Zviratidzo zvinogona kukanganisa utano hurefu kwenguva refu uye hupenyu hwehupenyu
Chirwere chisingaiti chinogona kunge chimwe chezviratidzo zve multiple multiple sclerosis (MS) iwe unogona kunge usina kukwanisa kugovana neshamwari kana mhuri. Pashure pezvose, chinhu chimwe chekunyunyutira pamusoro pemarwadzo emutsara kana matambudziko ekuona ; ndechimwe kuti ukurukure urinary incontinence kana kunzwa sokuti iwe unofanira kuenda nguva dzose.
Sezvo zvinogumbura sezvinoita zviratidzo zvingave kwauri, zvakakosha kuti usazvidza.
Kune mishonga yakawanda yemishonga inowanikwa nhasi iyo inogona kuvandudza urinary work, asi kudya kwakadzika uye mararamiro "kugadzirisa" kunogona kukubatsira kuti uite zviri nani kutarisa zviratidzo zvako, kazhinji uine kunyanya kushungurudzika kana kusimba muupenyu hwako.
Overview
Chirwere chisina kumira chinoitika munenge 80 muzana yevanhu vanogara neMS. Uyezve, kusvika kuzana 96 muzana avo vane chirwere ichi kwemakore anodarika gumi vachawana zvinetso zvekuvhota semugumisiro wemamiriro avo.
Multiple sclerosis inoratidzika nemusana wekuzvidzivirira wemusununguko usina kukanganisa unokonzera kukanganisa kuvharidzirwa kwekuchengetedza kwemasero emasero (anozivikanwa seyangu myelin sheath ). Izvi zvinokonzera kuumbwa kwezvipembenene muuropi uye / kana musipinha wepelinha iyo, zvakare, inovhiringidza mafungiro emagunha anodzora kufamba, maonero, manzwiro, maitiro anofungidzirwa, uye mabasa emuviri sekuita sora.
Zvinokonzera
Kusvibiswa kusina kushanda mu MS kunowanikwa apo magetsi emagetsi uye chivini chemhino sphincter inonoka kana kuvhiringidzika nezvipembenene zvinowedzera pamutsipa wepelinha.
Kusagadzikana kunogona kuitika nokuda kwezvikonzero zvitatu:
- Chipembenene chinopisa, zvichiita kuti zvive zvisingakwanisi kubata urini.
- Iyo sphincter inopisa, ichidzivirira chikwereti kubva pakubvisa zvachose.
- Chipembenene chinopisa uye hachikwanisi kubvumirana, zvichiita kuti urine kuchengetedza.
Zviratidzo nezviratidzo
Zviratidzo zvekuvhiringidzika kwebhanyi zvinogona kusiyana nekukura uye nzvimbo yezvipembenene.
Mune zvimwe zviitiko, zviratidzo zvichave zvinyoro uye zvishoma. Mune vamwe, vanogona kunge vari kuramba vachiwedzera. Iyo urinary zviratidzo zvinogona kutsanangurwa mune imwe yenzira ina:
- Kuverenga kuri kukanganisa mukugunzva apo iwe unonzwa kudiwa. Kune vamwe, zvinogona kutora nguva yakareba kutanga apo vamwe vasingagoni kuchengetedza nguva dzose.
- Kukurumidzira ihwo hunoerekana huchida, hunodiwa kuti urinate pamwe chete nekumhanya kusinganzwisisiki mukuzara.
- Kakawanda ndiko kukosha kwekutsvaga kakawanda kupfuura nguva. Izvi zvinowanzoitika usiku, zvichikonzera kushungurudzika kwehope.
- Incontinence ndiko kwausingakwanisi kudzora urinary basa.
Kana kusvibiswa kwebhanyi kusara kusatenderwa, kunogona kukonzera kukuvadzwa kwekusingaperi pamugwagwa weuginisi. Matombo eUriary uye zvirwere zvekuvhenekera (UTIs) zvinowanzokura kana chirwere chisingawaniki. Kuora kwechirwere kunogona kutungamirirawo kune dzimwe nzvimbo dzepachirwere zvirwere. Mumatambudziko akaoma, inogona kuuraya urosepsis inogona kukura kana chirwere chekuvhenekera chichipararira muropa.
Sezvo kushungurudzika kunokonzerwa nekusvibiswa kwechibvina pamusana pemuviri wepfungwa nemararamiro. Hazvishamisi kuti vanhu vane chinetso chekudzora chiropa chega kuti vazviparadzanise pachavo kana kuti vadzivirire maitiro avo ezuva nezuva, kazhinji kuwedzera kune mutoro wekuora mwoyo kunowanzoonekwa kune vanhu vane MS.
Kuziva
Paanoongorora kubwinya kwekasa, vanachiremba vanowanzotanga nekuongorora maTI. Kana rakanaka, mushonga unorwisa mabhakitiriya ucharehwa. Kana zvisingaiti, mamwe maedzo (anonzi urodynamic tsananguro) aizoitwa kuti aongorore kuti chidimbu uye urethra vari kuita sei basa ravo rekuchengetedza uye kusunungura urini.
Chirongwa che urodynamic chinotora mushure maminitsi makumi matatu kuti chiite uye chinosanganisira kushandiswa kwekateti kaduku kuzadza chifukidzo uye zvinyorwa zvinyorwa.
Treatment Options
Sezvo kushungurudzika sekusvibiswa kwekwesha kunogona kuitika dzimwe nguva, zviratidzo zvekuvhenekera zvinowanzogadziriswa kubudirira nemishonga, mararamiro ekuchinja mararamiro, uye mamwe marapirwo.
Mimwe yemishonga inowanzozivikanwa inosanganisira:
- Kuvatachiona vane chirwere chepasipira : Chirwere chinoputika, zvakadai se Ditropan (oxybutynin), Detrol (tolterodine), Enablex (darefenasin), Toviaz (fesoterodine), Vesicare (solifenacin), Sanctura (trospium chloride) uye Myrbetriq (mirabegron).
- Kune varwere vane chirwere chinopfurikidza chechirwere sphincter: Alpha-adrenergic blocking agents, akadai seFlomax (tamsulosin), Uroxatral (alfuzolin), Cardura (doxazosin) uye Rapaflo (silodosin), anoshandiswa kukurudzira urini kupenya kuburikidza ne sphincter. Mukuwedzera, mishonga yeAntispastic, yakadai seLioresal (baclofen) uye Zanaflex (tizanidine), inogona kushandiswa kusunungura musana we sphincter.
- Kune varwere vane bladder ye flaccid: Inopementent self-catheterization, iyo ine tsvina yakaoma inopindirwa muchikwereti kuitira kuti zvive nani kuti zvibvumire kubvumira.
Mamwe maitiro ekurapa anosanganisira maitiro ekurapa anodzidzisa vanhu nzira yekugadzirisa kudya kwehutachiwana nekugadzirira kuronga urination pamba pamba, kubasa, kana kusangana nevanhu.
Zvirongwa zvekudya zvinosanganisira kuvharirwa kwea caffeine, doro, uye jisi rearangi (iyo yekupedzisira iyo inokurudzira kubhakera kukura) uye kushandiswa kwemvura yakakura kana kuti mahwendefa (izvo zvinoita kuti bhakitiriya ikure).
Mamwe maitiro akaoma angada kubvunzurudza, kusanganisira kuisa magetsi, kunonzi InterStim, iyo inokurudzira mishonga ye sacral uye inobatsira kubata chirwere chinopedza simba. Botox inogona kushandiswawo kubata chirwere chinoputika.
> Sources
> National Multiple Sclerosis Society. " Urinary Function uye MS ." New York City; 2016.
> Williams, D. "Kutungamirirwa kwechirwere chisingawaniki mune varwere vane multiple sclerosis." Nursing Stan. 2012; 26 (25): 39-46.