The neurogenic bladder: causes and treatment
Urinary bladder dysfunction is a disorder which is characterized by a certain disorder of the urinary tract. The source of such violations acts as a dislocation of the nervous system responsible for the urinary system.
Dysfunction and its nature
Neurogenic bladder — a very common disease that is diagnosed in approximately 10% of children. Such dysfunction is not life-threatening, but it is quite a serious problem in the social plan, which is the development of insecurity, isolation, etc.
The above pathology, like many other diseases have a direct connection with the functioning of the nervous system. Dysfunction may occur in childhood and in maturity. At the moment there are many different causes of the emergence and development of this disease. For normal natural emptying of the bladder peculiar to multi-level regulations, which involve a large number of nerves.
This stage is characterized by disorders caused by high stress, dangerous brain diseases or disorders of the muscles of the bladder. In most cases, in adults this condition is caused by pathological changes, which include serious injury and disease of the spinal cord. In children the disease may be caused by malformation of the urinary tract or resulting from birth trauma.
Symptoms of pathology
The process of urination can be divided into 2 stages. At the 1st stage, the accumulation, and 2=y, respectively – the selection. In the accumulation there is a flow of urine directly into the bladder, and the accumulation process lasts as long as the amount of urine reaches the level of 150 milliliters. When accumulation of such a quantity of urine the person feels the need to go to the toilet. Relaxes the group of nerves of the bladder, resulting in urine.
Violations can appear in the process of accumulation and the time of urine output. Also evidence of dysfunction of nekontroliruema the process of urine excretion. Upon detection of the first manifestations of the disease should immediately consult a specialist to prevent dangerous complications.
Depending on the nature of the violation of the functioning of the bladder there may be 2 types of pathology:
Each species has its manifestations.
The main symptom of overactive bladder is severe and frequent need to urinate with very little urine. This may strain muscles of the bladder, resulting in the re-casting of urine on the urinary system. Also for this type characterized by frequent night urination and imperative urge incontinence.
For hypoactive bladder the characteristic antithetical manifestations. People who have this type of disease, there is no natural process of urine at absolute filling of the bladder.
For the diagnosis of the above pathology is primarily performed a detailed medical history. To this end, the patient gets a special diary in which he specifies the frequency of urination, recording the time and amount of fluid you drink. As for the children, such a diary are parents. Examination of children is performed in the presence of parents to determine the cause of the disease, as it may be hereditary. In this case, the treatment process is delayed.
Signs of this disease are very similar to symptoms of other pathologies of the urinary system. This greatly complicates the process of diagnosis. In that case, if the patient has any other disease in this area, the doctor examines the organs of this system. At such inspection can be diagnosed with an infection, which caused the development of the above manifestations.
If you find a source for the development of the disease the patient is assigned additional laboratory tests:
- The patient is prescribed a blood test and urine.
- Ultrasound and x-ray studies (cystography).
- X-ray allows to enlighten the pelvic organs and to identify other associated pathology.
In that case, if the infectious nature of the symptoms is not discovered, the patient examine the brain and spinal cord. Such investigations include:
- Magnetic resonance imaging.
Additional methods allow to identify pathological changes in the structure of the urinary system, but also the inflammatory process, which caused the development of the main manifestations of pathology. Only after the doctor had ruled out the presence of inflammatory processes, you can begin to diagnose bladder dysfunction.
Sometimes after passing all necessary tests and studies it is not possible to name the cause that led to the development of this unpleasant disease. In this case, the etiology of the pathology remains unknown.
Treatment and guidelines
In that case, if the results of research and analysis point to the diagnosis of the neurogenic bladder, the doctor prescribes the therapy, the purpose of which is to eliminate the main manifestations of the disease.
Given the nature of the disease, treatment involves the presence, in addition to a urologist, a neurologist and psychologist.
Treatment involves different techniques and methods.
This therapy, depending on the type of pathology involves the drugs that work on reducing and improving muscle tone. As dysfunction is characterized by the development of complications of infectious diseases of the small pelvis, the treatment can be supplemented by taking anti-inflammatory drugs aimed at the destruction of the infection (bladder or kidneys).
Also used drugs that improve blood circulation in the bladder wall. They can be taken orally or by injection. Medical treatment involves strict supervision of a physician for a patient. It allows you to monitor the operation and effectiveness of the prescribed treatment and to see the body’s response to prescription drugs. If necessary, the system adjusts the means used and their dosages.
Such intervention shall be appointed in particularly complex situations. Surgical method of treatment involves the plasticity of the bladder.
The basis of the physiotherapeutic method is based on the principle of stimulate the bladder muscles and nervous system. Psychotherapy gives you the opportunity to speed up the healing process and to minimize the psychological impact that occurs in everyday life. Such treatment is assigned, regardless of the cause of the disease. Therapeutic exercise strengthens the muscles of the urinary system in General. When therapy occurs by intentional activation of certain muscles. The above complex is a very effective method which allows to deal with the pathology of the bladder having a neurological nature.
Traditional methods of treatment
Folk remedies are a great Supplement to traditional methods of treatment. However, to focus on just one such therapy is not necessary. Today there are a huge number of herbal infusions and fees, which is used for the treatment of such pathological changes. Be sure to consult with a specialist.
Very popular are the following herbal extracts:
- the infusion of the herb St. John’s wort;
- the combination of St. John’s wort, and centaury;
- elixir of plantain.
You should pay attention to one detail. In advance of herbs to cook is not recommended. All its useful properties, they retain only during the first days after preparation. A good substitute herbal tinctures will be a mixture based on honey and onions.
Some of the recommendations
The patient is recommended to limit the consumption of liquid and pickles. A few hours before bedtime should stop drinking in order to avoid urinary incontinence. Such restrictions do not affect the water balance in the body and do not cause him dehydration. More serious cases involve the use of special absorbent underwear.
Effective preventive measures aimed at preventing the ontogenesis of the disease include systematic preventive examination. This gives you the opportunity to promptly detect the disease and begin immediate treatment. Due to the fact that this syndrome occurs due to neurological problems, preventive measures include the following items:
- Time to treat trauma to the spinal cord and brain.
- To avoid stressful situations.
- Consulting with the urologist and regular inspections will reduce the risk of developing bladder dysfunction.
The outcome of the disease and complications
Very often, the dysfunction of the urinary bladder indicates the presence of more serious abnormalities of the brain. The diagnostics is able to identify the main factors causing such changes in the body. And this, in turn, allows us to quickly begin treatment and avoid dangerous negative effects.
In addition, the dysfunction can cause infection not only urinary organs, but other organs, including pelvic organs. This phenomenon can lead to the development of cystitis, urethritis and pyelonephritis. In hypoactive bladder is stretching the muscles and walls of the bladder, which later turns into a rather serious problem.