The main manifestations of neurogenic bladders are urine larvae, incontinence, increased residual urine, etc., which, if not properly treated, may cause retrenchment, renal water, urinary system infections and renal function loss or failure.
Intermittent urination helps to maintain bladder capacity and restore bladder condensation, and to avoid overfilling the bladder leading to damage to bladder and kidney function. Intermittent urine is recommended as the preferred method of treatment for neurogenic bladder function disorders by the International Ure Control Association. As a result, intermittently induced urine plays an important role in neurogenic bladder management.
However, intermittent urination reduces the incidence of urinary tract infections caused by long-term holding of a urine tube, which inevitably causes damage to the mucous membranes of the urinary tract, reduces the immune capacity of the mucous membrane of the urethal, is prone to internal urethopaedic scabies, and impedes the flow of microbacterial prostate fluids into the urinary tract, often resulting in increased probability of urinary tract infections.
The early use of intermittent urine for patients with neuroactive bladder function disorders has been found to be effective in reducing residual urine, creating reflective bladders and reducing the risk of urinary path infections, which is important for establishing a bladder function balance. In addition, intermittent urination gives patients greater autonomy, does not affect normal life, has a higher fertility and overall better quality of life.
Complications and attention
In order to prevent urea damage during intermittently induced urine, urinary tract infections, and adverse infections caused by excessive bladder pressure, the kidney function is affected. In the implementation of intermittent urination:
(1) Strict application of the principle of sterile operation.
(2) Time-guided urine, which should not produce more than 500 ml at a time, in order to prevent excess urine from causing the patient to fall off.
(3) Squeeze the bladder correctly. The force is light and heavy, and is continuously pressurized at a depth of about 3-4 cm.
(4) The urine guidance materials used shall be soft and fully lubricated with sterile lubricant. It’s light. In the course of the urine course, patients are more often contacted and better coordinated.
(5) The direction seeks to drain the urine without leaving any residual urine.
(6) A routine urine examination every 1 to 2 weeks and a medium urine training.
(7) A detailed record of the amount of water to and from the patient during the intermittent urination.
Interruptive urine is generally considered to start every four to six hours, not more than six times a day, and is then adjusted to the amount of bladder residual urine. When residual urine is less than 100 ml or only 10-20% bladder capacity, the bladder function is considered to be balanced and the urine can be stopped.
