Isibilini se-Neurogenic ezinganeni

Lolu hlobo lwe-disorder, njenge-vestiva neurogenic, luvame kakhulu ezinganeni. Ngokwezibalo, cishe i-10% yazo zonke izingane zingaphansi kwalokhu kwephulwa. Ake sikubheke ngokuningiliziwe futhi sihlale ngokuningiliziwe mayelana nezimbangela, izimpawu kanye nokwelashwa kwesibhanzana se-neurogenic ezinganeni.

Kuyini lesi sifo futhi kungani kuphakama?

Uhlobo olunezinkinga olunikezwayo luqondwa lesi sifo, luhambisana nokungasebenzi komfutho, okubangelwa ukungasebenzi kwemithetho yenqubo yokuvuthwa. Ngenxa yalokho, kokubili imisebenzi yamanzi (ukuqongelela) kanye nokuphuma (okungekho emthethweni) yelungu ngokwayo ihlupheka.

Njengoba wazi, indlela yokuvuthwa evuthiwe (elawulwa ubusuku nemini) ezinganeni ikhiwa iminyaka engu-3-4. Esikhathini somthethonqubo, ukubandakanyeka kwayo ngokuqondile kuthathwa yizikhungo zobuchopho, kanye nencingo yomgogodla we-lumbosacral.

Izimbangela zokuthuthukiswa kwe-neurogenic isisindo sokudla kwesibindi ezinganeni ziningi kakhulu. Kodwa-ke, enhliziyweni yabo bonke babhekene nezinkinga eziphathelene nezinzwa zamazinga ahlukene, okugcina ekuholela ekusebenzeni okunganele kokwenza umsebenzi we-detrusor uqobo noma i-sphincter yangaphandle yesisu.

Njengomthetho, lolu hlobo lwesimo luqala njengomphumela:

• Isilonda esiyinkimbinkimbi yesimiso sezinzwa esisemkhatsini (ukungalungi kokuzalwa);
• ukuhlukumezeka ezithombeni zomzimba;
• izifo nezifo ezivuthayo zomgogodla, ubuchopho nomgogodla ( ukuhlukunyezwa kokubeletha , ukukhubazeka kwesiberethri, i-cerebral hernia);
• ukuphelelwa kwe-hypothalamic-pituitary;
• ukubambezeleka ekuvuthweni kwezikhungo zobuchopho;
• ukungasebenzi komshini we-neon autonomic.

Kumele uqaphele ukuthi ngokuvamile lolu hlobo lwesifo lubonakala emantombazaneni. Leli qiniso liwukuthi banamathelisti e-estrogenic ephakeme, okwakwandisa ukuzwela kwamatholampilo ase-detrusor ngokwawo.

Ziyini izimpawu zesisu esikhwameni sezingane ezinganeni?

Lolu hlobo lwesifo lubhekene nezinkinga ezihlukahlukene zesenzo sokuvuthwa, okuvame ukuthi kuhlobene ngokuqondile nezinga lomonakalo ohlelweni lwezinzwa.

Esikhathini esibucayi se-neurogenic hyperactive, lezi zimpawu ezilandelayo zivame ukubonakala ezinganeni, ezibonisa ukwephula:

• imvamisa yokuvuthwa izikhathi ezingaphezu kwezingu-8 ngosuku;
• isifiso esiningi sokuvuthwa;
• ukungabikho komchamo;
• ukubukeka kwe-enuresis.

Ngokwehlukana kuyadingeka ukuthi usho ngohlobo olunjalo lokuphulwa, njengesibhanca se-postural neurogenic. Leli fomu liboniswa lapho inyama yengane ihamba ukusuka ekugxileni kuya endaweni eqondile, futhi ibonakala nge-diurnal pollakiuria (ukuvuthwa okuvamile). Ngesikhathi esifanayo akukho ukuphazamiseka kokuqongelela ebusuku komchamo.

Indlela yokwelapha isambiso se-neurogenic enganeni?

Izinyathelo zokwelapha zalesi sifo zihlanganisa imithi, kanye nokwelapha okungewona izidakamizwa. Ezimweni ezingavamile, ukungenelela kokuhlinzwa kungenziwa.

Izingane ezinesi sifo zibonisa ukuhambisana nombuso wokuvikelwa, okubandakanya ukulala okwengeziwe, ukuhamba, ukukhishwa kwezimo ezihlukumeza ingane yengqondo.

Njengoba i-tonus ekhuphukile yemisipha ye-detrusor, i-M-cholinoblockers inqunywe (i-Atropine, izingane ezingaphezu kweminyaka engu-5 ubudala-i-Oxibutinin), izidakamizwa zokucindezeleka (i-Melipramine), abaphikisi be-calcium (i-Therodinol).

Ukuze ukwelashwa kwesibindi se-neurogenic ngobusuku obu-enuresis ezinganeni ezineminyaka engu-5 ubudala, i-hormone ye-pituitary Desmopresin ingahle ibekwe.

Ukuze kuvinjelwe ukutheleleka kwesisu, ama-uroceptics angenziwa ngaphansi kwezilinganiso ezincane kakhulu. Phakathi kwabo kukhona uFuragin, i-nalidixic acid.