Ukungasebenzi kwe-bladder ngohlobo lwe-neurogenic kukuphulwa komsebenzi we-urinary, ngenxa yokutshatyalaliswa kwenkqubo ye-nervous central. Oluphulo-mthetho alukwazi ukuthathwa njengesifo esahlukileyo. Yinto ebizwa ngokuba yi-collective syndrome, equka iziganeko ezivela kwiintsholongwane zokuzalwa okanye ezifunyenweyo zamanqanaba ahlukeneyo kwinkqubo yeentlanzi ezithintela ngqo i-vestile.
Iimpawu
Imbonakalo ebonakalayo, iimpawu, eziphawulwe ngentsholongwane ye-neurogenic ye-bladder, zi:
- ukugcinwa kwemfuyo;
- ukungahambisi kwamanzi .
Ngokunyaniseka kwe-urinary, isigulane asinasiphumo sokuphuphuma kwesisu, ngoko ayikwazi ukugcina umchamo ngokwawo. Ukuqokelela umchamo akwenzeki, kwaye ihlala ikhutshwe ngamaconsi.
Kwezinye iintlobo zeengxaki zokungenwa kwe-bladder innervation, uvakalelo lokuzaliswa ngokugqithiseleyo lungabonakala, kwaye ngenxa yoko, isishenxiso soloko sifana nokuhamba.
Ekubeni i-bladder de-innervation ibangela ukuphazamiseka okukhulu kweengcingo, esi sifo sivame ukuxiliswa yisifo esifana ne-cystitis yangaphakathi, ekhokelela ekubhankeni nasekukhenkeleni kweendonga zesibindi.
Diagnostics
Okubaluleke kakhulu ekufumaneni i-syndrome ye- neurogenic bladder ukuxilongwa kwebhubhoratri, eyancitshiswa ukuhlalutya ngokubanzi umchamo, ukuhlalutya umchamo ngo-Zimnitsky, ukuhlolwa kwegazi jikelele. Ukuqhuba i-urethrocystography, i-ultrasound yeentso kunye nesibindi.
Unyango
Inkqubo yokwelapha i-neurogenic bysder i-dysfunction ngokupheleleyo kuxhomekeke kwizinto ezibangela ukuphulwa kobungqina bayo. Ngoko ke, unyango lwesi sifo luyinkimbinkimbi eququzelela ukuvuselelwa kombane,
Ingundoqo yezi zikhokelo yonyango, eyenziwa ngokuqeshwa kwabanyango kwaye phantsi kolawulo lwayo.
Xa umchamo ubambezeleka kwaye ungabelwe, i-bladder is drained, apho i-catheter isigxina ifakwe. Ngenjongo yokuhlaziya i-reflex yokukhupha i-reflex, i-catheter ifakwe kwi-ora 2-3.
Kwakhona, ukwenzela ukuphepha ukhuseleko, yenza amanyathelo okukhusela, ahamba kunye nenkqubo yokonyango ngeziyobisi ezichasayo.