Ðe ʋu le wò aɖuɖɔ hã mea? Alo ɖe nèsena le ɖokuiwò me be ele be yeaɖe aɖuɖɔ enuenua? Ne èkpɔ nusiawo la, ɖewohĩ àvɔ̃ ŋutɔ, anɔ susum be, ‘Oo, ɖe tsinyegoe me dɔdzẽ le ŋunye hã?’ Gake mègavɔ̃ o. Menye dzesiawo katãe fia kansa o. Eyata aleke tututu ɖɔkta awɔ anya ne dɔléle sia le ŋuwò? Dodokpɔ kawoe wowɔna na esia? Míaƒo nu tso eŋu tsitotsito egbea, le mɔ si gɔme nàte ŋu ase nu.
Nukae ɖɔktaa wɔna gbã?
Eyata ne èyi ɖɔkta gbɔ kple dzesi siawo la, nu gbãtɔ si wòawɔe nye be wòaƒo nu kpli wò. Abia nya tso wò lãmesẽ bliboa ŋu, atikewɔwɔ ƒe nɔnɔme bubu ɖesiaɖe si le ŋuwò, atike siwo zãm nèle, kple nenye be tsinyegoe me kansa nɔ wò ƒomea me kpɔ . Esia ana ɖɔktaa nakpɔ wò atikewɔwɔ ŋutinya nyuie.
Eyome, wò ɖɔkta awɔ wò ŋutilã dodokpɔ. Le ɣeyiɣi sia me la, woate ŋu awɔ akɔta dodokpɔ na nyɔnuwo eye woawɔ digital rectal exam (DRE) na ŋutsuwo. Esia adze abe ɖe mefa vie o ene, gake enye dodokpɔ vevi aɖe ŋutɔ. Ate ŋu ana woasusui ɣeaɖewoɣi nenye be woate ŋu akpɔ dɔdzẽ si le tsinyegoea me, alesi wòloloe, kple nenye be ekaka.
Ne ɖikeke bubu aɖe gadze ɖɔktaa dzi le dodokpɔ gbãtɔ siawo megbe la, ate ŋu aɖo wò ɖe dɔdala bibi aɖe, si nye tsinyegoeŋutinunyala, gbɔ, eye emegbe wòawɔ dodokpɔ vovovowo.
Nukae woate ŋu akpɔ le aɖuɖɔ dodokpɔwo me?
Aɖuɖɔtoe ƒe kpɔɖeŋu ate ŋu aɖe nu geɖe afia. Zi geɖe la, esiae nye dodokpɔ gbãtɔ si wowɔna.
| Dodokpɔ ƒe Ŋkɔ | Nukae nèkpɔ le esia me? |
|---|---|
| Aɖuɖɔtoe me dzodzro | Kpuie ko la, nyatakaka bliboe nye esia. Eléa ŋku ɖe wò aɖuɖɔ me be nuwo abe ʋu, sukli, kple protein ene hã le eme. Ete ŋu dea dzesi ʋu suesuesue siwo le sue akpa be womate ŋu akpɔ kple ŋku o gɔ̃ hã. |
| Aɖuɖɔtoewo Ŋuti Nunya | Nusi nèwɔna le afisiae nye be nàlé ŋku ɖe wò aɖuɖɔ ƒe kpɔɖeŋu ŋu le nusuekpɔmɔ̃ me akpɔe ɖa be kansadɔlékui aɖewo le eme hã. |
| Aɖuɖɔtoe Dekɔnuwo | Woagblẽ wò aɖuɖɔ ƒe kpɔɖeŋua ɖi be wòatsi le dodokpɔxɔ me ŋkeke ʋɛ aɖewo be woadi dɔlékui siwo ate ŋu ahe dɔlékuiwo vɛ. Esia ana nànya ne aɖuɖɔtoedɔléle le ŋuwò. |
| Aɖuɖɔtoe me Dɔdzẽ ƒe Dzesi Dodokpɔwo | Tsinyegoe me kansa lãmenugbagbeviwo ɖea nu aɖewo koŋ ɖea aɖuɖɔ me ɣeaɖewoɣi. Dodokpɔ sia dia nu siawo. |
Cystoscopy (tsinyegoe me dodokpɔ kple fotoɖemɔ̃) .
Ŋkɔ sia aɖi vɔvɔ̃ vie, gake esiae nye mɔ vevitɔ si sɔ pɛpɛpɛ wu si dzi woato ade dzesi tsinyegoe me dɔdzẽ.
Kpɔe ɖa le susu me be mɔ̃ aɖe si le tsɛ ŋutɔ, si le sue ŋutɔ. Fotoɖemɔ̃ sue aɖe le eŋu eye akaɖi le eƒe nuwuwu. Ðɔktaa tsɔa ŋuɖɔɖɔɖo dea mɔ̃ sia (si woyɔna be cystoscope) wò tsinyegoe me kple wò tsinyegoe me. Emegbe etoa mɔ̃a me tsɔa dzetsi yɔa tsinyegoea me, si wɔnɛ be wòvuvuna vie. Emegbe, fotoɖemɔ̃a ate ŋu akpɔ wò tsinyegoe ƒe eme nyuie ŋutɔ.
Hafi woawɔ esia la, wò tsinyegoe kple tsinyegoe me tsina. Ɣeaɖewoɣi la, ne wowɔe le amekokoxɔ me la, wodoa alɔ̃ wò keŋkeŋ, si fia be mèle manyamanya. Eyata mèsea naneke le ɖokuiwò me o.
Teƒe si ŋu ɖikeke le ɖeɖeɖa kple dodokpɔ (TURBT) .
Ne ɖɔktaa kpɔ teƒe aɖe si ɖia ɖi, abe dɔdzẽ ene, esime wòle ŋku lém ɖe fotoɖemɔ̃a ŋu la, atsɔ eƒe akpa sue aɖe enumake aɖoe ɖa be woadoe kpɔ. Esiae nye nusi míeyɔna be biopsy .
Ɣeaɖewoɣi la, ɖɔktaa awɔ dɔ aɖe si woyɔna be TURBT (Transurethral Resection of Bladder Tumor) . Le esia me la, esime fotoɖemɔ̃a le teƒea la, wozãa dɔwɔnu tɔxɛ aɖe tsɔ lãa dɔdzẽ si ŋu ɖikeke le la heɖenɛ ɖa keŋkeŋ kloe. Le ɣeyiɣi ma ke me la, woɖea tsinyegoe ƒe lãmeka si ƒo xlã dɔdzẽa ƒe akpa aɖe hã ɖa. Emegbe woɖoa kakɛ siawo ɖe dodokpɔxɔa be woakpɔe ɖa be kansae tututue wònye eye ne ele nenema la, alesi wòkakae hã.
Scan kple X-ray (Nɔnɔmetatawo Dodokpɔwo) .
Ne woɖo kpe kansa dzi la, wozãa scan ƒomevi vovovowo tsɔ kpɔa afisi wòkaka ɖo kple ne ekaka ɖe ŋutinu bubuwo me hã. Amesiawo ɖea foto nuwo le wò ŋutilã me.
| Dodokpɔ ƒe Ŋkɔ | Nukae nèwɔna hesrɔ̃a nu tso esia me? |
|---|---|
| Ʋuka me Pyelogram (IVP) . | Esia nye X-ray ƒomevi aɖe. Wodoa amadede tɔxɛ aɖe wò ʋuka me. Ne amadede sia to wò ayikuwo me eye wòto wò aɖuɖɔtoe me la, X-ray la ɖea nuwo abe dɔdzẽ ene fiana nyuie. |
| CT Scan ƒe dɔwɔwɔ | Esia ate ŋu aɖe wò ayiku, tsinyegoe, kple tsinyegoe ƒe nɔnɔmetata le 3D me. Ate ŋu akpɔ dɔdzẽ siwo le aɖuɖɔtoe kple ʋukawo me hã nyuie be yeakpɔe ɖa be kansa la kaka hã. |
| MRI Scan ƒe Dɔwɔɖoɖo | Magnetic resonance imaging (MRI) zãa magnet-ƒutsotsoewo tsɔ ɖea foto ametia ƒe akpa si le eme. Esia ate ŋu akpe ɖe ame ŋu hã be woada aɖuɖɔtoe kple lãkusi siwo ƒo xlãe ƒe nɔnɔme kpɔ nyuie wu. |
| Ultrasound Scan ƒe Dɔwɔnu | Ezãa gbeɖiɖi ƒe ƒutsotsoewo tsɔ ɖea tsinyegoea ƒe foto. Esia ate ŋu adzidze nuwo abe dɔdzẽ si le tsinyegoea me ƒe lolome ene. |
| Akɔta ƒe X-ray kple Ƒumeŋutinukpɔkpɔ | Tsinyegoe me kansa ate ŋu akaka ɖe lãkusi alo ƒuwo me ɣeaɖewoɣi. Wowɔa X-ray kple ƒu ƒe dodokpɔ sia tsɔ ɖoa kpe edzi nenye be esia dzɔ. |
To nyatakaka siwo tso dodokpɔ siawo katã me ƒoƒo ƒu me ye ɖɔktaa ƒoa nya ta mamlɛtɔ le wò nɔnɔmea ŋu eye wòtsoa nya me le atikewɔwɔmɔnu si sɔ na wò wu ŋu.
Gbedasi si Wotsɔ Yi Aƒeme
- Ne dzesi aɖe abe ʋu ene le wò aɖuɖɔ me , mègaŋe aɖaba ƒu edzi gbeɖe o. Mègatsɔe be esɔ o. Kpɔ ɖɔkta kaba ale si nàte ŋui.
- Dodokpɔ siwo (abe cystoscopy kple biopsy ene) siwo wowɔna ne wosusu be tsinyegoe me dɔdzẽ ate ŋu ado vɔvɔ̃ na ame vie. Gake wowɔa wo le mɔ si ana màse veve alo vevesese aɖeke o nu, eye ne ehiã la, wowɔa wo le atike si wua alɔ̃dɔdɔ me.
- Wotrɔ asi le dodokpɔ ɖesiaɖe ŋu be wòanya nusi tututu kuxia nye. Eyata mègavɔ̃ be yeado dodokpɔ siwo wò ɖɔkta kafu na wò o. Wò ŋutɔ wò nyonyo tae.
- Ðo dze kple wò ɖɔkta gaglãa tso nyabiase, vɔvɔ̃, alo nusiwo ŋu nètsi dzi ɖo ŋu. Mègatsi dzi ɖe "nusi ɖɔkta abu ne mebia nya sia wò" ŋu o. Enye wò gome be woana nànya nu tso wò nɔnɔmea ŋu bliboe.
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Womeɖo nya aɖeke ɖe amewo haɖe o. Tsɔ wò nyaŋuɖoɖo kpe ɖe afisia zi gbãtɔ.
Tsɔ wò nyaŋuɖoɖo kpee