So wowɔ mmoawa nso wɔ wo nsu mu, nanso wunhu yare no ho sɛnkyerɛnne biara? (Asymptomatic Bacteriuria) Momma yensua ho ade!

So woayɛ wo nsu mu nhwehwɛmu pɛn (`Urinalysis` anaa `Bacterial Culture`) na oduruyɛfo bi aka akyerɛ wo sɛ mmoawa bi wɔ wo nsu mu? Nanso nea ɛyɛ nwonwa ne sɛ, sɛ woretow wo ho a, wonte ɛyaw, atiridii, anaa ɔhyew biara nka. Ɛno ne nea yɛfrɛ no kɛkɛ `Asymptomatic Bacteriuria`. Ɛwom sɛ edin no ware kakra de, nanso wɔ nnipa dodow no ara fam no eyi nyɛ ɔhaw kɛse sɛnea ɛte no. So yɛbɛka eyi ho asɛm pii?

Dɛn ankasa ne `Asymptomatic Bacteriuria`?

Sɛ yɛbɛka no tiawa a, `Asymptomatic Bacteriuria` kyerɛ sɛ mmoawa te wo nsu mu (kyerɛ sɛ, nhyehyɛe a ɛka asaabo, akisikuru, ne nsu a ɛkɔ nsu mu ho), nanso wunni sɛnkyerɛnne biara . Woreyɛ w’ade sɛnea ɛsɛ. Ɛte sɛ nea obi wɔ wo fie, nanso wɔnhaw wo koraa.

Seesei ebia woredwene sɛ, "Enti eyi nyɛ urinary tract infection (UTI)?" Nsonsonoe kakra wɔ ha. UTI nso fa mmoawa a wɔwɔ nsu a ɛkɔ nsu mu no ho. Nanso sɛ wowɔ UTI a, wunya sɛnkyerɛnne ahorow a emu da hɔ . Nhwɛsoɔ:

• Ebia wubenya atiridiinini.
• Ebia wobɛte ɔhyew ne ɛyaw nka bere a woretow nsu no.
• Ɛsɛ sɛ metaa tow me ho, nanso kakraa bi pɛ wɔ bere koro mu.
• Ebia wobɛte yafunu ase yaw.
• Ebia nsu a wɔde gu mu no kɔla yɛ tuntum na ɛyɛ huam a ano yɛ den.

Nanso, wɔ `Asymptomatic Bacteriuria` mu no , wunni saa sɛnkyerɛnne ahorow yi mu biara. Mmoawa no wɔ hɔ, nanso "wɔyɛ komm".

Saa tebea yi abu so dɛn? Hena na ɛda adi kɛse sɛ obenya bi?

Nokwarem no, saa tebea yi a wɔfrɛ no ``Asymptomatic Bacteriuria'' no abu so kɛse sen sɛnea ebia wubesusuw, na ɛtɔ mmere bi a ebetumi aba na akɔ bere tiaa bi. Sɛnea nhwehwɛmu ahorow bi ada no adi no:

• Mmea bɛyɛ 45% benya mmoawa a wobehu wɔ nsu mu nhwehwɛmu mu wɔ wɔn asetra mu bere bi (mmea wɔ nsu a ɛkɔ nsu mu no tiaa, na ɛma ɛyɛ mmerɛw sɛ mmoawa bɛkɔ mu).
• Wobetumi ahu saa tebea yi wɔ nnipa a wɔadi boro mfe 70 a wɔte nkwakoraa ne mmerewa afie mu bɛyɛ 50% mu.
• Obiara a ɔde afiri bi a wɔde abɔ nsuo mu (te sɛ Foley catheter anaa ureteral stent) ahyɛ mu akyɛ no betumi anya mmoawa wɔ ne nsuo mu.

Susuw ho hwɛ, ɛtɔ mmere bi a saa mmoawa yi tumi yera wɔ da koro anaa nnanu pɛ mu.

Enti ɔkwan bɛn so na saa mmoawa yi hyɛn nsu a wɔde gu nsu mu no mu? Dɛn na ɛde ba?

Mmoawa fi awosu mu te yɛn dwensɔtwaa mu ne yɛn honam ani, na ɛha na mmoawa taa hyɛn nsu mu.

• Sɛ wohohoro ho wɔ ɔkwan a ɛnteɛ so bere a wode tiafi adi dwuma awie no: Titiriw wɔ mmea fam no, sɛ wohohoro fi ɔfã foforo (efi awotwaa mu kɔ awotwaa mu) sen sɛ wobɛhohoro afi awotwaa mu akɔ awotwaa mu bere a wode tiafi adi dwuma awie no a, mmoawa a wɔwɔ nsu mu no betumi akɔhyɛn nsu mu.
• Esiane nnuruyɛ mfiri a ɛwɔ nsu a wɔde gu nsu mu nti: Sɛ nhwɛso no, bere a wɔde nneɛma te sɛ catheters ahyɛ mu no.
• Sɛ woreguare: Ɛtɔ mmere bi a, mmoawa tumi fa nsu a wɔde guare mu kɔ mu.
• Bere a obi reda: Mmoawa da so ara tumi hyɛn nsu mu bere a wɔada nna akyi.

Nea ɛde eyi ba titiriw ne mmoawa a wɔfrɛ wɔn `E. coli`. Eyi yɛ mmoawa bi a wɔtaa hu yɛn nsu mu. Bio nso, mmoawa te sɛ `Klebsiella pneumoniae` nso betumi anya nkɛntɛnso.

Hena na ɔwɔ asiane kɛse ma eyi?

Nnipa binom taa nya `Asymptomatic Bacteriuria`. Wɔne:

• Nnipa a wɔtra nkwakoraa ne mmerewa afie mu kyɛ.
• Nnipa a wɔwɔ Foley catheter anaa ureteral stent a ɛtra mu bere tenten.
• Nnipa a wɔapirapira wɔn akyi berɛmo mu.
• Nnipa a wɔwɔ mogya a ɛtɔ kɔ nipadua mu a wɔfrɛ no sickle cell.
• Nnipa a wɔwɔ asikreyare.

Ɔkwan bɛn so na nnuruyɛfo hu eyi?

Mpɛn pii no, oduruyɛfo bi behu sɛ ɔyare mmoawa a wɔde nsu gu mu a enni sɛnkyerɛnne biara denam nsu a obegye na wayɛ nsu mu amammerɛ so. Nanso, sɛ wunni sɛnkyerɛnne biara a, mpɛn pii no wɔrensɔ wo nsu mu nhwehwɛmu kɛkɛ nhwɛ sɛ mmoawa bi wɔ hɔ anaa. Sɛ oduruyɛfo bi aka akyerɛ wo sɛ yɛ bacterial culture a, ntease bi wɔ hɔ a enti ɛte saa. Ebetumi aba sɛ wowɔ asiane akuw a yɛaka ho asɛm wɔ atifi hɔ no biako mu, na ebia ɛho behia sɛ wohwehwɛ ɔyare mmoawa no na wosa ansa na abɛyɛ sɛnkyerɛnne.

So ɛho hia sɛ wɔsa obiara yare wɔ eyi ho?

Ade a ɛho hia ni. Mpɛn pii no, wɔmfa `Asymptomatic Bacteriuria` nsa . Efisɛ, sɛ wunni sɛnkyerɛnne biara a, asiane a ɛwɔ hɔ sɛ wubenya `UTI` esiane saa mmoawa yi nti no sua. Ɔkwan foforo so no, ɔyare mmoawa a wɔde sa yare ne nnuru a ekum ɔyare mmoawa . Ebia ɔhaw a ɛwɔ nnuru a ekum ɔyare mmoawa a wɔde di dwuma a ɛho nhia mu no bɛboro mfaso a ɛwɔ so no.

Sɛ wonom nnuru a ekum ɔyare mmoawa mpɛn pii dodo na ɛho nhia a, mmoawa no sua. Yɛfrɛ eyi ` Antibiotic resistance` . Afei sɛ wowɔ ɔyare mmoawa ankasa na wuhia aduru no a, ebia aduru no rentumi nyɛ adwuma. Afei nso, nnuru bi a ekum ɔyare mmoawa betumi de akisikuru mu nyarewa a emu yɛ den te sɛ `C. diff`, ne nneɛma afoforo a ɛde ba.

Enti, nnuruyɛfo mfa nnuru mma eyi kɛkɛ.

Enti, bere bɛn na ɛsɛ sɛ wɔsa saa `Asymptomatic Bacteriuria` yi?

Nanso, wɔ nsɛm titiriw bi mu no, akyinnye biara nni ho sɛ wɔsa `Asymptomatic Bacteriuria`. Ma yɛnhwɛ nea wɔyɛ:

• Wɔ nyinsɛn mu: Sɛ wonyinsɛn a, sɛ mpo wowɔ mmoawa wɔ wo nsu mu a enni sɛnkyerɛnne biara a, sɛ wɔansa a, ɛtɔ da bi a ebetumi ama woawo ntɛm (`awo a ɛba ntɛm`) , anaasɛAkokoaa no mu duru betumi ayɛ ketewaa. Enti, sɛ mmoawa bi wɔ hɔ a, wɔsɔ ɛnanom a wɔyem nsu mu hwɛ na wɔsa wɔn yare, sɛ yare no ho sɛnkyerɛnne biara nni hɔ mpo a.
• Sɛ wɔde asaabo foforo ama wo a: Sɛ wɔde asaabo foforo ama wo a, mmoawa a wɔwɔ nsu no mu no ma asiane a ɛwɔ hɔ sɛ wubenya UTI a ɛkyerɛ sɛ woanya UTI na wɔapow asaabo a wɔde ama wo no yɛ kɛse.
• Ansa na wɔbɛyɛ oprehyɛn bi wɔ nsu mu: Sɛ nhwɛso no, sɛ mmoawa wɔ nsu no mu bere a wɔreyɛ prostate oprehyɛn (Transurethral resection of the prostate - TURP) a, asiane a ɛwɔ hɔ sɛ nsɛnnennen bɛba wɔ oprehyɛn no akyi no yɛ kɛse. Enti, wɔde ayaresa nso ma wɔ nsɛm a ɛtete saa mu.

Sɛ wɔde ayaresa ma a, aduru bɛn na wɔde ma?

Sɛ oduruyɛfo bi si gyinae sɛ ɔbɛsa wo `Asymptomatic Bacteriuria` a, nnuru ahorow pii wɔ hɔ a ekum ɔyare mmoawa a wobetumi de adi dwuma. Nhwɛso ahorow:

• `Amoxicillin a wɔde di dwuma`
• `Ampicillin`
• Nneɛma ahorow a ɛwɔ `Cephalosporin`
• `Nitrofurantoin a wɔde hyɛ nipadua mu`
• `Trimethoprim-sulfamethoxazole (TMP/SMX) a wɔde di dwuma wɔ ɔkwan a ɛyɛ nwonwa so`

Wo duruyɛfo bɛkyerɛ aduru a eye ma wo ne bere tenten a ɛsɛ sɛ wonom. Mpɛn pii no, bere a wɔde sa yare no yɛ bɛyɛ nnafua 5 kosi 7.

Sɛ mewɔ saa tebea yi a, dɛn na ɛsɛ sɛ mehwɛ kwan?

Sɛ wo duruyɛfoɔ ka kyerɛ wo sɛ wowɔ `Asymptomatic Bacteriuria` a, mma ɛnhaw wo. Ɛda adi sɛ worenhia ayaresa biara, gye sɛ wotɔ asiane akuw titiriw a yɛadi kan aka ho asɛm no biako mu. Sɛ wo duruyɛfo si gyinae sɛ wuhia ayaresa a, ɔbɛkyerɛkyerɛ nea enti a ɛte saa mu. Ɛho hia sɛ wonom w’aduru no bere ano.

Sɛ woyɛ ɛna a onyinsɛn a, wɔahu sɛ sɛ wonya eyi ho ayaresa a, ebetumi atew nsɛnnennen bi a ɛba wɔ nyinsɛn mu so bɛyɛ 35%.

So wontumi nsiw saa `Asymptomatic Bacteriuria' yi ano?

Ɛyɛ ade a ɛfata sɛ wubenya mmoawa bi wɔ nsu mu, na ɛyɛ den sɛ wubesiw ano koraa. Nanso, nneɛma koro no ara a yɛyɛ de siw UTI (urinary tract infections) ano no betumi aboa wɔ eyi mu.

• Hwɛ hu sɛ wobɛtow wo ho wɔ nna akyi. Eyi bɛboa ma wɔhohoro mmoawa biara a ebia wɔakɔ nsu a ɛkɔ nsu mu no mu.
• Sɛ mmea siesie wɔn ho bere a wɔde tiafi adi dwuma awie a, bere nyinaa popa fi anim kosi akyi (fi awotwaa mu kosi akyi berɛmo mu).
• Kwati sɛ wode samina a ano yɛ den, nsu a wɔde gu nsu mu, powder, anaa nnuru a wɔde petepete awotwaa mu bedi dwuma. Eyinom betumi akum mmoawa pa a wɔwɔ hɔ no na ama mmoawa bɔne anyin.
• Fa aguaree di dwuma sen sɛ wobɛguare wɔ bathtub mu sɛnea wubetumi biara.
• Nom nsu pii. Eyi bɛboa ma wɔahohoro mmoawa denam nsu a wɔtaa tow no so.
• Sɛ wode biribi te sɛ catheter redi dwuma a, .Di oduruyɛfo no akwankyerɛ akyi na ama ɛho atew.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Sɛ oduruyɛfoɔ ka kyerɛ wo sɛ wowɔ `Asymptomatic Bacteriuria` a, kɔ oduruyɛfoɔ nkyɛn ntɛm ara sɛ wohyɛ aseɛ nya `UTI` ho sɛnkyerɛnne (te sɛ atiridiinini, ɔhyew a ɛba wo nsuo mu, yafunu ase yaw, wo taa tow nsuo), sɛ ebia wɔresa wo yareɛ anaasɛ wɔrensa wo yareɛ. Wo duruyɛfo bɛkyerɛ wo sɛnkyerɛnne ahorow a ɛsɛ sɛ wohwɛ yiye.

Nsɛm bɛn na ɛsɛ sɛ mibisa me duruyɛfo?

Sɛ wowɔ nsɛmmisa foforo bi fa eyi ho a, ɛbɛyɛ papa sɛ wubebisa wo duruyɛfo no nea edidi so yi ho asɛm:

• So ɛsɛ sɛ wɔsa me yare mmoawa a ɛwɔ me nsu mu a enni sɛnkyerɛnne biara?
• Nsɛnkyerɛnne bɛn na ɛsɛ sɛ mehwɛ yiye?
• Sɛ wɔakyerɛw me nnuru a, ɔkwan bɛn so ankasa na ɛsɛ sɛ menom?
• Bere bɛn na ɛsɛ sɛ midi w’akyi bio?

Ɛtɔ da bi a, sɛ yɛte nea efi yɛn sɔhwɛ ahorow mu ba a, ehu ka yɛn. Nanso ɛyɛ ade a ɛfata sɛ mmoawa bɛba wo nsu mu, na ɛnyɛ bere nyinaa na ɛde UTI ba. Nanso sɛ woanyinsɛn, wɔde w’asaabo foforo ama wo, anaasɛ wɔrebɛyɛ wo oprehyɛn wɔ wo nsu mu a, ɛho hia sɛ wonom nnuru a ekum ɔyare mmoawa na amma ɔhaw ahorow no ankɔ so.

Awiei koraa no, biribi a ɛsɛ sɛ yɛkae!

`Asymptomatic bacteriuria` yɛ tebea a wowɔ mmoawa wɔ wo nsuo mu, nanso wo nni sɛnkyerɛnne biara. Wɔ nnipa dodow no ara fam no, eyi nyɛ nea asiane wom na enhia ayaresa. Nanso, wɔ mmea a wɔyem, wɔn a wɔde asaabo foforo ma wɔn, ne wɔn a wɔreyɛ wɔn oprehyɛn bi wɔ nsu mu no fam no, ɛho hia sɛ wɔsa. Afei nso, sɛ wunya yare no ho sɛnkyerɛnne bi a, kɔ oduruyɛfo nkyɛn ntɛm ara. Ɛho hia sɛ wuhu saa nneɛma yi bere a wudi asetra a ahoɔden wom akyi no.

` Asymptomatic Bacteriuria, Mmoawa a ɛwɔ Nsu mu, Nsuo mu Nyarewa, UTI, Nyinsɛn Akwahosan, Nnuru a ekum ɔyare mmoawa , Asaabo mu Yare