Kusakosha kwechirwere nechirwere cheuropigenic kukanganisa urinary basa, iyo inokonzerwa nokukundwa kwenheyo yenheyo. Kuputsa uku hakugoni kuonekwa sechirwere chakasiyana. Icho chinodaro chinonzi collective syndrome, chinosanganisira mamiriro ezvinhu anobva kuhutano husina kuberekwa kana kuti akawana mazinga akasiyana-siyana ehurongwa hwesheyo izvo zvakananga zvisingabatsiri chipfuva.
Zviratidzo
Maitiro makuru, zviratidzo, zvicherechedza nehutachiona hwehutachiona hwechirwere, ndezvi:
- pathological retention of urine;
- urinary incontinence .
Nekunyora kwekuvhara kwechokwadi, murwere haanzwi nekuputika kwechirwere, naizvozvo haagoni kuchengetedza urini pachako. Kuunganidza murwizi hakuiti, uye inogara ichidonhedzwa mumadonhwe.
Mune dzimwe mhando dzebladder innervation disorders, manzwiro ekuzara-kuzadza anogona kuonekwa, uye somugumisiro, kazhinji kacho kukurudzirwa kuita sekushambadzira.
Sezvo chisimba chekuchengetedzwa kwekodha chinotungamirira kukuvhiringidzika kukuru kwetatu, chirwere ichi chinowanzomesa nechirwere chakadai sepstitial cystitis, iyo inotungamirira kukonzera uye kupenya kwemasvingo echando.
Diagnostics
Zvinonyanya kukosha pakutsvaga chirwere cheyeurogenic bladder is laboratory diagnostic, iyo yakaderedzwa kuongororongedza urine, kuongorora urini maererano naZimnitsky, neruzhinji rwekuyera ropa. Uyewo uite urethrocystography, ultrasound yeinso uye bladder pachayo.
Kurapa
Nzira yekurapa neurogenic bladder dysfunction zvakakwana kubva pane chii chinokonzera kudarika kwekusachengetedzwa kwayo. Nokudaro, kurapwa kwechirwere ichi kwakaoma kunosanganisira magetsi ekusimudzira,
Iyo huru yezvirevo izvi ndeyechiremba, iyo inowanikwa pamabasa ekurapa uye pasi pekutonga kwayo.
Kana urini yakanonoka uye isati yapiwa, chirwere chinoputirwa, iyo iyo catheter isingaperi inogadzirwa. Nechinangwa chekuvandudzwa kwekuvhiringidzika kusina kubviswa, catheter inonamirwa kwemaawa maviri.
Uyewo, kuitira kuti usapinda utachiona, ita zvinodzivirira, izvo zvinotungamirirwa nedhigiriyo remishonga ine antibacterial drugs.