Une dambudzikowo here rekudzora weti yako? Pamwe chikonzero chiri mutsinga dzemuviri! (Neurogenic Dundira)

Dzimwe nguva unonzwa sekuti haugone kudzora dundira rako here? Unonzwa uchida weti here kamwe kamwe, kana kuti unonzwa sekuti haugone weti zvakanaka? Izvi hazvisi zvimwe chete, zvinogona kunge zvichikonzerwa nedambudziko riri mutsinga dzako dzeropa . Ndizvo zvatinodaidza kuti Neurogenic Dundira. Ngatitaurei nezvazvo zviri nyore, nenzira yaunogona kunzwisisa.

Zvichitaurwa zviri nyore, chii chinonzi Neurogenic Dundira?

Funga nezvemuviri wako sedunhu remagetsi rakaoma. Uropi ndiyo nzvimbo huru yekudzora. Mashoko anofamba kubva kuuropi kuenda kunhengo dzese dzemuviri kuburikidza netsinga. Kana dundira rako razara, rinotumira chiratidzo kuuropi richiti, "Zvakanaka, ikozvino dundira razara, unofanira kuribvisa." Zvadaro, kana nguva yakwana, uropi hunotumira chiratidzo kumhasuru dziri mudundira rako kuti dzigadzikane, uye hunotumirawo chiratidzo chekuvhura nzira yekuti weti ipfuure nepairi. Zvese izvi zvinoitika kuburikidza netsinga. Mumamiriro ezvinhu anonzi Neurogenic Dundira, iyi nzira yekuzivisa inokanganiswa nekuda kwekukuvadzwa kweuropi, musana, kana tsinga. Zvakafanana ne miswire. Nekuda kweizvozvo, dundira hariwane mameseji akakodzera, kana kuti rinowana mameseji asiriwo. Nekuda kweizvozvo, unogona kurasikirwa nekudzora dundira rako.

Kune mhando mbiri huru dzeNeurogenic Dundira:

Zvichienderana nekuti tsinga dzinokuvadzwa sei, Dundira rinoita kuti tsinga dzishande zvakanyanya rinogona kukamurwa kuita mhando mbiri huru. 1. Dundira rinoita basa zvakanyanya (Spastic Dundira): Muchiitiko ichi, dundira rinoita basa kakawanda uye risingadzoreki. Kutaura chokwadi, uropi hunoramba huchitumira masaini ekuburitsa dundira kunyangwe razara zvishoma. Izvi zvinoita kuti dundira rinzwe sekunge rinoda kuita weti kakawanda, uye kuda kuita weti kamwe kamwe. 2. Dundira risingashande zvakanaka (Flaccid Dundira): Zvakasiyana neizvi ndezvechokwadi. Tsandanyama dzedundira hadzigamuchire masaini akakodzera ekuburitsa. Nokudaro, kunyangwe dundira razara, zvakaoma kuriburitsa rose. Weti inogona kuramba iri mudundira.

Ndezvipi zviratidzo zvechirwere ichi?

Zviratidzo zvinogona kusiyana zvichienderana nerudzi rwedundira rinokonzerwa neNeurogenic. Ngationei kuti zviratidzo izvi chii.

Sei izvi zvichiitika? Ndezvipi zvikonzero?

Pane zvakawanda zvinogona kukonzera Dundira rinoita kuti munhu anzwe seasina simba. Zvimwe zvirwere zvinoberekwa nazvo, nepo zvimwe zvichikonzerwa nezvirwere kana tsaona dzinoitika pazera rekukura.

Zvikonzero zvekuzvarwa nazvo

• Spina bifida: Ichi chirwere chinoitika kana musana usingakure zvakanaka pakuzvarwa.
• Cerebral palsy: Chirwere chinokanganisa kukura kweuropi.
• Chirwere cheCaudal regression:Kukundikana kwemusana wepazasi kukura zvakanaka.

Zvikonzero zvinotevera

• Kukuvara kwemusana: Kukuvara kwemusana nekuda kwetsaona kana kuwa.
• Zvirwere zvinokanganisa tsinga dzemuviri :
• Multiple sclerosis ( MS )
• Chirwere cheParkinson
• Kurohwa
• Matumbu etsinga dzemuuropi: Matumbu anokura muuropi kana musana.
• Chirwere cheshuga: Chirwere cheshuga chenguva refu chinogona kukonzera kukuvara kwetsinga.

Mamwe matambudziko (matambudziko) anogona kumuka nekuda kweizvi

Kana dundira rinokonzerwa netsinga rikasarapwa zvakanaka, mamwe matambudziko ehutano anogona kuitika.

• Kurwara kwemudumbu kakawanda (UTIs): Weti inoramba iri mudundira inowedzera mukana wekuti mabhakitiriya akure uye akonzere hutachiona.
• Kukuvara kweitsvo: Kukuvara kweitsvo kunogona kuitika nekuda kwekumanikidzwa kwakanyanya mudundira kana nekuda kweweti inoyerera ichidzokera shure ichipinda muitsvo ( vesicoureteral reflux ).
• Matombo eweti: Matombo anogona kuumbwa mudundira kana muhurongwa hweweti.
• Kukanganiswa kwepfungwa: Kusakwanisa kudzora weti yako kunogona kuita kuti unzwe kunyara uye kutya kubuda pachena. Izvi zvinogona kukonzera kunzwa kwekuzvidya mwoyo uye kuora mwoyo . Usazeza kutaura nachiremba wako nezvemanzwiro aya.

Chiremba anowana sei izvi?

Kana ukaudza chiremba wako nezvezviratidzo izvi, achakubvunza nezvenhoroondo yako yehutano. Zvadaro, vachakuongororwa muviri. Kana paine chinofungidzirwa kuti dundira rinokonzerwa netsinga, vanogona kukurudzira bvunzo dzinoverengeka kuti vaone chikonzero chaicho.

• Kuongororwa kwemifananidzo: Ungangokumbirwa kuti uite ultrasound scan, CT scan , kana MRI scan kuti utarise itsvo dzako nedundira.
• Cystoscopy: Chubhu yakatetepa, ine kamera inopfuudzwa nemuurethra kuti iongorore mukati medundira.
• Kuongororwa kweUrodynamic: Iyi bvunzo yakakosha inoyera kuti dundira rako rinogona kuchengeta weti yakawanda sei, kumanikidzwa kuri mukati medundira, kumhanya kwekufamba kweweti, uye kuti dundira rako rinobuda zvakanaka sei.

Mushure mekuongororwa uku, unogona kutumirwa kuna chiremba wezvedundira.

Inorapwa sei? Izvi zvinogona kurapwa here?

Chirongwa chekurapa chinotsanangurwa zvichienderana nezviratidzo zvako, kuoma kwechirwere, uye chikonzero chacho.

1. Kuchinja mararamiro uye kudzidziswa kwedundira

Chiremba achakuudza kuti utange waedza zvinhu zvakaita seizvi.

• Chengeta dhayari redundira: Nyora pasi kuti kangani kaunoita weti pazuva, kuti wakaita weti yakawanda sei, zvaunonwa chii, nguva yaunoda kuita weti, uye nguva dzese dzaunoita weti netsaona. Izvi zvinogona kukubatsira kuona maitiro uye kujaira kuita weti panguva yakakodzera.
• Kudya: Zvinhu zvakaita sekofi, tii, doro, uye zvinwiwa zvine carbonated zvinogona kukurumidza kukurudzira dundira. Zvinokurudzirwa kuti zvisanyanya kuipa.
• Maekisesaizi eKegel: Maekisesaizi anosimbisa tsandanyama dzepasi pechiuno.

2. Mishonga

Kune mishonga inogona kuderedza kusungwa kwetsandanyama dzedundira zvakanyanya kana kuzorodza dundira. Semuenzaniso, mishonga yakaita se `oxybutynin`, `tolterodine`, `mirabegron`. Iyi mishonga inofanira kushandiswa chete kana yapihwa mazano nachiremba.

3. Kuisa Catheter muropa

Nzira iyi inokosha zvikuru kune avo vasingakwanisi kubvisa tsvina yese mudundira ravo.

• Kuzvicheka-cheka: Kudurura dundira rako nekuisa chubhu diki yakachena (catheter) muurethra yako kakawanda pazuva. Chiremba wako kana nesi achakuratidza maitiro ekuita izvi.
• Kuisa katheta nguva dzose: Kushandisa katheta inogona kupfekwa nguva dzose.

4. Mamwe marapirwo

• Majekiseni eBotox®: Botox inogona kuiswa mutsandanyama dzedundira kuderedza kushanda kwadzo zvakanyanya.
• Kuvhiyiwa: Kana pasina kumwe kurapwa kwakabudirira, kuvhiyiwa kunogona kufungwa nezvako. Semuenzaniso, kuwedzera cystoplasty kana kupatsanurwa kweweti.

Chiremba wako achakurukura newe kuti ndeapi marapirwo akanakira chirwere chako. Dundira rinoita seNeurogenic, kudzora weti, sisitimu yetsinga, dundira, kudzora dundira sinhala, kusadzora weti sinhala, kuchengetedza weti sinhala