Ukungasebenzi komzimba ngesifo se-neurogenic ukuphulwa komsebenzi we-urinary, okubangelwa ukunqotshwa kwesimiso sezinzwa zomphakathi. Lokhu ukwephula akukwazi ukuthathwa njengesifo esihlukile. Kuyinto okuthiwa i-collective syndrome, ehlanganisa izimo ezivela ezilonda ezingenayo noma ezitholakalayo zamazinga ahlukahlukene wesimiso sezinzwa esingahambi ngqo nesisu.
Izimpawu
Ukubonakaliswa okuyinhloko, izimpawu, eziphazamisekile nge-neurogenic ukungasebenzi kwesibindi, yizi:
- ukugcinwa kwamagciwane emzimbeni;
- ukungabikho komchamo .
Ngokweqile kwe-urinary incontinence, isiguli asinayo ukuzwa kokuchichima kwesibeletho, ngakho-ke ayikwazi ukugcina umchamo uqobo. Ukuqoqwa komchamo akukwenzeka, futhi kuhlale kukhishwa ngamaconsi.
Kwezinye izinhlobo zezinkinga zokungenwa kwe-vestiva yesibindi, umuzwa wokugcwalisa ngokweqile ungase uvele, futhi ngenxa yalokho, isisusa esiningi sokusebenza njengomchamo.
Njengoba ukubhuka kwesisu kuholela ekuphazamiseni okukhulu kwe-trophic, lesi sifo sivame ukulukhuni nesifo ezifana ne-cystitis yangaphakathi, okuholela ekubhakeni nasekukhenikeni kwezindonga zesisu.
Ukuhlonza
Okubaluleke kakhulu ekutholeni isifo se- vestiva neurogenic kuyinto yokuxilongwa kwelabhutrikhi, eyancishiswa ekuhlaziyweni jikelele komchamo, ukuhlaziywa komchamo ngokusho kukaZimnitsky, ukuhlolwa kwegazi jikelele. Futhi uqhuba i-urethrocystography, i-ultrasound yezinso nesisu.
Ukwelapha
Inqubo yokwelapha ukukhubazeka kwesibindi se-neurogenic incike ngokuphelele kulokho okwenza ukwephulwa kokungenwa kwayo. Ngakho-ke, ukwelashwa kwalesi sifo kuyinkimbinkimbi ehlanganisa ukugqugquzela kagesi,
Okuyinhloko yalezi ziqondiso yizokwelapha, ezenziwa kuma-aphoyintimenti kwezokwelapha futhi ngaphansi kokulawula kwayo.
Uma umchamo ubambezelekile futhi ungabelwe, isilonda sineziphuzo, okufakwa kuwo umcathisi ohlala unomphela. Ngenjongo yokuvuselela ukuthungula okuphazamisayo okuphazamisayo, i-catheter iyahlwithwa amahora angu-2-3.
Futhi, ukuze ugweme ukutheleleka, yenza izinyathelo zokuzivikela, ezihambisana nenqubo yokwelashwa ngezidakamizwa zokulwa namagciwane.