Kuyini Ukuphathwa Kwe-Neurogenic Bladder kanye ne-Bowel? Inhloso, Izinqubo & Nemiphumela

Ukuphathwa kwe-neurogenic bladder kanye ne-bowel kusiza abantu abanohlelo lwabo lwezinzwa olungakwazi ukulawula kahle umsebenzi wabo we-bladder noma we-bowel. Uma ukulimala kwemizwa kuthinta amasignali phakathi kobuchopho bakho, umgogodla, nalezi zitho, udinga ukunakekelwa okukhethekile ukuze ugcine impilo yakho kanye nekhwalithi yempilo.

Lesi simo sithinta izigidi zabantu emhlabeni wonke, ngokuvamile ngemva kokulimala komgogodla, i-multiple sclerosis, noma ezinye izimo ze-neurological. Izindaba ezinhle ukuthi amasu okuphatha asebenzayo angakusiza ukuthi uphile ngokunethezeka nangokuzethemba.

Yini i-neurogenic bladder kanye ne-bowel?

I-Neurogenic bladder kanye ne-bowel kwenzeka lapho ukulimala kwemizwa kuphazamisa ukuxhumana okuvamile phakathi kobuchopho bakho kanye ne-bladder yakho noma i-bowel. Uhlelo lwakho lwezinzwa ngokuvamile luthumela amasignali aqondile okulawula ukuthi lezi zitho zikhipha nini futhi kanjani.

Kucabange njengokuphazamiseka kokuxhumana esikhungweni sokulawula somzimba wakho. Uma imizwa ethwala imiyalezo phakathi kobuchopho bakho, umgogodla, nalezi zitho ilimele, ungase ulahlekelwe ukulawula ngokuzithandela ukuchama noma ukuzikhipha.

Lesi simo singase sithuthuke kungazelelwe ngemva kokulimala komgogodla noma kancane kancane ngezifo eziqhubekayo njenge-multiple sclerosis. Ubunzima buhluka kakhulu kumuntu nomuntu, kuye ngokuthi yimiphi imizwa ethintekile nokuthi kanjani.

Kungani kwenziwa ukuphathwa kwe-neurogenic bladder kanye ne-bowel?

Ukuphathwa kuba kubalulekile ukuvimbela izinkinga ezinkulu zempilo nokugcina ukuzimela kwakho. Ngaphandle kokunakekelwa okufanele, lezi zimo zingaholela ekulimaleni kwezinso, izifo, nezinye izinkinga ezisongela impilo.

Ithimba lakho lezempilo ligxila emigomweni eminingana eyinhloko. Okokuqala, basebenza ukuvimbela ukulimala kwezinso ngokuqinisekisa ukuthi i-bladder yakho ikhipha ngokuphelele nangokujwayelekile. Lokhu kunciphisa ingozi yokuthi umchamo ubuyele ezinso zakho.

Baphinde futhi bahlose ukuvimbela izifo, ezingavela kaningi futhi zibe zimbi uma umchamo noma indle kuhlala emzimbeni wakho isikhathi eside. Ukuphatha ukusebenza kwamathumbu kusiza ekuvikeleni ukuqina, okungadala ubuhlungu obukhulu kanye nezimo eziphuthumayo zezokwelapha.

Ngaphandle kwezinkinga zezokwelapha, ukuphatha kahle kusiza ukugcina isithunzi sakho kanye nobudlelwano bomphakathi. Abantu abaningi bakhathazeka ngezingozi noma iphunga, kodwa ukunakekelwa okufanele kunganciphisa lezi zinkinga kakhulu.

Ziyini izinqubo zokuphatha isinye namathumbu e-neurogenic?

Ukuphathwa ngokuvamile kuhilela inhlanganisela yezindlela ezenzelwe izidingo zakho kanye nendlela yokuphila. Ithimba lakho lokunakekelwa kwezempilo lizosebenza nawe ukuthola indlela esebenza kahle kakhulu.

Ukuphathwa kwesinye, ungafunda ukufaka ikhathetha ngezikhathi ezithile, lapho ufaka khona ishubhu elincane ukuze ukhiphe umchamo izikhathi eziningana ngosuku. Le ndlela ivame ukuhlinzeka ngokuqondisa okuningi futhi inciphise ingozi yokutheleleka uma yenziwa kahle.

Abanye abantu bayazuza kumakhathetha ahlala endaweni, ahlala endaweni ngokuqhubekayo. Ngenkathi kulula, lokhu kudinga ukuqapha okucophelelayo ukuvimbela izinkinga. Udokotela wakho angase futhi anikeze imithi yokusiza imisipha yesinye yakho isebenze ngempumelelo.

Ukuphathwa kwamathumbu kuvame ukugxila ekusunguleni isimiso esivamile. Lokhu kungabandakanya izikhathi zangasese ezihleliwe, izinguquko ekudleni, kanye nemithi yokulawula ukuqina kanye nesikhathi sokuhamba kwamathumbu.

Ukukhuthazwa kwedijithali noma ama-suppositories kungasiza ekuqaliseni ukuhamba kwamathumbu lapho imvelo engasebenzi kahle. Abanye abantu futhi bayazuza ezinhlelweni zokunisela ezigeza ngobumnene amathumbu ngeshejuli.

Ungalungiselela kanjani ukuphathwa kwesinye namathumbu e-neurogenic?

Ukulungiselela kuhilela ukufunda amakhono amasha nokwenza izinguquko zendlela yokuphila ezisekela isimiso sakho sokuphatha. Ithimba lakho lokunakekelwa kwezempilo lizohlinzeka ngokuqeqeshwa okuphelele nokusekelwa okuqhubekayo kulo lonke le nqubo.

Kuzodingeka ukuthi ube yingcweti yezindlela zokufaka i-catheter uma lokhu kuba yingxenye yomsebenzi wakho wansuku zonke. Ukuzijwayeza kwenza le nqubo isheshe futhi ikhululeke ngokuhamba kwesikhathi. Umhlengikazi wakho uzokufundisa ukuhlanzeka kwezandla okufanele kanye ne-sterile technique.

Gcina izinto ezidingekayo njengama-catheter, amagilavu, nezinto zokuhlanza. Izinhlelo eziningi zomshuwalense zihlanganisa lezi zinto, futhi ithimba lakho lokunakekela lingakusiza ukuthi uqonde izinketho zakho zokuhlanganisa.

Cabangela ukwenza izinguquko zokugezela ukuze kube lula ukufinyelela nokuba yimfihlo. Izibambo zokubamba, izihlalo zangasese eziphakanyisiwe, nokukhanya okwanele kungenza ukuphatha kube lula futhi kuphephe kakhulu.

Lungiselela ngokwengqondo nangokomzwelo kulesi sikhathi sokulungisa. Kuyinto evamile ukuzizwa ukhungathekile ekuqaleni, kodwa abantu abaningi bazivumela kahle ngesikhathi kanye nokusekelwa ithimba labo lokunakekelwa kwezempilo.

Ungazifunda kanjani imiphumela yakho yokuphathwa kwe-neurogenic bladder kanye namathumbu?

Impumelelo ekuphathweni ilinganiswa yizinkomba eziningana ezibalulekile ezizogadwa njalo yithimba lakho lokunakekelwa kwezempilo. Lokhu kusiza ukuqinisekisa ukuthi impilo yakho ihlala izinzile futhi izinga lempilo yakho liyathuthuka.

Izivivinyo zomsebenzi wezinso zibonisa ukuthi ukuphatha kwakho kuvimbela ukulimala kwalezi zitho ezibalulekile. Udokotela wakho uzohlola izivivinyo zegazi futhi ngezinye izikhathi izifundo zokucabanga ukuze aqaphe impilo yezinso ngokuhamba kwesikhathi.

Amanani okutheleleka abonisa ukuthi umsebenzi wakho wansuku zonke uvimbela kahle kangakanani izifo zomgudu womchamo nezinye izinkinga. Ukutheleleka okuvamile kungase kubonise isidingo sokulungisa indlela yakho yokuphatha.

Ukunethezeka kwakho komuntu siqu kanye namazinga okuzethemba nakho kubaluleke kakhulu. Ukuphatha okuphumelelayo kufanele kunciphise izingozi, kukuvumele ukuthi uhlanganyele emisebenzini oyithandayo, futhi kukusize uzizwe uvikelekile ezimweni zomphakathi.

Ukuqokwa okulandelayo njalo kusiza ukulandelela intuthuko yakho futhi kwenze izinguquko ezidingekayo. Ithimba lakho lokunakekelwa kwezempilo lizoshintsha uhlelo lwakho njengoba kudingeka ngokusekelwe kulokhu kuhlola okuqhubekayo.

Ungayithuthukisa kanjani ukuphathwa kwakho kwe-neurogenic bladder kanye namathumbu?

Ukwenza ngcono kuhilela ukulungisa imikhuba yakho nokukhetha indlela yokuphila ukuze kuzuzwe imiphumela engcono kakhulu. Ukulungiswa okuncane kungenza umehluko omkhulu enduduzweni yakho yansuku zonke nempilo yesikhathi eside.

Gcina isimiso esiqhubekayo sokunakekela umchamo namathumbu. Umzimba wakho usabela kahle emikhubeni eqagelwayo, engasiza ukunciphisa izingozi futhi ithuthukise ukusebenza konke.

Hlala unamanzi ngaphandle kokukhathazeka ngezingozi. Ukuthatha amanzi ngendlela efanele empeleni kusiza ukuvimbela izifo futhi kugcine uhlelo lwakho lusebenza kahle. Sebenza nodokotela wakho wokudla ukuze uthole ukulinganisela okufanele.

Cabangela ukuguqulwa kokudla okusekela ukujwayeleka kwamathumbu. Ukudla okunefayibha eningi kungasiza, kodwa kungase kudingeke ukuthi ulungise ukudla kancane kancane ukuze ugweme ukungakhululeki noma igesi.

Zivocavoce ngaphakathi kwamakhono akho ukuze usekele impilo yonke futhi mhlawumbe uthuthukise ezinye izici zomsebenzi womchamo namathumbu. Ukuzivocavoca ngokomzimba kungathuthukisa ukujikeleza kwegazi nokuphila kahle okujwayelekile.

Ziyini izici eziyingozi zezinkinga zomchamo namathumbu we-neurogenic?

Izici eziningana zingakhuphula ingozi yakho yokuthuthukisa izinkinga, kodwa ukuqonda lezi kukusiza ukuthi uthathe izinyathelo zokuvimbela. Ithimba lakho lokunakekelwa kwezempilo lizokusiza ukuthi ubone futhi ulawule izici zakho eziyingozi ezithile.

Izimo ezilandelayo ngokuvamile ziholela ezinkingeni zomchamo namathumbu we-neurogenic:

• Ukulimala komgogodla kunoma yiliphi izinga
• I-Multiple sclerosis nezinye izifo ze-demyelinating
• I-Spina bifida nezinye izimo zokuzalwa
• Isifo sikaParkinson nezinye izifo zokunyakaza ezifanayo
• Isifo sikashukela esinenkinga yezinzwa (i-diabetic neuropathy)
• Ukushaywa unhlangothi okuthinta izindawo ezithile zobuchopho
• Ezinye izifo ezithinta uhlelo lwezinzwa

Ezinye izici eziyingozi zihlobene nomkhuba wakho wokuphatha uqobo. Ukusetshenziswa kwe-catheter okungahambisani, ukuhlanzeka okunganele, noma ukungathathi amanzi ngendlela eyanele kungakhuphula izingozi zezinkinga. Kodwa-ke, ukuqeqeshwa okufanele nokusekelwa kusiza ukunciphisa lezi zinkinga.

Ziziphi izinkinga ezingase zibe khona zokuphathwa okungahlelekile kwesitho somchamo esingahambisani nemizwa?

Ngaphandle kokuphathwa okufanele, isitho somchamo esingahambisani nemizwa singaholela ezinkingeni ezinkulu zempilo ezithinta izinso zakho, isinye, kanye nenhlalakahle yakho iyonke. Ukuqonda lezi zingozi kusiza ukukhuthaza ukunakekelwa okuqhubekayo.

Umonakalo wezinso umelela ingozi enkulu yesikhathi eside. Lapho umchamo ubuyela emuva ngokuphindaphindiwe, kungabangela ukulimala kwezinso unomphela kanye nokwehluleka kwezinso ekugcineni. Lokhu kuthuthuka kancane kancane futhi kungenzeka kungabangeli izimpawu kuze kube yilapho umonakalo usukhulu.

Izifo ezingapheli zokuphefumula zingenzeka lapho umchamo ungakhanyi ngokuphelele esinyeni sakho. Lezi zifo zingasakazekela ezinso zakho futhi zingene ngisho nasegazini lakho, zidale izimo ezisongela impilo.

Amathambo esinye angase akheke lapho umchamo uhlala isikhathi eside esinyeni sakho. Lokhu kungabangela ubuhlungu, ukopha, kanye nokuvaleka okudinga ukususwa ngokuhlinzwa.

Izinkinga ezingavamile kodwa ezinzima zihlanganisa i-autonomic dysreflexia kubantu abalimele umgogodla ophezulu. Lesi simo sibangela ukukhuphuka okuyingozi komfutho wegazi okudinga ukunakekelwa kwezokwelapha ngokushesha.

Ziziphi izinkinga ezingase zibe khona zokuphathwa okungahlelekile kwamathumbu angahambisani nemizwa?

Ukuphathwa kwamathumbu okunganele kungaholela ezinkingeni ezingakhululeki futhi ezingaba yingozi. Lezi zinkinga zingathinta kakhulu impilo yakho kanye nekhwalithi yempilo uma zingalungiswa kahle.

Ukuqunjelwa okukhulu kanye nokungcoliswa kwendle kungathuthuka lapho ukuhamba kwamathumbu kungenzeki njalo. Lokhu kungabangela ubuhlungu obukhulu, isicanucanu, futhi kungadinga ukungenelela kwezokwelapha ukuze kulungiswe ngokuphepha.

Izinkinga ezilandelayo zingase zivele ekuphathweni kwamathumbu okungahlelekile:

• Ama-hemorrhoids avela ekuzameni kanye nokuhamba kwamathumbu okungahlelekile
• Ukuwohloka kwesikhumba endaweni ye-rectal
• Ukuvinjelwa kwamathumbu ezimweni ezinzima
• I-Autonomic dysreflexia ebangwa ukuvuvukala kwamathumbu
• Ukuzihlukanisa komphakathi ngenxa yokwesaba izingozi
• Ukucindezeleka nokukhathazeka okuhlobene nokulahlekelwa ukulawula

Lezi zinkinga zigcizelela ukubaluleka kokusungula nokugcina isimiso esisebenzayo sokuphatha amathumbu. Iningi lingavinjelwa ngokunakekela okufanele kanye nokulandelela njalo kwezokwelapha.

Kufanele ngibone nini udokotela ngokuphathwa kwesitho somchamo esingokwemizwa kanye namathumbu?

Ukwelashwa okuvamile kwezokwelapha kubalulekile ekuvikeleni izinkinga nasekuthuthukiseni isimiso sakho sokuphatha. Ithimba lakho lezempilo lidinga ukuqapha intuthuko yakho futhi lenze izinguquko njengoba kudingeka.

Hlela ukunakekelwa kwezokwelapha ngokushesha uma uqala izimpawu zokutheleleka, njengomkhuhlane, ama-chills, noma umchamo onamafu, onukayo. Ukutheleleka ngamathumbu omchamo kungathuthuka ngokushesha futhi kube kubi kubantu abanesitho somchamo esingokwemizwa.

Xhumana nodokotela wakho uma uhlangabezana nezinguquko ezingazelelwe emikhubeni yakho ejwayelekile, njengokungakwazi ukufaka i-catheter, ubuhlungu obukhulu besisu, noma igazi emchamweni wakho noma endleni yakho. Lezi zinguquko zingase zibonise izinkinga ezidinga ukwelashwa okusheshayo.

Funa ukunakekelwa okuphuthumayo ngezimpawu ze-autonomic dysreflexia, okuhlanganisa ikhanda elibuhlungu kakhulu, izinguquko ezisheshayo zomfutho wegazi, noma ukujuluka okukhulu. Lesi simo sidinga ukungenelela kwezokwelapha ngokushesha.

Unganqikazi ukufinyelela uma ulwa nezici ezingokomzwelo zokuphatha. Abantu abaningi bathola ukwelulekwa kuyasiza njengoba bezijwayela lezi zinguquko ezimpilweni zabo.

Imibuzo evame ukubuzwa mayelana nokuphathwa kwesitho somchamo esingokwemizwa kanye namathumbu

Q1: Ingabe ukuphathwa kwesitho somchamo esingokwemizwa kanye namathumbu kuyasebenza ekulimaleni komgogodla?

Yebo, amasu okuphatha asebenza kahle kakhulu kubantu abalimele umgogodla uma esetshenziswa ngendlela efanele. Indlela incike ezingeni lakho lokulimala nokuqeda, kodwa abantu abaningi bathola imiphumela emihle ngokunakekelwa okufanele.

Ukulimala okuphelele komgogodla ngokuvamile kudinga ukuphathwa okujulile, okuvame ukuhlanganisa ukufakwa kwe-catheter njalo nezinhlelo zamathumbu ezihlelekile. Ukulimala okungaphelele kungase kuvumele ukulawula okuthile kokuzithandela, okudinga izindlela eziguquliwe.

Umbuzo 2: Ingabe isinye se-neurogenic ngaso sonke isikhathi sidinga ukufakwa kwe-catheter?

Akunjalo ngaso sonke isikhathi. Abanye abantu abanesinye se-neurogenic bangakwazi ukuphatha ngokuphuma ngesikhathi, imithi, noma ezinye izindlela. Ithimba lakho lokunakekelwa kwezempilo lizothola indlela engcono kakhulu ngokusekelwe esimweni sakho esithile kanye nokuhlolwa komsebenzi wesinye.

Ukufakwa kwe-catheter ngezikhathi ezithile kuvame ukukhethwa lapho ukukhipha ngamabomu kungenzeki ngoba kunikeza ukulawulwa okungcono kokutheleleka kune-catheters ehlala ngaphakathi. Kodwa-ke, indlela efanele incike ezimweni zakho ngazinye namakhono akho.

Umbuzo 3: Ingabe ukuphathwa kwamathumbu e-neurogenic kungavimbela zonke izingozi?

Ngenkathi ukuphathwa okuhle kunciphisa kakhulu izingozi, ukuvimbela okuphelele akwenzeki ngaso sonke isikhathi. Kodwa-ke, abantu abaningi bathuthukisa izindlela ezithembekile ezinciphisa ukunyakaza kwamathumbu okungalindelekile futhi zibavumele ukuthi bahlanganyele ngokugcwele emisebenzini yansuku zonke.

Okubalulekile ukuthola inhlanganisela efanele yesikhathi, ukudla, imithi, kanye nezindlela ezisebenzayo emzimbeni wakho kanye nendlela yakho yokuphila. Le nqubo ithatha isikhathi nokubekezela, kodwa abantu abaningi bathola ukulawula okwanelisayo.

Umbuzo 4: Kufanele ngibone kangaki ithimba lami lokunakekelwa kwezempilo ukuze ngiphathwe isinye se-neurogenic kanye namathumbu?

Ekuqaleni, cishe uzodinga ama-aphoyintimenti avamile ukuze umise inqubo yakho futhi uqaphe inqubekela phambili yakho. Uma usuzinzile, abantu abaningi babona ochwepheshe babo njalo emavikini ama-3-6 ukuze baqaphe njalo futhi benze noma yiziphi izilungiso ezidingekayo.

Udokotela wakho wokunakekelwa okuyisisekelo kufanele futhi aqaphe umsebenzi wakho wezinso nempilo yonke njalo. Abanye abantu bayazuza ekuhlolweni okukhethekile konyaka ukuze baqinisekise ukuthi ukuphathwa kwabo kuhlala kulungile.

Umbuzo 5: Ingabe umsebenzi wesinye se-neurogenic kanye namathumbu ungathuthuka ngokuhamba kwesikhathi?

Umsebenzi ungathuthuka kwezinye izimo, ikakhulukazi ekulimaleni komgogodla okungaphelele noma ezimweni ezithile ze-neurological. Kodwa-ke, ukugxila kuvame ukuba ekuthuthukiseni ukuphathwa kunokulindela ukubuyela komsebenzi ojwayelekile.

Abanye abantu bayathola ukululama okuyingxenye, ikakhulukazi ngonyaka wokuqala ngemuva kokulimala. Ithimba lakho lokunakekelwa kwezempilo lizobheka intuthuko yakho futhi lilungise uhlelo lwakho lokuphatha ngokufanele uma kwenzeka ngcono.