Iimpawu zichaphazela impilo yexesha elide kunye nomgangatho wobomi
Isisindo somzimba sisinye sezibonakaliso ze- multiple sclerosis (MS) ubuncinci banokubelana nabangani okanye intsapho. Emva koko, kuyinto enye ukukhalaza ngeengxaki zentlungu okanye iingxaki zombono ; yinto enye ukuxoxa ngokungahambisani nokuvuthwa kwamanzi okanye ukuziva ngathi kufuneka uhambe lonke ixesha.
Njengoko kuphazamiseka njengokuba iimpawu ziba kuwe, kubalulekile ukuba ungayihoyi.
Kukho unyango oluninzi olusetyenziswayo namhlanje olunokuphucula umsebenzi we-urinary, ngoxa ukutya okulula kunye nokuphila "ukulungiswa" kunokukunceda ukuba uphathe kakuhle iimpawu zakho, ngokuqhelekileyo uxinzelelo olunzulu okanye impembelelo ebomini bakho.
Sibanzi
Ukungasebenzi kwe-Bladder kwenzeka okungenani kuma-80 ekhulwini kubantu abahlala ne-MS. Ngaphezu koko, ukuya kuma-96 ekhulwini abaye bafumana isifo kwiminyaka engaphezu kwe-10 baya kuba neengxaki ze-urinary ngenxa yesimo sabo.
I-Multiple sclerosis ibonakaliswa yimpendulo engavamile yokuzivikela komzimba eyenza umonakalo kwisigubungelo sokukhusela samaseli enyantya (esaziwa njenge- myelin sheath ). Lo monakalo ubangela ukubunjwa kwezilonda kwingqondo kunye / okanye intambo yomgogodla, oko kukuphazamisa iimpembelelo zentsholongwane ezilawula ukuhamba, umbono, iimvakalelo, iinkqubo zengcamango, kunye nemisebenzi yomzimba efana nokulawula i-bladder.
Izizathu
Ukungasebenzi kwe-Bladder kwi-MS kwenzeka xa izibonakaliso zombane kwi-bladder kunye ne-urinary sphincter zilibazisekile okanye ziphazamiswa zizilonda eziqhutyelwa kwintambo yomthambo.
Ukungasebenzi kungenzeka ngezizathu ezintathu:
- Isibhambiso sisisiphene, okwenza kube nzima ukwenza umchamo.
- I-sphincter i-spastic, inqanda ukuba i-bladder ingabikho ngokupheleleyo.
- I-bladder i-flaccid kwaye ayikwazi ukuthenga isivumelwano, ekhokelela ekugcineni umchamo.
Izimpawu kunye neMpawu
Iimpawu ze-bladder dysfunction zingahluka ngokuma kunye nendawo yezilonda.
Kwezinye iimeko, iimpawu ziya kuba zibala kwaye zihambe. Kwabanye, banokuphikelela kunye nokunyusa. Izimpawu ze-urinary zingachazwa ngenye yeendlela ezine:
- Ukulinganisa kukubunzima ekutshiseni xa uziva unesidingo . Kweminye, kungathatha ixesha elide ukuqala xa abanye bengakwazi ukugcina ukuhamba rhoqo.
- Ukuphuthuma kukufuneka ngokukhawuleza, kunesidingo sokukhupha ukuhamba kunye nokukhawuleza okungahambi kakuhle kwi-bladder.
- Ukuphindaphinda kuyimfuneko yokuchukumisa ngokuphindaphindiweyo kunokuqhelekileyo. Oku kwenzeka rhoqo ebusuku, kubangela ukuphazamiseka kokulala.
- I-Incontinence yilapho ungakwazi khona ukulawula umsebenzi we-urinary.
Ukuba ukungasebenzi kwe-bladder kushiywe kungakhange kulandelwe, kunokubangela ukuba umonakalo onogxininiso kwi-urinary tract. Amatye e-Urinary kunye nezifo zogcino (urIs) zihlala zikhula ukuba i-vestile ayikwazi ukuyikhupha. Ukuvuza okungapheliyo kunokukhokelela ekukhuselweni kwesikhumba. Kwiimeko ezinzima, i- urosepsis ebulalayo ingahlakulela ukuba usulelo lwe-urinary lusasazeka kwigazi.
Njengoko kuphazamiseka kukuba impembelelo ye-bladder disys function in peace of mind and lifestyle. Akuqhelekanga ukuba abantu abaneengxaki zokulawula i-bladder bazihlukanise okanye banqande indlela yabo yemihla ngemihla, ngokuphindaphindiweyo bongezelela umthwalo wokudakumba obonwa rhoqo kubantu abane-MS.
Ukuxilongwa
Xa uphando nge-bladder dysfunction, oogqirha baya kuqalisa ngokujonga i-UTIs. Ukuba ngaba unyango olufanelekileyo, unyango lwe-antibiotics luya kumiselwa. Ukuba akunjalo, ezinye iimvavanyo (ezaziwa ngokuba yi-urodynamic assessment) ziya kwenziwa ukuze zihlolwe indlela i-vestile kunye ne-urethra zenza umsebenzi wazo wokugcina nokukhupha umchamo.
Uvavanyo lwe-urodynamic luthatha malunga nemizuzu engama-30 ukwenza kwaye luquka ukusetyenziswa kwecatheter encinci ukuzalisa i-bladder kunye nokurekhoda imilinganiselo.
Izinyango Zonyango
Njengokuba kunzima ukuphazamiseka kwesinye sezibilini, izibonakaliso zokuvuthwa ziyakwazi ukulawulwa ngempumelelo ngemichiza, ukuguqulwa kokuphila, kunye nezinye iindlela zokwelapha.
Ezinye zeendlela eziqhelekileyo ziquka:
- Izigulane ezinezibilini ezinobuncwane: I- Bladder relaxants, njenge-Ditropan (oxybutynin), i-Detrol (tolterodine), i-Enablex (darefenasin), i-Toviaz (fesoterodine), i-Vesicare (solifenacin), i-Sanctura (i-trospium chloride) ne-Myrbetriq (i-mirabegron).
- Izigulane ezine-bladder sphincter: I- alpha-adrenergic blocking agents, ezifana ne-Flomax (tamsulosin), i-Uroxatral (alfuzolin), i-Cardura (doxazosin) ne-Rapaflo (i-silodosin), isetyenziselwa ukukhuthaza ukuhamba komchamo nge-sphincter. Ukongezelela, iziyobisi ze-antispastic, ezifana neLioresal (baclofen) kunye neZanaflex (tizanidine), zingasetyenziselwa ukukhulula umsila we-sphincter.
- Kwizigulane ezine-bladder ye-flaccid: I-self-catheterization engaphakathi, apho ibhubhe elincinci lifakwe kwi-bladder ukuze kube lula ukuvumela ukuchama.
Ezinye iindlela zokonyango ziquka iindlela zokuziphatha ezifundisa abantu ngendlela yokulawula ukuthambisa kwamanzi kunye nokucwangcisa ngokucwangcisa ukucocwa ngexesha lokufika ekhaya, emsebenzini, okanye intsebenziswano yentlalo.
Izicwangciso zezinto zokutya zibandakanya umda we-caffeine, utywala kunye nejusi ye-orange (ekugqibeleni okukhuthaza ukukhula kwebhakteria) kunye nokusetyenziswa kwejranberry okanye iipilisi (ezivimbela ukukhula kwebhaktheriya).
Iimeko ezinzima kakhulu zinokufuna iinkqubo zokuphanda, kuquka ukufakelwa kombane, okubizwa ngokuba ngu-InterStim, okukhuthaza i-sacral ne-bloodstration kwaye inceda ukuphatha isantya esingasebenzi. I-Botox ingasetyenziselwa ukunyanga ibhanti engasebenzi.
> Imithombo
> I-National Multiple Sclerosis Society. Umsebenzi we-Urinary kunye ne-MS . Kwisixeko saseNew York; 2016.
> Williams, D. "Ukulawulwa kwe-vestibheni ye-bladder i-dysfunction kwizigulane ezine-multiple sclerosis." Nursing Stan. 2012; 26 (25): 39-46.