I-neurogenic bladder ukungasebenzi kubantwana

Ukungasebenzi kwe-neurogenic ye-bladder, eqhubekayo kubantwana, yinkinga esebenzayo apho kukho ukuphulwa kweenkqubo, kwaye ngexesha elifanayo ukukhupha i-bladder. Ngokuqhelekileyo isiseko sezizathu ezibangela ukuphuhliswa kwesi sifo kukuphulwa komthetho we-nervous process of urinary process itself.

Yintoni ebangela ukuba lolu hlobo lokuphulwa?

Ukungasebenzi kwe-urinary system kwesi sifo kwenzeka, ngokuyinhloko ngenxa yokungasebenzi ngokulinganayo kwinqanaba lomsebenzi we-sphincter yangaphandle ye-bladder. Iimeko ezifanayo ziyakwenzeka xa:

• ukungalunganga komntwana kwenkqubo ye-nervous central (myelodysplasia);
• ngxakini ye bladder;
• iinkqubo zesisu emgodleni, intambo yomgudu;
• ukuxhatshazwa;
• ukukhubazeka kancinci;
• umgogodla.

Kuyafaneleka ukuba uqaphele ukuba, ngaphezu kwezinto ezibhalwe apha ngasentla zibonisa ukungasebenzi kwe-neurogenic ebysder kubantwana, le ngxaki ingaba ngenxa yokungazinzi kwe-reflex reflex.

Ngokwezibalo zedatha, isifo sisoloko sigqithwa kumantombazana, esichazwa, okokuqala, ngokuzaliswa kwe-estrogen.

Unjani unyango lwe-neurogenic ukungasebenzi kwebladder eyenzeka kubantwana?

Inkqubo yokwelapha yezophulo kufuneka ibe neendlela ezidibeneyo. Kubaluleke kakhulu kunyango lokunamathela kuyo, oko kuthiwa ulawulo olusisigxina, oluneendlela ezihamba rhoqo emoyeni omtsha, ixesha lokulala ixesha elide, ukupheliswa kweemeko ezixinzelelekileyo.

Kwinkqubo yokwenza amanyathelo okulungisa, oku kulandelayo kunokumiselwa:

• I-M-holinoblokatory (i-Atropine, kunye neminyaka emihlanu ikhetha u-Oksibutinin);
• abaphikisana ne-calcium (iTerodilin, iNifedipine).
• Ukunyanga i-neurogenic bladder ehamba ne- enuresis yasebusuku , abantwana abaneminyaka engama-5 ubudala banqunywe i-Desmopressin (i-analogue ye-hormone ye-antidiuretic).