Ðe wòsesẽna na wò hã be nàɖu wò aɖuɖɔ dzia? Ðewohĩ nusi gbɔ wòtsoe nye lãmekawo ƒe dɔwɔwɔ! (Ahɔhɔ̃mekawo ƒe Tsinyegoe) .

Ðe nèsena le ɖokuiwò me ɣeaɖewoɣi be yemate ŋu aɖu yeƒe tsinyegoea dzi oa ? Ðe wòsena le ɖokuiwò me zi ɖeka be ehiã be yeaɖe aɖuɖɔa, alo ɖe nèsena le ɖokuiwò me be yemate ŋu aɖu aɖuɖɔ nyuie oa? Menye nu bubu aɖe koe esia nye o, ate ŋu atso kuxi aɖe si le wò lãmekawo me gbɔ. Emae nye nusi míeyɔna le atikewɔwɔ me be Neurogenic Bladder. Mina míaƒo nu tso esia ŋu bɔbɔe, le mɔ si gɔme nàte ŋu ase nu.

Kpuie ko la, nukae nye Neurogenic Bladder?

Bu wò ŋutilã be enye elektrikŋusẽ ƒe nutome si me nu sesẽwo le. Ahɔhɔ̃ae nye dɔwɔƒe si kpɔa wo dzi nyuie. Gbedasiwo tso ahɔhɔ̃a me yia ŋutilã ƒe akpawo katã to lãmekawo dzi. Ne wò tsinyegoe yɔ la, eɖoa dzesi aɖe ɖe ahɔhɔ̃a be, "Enyo, fifia tsinyegoea yɔ, ehiã be nàkɔe ƒuƒlu." Emegbe ne ɣeyiɣia de la, ahɔhɔ̃a ɖoa dzesi aɖe ɖe wò tsinyegoe ƒe lãmekawo be woatsi, eye wòɖoa dzesi aɖe hã ɖa be wòaʋu mɔ si dzi aɖuɖɔtoeto ato. Esiawo katã dzɔna to lãmekawo ƒe dɔwɔwɔ dzi. Le nɔnɔme aɖe si woyɔna be Neurogenic Bladder me la, dzesiɖoɖo sia gblẽna le ahɔhɔ̃, aklã, alo lãmekawo ƒe gbegblẽ ta. Ele abe kaƒoƒo si mesɔ o ene. Esia wɔe be tsinyegoea mexɔa gbedasi siwo sɔ o, alo gbedasi siwo mesɔ o hã nɔa eŋu. Esia wɔe be màgate ŋu aɖu wò tsinyegoea dzi o.

Neurogenic Bladder ƒomevi vevi eve li:

Le alesi lãmekawo gblẽna nu la, woate ŋu ama Neurogenic Bladder ɖe hatsotso vevi eve me. 1. Tsinyegoe si wɔa dɔ fũu akpa (Spastic Bladder): Le go sia me la, tsinyegoea tsia enu enuenu eye womate ŋu aɖu edzi o. Ne míagblɔe tututu la, ahɔhɔ̃a yia edzi ɖoa dzesiwo ɖa be tsinyegoea nakɔ ƒuƒlu ne tsinyegoea yɔ fũu vie gɔ̃ hã. Esia nana tsinyegoea sena le eɖokui me abe ɖe wòhiã be yeaɖe aɖuɖɔ enuenu ene, eye wòdina be yeaɖe aɖuɖɔ kpata. 2. Tsinyegoe si Mewɔa Dɔ O (Flaccid Bladder): Nusi to vovo na emae nye nyateƒe. Tsinyegoe ƒe lãmekawo mexɔa dzesi siwo sɔ be woatsi o. Eyata ne tsinyegoea yɔ gɔ̃ hã la, esesẽna be woaɖee ɖa keŋkeŋ. Aɖuɖɔ ate ŋu anɔ tsinyegoea me.

Nukae nye nɔnɔme sia ƒe dzesiwo?

Dzesiawo ate ŋu ato vovo le Neurogenic Bladder ƒomevi si le asiwò nu. Na míalé ŋku ɖe nusiwo dzesi siawo nye ŋu.

Nukatae esia le dzɔdzɔm? Nukawoe nye susu siwo tae?

Nu geɖe li siwo ate ŋu ahe Neurogenic Bladder vɛ. Wo dometɔ aɖewo nye nɔnɔme siwo wodzina, evɔ bubuwo ya ate ŋu atso dɔléle alo afɔku siwo dzɔna le woƒe tsitsime gbɔ.

Nusiwo gbɔ wòtsona wodzina

• Spina bifida: Esia nye nɔnɔme si dzɔna ne aklã metsi nyuie le vidzidzi me o.
• Cerebral palsy: Nɔnɔme si gblẽa nu le ahɔhɔ̃a ƒe tsitsi ŋu.
• Caudal regression syndrome ƒe dɔléle si nye caudal regression syndrome:Akɔta ƒe akpa si le ete ƒe tsitsi nyuie.

Nusiwo gbɔ wòtso emegbe

• Abixɔxɔ le aklã ŋu: Nusiwo gblẽ le aklã ŋu le afɔku alo anyidzedze ta.
• Dɔléle siwo gblẽa nu le lãmekawo ŋu:
• Dɔléle si woyɔna be multiple sclerosis ( MS ) .
• Parkinson ƒe dɔlélea
• Ʋusɔgbɔdɔ
• Central nervous system tumors: Dɔdzẽ siwo dona le ahɔhɔ̃ alo aklã me.
• Suklidɔ: Suklidɔ si nɔa anyi didi ate ŋu agblẽ nu le lãmekawo ŋu.

Kuxi bubu (kuxiwo) siwo ate ŋu ado mo ɖa le esia ta

Ne womeda ahɔhɔ̃mekawo ƒe tsinyegoe nyuie o la, lãmesẽkuxi bubuwo ate ŋu ado mo ɖa.

• Aɖuɖɔtoedɔléle enuenu (UTIs): Aɖuɖɔtoe si susɔ ɖe tsinyegoea me nana dɔlékuiwo ƒe tsitsi kple dɔlékuiwo ƒe mɔnukpɔkpɔ dzina ɖe edzi.
• Ayiku ƒe gbegblẽ: Ayiku ƒe gbegblẽ ate ŋu adzɔ le tsinyegoe me nyaƒoɖeamenu si dzi ɖe edzi alo aɖuɖɔ si le sisim yi megbe yi ayiku me ( vesicoureteral reflux ).
• Aɖuɖɔtoemekpewo: Kpewo ate ŋu adzɔ le tsinyegoe alo aɖuɖɔtoe me.
• Susu me ŋusẽkpɔɖeamedzi: Màte ŋu aɖu wò aɖuɖɔ dzi o ate ŋu ana ŋu nakpe wò eye nàvɔ̃ be yeado go le dutoƒo. Esia ate ŋu ana nàtsi dzimaɖi kple blanuiléle ƒe seselelãmewo . Mègahe ɖe megbe le nuƒoƒo na wò ɖɔkta tso seselelãme siawo ŋu o.

Aleke ɖɔkta awɔ ake ɖe esia ŋu?

Ne ègblɔ dzesi siawo na wò ɖɔkta la, abia nya wò tso wò atikewɔwɔ ŋutinya ŋu. Emegbe, woawɔ ŋutilãmedɔdada. Ne wosusu be tsinyegoe si me ahɔhɔ̃mekawo le la, woate ŋu aɖo aɖaŋu be woawɔ dodokpɔ geɖe atsɔ anya nusi tututu gbɔ wòtso.

• Nɔnɔmetatawo dodokpɔ: Woate ŋu abia tso asiwò be nàwɔ ultrasound scan, CT scan , alo MRI scan atsɔ alé ŋku ɖe wò ayiku kple tsinyegoe ŋu.
• Cystoscopy: Wotsɔa mɔ̃ tsɛ aɖe si me fotoɖemɔ̃ le la toa tsinyegoea me be woado tsinyegoea ƒe eme.
• Urodynamic testing: Esia nye dodokpɔ tɔxɛ aɖe si me wodzidzea aɖuɖɔ agbɔsɔsɔme si wò tsinyegoe ate ŋu alé, nyaƒoɖeamenu si le tsinyegoea me, aɖuɖɔtoe ƒe sisi kabakaba, kple alesi wò tsinyegoe me kɔ nyuie.

Le dodokpɔ siawo megbe la, woate ŋu aɖo wò ɖe tsinyegoeŋutinunyala gbɔ.

Aleke wowɔa atike nɛ? Ðe woate ŋu ada esiaa?

Wonɔa te ɖe wò dzesiwo, nɔnɔmea ƒe sesẽme, kple nusi gbɔ wòtso dzi ɖoa atikewɔwɔ ƒe ɖoɖoa.

1. Agbenɔnɔ ƒe tɔtrɔ kple tsinyegoe ƒe hehexɔxɔ

Ðɔktaa agblɔ na wò be nàte nu siawo tɔgbe kpɔ gbã.

• Dzra tsinyegoe ƒe ŋkekenyuigbalẽ ɖo: Ŋlɔ zi nenie nèɖea aɖuɖɔ gbesiagbe, agbɔsɔsɔme si nèɖena, nusi nènona, ɣeyiɣi si me wòhiã be nàɖe aɖuɖɔ, kple ɣeyiɣi ɖesiaɖe si nèɖea aɖuɖɔ le vo me la ɖi. Esia ate ŋu akpe ɖe ŋuwò nàde dzesi nɔnɔme aɖe eye nàzu numame na wò be nàɖe aɖuɖɔ le ɣeyiɣi nyuitɔ dzi.
• Nuɖuɖu: Nuwo abe kɔfi, tii, aha sesẽ, kple aha siwo me gas le ene ate ŋu aʋã tsinyegoea kaba. Woɖo aɖaŋu be woaɖo seɖoƒe na wo.
• Kegel kamededewo: Kamedede siwo doa ŋusẽ akɔta ƒe lãmekawo.

2. Atikewo zazã

Atike aɖewo li siwo ate ŋu aɖe tsinyegoe ƒe lãmekawo ƒe tete fũ dzi akpɔtɔ alo ana tsinyegoea naɖe dzi ɖi. Le kpɔɖeŋu me, atikewo abe `oxybutynin`, `tolterodine`, `mirabegron`. Ele be woazã esiawo le atikewɔlawo ƒe aɖaŋuɖoɖo te ko.

3. Catheter dodo ɖe lãme na ame

Mɔnu sia le vevie ŋutɔ na amesiwo mate ŋu akɔ woƒe tsinyegoe me keŋkeŋ o.

• Tsinyegoe dodo na ɖokuiwò: Wò tsinyegoe me kɔklɔ to mɔ̃ sue aɖe si le dzadzɛ (catheter) dede wò tsinyegoe me zi geɖe gbesiagbe me. Wò ɖɔkta alo dɔnɔdzikpɔla afia alesi nàwɔ esia wò.
• Catheterization atraɖii: Catheter si woate ŋu ado atraɖii zazã.

4. Atikewɔwɔ bubuwo

• Botox® dodo: Woate ŋu ado botox ɖe tsinyegoe ƒe lãmekawo me be woaɖe woƒe dɔwɔwɔ fũu akpa dzi akpɔtɔ.
• Amekoko: Ne atike bubu aɖeke medze edzi o la, woate ŋu abu amekoko ŋu. Le kpɔɖeŋu me, augmentation cystoplasty alo aɖuɖɔtoe ƒe mɔɖeɖe ɖe nu ŋu.

Wò ɖɔkta adzro atikewɔwɔ si nyo na wò nɔnɔmea me kpli wò. Neurogenic Tsinyegoe, aɖuɖɔtoe dzi ɖuɖu, lãmekawo ƒe dɔwɔwɔ, tsinyegoe, tsinyegoe dzi ɖuɖu sinhala, aɖuɖɔtoe ƒe mɔxexe sinhala, aɖuɖɔtoe léle sinhala