Ðe nèsena le ɖokuiwò me ɣeaɖewoɣi be aɖuɖɔ vi aɖe le dodom le ye ŋu ne yeko nu sesĩe, le kɔdzi, kɔ nu kpekpe aɖe, alo le kame dema? Aɖuɖɔtoe me dɔmawɔmawɔ nyuie nye kuxi si bɔ na ŋutsu geɖe, vevietɔ le ʋuka me dɔdzẽ ɖeɖeɖa vevie megbe. Togbɔ be enye nyati si ŋu kpena vie be woaƒo nu tsoe le hadome hã la, enye nɔnɔme si woate ŋu ada. Esia gbɔ kpɔnu si kpɔ dzidzedze wu eye wònye egbegbe tɔ enye Ŋutsu ƒe Aŋetu ƒe amekoko. Eyata, mina míaƒo nu tso eŋu eme nakɔ egbea.
Kpuie ko la, nukae nye Male Sling ƒe amekoko?
Ŋutsu ƒe Sling amekoko nye amekoko si me womewɔa nu boo aɖeke le o si wowɔna tsɔ daa aɖuɖɔtoe ƒe dɔmawɔmawɔ nyuie le ŋutsuwo me. Tsɔe be woda akɔtaɖonu sue aɖe ƒo xlã tsinyegoe, si nye mɔ̃ si me aɖuɖɔtoe dona le, be wòakpe ɖe eŋu. Emae nye nusi esia wɔna.
Le dɔ sia wɔwɔ me la, wò ɖɔkta blaa amekoko ƒe ka falɛfalɛ aɖe si le abe lãgbalẽ ene si wotsɔ lãgbalẽ wɔe la ɖe wò tsinyegoe si nye wò tsinyegoe ƒe akpa aɖe la ŋu. Aɖuɖɔtoe ƒe ʋuƒoa le wò ŋutsu ƒe vidzinu ƒe gɔme. Tepe la kɔa tsinyegoe kple tsinyegoe ƒe kɔ ɖe dzi vie, si wɔnɛ be woate ŋu alé wo ɖe te. Kpekpeɖeŋu sia naa ŋusẽ geɖe wu nana lãmeka siwo kpɔa aɖuɖɔtoe dzi la. Esia kpena ɖe ame ŋu be aɖuɖɔ mete ŋu dona ne èle kɔdzi alo le aɖuɖɔ ƒom o.
Wogayɔa amekoko sia to ŋkɔwo abe AdVance® sling alo Coloplast Virtue® male sling ene.
Amekawoe wotsɔa amekoko sia daa dɔe?
Zi geɖe la, wokafua amekoko sia na ŋutsu siwo ƒe aɖuɖɔtoe dzi ɖuɖu sesẽna le woƒe aɖuɖɔtoe ɖeɖeɖa vevie megbe.
Vevietɔ wu la, esia sɔ nyuie wu na amesiwo ƒe ɖokuidziɖuɖu ƒe ŋutete si nu mesẽ o va ɖo esi sɔ gbɔ wu . Ema fia be amesiwo te ŋu zãa aŋekotoku ɖeka, eve, alo etɔ̃ gɔ̃ hã gbesiagbe ate ŋu akpɔ nu nyuitɔ kekeake le esia me.
Dodokpɔ kawoe wowɔna hafi wowɔa dɔ na ame?
Hafi woawɔ dɔ sia na wò la, wò ɖɔkta aɖe gbe be woawɔ dodokpɔ geɖe atsɔ akpɔ wò nɔnɔmea nyuie. Dodokpɔ siawo akpe ɖe ŋuwò nànya nenye be ènye ame nyui si woawɔ dɔ na wò eye nenye be nu nyuiwo ado tso eme le amekokoa megbe.
| Dodokpɔ ƒe Ŋkɔ | Nukae nèkpɔ le ema me? |
|---|---|
| Urodynamic dodokpɔ | Woléa ŋku ɖe alesi lãmekawo kple lãmeka siwo le wò tsinyegoe kple tsinyegoe me le dɔ wɔm nyuie ŋu. Wodzidzea nuwo abe nyaƒoɖeamenu si le wò tsinyegoe me kple alesi aɖuɖɔ dona kabakabae ene. |
| Gaƒoƒo 24 ƒe pad dodokpɔ | Esia kpena ɖe ŋuwò nèdzidzea atike agbɔsɔsɔme si tututu nèhiã kple aɖuɖɔ agbɔsɔsɔme si nèdona le gaƒoƒo 24 me. |
| Cystoscopy ƒe dɔwɔwɔ | Wotsɔa mɔ̃ sue aɖe si le tsɛ si ŋu fotoɖemɔ̃ le la toa wò tsinyegoe me, si wɔnɛ be ɖɔktaa te ŋu kpɔa wò tsinyegoea me. |
| ECG dodokpɔ (Electrocardiogram) . | Wowɔa dodokpɔ sia be woakpɔ egbɔ be wò dzi ate ŋu anɔ te ɖe amekoko sia nu. |
| Ʋudodokpɔwo | Woalé ŋku ɖe ŋuwò be ʋu ƒe sisi ƒe kuxi aɖe le ŋuwò hã (e.g., ʋusɔgbɔdɔ). Ne èwɔe nenema la, ate ŋu adzɔ be ʋu nado le ŋuwò le amekokoa me. |
| Aɖuɖɔtoe me dzodzro | Esia kpena ɖe ame ŋu be woanya ne atikewɔwɔ me nɔnɔme bubu aɖewo li siwo ate ŋu akpɔ ŋusẽ ɖe amekokoa dzi, abe aɖuɖɔtoedɔléle (UTIs), ayikudɔ, alo suklidɔ ene. |
Aleke wòle be madzra ɖo ɖe amekokoa ŋu?
Dzadzraɖo ɖe amekoko ŋu hã le vevie ŋutɔ.
- Gblɔ atike siwo katã nènona na wò ɖɔkta : atike siwo woŋlɔ na wò, atike siwo womeƒlena le atikedzraƒe o, Ayurveda atikewo, vitaminwo... Na wò ɖɔkta nanya nu tso esiawo katã ŋu.
- Dzudzɔ ʋumenugbagbeviɣitikewo nono:Woabia tso asiwò be nàdzudzɔ ʋumenugbagbeviɣitikewo (atike siwo tsia ʋumenugbagbeviɣidɔ nu), aspirin, kple vevesesenutsitikewo (NSAID) nono kwasiɖa ɖeka va ɖo eve do ŋgɔ na amekoko. Esiawo ate ŋu ana ʋu nado le amekoko me ƒe afɔkua nadzi ɖe edzi. Enyo be woano acetaminophen (acetaminophen) na taɖuame.
- Atike siwo nàte ŋu ayi edzi anɔ nonom: Negbe ɖe wò ɖɔkta ɖo aɖaŋu bubui hafi la, àte ŋu ayi edzi anɔ atike siwo gbɔna nom.
- Dɔlékuiwutikewo
- Atike si wozãna na ʋusɔgbɔdɔ
- Lãmetsiŋusẽtikewo
- Atike si wozãna na dzidɔ
- Nuɖuɖu kple nunono: Woabia tso asiwò be nàɖu nuɖuɖu siwo me tsi le (e.g. mɔli, atikutsetse me tsi, jelly) ko tso zã si do ŋgɔ na amekokoa me. Ahiã be nàdzudzɔ nuɖuɖu kple nunono keŋkeŋ gaƒoƒo ʋɛ aɖewo hafi woawɔ dɔ na wò. Esia akpe ɖe ŋuwò be wò dɔgbowo nanɔ dzadzɛ le amekoko me, si aɖe dɔlékuiwo xɔxɔ ƒe afɔkua dzi akpɔtɔ.
Nukae dzɔna le amekokoa wɔɣi?
Eŋutinunyala bibiwo ƒe ƒuƒoƒo aɖee wɔa amekoko sia, siwo dometɔ aɖewoe nye tsinyegoe kple aɖuɖɔtoedɔdala (Urologist), atikewɔla si naa alɔ̃dɔdɔ ame, kple dɔnɔdzikpɔlawo.
Gbã la, woatsɔ atike si naa alɔ̃dɔdɔ wò keŋkeŋ. Esia fia be màse naneke le ɖokuiwò me o, àdɔ alɔ̃ keŋkeŋ.
Emegbe amekola la:
1. Woɖea nu sue aɖe ŋutɔ le teƒe si le wò akɔta kple aɖuɖɔtoe (perineum) dome.
2. Woɖea tsinyegoea ɖe go vivivi.
3. Emegbe, wotsɔa amekoko ƒe kasɛt (sling) si ŋu míeƒo nu tsoe va yi la dana ɖe tsinyegoe ƒe ʋuƒoa ŋu nyuie ŋutɔ.
Tepe sia gbugbɔa tsinyegoea ɖoa teƒe yeye si sɔ wu. Esia dzia nyaƒoɖeamenu ɖe edzi le teƒe ma eye wònaa tsinyegoe ƒe kɔ nɔa te nyuie. Zi geɖe la, amekokoa xɔa abe gaƒoƒo ɖeka ene.
Nukae nàte ŋu akpɔ mɔ na le amekoko vɔ megbe?
Le amekokoa megbe la, woatsɔ wò ade xɔ si me woahaya le me vaseɖe esime wò susu nagaɖo eŋu eye wò nɔnɔmea nali ke.
- Zi geɖe la, esia nyea dɔ si wowɔna le kɔdzi si woate ŋu awɔ gbemagbe ke . Gake le go aɖewo me la, ahiã be nànɔ kɔdzi zã bliboa.
- Le amekoko megbe la, ate ŋu asesẽ be woaɖe aɖuɖɔ le gɔmedzedzea me le esi wòvuvu ta. Ðewohĩ ahiã be nàna aɖuɖɔtoe nanɔ teƒea ŋkeke ʋɛ aɖewo. Ne abi la nya ɖiɖi ko la, àte ŋu aɖu aɖuɖɔ le mɔ si sɔ nu.
- Ne èhaya vɔ la, ele be nàte ŋu aɖu aɖuɖɔ le mɔ si sɔ nu kuxi aɖeke manɔmee.
Viɖe kawoe le amekoko sia me kple dzidzedzekpɔkpɔ kawoe?
Viɖe vevitɔ si le amekoko sia ŋue nye be enaa wokpɔa aɖuɖɔtoe ƒe kuxia gbɔ dzidzedzetɔe. Kpeɖe eŋu la:
- Enye lãɖeɖe sue aɖe ŋutɔ, eyata ehayana kaba.
- Magblẽ abi gã aɖeke ɖi o.
- Ɣeyiɣi si woatsɔ ahaya la le kpuie.
- Aŋenu sia le ŋutilãa me keŋkeŋ, eyata womekpɔnɛ tso egodo o.
Dzidzedzekpɔkpɔ kple agbenɔƒe didi
Amekoko sia kpɔ dzidzedze ŋutɔ. Numekuku siwo wowɔ nyitsɔ laa ɖee fia be ŋutsu siwo wowɔ dɔ sia na dometɔ 80% kloe ɖe woƒe aɖuɖɔtoe me dɔlélea ɖa keŋkeŋ alo nyo ɖe edzi ŋutɔ. Zi geɖe la, aŋea nɔa anyi ƒe 10 va ɖo 15.
Nukawoe nye nusiwo ate ŋu ado tso eme alo afɔku siwo ate ŋu ado tso eme?
Abe alesi wòle le amekoko ɖesiaɖe gome ene la, afɔku aɖewo li, gake kuxiwo mebɔ kura o.
| Nusiwo wògblẽna le ame ŋu / Afɔku | Nuɖᴐɖᴐ |
|---|---|
| Aɖuɖɔtoe ƒe ŋutetemanɔamesi (Urinary retention) . | Kuxi si bɔ si ate ŋu ado mo ɖa le amekoko megbe. Ðewohĩ ahiã be woagblẽ tsinyegoe me ka la ɖe teƒea kwasiɖa ʋɛ aɖewo kpee. Ƒã ŋutɔ hafi ahiã be woawɔ dɔ bubu atsɔ aɖɔ esia ɖo. |
| Ʋu si le dodom | Ʋu ate ŋu ado le amekokoa teƒe vie. |
| Dɔdzedze | Afɔku li be dɔlékuiwo nadze afisi wotso alo aɖuɖɔtoea me. |
| Amesiwo ɖua wo ɖokui dzi ƒe gbɔdzɔgbɔdzɔ enuenu | Mɔnukpɔkpɔ sue aɖe li be aɖuɖɔtoetetedɔ ƒe kuxia agava le ɣeyiɣi aɖe megbe. |
| Tsinyegoe ƒe dɔwɔwɔ fũ akpa ƒe dzesiwo | Dzesiawo ateŋu anye aɖuɖɔtoe enuenu (`urinary frequency`), aɖuɖɔtoe ƒe hiahiã kpata (`urinary urgency`), alo be wòafɔ le zã me aɖu aɖuɖɔ (`nocturia`). |
Gbɔdzɔe kple gbesiagbedɔwo gbugbɔgadze
Ɣeyiɣi si woatsɔ ahaya la toa vovo tso ame ɖeka gbɔ yi bubu gbɔ.
- Eƒe hayahaya: Ame akpa gãtɔ ƒe lãme dzea egɔme le kwasiɖa ɖeka me, gake ate ŋu axɔ kwasiɖa geɖe hafi ahaya keŋkeŋ.
- Trɔ yi dɔme: Ne kplɔ̃dzidɔ le asiwò la, zi geɖe la, àte ŋu atrɔ ayi dɔme le ŋkeke ʋɛ aɖewo megbe. Gake ne dɔ aɖe le asiwò si bia be nàkɔ kpekpemewo alo kamedede la, ahiã be nàgaxɔ mɔkeke vie wu.
- Gbɔdɔdɔ: Ele vevie be nàbia wò ɖɔkta ɣekaɣie wòanɔ dedie be nàgadɔ kple ame ake le amekoko vɔ megbe.
Ɣekaɣie wòle be nàkpɔ ɖɔkta?
Ne èkpɔ dzesi siwo gbɔna la dometɔ aɖe le aƒeme yiyi le amekoko vɔ megbe la, yɔ wò ɖɔkta enumake alo yi kɔdzi si te ɖe ŋuwò ƒe Dɔwɔƒe si Kpɔa Nudzɔdzɔ Kpatawo Gbɔ (ETU).
- Ne màte ŋu aɖu aɖuɖɔ kura o la .
- Ne ʋu le wò aɖuɖɔ me (hematuria).
- Ne dɔléle ƒe dzesiwo li (abe asrã, vuvɔ, vidzidɔ siwo vuvu ene).
- Ne mèkpɔ nusiwo nèkpɔ mɔ na o alo ne aɖuɖɔtoe ƒe kuxia gadze egɔme le ɣeyiɣi aɖe megbe la, ƒo nu tso ema hã ŋu na wò ɖɔkta.
Gbedasi si Wotsɔ Yi Aƒeme
- Ŋutsu ƒe Sling dɔwɔwɔ nye atike si wɔa dɔ ŋutɔ eye wòle dedie na aɖuɖɔtoe ƒe dɔmawɔmawɔ nyuie si nu mesẽ o va ɖo esi sɔ, vevietɔ le prostate dɔwɔwɔ vɔ megbe.
- Esia nye amekoko si mehiã be woatsoe gã o eye wòhayana kaba.
- Amekokoa ƒe dzidzedzekpɔkpɔ sɔ gbɔ ŋutɔ (80%) kloe.
- Hafi woawɔ dɔ na wò la, ƒo nu kple wò ɖɔkta gaglãa tso atike siwo katã zãm nèle kple nusiwo ŋu nètsi dzi ɖo ŋu.
- Ne dzesi sesẽwo dze le ŋuwò le amekoko vɔ megbe, abe aɖuɖɔtoetetete, dzoxɔxɔ sesẽ, alo dɔlékuiwo ƒe dzesiwo ene la, di atikewɔlawo ƒe aɖaŋuɖoɖo enumake.
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