Gịnị bụ eriri afọ neurogenic na ụdị isi

Ndinaya

• Isi mgbaàmà
• 1. Akpịrị ọfụma
• 2. Hypoactive eriri afo
• Ihe nwere ike ibute ya
• Otu esi akwado nchoputa
• Otu esi eme ọgwụgwọ ahụ
• Neurogenic eriri afo nwere ọgwụgwọ?

Akpa neurogenic bụ enweghi ike ịchịkwa urination n'ihi nkwụsịtụ na eriri afọ ma ọ bụ urinary sphincter, nke nwere ike inwe ọtụtụ ihe kpatara ya, sitere na mgbanwe na akwara, nke na-egbochi akwara nke mpaghara iji rụọ ọrụ nke ọma, yana ọnọdụ ndị na-akpasu mpaghara ahụ iwe, dị ka mgbanwe nke hormonal, mbufụt nke eriri afo ma ọ bụ ọrịa, dịka ọmụmaatụ.

Enwere ike gwọọ eriri afọ ahụ ma ọ bụ enweghị ike gwọọ ya, nke akọwapụtara mgbe nyochachara urologist, onye na-ekpebi ihe kpatara ya ma kọwaa ma ọ bụ nke ụdị:

• Hypoactive: mgbe uru ahụ enweghị ike ịkwado ya n'oge kwesịrị ekwesị;
• Mgbagharị: mgbe enwere oke mwakpo nke uru ahụ na mmamịrị na-abaghị uru.

Dabere na ụdị eriri afo ahụ, dọkịta ga-enwe ike ịkọwa n'etiti nhọrọ ọgwụgwọ, nke gụnyere iji ọgwụ, dị ka oxybutynin, tolterodine ma ọ bụ ngwa nke toxin botulinum, dịka ọmụmaatụ, na mgbakwunye na ọgwụgwọ anụ ahụ, iji eriri afo nyocha ma ọ bụ ịwa ahụ.

Isi mgbaàmà

Na eriri afọ neurogenic, enwere mgbanwe na akwara na-achịkwa akwara ndị gbara gburugburu eriri afọ ma ọ bụ urinary sphincter, nke na-enweghị ike izuike ma ọ bụ kpoo na oge kwesịrị ekwesị.

Ya mere, onye nwere ngbanwe a na-efunahụ ikike ịgba mamịrị n'ụzọ achikota, dika uche ya siri dị. Dabere n'ụdị mgbanwe, eriri afọ neurogenic nwere ike ịbụ:

1. Akpịrị ọfụma

A makwaara ya dị ka eriri afọ spastic ma ọ bụ eriri afo ụjọ, ka eriri afọ ahụ na-amịkọ n’amaghị ama, si otu a na-ebute mmamịrị na-atụghị anya ya na oge na-ekwesịghị ekwesị.

• Mgbaàmà: urinary incontinence, na-achọ urinate ugboro ugboro na obere, mgbu ma ọ bụ na-ere ọkụ na mpaghara eriri afọ, enweghị ikike nke urinate.

Akpịrị na-arụ ọrụ na-adịkarị na ụmụ nwanyị ma nwee ike ịkpali ya site na mgbanwe mgbanwe nke mmiri ọgwụ nsọ nwoke, ma ọ bụ site na akpanwa buru ibu n’oge afọ ime. Chọpụta nkọwa ndị ọzọ gbasara otu esi amata eriri afọ karịa.

2. Hypoactive eriri afo

A makwaara ya dị ka eriri afọ flaccid, dị ka eriri afọ anaghị enwe ike ibute afọ ofufo, ma ọ bụ sphincter enweghị ike izuike, nke na-akpata nchekwa nke mmamịrị, na-enweghị ike iwepu ya nke ọma.

• Mgbaàmà: na-eche na eriri afọ ahụ apụtachabeghị kpamkpam mgbe ọ mamịrị, na-atasị mmiri ka ọ nyụsịrị mamịrị ma ọ bụ mmamịrị na-apụ apụ. Nke a na - eme ka ohere urinary tract ọrịa na arụ ọrụ akụrụ arụ, yabụ ekwesịrị ịmalite ọgwụgwọ ozugbo enwere ike.

Ihe nwere ike ibute ya

Ihe kpatara eriri afo neurogenic nwere ike ịbụ:

• Akpịrịkpa iwe, site urinary ọrịa ma ọ bụ hormonal mgbanwe, dị ka na menopause;
• Mkpụrụ ndụ ihe nketa na-agbanwe, dị ka na myelomeningocele;
• Ọrịa na-agwọ ọrịa na-agbanwe agbanwe dị ka neurocysticercosis ma ọ bụ neuroschistosomiasis;
• Mkpakọ nke irighiri akwara na mpaghara lumbar site na diski herniated;
• Ihe ọghọm nke na-emebi spain, na-akpata paraplegia ma ọ bụ quadriplegia;
• Dị ka ọrịa sclerosis ma ọ bụ nke Parkinson;
• Ọrịa Neurological mgbe ọrịa strok gasịrị;
• Mgbanwe akwara ozi na-agbanwe gburugburu n’ihi ọrịa shuga;
• Ọnwụ nke eriri afo, kpatara mbufụt, ọrịa ma ọ bụ mgbanwe nhụjuanya n'ozuzu ya.

N'ime ụmụ nwoke, prostate gbasaa nwere ike ịmịpụta ọtụtụ mgbaàmà nke eriri afọ neurogenic, ịbụ ihe dị mkpa kpatara enwere ike ịgbanwe ọrụ akwara urinary.

Otu esi akwado nchoputa

Iji chọpụta eriri afọ neurogenic, urologist ga-enyocha akụkọ gbasara ahụike nke onye ahụ, na-akọwapụta ihe mgbaàmà, na nyocha anụ ahụ, na mgbakwunye na ịrịọ nyocha nke nwere ike ịhụ ọrụ nke urinary tract, dị ka ultrasound, redio dị iche, urethrocystography na urodynamic exam , iji nyochaa nchikota akwara urinary n'oge urination.

Otu esi eme ọgwụgwọ ahụ

Ọgwụgwọ maka eriri afọ neurogenic dị mgbagwoju anya ma nwee ike ịgụnye:

• Iji ọgwụ parasompathetic agonists, dị ka bethanechol chloride, antimuscarinics, dị ka oxybutynin (Retemic) ma ọ bụ tolterodine, yana ndị ọrụ ndị ọzọ na-arụ ọrụ na neurotransmitters, dị ka glutamate, serotonin, norepinephrine, dopamine na gamma-aminobutyric acid (GABA), eji ikpe ọ bụla;
• Toxin botulinum (botox), nke enwere ike iji belata spasticity nke ụfọdụ akwara;
• Ntuli aka na-aga n'ihu, nke bụ uzo nke eriri eriri afọ, nke onye ọrịa ahụ nwere ike iji oge ọ bụla (4 ruo 6 ugboro n'ụbọchị) ma wepu ya mgbe ị wepụsịrị eriri ahụ;
• Wa ahụ, nke nwere ike ịbụ iji melite arụmọrụ nke eriri afo ma ọ bụ tụgharịa mamịrị ahụ na oghere mpụga (ostomy) nke e kere na mgbidi afọ;
• Ahụ ike, na omume iji wusi elu pelvic. Hụ otu esi eme ọgwụgwọ anụ ahụ maka enweghi urinary.

Ofdị ọgwụgwọ a ga-adabere na ihe kpatara ọrịa ahụ, na-eleba anya na ngwọta ya. Otú ọ dị, mgbe nke a na-agaghị ekwe omume, dọkịta ahụ nwere ike ịkwado usoro ọgwụgwọ iji meziwanye ndụ mmadụ, na mgbakwunye na izere ịrịa ọrịa ugboro ugboro na nkwarụ akụrụ.

Lee na vidio a otu esi eme omume iji wusi ala pelvic ma zere eriri afọ neurogenic:

Neurogenic eriri afo nwere ọgwụgwọ?

Enwere ike gwọọ eriri afọ neurogenic mgbe ihe kpatara nsogbu kpatara ya, dịka ọrịa urinary tract ma ọ bụ ọrịa ụbụrụ site na neurocysticercosis, dịka ọmụmaatụ, na-egosi mmelite mgbe a gwọchara ya.

Agbanyeghị, n'ọtụtụ ọnọdụ, eriri afọ neurogenic enweghị ọgwụgwọ, mana ọgwụgwọ nwere ike inye aka melite ụda akwara, belata mgbaàmà ma melite ndụ mmadụ. Maka nke a, ọ dị mkpa ka ị soro onye urologist na, na ụfọdụ, onye na-ahụ maka akwara ozi.