Overactive chikhodzodzo mwa akazi: chithandizo, zimayambitsa, zizindikiro

Overactive chikhodzodzo mwa akazi pansi chithandizo chofunika yomweyo pambuyo kudziwika vuto, ndi kuphwanya ntchito mkodzo kudzikundikira ndi maonekedwe a zilakolako lakuthwa kuti chikhodzodzo kanthu. Kufunika zambiri pachimake ndi kumabweretsa musanaganizire kutulutsidwa kwa kuchuluka kwa mkodzo (incontinence).

Anatinso mankhwala akuyamba ndi ntchito njira khalidwe (khalidwe) - madokotala amalangiza madzi akumwa ndi zakumwa zina pa ndandanda, kupita ku chimbudzi tsiku lililonse pa nthawi inayake ndi kuletsa chilakolako mwadzidzidzi kuthandiza m'chiuno pansi minofu. Ngati zimenezi sizipangitsa kuthandiza, palinso njira zina amachitira matenda.

zizindikiro

Ngati muli ndi mavuto ndi pokodza, osati chakuti mlandu wawo ndi chabe overactive chikhodzodzo. Zizindikiro mu akazi ali motere:

• maonekedwe mwadzidzidzi zosowa kukaona chimbudzi, ndi zosoweka zimenezi ndi zovuta kulamulira;
• incontinence a mkodzo, i.e. musanaganizire kumasulidwa nthawi yomweyo pambuyo yatsoka ndi akufuna kulowa chikhodzodzo;
• pafupipafupi pokodza, zambiri kuposa eyiti nthawi patsiku;
• nocturnal polyuria (nocturia) - nocturnal Tisaiwale kupita ku chimbudzi mobwerezabwereza maulendo awiri akagona.

Ngakhale odwala ambiri savutika kupeza ku chimbudzi yomweyo, mwamsanga pamene pali kufunikira lakuthwa, pafupifupi onse akudwala matenda, kuvutika maganizo mu anakakamizika kutaya a chikhodzodzo kangapo patsiku.

Uziyenda yachibadwa ya thupi

Impso kubala mkodzo, kenako umayenda mu chikhodzodzo. Pamene inu pitani chimbudzi mkodzo lotulukira m'thupi kudzera una yosungirako pansi ndi umayenda kuchokera mwa chubu wotchedwa "mkodzo". Mu akazi, kutsegula mkodzo ndi ili pamwamba chabe nyini, amuna - pa nsonga ya mbolo glans.

Monga kudzazidwa kwa chikhodzodzo ndi zizindikirozo ubongo kwa misempha kuti, pomaliza, chifukwa kufunika kulowa. Pamene akukodza chizindikiro mitsempha ntchito zosangalatsa za m'chiuno minofu pansi ndi mkodzo (yotsirizira anatchula minofu ya sphincter mkodzo). Minofu yomangika thupi (yafupika), kukakamiza mkodzo kunja.

kudwala Zoyambitsa

Pamene minofu thupi anayamba yomangika mwadzidzidzi (ngakhale voliyumu ya mkodzo mmenemo ndi zing'onozing'ono), madokotala oterewa chikhodzodzo overactive. Zizindikiro mu akazi monga pamwamba pa zonse zikamera lakuthwa zosowa akhoza limodzi ndi zizindikiro za matenda akuluakulu prerequisites pa chitukuko cha matenda izi. Komabe, matenda aakulu - si chinthu chokhacho chomwe chimayambitsa vutolo. Mbali yaikulu ya kupita chimbudzi ndi incontinence mkodzo angagone:

• matenda a ubongo kuphatikizapo Parkinson matenda, sitiroko, mwiniwakeyo (angapo) sclerosis;
• Tima yopanga mkodzo kumwa mabuku yaikulu ya madzimadzi, impso ntchito osauka, kapena shuga;
• mankhwala, mofulumira kapena mkodzo linanena bungwe zapivaniya zofuna wambiri madzimadzi;
• matenda wokonda mkodzo, ndi kuchititsa zizindikiro za matenda ofanana ndi zizindikiro monga overactive chikhodzodzo mwa akazi;
• limba kudwala (zotupa, miyala);
• zolepheretsa pokodza yachibadwa (amuna akhoza anawonjezera prostate, akazi - kudzimbidwa kapena opaleshoni yapita zochizira zina incontinence);
• ntchito kwambiri a tiyi kapena khofi kapena mowa;
• chopinga wa chidziwitso ubongo ntchito chifukwa kukalamba chamoyo ndi, umene chikhodzodzo nkomwe imazindikira chizindikiro ukubwera;
• movutikira kuyenda, chifukwa cha zomwe si odwala onse angakhale yake kuti ku chimbuzi;
• chosakwanira Ndikudzikhuthula kwa chikhodzodzo, tingayambe zizindikiro za ofuntha chifukwa kuchepetsa malo ufulu kwa mkodzo atsopano akubwera kuchokera impso.

Koma nthawi zambiri, ngakhale akatswiri simungadziwe kwenikweni chimene chinali chifukwa cha ofuntha syndrome thupi.

diagnostics

Ngati mukudwala zofuna mumamva kwambiri kaŵirikaŵiri ku chimbudzi, dokotala mu malo oyamba adzakhala fufuzani mkodzo wanu pamaso pa magazi kapena matenda. M'pofunikanso kukhazikitsa ngati inu tidzikhuthule chikhodzodzo wanu kwathunthu. diagnostics Full mwachidziwikire zikuphatikizapo zinthu zotsatirazi:

• mbiri zachipatala
• chachikulu thupi Kupenda ndi zofunika kwambiri pa ziwalo za pamimba ndi groin;
• mayesero mkodzo Yang'anani matenda, Madontho magazi ndi zizindikiro zina kudwala;
• cholinga ubongo muone kudziwa matenda imalandira kapena mavuto ndi mawunikidwe.

maphunziro Special

Choyamba, adokotala kukhazikitsa matenda zolondola ndi preconditions zilibe umboni weniweni kwa chitukuko cha otere amaneneratu zoipa monga overactive chikhodzodzo mu akazi. Chithandizo kudzadalira zifukwa zambiri, koma poyamba pa zonse - khalidwe la kugwira ntchito kwa thupi. The azitha chikhodzodzo zonse ndi kwathunthu anadzikhuthula kufufuzidwa ndi phunziro urodynamic, chomwe ndi nkhani zosiyanasiyana.

Kodi m'gulu mfundo kusanthula urodynamic

• Muyeso wa yotsalira mkodzo buku. kusanthula Zimenezi n'zofunika kwambiri, ngati thupi si tidzikhuthule kwathunthu pamene inu kukodza, kapena ngati mukudwala incontinence. Yotsalira mkodzo amachititsa zizindikiro zofanana ndi zizindikiro za ofuntha. Kuyeza zotsalira madzi pambuyo kutaya, dokotala mankhwala ultrasound Kupenda chikhodzodzo kapena kuika catheter wapadera (wochepa thupi chubu) kusonyeza komanso kuphunzira zatsalira.
• Muyeso wa ndalama mkodzo otaya. Ngati mukufuna amati buku ndi liwiro pokodza, adokotala ndikufunseni inu kulowa chikhodzodzo anu mu Uroflowmeter - chipangizo kuti amaona magawo yake ndi otembenuka iwo mu kusintha ndandanda kutaya ndalama.
• Khama la kuthamanga intravesical. cystometry njira facilitates kuthamanga muyeso mu limba ndi zimakhala ozungulira pamene wodzazidwa ndi madzi. Pa phunziroli, dokotala amagwiritsa chubu woonda (catheter) kuti pang'onopang'ono kudzaza chikhodzodzo ndi madzi ofunda. catheter wina ndi kachipangizo kuti amakhudzidwa kusintha kuthamanga, aikidwa mu nyini. njirayi kumvetsa chifukwa pali overactive chikhodzodzo mu akazi. Chithandizo kudzadalira kodi kusanthula udzachitika contractions musanaganizire kapena makoma chiwalo kapena stiffness ake, chifukwa amene chikhodzodzo sadzatha kusunga mkodzo pa mochedwerako. Inu angapemphedwenso kanthu pa phunzirolo kuyeza kuthamanga wofunikila kutaya thupi, ndi kumveketsa kukhalapo kapena kusapezeka kwa blockage kotheka (kutsekeka). Kutsekeka kuti kumachitika chifukwa prolapse ziwalo m'chiuno, kungachititse kuti zizindikiro khalidwe matenda ambiri monga overactive chikhodzodzo mu akazi. The zifukwa (chithandizo, monga amadziwika, likhoza kusankha munthu woyenela) Pankhaniyi pafupifupi nthawi zonse monga matenda a ubongo okhudza chingwe msana.

Chithandizo ndi mankhwala khalidwe

Khalidwe mankhwala kapena kugula zofunika kuthana ndi matenda a makhalidwe abwino - ndi sitepe yoyamba ndi yothandiza kwambiri pa msewu kuchira. Ubwino mwina njira imeneyi ndi yonena mavuto. Ngati ndiribe lingaliro mmene tiyenera kuchitira chikhodzodzo overactive mu akazi, yesani zotsatirazi zinthu zamakono.

The njira yabwino kuthetsa mavuto

• Zochita za m'chiuno minofu pansi. Kegel Zochita ali osati kanthu wabweza lonse kutchuka sikunachitekepo: pali mwina njira zambirimbiri kulimbitsa pansi anu m'chiuno minofu ndi sphincter mkodzo. minofu wamphamvu akhoza kuchotsa inu contractions musanaganizire a linga chikhodzodzo. adokotala kupereka malangizo mwatsatanetsatane pa kukhazikitsa molondola za masewero olimbitsa wotchuka. Tsatirani malangizo a katswiri ndipo pirira: kwa kusintha noticeable thanzi pamafunika ndithu nthawi yaitali (masabata sikisi eyiti).
• Khalani ndi kulemera wathanzi. Ngati akudwala kunenepa kubwerera kwa kulemera yachibadwa kudzakuthandizani zikhale overactive chikhodzodzo mu akazi. Chithandizo (ndemanga akhoza ngati mukufuna kupeza pa maonekedwe zokambirana) Pankhaniyi zikutanthauza kutsatira zakudya zochokera mfundo za zakudya zoyenerera.
• Kuunikira wambiri madzimadzi. dokotala angakulangizeni Kuchepetsa ntchito zakumwa komanso kuti akonze ndandanda omasuka kuti muli kumwa chakumwa mumaikonda.
• Kawiri Ndikudzikhuthula. Kuti chikhodzodzo ndi kanthu kwathunthu, dikirani maminiti angapo pambuyo Ndikudzikhuthula woyamba ndiyeno yeseraninso kukondwerera kufunika yaing'ono.
• Anakonza pokodza. Njira ndandanda lipindulitsa osati mawu a wambiri madzimadzi, komanso kukaona chimbudzi. Ngati mutsata ndandanda anakonza (mwachitsanzo, kupita ku bafa iliyonse pa maola 2-4), thupi wayamba ntchito akafuna yemweyo, ndipo simungathe kuona maganizo zapadera mwadzidzidzi ipitirirabe zosowa.

Kodi aliyense angatani?

• Likukulira catheterisation. Pamene anapezeka ndi overactive chikhodzodzo mu akazi, ndi ndemanga chithandizo cha mankhwala zotchulidwa kwakukulukulu zimadalira mphamvu payekha njira yakuti. Komabe, pali wamba, konsekonse njira obwera chifukwa cha matenda, kutanthauza kugwiritsa ntchito nthawi ya catheter kwa Ndikudzikhuthula wathunthu wa thupi. Funani dokotala musanagwiritse ntchito njira imeneyi.
• Kuvala ziyangoyango Urological. Kugwiritsa ziyangoyango Urological kapena wapadera absorbent amkati kungatiteteze zovala chifukwa cha incontinence ndi kuthetsa okhudzidwa maganizo nkhawa. linings amenewa ndi kabudula m'makulidwe zonse ndi kukhala mayamwidwe ntchito zosiyanasiyana.
• Chikhodzodzo maphunziro. Mawu amenewa amanena za chitukuko cha mphamvu zawo m'mbuyo kufunika yaing'ono. Muyenera kuyamba ndi kanthawi - mwachitsanzo, Mphindi 30, kenako mukhoza pang'onopang'ono kuonjezera intervals bola ngati simungathe kupita ku chimbudzi maola kamodzi kokha iliyonse atatu kapena anayi. Overactive chikhodzodzo mwa akazi (chithandizo, zimayambitsa, zizindikiro, onani pamwamba) n'zotheka ziziyenda kokha pamene mungathe kuchita khama (odulidwa) ndi m'chiuno pansi minofu.

Overactive chikhodzodzo mwa akazi: chithandizo (mankhwala)

ntchito mankhwala pansi khoma thupi kuchepetsa ofuntha matenda. Ali:

• tolterodine ( "Detrol");
• oxybutynin mu mawonekedwe a khungu (transdermal) chigamba ( "Oksitrol");
• oxybutynin mu mawonekedwe gel osakaniza ;
• trospium;
• solifenacin;
• darifenacin;
• fesoterodine.

samalani

The mankhwala pamwamba angathe kuyambitsa zotsatira zoyipa kuphatikizirapo pakamwa youma ndi kudzimbidwa, zomwe zingawonjezere zizindikiro za matendawa overactive chikhodzodzo mu akazi. Chithandizo (mapiritsi ndi kukonzekera zina ntchito m'kamwa) ayenera zotchulidwa dokotala, koma ngati mukudwala zotsatirapo zimenezi, ndi bwino kukaonana ndi katswiri pa miyala m'malo angakhale angelo ndi yamawangamawanga.