So wowɔ ɔhaw ahorow nso wɔ nsu a wobɛtow ho? Momma yɛnka urodynamic sɔhwɛ ahorow ho asɛm!

Ebia wubehyia nsɛnnennen ne ɔhaw ahorow nso wɔ nsu a wɔtow , kyerɛ sɛ, nsu a wɔtow, ɛtɔ mmere bi a, ɛnte saa? Susuw ho hwɛ, ebia wote nka sɛ w’ahoɔden nni wo nsu mu, anaasɛ mpofirim ara ɛho behia sɛ woto wo ho denneennen , anaasɛ ebia ebehia sɛ wotaa tow nsu . Ebia nnipa binom mpo bɛte nka sɛ nsu da so ara wɔ wɔn akisikuru mu bere a wɔatow awie mpo no . Ɛnnɛ, yɛrebɛka sɔhwɛ kwan titiriw bi a ebetumi aboa wo ma woahu nea ɛde ɔhaw ahorow a ɛte sɛ nea ɛyɛ nketenkete, nanso ɛyɛ ahometew ankasa yi ba ankasa ho asɛm.

Dɛn ne saa urodynamic sɔhwɛ ahorow yi?

Sɛ yɛbɛka no tiawa a, urodynamic sɔhwɛ yɛ sɔhwɛ ahorow a ɛhwɛ sɛnea wo akisikuru (akwaa a ɛte sɛ bag a ɛboaboa nsu ano na ɛkora so ), urethra (ntini a ɛda akisikuru ne ɔkwan a ɛda ntam a nsu fi mu ba - te sɛ tap), ne urethra (afiri a ɛde nsu fi mu) reyɛ adwuma yiye. Wɔsan frɛ saa akwaa yi sɛ nsu a ɛkɔ fam no .

Saa nhwehwɛmu ahorow yi hwɛ sɛnea wo nipadua no boaboa nsu ano yiye na ɛkora so yiye, ne sɛnea ɛma ɛyɛ yiye titiriw. Ne titiriw no, sɔhwɛ ahorow yi betumi asusuw:

• Sɛnea ntini ne ntini a ɛwɔ wo akisikuru mu no reyɛ adwuma yiye.
• Nhyɛso a ɛwɔ akisikuru no mu ne nea atwa ho ahyia no te dɛn?
• Sɛ wototo , nsu dodow a efi mu ba ne sɛnea epue ntɛmntɛm.

Wo duruyɛfo betumi agyina nea efi nhwehwɛmu ahorow yi mu aba so ahu ayaresa nhyehyɛe a eye sen biara a wobɛfa so anya wo sɛnkyerɛnne ahorow no.

Bere bɛn na wɔyɛ saa urodynamic nhwehwɛmu ahorow yi?

Saa nhwehwɛmu ahorow yi betumi aboa nnuruyɛfo ma wɔahu ɔhaw ahorow a ɛwɔ wo nsu a ɛwɔ fam no mu. Kae sɛ, nsu a ɛkɔ yɛn nipadua mu no te sɛ nsu a ɛkɔ yɛn nipadua mu a eyi nwura ne nsu a ɛboro so fi yɛn nipadua mu.

Urodynamic nhwehwɛmu dodow no ara botae ne sɛ wobehu sɛnea wo akisikuru no kura nsu mu yiye ne sɛnea ɛda mpan yiye. Ɛsɛ sɛ akisikuru a ɛwɔ apɔwmuden yi nsu mu gu mu bere nyinaa, bere nyinaa, na edi mũ.

Wo duruyɛfo betumi ahyɛ sɛ wɔnyɛ nhwehwɛmu ahorow yi sɛ wowɔ sɛnkyerɛnne ahorow te sɛ eyinom a:

• Nsu a wontumi nhyɛ mu yɛ ɔkwan biara a wontumi nni nsu a wɔtow so (i.e., nsu a wɔhwere a wɔmpɛ ).
• Sɛ mpofirim ara wunya ɔpɛ a wontumi nsiw ano sɛ wobɛtow nsu a , anaasɛ ɛsɛ sɛ wotaa tow wo ho .
• Sɛ wote ɛyaw nka bere a woretow wo ho a.
• Sɛ wunya nsu mu yare (UTIs) a ɛsan ba bio a.
• Sɛ ɛyɛ den ma wo sɛ wubefi ase atow nsu a.
• Sɛ wowɔ ɔhaw bi a wuntumi nyi wo akisikuru mu koraa (Urinary Retention).
• Sɛ nsu a ɛsen no yɛ brɛoo yiye , ɛyɛ mmerɛw anaasɛ ɛkɔ so bere ne bere mu a .

Fa no sɛ Nilanthi Akka nsu kakra pue bere a ɔserew anaa ɔfe. Eyi yɛ aniwu kɛse ma no. Oduruyɛfo no kae sɛ wɔnyɛ urodynamic nhwehwɛmu na wɔahu nea ɛde eyi ba ankasa.

Nsɛnkyerɛnne a ɛte sɛ eyinom kyerɛ sɛ ebia ɔhaw bi wɔ wo nsu a ɛwɔ fam no ho.

Ɔkwan bɛn so na wɔyɛ saa urodynamic nhwehwɛmu ahorow yi?

Urodynamic sɔhwɛ ahorow pii wɔ hɔ, na ɛsono emu biara yɛ adwuma kakra. Ɛtɔ mmere bi a, wo duruyɛfo betumi ayɛ nhwehwɛmu pii prɛko pɛ na ama wate sɛnea wo nsu a wode gu mu no yɛ adwuma no ase yiye.

Momma yɛnhwɛ sɔhwɛ ahorow atitiriw no bi.

Cystometry sɔhwɛ

Cystometry sɔhwɛ, anaa cystometrogram, yɛ sɔhwɛ a wɔde catheters ( nhama a ɛyɛ tratraa a ɛyɛ mmerɛw) susuw nhyɛso a ɛwɔ wo akisikuru mu. Saa sɔhwɛ yi betumi akyerɛ wo sɛ:

• Nsu dodow a wo akisikuru betumi akura mu .
• Nhyɛso a ɛwɔ akisikuru no mu bere a ɛrekora nsu so, ne sɛnea saa nhyɛso no kɔ soro ntɛmntɛm bere a akisikuru no hyɛ mu ma no.
• Hwɛ sɛnea wo akisikuru ayɛ ma bere a wote nka sɛ ɛho hia sɛ woto wo nsu no.

Saa sɔhwɛ yi nso tumi susuw ntini a ɛtwetwe anaa ɛtwetwe a ɛba akisikuru no fasu mu bere a akisikuru no ayɛ ma no.

Cystometry sɔhwɛ fi ase denam akisikuru a hwee nni mu so. Wo duruyɛfo de catheter ketewaa bi afa wo urethra mu bɛhyɛ wo akisikuru mu. Saa catheter yi wɔ sensor bi a wɔfrɛ no manometer wɔ so, na ebetumi asusuw nhyɛso a ɛwɔ wo akisikuru mu wɔ sɔhwɛ no nyinaa mu. Wo duruyɛfo nso betumi de afiri foforo ahyɛ wo awotwaa mu anaa wo akyi berɛmo mu de asusuw nhyɛso a ɛwɔ wo yafunu mu no.

Afei, wɔde nkakrankakra bɛhyɛ wo akisikuru mu ma nsu a ɛyɛ hyew na ɛnyɛ ɔyare mmoawa. Bere a wo akisikuru reyɛ ma no, ebia wɔbɛka akyerɛ wo sɛ fa ɔfe anaasɛ twetwe wo ho. Wɔfrɛ eyi ``Leak Point Pressure``, a ɛyɛ beae a nsu a ɛtwetwe esiane nhyɛso nti. Wɔ cystometrogram no awiei no, wɔbɛka akyerɛ wo sɛ yi wo akisikuru no mu. Afei manometer bɛsusu nhyɛsoɔ a ɛwɔ wo akisikuru mu ne sɛdeɛ nsuo no sen (``Pressure Flow Measurement``).

Ebia ɛbɛyɛ den ama nnipa binom sɛ wɔbɛma wɔn akisikuru mu ada mpan, titiriw bere a wɔde catheter bi asi hɔ anaa bere a obi foforo wɔ dan no mu no. Sɛ eyi ba a, mma w’ani nnwu, ɛyɛ ade a ɛfata. Ɛwom sɛ ebia wobɛte nka sɛ wo ho nyɛ wo dɛ kakra bere a oduruyɛfo no de catheter no hyɛ wo urethra mu de, nanso nhwehwɛmu no nyɛ yaw .

Wɔ mmarima fam no, nea efi sɔhwɛ yi mu ba nso betumi ama wɔanya adwene sɛ ebia prostate gland no ayɛ kɛse (prostate a ayɛ kɛse), a ɛyɛ tebea a ɛma ɛyɛ den sɛ wɔbɛtow nsu.

Electromyography sɔhwɛ a wɔde yɛ nhwehwɛmu

Electromyography susuw anyinam ahoɔden dwumadi a ɛwɔ wo akisikuru ne ntini ne ntini a atwa ho ahyia no mu. Wɔde electrode patches (te sɛ sticker nketewa) sisi wo urethra ne anus ho na wɔkyerɛw anyinam ahoɔden asorɔkye a ɛba bere a wo pelvic floor ntini ahorow no twetwe no.

Uroflowmetry sɔhwɛ

Wɔfrɛ sɔhwɛ foforo a ɛkyerɛ sɛnea wotow nsu dodow ne sɛnea wototɔ ntɛmntɛm no uroflowmetry. Sɛ woba mu sɛ wobɛyɛ nhwehwɛmu yi a, wo duruyɛfo bɛka akyerɛ wo sɛ hyɛ wo akisikuru no ma . Wobɛtow wo ho akɔ afiri soronko bi mu (te sɛ ɛlɛtrɔnik tiafi). Ɛno ara susuw sɛnea wo nsu no sen ne ahoɔhare na ɛyɛ graph a ɛkyerɛ nsakrae no. Nea ebefi mu aba no betumi akyerɛ sɛ wo akisikuru ntini no yɛ mmerɛw anaasɛ wo nsu a ɛsen no yɛ mmerɛw anaasɛ ɛtwa esiane akwanside bi nti.

Postvoid Nkaeɛ Nsusuiɛ

Saa ``Postvoid Residual Measurement`` sɔhwɛ yi susuw nsu dodow a aka wɔ wo akisikuru mu bere a woatow awie no. Wɔfrɛ eyi sɛ postvoid residual. Obiara aka kakra. Wo duruyɛfoɔ taa de ultrasound nhwehwɛmu (yɛfrɛ no ``Bladder Scanner``) bɛtwa wo akisikuru mfonini.

Ebia nnipa binom a wɔwɔ ayaresa tebea horow bi rentumi nyɛ saa akisikuru yi. Wɔ tebea horow a ɛtete saa mu no, wɔde catheter bi fa akisikuru no mu fa nsu a wɔde fa nsu mu no mu na woyi nsu a ɛboro so de hwɛ sɛ ɛyɛ nea ɛfata anaa. Mpɛn pii no, nsuo a ɛyɛ ounces 5-6 (bɛyɛ 150-180 ml) anaa nea ɛboro saa na ɛka akyi, na ɛno yɛ sɛnkyerɛnne a ɛkyerɛ sɛ akisikuru no mu ntumi nsɛe koraa. Nanso, eyi betumi ayɛ soronko wɔ onipa biara ho. Wo duruyɛfo ne wo bɛbɔ nea ebefi mu aba no ho nkɔmmɔ.

Video Urodynamic Sɔhwɛ ahorow

Video urodynamic nhwehwɛmu yɛ cystometry, uroflowmetry, ne X-ray cystography a wɔaka abom. Digitals mfiri a wɔde yɛ sɔhwɛ yi de X-ray di dwuma de susuw nhyɛso a ɛwɔ akisikuru ne akyi berɛmo mu ne nsu a ɛsen no. Saa mfiri yi twa akisikuru no mfonini bere a ɛhyɛ ma na ɛda mpan no. Saa nhwehwɛmu ahorow yi ma wonya nsɛm a ɛsom bo a ɛfa sɛnea akisikuru ne akisikuru no yɛ adwuma ho, na ɛkyerɛ sɛnea akisikuru no kɛse ne ne nsɛso nso.

Sɛ woreyɛ X-ray a, nsuo soronko bi a wɔfrɛ no ``Contrast Dye'' bɛhyɛ wo akisikuru mu ma.Eyi ma wotumi hu mfonini ahorow no yiye. Saa `(Contrast Dye)` ahorow yi ntaa nnye nipadua no. Nanso, sɛ obi wɔ `(Allergy)` wɔ saa nsuo ahodoɔ yi ho (anaasɛ allergy foforɔ biara) a, ɛsɛ sɛ ɔka kyerɛ oduruyɛfoɔ no ansa na wɔayɛ nhwehwɛmu biara.

So ɛsɛ sɛ misiesie me ho pɔtee ansa na mayɛ sɔhwɛ ahorow yi?

Mpɛn pii no, sɔhwɛ ahorow yi nhia ahosiesie titiriw biara. Wɔ nhwehwɛmu ahorow bi mu no, wo duruyɛfo bɛka akyerɛ wo sɛ nom nsu pii na ma wo akisikuru a ɛyɛ ma ansa na woayɛ nhwehwɛmu no. Hwɛ hu sɛ wubebisa wo duruyɛfo nsɛm biara a wowɔ ansa na woayɛ nhwehwɛmu no. Afei nso, bisa sɛ ɛsɛ sɛ wugyae nnuru biara a wobɛnom ansa na woayɛ nhwehwɛmu no anaa.

Dɛn na ɛba wɔ sɔhwɛ no akyi?

Ebia wobɛte nka sɛ wo ho nyɛ wo dɛ kakra anaasɛ wobɛhyew bere a woretow wo ho . Ɛsɛ sɛ eyi brɛ ase wɔ nnɔnhwerew kakraa bi mu. Ebia wubehu mogya kakraa bi nso wɔ wo nsu mu . Sɛ wonom nsu ounces 8-16 (nkuruwa 1-2) dɔnhwerew biara bɛyɛ nnɔnhwerew abien a, ebetumi aboa ma saa sɛnkyerɛnne ahorow yi afi hɔ.

Ebia wo duruyɛfo bɛkamfo akyerɛ sɛ fa aguare a ɛyɛ hyew anaasɛ fa ntama a ɛyɛ hyew na ɛyɛ nsu bɛto wo nsu a ɛkɔ wo nsu mu no so. Sɛ ɛho hia a, ebia wɔbɛkamfo akyerɛ nso sɛ wɔnnom ɛyaw aduru a wɔtɔn (OTC).

Wɔ tebea horow bi mu no, ebia wo duruyɛfo bɛkyerɛw aduru bi a ekum ɔyare mmoawa ama wo de asiw ɔyare mmoawa ano, nanso ɛnyɛ bere nyinaa na eyi ho hia. Sɛ wowɔ ɔyare no ho sɛnkyerɛnne te sɛ atiridiinini, atiridiinini, anaa ɛyaw a emu yɛ den a, ka kyerɛ wo duruyɛfo ntɛm ara.

Bere tenten ahe na sɔhwɛ ahorow yi gye?

Ɛwom sɛ ɛyɛ den sɛ wobɛka bere tenten pɔtee a sɔhwɛ no begye de, nanso mpɛn pii no wubetumi ahwɛ kwan sɛ ebegye simma 30 kosi 45 .

So asiane ahorow bi wɔ urodynamic nhwehwɛmu ahorow mu?

Urodynamic sɔhwɛ yɛ sɔhwɛ a ahobammɔ wom yiye na wotumi de ho to so . Nanso esiane sɛ wɔde catheter bi ahyɛ nsu a ɛkɔ nsu mu no mu nti, hokwan kakraa bi pɛ na ɛwɔ hɔ sɛ obi benya nsu mu yare .

So sɔhwɛ ahorow yi yɛ yaw?

Ɛnsɛ sɛ urodynamic nhwehwɛmu yɛ yaw . Ebia wobɛte ɔhyew anaasɛ wo ho nyɛ wo dɛ kakra bɛyɛ nnɔnhwerew 24 wɔ sɔhwɛ no akyi, nanso ɛnsɛ sɛ ɛyaw a emu yɛ den biara ba.

So wɔbɛma wo nnuru a ɛbɛma wo bo adwo ansa na wɔayɛ nhwehwɛmu no? Anaasɛ wɔbɛma wo nnuru a wɔde kum nipadua no?

Mpɛn pii no, mpanyimfo nhia nnuru a wɔde dwudwo wɔn anaasɛ aduru a wɔde kum nipadua no ansa na wɔayɛ urodynamic nhwehwɛmu. Nanso, sɛ abofra kumaa bi reyɛ sɔhwɛ yi a, wobetumi ama no aduru a ɛnyɛ den koraa a ɛma ne ho dwo no na ama ne ho adwo no . Sɛ wowɔ nsɛmmisa bi fa eyi ho a, ɛbɛyɛ papa sɛ wo ne wo duruyɛfo bɛkasa.

Bere bɛn na menya me sɔhwɛ mu aba?

Nea efi sɔhwɛ ahorow te sɛ cystometry ne uroflowmetry mu ba neƐsɛ sɛ wuhu da koro no ara. Ebetumi agye nna kakraa bi ansa na nea efi sɔhwɛ ahorow te sɛ electromyogram ne video urodynamics mu ba no asan aba. Sɛ nea efi mu ba no ba wie a, wo duruyɛfo no bɛka ho asɛm akyerɛ wo. Ebia ɛho behia sɛ wokɔ wo duruyɛfo nkyɛn bio na wo ne no susuw anammɔn a edi hɔ ne ayaresa ho.

So Urodynamics ne Urology yɛ ade koro?

Yiw, saa abien yi yɛ soronko kakra. Urology yɛ aduruyɛ a ɛsua nyarewa a ɛka wo nsuo ho nhwehwɛmu. Urodynamics yɛ sɔhwɛ a ɛkyerɛ sɛnea wo nsu a ɛwɔ fam no reyɛ adwuma. Saa sɔhwɛ ahorow yi betumi aboa ma wɔahu ɔhaw biara a ebetumi aba.

Awiei koraa no, nneɛma kakraa bi a ɛsɛ sɛ wokae

Urodynamic nhwehwɛmu yɛ nhwehwɛmu a ɛboa ma wohu tebea horow a ɛka wo akisikuru, wo akisikuru no sphincter, ne wo urethra. Eyinom yɛ nhwehwɛmu ahorow a ahobammɔ wom, a ɛnyɛ den koraa a ɛma wo duruyɛfo nya nhumu a ɛsom bo wɔ sɛnea wo akisikuru kura nsu mu na eyi fi mu no ho.

Mma wo werɛ mmfi sɛ, sɛ wowɔ nsɛmmisa bi fa sɔhwɛ yi anaa nea efi mu ba no ho a, mma wofɛre sɛ wubebisa wo duruyɛfo. Wɔwɔ ha sɛ wɔrebɛboa wo!

Sɛ wunya sɛnkyerɛnne ahorow a ɛkyerɛ sɛ woanya ɔyare mmoawa wɔ nhwehwɛmu ahorow yi akyi, te sɛ atiridiinini, atiridiinini , anaasɛ sɛ woda so ara yɛ wo yaw a ɛboro sɛnea ɛte daa wɔ nnɔnhwerew kakraa bi akyi a, kɔ oduruyɛfo nkyɛn ntɛm ara.

` Nsuo nhyehyɛeɛ, akisikuru, urodynamic nhwehwɛmu, nsuo a wontumi nhyɛ mu, nsuo a wɔkora so ho sɔhwɛ, cystometry, uroflowmetry