Ngaba nawe unengxaki yokulawula umchamo wakho? Mhlawumbi unobangela ukwinkqubo yemithambo-luvo! (Isinyi se-Neurogenic)

Ngaba ngamanye amaxesha uziva ngathi awukwazi ukulawula isinyi sakho? Ngaba uziva ngequbuliso ufuna ukuchama, okanye uziva ngathi awukwazi ukuchama kakuhle? Oku akusiyonto nje imbi, kusenokuba kungenxa yengxaki ethile kwinkqubo yakho yemithambo-luvo . Yiloo nto siyibiza ngokuba yiNeurogenic Bladder ngokwezonyango. Makhe sithethe ngale nto ngokulula, ngendlela onokuyiqonda.

Ngamafutshane, yintoni i-Neurogenic Bladder?

Cinga ngomzimba wakho njengesekethe yombane entsonkothileyo. Ingqondo liziko eliphambili lolawulo. Imiyalezo ihamba ukusuka kwingqondo ukuya kuzo zonke iindawo zomzimba ngemithambo-luvo. Xa isinyi sakho sigcwele, sithumela umyalezo engqondweni othi, "Kulungile, ngoku isinyi sigcwele, kufuneka usikhuphe." Emva koko, xa ixesha lilungile, ingqondo ithumela umyalezo kwimisipha kwisinyi sakho ukuba inciphe, kwaye ithumela umyalezo wokuvula indlela yokuba umchamo udlule kuyo. Konke oku kwenzeka kwinkqubo yemithambo-luvo. Kwimeko ebizwa ngokuba yi-Neurogenic Bladder, le nkqubo yokubonisa iyaphazamiseka ngenxa yomonakalo kwingqondo, kwintambo yomqolo, okanye kwimithambo-luvo. Kufana ne-miswire. Ngenxa yoko, isinyi asifumani imiyalezo efanelekileyo, okanye sifumana imiyalezo engalunganga. Ngenxa yoko, unokulahlekelwa lulawulo lwesinyi sakho.

Kukho iintlobo ezimbini eziphambili ze-Neurogenic Bladder:

Ngokuxhomekeke kwindlela eyonakele ngayo inkqubo yemithambo-luvo, i-Neurogenic Blidder inokwahlulwa ibe ziintlobo ezimbini eziphambili. 1. I-Overactive Bladder (Spastic Bladder): Kule meko, i-bladder iyafinyela rhoqo kwaye ingalawuleki. Ukuchaneka, ingqondo iqhubeka ithumela imiqondiso yokukhupha i-bladder nokuba izele kancinci. Oku kubangela ukuba i-bladder ivakale ngathi kufuneka ichame rhoqo, kunye nomnqweno wokuchama ngequbuliso. 2. I-Offensive Bladder (Flaccid Bladder): Okuchasene noko kuyinyani. Imisipha ye-bladder ayifumani miqondiso ifanelekileyo yokufinyela. Ke ngoko, nokuba i-bladder izele, kunzima ukuyikhupha ngokupheleleyo. Umchamo usenokuhlala kwi-bladder.

Zithini iimpawu zale meko?

Iimpawu zinokwahluka ngokuxhomekeke kuhlobo lwe-Neurogenic Bladder onayo. Makhe sijonge ukuba zeziphi ezi mpawu.

Kutheni oku kusenzeka? Zithini izizathu?

Zininzi izinto ezinokubangela i-Neurogenic Bladder. Ezinye ziimeko zokuzalwa, ngelixa ezinye zinokubangelwa zizifo okanye iingozi ezenzeka emva kwexesha.

Izizathu zokuzalwa

• I-Spine bifida: Le yimeko eyenzeka xa umqolo ungakhuli kakuhle xa uzalwa.
• I-Cerebral palsy: Yimeko echaphazela ukukhula kwengqondo.
• Isifo sokubuyiselwa kweCaudal:Ukungaphumeleli komqolo ongezantsi ekuphuhlisweni kakuhle.

Izizathu zamva

• Ukulimala komqolo: Ukonakala komqolo ngenxa yengozi okanye ukuwa.
• Izifo ezichaphazela inkqubo yeemvakalelo :
• I-Multiple sclerosis ( MS )
• Isifo sikaParkinson
• Istroke
• Iithumba zenkqubo yemithambo-luvo ephakathi: Iithumba ezikhula engqondweni okanye emgogodleni.
• Isifo seswekile: Isifo seswekile esihlala ixesha elide sinokubangela umonakalo kwimithambo-luvo.

Ezinye iingxaki (iingxaki) ezinokuvela ngenxa yoku

Ukuba isinyi esibangelwa yi-neurogenic asinyangwa ngokufanelekileyo, ezinye iingxaki zempilo zinokubakho.

• Usulelo oluqhelekileyo lwendlela yomchamo (UTIs): Umchamo ohlala kwisinyi unyusa amathuba okukhula kweebhaktheriya kwaye ubangele usulelo.
• Ukonakala kwezintso: Ukonakala kwezintso kunokwenzeka ngenxa yoxinzelelo oluphezulu kwisinyi okanye ngenxa yomchamo obuyela umva ungene kwizintso ( i-vesicoureteral reflux ).
• Amatye omchamo: Amatye anokwakheka kwisinyi okanye kwinkqubo yomchamo.
• Impembelelo yengqondo: Ukungakwazi ukulawula umchamo wakho kunokukwenza uzive uneentloni kwaye woyike ukuphuma esidlangalaleni. Oku kunokubangela iimvakalelo zokuxhalaba kunye nokudakumba . Musa ukuthandabuza ukuthetha nogqirha wakho ngezi mvakalelo.

Ugqirha uyifumana njani le nto?

Xa uxelela ugqirha wakho ngezi mpawu, uza kukubuza ngembali yakho yezonyango. Emva koko, baza kwenza uvavanyo lomzimba. Ukuba kukho i-neurogenic bladder erhanelekayo, banokucebisa iimvavanyo ezininzi ukuze kuchongwe unobangela ochanekileyo.

• Uvavanyo lwemifanekiso: Usenokucelwa ukuba wenze i -ultrasound scan, i-CT scan , okanye i-MRI scan ukujonga izintso zakho kunye nesinyi.
• I-Cystoscopy: Ityhubhu encinci, efakwe ikhamera idluliselwa kwi-urethra ukuze ihlole ingaphakathi lesinyi.
• Uvavanyo lwe-Urodynamic: Olu luvavanyo olukhethekileyo olulinganisa ukuba ingakanani i-bladder yakho enokugcina umchamo, uxinzelelo ngaphakathi kwi-bladder, isantya sokuhamba komchamo, kunye nokuba i-bladder yakho ikhupha kakuhle kangakanani.

Emva kwezi mvavanyo, ungathunyelwa kwi-urologist.

Inyangwa njani? Ngaba le nto inganyangeka?

Isicwangciso sonyango simiselwa ngokusekelwe kwiimpawu zakho, ubukhali bemeko, kunye nesizathu sayo.

1. Utshintsho kwindlela yokuphila kunye noqeqesho lwesinyi

Ugqirha uza kukuxelela ukuba uzame izinto ezinje kuqala.

• Gcina idayari yesinyi: Gcina irekhodi lezihlandlo ozichamela ngazo ngemini, ukuba uzichamela kangakanani, ukuba usela ntoni, ukuba kufuneka uchame nini, kunye namaxesha ozichamela ngempazamo. Oku kunokukunceda uchonge indlela ethile kwaye uqhele ukuchama ngexesha elifanelekileyo.
• Ukutya: Izinto ezifana nekofu, iti, utywala, kunye neziselo ezinekhabhoni zinokuvuselela isinyi ngokukhawuleza. Kucetyiswa ukuba uzinciphise.
• Ukuzivocavoca kweKegel: Ukuzivocavoca okuqinisa izihlunu zomgangatho we-pelvic.

2. Amayeza

Kukho amayeza anokunciphisa ukushwabana kwemisipha yesinyi okanye aphumze isinyi. Umzekelo, amayeza anje nge-`oxybutynin`, `tolterodine`, `mirabegron`. La mayeza kufuneka asetyenziswe kuphela phantsi kwengcebiso kagqirha.

3. Ukulungisa iCatheterization

Le ndlela ibaluleke kakhulu kwabo bangakwaziyo ukukhupha yonke into ephuma kwisinyi sabo.

• Ukuzigalela nge-catheter: Ukukhupha isinyi sakho ngokufaka ityhubhu encinci (i-catheter) ecocekileyo kwi-urethra yakho izihlandlo ezininzi ngemini. Ugqirha okanye umongikazi wakho uza kukubonisa indlela yokwenza oku.
• Ukufakwa kwe-catheter rhoqo: Ukusetyenziswa kwe-catheter enokunxitywa rhoqo.

4. Ezinye iindlela zonyango

• Iinaliti zeBotox®: IBotox ingafakwa kwimisipha yesinyi ukunciphisa ukusebenza kwayo ngokugqithisileyo.
• Utyando: Ukuba akukho nyango luphumelelayo, utyando lunokucingelwa. Umzekelo, i-augmentation cystoplasty okanye i-urinary diversion.

Ugqirha wakho uza kuxoxa nawe ngonyango olulungele imeko yakho. Isinyi se-Neurogenic, ulawulo lomchamo, inkqubo yemithambo-luvo, isinyi, ulawulo lwesinyi i-sinhala, ukungathinteli komchamo i-sinhala, ukugcinwa komchamo i-sinhala