Yala a ka gɛlɛn aw fana ma ka aw ka sugunɛ kunbɛn wa? N’a sɔrɔ a sababu bɛ farikoloɲɛnajɛw de la! (Ville neurogénique) .

Yala aw bɛ a ye tuma dɔw la ko aw tɛ se ka aw ka sugunɛ kunbɛn wa ? Yala aw bɛ barika sɔrɔ ka koli kɛ, walima aw bɛ a ye ko aw tɛ se ka koli kɛ ka ɲɛ wa? Nin tɛ fɛn wɛrɛ dɔrɔn ye, a bɛ se ka kɛ gɛlɛya dɔw sababu ye i ka farikoloɲɛnajɛ la. An bɛ o de wele furakɛli siratigɛ la ko Neurogenic Bladder. An ka kuma o kan cogo nɔgɔman na, cogo la min bɛ se ka faamuya.

N’an y’a fɔ cogo nɔgɔman na, Sugunɛbilenni ye mun ye?

Miiri i farikolo la i n’a fɔ kuran sɛrɛkili gɛlɛn. Sugunɛ ye master control center ye. Cikanw bɛ Bɔ hakili la ka Taa farikolo yɔrɔ bɛɛ la nɛrɛmuguma fɛ. Ni aw ka sugunɛ falen don, a bɛ taamasiɲɛ ci kunsɛmɛ ma k’a fɔ ko: “O bɛ ɲɛ, sisan sugunɛ falen don, aw ka kan k’a lankolonya.” O kɔ, ni waati sera, kunsɛmɛ bɛ taamasiɲɛ ci i ka sugunɛbara fasaw ma walasa u ka sɔgɔsɔgɔ, wa a bɛ taamasiyɛn fana ci walasa ka sugunɛ tɛmɛsira da wuli. O bɛɛ bɛ Kɛ farikolo-ɲɛnajɛ-yɔrɔw fɛ. Bana min bɛ wele ko Neurogenic Bladder, o taamasiɲɛw bɛ tiɲɛ ka a sababu kɛ tiɲɛni ye kunsɛmɛ na, kɔkolo walima nɛrɛmuguma. A bɛ i n'a fɔ miswire. O de kosɔn, sugunɛ tɛ cikan ɲumanw sɔrɔ, walima a bɛ cikan juguw sɔrɔ. O de kosɔn, aw bɛ se ka aw ka sugunɛ kɛcogo tiɲɛ.

Sugunɛbilenni suguya fila bɛ yen minnu bɛ wele ko Neurogenic Bladder:

Ka kɛɲɛ ni farikolojidɛsɛ tiɲɛcogo ye, Sugunɛbilenni bɛ se ka tila suguya belebele fila ye. 1. Sugunɛbilenni min bɛ baara kɛ kojugu (Spastic Bladder): O cogo la, sugunɛ bɛ to ka sɔgɔsɔgɔ ani a tɛ se ka a kunbɛn. Walasa k’a fɔ tigitigi, hakili bɛ to ka taamasiɲɛw ci walasa ka sugunɛ lankolonya hali ni a falen don dɔɔni dɔrɔn. O bɛ kɛ sababu ye ka sugunɛ kɛ i n’a fɔ a ka kan ka to ka koli kɛ, ani ka koli kɛ yɔrɔnin kelen nege don a la. 2. Sugunɛbilenni min tɛ baara kɛ (Sugunɛbilenni min tɛ baara kɛ): O kɔfɛko bɛ kɛ. Sugunɛbilenni fasaw tɛ taamasiɲɛ ɲumanw sɔrɔ walasa ka u yɛrɛ sɔgɔsɔgɔ. O la, hali ni sugunɛ falen don, a ka gɛlɛn ka a lankolonya pewu. Sugunɛ bɛ se ka to sugunɛ na.

Nin bana in taamasiɲɛw ye jumɛnw ye?

A taamasiɲɛw bɛ se ka ɲɔgɔn ta ka kɛɲɛ ni Sugunɛbilenni suguya ye min bɛ aw la. An ka a lajɛ nin taamasiɲɛ ninnu ye mun ye.

Mun na o bɛ ka kɛ? O kunw ye mun ye?

Sugunɛbilenni sababu caman bɛ se ka sɔrɔ. Dɔw ye bangekɔlɔsi fɛɛrɛw ye, dɔw bɛ se ka sɔrɔ banaw walima kasaaraw fɛ minnu bɛ kɛ kɔfɛ ɲɛnamaya kɔnɔ.

Bange sababuw

• Kɔnɔbara basigilen : O ye bana ye min bɛ sɔrɔ ni kɔkolo ma yiriwa ka ɲɛ a bange waati.
• Kunsɛmɛnasumaya: Bana min bɛ nɔ bila kunsɛmɛ yiriwali la.
• Sindrom de régression caudal (banakisɛfagalan kɔsegincogo):Kɔkolo dugumayanfan dɛsɛ ka yiriwa ka ɲɛ.

Kɔfɛ sababuw

• Kɔkolo joginw : Tiɲɛni bɛ kɛ kɔkolo la kasaara walima binkanni fɛ.
• Bana minnu bɛ farikolo yɔrɔw minɛ:
• Sklerose multiple ( MS ) .
• Parkinson ka bana ye
• AVC (AVC) bɛ sɔrɔ
• Central nervous system tumors: Tumu minnu bɛ sɔrɔ kunsɛmɛ na walima kɔkolo la.
• Sukarodunbana: Ni sukarodunbana min bɛ mɛn sen na, o bɛ se ka kɛ sababu ye ka farikolo yɔrɔw tiɲɛ.

Gɛlɛya wɛrɛw (gɛlɛya) minnu bɛ se ka sɔrɔ o sababu fɛ

Ni sugunɛbaralabana ma furakɛ ka ɲɛ, kɛnɛya gɛlɛya wɛrɛw bɛ se ka sɔrɔ.

• Sugunɛbilenni ka teli (UTI): Sugunɛ min tora sugunɛ na, o bɛ dɔ fara banakisɛw falenni kan ani ka banakisɛw bila mɔgɔ la.
• Sugunɛ tiɲɛni : Sugunɛ tiɲɛni bɛ se ka kɛ ka a sababu kɛ degun caya ye sugunɛ na walima ka a sababu kɛ sugunɛ bɛ segin kɔ ka don sugunɛ na ( vesicoureteral reflux ).
• Sugunɛbilenni : Kabakuruw bɛ se ka sɔrɔ sugunɛ walima sugunɛbaralabana la.
• Hakilila ta fan fɛ : Ni aw tɛ se ka aw ka sugunɛ kunbɛn, o bɛ se ka kɛ sababu ye ka maloya ani ka siran ka bɔ kɛnɛ kan. o bɛ se ka kɛ sababu ye ka jɔrɔnanko ni degun dusukunnataw sɔrɔ . Aw kana siga ka kuma aw ka dɔgɔtɔrɔ fɛ o dusukunnataw kan.

Dɔgɔtɔrɔ bɛ o sɔrɔ cogo di?

Ni aw ye nin taamasiɲɛ ninnu fɔ aw ka dɔgɔtɔrɔ ye, a bɛna aw ɲininka aw ka furakɛli tariku la. O kɔ, u bɛna farikolo sɛgɛsɛgɛli kɛ. Ni siga bɛ a la ko sugunɛbaralabana bɛ mɔgɔ la, u bɛ se ka sɛgɛsɛgɛli caman kɛ walasa ka a sababu tigitigi dɔn.

• Jaa sɛgɛsɛgɛliw: A bɛ se ka ɲini aw fɛ aw ka ultrasound scan, CT scan , walima MRI scan kɛ walasa ka aw ka sugunɛ ni sugunɛ lajɛ.
• Sistɔskɔpi : Tubabu finman dɔ bɛ tɛmɛ sugunɛbara fɛ walasa ka sugunɛ kɔnɔna lajɛ.
• Sugunɛbilenni sɛgɛsɛgɛli : Nin ye sɛgɛsɛgɛli kɛrɛnkɛrɛnnen ye min bɛ sugunɛ hakɛ jateminɛ aw ka sugunɛ bɛ se ka min minɛ, degun min bɛ sugunɛ kɔnɔ, sugunɛ bɔli teliya, ani aw ka sugunɛ lankolonya cogo min na.

Nin sɛgɛsɛgɛli ninnu kɔfɛ, aw bɛ se ka taa sugunɛbaralabana dɔ fɛ.

A bɛ furakɛ cogo di? Yala nin bɛ se ka furakɛ wa?

Furakɛli bolodacogo bɛ latigɛ ka kɛɲɛ ni aw ka bana taamasiɲɛw ye, bana juguya ani a sababu.

1. Ɲɛnamaya kɛcogo caman yeli ani sugunɛbaralabana

Dɔgɔtɔrɔ bɛna a fɔ aw ye ko aw ka nin ɲɔgɔnna fɛnw kɛ fɔlɔ.

• Aw bɛ sugunɛbilenni donkibaru sɛbɛn: Aw bɛ koli kɛ siɲɛ joli tile kɔnɔ, aw bɛ koli hakɛ min kɛ, aw bɛ min min, aw ka kan ka koli kɛ waati min na, ani waati o waati ni aw bɛ koli kɛ bala la, aw bɛ o sɛbɛn. O bɛ se ka aw dɛmɛ ka cogoya dɔ dɔn ani ka dege koli la waati bɛnnen na.
• Dumunikɛcogo: Fɛn minnu bɛ i n’a fɔ kafe, te, dɔlɔ, ani minfɛn gazimaw, olu bɛ se ka sugunɛ lawuli joona. A ka ɲi ka dan sigi u la.
• Kegel degeliw : Degeliw minnu bɛ basibɔn fasaw barika bonya.

2. Fura minnu bɛ kɛ

Fura dɔw bɛ yen minnu bɛ se ka sugunɛbaralabana damatɛmɛ walima ka sugunɛ lafiya. Misali la, furaw i n’a fɔ `oxybutynin`, `tolterodine`, `mirabegron`. Ninnu ka kan ka kɛ dɔgɔtɔrɔw ka laadilikanw dɔrɔn de kɔnɔ.

3. Katetɛri tali

Nin fɛɛrɛ in nafa ka bon kosɛbɛ mɔgɔ minnu tɛ se ka u ka sugunɛ lankolonya pewu.

• Yɛrɛlabɔli : Aw bɛ aw ka sugunɛ lankolonya ni aw ye tubabufura sanuman dɔ don aw ka sugunɛbara la siɲɛ caman tile kɔnɔ. Aw ka dɔgɔtɔrɔ walima dɔgɔtɔrɔso baarakɛla bɛna o kɛcogo jira aw la.
• Katetɛri tali ka taa a fɛ: Katetɛri tali min bɛ se ka don tuma bɛɛ.

4. Furakɛli wɛrɛw

• Botox® pikiriw : Botox bɛ se ka pikiri kɛ sugunɛbaralabana fasaw la walasa ka dɔ bɔ u ka baara caya kojugu la.
• Opereli: Ni fura wɛrɛ ma ɲɛ, opereli bɛ se ka jateminɛ. Misali la, sistoplastie augmentation walima sugunɛ jiginni.

Aw ka dɔgɔtɔrɔ bɛna baro kɛ ni aw ye furakɛli min ka fisa aw ka bana ma. Neurogenic Sugunɛbilenni, sugunɛ kɔlɔsili, farikolojidɛsɛ, sugunɛ, sugunɛ kɔlɔsili sinhala, sugunɛ kunbɛnbaliya sinhala, sugunɛ minɛni sinhala