yala a delila k' a ye ko koli daminɛ gɛlɛyara aw ma , walima ko sugunɛ tun bɛ aw ka sugunɛ na hali bi aw ka koli bannen kɔfɛ wa ? Laala aw ka sugunɛ bɛ kɛ dɔɔni dɔɔni ani a bɛ kɛ waati ni waati. Yala aw ka kan ka wuli siɲɛ caman su fɛ walasa ka koli kɛ wa ? Ninnu tɛ taamasiɲɛw ye minnu ka kan ka ban. Sugunɛbilenni bɔli (BOO) ye furakɛli sababu ye min bɛ se ka kɛ sababu ye ka nin dusukasi in sɔrɔ. Bi, an bɛna kuma o kan cogo nɔgɔman na, aw bɛ se ka min faamu.
N’an y’a fɔ cogo nɔgɔman na, Sugunɛ bɔyɔrɔ balili ye mun ye?
Aw bɛ miiri aw ka sugunɛ na i n’a fɔ balon min falen bɛ ji la. Nin balon in da ye yɔrɔ ye sugunɛ bɛ bɔ sugunɛbara la. Sugunɛ bɔyɔrɔ balili kɔrɔ ye ko fɛn dɔ datugulen don sira kan yɔrɔ dɔ la, sugunɛ bɛ bɔ sugunɛ na yɔrɔ min na. O balili bɛ sugunɛ bɔli sumaya, walima a bɛ se ka a jɔ pewu.
Nin bana in ka teli ka kɛ cɛw la minnu si tɛmɛna san 65. Nka a bɛ se ka sɔrɔ fana musow la, funankɛninw na, denmisɛnni fitiniw na, ani hali den kɔnɔ. Nin bana in, min bɛ sɔrɔ kɔnɔbara la, a bɛ wele fana ko Fetal Lower Urinary Tract Obstruction (LUTO). O ye bana ye min ka gɛlɛn dɔɔni, wa a man teli ka sɔrɔ.
Musow, kɛrɛnkɛrɛnnenya la minnu ka sugunɛbaralabana (cystocele), olu ka teli ka nin balili in sɔrɔ.
Nin bana in taamasiɲɛw ye jumɛnw ye?
Sugunɛbilenni bɛ mɔgɔ min na, o tigi bɛ se ka dusukasi suguya caman sɔrɔ. Ni o taamasiɲɛw farala ɲɔgɔn kan, furakɛli siratigɛ la an b’u wele ko sugunɛbaralabana taamasiɲɛw (LUTS). Aw bɛ a lajɛ ni nin taamasiɲɛ ninnu bɛ aw fana na.
| Taamaʃyɛn | O kɔrɔ ye mun ye? |
|---|---|
| Koli daminɛ gɛlɛya | Hali n’aw y’a ɲini ka koli kɛ , a bɛ sekɔndi damadɔ walima ka tɛmɛ o kan sani koli ka daminɛ. |
| Sugunɛbilenni tɛ lankolonya pewu | Hali ni aw ye koli kɛ ka ban, aw bɛ a ye ko sugunɛ bɛ a kɔnɔ hali bi. |
| Sugunɛ barikama, min bɛ to ka bɔ tuma dɔw la | Sugunɛ tɛ bɔ ni fanga ye, a bɛ bɔ dɔɔni dɔɔni kosɛbɛ. Tuma dɔw la, baji bɛ jɔ waati dɔ kɔnɔ, ka sɔrɔ ka daminɛ kokura. |
| Koli kɛli tuma caman su fɛ | Ni aw bɛ sunɔgɔ ka ɲɛ, aw ka kan ka wuli ka koli kɛ siɲɛ fila walima siɲɛ saba su kɔnɔ walima ka tɛmɛ o kan. |
| A ka kan ka to ka koli kɛ | N ka kan ka koli kɛ siɲɛ caman tile kɔnɔ, nka dɔɔni dɔrɔn de bɛ bɔ o waati kelen-kelen bɛɛ la. |
| Kɔrɔtɔko mago bɛ koli la | Ni n y’a ye dɔrɔn ko koli ka kan ka kɛ , n tɛ se k’a minɛ a kɔnɔ wa n ka kan ka boli ka taa kolikɛnɛ na. |
| Dimi bɛ kɛ kɔnɔbara duguma walima kɔ fan fila bɛɛ la | Sugunɛbilenni ka a sababu kɛ sugunɛbilenni ye, o bɛ se ka kɔnɔbara duguma dimi walima dimi bila kɔ fan fila bɛɛ la ka a sababu kɛ nɔ minnu bɛ sugunɛ na. |
| Dimi bɛ kɛ koli waati | Jenini walima dimi ni a bɛ koli kɛ (kɛrɛnkɛrɛnnenya la ni banakisɛ bɛ a la) . |
Mun na o bɛ ka kɛ? O sababu ye mun ye?
Kun caman bɛ se ka sɔrɔ nin sugunɛbaralabana in na.
Kunba min bɛ cɛw de minɛ
nin bana in sababu min ka teli cɛw la , o ye ɲɛgɛnɛsira bonya ye . An bɛ o wele furakɛli siratigɛ la ko « Hyperplasie beine de prostatique » (BPH).Prostate ye glande fitini ye min bɛ sɔrɔ sugunɛ jukɔrɔ, a bɛ sugunɛbara lamini. Ni aw bɛ kɔrɔbaya, a ka ca a la aw si san 50 kɔfɛ, o gland bɛ daminɛ ka bonya dɔɔni dɔɔni. Nin tɛ kansɛri ye. Nka, ni o gland bɛ bonya, a bɛ daminɛ ka sugunɛbaralabana bali. O waati de la koli gɛlɛya bɛ kɛ.
Sababu wɛrɛ minnu ka teli ka sɔrɔ
Ka fara BPH kan, fɛn damadɔ wɛrɛw bɛ se ka nɔ bila o la.
- Sugunɛbilenni : Joli bɛ se ka kɛ sugunɛ na ka a sababu kɛ banakisɛ, kasaara walima opereli ye, o bɛ tɛmɛsira kɛ ka surunya.
- Sugunɛbilenni : Ni fɛnɲɛnamafagalanw dalajɛlen don sugunɛ na ka kɛ kabakurunw ye, u bɛ se ka don sugunɛbara la ka sugunɛ tɛmɛsira datugu.
- Kɔnɔbara basigilen : Muso dɔw la, kɛrɛnkɛrɛnnenya la musokɔrɔba minnu ye den caman sɔrɔ, sugunɛ walima denso bɛ se ka jigin ka don musoya la. O bɛ se ka kɛ sababu ye ka sugunɛbaralabana kuru ka datugu.
- Kɔnɔboli jugumanba : Kɔnɔboli jugumanba bɛ mɔgɔ min na, banakɔtaa min bɛ ɲɛgɛnɛsira fa, o bɛ se ka sugunɛ ni sugunɛbara digidigi.
- Kansɛri banaw : Nin balili ninnu bɛ se ka sɔrɔ kansɛri banaw fana fɛ i n’a fɔ ɲɛgɛnɛsira kansɛri, sugunɛbara kansɛri ani kɔnɔbara kansɛri.
- Farikoloɲɛnajɛ gɛlɛyaw : Nin bana in bɛ se ka kɛ fana ni sugunɛ fasaw tɛ baara kɛ ka ɲɛ ka a sababu kɛ gɛlɛya dɔ ye kunsɛmɛ na, kɔkolo walima nɛrɛmuguma minnu ni sugunɛ sirilen don.
Min nafa ka bon kosɛbɛ, o ye ko ni nin taamasiɲɛ ninnu bɛ aw la, aw kana a miiri dɔrɔn ko “Nin ye ko ye min tɛ kojugu ye ni aw bɛ kɔrɔbaya”, wa aw bɛ taa dɔgɔtɔrɔso la sisan. Sabula ni a sababu dɔnna tigitigi dɔrɔn, furakɛli bɛnnen bɛ se ka kɛ.
Dɔgɔtɔrɔ bɛ nin bana in sɛgɛsɛgɛ cogo di tigitigi?
Ni aw taara dɔgɔtɔrɔ dɔ fɛ ni nin taamasiɲɛ ninnu ye, a bɛna fɔlɔ ka aw ka bana taamasiɲɛw lamɛn ka ɲɛ. O kɔ, u bɛna i sɛgɛsɛgɛ. O waati kɔnɔ, u bɛ se ka sɛgɛsɛgɛli caman kɛ walasa ka a sababu tigitigi dɔn.
| Kɔrɔbɔli | I bɛ mun ye nin ko in na? |
|---|---|
| Sugunɛ sɛgɛsɛgɛli | Aw bɛna aw ka sugunɛ lajɛ ni banakisɛ, joli walima fɛn wɛrɛw tɛ a la. |
| Joli Sɛgɛsɛgɛli | Aw bɛ a dɔn ni sugunɛbaralabana bɛ a la (aw bɛ fɛnw lajɛ i n’a fɔ kɛrɛyatinini hakɛ). |
| Ultrason Scan (Scan min bɛ kɛ ni ultrasound ye). | O bɛ sugunɛ, sugunɛbaralabana ani ɲɛgɛnɛsiraw sɛgɛsɛgɛ (cɛw la). A bɛ se ka a lajɛ ni sugunɛbaralabana, sugunɛbaralabana, ani sugunɛ tolenw bɔli kɔfɛ . |
| Sistoskɔpi (Sistoscopie). | O la, tubabufura finman dɔ bɛ tɛmɛ ni kamera fitinin ye min sirilen don a la, o bɛ tɛmɛ i ka sugunɛbara fɛ, dɔgɔtɔrɔ bɛ min kɛ i ka sugunɛ ni sugunɛbara kɔnɔ, o lajɛ ɛkran kan. O bɛ se k’a ye ka jɛya ni balili, dɔgɔyali walima kabakurunw bɛ yɔrɔ o yɔrɔ. |
| Urodinamiki sɛgɛsɛgɛli | Nin ye sɛgɛsɛgɛli kɛrɛnkɛrɛnnen ye min bɛ sugunɛ degun ni a farikolo baara jateminɛ ni a bɛ fa ani ka a lankolonya. |
O furakɛcogo jumɛnw bɛ yen?
Fɛn min ka fisa, o ye ko fura suguya caman bɛ sugunɛ bɔli la, ka kɛɲɛ ni a sababu ye. Aw ka dɔgɔtɔrɔ bɛna fura sugandi min bɛnnen don aw ma kosɛbɛ.
- Fura suguyaw : 1 .
- Ni balili bɛ sɔrɔ ɲɛgɛnɛsira bonya fɛ (BPH), furaw bɛ di u ma i n’a fɔ alfa-blokanti minnu bɛ farikolo yɔrɔw lafiya minnu bɛ ɲɛgɛnɛsira lamini.
- Tuma dɔw la, fura minnu bɛ kɛ i n’a fɔ Finasteride, o bɛ dɔ bɔ ɲɛgɛnɛsira bonya la, olu fana bɛ di.
- Furakɛli wɛrɛw:
- Musow bɛ se ka lafiya sɔrɔ gɛlɛyaw la minnu bɛ sɔrɔ kɔnɔbara basigilen fɛ ni minɛn ye min bɛ wele ko pessary, o bɛ bila musoya kɔnɔ.
- Farikoloɲɛnajɛ furakɛli walasa ka basibɔn fasaw barika bonya, o fana bɛ mɔgɔ dɔw dɛmɛ.
- Opereli ni fɛɛrɛ wɛrɛw:
- Katetɛri tali : Ni sugunɛbaralabana datugulen don pewu, aw bɛ waati dɔɔni tubabufura (Foley catheter) don sugunɛ na walasa ka sugunɛ bɔ. Mɔgɔ dɔw bɛ u yɛrɛ ka katetɛri kɛ so kɔnɔ.
- Opereli ka balili bɔ : Ni bana dɔw bɛ i n’a fɔ BPH, minɛnw bɛ tɛmɛ sugunɛbaralabana fɛ walasa ka ɲɛgɛnɛsira datugulenw bɔ (opereli i n’a fɔ TURP).
- Laser Lithotripsy (Laser Lithotripsy): Ni kabakuruw bɛ sugunɛ na, u bɛ mugumugu ka bɔ ni laser ye.
- Sugunɛbilenni : Ni sugunɛbaralabana ka surun (stricture), opereli bɛ kɛ walasa ka a yɔrɔ dɔgɔyalen segin a cogo kɔrɔ la.
A ka ca a la, o opereli ninnu bɛ kɛ ni fɛɛrɛw ye minnu tɛ fɛn caman kɛ . O kɔrɔ ye k’u bɛ kɛ ni tigɛba tɛ u la ani ka tɛmɛ dingɛ misɛnninw fɛ, o la dɔgɔtɔrɔso sigili bɛ surunya ani ka kɛnɛya joona.
Tuma jumɛn na aw ka kan ka dɔgɔtɔrɔso laadilikan ɲini joona?
O nafa ka bon kosɛbɛ. Tuma dɔw la, o bɛ se ka kɛ kɔrɔtɔko ye.
Ni dimi muɲunbali bɛ aw kɔnɔbara duguma , walima ni aw tɛ se ka koli kɛ hali ni aw y’a ɲini lɛri caman kɔnɔ , o ye kɔrɔtɔko ye. Ani fana, ni sugunɛbilenni taamasiɲɛw bɛ aw la, i n’a fɔ sumaya, farigan, ani yɛrɛyɛrɛ , aw bɛ taa dɔgɔtɔrɔso la min ka surun aw la kɔrɔtɔko yɔrɔ (ETU) la joona .
Ni a ma furakɛ, o bana in bɛ se ka gɛlɛya jugumanba lase mɔgɔ ma i n’a fɔ sugunɛbaralabana, sugunɛ tiɲɛni, sugunɛbaralabana, ani sugunɛbaralabana. O la, aw kana aw ɲɛmajɔ a taamasiɲɛw la.
Take-Home cikan
- Aw kana aw ɲɛmajɔ sugunɛ gɛlɛyaw la (jibɔ barikama, koli daminɛ gɛlɛya, koli kɛli tuma caman) k’a miiri ko u bɛ “cogo la dɔrɔn ni aw bɛ kɔrɔbaya.”
- Hali n’a y’a sɔrɔ o kunba ye ko cɛw ka ɲɛgɛnɛsira bɛ bonya ni u kɔrɔbayara, o bana in bɛ se ka kɛ musow ni kamalenninw fana na kun wɛrɛw la.
- Ni a ma furakɛ joona, o bana in bɛ se ka sugunɛ tiɲɛ kudayi, o la a sɛgɛsɛgɛli ni a furakɛli joona nafa ka bon kosɛbɛ.
- Ni nin taamasiɲɛ ninnu bɛ aw la, aw kana maloya walima ka siran ka taa dɔgɔtɔrɔso la. A ka ca a la, nin bana in bɛ se ka kunbɛn ka ɲɛ ni furaw walima fɛɛrɛ nɔgɔmanw ye.
- Ni aw ye dimi sɔrɔ min tɛ se ka muɲu walima ni sugunɛbaralabana pewu, o ye kɔrɔtɔko ye. Aw bɛ taa dɔgɔtɔrɔso dɔ ka kɔrɔtɔko ɲɛmɔgɔso la (ETU) o yɔrɔnin bɛɛ.











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