Ðe aɖuɖɔɖɔɖɔ ƒe didi kpata si nu sẽna ɖe dziwò ɣeaɖewoɣia ? Ðe nèkpɔnɛ be yeƒua du yia nugododeƒe zi gbɔ zi geɖe gbesiagbea? Ðewohĩ èle nyɔnyrɔm enuenu le zã titina gɔ̃ hã, eye wògblẽa wò alɔ̃dɔdɔ me. Nuteƒekpɔkpɔ siawo ate ŋu aɖe fu na wò eye wòado kplamatse wò gbesiagbegbenɔnɔ vevie. Taflatse minyae be esia nye nɔnɔme si bɔ si ame geɖe ʋlina vevie, zi geɖe le ɖoɖoezizi me. Le Nirogi Lanka , míeva afisia be míadzro Overactive Bladder (OAB) me. Mehiã be nàkpe fu o—ne èse nu gɔme nyuie eye wokpɔ egbɔ le atikewɔwɔ me la, woate ŋu akpɔ nɔnɔme sia gbɔ ŋutɔ.
Nukae nye Tsinyegoe si wɔa dɔ fũu akpa (OAB)?
Kpuie ko la, tsinyegoe si wɔa dɔ fũu akpa menye dɔléle ɖeka ko o, ke boŋ enye dzesiwo ƒe ƒuƒoƒo. Ate ŋu ana wòahiã be wòaɖe aɖuɖɔ enuenu, aɖuɖɔtoe ƒe didi kpata si dzi womate ŋu aɖu o (Urinary Urgency), eye ɣeaɖewoɣi la, tsi nado le vo me (Incontinence). Nyɔnyrɔ zi geɖe le zã me be yeaɖe aɖuɖɔ (Nocturia) hã nye nɔnɔme sia ƒe dzesi si wonya nyuie.
Ameka ŋue wògblẽa nu le wu?
Togbɔ be tsinyegoe si wɔa dɔ akpa ate ŋu adze ame sia ame dzi le ƒe ɖesiaɖe me hã la, ebɔ ɖe ame ɖekaɖeka siwo xɔ wu ƒe 65 me wu . Le nyɔnuwo gome la, dzesiawo ate ŋu adze dzedze gɔme tso esime woxɔ ƒe 45. Tsɔe be èle agbagba dzem be yeƒe susu nanɔ dɔ vevi aɖe alo mɔzɔzɔ ŋu, gake nugododeƒe zazã kpata ƒe hiahiã kpata aɖe doa kplamatse wò ɣesiaɣi. Esiae nye kuxi si ame geɖe doa goe gbesiagbe.
Aleke gbegbee tsinyegoe si wɔa dɔ fũu akpa bɔe?
Esia nye lãmesẽnya si bɔ ŋutɔ. Le United States ɖeɖe dzaa la, ame tsitsi siwo ade miliɔn 33 ye le OAB gbɔ. Edzea ŋutsu siwo ade 30% kple nyɔnu 40% dzi . Esi wònye be ŋu kpea ame geɖe alo mevona le wo ɖokui me be yewoaƒo nu tso eŋu o ta la, anɔ eme be xexlẽme ŋutɔŋutɔawo sɔ gbɔ sã wu esiwo ŋu woka nya ta le.
Aleke esia kpɔa ŋusẽ ɖe wò agbenɔnɔ dzii?
Tsinyegoe si wɔa dɔ fũu akpa ƒe dzesiwo ate ŋu ahe susu me nuteɖeamedzi gã aɖe vɛ eye wòaɖe wò agbenɔnɔ dzi akpɔtɔ. Dzitsitsi ɖe afisi nugododeƒe si te ɖe ŋuwò wu le ŋu ɣesiaɣi alo vɔvɔ̃ be yeazɔ mɔ ate ŋu agblẽ nu le wò nyonyo kple dzidzɔkpɔkpɔ bliboa ŋu.
Ðe tsinyegoe si wɔa dɔ akpa la nu yina le eɖokui sia?
Ao, tsinyegoe si wɔa dɔ fũu akpa mekpɔa egbɔ le eɖokui si o . Ne womewɔ atike nɛ o la, dzesiawo ate ŋu agblẽ ɖe edzi le ɣeyiɣi aɖe megbe. Gakpe ɖe eŋu la, tsinyegoe ƒe lãmeka siwo kpɔa ŋusẽ ɖe edzi ate ŋu agbɔdzɔ, eye akɔta ƒe lãkusiwo ate ŋu aɖiɖi. Ne dzesi siawo le fu ɖem na wò la, atikewɔlawo ƒe aɖaŋuɖoɖo didie nye afɔɖeɖe nyuitɔ si ana nàkpɔ gbɔdzɔe.
Nukae nye tsinyegoe si wɔa dɔ fũu akpa ƒe dzesiwo?
Abe alesi míegblɔe ene la, OAB nye dzesiwo ƒe hatsotso aɖe. Dzesi veviawo dometɔ aɖewoe nye:
- Aɖuɖɔtoe Kpata: Aɖuɖɔtoe ƒe hiahiã kpata si dzi màte ŋu aɖu o si naa ɣeyiɣi sue aɖe ko wò be nàɖo nugododeƒe.
- Aɖuɖɔɖɔɖɔ enuenu : Ehiã be nàɖe aɖuɖɔ zi geɖe wu alesi nàwɔe zi geɖe.
- Nuƒoƒo ƒe Dzimaɖitsitsi: Nuƒoƒo kpata, si dzi màte ŋu aɖu o, si wɔnɛ be tsi si dona le vo me hafi nàte ŋu aɖo nugododeƒea.
- Zã me: Nyɔnyrɔ zi eve ya teti le zã me be yeaɖe aɖuɖɔ .
Ne dzesi siawo dometɔ ɖeka alo esi wu nenema le ŋuwò la, ele vevie be nàƒo nu kple ɖɔkta. Kakaɖedzitɔe la, menye wò ɖeka koe le nuteƒekpɔkpɔ sia me o.
Nukawo koŋ gbɔe tsinyegoe si wɔa dɔ fũu akpa tsona?
Zi geɖe la, nya vevitɔa do ƒome kple detrusor lãmeka si le tsinyegoe ƒe gli me. Nusiwo ate ŋu ahe esia vɛ dometɔ aɖewoe nye:
- Ƒodo ƒe nuveviwɔame: Fufɔfɔ kple vidzidzi ate ŋu ana akɔta ƒe lãmeka siwo doa alɔ wò ƒodo ƒe akpa siwo le ete la nate ɖeɖi wo ŋu eye woagbɔdzɔ. Ne lãmeka siawo gbɔdzɔ la, tsinyegoea ate ŋu atrɔ tso eƒe nɔƒe si sɔ.
- Lãmetsiŋusẽ ƒe gbegblẽ: Ɣeaɖewoɣi la, ŋutilãa ɖoa dzesi siwo mesɔ o ɖe ahɔhɔ̃a kple tsinyegoea dome. Lãmetsiŋusẽ ƒe gbegblẽ ate ŋu adzɔ le akɔta alo aklã ƒe dɔwɔwɔ, herniated discs, .keklẽŋusẽdɔdamɔnu , Parkinson ƒe dɔléle , lãmekawo ƒe ʋuʋu, alo ʋusɔgbɔdɔ .
- Atikewo, Aha, Kple Caffeine: Nu aɖewo ate ŋu ado kplamatse lãmekawo ƒe dzesiwo, si ana tsinyegoe nayɔ fũ akpa. Diuretics ( Diuretics ) kple caffeine koŋ dzia aɖuɖɔ ƒe dodo ɖe edzi, si ate ŋu ana aɖuɖɔ nado.
- Dɔlékuiwo: Tsinyegoe me Dɔlékuiwo ( UTI ) ate ŋu ado dziku na tsinyegoe ƒe lãmekawo, si ana tsinyegoea natsi le lɔlɔ̃nu faa me.
- Kpekpeme bubu: Kpekpeme si gbɔ eme tsɔtsɔ naa tsinyegoea ƒe nyaƒoɖeamenu geɖe wu , si ate ŋu ana ame naƒoe ɖe ame nu be wòate ŋu aɖu eɖokui dzi o.
- Estrogen ƒe anyimanɔmanɔ le dzinukpɔkpɔ megbe: Lãmetsiŋusẽ ƒe tɔtrɔ ate ŋu ana woawɔ nu kpata. Estrogen- dɔdamɔnu si wozãna le teƒe ɖeka (le vidzidɔ me ɖeɖeko) ate ŋu aɖe vi ŋutɔ le nɔnɔme siawo me.
Aleke wokpɔa tsinyegoe si wɔa dɔ fũu akpa?
Wò ɖɔkta alé ŋku ɖe wò atikewɔwɔ ŋutinya ŋu eye wòado wò akɔta kple dɔgbo ƒe akpawo kpɔ le ŋutilã me. Woate ŋu abia nyawo abe:
- Dzesi kawo koŋue le fu ɖem na wò?
- Ɣeyiɣi didi kae dzesi siawo le ŋuwò?
- Ðe dɔléle sia le miaƒe ƒomea me tɔ aɖe ŋua?
- Atike kawoe nèƒlena le atikedzraƒe alo esiwo woŋlɔ na wò fifia?
- Lãmetsi ƒomevi kawoe nènona gbesiagbe?
- Ŋkekea ƒe ɣeyiɣi kawo mee nènoa tsi aɖewo?
- Nukawoe nye wò nuɖuɖu ƒe nɔnɔme siwo bɔ?
Wò ɖɔkta ate ŋu aɖo wò ɖe Urologist , si nye aɖuɖɔtoewo ƒe lãmesẽnyawo ŋuti nunyala bibi aɖe hã.
Dodokpɔ kawoe wozãna tsɔ dia dɔlélewoe?
Be nàɖo kpe edzi be tsinyegoe si le dɔ wɔm akpa ƒe dɔléle le ŋuwò la, wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàwɔ dodokpɔ siwo gbɔna:
- Aɖuɖɔtoe me dzodzro: Dodokpɔ sia dzroa nusiwo le wò aɖuɖɔ me (eƒe dzedzeme, atike siwo le eme, kple nusiwo ŋu woke ɖo le nusuekpɔmɔ̃ me) me. Míeléa ŋku ɖe ʋumenugbagbevi dzĩwo, ʋumenugbagbevi ɣiwo, alo dɔlékuiwo ŋu. Dzesi siawo ƒe anyinɔnɔ ate ŋu afia be dɔlékui aɖe si ate ŋu anɔ wò OAB ƒe dzesiwo hem vɛ.
- Aɖuɖɔtoe dodokpɔ: Dodokpɔ siawo dzidzea aɖuɖɔ agbɔsɔsɔme si susɔ ɖe wò tsinyegoe me ne èɖe aɖuɖɔ vɔ, agbɔsɔsɔme si nèɖe, alesi nèɖea aɖuɖɔe, kple nyaƒoɖeamenu si le wò tsinyegoe me ne eyɔ fũ.
- Ultrasound: Esia nye nɔnɔmetatawo dodokpɔ si me vevesese aɖeke mele o, si me womewɔa nuvevi ame o, si wɔnɛ be wò ɖɔkta te ŋu léa ŋku ɖe wò tsinyegoe ŋu tsitotsito.
- Computed Tomography (CT scan): Azɔ hã, enye nɔnɔmetatawo ɖeɖe ƒe mɔnu si me vevesese mele o, si me womedea ame dzi o, eye scan sia naa wò tsinyegoe ƒe nɔnɔmetata siwo le 3D me be wòakpe ɖe wò ɖɔkta ŋu wòakpɔ nya ɖesiaɖe le susu me.
- Cystoscopy: Le dɔ sia wɔwɔ me la, wò ɖɔkta zãa dɔwɔnu tɔxɛ aɖe (cystoscope) tsɔ léa ŋku ɖe wò tsinyegoe me to tsinyegoe me. Zi geɖe la, wotsɔa atike si naa ame ƒe lãme gbãna la dea teƒea, eyata màse veve o. Le go siwo mebɔ kura o me la, woate ŋu azã atike si naa alɔ̃dɔdɔ ame be wòakpɔ egbɔ be yeƒe dzi dze eme keŋkeŋ eye nègale anyi kpoo le dodokpɔa wɔɣi.
Aleke Wokpɔa Tsinyegoe si Le Dɔwɔwɔ Gbɔgbɔme Gbɔe ?
Mɔ vovovowo li siwo dzi woato ada nɔnɔme sia, tso agbenɔnɔ ƒe tɔtrɔ kple atikewo zazã dzi va ɖo ahɔhɔ̃mekawo ƒe dɔwɔwɔ ƒe atikewɔwɔ dzi.
Agbenɔnɔme Tɔtrɔ Kawoe Nàte Ŋu Awɔ?
Àte ŋu akpɔ tsinyegoe si wɔa dɔ fũu akpa dzi ne èwɔ tɔtrɔ bɔbɔe geɖe le agbenɔnɔ me.
Tsinyegoe Ŋuti Ŋkekegbalẽ Ŋuti Ðoɖowɔwɔ
Ðewohĩ wò ɖɔkta abia tso asiwò be nàwɔ “tsinyegoe ƒe ŋkekenyuigbalẽ” ŋkeke ʋɛ aɖewo. Ne èlé ŋku ɖe nusi nèwɔna hafi tsi si le dodom ƒe ɣeyiɣi aɖe ŋu la, ekpena ɖe wò ɖɔkta ŋu wòdea dzesi nusiwo aʋã wò OAB. Ele be nàŋlɔ:
- Nusi nènona.
- Lãmetsi siwo wozãna ƒe agbɔsɔsɔme.
- Nusi nèɖuna.
- Alesi nèɖea aɖuɖɔ zi gbɔ zi geɖe.
- Ɣekaɣie aɖuɖɔ si nèdo kple agbɔsɔsɔme si nèdo.
- Zi nenie nèkpɔe be ehiã kpata be nàɖe aɖuɖɔ kpata.
- Esi mète ŋu ɖo nugododeƒea le ɣeyiɣi nyuitɔ dzi o.
- Eɖanye nusiwo do tso eme abe kɔdzidɔ, aɖuɖɔtoe, alo nukoko ene gbɔe tsi si le dodom le la dzɔ o.
Lé ŋku ɖe Wò Nuɖuɖu Ŋu
Aɖea vi be woadzudzɔ nuɖuɖu kple nunono siwo ate ŋu ana tsinyegoe ƒe dzesiwo nagado gã ɖe edzi alo woaɖe wo dzi akpɔtɔ. Kpɔɖeŋu aɖewoe nye:
- Tii
- Kɔfi
- Ahasesẽ
- Nunono fafɛ siwo me caffeine le
- Atikutsetse aɖewo kple atikutsetse me tsiwo
- Tsokolɛti
- Tomatos kple nusiwo wotsɔ tomatos wɔe
- Nuɖuɖu kple nunono siwo me nu ʋeʋĩwo le alo esiwo me acid le
- Nuɖuɖu siwo me vividoɖeameŋunu siwo wowɔ kple asi le (le kpɔɖeŋu me, diet soda, aŋe aɖewo) .
Dɔmeɖui Dzi kpɔkpɔ
Dɔmeɖui ate ŋu aƒoe ɖe tsinyegoea nu, si agblẽ nu le eƒe dɔwɔwɔ ŋu. Dɔgbo ƒe nɔnɔme nyuiwo me léle ɖe asi ate ŋu akpe ɖe ame ŋu be dɔgbo ƒe dɔmawɔmawɔ nyuie dzi naɖe akpɔtɔ eye wòaɖe tsinyegoe ƒe dzesiwo dzi akpɔtɔ. Afɔɖeɖe siawo ate ŋu akpe ɖe ŋuwò:
- Dzi wò fibre ɖuɖu ɖe edzi. De gbegãdzi, pasta, oatmeal, nuku blibo, lu ƒe abolo, kple atikutsetse kple amagbe yeyewo wò nuɖuɖu me.
- No tsi kplu eve va ɖo ene bubu le ŋkekea me katã.
- De kame edziedzi.
Kpekpeme Dzikpɔkpɔ
Kpekpeme si gbɔ eme ate ŋu ana wò tsinyegoe nate ŋu aƒoe ɖe enu geɖe wu, si nye nusi gbɔ wòtsona zi geɖe be tsinyegoe dzi ɖuɖu ƒe nyawo dona. Kpekpeme si sɔ me léle ɖe asi kpena ɖe ŋuwò be wò tsinyegoe ƒe nyaƒoɖeamenu sia dzi naɖe akpɔtɔ.
Atamazazã Dzudzɔ
Sigaret kple atamanu bubuwo ate ŋu ado dziku na tsinyegoe ƒe lãmekawo. Gakpe ɖe eŋu la, kɔdzidɔ si nɔa anyi didi si do ƒome kple atamanono ate ŋu ana aɖuɖɔ nado.
Tsinyegoe ƒe Hehenaɖoɖo Gbugbɔgaxɔ
Ne OAB le ŋuwò la, ate ŋu ana wò ŋutilã nawɔ nu ɖe wò tsinyegoe ƒe lãmekawo ŋu le mɔ si mewɔa dɔ o nu. Lãmetsi siawo gbugbɔ hehe ate ŋu akpe ɖe ŋuwò nàgakpɔ ŋusẽ ɖe wò tsinyegoe dzi nyuie wu.
To tsinyegoe ƒe hehexɔxɔ ake me la, àte ŋu asrɔ̃ alesi:
- Ðe mɔ ɖe aɖuɖɔtoe ƒe didi kpata ŋu nyuie wu.
- He wò mɔzɔzɔwo yi nugododeƒe ɖe megbe.
- Aɖuɖɔ le ɖoɖowɔɖi aɖe nu tsɔ wu be nàwɔ nu ɖe didi ɖesiaɖe si nèdi ŋu.
Aleke Nàwɔ Agbugbɔ Hehe Na Tsinyegoe Si Le Dɔ Wɔm Wu?
Afɔɖeɖe siawo dzi wɔwɔ ate ŋu akpe ɖe ŋuwò nàgbugbɔ ana hehe wò tsinyegoe si le dɔ wɔm akpa la dzidzedzetɔe:
- Dze egɔme kple wò ʋuʋudedi ƒe dometsotso si li fifia. Esiae nye ɣeyiɣi si le wò nugododeƒe yiyi zi geɖe dome. Le kpɔɖeŋu me, ne zi geɖe la, èyia gaƒoƒo ɖesiaɖe la, emae nye wò gɔmedzedze. Ŋlɔ esia ɖe wò tsinyegoe ƒe ŋkekenyuigbalẽ me pɛpɛpɛ.
- Ne ènya nya wò gɔmedzedze ko la, dze agbagba nàlé wò aɖuɖɔ aɖabaƒoƒo ʋɛ aɖewo kpee ne èse le ɖokuiwò me be yeayi. Le ɣeyiɣi aɖe megbe la, dzi ɣeyiɣi si wò tsileƒe mɔzɔzɔwo dome ɖe edzi vivivi.
- Ne didi aɖe do mo ɖa zi ɖeka le dometsotso siawo dome la, gbɔ ya blewuu. Tsɔe be èle teƒe si tomefafa le eye tomefafa le alo nèzã ɖiɖiɖememɔnu bubuwo tsɔ lala be didia nu naɖiɖi. Ne nu kpata la va yi ko hafi nàɖo ta nugododeƒea.
- Le gɔmedzedzea me la, kɔ wò tsinyegoe me edziedzi le ŋkeke kple zã bliboa me. Mègalala vaseɖe ɣeyiɣi mamlɛtɔ si nàte ŋui o. Le kpɔɖeŋu me, dze egɔme kple yiyi gaƒoƒo eve ɖesiaɖe. Ne èkpɔtɔ le ƒuƒuie la, dzi dometsotsoa ɖe edzi vivivi. Ne èkpɔ tsi si le dodom (tsi) la, ɖe dometsotsoa dzi kpɔtɔ. Ne zi geɖe la, èyia gaƒoƒo ɖesiaɖe la, dze agbagba nàkekee ɖe enu wòaɖo gaƒoƒo ɖeka kple aɖabaƒoƒo 15.
- Ne ènya kpɔ wò ɖoɖowɔɖi yeyea dzi dzidzedzetɔe kwasiɖa ɖeka ya teti maɖe fu na wò ko la, dze agbagba nàdzi dometsotsoa ɖe edzi aɖabaƒoƒo 15 bubu. Yi esia dzi vaseɖe esime nàkpɔ ɖoɖowɔɖi si me nàvo le. Ðoe kplikpaa be yeanɔ gaƒoƒo eve va ɖo ene dome.
- Dze agbagba nàlé wò ɖoɖowɔɖia me ɖe asi ɣesiaɣi alesi nàte ŋui.
Alesi Nàwɔ Akpɔ Nu Kpatawo Gbɔ le Tsinyegoe Gbugbɔgaxɔ Me
Didi kpata dzi ɖuɖue nye afɔɖeɖe vevitɔ kekeake le hehexɔxɔ ake me. Mɔnu siawo ate ŋu akpe ɖe ŋuwò:
- Dzudzɔ nusi wɔm nèle eye nàtsi tre ɖe teƒe ɖeka. Ne anya wɔ la, nɔ anyi. Nɔ anyi kpoo alesi nàte ŋui, elabena ʋuʋumanɔmee kpena ɖe ŋuwò nètsia dzodzroa nu.
- Wɔ wò akɔta ƒe lãmekawo ƒe tete kabakaba sesĩe zi geɖe (si woyɔna hã be Kegel kamededewo ). Mègana lãmekawo naɖe dzi ɖi bliboe le ʋu ƒe sisi kabakaba siawo me o.
- Na wò ŋutilã ƒe akpa mamlɛa naɖe dzi ɖi. Gbugbɔ gbɔgbɔ sesĩe be wòakpe ɖe ŋuwò nàɖe masɔmasɔ ɖesiaɖe ɖa.
- Lé fɔ ɖe aɖuɖɔɖɔɖɔ ƒe didia nu tsitsi ŋu bliboe.
- Lala vaseɖe esime nuwɔwɔ kpata ƒe ƒutsotsoea nu nafa.
- Zɔ yi nugododeƒea le afɔɖeɖe si sɔ nu. Mègawɔ kaba o. Yi edzi nànɔ akɔta ƒe anyigba ƒe ʋuʋu kabakaba wɔm ne èle zɔzɔm.
Dzigbɔɖi le vevie ŋutɔ. Zi geɖe la, exɔa kwasiɖa ade va ɖo enyi hafi wogbugbɔ hea tsinyegoea hafi kpɔa emetsonuwo. Ne nya aɖewo le asiwò, alo ne wò ŋgɔyiyi medze ŋuwò o la, yi wò ɖɔkta gbɔ. Woate ŋu aŋlɔ atike na wò be nàzã kpe ɖe wò hehexɔxɔ ake ƒe ɖoɖoa ŋu be wòakpe ɖe ŋuwò nàkpɔ nu nyuitɔ kekeake le Nirogi Lanka.
Ðe Lãmetsiŋusẽ ƒe Ʋuʋu Kpena Ðe Tsinyegoe si Le Dɔ Wɔm Wu Ŋua?
Ẽ, lãmekawo ƒe dɔwɔwɔ ate ŋu ana OAB ƒe dzesiwo nanyo ɖe edzi nyuie. Wò lãmekawoe naa dzesi wò ahɔhɔ̃ be wò tsinyegoe yɔ. Ne míetrɔ asi le lãmeka ƒe dzesi siawo ŋu la, míate ŋu akpe ɖe ŋuwò be wò tsinyegoe dzi kpɔkpɔ nanyo ɖe edzi.
Lãmetsiŋusẽ ƒe ʋuʋu nye atikewɔwɔ ƒe mɔnu si woate ŋu atrɔ. Zi geɖe la, ne atikewɔwɔ bubu siwo me womezãa atike o le meɖe nusiwo wodi o ko hafi ɖɔktawo kafua mɔnu sia.
Lãmetsiŋusẽ ƒe dɔwɔwɔ ƒe atikewɔwɔ ƒomevi vovovowo li, siwo dometɔ aɖewoe nye:
Sacral Nerve ƒe Ʋuʋudedi
Sacral nerve stimulation bia be nàzã elektrikŋusẽ atsɔ aʋã lãmeka siwo kpɔa wò tsinyegoe dzi.
Wò ɖɔkta ade mɔ̃ sue aɖe si woyɔna be neurostimulator, wò akɔta ƒe ŋutigbalẽ te. Mɔ̃ sia ɖoa elektrikŋusẽ ƒe dzesi fafɛwo to ka aɖe si te ɖe wò akɔta ƒe lãmeka (si le wò akɔta ƒe akpa si le anyime) ŋu. Dzesi siawo kpena ɖe ŋuwò nègakpɔa ŋusẽ ɖe wò tsinyegoea dzi ake.
Sacral nerve stimulation ate ŋu aɖe wò tsileƒe yiyi zi geɖe kple aɖuɖɔ si dona le vo me ƒe nɔnɔmewo dzi akpɔtɔ ŋutɔ. Zi geɖe la, ekpɔa dzidzedze ŋutɔ, eye esi wònye be enye dɔ si wowɔna le kɔdzi ta la, àte ŋu atrɔ ayi aƒeme le atikewɔwɔa megbe kpuie.
Percutaneous Tibial Nerve ƒe Ʋuʋudedi
Mɔnu sia bia be nàɖo lãmeka ƒe dzesi suesuesuewo ɖe lãmeka ƒe alɔdze aɖe si te ɖe wò afɔkpodzi ŋu. Esia kpena ɖe ame ŋu wòʋãa lãmeka siwo kpɔa gome le tsinyegoea dzi ɖuɖu me.
Percutaneous tibial nerve stimulation hã nye dɔ si wowɔna le kɔdzi. Dɔnɔ akpa gãtɔ hiã be woawɔ atike na wo kwasiɖa sia kwasiɖa zi gbɔ zi 12, eye woawɔ beléle na wo ɣeaɖewoɣi.
Botulinum Aɖi ƒe Atikewo Dodo Ðe Ame Ŋu
Botox® nye botulinum aɖi ƒomevi aɖe si wonya nyuie. Ne èzã cystoscope la, wò ɖɔkta ado Botox ɖe wò tsinyegoe ƒe gli me tẽ.
Dɔdamɔnu sia wɔa dɔ ŋutɔ, na dɔnɔ siwo mewɔ nu nyuie ɖe atikewɔmɔnu bubuwo ŋu o gɔ̃ hã. Ame ʋɛ aɖewo ate ŋu akpɔ aɖuɖɔtoe hena ɣeyiɣi aɖe (aɖuɖɔtoe sesẽ) le Botox dodo vɔ megbe.
Botox-tikewo ƒe ŋusẽkpɔɖeamedzi nu yina le ɣeyiɣi aɖe megbe. Ele be ame akpa gãtɔ nagado atikeawo ake abe ɣleti ade ɖesiaɖe ene.
Atike kawoe wozãna na tsinyegoe si wɔa dɔ akpa?
Togbɔ be èle hehe xɔm le tsinyegoe ŋu hã la, wò ɖɔkta ate ŋu aŋlɔ atikewo na wò be wòakpe ɖe ŋuwò be tsinyegoea nagawɔ dɔ nyuie. Atike siwo woŋlɔna zi geɖe na tsinyegoe si wɔa dɔ fũu akpa (OAB) dometɔ aɖewoe nye:
Atike Siwo Wotsɔna Ðea Dɔlékuiwutikewoe
Atike siwo tsia tsinyegoe ƒe lãmekawo ƒe ʋuʋu nu kpena ɖe ame ŋu be woaɖu tsinyegoe ƒe lãmekawo ƒe ʋuʋu dzi. Wò ɖɔkta ate ŋu aŋlɔ atikewo abe:
- Oxybutynin (le kpɔɖeŋu me, Ditropan®) .
- Oxybutynin gel (le kpɔɖeŋu me, Gelnique®) .
- Tolterodine (le kpɔɖeŋu me, Detrol®) .
- Solifenacin (le kpɔɖeŋu me, VESIcare®) .
- Fesoterodine (le kpɔɖeŋu me, Toviaz®) .
- Darifenacin (le kpɔɖeŋu me, Enablex®) .
- Trospium (le kpɔɖeŋu me, Sanctura XR®) .
Beta-3 Adrenergic Atikewɔwɔ
Beta-3 adrenergic atikewo kpena ɖe ŋuwò be wò tsinyegoe ƒe detrusor lãmeka la naɖe dzi ɖi, si wɔnɛ be wòte ŋu léa aɖuɖɔ geɖe ɖe te. Atike siwo woŋlɔna na ame zi geɖe dometɔ aɖewoe nye:
- Mirabegron (le kpɔɖeŋu me, Myrbetriq®) .
- Vibegron (le kpɔɖeŋu me, Gemtesa®) .
Aleke gbegbee nye lãme asẽ le atikewɔwɔ vɔ megbe kpuie?
Àte ŋu adze kamedede kple agbenɔnɔ ƒe tɔtrɔ me tsonu kpɔkpɔ gɔme le abe kwasiɖa ade va ɖo enyi ene megbe .
Atike geɖe dzea tsinyegoe ƒe lãmekawo dzi ɖeɖe kpɔtɔ gɔme le gaƒoƒo ʋɛ aɖewo megbe; ke hã, ate ŋu axɔ ɣleti ɖeka hafi wòawɔ dɔ bliboe.
Zi geɖe la, botox-dɔdamɔnuawo dzea dɔwɔwɔ gɔme le kwasiɖa ɖeka va ɖo eve me.
Ame geɖe dzea egɔme dea dzesi ŋgɔyiyi le lãmekawo ƒe dɔwɔwɔ ƒe atikewɔwɔ zi ade megbe, togbɔ be ate ŋu axɔ ɣeyiɣi 12 hafi woakpɔ emetsonu bliboa hã.
Aleke mawɔ aɖe tsinyegoe si wɔa dɔ fũu akpa ƒe afɔkua dzi akpɔtɔ?
Agbenɔnɔ ƒe tɔtrɔ aɖewo ate ŋu akpe ɖe ame ŋu be OAB xɔxɔ ƒe afɔkua dzi naɖe akpɔtɔ alo akpe ɖe ame ŋu wòaɖu dzesiawo dzi, siwo dometɔ aɖewoe nye:
- Ŋutilã ƒe kpekpeme si le lãmesẽ me léle ɖe asi.
- Caffeine kple aha sesẽ nono dzi ɖeɖe kpɔtɔ.
- Lãmetsi si sɔ nono gbesiagbe. Ahanono fũ ate ŋu ana dzesiawo nagagblẽ ɖe edzi, evɔ ahanono fũ ate ŋu ana aɖuɖɔ naƒo ƒu eye wòado dziku na tsinyegoea, si ana wòawɔ nu kpata.
- Kamedede edziedzi.
- Kegels alo akɔta ƒe kamedede bubuwo wɔwɔ.
- Nɔnɔme siwo ate ŋu ahe OAB vɛ, abe Suklidɔ alo aɖuɖɔtoedɔléle (UTIs) ene dzi kpɔkpɔ.
Ke ne tsinyegoe si le dɔ wɔm akpa ya ɖe?
Agbenɔnɔ kple OAB ate ŋu ahe seselelãme ƒe fuɖename gã aɖe vɛ. Nɔnɔmea dzi ɖuɖu ate ŋu asesẽ, eye ɖewohĩ dzesiawo nu ayi keŋkeŋ ɣesiaɣi o. Gake ame akpa gãtɔ kpɔa dzidzɔ ɖe woƒe atikewɔwɔ ƒe ɖoɖowo ŋu eye wokpɔa ŋgɔyiyi gã aɖe le woƒe agbenɔnɔ me.
Aleke malé be na ɖokuinye?
Ne atikewɔwɔwo mele dɔ wɔm enumake o, alo esime nèle lalam be woadze dɔwɔwɔ gɔme la, atike siwo nana ame ƒe lãme mekɔna o abe atike siwo wotsɔna ƒua gbe alo ame tsitsiwo ƒe aklala ene zazã ate ŋu akpe ɖe ŋuwò nàse le ɖokuiwò me be yeɖu ye ɖokui dzi eye yealé yeƒe agbenɔnɔ ƒe nyonyome me ɖe asi.
Aɖaŋuɖoɖo siawo ate ŋu akpe ɖe ŋuwò be akɔfafa kple kakaɖedzi nanyo ɖe edzi ne èle atike siwo nana ame ƒe lãme mekɔna o zãm:
- Trɔ adzɔnuwo enuenu. Ne ètrɔ aŋekotoku alo aklala enumake le tsi si le dodom vɔ megbe kpena ɖe ame ŋu be ʋeʋẽ dzi ɖena kpɔtɔna.
- De ami alo atike si xea mɔ na ame. Atike si kpɔa ŋutigbalẽ ta zazã hafi ado atike siwo nana ame ƒe lãme mekɔna o ate ŋu axe mɔ na ŋutigbalẽ ƒe dziku si dona tso aɖuɖɔtoe me nɔnɔ enuenu me.
- Do awu siwo me nànɔ bɔbɔe. Esi wònye be atike siwo nana ame ƒe lãme mekɔna o ate ŋu alolo ta la, awu nyui siwo me mekɔ o dodo ate ŋu akpe ɖe ŋuwò nàɣla wo eye wòaɖe dzimaɖitsitsi ɖesiaɖe si anɔ asiwò ɖe ame bubuwo ƒe dzesidede ŋu dzi akpɔtɔ.
- Do awu siwo ƒe amadede nye viviti. Amadede siwo do viviti wu nyo ŋutɔ le nusiwo ate ŋu ado tso eme la tsyɔtsyɔ me.
Ɣekaɣie wòle be makpɔ ɖɔkta?
Ele be nàkpɔ ɖɔkta ne èkpɔ tsinyegoe si le dɔ wɔm akpa ƒe dzesi aɖewo.
OAB si do ƒome kple tsitsi ate ŋu adze egɔme vivivi. Gake ne wò dzesiawo do kpata eye tsi si le dodom vevie kpe ɖe eŋu la, ate ŋu anye nɔnɔme bubu abe dɔlékui alo ahɔhɔ̃mekawo ƒe dɔléle ene ƒe dzesi. Anyo wu be ɖɔkta nado dzesi siawo kpɔ enumake.
Nya kawoe wòle be mabia nye ɖɔkta?
- Aleke nèwɔ kpɔe be tsinyegoe si le dɔ wɔm akpa le ŋunye?
- Nukae nye nusi gbɔ nye OAB tso?
- Zi nenie wòsɔ be woaɖu aɖuɖɔ gbesiagbe?
- Lãmetsi agbɔsɔsɔme kae wòle be mano gbesiagbe?
- Lãmetsi ƒomevi kawoe wòle be matsɔ aɖo nɔƒe gbãtɔ?
- Lãmetsi kawoe wòle be maƒo asa na?
- Nuɖuɖu kawoe wòle be maɖu?
- Nuɖuɖu kawoe wòle be matsri?
- Atikewɔwɔ kawoe nèkafu?
- Ðe nugbegblẽ le ame ŋu le atikewɔmɔnu siwo wokafu ŋua?
- Atike kawoe nèkafu?
- Ðe nugbegblẽ le ame ŋu le atike siwo woŋlɔ na ame ŋua?
- Ðe agbenɔnɔ ƒe tɔtrɔ bubu aɖewo li siwo wòle be mawɔa?
- Àte ŋu akafu kpekpeɖeŋunaha aɖewo na amesiwo ƒe tsinyegoe wɔa dɔ fũu akpaa?
Tamesusu Mamlɛawo (Gbedasi si Wotsɔ Yi Aƒeme) .
Tsinyegoe si wɔa dɔ fũu akpa (OAB) nye dɔléle si gblẽa nu le ame geɖe ŋu, ke hã zi geɖe la, enyea nusi ŋu amewo sena le wo ɖokui me be yewomate ŋu aƒo nu tsoe o. Nɔnɔme sia ate ŋu akpɔ ŋusẽ ɖe wò gbesiagbegbenɔnɔ, wò dɔwɔwɔ nyuie, kple wò seselelãme ƒe nyonyo gɔ̃ hã dzi vevie. Ke hã, taflatse nyae be mehiã be nàkpe fu le ɖoɖoezizi me o.
Afɔɖeɖe vevitɔ kekeakee nye esi: ne èle dzesi siawo kpɔm la, mègakpe ŋu alo nàvɔ̃ be yeaƒo nu kple lãmesẽdɔwɔla o. Ne míedi eŋutinunyalawo ƒe aɖaŋuɖoɖo le Nirogi Lanka la, míate ŋu anya nusi gbɔ wòtso la nyuie eye míawɔ atikewɔwɔ ƒe ɖoɖo si sɔ na wò ŋutɔ wò hiahiãwo. Eɖanye to agbenɔnɔ ƒe tɔtrɔ, tsinyegoe ƒe hehexɔxɔ, atikewo zazã, alo lãmekawo ƒe dɔwɔwɔ ƒe atikewɔwɔ me o, woate ŋu akpɔ nɔnɔme sia gbɔ ŋutɔ.
Ðo ŋku edzi be ne èle nɔnɔme sia dzi kpɔm gɔ̃ hã la, mɔ nyui aɖewo li siwo dzi nàto ana wò agbenɔnɔ nanyo ɖe edzi. Ne èna nyatakaka nyuitɔ kple atikewɔla bibiwo ƒe kpekpeɖeŋu la, àte ŋu aɖu kuxi sia dzi dzidzedzetɔe eye kakaɖedzi nagasu asiwò ake!
