So wuhu da sɛ wugyina aguaree hɔ, retwɛn sɛ wo nsuo befi ase, ɛwom mpo sɛ wote nka sɛ wopɛ no? Anaasɛ ebia wo nsu a ɛsen no gyae mpofirim wɔ mfinimfini, na ɛbɛkɔ so ayɛ nsu a ɛtɔ bere a woayɛ den awie no? Sɛ woanya saa sɛnkyerɛnne ahorow yi a, ebia woredi tebea bi a wɔfrɛ no urinary hesitancy ho dwuma . Wɔ Nirogi Lanka , yɛpɛ sɛ yɛboa wo ma wote nea eyi kyerɛ ne sɛnea wobetumi adi ho dwuma ase.
Dɛn na yɛpɛ sɛ yɛka wɔ Urinary Hesitancy ho? (Akwankyerɛfo a ɛnyɛ den a efi Nirogi Lanka)
Sɛ yɛbɛka no tiawa a, twentwɛn wo nan ase wɔ nsuo mu kyerɛ ɔhaw bi a ebia wubehyia bere a ɛsɛ sɛ woto wo ho. Eyi kyerɛ sɛ ebia wobɛpere sɛ wubefi adeyɛ no ase, anaasɛ ɛbɛyɛ den sɛ wobɛkɔ so akura nsu a ɛsen daa na ɛkɔ so daa no mu. Ɛtɔ da bi a, ebia wobɛte nka sɛ ɛho da so ara hia sɛ woto nsuo, nanso nsuo no gyae mpofirim.
Bere a eyi betumi ato obiara no, wɔtaa hu tebea yi wɔ mmarima mu.
Nnuruyɛfo de asɛmfua “twentwɛn ne nan ase” di dwuma de kyerɛkyerɛ saa apereperedi pɔtee no mu bere a wobɔ mmɔden sɛ wubefi ase atoto nsu anaa mmɔden a ɛho hia na ama nsu no akɔ so atɔ nsu no mu.
Dɛn ne sɛnkyerɛnne ahorow a ebia wubenya?
Nneɛma atitiriw a ɛkyerɛ sɛ wotwentwɛn wo nan ase wɔ nsu mu ne sɛnea ɛyɛ den sɛ wubefi ase asen na nsu no agyae ansa na wo akisikuru no ate nka sɛ ɛda mpan koraa. Bio nso, ebia wubehyia:
- Nkate a ɛkyerɛ sɛ ɛsɛ sɛ wokɔ, nanso wuntumi mfi ase.
- Hia a ehia sɛ wɔtwetwe anaasɛ wɔpia na ama nsu no asen.
- Asuten a ɛyɛ mmerɛw yiye, anaasɛ wohu sɛ efi adi sɛ nsu a ɛtɔ teateaa.
- Post-void dribbling (nsu a ɛretu bere a woawie no).
Nsɛnkyerɛnne afoforo ne bere a ɛsɛ sɛ woyɛ ho biribi
Ɛtɔ mmere bi a, sɛ wotwentwɛn wo nan ase wɔ nsu mu a, ebetumi ama woatumi akɔto wo nsu mu , baabi a wuntumi nyi wo akisikuru mu koraa. Sɛ wuhyia nea edidi so yi a, kɔ ayaresabea ntɛm ara:
- Ɛyaw a ɛba wo yafunu ase.
- Nkate a ɛma obi ho popo anaasɛ ɔyɛ ma wɔ akyi berɛmo no mu.
- Nsu a ɛtwetwe a ɛnyɛ ne pɛ (a wonim no sɛ nsu a wontumi nhyɛ mu ).
Dɛn nti na eyi ba? Nneɛma a ebetumi de aba
Nneɛma pii nti na ebia wobɛtwentwɛn wo nan ase wɔ wo nsu mu. Momma yɛnhwɛ nea ɛtaa ba no.
Ade a ɛtaa de ba mmarima mu
Nea ɛtaa de mmarima ba ne Benign Prostatic Hyperplasia (BPH) , anaasɛ prostate a ayɛ kɛse. Eyi taa ba mmarima a wɔadi boro mfe 60. Prostate yɛ ntini ketewaa bi a atwa nsu a ɛkɔ nsu mu (nsu a ɛkɔ nsu mu) ho ahyia. Sɛ ɛyɛ kɛse a, ɛpiapia urethra no, na esiw nsu a ɛsen no kwan.
Nneɛma afoforo a ɛtaa ba
Nneɛma afoforo a ebetumi de aba no bi ne:
- Nsuo mu Nyarewa (UTIs) anaa Akisikuru mu Nyarewa: Eyinom abu so yiye na ebetumi aka wo nsu a ɛsen no.
- Prostatitis: Prostate gland a ɛyɛ hyew anaa ɔyare mmoawa.
- Urethral Strictures: Akuru a ɛba urethra no mu esiane opira anaa ɔyare mmoawa a atwam nti, na ɛma ɔkwan no yɛ teateaa.
- Akisikuru a Ɛyɛ Den: Nhyɛso kɛse a ɛba dwensɔtwaa mu no betumi apiapia akisikuru no na aka nsu a wɔtow.
- Nnuru Bi: Nnuru te sɛ nnuru bi a wɔde kum adwenemhaw a ɛyɛ tricyclic, nnuru a wɔde sa akisikuru a ɛyɛ adwuma boro so, anaa atiridii ne akisikuru ano aduru bi mpo.
- Pelvic Floor Dysfunction: Entumi mma pelvic ntini ahorow no dwo yiye bere a wɔretoto nsu no.
- Ntini mu tebea horow: Tebea horow a ɛka nsɛnkyerɛnne a efi w’amemene mu kɔ wo akisikuru mu, te sɛ ɔyare a ɛma obi hwe ase, Multiple Sclerosis (MS), anaa asikreyare mu ntini mu yare.
- Pelvic Organ Prolapse: Sɛ pelvic ntini ahorow no yɛ mmerɛw a, akwaa ahorow te sɛ akisikuru tumi sesa, na ɛka sɛnea wutumi de nsu gu mu.
Henanom na wɔwɔ asiane mu?
Bere a eyi betumi ato obiara no, ɛtaa ba mmarima a wɔadi boro mfe 60 a wɔredi prostate a ɛtrɛw (BPH) ho dwuma no mu.
Ɔkwan bɛn so na wo duruyɛfo no behu eyi?
Sɛ wo ne wo oduruyɛfo titiriw kasa fa saa sɛnkyerɛnne ahorow yi ho a, ɔbɛhwɛ w’ayaresa ho abakɔsɛm mu na wɔayɛ wo nipadua mu nhwehwɛmu de ahu nea ɛde ba.
Nsɛmmisa a ebia wo duruyɛfo bebisa:
- Bere tenten ahe na woahyia saa nsɛnnennen yi?
- So wo nsu a ɛsen no yɛ mmerɛw sen sɛnea ɛtaa yɛ no?
- So saa sɛnkyerɛnne ahorow yi puei mpofirim, anaasɛ ɛkɔɔ so nkakrankakra?
- So worenom nnuru bi a wɔtɔn a wɔmfa nnuru nhyɛ mu de sa eyi?
- So woahyɛ no nsow sɛ nnuan, anonne, anaa dwumadi ahorow bi ma saa sɛnkyerɛnne ahorow yi mu yɛ den?
Wo mmuae no bɛboa wo duruyɛfo ma wate w’akwahosan ho nsɛm ase yiye.
Nsɔhwɛ ahorow a wɔde hu yare no:
Sɛnea ɛbɛyɛ na woasi nea wɔahu no so dua na woahu nea ɛde ba a wɔtwentwɛn ne nan ase wɔ nsu mu , ebia wo duruyɛfo bɛkamfo akyerɛ sɛ wɔnyɛ nhwehwɛmu foforo.
- Urodynamic Tests: Eyi yɛ nhwehwɛmu ahorow a wɔyɛ de hwɛ wo urinary akwahosan denam nhwehwɛmu a wɔbɛyɛ so:
- Nsu dodow a wode fa mu nyinaa.
- Sɛnea wo nsu no sen ne ahoɔden a ɛwɔ wo nsu mu no .
- Nhyɛso a ɛwɔ wo akisikuru mu.
- Mfoniniyɛ mu Nhwehwɛmu: Ebia wo duruyɛfo bɛkamfo akyerɛ sɛ wɔnyɛ ultrasound anaa CT scan na ama woahu sɛnea wo akisikuru no hyɛ ma na ɛda mpan, na woahwɛ sɛnea wo prostate no kɛse te. Ɛtɔ mmere bi a, wobetumi ayɛ oprehyɛn bi a wɔfrɛ no Cystoscopy , a wɔde mfoninitwa afiri ketewaa bi fa nsu a ɛkɔ nsu mu no mu de yɛ akisikuru no ho mfonini wɔ wɔn adwene mu.
- Digital Rectal Exam (DRE): Nipadua mu nhwehwɛmu a wɔde hwɛ sɛnea wo prostate gland no kɛse ne sɛnea ɛte.
- Nsuo mu nhwehwɛmu: Nsuo mu nhwehwɛmu a wɔyɛ de hu nneɛma nketenkete anaa nnuru a ɛnyɛ ne kwan so.
- Nsuo a Wɔde Yɛ Adwuma: Sɔhwɛ pɔtee bi a wɔde hu sɛ ebia wowɔ ɔyare mmoawa bi wɔ wo nsu mu anaa .
Ɔkwan bɛn so na wɔsa Urinary Hesitancy wɔ Nirogi Lanka?
Ayaresa a wɔde sa Urinary Hesitancy gyina nea ɛde ba ne w’akwahosan nyinaa so. Ebia wo duruyɛfo a ɔwɔ Nirogi Lanka no bɛkyerɛ sɛ wobɛyɛ nneɛma a edidi so yi:
- Bladder Retraining / Bere a Wɔde Yɛ Akisikuru
- Pelvic Floor Apɔw-mu-teɛteɛ
- Nnuru a wɔde di dwuma
- Oprehyɛn a wɔyɛ
- Sacral Nerve Nkannyan / Akyi Ntini a Wɔde Sesa
Momma yɛnhwehwɛ eyinom mu nkɔ akyiri.
Akisikuru a Wɔsan Tete (Timed Voiding) .
Botae a ɛwɔ ha ne sɛ wobɛsan atete wo akisikuru ntini ahorow. Wɔbɛka akyerɛ wo sɛ totow bere a wɔahyɛ da ayɛ (mpɛn pii no nnɔnhwerew abien biara) , sɛ wonte nka mpo a. Eyi boa ma akisikuru no mu da mpan ansa na ayɛ ma dodo.
Pelvic Floor Apɔw-mu-teɛteɛ
Saa ayaresa yi kyerɛkyerɛ wo apɔw-mu-teɛteɛ pɔtee bi a wode bɛma ntini a ɛwɔ wo akyi berɛmo mu no adwo. Sɛ woma saa ntini ahorow yi dwo yiye a, ɛma nsu a wobɛtow no yɛ mmerɛw kɛse na ɛyɛ mmerɛw.
Nnuru a wɔde di dwuma
Ɛdenam sɛnea wɔahu wo yare no so no, wo duruyɛfo betumi akyerɛw nnuru a wɔde hwɛ prostate kɛse so (sɛ nhwɛso no, Dutasteride, Finasteride) anaasɛ alpha-blockers a ɛbɛboa ma akisikuru ne prostate ntini ahorow no adwo. Sɛ ɔyare mmoawa bi wɔ hɔ a, wɔbɛkyerɛw nnuru a ekum ɔyare mmoawa.
Oprehyɛn Ho Nneɛma a Wɔyɛ
Sɛ wo urethra no mu teateaa a, ebia ɛho behia sɛ wɔyɛ oprehyɛn te sɛ Urethral Dilation anaa Reconstruction . Sɛ prostate a ayɛ kɛse (BPH) na ɛde ba a, oprehyɛn ahorow wɔ hɔ a wobetumi apaw de ayi ntini a ɛboro so afi hɔ—efi ɔfese akwan a wɔmfa nhyɛ mu pii so kosi laser anaa anyinam ahoɔden ayaresa a ɛkɔ akyiri so. Wɔ tebea horow bi mu no, ebia ɛho behia sɛ wɔyɛ Prostatectomy fã bi anaa ne nyinaa. Wɔ tebea horow te sɛ Pelvic Organ Prolapse , oprehyɛn betumi ama akwaa no asan akɔ ne gyinabea a ɛfata.
Sacral Nerve a Wɔkanyan no
Wɔ saa adeyɛ yi mu no, wɔde afiri ketewaa bi a ɛkanyan ntini mu ntini no hyɛ honam ani a ɛbɛn wo akyi no ase. Ɛde anyinam ahoɔden a ɛyɛ brɛoo kɔ ntini a ɛwɔ akyi no mu ma ɛhwɛ akisikuru ntini no dwumadi so yiye.
So wubetumi adi eyi ho dwuma wɔ fie?
Wɔ tebea horow bi mu no, ebia wo duruyɛfo bɛkamfo asetra mu nsakrae a ɛnyɛ den a wubetumi adi ho dwuma wɔ fie de aboa wɔ Urinary Hesitancy .
- Ɔhyew a Wɔde Di Dwuma: Sɛ wode aguare a ɛyɛ hyew anaasɛ wode ɔhyew afiri bedi dwuma wɔ wo yafunu ase a, ebetumi aboa ma wo hwene mu ntini ahorow no ayɛ mmerɛw, na ama wo ho atɔ wo yafunu mu ayɛ mmerɛw.
- Massage: Sɛ wobɔ yafunu no ase (akisikuru no fã) brɛoo bere a woretow wo ho a , ebetumi aboa ma wo nsu a ɛsen ne w’ahoɔden atu mpɔn.
- Nnuru a Ɛma Nsuo Yɛ Dwo anaa Nnuru a Ɛma Akisikuru: Sɛ wowɔ akisikuru a enni sabea a, dwensɔtwaa akwahosan a wobɛhwɛ so denam aduan anaa nnuru a wɔakyerɛw ama wo so no betumi abrɛ nhyɛso a ɛba akisikuru no so ase wɔ ɔkwan a ɛnteɛ so.
Nea ɛho hia sen biara: Bere nyinaa wo ne wo duruyɛfo nkasa ansa na woafi ofie nnuru biara ase na ama woahwɛ ahu sɛ ɛnyɛ nea asiane biara nni ho ma wo tebea pɔtee no.
Mfaso a ɛwɔ ‘Bladder Diary’ so.
Ebia wo duruyɛfo bɛka akyerɛ wo sɛ yɛ "Bladder Diary" mfa nhwɛ wo suban ahorow. Ɛsɛ sɛ wokyerɛw:
- Nsu a wɔnom nyinaa da mũ no nyinaa.
- Nsu dodow a ɛbɛyɛ sɛ ɛba.
- W’asubɔnten no ahoɔden ne nsu a ɛsen.
- Bere tenten ahe na egye ansa na woafi ase atoto nsu .
- Mpɛn dodow a wokɔ aguaree.
- Nsɛnkyerɛnne foforo biara a wubehu.
Saa da biara da nsɛmma nhoma yi de nsɛm a ɛho hia ma wo ne wo duruyɛfo nyinaa na ama woate nea ɛde wo sɛnkyerɛnne ahorow no ba no ase yiye.
Dɛn ne bere nhyehyɛe a ɛma obi ho tɔ no wɔ ayaresa akyi?
Sɛnea wo ho bɛtɔ wo no gyina nea ɛde wo Urinary Hesitancy ba ne ayaresa nhyehyɛe a woapaw no so koraa.
- Pelvic Floor Physical Therapy: Ebia wubefi ase ahu nea efi mu ba wɔ adapɛn pii a woayɛ no daa akyi.
- Nnuru a ɛma ntini mu dwo: Eyinom betumi afi ase ayɛ adwuma wɔ nnɔnhwerew kakraa bi kosi nna kakraa bi mu.
- Sacral Nerve Stimulator: Ebia wubehu nkɔso kɛse wɔ adapɛn kakraa bi mu bere a wɔreyɛ nsakrae wɔ nhyehyɛe ahorow no mu no.
- Oprehyɛn Akyi: Sɛ obi ho bɛtɔ no koraa a, ebetumi agye asram pii a egyina sɛnea oprehyɛn no yɛ den so.
So wobetumi asiw tebea yi ano?
Bere a yentumi nsiw biribiara a ɛde Urinary Hesitancy ba no ano no, mpɛn pii no wubetumi anya ahotɔ denam akisikuru a wobɛkɔ so anya apɔwmuden ne akisikuru a wubesiw ano no so. Eyi kyerɛ sɛ ɛsɛ sɛ wode si w’ani so sɛ wobɛtow nsu nnɔnhwerew kakraa biara sen sɛ wobɛkura mu bere tenten. Bio nso, bɔ mmɔden sɛ wobɛkɔ so ayɛ wo dwensɔtwaa a ɛyɛ fɛ daa da biara da.
Bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn?
Kɔ oduruyɛfo nkyɛn bere a wuhu sɛ worehyia ɔhaw wɔ wo ho a wobɛtow anaasɛ sɛ wo nsu a ɛsen no yɛ mmerɛw bere nyinaa sen sɛnea ɛtaa ba no ara pɛ. Mma w’ani ngu saa sɛnkyerɛnne ahorow yi so anaasɛ nsusuw sɛ wɔn ankasa besiesie kɛkɛ. Bere a ebetumi ayɛ aniwu sɛ wobɛka akisikuru ho nsɛm ho asɛm no, ɛho hia sɛ wɔhwehwɛ mu ntɛm ara sɛ ebia sɛnkyerɛnne foforo anaa nea ɛkɔ so daa biara wɔ hɔ anaa.
So ɛsɛ sɛ wokɔ Emergency Room (ER) no mu?
Sɛ ɛho hia ntɛm ara sɛ wobɛtow nsu nanso wuhu sɛ wuntumi ntow nsu biara koraa, titiriw sɛ worete ɛyaw wɔ wo yafunu ase anaa wo hwene mu a, kɔ Emergency Room a ɛbɛn wo ntɛm ara. Eyi yɛ tebea a ɛnsɛ sɛ wɔtwentwɛn so.
Nsɛmmisa a ɛho hia a ɛsɛ sɛ wubisa wo duruyɛfo
Sɛ wokɔ wo duruyɛfo nkyɛn a, hwɛ hu sɛ wubebisa nsɛm a edidi so yi:
- Wususuw sɛ dɛn na ɛma ɛyɛ den ma me sɛ mɛtow nsu ?
- Nhwehwɛmu bɛn na wokamfo kyerɛ sɛ wɔnyɛ nhwehwɛmu a wɔde hu yare?
- So nhwehwɛmu foforo bi wɔ hɔ a ɛsɛ sɛ meyɛ?
- Ayaresa nhyehyɛe bɛn na wohyɛ ho nyansa ma me?
- So ɛda adi sɛ ɔhaw a ɛne sɛ mɛtow nsu no befi hɔ koraa bere a wɔsa me yare no?
Nkrasɛm a Wɔde Kɔ Fie
Ɛnyɛ asɛmti a yɛka ho asɛm da biara da, nanso yɛn nyinaa nim ahotɔ a ɛwɔ akisikuru a ayɛ ma mu a yɛbɛma ayɛ mmerɛw mu. Sɛ biribi siw wo kwan sɛ wobɛtow wo ho ntɛmntɛm na woatoto wo ho a, ebetumi ayɛ abasamtu na wo ho nyɛ wo dɛ. Eyi ne nea yɛfrɛ no Urinary Hesitancy.
Sɛ ofie mu nsakrae a ɛnyɛ den mma wo yare no ho sɛnkyerɛnne ntu mpɔn a, yɛsrɛ sɛ mma ɛnwu sɛ wo ne oduruyɛfo bɛkasa. Biribiara nni hɔ a ɛsɛ sɛ ɛyɛ aniwu bere a ɛfa w’akwahosan a wode bedi kan wɔ Nirogi Lanka ho no. Sɛ worepere a, yɛsrɛ sɛ fa wo nsa ka ɔhwɛ a wuhia no.
👩🏽 ⚕️ Nsɛmmisa a Wɔtaa Bisa (FAQs) .
💬 So Urinary Hesitancy ne Urinary Retention yɛ ade koro?
Dabi, Urinary Retention yɛ obi a ontumi nkɔ nsu mu koraa. Nanso, Urinary Hesitancy ne bere a wote nka sɛ wopɛ sɛ wokɔ, nanso wohyia ɔhaw anaasɛ ɛkyɛ wɔ nsu a ɛkɔ wo ho a wubefi ase anaasɛ wobɛkɔ so akura mu no mu.
💬 Dɛn ne ade titiriw a ɛma mmarima twentwɛn wɔn nan ase?
Wɔ mmarima a wɔn mfe akɔ anim bɛyɛ 90% mu no, eyi fi Benign Prostatic Hyperplasia (BPH), anaasɛ prostate a ayɛ kɛse. Esiane sɛ prostate no atwa urethra no ho ahyia nti, bere a ɛrenyin no, ɛpiapia tube no. Eyi ma ɛyɛ den sɛ wobefi ase atow nsu na ɛde nsu a ɛyɛ mmerɛw, ɛyɛ teateaa, anaasɛ nsu a ɛreworo so ba.
💬 So eyi hwehwɛ oprehyɛn bere nyinaa?
Nte saa koraa. Mpɛn pii no, wobetumi de nnuru adi ho dwuma yiye. Wɔ nsɛm a ɛfa prostate ho no, alpha-blockers (te sɛ Tamsulosin) taa yɛ nea etu mpɔn kɛse wɔ ntini ahorow no a ɛma ɛyɛ mmerɛw mu na ama nsu no asen yiye. Mpɛn pii no, bere a nnuru ntumi mma ahotɔ a ɛdɔɔso nkutoo na wosusuw oprehyɛn ho.
Nsɛmfua titiriw: Nsuo a ɛtwentwɛn ne nan ase, ɛyɛ den sɛ ɔbɛtow, Nsuo a ɛtwentwɛn ne nan ase, BPH, prostate, nsuo mu yareɛ, nsuo mu sɛnkyerɛnne
