Ðe nèfɔna hã le zã me ne èdɔ alɔ̃ nyuie vɔ eye wòdzroa wò zi ɖeka be yeaɖe aɖuɖɔa? Mina míagblɔ be naneke megblẽ le eŋu nenye be zi ɖeka koe wònye o. Gake ne ele be nàfɔ zi eve alo zi etɔ̃ le zã me, ɖewohĩ zi geɖe wu gɔ̃ hã ya ɖe? Ðe wòsɔ be ɖeɖi nate ame ŋu eye ɖeɖi te ŋuwò le ŋufɔkea? Esiae nye nusi míeyɔna be nocturia le atikewɔwɔ me. Esia menye nusi woabu nu tsɛe abe alesi ame aɖewo susui ene o. Elabena ate ŋu anye lãmesẽkuxi bubu si ɣla ɖe megbe nɛ ƒe dzesi. Eyata egbea míaƒo nu tso nusianu ŋu tso esia ŋu.
Nuka tututue nye Nocturia?
Kpuie ko la, nocturia nye nɔnɔme si me ame nyɔna le zã me be yeaɖe aɖuɖɔ. Ne edzɔ zi eve alo esi wu nenema le zã me ko hafi míebua esia be enye atikewɔwɔ.
Fifia ɖewohĩ ànɔ eŋu bum be, "Meɖea aɖuɖɔ geɖe le ŋkekea me, nu ɖeka ma kea?" Ao, ŋutinya bubue nye ema. Míeyɔa aɖuɖɔtoe enuenu le ŋkeke me be "aɖuɖɔtoe enuenu." Gake zã me dɔléle nyea ne ele be nàfɔ aɖu aɖuɖɔ , vevietɔ le ɣeyiɣi si nèmlɔ anyi kple ɣeyiɣi si nàfɔ le ŋdi dome . Esia gblẽa wò alɔ̃dɔdɔ xɔasi la me, si ate ŋu ana ɖeɖi nate ŋuwò eye wòdɔ alɔ̃ le ŋufɔke.
Ele be amesi le lãmesẽ me nate ŋu adɔ alɔ̃ gaƒoƒo ade va ɖo enyi le zã me evɔ mahiã be wòafɔ aɖu aɖuɖɔ o.
Aleke gbegbee nɔnɔme sia bɔ ɖe hadomegbenɔnɔ me?
Esia bɔ wu alesi nàsusui. Ebɔ vevietɔ ne èle tsitsim. Bu eŋu kpɔ ko, ame tsitsi siwo xɔ wu ƒe 50 dometɔ siwo wu 50% kpea fu le nɔnɔme sia me. Ema ade ame ɖeka le eve ɖesiaɖe me.
- Hafi woaxɔ ƒe 50: Zã me dɔléle bɔ ɖe nyɔnuwo dome vie le ɣeyiɣi sia me.
- Le ƒe 50 xɔxɔ megbe: Esia bɔ ɖe ŋutsuwo dome wu le ƒe sia me.
Le nusianu me la, nɔnɔme sia ate ŋu adze ame ɖeka le etɔ̃ ɖesiaɖe me dzi le ƒe 30 xɔxɔ vɔ megbe.Eya ta àte ŋu akpɔ alesi kuxi sia bɔe.
Nukawoe nye esia ƒe dzesi veviwo?
Togbɔ be zã me dɔléle ƒe dzesi vevitɔe nye fɔfɔ be yeaɖe aɖuɖɔ le zã me hã la, nu bubuwo hã do ƒome kplii.
- Fɔfɔ be yeaɖe aɖuɖɔ zi eve alo esi wu nenema le zã me: Esiae nye dzesi vevitɔ si dze ƒã wu.
- Aɖuɖɔtoe ƒe dzidziɖedzi: Ɣeaɖewoɣi la, nɔnɔme aɖe si woyɔna be polyuria ate ŋu anɔ ŋuwò. Esia fia be menye zi nenie ko o, ke boŋ aɖuɖɔ (le mililita me) si dona le ɣeyiɣi ɖeka me hã sɔ gbɔ sã wu alesi wòle dzɔdzɔmee.
- Ðeɖiteameŋu fũ kple alɔ̃dɔdɔ le ŋkekea me:Esi wònye be zã me alɔ̃dɔdɔ sesẽna na wò ɣesiaɣi ta la, mèwɔa dɔ nyuie le ŋkekea me o, ɖeɖi tea ŋuwò eye alɔ̃ dɔm na wò. Esia ate ŋu akpɔ ŋusẽ gã aɖe ɖe wò gbesiagbegbenɔnɔ dzi.
Nu vevitɔ kekeakee nye ŋusẽ si dzesi siawo kpɔna ɖe wò agbe dzi. Alɔ̃dɔdɔ nyuie hiã vevie hafi woate ŋu anɔ agbe le lãmesẽ me. Ne ebu la, dɔ geɖe ate ŋu agblẽ le ŋutilãa me.
Nukatae wòle be míaɖe aɖuɖɔ zi geɖe le zã me? Nukawoe nye susu siwo tae?
Susu geɖewo ate ŋu anɔ esia ta. Wo dometɔ aɖewo le bɔbɔe ŋutɔ, wodo ƒome kple míaƒe numamewo. Gake ɣeaɖewoɣi la, atikewɔwɔ me nɔnɔme sesẽ aɖe ate ŋu anɔ megbe na esia. Mina míama susu siawo ɖe hatsotso eve me.
| Susu | Numeɖeɖe bɔbɔe aɖe |
|---|---|
| Nusiwo gbɔ wòtsona zi geɖe kple agbenɔnɔ ƒe nɔnɔmewo | |
| Tsinono hafi amlɔ anyi | Vevietɔ ne èno nu abe tii, kɔfi, kple aha sesẽ ene gaƒoƒo eve va ɖo etɔ̃ hafi mlɔ anyi la, ahiã be nàɖe aɖuɖɔ zi geɖe le zã me. |
| Atike aɖewo | Aɖuɖɔtoemetikewo, alo atike siwo woyɔna be ‘tsitikewo’ (e.g., esiwo wozãna na ʋusɔgbɔdɔ), dzia aɖuɖɔtoe ɖe edzi to tsi si sɔ gbɔ ɖe ŋutilã me ɖeɖeɖa me. |
| Tsinyegoe ƒe ŋutete dzi ɖe kpɔtɔ | Ne tsinyegoea meyɔ keŋkeŋ o alo mekɔ keŋkeŋ o la, aɖuɖɔɖɔɖɔ ƒe didi ate ŋu atrɔ ava le ɣeyiɣi aɖe megbe. Esia ate ŋu atso nusiwo le abe dɔlékuiwo alo kpewo ene gbɔ. |
| Tsitretsitsi abe alesi wònɔna ɖaa ene | Ame aɖewo va zua numame na wo le manyamanya me be woafɔ le ɣeyiɣi ɖeka me le zã me. Woyia aɖuɖɔ me ne wonya fɔ ko, nenye be mehiã ŋutɔŋutɔ be woaɖe aɖuɖɔ o gɔ̃ hã. |
| Dɔléle siwo ŋu wòle be míakpɔ nyuie le | |
| Polyuria ƒe dɔléle | Aɖuɖɔtoe si ŋutilãa wɔna fũu akpa. Esia ate ŋu anye dɔlélewo abe suklidɔ ene ƒe dzesi. |
| Suklidɔ | Ne womekpɔ ŋusẽ ɖe sukli ƒe agbɔsɔsɔ le ʋu me dzi o la, ayikuawo dzea agbagba be yewoaɖe sukli si sɔ gbɔ ɖe eme to aɖuɖɔ me. Esia bia tsi geɖe, eyata aɖuɖɔtoe dzina ɖe edzi. |
| Ʋusɔgbɔdɔ | Ʋusɔgbɔdɔ kple atike aɖewo (diuretics) ate ŋu ahe zã me dɔléle vɛ. |
| Prostate kuxiwo (BPH) . | Ne ŋutsuwo le tsitsim la, tsinyegoea lolona (Benign Prostatic Hyperplasia), si ate ŋu axe tsinyegoea. Esia wɔnɛ be esesẽna be woaɖe tsinyegoea ɖa keŋkeŋ, eye wònana wòhiãna be woaɖe aɖuɖɔ enuenu. |
| Dzidɔ | Ne dzia le dzitodzito ƒe dɔmawɔmawɔ nyuie me la, tsi si ƒoa ƒu ɖe afɔwo me le ŋkeke me la dona le zã me eye wògagena ɖe ʋukawo me ake, afisi woɖenɛ le to ayikuwo me heɖenɛ doa goe abe aɖuɖɔ ene. |
| Aɖuɖɔtoe (Alɔ̃madɔmadɔ si xea mɔ na ame) . | Nɔnɔme sia, si me gbɔgbɔ nu tsona le alɔ̃dɔdɔ me, ate ŋu ana lãmetsiŋusẽ natrɔ le ŋutilãa me eye wòana aɖuɖɔtoe nadzi ɖe edzi. |
| Nyɔnuwo ƒe susu tɔxɛwo | Nɔnɔmewo abe fufɔfɔ, dzinukpɔkpɔ, kple akɔta ƒe ŋutinuwo ƒe gege ate ŋu ana tsinyegoe nate ŋu aƒoe eye wòana zã me natsi. |
Aleke ɖɔkta awɔ ake ɖe esia ŋu?
Ne èyi ɖɔkta si ŋu kuxi sia le gbɔ la, nu gbãtɔ si wòawɔe nye be wòabia nyawo wò eye wòana numeɖeɖe blibo na wò. Aɖe vi ŋutɔ ne èŋlɔ nu siawo ɖi vie hafi yi ɖɔkta gbɔ.
- Dzra ŋkekenyuigbalẽ: Ŋlɔ zi nenie nèfɔna le zã me, gaƒoƒo nenie nèfɔna, aɖuɖɔ agbɔsɔsɔme si nètona le ɣeyiɣi ɖeka me (vivi alo geɖe), kple nusi nènona hafi mlɔa anyi la ɖi hena ŋkeke eve va ɖo etɔ̃. Esia akpe ɖe wò ɖɔkta ŋu wòanya wò nɔnɔmea nyuie.
- Nya siwo nàte ŋu abia:
- Tso ɣekaɣie nèdze zã me nɔnɔ alea?
- Zi nenie nèfɔna le zã me zi geɖe?
- Ðe aɖuɖɔ si woɖena toa ame me le ɣeyiɣi ɖeka me sɔ gbɔ akpa alo le sue akpaa?
- Kɔfi kple tii nenie nènona gbesiagbe?
- Ðe nènoa aha sesẽa?
- Atike kawoe nèle zãm fifia?
- Ðe tɔtrɔ aɖe va le wò nuɖuɖu me nyitsɔ laa?
Tsɔ kpe ɖe biabia siawo ŋu la, ɖɔktaa ado wò kpɔ eye emegbe ate ŋu aɖo wò ɖe dodokpɔ aɖewo wɔwɔ ne ehiã.
- Aɖuɖɔtoe me dzodzro: Eléa ŋku ɖe aɖuɖɔ me be dɔlékuiwo, sukli, kple protein le eme hã.
- Ʋudodokpɔ: Kpɔ ayiku ƒe dɔwɔwɔ kple nɔnɔmewo abe suklidɔ ene ɖa.
- Dodokpɔ bubuwo: Ne ehiã la, woate ŋu aɖo wò ɖe tsinyegoe me dodokpɔ alo dodokpɔ to fotoɖemɔ̃ si woyɔna be cystoscopy zazã me.
Nukae nàte ŋu awɔ be nàdzudzɔ nyɔnyrɔ̃ le zã me?
Nya nyuiae nye be zã me dɔléle nye dɔléle si woate ŋu ada. Atikewɔwɔ ƒe tiatia nɔ te ɖe nusi gbɔ wòtso dzi.
1. Dɔléle si gbɔ wòtso la dada
Nu gbãtɔ si woawɔe nye be woada dɔléle ɖesiaɖe si le ame ŋu si le zã me dɔlélea hem vɛ. Le kpɔɖeŋu me:
- Ne suklidɔ le ŋuwò , ke ele be nàɖu wò ʋumesukli ƒe agbɔsɔsɔ dzi nyuie.
- Ne ʋuka si me ʋu sina tona la lolo , ate ŋu ahiã be woazã atike alo awɔ dɔ nɛ.
- Ne alɔ̃dɔdɔ ƒe gbɔgbɔtsixetsixe le ŋuwò la, ele be nàyi eŋutinunyala bibi aɖe gbɔ be wòawɔ atike nɛ.
2. Agbenɔnɔ ƒe tɔtrɔ bɔbɔewo
Susu ka kee ɖale eŋu o, agbenɔnɔ ƒe tɔtrɔ bɔbɔe aɖewo li siwo ate ŋu akpe ɖe amesiame kloe ŋu. Esiawo sɔ nyuie be woate kpɔ.
- Seɖoƒe na tsinono le fiẽ ga 6 megbe: Dzudzɔ tsi, tii, kɔfi, kple notsi nono, vevietɔ gaƒoƒo 2-3 hafi amlɔ anyi. No tsi si nènona gbesiagbe le ŋkekea me.
- No ‘tsitikewo’ (atike siwo tsia tsinyegoe me) le ŋdi me:Ne èle tsinyegoe me atikewo zãm na nane abe ʋusɔgbɔdɔ ene la, ƒo nu kple wò ɖɔkta tso enono gaƒoƒo 6 ya teti hafi nàmlɔ anyi ŋu, alo nu gbãtɔ le ŋdi me.
- Midɔ alɔ̃ le ŋdɔ me: Adze nusi mewɔ nuku o, gake alɔ̃dɔdɔ le ŋkeke me kpena ɖe ame ŋu be tsi si sɔ gbɔ ɖe ŋutilãa me la gena ɖe ʋukawo me eye wòɖenɛ ɖa abe aɖuɖɔ ene. Esia ɖea tsi si ƒoa ƒu ɖe zã me ƒe agbɔsɔsɔ dzi kpɔtɔna.
- Na wò afɔwo nakɔ: Ne èbɔbɔ nɔ zikpui dzi le ŋkeke me la, na wò afɔwo nakɔ ɖe dzi vie, abe ɖe nèle zikpui bubu tame ene. Esia aɖe tsi ƒe ƒoƒo ɖe afɔwo me dzi akpɔtɔ (edema).
- Do Compression Stockings: Sox ƒomevi tɔxɛ siawo dodo ate ŋu akpe ɖe ŋuwò nàɖu tsi ƒe ƒoƒo ɖe afɔwo me dzi.
3. Atike ƒomeviwo
Ne agbenɔnɔ ƒe tɔtrɔ ɖeɖe mesɔ gbɔ be wòaɖu wò dzesiwo dzi o la, ke ɖɔkta ate ŋu aŋlɔ atike aɖewo na wò.
- Anticholinergics: Esiawo kpɔa tsinyegoe ƒe tete si womedi o dzi eye wòɖea aɖuɖɔtoe enuenu ƒe hiahiã dzi kpɔtɔna.
- Desmopressin: Atike sia ɖea aɖuɖɔ si ayikuwo wɔna le zã me dzi kpɔtɔna.
Vevietɔ wu: Mègano atike siawo dometɔ aɖeke le ɖokuiwò si o. Kpɔ egbɔ be yeƒo nu kple wò ɖɔkta eye nàno atike siwo wòŋlɔ na wò la ko, abe alesi tututu wòŋlɔe ene.
Ɣekaɣie wòle be makpɔ ɖɔkta?
Ðewohĩ asɔ be nàfɔ zi ɖeka le zã me aɖu aɖuɖɔ. Gake la,
- Ne ele be nàfɔ wu zi eve le zã me la, .
- Ne esia gblẽ wò alɔ̃dɔdɔ me eye ɖeɖi te ŋuwò ŋutɔ le ŋufɔke la, .
- Ne nɔnɔme sia kpɔ ŋusẽ ɖe wò gbesiagbegbenɔnɔ dzi la, .
Kpɔ wò ƒomea ƒe ɖɔkta ɖa hehe ɖe megbe bubu aɖeke manɔmee. Esia menye nusi wòle be nàkpe fu le wò agbemeŋkekewo katã me o. Woate ŋu aɖu edzi nyuie ne wodae nyuie.
Gbedasi si Wotsɔ Yi Aƒeme
- Fɔfɔ enuenu le zã me be yeaɖe aɖuɖɔ (nocturia) nye nɔnɔme si bɔ ŋutɔ, gake mele be woaŋe aɖaba aƒu edzi gbeɖe o.
- Lãmesẽkuxi bubuwo abe suklidɔ, dzidɔ, kple ʋuka me kuxiwo ene ate ŋu aɣla esia le esia megbe.
- Agbenɔnɔ ƒe tɔtrɔ bɔbɔewo, abe tsinono dzi ɖeɖe kpɔtɔ le fiẽ me ene, ate ŋu ana tɔtrɔ gã aɖe nava.
- Ne nɔnɔme sia le ŋusẽ kpɔm ɖe wò alɔ̃dɔdɔ kple gbesiagbegbenɔnɔ dzi la, kpɔ egbɔ be yedi atikewɔlawo ƒe aɖaŋuɖoɖo.
- Zã me dɔléle nye dɔléle si woate ŋu ada. Ne èwɔ atike nyuitɔ la, àte ŋu adɔ alɔ̃ si me gbɔdzɔe le, si metso o.
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