Ingabe nawe unenkinga yokulawula umchamo wakho? Mhlawumbe imbangela isesimisweni sezinzwa! (Isinyi se-Neurogenic)

Ingabe ngezinye izikhathi uzizwa sengathi awukwazi ukulawula isinyi sakho? Ingabe uzizwa ngokuzumayo udinga ukuchama, noma uzizwa sengathi awukwazi ukuchama kahle? Lokhu akuyona nje enye into, kungaba ngenxa yenkinga ethile ohlelweni lwakho lwezinzwa . Yilokho esikubiza ngokwezokwelapha ngokuthi i-Neurogenic Bladder. Ake sixoxe ngalokhu kalula, ngendlela ongayiqonda.

Kalula nje, siyini i-Neurogenic Bladder?

Cabanga ngomzimba wakho njengomjikelezo kagesi oyinkimbinkimbi. Ubuchopho buyisikhungo sokulawula esiyinhloko. Imiyalezo ihamba isuka ebuchosheni iye kuzo zonke izingxenye zomzimba ngemizwa. Uma isinyi sakho sigcwele, sithumela isignali ebuchosheni sithi, "Kulungile, manje isinyi sesigcwele, udinga ukusikhipha." Bese kuthi, uma isikhathi sesilungile, ubuchopho buthumela isignali emisipheni esesinyeni sakho ukuze sinciphe, futhi buthumela nesignali yokuvula indlela ukuze umchamo udlule kuyo. Konke lokhu kwenzeka ohlelweni lwemizwa. Esimweni esibizwa ngokuthi i-Neurogenic Bladder, lolu hlelo lokubonisana luyaphazamiseka ngenxa yomonakalo ebuchosheni, emgogodleni, noma ezinzwa. Kufana ne-miwire. Ngenxa yalokho, isinyi asitholi imiyalezo efanele, noma sithola imiyalezo engalungile. Ngenxa yalokho, ungalahlekelwa ukulawula isinyi sakho.

Kunezinhlobo ezimbili eziyinhloko ze-Neurogenic Bladder:

Kuye ngendlela uhlelo lwezinzwa olulimele ngayo, i-Neurogenic Bledder ingahlukaniswa ngezinhlobo ezimbili eziyinhloko. 1. I-Overactive Bledder (Spastic Bledder): Kulesi simo, i-bladder iyafinyela njalo futhi ingalawuleki. Ukuze kube sobala, ubuchopho buqhubeka nokuthumela izimpawu zokukhipha i-bladder ngisho noma isigcwele kancane. Lokhu kubangela ukuthi i-bladder izizwe sengathi idinga ukuchama njalo, kanye nesifiso sokuchama ngokuzumayo. 2. I-Absolute Sebentisa Kahle (Flaccid Bledder): Okuphambene nalokho kuyiqiniso. Imisipha ye-bladder ayitholi izimpawu ezifanele zokufinyela. Ngakho-ke, ngisho noma i-bladder igcwele, kunzima ukuyikhipha ngokuphelele. Umchamo ungase uhlale esinyeni.

Ziyini izimpawu zalesi simo?

Izimpawu zingahluka kuye ngohlobo lwesinye esibangelwa yi-Neurogenic. Ake sibheke ukuthi ziyini lezi zimpawu.

Kungani lokhu kwenzeka? Yiziphi izizathu?

Kunezimbangela eziningi ezingaba khona ze-Neurogenic Bladder. Ezinye ziyizimo zokuzalwa nazo, kanti ezinye zingase zibangelwe ukugula noma izingozi ezenzeka kamuva ekuphileni.

Izimbangela zokuzalwa

• I-spina bifida: Lesi yisimo esenzeka lapho umgogodla ungakhuli kahle ngesikhathi sokuzalwa.
• I-Cerebral palsy: Isimo esithinta ukukhula kobuchopho.
• I-Caudal regression syndrome:Ukwehluleka komgogodla ongezansi ukukhula kahle.

Izimbangela zakamuva

• Ukulimala komgogodla: Ukulimala komgogodla ngenxa yengozi noma ukuwa.
• Izifo ezithinta uhlelo lwezinzwa :
• I-Multiple sclerosis ( MS )
• Isifo sikaParkinson
• Isifo sohlangothi
• Izimila zesimiso sezinzwa esiphakathi: Izimila ezikhula ebuchosheni noma emgogodleni.
• Isifo Sikashukela: Isifo sikashukela sesikhathi eside singabangela ukulimala kwemizwa.

Ezinye izinkinga (izinkinga) ezingase zivele ngenxa yalokhu

Uma isinyi esibangelwa yizinzwa singelashwa kahle, kungase kube nezinye izinkinga zempilo.

• Ukutheleleka njalo komgudu womchamo (UTIs): Umchamo ohlala esinyeni wandisa amathuba okukhula kwamagciwane nokubanga ukutheleleka.
• Ukulimala kwezinso: Ukulimala kwezinso kungenzeka ngenxa yokucindezela okukhulu kwesinye noma ngenxa yomchamo ogeleza ubuyela emuva ezinso ( i-vesicoureteral reflux ).
• Amatshe omchamo: Amatshe angakheka esinyini noma ohlelweni lomchamo.
• Umthelela Wengqondo: Ukungakwazi ukulawula umchamo wakho kungakwenza uzizwe unamahloni futhi wesabe ukuphuma emphakathini. Lokhu kungaholela ezinhliziyweni zokukhathazeka nokucindezeleka . Unganqikazi ukukhuluma nodokotela wakho ngale mizwa.

Udokotela ukuthola kanjani lokhu?

Uma utshela udokotela wakho ngalezi zimpawu, uzokubuza ngomlando wakho wezokwelapha. Ngemuva kwalokho, bazokwenza ukuhlolwa ngokomzimba. Uma kusolwa ukuthi kukhona i-neurogenic bladder, bangase batuse ukuhlolwa okuningana ukuze kutholakale imbangela eqondile.

• Ukuhlolwa kwezithombe: Ungase ucelwe ukuthi wenze i -ultrasound scan, i-CT scan , noma i-MRI scan ukuze ubheke izinso zakho kanye nesinye.
• I-Cystoscopy: Ipayipi elincane, elifakwe ikhamera lidlula e-urethra ukuze lihlole ingaphakathi lesinye.
• Ukuhlolwa kwe-Urodynamic: Lokhu ukuhlolwa okukhethekile okukala ukuthi isinye sakho singabamba umchamo ongakanani, ingcindezi ngaphakathi kwesinye, isivinini sokugeleza komchamo, nokuthi isinye sakho sikhipha kahle kangakanani.

Ngemva kwalezi zivivinyo, ungathunyelwa kudokotela wezifo zomchamo.

Ilashwa kanjani? Ingabe lokhu kungelapheka?

Uhlelo lokwelashwa lunqunywa ngokusekelwe ezimpawini zakho, ubukhali besimo, kanye nembangela yaso.

1. Izinguquko zendlela yokuphila kanye nokuqeqeshwa kwesinyi

Udokotela uzokutshela ukuthi uzame izinto ezinjengalezi kuqala.

• Gcina idayari yesinye: Gcina irekhodi lokuthi uchama kangaki ngosuku, ukuthi uchama kangaki, ukuthi uphuzani, ukuthi udinga ukuchama nini, kanye nanoma yiziphi izikhathi lapho uchama ngephutha. Lokhu kungakusiza ukuthi ubone iphethini futhi ujwayele ukuchama ngesikhathi esifanele.
• Ukudla: Izinto ezifana nekhofi, itiye, utshwala, neziphuzo ezine-carbonated zingashukumisa isinyi ngokushesha. Kunconywa ukuthi uzinciphise.
• Ukuzivocavoca kwe-Kegel: Ukuzivocavoca okuqinisa imisipha yephansi le-pelvic.

2. Imithi

Kunemithi enganciphisa ukufinyela kwemisipha yesinye ngokweqile noma ikhulule isinye. Isibonelo, imithi efana ne-`oxybutynin`, `tolterodine`, `mirabegron`. Le mithi kufanele isetshenziswe kuphela ngaphansi kweseluleko sikadokotela.

3. Ukufakwa kwe-Catheterization

Le ndlela ibaluleke kakhulu kulabo abangakwazi ukukhipha ngokuphelele isinye sabo.

• Ukuzithulula: Ukuthulula isinyi sakho ngokufaka ipayipi elincane elihlanzekile (i-catheter) e-urethra yakho izikhathi eziningana ngosuku. Udokotela wakho noma umhlengikazi uzokukhombisa ukuthi ungakwenza kanjani lokhu.
• Ukufakwa kwe-catheter okuqhubekayo: Ukusetshenziswa kwe-catheter engagqokwa njalo.

4. Ezinye izindlela zokwelapha

• Imijovo yeBotox®: I-Botox ingafakwa emisipheni yesinye ukuze kuncishiswe ukusebenza kwayo ngokweqile.
• Ukuhlinzwa: Uma kungekho okunye ukwelashwa okuphumelelayo, ukuhlinzwa kungacatshangelwa. Isibonelo, i-agmentation cystoplasty noma i-urinary diversion.

Udokotela wakho uzoxoxa nawe ngokuthi yikuphi ukwelashwa okungcono kakhulu esimweni sakho. Isinye esibangela i-neurogenic, ukulawula umchamo, uhlelo lwezinzwa, isinye, ukulawula isinye i-sinhala, ukungalawuleki komchamo i-sinhala, ukugcinwa komchamo i-sinhala