Zi geɖe la, míesena le mía ɖokui me be aɖuɖɔtoe dzroa mí, eye míeɖua edzi helalana va se ɖe esime míeyi tsileƒe. Esiawo katã dzɔna to nuwɔwɔ aduadu wɔnuku aɖe si le míaƒe ahɔhɔ̃, aklã, lãmeka, kple tsinyegoe, siwo wɔa dɔ abe kɔmpiuta ene dome dzi. Gake bu nusi adzɔ ne míebu tsinyegoea dzi ɖuɖu le lãmeka siwo tsɔa gbedasi siawo ƒe kuxi aɖe ta ŋu kpɔ. Emae nye nusi míeyɔna le atikewɔwɔ me be ‘Neurogenic Bladder’.

Kpuie ko la, nukae nye Neurogenic Bladder?

Lãmetsiŋusẽa ɖoa gbedasiwo, abe elektrikŋusẽ ƒe dzesiwo ene, ɖe míaƒe ŋutilã katã. Akpa vevi etɔ̃e le lãmeka sia me:

• Hɔhɔ̃
• Akɔta ƒe ka
• Lãmetsiŋusẽwo

Lãmetsi siawo ɖoa dzesi ɖe wò ahɔhɔ̃ be wò tsinyegoe yɔ fũ. Emegbe, dzesi aɖe si tso wò ahɔhɔ̃ me ɖoa gbedasi ɖe wò tsinyegoe me be, "Fifiae nye ɣeyiɣi nyuitɔ si nàɖe aɖuɖɔ." Ne woxɔ dzesi sia la, tsinyegoea ƒe lãmekawo ƒoa ƒu eye aɖuɖɔ dona.

Le nɔnɔme aɖe si woyɔna be Neurogenic Bladder me la, dzesiɖoɖo sia gblẽna le ahɔhɔ̃, aklã, alo lãmekawo ƒe dɔléle aɖe ta. Esia ate ŋu ana be tsinyegoe megate ŋu ɖua tsinyegoe dzi kura o. Eyae nye be tsinyegoea va wɔa dɔ akpa alo eƒe dɔwɔwɔ meganɔa dɔ wɔm nyuie o.

Neurogenic Bladder ƒomevi vevi eve li:

Woate ŋu ama Neurogenic Bladder ɖe hatsotso vevi eve me, le alesi lãmeka siwo gblẽa nu le eŋu la ƒe nɔnɔme nu. Esia gɔmesese ate ŋu akpe ɖe ŋuwò nàse wò dzesiwo gɔme nyuie wu.

Nukae nye nɔnɔme sia ƒe dzesiwo?

Dzesi si bɔ wu le ahɔhɔ̃mekawo ƒe tsinyegoe ŋue nye be womete ŋu ɖua aɖuɖɔ dzi o. Gake dzesiawo ate ŋu ato vovo le ƒomevi si le ŋuwò nu.

Nukatae esia le dzɔdzɔm? Nukawoe nye susu siwo tae?

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

Nusiwo ate ŋu atso wo dzidzi:

• Spina bifida: Esia nye kuxi aɖe si dona tso aklã me si dzɔna le vidzidzi me.
• Cerebral palsy: Nɔnɔme si gblẽa nu le ahɔhɔ̃a ƒe tsitsi ŋu.
• Caudal regression syndrome: Akɔta ƒe akpa si le anyime ƒe tsitsi ƒe gbegblẽ.

Nusiwo ate ŋu ana wòadze egɔme emegbe:

• Central nervous system tumors: Kansa alo dɔdzẽ bubu siwo dona le ahɔhɔ̃ alo aklã me.
• Multiple sclerosis (MS): Dɔléle si gblẽa nu le lãmekawo ƒe lãkusiwo ŋu.
• Parkinson ƒe dɔléle: Nɔnɔme si gblẽa nu le ahɔhɔ̃meka siwo le ahɔhɔ̃a me ŋu.
• Ʋusɔgbɔdɔ: Ʋu ƒe sisi yi ahɔhɔ̃a me ƒe nutsotso.
• Abixɔxɔ le aklã me: Le anyidzedze, ʋufɔku, kple bubuawo ta.
• Suklidɔ: Suklidɔ si dzi womeɖu o le ɣeyiɣi didi aɖe me ate ŋu agblẽ nu le lãmekawo ŋu.

Nusiwo ate ŋu ado tso eme (kuxiwo) .

Ne womewɔ atike na ahɔhɔ̃mekawo ƒe tsinyegoe nyuie o la, anɔ eme be ahe lãmesẽkuxi bubuwo vɛ.

• Ayikuwo ƒe gbegblẽ: Nyaƒoɖeamenu si le tsinyegoea me dzina ɖe edzi le aɖuɖɔtoe me, eye nyaƒoɖeamenu ma ate ŋu akpɔ ŋusẽ ɖe ayikuawo dzi.
• Aɖuɖɔtoedɔléle enuenu (UTIs): Ne womekɔ tsinyegoea me keŋkeŋ o la, enaa nɔnɔme nyui aɖe nɔa anyi na dɔlékuiwo be woatsi.
• Aɖuɖɔtoemekpewo: Kpewo ate ŋu adzɔ le tsinyegoe alo ayiku me.
• Vesicoureteral reflux: Esia nye nɔnɔme si me afɔku le si me aɖuɖɔ sina yia megbe tso tsinyegoea me yia ayikuwo me.

Tsɔ kpe ɖe ŋutilãmekuxi siawo ŋu la, ate ŋu akpɔ ŋusẽ ɖe susu dzi vevie . Vɔvɔ̃ na aɖuɖɔ si le dodom ate ŋu ana nàvɔ̃ be yeade ha kple amewo alo ayi mɔzɔzɔwo dzi. Esia ate ŋu ana nàtsi dzimaɖi, blanuiléle, kple akogotsitsi ƒe seselelãmewo . Ne èle seselelãme siawo me tom la, mègakpe ŋu be yeaƒo nu tso eŋu na wò ɖɔkta o.

Aleke ɖɔkta awɔ anya dɔléle siae?

Ne èyi ɖɔkta gbɔ la, aɖo to wò dzesiwo nyuie. Emegbe, woalé ŋku ɖe ŋuwò. Ne wosusu be ahɔhɔ̃mekawo ƒe dɔléle aɖe le tsinyegoe me la, woaɖo aɖaŋu be woawɔ dodokpɔ tɔxɛ aɖewo siwo ku ɖe lãmekawo kple tsinyegoe ŋu.

• Cystoscopy: Wozãa fotoɖemɔ̃ tsɛ aɖe si le abe mɔ̃ ene tsɔ doa tsinyegoe kple tsinyegoe ƒe akpa si le eme kpɔ.
• Nɔnɔmetatawo ɖeɖe ƒe dodokpɔwo:Dodokpɔwo abe CT scan, MRI scan, kple ultrasound ene.
• Urodynamic dodokpɔ: Esia nye dodokpɔ tɔxɛ aɖe si wowɔ. Edzidzea aɖuɖɔ agbɔsɔsɔme si wò tsinyegoe ate ŋu alé ɖe te, nyaƒoɖeamenu si le tsinyegoea me, aɖuɖɔ si le sisim kabakaba, kple alesi tsinyegoea me kɔ nyuie.

Le dodokpɔ siawo megbe la, woate ŋu aɖo wò ɖe ɖɔkta si bi ɖe tsinyegoe kple aɖuɖɔtoe me, si nye tsinyegoeŋutinunyala gbɔ .

Nukawoe nye atike siwo wozãna na esia?

Nusi gbɔ wò nɔnɔmea tso kple wò dzesiawo ƒe nɔnɔmee nɔa te ɖe atikewɔwɔ ƒe ɖoɖoa dzi.

1. Agbenɔnɔ ƒe tɔtrɔ

Gbã la, ɖɔkta la dzea agbagba be yeatsɔ nu tsɛwo aɖu esia dzi.

• Ƒo asa na nuɖuɖu kple nunono siwo doa dziku na tsinyegoea (kɔfi, aha sesẽ, aha siwo me gas le).
• Dɔmeɖui Dzi Ðuɖu: Dɔmeɖui ate ŋu ana tsinyegoe hã naƒoe ɖe enu.
• Tsinyegoe ƒe hehexɔxɔ: Wobia tso asiwò be nàŋlɔ ɣeyiɣi siwo nèɖea aɖuɖɔ, agbɔsɔsɔme si nèɖena, kple aɖuɖɔ ɖesiaɖe si nèɖe le lɔlɔ̃nu faa me la ɖi. Esia akpe ɖe ŋuwò nàsrɔ̃ aɖuɖɔɖɔɖɔ le ɣeyiɣi nyuitɔ dzi.
• Kegel kamededewo: Kamedede siawo doa ŋusẽ akɔta ƒe lãmekawo eye woate ŋu aɖu aɖuɖɔtoe dzi nyuie wu.

2. Atikewo zazã

Atike vovovowo li siwo ate ŋu ana tsinyegoe ƒe lãmekawo naɖe dzi ɖi alo ana tsinyegoea natsi. Le kpɔɖeŋu me, wò ɖɔkta ate ŋu aŋlɔ atikewo abe Oxybutynin, Tolterodine, kple Mirabegron ene na wò.

3. Catheter dodo ɖe lãme na ame

Mɔnu sia le vevie ŋutɔ ne tsinyegoea mele tsi ƒum nyuie o.

• Tsinyegoe dodo na ɖokuiwò: Woafia alesi nàzã tsinyegoe si le dzadzɛ (catheter) atsɔ akɔ tsinyegoe me keŋkeŋ zi geɖe gbesiagbe. Esia adze nu sesẽ le gɔmedzedzea me, gake ava nɔ bɔbɔe na wò ŋutɔ ne ènya zu numame na wò ko.
• Catheter dodo atraɖii: Le go aɖewo me la, ate ŋu ahiã be woatsɔ catheter atraɖii.

4. Atikewɔwɔ kple amekoko bubuwo

Ne atikewɔwɔ bubuwo medze edzi o la, wò ɖɔkta ate ŋu abu nusiwo gbɔna ŋu:

• Botox dodo: Wodoa botox ɖe tsinyegoe ƒe lãmekawo me be woaxe mɔ na wo be woagatsi fũ o.
• Amekoko:Amekoko be woadzi tsinyegoe ƒe ŋutete ɖe edzi (augmentation cystoplasty) alo amekoko be woatrɔ aɖuɖɔtoe ƒe sisi ƒe mɔ (urinary diversion) ate ŋu ahiã le nɔnɔme siwo mebɔ kura o me.

Wò ɖɔkta adzro eme kpli wò eye wòatso nya me le atikewɔwɔ si nyo na wò ŋu.