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Дата публикации: 14.03.2018
Дата проверки статьи: 02.12.2019
Нарушения мочеиспускания или дизурия — симптом, сопровождающийся болью и жжением в уретре. Он может сигнализировать о серьезных заболеваниях мочевого пузыря и мочевыводящих путей. Если не начать курс лечения, то возникают серьезные нарушения в работе почек, развивается уремический синдром.
Недержание мочи возникает на фоне следующих причин:
Нарушение мочеиспускания также встречается у пациентов при рассеянном склерозе. Это обусловлено замедлением поступаемых к нервным окончаниям сигналов от головного мозга.
Нарушения мочеиспускания характеризуются такими симптомами:
Если человека беспокоит затрудненное мочеиспускание при частых позывах в туалет и сопровождается болью и ощущением неполного опорожнения мочевого пузыря, то это может сигнализировать о простатите, цистите, везикулите или колликулите.
При почечной недостаточности пациент жалуется на сильное чувство жажды, тошноту и рвотные позывы, зуд кожи, головную боль и сухость в ротовой полости.
В первую очередь прав проводит осмотр и прощупывает область внизу живота. Такая манипуляция помогает определить наполняемость мочевого пузыря и поставить диагноз — ишурия у пациента или анурия. Женщине может потребоваться консультация гинеколога. При подозрении на наличие бактерий следует сдать мазок на половые инфекции.
Для выявления причин недержания мочи врач направляет пациента на сдачу УЗИ мочевого пузыря и почек. Также необходимо сдать анализ мочи и в некоторых случаях — рентгенографию почек. При сомнительных результатах после общего анализа мочи может потребоваться анализ мочи по Нечипоренко и цитоскопия. Лечением нарушений мочеиспускания занимается врач-уролог.
Для диагностики нарушений мочеиспускания в сети клиник ЦМРТ используют такие методы:
При первых проявлениях нарушений мочеиспускания обратитесь к урологу. Он осмотрит и опросит вас, поставит точный диагноз и назначит эффективное лечение. При необходимости направит к другому узкому специалисту — например, к инфекционисту при ЗППП.
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При инфекционных заболевания врач назначает антибактериальные препараты, при аденоме простаты — альфа-адреноблокаторы. Они оказывают расслабляющее действие на мочевыводящие пути и облегчают выделение мочи.
Если у пациента острая ишурия, то ему проводят катетеризацию для опорожнения мочевого пузыря. При наличии камня в уретре или в области ладьевидной ямки показаны оптическая уретроскопия и меатотомия. Если диагностирована хроническая задержка мочи, то применяют метод дренирования мочевого пузыря.
Медикаментозная терапия задержки мочи направлена на снятие боли и облегчения выведения жидкости из организма. Для расслабления мышц сфинктера пузыря и устранение болевого синдрома применяются спазмолитики. Также при ишурии могут назначить мочегонные лекарства.
В случае нейрогенных причин заболевания применяют холиномиметические препараты. Активизировать функции мочеиспускательных органов можно с помощью аскорбиновой кислоты. Для повышения иммунитета полезно принимать комплексы с витаминами A, B и E.
Помимо медикаментов могут применяться физиотерапевтические процедуры — электрофорез, массаж, лазеротерапия, лечебная гимнастика. Они предназначены для укрепления мышц таза и тренировки мочевого пузыря.
Если у пациента обнаружены аутоиммунные болезни и аллергические процессы, ему назначают глюкокортикостероиды. При онкологических заболеваниях используются цитостатики в комплексе с другими препаратами. Улучшить кровоток в сосудах при анурии помогут антикоагулянты. Для ускорения процессов выведения нефротоксинов из организма применяются детоксицирующие лекарства и антидоты. Предотвратить образование камней помогут метаболические препараты.
В сети клиник ЦМРТ для лечения нарушений мочеиспускания используют следующие методы:
Если не вылечить ишурию, то может развиться перитонит, почечная недостаточность и образоваться септический очаг. Полный застой мочи приводит к циститу. Наиболее опасное последствие — разрыв мочевого пузыря, вследствие чего урина проникает в брюшную полость.
При анурии состояние пациента стремительно ухудшается и грозит токсическим поражением организма. Кроме того, могут возникнуть неврологические нарушения и уремическая кома, приводящая к летальному исходу.
Одним из серьезных осложнений нарушенного мочеиспускания считается декомпенсация стенки мочевого пузыря. Такое состояние характеризуется многократным мочеиспусканием небольшими порциями. Если его не лечить, то болезнь принимает хроническую форму. Это приводит к потере регуляторной и сократительной способности сфинктера мочевого пузыря.
Предотвратить нарушения мочеиспускания помогут следующие рекомендации:
Точность диагностики и качественное обслуживание — главные приоритеты нашей работы. Мы ценим каждый отзыв, который оставляют нам наши пациенты.
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Узнала о вас в интернете — нужно срочно сделать МРТ.
И вот после спектакля я у вас. Мне очень понравились ваши сотрудники. Спасибо за внимание, доброжелательность и точность.
Пусть у вас всё будет так же хорошо на душе, как у меня сейчас, несмотря на все проблемы...
Будьте!!! Нам на радость! Ваша Панина В.В.
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Узнала о вас в интернете — нужно срочно сделать МРТ.
И вот после спектакля я у вас. Мне очень понравились ваши сотрудники. Спасибо за внимание, доброжелательность и точность.
Пусть у вас всё будет так же хорошо на душе, как у меня сейчас, несмотря на все проблемы...
Будьте!!! Нам на радость! Ваша Панина В.В.
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Узнала о вас в интернете — нужно срочно сделать МРТ.
И вот после спектакля я у вас. Мне очень понравились ваши сотрудники. Спасибо за внимание, доброжелательность и точность.
Пусть у вас всё будет так же хорошо на душе, как у меня сейчас, несмотря на все проблемы...
Будьте!!! Нам на радость! Ваша Панина В.В.
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И вот после спектакля я у вас. Мне очень понравились ваши сотрудники. Спасибо за внимание, доброжелательность и точность.
Пусть у вас всё будет так же хорошо на душе, как у меня сейчас, несмотря на все проблемы...
Будьте!!! Нам на радость! Ваша Панина В.В.
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Сергей Шнуров
Российский рок-музыкант, киноактёр, телеведущий и художник.
Ц. М. Р. Т. «Петроградский» спасибо!
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Спасибо огромное за такое хорошее, професиональное обслуживание в вашей клинике. Приятно, комфортно! Прекрасные люди, прекрасные условия.
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Русанова
Хочу поблагодарить сотрудников за внимательное и доброжелательное отношение. Хорошо, что такая клиника есть хотя бы у Вас.
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Все очень грамотно, очень вежливое обслуживание. Буду рекомендовать эту клинику друзьям. Успехов!!!
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Кузнецов В.А.
Очень отзывчивый администратор. Вежливая, культурная, добрая.
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Храброва В.Е.
Выражаю большую признательность администратору Кристине и Ринату Чубарову за внимательное и доброжелательное отношение при проведении обследования желаю, чтобы было больше такого персонала, что в наши дни редкость.
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Выражаю огромную благодарность Екатерине Корневой за терпение, профессионализм, доброту и фантастическое отношение к пациентам.
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Большое спасибо за консультацию и обследование... Очень вежливо, доступно и подробно объяснила ход и результат.
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