So ɛyɛ den ma wo nso sɛ wubedi wo nsu so? Momma yensua Urge Incontinence ho ade!

So ɛtɔ mmere bi a wunya ahiade bi mpofirim a wuntumi nnyina ano ( urinary urgency), ɛtɔ mmere bi a woto nsu kakra ansa na woadu aguaree mpo? Anaasɛ ɛsɛ sɛ woto wo ho mpɛn pii da biara, ɛtɔ mmere bi a ɛboro mpɛn awotwe? So ɛyɛ ade a ɛfata sɛ wobɛsɔre mprenu anaa mprɛnsa anadwo biara akɔtow wo ho ? Sɛ saa nneɛma yi renya w’asetra so nkɛntɛnso a, mma ɛnhaw wo , ɛnyɛ wo nkutoo. Ɛnnɛ yɛbɛka saa mpofirim hia a ehia sɛ wɔtow nsu yi ho asɛm , anaasɛ wɔ aduruyɛ mu no, `(Urge Incontinence)`.

Dɛn ne Urge Incontinence?

Sɛ yɛbɛka no tiawa a, Urge Incontinence yɛ sɛnea wontumi nni nsu a ɛsen no so. Eyi ne bere a mpofirim ara wunya ɔpɛ mpofirim a wuntumi nni so sɛ wobɛtow nsu , a ebetumi ayɛ den sɛ wubedi so, na ɛtɔ mmere bi a wubetumi akɔto nsu ansa na woanya bere mpo de atu mmirika akɔ aguaree. Ɛsɛ sɛ nnipa binom kɔ aguaree bɛboro mpɛn awotwe da biara, na wɔsɔre mpɛn pii anadwo biara kɔtow wɔn ho . Eyi betumi ayɛ osuahu a ɛhaw adwene paa.

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

Yiw, nsuo a ɛnyɛ den ahodoɔ pii wɔ hɔ, a ``Urge Incontinence'' ka ho. Wɔn mu biara fa nsu kakraa bi a wɔhwere a wɔmpɛ ho. Momma yɛnhwɛ nea wɔyɛ:

• Adwennwen a Wontumi Nhyɛ Mu: Eyi ne bere a wutu nsu kakra bere a woreserew, wofefe, wofefe, anaa woama biribi a emu yɛ duru so no. Susuw ho te sɛ bere a wo ne wo nnamfo serew denneennen na wo nsu kakra pue .
• Mixed incontinence: Eyi betumi ayɛ ``Urge Incontinence'' ne ``Stress Incontinence'' nyinaa ho. Eyi kyerɛ sɛ wo nso wowɔ ɔpɛ sɛ wobɛtow nsu , na bere a woreserew anaa wofefe no nso wosow nsu . Mmea a wɔwɔ urge incontinence no mu bɛboro fã nso wɔ ``Stress Incontinence''.
• Overflow Incontinence: Eyi ne bere a nsu no pue esiane sɛ akisikuru (kotoku a ɛkura nsu ) no ayɛ ma dodo, anaasɛ esiane sɛ wontumi ntow nsu koraa nti. Ɛte sɛ nsu a ɛrehwie agu afi ahina a ayɛ ma mu.
• Functional Incontinence: Eyi ne bere a wuntumi nkɔ aguaree bere ano, anaasɛ wonte nka sɛ ɛho nhia sɛ wotow nsu , esiane tebea foforo nti (sɛ nhwɛso no, tebea a ɛma obi yɛ mmerɛw te sɛ ntini mu yare).

Ɔkwan bɛn so na saa nsu a wontumi nhyɛ mu mpofirim yi abu so?

Ɛtaa ba sen sɛnea ebia wubesusuw. Nhwehwɛmu kyerɛ sɛ mmea bɛyɛ 40% ne mmarima 30% benya saa tebea yi wɔ wɔn asetra mu bere bi. Enti ɛnyɛ wo nko ara.

Dɛn ne ade titiriw a ɛde `(Urge Incontinence)` ba?

Mpɛn pii no nea ɛde eyi ba titiriw ne akisikuru a ɛyɛ adwuma boro so . Eyi ne bere a ntini a ɛwɔ wo akisikuru mu no twetwe mpɛn pii sen sɛnea ɛsɛ sɛ ɛyɛ no. Ɛte sɛ nea wo akisikuru reka akyerɛ wo bere nyinaa sɛ " tow , tow ." Wote nka sɛ wowɔ ɔpɛ a emu yɛ den sɛ wobɛtow nsu ansa na wo akisikuru no ayɛ ma koraa mpo.

Sɛ akisikuru no twetwe saa a, sphincter ntini a ɛwɔ wo urethra (ntini a ɛte sɛ valve a ɛmma nsu ntumi nkɔ mu) no bue kɛkɛ. Ɛno ne bere a nsu a ɛkɔ nipadua no mu no pue.

Dɛn ne `(Urge Incontinence)` ho sɛnkyerɛnne?

Nsɛnkyerɛnne titiriw ne ɔpɛ a ɛba mpofirim a wontumi nni so sɛ ɔbɛtow nsu ne nsu kakraa bi a efi mu ba .

Nea ɛka ho no, ebia sɛnkyerɛnne afoforo bi wɔ hɔ a ɛkyerɛ sɛ akisikuru a ɛyɛ adwuma boro so:

• Nsu a wɔtaa to ( tow bɛboro mpɛn awotwe awiabere).
• Sɛ wɔsɔre kɔtow nsu bɛboro mprenu anadwo bere a woada (Nocturia).
• Nsu a ɛretu , ansa na woakɔ aguaree anaasɛ bere a woato nsu awie pɛɛ .
• Mpa so nsuo (Enuresis).

Wɔ nipadua mu ɔhaw ahorow yi akyi no, `(Urge Incontinence)` nso betumi aka w'adwene mu akwahosan. Nnipa binom suro sɛ wɔbɛkɔ abɔnten bere a tebea no mu yɛ den no. Sɛ wususuw nneɛma te sɛ "Na sɛ aguaree biara nni hɔ a ɛbɛn hɔ nso ɛ?" "Ɛhe na mɛkɔ sɛ ɛsɛ sɛ metow me ho ?", wo nso wowɔ asiane mu sɛ wubenya adwene mu tebea horow te sɛ `(Adwennwen)`, `(Adwennwen)`, ne `(Adwenemhaw) .

Hena na tebea yi ka no kɛse?

Mmea taa nya ``Urge Incontinence'' sen mmarima mmɔho abien. Ɛbɛyɛ nea abu so nso bere a yɛrenyin no. Nanso, nnuruyɛfo ka sɛ ɛnyɛ onyin fã a ɛfata. Ɛno kyerɛ sɛ wobetumi asa.

Asiane afoforo nso wɔ hɔ:

• Asikyireyareɛ.
• Sɛ wɔayɛ wo oprehyɛn wɔ akyi berɛmo no mu, te sɛ hysterectomy.
• Nnuru bi, sɛ nhwɛso no, nnuru a ekum adwenemhaw, nnuru a ɛma obi ho yɛ hyew, ne nnuru a ekum mogya mmoroso.
• Bere a obi gyae brayɛ.
• Ntini mu nyarewa, sɛ nhwɛso no Alzheimer yare, Parkinson yare, ne Multiple Sclerosis (MS).
• Body Mass Index (BMI) a ɛboro 25 (i.e., mu duru boro so/kɛse mmoroso).
• Sigaretnom.
• Tebea horow te sɛ ɔyare a ɛma obi hwe ase.
• Nsuo mu Nyarewa (UTIs).
• Nyinsɛn ne awo (titiriw awo a wɔde fa ɔbea awotwaa mu).
• Sɛ woadi kan anya radiation therapy akɔ pelvic area no mu esiane biribiara nti a.
• Prostate haw ahorow, sɛ nhwɛso no, prostate kokoram anaasɛ prostatic hyperplasia a ɛnyɛ hu.

Dɛn nti na mpofirim ara na mintumi nni me nsu so ?

Ebia woanya yare no ho sɛnkyerɛnne nketenkete bi bere tiaa bi, na ebia wunnim sɛ ebia afi ase reyɛ den nkyɛe. Nanso, sɛ saa sɛnkyerɛnne ahorow yi ada adi wɔ oprehyɛn bi a wɔayɛ no nnansa yi, akwanhyia bi akyi, anaasɛ bere a woafi ase anom aduru foforo akyi a, akyinnye biara nni ho sɛ ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn. Ebetumi afi ntini a asɛe anaa ɔhaw foforo.

Ɔkwan bɛn so na wobehu `(Urge Incontinence)`?

Oduruyɛfo bi behu tebea yi denam w’aduruyɛ ho abakɔsɛm a obegye na wabisa wo wo sɛnkyerɛnne ahorow ho asɛm no so. Wɔbɛyɛ nipadua mu nhwehwɛmu nso. Sɛ woyɛ ɔbea a, ebia wɔbɛyɛ pelvic exam, na sɛ woyɛ ɔbarima a, ebia wɔbɛyɛ digital rectal exam.

Sɛnea ɛbɛyɛ a ɛbɛboa ma wɔahu yare no yiye no, ebia wo duruyɛfo bɛka akyerɛ wo sɛ fa "bladder diary" sie nnansa kosi nnansa. Ɛsɛ sɛ wokyerɛw nea edidi so yi wɔ mu:

• Nneɛma a wonom (te sɛ nsu, tii, kɔfe).
• Wonom nsa dodow ahe?
• Mpɛn ahe na wokɔ aguaree?
• Mpɛn ahe na wo nsu fi mu , na dodow ahe na ɛtwetwe?
• Dɛn na na woreyɛ bere a wo nsu a ɛretu no ?

Bio nso, oduruyɛfo no betumi ayɛ nhwehwɛmu ahorow te sɛ:

• Nsuo mu nhwehwɛmu (Urinalysis) a wɔde hwɛ nneɛma te sɛ nsuo mu yareɛ (UTIs) ne mogya a ɛwɔ nsuo mu (Hematuria).
• Yafunu mu ultrasound de hwɛ akwaa te sɛ akisikuru ne asaabo.
• Fa cystoscopy hwɛ nsu a wɔde fa nsu mu no.
• Urodynamic testing yɛ sɔhwɛ a wɔde hwɛ sɛnea nsu a ɛkɔ nipadua no mu no kura nsu mu yiye na ɛpam nsu, na post-void residual urine test yɛ sɔhwɛ a wɔde hwɛ sɛnea nsu dodow a ɛka wɔ akisikuru no mu bere a wɔatow nsu awie no.

So `(Urge Incontinence)` bɛyɛ yiye ara kwa?

Mpɛn pii no, Urge incontinence nyɛ yiye kɛkɛ. Nanso, ayaresa betumi atew wo yare no ho sɛnkyerɛnne so kɛse.

Dɛn ne ayaresa a eye sen biara ma eyi?

``Urge Incontinence'' ayaresa gyina sɛnea wo sɛnkyerɛnne ahorow no mu yɛ den so. Wo duruyɛfo bebisa wo nsɛm te sɛ eyinom de ahu sɛnea tebea no reka w’asetra kɛse:

• Mpɛn ahe na woto nsu awia?
• Mpɛn ahe na wosɔre kɔtow nsu anadwo bere a woada?
• So wo nsuo pue ?
• Nsu dodow ahe na ɛretu?
• Bere bɛn na nsu no pue?
• Nsu bɛn na wonom?

Oduruyɛfo no betumi agyina mmuae ahorow yi ne nea efii sɔhwɛ mu aba so akamfo nneɛma te sɛ:

• Pelvic floor nipadua mu ayaresa. Ebia eyi bɛka Kegel apɔw-mu-teɛteɛ ne apɔw-mu-teɛteɛ a wɔde ma ntini a ɛwɔ akyi berɛmo mu no ho.
• Akisikuru a wɔsan tete wɔn.
• Asetra kwan mu nsakrae.

Kegel apɔw-mu-teɛteɛ

Pelvic floor apɔw-mu-teɛteɛ yɛ apɔw-mu-teɛteɛ a ɛhyɛ ntini ahorow a ɛboa wo nsu a ɛkɔ wo nsu mu no den. Sɛ wɔyɛ no yiye a, wobetumi atew wo yare no ho sɛnkyerɛnne so.

Nanso, ntini a ɛfata a wubehu na wode adi dwuma no nyɛ mmerɛw sɛnea ebia wususuw no. Pelvic floor physiotherapist betumi akyerɛ wo sɛnea wobɛyɛ saa apɔw-mu-teɛteɛ yi yiye. Wobetumi nso de ɔkwan bi a wɔfrɛ no ``Biofeedback'' adi dwuma de ahwɛ sɛ woreyɛ wɔn yiye. Sɛ wopɛ sɛ wuhu nkɔso wɔ wo ``Urge Incontinence'' ho sɛnkyerɛnne ahorow mu a, ɛsɛ sɛ woyɛ saa apɔw-mu-teɛteɛ yi daa bɛyɛ adapɛn anan kosi asia.

Ɛtɔ mmere bi a, akisikuru a ɛyɛ adwuma boro so ho sɛnkyerɛnne betumi ayɛ kɛse denam wo hwene fam ntini a ɛyɛ den anaasɛ ɛyɛ den so. Sɛ eyi te saa a, apɔw-mu-teɛteɛ ho ɔyaresafo betumi akyerɛ wo sɛnea wobɛma saa ntini ahorow yi adwo na woabom ayɛ biako.

Akisikuru a wɔsan tete wɔn

Eyi hwehwɛ sɛ wɔkɔ aguaree wɔ mmere a wɔahyɛ nkutoo mu. Botae no ne sɛ wobɛtwɛn kakra ansa na woatow wo ho , sɛ mpo wowɔ ɔpɛ a emu yɛ den sɛ wobɛtow nsu a . Eyi bɛhyɛ wo pelvic floor ntini ahorow mu den na aboa ma woakura wo nsu mu akyɛ.

Ɛsɛ sɛ nnipa binom tow wɔn ho mpɛn pii, sɛ nhwɛso no, nnɔnhwerew abien biara. Nea enti a ɛte saa ne sɛ bere a wɔn akisikuru ayɛ ma kɛse akyi nkutoo na wɔte nka sɛ wɔpɛ sɛ wɔtow nsu , na ɛno betumi ama ayɛ den sɛ wɔbɛtow. Enti, sɛ wotaa kɔ akisikuru no mu na woma akisikuru no da mpan a, ebetumi aboa ma ɔhaw a ɛne sɛ nsu a ɛretu no so atew.

Asetra kwan mu nsakrae

Eyinom yɛ asetra mu nsakrae a ebetumi aboa ma ``Urge Incontinence'' so atew:

• Sɛ wonom sigaret a, gyae.
• Nsã a ɛkanyan akisikuru (nsã a caffeine wom te sɛ kɔfe ne tii, anonne a carbon wom te sɛ soda, ne nsa) kakraa bi a wɔbɛnom.
• Mu duru a ɛfata a wobɛkɔ so akura mu.
• Siw akisikuru anoDi aduan a ahoɔdennuru pii wom na nom nsu pii. Akisikuru betumi ama ɔpɛ a obi ntumi nhyɛ ne ho so no ayɛ kɛse.
• Sɛ ayaresa tebea afoforo bi wɔ hɔ a ebetumi de ``Urge Incontinence'' aba a, hwehwɛ ayaresa ma wɔn.

Ayaresa Afoforo

Sɛ akisikuru ntetee ne asetra mu nsakrae mmoa a, ebia wo duruyɛfo bɛkamfo ayaresa te sɛ eyinom akyerɛ:

• Botulinum awuduru (Botox ®) a wɔde twitwiw nipadua no mu.
• Neuromodulation ayaresa a wɔde sa yare.

Botox a wɔde yɛ nipadua no

Botox yɛ adwuma denam ntini a ɛwɔ wo akisikuru mu a ɛma wo ho dwo no so, na ɛma wutumi kura nsu pii mu. Nanso ɛnyɛ ano aduru a ɛbɛtra hɔ daa. Ɛho behia sɛ wode nnuru a wɔde twitwiw wo mu asram asia biara anaa nea ɛte saa bere a nea efi mu ba no ano brɛ ase no.

Neuromodulation ayaresa a wɔde sa yare

Akwan abiɛsa wɔ hɔ a wobɛfa so akanyan ntini a ɛka wo akisikuru no brɛoo. Eyi boa ma wohwɛ ɔkwan a wo ntini ahorow no ne wo akisikuru no di nkitaho no so. Saa akwan yi ne:

• Percutaneous tibial nerve stimulation (PTNS): Nea ɛka eyi ho ne sɛ wobɛkanyan ntini bi a ɛwɔ wo nansoaa atifi pɛɛ. Wɔde saa ayaresa yi ma pɛnkoro dapɛn biara bɛyɛ adapɛn 12. Ɛnyɛ asɛm kɛse, na wobetumi ayɛ wɔ oduruyɛfo adwumayɛbea, na ɛyɛ mmerɛw sen akwan afoforo.
• Implantable tibial nerve stimulation (ITNS): Eyi hwehwɛ sɛ wode afiri ketewaa bi bɛhyɛ honam ani a ɛbɛn wo nansoaa ase de akanyan akyi tibial nerve no. Eyi ma wutumi yɛ nkanyan no wɔ fie, sen sɛ wobɛkɔ adwumayɛbea pɛnkoro dapɛn biara.
• Sacral neuromodulation (SNM): Eyi hwehwɛ sɛ wode afiri ketewaa bi bɛhyɛ w’akyi ase. Oduruyɛfo de hama ketewaa bi hyɛ w’akyi berɛmo ase na ɔde nkannyan a ɛyɛ brɛoo bere nyinaa ma ntini bi a ɛne wo akisikuru no di nkitaho tẽẽ no. Wɔde batere nso ahyɛ honam ani.

Ɔkwan bɛn so na wɔbɛtew asiane a ɛwɔ `(Urge Incontinence)` mu no so?

Nneɛma koro no ara a ɛboa ma wɔsa ``Urge Incontinence'' nso boa ma wosiw ano:

• Kura mu duru a ɛfata a ɛfata wo mu.
• Kwati akisikuru.
• Sɛ wonom sigaret a, gyae.
• Tew caffeine, anonne a mframa bɔne wom, ne nsa so.
• Toto wo ho mpɛn pii na ama wo akisikuru no mu da mpan.

Dɛn na ɛsɛ sɛ obi a ɔwɔ `(Urge Incontinence)` hwɛ kwan?

Urge incontinence betumi ayɛ adwennwen kɛse. Wubetumi de ofie nnuru te sɛ Kegel apɔw-mu-teɛteɛ ne akisikuru ntetee so atew wo akɔnnɔ a wuntumi nhyɛ wo ho so. Nanso, ebia ebegye ɔsram biako anaa nea ɛboro saa ansa na wɔahu nsonsonoe, na ebia yare no ho sɛnkyerɛnne no nnyae koraa. Enti, ɛho hia sɛ wo ne oduruyɛfo kasa.Afei ɔbɛka sɛnea wo tebea no mu yɛ den ne akwan pa a wobɛfa so adi ho dwuma na woatew nkɛntɛnso a ɛbɛba w’asetra so no akyerɛ wo.

Sɛ wɔansa `(Urge Incontinence)` a, dɛn na ɛba?

Sɛ wɔansa a, ``Urge Incontinence'' betumi asɛe kɛse. Ebia ebehia sɛ wokɔ aguaree mpɛn pii na wo nsu pii pue . Sɛ wonom sigaret anaasɛ wo nkura mu duru a ɛfata a, ɔhaw ahorow yi betumi ayɛ kɛse.

Ɔkwan bɛn so na wobedi `(Urge Incontinence)` ho dwuma?

Urge incontinence betumi ama nsu a ɛretu, enti ebia wobɛpɛ sɛ wode ntade ase a ɛtwe nsu anaa nea wɔde hyɛ nsu mu di dwuma kosi sɛ w’ayaresa no bɛyɛ nea etu mpɔn. Nanso, sɛ obi de ne ho hyɛ nsu mu mpɛn pii a, ebetumi ama ne mpaboa ayɛ akisikuru na wayɛ akuru. Sɛnea ɛbɛyɛ na woabɔ wo honam ani ban no, ɛyɛ papa sɛ wode biribi te sɛ petroleum jelly (Vaseline®) . Sɛ petroleum jelly nkutoo mmoa a, sɔ cream anaa ngo a zinc oxide wom hwɛ, na kɔ oduruyɛfo nkyɛn.

Sɛ worehyia adwennwen, adwenemhaw, anaa dadwen esiane wo ɔpɛ a wuntumi nhyɛ wo ho so nti a, ebetumi aboa sɛ wo ne ɔyaresafo anaa adwene ne nneyɛe ho ɔbenfo bɛkasa . Wobetumi aboa wo ma woadi w’adwene mu akwahosan ho dwuma.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Wo ne wo duruyɛfo nkasa bere a wudi kan hu ``Urge Incontinence'' ho sɛnkyerɛnne anaasɛ sɛ wuhu nsakrae wɔ wo aguaree su mu ara pɛ. Wobetumi aboa wo ma woahu nea ɛde ba, asa, na woadi wo sɛnkyerɛnne ahorow no ho dwuma. Ɛho hia nso sɛ wobɛhwɛ sɛ wowɔ urinary tract infection (UTI) sɛ wo sɛnkyerɛnne no mu yɛ den a.

Nsɛm bɛn na ɛsɛ sɛ wubisa oduruyɛfo no?

Ebia wobɛpɛ sɛ wubisa wo duruyɛfo nsɛm te sɛ eyinom:

• Dɛn ne nea enti a mewɔ `(Urge Incontinence)`?
• Sɔhwɛ ahorow bɛn na woyɛ?
• Me ``Urge Incontinence'' no mu yɛ den dɛn?
• So wususuw sɛ ebehia Botox, ntini mu ayaresa, anaa oprehyɛn?
• Asiane bɛn na ɛwɔ Botox, ntini mu oprehyɛn, anaa oprehyɛn mu?

Nsonsonoe bɛn na ɛwɔ `(Urge Incontinence)` ne `(Stress Incontinence)` ntam?

Ɛsono nea ɛde abien yi ba ne ne sɛnkyerɛnne ahorow:

• Adwennwen a Ɛnyɛ Den: Eyi fi yafunu no nhyɛso a ɛba akisikuru no so. Wɔ eyi mu no, nsu no fi mu nkakrankakra.
• Urge Incontinence: Mpɛn pii no, akisikuru a ɛyɛ adwuma boro so na ɛde eyi ba. Ebetumi ama nsu pii atu sen adwennwen a wontumi nhyɛ mu.

Sɛ woka wo aguaree ho asɛm a, ebetumi ayɛ aniwu, enti ebia wubesusuw sɛ wo nkutoo na wowɔ saa ɔhaw yi. Nanso ɛnyɛ wo nkutoo na wowɔ. Urge incontinence ka nnipa pii wɔ wɔn asetra mu bere bi.

Sɛ wo ne abusuafo anaa nnamfo a wogye wɔn di kasa fa eyi ho a, ebetumi aboa wɔn ma wɔate wo suban mu nsakrae ase. Wobetumi nso aboa wo ma woate nkɛntɛnso a ahopere a wontumi nhyɛ so nya wɔ w’asetra so no so denam boa a wɔbɛboa wo ma woanya aguaree bere a worekɔ abɔnten, ne afoforo adwene a wɔbɛtwetwe sɛ wotra aguaree bere tenten dodo a.

Nea ɛho hia sen biara ne sɛ wo ne wo duruyɛfo bɛkasa afa ayaresa a eye sen biara a wobɛfa so ama wo tebea no ho. Sɛ woyɛ ayaresa, wodi kan yɛ nhyehyɛe, na afoforo boa wo a, wubetumi atew nkɛntɛnso a ɔpɛ a obi ntumi nhyɛ ne ho so nya wɔ w’asetra so no so.

Nneɛma a ɛho hia a ɛsɛ sɛ wokae (Take-Home Message) .

• Urge incontinence yɛ tebea a wotumi sa, enti mma w’ani nnwu anaasɛ nsuro.
• Ebia ade titiriw nti a ɛte saa ne akisikuru a ɛyɛ adwuma boro so.
• Nneɛma a ɛnyɛ den te sɛ asetra mu nsakrae, Kegel apɔw-mu-teɛteɛ, ne akisikuru ntetee mpo betumi ama nsakrae kɛse aba.
• Ɛho hia sɛ wohwehwɛ aduruyɛfo afotu sɛ wowɔ sɛnkyerɛnne ahorow a. Sɛ wohu yare no yiye na wosa wo yare a, ebetumi ama w’asetra atu mpɔn.
• Ɛnyɛ wo nko ara. Saa tebea yi ka nnipa pii. Enti nya mmoa, na kyerɛkyerɛ afoforo eyi ho ade.

Mewɔ anidaso sɛ saa nsɛm yi ho bɛba wo mfaso. Kɔ so nya apɔwmuden!

` incontinence, urge incontinence, akisikuru a ɛyɛ adwuma boro so, akisikuru a wɔhwɛ so, nsu a wɔtaa tow, nocturia, nsu a ɛtwetwe, Kegel apɔw-mu-teɛteɛ, akisikuru a wɔsan tete, akisikuru a wɔde siw ano, nsu a wontumi nhyɛ, Sinhala akwahosan