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Bemorii “Beikhtiyor jori shudani peshb”

Beikhtiyor jori shudani peshbro dar zaboni tib inkontinensiya menomand. Inkontenentsiya yake az bemorihoi pahngashta dar tajribai klinikii urologi ba hisob meravad. Tibqi omorhoi tibbi, taqriban 20% az aholii kurrai Zamin giriftori in bemoriand. Bemorii mazkur beshtar dar khonumho mushohida meshavad.

inkompitenciyaTaqriban 25-30% – i khonumhoi sinashon az 65 sol bolo mubtaloi in bemoriand. Mutaasifona aksari ashkhose, ki mubtaloi in mushkiliand, inkontinentsiyaro bemori namehisoband va ba pizishk niz murojiat namekunand. Ba nudrat in bemori biduni darmon niz raf meshavad.

Inkontinentsiyae, ki khud az khud raf megardad beshtar hangomi tavallud yo hini iltihobi hodi masona rukh medihad.

Kullan in bemori ba du guruh taqsimbandi meshavad:

1. Guruhi kozib;

2. Guruhi voqei;

Ba guruhi kozibi inkontinentsiya bemorone shomil megardand, ki asari khalaldorgashtani uretra, ektopii surokhihoi holib va ekstrofii masonai beikhtiyorii peshob dorand.

On bemorone, ki inkontinentsiyai biduni nuqsonhoi guruhi avval dorand ba guruhi inkontinentsiyai voqei dokhil meshavand.

Dar asl panj navi beikhtiyor rekhtani peshob vujud dorad:

a) Inkontinentsiyai istressi, ki bar asari bolo raftani fishori dokhili shikam dar natijai kori jismoni, surfa, khanda va amsoli inho rukh medihad. In navi beikhtiyor rekhtani peshb, dar natijai sustii mushakhoi dokhili kos paydo meshavad

b) Inkontinentsiyai urgenti. Ashkhosi giriftor ba in navi inkontinentsiya, nametavonand khorij namudani peshobro hatto ba muddati kutoh niz ba takhir andozand.

v) Inkontinentsiyai paradoksali. In navi inkontinentsiya gayri tabii buda, dar shakhsone, ki mubtaloi bemorihoi prostat va tangii majroi peshoband rukh medihad.

g) Inkontinentsiya tarkibi (omekhta)- dar in navi beikhtiyori nishonahoi ham stressi va ham urgenti dida meshavad.

d) Inkontinentsiyai tranzitori – in navi bemori dar ashkhose, ki giriftori iltihobi uzvhoi dokhili kosand beshtar dida meshavad va khususiyati muvaqqati dorad.

Sababhoi beikhtiyor rekhtani peshob:

  • Tagyiroti anatomiki;
  • Tavalludi tabii az meyor ziyod va tavalludi orizanok;
  • Diabeti qand, Farbehi va shakhsoni sigorkash;
  • Iltihobi muzmini uzvhoi dokhili kos;
  • Nomunazzamii hormonho (kambudii estrogen);
  • Oseb va bemorihoi magzu torhoi asab;
  • Ikhtiloloti gardishi khu;

Harchand, ki tashkhisi in bemori sodda ast, ammo tabobatash dushvor menboshad. Zero dar avval boyad bemorii asosiro tabobat namud va az orizahoi ehtimoli peshgiri kard. In bemoriro bo du ravish tabobat mekunand: konservativi (dorui) va bo usuli jarrohi. Navhoi jarrohi (jarrohii boz va guzoshtani ( “sling” ) ba darajai vaznini va navi inkontinentsiya bastagi dorad Hangomi intikhobi tabobat mo boyad darajai vazninii bemori, natijai bemorihoi nevrologi va bemorihoi sistemai poyonii rohhoi peshobro dar nazar doshta boshem. CHi qadare ki tabobat barvaqt shuru shavad, hamonqadar natijai khub medihad.

Nogufta namonad, ki darmoni in bemori dar Bemoristoni Ibni Sino khub ba roh monda shuda ast va bemorone, ki to kunun bo in mushkil murojiat namudaand az natijai tabobat roziand.

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