Ðe aɖuɖɔtoe hã sesẽna na wòa? (Urinary Hesitancy) Mina míaƒo nu tso esia ŋu!

Ðe wòhiãna ɣeaɖewoɣi be nàlala vie hafi wò aɖuɖɔ nadoa? Alo ɖe nèdzudzɔna zi ɖeka ne èle aɖuɖɔ tom , eye vi aɖe koe dona ne ègadze agbagba akea? Ne esia dzɔ ɖe dziwò la, ekema nɔnɔme si ŋu míele nu ƒom tsoe egbea hã ate ŋu anɔ ŋuwò, si nye ‘ aɖuɖɔtoe sesẽ ’. Woyɔa esia le atikewɔwɔ me be `(Urinary Hesitancy)`. Mina míaƒo nu tso esia ŋu tsitotsito.

Nukae nye aɖuɖɔtoe sesẽ sia ? (Urinary Hesitancy le nya bɔbɔewo me)

Kpuie ko la, `(Urinary Hesitancy)` fia be esesẽna na wò be nàɖe aɖuɖɔ (i.e. aɖuɖɔtoe dodo). Esia fia be ate ŋu asesẽ na wò be nàdze aɖuɖɔɖɔɖɔ gɔme , alo ate ŋu asesẽ na wò be nàyi aɖuɖɔtoe dzi le afɔɖeɖe si mewɔa tɔtrɔ o me. Ɣeaɖewoɣi la, àte ŋu adzudzɔ aɖuɖɔtoe togbɔ be èdi kokoko be yeaɖe aɖuɖɔ hã .

Esia ate ŋu adzɔ ɖe amesiame dzi ŋutɔŋutɔ, gake ne ŋutsue nènye la, anɔ eme be nɔnɔme sia ate ŋu adze dziwò vie.

Ðɔktawo zãa nya "heheɖemegbe" tsɔ fiaa aɖuɖɔtoe gɔmedzedze sesẽ alo aɖuɖɔtoe ƒe sisi dzi kpɔkpɔ sesẽ .

Dzesi kawoe nèkpɔna le nɔnɔme sia me?

``Aɖuɖɔtoe ƒe Hesitancy'' ƒe dzesi vevitɔwoe nye aɖuɖɔtoe gɔmedzedze sesẽ kple aɖuɖɔtoe dzudzɔ hafi tsinyegoea natsi keŋkeŋ. Tsɔ kpe ɖe eŋu la, dzesi bubuwo ate ŋu ado mo ɖa.

• Sese le ɖokuiwò me be ehiã be yeaɖe aɖuɖɔ , gake màte ŋu aɖu aɖuɖɔ o .
• Didi be yeaɖe aɖuɖɔ .
• Sese le ɖokuiwò me abe wò aɖuɖɔ le yiyim blewu ŋutɔ ene, alo abe aɖuɖɔ tsɛ aɖe si le sisim ene .
• Dribbling, ne èwu aɖuɖɔ vɔ megbe gɔ̃ hã .

Dzesi bubuwo tsɔ kpe ɖe aɖuɖɔtoe sesẽ ŋu

Ɣeaɖewoɣi la, nɔnɔme sia si nye ``Urinary Hesitancy`` ateŋu ahe ``Urinary Retention`` alo aɖuɖɔtoe ƒe ŋutetemanɔamesi gɔ̃ hã vɛ . Le go sia me la, dzesiwo abe:

• Vevesese le ƒodo ƒe akpa si le ete.
• Sese le ɖokuiwò me be yeƒe dɔgbo vuvu.
• Aɖuɖɔ vi aɖe si le dodom evɔ womenya o (si woyɔna hã be ``Urinary Incontinence'').

Nukatae esia le dzɔdzɔm? Nukawoe nye susu siwo tae?

Susu geɖewo li siwo tae aɖuɖɔɖɔɖɔ ate ŋu asesẽ ɖo . Na míalé ŋku ɖe nusiwo wonye ŋu.

Nusi gbɔ wòtsona wu si gblẽa nu le ŋutsuwo ŋu

Nusi gbɔ esia tsona wue nye ʋuka si lolo (Benign Prostatic Hyperplasia - BPH).. Esia bɔ ɖe ŋutsu siwo xɔ wu ƒe 60. Prostate nye lãkusi sue aɖe si ŋutsuwo koe le. Enɔa tsinyegoea te, eye wòƒoa xlã tsinyegoea. Eyata ne etsi la, ate ŋu ami tsinyegoea eye wòaxe mɔ na aɖuɖɔtoea ƒe sisi .

Susu bubu siwo bɔ

Tsɔ kpe ɖe eŋu la, susu bubu geɖewo ate ŋu anɔ anyi:

• Aɖuɖɔtoedɔléle (UTIs) alo Tsinyegoe me Dɔlékuiwo: Esiawo bɔ ɖe mía dome ŋutɔ.
• Prostatitis: Esia nye nɔnɔme si me prostate gland vuvuna eye wòxɔa dɔlékuiwo.
• Aɖuɖɔtoea ƒe abi kple eƒe xaxɛ (Urethral Stricture): Aɖuɖɔtoea ate ŋu axe tso eme le afɔku alo dɔlékui aɖe ta.
• Dɔmeɖui sesẽ: Ne dɔmeɖui nu sẽ la, ate ŋu ana tsinyegoe nate ŋu aƒoe eye wòagblẽ nu le aɖuɖɔtoe ŋu .
• Atike aɖewo: Le kpɔɖeŋu me, blanuilélenutsitike aɖewo (Tricyclic Antidepressants), atike siwo wozãna tsɔ tsia aɖuɖɔtoe, kple atike aɖewo siwo wozãna na dzamezã kple nulɔdɔwo hã ate ŋu ahe esia vɛ.
• Mate ŋu aɖe akɔta ƒe lãmekawo dzi akpɔtɔ nyuie o: Ele be lãmeka siawo naɖe dzi ɖi ne wole aɖuɖɔ tom . Ne womeɖe dzi ɖi nyuie o la, ate ŋu asesẽ be woaɖe aɖuɖɔ (Pelvic Floor Dysfunction).
• Lãmetsiŋusẽdɔlélewo: Lãmetsidɔ siwo me dzesi siwo tso ahɔhɔ̃a me yia tsinyegoe me mewɔa dɔ nyuie o. Le kpɔɖeŋu me, ʋusɔgbɔdɔ, lãmekawo ƒe ʋuʋu (MS), alo ahɔhɔ̃mekawo ƒe dɔléle si do ƒome kple suklidɔ.
• Akɔta ƒe ŋutinuwo ƒe gege ɖe anyi: Ne lãmeka siwo le akɔta ƒe do me gbɔdzɔ la, ŋutinuwo abe tsinyegoe ene ate ŋu aɖiɖi. Esia ate ŋu akpɔ ŋusẽ ɖe aɖuɖɔtoe hã dzi .

Ameka dzie nɔnɔme sia ate ŋu akpɔ ŋusẽ ɖo wu?

Abe alesi míegblɔe va yi ene la, esia ate ŋu adzɔ ɖe amesiame dzi, le ƒe ɖesiaɖe me. Gake ebɔ ɖe ŋutsu siwo xɔ wu ƒe 60 siwo ƒe ʋuka me ʋu sina tona (BPH) dzi wu.

Aleke ɖɔkta wɔna dea dzesi esia?

Ne ègblɔ na wò ƒomea ƒe ɖɔkta (Primary Care Physician - PCP) be aɖuɖɔtoe le sesẽm na wò , abia wò dzesiwo, awɔ wò lãmesẽ ŋutinya, eye wòado wò ŋutilã kpɔ.

Nya siwo wòle be woabia wò

Ðɔktaa ate ŋu abia nya siawo tɔgbe:

• Ɣeyiɣi didi kae aɖuɖɔtoe sesẽ sia le fu ɖem na wò ?
• Ðe nèsena le ɖokuiwò me be yele aɖuɖɔ tom blewu wu alesi nèwɔnɛ ɖaa?
• Ðe dzesi siawo va do kpata, alo ɖe wova nɔ dzidzim ɖe edzi vivivia?
• Ðe atike aɖe li si nàte ŋu ano le atikedzraƒea be nàkpɔ gbɔdzɔe tso esia mea?
• Ðe nèse le ɖokuiwò me kpɔ be kuxi sia nu sẽna ɖe edzi ne èɖu nuɖuɖu aɖewo alo le nu aɖewo wɔma?

Ðɔkta ate ŋu anɔ te ɖe alesi nèɖo biabia siawo ŋui dzi akpɔ nɔnɔmea nyuie.

Dodokpɔ kawoe wowɔna?

Le ema megbe la, ɖɔkta ateŋu aɖe gbe be woawɔ dodokpɔ aɖewo atsɔ aɖo kpe ``Urinary Hesitancy'' ƒe nɔnɔmea dzi eye woake ɖe nusi gbɔ wòtso ŋu.

• Urodynamic Tests: Esia nye dodokpɔ vovovowo ƒe ƒuƒoƒo. Esiawo léa ŋku ɖe:
• Agbɔsɔsɔme nenie nèɖena le aɖuɖɔ me ?
• Aleke wò aɖuɖɔtoe ƒe duƒuƒu kple ŋusẽ le?
• Aleke nyaƒoɖeamenu si le wò tsinyegoe me le?
• Nɔnɔmetatawo dodokpɔ: Le kpɔɖeŋu me, woate ŋu abia be woawɔ ultrasound scan alo CT scan. Esiawo ate ŋu alé ŋku ɖe alesi wò tsinyegoe yɔ fũ kple alesi wòkɔnae ŋu, eye woate ŋu akpɔ wò tsinyegoe ƒe lolome hã. Ɣeaɖewoɣi la, woate ŋu awɔ cystoscopy, si bia be woatsɔ fotoɖemɔ̃ sue aɖe ade wò tsinyegoe me be woakpɔ wò tsinyegoe me.
• Digital Rectal Exam: Esia bia be woatsɔ asi ado prostate gland ƒe lolome kpɔ.
• Aɖuɖɔtoe me dzodzro: Woɖea wò aɖuɖɔ ƒe kpɔɖeŋu eye wodoa emenuwo (nusuekpɔmɔ̃ ƒe dzesiwo, atikewo) kpɔna.
• Aɖuɖɔtoe Dekɔnu: Wowɔa dodokpɔ sia be woatsɔ akpɔe ɖa be dɔlékui aɖe le aɖuɖɔ me hã .

Nukae nye atike siwo wozãna na aɖuɖɔtoe sesẽ ?

Atikewɔwɔ na tsinyegoe ƒe heheɖemegbe nɔ te ɖe nusi gbɔ wòtso kple nenye be atikewɔwɔ ƒe nɔnɔme bubu aɖe le ŋuwò dzi. Wò ɖɔkta ate ŋu aɖo aɖaŋu le atikewɔmɔnu siwo gbɔna ŋu:

• Tsinyegoe Gbugbɔhehe / Ɣeyiɣi Ðeɖefia Voiding
• Pelvic Floor Lãmesẽnyawo Gbɔkpɔkpɔ
• Atikewo
• Amekoko
• Akɔta ƒe Lãmetsiŋusẽ ƒe Ʋuʋu / Sacral Neuromodulation

Mina míalé ŋku ɖe esiawo dometɔ ɖesiaɖe ŋu tsitotsito vie.

Tsinyegoe ƒe hehexɔxɔ (Timed Voiding) .

Esia bia be nàgbugbɔ ana hehe wò tsinyegoe ƒe lãmekawo. Esia bia be woayi aɖuɖɔ edziedzi (zi geɖe la, gaƒoƒo eve ɖesiaɖe). Wowɔa esia to wò tsinyegoe me kɔklɔ hafi wòayɔ me. Ne mèse le ɖokuiwò me be yeaɖe aɖuɖɔ o hã la, ele be nàdze agbagba ayi edziedzi.

Pelvic Floor Lãmesẽnyawo Gbɔkpɔkpɔ

Esia bia be woafia kamedede siwo akpe ɖe ŋuwò nàɖe dzi ɖi le wò akɔta ƒe lãmekawo ŋu. Ne lãmeka siawo ɖe dzi ɖi nyuie la, enɔa bɔbɔe be woaɖe aɖuɖɔ .

Atikewo

Ðɔkta ate ŋu ana atike siwo ana ʋumenugbagbeviɣia nagatsi o alo atsɔ aɖe esi li xoxo la dzi akpɔtɔ (e.g. Dutasteride, Finasteride). Alo ate ŋu ana atike siwo ana tsinyegoe kple tsinyegoe ƒe lãmekawo naɖe dzi ɖi (Alpha-blockers). Ne dɔlékui aɖe le ame ŋu la, ana dɔlékuiwutikewo wò.

Amekoko

Ne tsinyegoea xaxa la, woate ŋu awɔ dɔ nɛ atsɔ akekee (Urethral Dilation) alo agbugbɔe awɔ (Urethral Reconstruction). Ne ʋuka si me ʋu sina tona la lolo le BPH ta la, amekoko vovovowo li be woaɖe lãkusi si sɔ gbɔ la ɖa. Wo dometɔ aɖewo le bɔbɔe eye woate ŋu awɔ wo le ɖɔkta ƒe dɔwɔƒe. Bubuwo nye amekoko siwo zãa elektrikŋusẽ alo laser ŋusẽ. Ɣeaɖewoɣi la, woate ŋu awɔ dɔ na ame be woaɖe ʋuka ƒe akpa aɖe alo katã ɖa (Prostatectomy). Ne akɔta ƒe ŋutinuwo ɖiɖi (Pelvic Organ Prolapse) la, amekoko aɖewo li be woagbugbɔ ŋutinuawo aɖo wo nɔƒe eye woado alɔ wo be woagadze anyi ake o.

Sacral Nerve ƒe Ʋuʋudedi

Le esia me la, wotsɔa mɔ̃ sue aɖe si woyɔna be ``Neurostimulator'' dea ŋutigbalẽa te le wò akɔta gbɔ. Mɔ̃ sia ɖoa elektrikŋusẽ nyui ŋutɔ ɖe wò akɔta ƒe lãmeka gbɔ be wòaʋã tsinyegoe ƒe lãmekawo.

Nu kawoe nàte ŋu awɔ le aƒeme?

Le go aɖewo me la, nuƒoƒo kple wò ɖɔkta kple nu bɔbɔewo wɔwɔ le aƒeme ate ŋu akpe ɖe ŋuwò nàɖe nɔnɔme sia dzi akpɔtɔ (Urinary Hesitancy).

• Dzoxɔxɔ: Nuwo abe tsi dzodzoe alo tsi dzodzoe ƒe aŋetu alo dzoxɔxɔnamɔ̃ dada ɖe wò ƒodo ƒe anyime ene ate ŋu ana akɔta ƒe lãmekawo naɖe dzi ɖi, si ana aɖuɖɔɖɔɖɔ nanɔ bɔbɔe .
• Massage: Ne èle aɖuɖɔ tom , ne ètsɔ asi ƒo wò ƒodo ƒe akpa si le anyime (afisi tsinyegoea le) blewuu alo nàzi edzi blewu ate ŋu akpe ɖe ŋuwò nàdzi wò aɖuɖɔ ƒe sisi kabakaba kple ŋusẽ ɖe edzi.
• Aɖuɖɔ Falɛfalɛ alo Aɖuɖɔtoemetikewo: Ne dɔgbo le fu ɖem na wò la, nuɖuɖu, nunono, kple atike siwo sɔ (le aɖuɖɔtoe ƒe hatsotso me) nono be wò dɔgbo nate ŋu aʋuʋu nyuie hã akpe ɖe tsinyegoea ƒe dɔwɔwɔ ŋu.

Nu vevitɔe nye be hafi nàte aƒeme atikewɔwɔ siawo kpɔ la, ele be nàyi ɖɔkta gbɔ godoo eye ne wogblɔ be "ele dedie na wò be nàwɔ esiawo ko."

Viɖe siwo le ‘tsinyegoe ƒe ŋkekenyuigbalẽ’ ŋɔŋlɔ me.

Wò ɖɔkta ate ŋu abia tso asiwò hã be nàŋlɔ "tsinyegoe ƒe ŋkekenyuigbalẽ," agbalẽ si me woŋlɔa nusiwo ku ɖe wò tsinyegoe ŋu ɖi. Ele be nàŋlɔ nuwo abe:

• Tsi kple tsi agbɔsɔsɔme si nènona gbesiagbe.
• Aɖuɖɔ agbɔsɔsɔme si nèɖena (dzidzee ne anya wɔ).
• Aɖuɖɔtoe ƒe duƒuƒu (abe ne ele yiyim nyuie alo blewu ene).
• Ɣeyiɣi didi kae wòxɔna hafi woɖea aɖuɖɔ ?
• Zi nenie nèɖea aɖuɖɔ gbesiagbe?
• Tsɔ kpe ɖe eŋu la, àte ŋu akpɔ dzesi bubuwo.

Ne èŋlɔ ŋkekenyuigbalẽ alea la, mia kple wò ɖɔkta siaa miate ŋu ase nɔnɔme sia gɔme nyuie wu.

Aleke gbegbee nye lãme ahaya kaba le atikewɔwɔ vɔ megbe?

Esia nɔ te ɖe nusi gbɔ wò tsinyenye ƒe heheɖemegbe tso kple atike si woŋlɔ na wò dzi ŋutɔŋutɔ.

• Pelvic floor kamedede ate ŋu axɔ kwasiɖa geɖe hafi woakpɔ emetsonuwo.
• Lãmetsiŋusẽtikewo ate ŋu axɔ gaƒoƒo geɖe hafi woadze dɔwɔwɔ gɔme.
• Ne wotsɔ sacral nerve stimulation device la de eme vɔ la, ate ŋu axɔ kwasiɖa geɖe hafi woakpɔ emetsonuwo.
• Ate ŋu axɔ ɣleti geɖe hafi ahaya keŋkeŋ le amekoko vɔ megbe .

Ðe woate ŋu axe mɔ ɖe nɔnɔme sia nua?

Míate ŋu axe mɔ ɖe nusiwo katã gbɔ `(Urinary Hesitancy)` tsona nu o. Gake aɖuɖɔtoe nyui me léle ɖe asi kple asaƒoƒo na dɔmeɖui ate ŋu akpe ɖe ame ŋu vaseɖe afi aɖe. Eyae nye be ele be nàɖe aɖuɖɔ gaƒoƒo ʋɛ ɖesiaɖe, mègalé wò aɖuɖɔ ɖe eme o. Azɔ hã, ele be nàɖe aɖuɖɔ nyuie, fafɛ zi ɖeka gbesiagbe.

Ɣeyiɣi kawoe nye nyuitɔ kekeake siwo nàte ŋu ayi ɖɔkta gbɔ?

Yi ɖɔkta gbɔ ne ènya de dzesii be aɖuɖɔtoe le sesẽm na ye alo be yeƒe aɖuɖɔ le sisim blewu wu alesi wònɔna ɖaa ko. Mègaŋe aɖaba ƒu wò dzesiwo dzi alo tsɔe be "adzo le eɖokui si o." Ate ŋu anye ŋukpe be woaƒo nu tso aɖuɖɔtoe ŋu , gake ele vevie be woado dzesi yeye aɖe kpɔ enumake.

Ðe wòhiã be nàyi Atikewɔwɔ Kpata ƒe Dɔwɔƒe (ETU) ?

Ne èse le ɖokuiwò me be yedi vevie be yeaɖe aɖuɖɔ gake màte ŋu ato aɖuɖɔ aɖeke me o , vevietɔ ne vevesese kpe ɖe eŋu le wò ƒodo ƒe akpa si le anyime alo wò vidzinuwo ƒe akpa si la, yi Dɔwɔƒe si Kpɔa Dɔléle Kpata (ER) enumake. Esia nye nusi mele be nàhe ɖe megbe o.

Nya vevi siwo wòle be nàbia ɖɔktaa

Ne èyi ɖɔkta gbɔ la, mègaŋlɔ be be yeabia nya siawo tɔgbe o:

• Nukae nèsusu be eya tae nye aɖuɖɔtoe sesẽ , ɖɔkta?
• Dodokpɔ kawoe wokafu be mawɔ?
• Ðe wòhiã be woawɔ dodokpɔ bubu aɖewo nam?
• Atikewɔwɔ kae wokafu nam?
• Ðe nye aɖuɖɔtoe sesẽa anyo ɖe edzi keŋkeŋ gbeɖekaa?

Mlɔeba la, nusi dzi nàɖo ŋkui (Take-Home Message) .

Togbɔ be menye nusi ŋu mí katã míeƒoa nu tsoe gbesiagbee wònye o hã la, ne aɖuɖɔ sɔ gbɔ na wò , enyo na lãmesẽ ale gbegbe be nàkɔ tsinyegoe me keŋkeŋ ahaɖe aɖuɖɔ , alo? Gake le ɣeyiɣi ma ke me la, bu alesi wòdoa dziku hedoa ŋukpe ame ne mète ŋu le aɖuɖɔ tom le dziɖeɖi me keŋkeŋ o eye nane do kplamatse wò hã ŋu kpɔ. Emae nye nusi woyɔna be `(Urinary Hesitancy)`.

Ne aƒeme atike bɔbɔewo mekpena ɖe wò dzesiwo ŋu o la, mègakpe ŋu be yeaƒo nu kple ɖɔkta o. Naneke megblẽ le wò lãmesẽ dzi kpɔkpɔ ŋu o, eye naneke hã meli si ŋu nàkpe ŋu ɖo o. Eya ta, ne kuxi aɖe le ŋuwò la, xɔ kpekpeɖeŋu si nèhiã.

` Aɖuɖɔtoe me tsi, aɖuɖɔtoe sesẽ , Aɖuɖɔtoe ƒe Hesitancy, BPH, Prostate, Aɖuɖɔtoe me dɔlékuiwo, Aɖuɖɔtoe ƒe dzesiwo