So ɛyɛ den ma wo nso sɛ wobɛtow wo ho yiye? Momma yensua Non-Neurogenic Voiding Dysfunction - Nirogi Lanka ho ade

So ɛtɔ mmere bi a wote nka sɛ wo nsu a ɛsen no twentwɛn wo nan ase anaasɛ esiw kwan bere a worebɔ mmɔden sɛ wobɛkɔ no? Anaasɛ ebia, bere a woawie mpo no, so woda so ara wɔ saa atenka a ɛtra hɔ kyɛ a ɛne sɛ wo dwonku mu da mpan koraa no? Ebia mpo wubenya nsu a ɛretu mpofirim. Yɛsrɛ sɛ hu sɛ ɛnyɛ wo nkutoo na wowɔ hɔ —nsɛm yi abu so koraa. Ɛnnɛ, wɔ Nirogi Lanka no, yɛpɛ sɛ yɛka saa nsɛnnennen a ɛma obi ho popa a ɛba a ɛnyɛ ntini mu nsɛm biara ho asɛm . Wɔ aduruyɛ mu no, yɛfrɛ eyi sɛ Non-Neurogenic Voiding Dysfunction .

Dɛn ne Non-Neurogenic Voiding Dysfunction a Ɛyɛ Adwuma?

Sɛ yɛbɛka no tiawa a, saa tebea yi kyerɛ sɛ wo akisikuru no ntumi nkɔ mu koraa. Asɛmfua "non-neurogenic" kyerɛ sɛ ɛnyɛ nsɛm a ɛfa wo ntini ahorow ho na ɛde eyi ba —te sɛ w’amemene, w’akyi berɛmo, anaa ntini ahorow. "Voiding dysfunction" kyerɛ sɛnea wɔsɛe ɔkwan a ɛfata a wɔfa so tow nsu.

Eyi betumi aka obiara. Mpɛn pii no, akisikuru ntini a ɛyɛ mmerɛw, nsu a ɛkɔ nsu mu a esiw, anaa nneyɛe a ɛtra hɔ kyɛ na ɛde ba. Nanso, wɔ Nirogi Lanka , yɛtaa hu eyi wɔ mmofra nkumaa a wɔadi mfe 4–6 a wɔretete wɔn tiafi ne mmea a wɔadi boro mfe 40 mu . Susuw eyi ho: bɛyɛ mmofra baanum biara a wɔadi mfe 4–6 mu biako nya awiabere a wɔtow nsu esiane tebea yi nti. Bio nso, mmea a wɔadi boro mfeɛ aduanan bɛboro 6% na ɛka wɔn.

Dɛn ne Nsɛnkyerɛnne a Ɛkyerɛ sɛ Non-Neurogenic Voiding Dysfunction?

Gye bere kakra hwɛ sɛ ebia wo ne nsɛnkyerɛnne yi mu biara yɛ wo ho anaa:

• So wopere sɛ wubefi ase atow nsu anaasɛ wuhu sɛ woreyɛ den sɛ wobɛtow nsu?
• So wo nsu a ɛsen no yɛ mmerɛw, anaasɛ efi ase na egyae mpɛn pii?
• So ɛsɛ sɛ wode wo yafunu mu ntini piapia anaasɛ mia wo yafunu ase na aboa ma wo yafunu mu ada mpan?
• So wote nka sɛ wo akisikuru no nnyaa mpan koraa bere a woawie no?
• So wohu amane wɔ akisikuru ho ? (Eyi taa wɔ abusuabɔ kɛse.)
• So wototo wo ho mpɛn pii anaa kakraa bi sen sɛnea wotaa tow?
• So wunya nsu a ɛtwetwe wɔ akwanhyia mu (urinary incontinence)?
• So wowɔ ɔpɛ a ɛba mpofirim a ɛboro so sɛ wobɛtow nsu (urge incontinence)?
• So ɛsɛ sɛ wosɔre bɛboro pɛnkoro anadwo ansa na woatow wo ho (nocturia)?

Nsɛnkyerɛnne Pɔtee a Ɛwɔ Mmofra Mu:

Sɛ wo ba no rehyia eyi a, ebia wubehu nneyɛe a edidi so yi:

• Mpa so nsu a wɔde gu awiabere anaa akwanhyia (bere a wɔatete no wɔ tiafi akyi mpo).
• "Holding" maneuvers de twentwɛn nsuo mu, te sɛ:
• Wɔn nan a wɔretwa denneennen.
• Sɛ obi si fam anaasɛ wobɛkotow.
• Wɔn nan ase anaa wɔn nsa a wɔde mia wɔn akyi berɛmo mu.

Sɛ wuhu sɛ wo ba reyɛ saa nneɛma yi a, yɛsrɛ wo kɔ akwahosan ho ɔbenfo bi nkyɛn wɔ Nirogi Lanka.

Dɛn na Ɛde Tebea Yi Ba?

Nneɛma pii betumi ama asɛm yi aba:

• Akisikuru ntini a ayɛ mmerɛw.
• Akwanside anaa akwanside a ɛwɔ nsu a ɛkɔ nsu mu no mu.
• Akisikuru a ɛyɛ adwuma boro so (OAB).
• Underactive bladder (baabi a wonte nka sɛ wobɛtow nsu kosi sɛ akisikuru no bɛhyɛ ma dodo).
• Akisikuru (ade titiriw a ɛde ba).
• Nsuo mu Nyarewa (UTIs).
• Sɛ wɔtaa twentwɛn nsu a wɔtow gu mu kosi sɛ akisikuru no bɛhyɛ ɛyaw mu ma.
• Wɔ mmarima mu no, prostate a ayɛ kɛse (Benign Prostatic Hyperplasia – BPH).
• Prostate kokoram.

Wɔ mmofra mu no, tebea bi a wɔfrɛ no "Dysfunctional Elimination Syndrome" betumi ayɛ nea ɛde ba, baabi a akisikuru ntini ne akyi berɛmo no ntumi nyɛ adwuma yiye.

Nsɛnnennen Bɛn na Ebetumi Asɔre?

Sɛ wo akisikuru no mu da mpan koraa a, nsu a aka no betumi akora mmoawa, na ɛde nyarewa te sɛ UTI aba. Ebia wobɛkɔ asiane kɛse nso mu sɛ wobɛnya asaabo mu abo anaa akisikuru mu abo. Sɛ wɔansa eyi a, eyi betumi akɔ so akodu asaabo a ebetumi asɛe.

Nea ɛho hia no, nsɛm a ɛfa nsu a wɔtow ho nso betumi agye nkate mu ɔhaw. Ayarefo pii te aniwu anaa dadwen nka esiane sɛ wontumi nni wɔn ho so nti. Sɛ saa sɛnkyerɛnne ahorow yi siw wo da biara da asetra kwan a, ebia wobɛte nka sɛ woyɛ adesoa ma afoforo anaasɛ wobɛtwe wo ho afi ayɔnkofa dwumadi ahorow ho. Awiei koraa no, saa tew a wɔtew wɔn ho yi betumi de nneɛma a ɛhaw adwene a anibere wom te sɛ dadwen ne adwenemhaw aba.

Ɔkwan Bɛn so na Nnuruyɛfo Hu Eyi?

Wɔ Nirogi Lanka no, yɛn nnuruyɛfo atitiriw betumi ahu sɛnea ɛnyɛ ntini mu ntini a ɛma nsu fi nipadua mu no yɛ adwuma yiye. Yɛbɛhwɛ w’aduruyɛ ho abakɔsɛm mu na yɛayɛ wo nipadua mu nhwehwɛmu a edi mũ. Wɔ tebea horow bi mu no, yebetumi ayɛ mmea akyi berɛmo mu nhwehwɛmu anaasɛ yɛde dijitaal akyi berɛmo mu nhwehwɛmu ama mmarima.

Bio nso, ebia wo duruyɛfo bɛka akyerɛ wo sɛ yɛ "bladder diary" mfa nni akyi:

• Nsu dodow ahe na wonom da biara?
• Mmere bɛn na wototɔ wo ho ?
• Nsu dodow ahe na wofa bere koro mu?
• Bere bɛn ne ɔkwan bɛn so na nsu no pue a wɔanhyɛ da?

Sɛ wode saa nsɛm yi di dwuma a, wo duruyɛfo betumi ayɛ nhwehwɛmu afoforo kakraa bi de akyerɛ sɛ woahu sɛ wowɔ yare no.

Sɔhwɛ ahorow bɛn na wɔyɛ?

Wo duruyɛfo betumi ayɛ nhwehwɛmu a edidi so yi mu biako anaa nea ɛboro saa:

• Prostate-specific antigen (PSA) nhwehwɛmu: Eyi yɛ mogya mu nhwehwɛmu de hwɛ sɛ PSA dodow akɔ soro anaa. Ebia dodow a ɛkɔ soro no bɛkyerɛ sɛ ɔhaw bi betumi aba wɔ prostate gland no ho.
• Nsuo mu nhwehwɛmu: Eyi boa ma wohu sɛ wowɔ nsu mu yare (UTI) anaa.
• Ultrasound: Saa nhwehwɛmu yi kyerɛ nsu dodow a aka wɔ wo akisikuru mu bere a woatow awie no. Ebetumi nso ahwɛ sɛ ebia tebea yi reka w’asaabo anaa.
• Urodynamic testing: Saa nhwehwɛmu ahorow yi kyerɛ nsu dodow a wo akisikuru betumi akura ne sɛnea wo akisikuru, urethra, ne pelvic floor ntini ahorow no bom yɛ adwuma yiye.
• Cystoscopy: Wɔ saa oduruyɛ yi mu no, oduruyɛfo no de afiri a ɛyɛ tratraa a ɛyɛ mmerɛw a mfoninitwa afiri wom hyɛ wo nsu mu de hwɛ akisikuru ne nsu a ɛkɔ wo nsu mu no mu hwɛ sɛ ebia biribiara a ɛhaw wo anaa.

Wɔ mmofra fam no, mpɛn pii no, sɔhwɛ ahorow yi nyɛ nea wɔde wɔn ho hyɛ mu kɛse. Ebia wo duruyɛfo bɛkyerɛ kɛkɛ sɛ kyerɛw akisikuru da biara da, ne mogya mu nhwehwɛmu atitiriw, nsu mu nhwehwɛmu, ultrasound, ne urodynamic nhwehwɛmu a ebetumi apaw.

Ɔkwan bɛn so na wɔsa? (Nirogi Lanka) .

Ayaresa a wɔde sa non-neurogenic voiding dysfunction gu ahorow gyina nea ɛde ba no so na ebia nea ɛka ho ne:

1. Ntetee a wɔde ma akisikuru

Wubetumi atete wo akisikuru ntini ahorow no ma akura nsu mu bere tenten. Nea ɛka eyi ho ne sɛ wobɛkɔ aguaree wɔ mmere a wɔahyɛ da ayɛ mu da mũ no nyinaa, sɛ mpo wonte nka sɛ wopɛ sɛ wokɔ a. Eyi mma akisikuru no nhyɛ ma dodo. Apɔw-mu-teɛteɛ ho ɔbenfo a ne ho akokwaw wɔ akyi berɛmo akwahosan ho betumi aboa wo wɔ saa adeyɛ yi mu.

2. Ayaresa a wɔde sa yare wɔ akyi berɛmo mu

Apɔw-mu-teɛteɛ ho ɔbenfo a ne ho akokwaw betumi akyerɛ wo sɛnea wobɛma wo hwene mu ntini ahorow no adwo na ama wo ho ayɛ mmerɛw sɛ wobɛtow. Ebia wɔde biofeedback sensor ahorow a ɛwɔ ɔbea awotwaa anaa akyi berɛmo no mu bedi dwuma de ahwɛ ahu sɛ wode ntini a ɛfata redi dwuma.

Wɔbɛkyerɛ wo Kegel apɔw-mu-teɛteɛ nso de ahyɛ wo pelvic floor den. Ntini a ɛyɛ den boa ma wosiw nsu a wontumi nhyɛ mu ne ɔpɛ a emu yɛ den a ɛba mpofirim sɛ ɔbɛtow nsu ano.

3. Nnuru a wɔde di dwuma

Nnuru bi betumi aboa ma wɔadi nsɛm a ɛfa nsu a wɔde gu nipadua mu ho dwuma, te sɛ:

• Nnuru a esiw alpha ano, te sɛ tamsulosin (Flomax®).
• Nnuru a wɔde ko tia nsu mu akisikuru, te sɛ oxybutynin (Ditropan®) ne tolterodine (Detrol®).

4. Botulinum awuduru

Ebia wo duruyɛfo de Botulinum awuduru (Botox®) bɛhyɛ wo akisikuru mu. Eyi ma akisikuru ntini no dwo na ɛboa ma ɔpɛ a ɛba mpofirim sɛ ɔbɛtow nsu (urge incontinence) no so tew.

5. Percutaneous tibial ntini a wɔde kanyan (PTNS) .

Ɛtɔ da bi a, akisikuru no hia "boost" na ama ntini no akanyan. Wɔ PTNS mu no, oduruyɛfo no de electrode bi si baabi a ɛbɛn tibial nerve a ɛwɔ wo nansoaa so no. Wɔde anyinam ahoɔden nsɛnkyerɛnne a ɛyɛ brɛoo fa electrode no mu, na ɛkɔ sacral nerves a ɛwɔ pelvis no mu no so. Eyi siesie nsɛnkyerɛnne a ɛnteɛ a ɛma akisikuru no ntumi nyɛ adwuma yiye, na ɛboa ma wosan di so bio.

6. Sacral ntini a wɔkanyan no

Wɔ saa adeyɛ yi mu no, oduruyɛfo a ɔyɛ oprehyɛn de anyinam ahoɔden afiri bi si honam ani a ɛbɛn wo akyi. Nhwehwɛmu a ɛyɛ tratraa de anyinam ahoɔden a ɛyɛ brɛoo kɔ sacral nerve no mu ma ɛboa ma ɛkanyan akisikuru ntini no na ɛyɛ biako.

7. Wɔn ho a wɔde hyɛ nipadua mu

Wo duruyɛfo betumi akyerɛ wo sɛnea wode afiri a wɔde fa nsu mu bedi dwuma de ayi wo akisikuru mu wɔ bere a wɔahyɛ ato hɔ mu.

8. Oprehyɛn a wɔyɛ

Sɛ ayaresa afoforo ntumi nyɛ adwuma yiye a, ebia wo duruyɛfo bɛkamfo akyerɛ sɛ wɔnyɛ oprehyɛn a wɔde ma akisikuru no yɛ kɛse (cystoplasty) na ama wo akisikuru no kɛse ayɛ kɛse, na ama atumi akura nsu pii mu .

Ayaresa a edi kan a wɔde sa Non-neurogenic Overactive Bladder

Mpɛn pii no, ayaresa a edi kan no bi ne:

• Nneɛma a ɛhyɛ akisikuru mu a wɔtew so (tii, kɔfe, nsa, nnuan/nsã a ɛyɛ nnuhwam anaa acid pii wom).
• Ntetee a wɔde ma akisikuru.

Sɛ nsakrae a ɛba wo suban mu yi nnɔɔso a, ebia wo duruyɛfo bɛkamfo nnuru a egyina wo dwumadi pɔtee a ɛnyɛ adwuma yiye so:

• Nnuru a ɛko tia cholinergic
• Nneɛma a wɔde siw alfa ano
• Beta 3 a ɛma nipadua no nya ɔyare mmoawa

Ɔkwan bɛn so na wɔsa tebea yi wɔ mmofra mu?

Sɛnea ɛbɛyɛ na wɔasa mmofra akisikuru a ɛyɛ adwuma boro so no, nnuruyɛfo betumi de nnuru a esiw alpha-blockers ne nnuru a ɛko tia cholinergic adi dwuma. Mmofra binom nso nya mfaso fi apɔw-mu-teɛteɛ a wosua a wɔyɛ wɔ wɔn akyi berɛmo mu no mu.

Ebia wo duruyɛfo nso bɛkamfo akyerɛ sɛ wobɛtete wo akisikuru. Nea ɛka eyi ho ne sɛ wobɛhyɛ wo ba no nkuran ma ɔde aguaree adi dwuma wɔ bere a wɔahyɛ mu na woakyerɛkyerɛ no sɛnea obegyina hɔ yiye bere a ɔte tiafi so no.

Ɛrenkyɛ na wo ho atɔ wo wɔ ayaresa akyi?

Bere a wɔde bɛma obi ho atɔ no gyina ayaresa pɔtee no so. Ebia akisikuru ntetee ne akyi berɛmo mu ayaresa befi ase ada nea efi mu ba adi wɔ adapɛn anaa asram kakraa bi mu. Mpɛn pii no, ntini a wɔkanyan no fi ase yɛ adwuma wɔ adapɛn kakraa bi mu, bere a ɛsɛ sɛ nnuru fi ase da nkɛntɛnso adi wɔ nna anaa adapɛn kakraa bi mu. Wo duruyɛfo no bɛma wo bere nhyehyɛe a emu da hɔ a egyina wo tebea pɔtee no so.

Bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn?

Yɛsrɛ sɛ, sɛ wuhu sɛnkyerɛnne ahorow a edidi so yi ara pɛ a, kɔ akwahosan ho ɔbenfo nkyɛn:

• Sɛ obi ntumi ntow nsu bere tenten.
• Nsakrae a ɛba wo nsu mu, te sɛ hua a ano yɛ den, mununkum, anaa mogya a ɛba wo nsu mu (hematuria).
• Ɛyaw anaa ɔhyew bere a ɔreto nsu (dysuria).
• Nsɛnkyerɛnne a ɛkɔ so daa a ɛkyerɛ sɛ obi ayɛ akisikuru.
• Nsɛnkyerɛnne a ɛkyerɛ sɛ obi anya ɔyare mmoawa, a atiridiinini, atiridiinini, anaa tiyɛ a ɛkɔ so daa ka ho.

Sɛ wuhyia wo duruyɛfo a, ebia wobɛpɛ sɛ wubisa nsɛm yi:

• Ɔkwan bɛn so na wohuu me Non-neurogenic voiding dysfunction no?
• Dɛn na ɛde tebea yi ba titiriw?
• Ayaresa kwan bɛn na wokamfo kyerɛ me?
• Dɛn ne ayaresa yi mu nsunsuanso bɔne?
• Bere tenten ahe na ebegye na wɔahu nea efi ayaresa yi mu ba?
• Nsakrae bɛn na metumi ayɛ wɔ asetra mu na ama saa sɛnkyerɛnne ahorow yi so atew?
• Nsɛnnennen bɛn na ɛsɛ sɛ mehwɛ yiye wɔ ho?
• So ɛsɛ sɛ wɔde me kɔ Urologist nkyɛn?

So wobetumi asiw eyi ano?

Sɛ woyɛ asetra mu nsakrae bi wɔ w’aduan mu a, ebetumi aboa wo ma woadi Non-neurogenic voiding dysfunction ho dwuma anaasɛ woasiw ano:

• Tow nneɛma a ɛhyɛ akisikuru ano: Caffeine (kɔfe, tii), nnuaba a wɔfrɛ no citrus, nnuan a ɛyɛ nnuhwam, ne nsa betumi ahyɛ akisikuru no abufuw na ama nsu ho nsɛm ayɛ kɛse.
• Ma fiber a wodi no nkɔ soro: Akisikuru betumi ama tebea yi aba anaasɛ ama ayɛ kɛse. Fa nnuan te sɛ bankye, nnuaba, nhabannuru, ne aburow a wɔayam (oats, brown rice, whole-wheat pasta) ka w’aduan ho. Bere a nnuru a wɔde kum akisikuru betumi aboa no, kasa kyerɛ oduruyɛfo bere nyinaa ansa na wode adi dwuma, titiriw ma mmofra.
• Kura mu duru a ɛfata mu: Sɛ wo BMI boro 25 a, mu duru a ɛboro so no betumi de nhyɛso aba wo akisikuru so, na ebetumi ama wo nsu a ɛretu.
• Gyae sigaretnom: Nicotine betumi ahyɛ akisikuru ntini ahorow abufuw. Bio nso, wɔn a wɔnom sigaret no taa nya ɔfe a enni sabea, na ɛma yafunu mu nhyɛso kɔ soro wɔ akisikuru no so.

Sɛ wowɔ non-neurogenic voiding dysfunction a, dɛn na wubetumi ahwɛ kwan?

Mpɛn pii no, wɔn a wɔwɔ saa tebea yi adwene yɛ papa. Sɛ wɔde ayaresa a ɛfata di dwuma a, nnipa dodow no ara san tumi di wɔn akisikuru so. Oprehyɛn a wɔde wɔn ho hyɛ mu te sɛ cystoplasty ho yɛ na koraa.

Nsonsonoe bɛn na ɛda Non-neurogenic ne Neurogenic Voiding Dysfunction ntam?

Neurogenic voiding dysfunction (neurogenic bladder) kyerɛ tebea horow a ntini ahorow a ɛsɛe de ba, te sɛ nsɛm a ɛfa amemene, ntini, anaa akyi berɛmo ho a ɛmma wontumi nni akisikuru no so yiye.

Nea ɛne eyi bɔ abira no, Non-neurogenic voiding dysfunction a yɛreka ho asɛm no ne ntini mu tebea biara a ɛhyɛ ase nni abusuabɔ.

Nkrasɛm a ɛho hia a efi Nirogi Lanka hɔ: Non-neurogenic voiding dysfunction betumi aka mmofra ne mpanyimfo nyinaa kɛse. Ɛyɛ awosu sɛ wobɛte aniwu anaa dadwen nka, na akwanhyia ho suro betumi ama woatwe wo ho afi wo da biara da dwumadi ahorow ho. Yɛsrɛ sɛ kae sɛ ɛnsɛ sɛ woma tebea yi brɛ w’asetra ase. Sɛ wo anaa wo dɔfo bi rehu saa sɛnkyerɛnne ahorow yi a, yɛsrɛ sɛ kɔ oduruyɛfo nkyɛn. Wɔwɔ hɔ sɛ wɔbɛboa wo ma woahu nea ɛde ba na woanya ayaresa nhyehyɛe a etu mpɔn.

Nsɛm a Wɔaboaboa Ano: Nkrasɛm a Wɔde Kɔ Fie

Yɛwɔ anidaso sɛ saa nsusuwii a ɛfa Non-neurogenic voiding dysfunction ho yi aboa. Ɛho hia sɛ yɛkae sɛ ɛnyɛ ntini mu yare a ɛsɛe na ɛde eyi ba. Ebia akisikuru ntini a ɛyɛ mmerɛw, nsu a ɛkɔ nipadua no mu a ɛsiw, suban a enye, anaa akisikuru na ɛde ba.

• Nsɛnkyerɛnne: Ɛyɛ den sɛ wobɛtow nsu, nsu a ɛyɛ mmerɛw, akisikuru a enni mũ, nsu a ɛtwetwe a ɛnyɛ ne pɛ, anaa akwanhyia a ɛba awiabere wɔ mmofra mu.
• Nhwehwɛmu a wɔyɛ: Aduruyɛ mu nhwehwɛmu, akisikuru da biara da, ultrasound, ne urodynamic nhwehwɛmu.
• Ayaresa: Asetra mu nsakrae, akisikuru ntetee, akyi berɛmo mu apɔw-mu-teɛteɛ, nnuru, ne ayaresa titiriw afoforo.
• Nea ɛho hia: Sɛ wowɔ yare no ho sɛnkyerɛnne ahorow a, mma w’ani nwu—hwehwɛ aduruyɛfo a wofi animdefo afotu. Ayaresa a wɔyɛ no ntɛm boa ma wosiw nsɛnnennen a ɛtra hɔ kyɛ ano.

Sɛ wowɔ nsɛmmisa foforo a, yɛsrɛ wo ntwentwɛn wo nan ase sɛ wubebisa wo duruyɛfo. Tena apɔwmuden mu ne Nirogi Lanka!

Nsɛmfua atitiriw: Nsuo a ɛnyɛ ntini mu nsuo a ɛnyɛ adwuma, akisikuru a ɛyɛ den sɛ ɛbɛtɔ nsuo mu, akisikuru akwahosan, nsuo mu yareɛ, akisikuru, mmofra nsuo mu nsɛm, nsuo a wɔtumi nhyɛ mu, akisikuru a ɛyɛ adwuma boro so, akisikuru nteteeɛ.