Ukuba uye wabhekana neengxaki ngokulawulwa kwe-bladder, ngoko ujongene nemeko enokuba nzima ukuhlala nayo. Kodwa kufuneka ukwazi ukuba kukho iindlela kunye nezindlela ezingakunceda ukuphucula ukulawula kwakho ekuhambeni kwakho.
Kukho iintlobo ezahlukeneyo zeengxaki zokulawula i-bladder. Enye yale nto ibizwa ngokuba yi-neurogenic bladder, oku kuthetha ukuba imbangela yokuxhamla kwakho ingxaki ihambelana nemisipha elawula isisu sakho.
Iimpawu ze-Neurogenic Bladder
Iimpawu ze-neurogenic bladder ziquka iingxaki ezahlukeneyo zokungcungcutheka, ezinye zazo ezinokubonakala ziphikisana. Ngokuqhelekileyo, i-neurogenic bladder ibangela ukucuthwa ngokungathintekiyo kunye nokungakwazi ukuvota ngokuzithandela. Abantu abaninzi abane-neurogenic bladder badibene kunye nale ngxaki.
I-neurogenic bladder ingabonakalisa njengobuncinane okanye ubunzima bokungabikho kokuvuthwa kwamanzi (ukulahleka kwe-bladder control) kunye nokugcinwa kwamanzi okuncinci okanye okugqithiseleyo (ukungakwazi ukukhupha umchamo). Izimpawu eziqhelekileyo ze-neurogenic bladder ziquka nayiphi na inhlanganisela yale ilandelayo:
- Uvakalelwa ukukhupha rhoqo
- Ukukhulula kuphela amancinci amancinci rhoqo xa uya endlini yangasese
- Ukuhamba umchamo ngaphandle kokuqaphela
- Ukuhamba umchamo ngaphandle kokukwazi ukuwuyeka
- Ukukhawuleza ukuba unyuke, ngaphandle kwesilumkiso esincinci
- Ayikwazi ukuqala umlambo womchamo
- Ayikwazi ukukhupha ngokupheleleyo isilwanyana
- Ukungaqhelekanga, ukungakhathazeki okanye ukuvalelwa kwintlungu engaphantsi
Iziphumo ze-Neurogenic Bladder
Ukunyuka kwe-incontinence kunye nokugcinwa kwamanzi kungabangela iintlobo ezahlukeneyo zeengxaki kunye nemiphumo engavumelekanga:
Iimpembelelo zokungahlambuluki (ukukhwela kwamanzi):
- Iimpahla ezimanzi
- Iphunga elingathandekiyo ukusuka kumanzi okuvuza
- Ukucaphukisa isikhumba emanzini okuvuza
- Izilonda ekhumbeni ezinokuba zibuhlungu kwaye zinokusuleleka
- Ukungaqiniseki kokubongozwa kweemvino
- Ukuthungatheka ngenxa yokukhupha umncinci okanye umkhulu wamanzi xa ujikeleze nabanye abantu
Iimpembelelo zokugcinwa kwamanzi (ukugcinwa kwe-bladder):
- Ukungahambi kakuhle
- Intlungu yesisu okanye uxinzelelo
- Usulelo lwe-Urinary tract-oku kubangelwa umchamo osele kwi-bladder ixesha elide, okungavumela ukuba iibhaktheriya ezithatheleneyo ziphumelele. Usulelo lwezonyango lwamanzi luhlala lufuna unyango ngamachiza omzimba.
Ukuxilongwa kwe-Neurogenic Bladder
Ugqirha wakho unokufumanisa i-neurogenic bladder ngokusekelwe kwimbali yakho yempawu. Ngamanye amaxesha, ukuhlaziywa komchamo okanye ukuvavanywa komsebenzi wakho wesisu kunokufuneka.
Kukho ezinye izizathu zokungahambisani nokugcwala kwamanzi ngaphandle kwe-neurogenic bladder, ngoko unokuba nesinye sezizathu zeempawu zakho ngaphandle kwe-neurogenic bladder efuna ukunyangwa ngokuxhomekeke kwinto enokwenzeka. Yingakho kubalulekile ukuthetha nodokotela wakho kwaye ufumane ukuxilongwa okufanelekileyo kwonyango efanelekileyo.
Unyango lwe-Neurogenic Bladder
Kukho unyango oluninzi lwe-neurogenic bladder. Ukulawulwa kwezonyango kunye nokugqitywa kwe-neurogenic bladder kuyinkimbinkimbi kwaye idla ngokufuna iqela loogqirha kunye nabagqirha.
Ngamanye amaxesha, unokudinga ukudibanisa unyango oluhlukeneyo okanye unokufuna ukuba unyango lwakho okanye unyango lulungiswe njengoko uqala ukunyango. Izindlela ezahlukeneyo zokwenza i-neurogenic bladder ziquka:
- Ukunyangwa kwesibangeleko se-neurogenic bladder (multiple sclerosis, neuropathy, njl)
- Imithi yokulawula izihlunu zesisu. Ezinye zeentlobo ezahlukeneyo zamachiza zibandakanya: Utyando lwe-Estrogen, Imipramine, i-Amitriptyline, i-Oxybutynin, iTolterodine, i-Fesoterodine, i-Trospium, iDarifenacin, i-Solifenacin, i-Mirabegron. Ezi zonyango zisebenza kwiimisipha okanye imisipha ukukunceda ukuba uphinde uphinde ulawulwe inkqubo yokucoca.
- Unyango oluphandwayo lubandakanya ukubekwa kwabagqugquzeli beentsholongwane okanye izixhobo zokunceda ukwandisa umsebenzi wesibindi kunye nesisipha kwi-neurogenic bladder.
- Izigulane zamachiza zinokulawulwa ngqo kwiimisipha ezilawula i-vestile kwiimeko ezithile ze-neurogenic bladder.
- Uqeqesho lwe-Bladder ngokusebenzisa unyango lomzimba okanye unyango lomsebenzi
- Ukusebenzisa i- catheter ukuyikhupha isilwanyana : I-catheter yimboyi enjenge-straw ngaphandle kokuba ingeniswa kwi-vestile ukuze ivumele umchamo uqhube. Le ndlela iluncedo kuphela phantsi kweemeko ezithile zokugcinwa kwamanzi, kwaye uya kunikwa imiyalelo evela kwi-professional carecare professional uze uzive ulungele ukusebenzisa le ndlela ngokwakho.
- Indlela yokuphila yokuguqula ingakunceda ukujamelana neempawu, kodwa ayikwazi ukuphilisa iingxaki. Ukuguqulwa kwendlela yokuphila kuquka ukugqoka ipasti okanye i-diaper, ukucima kwishedyuli yokuphepha ukuxakeka, kunye nokuphepha iziphuzo kunye neyeza ezinokuthi zidibanise okanye zinefuthe ledayuretic (ukukhuthaza ukulahlekelwa komzimba okweqile).
Izizathu ze-Neurogenic Bladder
Kukho izimbangela ezininzi ze-neurogenic bladder. Ezi ziqhelekileyo ziimeko ezinengqondo ezivelisa iimpawu ezahlukahlukeneyo ngaphandle kwe-neurogenic bladder. Le miqathango ayisoloko ibangela i-neurogenic bladder, kuba iyakwazi okanye ingabandakanyi iimbilini ezinxulumene nokulawulwa kwe-bladder. Into eqhelekileyo yezizathu ze-neurogenic bladder ziquka:
- Isifo sokugubhuka
- Stroke
- Ukulimala kancinci
- Neuropathy
- Dementia
- Cancer
Indlela le miqathango ibangela i-neurogenic bladder ngokuphazamisana nomsebenzi weentsholongwane ezilawula i-bladder. Isibhambiso ngokwaso sisigxoba se-muscular esithatha inkunkuma yomzimba emva kokuba ihlanjwe ezintso.
Ngokuqhelekileyo, i-vestile ibamba inani elifanelekileyo lomchamo kuze kube lula ukuvuthwa, kwaye emva koko umsizi wesisu uhluma ngokuzithandela ukukhulula umchamo emzimbeni (oku kuhamba). Kukho izibilini 'ezisebenzayo' izihlunu zebladder ukuqala, ukuyeka okanye ubambe umchamo, kuxhomekeke kwimeko kunye neenjongo zakho.
I-neurogenic bladder iyenzeka xa iimbilini ezilawula ukuvota ngokuzithandela kunye / okanye ngokuzithandela 'ukuzibamba' azikwazi ukugcina lo mlawuli wokubamba umchamo okanye ukukhulula umchamo ngexesha elihle kakhulu.
ILizwi
I-neurogenic bladder ingaba yiphumo elingathandekiyo kwiimeko ezininzi zezokwelapha. Ukongeza kwintloni kunye nokungahambi kakuhle okubangelwa ukungabikho kolawulo lwe-bladder, i-neurogenic bladder ingabangela iingxaki ezongezelelweyo zempilo, ezifana nezifo kunye nezilonda.
Kukho iindlela ezisebenzayo zokulawula i-neurogenic bladder ukuze ukwazi ukukholisa ubomi obunemveliso kunye nokuphazamiseka okuncinci kwentsholongwane yakho yokusebenza njengokuba kunokwenzeka. Iqela lakho lezokwelapha linokukukhokelela kwiindlela ezifanelekileyo zokulawula ubomi bakho nge-neurogenic bladder.
Ekubeni ungadinga ukulungiswa kwendlela yokuphila kunye neyeza lonyango, kubalulekile ukugcina uqhagamshelwano neqela lakho lezonyango kwaye ulandelelene ngokusondelene ukuze uzuze kwisicwangciso sonyango esona siphumelele.
> Imithombo:
> Ixesha elizayo lokwelashwa kwe-Pharmacological Treatment ye-Bladder Dysfunction, Andersson KE, iSikliniki soBuchule be-Pharmacol Toxicol. 2016 Oktobha; 119 Isondlo 3: 75-8