Zvinokuomerawo here kuita weti nemazvo? Ngatidzidzei nezve Non-Neurogenic Voiding Dysfunction - Nirogi Lanka

Dzimwe nguva unonzwa sekunge weti yako iri kuzeza kana kuvharika paunoedza kuenda? Kana kuti pamwe, kunyangwe wapedza, uchiri kunzwa here kuti dundira rako harina kuzara zvachose? Ungatotanga kubuda weti usingatarisirwi. Ziva kuti hausi wega—matambudziko aya akajairika. Nhasi, kuNirogi Lanka, tinoda kutaura nezvematambudziko aya ekubvisa weti anoitika pasina matambudziko etsinga . Mukurapa, tinotaura izvi seNon -Neurogenic Voiding Dysfunction .

Chii chinonzi Non-Neurogenic Voiding Dysfunction?

Zvichitaurwa zviri nyore, dambudziko iri rinoreva kuti dundira rako harigone kubuda ropa rose. Izwi rekuti "non-neurogenic" rinoratidza kuti izvi hazvikonzerwi nematambudziko etsinga dzako—senge uropi hwako, musana, kana tsinga. "Kusashanda zvakanaka kweweti" zvinoreva kukanganisa maitiro ekuita weti nguva dzose.

Izvi zvinogona kukanganisa chero ani zvake. Zvinowanzo kukonzerwa nekushaya simba kwetsandanyama dzedundira, kuvharika kwenzira yeweti, kana maitiro ekugara kwenguva refu. Zvisinei, kuNirogi Lanka , tinozviona kakawanda muvana vadiki vane makore 4-6 vari kudzidzira chimbuzi uye vakadzi vane makore anopfuura 40. Funga nezveizvi: anenge mwana mumwe chete pavana vashanu vane makore 4-6 anosangana nezviratidzo zveweti masikati nekuda kwechirwere ichi. Pamusoro pezvo, vanopfuura 6% yevakadzi vane makore anopfuura 40 vanobatwa nacho.

Ndezvipi Zviratidzo zveNon-Neurogenic Voiding Dysfunction?

Tora nguva kuti uone kana uine chimwe chezviratidzo izvi:

• Unonetseka here kutanga kuita weti kana kuti unozviwana uchinetseka kuti ubvise weti?
• Weti yako haina simba here, kana kuti inotanga yomira kakawanda?
• Unofanira here kusunda uchishandisa tsandanyama dzemudumbu kana kudzvanya dumbu rako repazasi kuti ubvise tsvina mudundira rako?
• Unonzwa sekuti dundira rako harina kubuda ropa rose here kana wapedza?
• Une dambudziko rekuvimbiwa here? (Izvi zvinowanzobatanidzwa zvakanyanya.)
• Unoita weti kakawanda here kana kuti zvishoma kupfuura zvakajairika?
• Une dambudziko rekusazvidzora weti netsaona here?
• Une chishuwo chekuda kuita weti chinokukurira here (kukurudzira kusazvidzora)?
• Unofanira kumuka kanopfuura kamwe chete husiku kuti uite weti (nocturia) here?

Zviratidzo Zvakasiyana muVana:

Kana mwana wako ari kusangana neizvi, unogona kuona zvinotevera:

• Kunyorova pamubhedha masikati kana tsaona (kunyangwe mushure mekudzidziswa chimbuzi).
• Maitiro e "kubata" ekunonotsa weti, akadai se:
• Vachibatanidza makumbo avo zvakasimba.
• Kusvinura kana kukotama.
• Kudzvanya zvitsitsinho zvavo kana maoko avo munzvimbo yehudyu.

Kana ukaona mwana wako achiita zvinhu izvi, ndapota bvunza nyanzvi yehutano kuNirogi Lanka.

Chii Chinokonzera Dambudziko Iri?

Zvinhu zvakawanda zvinogona kukonzera nyaya iyi:

• Tsandanyama dzedundira dzisina simba.
• Kuvharika kana kuvharika kwenzira yeweti.
• Dundira rinoita basa rakawandisa (OAB).
• Dundira risingashande zvakanaka (kwausinganzwe kuda kuita weti kusvika dundira razara zvakanyanya).
• Kuzvimba (chinhu chakakosha chinobatsira).
• Utachiona hweWeti (UTIs).
• Kuva netsika yekunonoka kuita weti kusvika dundira razara zvinorwadza.
• Muvarume, prostate yakakura (Benign Prostatic Hyperplasia - BPH).
• Kenza yeprostate.

Muvana, chirwere chinonzi "Dysfunctional Elimination Syndrome" chinogona kuva chikonzero, apo tsandanyama dzedundira nepasi pechiuno hazvifambidzani zvakanaka.

Matambudziko Api Anogona Kumuka?

Kana dundira rako rikasabuda zvachose, weti yasara inogona kuva nemabhakitiriya, zvichikonzera hutachiona hwakaita seUTIs. Unogonawo kuva panjodzi huru yematombo eitsvo kana matombo emudundira. Kana zvikasarapwa, izvi zvinogona kukonzera kukuvara kweitsvo.

Chinonyanya kukosha ndechekuti, matambudziko ekuita weti anogonawo kukanganisa pfungwa. Varwere vazhinji vanonzwa kunyara kana kuzvidya mwoyo nekuda kwekutadza kuzvidzora. Kana zviratidzo izvi zvichikanganisa hupenyu hwako hwezuva nezuva, unganzwa semutoro kune vamwe kana kurega kuita mabasa eruzhinji. Kuzviparadzanisa uku kunogona kutungamira kune zvimwe zvinetso zvakakomba zvakaita sekuzvidya mwoyo uye kuora mwoyo.

Vanachiremba Vanoongorora Sei Izvi?

KuNirogi Lanka, nyanzvi dzedu dzinogona kunyatsoongorora dambudziko rekushaya kwenhengo dzemuviri risingakonzere kuyerera kweropa. Tichaongorora nhoroondo yako yezvekurapa uye toita ongororo yakakwana yemuviri. Mune zvimwe zviitiko, tinogona kuita bvunzo yechiuno yevakadzi kana bvunzo yedhijitari yevarume.

Uyezve, chiremba wako anogona kukukumbira kuti uchengetedze "dhayari yedundira" kuti uzive zvinotevera:

• Unonwa mvura yakawanda sei zuva nezuva?
• Unoitisa weti nguva dzipi?
• Unoita weti yakawanda sei panguva imwe chete?
• Weti inobuda riini uye sei isingazivi?

Neruzivo urwu, chiremba wako anogona kuita mimwe miedzo kuti asimbise chirwere chacho.

Miedzo ipi inoitiswa?

Chiremba wako anogona kuita imwe kana kupfuura yemiedzo inotevera:

• Kuongororwa kweprostate-specific antigen (PSA): Uku kuongororwa kweropa kuti uone kana mazinga ePSA akakwira. Mazinga akakwira anogona kuratidza dambudziko rinogona kuitika paprostate gland.
• Kuongororwa kweweti: Izvi zvinobatsira kuona kana uine chirwere cheweti (UTI).
• Ultrasound: Kuongororwa uku kunoongorora kuti weti yakawanda sei iri mudundira rako mushure mekunge wapedza kuita weti. Kunogonawo kuona kana chirwere ichi chiri kukanganisa itsvo dzako.
• Kuongororwa kweUrodynamic: Kuongororwa uku kunoyera kuti dundira rako rinogona kuchengeta weti yakawanda sei uye kuti tsandanyama dzedundira rako, urethra, nedumbu rechiuno zvinoshanda pamwe chete sei.
• Cystoscopy: Munguva iyi, chiremba anoisa chubhu yakatetepa, inochinjika ine kamera muurethra yako kuti aongorore dundira nenzira yeweti kuti aone kana paine dambudziko.

Kuvana, bvunzo idzi hadziwanzo pindira zvakanyanya. Chiremba wako anogona kungokurudzira kuti unyore dundira, pamwe chete nekuongororwa kweropa, kuongororwa kweweti, ultrasound, uye bvunzo dze urodynamic.

Inorapwa sei? (Nirogi Lanka)

Kurapa kwekusashanda zvakanaka kwetsinga dzemudumbu (non-neurogenic voiding dysfunction) kunosiyana zvichienderana nechikonzero chiripo uye kunogona kusanganisira:

1. Kudzidziswa kwedundira

Unogona kudzidzisa tsandanyama dzemudumbu rako kuchengetedza weti kwenguva yakareba. Izvi zvinosanganisira kuenda kuchimbuzi panguva dzakatarwa mukati mezuva, kunyangwe usinganzwe kuda. Izvi zvinodzivirira dundira kuti risazare zvakanyanya. Nyanzvi yezvekurapa inyanzvi yehutano hwepasi pechiuno inogona kukubatsira nekuita izvi.

2. Kurapa pasi pechiuno

Nyanzvi yekurapa muviri inogona kukudzidzisa nzira yekuzorodza tsandanyama dzemuchiuno kuti zvive nyore kuita weti. Vanogona kushandisa masensa e biofeedback munzvimbo yemukadzi kana yerectal kuti vave nechokwadi chekuti uri kubata tsandanyama dzakakodzera.

Vachakudzidzisawo maekisesaizi eKegel ekusimbisa pasi pechiuno chako. Tsandanyama dzakasimba dzinobatsira kudzivirira kusazvidzora kweweti uye kuda kuita weti kamwe kamwe.

3. Mishonga

Mimwe mishonga inogona kubatsira kugadzirisa matambudziko emudumbu, akadai se:

• Mishonga yeAlpha-blockers, yakaita se tamsulosin (Flomax®).
• Mishonga inorwisa kurwadza kwemudumbu, yakadai seoxybutynin (Ditropan®) uye tolterodine (Detrol®).

4. Chepfu yeBotulinum

Chiremba wako anogona kubaya Botulinum toxin (Botox®) mudundira rako. Izvi zvinozorodza tsandanyama dzedundira uye zvinobatsira kuderedza kuda kuita weti kamwe kamwe (kukurudzira kusagadzikana kwekuzvidzora).

5. Kukurudzira tsinga dzemudumbu (PTNS) kuburikidza neganda (Percutaneous tibial nerve stimulation)

Dzimwe nguva dundira rinoda "kuwedzerwa simba" kuti rikurudzire tsinga. MuPTNS, chiremba anoisa electrode pedyo netsinga yetibial pagumbo rako. Zviratidzo zvemagetsi zvinyoro zvinotumirwa kuburikidza neelectrode, iyo inofamba ichienda kutsinga dzesacral dziri muchiuno. Izvi zvinogadzirisa zviratidzo zvisina kujairika zvinokonzera kusashanda zvakanaka kwedundira, zvichikubatsira kuti udzore simba rako.

6. Kukurudzira tsinga dzeSacral

Mukuita uku, chiremba anoisa electrode pasi peganda pedyo nemagaro ako. Chishandiso chidiki chinotumira ma "electrical impulses" ku "sacral nerve" kuti chibatsire kukurudzira nekuronga tsandanyama dzedundira.

7. Kuzvicheka-cheka muviri

Chiremba wako anogona kukudzidzisa mashandisiro ecatheter yeweti kuti ubvise tsvina mudundira rako panguva dzakatarwa.

8. Kuvhiyiwa

Kana mamwe marapirwo asingashande, chiremba wako anogona kukurudzira kuvhiyiwa kwekuwedzera dundira (cystoplasty) kuti dundira rako riwedzere kukura, zvichiita kuti rikwanise kuchengeta weti yakawanda.

Kurapa kwekutanga kweNon-neurotic Overactive Dundira

Kurapa kwekutanga kunowanzo sanganisira:

• Kuderedza zvinotsamwisa dundira (tii, kofi, doro, chikafu/zvinwiwa zvine asidhi yakawanda kana kuti zvine mafuta akawanda).
• Kudzidziswa kwedundira.

Kana shanduko idzi dzemaitiro dzisina kukwana, chiremba wako anogona kukurudzira mishonga zvichienderana nerudzi rwekusashanda zvakanaka kwemuviri wako:

• Mishonga yeAnticholinergics
• Alpha-blockers
• Beta 3 receptor agonists

Chirwere ichi chinorapwa sei kuvana?

Kuti varape dundira revana rinoita basa rakawandisa, vanachiremba vanogona kushandisa mishonga inodzivisa kubatwa kwenhengo dzemuviri dzinoita basa rakawanda (alpha-blockers) uye mishonga inorwisa cholinergic. Vamwe vana vanobatsirwawo nekudzidza maekisesaizi epasi pechiuno.

Chiremba wako anogonawo kukurudzira kurovedza dundira. Izvi zvinosanganisira kukurudzira mwana wako kushandisa chimbuzi panguva dzakarongwa uye kumudzidzisa kugara zvakanaka paanenge akagara muchimbuzi.

Uchanzwa zviri nani kwenguva yakareba sei mushure mekurapwa?

Nguva yekupora inoenderana nekurapwa kwacho. Kudzidziswa kwedundira uye kurapwa kwepasi pechiuno zvinogona kutanga kuratidza mhedzisiro mumavhiki mashoma kana mwedzi. Kukurudzirwa kwetsinga kunowanzotanga kushanda mukati memavhiki mashoma, nepo mishonga inofanira kutanga kuratidza mhedzisiro mumazuva kana mavhiki. Chiremba wako achakupa nguva yakajeka zvichienderana nemamiriro ako chaiwo.

Unofanira kuona chiremba rini?

Ndapota bvunza nyanzvi yehutano kana wangoona zviratidzo zvinotevera:

• Kusakwanisa kuita weti kwenguva yakareba.
• Kuchinja kweweti yako, sekunhuhwirira kwakasimba, makore, kana ropa muweti (hematuria).
• Kurwadziwa kana kupisa panguva yekuzviitira weti (dysuria).
• Zviratidzo zvinogara zvichiitika zvekuzvimba.
• Zviratidzo zvehutachiona, zvinosanganisira fivha, dzihwa, kana musoro unogara uchirwadza.

Paunosangana nachiremba wako, ungada kubvunza mibvunzo iyi:

• Dambudziko rangu rekushaya tsinga risingashande zvakanaka reNon-neurogenic voiding rakaonekwa sei?
• Chii chiri kukonzera chirwere ichi?
• Ndeipi nzira yekurapa yaunondikurudzira?
• Ndezvipi zvingakonzera migumisiro yekurapwa uku?
• Zvinotora nguva yakareba sei kuti uone mhedzisiro yekurapwa uku?
• Ndezvipi zvandingachinja mararamiro angu kuti ndideredze zviratidzo izvi?
• Ndezvipi zvinetso zvandinofanira kungwarira?
• Ndinofanira kutumirwa kuna Urologist here?

Izvi zvinogona kudzivirirwa here?

Kugadzirisa mararamiro uye kudya kunogona kukubatsira kudzora kana kudzivirira kusagadzikana kwekusashanda zvakanaka kwetsinga dzeropa:

• Deredza zvinotsamwisa dundira: Caffeine (kofi, tii), michero yecitrus, chikafu chine spicy, uye doro zvinogona kutsamwisa dundira uye kuwedzera matambudziko eweti.
• Wedzera kudya fiber: Kuzvimba kunogona kukonzera kana kuita kuti chirwere ichi chiwedzere kuipa. Isa zvekudya zvakaita sebhinzi, michero, miriwo, uye zviyo (oats, brown rice, whole-wheat pasta) mukudya kwako. Kunyange zvazvo mishonga yekunyaradza inogona kubatsira, gara uchitaura nachiremba usati waishandisa, kunyanya kuvana.
• Ramba uine huremu hwakanaka: Kana BMI yako yadarika 25, huremu hwakawedzerwa hunogona kukonzera kumanikidzwa padundira rako, zvichikonzera kubuda kwemvura muweti.
• Rega kusvuta: Nikotini inogona kutsamwisa tsandanyama dzedundira. Uyezve, vanosvuta vanowanzo kukosora kwenguva refu, izvo zvinowedzera kumanikidzwa kwedumbu kudundira.

Chii chaungatarisira kana uine dambudziko rekushaya simba kwekushanda kwenhengo dzemuviri (non-neurogenic voiding disorder)?

Maonero evanhu vane chirwere ichi anowanzova akanaka. Kana vakarapwa zvakanaka, vanhu vazhinji vanozodzora dundira ravo zvakare. Kuvhiyiwa kwakadai se cystoplasty hakuwanzoitiki.

Ndeupi musiyano uripo pakati peNon-neurogenic neNeurogenic Voiding Dysfunction?

Kusashanda zvakanaka kwetsinga dzemudumbu (neurogenic bladder) zvinoreva zvirwere zvinokonzerwa nekukuvara kwetsinga dzemudumbu, zvakaita sematambudziko europi, tsinga, kana musana zvinotadzisa kudzora dundira zvakanaka.

Kusiyana neizvi, dambudziko reNon-neurogenic voiding disorder ratiri kutaura nezvaro harina chekuita nechero dambudziko retsinga.

Shoko rakakosha kubva kuNirogi Lanka: Kusashanda zvakanaka kwenhengo dzemuviri dzinoshanda zvakanaka kunogona kukanganisa vana nevakuru zvakanyanya. Zvakajairika kuti unzwe kunyara kana kunetseka, uye kutya tsaona kunogona kuita kuti urege kuita mabasa ako ezuva nezuva. Ndapota yeuka, haufanirwe kurega chirwere ichi chichideredza hupenyu hwako. Kana iwe kana mudiwa wako ari kusangana nezviratidzo izvi, ndapota taura nachiremba. Varipo kuti vakubatsire kuona chikonzero uye kuwana nzira yekurapa inoshanda.

Pfupiso: Mharidzo Yekuenda Nayo Kumba

Tinovimba kuti ongororo iyi yeNon-neurogenic voiding dysfunction yabatsira. Zvakakosha kuyeuka kuti izvi hazvikonzerwi nekukuvara kwetsinga. Zvinogona kukonzerwa nekushaya simba kwetsandanyama dzemudumbu, kuvharika kwenzira yeweti, tsika dzisina kunaka, kana kuvimbiwa.

• Zviratidzo: Kuomerwa nekuita weti, weti isina kusimba, dundira risingabudi zvakanaka, kubuda kwemvura kusingatarisirwi, kana tsaona dzemasikati muvana.
• Kuongorora: Kuongororwa kwechiremba, dhayari yedundira, ultrasound, uye bvunzo dze urodynamic.
• Kurapa: Kugadzirisa mararamiro, kurovedza dundira, maekisesaizi epasi pechiuno, mishonga, uye mamwe marapirwo akasarudzika.
• Zvakakosha: Kana uine zviratidzo, usanyara—tsvaga rubatsiro rwechiremba. Kurapwa nekukurumidza kunobatsira kudzivirira matambudziko kwenguva refu.

Kana muine mimwe mibvunzo, ndapota musazeza kubvunza chiremba wenyu. Rambai muine hutano hwakanaka neNirogi Lanka!

Mashoko akakosha: Kusashanda zvakanaka kwekubvisa weti kubva mudumbu, kuoma kwekubvisa weti kubva mudumbu, hutano hwedundira, hutachiona hwemudumbu, kuvimbiwa, matambudziko eweti yevana, kusazvidzora kweweti, kushanda zvakanyanya kwedundira, kudzidziswa kwedundira.