So ɛyɛ den ma wo nso sɛ wubedi wo nsu so? Ebia nea ɛde ba no wɔ ntini a ɛma nipadua no yɛ adwuma no mu! (Ntini a Ɛma Ntini Mu Ntini) .

So ɛtɔ mmere bi a wote nka sɛ wuntumi nni wo akisikuru so ? So wote nka mpofirim sɛ ɛho hia sɛ woto wo ho, anaasɛ wote nka sɛ wuntumi ntow wo ho yiye? Eyi nyɛ biribi foforo kɛkɛ, ebetumi afi ɔhaw bi a ɛwɔ wo ntini mu. Ɛno ne nea yɛfrɛ no wɔ aduruyɛ mu sɛ Neurogenic Bladder. Momma yɛnka eyi ho asɛm tiawa, wɔ ɔkwan a wubetumi ate ase so.

Sɛ yɛbɛka no tiawa a, dɛn ne Neurogenic Bladder?

Fa wo nipadua no sɛ anyinam ahoɔden a ɛyɛ den. Amemene no ne ade titiriw a ɛhwɛ so. Nkrasɛm ahorow nam ntini ahorow so fi amemene no mu kɔ nipadua no afã horow nyinaa. Sɛ wo akisikuru no yɛ ma a, ɛde sɛnkyerɛnne bi kɔ amemene no mu sɛ, "Okay, afei akisikuru no ayɛ ma, ɛsɛ sɛ wopae mu." Afei, sɛ bere no du a, amemene no de sɛnkyerɛnne bi kɔma ntini a ɛwɔ wo akisikuru mu no sɛ ɛbɛtwetwe, na ɛde sɛnkyerɛnne bi nso kɔma ma ebue ɔkwan a nsu fa mu no. Eyi nyinaa nam ntini a ɛma nipadua no yɛ adwuma no so na ɛba. Wɔ tebea bi a wɔfrɛ no Neurogenic Bladder mu no, saa nsɛnkyerɛnne nhyehyɛe yi sɛe esiane amemene, akyi berɛmo, anaa ntini ahorow a ɛsɛe nti. Ɛte sɛ nea wɔayɛ no bɔne. Ne saa nti, akisikuru no nnya nkrasɛm a ɛfata, anaasɛ ennya nkrasɛm a ɛnteɛ. Ne saa nti, wubetumi ahwere wo akisikuru no so tumi.

Neurogenic Bladder ahorow atitiriw abien na ɛwɔ hɔ:

Wobetumi akyekyɛ Neurogenic Bladder mu a egyina ɔkwan a wɔfa so sɛe ntini no mu ayɛ no ahorow atitiriw abien. 1. Overactive Bladder (Spastic Bladder): Wɔ eyi mu no, akisikuru no taa twetwe na wontumi nni so. Sɛ yɛbɛka no pɛpɛɛpɛ a, amemene no kɔ so de nsɛnkyerɛnne kɔma ma akisikuru no mu da mpan bere mpo a ayɛ ma kakra no. Eyi ma akisikuru no te nka sɛ ɛsɛ sɛ ɛtaa tow nsu, na ɛma ɔpɛ sɛ ɔtow nsu mpofirim. 2. Underactive Bladder (Flaccid Bladder): Nea ɛne eyi bɔ abira no yɛ nokware. Akisikuru ntini no nnya nsɛnkyerɛnne a ɛfata sɛ ɛbɛtwetwe. Enti, sɛ akisikuru no ayɛ ma mpo a, ɛyɛ den sɛ wobɛpae mu koraa. Ebia nsuo bɛkɔ so atra akisikuru no mu.

Dɛn ne tebea yi ho sɛnkyerɛnne?

Nsɛnkyerɛnne no betumi ayɛ soronko a egyina Neurogenic Bladder ko a wowɔ so. Momma yɛnhwɛ nea saa sɛnkyerɛnne ahorow yi yɛ.

Dɛn nti na eyi rekɔ so? Dɛn ne nea enti a ɛte saa?

Nneɛma pii wɔ hɔ a ebetumi de Neurogenic Bladder aba. Ebi yɛ tebea horow a wɔde awo obi, bere a afoforo nso betumi afi nyarewa anaa akwanhyia a ɛba akyiri yi wɔ nkwa mu.

Nneɛma a wɔde awosu na ɛde ba

• Spina bifida: Eyi yɛ tebea a ɛba bere a akyi berɛmo no nnyin yiye wɔ awo mu no.
• Cerebral palsy: Tebea a ɛka amemene no nyin.
• Caudal regression syndrome a ɛma obi kɔ akyi:Akyi berɛmo a ɛwɔ fam no a entumi nnyin yiye.

Akyiri yi nneɛma a ɛde ba

• Akyi berɛmo mu opira: Akyi berɛmo a ɛsɛe esiane akwanhyia anaa asehwe nti.
• Nyarewa a ɛka ntini ahorow :
• Akisikuru a ɛma obi ho kyere no ( MS ) .
• Parkinson yare no
• Akisikuru a ɛma obi hwe ase
• Central nervous system tumors: Ntini a ɛba amemene anaa akyi berɛmo mu.
• Asikreyare: Asikreyare a ɛtra hɔ kyɛ betumi asɛe ntini ahorow.

Ɔhaw afoforo (nsɛnnennen) a ebetumi aba esiane eyi nti

Sɛ wɔansa neurogenic bladder no yiye a, akwahosan ho haw afoforo betumi aba.

• Nsuo mu yareɛ a ɛtaa ba (UTIs): Nsuo a ɛka wɔ akisikuru no mu no ma hokwan a ɛwɔ hɔ sɛ mmoawa bɛnyin na ɛde ɔyareɛ aba no yɛ kɛseɛ.
• Asaabo a ɛsɛe: Asaabo betumi asɛe esiane nhyɛso a ɛkɔ soro wɔ akisikuru no mu anaasɛ esiane nsu a ɛsen kɔ akyi kɔ asaabo no mu nti ( vesicoureteral reflux ).
• Abo a ɛba nsu mu: Abo betumi aba wɔ akisikuru anaa nsu mu.
• Adwene mu nkɛntɛnso: Sɛ wuntumi nni wo nsu so a, ebetumi ama woafɛre ade na woasuro sɛ wobɛkɔ baguam. Eyi betumi ama woanya dadwen ne adwenemhaw . Mma ntwentwɛn wo nan ase sɛ wo ne wo duruyɛfo bɛkasa afa saa nkate horow yi ho.

Ɔkwan bɛn so na oduruyɛfo hu eyi?

Sɛ woka saa sɛnkyerɛnne ahorow yi kyerɛ wo duruyɛfo a, obebisa wo w’ayaresa ho abakɔsɛm. Afei, wɔbɛyɛ nipadua mu nhwehwɛmu. Sɛ wosusuw sɛ neurogenic bladder a, ebia wɔbɛkamfo akyerɛ sɛ wɔnyɛ nhwehwɛmu pii na ama wɔahu nea ɛde ba ankasa.

• Mfoniniyɛ mu nhwehwɛmu: Ebia wɔbɛka akyerɛ wo sɛ yɛ ultrasound scan, CT scan , anaa MRI scan mfa nhwɛ w’asaabo ne w’akisikuru.
• Cystoscopy: Wɔde afiri a ɛyɛ tratraa bi a mfoninitwa afiri wom fa nsukorabea no mu de hwehwɛ akisikuru no mu.
• Urodynamic testing: Eyi yɛ sɔhwɛ titiriw a ɛkyerɛ nsu dodow a wo akisikuru betumi akura mu, nhyɛso a ɛwɔ akisikuru no mu, sɛnea nsu no sen ntɛmntɛm, ne sɛnea wo akisikuru no mu da hɔ yiye.

Sɛ wɔyɛ nhwehwɛmu ahorow yi wie a, ebia wɔde wo bɛkɔ oduruyɛfo a ɔhwɛ ntini mu yare nkyɛn.

Ɔkwan bɛn so na wɔsa? So wobetumi asa eyi?

Wogyina wo yare no ho sɛnkyerɛnne, sɛnea tebea no mu yɛ den, ne nea ɛde ba so na ɛkyerɛ ayaresa nhyehyɛe no.

1. Asetra mu nsakrae ne akisikuru ntetee

Oduruyɛfo no bɛka akyerɛ wo sɛ di kan sɔ nneɛma a ɛte sɛɛ hwɛ.

• Yɛ akisikuru da biara da: Yɛ mpɛn dodow a woto nsu da biara, dodow a woto, nea wonom, bere a ɛsɛ sɛ woto wo ho, ne bere biara a wobɛtow wo ho wɔ akwanhyia mu no ho kyerɛwtohɔ. Eyi betumi aboa wo ma woahu ɔkwan bi a wɔfa so yɛ na woayɛ wo su sɛ wobɛtow wo ho wɔ bere a ɛfata mu.
• Aduandi: Nneɛma te sɛ kɔfe, tii, nsa, ne anonne a mframa bɔne wom betumi akanyan akisikuru no ntɛm. Wɔhyɛ nyansa sɛ wɔmfa wɔn ano hye.
• Kegel apɔw-mu-teɛteɛ: Apɔw-mu-teɛteɛ a ɛhyɛ akyi berɛmo mu ntini ahorow den.

2. Nnuru a wɔde di dwuma

Nnuru bi wɔ hɔ a ebetumi atew akisikuru ntini a ɛtwetwe dodo no so anaasɛ ɛma akisikuru no dwo. Sɛ nhwɛso no, nnuru te sɛ `oxybutynin`, `tolterodine`, `mirabegron`. Ɛsɛ sɛ wɔde eyinom di dwuma wɔ nnuruyɛfo afotu ase nkutoo.

3. Catheter a wɔde hyɛ nipadua mu

Saa kwan yi ho hia yiye ma wɔn a wontumi nyi wɔn akisikuru mu koraa.

• Self-catheterization: Wo akisikuru a wobɛma ɛda mpan denam tube ketewaa bi a ɛho tew (catheter) a wode bɛhyɛ wo urethra mu mpɛn pii da biara no so. Wo duruyɛfo anaa ɔyarehwɛfo bɛkyerɛ wo sɛnea wobɛyɛ eyi.
• Catheterization a ɛkɔ so: Catheter a wobetumi de ahyɛ mu bere nyinaa a wɔde di dwuma.

4. Ayaresa afoforo

• Botox® a wɔde twitwiw nipadua no mu: Wobetumi de Botox ahyɛ akisikuru ntini no mu na ama wɔn dwumadi a ɛboro so no so atew.
• Oprehyɛn: Sɛ ayaresa foforo biara antumi anyɛ yiye a, wobetumi asusuw oprehyɛn ho. Sɛ nhwɛso no, augmentation cystoplasty anaasɛ urinary diversion.

Wo duruyɛfo ne wo bɛbɔ ayaresa a eye ma wo tebea no ho nkɔmmɔ. Neurogenic Akisikuru, nsuo a wɔde siw nsuo so, ntini a ɛma nipadua no yɛ adwuma, akisikuru, akisikuru a wɔde di dwuma sinhala, nsuo a ɛmma obi ntumi nhyɛ mu sinhala, nsuo a ɛmma obi ntumi nkɔ sinhala