Ɣeaɖewoɣi la, le kansa alo atikewɔwɔ ƒe nɔnɔme sesẽ bubuwo ta la, ele be woaɖe ame ƒe tsinyegoe bliboa ɖa. Ame geɖewo le vɔvɔ̃m be, "Aleke mawɔ aɖu aɖuɖɔ fifia?" Gake mègavɔ̃ o, esi atikeŋutinunya le ŋgɔ yim ta la, esia gbɔ kpɔnu nyui aɖe li. Eyae nye be ne èzã wò ŋutɔ wò dɔgbo ƒe akpa aɖe tsɔ wɔa tsinyegoe yeye aɖe ŋutɔ le ŋutilãa me. Egbea la, míele nu ƒom tso amekoko wɔnuku sia si woyɔna be Neobladder amekoko ŋu.
Nukae nye ‘Neobladder’ amekoko dzro ko?
Kpuie ko la, esia nye amekoko be woawɔ tsinyegoe yeye aɖe atsɔ axɔ ɖe wò tsinyegoe si le dɔ lém, si mewɔa dɔ nyuie o la teƒe. Le esia me la, ɖɔktawo ɖea wò tsinyegoe gbãtɔa ɖa gbã to amekoko me. Woyɔa esia be cystectomy . Emegbe, woxɔa wò ŋutɔ wò dɔgbo sue aɖe ƒe akpa sue aɖe eye wozãnɛ tsɔ wɔa tsinyegoe yeye (neobladder) si ƒe nɔnɔme le abe bɔl ene.
Wotsɔa tsinyegoe yeye sia dana ɖe teƒe si wò tsinyegoe xoxoa le. Esia tae woyɔnɛ ɣeaɖewoɣi be ‘orthotopic’ neobladder. 'Orthotopic' gɔmee nye "le teƒe ɖeka." Esiae nye nusi míeyɔna be neobladder reconstruction, si wɔa ɖoɖo yeye aɖe si dzi woato adzra aɖuɖɔ ɖo ahaɖee ɖa.
Gake amekoko sia menye ame sia ame tɔ o. Ðɔktawo anɔ te ɖe nu geɖe dzi atso nya me nenye be èsɔ na esia, abe alesi wò ayiku kple aklã le lãmesẽ me kple nenye be tsinyegoe me kansa le ŋuwò ene.
Nɔnɔme kawo mee amekoko sia hiã le?
Ðɔkta ate ŋu akafu amekoko sia na nɔnɔme vovovo siwo gblẽa nu le wò tsinyegoe ƒe lãmesẽ alo dɔwɔwɔ ŋu. Na míalé ŋku ɖe nusiwo wonye ŋu.
| Atikewɔwɔ ƒe nɔnɔme | Numeɖeɖe bɔbɔe aɖe |
|---|---|
| Tsinyegoe me kansa | Susu vevitɔ si ta woɖe tsinyegoea ɖa. |
| Tsinyegoe ƒe lãmeka siwo gbɔdzɔ (Decompensated bladder) . | Tsinyegoe ƒe lãmekawo metsina abe alesi wòhiã ene be woaɖe tsinyegoea me ƒuƒlu o. Nɔnɔme sia ate ŋu ado mo ɖa le keklẽŋusẽdɔdada vɔ megbe alo le lãmekawo ƒe dɔlélewo ta. |
| Ahɔhɔ̃mekawo ƒe tsinyegoe | Tsinyegoe dzi ɖuɖu ƒe bu le ahɔhɔ̃ alo aklã ƒe dɔlélewo ta. |
| Interstitial Cystitis/Tsinyegoe ƒe Vevesese ƒe Dɔléle (IC/BPS) . | Vevesese ƒe nɔnɔme si nɔa anyi didi le tsinyegoe me. |
| Nuveviwɔame na tsinyegoea | Tsinyegoe ƒe gbegblẽ le afɔku gã aɖe ta. |
Aleke nèdzrana ɖo hafi wɔa dɔ na wò?
Hafi woawɔ dɔa na wò la, àdo go kple tsinyegoeŋutinunyala. Aɖe amekokoa ƒe nyonyo kple kuxiwo me, kpakple tiatia bubuwo me, eye wòato wò atikewɔwɔ ŋutinya me eye wòado wò ŋutilã kpɔ atsɔ akpɔ wò lãmesẽ bliboa.
Tsɔ kpe ɖe eŋu la, woabia nya wò tso nu siawo ŋu be:
- Atike siwo nènona: Ele be nàgblɔ atike ɖesiaɖe si nèzãna (si woŋlɔ na wò kple esi womexɔna le atikedzraƒe o siaa) na wò ɖɔkta. Vevesesenutsitike aɖewo (NSAID) kple ʋumenugbagbeviɣitike (anticoagulants) ate ŋu ana ʋu nado le amekoko me ƒe afɔkua nadzi ɖe edzi. Gake ɖo ŋku edzi be mègadzudzɔ atike aɖeke nono ne mèbia wò ɖɔkta gbã o.
- Wò Nulɔdɔwo: Kpɔ egbɔ be yegblɔ nulɔdɔ ɖesiaɖe si le ŋuwò le atikewo, ŋutigbalẽklɔtikewo (abe iodine ene), latex, alo nuɖuɖuwo ŋu na mí.
- Nuɖuɖu Kple Nunono: Woaɖo aɖaŋu na wò be mègaɖu nu alo ano naneke le zãtitina megbe le zã si do ŋgɔ na amekokoa me o. Ne atike vevi aɖe le asiwò la, àte ŋu anoe kple tsi ɖeka.
Alesi wowɔa amekokoae afɔɖeɖe ɖesiaɖe
Esia nye amekoko gã aɖe si xɔa abe gaƒoƒo eve va ɖo ade ene. Mina míalé ŋku ɖe nusiwo dzɔna le esia me ŋu afɔɖeɖe ɖesiaɖe.
| Afɔɖeɖewo | Nukae le dzɔdzɔm? |
|---|---|
| 1. Atike si naa alɔ̃dɔdɔ ame | Woadɔ wò alɔ̃ (amesi naa alɔ̃dɔdɔ amewo katã), ale be màse veve aɖeke o. |
| 2. Tsinyegoe ɖeɖeɖa | Woaɖe wò tsinyegoe xoxoa to lãɖeɖe gã aɖe si le wò ƒodo me (amekoko le gaglãgbe) alo lãɖeɖe sue geɖe (robotic surgery) me. |
| 3. Neobladder la wɔwɔ | Woɖea wò dɔgbo suea ƒe akpa aɖe ɖa hewɔa eƒe nɔnɔme wòzua bɔl. Esiae nye wò tsinyegoe yeye. |
| 4. Kadodo ake | Wotsɔa tsinyegoe yeyea dana ɖe teƒe si xoxoa le, eye wotsɔa tsinyegoe siwo tso ayiku me (dziɖuɖɔtoewo) kple mɔ̃ si tsɔa aɖuɖɔ (dziɖuɖɔtoe) la doa ka kplii. |
| 5. Nutsotso siwo wotso kple mɔ̃wo dede wo me | Woatsɔ aŋe alo amekoko ƒe nutrenu atu teƒe siwo wotso la. Woade aɖuɖɔtoe wò tsinyegoe me be wòaɖe aɖuɖɔ vaseɖe esime wòahaya. |
Nukae dzɔna le amekokoa megbe? Ɣeyiɣi didi kae wòaxɔ hafi ahaya?
Le amekokoa megbe la, ahiã be nànɔ kɔdzi ŋkeke ʋɛ aɖewo. Àse le ɖokuiwò me be ɖeɖi te ye ŋu vie ne yeƒe susu gaɖo eŋu. Le kɔdzi la, atikewɔlawo ƒe ƒuƒoƒoa ana atike wò be nàtsɔ aɖu wò vevesese dzi ahalé ŋku ɖe wò lãmesẽ ŋu.
Le hayahayaɣi la, woafia nu wò tso:
- Pelvic floor exercises (Kegel exercises): Esia le vevie ŋutɔ. Kamedede siawo doa ŋusẽ lãmeka siwo kpɔa wò tsinyegoe dzi. Eyata esia kpena ɖe ame ŋu ŋutɔ le mɔxexe ɖe aɖuɖɔtoe ƒe dɔmawɔmawɔ nyuie nu me.
- Ameɖokui ƒe tsinyegoe dodo: Menye amesiamee hiãe o, gake ahiã be ame siwo ade 15% nazã mɔnu sia atsɔ akɔ woƒe tsinyegoe me keŋkeŋ le gɔmedzedzea me. Mègatsi dzi o, míafia alesi tututu nàwɔe wò.
Ate ŋu axɔ ɣleti geɖe hafi wòahaya keŋkeŋ. Exɔa ɣeyiɣi hafi wò tsinyegoe yeyea nazu numame na wò, asrɔ̃ alesi nàkɔe ƒuƒlu, eye nàdo ŋusẽ wò lãmekawo. Wò ɖɔkta kple dɔnɔdzikpɔlawo akpe ɖe ŋuwò le nusiawo katã me.
Viɖe kple kuxi kawoe le Neobladder ŋu?
Viɖe gãtɔ kekeake si le amekoko sia ŋue nye be àte ŋu aɖu aɖuɖɔ to wò tsinyegoe me le mɔ si sɔ nu, eye mahiã be nàzã akplo si me woɖea tsinyegoe le o. Esia nana ame geɖe ƒe agbenɔnɔ kple kakaɖedzi le wo ɖokui ŋu nyona ɖe edzi.
Gake abe nusianu ene la, afɔku kple kuxi aɖewo le esia ŋu.
- Tsinyegoe dzi ɖuɖu: Ate ŋu asesẽ be nàɖu wò tsinyegoe dzi le gɔmedzedzea me, vevietɔ le zã me. Ke hã, le ɣeyiɣi aɖe megbe, vevietɔ le Kegel kamedede me la, ame siwo ade 90% akpɔ ŋusẽ nyui ɖe wo dzi le ŋkekea me.
- Tsi le aɖuɖɔ me: Esi wònye be dɔgboa ƒe akpa aɖee wotsɔ wɔa tsinyegoe yeyea ta la, eɖea tsi si le abe ʋuʋudedi ene dona. Eyata be woaxe mɔ ɖe dɔlékuiwo xɔxɔ nu la, ehiãna ɣeaɖewoɣi be woade tsinyegoe me eye woade tsi tsinyegoea.
- Afɔku bubuwo: Ʋu ƒe dodo, ʋu ƒe sisi, dɔlékuiwo ƒe dɔléle, aɖuɖɔtoe me dɔléle (UTIs), aɖuɖɔtoe me dɔléle, kple bubuawo Ƒã hafi elektrikŋusẽ ƒe masɔmasɔ ate ŋu adzɔ.
Ðe wòanya wɔ be woanɔ agbe si sɔ kple tsinyegoe yeyea?
Ẽ, keŋkeŋ! Ame akpa gãtɔ siwo ŋu neobladder le ate ŋu ayi woƒe dɔwɔna kple dɔ siwo wowɔna ɖaa dzi.
Gbã la, ahiã be nàɖe aɖuɖɔ abe gaƒoƒo eve ɖesiaɖe ene. Gake le ɣeyiɣi aɖe megbe la, ne wò tsinyegoe yeyea le kekem eye ŋusẽ le eŋu la, àte ŋu alé wò aɖuɖɔ abe gaƒoƒo 4-6 ene. Le kwasiɖa ʋɛ aɖewo megbe la, àte ŋu awɔ dɔ si mesẽ o eye nàyi dɔme. Mɔxexe ɖe nuɖuɖu nu tɔxɛ aɖeke meli o, eye àte ŋu azɔ mɔ mɔxeɖenu aɖeke manɔmee.
Ɣeyiɣi siwo me nèdi be yeayi ɖɔkta gbɔ
Ne dzesi siawo le ŋuwò la, yɔ wò ɖɔkta enumake. Ne dzesiawo nu sẽ la, yi kɔdzi si te ɖe ŋuwò ƒe Dɔwɔƒe si Kpɔa Nudzɔdzɔ Kpatawo Gbɔ (ETU) .
- Dɔlékui ƒe dzesiwo abe dzoxɔxɔ, vuvɔ, kple aɖuɖɔ si me alilikpo le ene.
- Esesẽna be woade catheter la ɖeɖeko eme.
- Ʋu si le aɖuɖɔ me (ʋumenugbagbeviɣidɔ) .
- Vevesese sesẽ le dɔgboa alo akɔta kple akɔta dome.
Gbedasi si Wotsɔ Yi Aƒeme
- Neobladder dɔwɔwɔ nye mɔ nyuitɔ si dzi woato anɔ agbe si sɔ akplo aɖeke manɔmee le ŋutilã godo le tsinyegoea ɖeɖe ɖa vɔ megbe.
- Wozãa wò ŋutɔ wò dɔgbo sue ƒe akpa aɖe tsɔ wɔa tsinyegoe yeye sia.
- Axɔ ɣleti geɖe hafi wòahaya. Le ɣeyiɣi sia me la, ele vevie ŋutɔ be nàgbɔ dzi ɖi ahawɔ ɖe ɖɔkta ƒe mɔfiamewo dzi, vevietɔ Kegel kamededewo.
- Togbɔ be aɖuɖɔtoe dzi ɖuɖu ate ŋu asesẽ vie le gɔmedzedzea me hã la, le ɣeyiɣi aɖe megbe la, ame akpa gãtɔ te ŋu nɔa agbe si sɔ, si me wowɔa dɔ le.
- Ne nyabiase alo ɖikeke aɖe le mewò la, mègavɔ̃ be yeaƒo nu tso eŋu kple wò ɖɔkta gaglãa o.
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