Neurogenic bladder muvana

Rudzi urwu rwehutano, sehistoric nechogenicic, inowanzoonekwa nevana. Maererano nehuwandu, anenge 10 muzana yevana vose vari pasi pekuputsa uku. Ngationgororei zvakanyatsoratidzwa uye tigare mune zvakawanda pamusoro pezvikonzero, zviratidzo uye chirwere cheeurogenic bladder muvana.

Chinyiko ichi chirwere uye nei ichibuda?

Nokuti rudzi rwakapiwa rwechirwere runonzwisiswa chirwere, chinopedzisira chisina kukodzera chechivhiri, icho chikonzero nekuda kwekushaya kushanda kwemutemo wekutya kwekugadzira. Somugumisiro, zvose zviri mugungwa (kuunganidza) uye kubuda (kusununguka) mabasa echirongwa pachako anotambura.

Sezvaunenge uchiziva, nzira yakakura yekudzora (inodzorwa usiku neusiku) muvana inoumbwa kusvika kumakore 3-4. Mumutemo, kubatanidzwa kwaro kwakananga kunotorwa nenzvimbo dzeuropi, pamwe chete ne lumbosacral musungo werwonzi.

Zvinokonzera kukurudzirwa kweeurogenic bladder kushaya simba mukati mevana zvakanyanya. Zvisinei, pamwoyo yevose zvavo vanorwara neurological disorders yezvikwata zvakasiyana-siyana, izvo zvinozoita kuti zvive zvisina kukwana kuwirirana kwehuwandu hwebasa re detrusor pachayo kana kunze kwephincter yemukati waro.

Sezvo mutemo, rudzi urwu rwechiitiko runokura semugumisiro:

• chironda chinokonzerwa nehutachiona hwehutano (kuberekwa kusagadzikana);
• dambudziko kune nhengo dzomukati;
• chirwere uye zvirwere zvinoputika zvepona, brain and spinal cord ( kuberekwa nemarwadzo , chirwere cheperesi, chirwere chinonzi cerebral hernia);
• hypothalamic-pituitary insufficiency;
• kunonoka pakusimwa kwezviropi zvikoro;
• kusagadzikana kwehutongi hwehurumende.

Zvakakosha kuziva kuti kazhinji chirwere ichi chinowanikwa kuvasikana. Icho chikonzero chinokonzerwa nekuti ivo vane yepamusoro ye-estrogenic saturation, iyo inowedzerawo kunzwisiswa kwezvinogamuchirwa zviri mu detrusor pachayo.

Ndezvipi zviratidzo zvechirwere chepurovhero muvana?

Urwu urwere hwehutano hunoratidzika nehutano hwakasiyana-siyana hwechiito chokudhonza, iyo nguva yakawanda inowirirana zvakananga nehuwandu hwekuvhiringidza kwenheyo yenheyo.

Muyourogenic hyperactive bladder, zviratidzo zvinotevera zvinowanzoonekwa muvana, zvichiratidza kuputsa:

• nguva yakawanda yokudhonza kupfuura kanomwe pazuva;
• kazhinji kukurudzira kurinate;
• urinary incontinence;
• chimiro che enuresis.

Zvisizvo zvakakosha kuti titi nezvechirudzi chakadaro, sechistural neurogenic bladder. Ichi chimiro chinoratidzwa apo muviri wemwana unofamba uchibva kune wakananga kusvika pakatarisa, uye unoratidzwa ne diurnal pollakiuria (kazhinji kunyorera). Panguva imwe chete hapana kuchinetsa kweusiku kuunganidza urini.

Nzira yekurapa chirwere chepurovheti mumwana?

Kurapa kwezvirwere zvechirwere ichi kunosanganisira mishonga, uyewo kwete-kurapa mishonga. Muzviitiko zvisingawanzoitiki, kupindira kwekuvhiya kunogona kuitwa.

Vana vane chirwere ichi vanoratidza kutevedza nehurumende yekudzivirira, inosanganisira kuwedzera kwehope, kufamba, kuregwa kwemamiriro ezvinhu anotambudza psyche yomwana.

Nokuwedzera kwetusus yezvinonzi detrusor muscle, M-cholinoblockers inorayirwa (Atropine, vana vanopfuura makore mashanu - Oxibutinin), antidepressants (Melipramine), calcium antagonists (Therodinol).

Kurapa kwechirwere chepurovhesi neusiku enuresis muvana vatove nemakore mashanu, analogue ye pituitary hormone Desmopresin inogona kurongerwa.

Nokudzivirira zvirwere zvechirwere, uropeti inogona kugadziriswa mudiki madheji. Pakati pavo pane Furagin, nalidixic acid.