Waa maxay kaadiheysta neurogenic iyo noocyada ugu waaweyn

Qanacsan

• Calaamadaha ugu waaweyn
• 1. Kaadiheysta firfircoonaanta
• 2. Kaadiheysta Hypoactive
• Sababaha suuragalka ah
• Sida loo xaqiijiyo cudurka
• Sida daaweynta loo sameeyo
• Kaadiheysta Neurogenic waxay leedahay daawo?

Kaadiheysta neurogenic waa awood la'aanta in la xakameeyo ficilka kaadida cilad darrada kaadiheysta ama kaadiheysta kaadiheysta, taas oo sababi karta dhowr sababood, oo udhaxeysa isbeddelada neerfaha, taas oo ka hortageysa muruqyada gobolka in ay si sax ah u shaqeeyaan, iyo sidoo kale xaaladaha xanaaqa gobolka, sida isbadalada hormoonka, caabuqa kaadiheysta ama infekshannada, tusaale ahaan.

Kaadiheysta neerfayaasha neerfaha waa la daaweyn karaa ama lama daaweyn karo, taas oo lagu qeexo ka dib qiimeynta yuroolistaha, kaas oo go'aamiya sababihiisa wuxuuna qeexayaa inuu yahay nooca:

• Kacsi la'aan: markay muruqyadu awoodi waayaan inay fooshaan waqtiga saxda ah;
• Kacsi badan: marka uu jiro murqo fara badan oo muruqyada ah iyo kaadi aan khasab ahayn oo kaa dhaca.

Iyada oo ku saleysan nooca kaadiheysta, dhakhtarku wuxuu awood u yeelan doonaa inuu qeexo xulashooyinka daaweynta, oo ay ku jiraan isticmaalka daawooyinka, sida oxybutynin, tolterodine ama isticmaalka botulinum toxin, tusaale ahaan, marka lagu daro daaweynta jirka, isticmaalka kaadiheysta baaritaan ama qalliin.

Calaamadaha ugu waaweyn

Kaadiheysta neerfaha, waxaa jira isbeddel ku dhaca neerfaha xakameynaya muruqyada ku hareeraysan kaadi heysta ama kaadiheysta kaadi mareenka, kuwaas oo aan awoodin inay nastaan ​​ama isku foorarsadaan waqtiga ku habboon.

Sidaa darteed, qofka isbeddelkan ku yimid wuxuu luminayaa awooddii uu ku kaadi lahaa qaab isku dubaridan, sida uu doonayo. Waxay kuxirantahay nooca isbedelka, kaadiheysta neurogenic waxay noqon kartaa:

1. Kaadiheysta firfircoonaanta

Waxaa sidoo kale loo yaqaanaa kaadiheysta spastic ama kaadiheysta dareemayaasha, maadaama kaadiheysta ay qandaraas ku sameyso si aan qasab aheyn, sidaasna ay ku keento kaadi urursi lama filaan ah iyo waqtiyada aan habooneyn.

• Astaamaha: kaadi ceshan la'aanta kaadida, ku boorinta kaadida si isdaba joog ah iyo tiro yar, xanuun ama gubasho ku haysa gobolka kaadi haysta, luminta xakamaynta kartida kaadida.

Kaadiheysta firfircoonaanta badan waxay ku badan tahay dumarka waxaana kicin kara isbeddelada hormoonada menopause, ama minka weynaaday muddadii uurka. Raadi faahfaahin dheeraad ah oo ku saabsan sida lagu garto kaadi-haysta firfircoon.

2. Kaadiheysta Hypoactive

Waxaa sidoo kale loo yaqaanaa kaadiheysta flaccid, maadaama kaadiheystu aysan awood u laheyn inay iskeed uqabsato, ama muruqmalaha uusan awoodin inuu isdajiyo, taas oo keenta keydinta kaadida, iyadoo aan laheyn awood si sax ah looga tirtiro.

• Astaamaha: dareemida in kaadiheystu aysan faaruqin gebi ahaanba kaadida kadib, qulqulayso kaadida kadib ama kaadi la'aan qasab la'aan. Tani waxay kordhisaa fursadaha infekshinka kaadi mareenka iyo howl gabka shaqada kilyaha, marka daaweynta waa in sida ugu dhaqsiyaha badan loo bilaabo.

Sababaha suuragalka ah

Sababaha kaadiheysta neurogenic waxay noqon karaan:

• Kaadi heysta kaadiheysta, infekshinka kaadi mareenka ama isbeddelada hoormoonka, sida caadada oo kale;
• Isbedelada hidaha, sida myelomeningocele;
• Cudurada neerfaha ee loo rogo sida neurocysticercosis ama neuroschistosomiasis;
• Cadaadiska neerfaha ee gobolka lumbar by herniated disc;
• Shil dhaawac u geysta laf-dhabarka, oo keena paraplegia ama quadriplegia;
• Cudurrada neerfaha ee xumaada sida sclerosis ama Parkinson;
• Neefsasho xagga maskaxda ah kadib istaroog;
• Isbedelada neerfaha ee durugsan sababo la xiriira sonkorowga;
• Luminta dabacsanaanta kaadiheysta, oo ay keento barar, infekshanno ama isbeddellada neerfaha guud ahaan.

Ragga, qanjirka 'prostate' ee la balaariyay wuxuu u ekeysiin karaa astaamo badan oo kaadiheysta neerfayaasha, isagoo ah sabab muhiim ah oo dib loogu noqon karo shaqada muruqyada kaadida.

Sida loo xaqiijiyo cudurka

Si loo ogaado kaadiheysta neerfaha, dhakhtarka kaadi mareenka wuxuu qiimeyn doonaa taariikhda caafimaad ee qofka, isagoo faahfaahinaya astaamaha, iyo baaritaanka jireed, marka lagu daro codsiyada baaritaanada ee daawan kara howlaha marinka kaadi mareenka, sida ultrasound, shucaaca ka soo horjeedka, urethrocystography iyo baaritaanka urodynamic , si loo qiimeeyo murqaha muruqyada kaadi mareenka waqtiga kaadida.

Sida daaweynta loo sameeyo

Daaweynta kaadiheysta neurogenic waa mid adag oo laga yaabo inay ku lug yeelato:

• Isticmaalka daawooyinka agonists parasympathetic, sida bethanechol chloride, antimuscarinics, sida oxybutynin (Retemic) ama tolterodine, iyo sidoo kale wakiilo kale oo wax ka qabta neurotransmitters, sida glutamate, serotonin, norepinephrine, dopamine iyo gamma-aminobutyric acid (GABA), oo loo adeegsaday kiis kasta;
• Sunta botulinum (botox), taas oo loo adeegsan karo yareynta fiditaanka murqaha qaarkood;
• Codbixinta goos gooska ah, oo ah marinka tuubada kaadiheysta, oo uu u isticmaali karo bukaan socodka laftiisa xilli (4 ilaa 6 jeer maalintii) waana laga saari karaa kadib faaruqinta kaadiheysta;
• Qalliinka, kaas oo noqon kara in la hagaajiyo waxqabadka kaadiheysta ama loo weeciyo kaadi furan (ostomy) oo lagu abuuray derbiga caloosha;
• Daaweynta jirka, oo leh jimicsiyo lagu xoojinayo sagxada miskaha. Eeg sida daaweynta jirka loogu sameeyo kaadi-ceshan la'aanta kaadiheysta.

Nooca daaweyntu wuxuu ku xirnaan doonaa waxa keena cudurka, iyadoo looga dan leeyahay xalkiisa. Si kastaba ha noqotee, marka tani aysan suurtagal ahayn, dhakhtarku wuxuu kugula talin karaa isku-dar ah daaweyn si loo wanaajiyo tayada nolosha qofka, marka lagu daro ka-fogaanshaha infekshinnada soo noqnoqda iyo cilladda kelyaha.

Fiiri fiidiyowgaan sida loo sameeyo jimicsiyada si loo xoojiyo sagxada miskaha oo looga fogaado kaadiheysta neurogenic:

Kaadiheysta Neurogenic waxay leedahay daawo?

Kaadiheysta neerfayaasha waa la daaweyn karaa marka ay sababaan sababo la beddeli karo, sida infekshinka kaadi mareenka ama infekshinka maskaxda ee ku dhaca neurocysticercosis, tusaale ahaan, muujinta horumar ka dib daaweynta.

Si kastaba ha noqotee, xaalado badan, kaadiheysta neerfayaasha ma leh daawo, laakiin daaweyntu waxay gacan ka geysan kartaa hagaajinta muruqyada, yareynta astaamaha iyo hagaajinta tayada nolosha qofka. Tan awgeed, waxaa muhiim ah in lala socdo dhaqtarka kaadi mareenka iyo, xaaladaha qaarkood, dhakhtarka neerfaha.