Overactive dundira vakadzi: kurapwa, zvinokonzera, zviratidzo

Overactive dundira vakadzi pasi marapirwo kunodiwa pakarepo mushure vasabatwa dambudziko, zviri kutyora imwe weti kuwanda nerevane pakuonekwa unopinza zvido maturo dundira. Ichi chikonzero kazhinji chakasimba uye inosvitsa involuntary kusunungurwa womumwe yakawanda weti (incontinence).

Setsika, kurapa rinotanga kushanda maitiro (maitiro) nzira - vanachiremba vanokurudzira mvura yokunwa uye zvimwe zvinwiwa chaiyo, enda chimbuzi ose zuva pane imwe nguva uye kudzora kamwe uchida kubatsira pelvic pauriri netsandanyama. Kana nezviyero izvi regai kubatsira, kune dzimwe nzira kurapa chirwere.

zviratidzo

Kana muine matambudziko weti, kwete chokwadi kuti chikonzero kwavo kwakarurama overactive dundira. Zviratidzo vakadzi ndeinotevera:

• nokukundwa nechitarisiko vanoda kushanyira chimbuzi, uye kudiwa izvi zvakaoma chaizvo kudzora;
• incontinence kuti weti, i.e. involuntary kusunungurwa pakarepo pashure panowanikwa anoda vabudise dundira;
• kuita weti kakawanda, kazhinji anopfuura masere nguva pazuva;
• kuzvirotera polyuria (nocturia) - kuzvirotera uchida kuenda chimbuzi, akadzokorora anopfuura maviri munguva hope.

Kunyange zvazvo vanaamai vakawanda vanokwanisa kuenda chimbuzi pakarepo, achangogara pane rakapinza faniro, zvinenge zvose vanotambura nezvirwere izvi, ruzivo kushushikana mune kumanikidzwa nokuisa pamusoro dundira kanoverengeka pazuva.

The dzose kushanda kwemuviri

The Itsvo weti, iyo zvino inoyerera kubva mukati dundira. Kana iwe kushanyira restroom weti nomuviri kuburikidza kuchengetera buri nechepasi uye runoyerera kubva kuburikidza kumicheto yainzi "urethra". Vakadzi, pakuvhurwa urethra iri chete kumusoro nyinyo, nokuti varume - pamusoro muromo glans mboro.

Sezvo zvinodiwa dundira kuuropi anonongedzera kubva tsinga kuti, pakupedzisira, kuti vanoda kuti vabudise. Kana vanhurume tsinga anonongedzera dzinotarisira kutandara ari pelvic pauriri tsandanyama uye urethra (ekupedzisira akataura tsandanyama nezvezvimwe zvinetso zvedundira sphincter). Tsandanyama kusununguka muviri (akaderedzwa), kumanikidza weti kubuda.

zvokurwara Zvinokonzera

Kana muviri tsandanyama dzinotanga kusununguka pakarepo (kunyange kana bhuku weti mairi achiri muduku), vanachiremba rokuongorora overactive dundira. Zviratidzo vakadzi vanosanganisira kwapasi unopinza chidzoke zvinodiwa uye kunogona pamwe nezviratidzo chirwere, machinda prerequisites kuti kukura chirwere ichi. Zvisinei, chisingaperi zvirwere - harisi chete chikonzero dambudziko. The chikuru Chikamu kuenda chimbuzi uye Urinary incontinence anogona nhema:

• chetsinga zvinetso kusanganisira Parkinson, chirwere sitiroko, neakangwara (vakawanda) kuoma dzimwe nhengo dzomuviri;
• Ndichibvunza kugadzirwa weti kubva kudyiwa guru zvemaBhaibheri fluid murombo itsvo basa, kana chirwere cheshuga;
• mishonga, kuwedzera kana weti goho zapivaniya anoda zvakawanda Urume;
• chenjera Zvirwere of urethra, kukonzera zviratidzo chirwere akafanana nezviratidzo dzakadai overactive dundira vakadzi;
• Nhengo zvokurwara (namamota, mabwe);
• zvipingamupinyi chaiko weti (nokuti vanhu inogona wakakurisa prostate, vakadzi - kupatirwa kana rapfuura kuvhiyiwa mishonga vezvimwe incontinence);
• kunyanya caffeine kana zvinwiwa zvinodhaka;
• chinovhiringidza kuti zvishande pfungwa mashandiro nokuda kukwegura yacho muviri, mauri dundira asiri anoona chauya anonongedzera;
• achinetseka achifamba, nokuti izvo kwete varwere vose vanogona kuva yakakodzera kuenda restroom;
• kukwana Kuburitswa mu of dundira, izvo zvingaita kuti zviratidzo wokusagadzikana nokuda zvinoderedza rusununguko nzvimbo itsva weti kuuya kubva neitsvo.

Kazhinji, Zvisinei, kunyange nyanzvi havagoni kuudza chaizvo chii chaiva chikonzero wokusagadzikana chirwere muviri.

Diagnostics

Kana iwe chirwere zvisingatsungiririki zvinodiwa kazhinji kuenda chimbuzi, chiremba pakutanga kuongorora weti yako pamberi ropa kana chirwere. Zvinokoshawo kuti kumisa kana zviri dundira rako zvachose. Full Diagnostics vanogona zvinosanganisira zvinotevera mabasa:

• Nhoroondo zvokurapa;
• chikuru kuongororwa panyama uchinyanya kutaura pamusoro nhengo ari mudumbu uye panosangana makumbo;
• weti nemiedzo kuongorora kuti chirwere, ropa echitema uye zvimwe zviratidzo zvokurwara;
• kwawakananga chetsinga kuongororwa kuziva kutsinga dzinouya zvirwere kana nezvinetso zvichiratidza.

zvidzidzo Special

Chokutanga, chiremba achagadza kuongororwa zvakarurama uye conjectural preconditions kuti kukura kudaro akaipa sezvo overactive dundira vakadzi. Treatment achavaponesa zvinhu zvizhinji, asi kutanga - kunaka nokushanda kwenhengo dzomuviri. Mano dundira nguva dzose uye zvachose ndokudururira atariswa urodynamic kudzidza, chine Analyses siyana.

Chii chinobatanidzwa mu pfungwa urodynamic ongororo

• Kuyerwa residual weti vhoriyamu. Ongororo Izvi zvinokosha kunyanya, kana muviri asingadi zviri zvachose kana iwe urinate, kana kana iwe vanotambura incontinence. Residual weti kunokonzera zviratidzo zvakafanana zviratidzo wokusagadzikana. Kuyera mvura vakasara pashure nokuisa, chiremba vanonyorera Ultrasound kuzviongorora dundira kana kuisa rinokosha anobudisa mushonga zvishoma nezvishoma (dzakaonda chubhu) kuratidza uye kudzidza residues.
• Kuyerwa weti chokubuda unodiwa. Kana uchida kufungidzira vhoriyamu uye kumhanya weti, chiremba vachakubvisisayi zviri dundira yako Uroflowmeter - zano kuti anoyera chaiyo parameters uye vatendeuki kuvapinza purogiramu kuchinja nokuisa zvazvingava.
• Kutsunga intravesical kumanikidzwa. cystometry nzira hwezvekukurukurirana nevezera kuyerwa ari nhengo uye akapoteredza nyama kana akazara mvura. Panguva kudzidza ichi, chiremba anoshandisa nhete chubhu (anobudisa mushonga zvishoma nezvishoma) kuti zvishoma nezvishoma vazadze dundira nemvura inodziya. Imwe anobudisa mushonga zvishoma nezvishoma ine Switch kuti anonzwisisa nokuchinja kufurirwa, anoiswa mukati nyinyo. nzira iyi unobatsira kutsanangura nei paine overactive dundira vakadzi. Treatment achavaponesa chii ongororo chichachengetwa involuntary sunga kana nhengo masvingo kana ayo kuomarara, nokuda izvo dundira rinova asingakwanisi kuchengeta weti panguva yakaderera kumanikidzwa. Unogona kukumbira chinhu pataidzidza kuyera kufurirwa inodiwa kuti nokuisa muviri, uye kujekesa kuvapo kana kusavapo inobvira blockage (mhingaidzo). Mhingaidzo kuti kunoitika nokuda prolapse pamusoro pelvic nhengo, kungaita kuti zviratidzo mamirire nevakawanda zvirwere sezvo overactive dundira vakadzi. Zvikonzero (kurapwa, sezvo chikazozikamwa, anogona chete chigadza anokwanisa munhu) izvi nyaya dzinenge nguva dzose zvinosanganisira chetsinga zvirwere kukanganisa musana.

Treatment ne maitiro kurapa

Maitiro kurapa, kana kutenga zvakakodzera kurwisa chirwere miitiro yakanaka - ndiye wokutanga uye inonyatsobudirira danho mumugwagwa apore. The pachena mukana nzira iri tisina nemishonga. Kana iwe hauna pfungwa sei kubata overactive dundira vakadzi, edza zvinotevera zvinhu zvemazuva ano.

Yenzira kubvisa matambudziko

• Muchiitwa nokuti pelvic pauriri netsandanyama. Kegel kurovedza vari pasina kuzivikanwa munyika mukurumbira uye zvisati mukurumbira: zvichida pane zvakawanda zvakasikwa nzira yokusimbisa yenyu pelvic paburiro tsandanyama uye Urinary sphincter. Vakasimba tsandanyama anogona kubvisa penyu involuntary sunga yacho dundira rusvingo. Chiremba achapa zano udzamu yakarurama Implementation yaiva yakakurumbira yokurovedza muviri. Tevedzera mazano ari nyanzvi uye kuva nomwoyo murefu, nokuti kuoneka kuvandudza utano zvinowanzoda chaizvo nguva refu (vatanhatu kwemavhiki masere).
• Ramba utano uremu. Kana uri kutambura kubva kufutisa, kudzoka kune zvisingatomboiti uremu kuchabatsira kupingudza overactive dundira vakadzi. Treatment (Wongororo vanogona kana uchida kuwana zvichikurukurwa forum) iyi nyaya kunoreva kuomerera kudya kunobva pemisimboti kudya zvinovaka muviri.
• Monitoring Urume yaunodya. Chiremba ringavakurudzira vakaomerwa kushandisa mvura uye kuchakubatsira kuumba wakasununguka purogiramu kuti une kunwa yako chinwiwa.
• Double Kuburitswa mu. Kuti dundira iri zvachose chinhu, mira maminitsi mashoma pashure wokutanga Kuburitswa mu wozoedza zvakare kupemberera diki kudiwa.
• Vakaronga weti. Nzira purogiramu inobatsira kwete chete maererano Urume yaunodya asiwo kunoona chimbuzi. Kana uchitevera vakaronga purogiramu (somuenzaniso, kuenda kuchimbuzi ose maawa 2-4), muviri anobvamburwa rinoshandiswa zvakafanana rudzi, uye hamungazofadzi kuona dzimwe kunounzwa pakarepo akakungurutsa zvinodiwa.

Chiizve chingaitwa?

• Intermittent catheterisation. Kana nechirwere overactive dundira vakadzi, uye kurapwa wongororo kuti ushandiswe kurapa zvikuru pakuti munhu kubudirira akasarudzwa nzira. Zvisinei, pane kwakajairika, nokudenga nzira zvokusimbisa zviratidzo chirwere, zvinoratidza nguva nenguva kushandisa anobudisa mushonga zvishoma nezvishoma kuti rakakwana Kuburitswa mu muviri. Bvunza chiremba vasati vachishandisa nzira iyi.
• Kupfeka Urological Mapedhi. Kushandisa Urological Mapedhi kana chinokosha absorbent yomukati kuchabatsira kudzivirira mbatya pamigumisiro incontinence uye kubvisa zvinenge mupfungwa mupfungwa. linings kwakadaro uye andapeni kuuya hukuru zvose uye dzakasiyana Absorção de Água unongotaura.
• Dundira kurovedza. Iri izwi rinoreva kukura kwavo kukwanisa kuita diki kudiwa. Unofanira kutanga kwenguva pfupi - somuenzaniso, maminitsi 30, pashure paunogona kuwedzera zvishoma nezvishoma zvikamu bedzi musingadi kuenda chimbuzi kamwe chete ose matatu kusvika mana maawa. Overactive dundira vakadzi (kurapwa, zvinokonzera, zviratidzo, ona pamusoro) zvinokwanisika kudzikamisa kudaro chete kana uchikwanisa kuzvishandisa (chekawo) ari pelvic pauriri netsandanyama.

Overactive dundira vakadzi: kurapwa (mishonga)

kushandiswa mishonga relaxes muviri rusvingo kuderedza wokusagadzikana nyonganyonga. Ivo:

• tolterodine ( "Detrol");
• oxybutynin muchimiro ganda (transdermal) nama ( "Oksitrol");
• oxybutynin mune imwe gel chimiro ;
• trospium;
• solifenacin;
• darifenacin;
• fesoterodine.

Chenjerera

The pamusoro zvinodhaka inogona kukonzera marwadzo, kusanganisira muromo yakaoma uye kupatira, izvo zvinogona sembura zviratidzo chirwere sezvo overactive dundira vakadzi. Treatment (Mahwendefa nezvimwe kugadzirira nomumukanwa kushandiswa) vanofanira kupiwa nachiremba, asi kana iwe vanotambura izvi marwadzo, zvakanakisisa kunoona nyanzvi kuti yokutsiva mahwendefa gels uye makwapa akasvibirika.