Ðe aɖuɖɔtoe me kuxiwo hã le ŋuwòa? Mina míaƒo nu tso urodynamic dodokpɔwo ŋu!

Àte ŋu ado go kuxi kple kuxi vovovowo hã le aɖuɖɔtoe me , si fia be aɖuɖɔtoe, ɣeaɖewoɣi, alo? Bu eŋu kpɔ, ɖewohĩ àse le ɖokuiwò me be ŋusẽ megale ye ŋu le yeƒe aɖuɖɔtoe me o, alo kasia wòahiã be nàɖe aɖuɖɔ vevie , alo ahiã be nàɖe aɖuɖɔ enuenu. Ame aɖewo ate ŋu ase le wo ɖokui me gɔ̃ hã be aɖuɖɔ gakpɔtɔ le yewoƒe tsinyegoe me ne yewowu aɖuɖɔ vɔ gɔ̃ hã . Egbea, míele nu ƒom tso dodokpɔmɔnu tɔxɛ aɖe si ate ŋu akpe ɖe ŋuwò nàke ɖe nusi tututu gbɔ kuxi siawo siwo dze abe ɖe wole sue ene, gake wodoa dziku ŋutɔŋutɔ la tso ŋu.

Nukawoe nye urodynamic dodokpɔ siawo?

Kpuie ko la, tsinyegoe me dodokpɔwo nye dodokpɔ siwo léa ŋku ɖe alesi wò tsinyegoe (ŋutilã si le abe akplo ene si ƒoa aɖuɖɔ nu ƒu hedzraae ɖo ), tsinyegoe (lãmeka si le tsinyegoe kple mɔ si dzi aɖuɖɔ dona le dome - abe pɔmpi ene), kple tsinyegoe (mɔ̃ si tsɔa aɖuɖɔ doa goe) le dɔ wɔm nyuie. Wogayɔa ŋutinu siawo be aɖuɖɔtoe si le ete .

Dodokpɔ siawo koŋ léa ŋku ɖe alesi wò ŋutilã ƒoa aɖuɖɔ nu ƒu hedzranae nyuie, kple alesi wòɖea aɖuɖɔe nyuie ŋu. Etɔxɛe la, dodokpɔ siawo ate ŋu adzidze:

• Alesi lãmekawo kple lãmeka siwo le wò tsinyegoe me le dɔ wɔm nyuie.
• Aleke nyaƒoɖeamenu si le tsinyegoea me kple eƒe golɔgoewo le?
• Ne èɖe aɖuɖɔ , alesi gbegbe aɖuɖɔ dona kple alesi wòdona kabakabae.

Wò ɖɔkta ate ŋu anɔ te ɖe dodokpɔ siawo me tsonu dzi anya atikewɔwɔ ƒe ɖoɖo nyuitɔ kekeake na wò dzesiwo.

Ɣekaɣie wowɔa urodynamic dodokpɔ siawo?

Dodokpɔ siawo ate ŋu akpe ɖe ɖɔktawo ŋu woanya kuxi siwo le wò aɖuɖɔtoe si le ete. Ðo ŋku edzi be aɖuɖɔtoe le abe tsidzɔƒe si ɖea gbeɖuɖɔ kple tsi si sɔ gbɔ ɖe míaƒe ŋutilã me ɖa ene.

Urodynamic dodokpɔ akpa gãtɔ ƒe taɖodzinue nye be woanya alesi wò tsinyegoe léa aɖuɖɔ nyuie kple alesi wòkɔa aɖuɖɔe nyuie. Ele be tsinyegoe si le lãmesẽ me nakɔ aɖuɖɔ me ɣesiaɣi, ɣesiaɣi, eye wòakɔ aɖuɖɔ me keŋkeŋ.

Wò ɖɔkta ate ŋu adɔ dodokpɔ siawo ne dzesiwo abe esiawo ene le ŋuwò:

• Aɖuɖɔtoetetedɔ nye ŋutetemanɔamesi ƒomevi ɖesiaɖe be woaɖu aɖuɖɔtoe dzi (i.e., aɖuɖɔtoe ƒe bu le lɔlɔ̃nu faa me ).
• Ne aɖuɖɔtoe ƒe didi si ŋu womate ŋu axe mɔ ɖo o va dzɔ ɖe dziwò kasia , alo ne ehiã be nàɖe aɖuɖɔ enuenu .
• Ne èse veve ne èle aɖuɖɔ tom.
• Ne èxɔ aɖuɖɔtoedɔléle (UTIs) siwo gbugbɔna.
• Ne esesẽ na wò be nàdze aɖuɖɔɖɔɖɔ gɔme.
• Ne kuxi aɖe le ŋuwò si me màte ŋu akɔ wò tsinyegoe me keŋkeŋ o (Urinary Retention).
• Ne aɖuɖɔa ƒe sisi le blewu ŋutɔ , gbɔdzɔ , alo le ɣeyiɣi aɖewo me .

Bu eŋu kpɔ, Nilanthi Akka tsia aɖuɖɔ vi aɖe ne ele nu kom alo le kɔdzi. Esia nye ŋukpe nɛ ŋutɔ. Ðɔktaa gblɔ be woawɔ urodynamic dodokpɔ aɖe atsɔ anya nusi tututu gbɔ esia tso.

Dzesi siawo tɔgbe ɖee fia be kuxi aɖe ate ŋu anɔ wò aɖuɖɔtoe si le ete ŋu.

Aleke wowɔa urodynamic dodokpɔ siawoe?

Urodynamic dodokpɔ ƒomevi vovovowo li, eye wo dometɔ ɖesiaɖe wɔa dɔ le mɔ vovovowo nu vie. Ɣeaɖewoɣi la, wò ɖɔkta ate ŋu awɔ dodokpɔ geɖe zi ɖeka be wòase alesi wò aɖuɖɔtoedɔa le dɔ wɔm gɔme nyuie wu.

Mina míalé ŋku ɖe dodokpɔ ƒomevi vevi aɖewo ŋu.

Cystometry dodokpɔ

Cystometry dodokpɔ, alo cystometrogram, nye dodokpɔ si me wozãa catheters ( tsinyegoe tsɛ siwo te ŋu trɔna bɔbɔe) tsɔ dzidzea nyaƒoɖeamenu si le wò tsinyegoe me. Dodokpɔ sia ate ŋu agblɔ na wò be:

• Aɖuɖɔ agbɔsɔsɔme si wò tsinyegoe ate ŋu alé ɖe te .
• Nyaƒoɖeamenu si le tsinyegoea me ne ele aɖuɖɔ dzram ɖo, kple alesi nyaƒoɖeamenu ma dzina ɖe edzi kabakaba ne tsinyegoea yɔ fũ.
• Aleke gbegbe wò tsinyegoe yɔ fũe ne èse le ɖokuiwò me be ehiã be yeaɖe aɖuɖɔ.

Dodokpɔ sia ate ŋu adzidze tsinyegoea ƒe tete alo ʋuʋudedi si dzɔna le tsinyegoe ƒe gli ŋu ne tsinyegoea yɔ fũ hã.

Cystometry dodokpɔ dzea egɔme kple tsinyegoe ƒuƒlu. Wò ɖɔkta atsɔ ka sue aɖe ato wò tsinyegoe me ade wò tsinyegoe me. Nusi wotsɔna dea dzesi nu si woyɔna be manometer le catheter sia dzi, si ate ŋu adzidze nyaƒoɖeamenu si le wò tsinyegoe me le dodokpɔa katã me. Wò ɖɔkta ate ŋu ade ka bubu hã wò nyɔnu ƒe vidzidɔ alo wò dɔgbo me be wòadzidze nyaƒoɖeamenu si le wò ƒodo me.

Emegbe, woatsɔ tsi dzodzoe si me dɔlékui mele o ayɔ wò tsinyegoe me vivivi. Ne wò tsinyegoe le yɔyɔm la, woate ŋu abia tso asiwò be nàkɔ akɔta alo nànɔ tetem. Woyɔa esia be ``Leak Point Pressure``, si nye teƒe si aɖuɖɔ dona le le nyaƒoɖeamenu ta. Le cystometrogram la ƒe nuwuwu la, woabia tso asiwò be nàkɔ tsinyegoea me. Emegbe manometer adzidze nyaƒoɖeamenu si le wò tsinyegoe me kple alesi aɖuɖɔ sinae (``Pressure Flow Measurement``).

Ate ŋu asesẽ na ame aɖewo be woaɖe tsinyegoe me tsi, vevietɔ ne wotsɔ ka aɖe ɖo wo teƒe alo ne ame bubu le xɔa me. Ne edzɔ alea la, mègakpe ŋu o, esɔ. Togbɔ be àte ŋu ase veve aɖe ne ɖɔktaa tsɔ ka si wotsɔna tsia tsinyegoe la de wò tsinyegoe me hã la, dodokpɔa mevea wò o .

Le ŋutsuwo gome la, dodokpɔ sia me tsonu ate ŋu ana woanya nenye be ʋuka si me ʋu sina tona la lolo (prostate si lolo), si nye nɔnɔme si nana aɖuɖɔtoe sesẽna.

Elektrikŋusẽ ƒe dɔwɔwɔ ƒe dodokpɔ

Electromyography dzidzea elektrikŋusẽ si le wò tsinyegoe kple lãmeka kple lãmeka siwo ƒo xlãe ŋu. Wotsɔa elektrikŋusẽnamɔ̃ ƒe akpa aɖewo (abe nu suesuesue siwo wotsɔna ƒoa nu ɖe ​​nu ŋu ene) dana ɖe wò tsinyegoe kple aɖuɖɔtoe gbɔ eye woŋlɔa elektrikŋusẽ ƒe ƒutsotsoe siwo dzɔna ne wò akɔta ƒe lãmekawo te ɖe wo nɔewo ŋu la ɖi.

Uroflowmetry dodokpɔ

Woyɔa dodokpɔ bubu si dzidzea agbɔsɔsɔme si nèɖena kple alesi nèɖea aɖuɖɔ kabakabae be uroflowmetry. Ne ège ɖe dodokpɔ sia wɔwɔ me la, wò ɖɔkta abia tso asiwò be nàde tsinyegoe me . Àɖe aɖuɖɔ ɖe mɔ̃ tɔxɛ aɖe me (abe elektrɔnik nugododeƒe ene). Edzidzea wò aɖuɖɔ ƒe sisi ƒe agbɔsɔsɔ kple duƒuƒu le eɖokui si eye wòwɔa nɔnɔmetata si ɖea tɔtrɔawo fiana. Nusiwo dona tso eme ate ŋu afia ne wò tsinyegoe ƒe lãmekawo gbɔdzɔ alo ne wò aɖuɖɔ ƒe sisi gbɔdzɔ alo wòtɔ te le mɔxenu aɖe ta.

Postvoid ƒe Dzidzedze si susɔ

``Postvoid Residual Measurement`` dodokpɔ sia dzidzea aɖuɖɔ agbɔsɔsɔme si susɔ ɖe wò tsinyegoe me ne èwu aɖuɖɔ vɔ megbe. Woyɔa esia be postvoid residual. Vi aɖe susɔ na amesiame. Zi geɖe la, wò ɖɔkta azã ultrasound dodokpɔ (míeyɔnae be ``Bladder Scanner``) atsɔ aɖe wò tsinyegoe ƒe foto.

Ðewohĩ womate ŋu awɔ tsinyegoe ƒe dodokpɔ sia na ame aɖewo siwo ŋu atikewɔwɔ ƒe nɔnɔme aɖewo le o. Le nɔnɔme mawo me la, wotsɔa ka aɖe dea tsinyegoea me to tsinyegoe me eye woɖea aɖuɖɔ bubu ɖa be woakpɔe ɖa be esɔ hã. Zi geɖe la, aɖuɖɔ ounces 5-6 (anɔ abe mililita 150-180 ene) alo esi wu nenema tsia megbe, si nye dzesi be tsinyegoea mekɔ keŋkeŋ o. Ke hã, esia ate ŋu ato vovo tso ame ɖeka gbɔ yi bubu gbɔ. Wò ɖɔkta adzro emetsonuwo me kpli wò.

Video ƒe Urodynamic Dodokpɔwo

Video dzi urodynamic dodokpɔwo nye cystometry, uroflowmetry, kple X-ray cystography ƒe ƒuƒoƒo. Digitál-dɔwɔnu siwo wozãna tsɔ wɔa dodokpɔ siae zãa X-ray tsɔ dzidzea nyaƒoɖeamenu si le tsinyegoe kple dɔgbo me kpakple aɖuɖɔ ƒe sisi. Mɔ̃ siawo ɖea tsinyegoea ƒe foto ne ele yɔyɔm hele ƒuƒlu. Dodokpɔ siawo naa nyatakaka veviwo tso tsinyegoe kple tsinyegoe ƒe dɔwɔwɔ ŋu, eye woɖea tsinyegoea ƒe lolome kple nɔnɔme hã fiana.

Ne èle X-ray wɔm la, tsi tɔxɛ aɖe si woyɔna be ``Contrast Dye'' ayɔ wò tsinyegoe me.Esia wɔnɛ be woate ŋu akpɔ nɔnɔmetataawo nyuie. Zi geɖe la, ŋutilãa mexɔa `(Contrast Dye)` ƒomevi siawo o. Ke hã, ne `(Allergy)` le ame aɖe ŋu ɖe tsi siawo ƒomevi ŋu (alo nulɔdɔ bubu ɖesiaɖe) la, ele be wòagblɔe na ɖɔkta hafi doe kpɔ.

Ðe wòhiã be madzra ɖo koŋ hafi woawɔ dodokpɔ siawoa?

Zi geɖe la, dodokpɔ siawo mehiãa dzadzraɖo tɔxɛ aɖeke o. Le dodokpɔ aɖewo gome la, wò ɖɔkta agblɔ na wò be nàno tsi geɖe eye nàna tsinyegoe nayɔ hafi dodokpɔa nadze egɔme. Kpɔ egbɔ be yebia wò ɖɔkta nya ɖesiaɖe si le asiwò hafi dodokpɔa nadze egɔme. Azɔ hã, bia ne ehiã be nàdzudzɔ atike aɖewo nono hafi woawɔ dodokpɔa.

Nukae dzɔna le dodokpɔa megbe?

Àte ŋu ase le ɖokuiwò me be yemele dedie vie alo dzobibi ne èle aɖuɖɔ ɖum . Ele be esia naɖiɖi le gaƒoƒo ʋɛ aɖewo megbe. Àte ŋu akpɔ ʋu ʋɛ aɖewo hã le wò aɖuɖɔ me . Tsi ounces 8-16 (kplu 1-2) nono le gaƒoƒo ɖeka me abe gaƒoƒo eve ene ate ŋu akpe ɖe ŋuwò nàɖe dzesi siawo dzi akpɔtɔ.

Wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàle tsi dzodzoe alo nàtsɔ avɔ si me dzo le si me tsi le la aɖo wò tsinyegoea dzi. Ne ehiã la, woate ŋu aɖo aɖaŋu hã be woano vevesesenutsitike si womeƒlena le atikedzraƒe o (OTC).

Le go aɖewo me la, wò ɖɔkta ate ŋu aŋlɔ dɔlékuiwutike aɖe na wò be wòaxe mɔ ɖe dɔlékuiwo xɔxɔ nu, gake esia mehiã ɣesiaɣi o. Ne dɔlékuiwo ƒe dzesiwo le ŋuwò, abe asrã, vuvɔ, alo vevesese sesẽ ene la, gblɔe na wò ɖɔkta enumake.

Ɣeyiɣi didi kae dodokpɔ siawo xɔa?

Togbɔ be esesẽna be woagblɔ ɣeyiɣi didi si tututu dodokpɔa axɔ hã la, zi geɖe la, àte ŋu akpɔ mɔ be axɔ miniti 30 va ɖo 45 .

Ðe afɔku aɖewo le urodynamic dodokpɔwo mea?

Urodynamic dodokpɔ nye dodokpɔ si le dedie ŋutɔ eye kakaɖedzi le eŋu . Gake esi wotsɔa ka aɖe dea tsinyegoea me ta la, mɔnukpɔkpɔ sue aɖe koe li be woaxɔ aɖuɖɔtoedɔléle .

Ðe dodokpɔ siawo vea amea?

Mele be urodynamic dodokpɔwo nase veve o . Àte ŋu ase dzobibi vie alo vevesese aɖe abe gaƒoƒo 24 ene le dodokpɔa megbe, gake mele be vevesese sesẽ aɖeke nanɔ eme o.

Ðe woana atike wò be wòana wò dzi nadze eme hafi woawɔ dodokpɔa? Alo ɖe woana atike si naa alɔ̃dɔdɔ wòa?

Zi geɖe la, ame tsitsiwo mehiãa atike si naa ame ƒe dzi dzea eme alo atike si naa alɔ̃dɔdɔ hafi woawɔ urodynamic dodokpɔ o. Gake ne dodokpɔ sia le ɖevi sue aɖe wɔm la, woate ŋu ana atike si naa ame ƒe dzi dzea eme si fa ŋutɔ be wòana woƒe dzi nadze eme . Ne nya aɖe le asiwò ku ɖe esia ŋu la, anyo wu be nàƒo nu kple wò ɖɔkta.

Ɣekaɣie maxɔ nye dodokpɔa me tsonu?

Dodokpɔwo abe cystometry kple uroflowmetry ene ƒe emetsonuwoe nyeEle be nànya gbemagbe ke. Ate ŋu axɔ ŋkeke ʋɛ aɖewo hafi dodokpɔwo abe electromyogram kple video urodynamics ene me tsonu natrɔ ava. Ne wonya do tso eme ko la, wò ɖɔkta aƒo nu tso wo ŋu na wò. Ðewohĩ ahiã be nàgakpɔ wò ɖɔkta ake adzro afɔɖeɖe siwo kplɔe ɖo kple atikewɔwɔ me.

Ðe Urodynamics kple Urology nye nu ɖeka?

Ẽ, ame eve siawo to vovo vie. Urology nye atikewɔwɔ ƒe akpa si srɔ̃a nu tso dɔléle siwo gblẽa nu le wò aɖuɖɔtoe ŋu. Urodynamics nye dodokpɔ si dzidzea alesi wò aɖuɖɔtoe si le ete le dɔ wɔme. Dodokpɔ siawo ate ŋu akpe ɖe ame ŋu woade dzesi kuxi ɖesiaɖe si ate ŋu anɔ ame ŋu.

Mlɔeba la, nu ʋɛ aɖewo siwo dzi wòle be woaɖo ŋkui

Urodynamic dodokpɔwo nye dodokpɔ siwo kpena ɖe ame ŋu wòkpɔa nɔnɔme siwo gblẽa nu le wò tsinyegoe, wò tsinyegoe ƒe lãkusi, kple wò tsinyegoe ŋu. Esiawo nye dodokpɔ siwo le dedie, siwo le bɔbɔe vie, siwo naa wò ɖɔkta sea nu vevi aɖe le alesi wò tsinyegoe léa aɖuɖɔ heɖenɛ ɖa ŋu.

Mègaŋlɔ be o, ne nya aɖe le asiwò ku ɖe dodokpɔ sia alo wò dodokpɔ me tsonu ŋu la, mègakpe ŋu be yeabia wò ɖɔkta o. Wole afisia be yewoakpe ɖe ŋuwò!

Ne dɔlékuiwo ƒe dzesiwo dze le dodokpɔ siawo megbe, abe dzoxɔxɔ, vuvɔ , alo ne ègakpɔtɔ le veve sem wu alesi wòle le gaƒoƒo ʋɛ aɖewo megbe ene la, yi ɖɔkta gbɔ enumake.

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` Aɖuɖɔtoe ƒe ɖoɖo, tsinyegoe, urodynamic dodokpɔwo, aɖuɖɔtoe ƒe dɔmawɔmawɔ nyuie, aɖuɖɔtoe ƒe dodokpɔ, cystometry, uroflowmetry