So ɛtɔ mmere bi a wote nka sɛ wo nsu kakra pue bere a woserew denneennen, wofefe, woma ade a emu yɛ duru so, anaa woteɛteɛ w’apɔw mu no? Nsu a wontumi nhyɛ mu yɛ ɔhaw a ɛtaa ba mmarima pii so, titiriw bere a wɔatwa prostate no mu denneennen ama prostate kokoram akyi. Ɛwom sɛ ɛyɛ asɛmti a ɛyɛ aniwu kakra sɛ yɛbɛka ho asɛm wɔ ɔmanfo mu de, nanso ɛyɛ tebea a wobetumi asa. Eyi ano aduru a edi mu na ɛyɛ nnɛyi de sen biara ne Male Sling oprehyɛn. Enti, momma yɛnka ho asɛm pefee nnɛ.
Sɛ yɛbɛka no tiawa a, dɛn ne Male Sling oprehyɛn?
Male Sling oprehyɛn yɛ oprehyɛn a wɔmfa biribiara nhyɛ mu a wɔyɛ de sa mmarima a wontumi nhyɛ nsu mu. Fa no sɛ wɔde nnyinaso ketewaa bi atwa urethra, afiri a nsu fa mu fi mu no ho ahyia de aboa. Saa na eyi yɛ.
Wɔ saa adeyɛ yi mu no, wo duruyɛfo de oprehyɛn teyp a ɛyɛ mmerɛw a wɔde ayɛ a ɛte sɛ ahama kyekyere wo nsu a ɛyɛ wo nsu a ɛkɔ wo nsu mu no fã no ho. Urethral bulb no wɔ wo barima no ase. Teyp no ma nsu a ɛkɔ nsu mu ne akisikuru kɔn no so kakra, na ɛma wotumi gyina so. Saa mmoa yi ma sphincter ntini a ɛhwɛ nsu a wɔtow so no ahoɔden kɛse. Eyi boa ma nsu a ɛbɛtɔ bere a wofe anaa wofefe no.
Wɔde din ahorow te sɛ AdVance® sling anaa Coloplast Virtue® male sling nso frɛ saa oprehyɛn yi.
Henanom na wɔde oprehyɛn yi sa wɔn yare?
Wɔtaa kamfo oprehyɛn yi kyerɛ mmarima a ɛyɛ den ma wɔn sɛ wobedi wɔn nsu so bere a wɔatwa wɔn prostate denneennen akyi no.
Nea ɛho hia sen biara no, eyi fata yiye ma wɔn a wontumi nhyɛ wɔn ho so kakraa bi kosi nea ɛkɔ fam no . Ɛno kyerɛ sɛ wɔn a wotumi de pad biako, abien, anaa abiɛsa mpo di dwuma da biara no betumi anya nea eye sen biara wɔ eyi mu.
Nhwehwɛmu bɛn na wɔyɛ ansa na wɔayɛ oprehyɛn?
Ansa na wobɛyɛ wo oprehyɛn yi no, wo duruyɛfo bɛhyɛ sɛ wɔnyɛ nhwehwɛmu pii na ama wɔahu wo tebea no pɛpɛɛpɛ. Saa sɔhwɛ ahorow yi bɛboa ma wɔahu sɛ ebia woyɛ obi a oye sɛ wɔbɛyɛ wo oprehyɛn ne sɛ ebia wubenya nea eye wɔ oprehyɛn no akyi anaa.
| Sɔhwɛ Edin | Dɛn na wuhu wɔ saa asɛm no mu? |
|---|---|
| Urodynamic sɔhwɛ a wɔyɛ | Wɔhwɛ sɛnea ntini ne ntini ahorow a ɛwɔ wo akisikuru ne wo nsu mu no reyɛ adwuma yiye. Wɔsusuw nneɛma te sɛ nhyɛso a ɛwɔ wo akisikuru mu ne ahoɔhare a nsu fi mu ba. |
| Nnɔnhwerew 24 pad sɔhwɛ | Eyi boa wo ma wususuw pad dodow a wuhia ne nsu dodow a wobɛtwe wɔ nnɔnhwerew 24 mu no pɛpɛɛpɛ. |
| Cystoscopy a wɔde hwɛ nipadua no mu | Wɔde afiri ketewaa bi a ɛyɛ tratraa a mfoninitwa afiri abata ho no fa wo nsukorabea no mu, na ɛma oduruyɛfo no tumi hu wo akisikuru no mu. |
| ECG nhwehwɛmu (Electrocardiogram) . | Wɔyɛ sɔhwɛ yi de hwɛ hu sɛ wo koma betumi agyina oprehyɛn yi ano. |
| Mogya mu nhwehwɛmu | Wɔbɛhwɛ wo sɛ wowɔ mogya a ɛtwetwe ho haw bi (e.g., hemophilia). Sɛ woyɛ saa a, ebia asiane kɛse wom sɛ mogya bɛtɔ wo bere a wɔreyɛ wo oprehyɛn no. |
| Nsu mu nhwehwɛmu | Eyi boa ma wohu sɛ ebia aduruyɛ mu tebea afoforo bi wɔ hɔ a ebetumi aka oprehyɛn no, te sɛ nsu mu yare (UTIs), asaabo mu yare, anaa asikreyare anaa. |
Ɔkwan bɛn so na ɛsɛ sɛ misiesie me ho ma oprehyɛn no?
Oprehyɛn ho ahosiesie nso ho hia yiye.
- Ka nnuru a wonom nyinaa ho asɛm kyerɛ wo duruyɛfo : nnuru a wɔkyerɛw ma wo, nnuru a wɔtɔn, Ayurvedic nnuru, vitamin... Ka eyinom nyinaa ho asɛm kyerɛ wo duruyɛfo.
- Gyae nnuru a ɛma mogya yɛ mmerɛw nom:Wɔbɛka akyerɛ wo sɛ gyae nnuru a ɛma mogya tu (nnuru a ɛma mogya tu), aspirin, ne nnuru a wɔde kum ɛyaw (NSAID) nom adapɛn biako kosi abien ansa na wɔayɛ wo oprehyɛn. Eyinom betumi ama asiane a ɛwɔ hɔ sɛ mogya bɛtu bere a wɔreyɛ oprehyɛn no ayɛ kɛse. Ɛnyɛ hwee sɛ wobɛnom acetaminophen (acetaminophen) ama wo tiyɛ.
- Nnuru a wubetumi akɔ so anom: Gye sɛ wo duruyɛfo tu fo sɛ ɛnte saa, wubetumi akɔ so anom nnuru a edidi so yi.
- Nnuru a ekum ɔyare mmoawa
- Aduru a wɔde sa mogya mmoroso
- Nnuru a wɔde hormone yɛ
- Aduru a wɔde sa komayare
- Aduan ne anonne: Wɔbɛka akyerɛ wo sɛ di nnuan a ɛyɛ nsu nkutoo (e.g. soup, nnuaba nsu, jelly) fi anadwo a edi oprehyɛn no anim. Ɛho behia sɛ wugyae adidi ne anonne koraa nnɔnhwerew kakraa bi ansa na wɔayɛ wo oprehyɛn. Eyi bɛboa ma wo dwensɔtwaa ho atew bere a woreyɛ oprehyɛn no, na ɛbɛma asiane a ɛwɔ hɔ sɛ wubenya ɔyare mmoawa no so atew.
Dɛn na ɛba bere a wɔreyɛ oprehyɛn no?
Nnuruyɛfo kuw bi a wɔyɛ oprehyɛn yi, a oduruyɛfo a ɔyɛ akisikuru ne nsu mu oprehyɛn (Urologist), oduruyɛfo a ɔma aduru a ɛma obi dwensɔ, ne ayarehwɛfo ka ho.
Nea edi kan no, wɔbɛma wo aduru a ɛma obi dwensɔ koraa. Wei kyerɛ sɛ worente biribiara nka, wobɛda koraa.
Afei oduruyɛfo a ɔyɛ oprehyɛn no:
1. Wɔyɛ ntwitwiridii ketewaa bi wɔ baabi a ɛda wo awotwaa ne w’akyi (perineum) ntam.
2. Wɔde nkakrankakra da urethra no adi.
3. Afei, wɔde ahwɛyiye kɛse de oprehyɛn teyp (sling) a yɛadi kan aka ho asɛm no atwa urethral bulb no ho ahyia.
Saa teyp yi san de nsu a ɛkɔ nsu mu no si baabi foforo a ɛfata kɛse. Eyi ma nhyɛso a ɛwɔ saa beae no yɛ kɛse na ɛma akisikuru kɔn no boa yiye. Mpɛn pii no, oprehyɛn no gye bɛyɛ dɔnhwerew biako.
Dɛn na wubetumi ahwɛ kwan wɔ oprehyɛn akyi?
Sɛ wɔyɛ oprehyɛn no wie a, wɔde wo bɛto dan a wɔma wo ho tɔ wo mu kosi sɛ wobɛsan anya w’adwene na wo tebea no ayɛ yiye.
- Mpɛn pii no, eyi yɛ ayaresa a wɔde kɔ ayaresabea a wobetumi ayɛ da koro no ara . Nanso, wɔ tebea horow bi mu no, ebia ebehia sɛ wotra ayaresabea hɔ anadwo.
- Sɛ wɔyɛ oprehyɛn wie a, ebia ɛbɛyɛ den sɛ wɔbɛtow nsu mfiase no esiane sɛ ɛho ahonhon nti. Ebia ɛho behia sɛ wode afiri a wɔde fa nsu mu si hɔ nna kakraa bi. Sɛ ɔfe no kɔ fam pɛ a, wubetumi atow wo ho sɛnea ɛsɛ.
- Sɛ wo ho tɔ wo a, ɛsɛ sɛ wutumi tow wo ho sɛnea ɛsɛ a ɔhaw biara nni ho.
Dɛn ne oprehyɛn yi so mfaso ne nkonimdi?
Mfaso titiriw a ɛwɔ oprehyɛn yi so ne sɛ ɛma wonya ɔhaw a ɛne sɛ obi ntumi nkɔ nsu mu no ano aduru a edi mu. Bio:
- Ɛyɛ ntwitwiridii ketewaa bi, enti ɛsa ntɛmntɛm.
- Ɛrennyaw akuru akɛse biara.
- Bere a wɔde bɛsan anya ahoɔden no yɛ tiaa.
- Saa agyan yi wɔ nipadua no mu koraa, enti wonhu no mfi akyi.
Odi nkonim ne nkwa tenten
Oprehyɛn yi di yiye paa. Nnansa yi nhwehwɛmu kyerɛ sɛ ɛkame ayɛ sɛ mmarima a wɔayɛ wɔn oprehyɛn yi mu 80% ayi wɔn nsu a wontumi nhyɛ mu no afi hɔ koraa anaasɛ wɔama atu mpɔn kɛse. Mpɛn pii no, agyan no di mfe 10 kosi 15.
Dɛn ne nneɛma bɔne anaa asiane ahorow a ebetumi afi mu aba?
Sɛnea ɛte wɔ oprehyɛn biara ho no, asiane ahorow bi wɔ hɔ, nanso nsɛnnennen ntaa mma koraa.
| Nsunsuanso bɔne / Asiane | Nkyerɛmu |
|---|---|
| Nsu a wontumi ntow (Urinary retention) . | Ɔhaw a ɛtaa ba a ebetumi aba wɔ oprehyɛn akyi. Ebia ɛho behia sɛ wogyaw urethral catheter no wɔ nea ɛwɔ hɔ no mu adapɛn kakraa bi bio. Ɛntaa mma koraa sɛ ebia ɛho behia sɛ wɔyɛ oprehyɛn foforo de siesie eyi. |
| Mogya a ɛretu | Ebia mogya bɛtu kakra afi baabi a wɔyɛɛ oprehyɛn no. |
| Nsaneɛ | Asiane wɔ hɔ sɛ ɔyare mmoawa bɛba baabi a wɔatwa no anaa nea wɔde nsu gu mu no. |
| Nhyɛso a wontumi nhyɛ mu mpɛn pii | Hokwan ketewaa bi wɔ hɔ sɛ ɔhaw a ɛne sɛ obi ntumi nkɔ nsu mu no bɛsan aba bio bere a bere kɔ so no. |
| Nsɛnkyerɛnne a ɛkyerɛ sɛ akisikuru yɛ adwuma boro so | Nsɛnkyerɛnne no betumi ayɛ nsu a wɔtaa tow (`urinary frequency`), ɛho hia sɛ wɔtow mpofirim (`urinary urgency`), anaasɛ ɛsɛ sɛ wɔsɔre anadwo kɔtow nsu (`nocturia`). |
Ahotɔ ne da biara da dwumadi ahorow a wɔbɛsan afi ase
Ɛsono bere a wɔde ma obi ho tɔ no wɔ onipa biara mu.
- Ahotɔ: Nnipa dodow no ara fi ase te nka wɔ dapɛn biako mu, nanso ebetumi adi adapɛn pii ansa na wɔn ho atɔ wɔn koraa.
- Adwuma a wobɛsan akɔ: Sɛ wowɔ pon so adwuma a, mpɛn pii no wubetumi asan akɔ adwuma wɔ nna kakraa bi akyi. Nanso, sɛ wowɔ adwuma bi a ɛhwehwɛ sɛ woma nneɛma a emu yɛ duru so anaa woyɛ apɔw-mu-teɛteɛ a, ebia ebehia sɛ wugye w’ahome kakra.
- Ɔbarima ne ɔbea nna: Ɛho hia sɛ wubisa wo duruyɛfo bere a asiane biara nni ho sɛ wobɛda bio wɔ oprehyɛn akyi.
Bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn?
Sɛ wuhu sɛnkyerɛnne a edidi so yi mu biara bere a woakɔ fie bere a woayɛ wo oprehyɛn awie no a, frɛ wo duruyɛfo ntɛm ara anaa kɔ ayaresabea a ɛbɛn wo no Emergency Department (ETU).
- Sɛ wuntumi ntow nsu koraa a .
- Sɛ mogya wɔ wo nsu mu (hematuria).
- Sɛ yareɛ ho sɛnkyerɛnne bi wɔ hɔ (te sɛ atiridiinini, atiridiinini, awotwaa a ahonhon).
- Sɛ woannya nea na wohwɛ kwan no anaasɛ sɛ ɔhaw a ɛne sɛ obi ntumi nkɔ nsu mu no san ba bio wɔ bere bi akyi a, wo ne wo duruyɛfo nkasa mfa ɛno nso ho asɛm.
Nkrasɛm a Wɔde Kɔ Fie
- Male Sling oprehyɛn yɛ aduru a etu mpɔn yiye na ahobammɔ wom a wɔde sa nsu a wontumi nhyɛ mu a ɛnyɛ den kosi nea ɛkɔ fam, titiriw wɔ prostate oprehyɛn akyi.
- Eyi yɛ oprehyɛn a enhia sɛ wotwa kɛse na ɛma ne ho tɔ no ntɛmntɛm.
- Oprehyɛn no nkonimdi dodow yɛ kɛse yiye (ɛkame ayɛ sɛ 80%).
- Ansa na wobɛyɛ oprehyɛn no, wo ne wo duruyɛfo nkasa pefee mfa nnuru a wonom nyinaa ne biribiara a ɛhaw wo ho.
- Sɛ wunya yare no ho sɛnkyerɛnne a emu yɛ den wɔ oprehyɛn akyi, te sɛ nea wuntumi ntow nsu, atiridiinini kɛse, anaa sɛnkyerɛnne a ɛkyerɛ sɛ wowɔ ɔyare mmoawa no a, hwehwɛ aduruyɛfo afotu ntɛm ara.
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