Ðe tsinyegoe si keke le ŋuwòa? (Distended Bladder) Mina míadi nu tso esia ŋu!

Ðe nèsena le ɖokuiwò me ɣeaɖewoɣi be yemate ŋu aɖu aɖuɖɔ oa? Alo ɖe nèsena le ɖokuiwò me be yeƒe tsinyegoe yɔ eye wòloloa? Ne nɔnɔme sia gakpɔtɔ li la, ɖewohĩ nɔnɔme aɖe si woyɔna be ‘Distended Bladder’ ate ŋu anɔ ŋuwò. Mègatsi dzi o, míaƒo nu tso esia ŋu tsitotsito.

Nukae nye tsinyegoe si keke?

Kpuie ko la, ‘tsinyegoe si keke’ nye ne wò tsinyegoe, si nye kotoku si léa wò aɖuɖɔ, lolo eye wòvuvu wu alesi wòle dzɔdzɔmee. Bu eŋu abe ʋuƒo ene. Ne tsi yɔe fũ la, ʋuƒoa vuvuna, alo? Aleae wòle.

Susu vevitɔ si tae nye be aɖuɖɔ mekɔna nyuie o eye wòƒoa ƒu ɖe tsinyegoea me . Míeyɔa esia le atikewɔwɔ me be ‘Urinary Retention’. Gake menye amesiame si ŋu ‘Urinary Retention’ le la ƒe tsinyegoe vuvu o.

Azɔ kpɔ ɖa, míaƒe ayikuwoe ɖea ŋutilãa ƒe tsi kple gbeɖuɖɔ siwo míedi o ɖa hewɔa aɖuɖɔ. Aɖuɖɔ si dona le mɔ sia nu la dzrana ɖo ɖe tsinyegoea me vaseɖe esime wòahiã be míaɖe aɖuɖɔ. Ne tsinyegoea yɔ la, eɖoa dzesi aɖe ɖe míaƒe ahɔhɔ̃ be, "Enyo, ehiã be maɖe aɖuɖɔ fifia."

Aɖuɖɔtoe me tsinyegoe nye ne wò tsinyegoe yɔ, gake màte ŋu akɔ eme keŋkeŋ o. Nukae dzɔna ɣemaɣi? Tsinyegoea kekena vivivi eye wòlolona, ​​alo vuvuna, be wòalé aɖuɖɔ geɖe ɖe te. Emae nye nusi míeyɔna be ‘tsinyegoe si keke.’

Ðe esia nye atikewɔwɔ kpata?

Zi geɖe la, tsinyegoe si keke ɖeɖe menye atikewɔwɔ kpata o. Gake ne mète ŋu le aɖuɖɔ tom kura o, alo aɖuɖɔ sue aɖe koe nèto, eye vevesese sesẽ kpe ɖe eŋu la, ate ŋu anye nusi dzɔ kpata. Woyɔa esia be aɖuɖɔtoe ƒe ʋuʋu kpata. Ne mète ŋu le aɖuɖɔ tom kple vevesese sesẽ alea o la, anyo wu be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo enumake.

Nukae nye tsinyegoe me dɔdzẽ ƒe dzesiwo?

Le go sia me la, àte ŋu akpɔ dzesiwo abe esiawo ene:

• Aɖuɖɔ si le dodom (míeyɔa esia hã be ‘aɖuɖɔtoe ƒe dɔmawɔmawɔ nyuie’).
• Aɖuɖɔɖɔɖɔ ƒe hiahiã kpata kpata.
• Vevesese, nyaƒoɖeamenu, alo ʋuʋu le ƒodo ƒe akpa si le ete alo eƒe golɔgoewo me.
• Dzesi bubu siwo ɖee fia be aɖuɖɔtoe mete ŋu tsia aɖuɖɔ o dometɔ aɖewoe nye aɖuɖɔ sue aɖe ko dodo, aɖuɖɔtoe si gbɔdzɔ, alo sese le ɖokuiwò me be ehiã be yeagaɖe aɖuɖɔ ne èwu aɖuɖɔ vɔ megbe .

Gake ɖewohĩ ame aɖewo made dzesi dzesi vevi siawo o.

Nukae hea esia vɛ?

Susu vevitɔ si ta tsinyegoe vuvu enye be aɖuɖɔ metoa sisi nyuie o eye wòƒoa ƒu. Susu geɖewo ate ŋu anɔ esia ta. Na míakpɔ nusiwo wonye ɖa:

• Nusiwo doa kplamatse nu:
• Tsinyegoe me kpewo
• Dɔdzẽ aɖe (`Tumor`) .
• Prostate si lolo ɖe edzi le ŋutsuwo me
• Nuwo abe dɔmeɖui ene ate ŋu axe aɖuɖɔtoea.
• Ne vidzĩ ƒe tsinyegoe vuvu le vidzidɔ me (`Fetal megacystis`), nusi koŋ gbɔ wòtsonae nye nɔnɔme aɖe si woyɔna be ``Lower urinary tract obstructions (LUTOs)``. Eyae nye be mɔxenu aɖe le aɖuɖɔtoea ƒe akpa si le anyime.

• Dzoxɔxɔ (ʋuʋudedi): .
• Ne dɔdzẽ aɖe le tsinyegoe alo tsinyegoe me (si nye mɔ̃ si tsɔa aɖuɖɔ tso tsinyegoea me) la, ate ŋu ana hã be màgakɔ wò aɖuɖɔ me nyuie o.
• Dɔdzẽ ƒe nɔnɔme siawo ƒomevi ate ŋu atso abi alo aɖuɖɔtoe me dɔlékuiwo gbɔ.

• Ahɔhɔ̃mekawo ƒe nɔnɔmewo:
• Dɔléle aɖewo, abe multiple sclerosis (MS), Parkinson ƒe dɔléle, Alzheimer ƒe dɔléle, kple ʋusɔgbɔdɔ, kpakple atike aɖewo (vevietɔ opioids) ate ŋu ana ahɔhɔ̃a nagaɖo dzesiwo ɖa nyuie ne tsinyegoea yɔ o. Esia ate ŋu ana wòasesẽ be nàkɔ wò tsinyegoe me le ɣeyiɣi aɖe megbe.

• Amekoko:
• Atike si naa alɔ̃dɔdɔ, si wozãna tsɔ tsia vevesesea nu le amekoko me, ate ŋu ado kplamatse ŋutete si le ame si be wòakɔ tsinyegoea me ɣeaɖewoɣi.
• Abi alo abi si amekoko na akɔta ƒe dɔwɔwɔ hena vɛ hã ate ŋu ana tsinyegoe alo tsinyegoea naxe.

Kuxi kawoe ate ŋu ado tso tsinyegoe me dɔdzẽ me?

Ɣeaɖewoɣi la, le atikewɔwɔ vɔ megbe gɔ̃ hã la, tsinyegoe ƒe vuvu ate ŋu ana aɖuɖɔtoe me nasesẽ vie (`Tsinyegoe ƒe dɔmawɔmawɔ nyuie`). Le kpɔɖeŋu me:

• Aɖuɖɔ sue aɖe si dona le eme.
• Sese le ɖokuiwò me be ehiã be yeaɖe aɖuɖɔ ne mehiã be yeaɖe aɖuɖɔ o gɔ̃ hã.
• Mate ŋu akɔ tsinyegoea me keŋkeŋ o.

Aleke nèwɔ de dzesi esia?

Ne èyi ɖɔkta gbɔ la, abia wò dɔlélea ƒe dzesiwo eye wòado wò kpɔ. Ate ŋu azi wò ƒodo ƒe akpa si le anyime dzi abia wò nenye be vevesese aɖe le fu ɖem na wò. Ne esusu be wò tsinyegoe vuvu la, ate ŋu adɔ nane abe ultrasound scan ene.

Ne vidada funɔe nènye la, ultrasound si wowɔ do ŋgɔ na vidzidzi ate ŋu ade dzesii ɣeaɖewoɣi be viwòa ƒe tsinyegoe vuvu.

Dodokpɔ kawoe wowɔna na esia?

Ðɔktawo ate ŋu anya nɔnɔme sia ne wozã ultrasound tsɔ lé ŋku ɖe wò tsinyegoe ŋu. Vevietɔ woate ŋu azã ‘post-void residual urine test’ atsɔ akpɔ alesi nèkɔ wò tsinyegoe me nyuie. Esia bia be nàtsɔ ‘ultrasound’ mɔ̃ alé ŋku ɖe wò tsinyegoe ŋu ne èwu aɖuɖɔ vɔ megbe (ne èto aɖuɖɔ geɖe me alesi nàte ŋui vɔ). Ate ŋu akpe ɖe ame ŋu hã be woake ɖe nusi gbɔ kuxi ɖesiaɖe tso ŋu.

Ðɔktaa ate ŋu awɔ dodokpɔ bubuwo hã atsɔ anya nusi gbɔ aɖuɖɔtoe me tsi le.

Aleke wowɔa nu ɖe ​​esia ŋui?

Ðɔktawo koŋ daa esia to aɖuɖɔ si sɔ gbɔ ɖe tsinyegoea me la ɖeɖeɖa me. Ne mète ŋu le aɖuɖɔ tom kura o la, nu gbãtɔ si wò ɖɔkta awɔe nye be wòaɖe aɖuɖɔa ɖa hafi adze agbagba adi nusi gbɔ wòtso alo akpɔ dɔléle bubu aɖe.

Emegbe, wodea dzesi nusi gbɔ nɔnɔmea tso (zi geɖe la, aɖuɖɔtoe me tsi) hedaae. Esia ate ŋu abia be woazã atike, amekoko, alo mɔnu bubuwo.

Fugboe megacystis (tsinyegoe ƒe vuvu le vidzĩ si le vidzidɔ me) ate ŋu anyo ɖe edzi le eɖokui si ɣeaɖewoɣi ne vidzĩa le tsitsim.

Mɔnu tɔxɛ siwo wozãna tsɔ daa tsinyegoe ƒe vuvu

Mɔnu si bɔ wue nye ``Transurethral bladder catheterization.'' Esia bia be nàde mɔ̃ tsɛ aɖe (catheter) to wò tsinyegoe me (ʋuʋudedi si me nèɖea aɖuɖɔ le) me ɖe wò tsinyegoe me eye emegbe nàɖe aɖuɖɔa ɖa. Ðɔkta ate ŋu azã mɔ̃ sia atsɔ akɔ wò tsinyegoe me zi ɖeka, alo ate ŋu agblẽe ɖe teƒea ŋkeke alo kwasiɖa ʋɛ aɖewo.

Ne woada fugboe ƒe megacystis alo womadae o la nɔ te ɖe nɔnɔmea dzi. Atikewɔwɔ ƒe tiatia aɖewoe nye:

• Vesicocentesis: Dɔwɔwɔ si me ɖɔkta zãa aŋe tsɔ ɖea tsi le fugboea ƒe tsinyegoe me.
• Vesicoamniotic shunt: Ðɔkta dea mɔ̃ aɖe fugboea ƒe tsinyegoe me eye wòɖea tsi to eme.

Atikewɔwɔ ƒe nugbegblẽ le ame ŋu

Ne woɖe catheter la ɖa vɔ la, àte ŋu akpɔ nusiwo le abe:

• Ʋu sue aɖe si le aɖuɖɔ me (`Hematuria`).
• Ehiã be nàɖe aɖuɖɔ enuenu.
• Ʋu ƒe sisi ƒe ɖiɖi (ʋusɔgbɔdɔ).

Gake mègatsi dzi o, zi geɖe la, ɣeyiɣi kpui aɖe ƒe nugbegblẽ le ame ŋu siawo nɔa anyi eye woahaya le ŋkeke ʋɛ aɖewo megbe.

Aleke gbegbee nye lãme asẽ kaba le atikewɔwɔ vɔ megbe?

Àdze gbɔdzɔe aɖe gɔme ne ɖɔktaa nya kɔ wò tsinyegoe me ko. Ɣeyiɣi didi si nàhiã atikewɔwɔ bubuwo anɔ te ɖe nusi gbɔ wò aɖuɖɔtoe me tsia dzi.

Nukae mate ŋu akpɔ mɔ na ne tsinyegoe me dɔdzẽ le ŋunye?

Tsinyegoe si vuvu ate ŋu ave wò, eye ate ŋu afia be mèle aɖuɖɔ tom nyuie o. Woate ŋu ada esia to ka aɖe dede tsinyegoea me be tsi nado le tsinyegoea me. Ðewohĩ ahiã hã be nàyi atike si gbɔ wòtso la dzi.

Ne èfɔ fu eye tsinyegoe vuvu le viwò si le dɔ me la, ƒo nu kple wò dɔnɔdzikpɔla do ŋgɔ na vidzidzi hena nyatakaka bubuwo.

Ðe woate ŋu axe mɔ ɖe tsinyegoe me dɔdzẽ nua?

Ne dɔléle siwo nɔa anyi didi siwo ate ŋu ana aɖuɖɔtoe natsi le ŋuwò la, wo dzi kpɔkpɔ nyuie ate ŋu akpe ɖe ŋuwò nàxe mɔ ɖe tsinyegoea ƒe vuvu nu. Gake le go aɖewo me, abe tsinyegoe ƒe vuvu le amekoko megbe alo fugboe ƒe megacystis ene la, manya wɔ be woaxe mɔ ɖe enu o.

Ɣekaɣie wòle be mayi Atikewɔwɔ Kpata ƒe Dɔwɔƒe (ETU) ?

Ne mète ŋu le aɖuɖɔ tom o eye nèle veve sem vevie la, yi xɔ si me wokpɔa dɔnɔwo gbɔ kpata le si te ɖe ŋuwò alo nàdi atikewɔlawo ƒe aɖaŋuɖoɖo enumake. Aɖuɖɔtoe ƒe ʋuʋu kpata nye atikewɔwɔ kpata. Mègaŋe aɖaba ƒu edzi o.

Nya kawoe wòle be mabia nye ɖɔkta?

Ate ŋu aɖe vi be nàbia wò ɖɔkta nya siawo abe esiawo ene:

• Nukatae esia dzɔ ɖe dzinye?
• Nukae wòle be mawɔ be nu sia tɔgbi nagadzɔ ake o?
• Atikewɔwɔmɔnu kawoe le asinye?
• Ðe wòahiã be mayi atikewɔwɔa dzia?

Mlɔeba la, nu siwo dzi wòle be woaɖo ŋkui

Zi geɖe la, woate ŋu ada tsinyegoe me dɔdzẽ to tsinyegoea me kɔklɔ me. Gake ele vevie be woada nusi gbɔ aɖuɖɔtoetetedɔ tsona. Ne aɖuɖɔtoe sesẽ na wò, alo ne èle veve sem le wò ƒodo ƒe akpa si le anyime alo ƒo xlãe, vevietɔ ne wowɔ dɔ na wò nyitsɔ laa la, gblɔe na wò ɖɔkta. Tsinyegoe me dɔdzẽ menye nusi dzɔna kpata o, gake ŋutetemanɔamesi be wòaɖe aɖuɖɔ kura ate ŋu anye nusi dzɔ kpata. Eyata ne nane si ŋu nètsi dzi ɖo la, mègahe atikewɔlawo ƒe aɖaŋuɖoɖo didi ɖe megbe gbeɖe o. Wò lãmesẽ le vevie na wò ŋutɔ.

` Tsinyegoe ƒe vuvu, aɖuɖɔtoe ƒe ʋuʋu, aɖuɖɔtoe sesẽ, tsinyegoe, ayiku, aɖuɖɔtoe ƒe dzesiwo, aɖuɖɔtoedɔdada