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ISHURIYA

ishuriaISHURIYA (Ischuria; yun. ischo – nigoh doshtan va uron – peshob), peshob karda natavonistan. Asosan dar mardho, bazan dar zanho va kudakon mushohida meshavad. I. bo sababhoi duchor omadani monea dar rohi peshob (bisyor vaqt adenoma, omos yo dumbali gadudi prostata, sang va omosi peshobdon, tang shudani rohi peshob binobar iltihob yo oseb, illati uzvhoi kos va peshobroha) yo inkishofi bemorihoi harommagz va magzi sar rukh menamoyad. Zahroludii shadid az mashrubot, suiistemoli doruhoi khobovar va mukhaddirot niz metavonand boisi I. gardand. Dar baze holatho I. bar asari osebi ruhi, az sar guzarondani yagon jarrohi va zodan niz paydo meshavad (I.-i badi jarrohi, I.-i badi tavallud).
Vobasta ba zuhuroti bolini I. gunogun meshavad. I.-i shadid nogahon va bo dardu khohishi zud-zud peshob kardan padid meoyad. Hangomi muoina dar mavzei zihor damidagie ba mushohida merasad, ki on daleli az had ziyod pur budani shoshadon ast. I.-i shadidro az anuriya farq kardan lozim. Dar mavridi I.-i muzmini purra bemor mustaqil peshob karda nametavonad (peshob solhoi daroz az kateter meoyad). Hangomi I.-i muzmini nopurra mariz metavonad peshob kunad, vale shoshadon purra kholi nameshavad (peshobi boqimonda bisyor buda, bazan ba hazorho millilitr merasad). Jarayoni I.-i muzmini nopurra noayon ast va faqat badi inkishofi orizaho ba mushohida merasad. On boisi dar peshobroha band gashtani peshob va khalal yoftani faoliyati gurda meshavad. YAke az shaklhoi I., ki I.-i nogahoni nom dorad, bo band shudani peshob, vale gayriikhtiyor chakra-chakra chakidani on padid meoyad. Sababi bemori sust shudan (atoniya)-i mushakhoi devorai peshobdon va yozidani halqamushak (sfinkter)-hoi on ast.
I.-i shadid yorii tajili (ba peshobdon guzoshtani kateter) mekhohad. Marizro bo maqsadi tabobati minbada ba bemorkhona firistodan lozim ast. Hangomi I.-i badi jarrohi va badi tavallud metavon az chunin usulhoi muqarrarii peshobroni istifoda burd, mas., bo obi garm shustani azoi tanosul, kushoda mondani jumaki ob (sadoi rekhtani ob boisi omadani peshob meshavad), ba masona firistodani 5 – 10 ml mahluli 1 – 2% novokain. Dar surati samarai dilkhoh nadodani usulhoi mazkur, pas peshobro bo kateter megirand.

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