I-neurogenic bladder kubantwana

Olu hlobo lwesifo, njenge-neurogenic bladder, luqhelekile kubantwana. Ngokwezibalo, malunga ne-10% yazo zonke iintsana ziyaxhomekeka kulo mthetho. Makhe siqwalasele ngokuchanekileyo kwaye sihlale ngokubanzi iinkcukacha ngezizathu, iimpawu kunye neyeza zokwenza i-neurogenic bladder kubantwana.

Yintoni esi sifo kwaye kutheni kuvela?

Uhlobo oluthile lwesifo luqondwa kwesi sifo, sihamba kunye nokungasebenzi kwebladder, okubangelwa ukungasebenzi kwemithetho yongxaki yokuguquka. Ngenxa yoko, zombini i-reservoir (ukuqokelela) kunye nokukhutshwa kwemisebenzi (i-excretory) yelungu ngokwayo.

Njengoko uyazi, indlela yokuvuthwa (ukulawulwa ubusuku nemini) kubantwana iyakhiwa kwiminyaka eyi-3-4. Kwimimiselo, ukubandakanyeka kwayo ngokuthe ngqo kuthathwa ngamaziko obuchopho, kunye ne-lumbosacral intambo yomgudu.

Izizathu zokuphuhliswa kwe-neurogenic bysder ukungasebenzi kwabantwana zininzi. Nangona kunjalo, entliziyweni yazo zonke ziphazamisekile ngeengxaki zeengxaki zamanqanaba ahlukeneyo, ekugqibeleni zikhokelela ekusebenzisaneni ngokulinganayo kwinqanaba lomsebenzi we-detrusor ngokwayo okanye i-sphincter yangaphandle ye-bladder ngokwayo.

Njengomthetho, lolu hlobo lwesimo lukhula njengesiphumo:

• i-lesion ye-organic system ye-nervous system (i-malenance congenital malformations);
• iimbopheleleko kwizitho zeplavic;
• izifo kunye nezifo ezivuthayo zomgudu, ubuchopho kunye nomgudu womgogodla ( intlungu yokubeleka , ukukhubazeka kwesiberebhu, i-cerebrospinal hernia);
• hypothalamic-pituitary insufficiency;
• ukulibaziseka ekuvuneni kweziko leengqondo;
• ukungasebenzi kwenkqubo ye-nervous system.

Kubalulekile ukuba kuqwalaselwe ukuba olu hlobo lwesifo luyabonakala kwintombazana. Le nyaniso yenziwe ngenxa yokuba banesistim ephezulu ye-estrogenic, leyo eyandisa ukwandiswa kwezifunyenwe ezikhoyo kwi-detrusor ngokwayo.

Ziziphi iimpawu ze-neurogenic bladder kubantwana?

Olu hlobo lwesifo luye lubonakaliswe nezifo ezahlukahlukeneyo zesenzo sokungcungcuthwa, ubuninzi obunxulumene ngqo nomgangatho wonakalo kwinkqubo yenzwa.

Kwi-neurogenic hyperactive bladder, ezi zilandelayo zibonakaliswe kubantwana, kubonisa ukuphulwa:

• ukuphindaphinda kwamaxesha angama-8 ngosuku;
• ukukhawuleza ukuba ugonywe;
• ukungabikho komchamo;
• ukubonakala kwe-enuresis.

Ngokwahlukileyo kuyimfuneko ukuthetha ngohlobo olunjalo lokuphulwa, njengengxube ye-neurogenic bladder. Le fomu ibonakaliswe xa umzimba womntwana usuka kwindawo engqambileyo ukuya kwindawo ebonakalayo, kwaye ubonakaliswe yi-diurnal pollakiuria (ukuvuthwa rhoqo). Ngaloo xesha akukho nto iphazamisayo yobusuku bokuqokelela umchamo.

Indlela yokuphilisa i-neurogenic bladder kumntwana?

Amanyathelo okwelapha kwesi sifo aquka imishanguzo, kunye nokunyangwa kweziyobisi. Kwiimeko ezinqabileyo, ukungenelela ngonyango kunokwenziwa.

Abantwana abanesi sifo babonisa ukuthotyelwa kolawulo lokukhusela, olubandakanya ukulala okungakumbi, ukuhamba, ukukhutshwa kweemeko eziphazamisa ingqondo yengane.

Nge-tonus eyandisiweyo ye-detrusor muscle, i-M-cholinoblockers imiselwe (i-Atropine, abantwana abangaphezu kweminyaka emi-5 ubudala-i-Oxibutinin), i-anti-depressants (Melipramine), i-calroum-antagonists (i-Therodinol).

Ukuze unyango lwe-neurogenic bladder no-enuresis ubusuku kubantwana abasele beneminyaka emi-5 ubudala, i-analogue hormone Desmopresin inokumiselwa.

Ukuthintela ukusuleleka kwiintsholongwane, iingxaki zingaphathwa kwiilayi ezincinci. Phakathi kwabo kukhona iFuragin, i-nalidixic acid.