Esure - urinary retention, loss of bladder emptying, despite the overflow of his urine. Isoria is caused by a variety of reasons; is more common in men, common in women and children.
The following types of istorii: 1. Acute full - comes suddenly, accompanied by pain, urination. 2. Acute incomplete - in this form of istorii can be emitted a small amount of urine. 3. Isoria chronic full - independent urination impossible, urine years produced a catheter. 4. Isoria chronic incomplete - patient urinates, but cannot completely empty the bladder, some of the urine remains (residual urine), the amount it can sometimes reach thousands or more ounces. 5. Isoria paradoxical is a special form in which the bladder pererastayut, arbitrary urination is impossible, however involuntary urine drops out from the urethra. This is due to atony of the muscular wall and prirastajte sphincter of the bladder. 6. Isoria may occur reflex after mental shocks and various surgical interventions - post-operative or post-partum.
Full acute Isuzu should be distinguished from anuria (see). When anuria the bladder is empty, the urge to urinate not, while in acute istorii distended bladder, full of urine, concerned about the frequent urge to urinate. The acute form of istorii painful for the patient. Chronic isoria runs unnoticed by the patient and is often detected in advanced stages. Causes that trigger Isuzu, can be mechanical obstruction in the urinary tract (most often adenoma of the prostate a tumor, abscess prostate stones and bladder cancer, the narrowing of the urethra inflammatory and traumatic nature, the trauma of organs of the pelvis and lower urinary tract) or diseases or damage to the brain and spinal cord. Acute isoria requires emergency (catheterization single or systematic). If a rubber catheter not be held, used suprapubic a biopsy of the bladder. The latter, as catheterization (see) metal catheter should make the doctor. Such patients should be immediately sent to the hospital for special care or surgery suprapubic section of the bladder.
If istorii caused by disorders of innervation of the lower urinary tract, catheterization is usually does not cause difficulties.
In postoperative, postnatal istorii main task - to bring the urine, without resorting to catheterization. You can try to cause urination by the sound of flowing water streams, irrigation external genitals with warm water, the introduction of the urethra 5-10 ml 1-2% solution novokaina. Intravenous 5-10 ml of 40% solution of hexamethylenetetramine (urotropine). Subcutaneous injection of 1 ml of 1 % solution pilokarpina often eliminates postoperative urinary retention. If all of these products are not effective, resort to catheterization of the bladder. Catheterization should be soft rubber catheter sterile without any violence. You can leave the catheter in a few days (permanent catheter). To avoid the development of infection in the urinary tract and inflammation patients should be prescribed antibiotics and chemotherapy (furadonin, prosulpin and others).