In any situation, paralysis always affects the functioning of the bladder and intestine. This is because the veins that control these internal organs are associated with the basic base (level 2-4) of the spinal cord and thus are cut off from the information received from the brain. There are extensive techniques and tools available to manage the functioning of the bladder and intestine.
How Bladder Works
Urine contains an additional amount of water and salt, which is separated by the kidney from the bloodstream. Urine is referred to in the thin ducts from the kidney, which is called the ureter. The ureter is related to the bladder which is basically a strong sac. When the bladder is filled, the nerves send messages to the brain through myocardial infarction.
When urine is ready for renunciation, then the brain sends a return message to the bladder through the pulpit, in which the wall of the bladder, i.e., contraction of the detrusor muscle and the sphincter muscle is said to be opened while coming to rest. There is a valve around the top of the urethra of the vibrant muscle urethra. That is, the process of urinating is also the process of coordinating muscles.
In the event of paralysis, the general system of the body is restrained in controlling the bladder; In such a situation, the exchange of messages between brain and bladder muscles cannot be done.
It is common for people with MS who have some problems with bladder control. This also involves losing some of the urine droplets or losing control completely after sneezing or laughter. Wearing appropriate clothes or padding and other tips can be effective in dealing with the problem of lack of control.
The bladder is often affected in one or two ways after the injury of the spinal cord: The spleen blossom is the condition when urine is full in your bladder and the reflex will start to empty the bladder automatically. The condition of the spastic bladder is usually above the T12 level of the injury. In the spastic bladder, you do not even know when the bladder will be empty.
The flaccid or non-reflex bladder is the condition when reflexes of the bladder muscles are dim or absent. If you do not know when the bladder is full, it can be more spread or stretch. The urine can go back to the kidneys through the ureter, which is called the down syndrome. Stretching also affects the muscles of the bladder. Dysentery is in that condition while the sphincter issues are not loose during the contraction of the bladder. In this way, urine cannot escape through the urethra, resulting in urine can go back to the kidneys. It may also be that the bladder is not completely empty. Surgery can be taken as well as medicines to open the sphincter.
The most common method of emptying the bladder is intermediate catheterization (ICP); Indwelling catheter (Foley); And for men, it is an external condom catheter.
There are several surgical options for bladder dysfunction. Using the appendix under the Mitrofanoff process, a new path is made for urine. It allows the catheterization to be done through the abdomen to the bladder. This is a very beneficial situation for many people, including women.
Urinary area infections (UTI) are a major threat in people with urinary tract infections. The source of infection is bacteria. These bacteria are a form of microscopic single-cellular life, which live in the group and can cause diseases. Bacteria can easily come into the bladder. Apart from this, many people are not able to completely empty their bladder; Bacteria can also be produced in the urine deposited in the bladder.
Some symptoms of UTI include fever, headache, nausea, cold and autonomic dysreflexia (AD). Apart from this, you may feel irritation while pissing or you can feel the state of the restless pelvic area, abdominal and lower back.
The key to avoiding UTI is to prevent the spread of bacteria in the bladder. Appropriate cleaning of urine care supplies can prevent infection. Fertilization in the urine can be taken in the tube or connector. This results in stiffness in the urine and it is easy to spread the bacteria. Skin cleansing is also very important to prevent infection.
Drinking fluid or beverages in the right amount can be helpful in bloating bacteria and other waste products out of the bladder. This can help in preventing UTI. At the same time, it reduces the chances of other problems of the urinary system. In this regard, the full medical examination is recommended once a year at least. In this, the urological examination also includes an ultrasound or renal scan to check the functioning of the kidneys properly. In this test, KUB, abdominal X-ray, which shows stones in the kidneys or bladder.
Even in spite of a regular bladder management program and proper rescue system, the urinary area remains in danger of infection. Treatment for UTI involves an antibiotic drug prescribed by the doctor.
People with recurrent injury are also at risk of bladder cancer. Research shows that the risk of bladder cancer is increasing in those who use an indwelling catheter for a long time. Apart from this, smoking also increases the risk of bladder cancer.
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Source: National MS Society, Spinal Cord Injury Information Network, University of Washington School of Medicine / Department of Rehabilitation Medicine.