M urinary riƙewa: na farko, gaggawa kula, haddasawa, cututtuka, magani

M urinary riƙewa - gwada da na kowa wahala wanda shi ne halayyar cututtuka daban-daban. Saboda haka, mutane da yawa suna sha'awar tambayoyi game da siffofin da babban Sanadin wannan yanayin. Yana da muhimmanci a lura da farko alamun cuta, kamar yadda taimakon farko ga m urinary riƙewa ne musamman da muhimmanci ga kara alheri da marasa lafiya da mutum. To, abin da suke haddasawa da kuma na farko manifestations da cuta daga urination? Abin da jiyya na iya bayar da zamani magani? Wanne rikitarwa sakamakon take hakkin da outflow na fitsari?

Mene ne urinary riƙewa?

M urinary riƙewa - wani yanayin a cikin abin da emptying na mafitsara cika ba zai yiwu. Wannan Pathology ne sau da yawa a gauraye da anuria, ko da yake su ne gaba daya daban-daban tafiyar matakai. Lokacin da urination anuria fakowa ba saboda gaskiyar cewa da ya kwarara daga fitsari a cikin mafitsara ke kare. A m da bata lokaci ba, a maimakon haka, mafitsara da aka cika, amma a ƙarƙashin rinjayar daban-daban dalilai a selection ba zai yiwu ba.

Ya kamata a lura cewa wannan matsala ne yafi kusantar wajen samar da a maza, saboda da sifofin. Duk da haka, yana yiwuwa kuma a mata. Bugu da kari, sau da yawa yara da wahala daga urinary riƙewa.

Babban Sanadin wannan yanayin

Nan da nan ya kamata a ce cewa Sanadin m urinary riƙewa iya zama sosai bambancin, don haka a zamani magani ya kasu kashi hudu main kungiyoyin:

• inji (hade da inji mai shãmakacẽwa ko matsawa na urinary fili).
• wadanda wanda aka sa ta daban-daban cuta na juyayi tsarin (kwakwalwa daya dalili ko wata Tashoshi monitoring mafitsara emptying matakai).
• reflex cuta da cewa suna hade da m m cuta ko wani tunanin yanayin haƙuri.
• magani (saboda da tasiri a kan kwayoyin da wani magani).

Yanzu shi wajibi ne don la'akari da kowane rukuni na dalilai a more daki-daki. M urinary riƙewa, sau da yawa tasowa a lokacin inji matsawa daga cikin mafitsara ko urinary fili, sakamakon da fitarwa da abinda ke ciki kawai zai yiwu ba. Irin wannan lura a gaban kasashen waje jiki a cikin mafitsara ko mafitsara. Har ila yau, hadarin abubuwan sun hada da marurai na ƙananan urinary fili, sclerosis daga cikin wuyansa daga cikin mafitsara, da duwatsu a cikin wuyansa, ko a cikin urinary ducts, da daban-daban urethral rauni. A maza, da ya kwarara daga fitsari za a iya lalace tare da prostatitis ko sprouting (hyperplasia) na prostate, da kuma mata - tare da igiyar ciki prolapse.

Urinary riƙewa iya alaka da cuta na tsakiya m tsarin da ya auku a gaban marurai, kazalika da rauni daga cikin laka ko kashin baya shafi (ciki har da intervertebral hernia), buga, bugun jini, girgizawa na kwakwalwa.

Idan yana da wani reflex keta cewa sun hada da perineal rauni, kafafuwa da kuma ƙananan extremities da hadarin dalilai. A wasu lokuta, urinary riƙewa tasowa kan bango na m denervation na mafitsara a sakamakon kaciyar mata gabobin, dubura, da sauransu. D. Wannan kungiyar dalilai sun hada da wani karfi tunanin buga, da tsoro, ciwon iska, barasa maye.

Akwai kuma wani rukuni na kwayoyi, wanda a wasu marasa lafiya na iya haifar da wani take hakkin da outflow na fitsari. Wannan na iya zama tricyclic antidepressants, benzodiazepines, adrenergic agonists, anticholinergic kwayoyi, narcotic analgesics, wasu antihistamines.

Domin abin da na iya zama urinary riƙewa a yara?

Daga irin wannan take hakkin da aka ba inshora har ma da karami marasa lafiya. Da sauƙi, m urinary riƙewa a yara na iya faruwa kan bango na wannan matsaloli da cututtuka a manya. A daya hannun, akwai wasu bambance-bambance.

Alal misali, boys wani take hakkin da outflow na fitsari iya faruwa da phimosis - mai karfi takaita na kame. Irin wannan pathological kumburi take kaiwa zuwa m da, daidai da, nama scarring, sakamakon kame ne kawai a kananan pinhole - halitta, shi tsarè al'ada emptying na mafitsara.

M ƙoƙarinsa na fallasa shugaban kame sau da yawa kai ga Paraphimosis - ƙeta na shugaban a ƙunƙuntaccen zobe. Tare da irin wannan jiha daga cikin mafitsara ana katange kusan gaba daya, barazana m urinary riƙewa - Likita taimako a cikin wannan yanayin ne ya cancanta.

A 'yan mata, urinary riƙewa ne sosai rarer kuma iya hade tare da asarar mafitsara ureteroceles - mafitsara da distal ureter.

Har ila yau, kada ka manta game da gaskiyar cewa yara a cikin wasanni ne musamman aiki da kuma m, don haka da dama perineal rauni ba a dauke a rarity, amma shi zai iya kai wa ga urinary riƙewa.

Urinary riƙewa a mata kuma da fasali

Da sauƙi, m urinary riƙewa a mata iya faruwa ga dalilai aka bayyana a sama, shi yakan faru. Duk da haka, akwai wasu ƙarin hadarin dalilai da suke da daraja idan akai la'akari.

Wasu 'yan mata take hakkin da outflow na fitsari tasowa a kan bango hematocolpometra, saboda da sifofin da bata da wannan fatar. Ga mafi yawan mata, shi yana da zobe-dimbin yawa ko jinjirin wata-dimbin yawa. Amma wasu mata bata da wannan fatar ne mai ɗamfarar farantin wanda ma gaba daya rufe ƙofar farji. Lokacin da hailar irin wannan ilimin Halittar Jiki fasalin halitta matsaloli. Selection fara tara, da barin tasowa hematocolpometra wanda compresses cikin mafitsara da kuma urinary fili, abu don ci gaban urinary riƙewa.

Hadarin dalilai za a iya dangana a ciki. Rushewa daga al'ada urination iya zama sakamakon m girma da kuma igiyar ciki hijirar, wanda tubalan hanya zuwa lambatu fitsari. Shi ne ya kamata a lura da cewa wannan Pathology ne daya daga cikin mafi hadaddun a zamani obstetric da m yi, a matsayin lokaci mai daidai da ganewar asali ne ba haka sauki.

Har ila yau, a cikin mata urinary riƙewa iya dangantawa da ectopic, wato mahaifa ciki. Tare da irin wannan jiha da kafawa da kuma kara ci gaba da na ovum auku a wuyansa na ya zauna cikin mahaifa sashen. Hakika, fitowan da bazuwa ne hadarin gaske musamman, domin kaiwa zuwa wani take hakkin da outflow na fitsari, zub da jini da kuma sauran m rikitarwa.

M urinary riƙewa: Alamun

Idan ka ji unwell, an gaggawa bukatar ze likita. Gane gaban urinary riƙewa artisan Can har yanzu a lokacin janar jarrabawa, tun da irin wannan jiha yana tare da wasu sosai musamman cututtuka.

A Pathology yana tare da ambaliya na mafitsara da kuma gagarumin karuwa a cikin juz'i na. Sama da pubic kashi ne kafa m protrusion fairly m ga tabawa - wannan ne mafitsara.

Marasa lafiya koka m urination da ba su kai ga emptying na mafitsara, amma sau da yawa tare da ciwo mai tsanani a ciki. A zafi na iya yada wa genitalia, perineum da t. D.

Domin wannan cuta da aka ma halin da urethremorrhagia - bayyanar jini daga mafitsara. shi zai iya zama wani lokaci kadan spotting, wani lokacin - quite m zub da jini. A cikin wani hali, da jini a cikin mafitsara - mai matukar hatsari alama cewa bukatar gaggawa magani.

Sauran alamun akwai kai tsaye dogara a kan hanyar da wannan yanayin da kuma gaban wasu rikitarwa. Alal misali, a cikin hali na lalacewa ko katsewa na mafitsara da kuma mafitsara marasa lafiya inganta ciwo mai tsanani ciwo, wanda results a mai zafi tura.

Idan akwai wani hutu na proximal mafitsara, da urinary lura infiltration na pelvic nama cewa sau da yawa sa mai tsanani maye. Lokacin da farji ko rectal (maza) nazari a wadannan marasa lafiya da aka lura pastoznost nama da kuma kaifi zafi lokacin da matsi. Intraperitoneal katsewa na mafitsara fitsari ne da yardar kaina rarraba a ciki, wadda take kaiwa zuwa m zafi a ciki.

Features na Pathology a maza

M urinary riƙewa a prostate ciwon daji aka fi kamu a mazan marasa lafiya. Kamar yadda mai mulkin, shi ne wadda ta gabãta daga sauran urinary matsaloli, ciki har da m nighttime tura da kuma rashin iyawa ga gaba daya babu komai a cikin mafitsara.

A m prostatitis da kuma maye cututtuka su ne ba, musamman da karuwa a jiki zafin jiki, da rashin ƙarfi, jin sanyi, sau da yawa mai tsanani tashin zuciya da kuma amai. A nan gaba, akwai matsaloli tare da urination. A zafi a cikin wannan yanayin ne mafi pronounced kamar yadda yake da alaka ba kawai tare da ambaliya na mafitsara, amma kuma kumburi da kuma suppuration na prostate gland shine yake.

Wanne rikitarwa iya haifar da cuta?

M urinary riƙewa - wani hadarin gaske musamman a jihar, don haka a kowace harka, ba watsi da shi. A gaskiya, rashin dace kula iya haifar da lahani ga mafitsara, da mafitsara bango katsewa a sakamakon da yawa cika da mikewa. Bugu da kari, lokacin da irin wannan Pathology akai-akai lura da m jħfa na fitsari a cikin kodan, wanda shi ne ma fraught tare da tsanani cututtuka da kuma cuta na excretory tsarin.

Idan ba ka kashe a cikin hanyar m riƙewa, amma kawai don komai cikin mafitsara, irin aukuwa iya sake aukuwa a nan gaba. Bi da bi, wannan na iya haifar da ci gaban m kuma na kullum pyelonephritis, cystitis. Sau da yawa a kan wani bango na take hakki na outflow na fitsari a cikin mafitsara dutse samuwar fara, wanda kuma ya razana su jinkirta m a nan gaba. By hanyar rikitarwa hada urinary fili kamuwa da cuta, da kuma kullum na koda gazawar. M urinary riƙewa a maza iya kai ga ci gaban da m orchitis, prostatitis da epididymitis.

hanyoyin da ganewar asali

Matsayin mai mulkin, mai sau jarrabawa da kuma anamnesis isa ya ƙayyade ko wani haƙuri yana da m urinary riƙewa. Magani, duk da haka, sun fi mayar dogara a kan hanyar da wannan cuta, don haka mafi bincike ne da za'ayi bayan bada taimakon farko.

A musamman, cikakken hoto na jihar na jiki za a iya samu bayan duban dan tayi, duban dan tayi, feat. Irfan, X-ray (idan akwai wani da ake zargi da kashin baya rauni), Magnetic rawa ko lissafta tomography.

M urinary riƙewa: taimakon farko

Idan akwai tuhuma da bayyanar cututtuka da wannan yanayin wajibi ne don gaggawa kira motar asibiti - a wani hali ba shi yiwuwa a yi watsi da matsalar. Taimakon farko ga m urinary riƙewa an rage ga wani gaggawa fitarwa na mafitsara. A Hanyar cikin wannan hali ya dogara da dalili.

Alal misali, idan matsalolin da emptying taso saboda matsawa na urinary fili (kamar prostate ko adenoma), mafitsara catheterization aka yi amfani da daidaitattun roba catheter tsomasu a tsanake cikin glycerol. Saboda za su gudanar da irin wannan hanya kadai ne ba zai yiwu, da taimakon likita ma'aikatan ne dole ne.

Taimakon farko a harka na m urinary riƙewa, wanda aka sa ta illa reflex iya duba daban-daban. Alal misali, haƙuri iya bada shawarar a dumi sitz wanka ko shawa don taimaka shakata da urethral sphincter. Idan irin wannan jan ne m, ko su rike wani lokaci, emptying na mafitsara hanyar magani. Domin wannan dalili, da haƙuri da aka gudanar intraurethral "Novocaine" da kuma intramuscularly - "Neostigmine" "pilocarpine", ko da dai sauransu Bugu da kari, da tasiri nufin catheterization ..

Abin da jiyya da ake amfani a zamani magani?

Kamar yadda aka ambata riga, da gaggawa kula ga m urinary riƙewa an rage wa fitad da abinda ke ciki na mafitsara. Yawanci, wannan yana cika ta amfani da wani catheter (zai fi dacewa roba, saboda da karfe kayan aiki na iya lalata urethral ganuwar). Wannan hanya shi ne manufa idan dalilin da bata lokaci ba, ko reflex hade tare da raunin da ya faru na juyayi tsarin.

Abin baƙin ciki, ba a cikin kowane hali, yana yiwuwa ya yi amfani da catheter zuwa lambatu fitsari. Alal misali, a cikin m prostatitis, gaban duwatsu a cikin mafitsara catheterization iya zama quite m.

Idan gabatarwar da catheter ne ba zai yiwu ba, da likita zai iya gudanar da cystostomy (dalaye vesical fistulae suprapubic) ko wani suprapubic mafitsara huda.

Bugu da ari magani riga ya dogara da Sanadin wannan yanayin da kuma ta mai tsanani. Alal misali, a cikin rauni mafitsara taimaka detoxification, hemostatic, antibacterial da antishock magani.

Abin da sauran matakan bukatar m urinary riƙewa a maza? Jiyya wannan yanayin, wanda ake sa ta m prostatitis unshi shan anti-kumburi kwayoyi da kuma daukan hotuna zuwa m bakan maganin rigakafi (msl, "cephalosporin", "ampicillin"). A mafi yawan lokuta, riga a rana bayan qaddamarwa na far fitsari ya dawo al'ada. A lura kuma ya hada da yin amfani da rectal suppositories belladonna, zafi enema antipyrine, sessile dumi baho, zafi damfara da perineum. Idan duk wadannan matakan ba samar da wani sakamako, catheterization aka yi amfani da wani bakin ciki m catheter, da kuma kara bincike.

A gaban neurogenic tabarbarewa kwashe magani. Don kawar atony detrusor mafitsara amfani da kwayoyi kamar "Neostigmine", "aceclidine", da kuma wani bayani da papaverine hydrochloride ko atropine sulfate (ba zato ba tsammani, m, maimaita injections na atropine iya kai wa ga spasm na detrusor da kuma sake m urinary riƙewa, sabili da haka, wannan shiri da aka yi amfani da sosai a hankali).

Idan take hakkin da outflow na fitsari ne sakamakon tsoro, wani tunanin tashin hankali ko kuma wani shafi tunanin mutum da cuta marasa lafiya ma allura kwayoyi wajabta dumi baho, gado sauran, soothing yanayi. Wani lokaci za ka iya samun wani magani mai kantad da hankali. A mafi tsanani lokuta bukatar jarrabawa, da shãwartar likita hauka.

Lokacin da tiyata wajibi ne?

Akwai da yawa m, kuma ko da m rikitarwa, wanda zai iya haifar da m urinary riƙewa. Gaggawa kula da ta dace likita far, da rashin alheri, ba zai iya ko da yaushe magance matsalar. A wasu lokuta, tiyata zama dole. Alal misali, Likita ta taimako da ake bukata idan akwai wani urinary tashar karyewa ko mafitsara.

The aiki ne da za'ayi idan hanyar da bata lokaci karfe da duwatsu, wanda kawai za a iya cire surgically. Bugu da kari, tare da ƙwazo sprouting prostate (hyperplasia), kadai hanya zuwa normalize da fitsari kwarara ne zuwa cire wuce haddi da nama. Haka ya shafi gaban marurai ko wasu marurai na kafafuwa a mata.

Hakika, da yanke shawara a kan tiyata da aka dauka da halartar likita.