Kodi chikhodzodzo cha neurogenic ndi mitundu yayikulu ndi chiyani?

Zamkati

• Zizindikiro zazikulu
• 1. Chikhodzodzo chopitirira muyeso
• 2. Chikhodzodzo chopanda pake
• Zomwe zingayambitse
• Momwe mungatsimikizire matendawa
• Momwe mankhwalawa amachitikira
• Chikhodzodzo cha Neurogenic chili ndi mankhwala?

Chikhodzodzo cha neurogenic ndikulephera kuwongolera kukodza chifukwa cha kulephera kwa chikhodzodzo kapena kwamikodzo sphincter, komwe kumatha kukhala ndi zifukwa zingapo, kuyambira pakusintha kwa mitsempha, komwe kumalepheretsa minofu ya m'deralo kugwira bwino ntchito, komanso zinthu zomwe zimakwiyitsa dera, monga kusintha kwa mahomoni, kutupa kwa chikhodzodzo kapena matenda, mwachitsanzo.

Chikhodzodzo cha neurogenic chitha kuchiritsidwa kapena sichingachiritsidwe, chomwe chimafotokozedwa pambuyo pofufuzidwa ndi urologist, yemwe amadziwa zomwe zimayambitsa ndikufotokozera ngati ndi za mtunduwo:

• Wonyenga: minofu ikamatha kulephera kugwira ntchito nthawi yoyenera;
• Osagwira ntchito: pakakhala kufinya kwambiri kwa minofu ndikutaya mkodzo mwadzidzidzi.

Kutengera mtundu wa chikhodzodzo, adotolo azitha kufotokoza pakati pa njira zamankhwala, monga kugwiritsa ntchito mankhwala, monga oxybutynin, tolterodine kapena kugwiritsa ntchito poizoni wa botulinum, mwachitsanzo, kuwonjezera pa kulimbitsa thupi, kugwiritsa ntchito chikhodzodzo kafukufuku kapena opaleshoni.

Zizindikiro zazikulu

Mu chikhodzodzo cha neurogenic, pamakhala kusintha kwa mitsempha yomwe imayendetsa minofu yoyandikira chikhodzodzo kapena sphincter yamkodzo, yomwe imalephera kupumula kapena kugwiranagwirana nthawi yoyenera.

Chifukwa chake, munthu amene wasinthirayu amalephera kukodza mwanjira yofananira, malinga ndi chifuniro chake. Kutengera mtundu wa kusintha, chikhodzodzo cha neurogenic chitha kukhala:

1. Chikhodzodzo chopitirira muyeso

Amadziwikanso kuti chikhodzodzo cha spastic kapena chikhodzodzo chamanjenje, popeza chikhodzodzo chimachita mosagwirizana, motero chimayambitsa mkodzo mosayembekezereka komanso munthawi zosayenera.

• Zizindikiro: kusadziletsa kwamikodzo, kulimbikitsa kukodza pafupipafupi komanso pang'ono, kupweteka kapena kutentha m'dera la chikhodzodzo, kulephera kuwongolera kukodza.

Chikhodzodzo chochulukirapo chimakhala chofala kwambiri mwa amayi ndipo chimatha kulimbikitsidwa ndi kusintha kwa mahomoni pakutha msambo, kapena chiberekero chokulitsa panthawi yoyembekezera. Dziwani zambiri zamomwe mungazindikire chikhodzodzo chogwiritsa ntchito kwambiri.

2. Chikhodzodzo chopanda pake

Amadziwikanso kuti chikhodzodzo chachitsulo, popeza chikhodzodzo sichitha kutulutsa mwaufulu, kapena sphincter sichitha kumasuka, zomwe zimapangitsa kusungira mkodzo, osatha kuzichotsa bwino.

• Zizindikiro: kumva kuti chikhodzodzo sichinatayiretu zonse ukakodza, ukugwa pambuyo pokodza kapena kutaya mkodzo mwangozi. Izi zimawonjezera mwayi wotenga matenda amkodzo komanso vuto la impso, chifukwa chake mankhwala ayenera kuyambitsidwa mwachangu.

Zomwe zingayambitse

Zomwe zimayambitsa chikhodzodzo cha neurogenic zimatha kukhala:

• Chikhodzodzo, ndi matenda a mkodzo kapena kusintha kwa mahomoni, monga kusamba;
• Kusintha kwa majini, monga myelomeningocele;
• Matenda osinthika amitsempha monga neurocysticercosis kapena neuroschistosomiasis;
• Kupanikizika kwa mitsempha m'chigawo cha lumbar ndi disc ya herniated;
• Ngozi yomwe imawononga msana, kuyambitsa paraplegia kapena quadriplegia;
• Matenda osachiritsika amitsempha monga multiple sclerosis kapena Parkinson;
• Nthenda kuwonongeka pambuyo sitiroko;
• Zotumphukira minyewa kusintha kwa matenda ashuga;
• Kutaya kwa chikhodzodzo, komwe kumayambitsidwa ndi kutupa, matenda kapena kusintha kwamitsempha ambiri.

Mwa amuna, Prostate wokulitsidwa amatha kutengera zizindikilo zambiri za chikhodzodzo cha neurogenic, pokhala chifukwa chofunikira chosinthira kusintha kwa minofu yamikodzo.

Momwe mungatsimikizire matendawa

Kuti adziwe chikhodzodzo cha neurogenic, urologist adzaunika mbiri ya zamankhwala, kufotokozera zomwe zikuchitika, ndikuwunika, kuwonjezera pakupempha mayeso omwe angawone momwe ntchito yamikodzo imagwirira ntchito, monga ultrasound, radiography yosiyanitsa, urethrocystography ndi kuyesa kwa urodynamic , kuti awone kupindika kwa minofu yamikodzo panthawi yokodza.

Momwe mankhwalawa amachitikira

Chithandizo cha chikhodzodzo cha neurogenic ndi chovuta ndipo chitha kuphatikizira:

• Kugwiritsa ntchito mankhwala parasympathetic agonists, monga bethanechol chloride, antimuscarinics, monga oxybutynin (Retemic) kapena tolterodine, komanso othandizira ena omwe amagwiritsa ntchito ma neurotransmitters, monga glutamate, serotonin, norepinephrine, dopamine ndi gamma-aminobutyric acid (GABA), ogwiritsidwa ntchito molingana ndi nthawi iliyonse;
• Poizoni wa botulinum (botox), yomwe ingagwiritsidwe ntchito kuchepetsa kuchepa kwa minofu ina;
• Kafukufuku wosakhalitsa, yomwe ndi njira ya chikhodzodzo, yomwe ingagwiritsidwe ntchito nthawi ndi nthawi ndi wodwalayo (kanayi mpaka kasanu ndi kamodzi patsiku) ndikuchotsa atachotsa chikhodzodzo;
• Opaleshoni, zomwe zitha kukhala kukonza magwiridwe antchito a chikhodzodzo kapena kusunthira mkodzo kutseguka kwakunja (ostomy) komwe kumapangidwa m'makoma am'mimba;
• Physiotherapy, ndi zolimbitsa thupi zolimbitsa thupi. Onani momwe chithandizo chamankhwala chimagwiritsidwira ntchito pokhudzidwa kwamikodzo.

Mtundu wa mankhwalawo umadalira chifukwa cha matendawa, kuthana ndi yankho lake. Komabe, ngati izi sizingatheke, adotolo amalimbikitsa njira zingapo zothandizira kuti munthu akhale ndi moyo wabwino, kuphatikiza pakupewa matenda obwerezabwereza komanso kuwonongeka kwa impso.

Onani mu kanemayu momwe mungapangire masewera olimbitsa thupi kuti mulimbitse pansi m'chiuno ndikupewa chikhodzodzo cha neurogenic:

Chikhodzodzo cha Neurogenic chili ndi mankhwala?

Chikhodzodzo cha neurogenic chimatha kuchiritsidwa ngati chimayambitsidwa chifukwa cha zinthu zomwe zingasinthe, monga matenda amkodzo kapena matenda amubongo mwa neurocysticercosis, mwachitsanzo, kuwonetsa kusintha mukalandira chithandizo.

Komabe, nthawi zambiri, chikhodzodzo cha neurogenic sichikhala ndi mankhwala, koma chithandizo chitha kuthandizira kukonza kamvekedwe kake, kuchepetsa zizindikilo komanso kusintha moyo wamunthu. Pachifukwa ichi, ndikofunikira kutsatira a urologist ndipo, nthawi zina, katswiri wamaubongo.