Aɖuɖɔtoe me Kuxiwo le Mɔ̃a Mea? Mina Míaƒo Nu Tso Urodynamic Dodokpɔ Ŋu!

Ðe wòsesẽna na wò alo mesea veve ɣeaɖewoɣi ne èle aɖuɖɔ tom ? Àte ŋu ase le ɖokuiwò me be yeƒe aɖuɖɔtoe megbɔdzɔ o, alo ɖewohĩ àwɔ avu kple didi kpata si nu sẽ be yeayi, alo àkpɔe be ehiã be yeaɖe aɖuɖɔ enuenu wu alesi nèwɔnɛ ɖaa. Ame aɖewo sena le wo ɖokui me gɔ̃ hã be yewoƒe tsinyegoe mekɔ keŋkeŋ o, ne wowu enu teti koe nye ema gɔ̃ hã. Togbɔ be esiawo adze abe nu suesuesue siwo doa dziku na ame ene hã la, woate ŋu agblẽ nu le ame ŋu vevie. Egbea la, míele nu ƒom tso dodokpɔ tɔxɛ aɖe si ŋu wotrɔ asi le be woatsɔ ade dzesi nusi tututu gbɔ dzesi siawo siwo ɖea dzi le ame ƒo tsoe ŋu.

Nukae nye Urodynamic Testing?

Kpuie ko la, tsinyegoe me dodokpɔ nye dodokpɔ siwo kplɔ wo nɔewo ɖo siwo me wodzroa alesi wò tsinyegoe (ŋutilã si dzraa aɖuɖɔ ɖo ), tsinyegoe ƒe lãkusi (lãmeka si le wò tsinyegoe kple tsinyegoe dome si wɔa dɔ abe pɔmpi ene), kple tsinyegoe (mɔ̃ si me aɖuɖɔtoe dona le wò ŋutilã me) le dɔ wɔm nyuie la kpɔna. Ne wotsɔ ŋutinu siawo ƒo ƒui la, woyɔa aɖuɖɔtoe si le ete .

Dodokpɔ siawo ku ɖe alesi wò ŋutilã dzraa aɖuɖɔ ɖo nyuie kple alesi wòɖea aɖuɖɔ ɖe go nyuie ŋu . Etɔxɛe la, urodynamic dodokpɔ ate ŋu adzidze:

• Alesi wò tsinyegoe ƒe lãmekawo kple lãmekawo le dɔ wɔm nyuie.
• Nyaƒoɖeamenua dzina ɖe edzi le wò tsinyegoea me kple eƒe golɔgoewo me.
• Wò aɖuɖɔ ƒe lolome kple eƒe sisi ne èle aɖuɖɔ ɖum.

Wò ɖɔkta ate ŋu anɔ te ɖe dodokpɔ siawo me tsonu dzi anya atikewɔwɔ ƒe ɖoɖo nyuitɔ kekeake si sɔ ɖe wò dzesi tɔxɛwo nu.

Ɣekaɣie Wokafui be Woado Urodynamic Dodokpɔ?

Dodokpɔ siawo na ɖɔktawo te ŋu kpɔa nya siwo le wò aɖuɖɔtoe si le ete la nyuie. Ðo ŋku edzi be wò aɖuɖɔtoe nye wò ŋutilã ƒe tsidzɔƒe si ɖea gbeɖuɖɔ kple tsi si sɔ gbɔ la ɖa heɖea wo ɖa.

Wotrɔ asi le tsinyegoe me dodokpɔ akpa gãtɔ ŋu be woatsɔ akpɔ alesi wò tsinyegoe léa aɖuɖɔ nyuie kple alesi wòkɔna keŋkeŋ. Le tsinyegoe si le lãmesẽ me la, ele be aɖuɖɔtoe nanɔ teƒe ɖeka, ayi edzi, eye wòana aɖuɖɔ natsi keŋkeŋ.

Wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàwɔ dodokpɔ siawo ne èle dzesi siwo gbɔna la dometɔ aɖe kpɔm:

• Aɖuɖɔtoe ƒe dɔmawɔmawɔ nyuie ƒomevi ɖesiaɖe `(Urinary Incontinence)` ( aɖuɖɔtoe ƒe dodo le vo me ).
• Aɖuɖɔtoe ƒe didi kpata si dzi womate ŋu aɖu o , alo ehiã be nàɖe aɖuɖɔ enuenu ŋutɔ .
• Vevesesese le ame ŋu ne èle aɖuɖɔ tom.
• Aɖuɖɔtoe me dɔléle siwo gbugbɔna `(UTIs)`.
• Sesẽ alo heheɖemegbe ne èdze aɖuɖɔɖɔɖɔ gɔme.
• Mate ŋu akɔ tsinyegoea me keŋkeŋ o `(Urinary Retention)`.
• Aɖuɖɔtoe si gbɔdzɔ, blewu, alo si nɔa sisim ɣeaɖewoɣi .

Le kpɔɖeŋu me, Sarah dea dzesi aɖuɖɔ sue aɖe si le dodom ɣesiaɣi si wòko nu alo kɔ akɔta, si nana ŋu kpenɛ ɖedzesi aɖe. Eƒe ɖɔkta kafui be woawɔ urodynamic dodokpɔ be woatsɔ anya nusi tututu gbɔ eƒe dzesiawo tso.

Zi geɖe la, dzesi siawo tɔgbe ɖenɛ fiana be nya aɖe le eme si gblẽa nu le wò aɖuɖɔtoe si le ete ŋu.

Aleke Wowɔa Urodynamic Dodokpɔ?

Aɖuɖɔtoeme dodokpɔ ƒomevi vovovowo li, eye wo dometɔ ɖesiaɖe ku ɖe aɖuɖɔtoe ƒe dɔwɔwɔ ƒe akpa vovovowo ŋu. Be wò ɖɔkta nakpɔ alesi wò aɖuɖɔtoe le dɔ wɔm nyuie la, ate ŋu awɔ dodokpɔ geɖe le ɣeyiɣi ɖeka me.

Mina míalé ŋku ɖe urodynamic dodokpɔ ƒomevi gbãtɔwo ŋu nyuie.

Lãmetsiŋusẽŋutinunya (Cystometrogram) .

Cystometry dodokpɔ, si wogayɔna be cystometrogram, tsɔa catheters (tube tsɛ siwo te ŋu trɔna bɔbɔe) dzidzea nyaƒoɖeamenu si le wò tsinyegoe me. Dodokpɔ sia daa asɔ be:

• Aɖuɖɔ agbɔsɔsɔme si wò tsinyegoe ate ŋu alé ɖe te bɔbɔe .
• Wò tsinyegoe ƒe nyaƒoɖeamenu ememetɔ ne ele aɖuɖɔ dzram ɖo, kple alesi nyaƒoɖeamenu ma dzina ɖe edzi ne eyɔ fũ.
• Aleke gbegbe wò tsinyegoe yɔ fũe ne èse le ɖokuiwò me zi gbãtɔ be yeaɖe aɖuɖɔ .

Ekpena ɖe ame ŋu hã be nàde dzesi tsinyegoe ƒe tete alo ʋuʋu ɖesiaɖe si womelɔ̃na o ne wole wò tsinyegoea yɔm.

Cystometry dodokpɔa dzea egɔme kple tsinyegoe ƒuƒlu. Wò ɖɔkta atsɔ ka sue aɖe ato wò tsinyegoe me ade wò tsinyegoe me blewuu. Wotsɔa tsinyegoe ƒe nyaƒoɖeamenudzidzenu si woyɔna be manometer dea ka sia me be wòalé ŋku ɖe tsinyegoe ƒe nyaƒoɖeamenu ŋu le dodokpɔa katã me. Be woadzidze nyaƒoɖeamenu le wò ƒodo me hã la, woate ŋu ade ka sue evelia ɖe nyɔnu ƒe vidzidɔ alo dɔgbo me.

Eyome, tsi dzodzoe alo dzetsi si me dɔlékui mele o yɔa wò tsinyegoe me vivivi. Ne wò tsinyegoe le yɔyɔm la, woate ŋu abia tso asiwò be nàkɔ akɔta alo nàdo dzi akpɔe ɖa be aɖuɖɔ aɖeke mele dodom hã (si woyɔna be leak point pressure). Mlɔeba la, woabia tso asiwò be nàkɔ tsinyegoea me. Le esia me la, tsinyegoe ƒe yaƒoƒodzidzenu la ŋlɔa tsinyegoe ƒe nyaƒoɖeamenu kple aɖuɖɔ ƒe sisi ƒe agbɔsɔsɔme siaa ɖi (nyaƒoɖeamenu-sisi dzidzedze).

Esesẽna na dɔnɔ aɖewo be woaɖe aɖuɖɔ ne wotsɔ catheterwo ɖo wo teƒe alo ne atikewɔlawo le xɔa me. Taflatse mègakpe ŋu na wò o; esia nye nuwɔna si bɔ ŋutɔ eye wòsɔ. Togbɔ be àte ŋu ase veve vie alo nyaƒoɖeamenu aɖe ne wole ka si me wodoa ka le la dem hã la, dɔdamɔnua ŋutɔ mevea ame o .

Le ŋutsuwo gome la, dodokpɔ sia me tsonu ate ŋu ana gɔmesese veviwo hã nasu ame si le nenye be ʋuka si lolo `(Enlarged Prostate)` le mɔ xem na aɖuɖɔtoe eye wòle dzesiwo hem vɛ hã.

Elektrikŋusẽŋutinunya (EMG) .

Elektromyography (EMG) dodokpɔ dzidzea elektrikŋusẽ ƒe dɔwɔwɔ le lãmeka kple lãmeka siwo le wò tsinyegoea me kple eƒe golɔgoewo me. Wotsɔa elektrikŋusẽnamɔ̃ suesuesue siwo léna ɖe nu ŋu dana ɖe ŋutigbalẽ si te ɖe wò tsinyegoe kple dɔgbo ŋu dzi be woaŋlɔ elektrikŋusẽ ƒe dzesi siwo dona ne wò akɔta ƒe lãmekawo `(Akɔta ƒe Lãmetsiwo)` ƒo ƒu eye woɖe dzi ɖi.

Uroflowmetry ƒe dɔwɔwɔ

Uroflowmetry dzidzea aɖuɖɔ agbɔsɔsɔme si nèɖena kple alesi wòsina kabakabae. Le dodokpɔ sia ta la, wò ɖɔkta abia tso asiwò be nàva ɖo kple tsinyegoe si yɔ fũ. Woabia tso asiwò be nàɖe aɖuɖɔ ɖe mɔ̃ tɔxɛ aɖe (si ɖi nugododeƒe) si ŋlɔa wò aɖuɖɔ ƒe lolome kple eƒe sisi le eɖokui si, si wɔnɛ be wò aɖuɖɔtoe me tsonu ƒe nɔnɔmetata. Esia kpena ɖe ŋuwò nèdea dzesii ne wò tsinyegoe ƒe lãmekawo gbɔdzɔ alo ne mɔxenu aɖe li si na aɖuɖɔtoe si le sisim blewu alo wòtɔ te.

Postvoid Residual (PVR) Dzidzedze

Dodokpɔ sia dzidzea aɖuɖɔ agbɔsɔsɔme si susɔ ɖe wò tsinyegoe me ne èwu aɖuɖɔ vɔ megbe, si woyɔna be postvoid residual . Togbɔ be esɔ be aɖuɖɔ sue aɖe natsi anyi hã la, agbɔsɔsɔ ɖedzesi aɖe fia be kuxi aɖe li. Zi geɖe la, wò ɖɔkta azã ultrasound si mewɔa nuvevi ame o (si woyɔna zi geɖe be tsinyegoe ƒe fotoɖemɔ̃) atsɔ aɖe wò tsinyegoe ƒe nɔnɔmetata ahabu akɔnta le eƒe sesẽme sia ŋu.

Ne womate ŋu awɔ ultrasound o le ŋutilã ƒe akpa aɖewo ta la, woate ŋu ade aɖuɖɔtoea me blewu hena ɣeyiɣi aɖe be wòaɖe tsi si susɔ la ɖa ahadzidzee. Zi geɖe la, ne tsinyegoea ƒe agbɔsɔsɔme susɔe nye ounces 5 va ɖo 6 (anɔ abe mililita 150–180 ene) alo esi wu nenema la, efia be wò tsinyegoe mele ƒuƒlu keŋkeŋ o, togbɔ be xexlẽme siwo nèdi be yeawɔ ate ŋu ato vovo hã. Wò ɖɔkta adzro nusi wò emetsonuwo koŋ fia na wò me.

Video ƒe Urodynamic Dodokpɔ

Video dzi urodynamic dodokpɔ ƒoa cystometry, uroflowmetry, kple X-ray cystography nu ƒu ɖekae wòzua dɔwɔwɔ ɖeka si me wowɔa nusianu le. X-ray mɔ̃ɖaŋununya zãa dijitaal nɔnɔmetata deŋgɔwo tsɔ léa wò tsinyegoe kple tsinyegoe ƒe nɔnɔmetatawo le ɣeyiɣi ŋutɔŋutɔ me ne wole yɔyɔm hele ƒuƒlu. Esia naa gɔmesese veviwo le wò tsinyegoe ƒe lolome kple nɔnɔme kple alesi wòle dɔ wɔm nyuie ŋu.

Ne wozã X-ray la, woatsɔ amadede tɔxɛ aɖe si naa vovototodedeameme ayɔ wò tsinyegoe me be nɔnɔmetataawo me nakɔ nyuie. Togbɔ be wò ŋutilã mexɔa tsi sia si ɖea vovototodedeameme fiana o hã la, ele vevie ŋutɔ be nàna wò ɖɔkta nanya hafi awɔ dodokpɔa ne nulɔdɔ aɖe le ŋuwò , vevietɔ na amadede siwo to vovo na wo nɔewo alo iodine.

Ðe Wòhiã Be Nàdzra Ðo Ðe Dodokpɔ Siawo Ŋua?

Zi geɖe la, mehiã be woawɔ dzadzraɖo tɔxɛ aɖeke o. Le dodokpɔ aɖewo gome la, wò ɖɔkta ate ŋu abia tso asiwò be nàno tsi geɖe do ŋgɔ ale be nàva ɖo kple tsinyegoe si yɔ fũu bɔbɔe. Kpɔ egbɔ be yedzro nyabiase alo nusiwo ŋu nètsi dzi ɖo ɖesiaɖe me kple wò lãmesẽdɔwɔla hafi nàva ɖo wò dɔa. Mègaŋlɔ be be yeabia nenye be ehiã be nàdzudzɔ atike siwo nèzãna edziedzi dometɔ aɖe nono hena ɣeyiɣi aɖe hafi woadoe kpɔ o.

Nukae Dzɔna Le Dodokpɔa Megbe?

Àte ŋu ase veve vie alo abi vie ne èle aɖuɖɔ ɖum . Esia sɔ eye ele be wòaɖiɖi le gaƒoƒo ʋɛ aɖewo megbe. Àte ŋu ade dzesi ʋu ʋɛ aɖewo hã le wò aɖuɖɔ me . Tsi kplu ɖeka va ɖo eve (ounces 8 va ɖo 16) nono gaƒoƒo ɖesiaɖe abe gaƒoƒo eve ene ate ŋu akpe ɖe ŋuwò nàɖe wò dɔlékuiwo ɖa eye wòaɖe dzesi siawo dzi akpɔtɔ.

Wò ɖɔkta ate ŋu ado susu ɖa be nàle tsi dzodzoe alo nàtsɔ avɔ si me dzo le si me tsi le asisi ɖe tsinyegoea ƒe ʋuƒoa ŋu be wòaɖe vevesese ɖesiaɖe dzi akpɔtɔ. Ne ehiã la, àte ŋu ano vevesesenutsitike si womeƒlena o `(OTC vevesesenutsitike)` hã.

Le go aɖewo me la, wò ɖɔkta ate ŋu aŋlɔ dɔlékuiwutike kpui aɖe na wò be wòaxe mɔ ɖe dɔlékuiwo xɔxɔ nu, togbɔ be esia mehiã ɣesiaɣi o hã.Ne dɔlékui aɖe ƒe dzesiwo, abe asrã, vuvɔ, alo vevesese sesẽ ene dze le ŋuwò la, te ɖe wò ɖɔkta ŋu enumake alo nàdi atikewɔƒe kpata.

Ɣeyiɣi didi kae Dodokpɔ Siawo Xɔa?

Togbɔ be ɣeyiɣi didi si tututu wòaxɔ ate ŋu ato vovo le dodokpɔ tɔxɛ siwo wɔm wole nu hã la, zi geɖe la, dɔa xɔa abe miniti 30 va ɖo 45 ene .

Ðe Afɔku Aɖewo Li le Urodynamic Dodokpɔ mea?

Urodynamic dodokpɔwo le dedie ŋutɔ eye wowɔa wo edziedzi . Gake esi wotsɔa ka aɖe dea tsinyegoea me ta la, afɔku sue aɖe koe li be woaxɔ aɖuɖɔtoedɔléle (UTI) .

Ðe Urodynamic Dodokpɔ Nye Vevesesea?

Mele be urodynamic dodokpɔ nanye vevesese o . Togbɔ be àte ŋu akpɔ dzobibi alo vevesese vie le dodokpɔa wɔwɔ me alo le gaƒoƒo 24 megbe hã la, vevesese sesẽ mebɔ kura o eye ele be nàgblɔe na wò ɖɔkta enumake.

Ðe Woana Fafa na Wò Alo Woana Alɔ̃dɔdɔ Hafi Dodokpɔa?

Le ame tsitsiwo gome la, zi geɖe la, womehiãa atike si naa ame ƒe dzi dzea eme `(Sedation)` alo anesthesia `(Anesthesia)` na urodynamic dodokpɔ o. Gake ne ɖevi ŋue wole dodokpɔa wɔm la, woate ŋu azã atike si naa ame ƒe dzi dzea eme fafɛ aɖe atsɔ akpe ɖe wo ŋu be woaɖe dzi ɖi ahaɖe dzi ɖi. Ne nane si ŋu nètsi dzi ɖo le akɔfafa ŋu la, taflatse dzro wo me kple wò dɔnɔdzikpɔha do ŋgɔ.

Ɣekaɣie Nàxɔ Wò Dodokpɔa Me Tsitsiwo?

Zi geɖe la, dodokpɔ bɔbɔewo abe cystometry `(Cystometry)` kple uroflowmetry `(Uroflowmetry)` ƒe emetsonuwo nɔa anyi enumake . Dodokpɔ siwo sesẽ wu, abe electromyography `(Electromyogram)` alo video urodynamic scans `(Video Urodynamic)`, ate ŋu abia ŋkeke ʋee aɖewo hafi woate ŋu adzro wo me tsitotsito. Wò ɖɔkta adzro nusiwo ŋu woke ɖo me kpli wò be míadzro afɔɖeɖe siwo kplɔe ɖo me eye wòakafu atikewɔwɔ ƒe ɖoɖo aɖe.

Vovototo Kae Le Urodynamics Kple Urology Dome?

Togbɔ be wodo ƒome kplikplikpli hã la, woto vovo. Urology `(Urology)` nye atikewɔwɔ tɔxɛ si léa fɔ ɖe aɖuɖɔtoe kple ŋutsu ƒe vidzidzi ŋutinuwo ƒe lãmesẽ ŋu. Urodynamics `(Urodynamics)` fia dɔwɔwɔ dodokpɔ tɔxɛ siwo wozãna tsɔ dzidzea alesi aɖuɖɔtoe si le ete dzraa aɖuɖɔ ɖo nyuie eye wòɖenɛ ɖe go, si kpena ɖe aɖuɖɔtoedɔdalawo ŋu be woakpɔ nya tɔxɛ aɖewo.

Nu Vevi Siwo Woatsɔ Atsɔ Ayi Siwo Dzi Wòaɖo Ŋku

Urodynamic dodokpɔ nye dɔwɔnu vevi aɖe si wotsɔ dia dɔlélewoe si kpena ɖe ŋuwò nèdaa nɔnɔme siwo gblẽa nu le wò tsinyegoe, tsinyegoe, kple tsinyegoe ŋu la kpɔ. Esiawo nye dɔdamɔnu siwo le dedie, siwo le tẽ, eye wowɔa dɔ nyuie ŋutɔ, siwo naa wò lãmesẽnyawo gbɔ kpɔha la kpɔa nyatakaka siwo tututu hiã be woase alesi wò tsinyegoe dzraa aɖuɖɔ ɖo heɖea aɖuɖɔ ɖe goe gɔme.

Taflatse ɖo ŋku edzi be ne nyabiase alo dzimaɖitsitsi aɖe le asiwò ku ɖe dɔdamɔnua alo wò emetsonuwo ŋu la, mègahe ɖe megbe le wò ɖɔkta biabia me o. Wò lãmesẽnyawo gbɔ kpɔha le afima be yewoado alɔ wò le mɔa ƒe afɔɖeɖe ɖesiaɖe me!

Ne èkpɔ dɔlékui ƒe dzesi aɖewo, abe dzoxɔxɔ, vuvɔ, alo vevesese sesẽ si nɔa anyi ɖaa si yi ŋgɔ wu vevesese si nu mesẽna le dɔwɔwɔ nɛ vɔ megbe o la, taflatse yi atikewɔƒe enumake.

` Aɖuɖɔtoe ƒe ɖoɖo, tsinyegoe, urodynamic dodokpɔ, aɖuɖɔtoe sesẽ, tsinyegoe ƒe dɔwɔwɔ dodokpɔ, cystometry, uroflowmetry