Ngokwesiqhelo, siziva sifuna ukuchama, size siyilawule size silinde de siye kwigumbi lokuhlambela. Konke oku kwenzeka ngokusebenzisana okumangalisayo phakathi kwengqondo yethu, umqolo, imithambo-luvo, kunye nesinyi, ezisebenza njengenkqubo yekhompyutha. Kodwa khawucinge ukuba bekuya kwenzeka ntoni ukuba besinokulahlekelwa lulawulo lwesinyi ngenxa yengxaki kwinkqubo yemithambo-luvo ethwala le miyalezo. Yiloo nto siyibiza ngokwezonyango ngokuba yi-'Neurogenic Bladder'.
Ngamafutshane, yintoni i-Neurogenic Bladder?
Inkqubo yemithambo-luvo ithumela imiyalezo, njengemiqondiso yombane, kuyo yonke imizimba yethu. Le nkqubo yemithambo-luvo yenziwe ngamalungu amathathu aphambili:
- Ingqondo
- Umqolo
- Imiva
Ezi mithambo-luvo zithumela umyalezo engqondweni yakho wokuba isinyi sakho sigcwele. Emva koko, umyalezo ovela engqondweni yakho uthumela umyalezo kwisinyi sakho othi, "Ngoku lixesha elifanelekileyo lokuchama." Xa lo myalezo ufunyenwe, izihlunu zesinyi ziyafinyela kwaye umchamo uyakhutshwa.
Kwimeko ebizwa ngokuba yi-Neurogenic Bladder, le nkqubo yokubonisana iyaphazamiseka ngenxa yokuphazamiseka kwengqondo, umqolo, okanye imithambo-luvo. Oku kunokukhokelela ekulahlekelweni ngokupheleleyo kolawulo lwesinyi. Oko kukuthi, isinyi siba sisebenza kakhulu okanye umsebenzi waso uyaphazamiseka.
Kukho iintlobo ezimbini eziphambili ze-Neurogenic Bladder:
Isinyi esibangelwa yi-neurogenic singahlulwa sibe ziintlobo ezimbini eziphambili, kuxhomekeke kuhlobo lomonakalo wemithambo-luvo osibangelayo. Ukuqonda oku kunokukunceda uqonde ngcono iimpawu zakho.
| Imeko yesinyi | Ukuchaza ngokulula... |
|---|---|
| Isinyi esisebenza kakhulu (esixineneyo/esivuselelayo kakhulu) Isinyi esisebenza kakhulu | Okwenzekayo koku kukuba isinyi siba novakalelo olugqithisileyo. Nokuba sizele kancinci, izihlunu zesinyi ziyafinyela ngequbuliso zize zizame ukukhupha umchamo. Kufana nomntu oxhalabileyo, osabela ngokukhawuleza nakwizinto ezincinci. |
| Isinyi esingasebenzi kakuhle (Flaccid/Hypotonic) Isinyi esingasebenzi kakuhle | Kwimeko enjalo, izihlunu zesinyi ziba "zibuthuntu." Nokuba isinyi sizele kakhulu, asikwazi ukufinyela ngamandla ukuze sikhuphe. Ngenxa yoko, umchamo uhlala ngaphakathi. |
Zithini iimpawu zale meko?
Uphawu oluqhelekileyo lwesinyi esibangelwa yi-neurogenic kukungakwazi ukulawula umchamo. Nangona kunjalo, iimpawu zingahluka ngokuxhomekeke kuhlobo onalo.
| Ngokohlobo lweempawu | |
|---|---|
| Iimpawu zeSinyi esisebenza ngokugqithisileyo | |
| Ubunzima bokuchama, umchamo ocothayo okanye ophuma kancinci (Ukuthandabuza komchamo). | |
| Ukungakwazi ukuzibamba komchamo kukulahlekelwa ngumchamo ngokungazi. | |
| Ukufuna ukuchama ngaphezu kwezihlandlo ezisi-8 ngemini (Ukuchama rhoqo). | |
| Isidingo sokuchama ngequbuliso, esinganyamezelekiyo (Ukukhawuleza komchamo). | |
| Iimpawu zeSinyi esingasebenzi kakuhle | |
| Isinyi asipheleli kwaphela nasemva kokuchama (Ukugcinwa komchamo). | |
| Ukungakwazi ukuzibamba ngokugqithisileyo kukuvuza komchamo ngokungazikhetheliyo ngenxa yesinyi esizaliswe kakhulu. | |
| Andiziva ngathi isinyi sakho sigcwele. | |
Kutheni oku kusenzeka? Zithini izizathu?
Kukho izinto ezininzi ezinokubangela i-Neurogenic Bladder. Ezinye zizalwa nazo, ngelixa ezinye zinokubangelwa zizifo okanye iingozi ezenzeka emva kwexesha.
Izizathu ezinokubakho zokuzalwa:
- I-Spine bifida: Le yingxaki yomgogodla eyenzeka xa umntwana ezalwa.
- I-Cerebral palsy: Yimeko echaphazela ukukhula kwengqondo.
- Isifo sokubuyiselwa kwemisipha esibizwa ngokuba yiCaudal regression syndrome: Ukukhula okungasebenzi kakuhle kwenxalenye esezantsi yomqolo.
Izizathu ezinokubangela ukuba isifo siqale kamva:
- Iithumba zenkqubo yemithambo-luvo ephakathi: Iithumba zomhlaza okanye ezinye iithumba ezikhula engqondweni okanye emgogodleni.
- I-Multiple sclerosis (MS): Isifo esonakalisa imithambo-luvo.
- Isifo sikaParkinson: Imeko echaphazela iiseli zemithambo-luvo engqondweni.
- Istroke: Ukuphazamiseka kokuhanjiswa kwegazi engqondweni.
- Ukulimala komqolo: Ngenxa yokuwa, iingozi zeemoto, njl.
- Isifo seswekile: Isifo seswekile esingalawulekiyo ixesha elide sinokubangela umonakalo kwimithambo-luvo.
Iziphumo ebezingalindelekanga (iingxaki) ezinokubakho
Ukuba isinyi esibangelwa yi-neurogenic asinyangwa kakuhle, kusenokwenzeka ukuba sibangele ezinye iingxaki zempilo.
- Ukonakala kwezintso: Uxinzelelo kwisinyi luyanda ngenxa yokugcina umchamo, kwaye olo xinzelelo lunokuchaphazela izintso.
- Usulelo oluqhelekileyo lwendlela yomchamo (UTIs): Ukungakhuphi ngokupheleleyo isinyi kudala indawo elungileyo yokukhula kweebhaktheriya.
- Amatye omchamo: Amatye anokwakheka kwisinyi okanye kwizintso.
- I-Vesicoureteral reflux: Le yimeko eyingozi apho umchamo ubuyela umva usuka kwisinyi uye kwizintso.
Ukongeza kwezi ngxaki zomzimba, kunokubakho impembelelo enkulu yengqondo . Uloyiko lokuvuza komchamo lunokukwenza uzive usoyika ukudibana nabantu okanye ukuya kwiihambo. Oku kunokukhokelela kwiimvakalelo zokuxhalaba, ukudakumba, kunye nokuba wedwa . Ukuba uziva ezi mvakalelo, ungabi nazintloni zokuthetha nogqirha wakho ngazo.
Ugqirha uxilonga njani esi sifo?
Xa usiya kugqirha, uza kumamela ngononophelo iimpawu zakho. Emva koko, baza kukuhlola. Ukuba kukho ingxaki yesinyi ebangelwa yimithambo-luvo, baza kucebisa uvavanyo oluthile olunxulumene nenkqubo yemithambo-luvo kunye nesinyi.
- I-Cystoscopy: Uvavanyo lwangaphakathi lwe-urethra kunye nesinyi kusetyenziswa ikhamera ebhityileyo efana netyhubhu.
- Uvavanyo lomfanekiso:Uvavanyo olufana ne-CT scans, i-MRI scans, kunye ne-ultrasounds.
- Uvavanyo lwe-Urodynamic: Olu luvavanyo olukhethekileyo. Lulinganisa ukuba ingakanani umchamo onokugcinwa sisinyi sakho, uxinzelelo ngaphakathi kwesinyi, isantya sokuhamba komchamo, kunye nokuba isinyi siphuma kakuhle kangakanani.
Emva kwezi mvavanyo, ungathunyelwa kugqirha ogxile kwinkqubo yesinyi kunye nomchamo, ugqirha wezifo zomchamo .
Zithini iindlela zonyango zoku?
Into ebalulekileyo kukuba akukho nyango lwe-Neurogenic Bladder. Nangona kunjalo, ngonyango olufanelekileyo, abantu abaninzi banokulawula iimpawu zabo kakuhle baze baphile ubomi obuqhelekileyo.
Isicwangciso sonyango simiselwa yimbangela yemeko yakho kunye nohlobo lweempawu zakho.
1. Utshintsho kwindlela yokuphila
Okokuqala, ugqirha uzama ukulawula oku ngezinto ezilula.
- Ziphephe ukutya neziselo ezicaphukisa isinyi (ikofu, utywala, iziselo ezine-carbonated).
- Ukulawula Ukuqhinwa: Ukuqhinwa kunokubangela uxinzelelo kwisinyi.
- Uqeqesho lwesinyi: Ucelwa ukuba ugcine idayari yamaxesha ochama ngawo, ubungakanani bochamo lwakho, kunye naluphi na uchamo oluzenzekelayo. Oku kuya kukunceda ufunde ukuchama ngexesha elifanelekileyo.
- Ukuzivocavoca kweKegel: Olu qeqesho luqinisa izihlunu zomgangatho we-pelvic kwaye lunokuphucula ulawulo lomchamo.
2. Amayeza
Kukho amayeza ahlukeneyo anokuthomalalisa izihlunu zesinyi okanye avuselele ukudumba. Umzekelo, ugqirha wakho angakunika amayeza anjenge-Oxybutynin, iTolterodine, kunye neMirabegron.
3. Ukulungisa iCatheterization
Le ndlela ibaluleke kakhulu ukuba isinyi asiphumi kakuhle.
- Ukuzicoca: Uza kufundiswa indlela yokukhupha yonke into kwisinyi sakho usebenzisa ityhubhu encinci (i-catheter) ecocekileyo izihlandlo ezininzi ngemini. Oku kungabonakala kunzima ekuqaleni, kodwa kuya kuba lula kakhulu xa sele ukuqhelile.
- Ukufakwa kwe-catheter rhoqo: Kwezinye iimeko, i-catheter eqhubekayo inokufuneka.
4. Ezinye iindlela zonyango kunye notyando
Ukuba ezinye iindlela zonyango aziphumeleli, ugqirha wakho unokuqwalasela oku kulandelayo:
- I-Botox injections: I-Botox ifakwa kwimisipha yesinyi ukuze ingafinyeleli kakhulu.
- Utyando:Utyando lokwandisa amandla esinyi (augmentation cystoplasty) okanye utyando lokutshintsha indlela yokuhamba komchamo (urinary diversion) lunokufuneka kwiimeko ezingaqhelekanga.
Ugqirha wakho uza kuxoxa nawe aze agqibe ukuba loluphi unyango olulungele wena.
Umyalezo Wokuya Ekhaya
- I-Neurogenic Bladder kukulahlekelwa kulawulo lwesinyi ngenxa yokuphazamiseka kwenkqubo yemithambo-luvo. Ayisosifo, kodwa sisiphumo sesinye isifo.
- Ukuba ufumana naluphi na utshintsho kwindlela olawula ngayo umchamo, ukuchama rhoqo, okanye ubunzima bokugcina umchamo wakho, ungabi nantloni kwaye ubone ugqirha ngokukhawuleza.
- Nangona le meko ingenakunyangwa ngokupheleleyo, iimpawu zinokulawulwa kakuhle kwaye ubomi obuqhelekileyo nobusebenzayo bunokukhokelwa.
- Kukho iindlela ezininzi zonyango. Ugqirha wakho uza kukunceda ukhethe unyango olukulungeleyo.
- Nika ingqalelo kuxinzelelo lwengqondo olunokubangelwa koku. Ukuba kuyimfuneko, thetha nogqirha wakho ngalo mba kwaye ucele ingcebiso.
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