So wowɔ ɔhaw ahorow wɔ wo nsu mu? Momma yensua Urodynamic Testing ho ade wɔ ɔkwan a ɛnyɛ den so!

So ɛtɔ mmere bi a wote nka sɛ biribi asɛe wɔ wo nsu a wode gu mu no ho? Nsu kakra a ɛtwetwe bere a woreserew anaa wofefe, anaasɛ ɛsɛ sɛ wokɔ aguaree mpɛn pii, anaasɛ wote nka sɛ woankɔ wo akisikuru mu koraa bere a woatoto wo ho awie no... Ɛtɔ mmere bi a saa nneɛma yi betumi ama wo ho atɔ wo. Ɛho nhia sɛ wugyina wɔn ano a wususuw sɛ eyinom yɛ nneɛma a ɛfata. Ɛnnɛ, yɛbɛka sɔhwɛ titiriw ahorow a ebetumi aboa wo ma woahu nea ɛde ɔhaw ahorow yi ba ankasa ho asɛm.

Dɛn ne Urodynamic Testing?

Sɛ yɛbɛka no tiawa a, `Urodynamic Testing` nyɛ sɔhwɛ biako, na mmom sɔhwɛ ahorow pii a wɔaka abom. Sɛnea mfiridwuma ho nimdefo hwɛ sɛ ebia nsukorabea anaa paipu nhyehyɛe bi a ɛwɔ yɛn fie no reyɛ adwuma yiye, asiw baabi, anaasɛ ɛretu no, saa ara na wo duruyɛfo de saa nhwehwɛmu ahorow yi rehwɛ sɛnea wo nsu a ɛwɔ fam no reyɛ adwuma yiye.

Ɛne sɛ, ɛsusuw sɛnea afã horow te sɛ wo akisikuru , a ɛyɛ kotoku a ɛboaboa nsu ano na ɛkora so , ne nsu a ɛkɔ nsu mu no dwumadi.

Nneɛma titiriw a sɔhwɛ ahorow yi susuw ne:

• Sɛnea ntini ne ntini a ɛwɔ wo akisikuru mu no reyɛ adwuma yiye.
• Nhyɛso a ɛwɔ akisikuru no mu ne nea atwa ho ahyia no te dɛn?
• Sɛ wototo wo ho a, sɛnea ɛkɔ ntɛmntɛm ne sɛnea nsu dodow a efi mu ba.

Ɛdenam nhwehwɛmu ahorow yi mu aba a wo duruyɛfo hwɛ so no, obetumi ahu nea ɛde wo sɛnkyerɛnne ahorow no ba ankasa na wapaw ayaresa a ɛfata sen biara.

Dɛn nti na wɔreka akyerɛ wo sɛ yɛ sɔhwɛ yi?

Ebia wo duruyɛfo de wo bɛkɔ akɔyɛ nhwehwɛmu yi sɛ wowɔ sɛnkyerɛnne ahorow a ɛkɔ so te sɛ eyinom a:

• Nsu a wontumi nhyɛ mu: Eyi kyerɛ sɛ wohwere nsu kakra a wunhu. Eyi betumi aba bere a wofefe, woserew, wofefe, anaa woma biribi a emu yɛ duru so no.
• Ɛho hia sɛ wɔtaa tow nsu na egye ntɛmpɛ: Ɛsɛ sɛ wɔkɔ aguaree mpɛn pii da biara, na mpofirim ara ɛsɛ sɛ wɔtow nsu wɔ ɔkwan a wontumi nnyina ano so.
• Ɛyaw a wobɛte nka bere a woretow nsu: Nsu a ɛyɛ hyew anaa ɛyaw.
• Nsuo mu yare a ɛsan ba bio (UTIs): Sɛ wokɔ so nya UTI a, nhwehwɛmu ahorow yi betumi aboa ma woahu nea ɛde ba.
• Ɛyɛ den sɛ wubefi ase atow nsu: Sɛ wobɔ mmɔden sɛ wobɛtow nsu a, nsu mfi adi bere tiaa bi.
• Sɛ worentumi nyi akisikuru no mu koraa (`Urinary Retention`): Wote nka sɛ akisikuru no da so ara ayɛ ma bere a woatow awie no.
• Nsuo a ɛyɛ mmerɛw a wobɛnya: Nsuo no pue brɛoo paa, anaasɛ ɛgyae kakra na afei ɛsan firi aseɛ bio.

Ɔkwan bɛn so na sɔhwɛ ahorow yi yɛ adwuma? Momma yɛnhwɛ wɔn mmiako mmiako.

Urodynamic nhwehwɛmu ahorow pii wɔ hɔ. Ɛtɔ mmere bi a wo duruyɛfo betumi asi gyinae sɛ ɔbɛyɛ nhwehwɛmu bɛboro biako bere koro mu na ama wanya wo tebea no ho mfonini a edi mũ. Momma yɛnhwɛ sɔhwɛ ahorow atitiriw no bi.

Cystometry sɔhwɛ

Eyi ne sɔhwɛ a wɔtaa yɛ. Bere a wo duruyɛfo anaa ɔyarehwɛfo no ma wo akisikuru no mu ada mpan awie no, ɔde ahwɛyiye de afiri a ɛyɛ tratraa yiye na ɛyɛ mmerɛw (catheter) bɛhyɛ wo nsu a ɛkɔ wo nsu mu no mu. Wɔ tube no awiei no, sensor ketewaa bi (manometer) a ɛsusuw nhyɛso wɔ hɔ. Ɛtɔ mmere bi a wobetumi de afiri foforo nso ahyɛ wo akyi berɛmo mu de asusuw nhyɛso a ɛwɔ wo yafunu mu.

Afei, wɔde nsu a ɛyɛ hyew a ɛnyɛ ɔyare mmoawa fa saa afiri yi mu hyɛ wo akisikuru mu nkakrankakra. Saa bere yi de, ebia wɔbɛka akyerɛ wo sɛ wobɛfefe na woahyɛ wo ho kakra. Hwɛ sɛnea nhyɛso a ɛwɔ wo akisikuru mu no sesa. Sɛ wo akisikuru ayɛ ma a, ɛsɛ sɛ woka kyerɛ wo ho sɛ ɛsɛ sɛ woto wo ho. Awiei koraa no, wɔbɛka akyerɛ wo sɛ tow nsu, na wɔasusuw nhyɛso no saa bere no.

Uroflowmetry sɔhwɛ

Eyi yɛ sɔhwɛ a ɛyɛ mmerɛw yiye. Sɛ woba mu ma eyi a, wɔbɛka akyerɛ wo sɛ nom nsu kosi sɛ wo nsu bɛsen yiye. Nea ɛsɛ sɛ woyɛ ara ne sɛ wobɛtow wo ho agu afiri titiriw bi mu. Ɛte sɛ ɛlɛtrɔnik tiafi. Bere a woretow nsu no, afiri no susuw ahoɔhare ne sɛnea wo nsu no retu na ɛda no adi sɛ mfonini. Nea ebefi mu aba no betumi akyerɛ wo sɛ wo akisikuru ntini no ayɛ mmerɛw anaasɛ biribi asiw baabi.

Postvoid Nkaeɛ Nsusuiɛ

Eyi kyerɛ nsu dodow a aka wɔ wo akisikuru mu bere a woatow awie no. Wɔtaa de ultrasound scan na ɛyɛ eyi . Ɛte sɛ scan a wɔde hwɛ sɛ akokoaa bi wɔ awotwaa mu anaa, na ɛnyɛ yaw. Anaasɛ, ɛtɔ mmere bi a wɔde afiri a ɛyɛ tratraa (catheter) hyɛ mu na woyi nsu a aka no susuw.

Nneɛma a ɛsɛ sɛ wuhu ansa na wɔayɛ sɔhwɛ no ne bere a wɔawie no

So ɛsɛ sɛ meyɛ ahosiesie bi ansa na mayɛ sɔhwɛ no?

Mpɛn pii no, ahosiesie titiriw biara ho nhia. Nhwehwɛmu ahorow bi hwehwɛ sɛ wohyɛ akisikuru a ɛyɛ ma, enti wobetumi aka akyerɛ wo sɛ nom nsu bi ansa na woaba mu Sɛ worenom nnuru biara a, hwɛ hu sɛ wubebisa wo duruyɛfo sɛ ɛsɛ sɛ wugyae nom ansa na woayɛ nhwehwɛmu no anaa.

Dɛn na ɛba wɔ sɔhwɛ no akyi?

Ebia wubenya ɔhaw bi anaasɛ wobɛhyew bere a woretow nsu nnɔnhwerew kakraa bi wɔ sɔhwɛ no akyi no. Ebia wubehu mogya kakraa bi nso wɔ wo nsu mu. Eyi yɛ ade a ɛfata na ɛnsɛ sɛ wɔbɔ hu. Wubetumi ayɛ nea edidi so yi de aboa ma saa ɔhaw yi so atew:

• Anyɛ yiye koraa no, nom nsu nkuruwa abien dɔnhwerew biara.
• Fa nsu a ɛyɛ hyew guare.
• Fa ntama a ɛyɛ hyew na ɛyɛ nwini gu baabi a nsu no fi mu ba no so.

Ɛtɔ da bi a, oduruyɛfo no betumi ama wo aduru bi a ekum ɔyare mmoawa na amma ɔyare mmoawa ankɔ so.

Ná ebinom taa bisa nsɛm

Bere tenten ahe na sɔhwɛ yi gye?

Mpɛn pii no, egye simma 30 kosi 45.

So eyi yɛ yaw?

Ɛnsɛ sɛ urodynamic nhwehwɛmu yɛ yaw. Ebia wobɛte nka sɛ wo ho nyɛ wo dɛ kakra bere a wɔde afiri no ahyɛ mu no, nanso ɛnyɛ yaw. Ebia ɔhyew kakra bɛba bɛyɛ nnɔnhwerew 24 wɔ sɔhwɛ no akyi.

So asiane bi wɔ hɔ?

Eyinom yɛ sɔhwɛ ahorow a ahobammɔ wom yiye. Asiane ketewaa bi pɛ ne sɛ hokwan kakraa bi pɛ na ɛwɔ hɔ sɛ obi benya nsu mu yare (UTI) efisɛ wɔde afiri bi ahyɛ nsu a ɛkɔ nsu mu no mu. Nea ɛbɛyɛ na wɔasiw eyi ano no, ɛtɔ mmere bi a oduruyɛfo no kyerɛw nnuru a ekum ɔyare mmoawa ma.

So woreyɛ no afi w’adwene mu?

Mpɛn pii no, mpanyimfo nhia nnuru a wɔde dwudwo wɔn ho anaasɛ nnuru a wɔde kum nipadua no. Nanso, sɛ abofra kumaa bi reyɛ nhwehwɛmu yi a, wobetumi ama no aduru a emu yɛ hare paa na ama ne ho adwo no.