Neurogenic bladder: zvinokonzera
Neurogenic bladder dysfunction kuvana dambudziko rinowanzoitika, pavhareji inowanikwa mu10% yevana. Ichi chirwere chinonyanya kukonzera kukura kwezvirwere zvakasiyana-siyana zvekuvhenekera, zvakadai se pyelonephritis, chronic chststitis, kusagadzikana kwechirwere chetsvina, nezvimwewo.
Neurogenic bladder muvana hairevi mungozi pakarepo kuhupenyu, asi munzanga iyi inetso yakakosha zvikuru iyo inogona kugadzirisa matambudziko akawanda nekugadzirisa uye kufambidzana kwomwana, zvichikanganisa basa rekukurukurirana nevezera rake uye kuzvivimba.
Zvechokwadi, chirwere cheyeurogenic muvana (NRM) chirevo chinobatanidza chinosanganisira boka guru revhiringidzi rekusunungurwa uye gadziriro. Zvinetso izvi zvinokura nekuda kwekukuvadza kune misoro yakanyorova yechipfuva, kushungurudzika kwenheyo yehutano hwehutano hwakasiyana uye nekudzika kana kuchinja muhutano hweuroepithelium.
Neurogenic bladder: zviratidzo
Chirwere cheyeurogenic chinozviratidza mumhando mbiri dzekuvhiringidza kwekugunzva:
- kuchengetedza urine;
- urinary incontinence.
Zviratidzo zvebhevheni ye-neurogenic zvinopesana zvichienderana nehupamhi uye nekudzika kwenheyo yenheyo.
Vana havakwanise kutonga kurongedza pavhareji kusvika pamakore 2-2.5. Kusvikira panguva ino, kubviswa kwayo kunodzorwa ne reflectratiron, sacral spinal cord. Kana kufungidzira kusinganzwisisiki kuchicherechedza pazera remakore, tinogona kutaura pamusoro pekudzivirira kweperiodic yomuti. Bhudha inodururwa pasina chero mutemo, zvinongouya.
Sezvo mutemo, urinary incontinence kuvana (neurogenic hyperreflex urinary chikwama) yakakamurwa mumhando inotevera:
- zvinokonzerwa (pfungwa uye motokari);
- kunetsa;
- reflex;
- kubva pakufashukira.
Vabereki vakacherechedza kubvisa kusava nemwana mumwana, zvakakosha kubhadhara kune zvinotevera:
- Nguva iyo incontinence inowanikwa.
- Nguva dzose uye kazhinji kacho kudzokorora kwezvinyunyuti zvikamu.
- Zvinogadzirisa zvinhu.
Kudzvara vana kunoratidzika mune imwe nzira yekudzivirira - manheru euresuresis.
Zvakasiyana, zvakakosha kubhadhara kutaridzika kwekusava nevana mukare avo vaimbogona kuchengetedza kuronga uye havana kukuvara musoro uye kumashure. Izvi zvinogona kuratidza kushungurudzika kwakakomba mubasa remagetsi emagetsi.
Neurogenic bladder: kurapwa
Zvose zvinoshandiswa pakushandisa kurapa kusagadzikana zvinogona kugoverwa mumapoka anotevera:
- kwete-mishonga kurapwa (kudzidziswa kwechirwere, kudzidzira kwemisumbu yepachevic, physiotherapy nzira, nezvimwe);
- pharmacotherapy;
- kurapwa kurapwa.
Chero chirongwa chekurapa kweNRM chinotanga nekugadzwa kwezvinhu zvisingaiti zvinoshungurudza uye zvisingashandiswi kurapa, kupa zvishoma zvingaita migumisiro yemigumisiro. Tinokurudzira hurumende yekudzivirira nehuwandu hwezvinetso, zviitiko, kusabatanidzwa nemagariro ekutambudza. Kuratidza zvakare kuramba kwemitambo yakashanda asati avata, achifamba mumhepo itsva.
Ngationgororei zvakanyanya maitiro ekurapa chirwere chepurovhesi nerubatsiro rwemishonga. Mishonga inorayirwa yemapoka aya:
- mavitamini (kunyanya, boka B, PP, A, E) pamayero akaenzana nezera remurwere;
- anticholinergics (bellataminal 0,5-1 tablet 2 r zuva nezuva, melipramine 0,02-0,05 g usiku, atropine 0,05-0,5 mg 1-2 kamwe pazuva - imwe yemishonga inosarudza);
- zvinoreva kushandiswa kwemaitiro ekugadzirisa zvinokonzerwa nehutachiona (inonzi amino acids, nootropics, sedatives).
Nyanzvi inofanirwa kurongedza kurapwa uye kuronga kurapwa, nokuti kusarudzwa kwemashoko ekurapa kunobva zvachose pamusana pemusana wechirwere, mararamiro ayo, mamiriro ezvinhu ose omurwere, kubudirira kwemaitiro aishandiswa kare ekurapa, kuvapo kwezvirwere zvinokonzera,