Kudzora dundira kwapera nekuda kwedambudziko retsinga here? Ngatikurukurei nezve (Neurogenic Dundira)

Kazhinji, tinonzwa kuda kuita weti, uye tinoidzora tomirira kusvika taenda kuchimbuzi. Zvese izvi zvinoitika kuburikidza nekubatana kunoshamisa pakati peuropi hwedu, musana, tsinga, nedundira, izvo zvinoshanda sekombiyuta. Asi fungidzira zvaizoitika kana tikarasikirwa nekudzora dundira nekuda kwedambudziko netsinga dzinotakura mashoko aya. Ndizvo zvatinodaidza kuti 'Neurogenic Dundira' mune zvehutano.

Zvichitaurwa zviri nyore, chii chinonzi Neurogenic Dundira?

Sisitimu yetsinga inotumira mameseji, semagetsi, mumiviri yedu yese. Sisitimu iyi yetsinga inoumbwa nezvikamu zvitatu zvikuru:

• Uropi
• Muzongoza
• Tsinga

Tsinga idzi dzinotumira chiratidzo kuuropi hwako chekuti dundira rako razara. Zvadaro, chiratidzo chinobva kuuropi hwako chinotumira shoko kudundira rako richiti, "Iyi ndiyo nguva yakakodzera yekuweta." Kana chiratidzo ichi chagamuchirwa, tsandanyama dzedundira dzinogumburwa uye weti inoburitswa.

Muchirwere chinonzi Neurogenic Dundira, nzira iyi yekutumira mashoko inokanganiswa nekuda kwekusagadzikana muuropi, musana, kana tsinga. Izvi zvinogona kukonzera kurasikirwa zvachose nekudzora dundira. Kureva kuti, dundira rinotanga kushanda zvakanyanya kana kuti kushanda kwaro kunokanganiswa.

Kune mhando mbiri huru dzeNeurogenic Dundira:

Dundira rinoita kuti tsinga dzishande rinogona kukamurwa kuita mhando mbiri huru, zvichienderana nerudzi rwekukuvara kwetsinga kunokonzera. Kunzwisisa izvi kunogona kukubatsira kunzwisisa zviri nani zviratidzo zvako.

Ndezvipi zviratidzo zvechirwere ichi?

Chiratidzo chinowanzoonekwa chedundira rinokonzerwa netsinga kutadza kudzora weti. Zvisinei, zviratidzo zvinogona kusiyana zvichienderana nerudzi rweweti yaunayo.

Sei izvi zvichiitika? Ndezvipi zvikonzero?

Pane zvinhu zvakawanda zvinogona kukonzera Dundira rinoita kuti munhu anzwe manyoka. Zvimwe zvinoberekwa nazvo, asi zvimwe zvinogona kukonzerwa nezvirwere kana tsaona dzinoitika pazera rekukura.

Zvikonzero zvinogona kuitika zvekuzvarwa nazvo:

• Spina bifida: Iri idambudziko remusana rinoitika pakuzvarwa.
• Cerebral palsy: Chirwere chinokanganisa kukura kweuropi.
• Caudal regression syndrome: Kukura kusina kunaka kwechikamu chezasi chemusana.

Zvikonzero zvinogona kukonzera kutanga kwechirwere gare gare:

• Matumbu etsinga dzemutsinga: Matumbu egomarara kana mamwe matumbu anokura muuropi kana musana.
• Multiple sclerosis (MS): Chirwere chinokuvadza tsinga dzeropa.
• Chirwere cheParkinson: Chirwere chinokanganisa masero etsinga muuropi.
• Kurohwa: Kukanganiswa kweropa rinoenda kuuropi.
• Kukuvara kwemusana: Nekuda kwekudonha, tsaona dzemotokari, nezvimwewo.
• Chirwere cheshuga: Chirwere cheshuga chisingadzoreki kwenguva yakareba chinogona kukonzera kukuvara kwetsinga.

Migumisiro inogona kuitika (zvinetso)

Kana dundira rinokonzerwa netsinga rikasarapwa zvakanaka, rinogona kukonzera mamwe matambudziko ehutano.

• Kukuvara kweitsvo: Kumanikidzwa kuri mudundira kunowedzera nekuda kwekuchengetedza weti, uye kumanikidzwa ikoko kunogona kukanganisa itsvo.
• Utachiona hwemudumbu hunowanzoitika (UTIs): Kusabvisa tsvina yese mudundira kunoita kuti mabhakitiriya akure zvakanaka.
• Matombo eweti: Matombo anogona kuumbwa mudundira kana muitsvo.
• Kudzoka kweropa mudumbu: Ichi chirwere chine njodzi apo weti inoyerera ichidzokera shure kubva kudundira ichienda kuitsvo.

Kuwedzera kune matambudziko aya emuviri, zvinogona kukonzera matambudziko makuru epfungwa . Kutya kubuda kweweti kunogona kuita kuti utye kushamwaridzana nevamwe kana kuenda kurwendo. Izvi zvinogona kutungamira mumanzwiro ekuzvidya mwoyo, kuora mwoyo, uye kusurukirwa . Kana uri kunzwa manzwiro aya, usanyara kutaura nachiremba wako nezvazvo.

Chiremba anoongorora sei chirwere ichi?

Paunoenda kunoona chiremba, iye achanyatsoteerera zviratidzo zvako. Zvadaro, vachakuongorora. Kana paine fungidziro yekuti une dambudziko retsinga rinokonzereswa netsinga, vachakukurudzira kuti uedze dzimwe nzira dzekuongorora tsinga netsinga.

• Cystoscopy: Kuongorora mukati meurethra nedundira uchishandisa kamera yakatetepa yakaita sechubhu.
• Miedzo yemifananidzo:Miedzo yakaita seCT scans, MRI scans, uye ultrasound.
• Kuongororwa kweUrodynamic: Iyi bvunzo yakasarudzika. Inoyera kuti dundira rako rinogona kuchengeta weti yakawanda sei, kumanikidzwa kuri mukati medundira, kumhanya kwekufamba kweweti, uye kuti dundira rinobuda zvakanaka sei.

Mushure mekuongororwa uku, unogona kutumirwa kuna chiremba ane ruzivo nezvedundira nehurongwa hweweti, chiremba wezvedundira .

Ndezvipi zvinorapwa izvi?

Chirongwa chekurapa chinoenderana nechikonzero chechirwere chako uye rudzi rwezviratidzo zvako.

1. Kuchinja kwemararamiro

Kutanga, chiremba anoedza kudzora izvi nezvinhu zviri nyore.

• Dzivisa zvekudya nezvinwiwa zvinotsamwisa dundira (kofi, doro, zvinwiwa zvine carbonated).
• Kudzora Kuzvimbirwa: Kuzvimbirwa kunogonawo kumanikidza dundira.
• Kudzidzisa dundira: Unokumbirwa kuti unyore nguva dzaunoburitsa weti, huwandu hwaunoburitsa weti, uye chero weti yaunoburitsa usingazvidi. Izvi zvichakubatsira kudzidza kuita weti panguva yakakodzera.
• Maekisesaizi eKegel: Maekisesaizi aya anosimbisa tsandanyama dzepasi pechiuno uye anogona kuvandudza kudzora weti.

2. Mishonga

Kune mishonga yakasiyana-siyana inogona kuzorodza tsandanyama dzedundira kana kukurudzira marwadzo. Semuenzaniso, chiremba wako anogona kukupa mishonga yakaita seOxybutynin, Tolterodine, uye Mirabegron.

3. Kuisa Catheter muropa

Nzira iyi inokosha zvikuru kana dundira risiri kubuda zvakanaka.

• Kuzvigadzira wega: Uchadzidziswa nzira yekubuditsa tsvina yese mudundira rako uchishandisa chubhu diki yakachena (catheter) kakawanda pazuva. Izvi zvingaita sezvakaoma pakutanga, asi zvichava nyore kana wajaira.
• Kuisa katheta nguva dzose: Mune zvimwe zviitiko, katheta inoenderera mberi ingangodiwa.

4. Mamwe marapirwo nekuvhiyiwa

Kana mamwe marapirwo asingabudirire, chiremba wako anogona kufunga nezvezvinotevera:

• Majekiseni eBotox: Botox inopinzwa mutsandanyama dzedundira kuti dzisazvikwenya zvakanyanya.
• Kuvhiyiwa:Kuvhiyiwa kwekuwedzera kugona kwedundira (augmentation cystoplasty) kana kuvhiyiwa kwekuchinja nzira yekuyerera kweweti (weti inobviswa) kungave kwakakosha mune zvisingawanzoitiki.

Chiremba wako achakurukura newe uye achasarudza kuti ndeipi nzira yekurapa yakakunakira.