Neurogenic mafitsara a yara. Neurogenic mafitsara: Sanadin, bincike da kuma magance

Neurogenic mafitsara tabarbarewa ne a rushewa daga al'ada jiki ayyuka. Pathology ne quite mai tartsatsi ne. A Urology da Katafaren ilimin aikin likita na yara game da 10% na dukkan cututtuka na urinary tsarin daukan wannan musamman rashin lafiya. A lokaci guda ya karu hadarin canje-canje a cikin gabobin kamar sakandare tsarin. Dysuria lalacewa ta hanyar cuta na cikin juyayi tsari a gefe ko tsakiyar matakin. Next, la'akari da abin da a neurogenic mafitsara tabarbarewa a wani matasa shekaru.

Overview

Neurogenic mafitsara a mata sa mai tsanani haihuwa, tiyata gynecological da kullum pelvic pathologies. A cutar za a bayyana ba zato ba tsammani ko hankali ci gaba. Neurogenic mafitsara a cikin maza sau da yawa yakan faru a kan backdrop na BPH, kazalika bayan shafe tsawon aiki hade da nauyi dagawa. A Pathology mutum gani fitsari drop da maniyyi da kuma rashin iyawa ga ci gaba ta a stressful yanayi. Neurogenic mafitsara, yaro zai iya samun farko form. A wannan yanayin, a hereditary na tsarin jijiya cuta yi a matsayin m factor. Dysuria a wani ƙaramin shekaru iya zama na biyu. A wannan yanayin Pathology samuwar auku a ƙarƙashin rinjayar exogenous ko na ciki dalilai.

samuwar reflex

The yaro ne gaba daya sarrafawa balagagge voiding yanayin da aka kafa ta 3-4 shekara. A tsarin ke ta dama, saukarwa na ci gaba - daga kashin baya unconditioned martani ga wani bazuwar yi na reflex. A tsari na sallama daga cikin ruwa da hannu subcortical da cortical kwakwalwa cibiyoyin, kashin baya innervation zones a lumbosacral laka da kuma na gefe jijiya plexus. Neurogenic mafitsara a wani yaro yana tare da disturbances na innervation da kuma ajiye-vakuatornyh tafiyar matakai. Pathology iya haifar da wani yawan tsanani cututtuka. Wadannan sun hada da, musamman, sun hada da kullum na koda gazawar, pyelonephritis, cystitis, hydronephrosis, megauretru, vesicoureteral reflux.

m dalilai

Neurogenic mafitsara tabarbarewa tasowa a sakamakon daban-daban neurological cuta. Sun kai ga wani karu a cikin daidaituwa na na ayyuka na waje sphincter ko detrusor a cunkoso da kuma kasafi na ruwa. Neurogenic mafitsara, yaro zai iya ci gaba a kan bango na CNS kwayoyin halitta. Su, bi da bi, za a iya jawo da rauni, mai kumburi da degenerative da ƙari Pathology na kashin baya, nakasar lahani, cututtuka na laka da kuma kwakwalwa. By da isar da wanda tasowa neurogenic mafitsara a wani yaro hada da kashin baya hernia, haihuwa rauni, kuma gonadal agenesis na sacrum da coccyx, cerebral palsy da sauransu. Sun kai ga cikakken ko m dissociation na kashin baya da kuma supraspinal m cibiyoyin da sashin jiki. Mafi sau da yawa, da Pathology da aka samu a cikin 'yan mata. Yana ne ya sa ta ƙãra estrogen jikewa, da inganta ƙwarai da detrusor rabe.

rarrabuwa

A daidai da vesical reflex canje-canje, gane da dama iri Pathology. Lokacin da giperreflektornom mafitsara spastic yanayin ya faru a cikin mataki na jari na cikin ruwa. Giporeflektorny irin Pathology yana tare da hypotension detrusor kasafi lokaci. An halin bayyanar da reflex zuwa urinate a aikin mafitsara girma, muhimmanci mafi girma daga da ake bukata domin al'ada shekaru. Lokacin da dauki aka lura hyperreflexia bayyanar dogon kafin taru aza yawa na ruwa. Areflektorny irin Pathology aka dauke su mafi tsanani. Ya bi da rashin iyawa to kai-rage overcrowding da cikakken mafitsara, da kuma involuntary yi na emptying. Pathology suna classified daidai da mataki na adaptability na detrusor da kara girma na ruwa. Saboda haka, neurogenic mafitsara iya zama unadapted (uninhibited) da kuma saba. Har ila yau, akwai da dama siffofin da cutar. A musamman, da m irin spontaneously a haƙuri da danniya urinary mafitsara da aka wofintar da shi. Alamun mãsu tsanani ne a ci gaba da Hinman ciwo - detrusor-sphincter dissenergii, Ochoa - urofatsialnoy Pathology. Lokacin matsakaici siffofin na rashin zaman lafiya alama sashin jiki aiki.

The asibiti hoto na hyperreflexia

Menene ya faru sa'ad da mafitsara zama m? Alamun cutar suna bayyana a take hakki na aikin emptying. The mai tsanani da kuma aukuwar aka ƙaddara daidai da mataki na jijiya lalacewa. Neurogenic Hyperactivity yawanci Marinjãyi a matasa da yara. A wannan yanayin, akwai karin m emptying (har zuwa sau takwas a rana) low girma, ya zama wajibi (Gaggawa) gaggawa, enuresis, incontinence. Postural neurogenic mafitsara cututtuka wanda ya bayyana a lokacin da canza jiki kwance matsayi to tsaye, pollakiuria tare da kullum da kuma tsinke jari na fitsari da dare tare da wata al'ada girma safe rabo. Danniya incontinence aka bayyana upuskaniem kananan adadin ruwa. Irin wannan sabon abu zai iya faruwa a lokacin motsa jiki. Kan bango na detrusor-sphincter dissenergii lura cikakkar da bata lokaci ba, ko kuma bai cika emptying, kuma miktsii (urination) a lokacin ƙagauta.

bayyananen hyporeflexia

Kan bango na da irin wannan Pathology ne rare ko ba ya nan urination cunkus ko cikakken mafitsara. Emptying iya zama kasãla, tare da wani irin ƙarfin lantarki na peritoneal bango. Sau da yawa akwai ji na bai cika saki fitsari. Wannan shi ne saboda da manyan girma na saura (zuwa 400 ml). Wasu yara m paradoxical ischuria tare da uncontrolled fitsari fitarwa. Wannan shi ne saboda dehiscence na waje sphincter, wanda aka mĩƙe karkashin matsin da wani overcrowded jiki. Lokacin da wani m mafitsara ne rare urination, a hade tare da urinary, fili cututtuka, maƙarƙashiya. A ci-gaba, saukarwa da cutar akwai hadarin kumburi, sosai jini ya kwarara a cikin koda, parenchymal scarring da kuma samuwar wani sakandare irin na koda scarring, na kullum insufficiency da kuma na koda scarring.

bincikowa da

Lokacin da urination cuta wajibi ne a gudanar da wani m binciken. Ya kamata a hannu likitoci kamar pediatrician, psychologist, neurologist, nephrologist, urologist. Ganewar asali hada da wani likita tarihi. Bayyana a iyali predisposition zuwa cuta, ko da raunin da suke, cututtuka na juyayi tsarin , da sauransu. sakamakon instrumental da dakin gwaje-gwaje karatu sun kuma kimanta. Domin gane kamuwa da cuta da kuma na koda aikin munanan saboda Pathology hali biochemical bincike na jini da kuma fitsari samfurin for Nechiporenko, Zemnitsky da bacteriological analysis. Urological bincike ya hada da duban dan tayi. Nazarin kodan da kuma mafitsara da tabbatar da dalilin da saura girma. Har ila yau kunshe a cikin binciken na X-ray bincike Hanyar. Yi wani excretory urography da kuma yawon shakatawa, voiding tsitografiyu. Yana da aka gudanar a matsayin CT da MRI na koda tsarin, endoscopy, radionuclide scanning. Ƙimar na kumfa yana da za'ayi a kullum ta sa idanu da girma da kuma kudi na maras wata-wata urination a yanayinsa da kuma shan regimen. High bincike muhimmanci a ganowa cututtuka da urodynamic jarrabawa tsarin aikin jiha na ƙananan ƙungiyoyin Uroflowmetry, ciki matsa lamba ji a cikin halitta cika, electromyography, profilometry, cystometry (retrograde). Echo-misali, EEG, MRI na kwakwalwa da kuma kwanyar X-ray na kashin baya ne ma a yi a lokuta da ake zargin neurogenic mafitsara a yara. Komorowski a daya daga cikin articles da cikakken kwatanci na asibiti analysis (OAM).

warkewa matakan

Suna sanya daidai da irin, mai tsanani daga cuta alaka yanayi. Kamar yadda wani janar mulki, amfani da wani bambancin dabarun. Kwararru da yawa rubũta homeopathic magunguna. Duk da haka, akwai wasu likitoci wanda ba su amince da wadannan kudi. Alal misali, ba ya bayar da shawarar homeopathic magunguna, idan saukar neurogenic mafitsara a yara, Komorowski. Ba dole ne a ce cewa likita a duk m game da wannan irin far. Duk da haka, quite mai yawa lokuta a yi, a lokacin da homeopathy ya sosai tasiri. Dace ganewar asali da kuma gyara dabara na far damar azumi isa ya kawar da Pathology.

Drug effects

Domin kawar da wuce-wuri marasa lafiya nada ta M-holinoblokatory. Wadannan sun hada da kwayoyi kamar "Atropine", "Oxybutynin" (ga marasa lafiya da shekaru biyar). Har ila yau nuna tritsiklichieskie antidepressants (misali, yana nufin "Melipraminum") antagonists, Ca + (wannan ya hada da miyagun kwayoyi "Nifedipine", "Terodilin"), nootropics (ciki har da magani "Pikamilon", "Pantogam"). Tincture na motherwort da valerian an kuma shawarar, idan kamu da neurogenic mafitsara a yara. jama'a magunguna magani iya bunkasa tasiri na farko far, da kuma tare da kalla hadarin ya rage yanayin saboda yana da wani m na illa. A gaban nocturnal enuresis a marasa lafiya tare da shekaru biyar da za a iya sanya wani analog na antidiuretic steroid neurohypophysis - desmopressin. Ga masu rigakafin kamuwa da cuta a cikin marasa lafiya kananan allurai uroseptikov shawarar. Wadannan sun hada da, musamman, sun hada da nitrofurans (na nufin "Furagin") oksihinolony (samfurin "5-NOC"), fluoroquinolones (ga-ta nalidixic) magani "Kanefron" immunnokorregiruyuschee effects (magunguna "Taktivin", "Levamisole") .

bugu da žari

Don sauƙaƙe jihar da aka nada ta yana yin fitsari a kan wani jadawalin 2-3 hours. Har ila yau nuna suna yau da kullum catheterization, aikace-aikace cholinomimetics, anticholinesterase kwayoyi, adaptogens. Shawarar wanka da warkad da teku gishiri.

aiki da hanyoyin

Lokacin da neurogenic mafitsara endoscopic hanyoyin da ake yi. A musamman, yin transurethral resection na wuyansa na jiki, collagen implants a bakin mafitsara da kuma intraurethral vnutridetruzernye allura botulinum toxin. Har ila yau gudanar da shisshigi a cikin jijiya ganglia, wanda ke da alhakin urination. Ta wajen hanji cystoplasty kwashe karuwa mafitsara girma.