Ðe aɖuɖɔtoe hã sesẽna na wòa? Mina míasrɔ̃ nu tso aɖuɖɔtoe me léle ɖe te ŋu

Ðe nèsena le ɖokuiwò me ɣeaɖewoɣi be ele be yeatɔ le yeƒe aɖuɖɔtoea ƒe afã me , alo be yeƒe tsinyegoe mekɔ keŋkeŋ oa? Alo ɖe wòsesẽna na wò be nàdze aɖuɖɔɖɔɖɔ gɔmea ? Esia nye lãmesẽkuxi si bɔ si ŋu kpea ame geɖe be yewoaƒo nu tsoe, gake ate ŋu anye lãmesẽkuxi vevi aɖe ŋutɔ. Egbea míele nu ƒom tso nɔnɔme sia si woyɔna be urinary retention, alo si woyɔna le atikewɔwɔ me be ``Urinary Retention'' ŋu. Mègatsi dzi o, esia nye nusi dzi woate ŋu aɖu ne wose egɔme eye wowɔ nu ɖe ​​eŋu nyuie.

Kpuie ko la, nukae nye aɖuɖɔtoe me nuléle?

Bu wò tsinyegoea be enye tsigoe. Míaƒe ayikuwo ɖea gbeɖuɖɔ siwo le míaƒe ŋutilã me la ɖa eye wowɔa aɖuɖɔ (aɖuɖɔ/aɖuɖɔ) si ƒoa ƒu ɖe tsinyegoe sia me. Ne ehiã be míaɖe aɖuɖɔ la, aɖuɖɔa dona le tsigo sia me to mɔ̃ aɖe si woyɔna be aɖuɖɔtoe me.

Aɖuɖɔtoe me tsinyegoe nye ne wò tsinyegoe mekɔ keŋkeŋ ne èle aɖuɖɔ tom o. Ɣeaɖewoɣi la, ate ŋu asusɔ vie, eye le nɔnɔme siwo nu sẽ wu me la, màte ŋu aɖu aɖuɖɔ kura o.

Esia ƒomevi vevi evee li.

Aɖuɖɔtoe me tsi ƒe nɔnɔme sia ate ŋu adzɔ le mɔ vevi eve nu. Wo dometɔ ɖesiaɖe ƒe dzesiwo kple woƒe sesẽme toa vovo.

1. Acute Urinary Retention: Esia nye nɔnɔme si dona kpata , si dzɔna kpata. Èsena le ɖokuiwò me be ehiã be yeaɖe aɖuɖɔ, gake mète ŋu ɖea aɖuɖɔ vie gɔ̃ hã o. Esia ate ŋu anye vevesese sesẽ le ƒodo ƒe akpa si le anyime. Esia nye atikewɔwɔ kpata. Ne edzɔ alea la, ele be nàyi kɔdzi ƒe xɔ si me wowɔa dɔ kpata le (ETU) me enumake.

2. Aɖuɖɔtoe ƒe Tsitretsitsi Atraɖii: Esia nye dɔléle si doa mo ɖa vivivi le ɣeyiɣi aɖe megbe. Àte ŋu aɖu aɖuɖɔ, gake wò tsinyegoe metsina keŋkeŋ o. Zi geɖe la, dzesiawo mesẽna o, eyata ɖewohĩ ame aɖewo malé ŋku ɖe eŋu boo o. Gake egahiã kokoko be woakpɔ dɔléle sia ƒe atike.

Nukae nye nɔnɔme sia ƒe dzesiwo?

Azɔ mina míalé ŋku ɖe dzesi siwo woate ŋu akpɔ le ƒomevi eve siawo me ŋu. Anɔ vevie ŋutɔ be nànya ale si nàwɔ ade vovototo nusiawo dome nyuie.

Nukatae aɖuɖɔ tsina alea? Nukawo koŋ gbɔe wòtsona?

Susu geɖe li siwo tae aɖuɖɔtoe me tsi ate ŋu alé ɖe te ɖo. Mina míadzro susu veviawo me ɖe vovo.

1. Aɖuɖɔtoe ƒe mɔxexe (Blockage) .

Kpuie ko la, mɔxenu aɖe le aɖuɖɔtoe ƒe sisi ƒe mɔ dzi. Abe alesi ko ne èmimi tsi ƒe pɔmpi ene la, tsi si sina toa eme dzi ɖena kpɔtɔna. Nusi koŋ gbɔ esia tsoe nye ŋutsuwo ƒe ʋuka si lolona (Enlarged Prostate alo Benign Prostatic Hyperplasia - BPH) . Esi wònye be lãkusi sia le tsinyegoea ŋu ta la, ne elolo la, etsia tsinyegoea me sesĩe eye wòxea mɔ na aɖuɖɔtoea.

Tsɔ kpe ɖe eŋu la:

• Aɖuɖɔtoe me kpewo, ʋu ƒe sisi, alo kansa.
• Tsinyegoe ƒe ʋuʋu le abi ƒe lãkusi ta (Urethral Stricture) .
• Cystocele (tsinyegoe ƒe gege ɖe nyɔnu ƒe vidzidɔ me) le nyɔnuwo me.
• Rectocele (aɖuɖɔtoe ƒe dodo ɖe vidzidɔ ƒe gli me) le nyɔnuwo me.

2. Atike aɖewo

Atike aɖewo siwo nènona na nɔnɔme bubuwo hã ate ŋu ana aɖuɖɔtoe natsi. Le kpɔɖeŋu me, nulɔdɔtike aɖewo (Antihistamines), vevesesenutsitike aɖewo (Opiates), kple blanuilélenutsitike aɖewo (Tricyclic Antidepressants) ate ŋu akpɔ ŋusẽ ɖe alesi wò tsinyegoe ƒe lãmekawo wɔa dɔe dzi.

3. Lãmetsinyawo

Ahɔhɔ̃a naa dzesi mí be míaɖe aɖuɖɔ. Ahɔhɔ̃a gblɔna na lãmeka siwo le tsinyegoea me be woasẽ eye lãmeka siwo ƒo xlã tsinyegoea naɖe dzi ɖi. Ne nane gblẽ le lãmeka siwo le ahɔhɔ̃a kple aɖuɖɔtoe dome ŋu la, ate ŋu agblẽ aɖuɖɔtoe ƒe ɖoɖoa me.

Nusiwo ate ŋu ahe esia vɛ:

• Gbagbãdᴐ
• Suklidɔ (Suklidɔ) .
• Dɔléle siwo gblẽa nu le lãmekawo ŋu (e.g. Multiple Sclerosis) .
• Abi siwo woxɔna le akɔta alo akɔta ƒe akpa si le akɔta ŋu
• Vidzidzi
• Amekoko siwo wowɔna le akɔta

4. Dɔlékuiwo alo Vuvu

Aɖuɖɔtoedɔléle (UTI) , aɖuɖɔtoedɔléle (prostatitis) , alo gbɔdɔdɔ ƒe dɔlékuiwo (STIs) ƒe vuvu hã ate ŋu axe mɔ na aɖuɖɔtoe.

5. Amekoko

Aɖuɖɔtoe me tsi ate ŋu adzɔ hena ɣeyiɣi aɖe, vevietɔ le amekoko gã abe akɔta ɖɔliɖɔli alo alɔ̃dɔdɔ vɔ megbe.

Nukae ate ŋu adzɔ ne mèlé be na aɖuɖɔtoe me o?

Menyo be woaŋe aɖaba aƒu esia dzi ko abe nu bubu ene o, elabena ne womeda aɖuɖɔtoe me dɔléle si nɔa anyi didi o la, ate ŋu ahe kuxi bubuwo vɛ.

• Aɖuɖɔtoedɔléle (UTIs): Ne aɖuɖɔ tsi tsinyegoea me ɣeyiɣi didi akpa la, dɔlékuiwo ate ŋu adzi ɖe edzi. Dɔlékui siawo ate ŋu azɔ ayi ayikuwo gɔ̃ hã gbɔ.
• Tsinyegoe ƒe gbegblẽ: Esi wòyɔ fũ ɣesiaɣi ta la, tsinyegoe ƒe lãmekawo ate ŋu akeke, agbɔdzɔ, eye woagblẽ.
• Ayikuwo ƒe gbegblẽ: Dɔlékuiwo alo tsinyegoe me nyaƒoɖeamenu fũ ate ŋu agblẽ nu le ayikuwo ŋu eye woahe ayikudɔléle vɛ.
• Tsinyegoe me Kpewo: Ne aɖuɖɔ ƒo ƒu ɖe teƒe ɖeka la, tomenu siwo le eme ate ŋu aƒo ƒu eye wòazu kpe.

Aleke nèwɔ kpɔ esia, Ðɔkta?

Ne dzesi siawo le ŋuwò la, nu gbãtɔ si nàwɔe nye be nàyi ɖɔkta gbɔ. Anyo wu be nàyi ɖɔkta si bi ɖe aɖuɖɔtoemedɔlélewo me gbɔ (aɖuɖɔtoeŋutinunyala).

To ɖɔktaa dzi be:

• Woabia wò tso wò dzesiwo kple ɣeyiɣi didi si wonɔ anyi ŋu.
• Bia nu tso wò atikewɔwɔ ŋutinya bliboa ŋu.
• Ewɔa ŋutilãmedɔdada.
• Wodoa aɖuɖɔ ƒe kpɔɖeŋu kpɔna be dɔlékui aɖe le eme hã.
• Ne ŋutsue nènye la, ke nàwɔ dɔ na wò le dɔgboa me be nàlé ŋku ɖe ʋuka si me ʋu sina tona ŋu.(Digital Rectal Exam) ate ŋu awɔe.

Tsɔ kpe ɖe eŋu la, woate ŋu awɔ dodokpɔ bubuwo atsɔ anya nusi tututu gbɔ wòtso.

• Post-void residual (PVR) dodokpɔ: Esia dzidzea aɖuɖɔ agbɔsɔsɔme si susɔ ɖe tsinyegoea me ne èwu aɖuɖɔ vɔ megbe.
• Cystoscopy: Wotsɔa mɔ̃ aɖe si me fotoɖemɔ̃ sue aɖe le la toa tsinyegoea me be woatsɔ ado tsinyegoea ƒe eme kple tsinyegoea kpɔ.
• Urodynamic testing: Dodokpɔ siwo kplɔ wo nɔewo ɖo siwo dzidzea tsinyegoe kple lãmeka siwo ƒo xlãe ƒe dɔwɔwɔ kple woƒe nyaƒoɖeamenu.
• PSA dodokpɔ: Ʋudodokpɔ si wowɔna tsɔ léa ŋku ɖe afɔku si le ʋumenugbagbeviɣidɔ ŋu hã.

Nukawoe nye atike siwo wozãna na esia?

Atikewɔwɔ ƒe mɔnuwo nɔ te ɖe ne vevesese sesẽ alo vevesese atraɖii le ŋuwò kple nusi gbɔ wòtso dzi.

Atikewɔwɔ na aɖuɖɔtoe ƒe ʋuʋu kpata

Esi wònye be esia nye nudzɔdzɔ kpata ta la, nu gbãtɔ si woawɔe nye be woade ka aɖe eme eye woaɖe aɖuɖɔa ɖa le tsinyegoea me. Esia ana gbɔdzɔe mí enumake. Ema ko hafi woate ŋu ade dzesi nusi gbɔ wòtso ahadae.

Atikewɔwɔ na aɖuɖɔtoe me dɔléle si nɔa anyi didi

Atikewɔwɔmɔnu vovovowo li na esia.

• Atikewo: Ne ʋukaa lolo la, woate ŋu ana atike be wòaɖe edzi alo ana lãmeka siwo ƒo xlãe la naɖe dzi ɖi. Woate ŋu ana dɔlékuiwutikewo na dɔlékuiwo.
• Amekoko: Le nusi gbɔ wòtso nu la, ate ŋu ahiã be woawɔ dɔ nɛ. Esia ate ŋu anye be woaɖe ʋuka si me ʋu sina tona (TURP), aɖɔ tsinyegoe si xe mɔ na tsinyegoe me ɖo (Urethroplasty), alo amekoko be woaɖɔ cystocele/rectocele ɖo.
• Atikewɔwɔ siwo menye amekoko o:
• Kegel kamededewo: Kamedede siwo doa ŋusẽ lãmeka siwo le akɔta ƒe akpa si le akɔta.
• Vaginal Pessary: ​​Mɔ̃ si wotsɔ dea nyɔnu ƒe vidzidɔ me be woatsɔ ado alɔ tsinyegoe si ge.
• Tsinyegoe dzi ɖuɖu: Nuwɔna ƒe tɔtrɔ abe ɣeyiɣi si woano tsi dzi ɖuɖu ene.

Ame aɖewo siwo ŋu ahɔhɔ̃mekawo ƒe dɔléle le la, woƒe ɖɔkta fiaa alesi woazã catheter atsɔ ado ka na wo ɖokui le aƒeme.