Ðe nèsena le ɖokuiwò me be yeƒe akɔta ƒe ŋutinuwo ɖiɖia? Mina míaƒo nu tso Pelvic Organ Prolapse (POP) ŋu!

Ðe nèsena le ɖokuiwò me ɣeaɖewoɣi be yeƒe kpekpe, nyaƒoɖeamenu, alo sese le ɖokuiwò me be nane le dodom tso yeƒe vidzidɔ mea? Alo ɖe nèdea dzesi vovototo aɖe ne èle aɖuɖɔ tom alo ɖe aɖuɖɔa? Esiawo menye nusiwo dzi nàte ŋu aŋe aɖaba aƒu ko o. Egbea míele nu ƒom tso nɔnɔme aɖe si dzea nyɔnu geɖewo dzi, gake ɣeaɖewoɣi la, woɣlaae le esi ŋu kpea wo ta. Woyɔa esia be Pelvic Organ Prolapse (POP) .

Nukae nye Pelvic Organ Prolapse (POP)? Mina míase egɔme bɔbɔe!

Enyo, na míakpɔ nusi nye esia ɖa. Pelvic Organ Prolapse nye, ne míagblɔe kpuie ko la, ŋutinu siwo le wò akɔta ƒe do me, si fia be (Vagina) , (Uterus) , (Bladder) , (Rectum) (ŋutinu siwo le abe akɔta ene) la ɖiɖi tso woƒe nɔƒe si sɔ. Bu eŋu kpɔ be, wolé ŋutinu siawo siwo le wò ƒodo ƒe akpa si le anyime la ɖe dzi abe ɖɔ ene. Net siae nye nusi míeyɔna be Pelvic Floor . Lãmetsiwo, lãkusiwo, kple lãkusiwoe le eme. Pelvic Floor sia le abe abati si léa ŋutinu siawo ɖe dzi tso ete ene.

Fifia, ne le susu aɖe ta lãmeka siwo le akɔta ƒe anyigba la gbɔdzɔ la, ɖeko wòle abe ɖe lãgbalẽgoloa meɖe le eme ene, eye ŋutinu siwo lé wo ɖe te la mate ŋu anɔ teƒea o. Ɣemaɣie ŋutinu siawo dzea ɖiɖi gɔme, alo nyɔnu ƒe vidzidɔa dzea egɔme nɔa ƒoƒom ɖe axadzi. Nɔnɔme sia ate ŋu ado mo ɖa le susuwo abe le vidzidzi megbe alo ne èle tsitsim ene ta.

Le POP ƒe dɔléle siwo mesẽ o me la, ŋutinua ate ŋu agbã vie ko. Gake le nɔnɔme siwo nu sẽ wu me la, ŋutinua ate ŋu ado le nyɔnu ƒe vidzidɔa me keŋkeŋ, abe dɔdzẽ ene. Zi geɖe la, amesiwo ŋu dɔléle sia le ɖɔa alesi wosena le wo ɖokui me be yeyɔ fũ, yewole nyaƒoɖeamenu, alo nane dona tso nyɔnu ƒe vidzidɔ me. Dzesi siwo tututu nàkpɔ kple nɔnɔmea ƒe sesẽe afia POP ƒomevi si le ŋuwò.

Nu nyuitɔ kekeakee nye be, atikewɔmɔnu aɖewo li na esia. Dɔdamɔnu siwo menye amekoko o kpakple amekoko ƒe atikewɔwɔwo hã li. Wò ɖɔkta ada wò nɔnɔmea kpɔ eye wòadzro atikewɔmɔnu siwo nyo na wò me kpli wò.

Nukae nye POP ƒomevi vovovoawo?

POP ƒomevi si le ŋuwò nɔ te ɖe afisi gbɔdzɔgbɔdzɔ le le wò akɔta , kple ŋutinu siwo ŋu gbɔdzɔgbɔdzɔ ma kpɔ ŋusẽ ɖo dzi. Mina míalé ŋku ɖe ƒomevi vevi aɖewo ŋu:

• Anterior vaginal wall prolapse (Dropped Bladder / Cystocele): Esiae nye esime akɔta ƒe lãmeka siwo le wò vidzidɔ tame la gbɔdzɔna, si wɔnɛ be wò tsinyegoea dzea anyi eye wòdona ɖe wò vidzidɔ me. Woyɔa esia be cystocele . Esiae nye POP ƒomevi si bɔ wu si ame akpa gãtɔ kpɔna.
• Urethrocele: Esia dzɔna le akɔta ƒe lãmekawo (urethra) ƒe gbɔdzɔgbɔdzɔ ta.Woɖiɖi ɖeka (uɖuɖɔtoe) ɖe anyi. Zi geɖe la, ne woɖiɖi tsinyegoea la, woate ŋu aɖiɖi tsinyegoea hã ɖe anyi kpe ɖe eŋu.
• Posterior vaginal wall prolapse (Rectocele): Le afisia la, aɖuɖɔtoea dona ɖe gota ɖo ta nyɔnua ƒe megbegli gbɔ le esi akɔta ƒe lãmeka siwo le nyɔnu ƒe vidzidɔ kple aɖuɖɔtoe dome la gbɔdzɔ ta .
• Enterocele: Ne lãmeka siwo le akɔta ƒe do me gbɔdzɔ la, wò dɔgbo sue ate ŋu ado ɖe megbegli alo akɔta ƒe akpa si le etame.
• Vidzidɔ ƒe gege (Dropped Uterus): Ne akɔta ƒe anyigba gbɔdzɔ la, vidzidɔa ate ŋu aɖiɖi ayi ɖe nyɔnu ƒe vidzidɔa me.
• Vaginal vault prolapse: Esia bɔ ɖe nyɔnu siwo woɖe vidzidɔa ɖa koŋ me. Ne akɔta ƒe lãmekawo gbɔdzɔ la, nyɔnu ƒe vidzidɔ ƒe akpa si le etame (si woyɔna be nyɔnu ƒe vidzidɔ ƒe ʋuƒo) ate ŋu age ɖe nyɔnu ƒe vidzidɔa me.

Aleke gbegbee nɔnɔme sia bɔe? Ðe esia nye nusi ŋu wòle be wòakpe ŋu na?

Le nyateƒe me la, akɔntabubuwo ɖee fia be nyɔnu siwo ade 3% va ɖo 11% akpɔ nɔnɔme sia. Nyɔnu siwo ƒe akɔta ƒe dɔléle le (POP hã le eme) ƒe 37% lɔƒo xɔ tso ƒe 60 va ɖo ƒe 79. Wowu afã wu ƒe 80. (De dzesii: "wu afã" le nyagbe sia me nye Tamilgbe me nya. Ele be wòanye "ame akpa gãtɔ" alo "wu afã". Maɖɔe ɖo.) ... esiwo wu afã wu ƒe 80.

Gake esesẽ be woagblɔ ame agbɔsɔsɔme si tututu wògblẽa nu le, elabena ame geɖe media atike na esia o. Ame geɖe media atike o elabena ŋu kpea wo alo kpea ŋu na wo be woaƒo nu tso woƒe vidzinuwo ƒe kuxiwo ŋu. Gake nu vevitɔ si wòle be nànyae nye be menye wò ɖeka koe o. Ame geɖe toa POP siawo ƒomevi me.

Nukae nye POP ƒe dzesiwo?

Dzesi si bɔ wue nye seselelãme be nane le dodom tso nyɔnu ƒe vidzidɔ me, abe bɔl ene, alo nane si tsi eme. Tsɔ kpe ɖe eŋu la, dzesi bubuwo ate ŋu anɔ anyi abe:

• Seselelãme be yeƒe vidzidɔa yɔ fũ, yeƒe kpekpeme le kpekpem, alo yeƒe nyaƒoɖeamenu le eme.
• Sese le ame ɖokui me be yeƒe ƒodo alo akɔta ƒe akpa si le ete la yɔ fũ, yeƒe nyaƒoɖeamenu, alo vevesese le ye ŋu.
• Vevesese alo vevesese ƒe seselelãme le gbɔdɔdɔ me (Dyspareunia) .
• Tɔtrɔ le alesi nèɖea aɖuɖɔ kple alesi nèɖea aɖuɖɔe ŋu.

Dzesi siwo nàkpɔ la anɔ te ɖe afisi ʋua ƒe gege dze le dzi. Ne àte ŋu aɖɔ dzesi siawo na wò ɖɔkta nyuie la, woate ŋu ade dzesi afisi wò akɔta ƒe anyigba gbɔdzɔ le nyuie wu.

Ame geɖe gblɔa woƒe dzesiwo na woƒe ɖɔkta ne aɖuɖɔɖɔɖɔ alo aɖuɖɔ dodo sesẽ na wo, alo ne gbɔdɔdɔ va le veve sem. Nusiwo gblẽa nu le ame ŋu siawo bɔ ɖe POP-tikewo ŋu. Dzesi siawo dometɔ aɖewoe nye:

• Àte ŋu aɖe aɖuɖɔ vi aɖe le vo me ne èle akɔta, le nu kom, alo le kame dem.(Nuteɖeamedzi ƒe Dɔmawɔmawɔ) .
• Sese le ame ɖokui me enuenu be ehiã be yeaɖe aɖuɖɔ, alo sese le ame ɖokui me be tsinyegoea yɔ.
• Dɔmeɖui, alo ŋutetemanɔamesi be wòaɖu dɔgbo ƒe ʋuʋu dzi.

Nukatae POP dzɔna? Nukawoe gbɔ wòtsona?

Susu geɖe li siwo tae wò akɔta ate ŋu agbɔdzɔ ɖo. Zi geɖe la, esia dzɔna ne lãmekawo, lãkusiwo, kple lãkusi siwo le wò akɔta la te akpa. Ate ŋu adzɔ hã le esi lãmekaawo mele dɔ wɔm nyuie o le wo zazã ƒe anyimanɔmanɔ ta.

Nu siwo gbɔna dometɔ ɖesiaɖe ate ŋu ana POP xɔxɔ ƒe afɔkua nadzi ɖe edzi:

• Vidzidzi to vidzidɔ me: Esiae nye nu vevitɔ si gbɔ POP tsona. Vidzidzi to vidzidɔ me zi geɖe, vi veviwo alo vi etɔ̃, vidzĩ gãwo (Fetal Macrosomia) , kple vidzidzi to dɔwɔnuwo abe forceps alo vacuum ene zazã me katã nye nusiwo ate ŋu ana akɔta ƒe lãmekawo nagbɔdzɔ. Bu alesi gbegbe wotsɔa nyaƒoɖeamenu dea teƒe ma dzi le vidzidzi me ŋu kpɔ.
• Tsitsi: Ne míele tsitsim la, ŋusẽ meganɔa míaƒe lãmekawo ŋu o. Nusiwo tae dometɔ ɖekae nye lãmetsi si nye estrogen dzi ɖeɖe kpɔtɔ . Le dzinukpɔkpɔ me la, wò ŋutilã mewɔa estrogen fũ o . Esia ate ŋu ana kadodoŋusẽ si léa akɔta ƒe anyigba la nagbɔdzɔ .
• Lolo akpa/Lolo akpa: Numekukuwo ɖee fia be amesiwo lolo akpa, si fia be lolo akpa, ate ŋu axɔ POP wu amesiwo ƒe kpekpeme le lãmesẽ me.
• Nyaƒoɖeamenu ɣeyiɣi didi ɖe ƒodoa dzi: Ne wozi akɔta ƒe lãmekawo dzi atraɖii la, ate ŋu ana woagbɔdzɔ. Nuwo abe dɔmeɖui ɣeyiɣi didi , kɔdzidɔ ɣeyiɣi didi , kple nu kpekpewo kɔklɔ enuenu dzia afɔku si le POP xɔxɔ me ɖe edzi.
• Ƒome ŋutinya: Wogale numekuku wɔm le nenye be domenyiŋusẽfianu kpɔa ŋusẽ ɖe POP dzi, gake ate ŋu adzɔ be ɖewohĩ ènyi akɔta si gbɔdzɔ ƒe dome .
• Kadodo ƒe dɔlélewo: Ame siwo ŋu nɔnɔmewo abe Ehlers-Danlos syndrome , Marfan syndrome , alo Joint Hypermobility Syndrome ene le la le afɔku me be woaxɔ POP.

Nukawoe nye kuxi siwo ate ŋu ado tso POP me?

Pelvic Organ Prolapse nye nɔnɔme si me dzidzeme mele o si ate ŋu akpɔ ŋusẽ ɖe wò agbenɔnɔ ƒe nyonyome dzi. Tsɔ kpe ɖe wò tsinyegoe kple dɔgbo dzi makpɔmakpɔ ŋu la, kuxi bubu aɖewo siwo ate ŋu ado mo ɖa le POP tae nye esi:

• Dɔlékuiwo: Ne mète ŋu le aɖuɖɔ tom nyuie o le tsinyegoe ƒe gege ta la, wò aɖuɖɔ ate ŋu atrɔ ayi wò aɖuɖɔtoe alo ayiku me. Esia ate ŋu ahe Urinary Tract Infections (UTIs) vɛ.(urinary tract infection) alo ayiku me dɔléle ate ŋu adzɔ.
• Ayiku ƒe Gbegblẽ: Le nɔnɔme sesẽwo me la, dɔlékuiwo xɔxɔ ɣeyiɣi didi kple aɖuɖɔ ƒe sisi ƒe mɔxexe ate ŋu agblẽ nu le ayiku ŋu.
• Seselelãme ƒe fuɖename: POP ate ŋu agblẽ nu le wò gbesiagbegbenɔnɔ ŋu eye wòagblẽ nu le wò susu ƒe nyonyo ŋu. Ðewohĩ ŋu akpe wò be nàƒo nu tso eŋu, si ate ŋu ahe nuteɖeamedzi geɖe vɛ.

Aleke ɖɔkta wɔa anya POP?

Ne èyi ɖɔkta gbɔ la, woabia wò dzesiwo gbã eye emegbe woawɔ akɔta dodokpɔ . Le dodokpɔ sia me la, ɖɔkta ate ŋu abia tso asiwò be nàkɔ akɔta, eye woate ŋu alé ŋku ɖe alesi gbegbe nège ɖe lãme na wòe ŋu ne èɖe dzi ɖi eye nèle teteɖeanyi me. Woate ŋu alé ŋku ɖe ŋuwò hã ne èmlɔ anyi alo nèle tsitrenu. Zi geɖe la, akɔta dodokpɔ ate ŋu akpe ɖe ŋuwò nànya ne POP le ŋuwò.

Tsɔ kpe ɖe eŋu la, woate ŋu awɔ dodokpɔ siwo gbɔna:

• Akɔta ƒe dɔwɔwɔ dodokpɔwo: Dodokpɔ siawo nana wò ɖɔkta kpɔa alesi gbegbe lãmekawo kple lãkusi siwo le wò akɔta ƒe anyigba sesẽe. Esia ate ŋu abia be woawɔ ʋuʋu aɖewo, woasẽ lãmekawo ahaɖe wo dzi akpɔtɔ, kple bubuawo.
• Tsinyegoe ƒe dɔwɔwɔ dodokpɔwo: Dodokpɔ siawo ate ŋu akpe ɖe ŋuwò nàkpɔ aɖuɖɔtoe me kuxi siwo bɔ ɖe POP me hã. Esia ate ŋu alɔ dodokpɔ si woyɔna be cystoscopy , si me ɖɔktaa léa ŋku ɖe wò tsinyegoe kple tsinyegoe me ŋu le. Woate ŋu awɔ tsinyegoe ƒe dɔwɔwɔ dodokpɔ hã be woakpɔ alesi wò tsinyegoe kple tsinyegoe léa aɖuɖɔ nyuie heɖea asi le eŋu.
• Nɔnɔmetatawo ɖeɖe ƒe mɔnuwo: Dodokpɔ siawo ate ŋu alé ŋku ɖe wò akɔta ƒe do me. Wò ɖɔkta ate ŋu abia be woawɔ ultrasound alo MRI na wò akɔta be wòanya afisi tututu wò gege ɖo. Gake zi geɖe la, nɔnɔme siwo sesẽ wu me koe wozãa nɔnɔmetatawo dodokpɔ siawo le.

Ðe POP ƒe afɔɖeɖe aɖewo lia?

Ẽ, mɔ aɖe li si dzi woato ade POP hatsotsowo me. Woyɔe be Pelvic Organ Prolapse Quantification (POP-Q) ƒe ɖoɖo . Eɖoa wò akɔta ƒe ŋutinuwo ɖe ɖoɖo nu le afisi woɖiɖi ɖo ne wotsɔe sɔ kple wò akɔta (lãmeka si le fli me le wò vidzidɔ ƒe ʋuʋu) nu.

Dzidzenu sia tso zero va ɖo ene:

• Afɔɖeɖe Zero: Esia fia be wò ŋutinuwo meʋuʋu le mɔ aɖeke nu o.
• Akpa Gbãtɔ: Afɔɖeɖea mesẽna o. Ne mede ɖeke o la , ŋutsu ƒe vidzinua didi sentimeta 1 ya teti tso wò vidzidɔa tame .
• Afɔɖeɖe Evelia: Le afɔɖeɖe sia me la, eƒe gege ɖe lãme na ame le ɖoɖo nu. Ŋutinu la mede sentimeta 1 tso vidzidɔa gbɔ o (i.e., vidzidɔa le...(sentimeta 1 tso etame va se ɖe ete).
• Afɔɖeɖe Etɔ̃lia: Le afɔɖeɖe sia me la, ame ƒe anyidzedzea nu sẽna ŋutɔ. Ŋutinua le vidzidɔa te wu sentimeta 1 , gake nusi ge ɖe eme la medo le nyɔnu ƒe vidzidɔa me keŋkeŋ o.
• Afɔɖeɖe Enelia: Esia fia be èdze anyi keŋkeŋ. Anyigba ƒe gege keŋkeŋ nye ƒomevi si nu sẽ wu. Le go sia me la, ŋutinu si ge ɖe eme la do le nyɔnu ƒe vidzidɔa me keŋkeŋ.

Bu eŋu kpɔ, ɖewohĩ POP ƒe akpa vovovowo anɔ ŋutinu vovovowo me le ɣeyiɣi ɖeka me. Le kpɔɖeŋu me, àte ŋu akpɔ tsinyegoe ƒe gege le afɔɖeɖe etɔ̃ me eye vidzidɔ ƒe gege le afɔɖeɖe gbãtɔ me.

Nukawoe nye atike siwo wozãna na POP?

Atikewɔwɔ ƒe ɖoɖo si woawɔ na wò anɔ te ɖe alesi gbegbe wòge ɖe lãme na amea nu sẽe, afisi wòle, kple alesi gbegbe wò dzesiwo le ŋusẽ kpɔm ɖe dziwòe dzi. Atikewɔwɔ siwo menye amekoko kple amekoko siaa li. Le kpɔɖeŋu me, ne anyidzedzea mesẽ o eye meɖea fu na wò fũ o la, ɖewohĩ màhiã be woawɔ atike na wò o. Wò ɖɔkta adzro atikewɔwɔmɔnu siawo katã me kpli wò eye wòakpe ɖe ŋuwò nàtso nya me le wo dometɔ si nyo na wò ŋu.

Atikewɔwɔ Siwo Mewɔa Amekoko O

Dɔdamɔnu siwo menye amekoko o koŋue nye be woakpe ɖe ŋuwò nàɖu wò dzesiwo dzi eye nàna wò agbenɔnɔ nanyo ɖe edzi. Le alesi wò nɔnɔmea nu sẽe nu la, ɖewohĩ atikewɔwɔ siawo me tsonu manɔ anyi ɖaa o. Gake ame geɖe lɔ̃a tiatia siwo menye amekoko o alo wotsoa nya me be mɔnu sia nyo na yewo.

Dɔdamɔnu siwo menye amekoko o na POP dometɔ aɖewoe nye:

• Vaginal Pessary: ​​Esia nye mɔ̃ si woate ŋu aɖe si wotsɔ silicone wɔ. Ðɔkta ate ŋu atsɔe ade wò vidzidɔ me eye wòalée ɖe teƒe si ŋutinu si woɖiɖi le. Ele abe ŋutinu ma ƒe kpeɖeŋutɔ sue aɖe ene.
• Kamedede le akɔta (Kegel kamedede): Esiawo nye kamedede siwo doa ŋusẽ wò akɔta . Wò ɖɔkta ate ŋu aɖo wò ɖe akɔtaŋutinunyala bibi aɖe ( Urogynecologist ), amesi ate ŋu ado wò lãmekawo ƒe ŋusẽ kpɔ ɖekaɖeka eye wòaŋlɔ kamedede tɔxɛ aɖewo na wò be wòado ŋusẽ lãmeka mawo. Ele vevie ŋutɔ be nàwɔ nusiawo (Kegel kamededewo) nyuie.

Amekoko ƒe Atikewɔwɔwo

Ne wò dzesiwo meva nyo ɖe edzi le atikewɔwɔ siwo wozãna ɖaa me o, alo ne wò ɖɔkta susu be amekoko ana wò agbenɔnɔ nanyo ɖe edzi la, ekema amekoko ate ŋu anye tiatia aɖe. Gake , ele vevie be nàdzro afɔku kple viɖe siwo le amekoko me kple wò ɖɔkta.

Mɔnu vovovo geɖe li siwo amekola ate ŋu atia be yeatsɔ aɖɔ POP ƒe nɔnɔme aɖe ɖo. Amekoko ƒomevi vevi eve li: Amekoko si woɖena ɖa le amekoko ŋu kple Amekoko si wowɔna tsɔ gbugbɔa amekoko.(Amekoko si wowɔna tsɔ gbugbɔa nuwo tuae).

Amekoko si woatsɔ atutu wò vidzidɔa bia be nàɖe wò vidzidɔ ƒe ʋuʋu dzi akpɔtɔ. Esia ana ŋutsu ƒe vidzinu nagado ɖe gota o. Gake esia ate ŋu ana be ŋutete si le ame si be wòadɔ kple ame to vidzidɔ me la nabu.

• Colpocleisis nye amekoko si me woɖea ame ɖa le . Enaa nyɔnu ƒe vidzidɔa nɔa kpuie. Exea mɔ na ŋutinu aɖeke be wòagado go le ŋutilãa me o. Esia nye tiatia nyui aɖe ne ŋusẽ mele ŋuwò le ŋutilã me ale gbegbe be woawɔ dɔ na wò be nàgbugbɔ awɔ dɔ na wò o, eye ne mègadi be yeadɔ kple ame to nyɔnu ƒe vidzidɔ me o.

Amekoko si woatsɔ agbugbɔe atu bia be woadzra wò akɔta ƒe akpa siwo gbɔdzɔ ɖo eye woagbugbɔ ŋutinuawo aɖo woƒe nɔnɔme si sɔ me.

• Sacrocolpopexy nye amekoko si wozãna tsɔ daa vidzidɔ ƒe gege kple nyɔnu ƒe vidzidɔ ƒe gege . Ebia be nàzã mesh (mesh ƒomevi aɖe) atsɔ aƒo wò nyɔnu ƒe vidzidɔ nu ƒu ɖe lãkusi aɖe si le wò akɔta ƒe akpa si le anyime ŋu. Zi geɖe la, wowɔa esia to dɔgbo me (amekoko le safui me) to lãɖeɖe sue ʋɛ aɖewo siwo woɖe le wò ƒodo me dzi.
• Wozãa mɔnu aɖe si woyɔna be sacrohysteropexy hã tsɔ daa vidzidɔ ƒe gege ɖe lãme. Wò ɖɔkta atsɔ amekoko ƒe ka aɖe abla wò vidzidɔ kple wò vidzidɔ, eye emegbe wòatsɔe abla wò akɔta ƒe akpa si le anyime. Esia ana vidzidɔa naɖo afisi wòle.
• Colporrhaphy nye amekoko si wowɔna tsɔ daa vidzidɔ ƒe gli si le ŋgɔgbe kple/alo megbe ƒe gbagbã. Wowɔa dɔ sia to wò vidzidɔ me. Ðɔktaa ado ŋusẽ wò vidzidɔ ƒe gliwo kple aŋe siwo me wodea tsii, si ana wò tsinyegoe kple dɔgbo nakpe ɖe ŋuwò nyuie wu.
• Uterosacral alo sacrospinous ligament fixation nye dɔdamɔnu si zãa wò ŋutɔ wò lãmeka tsɔ daa vidzidɔ alo nyɔnu ƒe vidzidɔ si ge ɖe lãme na ame . Wowɔa dɔ sia to nyɔnu ƒe vidzidɔ hã dzi (si sɔ kple colporrhaphy ). Le dɔ sia wɔwɔ me la, ɖɔkta tsɔa ka siwo woate ŋu alɔ la blaa wò vidzidɔ ƒe akpa si le etame ɖe lãkusi alo lãmeka aɖe si le wò akɔta ƒe do me ŋu. Woyɔa amekoko sia ƒomevi ɣeaɖewoɣi be lãmekawo ɖɔɖɔɖo le afima .

Ɣekaɣie wòhiã be woawɔ dɔ na ame?

Afɔɖeɖe aɖeke koŋ meli si me wòahiã be woawɔ dɔ na ame le be woatsɔ ada POP o. Enɔ te ɖe nusiwo nye alesi wò dzesiwo le ŋusẽ kpɔm ɖe wò agbenɔnɔ dzi kple nenye be èle ɖoɖo wɔm be yeadzi vi geɖe dzi. Gake le goawo katã me la, ne èdze anyi le afɔɖeɖe etɔ̃ alo ene me la, anɔ eme be ahiã be woawɔ dɔ na wò wu.

Nu vevitɔe nye be nàƒo nu tso atikewɔmɔnu siwo katã nàte ŋu azã ŋu na wò ɖɔkta. Na susu nyui nasu asiwò nenye be aɖo aɖaŋu be woawɔ dɔ na ame alo nenye be ele be nàte tiatia siwo menye amekoko o la kpɔ gbã.

Ðe POP-dɔdamɔnua daa gbe le ame ŋu keŋkeŋa? Ðe woate ŋu agbugbɔ nusi woɖiɖi la aɖo dzia?

Ẽ, woate ŋu atrɔ nɔnɔme sia ne wowɔ atike nɛ. Le POP ƒe nɔnɔme siwo mesẽ o me la, àte ŋu ado ŋusẽ wò lãmekawo ale be woate ŋu alé wò ŋutinuwo ɖe woƒe nɔƒe nyuitɔ. Amekoko si wowɔna tsɔ gbugbɔa nuwo tua doa ŋusẽ gbɔdzɔgbɔdzɔ siwo le wò akɔta ƒe gliwo me ale be wò ŋutinuwo trɔna yia woƒe nɔƒe gbãtɔ.

Le nɔnɔme siwo nu sẽ wu me la, ahiã be nàtu ŋutinu si do ɖe gota la ɖe eme ake, vevietɔ ne èle aɖuɖɔ ƒom alo nèle aɖuɖɔ tom. Gake ɣeyiɣi kpui aɖe ƒe egbɔkpɔnu koe esia nye. Ne wò akɔta ƒe ŋutinu ƒe gege nu sẽ alea la, ele be nàyi ɖɔkta gbɔ godoo be wòawɔ atike nɛ.

Nukae míate ŋu awɔ be POP nagadzɔ o?

Nu geɖewo li siwo ate ŋu ana POP nadzɔ siwo dzi míate ŋu aɖu o. Gake àte ŋu aɖe afɔku sia dzi akpɔtɔ ne èxɔ lãmesẽmenɔnɔ ƒe nɔnɔme aɖewo.

• Wɔ kamedede gbesiagbe le akɔta (Kegel kamedede): Lãmetsiwo dzi kpɔkpɔ le wò akɔta ƒe anyigba nana wò ŋutinuwo kpena ɖe ŋuwò vevie.
• Lé lolo nyuie me ɖe asi: Ƒo nu kple wò ɖɔkta tso nusi kpekpeme nyui nye na wò ŋu.
• Xɔ mɔ ɖe dɔmeɖui nu: Aɖuɖɔtoe ɣeyiɣi didi ate ŋu ana wò akɔta ƒe lãmekawo nate ɖe ame dzi madzemadzee. Nuɖuɖu si me fibre sɔ gbɔ ɖo ɖuɖu kple tsi geɖe nono ate ŋu akpe ɖe ŋuwò nàxe mɔ ɖe dɔgbo nu.
• Mègano atama o: Sigaretnono ate ŋu ana ame nakɔ akɔta atraɖii. Esia ate ŋu ade nyaƒoɖeamenu madzemadzee ɖe wò ƒodo me eye ate ŋu ana wò akɔta ƒe lãmekawo hã nate ɖeɖi wo ŋu.
• Takpɔ wò akɔta ne èle nu kɔm: Bia kpekpeɖeŋu ne èle nu kpekpewo kɔm. Ne wò ɖeka nèle nu kɔm la, bɔbɔ nɔ anyi eye nàbɔbɔ wò akɔta kple klowo eye wò akɔta nanɔ dzɔdzɔe alesi nàte ŋui. Mègatrɔ wò akɔta ne èle ekɔm o. Ŋutilã ƒe nɔnɔme nyuitɔ ate ŋu akpe ɖe ŋuwò nàxe mɔ ɖe abixɔxɔ nu le wò akɔta ƒe akpa si le anyime eye wòakpɔ wò akɔta ƒe anyigba ta .

Nukae nàkpɔ mɔ na ne èle agbe kple POP nɔnɔme aɖe?

Wò nukpɔsusu nɔ te ɖe nu geɖe dzi. Esiawo dometɔ aɖewoe nye afisi dɔdzẽa le, alesi wòsẽe, wò dzesi siwo le ŋuwò, kple atikewɔmɔnu siwo le asiwò. Bu nusi nèkpɔ mɔ na tso atikewɔwɔ me ŋu nyuie. Ƒo nu tso atikewɔmɔnu ɖesiaɖe ƒe viɖe kple kuxiwo ŋu na wò ɖɔkta. Dzro alesi atikewɔwɔ ate ŋu akpe ɖe ŋuwò nànɔ agbe si me dzidzeme le wu la me.

Nu ɖeka si dzi wòle be nàɖo ŋkui enye be woate ŋu ada Pelvic Organ Prolapse, eye mehiã be nànɔ agbe kple vevesese sia o. Bia wò ɖɔkta be wòakpe ɖe ŋuwò eye nàna wòaƒo nu tso wò tiatiawɔblɔɖe ŋu na wò. Ame akpa gãtɔ siwo ŋu Pelvic Organ Prolapse le la kpɔa gbɔdzɔe tso woƒe dzesiwo me to atikewɔwɔ me.

Ɣekaɣie wòle be makpɔ ɖɔkta?

Kpɔ ɖɔkta ne akɔta ƒe gege ƒe dzesiwo le ŋuwò . Dzesiawo ate ŋu anye:

• Ne èse le ɖokuiwò me be yeƒe akɔta le nyaƒoɖeamenu alo yeƒe akɔta yɔ fũ.
• Ne èse le ɖokuiwò me be yemele dedie le gbɔdɔdɔ me o.
• Ne ese le eɖokui me abe nane le dodom tso nyɔnu ƒe vidzidɔa me ene.
• Ne màte ŋu aɖu wò dɔgbo dzi o alo dɔgbo le ŋuwò.
• Ne aɖuɖɔ le dodom le ŋuwò (le manyamanya me), alo ne èse le ɖokuiwò me be ehiã be yeaɖe aɖuɖɔ enuenu.

Akɔta ƒe ŋutinuwo ƒe gbagbã menye nusi ade ame ƒe agbe afɔku me o, gake menye nusi wòle be nàlɔ̃ ɖe edzi be enye agbe ƒe akpa aɖe o. Ate ŋu ahe dzesi siwo ate ŋu axe mɔ na wò be mànɔ agbe nyuitɔ kekeake ahawɔ nu siwo nèlɔ̃na o. Nyae be menye wò ɖeka koe o, eye akɔta ƒe dɔmawɔmawɔ nyuie bɔ ɖe nyɔnuwo dome ŋutɔ. Ne èsusu be yeƒe akɔta ƒe anyigba gbɔdzɔ la, mègakpe ŋu be yeaƒo nu kple wò ɖɔkta o. Woate ŋu akafu atikewɔmɔnuwo, atikewɔnuwo, kple agbenɔnɔ ƒe tɔtrɔ gɔ̃ hã siwo ate ŋu aɖɔ ʋu si ge ɖe lãme na wò ɖo eye wòana wò agbenɔnɔ nanyo ɖe edzi.

Mlɔeba la, ele nam be magblɔe na wò (Take-Home Message) .

Eyata togbɔ be Pelvic Organ Prolapse (POP) nye dɔléle si ate ŋu adze nyɔnuwo dzi eye ate ŋu ana ame ƒe dzi nadze eme vie hã la, ele be nàɖo ŋku edzi godoo be atike nyuiwo li na esia.

• Mègakpe ŋu o: Ne dzesi siawo le ŋuwò la, mègakpe ŋu alo nàvɔ̃ be yeaƒo nu tso wo ŋu na ɖɔkta o. Esia nye nusi dzɔna ɖe ame geɖe dzi.
• Nya nusiwo gbɔ wòtsona: Ele vevie be nànya nusiwo nana POP dzɔna (abe vidzidzi, tsitsi, lolo ene).
• Mɔxexe ɖe enu le vevie: Kegel kamededewo wɔwɔ , kpekpeme nyui me léle ɖe asi, kple asaƒoƒo na dɔmeɖui ate ŋu aɖe nɔnɔme sia ƒe afɔkua dzi akpɔtɔ.
• Atikewɔwɔ ƒe tiatia aɖewo li: Atikewɔwɔ vovovowo li, tso atikewɔwɔ siwo menye amekoko o (pessary, kamedede) dzi va ɖo amekoko dzi, le wò nɔnɔmea nu.
• Di atikewɔlawo ƒe aɖaŋuɖoɖo: Be nànya atikewɔmɔnu si nyo na wò la, kpɔ egbɔ be yeyi ɖɔkta gbɔ eye nàdi aɖaŋuɖoɖo.

Lé be na wò ŋutilã. Ne èse le ɖokuiwò me be tɔtrɔ aɖewo le ye ŋu alo be yeƒe dzi nadze eme la, nunya anɔ eme be nàdi atikewɔlawo ƒe aɖaŋuɖoɖo evɔ màŋe aɖaba aƒu edzi o.

` Akɔta ƒe ŋutinuwo ƒe gege, POP, nyɔnuwo ƒe lãmesẽ, vidzidɔ ƒe gege, tsinyegoe ƒe gege, akɔta ƒe kamedede, Kegel kamedede