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Néphrologie - Chap14

Néphrologie - Vessie neurogène

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Néphrologie - Vessie neurogène C'est parti!
Quelles sont les trois grandes sections du système nerveux dans la vessie neurogène? - Infrasacrée (périphérique) - Suprasacrée (spinale) - Supraprotubérantielle
Quels sont les deux types de vessie neurogène? - Hypo/acontractile - Hyperactive
Quelle est la localisation des lésions entraînant une vessie hypocontractile? - Centre sacré de la miction - Queue de cheval - Nerfs périphériques entre le centre sacré et la vessie
V/F La vessie hypocontractile résulte d'une perte de signal d'étirement vésical vers le SNC Vrai
Les fibres nerveuses afférentes de la vessie sont de quel type? Type A, myélinisées
Où se trouve la lésion dans la vessie neurogène hyperactive? Au niveau suprasacré, le centre sacré étant épargné
Quel est le mécanisme de la vessie neurogène hyperactive? L'afférence de l'étirement vésical fait un relais de type arc réflexe au niveau du centre sacré, ce qui entraîne immédiatement une commande de contraction du détrusor non inhibée
Quel est l'impact possible au niveau des sphincters d'une lésion entraînant une vessie neurogène hyperactive? Il peut y avoir une dyssynergie vésico-sphinctérienne
Created by: philippe.lacasse
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