Ðe nèɖea aɖuɖɔ vi aɖe doa goe evɔ mènya gɔ̃ hã oa? Ðe ema fia be wò tsinyegoe yɔ? Mina míaƒo nu tso Overflow Incontinence ŋu!

Ðe nèsena le ɖokuiwò me ɣeaɖewoɣi abe ɖe nèle aɖuɖɔ ʋɛ aɖewo ƒom ɖe wò awuwo dzi le vo mea? Alo ɖe nèsena le ɖokuiwò me be ɖeko yewu aɖuɖɔtoe nu teti koe nye ema ? Esia ate ŋu anye fuɖename vie. Gake ate ŋu adzɔ hã ne wò aɖuɖɔtoe yɔ fũ akpa be wòate ŋu alé aɖuɖɔ bubu aɖeke ɖe te o. Egbea, míaƒo nu tso nɔnɔme aɖe si woyɔna be ``Overflow Incontinence'' ŋu.

Nukae nye ``Overflow Incontinence'' sia?

Kpuie ko la, tsinyegoe si yɔ fũ kple tsinyegoe nye ne wò tsinyegoe yɔ ale gbegbe be màte ŋu aɖu edzi o eye aɖuɖɔ aɖewo do go. Ele abe tsigo si yɔ fũu ne ètsie ene. Esia ate ŋu adzɔ ne ele be nàɖe aɖuɖɔ enuenu, gake màte ŋu akɔ wò tsinyegoe me keŋkeŋ ɣesiaɣi o.

Ame geɖe susuna be esɔ be aɖuɖɔ vi aɖe nado le eme ne èle tsitsim. Nyateƒee, afɔku si le nɔnɔme sia me ate ŋu adzi ɖe edzi ne ame tsi. Gake menye nusi dzɔna ɖe amesiame dzie o. Nɔnɔme sia, si woyɔna be ``Overflow Incontinence``, ateŋu adzɔ ɖe amesiame dzi.

Enye nusi sɔ be ŋu nakpe wò, ado dziku, alo be dzi naɖe le ƒowò le esia ta. Gake mèdi be nɔnɔme sia nagblẽ wò gbesiagbegbenɔnɔ me o. Nu vevitɔe nye be nàƒo nu tso eŋu na ɖɔkta, anya nusi tututu gbɔ wòtso, eye nàxɔ atike si hiã. Àte ŋu axɔ kpekpeɖeŋu le dzɔdzɔmetikewo, atikewo, alo atikewɔwɔ bubuwo me be wòakpe ɖe ŋuwò nàɖu nɔnɔme sia dzi.

Ðe aɖuɖɔtoetetedɔ ƒomevi bubuwo lia?

Ẽ, ``Overflow Incontinence`` nye aɖuɖɔtoetetedɔ ƒomevi ɖeka ko. Ebɔ vie wu. Wo dometɔ ƒomevi siwo bɔ wu li:

• Nuteɖeamedzi ƒe Dɔmawɔmawɔ nyuie: Esia dzɔna ne aɖuɖɔ sue aɖe bu ne wole ƒodo dzi tem, abe ne wole nu kom, le kɔdzi, alo le aɖuɖɔ ƒom ene.
• `(Urge Incontinence)`: Esia nye esime kasia aɖuɖɔtoe ƒe didi sesẽ aɖe va dzɔ ɖe dziwò , eye wò aɖuɖɔ aɖe bu hafi nàte ŋu ayi nugododeƒe gɔ̃ hã.
• `(Mixed Incontinence)`: Esia ateŋu akpɔ dzesi siwo nye `(Stress Incontinence)` kple `(Urge Incontinence)` ƒomevi siwo míeyɔ ɖe etame siaa.

Bu eŋu kpɔ ko, mía dometɔ nenie ŋu kuxi sia le le Sri Lanka? Numekuku aɖewo ɖee fia be aɖuɖɔtoetetedɔ ƒomevi aɖe le ame siwo ade ɖeka le etɔ̃ ɖesiaɖe me le Amerika. Le amesiawo dome la, abe 5% koe nye amesiwo ƒe lãme sẽ wu.

Nukae nye esia ƒe dzesiwo?

Ne èsusu be Overflow Incontinence le ye ŋu la, ke nya dzesi siawo:

• Aɖuɖɔ nɔa dodom le wò awuwo me ɣesiaɣi, abe pɔmpi si le tsi ƒom evɔ wometue nyuie o ene.
• Alesi wòhiã be nàɖe aɖuɖɔ enuenu , gake aɖuɖɔ sue aɖe koe dona.
• Aɖuɖɔɖɔɖɔ gɔmedzedze sesẽ .
• Ne wole aɖuɖɔ tom la , edzudzɔna eye meyia edzi ɖaa o.
• Togbɔ be èsusu be yewu aɖuɖɔtoe nu hã la , ègasena le ɖokuiwò me kokoko be aɖuɖɔ le wò tsinyegoe me.

Ne dzesi siawo dometɔ ɖeka alo esi wu nenema le ŋuwò la, ele vevie ŋutɔ be nàƒo nu tso eŋu na ɖɔkta.

Nukatae esia le dzɔdzɔm? Nukawoe nye susu siwo tae?

Nu vevitɔ si gbɔ aɖuɖɔtoe si me tsi sɔ gbɔ ɖo ƒe dɔmawɔmawɔ nyuie tsonae nye aɖuɖɔtoe me tsinyenye ɣeyiɣi didi. Esia fia be tsinyegoea mekɔ keŋkeŋ o. Tsinyegoe nye ŋutinu vevi aɖe ŋutɔ le míaƒe aɖuɖɔtoeme. Susu geɖewo li siwo tae tsinyegoe sia ate ŋu ayɔ fũu:

• Aɖuɖɔtoe ƒe dzidziɖedzi: Esia ate ŋu adzɔ ɖe amesiwo ŋu dɔléle aɖewo le, abe suklidɔ ene, alo amesiwo noa atike siwo nana wotsia aɖuɖɔ geɖe wu, abe aɖuɖɔtoemetikewo ene.
• Tsinyegoe ƒe dodo ƒe xexe: Esia wɔnɛ be tsinyegoe me mekɔna keŋkeŋ o.
• Tsinyegoe ƒe lãmekawo ƒe gbɔdzɔgbɔdzɔ alo lãmekawo ƒe gbegblẽ: Esia wɔnɛ be tsinyegoe mete ŋu ƒoa tsi nyuie o eye wòtutua aɖuɖɔ doa goe.

Amekae le afɔku me wu?

Ŋutsuwo, vevietɔ amesiwo ŋu ʋuka me kuxiwo le, ate ŋu axɔ ʋumenugbagbeviɣidɔ si sɔ gbɔ wu le ʋumenugbagbeviɣidɔ ƒe dɔwɔwɔ vɔ megbe. Nɔnɔmewo abe benign prostatic hyperplasia (BPH) alo prostate cancer ate ŋu ana aɖuɖɔtoea naxe, si ana aɖuɖɔ sue aɖe nato eme.

Ne woɖe ʋuka me dɔdzẽ le ʋuka me vɔ megbe, alo le keklẽŋusẽdɔdada vɔ megbe, alo le dɔwɔwɔ na aɖuɖɔtoea megbe la, abi ate ŋu adzɔ ɣeaɖewoɣi. Abi sia ate ŋu ana tsinyegoea natsi (urethral stricture). Ne edzɔ alea la, tsinyegoea mete ŋu ƒua tsi keŋkeŋ o, eyata egayɔa nu kaba. Ne eyɔ fũ la, aɖuɖɔ dona.

Tsɔ kpe ɖe eŋu la, àte ŋu axɔ Overflow Incontinence ne nɔnɔme siawo le ŋuwò:

• Suklidɔ
• Lãmetsiŋusẽ ƒe gbegblẽ
• Abi si woxɔ le aklã me

Aleke ɖɔkta aɖe dea dzesi esia?

Ne ʋu ƒe sisi fũ ƒe dzesiwo le ŋuwò la, ele vevie be nàyi ɖɔkta gbɔ. Abia wò lãmesẽ ŋutinya, abia wò dzesiwo, eye wòado wò ŋutilã kpɔ. Lãmesẽdodokpɔ sia ate ŋu anye akɔta dodokpɔ ne nyɔnue nènye, alo digital rectal exam (be woatsɔ akpɔ wò prostate) ne ŋutsue nènye.

Be wòakpe ɖe ŋuwò nànya dɔlélea nyuie la, wò ɖɔkta ate ŋu abia tso asiwò be nàwɔ "tsinyegoe ƒe ŋkekenyuigbalẽ" ŋkeke eve va ɖo etɔ̃. Le ŋkekenyuigbalẽ sia me la, ele be nàŋlɔ:

• Nukae nèle nom?
• Agbɔsɔsɔme nenie nènona?
• Zi nenie nèɖea aɖuɖɔ ?
• Zi nenie nèɖea aɖuɖɔ ɖa ?
• Aɖuɖɔ agbɔsɔsɔme kae le dodom?

Tsɔ kpe ɖe nu siawo ŋu la, ɖɔkta ate ŋu aɖo aɖaŋu be woawɔ dodokpɔ bubu geɖe hã.

Dodokpɔ kawoe wole wɔwɔm?

Be nànya nenye be ``Overflow Incontinence'' le ŋuwò la, àteŋu awɔ dodokpɔ siwo gbɔna:

• Aɖuɖɔtoe me dzodzro: Woɖea aɖuɖɔ le asiwò eye woléa ŋku ɖe aɖuɖɔtoe me dɔlékuiwo (UTIs) kple ʋu si le aɖuɖɔ me (hematuria) ŋu hã.
• Ƒodo me ultrasound: Esia zãa gbeɖiɖi ƒe ƒutsotsoe siwo ƒe tsɔtsɔme sesẽ tsɔ ɖea wò tsinyegoe, ayiku, kple ŋutinu bubu siwo le wò ƒodo me ƒe foto tsitotsito. Ate ŋu akpɔ aɖuɖɔ agbɔsɔsɔme si susɔ ɖe wò tsinyegoe me le wò aɖuɖɔtoe vɔ megbe hã .
• Cystoscopy: Le esia me la, wotsɔa mɔ̃ tsɛ aɖe si me kekeli le si me fotoɖemɔ̃ le (cystoscope) toa wò tsinyegoe me dea wò tsinyegoe me be woatsɔ ado wò aɖuɖɔtoeme kpɔ.
• Voiding Cystogram (VCUG): Le dodokpɔ sia me la , wotsɔa aɖuɖɔtoe to wò tsinyegoe me dea wò tsinyegoe me, wodoa nu tɔxɛ aɖe (contrast dye) to eme, eye woɖea X-ray fotowo. Nu sia nana ɖɔktaa kpɔa alesi wò tsinyegoea le ne eyɔ fũ eye wòkɔ.
• Urodynamic dodokpɔ: Esia nye dodokpɔ siwo kplɔ wo nɔewo ɖo siwo léa ŋku ɖe alesi wò tsinyegoe kple wò aɖuɖɔtoe ƒe akpa bubuwo léa aɖuɖɔ heɖea asi le eŋu nyuie ŋu . Esia ate ŋu anye aɖuɖɔtoe si susɔ ƒe dodokpɔ le aɖuɖɔtoe si susɔ megbe, si dzidzea aɖuɖɔ agbɔsɔsɔme si susɔ ɖe wò tsinyegoe me le wò aɖuɖɔtoe vɔ megbe .

Aleke wokpɔa esia dzii eye atike kawoe wowɔna?

Atikewɔwɔ na overflow incontinence nɔ te ɖe nusi tututu gbɔ wòtso dzi. Ɣeaɖewoɣi la, àte ŋu akpɔ nɔnɔmea gbɔ le dzɔdzɔme nu.

Nusiwo nàte ŋu awɔ le dzɔdzɔme nu:

• Tsinyegoe ƒe hehexɔxɔ alo tsinyegoe ɖeɖeɖa le ɣeyiɣi si woɖo ɖi:Esia bia be woayi nugododeƒe le ɣeyiɣi siwo woɖo ɖi dzi le ŋkekea me katã (le kpɔɖeŋu me, gaƒoƒo eve va ɖo etɔ̃ ɖesiaɖe) aɖaɖe aɖuɖɔ . Taɖodzinuae nye be nàkɔ tsinyegoea me hafi wòayɔ, ne mèse le ɖokuiwò me be yeaɖe aɖuɖɔ o gɔ̃ hã .
• Aɖuɖɔtoe ɖeɖe zi eve: Le esia me la, ne èɖe aɖuɖɔ vɔ zi ɖeka la, èlalana vie hafi dzea agbagba be yeagaɖe aɖuɖɔ ake. Alo, èdzea agbagba be yeakɔ wò tsinyegoea me keŋkeŋ to tete ɖe edzi (do dzi).

Atikewɔwɔ ƒe atikewɔwɔ:

Dɔdamɔnuawo toa vovo le nusi gbɔ wòtso nu. Wò atikewɔwɔ ate ŋu anye:

• Atikewo: Ne dɔléle sia tso ʋuka si lolo gbɔ la, woate ŋu ana atike be wòaɖe edzi akpɔtɔ.
• Amekoko: Ne aɖuɖɔtoea xe la, ahiã be ɖɔktaa nawɔ dɔ nɛ be wòaɖee ɖa.
• Self-catheterization alo clean intermittent catheterization (CIC): Le esia me la, èdea catheter wò tsinyegoe me edziedzi le ŋkekea me katã be wòakɔ tsinyegoe me. Woɖea catheter la ɖa ne èwu enu.
• Indwelling catheterization: Le esia me la, wogblẽa catheter ɖe tsinyegoea me ɣeyiɣi didi aɖe. Woƒoa aɖuɖɔa nu ƒu ɖe akplo si me woɖea aɖuɖɔ le me le ŋutilãa godo.
• Suprapubic catheter: Le dɔ sia wɔwɔ me la, amekola tsɔa mɔ̃ si nɔa anyi ɖaa dea wò tsinyegoe me tẽ tso wò ƒodo ƒe anyime. Woƒoa aɖuɖɔa nu ƒu ɖe akplo me. Dɔdamɔnu sia mezãa tsinyegoea o.
• Sacral neuromodulation (lãmekawo ƒe dɔwɔwɔ): Ðɔkta tsɔa ka tsɛ aɖe dea wò akɔta ƒe akpa si le anyime. Wodae ɖe lãmeka aɖe si do ƒome kple wò tsinyegoe ŋu eye wònaa ʋuʋu fafɛ si yia edzi ɖaa be wòakpe ɖe wò tsinyegoe ŋu wòatsi nyuie. Wode batri sue aɖe wò ŋutigbalẽ te.

Atike ka ƒomevie wozãna?

Ne wò ʋuka si lolo ta la, wò ɖɔkta ate ŋu aŋlɔ atike aɖe si xea mɔ na wò be wòakpe ɖe ŋuwò nàɖe wò ʋuka si me ʋu sina tona dzi akpɔtɔ. Le kpɔɖeŋu me:

• `(Alfuzosin)`
• `(Doxazosin)`
• `(Silodosin)`
• `(Tamsulosin)`
• `(Terazosin)`

Mègaŋlɔ be o be atikewɔlawo ƒe aɖaŋuɖoɖo koe wòle be woazã atike siawo le.

Kuxi bubu siwo ate ŋu ado tso esia me

Amesiwo ƒe aɖuɖɔtoe si sɔ gbɔ wu ƒe aɖuɖɔtoewo ate ŋu ado le agbɔsɔsɔ sue aɖe me, gake esi wòdzɔna enuenu ta la, woate ŋu ado aɖuɖɔ gbogbo aɖe le ŋkekea ƒe nuwuwu.

Aɖuɖɔ siaÀte ŋu azã aɖuɖɔtoe tɔxɛ siwo xɔa tsi kple aɖuɖɔtoemenuwo atsɔ axɔ aɖuɖɔa. Gake àte ŋu atsi dzi ɖe ʋeʋẽa kple nenye be adze to wò awuwo me ŋu. Ðewohĩ àse le ɖokuiwò me be yele vɔvɔ̃m be yeado go ayi amewo gbɔ. Esia ate ŋu ana ame natsi akogo, atsi dzimaɖi, eye wòalé blanui. Aɖuɖɔtoe me nɔnɔ enuenu hã ate ŋu ana ŋutigbalẽ naxɔ abi eye wòaxɔ abi.

Vevietɔ wu la, ne tsinyegoea mekɔ keŋkeŋ o la, afɔku si le tsinyegoe me dɔlékuiwo (UTI) me dzina ɖe edzi, si fia be dɔlékuiwo le tsinyegoe, ʋuka, kple ayiku me. Azɔ hã, aɖuɖɔ si susɔ ate ŋu ana tsinyegoe me kpewo nadzɔ. Kpe siawo ate ŋu ahe dɔlékuiwo, abi, kple vevesese vɛ. Nyaƒoɖeamenu si tso tsinyegoe si yɔ fũu ɣesiaɣi gbɔ hã ate ŋu agblẽ nu le ayiku ŋu.

Aleke nàwɔ akpɔ ɖokuiwò ta tso esia me? (Mɔxexe ɖe enu) .

Tsinyegoe ƒe hehexɔxɔ kple tsinyegoe ɖeɖe zi eve ate ŋu akpe ɖe ŋuwò nàxe mɔ na wò tsinyegoe be wòagayɔ fũ eye wòana aɖuɖɔ nado o. Ele vevie hã be nàwɔ tɔtrɔ aɖewo le agbenɔnɔ me, abe atikewɔwɔ me nɔnɔmewo abe suklidɔ ene dzi kpɔkpɔ kple lolo nyuie me léle ɖe asi ene.

Ðe woada nɔnɔme sia keŋkeŋua?

Zi geɖe la, amesiwo ŋu aɖuɖɔtoetetedɔ ƒe ŋutete si sɔ gbɔ ɖo la ana woƒe dzesiwo nanyo ɖe edzi ne wonya da aɖuɖɔtoe ƒe nɔnɔme si gbɔ wòtso ko. Ƒã hafi wòhiãna be woatsɔ aɖuɖɔtoe. Eyata ele vevie be nàƒo nu kple wò ɖɔkta. Ate ŋu akafu mɔ nyuitɔ kekeake siwo dzi nàto akpɔ wò tsi si sɔ gbɔ wu ƒe dɔlélea gbɔ eye wòaɖe ŋusẽ si wòkpɔna ɖe wò agbe dzi dzi akpɔtɔ.

Aleke malé be na ɖokuinye?

Àte ŋu azã awu te alo afɔkpa siwo me tsi le be wòakpe ɖe ŋuwò nàxɔ aɖuɖɔ esime nèle atike wɔm. Ele vevie hã be nàkpɔ wò ŋutigbalẽ ta tso ʋuʋudedi kple lãɖeɖe me. Petroleum jelly alo kreme si me zinc oxide le zazã ate ŋu akpe ɖe ŋuwò nàxe mɔ ɖe ŋutigbalẽ ƒe dzikudodo nu.

Ne èle nuteɖeamedzi, dzimaɖitsitsi, alo blanuiléle le fu ɖem na wò le esi nète ŋu ɖua ɖokuiwò dzi fũu akpa ta la, anyo hã be nàƒo nu kple atikewɔla alo aɖaŋuɖola alo susuŋutinunyala.

Ɣekaɣie wòle be makpɔ ɖɔkta?

Ne dzesi siawo dometɔ aɖe le ŋuwò la, yi ɖɔkta gbɔ enumake:

• Ne èse le ɖokuiwò me be ehiã be yeagaɖe aɖuɖɔ ake ne yewu aɖuɖɔ vɔ megbe .
• Ne èse veve le wò ƒodo ƒe akpa si le anyime, akɔta ƒe akpa si le anyime, alo wò vidzinuwo ƒe akpa aɖe esime nèle aɖuɖɔ tom .
• Aɖuɖɔtoe sesẽ : Esia fia be esesẽna be woadze aɖuɖɔɖɔɖɔ gɔme .Aɖuɖɔtoe me tsinyenye, aɖuɖɔtoe enuenu , alo aɖuɖɔtoe mete ŋu kura o.
• Ne dɔlékui aɖe ƒe dzesiwo le ŋuwò, abe dzoxɔxɔ alo vuvɔ ene.
• Ne ʋu le aɖuɖɔ me.

Nya kawoe wòle be nàbia ɖɔktaa?

Àte ŋu abia ɖɔktaa nyawo abe:

• Nukae hea aɖuɖɔtoe me tsi kple aɖuɖɔtoe si sɔ gbɔ akpa vɛ?
• Dodokpɔ kawoe nèkafu?
• Nukae nye dodokpɔ me tsonu gblɔ?
• Ðe atikewɔmɔnu aɖewo li mate ŋu ate kpɔ le aƒemea?
• Atikewɔwɔmɔnu kawoe nèkafu?
• Ðe catheterization alo lãmekawo ƒe ʋuʋu sɔ nam?
• Afɔku kawoe le atikewɔwɔ mawo me?
• Ðe wòle be makpɔ aɖuɖɔtoedɔdala aɖea?

Mlɔeba la, nu siwo dzi wòle be woaɖo ŋkui

Nusiwo sɔ gbɔ ɖe lãme na ame ƒe nutete ate ŋu anye nɔnɔme si ate ŋu ade ame ƒe agbe afɔku me. Ate ŋu ana nàse le ɖokuiwò me be yemele dedie o eye nàvɔ̃ be yeayi tsileƒe. Gake menye tsitsi ƒe akpa si sɔ o, eye atikewɔwɔ ate ŋu akpe ɖe ŋuwò. Ne wowɔ atike na ame nyuie la, nutete si sɔ gbɔ wu ate ŋu anyo ɖe edzi ŋutɔ, eye ɣeaɖewoɣi la, ate ŋu anyo ɖe edzi keŋkeŋ gɔ̃ hã. Eyata ne nyabiase alo dzimaɖitsitsi aɖe le asiwò ku ɖe esia ŋu la, ƒo nu kple wò ɖɔkta. Mègavɔ̃ be yeabia kpekpeɖeŋu o.

Overflow Incontinence, Aɖuɖɔtoe Dziɖuɖu, Tsinyegoe, AɖuɖɔtoeSisi, Aɖuɖɔtoe, Aɖuɖɔtoedɔléle, Sri Lanka Lãmesẽ