On the other hand the will able resist the reflex action urination contraction the external sphincter or compressor urethra?, as Hertzka Causes. Weakness and paralysis the bladder in women may due central or peripheral causes.
The peripheral momenta have been described in the foregoing chapters, and are mostly a mechanical nature, as from the vesical displacements, often caused pregnancy and child-bearing but especially due that post-partum bending of the urethra which have spoken before, causing retention, and afterwards weakening the detrusor vesicae, paresis vesicae. Pressure quite another kind may, however, coursework writing help cause exactly the same condition.
An interstitial oedema occurs with ulcers the cervix, with parametritis and peritonitis, and disables the detrusor. This usually occurs in the later days the puerperal period, and generally very obstinate. Paralysis the bladder also occurs not infrequently from peripheral causes in typhus, and in dysentery, due fatty degeneration the muscular coats the essay writers for hire bladder.
In the same way paralysis the bladder occurs in old women from myopathic processes and in young individuals acute paralysis the bladder has set in from over-distension in consequence excessive modesty.
The central and more general causes for vesical weakness and paralysis are cold, blows, falls, acute meningitis and encephalitis, myelitis the lower part the spinal cord, neuritis propagata from extension inflammation from kidney and bladder the plexus sacro-lumbalis Kussmaul large doses opium, and finally, endarteris deformans the pelvic vessels. Disturbance consciousness in brain diseases apoplexy, sopor, delirium, and high fever paralyze the detrusor, remove the influence of the will, and, overcoming the reflex contraction the sphincter muscle, cause master's thesis help the urine flow off involuntarily. Symptoms. The first sign vesical weakness writing services for research papers increased difficulty in voiding urine. It becomes difficult empty the bladder, the accessory abdominal muscles are put into requisition, and finally, the bladder can no longer emptied, and retention urine, ischuria, sets This may lead enormous accumulations water in the female. Lioven drew ounces clear transparent urine from the bladder a woman thirtythree years old, in whom the distended organ formed a tumor as large as the uterus at six months, and who had been supposed have an ovarian cyst.
Others have emptied beer-bottles full Schatz, in the patient mentioned in page, drew pounds urine and Hofmeier quarts from a bladder which was distended until reached the navel. Budge showed the reason for this enormous distensibility doctoral thesis defense the viscus in a beautiful experiment. He cut the dorsal cord across, and proved that there ensued great vesical distension with increased reflex contraction the After the dilatation the bladder has gone a certain extent, the resistance the sphincter usually overcome, and the urine partially flows off. The bladder however, not much diminished in size, and the condition known as ischuria paradoxa has set If this condition lasts long, and if repeated introduction the catheter becomes necessary, there soon arise vesical catarrhs, inflammations the ureters, pyelitis, uremic symptoms, and death.
Or perhaps portions of the vesical wall begin ulcerate, and perforation with peritonitis or fistiike may occur.
In very rare cases there occurs rupture the Incontinence urine a special form vesical weakness, chiefly occurring in children. But may persist after adolescence, and in one form, enuresis nocturna, sometimes remains after marriage. It very apt occur in scrofulous, cachectic, hysterical, delicate, pale individuals, and sometimes more or less hereditary. In some cases leads serious catarrhal troubles, from the continuous wetting and catching cold, that may have in consequence inflammatory conditions the bladder, rectum, lungs, and bronchi. Undoubtedly the non-efficient exercise will power great importance in the causation this affection many authors explain enuresis nocturna the absence will control over the sphincters, which the condition in deep sleep. If the incontinence lasts for a length time, the muscular fibres are gradually weakened, and the involuntary evacuations may occur also during the day.
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