So wo nsu nso pue a wunnim? Wɔfrɛ eyi sɛ dwumadi mu a wontumi nhyɛ wɔn ho so! So yɛbɛka eyi ho asɛm?

So ɛtɔ mmere bi a wo nsu fi wo mu a wunnim? Anaasɛ wototo wo ho ansa na ɛsɛ sɛ wutu mmirika kɔ tiafi? Eyi yɛ ɔhaw a nnipa pii wɔ, nanso ebetumi ayɛ aniwu kakra sɛ yɛbɛka ho asɛm. Mma ɛnhaw wo, ɛnyɛ wo nko ara. Wɔ aduruyɛ mu no, wɔfrɛ saa tebea yi ``Functional Incontinence'' . Sɛ yɛbɛka no tiawa a, ɛnyɛ ɔhaw kɛse bi a ɛwɔ wo akisikuru (beae a nsu boaboa ano) ho nti, na mmom esiane sɛ wuntumi nkɔ tiafi bere ano esiane biribi foforo nti. Momma yɛnka eyi ho asɛm nkɔ akyiri .

Dɛn ne Dwumadi mu Nhyɛso?

Sɛ yɛbɛka no tiawa a, ``(Functional Incontinence)`` yɛ bere a wohwere wo akisikuru so tumi na wo nsuo pue wɔ akwanhyia mu. Nanso eyi mfi yare bi a ɛwɔ wo nsu mu tẽẽ. Ɛba bere a ɛyɛ den ma wo sɛ wobɛkɔ tiafi bere ano, anaasɛ wuhu sɛ ɛsɛ sɛ woto wo ho , esiane nipadua anaa adwene mu tebea foforo nti. Fa no sɛ, wowɔ ɔpɛ a emu yɛ den yiye sɛ wobɛtow nsu , nanso ɔkwan biara nni hɔ a wobɛfa so akɔ tiafi, afei eyi ne nea ebetumi asi.

Wɔsan frɛ eyi sɛ ``Functional Urinary Incontinence''. Nneɛma abien no nyinaa kyerɛ ade koro.

Saa tebea yi abu so dɛn?

Nokwarem no, wɔ ɔkwan a ɛkɔ akyiri so no, nsu a wontumi nhyɛ mu, anaa ``Urinary Incontinence'', abu so sen sɛnea ebia wubesusuw. Sɛnea amanneɛbɔ binom kyerɛ no, ɛkame ayɛ sɛ nnipa ɔpepem 30 a wɔwɔ ɔman te sɛ Amerika mu wɔ ``Urinary Incontinence'' bi. Enti wubetumi asusuw sɛnea nnipa pii a wɔwɔ Sri Lanka nso hu amane wɔ ɔhaw a ɛte sɛɛ ho no ho. ``Functional Incontinence'' yɛ saa ahorow yi mu biako. Enti eyi nyɛ biribi a ɛto wo nkutoo, nnipa pii hu amane wɔ saa tebea yi ho.

Dɛn ne Functional Incontinence ho sɛnkyerɛnne ahorow?

Wiɛ, ɛnde yɛbɛyɛ dɛn ahu saa ``(Functional Incontinence)`` tebea yi? Hwɛ sɛ saa nneɛma yi to wo anaa:

• Nsu a ɛtwetwe (ɛbɔ) mpɛn pii a onnim .
• Ɛtɔ mmere bi a, akisikuru no nyinaa mu da mpan a onnim.
• Mintumi nkura me nsu mu kosi sɛ mɛkɔ tiafi.
• Wote nka sɛ nsu hua bi fi wo ntade mu anaa fie no ho reba.

Sɛ wowɔ saa sɛnkyerɛnne ahorow yi mu biako anaa nea ɛboro saa a, ɛbɛyɛ papa sɛ wobɛma w’ani aku ho.

Dɛn na ɛma obi ntumi nhyɛ ne ho so wɔ dwumadi mu?

Afei momma yɛnhwɛ nea ɛde saa ``Functional Incontinence'' tebea yi ba. Nneɛma pii betumi de aba ankasa.

• Adwene mu haw ahorow : Eyinom bi ne adwenemhaw (nkae a ɛyera nkakrankakra), adwenemhaw (adwene mu basaayɛ mpofirim), ne adwene mu dɛmdi. Sɛ nhwɛso no, ebia ɛbɛyɛ den ama obi a ɔwɔ adwenemhaw sɛ ɔbɛtow nsu .Ebia worenkae nea ɛsɛ sɛ woyɛ, anaasɛ worentumi nhu baabi a tiafi wɔ.
• Ntini mu yare: Tebea horow a ɛka amemene, akyi berɛmo, anaa ntini nhyehyɛe, te sɛ multiple sclerosis (MS), Parkinson yare (a ɛma obi ho popo), ne akisikuru. Saa tebea horow yi betumi ama nsɛnkyerɛnne a ehia na ama woatumi adi wo akisikuru no so no agyae adwumayɛ yiye.
• Nyarewa a ɛka ntini, a ɛma ɛyɛ den sɛ wobɛkɔ tiafi anaa wobɛhyɛ ntade : Sɛ nhwɛso no, `(Arthritis)` (nkwaa mu yaw). Afei fa no sɛ wo maame anaa wo papa wɔ `(Arthritis)`. Ɛyɛ den ma wɔn sɛ wɔbɛkotow na wɔatrɛw wɔn akwaa mu. Afei, sɛ ɛyɛ den ma obi a ɔhyɛ atade sɛ ɔbɛma so, sɛ obi a ɔhyɛ pantan bebue ne bɔton, anaasɛ ɔde zip bɛbɔ a, egye bere ansa na wakɔ tiafi na wasiesie ne ho. Ɛno ne bere a wubetumi akɔ kakra a wunnim.
• Akisikuru anaa akyi berɛmo mu ntini a ɛyɛ mmerɛw : Sɛ saa ntini yi yɛ mmerɛw a, ɛyɛ den sɛ wobɛkura nsuo mu.
• Honam fam akwanside ahorow : Nneɛma te sɛ antweri, kanea a enni hɔ, anaasɛ ɛyɛ den sɛ wubenya tiafi wɔ baabi a nnipa ahyɛ hɔ ma. Fa no sɛ obi a ne mfe akɔ anim te mmubuafo akongua mu, na ɛnyɛ tiafi nyinaa na mmubuafo akongua betumi akɔ mu.
• Ntini a ɛwɔ ɔbea no awotwaa mu a ɛyɛ teateaa anaasɛ ɔyare mmoawa a ɛba.
• Nnuru a ɛka sɛnea wotumi susuw nneɛma ho : Nnuru a wɔde da, ne nea ɛkeka ho Eyinom betumi ama woada na ama wo werɛ afi sɛ wobɛtow nsu .
• Diuretics : Wɔde saa nnuru yi ma nyarewa bi.
• Nsuo mu Nyarewa (UTIs) : Eyi nso yɛ ade a ɛtaa de ba.
• Akisikuru : Sɛ akisikuru mu yɛ den mpo a, nhyɛso betumi ayɛ kɛse wɔ akisikuru no so, na ɛde tebea horow a ɛte sɛɛ aba.

"Woahu, ntease pii wɔ hɔ. Enti eyi nyɛ ade biako pɛ."

Hena na ɛda adi kɛse sɛ obenya dwumadi a wontumi nhyɛ ne ho so?

Ɛwom sɛ saa tebea yi betumi aba obiara mu de, nanso nnipa binom wɔ asiane kɛse mu.

• Sɛ wowɔ yareɛ bi a ɛka amemene no dwumadie (`(Cognitive disorder)`).
• Sɛ wowɔ ntini mu yare bi a.
• Sɛ wowɔ tebea bi a ɛka ntini ne nkwaa te sɛ ntini mu yare a.
• Sɛ worenom nnuru bi, sɛ nhwɛso no, nnuru a ɛma wo ho yɛ hyew, anaa nnuru a ɛma woda.
• Nnipa a wɔadi boro mfe 65 : Saa tebea yi abu so titiriw wɔ nkwakoraa ne mmerewa a wɔte nkwakoraa ne mmerewa afie mu. Asiane no kɔ soro bere a obi nyin bere a nipadua no sesa no.
• Saa asiane yi nso yɛ kɛse ma wɔn a wɔnyɛ apɔw-mu-teɛteɛ kɛse no.

Ɔkwan bɛn so na wohu eyi? (Ɔkwan bɛn so na wohu sɛ obi ntumi nhyɛ ne ho so?)

Sɛ wususuw sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, dɛn na ɛsɛ sɛ woyɛ akyi? Akyinnye biara nni ho sɛ ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn. Oduruyɛfo anaa ɔyarehwɛfo no bɛhwehwɛ wo mu na wabisa wo nsɛm bi. Ebia nsɛmmisa yi bi ne:

• So mprempren wɔresa wo yare wɔ aduruyɛ mu tebea foforo biara ho?
• Dɛn ne w’adidi kwan? Wodidi na wonom dodow ahe?
• Nsu dodow ahe na wonom da biara? Dɛn na wonom?
• So wonom nsa anaa caffeine (tii, kɔfe)?
• Apɔw-mu-teɛteɛ dodow ahe na woyɛ? Apɔw-mu-teɛteɛ bɛn na woyɛ?
• So wubetumi atu akɔ baabiara a ɛnyɛ den?

Ɛho hia paa sɛ wubebua nsɛmmisa yi nokwarem , efisɛ ɛno ansa na oduruyɛfo no betumi ate tebea no ase pɛpɛɛpɛ.

Sɔhwɛ ahorow bɛn na wɔbɛyɛ?

Oduruyɛfo no betumi ayɛ nhwehwɛmu ahorow bi de ahu nea ɛde ba ankasa.

• Nsuo mu nhwehwɛmu : Eyi hwehwɛ sɛ wobɛfa wo nsuo bi ahwɛ sɛ ɔyare mmoawa anaa ɔhaw foforɔ bi wɔ mu anaa.
• Pelvic floor dysfunction tests : Eyinom hwɛ sɛnea wo pelvic floor ntini ahorow no reyɛ adwuma yiye ne sɛnea ɛyɛ den.
• Urodynamic testing : Eyi yɛ sɔhwɛ a ɛyɛ den kɛse. Ɛsusu nneɛma te sɛ sɛnea ntini ne ntini a ɛwɔ wo akisikuru mu no reyɛ adwuma, sɛnea wo nsu no sen ntɛmntɛm, ne nhyɛso a ɛwɔ wo akisikuru mu ne nea atwa ho ahyia no.

Ɛtɔ da bi a wo duruyɛfoɔ bɛtumi de wo akɔma oduruyɛfoɔ a ɔhwɛ nsuo ne awoɔ nhyehyɛeɛ so (``Urologist'') anaa ɔbenfoɔ a ɔsa mmea akyi berɛmo mu haw (``Urogynecologist'').

Wobɛyɛ dɛn atew dwumadi a wontumi nhyɛ so no so?

Okay, afei momma yɛnhwɛ nea wobetumi ayɛ de atew anaasɛ adi saa ``Functional Incontinence`` tebea yi so. Akwan a wɔfa so sa yare no gyina nea ɛde ba no so.

Sɛ nhwɛso no, sɛ wowɔ ntini mu yare na ɛyɛ den sɛ wubeyi wo ntade a, ɛbɛyɛ papa sɛ wobɛhyɛ ntade a ɛnyɛ den sɛ wubeyi, ɛyɛ den, anaa Velcro. Sɛ wowɔ urinary tract infection (UTI) a, wo duruyɛfo bɛkyerɛw wo nnuru a ekum ɔyare mmoawa. Sɛ nnuru bi na ɛde tebea yi ba a, wubetumi ne wo duruyɛfo akasa ahwɛ sɛ ebia nnuru foforo bi wɔ hɔ a wɔde besi ananmu anaa.

Nea ɛka ho no, nneɛma a ɛte sɛɛ nso betumi aboa:

• Incontinence pads anaa underwear : Wobetumi anya eyinom afi nnurutɔnbea ahorow. Afei nso, aduru bi a agye din a wɔfrɛ no Depends® wɔ hɔ. Eyinom a wode bedi dwuma no betumi aboa ma asiane a ɛwɔ hɔ sɛ ntade bɛhyɛ nsu na sɛ wotow wo ho gu wɔ akwanhyia mu a, wo ho nyɛ wo dɛ no so atew.
• Bladder training : Wɔsan frɛ eyi sɛ timed voiding. Wɔ eyi mu no, wɔka kyerɛ wo sɛ tow nsuSɛ ɛho nhia mpo a, kɔ tiafi bere a wotaa kɔ da mũ no nyinaa (mpɛn pii no nnɔnhwerew abien biara). Eyi bɛboa wo ma wo akisikuru no mu ada mpan ansa na ayɛ ma. Wubetumi de nkakrankakra ama bere a ɛda saa mmere yi ntam no akɔ soro.
• Urinary catheter : Wɔ tebea horow bi a emu yɛ den mu no, oduruyɛfo betumi akamfo akyerɛ sɛ wɔmfa nsu a wɔde fa nsu mu bere tiaa bi anaa bere tenten. Nea ɛka eyi ho ne sɛ wɔde afiri a ɛyɛ tratraa a ɛyɛ mmerɛw a wɔde fa nsu mu no bɛhyɛ akisikuru no mu, na wɔaboaboa nsu ano wɔ kotoku mu.
• Condom catheter : Eyi yɛ biribi a mmarima betumi de adi dwuma. Ɛbata ɔbarima no akyi te sɛ kɔndɔm, na wɔboaboa nsu ano gu kotoku mu denam afiri bi a wɔde bata ho so.
• Pelvic floor physical therapy : Oduruyɛfo titiriw bi bɛkyerɛ wo apɔw-mu-teɛteɛ (te sɛ Kegel apɔw-mu-teɛteɛ) de ahyɛ wo pelvic floor ntini ahorow den. Sɛ wohyɛ saa ntini ahorow yi den a, ebetumi aboa wo ma woakura wo nsu mu kakra ansa na woakɔ tiafi.

Sɛ wowɔ fie a, ma ɔkwan a ɛkɔ tiafi no mu nna hɔ. Ma apon no bue na fa nneɛma a ɛho nhia nkɔ fam na ama hokwan a ɛwɔ hɔ sɛ wobɛhwe ase na woahwe ase no so atew. Sɛ ɛyɛ den ma wo sɛ wubehu ade a, fa akanea foforo sisi fie no ho anaasɛ fa kanea ketewaa bi si baabi a ɛbɛn hɔ. Ɛyɛ su pa nso sɛ wobɛhwehwɛ aguaree ansa na woakɔ abɔnten.

So wobetumi asiw eyi ano? (So ​​wobetumi asiw dwumadi a wontumi nsiw ano ano?)

Nokwarem no, yentumi nsiw nneɛma bi a ɛde `(Functional Incontinence)` ba, kyerɛ sɛ, nyarewa a ɛka ntini, ntini, anaa amemene dwumadi (`(Ntini, ntini anaa adwene mu tebea horow)`) no ano. Wei kyerɛ sɛ yenni ɔkwan tẽẽ a yɛbɛfa so asiw yareɛ te sɛ `(Dementia)` ano. Nanso, yebetumi abɔ mmɔden sɛ yɛbɛtew asiane ahorow bi so. Sɛ nhwɛso no, nneɛma te sɛ asetra pa a wobɛtra ne wo nipadua mu ahoɔden a wobɛhwɛ so.

Sɛ mewɔ functional incontinence a, dɛn na metumi ahwɛ kwan?

Sɛ wowɔ dwumadi a wontumi nhyɛ wo ho so esiane tebea bi a enni sabea te sɛ Parkinson yare nti a, ebia ɛsɛ sɛ wo ne no tra wo nkwa nna nyinaa mu. Nanso ɛno nkyerɛ sɛ ɛsɛ sɛ wuhu amane. Wɔ tebea horow yi mu no, ɛho hia sɛ wo ne wo duruyɛfo kasa fa sɛnea wubetumi adi wo sɛnkyerɛnne ahorow no ho dwuma yiye ho. Akwan pii wɔ hɔ a yebetumi afa so ama asetra ayɛ mmerɛw.

Mɛyɛ dɛn ahwɛ me ho? (Meyɛ dɛn hwɛ me ho?)

Sɛ wowɔ ``(Functional Incontinence)`` a, saa nneɛma yi betumi aboa wo ma woahwɛ wo ho:

• Fa akisikuru ho kyerɛwtohɔ to hɔ : Eyi bɛka nsu dodow a wonom da biara, nea wudi ne nea wonom (titiriw caffeine, nnuan a ɛyɛ nnuhwam), mpɛn dodow a wototow , bere a wotow , ne bere tenten a wobɛtow.Kyerɛw nneɛma te sɛ mpɛn dodow a wotow, mpɛn dodow a wotow, ne nea ɛkeka ho Saa nsɛm yi bɛboa kɛse ama akisikuru ntetee ne wo duruyɛfo no ma wate wo tebea no ase.
• Kwati nnuan ne anonne a ɛkanyan akisikuru : Caffeine (a ɛwɔ tii, kɔfe, ne chocolate mu), nsa, soda, nnuan a ɛyɛ nnuhwam, ne citrus nnuaba nsu te sɛ tomato, limes, ne akutu betumi akanyan akisikuru no na ama woanya ɔpɛ sɛ wobɛtow wo ho mpɛn pii. Bɔ mmɔden sɛ wobɛtew eyinom so kakra na hwɛ sɛ wubehu nsonsonoe bi anaa.
• Kura wo mu duru a ɛfata mu : Yafunu mu srade a ɛboro so betumi de nhyɛso a ɛho nhia aba wo akisikuru so. Sɛ wo mu duru so tew kakra a, ebetumi aboa nso.
• Nantew daa : Nantew ma wo nipadua no yɛ adwuma na ɛboa wo ma wuhu bere a wo akisikuru ayɛ ma ne bere a ɛsɛ sɛ wohwehwɛ tiafi. Bɔ mmɔden sɛ anyɛ yiye koraa no wobɛnantew simma 30 da biara.
• Gyae sigaretnom : Ɛtɔ mmere bi a, ɔfe bere a worenom sigaret nso betumi ama nsu a ɛretu. Sigaretnom nso pira akisikuru. Enti, sigaretnom a wogyae no nso betumi aboa ma tebea yi so atew.

Bere bɛn na ɛsɛ sɛ mekɔ m’akwahosan ho ɔyaresafo nkyɛn?

Ɛyɛ papa sɛ wobɛkɔ oduruyɛfo nkyɛn bere a woafi ase ahu ``Functional Incontinence'' ho sɛnkyerɛnne ara pɛ, te sɛ nsu a ɛretu a wompɛ, anaasɛ ɛsɛ sɛ wokɔ tiafi bere tiaa bi. Mma w’ani nnwu anaa nnsuro. Eyi yɛ ade a ɛfata ma oduruyɛfo. Afei wubetumi ahu nea ɛde ba, adi tebea no ho dwuma wɔ ɔkwan a ɛfata wo so, na woanya mmoa na asiw nsu a ɛretu a wompɛ no ano.

Nsɛm bɛn na ɛsɛ sɛ wubisa oduruyɛfo no?

Sɛ wokɔ oduruyɛfo nkyɛn a, mma wo werɛ mmfi sɛ wubebisa nsɛm te sɛ eyinom:

• Dɛn nti na mewɔ saa ``Functional Incontinence'' tebea yi?
• Sɔhwɛ ahorow bɛn na wɔreyɛ de asi eyi so dua?
• Bere bɛn na yebehu nea efi sɔhwɛ ahorow no mu ba?
• So dwumadi ahorow bi wɔ hɔ a ɛsɛ sɛ mekwati ?
• Nnuan ne anonne bɛn na ɛsɛ sɛ mekwati ?
• Ɔkwan bɛn so na ɛsɛ sɛ mehwɛ me ho bere a mewɔ fie no?
• Sɛ mifi fie a, ɛsɛ sɛ mehwɛ me ho dɛn?
• So sɛnkyerɛnne afoforo bi wɔ hɔ a ɛsɛ sɛ mehwɛ yiye ?

Sɛ wubisa nsɛm yi a, wubetumi anya tebea no ho ntease pa.

So nsunsuanso ahorow afoforo wɔ hɔ a wontumi nhyɛ nsu mu?

Yiw, `(Functional Incontinence)` yɛ ɔkwan biako pɛ. Ahorow afoforo pii wɔ hɔ a ɛte sɛ eyi. Momma yensua ɛno nso ho ade kakra.

• Overflow incontinence : Eyi ne bere a wo akisikuru ayɛ ma, nanso wuntumi nyiyi mu koraa. Ebia nsuo bɛtwe wo ho esiane sɛ wo akisikuru ayɛ ma nti, nanso ebia wunhu sɛ ɛsɛ sɛ wokɔ tiafi.
• Adwennwen a wontumi nhyɛ mu (`(Adwennwen a wontumi nhyɛ mu)`) .: Eyi ba bere a nhyɛso (adwennwen) ba akisikuru no so mpofirim, sɛ nhwɛso no, bere a ɔrefefe, ɔreserew, ɔrefefe, ɔrema ade a emu yɛ duru so, anaasɛ ɔreyɛ apɔw-mu-teɛteɛ bi, na ɛma nsu fi mu a onnim.
• Urge incontinence : Eyi ne bere a wowɔ ɔpɛ mpofirim a wuntumi nni so sɛ wobɛtow nsu , nanso wuntumi nkura mu kosi sɛ wubedu tiafi.

Eyinom ne ahorow atitiriw afoforo a wohu. Ebia nnipa binom wɔ saa ahorow yi mu nea ɛboro biako a wɔaka abom.

Nkrasɛm a Etwa To a Wɔde Kɔ Fie

Dwumadi mu a wontumi nhyɛ wo ho so no betumi ayɛ ɔhaw kɛse wɔ wo da biara da asetra mu. Ɛwom sɛ abu so sen sɛnea wususuw de, nanso ebia ɛbɛyɛ wo aniwu anaasɛ ɛyɛ wo aniwu sɛ wobɛka ho asɛm. Ebia wobɛkwati wo da biara da dwumadi ne fekubɔ mpo esiane suro a wusuro sɛ worentumi nkɔ tiafi ntɛm nti.

Kae sɛ ɛnyɛ wo nkutoo na wowɔ saa ɔhaw ahorow yi.

• Functional incontinence nyɛ biribi a wubetumi ayɛ ho hwee. Ebetumi anya honam fam anaa adwene mu nneɛma.
• Nea ɛho hia paa ne sɛ wo ne oduruyɛfo bɛkasa afa eyi ho a woremfa aniwu anaa ehu.
• Sɛ wohu nea ɛde ba ankasa wie a, akwan pii wɔ hɔ a wɔfa so di tebea yi ho dwuma na wodi so.
• Asetra mu nsakrae a ɛnyɛ den, apɔw-mu-teɛteɛ, ne ɛtɔ mmere bi a nnuru a wɔde di dwuma sɛ ɛho hia a, betumi aboa wo ma woatra ase yiye wɔ tebea yi mu.
• Nnipa bi wɔ hɔ a wobetumi aboa wo. Enti nya aduruyɛ mu afotu a ɛfata.

Sɛ wo anaa obi a wunim no wɔ saa sɛnkyerɛnne ahorow yi a, yɛsrɛ wo hwehwɛ aduruyɛ mu afotu sɛnea ɛbɛyɛ a wo nso wubetumi de saa tebea yi abɔ bra pa.

` Dwumadi mu a wontumi nhyɛ mu, Nsu a wɔtow gu, Nsu a wɔhwere, nsu a wɔtow , Nkwakoraa ne mmerewa hwɛ, Ntini mu yare, adwenemhaw