Ðe dɔlékuiwo hã le wò aɖuɖɔ me, gake dzesi aɖeke mele ŋuwò oa? (Asymptomatic Bacteriuria) Mina míasrɔ̃ nu tso eŋu!

Ðe wodo aɖuɖɔ kpɔ (eɖanye `Urinalysis` alo `Bacterial Culture`) eye ɖɔkta gblɔ na wò be dɔlékuiwo le wò aɖuɖɔ me kpɔa? Gake nusi wɔ nukue nye be, mèsea veve, dzoxɔxɔ, alo dzobibi aɖeke ne èle aɖuɖɔ tom o. Emae nye nusi míeyɔna ko be `Asymptomatic Bacteriuria`. Togbɔ be ŋkɔa didi vie hã la, le ame akpa gãtɔ gome la, esia menye kuxi gã aɖeke abe alesi wòdze ene o. Ðe míaƒo nu geɖe tso esia ŋua?

Nuka tututue nye `Asymptomatic Bacteriuria`?

Kpuie ko la, `Asymptomatic Bacteriuria` fia be dɔlékuiwo le agbe le wò aɖuɖɔtoe me (si fia be, ɖoɖo si me ayiku, tsinyegoe, kple tsinyegoe hã le), gake dzesi aɖeke mele ŋuwò o . Èle nu wɔm abe alesi wòle ene. Ðeko wòle abe ɖe ame aɖe le wò aƒe me ene, gake mele fu ɖem na wò kura o.

Fifia ɖewohĩ èle eŋu bum be, "Ekema menye aɖuɖɔtoedɔléle (UTI)e nye esia oa?" Vovototo vi aɖe le afisia. UTI lɔ dɔlékui siwo le aɖuɖɔtoe me hã ɖe eme. Gake ne UTI le ŋuwò la, dzesi siwo dzena ƒãa dzena na wò . Le kpɔɖeŋu me:

• Àte ŋu axɔ asrã.
• Àte ŋu ase dzobibi kple vevesese ne èle aɖuɖɔ tom.
• Ehiã be maɖe aɖuɖɔ enuenu, gake vie ko le ɣeyiɣi ɖeka me.
• Àte ŋu ase veve le ƒodo ƒe akpa si le ete.
• Aɖuɖɔ ate ŋu ado viviti eye wòaʋẽ lilili.

Ke hã, le `Asymptomatic Bacteriuria` me la, dzesi siawo dometɔ aɖeke mele ŋuwò o . Dɔlékuiawo le afima, gake wo "zi ɖoɖoe".

Aleke gbegbee nɔnɔme sia bɔe? Amekae ate ŋu axɔe bɔbɔe wu?

Le nyateƒe me la, nɔnɔme sia si woyɔna be ``Asymptomatic Bacteriuria'' bɔ wu alesi nàsusui, eye ate ŋu ava ɣeaɖewoɣi eye wòadzo hena ɣeyiɣi aɖe. Abe alesi numekuku aɖewo ɖee fia ene la:

• Nyɔnu siwo ade 45% akpɔ dɔlékui siwo wokpɔ le aɖuɖɔ dodokpɔ me le woƒe agbe ƒe ɣeyiɣi aɖe me (nyɔnuwo ƒe aɖuɖɔtoe le kpuie wu, si wɔnɛ be dɔlékuiwo gena ɖe eme bɔbɔe).
• Woateŋu akpɔ nɔnɔme sia le amesiwo xɔ wu ƒe 70 siwo le ame tsitsiwo dzikpɔƒewo ƒe abe 50% ene me.
• Amesiame si tsɔ mɔ̃ aɖe si wotsɔ do ka kple aɖuɖɔtoea (abe Foley catheter alo ureteral stent ene) de ɣeyiɣi didi aɖe la, dɔlékuiwo ate ŋu anɔ eƒe aɖuɖɔ me.

Bu eŋu kpɔ ko, ɣeaɖewoɣi la, dɔlékui siawo te ŋu buna le ŋkeke ɖeka alo eve pɛ ko me.

Eyata aleke dɔlékui siawo gena ɖe aɖuɖɔtoe me? Nukawoe gbɔ wòtsona?

Le dzɔdzɔme nu la, dɔlékuiwo nɔa míaƒe dɔgbo kple míaƒe ŋutigbalẽ dzi, eye afisiae dɔlékuiwo gena ɖe aɖuɖɔtoe me zi geɖe.

• Ne èkɔ nugododeƒe zazã vɔ megbe vodadatɔe: Vevietɔ le nyɔnuwo gome la, ne èkɔ tso akpa kemɛ (tso aɖuɖɔtoe me yi vidzidɔ me) le esi teƒe be nàkɔ nugododeƒe yi aɖuɖɔtoe me le nugododeƒea zazã vɔ megbe la, dɔlékui siwo le aɖuɖɔ me ate ŋu age ɖe aɖuɖɔtoea me.
• Le atikewɔmɔ̃ siwo le aɖuɖɔtoe me ta: Le kpɔɖeŋu me, ne wotsɔ nuwo abe catheter ene de eme.
• Ne èle tsi ƒum: Ɣeaɖewoɣi la, dɔlékuiwo te ŋu toa tsi si wotsɔ le tsi ƒum me gena ɖe eme.
• Le gbɔdɔdɔ me: Dɔlékuiwo ate ŋu age ɖe aɖuɖɔtoe me kokoko le gbɔdɔdɔ megbe.

Nusi koŋ gbɔ esia tsonae nye dɔlékui si nye `E. coli`. Esia nye dɔlékui ƒomevi aɖe si le míaƒe aɖuɖɔ me zi geɖe. Gakpe ɖe eŋu la, dɔlékuiwo abe `Klebsiella pneumoniae` hã ateŋu adze edzi.

Amekae le afɔku me wu le esia ta?

Ame aɖewo ate ŋu axɔ `Asymptomatic Bacteriuria` wu. Woawoe nye:

• Ame siwo nɔa ame tsitsiwo dzikpɔƒewo ɣeyiɣi didi.
• Ame siwo ŋu Foley catheter alo ureteral stent si nɔa wo me ɣeyiɣi didi le.
• Ame siwo xɔ abi le aklã me.
• Ame siwo ŋu ʋusɔgbɔdɔ si woyɔna be sickle cell anemia le.
• Ame siwo ŋu suklidɔ le.

Aleke ɖɔktawo dea dzesi esia?

Zi geɖe la, ɖɔkta akpɔ dɔlékuiwo ƒe tsinyenye si me dzesi aɖeke mele o to aɖuɖɔtoe ɖeɖe kple aɖuɖɔtoe ƒe dekɔnu wɔwɔ me. Gake ne dzesi aɖeke mele ŋuwò o la, zi geɖe la, menye ɖeko woado wò aɖuɖɔ kpɔ be dɔlékuiwo le eme hã o. Ne ɖɔkta aɖe gblɔ na wò be nàwɔ dɔlékuiwo ƒe dekɔnu la, ke susu aɖe li si tae. Ate ŋu adzɔ be èle afɔku ƒe hatsotso siwo míeyɔ ɖe etame la dometɔ ɖeka me, eye ate ŋu ahiã be nàdi dɔlékuia ahadae hafi wòadze dzesi.

Ðe wòhiã be woawɔ atike na amesiame ɖe esia ta?

Nu vevitɔe nye esi. Zi geɖe la, womedaa `Asymptomatic Bacteriuria` gbɔ o . Elabena, ne dzesi aɖeke mele ŋuwò o la, afɔku si le `UTI` xɔxɔ me le dɔlékui siawo ta la le sue. Le go bubu me la, dɔlékuiwo ƒe dɔlékuiwo dadae nye dɔlékuiwutikewo . Nusiwo dɔlékuiwutikewo zazã madzemadzee ate ŋu agblẽ nu le viɖe siwo dona tso eme ŋu.

Ne èno dɔlékuiwutikewo zi geɖe akpa eye mehiã o la, dɔlékuiwo va zu numame na wo. Míeyɔa esia be ` Dɔlékuiwutikewo ƒe dɔlélenutsiŋutete` . Emegbe ne dɔlékui aɖe le ŋuwò ŋutɔŋutɔ eye nèhiã atike la, ɖewohĩ atike la mawɔ dɔ o. Azɔ hã, dɔlékuiwutike aɖewo ate ŋu ahe aɖuɖɔtoedɔléle sesẽwo abe `C. diff`, kple eƒe nugbegblẽ le ame ŋu bubuwo.

Eya ta, ɖɔktawo menaa atike na esia ko o.

Eyata ɣekaɣie wòle be woada `Asymptomatic Bacteriuria` sia?

Ke hã, le nɔnɔme tɔxɛ aɖewo me la, wodaa `Asymptomatic Bacteriuria` godoo. Na míakpɔ nusiwo wonye ɖa:

• Le fufɔɣi: Ne èfɔ fu, ne dɔlékuiwo le wò aɖuɖɔ me dzesi aɖeke manɔmee gɔ̃ hã, ne womewɔ atike nɛ o la, ate ŋu ana nàdzi vi kaba ɣeaɖewoɣi (`vidzidzi do ŋgɔ na ɣeyiɣi si woɖo nɛ`) , aloVidzĩa ƒe kpekpeme ate ŋu anɔ sue. Eyata wodoa vidada funɔwo ƒe aɖuɖɔ kpɔ hedaae ne dɔlékuiwo le wo me, ne dzesi aɖeke mele wo ŋu o gɔ̃ hã.
• Ne wodo ayiku na wò kpɔ: Ne wodo ayiku na wò kpɔ la, dɔlékuiwo ƒe anyinɔnɔ le aɖuɖɔ me nana be UTI si me dzesiwo le la xɔxɔ ƒe afɔkua dzina ɖe edzi eye woagbe ayiku si wodo na wò.
• Hafi woawɔ dɔ na ame aɖewo le aɖuɖɔtoe me: Le kpɔɖeŋu me, ne dɔlékuiwo le aɖuɖɔ me le aɖuɖɔtoe ƒe dɔwɔwɔ na wo me (Transurethral resection of the prostate - TURP) la, kuxi siwo ate ŋu ado mo ɖa le amekokoa megbe la lolona wu. Eyata wowɔa atike hã le nɔnɔme mawo tɔgbe me.

Ne wowɔ atike na ame la, atike ka ƒomevie wonana?

Ne ɖɔkta ɖoe be yeada dɔ na wò le `Asymptomatic Bacteriuria` ta la, dɔlékuiwutike ƒomevi geɖewo li woateŋu azã. Kpɔɖeŋuwo:

• `Amoxicillin`
• `Ampicillin`
• `Cephalosporin` ƒe ƒomeviwo
• `Nitrofurantoin` ƒe dɔlékuiwo
• `Trimethoprim-sulfamethoxazole (TMP/SMX) ƒe atike si wotsɔna ƒoa ƒui`

Wò ɖɔkta atso nya me le atike si nyo na wò kple ɣeyiɣi didi si wòle be nànoe ŋu. Zi geɖe la, atikewɔwɔ ƒe ɣeyiɣia anɔ abe ŋkeke 5 va ɖo 7 ene.

Ne nɔnɔme sia le ŋunye la, nukae wòle be makpɔ mɔ na?

Ne wò ɖɔkta gblɔ na wò be `Asymptomatic Bacteriuria` le ŋuwò la, mègatsi dzi o. Anɔ eme godoo be màhiã atikewɔwɔ aɖeke o, negbe ɖe nège ɖe afɔku ƒe hatsotso tɔxɛ siwo míeyɔ va yi la dometɔ ɖeka me hafi. Ne wò ɖɔkta tso nya me be ehiã be woawɔ atike na wò la, agblɔ nusitae. Ele vevie be nàno wò atikewo ɖe game dzi.

Ne vidada funɔe nènye la, wokpɔe be atikewɔwɔ na esia ate ŋu aɖe kuxi aɖewo dzi akpɔtɔ le fufɔɣi abe 35% ene.

Ðe womate ŋu axe mɔ ɖe `Asymptomatic Bacteriuria' sia nu oa?

Enye nusi sɔ be dɔlékui aɖewo nanɔ aɖuɖɔtoe me, eye esesẽna be woaxe mɔ ɖe enu keŋkeŋ. Gake nu siwo míewɔna tsɔ xea mɔ na UTI (urinary tract infections) la ke ate ŋu akpe ɖe esia ŋu.

• Kpɔ egbɔ be yeɖe aɖuɖɔ le gbɔdɔdɔ megbe. Esia akpe ɖe ame ŋu wòaɖe dɔlékui ɖesiaɖe si ate ŋu age ɖe aɖuɖɔtoea me la ɖa.
• Ne nyɔnuwo dzra wo ɖokui ɖo le nugododeƒe zazã vɔ megbe la, tutu wo ɣesiaɣi tso ŋgɔgbe yi megbe (tso nyɔnuwo ƒe vidzidɔ me va ɖo akɔta).
• Ƒo asa na adzalẽ sesẽwo, tsinyegoewo, atikekuiwo, alo atike siwo wotsɔna ƒua gbe ɖe nyɔnuwo ƒe vidzidɔa me. Esiawo ate ŋu awu dɔlékui nyui siwo le afima eye woana dɔlékui gbegblẽwo natsi.
• Zã tsilele tsɔ wu be nàle tsi le tsileƒe alesi nàte ŋui.
• No tsi geɖe. Esia akpe ɖe ame ŋu wòaɖe dɔlékuiwo ɖa to aɖuɖɔtoe dodo enuenu me.
• Ne èle nane abe catheter ene zãm la, .Wɔ ɖe ɖɔkta ƒe mɔfiamewo dzi be wòanɔ dzadzɛ.

Ɣekaɣie wòle be makpɔ ɖɔkta?

Ne ɖɔkta gblɔ na wò be `Asymptomatic Bacteriuria` le ŋuwò la, yi ɖɔkta enumake ne èdze `UTI` ƒe dzesiwo kpɔkpɔ gɔme (abe dzoxɔxɔ, dzobibi le tsinyegoe me, ƒodo ƒe vevesese, aɖuɖɔtoe enuenu), eɖanye be wole atike wɔm na wò alo womele atike wɔm na wò o. Wò ɖɔkta agblɔ dzesi siwo ŋu wòle be nàlé ŋku ɖo la na wò.

Nya kawoe wòle be mabia nye ɖɔkta?

Ne nya bubu aɖewo gale asiwò ku ɖe esia ŋu la, anyo be nàbia wò ɖɔkta tso nya siwo gbɔna ŋu:

• Ðe wòhiã be woawɔ atike na dɔlékui siwo le nye aɖuɖɔ me dzesi aɖeke manɔmeea?
• Dzesi kawoe wòle be malé ŋku ɖo?
• Ne woŋlɔ atike nam la, aleke tututu wòle be manoe?
• Ɣekaɣie wòle be magakplɔ wò ɖo ake?

Ɣeaɖewoɣi la, vɔvɔ̃ ɖoa mí ne míese míaƒe dodokpɔwo me tsonu. Gake esɔ be dɔlékuiwo nanɔ wò aɖuɖɔ me, eye menye ɣesiaɣie wòhea UTI vɛ o. Gake ne èfɔ fu, wodo ayiku na wò, alo wole dɔ wɔm na wò le wò aɖuɖɔtoe me la, ele vevie be nàno dɔlékuiwutikewo be nàxe mɔ ɖe kuxiwo nu.

Mlɔeba la, nane si dzi wòle be míaɖo ŋkui!

`Asymptomatic bacteriuria` nye nɔnɔme si me dɔlékuiwo le wò aɖuɖɔtoe me, gake dzesi aɖeke mele ŋuwò o. Le ame akpa gãtɔ gome la, afɔku mele esia me o eye mehiã be woawɔ atike nɛ o. Gake le funɔwo, amesiwo wodo ayiku na, kple amesiwo le dɔ wɔm na aɖuɖɔtoe aɖewo gome la, ele vevie be woadae. Azɔ hã, ne dzesiwo dze le ŋuwò la, yi ɖɔkta gbɔ enumake. Ele vevie be nànɔ ŋudzɔ ɖe nusiawo ŋu esime nèle agbenɔnɔ si me lãmesẽ le yome tim.

` Dzesi aɖeke mele Bacteriuria, Dɔlékui siwo le aɖuɖɔ me, Aɖuɖɔtoe me dɔlélewo, UTI, Fufɔfɔ ƒe Lãmesẽ, Dɔlékuiwutikewo , Ayikudɔ