Isibilini se-Neurogenic: izimbangela
Ukungasebenzi kwe-vestiva neurogenic ezinganeni kuyinkinga evamile, ngokwesilinganiso kwenzeka ezinganeni ezingu-10%. Lesi sifo sinethonya elikhulu ekuthuthukiseni izifo ezihlukahlukene zesistimu ye-urinary, njenge-pyelonephritis, i-cystitis engapheli, ukuhluleka okungenangqondo kwe-renal, njll.
Isibilini se-neurogenic ezinganeni asisho isongo esisheshayo empilweni, kodwa emphakathini lokhu kuyinkinga ebaluleke kakhulu engabangela izinkinga eziningi ngokuzivumelanisa nokulingana komntwana, okuthinta umsebenzi wokuxhumana kwakhe noontanga nokuzethemba.
Eqinisweni, isibilini se-neurogenic ezinganeni (i-NRM) ngumqondo ohlangene ohlanganisa iqembu elikhulu lezinkinga zemisebenzi yokukhishwa kanye nemithombo yamanzi. Lezi ziphazamiso zikhula ngenxa yokulimala emisipha ebushelelezi yesisindo, izifo zesimiso sezinzwa zamazinga ahlukene nokujula noma izinguquko kwisakhiwo se-uroepithelium.
Isibilini se-Neurogenic: izimpawu
Isikhwama se-neurogenic sibonakala ezinhlotsheni ezimbili zokuphazamiseka kokuvuthwa:
- ukugcina umchamo;
- ukungabikho komchamo.
Izibonakaliso zesisindo se-neurogenic ziyahlukahluka ngokuya ngezinga nokujula kwesistimu yezinzwa.
Izingane azikwazi ukulawula ngokuzulazula ukuchama ngokulinganisa kuze kube seminyaka engu-2-2.5. Kuze kube yilesi sikhathi, ukukhishwa kwayo kulawulwa yi-reflectron, intambo yomgogodla we-sacral. Uma ukuvuthwa kwe-reflex kuphawulwa lapho usukhulile, singakwazi ukukhuluma ngokungahambisani kwesikhathi somchamo. Isikhonda sikhishwe ngaphandle komthetho, ngokuzenzakalelayo.
Njengomthetho, ukungahambisani kwamagciwane ezinganeni (i-neurogenic hyperreflex isambatho sokuvuthwa) kuhlukaniswe izinhlobo ezilandelayo:
- okubalulekile (inzwa kanye nemoto);
- ukucindezeleka;
- i-reflex;
- kusuka ekuchichimeni.
Abazali abaye baqaphela ukungaziphathi kahle emcimbini kwengane, kufanelekile ukunaka izici ezilandelayo:
- Isikhathi lapho ukungena khona kuvela khona.
- Ukuphindaphindiwe nokuphindaphindiwe kokuphindaphindiwe kweziqephu ze-incontinence.
- Izici ezihambisanayo.
Ukulala emantwaneni kubonakala ekuhlukeni okuhlukile - i-enuresis yasebusuku.
Ngokwehlukana, kufanelekile ukunaka ukubonakaliswa kokungabikho ezinganeni ezingaphambilini ezikwazi ukulawula ukuchama futhi zingenakho ukulimala kwekhanda nokubuyela emuva. Lokhu kungabonisa ukungabi nakakhulu emsebenzini wesimiso sezinzwa.
Isibilini se-Neurogenic: ukwelashwa
Zonke izinketho zokwelapha zokusebenza kwesibindi zingahlukaniswa ngamaqembu alandelayo:
- ukwelashwa okungewona ukwelashwa (ukuqeqesha isambatho, ukuvivinya umzimba kwemisipha ye-pelvic, izindlela ze-physiotherapy, njll);
- i-pharmacotherapy;
- ukwelapha ukwelashwa.
Noma yiluphi uhlelo lwezokwelapha lwe-NRM luqala ngokuqokwa kwezinketho ezingaphephile nezezokwelashwa, okwenza kube nemiphumela emibi kakhulu. Sincoma umbuso wokuvikelwa ngenani lokucindezeleka, okuhlangenwe nakho, ngaphandle kwezimo zengqondo. Kubonisa futhi ukwenqaba imidlalo esebenzayo ngaphambi kokulala, ehamba emoyeni omusha.
Ake sicabangele ngokuningiliziwe indlela yokwelapha isambiso se-neurogenic ngosizo lwemithi. Imithi enqunyiwe yale maqembu:
- amavithamini (ikakhulukazi, iqembu B, PP, A, E) ngamanani ahambisana nesikhala sesiguli;
- i-anticholinergics (i-bellataminal 0,5-1 tablet 2 r nsuku zonke, i-melipramine 0,02-0,05 g ubusuku bonke, i-atropine 0,05-0,5 mg izikhathi ezingu-1-2 ngosuku - enye yezidakamizwa ngokukhetha);
- kusho ukujwayeleka kwezinqubo zamathambo ngaphakathi ohlelweni lwezinzwa eziphakathi (amino acid, nootropics, sedative).
Ochwepheshe kufanele banikeze ukuxilongwa futhi banikeze ukwelashwa, ngoba ukhetho lwezokwelapha luxhomeke ngokuphelele ebubini bokungasebenzi, uhlobo lwalo, isimo sesiguli esiphezulu, ukuphumelela kwezindlela zokwelashwa ezisetshenziswa ngaphambili, ukutholakala kwezifo ezithintekayo,