Ðe wòsesẽna be woaɖe aɖuɖɔa? Ðe tsinyegoea mele ƒuƒlu keŋkeŋ oa? (Non-Neurogenic Voiding Dysfunction ƒe Dɔmawɔmawɔ nyuie) .

Ðe nèsena le ɖokuiwò me ɣeaɖewoɣi be aɖuɖɔ aɖe gakpɔtɔ le ye ŋu le yeƒe aɖuɖɔɖɔɖɔ vɔ megbea ? Alo ɖe wòsesẽna vie be woadze aɖuɖɔɖɔɖɔ gɔme , alo ɖe wòxɔa ɣeyiɣi aɖea? Ðewohĩ viwò suea, togbɔ be exɔ hehe le nugododeƒe fifia hã la, egatsia eƒe awuwo le ŋkeke mea? Esiawo menye nusiwo dzɔna dzro ko o eye womenye naneke si ŋu wòakpe ŋu ɖo o. Esia nye dɔléle si me woate ŋu aɖe le atikewɔwɔ me si le ame geɖe ŋu. Esiae nye nusi ŋu míele nu ƒom tsoe egbea.

Nukae nye Non-Neurogenic Voiding Dysfunction sia?

Eŋlisigbe me ŋkɔ sia aɖi vɔvɔ̃ vie, gake le nyateƒe me la, ele bɔbɔe ŋutɔ. Mina míagbãe.

• "Non-neurogenic" fia be meku ɖe lãmekawo ŋu o . Ema fia be menye kuxi aɖeke si le wò ahɔhɔ̃, aklã, alo lãmekawo ŋu gbɔe wòtso o.
• "Voiding dysfunction" fia gbɔdzɔgbɔdzɔ le aɖuɖɔtoe ƒe dɔwɔwɔ me .

Kpuie ko la, Non-Neurogenic Voiding Dysfunction nye ŋutete si mele asiwò be nàkɔ wò tsinyegoe me keŋkeŋ kuxi aɖeke manɔmee le lãmekawo ŋu o.

Nɔnɔme sia ate ŋu adze ame sia ame dzi, gake ebɔ ɖe ɖevi siwo xɔ tso ƒe 4 va ɖo ƒe 6 siwo xɔ hehe le nugododeƒe kple nyɔnu siwo xɔ wu ƒe 40. Gake ate ŋu adzɔ le ŋutsuwo hã gome.

Nukae nye nɔnɔme sia ƒe dzesiwo?

Dzesi siawo medzena le ame sia ame ŋu le mɔ ɖeka nu o. Ame aɖewo ate ŋu akpɔ ɖeka alo eve, evɔ ame bubuwo ya ate ŋu akpɔ geɖe. Na míalé ŋku ɖe dzesi vevi siwo wokpɔna ŋu.

Nukatae esia le dzɔdzɔm? Nukawoe nye susu siwo tae wòle alea ɖo?

Susu ɖeka aɖeke meli si tae wòle alea ɖo o. Ðewohĩ susu vovovowo tae. Ɣeaɖewoɣi la, susu geɖewo va ƒoa ƒu tsɔ hea nɔnɔme sia vɛ.

• Tsinyegoe ƒe lãmekawo ƒe gbɔdzɔgbɔdzɔ: Tsinyegoe le abe akplo si wotsɔ lãmekawo wɔe ene. Ne lãmeka siawo gbɔdzɔ la, ŋusẽ meganɔa wo ŋu be woatutu aɖuɖɔawo katã ado goe o.
• Aɖuɖɔtoe ƒe xexe: Ne aɖuɖɔtoea xe le aɖuɖɔtoea ƒe teƒe aɖe la, tsinyegoea makɔ keŋkeŋ o.
• Tsinyegoe si wɔa dɔ akpa: Ne tsinyegoea yɔ vie gɔ̃ hã la, eɖoa dzesi siwo mehiã o ɖe ahɔhɔ̃a be, "Ehiã be maɖe aɖuɖɔ fifia."
• Tsinyegoe si mewɔa dɔ nyuie o: Esia to vovo na ema. Tsinyegoea yɔ gake meɖoa dzesi ɖe ahɔhɔ̃a be ehiã be wòaɖe aɖuɖɔ o .
• Aɖuɖɔtoe me dɔléle (UTIs): Dzesi siawo ate ŋu ado mo ɖa le aɖuɖɔtoe me dɔlékuiwo hã ta.
• Aɖuɖɔtoe ƒe didi dzi ɖuɖu: Ne èlée ɖe asi ɣeyiɣi didi akpa ne ehiã be nàɖe aɖuɖɔ , henɔ susum be, "Mayi le ɣeyiɣi kpui aɖe megbe," wò tsinyegoe ate ŋu ayɔ fũu akpa eye wò lãmekawo ate ŋu agbɔdzɔ.
• Benign Prostatic Hyperplasia: Ne ŋutsuwo le tsitsim la, prostate gland ate ŋu alolo, si ana tsinyegoea nate ɖe tsinyegoea dzi eye wòaxe mɔ na aɖuɖɔtoe.
• Prostate cancer: Esia ate ŋu ana aɖuɖɔtoe hã naxe.

Ne woŋe aɖaba ƒu esia dzi la, emetsonu sesẽwo ate ŋu ado mo ɖa.

Esia menye dɔléle si ate ŋu ade ame ƒe agbe afɔku me o, gake ne womedae nɛ ɣeyiɣi didi o la, ate ŋu ahe kuxi aɖewo vɛ.

• Aɖuɖɔtoedɔléle enuenu (UTIs): Esi wònye be aɖuɖɔ aɖewo nɔa tsinyegoea me ɣesiaɣi ta la, dɔlékuiwo ate ŋu atsi ɖe eme bɔbɔe eye woahe dɔlékuiwo vɛ.
• Ayiku alo tsinyegoe me kpewo:Anɔ eme be mineral siwo le aɖuɖɔ si susɔ me la ƒoa ƒu hewɔa kpewo.
• Ayikuwo ƒe gbegblẽ: Le nɔnɔme sesẽwo me la, tsinyegoe me nyaƒoɖeamenu ate ŋu adzi ɖe edzi, si ana aɖuɖɔ nagbugbɔ ayi ayikuawo me, si agblẽ nu le ayikuawo ŋu.

Tsɔ kpe ɖe ŋutilãmekuxi siawo ŋu la, ate ŋu akpɔ ŋusẽ ɖe susu dzi vevie hã . Aɖuɖɔɖɔɖɔ le lɔlɔ̃nu faa me ate ŋu ana ŋu nakpe amewo eye wòavɔ̃ be yewoade ha kple xɔlɔ̃wo alo anɔ ha dem kpli wo. Esia ate ŋu ahe susu me kuxiwo abe dzimaɖitsitsi kple blanuiléle ene hã vɛ na ame aɖewo.

Aleke ɖɔkta awɔ ake ɖe esia ŋu?

Ne èyi ɖɔkta gbɔ la, awɔ ɖe afɔɖeɖe geɖe dzi atsɔ anya dɔléle sia pɛpɛpɛ.

1. Nyabiase tso asiwò tsitotsito: Woabia nya geɖe wò, abe nusiwo nye wò dzesiwo, ɣeyiɣi didi si nèxɔ, zi nenie nèɖea aɖuɖɔ gbesiagbe, kple tsi agbɔsɔsɔme si nènona ene.

2. Lãmesẽdodokpɔ: Esia ate ŋu anye ƒodo dodokpɔ, nyɔnuwo ƒe akɔta dodokpɔ, kple ŋutsuwo ƒe dɔgbo dodokpɔ le mɔ̃ dzi.

3. Biabia tso asiwò be nàwɔ tsinyegoe ƒe ŋkekenyuigbalẽ: Woate ŋu abia tso asiwò be nàŋlɔ nuwo abe tsi agbɔsɔsɔme si nènona, ɣeyiɣi si nèɖea aɖuɖɔ, kple aɖuɖɔ agbɔsɔsɔme si nètona ŋkeke ʋɛ aɖewo ene ɖi. Esia ate ŋu ana nàkpɔ ale si nèɖea aɖuɖɔe nyuie.

Tsɔ kpe ɖe eŋu la, woate ŋu awɔ dodokpɔ bubu geɖe atsɔ adi nusi tututu gbɔ wòtso.

Nukawoe nye atike siwo wozãna na esia?

Nu nyuitɔ kekeakee nye be atikewɔmɔnu nyuiwo li na esia. Wò ɖɔkta anɔ te ɖe nusi gbɔ wò dzesiawo tso dzi anya atikewɔwɔa.

Tsinyegoe ƒe hehexɔxɔ

Esia le abe alesi nèfia wò tsinyegoe be wòawɔ dɔ ɖe game dzi ene. Ne mèse le ɖokuiwò me be ehiã be yeaɖe aɖuɖɔ o hã la, ele be nàyi nugododeƒe le ɖoɖowɔɖi si wò ɖɔkta na wò nu (e.g. gaƒoƒo 2 ɖesiaɖe). Esia ana wò tsinyegoe nagayɔ fũ akpa o.

Atikewɔwɔ na akɔta ƒe anyigba

Woate ŋu awɔ atikewɔwɔ sia le lãmesẽdɔwɔla ƒe mɔfiafia te. Woafia alesi nàɖe dzi ɖi nyuie le akɔta ƒe lãmekawo ŋu ne èle aɖuɖɔ tom. Àte ŋu ado ŋusẽ lãmeka siawo hã to nuwo abe Kegel kamedede ene dzi eye nàɖu aɖuɖɔ si le dodom le lɔlɔ̃nu faa me dzi.

Atikewo

Atike ƒomevi vovovowo li siwo woate ŋu azã atsɔ ana tsinyegoe ƒe lãmekawo naɖe dzi ɖi, alo atsɔ axe mɔ na wo be woagatsi madzemadzee o. Alpha-blockers kple urinary antispasmodics nye atike ƒomevi eve mawo tɔgbe. Atikewɔlawo ƒe aɖaŋuɖoɖo koe wòle be woaxɔ nusiawo.

Atikewɔwɔ tɔxɛ bubuwo

Ne dɔdamɔnu siwo míeyɔ ɖe etame mekpɔ dzidzedze o la, ɖɔkta ate ŋu aɖo aɖaŋu le atikewɔmɔnu bubuwo ŋu.

• Botulinum toxin (Botox®) dodo: Wodoa atike sia be wòana tsinyegoe ƒe lãmekawo naɖe dzi ɖi.
• Lãmetsiŋusẽ ƒe ʋuʋu: Ɣeaɖewoɣi la, woɖoa elektrikŋusẽ ƒe dzesi suesuesuewo ɖa be woatsɔ aʋã lãmeka siwo kpɔa tsinyegoe ƒe dɔwɔwɔ dzi.
• Self-catheterization: Mɔnu aɖe si dzi woato aɖe aɖuɖɔ ɖa to mɔ̃ dzadzɛ (catheter) dede tsinyegoea me zi geɖe gbesiagbe ne tsinyegoea mete ŋu kɔ eɖokui o. Ðɔkta alo dɔnɔdzikpɔla afia alesi nàwɔ esiae wò.
• Amekoko: Ƒã ŋutɔ hafi wowɔa esia. Ne atikewɔwɔ bubu aɖeke medze edzi o la, woate ŋu awɔ dɔ na tsinyegoea wòalolo (Cystoplasty) .Woate ŋu awɔe.

Nukae míate ŋu awɔ be míaƒo asa na nɔnɔme sia?

Tɔtrɔ aɖewo wɔwɔ le agbenɔnɔ kple nuɖuɖu me ate ŋu akpe ɖe ame ŋu be nɔnɔme sia nagadzɔ o eye wòakpe ɖe ame ŋu hã be wòaɖu dzesiawo dzi.

• Ðe nuɖuɖu kple nunono siwo doa dziku na tsinyegoea dzi kpɔtɔ: Nuwo abe kɔfi, tii, aha sesẽ, citrus fruits (oranges, tangerines), kple nuɖuɖu siwo me wodea nu ʋeʋĩiwoe ate ŋu aʋã tsinyegoea. Dze agbagba nàɖe nusiawo dzi akpɔtɔ vie.
• Ðu nuɖuɖu siwo me fibre sɔ gbɔ ɖo wu: Aɖuɖɔtoe nye nu vevi si hea nɔnɔme sia vɛ. Eyata tsɔ nuɖuɖu siwo me fibre sɔ gbɔ ɖo abe aŋgba damawo, amagbewo, atikutsetsewo, kple nuku blibowo (gbe, oats, chickpeas) kpe ɖe wò nuɖuɖu ŋu.
• Lé kpekpeme nyui me ɖe asi: Ne ame ƒe kpekpeme le dzidzim ɖe edzi la, nyaƒoɖeamenu le ƒodoa me dzina ɖe edzi, si wɔnɛ be tsinyegoea ƒe nyaƒoɖeamenu dzina ɖe edzi. Esia ate ŋu ana aɖuɖɔ nado le manyamanya me.
• Ƒo asa na atamanono: Nicotine, si nye atike si le atama me, nana lãmeka siwo le tsinyegoea me la ɖea dzi ɖi. Azɔ hã, kɔdzidɔ si nɔa atamanolawo ŋu atraɖii ate ŋu ana tsinyegoea natsi dzi.