Sɛ wote asɛmfua ‘akisikuru oprehyɛn’ a, ebia wosuro kakra. Ɛno yɛ ade a ɛfata. Nanso, sɛ wuhu nea ɛyɛ, nea enti a wɔyɛ, ne sɛnea ɛba no pɛpɛɛpɛ a, wo suro ne wo dadwen so bɛtew kɛse. Enti, ɛnnɛ yɛbɛka eyi ho asɛm pefee na ɛnyɛ den, te sɛ nea yɛne yɛn adamfo bi rekasa.
Nea edi kan no, ma yɛnhwɛ, dɛn ne akisikuru oprehyɛn?
Sɛ yɛbɛka no tiawa a, akisikuru yɛ akwaa bi a ɛte sɛ kotoku wɔ yɛn nipadua mu a ɛboaboa nsu ( nsu ) a asaabo no yi mu no ano na ɛkora so bere tiaa bi. Yɛfrɛ saa oprehyɛn yi akisikuru oprehyɛn.
Oprehyɛn ko a wubehia no begyina tebea a ɛka wo akisikuru no so, enti oprehyɛn no betumi ayɛ soronko wɔ onipa biara ho.
Bere bɛn na ɛho hia sɛ wɔyɛ akisikuru oprehyɛn?
Ebia nnuruyɛfo bɛkamfo oprehyɛn ahorow yi akyerɛ esiane nneɛma atitiriw pii nti.
- Akisikuru: Eyi ne ade titiriw a ɛma wɔyɛ akisikuru oprehyɛn na ɛtaa ba.
- Fallen bladder / Bladder prolapse / Cystocele: Tebea a ɛtaa ba mmea mu titiriw.
- Nsu a wontumi nhyɛ mu: Nsu a ɛtwetwe a ɛnyɛ ne pɛ bere a ɔrefefe anaa ɔreserew no.
Dɛn ne oprehyɛn ahorow a wɔtaa yɛ wɔ akisikuru mu?
Oprehyɛn ahorow pii wɔ hɔ a wɔyɛ wɔ akisikuru ho. Ma yɛnhwɛ nea ɛtaa ba no bi. Eyinom din yɛ nea ɛyɛ den kakra, nanso ɛnyɛ den sɛ wobɛte ase bere a woahu nea ɛfa ho no.
| Oprehyɛn Ahorow a Wɔyɛ | Sɛ yɛbɛka no tiawa a, dɛn na ɛba wɔ eyi ho? |
|---|---|
| Cystectomy a wɔtwa | Akisikuru no fã bi (fã bi) anaa akisikuru no nyinaa a woyi fi hɔ (radical) wɔ kokoram ho. |
| TURBT (Akisikuru a Wɔde Twa Akisikuru a Wɔde Fa Nsu Mu) . | Wɔde adwinnade teateaa bi a mfoninitwa afiri (cystoscope) wom fa nsu a ɛkɔ nsu mu no mu de yi kokoram a ɛwɔ akisikuru no mu no fi hɔ. Abɔnten so ntwitwiridii biara nni hɔ. |
| Nsuo a Wɔsan Yɛ ne Nea Wɔdannan | Sɛ woyi akisikuru no a, wɔyɛ ɔkwan foforo a wɔfa so de nsu fi nipadua no mu. |
| Retropubic Suspension a Wɔde Si Ahyɛn Mu | Akisikuru ne nsu a asɛe no a wɔbɛsan de asi hɔ na wɔasiesie no asan akɔ ne gyinabea a ɛfata. |
Ɔkwan bɛn so na ɛsɛ sɛ wusiesie wo ho ansa na woayɛ wo oprehyɛn?
Wo duruyɛfo ne wo behyia ansa na wɔayɛ oprehyɛn no. Saa bere yi mu no, nneɛma a edidi so yi bɛba:
- Ka w’akwahosan ho abakɔsɛm a edi mũ ho asɛm.
- Wɔbɛyɛ nipadua mu nhwehwɛmu ahwɛ sɛ wowɔ apɔwmuden a wubetumi agyina oprehyɛn ano anaa.
- Wɔsusuw nneɛma te sɛ ɔhyew, koma a ɛbɔ, ne mogya mmoroso.
- Wɔyɛ mogya ne nsu mu nhwehwɛmu (urinalysis) de hwɛ sɛ ɔyare mmoawa bi wɔ hɔ anaa.
Eyi ho hia yiye: Ɛsɛ sɛ woka nnuru a worenom (a wo duruyɛfo akyerɛw ama wo, nnuru a wɔtɔn, nhabannuru, ne vitamin a wɔde ma) nyinaa kyerɛ wo duruyɛfo. Ebia wɔbɛka akyerɛ wo sɛ gyae nnuru bi a wobɛnom, titiriw aspirin, NSAID, ne nnuru a ekum mogya a ɛtwetwe mogya, a ebetumi ama mogya a ɛbɛtɔ wo no ayɛ kɛse. Nanso, nnyae nnuru biara a wobɛnom kosi sɛ wo duruyɛfo bɛka akyerɛ wo.
Afei nso, ka allergy biara a wowɔ ho asɛm kyerɛ yɛn. Nhwɛsoɔ,
- Nnuru ho akisikuru
- Nneɛma a wɔde tew honam ani (te sɛ iodine) ho akisikuru .
- Latex ho akisikuru
- Aduan ho akisikuru
Sɛ wonom sigaret a, wo duruyɛfo nso betumi atu wo fo sɛ gyae, efisɛ sigaretnom betumi atwe ayaresa a ɛbɛkyɛ wɔ oprehyɛn akyi.
Wɔbɛma wo akwankyerɛ titiriw nso a ɛfa nea ɛsɛ sɛ wudi ne nea ɛsɛ sɛ wonom ansa na wɔayɛ oprehyɛn no ho. Ebia wɔbɛka akyerɛ wo sɛ di nsu nkutoo (soup a ɛnyɛ acid, nnuaba mu nsu, jelly) nnɔnhwerew 8-12 ansa na woayɛ wo oprehyɛn.
Dɛn na ɛba da a wɔyɛ oprehyɛn no?
Wobetumi afa akwan atitiriw abiɛsa so ayɛ akisikuru oprehyɛn.
1. Minimally Invasive / Robotic Oprehyɛn a Wɔde Yɛ Oprehyɛn
Eyi ne ɔkwan a wɔtaa fa so yɛ adwuma nnɛ. Oduruyɛfo a ɔyɛ oprehyɛn no twa wo yafunu mu nketenkete paa kakraa bi na ɔde afiri bi a ɛte sɛ robɔt abasa fa mu de yɛ oprehyɛn no. Saa kwan yi wɔ bere tiaa a ɛma obi ho tɔ no, ɛnyɛ akuru pii, na asiane kakraa bi na ɛwɔ mu.
2. Oprehyɛn a Wɔbue Mu
Wɔ eyi mu no, oduruyɛfo a ɔyɛ oprehyɛn no twa yafunu no mu tenten biako pɛ ma ɛkɔ akisikuru no mu. Mprempren wɔmfa saa kwan yi nni dwuma kɛse.
3. Endoscopic Oprehyɛn a Wɔyɛ
Wɔ eyi mu no, wɔmfa abɔnten ntwitwiridii biara. Wɔnam afiri bi a mfoninitwa afiri wom a wɔde fa nsu a ɛkɔ nsu mu no so na ɛyɛ oprehyɛn no. Oprehyɛn a wɔfrɛ no `(TURBT)` a yɛkaa ho asɛm wɔ atifi hɔ no yɛ eyi ho nhwɛso pa.
So mɛma m’adwene atu afra bere a wɔreyɛ me oprehyɛn no?
Dabi, ansa na wɔbɛyɛ wo oprehyɛn no, oduruyɛfo a ɔma obi dwensɔ bɛma wo aduru a wɔde kum nipadua no nyinaa. Eyi kyerɛ sɛ wobɛda koraa bere a wɔreyɛ oprehyɛn no. Worente ɛyaw biara nka.
Dɛn na wubetumi ahwɛ kwan wɔ oprehyɛn akyi?
Sɛ oprehyɛn no wie a, nnuruyɛfo no bɛpam wo ntwitwiridii no na wɔakyekyere ho. Sɛ aduru a wɔde kum nipadua no sa a, nkakrankakra wobɛsan anya adwene. Wobɛte nka sɛ woda kakra mfiase no. Sɛ woda koraa a, wɔbɛma wo nnuru a wode bedi ɛyaw no so.
Nneɛma a edidi so yi taa betumi asi wɔ oprehyɛn akyi:
- Ɛho hia sɛ wɔtaa tow nsu.
- Ɛho hia sɛ wɔtow nsu mpofirim.
- Mogya kakraa bi a wɔde fra nsu mu (Hematuria).
Wo duruyɛfo no bedi kan aka saa nneɛma yi ho asɛm akyerɛ wo.
Momma yensua bere a wɔde nya ahoɔden ho ade.
Bere a egye na wo ho atɔ wo koraa no bɛsono a egyina oprehyɛn a wɔyɛɛ wo no so. Mpɛn pii no, egye adapɛn kakraa bi. Ebia ebegye ɔsram biako anaa abien ansa na asan anya ahoɔden a edi mũ.
- Dwumadi ahorow: Kwati sɛ wobɛteɛteɛ w’apɔw mu anaasɛ wobɛma biribiara a emu duru boro kilogram 4 (bɛyɛ sɛ nsu galɔn biako) so adapɛn pii wɔ oprehyɛn no akyi.
- Aduan: Nom nsu pii, anyɛ saa a, wobɛkɔ asiane kɛse mu sɛ wubenya ɔyare a ɛma wo ho yɛ wo hyew (UTI). Ɛyɛ adwene pa nso sɛ wubedi nnuan a ahoɔden wom (nnuaba a wɔayɛ no foforo, nhabannuru, nnuaba, nam a ɛnyɛ den) na aboa wɔ ayaresa no mu.
Bere a ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn ntɛm ara
Sɛ wuhu sɛnkyerɛnne ahorow a edidi so yi mu biara wɔ wo oprehyɛn no akyi a, bɔ wo duruyɛfo amanneɛ ntɛm ara anaa kɔ ayaresabea.
| Kɔkɔbɔ Nsɛnkyerɛnne | |
|---|---|
| 🔴 na ɛyɛ | Ɛyaw a emu yɛ den, titiriw bere a ɔreto nsu (Dysuria). |
| 🔴 na ɛyɛ | Sɛ wontumi ntow nsu. |
| 🔴 na ɛyɛ | Mogya a ɛtɔ kɛse wɔ nsu mu. |
| 🔴 na ɛyɛ | Nsɛnkyerɛnne a ɛkyerɛ sɛ obi anya ɔyare mmoawa (atiridiinini, awɔw, kɔkɔɔ/kɔla a ɛyɛ kɔkɔɔ a ɛsakra wɔ baabi a wɔatwa no ho, akisikuru a ɛtwetwe). |
| 🔴 na ɛyɛ | Mogya a ɛtɔ dodo a efi mmeae a wɔatwitwa mu. |
Na sɛ woyi akisikuru no fi hɔ koraa nso ɛ?
Eyi yɛ ɔhaw kɛse ma nnipa pii. Yiw, ebetumi aba sɛ obi bɛtra ase a wunni akisikuru. Sɛ oduruyɛfo yi wo akisikuru no koraa a, wɔbɛyɛ ɔkwan foforo a wo nipadua no bɛfa so akora nsu so na ayi afi mu. Akwan titiriw abiɛsa na ɛwɔ hɔ a yebetumi afa so ayɛ eyi.
- Ileal Conduit: Eyi hwehwɛ sɛ wɔfa dwensɔtwaa ketewaa no fã bi na wɔde bata nsu a ɛkɔ nsu mu no ho fi asaabo no mu wɔ n’awiei biako na wobue (stoma) ketewaa bi wɔ yafunu no mu wɔ n’awiei foforo. Afei wɔboaboa nsu ano gu kotoku (ostomy bag) a wɔde abata ɔkwan a wɔabue no akyi mu.
- Neobladder: Bio nso, wɔde dwensɔtwaa ketewa no fã bi yɛ kotoku foforo a ɛte sɛ akisikuru na wɔde bata beae koro no ara a akisikuru dedaw no wɔ no. Sɛ wode saa adeyɛ yi di dwuma a, wubetumi afa nsu a ɛkɔ nsu mu no so atow wo ho sɛnea ɛsɛ.
- Continent Cutaneous Diversion: Eyi nso hwehwɛ sɛ wɔyɛ kotoku bi wɔ yafunu no mu de boaboa nsu ano. Nanso, wɔde afiri a ɛyɛ tratraa (catheter) a wode wo ho fa ɔkwan bi a wɔabue (stoma) mu wɔ yafunu no mu na ɛprapra mu mpɛn pii da biara.
Ɛwom sɛ ebia ɛbɛyɛ te sɛ nea akwan yi yɛ den kakra de, nanso wo duruyɛfo no bɛpaw ɔkwan a eye ma wo na wakyerɛkyerɛ mu yiye. Ɛwom sɛ egye bere kakra ansa na wɔatumi de akwan yi ayɛ wɔn su de, nanso nnipa dodow no ara kɔ so yɛ nneɛma a na wɔyɛ ansa na wɔreyɛ oprehyɛn (apɔw-mu-teɛteɛ, akwantu) sɛnea wɔtaa yɛ no.
Nkrasɛm a Wɔde Kɔ Fie
- Akisikuru oprehyɛn nyɛ biribi a ɛsɛ sɛ wosuro. Ɛyɛ oprehyɛn a wɔtaa yɛ a wɔde sa tebea horow a egu ahorow.
- Ɛho hia yiye sɛ wobɛka w’akwahosan tebea ne nnuru a wonom ansa na woayɛ wo oprehyɛn no ho nsɛm nyinaa kyerɛ wo duruyɛfo.
- Di wo duruyɛfo akwankyerɛ akyi yiye bere a wo ho retɔ wo wɔ oprehyɛn no akyi no. Kwati sɛ wobɛma nneɛma a emu yɛ duru so na nom nsu pii.
- Hwɛ yiye wɔ kɔkɔbɔ nsɛnkyerɛnne te sɛ atiridiinini, ɛyaw a emu yɛ den, ne nsu a wontumi ntow. Sɛ eyinom mu bi ba a, kɔ oduruyɛfo nkyɛn ntɛm ara.
- Sɛ woyi wo akisikuru no koraa mpo a, wubetumi akɔ so atra ase sɛnea ɛsɛ. Akwan ahorow wɔ hɔ a wɔfa so yɛ saa, na egye kakra ma obi ayɛ ne su.
- Wo ne wo duruyɛfo nkasa pefee wɔ nsɛmmisa anaa nsɛm biara a ɛhaw wo ho.
👩🏽 ⚕️ Nsɛmmisa foforo (FAQs)
💬 Dɛn ne Akisikuru a Wɔhwere / Incontinence?
Eyi nyɛ biribi a ɛba bere a woaka akyi wɔ tiafi mu no! ‘Incontinence’ yɛ tebea a ɛnyɛ dɛ/ɛyɛ aniwu koraa a mpofirim ara wohwere wo tumi, bere a woserew, wofefe, anaa wususuw ho sɛ wobɛkɔ tiafi, na nsu (na ɛtɔ mmere bi a nsu) pue mpofirim wɔ wo ntade so (Involuntary Leakage)! Esiane eyi nti, nnipa pii suro sɛ wobefi fie hɔ na wɔatena akyirikyiri 100% wɔ ɔmanfo ho.
💬 Dɛn ne nneɛma titiriw a ɛma obi ntumi nni akisikuru so?
Nneɛma titiriw a ɛde eyi ba ne: 1) Adwennwen a wontumi nhyɛ mu - Wɔ awo akyi (esiane ntini mu mmerɛwyɛ nti), mmea hwere wɔn nsu bere a wɔrefefe no. 2) Overactive Bladder (Urge) - Akisikuru no twetwe te sɛ kraman ansa na ayɛ ma (esiane asikreyare/ntini mu nyarewa nti). 3) Menopause wɔ mmea mu. 4) Prostate/BPH a ɛtrɛw wɔ mmarima mu. 5) Nsuo mu Nyarewa a Ɛyɛ Den (UTI).
💬 So wobetumi asa incontinence? Bere bɛn na ɛsɛ sɛ mekɔ baabi a wɔhwɛ wɔn a wɔwɔ ayaresa a egye ntɛmpɛ mu ntɛm ara?
Eyi nyɛ yare a ɛsɛ sɛ wofɛre na wotra fie, wobetumi de nnuru (Kegel exercises/medication/surgery) asa no 100%! Nanso asiane a ɛsen biara! Sɛ obi a na ɔwɔ apɔwmuden, a n’akyi yaw ka ho, ‘ntumi nni nsu a ɔtow anaasɛ ɔtow gu mpofirim’, na ɔhwere ne nsa ne ne anan a, akyinnye biara nni ho sɛ ɛyɛ akyi berɛmo a abubu (Cauda Equina Syndrome / owuyare)! Ɛsɛ sɛ wɔde wo kɔ ayaresabea ntɛm ara na wogye wo nan abien no nyinaa na wɔahwere wɔn dwumadi (paralysis)!
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