Isinyi seNeurogenic

I-Neurogenic bladder yingxaki apho umntu engenakho ukulawula isinyi ngenxa yengqondo, intambo yomqolo, okanye imeko ye-nerve.

Izihlunu ezininzi kunye neerves kufuneka zisebenzisane ukuze isinyi sibambe umchamo de ube ukulungele ukuwukhupha. Imiyalezo yemithambo ibuyela emva naphambili phakathi kwengqondo kunye nezihlunu ezilawula ukukhupha isinyi. Ukuba le mithambo-luvo yonakaliswe kukugula okanye ukwenzakala, izihlunu zinokungakwazi ukuqinisa okanye ukuphumla ngexesha elifanelekileyo.

Ukuphazamiseka kwenkqubo ye-neva esembindini kubangela isinyi se-neurogenic. Oku kunokubandakanya:

• Isifo se-Alzheimer
• Iziphene zokuzalwa kwethambo lomqolo, njenge-spina bifida
• Ingqondo okanye izicubu zomqolo
• Umvakalelo yokitazo
• I-Encephalitis
• Ukukhubazeka ekufundeni njengokuphazamiseka kwengqondo (ADHD)
• Multiple sclerosis (MS)
• Isifo seParkinson
• Ukulimala kwentambo yomqolo
• Ukubetha

Ukonakala okanye ukuphazamiseka kwemithambo-luvo enikezela isinyi kunokubangela le meko. Oku kunokubandakanya:

• Ukonakala kwemithambo-luvo
• Umonakalo wemithambo ngenxa yokusetyenziswa kotywala ixesha elide,
• Umonakalo wemithambo ngenxa yeswekile yexesha elide
• Ukusilela kweVitamin B12
• Umonakalo wemithambo-luvo kwigcushuwa
• Umonakalo wemithambo ngenxa yotyando lwe-pelvic
• Ukonakala kwamathambo kwidiski ye-herniated okanye kwi-spinal canal stenosis

Iimpawu zixhomekeke kwisizathu. Bahlala bebandakanya iimpawu zokungahambi kakuhle komchamo.

Iimpawu zesinyi esingaphezulu kokusebenza kunokubandakanya:

• Ukuchama rhoqo rhoqo ngesixa esincinci
• Iingxaki zokukhupha wonke umchamo kwisinyi
• Ukuphulukana nolawulo lwesinyi

Iimpawu zesinyi esingasebenziyo sinokubandakanya:

• Isinyi esipheleleyo kunye nokuvuza komchamo
• Ukungakwazi ukuxelela xa isinyi sigcwele
• Iingxaki eziqala ukuchama okanye ukukhupha wonke umchamo kwisinyi (ukugcinwa komchamo)

Amayeza anokunceda ukulawula iimpawu zakho. Umboneleli wakho wezempilo unokucebisa:

• Amayeza athoba isinyi (i-oxybutynin, tolterodine, okanye i-propantheline)
• Amayeza enza ukuba imithambo-luvo ethile isebenze ngakumbi (i-bethanechol)
• Ityhefu yeBotulinum
• Izibonelelo zeGABA
• Iziyobisi antiepileptic

Umboneleli wakho unokukuthumela kumntu oqeqeshwe ukunceda abantu baphathe iingxaki zesinyi.

Izakhono okanye ubuchule onokuzifunda kubandakanya:

• Ukuzivocavoca ukomeleza izihlunu zomgangatho we-pelvic (imithambo yeKegel)
• Ukugcina idayari yokuba uchama nini, isixa osichamileyo, kwaye ukuba ukhuphe umchamo. Oku kunokukunceda ukuba ufunde xa kufuneka ukhuphe isinyi sakho kwaye xa kungangcono ukuba ubekufutshane nendawo yokuhlambela.

Funda ukuqaphela iimpawu zosulelo lwe-urinary (i-UTIs), njengokutshisa xa uchama, umkhuhlane, iintlungu ezisezantsi kwicala elinye, kunye nesidingo sokuchama rhoqo. Iipilisi zeCranberry zinokukunceda ukuthintela ii-UTIs.

Abanye abantu banokufuna ukusebenzisa i-catheter ye-urinary. Le yityhubhu ebhityileyo efakwe kwisinyi sakho. Unokufuna i-catheter ukuze ube:

• Indawo ngalo lonke ixesha (indawo yokuhlala).
• Kwisinyi sakho amaxesha ama-4 ukuya kwayi-6 ngemini ukugcina isinyi sakho singagcwali kakhulu (i-catheterization yexeshana).

Ngamanye amaxesha utyando luyafuneka. Utyando lwe-neurogenic bladder lubandakanya:

• I-sphincter eyenziweyo
• Isixhobo sombane esimiliselwe kufutshane nemithambo yesinyi ukuvuselela izihlunu zesinyi
• Utyando lwesilingi
• Ukudalwa kokuvulwa (i-stoma) apho umchamo ugeleza ungene kwisingxobo esikhethekileyo (oku kubizwa ngokuba kukuphambukiswa komchamo)

Ukuvuselelwa kombane kwe-tibial nerve emlenzeni kunokucetyiswa. Oku kubandakanya ukubeka inaliti kwi-tibial nerve. Inaliti iqhagamshelwe kwisixhobo sombane esithumela imiqondiso kwi-tibial nerve. Imiqondiso ke iya kunyuka kwimithambo-luvo kumqolo ongezantsi, olawula isinyi.

Ukuba une-urinary incontinence, imibutho iyafumaneka ngolwazi oluthe kratya kunye nenkxaso.

Iingxaki zesinyi se-neurogenic zinokubandakanya:

• Ukuvuza rhoqo komchamo kunokubangela ukuba ulusu luyeke kwaye kukhokelele kwizilonda zoxinzelelo
• Ukonakala kwezintso ukuba isinyi sizele kakhulu, sibangela uxinzelelo ekwakheni kwiityhubhu ezikhokelela kwizintso nakwizintso ngokwazo
• Usulelo lomjelo womchamo

Fowunela umnikezeli wakho ukuba:

• Awunakho ukukhupha isinyi sakho konke konke
• Unemiqondiso yosulelo lwesinyi (umkhuhlane, ukutshisa xa uchama, ukuchama rhoqo)
• Ukuchama amanani amancinci, rhoqo

Ukusebenza kwe-Neurogenic detrusor ngaphezulu; NDO; Ukungasebenzi kakuhle kwe-neurogenic bladder sphincter; I-NBSD

• Multiple sclerosis - ukukhutshwa
• Ukuthintela izilonda zoxinzelelo

• Ukuhamba ngecystourethrogram

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IGoetz LL, i-Klausner AP, iCardenas DD. Ukungasebenzi kakuhle kwesinyi. Ku: Cifu DX, ed. IBraddom's Physical Medicine kunye noVuselelo. Umhla we-5. IPhiladelphia, PA: Elsevier; 2016: isahluko 20.

IPanicker JN, iDasGupta R, iBatla A. Neurourology. Ku: Daroff RB, Jankovic J, Maziotta JC, Pomeroy SL, ii-eds. I-Neurology kaBradley kwiKlinikhi yokuziqhelanisa. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2016: isahluko 47.