Menene mafitsara ta neurogenic da manyan nau'ikan

Wadatacce

• Babban bayyanar cututtuka
• 1. Mitsitsen mafitsara
• 2. Hypoactive mafitsara
• Matsaloli da ka iya haddasawa
• Yadda za a tabbatar da ganewar asali
• Yadda ake yin maganin
• Neurogenic mafitsara na da magani?

Mafitsarin neurogenic shine rashin iya sarrafa aikin fitsari saboda matsalar rashin aiki a cikin mafitsara ko mafitsara, wanda zai iya haifar da dalilai da yawa, daga canje-canje a jijiyoyi, wanda ke hana tsokokin yankin aiki yadda ya kamata, kazalika da yanayin da ke damun yankin, kamar su canjin hormonal, kumburin mafitsara ko cututtuka, alal misali.

Bwayar mafitsaran neurogenic na iya warkewa ko ba za a warke ba, wanda aka fassara bayan kimantawa ta urologist, wanda ke ƙayyade abubuwan da ke haifar da shi kuma ya bayyana ko nau'ikan nau'ikan ne:

• Ragewa: lokacin da tsokoki suka kasa yin aiki a lokacin da ya dace;
• Mai daukar ciki: lokacinda ake samun raguwar zafin jiki da yawan fitsari ba tare da son rai ba.

Dangane da nau'in mafitsara, likita zai iya ayyanawa tsakanin hanyoyin maganin, wadanda suka hada da amfani da magunguna, kamar su oxybutynin, tolterodine ko amfani da sinadarin botulinum toxin, alal misali, ban da maganin jiki, amfani da mafitsara bincike ko tiyata.

Babban bayyanar cututtuka

A cikin mafitsara ta neurogenic, akwai canji a jijiyoyin da ke kula da tsokokin da ke kewaye da mafitsara ko ƙwarjin fitsarin, waɗanda ba sa iya shakatawa ko kwangila a lokacin da ya dace.

Don haka, mutumin da yake da wannan canjin ya rasa ikon yin fitsari a hade, gwargwadon nufinsa. Dogaro da nau'in canji, mafitsara neurogenic na iya zama:

1. Mitsitsen mafitsara

An kuma san shi da mafitsara na spastic ko mafitsara mai juyayi, yayin da mafitsara ke yin kwangila ba da gangan ba, don haka yana haifar da zubar fitsari ba zato ba tsammani kuma a lokutan da ba su dace ba.

• Kwayar cututtuka: matsalar rashin yin fitsari, yawan yin fitsari akai-akai kuma cikin 'yan kadan, zafi ko konewa a yankin mafitsara, rasa ikon yin fitsarin.

Fitsarin mafitsara ya fi zama ruwan dare ga mata kuma ana iya motsa shi ta hanyar canjin yanayi a lokacin da take daukewar al'ada, ko kuma ta hanyar kara girman mahaifa yayin daukar ciki. Nemi karin bayani kan yadda za'a gano mafitsara mai aiki.

2. Hypoactive mafitsara

An kuma san shi da mafitsara mai rauni, saboda mafitsara ba ta iya yin kwangila da son rai, ko kuma fiska ba ta iya shakatawa, wanda ke haifar da ajiyar fitsari, ba tare da ikon kawar da shi da kyau ba.

• Kwayar cututtuka: jin cewa mafitsara ba ta fanko gaba daya bayan yin fitsari, diga bayan fitsari ko zubar da fitsari ba da niyya ba. Wannan yana kara damar kamuwa da cutar yoyon fitsari da nakasa aikin koda, don haka ya kamata a fara magani da wuri-wuri.

Matsaloli da ka iya haddasawa

Sanadin mafitsara neurogenic na iya zama:

• Fitsararriya ta mafitsara, ta kamuwa da cutar fitsari ko canjin yanayi, kamar yadda yake a lokacin yin al'ada;
• Canje-canjen kwayoyin, kamar yadda yake a cikin myelomeningocele;
• Sauya cututtukan jijiyoyin jiki kamar su neurocysticercosis ko neuroschistosomiasis;
• Compaddamar da jijiyoyi a cikin yankin lumbar ta hanyar diski mai laushi;
• Hadarin da ke lalata kashin baya, haifar da paraplegia ko quadriplegia;
• Rashin cututtukan cututtukan jijiyoyin jiki kamar su sclerosis ko Parkinson's;
• Rashin lafiyar jijiyoyin jiki bayan bugun jini;
• Canje-canje na jijiyoyin jiki na gefe saboda ciwon sukari;
• Asarar sanyin mafitsara, wanda ya haifar da kumburi, cututtuka ko canje-canje na jijiyoyin gaba ɗaya.

A cikin maza, kara girman prostate na iya yin kwatankwacin alamomi da yawa na mafitsara neurogenic, kasancewa muhimmiyar hanyar jujjuyawar aikin jujjuyawar jijiyoyin urinary.

Yadda za a tabbatar da ganewar asali

Don binciko mafitsara na kwayar cuta, likitan urologist zai kimanta tarihin asibiti na mutum, yin bayani dalla-dalla game da alamomin, da kuma gwajin jiki, ban da neman gwaje-gwajen da za su iya lura da aikin fitsarin, kamar su duban dan tayi, daukar hoto daban-daban, urethrocystography da gwajin urodynamic , don tantance takurawar jijiyoyin fitsari a lokacin yin fitsari.

Yadda ake yin maganin

Jiyya ga mafitsara neurogenic hadaddun kuma yana iya ƙunsar:

• Amfani da magunguna masu saurin damuwa, kamar su bethanechol chloride, antimuscarinics, kamar oxybutynin (Retemic) ko tolterodine, da kuma wasu jami'ai da ke aiki a kan kwayar cutar, kamar su glutamate, serotonin, norepinephrine, dopamine da gamma-aminobutyric acid (GABA), ana amfani da su bisa kowane hali;
• Kwayar botulinum (botox), wanda za'a iya amfani dashi don rage spasticity na wasu tsokoki;
• Zabe na lokaci-lokaci, wanda shine hanyar bututun mafitsara, wanda mara lafiyan zai iya amfani da shi lokaci-lokaci (sau 4 zuwa 6 a rana) sannan a cire shi bayan an zubar da mafitsara;
• Tiyata, wanda zai iya zama don inganta aikin mafitsara ko karkatar da fitsari zuwa wata kofa ta waje (ostomy) da aka kirkira a bangon ciki;
• Jiki, tare da motsa jiki don ƙarfafa ƙashin ƙugu. Dubi yadda ake yin maganin jiki don matsalar fitsarin.

Nau'in maganin zai dogara ne akan dalilin cutar, da nufin maganin sa. Duk da haka, lokacin da wannan ba zai yiwu ba, likita na iya ba da shawarar hada magunguna don inganta rayuwar mutum, baya ga guje wa kamuwa da cututtukan da ke saurin faruwa da nakasar koda.

Duba a cikin wannan bidiyo yadda ake yin atisaye don ƙarfafa ƙashin ƙugu kuma ku guji mafitsaran neurogenic:

Neurogenic mafitsara na da magani?

Za a iya warkar da mafitsarar neurogenic lokacin da ya haifar ta sanadiyyar musanyawa, kamar kamuwa da cutar fitsari ko kamuwa da cutar kwakwalwa ta hanyar neurocysticercosis, misali, nuna ci gaba bayan jiyya.

Koyaya, a lokuta da yawa, mafitsara neurogenic ba shi da magani, amma magani na iya taimakawa inganta sautin tsoka, saukaka alamomi da inganta rayuwar mutum. Saboda wannan, yana da mahimmanci a sami bibiya tare da likitan urologist kuma, a wasu yanayi, likitan jijiyoyi.