Why is recessive spina bifida enuresis?
summary
Spina bifida occulta is a common congenital malformation, which requires patients to pay enough attention to accept the treatment of this disease. It is due to the congenital defect of spinal bone, which leads to abnormal cracks in the local vertebral arch, but the surface is covered by skin, and there is no meningocele or nerve tissue bulging. So we must do a good job in the related work of this disease, so why does recessive spina bifida enuresis?.
Why is recessive spina bifida enuresis?
First, the pathogenesis of dysuria caused by spina bifida occulta is a chronic and long-term process. About 90% - 95% of enuresis patients are caused by spina bifida occulta.
Second, spina bifida occulta is mostly located at L5 and S1-2, and the nerve that innervates the bladder and urethra passes through S2-4 presacral foramen through cauda equina. When the fissure is filled with fat or fibrous tissue, the filled soft tissue may compress the cauda equina nerve through the epidural space. There are fibroma or lipoma in the sacral fissure, and bone hyperplasia at the edge of the fissure oppresses the nerve root. The adhesion of the fissure leads to the tension of the cauda equina nerve, which is easy to cause neurodegeneration after long-term involvement. The compression degeneration of cauda equina caused by sacral cleft may cause one or more of the symptoms of bed wetting, frequent urination and urinary incontinence.
Third: whether the fibers, fat and other soft tissues in the fissure protrude into the spinal canal, which leads to the compression of the nerve root, the type and degree of the compressed nerve. The longer the course of disease, the more obvious the clinical symptoms, and the more obvious the bladder dysfunction.
matters needing attention
When patients with spina bifida occulta have urinary incontinence and other symptoms, we suggest that according to the clinical symptoms, we should correct the imbalance between detrusor and sphincter and improve micturition. In addition, it is suggested that the parents of patients should go to neurosurgery for treatment in time after the diagnosis of spina bifida occulta.