Neurogenic mafitsara

Neurogenic mafitsara matsala ce wacce mutum ba shi da ikon sarrafa mafitsara saboda kwakwalwa, laka, ko yanayin jijiya.

Da yawa tsokoki da jijiyoyi dole suyi aiki tare don mafitsara ta riƙe fitsari har sai kun shirya zubar da shi. Sakon jijiyoyi suna kaiwa da komowa tsakanin kwakwalwa da tsokar dake kula da fitsarin kwance. Idan waɗannan jijiyoyin sun lalace ta hanyar rashin lafiya ko rauni, tsokokin ba za su iya yin ƙarfi ko shakatawa a lokacin da ya dace ba.

Rikice-rikicen tsarin jijiyoyin jiki galibi suna haifar da mafitsara ta neurogenic. Waɗannan na iya haɗawa da:

• Alzheimer cuta
• Laifin haihuwa na lakar kashin baya, kamar su spina bifida
• Orswayoyin kwakwalwa ko ƙashin baya
• Cutar ƙwaƙwalwa
• Cutar sankarau
• Disaramar ilmantarwa kamar ƙarancin rashin kulawa da hankali (ADHD)
• Mahara sclerosis (MS)
• Cutar Parkinson
• Raunin jijiyoyi
• Buguwa

Lalacewa ko rikicewar jijiyoyin da ke ba mafitsara ma na iya haifar da wannan yanayin. Waɗannan na iya haɗawa da:

• Lalacewar jijiya (neuropathy)
• Lalacewar jijiya saboda dogon lokaci, yawan amfani da giya
• Lalacewar jijiya saboda ciwon suga na dogon lokaci
• Rashin bitamin B12
• Lalacewar jijiya daga cutar syphilis
• Lalacewar jijiyoyi saboda aikin tiyata
• Lalacewar jiji daga diski mai laushi ko ƙarancin jijiya na kashin baya

Alamomin cutar sun dogara da dalilin. Sau da yawa sun haɗa da alamun rashin fitsari.

Kwayar cutar mafitsara mai aiki da yawa na iya haɗawa da:

• Yin fitsari sau da yawa cikin ƙananan
• Matsalolin kwashe duka fitsarin daga mafitsara
• Rashin ikon yin fitsari

Kwayar cutar mafitsara mara aiki tana iya haɗawa da:

• Cikakken mafitsara da yiwuwar yoyon fitsari
• Rashin iya faɗi lokacin da mafitsara ta cika
• Matsalolin fara yin fitsari ko fidda dukkan fitsarin daga mafitsara (riƙe fitsarin)

Magunguna na iya taimakawa wajen kula da alamun ka. Mai ba da sabis na kiwon lafiya na iya bayar da shawarar:

• Magunguna waɗanda ke kwantar da mafitsara (oxybutynin, tolterodine, ko propantheline)
• Magungunan da ke sa wasu jijiyoyi su yi aiki sosai (bethanechol)
• Gubar Botulinum
• Abubuwan GABA
• Magungunan antiepileptic

Mai ba ka sabis na iya tura ka zuwa ga wani wanda aka horar don taimaka wa mutane su magance matsalolin mafitsara.

Basira ko dabaru da zaku koya sun hada da:

• Motsa jiki don ƙarfafa tsokoki na ƙashin ƙugu (ayyukan Kegel)
• Rike littafin tarihin lokacin da zaka yi fitsari, adadin da ka yi fitsarin, da kuma idan ka yi fitsari. Wannan na iya taimaka muku koya lokacin da ya kamata ku zubar da mafitsara da kuma lokacin da zai fi kyau kasancewa kusa da banɗaki.

Koyi don gane alamomin kamuwa da cutar yoyon fitsari (UTIs), kamar ƙonawa idan kayi fitsari, zazzabi, ciwon baya a gefe ɗaya, da kuma yawan buƙatar yin fitsari. Allunan Cranberry na iya taimakawa hana UTIs.

Wasu mutane na iya buƙatar amfani da bututun fitsari. Wannan bututun bakin ciki ne wanda aka saka cikin mafitsara. Kuna iya buƙatar catheter don zama:

• A wuri koyaushe (catheter a ciki).
• A cikin mafitsara sau 4 zuwa 6 sau sau a rana don kiyaye mafitsara daga cikawa (tsinkayar catheterization).

Wani lokaci ana bukatar tiyata. Yin aikin tiyata don mafitsara ta neurogenic sun haɗa da:

• Gwanin wucin gadi
• An dasa na'urar lantarki kusa da jijiyoyin mafitsara don motsa tsokokin mafitsara
• Sling tiyata
• Irƙirar buɗewa (stoma) wanda fitsari ke kwarara zuwa cikin jaka ta musamman (wannan ana kiranta ɓatar da fitsari)

Ana iya ba da shawarar motsin wutar lantarki na jijiyar tibial a kafa. Wannan ya haɗa da sanya allura a cikin jijiyar tibial. An haɗa allurar zuwa na'urar lantarki wanda ke aika sigina zuwa jijiyar tibial. Siginonin suna tafiya har zuwa jijiyoyin da ke cikin kashin baya, wanda ke kula da mafitsara.

Idan kana fama da matsalar yoyon fitsari, to akwai kungiyoyi domin karin bayani da tallafi.

Matsalolin mafitsara na neurogenic na iya haɗawa da:

• Zubar fitsari a kai a kai wanda zai iya sa fata ta karye kuma ta haifar da ciwon matsi
• Lalacewar koda idan mafitsara ta cika sosai, yana haifar da matsin lamba a cikin bututun da ke kai wa ga koda da cikin koda da kansu
• Cututtukan fitsari

Kira mai ba ku sabis idan kun:

• Ba za ku iya wofintar da mafitsara ko kaɗan
• Samun alamun kamuwa da cutar mafitsara (zazzabi, ƙonawa idan kayi fitsari, yawan yin fitsari)
• Fitsara kadan, akai-akai

Neurogenic detrusor wuce gona da iri; NDO; Neurogenic mafitsara sphincter tabarbarewa; NBSD

• Mahara sclerosis - fitarwa
• Hana ulcershin matsa lamba

• Cystourethrogram mai ɓoye

Chapple CR, Osman NI. Mai lalata abubuwa. A cikin: Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, eds. Campbell-Walsh-Wein Urology. 12th ed. Philadelphia, PA: Elsevier; 2021: babi na 118.

Goetz LL, Klausner AP, Cardenas DD. Rashin aikin fitsari. A cikin: Cifu DX, ed. Braddom ta Magungunan Jiki da Gyarawa. 5th ed. Philadelphia, PA: Elsevier; 2016: babi na 20.

Panicker JN, DasGupta R, Batla A. Neurourology. A cikin: Daroff RB, Jankovic J, Maziotta JC, Pomeroy SL, eds. Bradley's Neurology a cikin Clinical Practice. 7th ed. Philadelphia, PA: Elsevier; 2016: babi na 47.