So ɛyɛ den ma wo nso sɛ wobɛtow nsu? Eyi betumi ayɛ urethral stricture!

Ɛtɔ mmere bi a, wote nka sɛ ɛyɛ den kakra bere a woretow nsu no? Anaasɛ wote nka sɛ wo nsu resa, anaasɛ wote nka sɛ pii da so ara wɔ hɔ bere a woatow awie no? Eyinom yɛ ɔhaw ahorow a ɛtaa ba. Nanso ebia nea enti a ɛte saa ne sɛ wo urethra no yɛ teateaa kakra. Wɔ aduruyɛ mu no, yɛfrɛ eyi sɛ urethral stricture .

Dɛn ne Urethral Stricture a Ɛyɛ Den?

Sɛ yɛbɛka no tiawa a, urethral stricture yɛ wo urethra a ɛyɛ teateaa. Wunim, nsu a wɔtow ne ɔkwan a yɛn nipadua no fa so yi nwura fi hɔ. Saa nsuo yi nam afiri ketewa bi a ɛfiri akisikuru no mu na ɛfiri adi. Yɛfrɛ saa tube yi urethra.

Afei hwɛ, wɔ ɔbarima mu no , saa nsu a ɛkɔ nipadua no mu yi fi akisikuru no mu kɔ ntini a ɛwɔ akyi berɛmo no ano no. Wɔ ɔbea mu no , saa afiri yi fi akisikuru no mu kɔ baabi a wobue wɔ ɔbea no awotwaa no anim pɛɛ no.

Enti, sɛ saa kwan a wɔfa so kɔ nsu mu yi, kyerɛ sɛ, (Urethra), siw anaasɛ ɛyɛ teateaa esiane biribi nti a, ɛnde ɛno ne bere a (Urethral Stricture) ba. Ɛte sɛ nsu paipu a esiw mfinimfini. Nnipa binom nso frɛ eyi (Urethral Stricture Disease).

Saa tebea yi abu so dɛn?

Urethral stricture abu so wɔ mmarima mu. Sɛ yɛbɛka no tiawa a, ɛka mmarima bɛyɛ 1%. Ɛntaa mma mmea so.

Dɛn ne eyi ho sɛnkyerɛnne?

Nsɛnkyerɛnne titiriw a ɛkyerɛ sɛ nsu a ɛkɔ nsu mu no mu yɛ den ne sɛnea nsu no sen ntɛmntɛm no so tew, anaasɛ nsu a ɛkɔ nsu mu no yɛ teateaa. Ebia wubehyia nea edidi so yi:

• Ahyɛnsode a wode bɛtow nsu: Ɛsɛ sɛ wobɔ mmɔden kɛse na ama woatumi ayi nsu afi mu.
• Ɛyaw a ɛba bere a ɔreto nsu (dysuria).
• Nsuo mu yareɛ a ɛtaa ba (UTIs). Ebia wubenya atiridiinini ne atiridiinini.
• Prostatitis: Eyi betumi aba mmarima so.

Fa no sɛ wowɔ tebea bi a adwennwen ahyɛ wo so araa ma wuntumi ntow nsu mpo mu a? Ɛno bɛyɛ den ankasa, ɛnte saa?

Ɛtɔ da bi a, sɛ eyi (Urethral Stricture) mu yɛ den yiye a, wubetumi anya tebea bi mpofirim a wuntumi ntow nsu (Acute Urinary Retention). Eyi yɛ tebea a egye ayaresa ntɛm ara. Efisɛ, sɛ wɔansa a, nsu betumi akɔ akyi na aka asaabo abien no nyinaa, na ama ɛho ahonhon (Hydronephrosis). Afei nso, ebetumi aba sɛ asaabo no ntumi nyɛ adwuma yiye (Kidney Failure). Enti, ɛsɛ sɛ wohwɛ yiye paa wɔ eyi ho.

Sɛ wowɔ (Urethral Stricture) a, wote nka dɛn?

Eyi gyina sɛnea wo urethral stricture no mu yɛ den no so ankasa. Wɔ nnipa binom fam noEbia wobɛte nka sɛ ɛsɛ sɛ wotaa tow wo ho, te sɛ nea ɛsɛ sɛ woda so ara to wo ho bere a woafi aguaree aba akyi. Anaasɛ ebia mpofirim ara wubenya ɔpɛ a wuntumi nni so sɛ wobɛtow nsu. Wɔ tebea horow bi mu no, ebia wobɛte ɛyaw mpo bere a woretow nsu no.

Dɛn na ɛde eyi ba?

Mpɛn pii no, nea ɛde nsu a ɛkɔ nsu mu no ba titiriw ne ɔfe a enni sabea anaasɛ akuru a efi opira mu. Saa akuru yi ma nsu a ɛkɔ nsu mu no yɛ teateaa, na ɛma ɛyɛ den sɛ nsu bɛsen ntɛmntɛm.

Saa akuru yi betumi ayɛ nkakrankakra esiane nneɛma a edidi so yi nti:

• Wo barima anaa wo akyi berɛmo (kotoku a ɛkura wo mmadwoa), ebia efi asehwe anaa akwanhyia mu.
• Ɔyare mmoawa, titiriw ɔyare mmoawa a wonya fi nna mu (STI), te sɛ chlamydia.
• Wɔde nsu a wɔde fa nsu mu anaa nnwinnade afoforo fa nsu a ɛkɔ nsu mu no mu bere a wɔreyɛ oprehyɛn anaa wɔreyɛ aduruyɛ afoforo no.
• Esiane tebea horow te sɛ urethral anaa prostate kokoram nti .
• Esiane sɛ wɔde mframa a wɔde sa yare no ma nti .

Ɛtɔ da bi a, wunhu sɛ wowɔ urethral stricture kosi sɛ bere tenten a ɔfe anaa opira a ɛwɔ urethra no mu no sa. Mmere foforo nso, saa teateaa yi betumi aba wɔ opira no akyi pɛɛ.

So wubetumi atoto wo ho bere a woayɛ urethral stricture no?

Nnipa pii tumi tow nsu bere a wɔabɔ wɔn ho ban mpo. Nanso, ebetumi ayɛ den na ayɛ yaw. Ebia wobɛte nka te sɛ nea wo akisikuru no nnyaa mpan koraa. Nanso, sɛ urethral stricture no mu yɛ den a, ebia worentumi ntow wo ho koraa. Sɛ wowɔ nsuo mu yareɛ nanso wuntumi ntow a, ɛho hia sɛ wohwehwɛ aduruyɛfoɔ afotuo ntɛm ara.

Hena na tebea yi ka no kɛse?

Obiara betumi anya urethral stricture. Nanso, sɛ woyɛ ɔbarima na woadi boro mfe 55 a, ɛda adi sɛ wubenya saa tebea yi.

Wobɛyɛ dɛn ahu sɛ wowɔ (Urethral Stricture) anaa?

Sɛ wote nka sɛ woretow brɛoo dodo anaasɛ woreyɛ mmerɛw dodo a, kɔ oduruyɛfo nkyɛn ntɛm ara. Ebia ɔbɛyɛ nhwehwɛmu ahorow bi a ɛnyɛ den de ahwɛ sɛ ebia wowɔ ɔhaw ahorow a ɛbɛma wo akisikuru no mu ada mpan anaa. Bere a nhwehwɛmu ahorow yi ntumi nhu tẽẽ sɛ ebia wowɔ urethral stricture no, ebetumi aboa ma woahu sɛ ebia ɔhaw bi wɔ hɔ anaa. Eyinom ne sɔhwɛ ahorow a wɔtaa yɛ:

• Nsu a ɛsen ho nhwehwɛmu: Eyi na ɛkyerɛ sɛnea nsu a ɛsen bere a wokɔ aguaree no.
• Post-void residual urine test (PVR): Eyi yɛ mfoninitwa sɔhwɛ a ɛkyerɛ nsu dodow a aka wɔ wo akisikuru mu bere a woatow nsu awie no. Mpɛn pii no, ɛsɛ sɛ wo dwonku mu da mpan koraa bere a woatoto wo ho awie no. Nanso, sɛ wowɔ stricture a, ebia nsu bi bɛkɔ so atra hɔ.

Saa nhwehwɛmu a ɛnyɛ den yi ntumi nhu no yiye sɛ ebia ɛyɛ den ma wo sɛ wobɛma wo akisikuru no mu ada mpan no fi nsu a ɛkɔ wo nsu mu a ɛyɛ den anaasɛ tebea foforo bi. Enti, sɛ wo duruyɛfo susuw sɛ ɛyɛ den a, obetumi ahyɛ sɛ wɔnyɛ X-ray a wɔfrɛ no retrograde urethrogram na ama wɔahu na wɔasusuw ne tenten ne ne tɛtrɛtɛ. Wɔ sɔhwɛ yi mu no, oduruyɛfo no de nsu titiriw bi (contrast dye) gu wo urethra mu. Saa nsu yi boa X-ray no ma wohu baabi a stricture no wɔ ne bere tenten a ɛyɛ.

Ebia wo duruyɛfo nso bɛyɛ nhwehwɛmu bi a wɔfrɛ no cystoscopy . Nea ɛka eyi ho ne sɛ wode afiri ketewaa bi a ɛyɛ mmerɛw (scope) a mfoninitwa afiri a wɔde abata n’awiei bɛhyɛ wo nsu a ɛkɔ wo nsu mu no mu. Cystoscope no ma oduruyɛfo no hu baabi a stricture no wɔ. Ansa na wɔbɛyɛ nhwehwɛmu no, wɔde aduru bi a ɛma wo ho yɛ wo yaw gu wo nsu mu na ama wo ho atɔ wo.

Ɔkwan bɛn so na wɔsa (Urethral Stricture)?

Ayaresa ahorow pii wɔ hɔ a wɔde sa Urethral Stricture. Wo duruyɛfo no begyina wo tebea no so akyerɛ ayaresa a ɛfata sen biara.

• Nsuo Mu Ntrɛwmu: Wɔ saa adeyɛ yi mu no, ntini ho oduruyɛfo de abaa atenten a ɛyɛ tratraa toatoa so trɛw baabi a ayɛ teateaa no, na ɔde nkakrankakra de abaa a ne kɛse kɔ soro hyɛ mu.
• Internal Urethrotomy: Wɔ eyi mu no, wɔde sekan ketewaa bi (scalpel) bata cystoscope awiei, na wotwa akuru no ntini no na woyi fi hɔ.
• Urethral Reconstruction: Eyi yɛ oprehyɛn a ɛsõ kakra. Wɔ eyi mu no, woyi ɔfã a ayɛ teateaa no na wɔsan de nsu a ɛkɔ nsu mu no ano abien a ɛte apɔw no bom.

Nea ɛho hia sen biara ne sɛ wo ne wo duruyɛfo bɛkasa na woasi ayaresa a ɛfata wo ho gyinae.

Me ho bɛtɔ me ntɛm dɛn wɔ ayaresa akyi?

Egyina ayaresa ko a wɔde ma wo no so. Ayaresa a ɛnyɛ den te sɛ Urethral Dilation betumi afi ase ama wo yare no ho sɛnkyerɛnne no afi hɔ wɔ nna kakraa bi mu. Nanso, sɛ wɔyɛ wo oprehyɛn a, ebetumi agye adapɛn awotwe ansa na wo ho atɔ wo koraa. Wo duruyɛfo bɛma woahu bere a wo ho bɛtɔ wo no yiye, a egyina ayaresa a wɔkamfo kyerɛ ma wo so.

Sɛ wowɔ (Urethral Stricture) a, dɛn na wobɛhwɛ kwan?

Sɛ wɔsa yare yie a, mpɛn pii no, tebea no (Urethral Stricture) no fi mu ba pa. Nanso, esiane sɛ akuru ntini betumi asan aba bio nti, ebia ɛho behia sɛ wɔyɛ ayaresa pii.Ɛho behia sɛ wo ne wo duruyɛfo no kɔhwɛ sɛ ebia woresa yiye na akuru ntini asan ayɛ bio anaa.

So ebetumi aba sɛ wo ne (Urethral Stricture) bɛtra ase?

Sɛ wɔansa a, urethral stricture betumi de ɔhaw ahorow a ɛde nkwa to asiane mu te sɛ asaabo a entumi nyɛ adwuma yiye ne ɔyare mmoawa a emu yɛ den aba. Enti, sɛ wowɔ sɛnkyerɛnne ahorow a ɛkyerɛ sɛ urethral stricture, titiriw sɛ sɛnkyerɛnne no ba mpofirim a, kɔ oduruyɛfo nkyɛn ntɛm ara sɛnea wubetumi.

Ɔkwan bɛn so na wobetumi asiw urethral stricture ano?

Ɛnyɛ nneɛma a ɛde urethral stricture ba nyinaa na wobetumi asiw ano. Nanso, wubetumi ayɛ nea edidi so yi de aboa ma woanpira wo akyi berɛmo no:

• Hyɛ ade a ɛbɔ wo ho ban a ɛfata yiye (agumadi kuruwa/jockstrap) bere a woredi agumadi anaa nneɛma afoforo a ɛkanyan kɛse no.
• Sɛ wode afiri a wɔde fa nsu mu rehyɛ mu a, fa srade pii gu so.
• Kwati nyarewa a wonya fi nna mu (STIs). Ɛsɛ sɛ wo ne/anaasɛ wo hokafo de kɔndɔm di dwuma. Sɛ wususuw sɛ wowɔ STI a, kɔ oduruyɛfo nkyɛn ntɛm ara. Fa nnuru a ekum ɔyare mmoawa a wo duruyɛfo akyerɛw ama wo no bere tenten no nyinaa.

Kae sɛ eyinom yɛ nneɛma a yebetumi ayɛ. Ɛnyɛ biribiara na ɛwɔ yɛn tumi mu, nanso ɛho hia sɛ yɛhwɛ yiye sɛnea yebetumi biara.

Bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn?

Sɛ wowɔ sɛnkyerɛnne ahorow a ɛkyerɛ sɛ wo urethral stricture a, kɔ oduruyɛfo nkyɛn ntɛm ara. Sɛ wosa yare wie a, kɔ wo duruyɛfo nkyɛn daa na ama woahwɛ ahu sɛ wo ho resa yiye na wo ho atɔ wo bio. Sɛ woda so ara wɔ sɛnkyerɛnne ahorow a, ebia ɔbɛkamfo ayaresa foforo akyerɛ wo.

Bere bɛn na ɛsɛ sɛ wokɔ Emergency Treatment Unit (ETU) ?

Sɛ wowɔ saa sɛnkyerɛnne yi bi a, kɔ baabi a ɛbɛn wo a wɔhwɛ wɔn a wɔwɔ yare a egye ntɛmpɛ:

• Sɛ wontumi ntow nsu koraa.
• Ɛyaw a ɛkɔ soro bere a ɔreto nsu no.
• Mogya a ɛwɔ nsu mu (Hematuria).
• Sɛ obi wɔ ɔyare bi ho sɛnkyerɛnne te sɛ atiridiinini.

Nsɛm bɛn na ɛsɛ sɛ wubisa oduruyɛfo no?

Sɛ wokɔ oduruyɛfo nkyɛn a, wubetumi abisa nsɛm te sɛ:

• Wobɛyɛ dɛn ahu no yiye sɛ mewɔ (Urethral Stricture)?
• Dɛn nti na minyaa eyi (Urethral Stricture)?
• Me (Urethral Stricture) no kɛse/ɛyɛ den dɛn?
• Ɔkwan bɛn so na ɛsɛ sɛ mehwɛ me ho bere a mewɔ eyi (Urethral Stricture) no?
• Ayaresa bɛn na wokamfo kyerɛ?
• Mpɛn ahe na ɛsɛ sɛ meba bɛyɛ nhyehyɛe a ɛbɛma wɔadi akyi?
• Hokwan bɛn na ɛwɔ hɔ sɛ me (Urethral Stricture) bɛsan aba bio?Sɛn ?

Nsuro sɛ wubebisa wo duruyɛfo nsɛm biara a wowɔ. Saa kwan no so no, wubetumi anya tebea yi ho ntease pa.

Awiei koraa no, ɛsɛ sɛ woka sɛ...

Urethral stricture yɛ urethra a ɛyɛ teateaa esiane akuru ntini nti. Ɛwom sɛ eyi betumi ato obiara de, nanso ɛtaa ba mmarima a wɔadi boro mfe 55. Eyi betumi de ɔhaw ahorow a ɛhaw adwene, na ɛtɔ mmere bi a ɛde nkwa to asiane mu, te sɛ nsu a ɛyɛ den sɛ wɔbɛtow.

Nanso ɛnsɛ sɛ wode ɔhaw ahorow yi hu amane. Sɛ wowɔ sɛnkyerɛnne ahorow a, kɔ oduruyɛfo nkyɛn. Obetumi atrɛw saa baabi a ayɛ teateaa yi mu na wama wo sɛnkyerɛnne ahorow no afi hɔ. Enti mma wo ho nnyɛ wo hu, ade a ɛho hia sen biara ne sɛ wobɛhwehwɛ aduruyɛ mu afotu ntɛm ara sɛnea wubetumi.

` Urethral stricture, Nsuo kwan a ɛsiw, Nsuo mu nyarewa, Urethral tube, Oprehyɛn, Nsɛnkyerɛnne