Ðe nèsena le ɖokuiwò me be ehiã be yeaɖe aɖuɖɔ zi geɖea? Alo ɖe nèsea veve alo dzobibi ne èle aɖuɖɔ tom? Ɣeaɖewoɣi la, ɖewohĩ ède dzesii be wò aɖuɖɔ ƒe amadede trɔna eye ɖewohĩ ède dzesi ʋu vi aɖe. Nusiwo tae ame ƒe dzi medzea ame ŋu alea dometɔ ɖekae nye tsinyegoe me kpewo ƒe wɔwɔme. Ame geɖe menya esia o. Eyata mègatsi dzi o, egbea míaƒo nu tso esia ŋu bɔbɔe eye le mɔ si gɔme nàte ŋu ase nu.
Nukae nye tsinyegoe me kpewo?
Kpuie ko la, tsinyegoe me kpewo nye kpe sesẽ siwo le abe kpe ene siwo dzɔna ɖe wò tsinyegoe (kotoku si me aɖuɖɔ le) me. Wodzɔna ne mineral siwo le aɖuɖɔ me sesẽ ne èwu aɖuɖɔ vɔ megbe, eye aɖuɖɔ aɖewo gakpɔtɔ le tsinyegoea me.
Bu eŋu kpɔ, kpe suewo ate ŋu adzo kple aɖuɖɔ evɔ mànya gɔ̃ hã o. Gake ne kpe gãwo do la, àte ŋu ase veve vevie, màte ŋu aɖu aɖuɖɔ o, eye ʋu anɔ aɖuɖɔ me.
Nu vevitɔe nye be ne èse veve vevie si màte ŋu ado dzi atsɔ o, alo vevesese sesẽ aɖe abe aɖuɖɔtoe sesẽ ene la, ele be nàyi kɔdzi si te ɖe ŋuwò ƒe Dɔwɔƒe si Kpɔa Nudzɔdzɔ Kpatawo Gbɔ (ETU) enumake.
Atikewɔwɔ me ŋkɔ bubu si wotsɔ na nɔnɔme siae nye ‘bladder calculi’.
Aleke nàwɔ anya ne tsinyegoe me kpewo le ŋuwò? - Dɔléle dzesi
Ne kpe gãwo do la, woate ŋu ade abi tsinyegoea ƒe eme eye wòahe kuxi vovovowo vɛ. Nya dzesi siwo le ete.
| Nɔnɔme si le ame ŋu | Nuɖᴐɖᴐ |
|---|---|
| Aɖuɖɔ ƒe amadede ƒe tɔtrɔ | Aɖuɖɔa ate ŋu adze abe alilikpo alo do viviti ene. Ɣeaɖewoɣi la, àte ŋu akpɔ ʋu gɔ̃ hã le aɖuɖɔ me (ʋumenugbagbeviɣidɔ) . |
| Ehiã be nàɖe aɖuɖɔ enuenu | Togbɔ be ɖeko meɖe aɖuɖɔ teti koe nye ema hã la, mesena le ɖokuinye me ɣesiaɣi be ehiã be magaɖe aɖuɖɔ ake. |
| Vevesese | Ebɔ be woase veve alo abi ne wole aɖuɖɔ tom (dysuria) . Àte ŋu ase veve ɣeaɖewoɣi le ƒodo ƒe akpa si le anyime, ŋutsu ƒe vidzinu, alo vidzidɔ me hã. |
| Aɖuɖɔtoe sesẽ | Togbɔ be ehiã be nàɖe aɖuɖɔ hã la, ate ŋu asesẽ be nàdze egɔme. Ɣeaɖewoɣi la, aɖuɖɔtoe ƒe sisi nu tsona zi ɖeka eye emegbe wògadzea egɔme ake (aɖuɖɔtoe ƒe ʋuʋu) . |
| Aɖuɖɔtoe me dɔlélewo (UTIs) . | Tsinyegoe me kpewo ate ŋu ana ame naxɔ aɖuɖɔtoe me dɔlékuiwo (UTIs) enuenu . Esia ate ŋu ana ame naɖe aɖuɖɔ enuenu, wòase veve, aɖuɖɔ nazu alilikpo, eye wòaʋẽ lilili. |
Nukatae tsinyegoe me kpewo dzɔna? - Nu vevi siwo gbɔ wòtsona
Susu vevitɔ si ta tsinyegoe me kpewo dzɔnae nye be aɖuɖɔ nɔa tsinyegoea me ɣeyiɣi didi aɖe evɔ womeɖenɛ doa goe keŋkeŋ o. Nu geɖewoe na esia dzɔna.
- Aɖuɖɔtoe si lolo: Esiae nye nusi gbɔ ŋutsuwo ƒe aɖuɖɔtoe me kpewo tsona wu . Ŋutsu akpa gãtɔ ƒe ʋukawo lolona ne woxɔ ƒe 50. Woyɔa esia be benign prostatic hyperplasia (BPH). Esia ate ŋu axe tsinyegoea eye wòana tsinyegoea nagakɔ keŋkeŋ o. Emegbe aɖuɖɔ si susɔ la ate ŋu awɔ kpe.
- Neurogenic bladder: Neurogenic bladder dɔlélewo abe aklã ƒe abixɔxɔ, ʋusɔgbɔdɔ, kple suklidɔ ate ŋu ana tsinyegoea nawɔ dɔ nyuie o. Ɣemaɣi gɔ̃ hã la, aɖuɖɔ ate ŋu anɔ tsinyegoea me.
- Tsikuɖiɖi: Ne mèno tsi nyuie o la, mineral siwo le wò aɖuɖɔ me dzina ɖe edzi, si wɔnɛ be kpewo dzɔna bɔbɔe.
- Ayiku me kpewo: Ɣeaɖewoɣi la, ayiku me kpe ate ŋu azɔ ayi tsinyegoea me. Zi geɖe la, eɖea aɖuɖɔ kple aɖuɖɔ. Gake ƒã hafi kpea te ŋu gena ɖe tsinyegoea me eye wòlolona.
- Nɔnɔme tɔxɛwo na nyɔnuwo: Le vidzidzi megbe la, nyɔnu aɖewo ate ŋu axɔ tsinyegoe si ge (Cystocele). Ɣemaɣi gɔ̃ hã la, aɖuɖɔtoea ate ŋu axe eye kpewo ate ŋu adze.
- Amekoko kple mɔ̃wo: Kpewo ate ŋu adzɔ ɖe tsinyegoea ƒe anyime le amekoko siwo wowɔ ɖe tsinyegoea ŋu (e.g., augmentation cystoplasty) alo ne wogblẽ nuwo abe catheters ene ɖe teƒea ɣeyiɣi didi akpa ta.
Aleke nèwɔ kpɔ esia, Ðɔkta?
Ne èyi ɖɔkta gbɔ la, aɖo to wò dzesiwo nyuie, ado wò kpɔ, eye emegbe wòaɖe gbe be woawɔ dodokpɔ geɖe atsɔ aɖo kpe dɔlélea dzi.
- Aɖuɖɔtoe me dzodzro: Esia léa ŋku ɖe aɖuɖɔa me be kpe suesuesuewo, ʋu, kple dɔlékuiwo le eŋu hã.
- Nɔnɔmetatawo dodokpɔ: Woate ŋu abia tso asiwò be woawɔ scan na wò be nàkpɔ wò tsinyegoe me. Esia ate ŋu anye (CT) scan, X-ray, alo ultrasound. Esiawo ate ŋu afia kpeawo ƒe lolome, woƒe nɔnɔme, kple teƒe si tututu wole.
- Cystoscopy: Le esia me la, wotsɔa mɔ̃ tsɛ aɖe si me fotoɖemɔ̃ le, si woyɔna be cystoscope, toa tsinyegoea me be wòakpɔ tsinyegoea me tẽ. Woateŋu azã esia atsɔ anya kple kakaɖedzi 100% ne kpewo li.
Nukawoe nye atike siwo wozãna na kpe siawo?
Naneke meli si ŋu woatsi dzi ɖo o, atikewɔmɔnu nyuiwo li na esia. Zi geɖe la, ɖɔkta si bi ɖe aɖuɖɔtoedɔ me (aɖuɖɔtoeŋutinunyala) ye daa esia. Kpea ƒe lolomee wotsɔna nyaa atikewɔwɔmɔnua.
| Atikewɔwɔ ƒe mɔnu | Nusi woawɔ |
|---|---|
| Cystolitholapaxy ƒe dɔléle | Esiae nye mɔnu si wozãna wu. Menye amekokoe wònye o. Wotsɔa dɔwɔnu sue aɖe si me fotoɖemɔ̃ le dea tsinyegoea me eye wozãa laser-ya alo gbeɖiɖi ƒe ƒutsotsoe siwo ƒe tsɔtsɔme sesẽ (ultrasound) tsɔ gbãa kpea. Emegbe wotsɔa tsi klɔa kakɛ siwo wogbã la ɖa. |
| Amekoko | Ne kpea lolo ŋutɔ eye womate ŋu aɖee le mɔ sia nu o la, ate ŋu ahiã be woawɔ dɔ na ame be woaɖe kpea to lãɖeɖe sue aɖe si le ƒodoa me me. Ne kpea tso ʋuka si lolo gbɔ la, woate ŋu adae le amekoko ma ke me. |
Nukae nèwɔna kple kpe suewo?
Ne kpeawo le sue ŋutɔ la, wò ɖɔkta ate ŋu agblɔ na wò be nàno tsi geɖe eye wòana atike aɖe (e.g., alpha-blocker) si akpe ɖe kpeawo ŋu to wò aɖuɖɔ me.
Nukae woate ŋu awɔ be kpewo nagadzɔ o eye woaɖe vevesese dzi akpɔtɔ?
Nu geɖe li nàte ŋu awɔ be tsinyegoe me kpewo nagadzɔ ake o eye woaɖe woƒe vevesese dzi akpɔtɔ.
Numame nyuiwo
- No tsi geɖe: Esiae nye nu vevitɔ kekeake. No tsi lita 2-3 ya teti gbesiagbe. Ne wò aɖuɖɔ le ɣie alo tsi le eme la, ke tsi si sɔ lae nèno. Ne eƒe amadede nye ɣie la, ele be nàno tsi geɖe.
- Vevesesenutsitike: Àte ŋu aƒo nu kple wò ɖɔkta tso vevesesenutsitike (NSAID) nono na vevesese ŋu. Atike siawo mewɔa dɔ na amesiame o, eyata mègano wo atikewɔlawo ƒe aɖaŋuɖoɖo manɔmee o.
- Da nusi gbɔ wòtso: Ne ʋuka me kuxi aɖe le ŋuwò la, ele vevie be nàdae nyuie, ne menye nenema o la, kpeawo ate ŋu agava.
Nusiwo wòle be woaƒo asa na nuɖuɖu kple nunono
Nuɖuɖu siwo me dze kple sukli sɔ gbɔ ɖo ate ŋu ana kpe ƒe dzɔdzɔ ƒe afɔkua nadzi ɖe edzi. Eyata anyo be nàɖe esiawo dzi akpɔtɔ:
- Nuɖuɖu siwo le gaze me, mɔli
- Nuɖuɖu siwo woɖana kabakaba
- Lãwo le ŋdɔnuɖuɣi
- Nunono siwo me sukli le, soda
Gbedasi si Wotsɔ Yi Aƒeme
- Tsinyegoe me kpewo dzɔna vevietɔ le esi aɖuɖɔ medona keŋkeŋ o eye wòtsia tsinyegoea me ta.
- Dzesi siwo bɔ dometɔ aɖewoe nye aɖuɖɔɖɔɖɔ enuenu, vevesese le aɖuɖɔtoe me, kple ʋu si le aɖuɖɔ me.
- Tsi geɖe nono ate ŋu aɖe kpe ƒe ƒoƒo ƒe afɔkua dzi akpɔtɔ ŋutɔ.
- Ne dzesi siawo le ŋuwò la, yi ɖɔkta gbɔ kaba. Ne èse veve vevie la, yi kɔdzi ƒe ETU enumake.
- Mègatsi dzi o, ne wowɔ atike na wò nyuie la, woate ŋu ada nɔnɔme sia keŋkeŋ. Eye ne èda nusi gbɔ wòtso la, àte ŋu axe mɔ na kpeawo hã be woagawɔ ake o.
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