Ese nawe ufite ikibazo cyo kugenzura inkari zawe? Wenda impamvu iri mu mitsi! (Imitsi y'uruhago)

Ese hari igihe wumva udashobora kugenzura uruhago rwawe? Ese uhita wumva ukeneye kunyara, cyangwa wumva udashobora kunyara neza? Ibi si ikindi kintu gusa, bishobora guterwa n'ikibazo runaka mu mitsi yawe. Ibyo ni byo mu buvuzi twita Neurogenic Abross. Reka tubiganireho mu buryo bworoshye, mu buryo ushobora gusobanukirwa.

Mu magambo make, ikigero cy'uruhago rw'imitsi ni iki?

Tekereza umubiri wawe nk'uruziga rw'amashanyarazi rugoye. Ubwonko ni bwo buyobora ibintu. Ubutumwa buva mu bwonko bujya mu bice byose by'umubiri binyuze mu mitsi. Iyo uruhago rwawe rwuzuye, rwohereza ubutumwa mu bwonko bugira buti: "Noneho, ubu uruhago rwuzuye, ugomba kurukuraho." Hanyuma, igihe kigeze, ubwonko bwohereza ubutumwa ku mitsi yo mu ruhago rwawe kugira ngo ikure, kandi bwohereza ubutumwa bwo gufungura inzira inkari zinyuramo. Ibi byose bibaho binyuze mu mitsi. Mu ndwara yitwa Neurogenic Blodder, ubu buryo bwo gutanga ubutumwa burahungabana bitewe no kwangirika k'ubwonko, uruti rw'umugongo, cyangwa imitsi. Ni nk'aho ari miswire. Kubera iyo mpamvu, uruhago ntirubona ubutumwa bukwiye, cyangwa rukabona ubutumwa butari bwo. Kubera iyo mpamvu, ushobora kubura ubushobozi bwo kugenzura uruhago rwawe.

Hari ubwoko bubiri bw'ingenzi bw'uruhago ruterwa n'imitsi:

Bitewe n'uburyo uturemangingo tw'imitsi twangiritse, urushinge rw'imitsi rushobora kugabanywamo ubwoko bubiri bw'ingenzi. 1. Urushinge rukora cyane (Urushinge runini): Muri iki gihe, urushinge rukora cyane kandi mu buryo budasubirwaho. Mu by'ukuri, ubwonko bukomeza kohereza ibimenyetso byo gukuramo uruhago nubwo rwaba rwuzuye gato. Ibi bituma uruhago rwumva nk'aho rugomba kunyara kenshi, ndetse n'ubushake bwo kunyara butunguranye. 2. Urushinge rudakora neza (Urushinge runini): Ibinyuranye n'ibyo ni ukuri. Imitsi y'urushinge ntibona ibimenyetso bikwiye byo gukuramo uruhago. Kubwibyo, nubwo uruhago rwuzuye, biragoye kuruhamo rwose. Inkari zishobora kuguma mu rushinge.

Ni ibihe bimenyetso by'iyi ndwara?

Ibimenyetso bishobora gutandukana bitewe n'ubwoko bw'uruhago ruterwa n'imitsi. Reka turebere hamwe ibyo bimenyetso.

Kuki ibi bibaho? Impamvu ni izihe?

Hari impamvu nyinshi zishobora gutera uburwayi bw'imitsi. Zimwe ni indwara zivukanwa, izindi zishobora guterwa n'indwara cyangwa impanuka zibaho mu myaka yashize.

Impamvu zivukanwa

• Spina bifida: Iyi ni indwara ibaho iyo uruti rw'umugongo rudakuze neza igihe cyo kuvuka.
• Indwara yo mu bwonko: Indwara igira ingaruka ku mikurire y'ubwonko.
• Indwara yo gusubira inyuma kw'imitsi yo mu bwoko bwa Caudal:Kunanirwa k'umugongo wo hasi gukura neza.

Impamvu zakurikiyeho

• Ibikomere byo mu mugongo: Kwangirika k'umugongo bitewe n'impanuka cyangwa kugwa.
• Indwara zigira ingaruka ku mitsi :
• Ubushobozi bwo kuvura indwara ya sclerosis nyinshi ( MS )
• Indwara ya Parkinson
• Igisebe cy'imitsi
• Ibibyimba byo mu bwonko bwo hagati: Ibibyimba bikura mu bwonko cyangwa mu ruti rw'umugongo.
• Diyabete: Diyabete y'igihe kirekire ishobora kwangiza imitsi.

Ibindi bibazo (ingorane) bishobora kuvuka bitewe n'ibi

Iyo uruhago ruterwa n'imitsi rudavuwe neza, hashobora kubaho izindi ngorane z'ubuzima.

• Indwara zikunze kugaragara mu nzira y'inkari (UTIs): Inkari ziguma mu ruhago zongerera amahirwe yo kwiyongera kwa bagiteri no gutera indwara.
• Kwangirika kw'impyiko: Kwangirika kw'impyiko bishobora guterwa n'umuvuduko mwinshi mu ruhago cyangwa guterwa n'inkari zisubira inyuma mu mpyiko ( vesicoureteral reflux ).
• Amabuye yo mu nkari: Amabuye ashobora kwirema mu ruhago cyangwa mu nkari.
• Ingaruka zo mu mutwe: Kudashobora kugenzura inkari zawe bishobora gutuma wumva ufite isoni kandi utinya kujya mu ruhame. Ibi bishobora gutera kumva ufite impungenge no kwiheba . Ntugatinye kuvugana na muganga wawe kuri izi mpungenge.

Umuganga abibona ate?

Iyo ubwiye muganga wawe ibi bimenyetso, azakubaza amateka y'ubuzima bwawe. Hanyuma, azagukorera isuzuma ry'umubiri. Niba ukeka ko uruhago ruterwa n'imitsi, bashobora kukugira inama yo gupima inshuro nyinshi kugira ngo bamenye impamvu nyayo.

• Ibizamini byo gupima: Ushobora gusabwa gukora scan ya ultrasound, CT scan , cyangwa MRI scan kugira ngo urebe impyiko zawe n'uruhago rwawe.
• Cystoscopy: Umuyoboro muto ufite kamera unyura mu muyoboro w'inkari kugira ngo usuzume imbere mu ruhago.
• Ikizamini cya Urodynamic: Iki ni ikizamini cyihariye gipima ingano y'inkari uruhago rwawe rushobora kubika, umuvuduko w'inkari mu ruhago, umuvuduko w'inkari zitembera, n'uburyo uruhago rwawe rusohora neza.

Nyuma y'ibi bizamini, ushobora koherezwa kwa muganga w'inzobere mu bijyanye n'imiti y'urogenic.

Ivurwa ite? Ese ibi bishobora kuvurwa?

Gahunda yo kuvura igenwa hashingiwe ku bimenyetso byawe, uburemere bw'indwara, n'icyayiteye.

1. Guhindura imibereho no kwigisha uruhago rw'inkari

Muganga azakubwira kubanza kugerageza ibintu nk'ibi.

• Andika urutonde rw'inkari: Andika inshuro unyara ku munsi, ingano y'inkari unyara, ibyo unywa, igihe ugomba kunyara, n'igihe cyose unyara utabigambiriye. Ibi bishobora kugufasha kumenya imiterere no kumenyera kunyara mu gihe gikwiye.
• Indyo: Ibintu nk'ikawa, icyayi, inzoga n'ibinyobwa birimo karubone bishobora gukurura uruhago vuba. Ni byiza kubigabanya.
• Imyitozo ngororamubiri ya Kegel: Imyitozo ikomeza imitsi yo hasi mu kibuno.

2. Imiti

Hari imiti ishobora kugabanya imitsi y'uruhago ikabije cyangwa ikaruhura uruhago. Urugero, imiti nka `oxybutynin`, `tolterodine`, `mirabegron`. Iyi miti igomba gukoreshwa gusa ku nama za muganga.

3. Gukoresha catheterization

Ubu buryo ni ingenzi cyane ku bantu badashobora gukuramo burundu uruhago rwabo.

• Kwicaterisha: Gusukamo uruhago rwawe ukoresheje umuyoboro muto usukuye (catheter) mu muyoboro wawe w'inkari inshuro nyinshi ku munsi. Muganga wawe cyangwa umuforomo azakwereka uko wabikora.
• Gukoresha catheter ihoraho: Gukoresha catheter ishobora kwambarwa buri gihe.

4. Ubundi buryo bwo kuvura

• Inshinge za Botox®: Botox ishobora guterwa mu mitsi y'uruhago kugira ngo igabanye gukora cyane kwayo.
• Kubagwa: Niba nta bundi buryo bwo kuvura bwagenze neza, kubagwa bishobora gusuzumwa. Urugero, kongera uburyo bwo kuvura cyangwa kugabanya inkari.

Muganga wawe azaganira nawe ku buryo bwo kuvura bukwiriye indwara yawe. Indwara y'inkari iterwa n'imitsi, kugenzura inkari, uturemangingo tw'imitsi, uruhago, kugenzura uruhago sinhala, kunanirwa kwihagarika inkari sinhala, kugumana inkari sinhala