Ðe wòse le ɖokuiwò me kpɔ be esesẽ na ye be yeadze aɖuɖɔɖɔɖɔ gɔme , alo be aɖuɖɔ gakpɔtɔ le yeƒe tsinyegoe me le yeƒe aɖuɖɔɖɔɖɔ vɔ megbea ? Ðewohĩ wò aɖuɖɔtoewo le sisim blewu eye wònɔa tsatsam le ɣeyiɣi aɖewo me. Ðe wòle be nàfɔ zi geɖe le zã me hafi aɖu aɖuɖɔa ? Esiawo menye dzesi siwo dzi woaŋe aɖaba aƒu o. Bladder Outlet Obstruction (BOO) nye atikewɔwɔ me nusi ate ŋu ahe vevesese sia vɛ. Egbea, míaƒo nu tso esia ŋu le mɔ bɔbɔe aɖe si gɔme nàte ŋu ase nu.
Kpuie ko la, nukae nye Tsinyegoe ƒe Dodoƒe ƒe Mɔxexe?
Bu wò tsinyegoea abe ʋuƒo si me tsi yɔ fũ ene. Afisi aɖuɖɔtoe dona le aɖuɖɔtoea me le afisi ʋuʋudedi sia ʋuna le. Tsinyegoe ƒe Dodoƒe ƒe Mɔxexe fia be xexe aɖe xe mɔa ƒe teƒe aɖe si aɖuɖɔ dona le tsinyegoea me. Xexe sia nana aɖuɖɔ ƒe sisi dzi ɖena kpɔtɔna, alo ate ŋu atɔ tee keŋkeŋ.
Nɔnɔme sia bɔ ɖe ŋutsu siwo xɔ wu ƒe 65. Gake ate ŋu adzɔ ɖe nyɔnuwo, sɔhɛwo, ɖevi suewo, kple fugboe gɔ̃ hã dzi. Wogayɔa nɔnɔme sia, si dzɔna le vidzidɔ me, be Fetal Lower Urinary Tract Obstruction (LUTO). Enye nɔnɔme si me kɔ vie eye mebɔ o.
Nyɔnuwo, vevietɔ amesiwo ƒe tsinyegoe mu (cystocele) ate ŋu axɔ mɔxenu sia.
Nukae nye nɔnɔme sia ƒe dzesiwo?
Ame si ŋu Bladder Outlet Obstruction le ate ŋu akpɔ vevesese vovovowo. Ne dzesi siawo va ƒo ƒu la, míeyɔa wo le atikewɔwɔ me be Lower Urinary Tract Symptoms (LUTS). Lé ŋku ɖe eŋu nàkpɔe ɖa be dzesi siawo le ŋuwò hã.
| Dzesi si dzena | Nukae esia fia? |
|---|---|
| Aɖuɖɔɖɔɖɔ gɔmedzedze sesẽ | Ne èdze agbagba be yeaɖe aɖuɖɔ gɔ̃ hã la , exɔa sɛkɛnd ʋɛ aɖewo alo esi wu nenema hafi aɖuɖɔtoea dzea egɔme. |
| Tsinyegoe me tsi ƒuƒlu keŋkeŋ o | Ne èwu aɖuɖɔ vɔ megbe gɔ̃ hã la, èsena le ɖokuiwò me be aɖuɖɔ gakpɔtɔ le eme. |
| Aɖuɖɔtoe si gbɔdzɔ, si nɔa sisim ɣeaɖewoɣi | Aɖuɖɔa medona sesĩe o, edona blewu ŋutɔ. Ɣeaɖewoɣi la, tɔsisia tɔ vie, emegbe wògadzea egɔme ake. |
| Aɖuɖɔɖɔɖɔ enuenu le zã me | Ne èle alɔ̃ dɔm nyuie la, ele be nàfɔ aɖu aɖuɖɔ zi eve alo zi etɔ̃ le zã me alo esi wu nenema. |
| Ehiã be nàɖe aɖuɖɔ enuenu | Ele be maɖe aɖuɖɔ zi geɖe gbesiagbe, gake agbɔsɔsɔ sue aɖe koe dona ɣesiaɣi. |
| Hiahiã kpata be nàɖe aɖuɖɔ | Ne mese le ɖokuinye me be ehiã be maɖe aɖuɖɔ ko la , nyemete ŋu lénɛ ɖe eme o eye ele be maƒu du ayi tsileƒe. |
| Vevesese le ƒodo ƒe akpa si le ete alo akɔta ƒe akpa eveawo | Tsinyegoe si yɔ fũ le aɖuɖɔtoe ƒe ʋuʋu ta ate ŋu ana ƒodo ƒe akpa si le anyime nase veve alo vevesese le akɔta ƒe akpa eveawo le ŋusẽ si wòkpɔna ɖe ayikuwo dzi ta. |
| Vevesese le aɖuɖɔɖɔɖɔɣi | Dzobibi alo vevesese ne wole aɖuɖɔ tom (vevietɔ ne dɔlékui aɖe le eŋu) . |
Nukatae esia le dzɔdzɔm? Nukawoe nye susu siwo tae wòle alea ɖo?
Susu geɖe ate ŋu anɔ anyi si tae aɖuɖɔtoe sia xena ɖo.
Susu vevitɔ si kpɔa ŋusẽ ɖe ŋutsuwo dzi
Nusi gbɔ nɔnɔme sia tsona wu le ŋutsuwo ŋue nye ʋuka si me ʋu sina tona si lolo . Míeyɔa esia le atikewɔwɔ me be Benign Prostatic Hyperplasia (BPH).Prostate nye lãkusi sue aɖe si le tsinyegoe te, si ƒo xlã tsinyegoea. Ne èle tsitsim, zi geɖe le ƒe 50 xɔxɔ megbe la, lãkusi sia tea tsitsi vivivi. Esia menye kansa o. Gake ne lãkusi sia le tsitsim la, edzea tsinyegoea xexe gɔme. Ɣemaɣie aɖuɖɔɖɔɖɔ sesẽna.
Nu bubu siwo gbɔ wòtsona zi geɖe
Tsɔ kpe ɖe BPH ŋu la, nu bubu geɖewo ate ŋu akpɔ ŋusẽ ɖe esia dzi.
- Aɖuɖɔtoe ƒe Ʋuʋu: Abi ate ŋu adzɔ le tsinyegoea me le dɔlékui aɖe, afɔku, alo amekoko ta, si ana mɔ si dzi woato la naxe.
- Tsinyegoe Kpewo: Ne mineralwo ƒo ƒu ɖe tsinyegoea me eye wowɔ kpewo la, woate ŋu age ɖe tsinyegoe me eye woaxe mɔ si dzi woato aɖu aɖuɖɔ.
- Pelvic Organ Prolapse: Le nyɔnu aɖewo, vevietɔ nyɔnu tsitsi siwo dzi vi geɖe gome la, tsinyegoe alo vidzidɔ ate ŋu aɖiɖi ayi ɖe nyɔnu ƒe vidzidɔa me. Esia ate ŋu ana tsinyegoea nabɔbɔ eye wòaxe.
- Aɖuɖɔtoe Sesẽ: Le amesi ŋu dɔgbo sesẽ le gome la, aɖuɖɔ si yɔa dɔgboa me ate ŋu aƒo tsinyegoe kple tsinyegoea.
- Kansa ƒe nɔnɔmewo: Kansa ƒe dɔlélewo abe ʋuka me kansa, tsinyegoe me kansa, kple vidzidɔ me kansa ene hã ate ŋu ahe mɔxenu siawo vɛ.
- Lãmetsiŋusẽ ƒe kuxiwo: Nɔnɔme sia ate ŋu ado mo ɖa hã ne tsinyegoe ƒe lãmekawo mewɔa dɔ nyuie o le kuxi aɖe si le ahɔhɔ̃, aklã, alo lãmeka siwo do ƒome kple tsinyegoe ŋu ta.
Nu vevitɔe nye be ne dzesi siawo le ŋuwò la, mègatsɔe ko be, "Esia sɔ ne èle tsitsim," eye nàkpɔ ɖɔkta godoo. Elabena ne wova nya nusi gbɔ wòtso tututu ko hafi woate ŋu awɔ atike nyuitɔ.
Aleke tututu ɖɔktaa dea dzesi dɔléle siae?
Ne èyi ɖɔkta si ŋu dzesi siawo le gbɔ la, aɖo to wò dzesiawo nyuie gbã. Emegbe, woalé ŋku ɖe ŋuwò. Le ɣeyiɣi sia me la, woate ŋu aɖo aɖaŋu be woawɔ dodokpɔ geɖe atsɔ anya nusi tututu gbɔ wòtso.
| Dodokpɔ | Nukae nèkpɔ le esia me? |
|---|---|
| Aɖuɖɔtoe me dzodzro | Woalé ŋku ɖe wò aɖuɖɔ ŋu be dɔlékui, ʋu, alo nu bubu siwo mesɔ o le ŋuwò hã. |
| Ʋudodokpɔ | Kpɔe ɖa be aɖuɖɔtoe ƒe ʋuʋu gblẽa nu le ayikuwo ŋu hã (woalé ŋku ɖe nuwo abe creatinine ƒe agbɔsɔsɔ ene ŋu). |
| Ultrasound Scan ƒe Dɔwɔnu | Esia doa ayiku, tsinyegoe, kple ʋuka (le ŋutsuwo me) kpɔna. Ate ŋu akpɔe ɖa be tsinyegoe me kpewo xe, kple aɖuɖɔ si susɔ le tsinyegoe me le ƒuƒlu megbe hã . |
| Cystoscopy ƒe dɔwɔwɔ | Le esia me la, wotsɔa mɔ̃ tsɛ aɖe si me fotoɖemɔ̃ sue aɖe kpe ɖo la toa wò tsinyegoe me, eye ɖɔktaa léa ŋku ɖe nusi le edzi yim le wò tsinyegoe kple tsinyegoe me ŋu le screen dzi. Esia ate ŋu akpɔe kɔte nenye be mɔxenu, xaxa, alo kpe aɖe le afi aɖe. |
| Urodynamic Dodokpɔ | Esia nye dodokpɔ tɔxɛ aɖe si dzidzea tsinyegoea ƒe nyaƒoɖeamenu kple lãmekawo ƒe dɔwɔwɔ ne ele yɔyɔm hele ƒuƒlu. |
Nukawoe nye atike siwo wozãna na esia?
Nu nyuitɔ kekeakee nye be atike vovovowo li na Tsinyegoe ƒe Ʋuʋu ƒe Mɔxexe, le nusi gbɔ wòtso nu. Wò ɖɔkta atia atike si sɔ na wò wu.
- Atike ƒomeviwo:
- Le mɔxenu siwo tso ʋuka si lolo (BPH) gbɔ gome la, wonaa atikewo abe alpha-blockers ene siwo naa lãmeka siwo ƒo xlã lãkusia ɖea dzi ɖi.
- Ɣeaɖewoɣi la, wonaa atikewo abe Finasteride, si ɖea ʋuka ƒe lolome dzi kpɔtɔna ene hã.
- Atikewɔwɔ bubuwo:
- Nyɔnuwo ate ŋu akpɔ gbɔdzɔe tso kuxi siwo akɔta ƒe ŋutinuwo ƒe gege he vɛ me to mɔ̃ aɖe si woyɔna be pessary, si wotsɔ dea nyɔnu ƒe vidzidɔ me la dzi.
- Lãmesẽfefewɔwɔ be woado ŋusẽ akɔta ƒe lãmekawo hã kpena ɖe ame aɖewo ŋu.
- Amekoko kple mɔnu bubuwo:
- Catheterization: Ne tsinyegoea xe keŋkeŋ la, wotsɔa ɣeyiɣi kpui aɖe ƒe mɔ̃ (Foley catheter) dea tsinyegoea me be wòaɖe aɖuɖɔ. Ame aɖewo wɔa wo ɖokui ƒe catheter zazã le aƒeme.
- Amekoko be woaɖe nusi xe mɔ na ame: Le nɔnɔmewo abe BPH ene gome la, wotsɔa dɔwɔnuwo toa tsinyegoea me be woaɖe ʋuka ƒe akpa siwo xe la ɖa (amekoko abe TURP ene).
- Laser Lithotripsy: Ne kpewo le tsinyegoea me la, wozãa laser-yawo tsɔ gbãa wo heɖea wo ɖa.
- Aɖuɖɔtoemeʋuʋu: Ne tsinyegoea xaxa (stricture) la, wowɔa dɔ na ame be wòagbugbɔ akpa si xaxa la aɖo eteƒe.
Zi geɖe la, wozãa mɔnu siwo me womezãa nu boo aɖeke le o tsɔ wɔa amekoko siawoe. Ema fia be wowɔa wo lãɖeɖe gãwo manɔmee eye wotoa do suewo me, eyata kɔdzi nɔnɔ nɔa kpuie eye wòhayana kabakaba.
Ɣekaɣie wòle be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo enumake?
Esia le vevie ŋutɔ. Le go aɖewo me la, esia ate ŋu anye nudzɔdzɔ kpata.
Ne vevesese si womate ŋu ado dzi atsɔ o le wò ƒodo ƒe akpa si le anyime , alo ne mète ŋu le aɖuɖɔ tom le agbagbadzedze gaƒoƒo geɖe megbe gɔ̃ hã o la , ke enye nusi dzɔ kpata. Azɔ hã, ne aɖuɖɔtoedɔléle ƒe dzesiwo abe dzoxɔxɔ, vuvɔ, kple ʋuʋudedi ene le ŋuwò la, yi kɔdzi si te ɖe ŋuwò ƒe dɔwɔƒe si kpɔa nudzɔdzɔ kpatawo gbɔ (ETU) enumake .
Ne womewɔ atike na nɔnɔme sia o la, ate ŋu ahe kuxi sesẽwo abe aɖuɖɔtoe me dɔlékuiwo, ayiku ƒe gbegblẽ, ayiku ƒe dɔmawɔmawɔ nyuie, kple tsinyegoe me kpewo ene vɛ. Eyata mègaŋe aɖaba ƒu dzesiawo dzi o.
Gbedasi si Wotsɔ Yi Aƒeme
- Mègaŋe aɖaba ƒu aɖuɖɔtoe ƒe kuxiwo dzi o (si ƒe sisi gbɔdzɔ, aɖuɖɔtoe gɔmedzedze sesẽ, aɖuɖɔɖɔɖɔ enuenu) kple susu be "wole dzɔdzɔme nu ne èle tsitsim."
- Togbɔ be nusi koŋ gbɔ esia tsoe nye be ŋutsuwo ƒe ʋukawo lolona ne wole tsitsim hã la, nɔnɔme sia ate ŋu adzɔ ɖe nyɔnuwo kple ɖekakpuiwo hã dzi le susu bubuwo ta.
- Ne womedae kaba o la, nɔnɔme sia ate ŋu agblẽ ayiku tegbee, eyata dɔlélea didi kaba kple edada le vevie ŋutɔ.
- Ne dzesi siawo le ŋuwò la, mègakpe ŋu alo nàvɔ̃ be yeayi ɖɔkta o. Zi geɖe la, woate ŋu atsɔ atike alo mɔnu bɔbɔewo aɖu nɔnɔme sia dzi nyuie.
- Ne èse veve si womate ŋu ado dzi atsɔ o alo aɖuɖɔtoe me tsi keŋkeŋ la, ke enye nusi dzɔ kpata. Yi kɔdzi aɖe ƒe Dɔwɔƒe si Kpɔa Nudzɔdzɔ Kpatawo Gbɔ (ETU) enumake.
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