Ðe wòsesẽna na wò hã be nàɖe aɖuɖɔ nyuiea? Mina míasrɔ̃ nu tso Non-Neurogenic Voiding Dysfunction ŋu!

Ðe nèsena le ɖokuiwò me ɣeaɖewoɣi be aɖuɖɔtoe le fu ɖem na yea ? Alo ɖe nèsena le ɖokuiwò me be yeƒe tsinyegoe mekɔ keŋkeŋ le aɖuɖɔɖɔɖɔ vɔ megbe oa ? Ðewohĩ èle aɖuɖɔ ƒom gɔ̃ hã le vome. Esia menye kuxi na wò ko o, ke boŋ na ame geɖe. Egbea la, míele nu ƒom tso aɖuɖɔtoe ƒe dɔmawɔmawɔ nyuie si menye ahɔhɔ̃mekawo ƒe kuxi aɖeke gbɔe wòtso o ŋu . Le atikewɔwɔ me la, míeyɔa esia be ``Non-Neurogenic Voiding Dysfunction''.

Nukae Nye Non-Neurogenic Voiding Dysfunction?

Kpuie ko la, esia nye nɔnɔme si me màte ŋu akɔ wò tsinyegoe me keŋkeŋ o. Nya "non-neurogenic" le afisia fia be menye kuxi aɖeke si le wò lãmekawo ŋu gbɔe nɔnɔmea tso o, si nye wò ahɔhɔ̃, aklã, alo lãmekawo. "Voiding dysfunction" fia be aɖuɖɔtoe ƒe ɖoɖoa medzɔna nyuie o.

Nɔnɔme sia ate ŋu ado mo ɖa le ame sia ame ŋu. Zi geɖe la, esia ate ŋu atso tsinyegoe ƒe lãmeka siwo gbɔdzɔ, aɖuɖɔtoe ƒe akpa aɖe ƒe xexe, alo numame gbegblẽ siwo míezu numame na ɣeyiɣi didi aɖe gbɔ. Ke hã, nɔnɔme sia bɔ ɖe ɖevi sue siwo va zu nugododeƒe ƒe hehexɔlawo siwo xɔ tso ƒe 4 va ɖo ƒe 6 kple nyɔnu siwo xɔ wu ƒe 40. Bu eŋu kpɔ, ele be ɖevi siwo xɔ tso ƒe 4 va ɖo ƒe 6 ɖesiaɖe dometɔ ɖeka naɖe aɖuɖɔ le ŋkeke me le `(Non-neurogenic voiding dysfunction)` sia ta. Azɔ hã, nyɔnu siwo xɔ wu ƒe 40 dometɔ siwo wu 6% ye ŋu dɔléle sia le.

Nukae nye nɔnɔme sia ƒe dzesiwo? (Dzesiwo Na Non-Neurogenic Voiding Dysfunction)

Kpɔe ɖa be nɔnɔme siawo dometɔ aɖe le asiwò hã:

• Ðe wòsesẽna be woadze aɖuɖɔɖɔɖɔ gɔmea ? Alo ɖe wòle be nàɖe fu ne èle aɖuɖɔ tom ?
• Ðe aɖuɖɔtoea le kpuie ŋutɔa? Alo ɖe aɖuɖɔtoea dzea egɔme, tɔa te vie, eye wògadzea egɔme akea?
• Ðe wòle be nàsẽ wò ƒodo ƒe lãmekawo ne èle aɖuɖɔ tom ? Alo ɖe wòle be nàtsɔ asi eveawo alé wò ƒodo ƒe akpa si le anyimea?
• Ðe nèsena le ɖokuiwò me be yeƒe tsinyegoe mekɔ o ne èwu aɖuɖɔ vɔ megbe gɔ̃ hã ?
• Ðe dɔgbo le ŋuwòa ? (Esia hã do ƒome zi geɖe)
• Ðe nèle aɖuɖɔ ɖum wu alesi nènɔa aɖuɖɔ tom (aɖuɖɔɖɔɖɔ enuenu) alo le ʋɛ wua?
• Ðe nèɖea aɖuɖɔ aɖewo le vo me (aɖuɖɔtoe ƒe dɔmawɔmawɔ nyuie)?
• Ðe nèsena le ɖokuiwò me zi ɖeka be ehiã kpata be yeaɖe aɖuɖɔ (eƒonɛ ɖe ame nu be yeaɖu aɖuɖɔ)?
• Aɖuɖɔɖɔɖɔ wu zi ɖeka le zã me esime nèle alɔ̃ dɔmÐe wòle be nàfɔ hafi awɔe (nocturia)?

Nɔnɔme tɔxɛ siwo ate ŋu anɔ ɖevi suewo si:

Ne nɔnɔme sia le ɖevi suewo ŋu la, woate ŋu aɖe nusiwo le abe:

• Wò awuwo ƒoƒo ɖe tsi me le ŋkeke me (le nugododeƒe ƒe hehexɔxɔ vɔ megbe gɔ̃ hã).
• Nu vovovowo li woate ŋu awɔ be woalé aɖuɖɔ me ɖe asi . Le kpɔɖeŋu me:
• Nye afɔwo le tsatsam.
• Kplɔ̃ɖoɖo esime nèbɔbɔ nɔ anyi.
• Wole woƒe afɔwo lém ɖekae, kple woƒe asiwo alo woƒe afɔkpodziwo.

Ne èkpɔ viwò wòle nu siawo wɔm la, ele be nàtsi dzi vie.

Nukae hea esia vɛ? (Nusiwo Hea Non-Neurogenic Voiding Dysfunction vɛ)

Susu vevi geɖewo tae nɔnɔme sia tso:

• Tsinyegoe ƒe lãmekawo ƒe gbɔdzɔgbɔdzɔ.
• Xexe aɖe le wò aɖuɖɔtoe ƒe akpa aɖe.
• Tsinyegoe si wɔa dɔ fũu akpa (tsinyegoe si wɔa dɔ fũu akpa).
• Tsinyegoea mele dɔ wɔm nyuie o, si fia be seselelãme aɖeke mele eme be ehiã be yeaɖe aɖuɖɔ o (``tsinyegoe si mewɔa dɔ o'').
• Dɔmeɖui (esia nye susu vevi aɖe ŋutɔ).
• Aɖuɖɔtoe me Dɔlékuiwo (UTIs).
• Togbɔ be ehiã be nàɖe aɖuɖɔ hã la , èŋea aɖaba ƒua edzi eye nèlalana vaseɖe esime wò tsinyegoe nayɔ hafi ayi aɖuɖɔ emegbe.
• Le ŋutsuwo gome la, enye ʋuka si lolo (Benign Prostatic Hyperplasia - BPH).
• Dɔdzẽ si le ʋuka me.

Le ɖevi suewo gome la, esia ate ŋu atso nɔnɔme aɖe si woyɔna be "dysfunctional elimination syndrome" hã gbɔ, si nye ne lãmekawo kple lãmeka siwo le tsinyegoea me mewɔa dɔ ɖekae nyuie o.

Nukawoe nye kuxi siwo ate ŋu ado tso nɔnɔme sia me?

Ne wò tsinyegoe mekɔ keŋkeŋ o la, dɔlékui siwo le aɖuɖɔ si susɔ me ate ŋu ahe dɔlékuiwo vɛ. Le kpɔɖeŋu me, aɖuɖɔtoe me dɔlékuiwo (UTIs). Anɔ eme hã be ayiku me kpe alo tsinyegoe me kpewo adze dziwò. Ɣeaɖewoɣi la, ne kuxi sia gasẽ ɖe edzi la, ate ŋu agblẽ ayiku gɔ̃ hã.

Nu vevitɔe nye be ne aɖuɖɔɖɔɖɔ ƒe kuxi aɖe le ŋuwò la, ate ŋu akpɔ ŋusẽ ɖe dziwò le susu me hã. Ŋu kpea ame geɖe eye wotsia dzimaɖi elabena womete ŋu ɖua woƒe aɖuɖɔ dzi o . Àte ŋu asusui hã be, “Ðe menye agba na ame bubuwoa?” Ne ele be nàdzudzɔ wò gbesiagbedɔwo kple dzesi siawo ɣesiaɣi. Ne èle adzɔge tso hadomegbenɔnɔ gbɔ le esia ta la, àte ŋu ado go nɔnɔme sesẽwo abe dzimaɖitsitsi kple blanuiléle ene hã.

Aleke ɖɔktawo wɔa dea dzesi ʋu ƒe sisi ƒe dɔmawɔmawɔ nyuie si menye ahɔhɔ̃mekawo ƒe dɔwɔwɔ o?

Ðɔkta ate ŋu anya non-neurogenic voiding dysfunction to wò atikewɔwɔ ŋutinya biabia kple ŋutilã dodokpɔ wɔwɔ me. Ate ŋu awɔ akɔta dodokpɔ na nyɔnuwo alo awɔ digital rectal exam na ŋutsuwo hã.

Tsɔ kpe ɖe eŋu la, wò ɖɔkta ate ŋu abia tso asiwò be nàwɔ "tsinyegoe ƒe ŋkekenyuigbalẽ." Àŋlɔ ɖe eme be:

• Tsi nenie nènona gbesiagbe?
• Ɣekaɣie nèɖea aɖuɖɔ ?
• Aɖuɖɔ nenie nètona le ɣeyiɣi ɖeka me?
• Ɣekaɣie aɖuɖɔ dona le manyamanya me eye aleke?

Ne ɖɔktaa zã nyatakaka siawo la, ate ŋu awɔ dodokpɔ bubu geɖewo hã atsɔ aɖo kpe dɔlélea dzi.

Dodokpɔ kawoe wowɔna?

Ðɔktaa ate ŋu awɔ dodokpɔ siawo dometɔ ɖeka alo esi wu nenema:

• Prostate-specific antigen (PSA) dodokpɔ: Esia nye ʋudodokpɔ. Edia PSA ƒe agbɔsɔsɔ si dzi ɖe edzi. Ne PSA ƒe agbɔsɔsɔ sɔ gbɔ la, kuxi aɖe ate ŋu anɔ ʋuka si me ʋu sina tona ŋu.
• Aɖuɖɔtoe me dzodzro: Esia ate ŋu akpe ɖe ŋuwò nànya ne aɖuɖɔtoedɔléle (UTI) le ŋuwò.
• Ultrasound scan: Esia léa ŋku ɖe aɖuɖɔ agbɔsɔsɔme si susɔ ɖe wò tsinyegoe me ne èɖe aɖuɖɔ vɔ megbe . Ate ŋu akpɔe ɖa hã be nɔnɔmea gblẽ nu le wò ayiku ŋu hã.
• Urodynamic dodokpɔ: Dodokpɔ siawo dzidzea aɖuɖɔ agbɔsɔsɔme si wò tsinyegoe ate ŋu alé ɖe asi kple alesi lãmeka siwo le wò tsinyegoe, tsinyegoe, kple akɔta ƒe anyigba le dɔ wɔm ɖekae nyuie.
• Cystoscopy: Le dodokpɔ sia me la, ɖɔktaa tsɔa dɔwɔnu didi aɖe si le sue (si me fotoɖemɔ̃ le) dea wò tsinyegoe me be yeakpɔe ɖa be kuxi aɖewo le wò tsinyegoe kple tsinyegoe me hã.

Le ɖevi suewo gome la, zi geɖe la, dodokpɔ siawo mewɔa dɔ boo aɖeke o. Ðɔktaa ate ŋu abia tso asiwò be nàwɔ aɖuɖɔtoe ŋuti nuŋlɔɖigbalẽ, eye ʋudodokpɔ, aɖuɖɔtoe me dzodzro, ultrasound, kple urodynamic dodokpɔ aɖewo koe ate ŋu aɖo aɖaŋu na wò.

Aleke wowɔa nu ɖe ​​esia ŋui? (Aleke wowɔa atike nɛ?)

Atikewɔwɔ na nɔnɔme sia (Non-neurogenic voiding dysfunction) toa vovo le nusi gbɔ wòtso nu. Atikewɔwɔ ate ŋu anye:

1. Tsinyegoe ƒe hehexɔxɔ

Àte ŋu ana hehe wò tsinyegoe ƒe lãmekawo be woalé aɖuɖɔ ɖe eme ɣeyiɣi didi wu. Esia fia be ele be nàyi nugododeƒe edziedzi le ŋkekea me katã, ne mèse le ɖokuiwò me be mehiã be yeayi o gɔ̃ hã . Esia ate ŋu akpe ɖe ŋuwò nàxe mɔ na wò tsinyegoe be wòagatsi fũ o. Lãmesẽdɔwɔla si bi ɖe akɔta ƒe kuxiwo me ate ŋu akpe ɖe ŋuwò le esia me.

2. Akɔta ƒe lãmekawo ƒe kamedede (Akɔta ƒe atikewɔwɔ) .

Lãmesẽdɔwɔla si wona hehee etɔxɛe ate ŋu afia alesi nàɖe wò akɔta ƒe lãmekawo dzi akpɔtɔ ale be nàte ŋu aɖu aɖuɖɔ bɔbɔe. Woateŋu atsɔ "biofeedback sensors" hã ade wò nyɔnu ƒe vidzidɔ alo dɔgbo me be nàkpɔ egbɔ be èle kame dem le lãmeka siwo sɔ ŋu.

Woafia Kegel kamededewo hã wò be nàdo ŋusẽ wò akɔta ƒe lãmekawo. Akɔta ƒe lãmeka sesẽwo kpena ɖe ame ŋu be woaxe mɔ ɖe aɖuɖɔtoe ƒe dɔmawɔmawɔ nyuie nu eye wòƒonɛ ɖe ame nu be wòate ŋu aɖu aɖuɖɔ o.

3. Atikewo zazã

Atike aɖewo li siwo ate ŋu akpe ɖe ame ŋu be aɖuɖɔtoe me kuxiwo nanyo ɖe edzi. Kpɔɖeŋuwo:

• Alfa-blockers, le kpɔɖeŋu me tamsulosin (Flomax®).
• Atike siwo tsia aɖuɖɔtoe me ƒe ʋuʋu nu, abe oxybutynin (Ditropan®) kple tolterodine (Detrol®) ene.

4. Botulinum ƒe aɖi

Wò ɖɔkta ate ŋu ado botulinum toxin (Botox®) ɖe wò tsinyegoe me. Esia naa tsinyegoe ƒe lãmekawo ɖea dzi ɖi eye wòɖea didi be yeaɖu dzimaɖi dzi kpɔtɔna.

5. Tibial nerve stimulation to ŋutigbalẽ me (PTNS) .

Ɣeaɖewoɣi la, ehiã be nàna wò lãmekawo "do ŋusẽ" vie be wòaʋã wò tsinyegoe ƒe lãmekawo. Le PTNS me la, wò ɖɔkta tsɔa elektrikŋusẽnamɔ̃ aɖe dana ɖe wò afɔkpodzi ƒe lãkusi gbɔ. Emegbe, woɖoa elektrikŋusẽ ƒe dzesi siwo fa miamiamia ŋutɔ ɖe elektrikŋusẽnamɔ̃a. Esia doa ŋusẽ tibial nerve, si zɔa mɔ yia sacral nerves siwo le wò akɔta. Esia xea mɔ na dzesi siwo mesɔ o siwo tso akɔta ƒe lãmekawo gbɔ yi aɖuɖɔtoe ƒe lãkusi, tsinyegoe, kple akɔta ƒe lãmekawo gbɔ, si kpena ɖe ŋuwò nègakpɔa tsinyegoea dzi ake.

6. Sacral nerve ƒe ʋuʋu

Le dɔ sia wɔwɔ me la, wò ɖɔkta awɔ dɔ na wò be wòatsɔ elektrikŋusẽnamɔ̃wo ade ŋutigbalẽa te le wò akɔta tame tututu. Elektrikŋusẽ siawo ɖoa elektrikŋusẽ ƒe dzesi fafɛwo ɖe sacral nerve to ka tsɛ aɖe (probe) si yia ŋutigbalẽa te dzi. Dzesi siawo ʋãa lãmeka siwo le wò tsinyegoe me be woatsi.

7. Ameɖokui ƒe ʋuka dodo

Àte ŋu ade aɖuɖɔtoe wò tsinyegoe me edziedzi eye nàƒo wò aɖuɖɔ nu ƒu ɖe kotoku me. Wò ɖɔkta afia alesi nàwɔ esia (self-catheterization) wò.

8. Amekoko

Ne atikewɔwɔ bubuwo mewɔ dɔ o la, wò ɖɔkta ate ŋu aɖo aɖaŋu be nàwɔ dɔ na wò be nàdzi tsinyegoe ɖe edzi (cystoplasty). Amekoko sia nana wò tsinyegoe lolona ale be wòate ŋu alé aɖuɖɔ geɖe ɖe te .Mate ŋu akpɔ nu geɖe gbɔ.

Nukae nye atike gbãtɔ siwo wowɔna na tsinyegoe si mewɔa dɔ fũu akpa si me ahɔhɔ̃mekawo mele o?

Zi geɖe la, esiawoe nye atike gbãtɔ siwo wozãna na dɔléle sia:

• Nuɖuɖu kple nunono siwo gblẽa nu le tsinyegoe ŋu (tii, kɔfi, aha sesẽ, nuɖuɖu siwo me nu ʋeʋĩ le alo esiwo me acid le) dzi ɖeɖe kpɔtɔ.
• Tsinyegoe ƒe hehexɔxɔ.

Ne nuwɔna ƒe tɔtrɔ siawo mekpena ɖe ame ŋu o la, ɖɔktawo ate ŋu aŋlɔ atikewo abe esiawo ene, le ʋu ƒe sisi ƒe dɔmawɔmawɔ nyuie si menye ahɔhɔ̃mekawo ƒe dɔwɔwɔ o ƒe ƒomevi nu:

• Atike siwo tsia ʋumenugbagbeviɣidɔ nu
• Alfa-mɔxenuwo
• Beta 3 ƒe dɔlélenutsiŋutete ƒe dɔlékuiwutikewo

Aleke wodaa nɔnɔme sia le ɖevi suewo ŋui?

Alpha-blockers kple anticholinergic atikewo ate ŋu akpe ɖe ɖevi suewo ŋu woada tsinyegoe si wɔa dɔ fũu akpa. Woate ŋu afia ɖevi aɖewo hã be woawɔ kamedede le akɔta.

Ðɔktaa ate ŋu aɖo aɖaŋu hã be woana hehe le tsinyegoe ŋu. Le kpɔɖeŋu me, dzidedeƒo na ɖevia be wòayi nugododeƒe le ɣeyiɣi siwo woɖo ɖi dzi kple alesi woanɔ te nyuie le nugododeƒea fiafia wo.

Aleke gbegbee nye lãme asẽ le atikewɔwɔ vɔ megbe kpuie?

Etoa vovo le atikewɔwɔa nu. Tsinyegoe ƒe hehexɔxɔ kple akɔta ƒe kamedede ate ŋu adze dɔwɔwɔ gɔme le kwasiɖa alo ɣleti ʋɛ aɖewo megbe. Zi geɖe la, lãmekawo ƒe dɔwɔwɔ dzea dɔwɔwɔ gɔme le kwasiɖa ʋɛ aɖewo megbe. Ele be atikewo nadze dɔwɔwɔ gɔme le ŋkeke alo kwasiɖa ʋɛ aɖewo megbe. Wò ɖɔkta ana nàkpɔ esia nyuie.

Ɣekaɣie wòle be makpɔ ɖɔkta?

Ðo dze kple ɖɔkta ne ènya dze kuxi siawo kpɔkpɔ gɔme zi gbãtɔ le nugododeƒe yiyi me ko:

• Aɖuɖɔɖɔɖɔ ɣeyiɣi didi ƒe ŋutete manɔamesi.
• Tɔtrɔ siwo vaa wò aɖuɖɔ me : Le kpɔɖeŋu me, ʋeʋẽ sesẽ, amadede dzẽ, alo ʋu le aɖuɖɔ me (hematuria).
• Vevesese ne wole aɖuɖɔ tom (dysuria).
• Dɔmeɖui ƒe dzesi siwo nɔa anyi ɖaa.
• Dɔlékui ƒe dzesiwo: dzoxɔxɔ, vuvɔ, taɖuame.

Ne èyi ɖɔkta gbɔ la, àte ŋu abia nya siawo hã:

• Aleke nèwɔ nya be `(Non-neurogenic voiding dysfunction)` le ŋunye?
• Nuka gbɔe nye nɔnɔmea tso?
• Atikewɔwɔ kae nèkafu nam?
• Nukawoe nye atikewɔwɔ ma ƒe nugbegblẽ le ame ŋu?
• Ɣeyiɣi didi kae wòaxɔ hafi woakpɔ nusiwo ado tso atikewɔwɔ ma me?
• Agbenɔnɔ ƒe tɔtrɔ kawoe nèkafu be maɖe nye dzesiwo dzi akpɔtɔ?
• Kuxi kawo ŋue wòle be makpɔ nyuie le?
• Ðe wòle be makpɔ aɖuɖɔtoedɔdala aɖea?

Ðe woate ŋu axe mɔ ɖe esia nua?

Àte ŋu akpe asi ɖe mɔxexe ɖe nɔnɔme sia nu (Non-neurogenic voiding dysfunction) to tɔtrɔwɔwɔ le wò agbenɔnɔ kple nuɖuɖu ŋu me. Esiawo ate ŋu anye:

• Nuɖuɖu kple nunono siwo gblẽa nu le tsinyegoe ŋu dzi ɖeɖe kpɔtɔ: Nunono siwo me caffeine le (kɔfi, tii), citrus-kutsetsewo (abe amititsetse, lime ene), nuɖuɖu siwo me wodea nu ʋeʋĩiwoe, kple aha sesẽwo katã ate ŋu aʋã tsinyegoea eye woahe aɖuɖɔtoe me kuxiwo vɛ.
• Nuɖuɖu siwo me fibre sɔ gbɔ ɖo wu ɖuɖu: Dɔmeɖui ate ŋu ahe nɔnɔme sia vɛ alo ana wòagagblẽ ɖe edzi. Àte ŋu akpɔ fibre ne èɖu gbe, atikutsetse, amagbe, kple nuku blibo geɖe (abolo si wotsɔ nuku blibo, oats, quinoa, bli dzẽ, kple pasta si wotsɔ nuku blibo wɔe). Àte ŋu ano aɖuɖɔtoemetikewo (` aɖuɖɔtoemetike ') hã na dɔmeɖui. Gake ele be nàƒo nu kple wò ɖɔkta hafi nàno atike siwo naa aɖuɖɔtoe alo ana ɖevi.
• Kpekpeme si le lãmesẽ me léle ɖe asi na wò: Ne wò ŋutilã ƒe lolome ƒe dzesi (BMI) wu 25 (lolo akpa) la, ate ŋu ana wò tsinyegoe nate ŋu aƒoe eye wòana aɖuɖɔ nado.
• Dzudzɔ atamanono: Nicotine, si nye nu vevitɔ si wotsɔ wɔa atama, ate ŋu aʋã lãmeka siwo le tsinyegoea me. Anɔ bɔbɔe hã be atamanolawo ate ŋu axɔ kɔdzidɔ si nɔa anyi didi, si ate ŋu ana tsinyegoe nate ŋu aƒoe.

Nukae mate ŋu akpɔ mɔ na ne non-neurogenic voiding dysfunction le ŋunye?

Nukpɔsusu si le amesiwo ŋu dɔléle sia le ŋu nyo. Ne wowɔ atike na ame akpa gãtɔ la, woate ŋu aɖu woƒe tsinyegoea dzi. Ƒã hafi wòhiã be woawɔ dɔ na tsinyegoea wòalolo (cystoplasty).

Vovototo kae le Non-neurogenic kple Neurogenic Voiding Dysfunction dome?

Neurogenic voiding dysfunction (si woyɔna hã be neurogenic bladder) nye dɔléle si gblẽa nu le wò lãmekawo ŋu. Esia fia be màte ŋu aɖu wò tsinyegoe dzi o le kuxi aɖe si le wò ahɔhɔ̃, lãmekawo, alo aklã ŋu ta.

Ke hã, ``Non-neurogenic voiding dysfunction'' si ŋu míeƒo nu tsoe egbea nye nɔnɔme si dzɔna evɔ lãmekawo mekpɔa gome le eme o.

Nu vevitɔ kekeake si dzi wòle be míaɖo ŋkui: Non-Neurogenic voiding dysfunction (NNOVD) nye dɔléle si ate ŋu ade ame ƒe agbe afɔku me si ate ŋu adze ɖeviwo kple ame tsitsiwo siaa dzi. Ate ŋu anye ŋukpe eye wòaɖe dzi ɖi. Ate ŋu ana nàse le ɖokuiwò me hã be yemaɖe aɖuɖɔ ne ehiã o. Gake màdi be yeana nɔnɔme sia nakpɔ ŋusẽ ɖe yeƒe agbenɔnɔ dzi o. Ne wò ŋutɔ alo wò ame vevi aɖe le dzesi siawo kpɔm la, ƒo nu kple ɖɔkta. Woate ŋu akpe ɖe ŋuwò nàke ɖe nusi gbɔ wòtso ŋu ahadae.

Kpuie ko la (Gbedasi si Wotsɔ Yi Aƒeme) .

Enyo, eyata fifia èse nusi ŋu míeƒo nu tsoe egbea gɔme nyuie, ``Non-Neurogenic Voiding Dysfunction''. Esia menye naneke wu lãmekawo ƒe dɔmawɔmawɔ nyuie o.Esiae nye nu vevitɔ kekeake. Tsinyegoe ƒe lãmekawo ƒe gbɔdzɔgbɔdzɔ, aɖuɖɔtoe ƒe mɔxenuwo, numame gbegblẽwo, kple dɔmeɖui ate ŋu ahe esia vɛ.

• Dzesiwo: Aɖuɖɔtoe sesẽ , aɖuɖɔtoe me tsinyenye, tsinyegoe me tsi si mede blibo o, aɖuɖɔtoe le lɔlɔ̃nu faa me , aɖuɖɔtoe le ŋkeke me le ɖeviwo me, kple bubuawo.
• Dɔlélea didi: To atikewɔwɔ me dodokpɔwo, aɖuɖɔtoe ƒe ŋkekenyuigbalẽ, ultrasound, kple urodynamic dodokpɔ me.
• Atikewɔwɔ: Agbenɔnɔ ƒe tɔtrɔ, tsinyegoe ƒe hehexɔxɔ, akɔta ƒe kamedede, atikewo zazã, kple atikewɔmɔnu aɖewo koŋ.
• Vevietɔ: Ne dzesiwo le ŋuwò la, mègakpe ŋu o eye nàdi atikewɔlawo ƒe aɖaŋuɖoɖo. Ne wodze atikewɔwɔ gɔme kaba la, ate ŋu axe mɔ ɖe kuxiwo nu.

Ne nya bubu aɖewo gale asiwò ku ɖe esia ŋu la, mègahe ɖe megbe le ɖɔkta biabia me o. Nɔ lãmesẽ me!

` Non-neurogenic voiding dysfunction, aɖuɖɔtoe ƒe dɔmawɔmawɔ nyuie, tsinyegoe, tsinyegoe me dɔlékuiwo, dɔmeɖui, ɖeviwo ƒe aɖuɖɔtoe me kuxiwo, aɖuɖɔtoe dzi ɖuɖu, aɖuɖɔtoe ƒe dɔmawɔmawɔ nyuie, tsinyegoe si wɔa dɔ fũ akpa, tsinyegoe ƒe hehexɔxɔ