Ɛtɔ mmere bi a, ɛsɛ sɛ wotwɛn kakra ansa na wo nsu apue? Anaasɛ wugyae mpofirim bere a woretow wo ho , na bere a worebɔ mmɔden bio no, kakraa bi pɛ na epue? Sɛ eyi ato wo a, ɛnde ebia wowɔ tebea a yɛreka ho asɛm nnɛ no nso, ‘ɛyɛ den sɛ wobɛtow wo ho ’. Eyi yɛ nea wonim no wɔ aduruyɛ mu sɛ `(Urinary Hesitancy)`. Momma yɛnka eyi ho asɛm nkɔ akyiri.

Dɛn ne saa ɔhaw a ɛwɔ nsu a wɔtow mu yi ? (Urinary Hesitancy wɔ nsɛm a ɛnyɛ den mu)

Sɛ yɛbɛka no tiawa a, `(Urinary Hesitancy)` kyerɛ sɛ ɛyɛ den ma wo sɛ wobɛtow wo ho (i.e. wobɛtow nsu). Eyi kyerɛ sɛ ebia ɛbɛyɛ den ama wo sɛ wubefi ase atow nsu , anaasɛ ebetumi ayɛ den ama wo sɛ wobɛkɔ so atow wo ho ntɛmntɛm na woatoto wo ho. Ɛtɔ mmere bi a, wubetumi agyae nsu a wobɛtow ɛmfa ho mpo sɛ woda so ara pɛ sɛ wototow .

Eyi betumi ato obiara ankasa, nanso sɛ woyɛ ɔbarima a, ɛda adi kakra sɛ wubenya tebea yi.

Nnuruyɛfo de asɛmfua "twentwɛn ne nan ase" di dwuma de kyerɛ sɛnea ɛyɛ den sɛ wobefi ase atow nsu anaasɛ ɛyɛ den sɛ wɔbɛkɔ so akura nsu mu .

Nsɛnkyerɛnne bɛn na wuhu wɔ tebea yi mu?

``Urinary Hesitancy'' ho sɛnkyerɛnne titiriw ne sɛ ɛyɛ den sɛ wubefi ase atow nsu na woagyae nsu a wobɛtow ansa na akisikuru no mu da mpan koraa. Nea ɛka ho no, sɛnkyerɛnne afoforo betumi aba.

• Te a wobɛte nka sɛ ɛsɛ sɛ woto wo ho , nanso wuntumi ntow .
• Ɔpɛ a ɛwɔ hɔ sɛ wobɛtow nsu .
• Sɛ wote nka sɛ wo nsu no retwam brɛoo paa, anaasɛ te sɛ nsu a ɛreworo so teateaa .
• Dribbling, bere a woatow awie mpo .

Nsɛnkyerɛnne afoforo a ɛka ho sɛ ɛyɛ den sɛ wobɛtow nsu

Ɛtɔ da bi a saa tebea yi a ɛne ``Urinary Hesitancy`` betumi ama ``Urinary Retention`` anaasɛ mpo wontumi ntow nsu . Wɔ eyi mu no, ebetumi de sɛnkyerɛnne ahorow te sɛ:

• Ɛyaw a wɔte nka wɔ yafunu ase.
• Sɛ wote nka sɛ wo yafunu ayɛ hyew.
• Nsu kakra a ɛbɛtɔ a wunnim (wɔsan frɛ no ``Urinary Incontinence'').

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

Nneɛma pii nti na ebetumi ayɛ den sɛ wobɛtow nsu . Momma yɛnhwɛ nea wɔyɛ.

Nea ɛtaa de ba a ɛka mmarima

Nea ɛtaa de eyi ba ne prostate gland a ɛtrɛw (Benign Prostatic Hyperplasia - BPH).. Eyi taa ba mmarima a wɔadi boro mfe 60. Prostate yɛ ntini ketewaa bi a mmarima nkutoo na wɔwɔ. Ɛwɔ akisikuru no ase, na atwa nsu a ɛkɔ nsu mu no ho ahyia. Enti sɛ enyin a, ebetumi amia nsu a ɛkɔ nsu mu no na asiw nsu a ɛkɔ nsu mu no kwan .

Nneɛma afoforo a ɛtaa ba

Nea ɛka ho no, ebia ntease afoforo pii wɔ hɔ:

• Nsuo mu Nyarewa (UTIs) anaa Nsuo mu Nyarewa: Eyinom abu so kɛse wɔ yɛn mu.
• Prostatitis: Eyi yɛ tebea a ɛma prostate gland no hohoro na ɛde ɔyare mmoawa ba.
• Nsuo mu akuru na ɛyɛ teateaa (Urethral Stricture): Nsuo mu nsuo no tumi yɛ teateaa fi mu esiane akwanhyia anaa ɔyare mmoawa nti.
• Akisikuru a emu yɛ den: Sɛ akisikuru mu yɛ den a, ebetumi de nhyɛso aba akisikuru no so na aka nsu a wɔtow .
• Nnuru bi: Sɛ nhwɛso no, nnuru bi a wɔde kum adwenemhaw (Tricyclic Antidepressants), nnuru a wɔde sa nsu a wontumi nhyɛ mu, ne nnuru bi a wɔde sa atiridiinini ne akisikuru nso betumi de eyi aba.
• Ntini a ɛwɔ akyi berɛmo no mu a wontumi nnye ntom yiye: Ɛsɛ sɛ saa ntini ahorow yi dwo bere a wɔretoto nsu no . Sɛ wɔannye wɔn ahome yiye a, ebetumi ayɛ den sɛ wɔbɛtow nsu (Pelvic Floor Dysfunction).
• Ntini mu nyarewa: Ntini mu nyarewa a nsɛnkyerɛnne a efi amemene no mu kɔ akisikuru no mu no ntumi nyɛ adwuma yiye. Sɛ nhwɛso no, akisikuru, multiple sclerosis (MS), anaa asikreyare a ɛma obi nya ntini mu yare.
• Pelvic Organ Prolapse: Sɛ ntini a ɛwɔ pelvic cavity no mu no yɛ mmerɛw a, akwaa te sɛ akisikuru betumi akɔ fam. Eyi nso betumi aka nsu a wɔtow gu .

Hena na ɛda adi sɛ tebea yi bɛka no kɛse?

Sɛnea yɛadi kan aka no, eyi betumi ato obiara, wɔ mfe biara mu. Nanso, ɛtaa ba mmarima a wɔadi boro mfe 60 a wɔn prostate a ayɛ kɛse (BPH) no so.

Ɔkwan bɛn so na oduruyɛfo hu eyi?

Sɛ woka kyerɛ w’abusua oduruyɛfo (Primary Care Physician - PCP) sɛ ɛyɛ den ma wo sɛ wobɛtow wo ho a , obebisa wo wo yare no ho sɛnkyerɛnne, ayɛ w’akwahosan ho abakɔsɛm, na wayɛ nipadua mu nhwehwɛmu.

Nsɛmmisa a ɛsɛ sɛ wobisa wo

Oduruyɛfo no betumi abisa nsɛm te sɛ eyinom:

• Bere tenten ahe na ayɛ den ma wo sɛ wobɛtow nsu yi ?
• So wote nka sɛ woretow brɛoo sen sɛnea wotaa yɛ no?
• So sɛnkyerɛnne ahorow yi bae mpofirim, anaasɛ ɛkɔɔ soro nkakrankakra?
• So aduru bi wɔ hɔ a wubetumi afa afi nnurutɔnbea hɔ na ama woanya ahotɔ afi eyi mu?
• So woate nka pɛn sɛ saa ɔhaw yi yɛ kɛse bere a wudi nnuan bi anaa woyɛ nneɛma bi no?

Oduruyɛfo no betumi agyina nsɛmmisa yi ho mmuae a wode bɛma so anya tebea no ho adwene pa.

Sɔhwɛ ahorow bɛn na wɔyɛ?

Ɛno akyi no, oduruyɛfo no betumi ahyɛ sɛ wɔnyɛ nhwehwɛmu bi mfa nkyerɛ sɛ ``Urinary Hesitancy'' tebea no te na wɔahu nea ɛde ba.

• Urodynamic Tests: Eyi yɛ sɔhwɛ ahorow pii a wɔaka abom. Eyinom hwɛ:
• Woto nsuo dodoɔ sɛn ?
• Wo tow ahoɔhare ne ahoɔden te dɛn?
• Nhyɛso a ɛwɔ wo akisikuru mu no te dɛn?
• Mfoniniyɛ mu nhwehwɛmu: Sɛ nhwɛso no, wobetumi akra sɛ wɔnyɛ ultrasound scan anaa CT scan. Eyinom betumi ahwɛ sɛnea wo akisikuru no hyɛ ma na ɛda mpan, na ebetumi nso ahwɛ sɛnea wo prostate no kɛse te. Ɛtɔ mmere bi a, wobetumi ayɛ cystoscopy, a nea ɛka ho ne sɛ wode mfoninitwa afiri ketewaa bi fa wo urethra mu de hwɛ wo akisikuru no mu.
• Digital Rectal Exam: Eyi hwehwɛ sɛ wɔde nsa hwehwɛ prostate gland no kɛse mu.
• Nsuo mu nhwehwɛmu: Wɔfa wo nsuo bi na wɔsɔ emu nsɛm (microscopic indicators, nnuru) hwɛ.
• Nsuo a Wɔde Yɛ Nsuo: Wɔyɛ nhwehwɛmu yi de hwɛ sɛ ɔyare mmoawa bi wɔ nsuo no mu anaa .

Dɛn ne ayaresa ahorow a ɛma ɛyɛ den sɛ wobɛtow nsu ?

Ayaresa a wɔde ma obi a ɔtwentwɛn wo nan ase wɔ nsu mu no gyina nea ɛde ba ne sɛ ebia wowɔ ayaresa mu tebea foforo biara so. Ebia wo duruyɛfo bɛka ayaresa ahorow a edidi so yi ho nyansa:

• Bladder Retraining / Bere a Wɔde Yɛ Akisikuru
• Pelvic Floor Apɔw-mu-teɛteɛ
• Nnuru a wɔde yɛ nnuru
• Sɛɛgyiri
• Sacral Nerve Nkannyan / Akyi Ntini a Wɔde Sesa

Momma yɛnhwɛ eyinom mu biara mu nkɔ akyiri kakra.

Ntetee a wɔde ma akisikuru (Timed Voiding) .

Nea ɛka eyi ho ne sɛ wobɛsan atete wo akisikuru ntini ahorow. Nea ɛka eyi ho ne sɛ wobɛkɔ akɔtow nsu bere ne bere mu (mpɛn pii no nnɔnhwerew abien biara). Wɔyɛ eyi denam wo akisikuru a wobɛma ada mpan ansa na ayɛ ma no so. Sɛ mpo wonte nka sɛ wobɛtow wo ho , ɛsɛ sɛ wobɔ mmɔden sɛ wobɛkɔ bere ne bere mu.

Pelvic Floor Apɔw-mu-teɛteɛ

Nea ɛka eyi ho ne sɛ wɔbɛkyerɛ wo apɔw-mu-teɛteɛ a ɛbɛboa wo ma ntini ahorow a ɛwɔ wo akyi berɛmo no mu no adwo. Sɛ saa ntini ahorow yi dwo yiye a, ɛnyɛ den sɛ wobɛtow nsu .

Nnuru a wɔde yɛ nnuru

Oduruyɛfo no betumi ama wo nnuru a ɛbɛma prostate no anyin anaasɛ ɛbɛtew nea ɛwɔ hɔ dedaw no so (e.g. Dutasteride, Finasteride). Anaasɛ ebia ɔbɛma wo nnuru a ɛbɛma akisikuru ne prostate ntini ahorow no adwo (Alpha-blockers). Sɛ ɔyare mmoawa bi wɔ hɔ a, ɔbɛma wo nnuru a ekum ɔyare mmoawa.

Sɛɛgyiri

Sɛ urethra no mu yɛ teateaa a, wobetumi ayɛ oprehyɛn de atrɛw (Urethral Dilation) anaasɛ wɔasan ayɛ no foforo (Urethral Reconstruction). Sɛ prostate gland no yɛ kɛse esiane BPH nti a, oprehyɛn ahorow wɔ hɔ a wɔde yi ntini a ɛboro so no fi hɔ. Ebi yɛ mmerɛw na wobetumi ayɛ wɔ oduruyɛfo adwumayɛbea. Afoforo nso yɛ oprehyɛn ahorow a wɔde anyinam ahoɔden anaa laser ahoɔden di dwuma. Ɛtɔ mmere bi a wobetumi ayɛ oprehyɛn de ayi prostate gland no fã bi anaa ne nyinaa (Prostatectomy). Sɛ akwaa a ɛwɔ akyi no ahwe ase (Pelvic Organ Prolapse) a, oprehyɛn ahorow wɔ hɔ a wɔde san de akwaa no si nea ɛwɔ hɔ na wɔboa no na amma anhwe ase bio.

Sacral Nerve a Wɔkanyan no

Wɔ eyi mu no, wɔde afiri ketewa bi a wɔfrɛ no ``Neurostimulator'' hyɛ honam ani a ɛbɛn wo akyi no ase. Saa afiri yi de anyinam ahoɔden a ɛyɛ fɛ yiye kɔ baabi a ɛbɛn wo sacral nerve no ma ɛkanyan akisikuru ntini no.

Nneɛma bɛn na wubetumi ayɛ wɔ fie?

Wɔ tebea horow bi mu no, sɛ wo ne wo duruyɛfo bɛkasa na woayɛ nneɛma a ɛnyɛ den wɔ fie a, ebetumi aboa ma tebea yi afi hɔ (Urinary Hesitancy).

• Ɔhyew: Nneɛma te sɛ aguare a ɛyɛ hyew anaa nsu a ɛyɛ hyew toa anaa ɔhyew aduru a wode bɛhyɛ wo yafunu ase no betumi ama wo yafunu mu ntini ahorow no adwo, na ama ayɛ mmerɛw sɛ wobɛtow wo ho .
• Massage: Bere a woretow nsu , sɛ wode wo nsa twitwiw wo yafunu ase (baabi a akisikuru no wɔ) brɛoo anaasɛ wode nhyɛso brɛoo bɛhyɛ wo ho a, ebetumi aboa ma wo nsu no asen ntɛmntɛm na ahoɔden akɔ soro.
• Nnuru a Ɛma Wo dwensɔtwaa Dwo anaa Nnuru a Ɛma Wo dwensɔtwaa: Sɛ wowɔ akisikuru a, nnuan, anonne, ne nnuru a ɛfata (a ɛwɔ nnuru a ɛma wo dwensɔtwaa mu) a wobɛnom na ama wo dwensɔtwaa akɔ so ayɛ adwuma yiye nso bɛboa ma akisikuru no ayɛ adwuma.

Ade a ɛho hia sen biara ne sɛ ansa na wobɛsɔ saa ofie ayaresa ahorow yi ahwɛ no, ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn ampa na sɛ wɔka sɛ "ɛyɛ nea asiane biara nni ho sɛ wobɛyɛ eyinom nkutoo a."

Mfaso a ɛwɔ ‘bladder diary’ a wobɛkyerɛw so.

Ebia wo duruyɛfo nso bɛka akyerɛ wo sɛ yɛ "bladder diary," nhoma a ɛkyerɛw nneɛma a ɛfa wo akisikuru ho. Wɔ mu no, ɛsɛ sɛ wokyerɛw nneɛma te sɛ:

• Nsu ne nsu dodow a wonom da biara.
• Nsu dodow a wobɛtow (sɛ ɛbɛyɛ yiye a, susuw).
• Ahoɔhare a wɔde tow nsu (te sɛ ebia ɛrekɔ yiye anaasɛ ɛrekɔ so nkakrankakra).
• Bere tenten ahe na egye na obi akɔto nsu ?
• Mpɛn ahe na woto nsu da biara?
• Nea ɛka ho no, ebia wubenya yare no ho sɛnkyerɛnne afoforo.

Ɛdenam da biara da nsɛm a wobɛkyerɛw te sɛ eyi so no, wo ne wo duruyɛfo nyinaa betumi anya tebea yi ho ntease pa.

Me ho bɛtɔ me ntɛm dɛn bere a wɔasa me yare awie no?

Eyi gyina nea ɛde wo twentwɛn wo nan ase wɔ wo nsu mu ne ayaresa a wɔkyerɛw ma wo no so ankasa.

• Pelvic floor nipadua mu ayaresa betumi agye adapɛn pii ansa na wɔahu nea efi mu ba.
• Nnuru a ɛma ntini mu dwo betumi agye nnɔnhwerew pii ansa na wɔafi ase ayɛ adwuma.
• Bere a wɔde afiri a ɛkanyan ntini a ɛwɔ akyi no ahyɛ nipadua no mu akyi no, ebia ebegye adapɛn pii ansa na wɔahu nea efi mu ba.
• Ebetumi agye asram pii ansa na ne ho atɔ no koraa wɔ oprehyɛn akyi .

So wobetumi asiw tebea yi ano?

Yɛrentumi nsiw nneɛma a ɛde `(Urinary Hesitancy)` ba nyinaa ano. Nanso, sɛ wobɛkɔ so akura nsu pa mu na woakwati akisikuru a, ebetumi aboa akodu baabi. Ɛne sɛ, ɛsɛ sɛ wototo wo ho nnɔnhwerew kakraa biara, nkura wo nsu no mu Afei nso, ɛsɛ sɛ wokɔ wo dwensɔtwaa mu brɛoo pɛnkoro da biara.

Mmere bɛn na eye sen biara a wubetumi akɔ oduruyɛfo nkyɛn?

Sɛ wuhu sɛ ɛyɛ den ma wo sɛ wobɛtow anaasɛ wo nsu a ɛsen brɛoo sen sɛnea ɛtaa ba no a, kɔ oduruyɛfo nkyɛn. Mma w'ani ngu wo yare no ho sɛnkyerɛnne so anaasɛ nsusuw sɛ "ɛbɛkɔ n'ankasa." Ebetumi ayɛ aniwu sɛ wobɛka nsu a wɔtow ho asɛm , nanso ɛho hia sɛ wɔhwehwɛ yare no ho sɛnkyerɛnne foforo ntɛm ara.

So ɛsɛ sɛ wokɔ Emergency Treatment Unit (ETU) ?

Sɛ wote nka sɛ wopɛ sɛ woto nsu nanso wuntumi mfa nsu biara nkɔ , titiriw sɛ ɛyaw ka wo yafunu ase anaa wo honam ani fã a, kɔ Emergency Room (ER) ntɛm ara. Eyi yɛ biribi a ɛnsɛ sɛ wotwentwɛn wo nan ase.

Nsɛmmisa a ɛho hia a ɛsɛ sɛ wobisa oduruyɛfo no

Sɛ wokɔ oduruyɛfo nkyɛn a, mma wo werɛ mmfi sɛ wubebisa nsɛm te sɛ eyinom:

• Wususuw sɛ dɛn nti na ɛyɛ den ma me sɛ mɛtow nsu , oduruyɛfo?
• Sɔhwɛ ahorow bɛn na wɔkamfo kyerɛ sɛ menyɛ?
• So ɛsɛ sɛ meyɛ sɔhwɛ foforo bi?
• Ayaresa bɛn na wɔkamfo kyerɛ ma me?
• So ɛyɛ den ma me sɛ mɛtow nsu no bɛkɔ anim koraa da bi?

Awiei koraa no, nea ɛsɛ sɛ wokae (Take-Home Message) .

Ɛwom sɛ ɛnyɛ biribi a yɛn nyinaa ka ho asɛm da biara de, nanso sɛ wowɔ nsu pii a, ɛyɛ apɔwmuden kɛse sɛ wobɛma wo akisikuru mu ada mpan koraa na woatow nsu , ɛnte saa? Nanso bere koro no ara mu no, susuw sɛnea ɛyɛ ahometew na ɛyɛ aniwu bere a wuntumi ntow wo ho ntɔ wo ho koraa na biribi siw wo kwan no ho. Ɛno ne nea wɔfrɛ no `(Urinary Hesitancy)`.

Sɛ ofie nnuru a ɛnyɛ den mmoa wo yare no ho sɛnkyerɛnne ahorow a, mma wofɛre sɛ wo ne oduruyɛfo bɛkasa. Mfomso biara nni ho sɛ wobɛhwɛ w’akwahosan so, na biribiara nni hɔ a ɛsɛ sɛ w’ani wu. Enti, sɛ wowɔ ɔhaw bi a, nya mmoa a wuhia.

` Nsuo a ɛtwetwe, nsuo a ɛyɛ den sɛ wobɛtow , Nsuo a ɛtwentwɛn ne nan ase, BPH, Prostate, Nsuo mu yareɛ, Nsuo ho sɛnkyerɛnne