Unonetsekawo here nekuita weti nemazvo? Ngatidzidzei nezve Non-Neurogenic Voiding Dysfunction!

Dzimwe nguva unonzwa sekunge uri kunetseka kuita weti here? Kana kuti unonzwa sekunge dundira rako harina kubuda zvachose mushure mekunge wapedza kuita weti here? Pamwe uri kutobuda weti usingatarisiri. Iri harisi dambudziko kwauri chete, asi kune vanhu vazhinji. Nhasi, tichataura nezvekusagona kudzora weti kusingakonzerwi nematambudziko etsinga . Mukurapa, tinoti izvi "Non-Neurogenic Voiding Dysfunction".

Chii chinonzi Non-Neurogenic Voiding Dysfunction?

Zvichitaurwa zviri nyore, iyi inyaya yekuti haugone kubvisa tsvina yese mudundira rako. Izwi rekuti "non-neurogenic" pano rinoreva kuti chirwere ichi hachikonzerwi nematambudziko etsinga dzako, kureva kuti, uropi hwako, musana, kana tsinga. "Voiding dysfunction" zvinoreva kuti maitiro ekuita weti haaitike nemazvo.

Dambudziko iri rinogona kuitika kune chero munhu. Kazhinji, izvi zvinogona kukonzerwa netsandanyama dzedundira dzisina simba, kuvharika kwenzira yeweti, kana tsika dzakaipa dzatagara tichiita kwenguva yakareba. Zvisinei, dambudziko iri rinowanzoitika kuvana vadiki vakadzidzira chimbuzi vari pakati pemakore mana nematanhatu uye kuvakadzi vane makore anopfuura makumi mana . Fungidzira, mwana mumwe chete pavana vashanu vari pakati pemakore mana nematanhatu anofanira kuita weti masikati nekuda kwekusashanda zvakanaka kwe "Non-neurogenic voiding dysfunction" (kusashanda zvakanaka kwenhengo dzemuviri). Zvakare, vanopfuura 6% yevakadzi vane makore anopfuura makumi mana vane dambudziko iri.

Ndezvipi zviratidzo zvechirwere ichi? (Zviratidzo zveNon-Neurogenic Voiding Dysfunction)

Ona kana uine chimwe chezvizvi:

• Zvinonetsa here kutanga kuita weti ? Kana kuti unofanira kuita zvekutamburira paunenge uchiweta ?
• Nzira yeweti yakamanikana here? Kana kuti nzira yeweti inotanga, yomira kwechinguva, yozotangazve?
• Unofanira kusimbisa tsandanyama dzemudumbu paunenge uchiita weti here? Kana kuti unofanira kubata dumbu rako rezasi nemaoko ese?
• Unonzwa sekuti dundira rako harina kubuda ropa here kunyangwe wapedza kuita weti ?
• Une kuzvimba here? (Izvi zvinowanzoenderanawo)
• Uri kuita weti yakawanda kupfuura yakajairika here (weti inowanzoitika) kana kuti shoma?
• Unoburitsa weti netsaona here (kusazvidzora weti)?
• Unonzwa kamwe kamwe uchida weti nekukurumidza (kukurudzira kusazvidzora) here?
• Kuita weti kanopfuura kamwe chete husiku wakararaUnofanira kumuka kuti uzviite (nocturia) here?

Hunhu hunokosha hunogona kuva nevana vadiki:

Kana vana vadiki vaine chirwere ichi, vanogona kuratidza zvinhu zvakaita se:

• Kunyorovesa mbatya dzako masikati (kunyangwe mushure mekudzidzira chimbuzi).
• Kune zvinhu zvakasiyana-siyana zvinogona kuitwa kuti weti irambe iri mudumbu . Semuenzaniso:
• Makumbo angu akabatana.
• Kusvinura wakagara pasi.
• Vari kubata makumbo avo pamwe chete, kungava nemaoko avo kana kuti nezvitsitsinho zvavo.

Kana ukaona mwana wako achiita zvinhu izvi, unofanira kunetseka zvishoma.

Chii chinokonzera izvi? (Zvikonzero zveNon-Neurogenic Voiding Dysfunction)

Pane zvikonzero zvikuru zvakati wandei zvemamiriro ezvinhu aya:

• Kushaya simba kwetsandanyama dzedundira.
• Pane imwe nzvimbo yakavharika muhurongwa hweweti yako.
• Dundira rinoita basa rakawandisa (dundira rinoita basa rakawandisa).
• Dundira harisi kushanda zvakanaka, zvichireva kuti hapana kunzwa kwekunge uchida kuita weti ("dundira risingashande zvakanaka").
• Kuzvimba (ichi chikonzero chakakosha).
• Utachiona hweWeti (UTIs).
• Kunyangwe uchifanira kuita weti , unoisiya womirira kusvika dundira rako razara wozotanga kuita weti gare gare.
• Muvarume, iprostate gland yakakura (Benign Prostatic Hyperplasia - BPH).
• Kenza yeprostate.

Muvana vadiki, izvi zvinogonawo kukonzerwa nechirwere chinonzi "dysfunctional elimination syndrome," apo tsandanyama netsinga dziri mudundira hazvishande pamwe chete zvakanaka.

Ndezvipi zvinetso zvinogona kuitika nekuda kwechirwere ichi?

Kana dundira rako rikasabuda zvachose, mabhakitiriya ari muweti yasara anogona kukonzera hutachiona. Semuenzaniso, hutachiona hwemunzira yeweti (UTIs). Unogonawo kuva nematombo eitsvo kana matombo emudundira. Dzimwe nguva, kana dambudziko iri rikawedzera, rinogona kutokonzera kukuvara kweitsvo.

Chinhu chinonyanya kukosha ndechekuti kuva nedambudziko rekuita weti kunogonawo kukukanganisa mupfungwa. Vanhu vazhinji vanonyara uye vanonetseka nekuti havakwanise kudzora weti yavo. Ungafungawo kuti, "Ndiri mutoro kune vamwe here?" Kana uchifanira kurega mabasa ako ezuva nezuva uine zviratidzo izvi nguva dzese. Kana ukaramba uri kure nenzanga nekuda kweizvi, unogona zvakare kusangana nematambudziko akakomba akadai sekuzvidya mwoyo uye kuora mwoyo.

Vanachiremba vanoongorora sei kusashanda zvakanaka kweropa risingakonzere kusvotwa?

Chiremba anogona kuona dambudziko rekushaya simba kwenhengo dzemuviri (non-neurogenic voiding disorder) nekubvunza nezvenhoroondo yako yehutano uye nekuongororwa muviri. Anogonawo kuongorora huro yevakadzi kana kuongorora dumbu revarume.

Pamusoro pezvo, chiremba wako anogona kukukumbira kuti uchengetedze "dhayari redundira." Mariri, uchanyora pasi:

• Unonwa mvura yakawanda sei pazuva?
• Unoitisa weti nguvai?
• Unoita weti yakawanda sei panguva imwe chete?
• Weti inobuda riini uye sei isingazivi?

Neruzivo urwu, chiremba anogonawo kuita mimwe miedzo yakati wandei kuti asimbise chirwere chacho.

Miedzo ipi inoitiswa?

Chiremba anogona kuita imwe kana kupfuura yebvunzo idzi:

• Kuongororwa kweprostate-specific antigen (PSA): Uku kuongororwa kweropa. Kunotsvaga mazinga ePSA akakwira. Kana mazinga ePSA akakwira, panogona kunge paine dambudziko neprostate gland.
• Kuongororwa kweweti: Izvi zvinogona kubatsira kuona kana uine chirwere cheweti (UTI).
• Ultrasound scan: Izvi zvinoongorora kuti weti yakawanda sei yasara mudundira mushure mekunge waita weti . Zvinogonawo kuongorora kana chirwere chacho chakanganisa itsvo dzako.
• Kuongororwa kweUrodynamic: Kuongororwa uku kunoyera kuti dundira rako rinogona kuchengeta weti yakawanda sei uye kuti tsandanyama dziri mudundira rako, urethra, uye pasi pechiuno zvinoshanda pamwe chete zvakadii.
• Cystoscopy: Muongororo iyi, chiremba anoisa mudziyo murefu, mutete (une kamera yakabatanidzwa) kuburikidza neurethra yako kuti aongorore matambudziko ari muurethra yako nedundira.

Kune vana vadiki, bvunzo idzi hadziwanzo pindira zvakanyanya. Chiremba anogona kukukumbira kuti uchengetedze dhayari reweti, uye anogona kungokurudzira kuongororwa ropa, kuongororwa weti, ultrasound, uye kumwe kuongororwa kwe urodynamic.

Izvi zvinorapwa sei? (Zvinorapwa sei?)

Kurapa chirwere ichi (Non-neurogenic voiding dysfunction) kunosiyana zvichienderana nechikonzero. Kurapa kunogona kusanganisira:

1. Kudzidziswa kwedundira

Unogona kudzidzisa tsandanyama dzedundira rako kuti dzichengete weti kwenguva yakareba. Izvi zvinoreva kuti unofanira kuenda kuchimbuzi nguva dzose mukati mezuva, kunyangwe usinganzwe sekunge unofanira kudaro . Izvi zvinogona kubatsira kudzivirira dundira rako kuti risafashukire. Nyanzvi yezvekurapa inyanzvi dzematambudziko epadundundu inogona kukubatsira neizvi.

2. Kurovedza tsandanyama dzepasi pechiuno (kurapa pasi pechiuno)

Nyanzvi yezvekurovedza muviri yakadzidziswa zvikuru inogona kukudzidzisa maitiro ekuzorodza tsandanyama dzepasi pechiuno chako kuitira kuti ukwanise kuita weti zviri nyore. Vanogonawo kuisa "biofeedback sensors" munhengo yako yemukadzi kana rectum kuti uve nechokwadi chekuti uri kurovedza tsandanyama dzakakodzera.

Vachakudzidzisawo maekisesaizi eKegel ekusimbisa tsandanyama dzechiuno chako. Tsandanyama dzakasimba dzechiuno dzinobatsira kudzivirira kusagona kudzora weti uye kukurudzira kusagona kudzora weti.

3. Mishonga

Kune mishonga inogona kubatsira kugadzirisa matambudziko ekuita weti. Mienzaniso:

• Alpha-blockers, semuenzaniso 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 zvinoderedza kushaya simba rekuzvidzora.

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

Dzimwe nguva, unofanira kupa tsinga dzako "simba" kuti ukurudzire tsandanyama dzedundira rako. MuPTNS, chiremba wako anoisa electrode pedyo netsinga yako yetibial mugumbo rako. Zvadaro, vanotumira masaini emagetsi akapfava kuelectrode. Izvi zvinokurudzira tsinga yetibial, iyo inobva yaenda kutsinga dzesacral dziri muchiuno chako. Izvi zvinomisa masaini asina kujairika kubva kutsinga dzesacral kuenda kumhasuru dzeweti, dundira, uye pelvic floor, zvichikubatsira kuti udzore kudzora dundira.

6. Kukurudzira tsinga dzeSacral

Mukuita uku, chiremba wako achaisa maelectrode pasi peganda pamusoro pemagaro ako. Maelectrode aya anotumira zviratidzo zvemagetsi zvinyoro nyoro kutsinga yesacral kuburikidza newaya yakatetepa (probe) inopinda pasi peganda. Zviratidzo izvi zvinokurudzira tsandanyama dziri mudundira rako kuti dzigadzikane.

7. Kuzvicheka-cheka muviri

Unogona kuisa catheter yeweti mudundira rako nguva nenguva wozounganidza weti yako mubhegi. Chiremba wako achakuratidza maitiro ekuita izvi (self-catheterization).

8. Kuvhiyiwa

Kana mamwe marapirwo asingashande, chiremba wako anogona kukurudzira kuvhiyiwa kwekuwedzera dundira (cystoplasty). Kuvhiyiwa uku kunoita kuti dundira rako rikure kuitira kuti rigone kuchengeta weti yakawanda.Ndinogona kugadzirisa zvakawanda.

Ndeipi mishonga yekutanga yekurapa dundira risingashande zvakanyanya risingakonzere kushushikana kwepfungwa?

Zvinotevera ndizvo zvinowanzo shandiswa pakurapa chirwere ichi:

• Kuderedza zvekudya nezvinwiwa zvinokuvadza dundira (tii, kofi, doro, chikafu chine zvinonhuwira kana chine acid).
• Kudzidziswa kwedundira.

Kana shanduko idzi dzehunhu dzikasabatsira, vanachiremba vanogona kunyora mishonga yakaita seiyi, zvichienderana nerudzi rwekusashanda zvakanaka kwemudumbu:

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

Chirwere ichi chinorapwa sei muvana vadiki?

Mishonga yeAlpha-blockers uye mishonga yekuderedza cholinergic inogona kubatsira kurapa dundira rinoita basa rakawandisa muvana vadiki. Vamwe vana vanogonawo kudzidziswa kuita maekisesaizi epasi pechiuno.

Chiremba anogonawo kukurudzira kurovedza dundira. Semuenzaniso, kukurudzira mwana kuenda kuchimbuzi panguva dzakatarwa uye kumudzidzisa kumira zvakanaka muchimbuzi.

Ndichanzwa zviri nani kwenguva yakareba sei mushure mekurapwa?

Zvinosiyana zvichienderana nekurapwa. Kurovedza dundira uye kurovedza muviri pasi pechiuno zvinogona kutanga kushanda mumavhiki mashoma kana mwedzi. Kukurudzira tsinga kunowanzotanga kushanda mumavhiki mashoma. Mishonga inofanira kutanga kushanda mumazuva mashoma kana mavhiki. Chiremba wako achakupa pfungwa yakanaka yeizvi.

Ndinofanira kuona chiremba rini?

Taura nachiremba kana wangotanga kuona matambudziko aya ekuenda kuchimbuzi:

• Kusakwanisa kuita weti kwenguva yakareba.
• Kuchinja kweweti yako: Semuenzaniso, kunhuhwirira kwakasimba, ruvara rwakasviba, kana ropa muweti (hematuria).
• Kurwadziwa pakuita weti (dysuria).
• Zviratidzo zvinogara zvichiitika zvekuzvimba.
• Zviratidzo zvehutachiona: fivha, dzihwa, musoro.

Kana ukaona chiremba, unogona zvakare kubvunza mibvunzo iyi:

• Unoziva sei kuti ndine `(Non-neurogenic voiding dysfunction)`?
• Chii chiri kukonzera dambudziko rangu?
• Munondikurudzira kurapwa kupi?
• Ndezvipi migumisiro yekurapwa ikoko?
• Zvinotora nguva yakareba sei kuti uone mhedzisiro yekurapwa ikoko?
• Ndezvipi zvaunofanira kuchinja mararamiro ako kuti uderedze zviratidzo zvangu?
• Ndezvipi zvinetso zvandinofanira kungwarira?
• Ndinofanira kuona chiremba wezvemudumbu here?

Izvi zvinogona kudzivirirwa here?

Unogona kubatsira kudzivirira chirwere ichi (Non-neurogenic voiding dysfunction) nekuchinja mararamiro ako uye kudya kwako. Izvi zvinogona kusanganisira:

• Kuderedza zvekudya nezvinwiwa zvinokuvadza dundira: Zvinwiwa zvine caffeine (kofi, tii), michero yecitrus (senge maranjisi, marimu), zvekudya zvine spicy, uye doro zvinogona kukurudzira dundira uye kukonzera matambudziko ekuita weti .
• Kudya chikafu chine fiber yakawanda: Kuzvimba kunogona kukonzera kana kuita kuti chirwere ichi chiwedzere kuipa. Unogona kuwana fiber nekudya bhinzi dzakawanda, michero, miriwo, uye zviyo zvese (chingwa chezviyo zvese, oats, quinoa, mupunga webrown, uye pasta yezviyo zvese). Unogonawo kutora mishonga yekuzvimba (` laxatives ') yekudzivirira kuvimbiwa. Zvisinei, unofanira kutaura nachiremba wako usati watora mishonga yekuzvimba kana kupa mwana.
• Kuchengetedza huremu hwakanaka kwauri: Kana body mass index yako (BMI) yadarika 25 (kuva wakafuta), zvinogona kumanikidza dundira rako uye kukonzera kubuda kweweti .
• Kurega kusvuta: Nicotine, chinhu chikuru chiri mufodya, inogona kukurudzira tsandanyama dziri mudundira. Vanosvuta vane mukana wekuva nechikosoro chisingaperi, chinogona kumanikidza dundira.

Chii chandingatarisira kana ndiine dambudziko rekushaya simba kwekushanda kwenhengo dzemuviri dzisiri dzetsinga?

Maonero evanhu vane chirwere ichi akanaka. Nekurapwa, vanhu vazhinji vanogona kudzora dundira ravo. Kuvhiyiwa kwekuwedzera dundira (cystoplasty) hakuwanzodiwi.

Ndeupi musiyano uripo pakati peNon-neurogenic neNeurogenic Voiding Dysfunction?

Kusashanda zvakanaka kwetsinga dzemudumbu (neurogenic voiding dysfunction) chirwere chinokanganisa tsinga dzemudumbu. Izvi zvinoreva kuti haugone kudzora dundira rako nekuda kwedambudziko reuropi hwako, tsinga, kana musana.

Zvisinei, "kusashanda zvakanaka kwetsinga dzeropa" kwatataura nezvako nhasi idambudziko rinowanzoitika pasina kubatanidzwa kwetsinga dzeropa.

Chinhu chakakosha kurangarira: Non-Neurogenic voiding dysfunction (NNODD) chirwere chinoisa upenyu panjodzi chinogona kukanganisa vana nevakuru. Chinogona kunyadzisa uye kusagadzikana. Chinogonawo kukonzera kuti unzwe sekunge hausi kuzoenda weti paunenge uchida. Zvisinei, haudi kurega chirwere ichi chichikanganisa hupenyu hwako. Kana iwe kana waunoda uine zviratidzo izvi, taura nachiremba. Vanogona kukubatsira kuwana chikonzero chacho uye kuchirapa.

Pfupiso (Mharidzo Yekuenda Nayo Kumba)

Zvakanaka, saka ikozvino wava kunzwisisa zvakanaka zvatataura nezvazvo nhasi, "Non-Neurogenic Voiding Dysfunction". Izvi zvinongova chikanganiso mutsinga dzemuviri.Ichi ndicho chinhu chinonyanya kukosha. Kushaya simba kwetsandanyama dzedundira, kuvharika kwenzira yeweti, tsika dzakaipa, uye kuvimbiwa zvinogona kukonzera izvi.

• Zviratidzo: Kuomerwa nekuita weti , kusazvidzora pakuita weti , kubuda kwese kwese mudundira, kuita weti zvisina kurongwa, kuita weti masikati kuvana, nezvimwewo.
• Kuongorora: Kuburikidza nekuongororwa kwechiremba, dhayari reweti, ultrasound, uye bvunzo dze urodynamic.
• Kurapwa: Kuchinja mararamiro, kurovedza dundira, maekisesaizi epasi pechiuno, mishonga, uye mamwe marapirwo chaiwo.
• Zvakakosha: Kana uine zviratidzo, usanyara uye tsvaga mazano kuna chiremba. Kutanga kurapwa nekukurumidza kunogona kudzivirira matambudziko.

Kana muine mimwe mibvunzo nezvenyaya iyi, musazeza kubvunza chiremba. Rambai muine hutano hwakanaka!

Kusashanda zvakanaka kwenhengo dzemuviri ( non -neurotic neurogenic employment), kusazvidzora weti, dundira, hutachiona hwenzira yeweti, kuvimbiwa, matambudziko eweti yevana, kudzora weti, kusazvidzora weti, kusazvidzora weti, kushanda zvakanyanya kwedundira, kudzidziswa kwedundira