He aha kēia maʻi a he aha hoʻi i ala ai?
No kaʻano o ka maʻi maʻi i hoʻomaopopoʻia ke maʻi, hele pū me ka maʻiʻole o ka pūpū ma muli o ka hana kūponoʻole o ke kaʻina o nā hana o ka urination. ʻO ka mea hopena,ʻo ke kai a me ka hoʻokuʻuʻana (excretory) o ka'ōpena i ka pilikia.
E like me kouʻike, ua hoʻolālāʻia keʻano kūʻokoʻa o ka urination (i mālamaʻia i ka pō a me ke ao) i nā makahiki 3-4. I ke kaʻina, ke alakaʻi pololeiʻia nei e nā kikowaena o ka lolo, a me ka'alipopo lumbosacral.
ʻO nā kumu o ka hoʻomohalaʻana i nā maʻi neurogenic vladder i nā keiki he nui loa. Eia naʻe, i loko o ka naʻau o lākou a pau e pili ana i nā maʻi neurological o nāʻano likeʻole, i ka hopena e hikiʻole ai i ka lawaʻana o ka hoʻohuiʻana i ka helu o ka hana o ka puʻupuʻu iho a iʻole ka sphincter waho o ka pūpū.
Ma keʻano he kūlana, e ulu ana kēiaʻanoʻanoʻano e like me kēia:
- nā lāʻauʻeleʻele o ka pūʻali kaiaulu (malformations congenital);
- ka eha i nā kino pelvic;
- nā maʻiʻalo a me nā maʻi pīpīpī o ka'ōpū, ka lolo a me ke olonā ( kaʻeha hānau , ka maʻi maʻi pīpī, ka'alanī kapalapala);
- ka lawa o ka hypothalamic-pituitary;
- ka lōʻihi o ka hopena o nā kikowaena o ka lolo;
- ke kaulike o ka pūnaewele kūʻokoʻa holoʻokoʻa.
He mea pono ke hoʻomaopopo i ka pinepineʻana o kēia maʻi i nā kaikamahine. Ma muli o keʻano he kiʻekiʻe ko ka estrogenic saturation, a laila e hoʻonui i kaʻike o nā mea lohe i loko o ka puʻukū.
He aha nā hōʻailona o kahi maʻi maʻi neurogenic i nā keiki?
ʻO kēiaʻano maʻi ka mea iʻikeʻia e nāʻano maʻi o ka hana o ka urination,ʻo ka lōʻihi o ia mea e pili pono ana i ka kiʻekiʻe o ka pōʻino o ka pūnaewele'ōpiopio.
I loko o ka maʻi maʻamau maʻamau, ke kahakahaʻia nā hōʻailona o kēia mau mea i loko o nā keiki, e hōʻike ana i ka hewa:
- ke pinepine o ka urination ma mua o 8 manawa i ka lā;
- ka pinepine i ka urinate;
- pauʻole kaʻino;
- keʻano o ke enuresis.
Pono e pono e'ōlelo e pili ana i iaʻano hana hewa, e like me keʻano o ka hōʻailona neurogenic postural. Hōʻikeʻia kēiaʻano ke neʻe ke kino o ka'ōpū mai kahi e kū pono ai i kahi kūpono, a uaʻikeʻia e pollakiuria diuli (pinepine urination). I ka manawa likeʻole,ʻaʻohe pilikia o ka hōʻiliʻiliʻana o ka mimi i ka pō.
Pehea e hōʻolo ai i ka maʻi maʻi neurogenic i loko o kahi keiki?
ʻO nā mea lapaʻau e pili ana i kēia maʻi,ʻo ia nō ka lāʻau lapaʻau, a me ka lāʻau lāʻauʻole. I nā mea koʻikoʻi, hiki ke hana i ka mea lawelawe i ke kāwili.
ʻO nā keiki me kēia maʻi e hōʻike ana i ka mālamaʻana i ke aupuni palekana, aʻo ia pū kekahi
Me nā loli hoʻonuiʻia o nā mususes detrusor, ua hoʻonohonohoʻia nā m-cholinoblockers (Atropine, nā keiki i piha i 5 mau makahiki - Oxibutinin), antidepressants (Melipramine), antagonists calcium (Therodinol).
No ka hoʻomaʻamaʻaʻana i kahi maʻi maʻi neurogenic me ka po i nā keiki i hala 5 mau makahiki, hiki ke hanaʻia ka like o ka hormonone Desmopresin.
No ka paleʻana i nā maʻiʻelele, hiki ke lawelaweʻia nā uroceptics ma nā mea liʻiliʻi loa. Aia i waena o lākouʻo Furagin, ka waikawa nalidixic.