Ðe aɖuɖɔ susɔ ɖe tsinyegoea me ne èwu aɖuɖɔ vɔ megbe gɔ̃ hã? (Post-Void Residual Urine Test) Mina míakpɔ nusi tututu wònye!

Ðe nèsena le ɖokuiwò me ɣeaɖewoɣi be yemekɔ tsinyegoe me keŋkeŋ le aɖuɖɔtoe vɔ megbe oa ? Alo ɖe nèsena le ɖokuiwò me be ehiã be yeaɖe aɖuɖɔ zi geɖe gbesiagbe, ɖewohĩ zi geɖe wu alesi nèsusui gɔ̃ hã? Ne vevesese sue siawo le ŋuwò la, mègasusui be enye nusi ŋu nàtsi dzi ɖo o. Ɣeaɖewoɣi la, ne èsusu be yewu aɖuɖɔtoe nu gɔ̃ hã la, aɖuɖɔ aɖe ate ŋu asusɔ ɖe wò tsinyegoe me. Mí ɖɔktawo míeyɔa esia be ‘Post-Void Residual’ (PVR) . Kpuie ko la, efia “aɖuɖɔ si wogblẽ ɖi le aɖuɖɔtoe vɔ megbe .”

Nukatae wowɔa dodokpɔ sia si nye ‘post-void residual’ (PVR)?

Enyo, fifia ɖewohĩ èle eŋu bum be, "Ekema nukatae míewɔa PVR dodokpɔ sia?" Susu vevitɔ si ta nèwɔa esiae nye be nànya ɣeyiɣi si tututu wò tsinyegoe me tsi ƒuƒlu keŋkeŋ, alo ne aɖuɖɔ susɔ. Woyɔa aɖuɖɔtoe sia be ‘aɖuɖɔtoe me nuléle’ . Togbɔ be esɔ be aɖuɖɔ sue aɖe nasusɔ hã la, ne aɖuɖɔ geɖe susɔ la, ate ŋu anye lãmesẽkuxi aɖe ƒe dzesi.

Wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàwɔ PVR dodokpɔ ne dzesi siawo dometɔ aɖe le ŋuwò:

• Aɖuɖɔtoe enuenu : Ne ehiã be nàɖe aɖuɖɔ zi geɖe gbesiagbe, ɖewohĩ zi ɖeka le gaƒoƒo ɖeka me.
• Aɖuɖɔtoe dzi ɖuɖu sesẽ (aɖuɖɔtoetetedɔ): Ne aɖuɖɔ bu le wò lɔlɔ̃nu me esime nèle tsitrenu.
• Aɖuɖɔtoe me Dɔlékui Siwo Dzɔna Enuenu (UTIs): Ne èxɔa UTI ɣleti ʋɛ aɖewo ɖesiaɖe alo esi wu nenema.
• Dɔgbo ƒe kpekpeme kple seselelãme be tsinyegoea mekɔ le aɖuɖɔ vɔ megbe gɔ̃ hã o .
• Ne wokpɔe be tsinyegoe me kpewo le ŋuwò.

Bu eŋu kpɔ, xɔ̃wò, na míayɔe be Supun. Ele be Supun naɖe aɖuɖɔ enuenu le ŋkeke siawo me. Ele be wòafɔ zi eve alo zi etɔ̃ le zã me. Egblɔ be ne yeɖe aɖuɖɔ vɔ la , yesena le ye ɖokui me be yeƒe dɔgbo yɔ fũ. Ne eyi ɖɔkta gbɔ la, ɖɔkta la gblɔna nɛ be wòawɔ PVR dodokpɔ sia. Ɣemaɣie dodokpɔ sia va le vevie.

Aleke wowɔa PVR dodokpɔ siae?

Enyo, azɔ mina míakpɔ alesi míadzidze aɖuɖɔ agbɔsɔsɔme si susɔ ɖe tsinyegoea me, alo PVR. Mɔnu vevi eve li siwo wozãna na esia.

1. Tsinyegoe me Catheterization

Esia nye mɔ ɖeka. Ðɔktawo yɔe be ‘tsinyegoe me ʋuka dodo’ . Nusi dzɔnae nye esi:

Èyia nugododeƒe gbã eye nèkɔa tsi le wò tsinyegoe me alesi nàte ŋui. Emegbe la, ɖɔkta alo dɔnɔdzikpɔla si xɔ hehe ade mɔ̃ si le tsɛ ŋutɔ, si te ŋu trɔna bɔbɔe la eme – míeyɔa esia be ‘catheter’.– Wodenɛ wò tsinyegoe me nyuie ŋutɔ le wò tsinyegoea to. Ne wonya de eme ko la, woɖea aɖuɖɔ siwo katã susɔ ɖe tsinyegoea me la ɖa eye wodzidzea agbɔsɔsɔme si le eme. Esia adze nusi mebɔ o vie, gake wowɔa esia nyuie ŋutɔ.

2. Ultrasound dodokpɔ

Mɔnu vevitɔ bubue nye ultrasound dodokpɔ. Ðewohĩ èse nya sia kpɔ. Esia zãa gbeɖiɖi ƒe ƒutsotsoewo tsɔ léa ŋku ɖe tsinyegoea me. Mɔnu eve hã li siwo dzi woato awɔ esia:

• Tsinyegoe me Dzodzro: Le esia me la, wowɔa fotoɖeɖea le wò ƒodo, afisi wò tsinyegoe le. Ðɔkta tsɔa mɔ̃ sue aɖe (míeyɔna be ‘probe’ ) wò ƒodo dzi eye wòzãa gbeɖiɖi ƒe ƒutsotsoewo tsɔ ɖea wò tsinyegoe ƒe foto hekpɔa aɖuɖɔ agbɔsɔsɔme si susɔ.
• Transvaginal Ultrasound: Esia nye scan ƒomevi aɖe si wowɔna na nyɔnuwo. Le afisia la, wotsɔa ‘nukpɔmɔ̃’ toa nyɔnu ƒe vidzidɔa me tsɔ ɖea tsinyegoea ƒe foto. Mɔnu sia ate ŋu ana nɔnɔmetata siwo me kɔ wu nadze ɣeaɖewoɣi.

Ðɔktaa atia mɔnu eve siawo dometɔ si sɔ wu le wò nɔnɔmea nu.

Aleke wòle be madzra ɖo ɖe dodokpɔ sia ŋu?

Zi geɖe la, dzadzraɖo tɔxɛ aɖeke mehiã na PVR dodokpɔ sia o. Àte ŋu aɖu nu ahano nu abe ale si nèwɔnɛ ɖaa ene. Gake ɣeaɖewoɣi la, wò ɖɔkta ate ŋu agblɔ na wò be nàno tsi vi aɖe gaƒoƒo ʋɛ aɖewo do ŋgɔ na dodokpɔa eye nàna wò tsinyegoe nayɔ vie. Eyata anyo wu be nàbia wò ɖɔkta alo dɔnɔdzikpɔlawo hafi awɔ dodokpɔa nenye be mɔfiame tɔxɛ aɖewo li siwo dzi wòle be nàwɔ ɖo.

Nuka tututue dzɔna le ‘Bladder Catheterization’ me?

Míagblɔ be ètiae be yeadzidze yeƒe PVR to tsinyegoe me ʋuka dodo me. Emegbe nane si le abe esia ene dzɔna:

1. Tsinyegoea me kɔklɔ: Gbã la, woaɖo wò ɖe nugododeƒe eye woabia tso asiwò be nàkɔ tsinyegoea me nyuie eye wòakɔ keŋkeŋ alesi nàte ŋui.

2. Dzadzraɖo: Eyome woabia tso asiwò be nàmlɔ dodokpɔkplɔ̃ dzi, abɔbɔ wò klowo, eye nàkeke wò afɔwo ɖe axadzi. Esia ana nàte ŋu akpɔ wò tsinyegoea nyuie wu.

3. Dzadzɛnyenye Kple Eƒe Ʋuʋudedi: Eyome, ɖɔkta alo dɔnɔdzikpɔla akɔ wò tsinyegoe kple teƒe siwo ƒo xlãe ŋu nyuie. Emegbe, woatsɔ atike si naa alɔ̃dɔdɔ le teƒea ƒe agbɔsɔsɔ sue aɖe asisi ɖe teƒea be wòana teƒea natsi. Esia akpe ɖe ŋuwò be màse veve boo o.

4. Catheter la dede: Fifia, wotsɔa tsinyegoe tsɛ si woyɔna be ‘catheter’ la dea wò tsinyegoe me nyuie.

5. Aɖuɖɔɖeɖe kple dzidzedze: Woɖea aɖuɖɔ siwo katã susɔ le tsinyegoea me to tsinyegoea me eye wodzidzea agbɔsɔsɔme si sɔ.

6. Catheter la ɖeɖe: Ne woƒo aɖuɖɔa nu ƒu vɔ la, wogaɖea aɖuɖɔa ɖa nyuie.

Aɖabaƒoƒo ʋɛ aɖewo koe wòaxɔ hafi nusiawo katã nawu enu.

Nukae dzɔna le ultrasound PVR dodokpɔ me?

Azɔ mina míakpɔ nusi dzɔna ne wotsɔ ultrasound dzidze PVR. Esia to vovo vie tso catheter zazã gbɔ.

1. Tsinyegoea me kɔklɔ: Le go sia me la, woaɖo wò ɖe nugododeƒe gbã eye woabia tso asiwò be nàkɔ tsinyegoe me alesi nàte ŋui.

2. Dzadzraɖo: Eyome, woana nàmlɔ anyi ɖe dodokpɔ ƒe aba dzi.

3. Gel zazã: Ne woawɔ tsinyegoe ƒe fotoɖeɖe la, wotsɔa gel tɔxɛ aɖe dea wò ƒodo me, afisi wò tsinyegoe le. Gel sia kpena ɖe ame ŋu be kadodo nyui aɖe nɔa nusi wotsɔna dzroa nu me kple wò ŋutigbalẽ dome. Le ultrasound si toa vidzidɔ me gome la, wotsɔa gel la dea nusi wotsɔna dzroa nu me la me.

4. Scanning: Eyome, ɖɔktaa tsɔa ultrasound probe la dana ɖe wò ƒodo dzi (hena tsinyegoe ƒe fotoɖeɖe) alo wò vidzidɔ me (hena transvaginal ultrasound) be wòakpɔ wò tsinyegoe ƒe nɔnɔmetata nyuitɔwo kekeake. Àte ŋu akpɔ nɔnɔmetata siawo le ŋkuléleɖenuŋumɔ̃ si te ɖe ŋuwò dzi.

5. Nuwuwu: Ne woɖe tsinyegoea ƒe foto siwo hiã vɔ la, woɖea nusi wotsɔna dzroa nu me la ɖa. Emegbe àte ŋu atutu gelũhɛ ɖesiaɖe si sɔ gbɔ ɖe eme la ɖa.

Esia hã awu enu le aɖabaƒoƒo ʋɛ aɖewo megbe.

Nukae dzɔna le PVR dodokpɔa megbe?

Zi geɖe la, PVR dodokpɔ sia menyea dɔ si sesẽ ŋutɔ o. Míeyɔa esia be ‘dɔdamɔnu si wozãna le kɔdzi’ . Esia fia be ne wonya wɔ dodokpɔa ko la, àte ŋu ayi aƒeme alo atrɔ ayi wò dɔ si nèwɔna ɖaa la dzi. Àte ŋu agbugbɔ adze wò gbesiagbedɔwo gɔme abe alesi nèwɔnɛ ɖaa ene.

Gake ne wodo tsinyegoe me ka na wò kpɔ , esi atike si naa ame ƒe lãme gbãna la le vɔvɔm la, àte ŋu ase le ɖokuiwò me be yemele dedie vie alo abi le wò tsinyegoe me ŋkeke ʋɛ aɖewo. Nu nyuitɔ si nàwɔ na esiae nye be nàno tsi geɖe ahaɖe aɖuɖɔ zi geɖe gbesiagbe. Esia akpe ɖe ame ŋu be vevesesea dzi naɖe akpɔtɔ ŋutɔ.

Ðe afɔku aɖewo le PVR dodokpɔ sia mea?

Afɔku gã aɖeke mele ultrasound dodokpɔ me o. Ele dedie ŋutɔ.

Gake togbɔ be tsinyegoe me ʋuka dodo , togbɔ be ƒã ŋutɔ hã la, ate ŋu ahe afɔku sue ʋɛ aɖewo vɛ. Esiawoe nye:

• Mɔnukpɔkpɔ sue aɖe li be woaxɔ aɖuɖɔtoedɔléle (UTI). Esia le alea elabena wotsɔa duta nane dea tsinyegoea me. Ke hã, esia mebɔ kura o. Ɣeaɖewoɣi la, wò ɖɔkta ate ŋu ana atike aɖe si woyɔna be ‘ dɔlékuiwutikewo ’ wò be wòaɖe afɔku sia dzi akpɔtɔ.
• Ðewohĩ ʋu aɖe le wò aɖuɖɔ me (hematuria). Zi geɖe la, esia nu tsona le ŋkeke ɖeka alo eve me.
• Ƒã ŋutɔ la, ate ŋu anye nane abe abi sue aɖe si woxɔ le tsinyegoe alo tsinyegoe ŋu ene.

Gake, megagblɔe ake be, afɔku siawo le sue ŋutɔ. Ðɔktawo tsɔa nuteƒekpɔkpɔ kple beléle gã aɖe wɔa dodokpɔ sia. Eyata mègavɔ̃ madzemadzee o. Ne ɖikeke aɖe le mewò la, ƒo nu kple wò ɖɔkta.

Nukae wòle be ‘post-void residual’ (PVR) ƒe asixɔxɔ nanye le dzɔdzɔme nu?

Enyo, azɔ mina míalé ŋku ɖe PVR dodokpɔ sia ƒe emetsonuwo ŋu. Zi geɖe la, wotsɔa mililita (mL) dzidzea aɖuɖɔ agbɔsɔsɔme si susɔ ɖe wò tsinyegoe me.

• Le ame tsitsi si le lãmesẽ me gome la, zi geɖe la, wobua esɔ be aɖuɖɔ si mede mililita 50 o nanɔ tsinyegoea me le aɖuɖɔtoe vɔ megbe .
• Ne ele mililita 50 va ɖo 100 (50 mL - 100 mL) dome la, ateŋu anye nusi sɔ ɣeaɖewoɣi, alo ateŋu anye nusi hiã numekuku bubuwo.
• Ne wogblẽ mililita 100 (100 mL) kple edzivɔ la, zi geɖe la, woate ŋu abui be enye ‘aɖuɖɔtoe me nuléle’.

Gake ɖo ŋku esia dzi: Wò ɖɔkta akpɔ nusi tututu nye PVR ‘si sɔ’ kple ‘si mesɔ o’ na wò. Enɔ te ɖe nu geɖe dzi, siwo dometɔ aɖewoe nye ƒe si nèxɔ, wò lãmesẽ, kple atike siwo nènona. Eyata ne wò dodokpɔa me tsonu nya dze ko la, ele vevie be nàƒo nu tso wo ŋu na wò ɖɔkta eye nàse nusi wofia gɔme.

Ɣeyiɣi didi kae wòxɔna hafi wonyaa PVR dodokpɔa me tsonu?

Esia nye nusi wòle be nànya. Zi geɖe la, wokpɔa PVR dodokpɔ me tsonu enumake, le dodokpɔa wɔwɔ vɔ megbe teti kloe. Ultrasound ate ŋu agblɔe na wò enumake. Catheteration hã ate ŋu agblɔ ʋu ƒe sisi agbɔsɔsɔme si wodzidze na wò. Gake anyo wu be nàbia wò ɖɔkta alo dɔnɔdzikpɔla be ɣekaɣie nàte ŋu adzro emetsonuwo me.

Nukatae tsinyegoe sia léa aɖuɖɔ fũ akpa (High PVR Volume)?

Susu geɖewo li siwo tae aɖuɖɔ geɖe ate ŋu anɔ tsinyegoea me, alo PVR si sɔ gbɔ ɖo. Nu vevi siwo gbɔ ‘aɖuɖɔtoe me tsinyenye’ ƒe nɔnɔme sia tsona dometɔ aɖewoe nye esi:

• Xexe le wò aɖuɖɔtoe ƒe teƒe aɖe: Le kpɔɖeŋu me, nane abe tsinyegoe me dɔdzẽ, aɖuɖɔtoe me kpe, alo aɖuɖɔtoe ƒe xexe ene.
• Enlarged prostate (BPH): Esia bɔ ɖe ŋutsuwo me ne wole tsitsim. Ne tsinyegoea lolo la, ate ŋu ami tsinyegoea, si wɔnɛ be aɖuɖɔtoea nasesẽ.
• Abe atike aɖewo ƒe nugbegblẽ le ame ŋu ene: Vevesesenutsitike aɖewo, atike siwo wua ʋumenugbagbeviɣidɔ, kple tagbɔdɔléle ƒe atike aɖewo ate ŋu akpɔ ŋusẽ ɖe tsinyegoe ƒe dɔwɔwɔ dzi.
• Aɖuɖɔtoe si xaxa alo tsinyegoe ƒe ʋuʋu: Ne tsinyegoea xaxa, le dɔlékui alo abi si woxɔ ta.
• Lãmetsiŋusẽ ƒe kuxiwo:Ahɔhɔ̃mekawo abe suklidɔ, aklã ƒe abixɔxɔ, Parkinson ƒe dɔléle, kple lãmeka siwo me ʋu sina tona ene ate ŋu agblẽ nu le lãmeka siwo kpɔa tsinyegoe ƒe seselelãme kple dɔwɔwɔ dzi ŋu. Woyɔa nɔnɔme sia be ahɔhɔ̃mekawo ƒe tsinyegoe .
• Tsinyegoe ƒe lãmekawo ƒe gbɔdzɔgbɔdzɔ.
• Dɔmeɖui: Aɖuɖɔtoe sesẽ hã ate ŋu ana tsinyegoe nate ŋu aƒoe eye wòana aɖuɖɔ nagasi nyuie o.

Aleke woawɔ ada tsinyegoe ƒe ʋuʋu?

Ne wokpɔe be wò PVR sɔ gbɔ, si fia be aɖuɖɔ geɖe susɔ ɖe tsinyegoea me la, ekema wò ɖɔkta alé ŋku ɖe nusi gbɔ wòtso ŋu , elabena woanɔ te ɖe nusi gbɔ wòtso dzi anya atikewɔwɔ.

• Ne nusi gbɔ wòtsoe nye atike aɖe ƒe nugbegblẽ le ame ŋu la, woate ŋu atrɔ atikeawo alo aɖe eƒe agbɔsɔsɔme dzi akpɔtɔ.
• Ne ʋuka si me ʋu sina tona la lolo la, woate ŋu atsɔ atike alo awɔ dɔ sue aɖe nɛ.
• Ne aɖuɖɔtoea xe la, woate ŋu awɔ dɔ na ame alo awɔ dɔ bubu aɖe atsɔ aɖee ɖa.
• Ne lãmeka ƒe kuxie la, woate ŋu azã atikewo alo mɔnu bubu siwo akpe ɖe ŋuwò nàkɔ tsinyegoe me esime nèle edada . Woate ŋu akafui na ame aɖewo be woasrɔ̃ aɖuɖɔtoe ɖeɖeɖa le ɣeyiɣi si woɖo ɖi me alo azã catheter.

Nu vevitɔe nye be wò ɖɔkta naƒo nu tso esia ŋu na wò tsitotsito, aɖe nusiwo nye wò tiatiawɔblɔɖe me na wò, kple nenye be ehiã be nàgawɔ dodokpɔ bubuwo. Eya ta, mègavɔ̃ be yeabia wò nyawo o.

Ɣekaɣie wòle be makpɔ ɖɔkta?

Esia hã le vevie ŋutɔ.

Ne kasia nèkpɔe be yemate ŋu aɖu aɖuɖɔ kura o, si fia be yeƒe aɖuɖɔ xe keŋkeŋ la, ke enye nusi dzɔ kpata. Ele be nàyi kɔdzi ƒe dɔwɔƒe si kpɔa nudzɔdzɔ kpatawo gbɔ (ETU) enumake. Mègahe ɖe megbe o.

Tsɔ kpe ɖe eŋu la, ne dzesi siawo dometɔ ɖeka alo esi wu nenema le ŋuwò la, kpɔ egbɔ be yeyi wò ƒomea ƒe ɖɔkta alo tsinyegoeŋutinunyala gbɔ:

• Ne wò ƒodo ƒe akpa si le anyime le veve sem alo vuvu.
• Ne vevesese alo dzobibi le ŋuwò ne èle aɖuɖɔ ɖum .
• Ne asrã le ŋuwò.
• Ne aɖuɖɔa ƒe amadede do viviti alo eƒe ʋeʋẽ lilili.
• Ne ʋu le aɖuɖɔ me.
• Ehiã be maɖe aɖuɖɔ enuenu, gake vie ko le ɣeyiɣi ɖeka me.
• Ne wò tsinyegoe gakpɔtɔ le yɔyɔm le wò aɖuɖɔtoe vɔ megbe .

Mègaŋe aɖaba ƒu dzesi siawo dzi o. Atikewɔlawo ƒe aɖaŋuɖoɖo didi ate ŋu axe mɔ na nɔnɔmea be wòagagblẽ ɖe edzi o.

Mlɔeba la, nusiwo dzi wòle be woaɖo ŋkui (Take-Home Message) .

Eyata, mlɔeba la, ne èsusu be aɖuɖɔtoe me tsi ƒe dzesiwo le ye ŋu, si nye aɖuɖɔ si susɔ ɖe tsinyegoe me la, wò ɖɔkta ate ŋu abia tso asiwò be nàwɔ ‘post-void residual’ (PVR) dodokpɔ sia. Togbɔ be esɔ be aɖuɖɔ sue aɖe nanɔ wò tsinyegoe me ɣeaɖewoɣi hã la, ne èno fũ akpa ate ŋu agblẽ nu le wò tsinyegoe ŋu, agblẽ nu le wò ayiku ŋu, eye wòana nàxɔ dɔlékuiwo enuenu. Menye ema ɖeɖeko o, ke ate ŋu anye nɔnɔme aɖe si le ete si wòle be woada hã ƒe dzesi.

Ne wò PVR sɔ gbɔ la, wò ɖɔkta akpɔ nusi gbɔ wòtso eye wòakafu atike nyuitɔ kekeake na wò. Ne nyabiase alo dzimaɖitsitsi aɖe le asiwò ku ɖe dodokpɔ sia alo wò dodokpɔ me tsonu ŋu la, mègahe ɖe megbe le wò ɖɔkta biabia me o. Gome le asiwò be woana nànya nu tso wò lãmesẽ ŋu. Nɔ lãmesẽ me!

` Aɖuɖɔtoe dodokpɔ si susɔ le void megbe, PVR dodokpɔ, aɖuɖɔtoe me tsinyenye, tsinyegoe, catheterization, ultrasound, aɖuɖɔ dodokpɔ, aɖuɖɔtoe ƒe dzesiwo, aɖuɖɔtoe me tsinyenye