Neurogenic bladder kudzvinyirira kuvana

Neurogenic bladder dysfunction, iyo inowanzo muvana, chirwere chebasa umo kune kutyora kwekuzadza zvirongwa, uye panguva imwechete kubudisa chipfuva. Kakawanda chikonzero chezvikonzero zvinotungamirira kukurudzirwa kwechirwere ndiko kukanganisa kwekutya kwekutya kwehutano huri pachahwo.

Chii chinokonzera rudzi urwu rwekuputsa?

Kusagadzikana kwehutano mu chirwere ichi kunowanzoitika, kunyanya nekuda kwekusagadzikana kwekubatanidza kwehuwandu hwebasa rekunze kwephincter yemukaka. Chiitiko chakafanana chinogona kuitika apo:

• kuberekwa kusagadzikana kwepakati yenheyo system (myelodysplasia);
• kushungurudzika kwebhanhire;
• tsvina inogadziriswa mumutsana, mushonga wepelinha;
• kushungurudzika kwekuberekwa;
• infantile cerebral palsy;
• spinal hernia.

Izvi zvakakoshawo kuziva kuti, kunze kwezvikonzero zvakanyorwa pamusoro apa zvinokonzerwa neurogenic bladder kuvhiringidza mukati mevana, chirwere ichi chinogona kunge chakaitika nekuda kwekusagadzikana kwekaumbwa urinary reflex.

Maererano nehuwandu hwemashoko, chirwere chacho chinonyanya kuonekwa muvasikana, icho chinotsanangurwa, chokutanga, nesrogen saturation.

Ko kurapwa kweiurogenic kusagadzikana kwechirwere kunowanikwa vana?

Nzira yekurapa yekuputsa kwakadaro inofanira kunge ine nzira yakabatana. Zvakakosha mukurapa kunamatira, izvo zvinonzi hurumende inongwarira, iyo inowanzogara ichifamba mumhepo itsva, nguva yekurara kwenguva refu, kubviswa kwemamiriro ezvinhu anonetsa.

Mukugadzirisa kwekugadzirisa matanho, zvinotevera zvinogona kusarudzwa:

• M-holinoblokatory (Atropine, nemakore mashanu anosarudza Oksibutinin);
• vanopikisa calcium (Terodilin, Nifedipine).
• Kurapa chirwere chepurovhesi chinosangana necturnal enuresis , vana mushure memakore mashanu vanorayirwa Desmopressin (analogue ye antidiuretic hormone).