. Paunenge uchibhururuka, unosunungura mamwe masumbu, uye Parkinson's inogona kuita kuti zvive zvakaoma iwe kuti udzikinure misungo iyi. Dzimwe nguva, zvinotora nguva yakareba kuti ugare wakasununguka kuti uende, vanhu vangave vasina kugara muimba yekushambidza kwenguva yakareba kuti varege kubvisa zvipfeko zvavo.
Zvinosuruvarisa, mishonga haisi nguva dzose inobatsira uye isina kukwana bladder kubuda muhosha yePasinson, kunyange zvazvo Urecholine yemishonga (zita rinowanzoreva: bethanechol) kana zvimwe zvinodhaka zvinoshandiswa mukurapa urinary kuchengetedza zvinogona kuita kusiyana.
Vamwe vanhu vane kugadziriswa kwekuvhenekera vanofanira kushandisa makateti ekuvhenekera kuti vasvike mavhiri avo.
Kana izvi zviri izvo kwauri, chiremba wako anogona kukurayiridza kuti ungashandisa sei katheter.
Treatment Options
Mishonga chaiyo yekuvhenekera urinary mu chirwere chePasinson inobva kune nzira dziri pasi. Zvimwe zvingasarudzwa (zvichienderana nechinokonzera nekugadzirisa) zvinosanganisira:
- Mishonga - Zvinodhaka, kunyanya antimuscarinic zvinodhaka zvakadai semukuru weDrug Ditropan (oxybutyrin) inogona kubatsira kune vamwe vanhu, asi kunetseka nekushandisa mishonga yemakiratidzo zviratidzo nehosha yaPasinson ndeyekuti akawanda emishonga iyi anogona kukuvadza zvimwe zviratidzo.
- Chidzara kudzidzisa
- Botulinum toxin yakaiswa mucheka
- Catheters
- Miitiro yekuchengetedza yakadai seyakanaka pamubhedha wepamubhedha uye Inotenderera.
Pasi Pasi Pamusoro pezviratidzo zveUriin Nezvirwere zvePasinson
Zviratidzo zveUrinary zvakakosha zvikuru kuongorora kune avo vane chirwere chePasinson. Mune mamwe mazwi, haasi kungova nhamo chete. Inobatanidza nehupenyu hwehutano hunokonzerwa nechirwere, usiku hwekuzorora uye kukurudzira kusazvidzivirira kunogona kukonzera njodzi yekuwa, uye zvose zvinofamba pamwe zvinowira. Zvirwere zvatinazvo zvekuvhenekera zviratidzo zvingave zvinobudirira kune vamwe vanhu, asiwo vane mikana yekuwedzera humwe zviratidzo zvehosha yaPasinson. Kana uri kurarama nechirwere ichi, funga kubvunza kubvunzurudza neurosi inonzi urologist inonyanya kurapa urinary zviratidzo kune avo vari kurarama nehosha yaPasinson.
Sources:
McDonald, C., Winge, K., uye D. Burn. Nzira dzezasi dzeUrinary Zviratidzo muMurwere waPasinson: Kuwanda, Aetiology, uye Management. Parkinsonism uye Matambudziko Akasiyana . 2016 Nov 1. (Epub mberi kwekudhinda).
Sakakibara, R., Panicker, J., Finazzi-Agro, E. et al. A Nhungamiro yekutungamirirwa kwechirwere chisina kumira muPalinson's and Other Gait Disorders. Neurourology uye Urodynamics . 2016. 35 (5): 551-63.
Yeo, L., Singh, R., Gundeti, M., Barua, J., uye J. Masood. Urinary Tract Kusagadzikana muzvirwere zvePasinson: Kuongorora. International Urology uye Nephrology . 2012. 44 (2): 415-24.