Amekae nye nyɔnuwo ƒe tsinyegoeŋutinunyala? Mina míaƒo nu tso nyɔnuwo ƒe kuxi tɔxɛ siawo ŋu!

Èse ‘nyɔnuwo ƒe nyɔnuwo ƒe dɔdala’ ŋkɔ kpɔa? Ðewohĩ ŋkɔ sia nye nu yeye vie na wò. Gake amesiawo nye eŋutinunyala bibi siwo daa nyɔnuwo ƒe lãmesẽkuxi vevitɔwo dometɔ aɖewo, eye ɣeaɖewoɣi wosea veve. Egbea, míaƒo nu tso amesiwo wonye, ​​nusi wowɔna, kple ɣeyiɣi si nàdi be yeakpɔ wo ŋu. Mègatsi dzi o, míaɖe wo katã me le nya bɔbɔewo me.

Amekae nye nyɔnuwo ƒe tsinyegoeŋutinunyala sia?

Kpuie ko la, nyɔnuwo ƒe akɔtadɔdala nye ɖɔkta si bi ɖe nyɔnuwo ƒe akɔta ƒe dɔlélewo me. Fifia ɖewohĩ ànɔ nusi nye akɔta ƒe anyigba ŋu bum, alo? Tsɔe be le wò ŋutilã ƒe ƒodo ƒe akpa si le anyime, le wò akɔtaɖonu te la, lãmekawo kple kadodoŋusẽ ƒe kadodo sesẽ aɖe, alo anyigba ƒomevi aɖe le eme. Emae nye nusi míeyɔna be akɔta ƒe anyigba.

Akɔta sia le vevie ŋutɔ. Elabena eléa wò vidzidɔ, vidzidzi ŋutinuwo abe wò vidzidɔ , kple aɖuɖɔtoewo abe wò tsinyegoe ene , eye akɔta ƒe lãmeka siawoe léa wo ɖe te. Abe kusi sesẽ si me nu gbogbo aɖewo le ene la, wokpena ɖe ame ŋu be ŋutinu siawo nɔa ɖoɖo nu. Eyata ne akɔta ƒe lãmeka siawo gbɔdzɔ alo woxɔ abi la, woate ŋu ahe kuxiwo vɛ le ŋutinu mawo ƒe dɔwɔwɔ ŋu. Ɣemaɣie wòahiã be nàyi aɖuɖɔtoedɔdala gbɔ.

Vovototo kae le tsinyegoeŋutinunyala, nyɔnuwo ƒe dɔléleŋutinunyala, kple aɖuɖɔtoedɔdala dome?

Ne èse ŋkɔ etɔ̃ siawo la, ɖewohĩ àtɔtɔ vie, alo? Ðewohĩ ànɔ eŋu bum be, "Wo katã wole ɖeka, alo?" Mina míalé ŋku ɖe nusi eŋutinunyala siawo dometɔ ɖesiaɖe wɔna ŋu. Ekema àse vovototo si le wo dome gɔme.

• Aɖuɖɔtoeŋutinunyala: Aɖuɖɔtoemedɔlélewo koŋue ɖɔkta siawo daa dɔ na . Eyae nye kuxi siwo le ŋutinuwo abe tsinyegoe, ayiku, tsinyegoe, kple tsinyegoe ene ŋu. Wodaa aɖuɖɔtoemedɔlélewo le ŋutsuwo kple nyɔnuwo siaa me. Aɖuɖɔtoedɔdalawo daa ŋutsu ƒe vidzidzi ƒe dɔlélewo hã (e.g., ʋuka me kuxiwo).

• Nyɔnuwo ƒe Dɔléleŋutinunyala: Nyɔnuwo ƒe dɔléleŋutinunyala, alo abe alesi míeyɔnae zi geɖe ene la, nyɔnuwo ƒe vidzidziŋutinunyala, daa nyɔnuwo ƒe vidzidzi ƒe dɔlélewo . Ema fia be kuxiwo le vidzidɔ, azigolo, kple nyɔnu ƒe vidzidɔ ŋu (e.g., dzinukpɔkpɔ ƒe masɔmasɔ, vidzidɔ me fibroids). Woléa fɔ ɖe no ƒe lãmesẽ hã ŋu. Wodaa kuxi bɔbɔe aɖewo le nyɔnuwo ƒe aɖuɖɔtoe ŋu ɣeaɖewoɣi.

• Urogynecologist: Azɔ kpɔ ɖa, nya siwo nye ‘uro’ (si ku ɖe aɖuɖɔtoeme) kple ‘gynecological’ (si ku ɖe nyɔnu ƒe vidzidzi ŋu) siaa le ŋkɔ sia me, alo? Esia fia be eŋutinunyala bibi siawo daa nɔnɔme siwo ku ɖe aɖuɖɔtoedɔdala kple nyɔnuwo siaa ƒe akpa aɖewo ŋu. Ne míagblɔe tututu la, .Wobi ɖe nɔnɔme siwo dona tso akɔta ƒe gbɔdzɔgbɔdzɔ alo eƒe gbegblẽ me, si woyɔna be ``Akɔta ƒe Dɔlélewo.`` Abe nyɔnuwo ƒe dɔlélewo ene la, wodaa akɔta ƒe dɔléle siwo do ƒome kple nyɔnuwo ƒe vidzidzi ƒe dɔwɔwɔ, eye abe tsinyegoeŋutinunyala ene la, wodaa kuxi siwo ku ɖe tsinyegoe alo aɖuɖɔtoe ŋu, vevietɔ esiwo ku ɖe akɔta ƒe anyigba ŋu.

Bu eŋu kpɔ ko, ɣeaɖewoɣi la, ɖɔkta siawo dometɔ eve alo etɔ̃ ate ŋu awɔ dɔ aduadu atsɔ ada wò kuxia.

Togbɔ be tsinyegoeŋutinunya kple nyɔnuwo ƒe dɔléle nye atikewɔwɔ ƒe geɖe hã la, woda asi ɖe nyɔnuwo ƒe dɔdamɔnu dzi be enye dɔ tɔxɛ aɖe si to vovo le ƒe 2011. Le esia nu la, tsinyegoeŋutinunya, alo si woyɔna le se nu be Nyɔnuwo ƒe Akɔtadɔdada kple Amekoko si Gbugbɔgawɔ (FPMRS), dze ɖaseɖigbalẽ nana ɖɔktawo gɔme le ƒe 2013 me.

Hehe ka ƒomevie wòle be nàxɔ hafi azu nyɔnuwo ƒe aɖuɖɔtoedɔdala?

Eŋutinunyala bibi nyenye abe esia ene mele bɔbɔe o. Ne ɖɔkta si le hehe xɔm be yeazu nyɔnuwo ƒe tsinyegoeŋutinunyala wu atikewɔsuku nu la, ele be wòawu nyɔnuwo ƒe dɔléle alo tsinyegoeŋutinunya ƒe hehexɔxɔ si le afima nu. Hehenaɖoɖo aɖewo naa mɔnukpɔkpɔ ame be wòaxɔ hehe le evea siaa me. Le ema megbe la, ele be woawu hadede ƒe hehexɔxɔ nu le dɔ tɔxɛ aɖe si woyɔna be Female Pelvic Medicine and Reconstructive Surgery (FPMRS) .

Le hadede ƒe hehe sia megbe la, ele be woato dodokpɔ aɖe hã me hafi ava zu nyɔnuwo ƒe nyɔnuwo ƒe dɔdala si xɔ ɖaseɖigbalẽ tso habɔbɔa gbɔ.

Kpuie ko la, ne èwu atikewɔsuku nu la, ele be nàsrɔ̃ nu ahana hehe wò abe ƒe adre ene hafi azu nyɔnuwo ƒe aɖuɖɔtoedɔdala. Eyata wonye ame siwo si sidzedze geɖe le le go sia me.

Nuka tututue nyɔnuwo ƒe aɖuɖɔtoeŋutinunyala wɔna?

Nyɔnuwo ƒe tsinyegoeŋutinunyalawo dea dzesi akɔta ƒe dɔlélewo hedaa wo . Togbɔ be akɔta ƒe dɔléle siawo ate ŋu adze ŋutsuwo kple nyɔnuwo siaa dzi hã la, nɔnɔme siwo do ƒome kple nuteƒekpɔkpɔ siwo le nyɔnuwo koŋ si koŋue nyɔnuwo ƒe dɔdamɔnuŋutinunyalawo daa dɔ na. Le kpɔɖeŋu me, fufɔfɔ, vidzidzi, kple dzinukpɔkpɔ katã nye nusiwo ate ŋu ana woaxɔ akɔta ƒe dɔlélewo.

Akɔta ƒe dɔléle siwo bɔ siwo nyɔnuwo ƒe aɖuɖɔtoedɔdalawo daa dɔ na dometɔ aɖewoe nye esi:

• Aɖuɖɔtoe ƒe Dɔmawɔmawɔ: Esiae nye ŋutete si mele ame si be wòaɖu aɖuɖɔ ƒe sisi dzi o . Mɔ vovovowo li siwo dzi woato akpɔ esia gbɔ:
• `Stress Incontinence`: Aɖuɖɔ ƒe sisi ne ƒodo me nyaƒoɖeamenu dzi ɖe edzi, abe ne wole kɔdzi, aɖuɖɔɖɔɖɔ, nu kom sesĩe, alo le nu kpekpe aɖe kɔm ene.
• `Ƒe Ðokuiwò Ðe Edzi`:Dzodzroe nye aɖuɖɔɖɔɖɔ ƒe hiahiã kpata. Ɣeaɖewoɣi la, àte ŋu aɖu aɖuɖɔ hafi ate ŋu aƒu du ayi nugododeƒe gɔ̃ hã. Edzɔna ne ènya se le ɖokuiwò me be ehiã be yeayi ko.
• Tsinyegoe si wɔa dɔ fũu akpa: Ehiãna kpata be nàɖe aɖuɖɔ enuenu (ɖewohĩ zi ɖeka le gaƒoƒo ɖeka me). Ðewohĩ ahiã be nàfɔ zi geɖe le zã me.

• Pelvic Organ Prolapse (POP): Esia nye ne akɔta ƒe ŋutinu ɖeka alo esi wu nenema do le woƒe nɔnɔme si sɔ me yi ɖe nyɔnu ƒe vidzidɔ me ne womelé akɔta ƒe anyigba nyuie o. Esia sɔ kple alesi gli aɖe mu eye xɔmenuwo gena. Ŋutinu siwo ate ŋu agbã dometɔ aɖewoe nye tsinyegoe (cystocele), vidzidɔ (uterine prolapse), dɔgbo ƒe akpa aɖe (rectocele), kple nyɔnu ƒe vidzidɔ ƒe akpa si le etame (vaginal vault prolapse). Nɔnɔme sia ate ŋu ado ƒome kple tsinyegoe me kuxiwo hã. Ame aɖewo ate ŋu ase le wo ɖokui me abe ɖe nane le dodom tso vidzidɔa me ene.

• Aɖuɖɔtoe ƒe Dɔmawɔmawɔ: Ne akɔta ƒe lãmekawo gbɔdzɔ la, màgate ŋu aɖu wò dɔgbo ƒe ʋuʋu dzi o eye aɖuɖɔ aɖewo nado le manyamanya me. Esia ate ŋu anye le aɖuɖɔtoe me alo ate ŋu anye aɖuɖɔ sue aɖe si me tsi le. Woyɔa esia be Fecal Incontinence.

• Akɔta ƒe Dɔmawɔmawɔ nyuie: Nɔnɔme sia dzɔna ne akɔta ƒe lãmeka siwo kpɔa aɖuɖɔtoe kple aɖuɖɔtoe dzi mete ŋu wɔa ɖeka nyuie o. Esia fia be lãmekaawo sesẽna ne ele be woasẽ, eye wosẽna ne ele be woakɔ. Esia ate ŋu ana wòasesẽ be nàɖe aɖuɖɔ alo aɖuɖɔ (le kpɔɖeŋu me, màte ŋu atsɔ aɖuɖɔ ne èdze agbagba gɔ̃ hã o). Ate ŋu ana vidzidɔ nase veve eye wòase veve le gbɔdɔdɔ me hã.

• Vaginal Fistulas: Esia nye ne mɔ si mesɔ o dzɔ le vidzidɔ kple tsinyegoe alo dɔgbo dome, le abi aɖe (e.g., le vidzidzi me, amekoko me) alo atikewɔwɔ ƒe nɔnɔme bubu aɖe ta. Esia ate ŋu ana aɖuɖɔ alo aɖuɖɔ nado ɖe vidzidɔa me.

Fifia ɖewohĩ èse egɔme, alo? Esiawo nye nya siwo me mekɔ o, gake womeɖea dzi ɖi kura o. Gake ɖo ŋku edzi be atikewɔmɔnu aɖewo li na esia.

Atike kawoe nyɔnuwo ƒe aɖuɖɔtoeŋutinunyalawo naa nɔnɔme siawo?

Ne tsinyegoeŋutinunyala nya kpɔ wò dɔlélea ko la, woaŋlɔ atike nyuitɔ na wò. Atikewɔwɔ ɖeka aɖeke meli si sɔ na amewo katã o. Nu geɖe dzie atikewɔwɔ nɔ te ɖo, siwo dometɔ aɖewoe nye wò dɔlélea ƒe nɔnɔme kple eƒe sesẽ, wò ƒexɔxɔ, kple wò lãmesẽ bliboa. Dɔdamɔnu siwo wozãna dometɔ aɖewoe nye esi:

• Atikewo ŋɔŋlɔ na wò: Woate ŋu ana atike siwo akpe ɖe ŋuwò nàɖu wò tsinyegoea dzi (e.g., na tsinyegoe si wɔa dɔ fũu akpa) alo be nàɖɔ aɖuɖɔ ƒe ʋuʋu ɖo (e.g., na dɔgbo ƒe ʋuʋu).
• Dɔwɔnuwo ɖoɖo:Le kpɔɖeŋu me, ne nɔnɔme aɖe si woyɔna be ``POP'' alo akɔta ƒe ŋutinu ƒe gege le ŋuwò la, àte ŋu ana woatsɔ mɔ̃ aɖe si woyɔna be ``pessary'' ade eme. Esia nye mɔ̃ si le abe asigɛ ene alo nu bubu aɖe si wotsɔ silikɔ, rababa, alo aŋe wɔ si wotsɔ dea nyɔnu ƒe vidzidɔ me. Eléa akɔta ƒe ŋutinuwo ɖe teƒe si wole. Esia nye atikewɔwɔ si menye amekoko o.
• Amekoko: Ɣeaɖewoɣi, vevietɔ ne atikewɔwɔ bubuwo mewɔ dɔ o alo ne nɔnɔmea nu sẽ la, ate ŋu ahiã be woawɔ dɔ na ame. Esia lɔ amekoko si woatsɔ agbugbɔ akɔta ƒe ŋutinuwo aɖo woƒe nɔnɔme si sɔ me ɖe eme. Amekoko ate ŋu akpe ɖe ame ŋu le aɖuɖɔtoe dzi ɖuɖu ƒe kuxiwo hã me (abe akplɔ si wotsɔna ƒoa aɖuɖɔtoe na nuteɖeamedzi ƒe dɔmawɔmawɔ nyuie ene). Amekoko siawo ate ŋu azã wò ŋutɔ wò lãkusiwo kple lãkusiwo, alo ade nusiwo (abe mesh ) ade eme atsɔ ado ŋusẽ akɔta ƒe lãmeka siwo gbɔdzɔ alo esiwo gblẽ.
• Kamedede siwo doa ŋusẽ akɔta: Ðewohĩ èse Kegel kamededewo ŋu nya kpɔ . Aɖuɖɔtoedɔdala aɖe afia alesi nàwɔ wo nyuie la wò. Kegel kamedede doa ŋusẽ wò akɔta ƒe lãmekawo. Ele abe kpekpemewo kɔkɔ kple lãmeka tutuɖo ene. Ɣeaɖewoɣi la, woate ŋu awɔ dɔ kple kamededeŋutinunyala hã atsɔ azã mɔnu aɖe si woyɔna be biofeedback . Biofeedback kpena ɖe ŋuwò nènyaa ɣeyiɣi si me wò akɔta ƒe lãmekawo le sesẽm hele ɖiɖim ɖe eme. Ne ènya alea la, àte ŋu akpɔ ŋusẽ geɖe wu ɖe lãmeka siawo kple nuwɔna siwo kpɔa aɖuɖɔtoe kple aɖuɖɔtoe me dzi.
• Agbenɔnɔ ƒe tɔtrɔ siwo akpe ɖe ŋuwò ƒe aɖaŋuɖoɖo: Woakpe ɖe ŋuwò nàde dzesi wò gbesiagbenuwɔna siwo le wò dzesiwo hem vɛ ahatrɔ wo. Esia ateŋu alɔ wò nuɖuɖu ƒe nɔnɔmewo tɔtrɔ (e.g., caffeine, nuɖuɖu siwo me nu ʋeʋĩwo le dzi ɖeɖe kpɔtɔ), kpekpeɖeŋu nana wò be nàɖe wò lolo dzi akpɔtɔ, atamanono dzudzɔ, ɖiɖiɖememɔnu siwo nàtsɔ akpe ɖe eŋu, alo ɖoɖowɔwɔ ɖe mɔzɔzɔ yi nugododeƒe ŋu be nàdzi ɣeyiɣi si nàte ŋu "alé" aɖuɖɔ ɖe edzi vivivi (tsinyegoe ƒe hehexɔxɔ).

Nukatae wòle be makpɔ aɖuɖɔtoedɔdala gbɔ? / Ɣekaɣie?

Àte ŋu abu eŋu be yeayi aɖuɖɔtoedɔdala gbɔ ne dzesi siawo dometɔ aɖe le ŋuwò:

• Ne aɖuɖɔ alo aɖuɖɔ do le vo me la .
• Ne èse le ɖokuiwò me be ehiã be yeaɖe aɖuɖɔ zi geɖe wu alesi nèwɔnɛ ɖaa .
• Ne èse le ɖokuiwò me be ehiã be yeaɖe aɖuɖɔ hafi ayi nugododeƒe , efia be esesẽna na wò be nàɖo nugododeƒe ɖe game dzi.
• Ne èse le ɖokuiwò me be yeƒe vidzidɔ alo akɔta ƒe akpa aɖe yɔ fũ, yeƒe kpekpeme le kpekpem, alo yeƒe tete ɖe ye ŋu (abe nane si le eme ene).
• Wò tɔeNe èse le ɖokuiwò me be nane le ɖiɖim alo le gegem tso wò vidzidɔ me, alo ne èse le ɖokuiwò me ŋutɔŋutɔ be nane le ye ŋu nenema.

Vevietɔ: Mègakpe ŋu be yeaƒo nu tso nya siawo ŋu o. Esiawo nye nɔnɔme siwo me nyɔnu geɖe ate ŋu ato, eye atikewɔmɔnu nyuiwo li na wo. Mehiã be wò ɖeka nàkpe fu o.

Azɔ hã, aɖuɖɔtoe ƒe dɔmawɔmawɔ nyuie kple akɔta ƒe ŋutinuwo ƒe gege nye ame ŋutɔ ƒe nyawo ŋutɔ na ame geɖe. Eyata ate ŋu anye gbɔdzɔe gã aɖe be nàkpɔ ɖɔkta si, abe wò ene, tsia dzi ɖe nyɔnu ƒe ŋutilã ƒe dɔwɔwɔ ŋu nenema ke eye wòate ŋu ase wò nɔnɔmea gɔme. Ekema, nuka kee ɖanye susu si tae nèyi ɖɔkta gbɔ o, vɔvɔ̃ kple dziɖeleameƒo maganɔ ŋuwò ne èle lalam le xɔ si me wolalana le me o.

Nukae dzɔna ne èyi aɖuɖɔtoedɔdala gbɔ zi gbãtɔ?

Wò nuteƒekpɔkpɔ ate ŋu ato vovo vie le susu si ta nèle nyɔnuwo ƒe dɔdala gbɔ kpɔm nu, gake zi geɖe la, nu siawoe dzɔna:

• Nyɔnuwo ƒe tsinyegoeŋutinunyala aƒo nu tso wò atikewɔwɔ ŋutinya bliboa ŋu na wò . Esia fia nuwo abe dɔléle siwo nèkpɔ va yi, amekoko siwo nèwɔ kpɔ, atike siwo nèno, kple nenye be kuxi mawo tɔgbe do mo ɖa le wò ƒomea me hã.
• Woabia wò tso wò dzesiwo ŋu tsitotsito . Esia fia be ɣekaɣie wodze egɔme, ɣeyiɣi didi si wole afima, ɣeyiɣi si me wova gblẽna ɖe edzi, kple alesi wokpɔa ŋusẽ ɖe wò agbe dzii (e.g., nenye be wodoa kplamatse wò ŋutete be nàzɔ mɔ alo akpɔ gome le hadomenuwɔnawo me).
• Woawɔ ŋutilãmedɔdada . Zi geɖe la, esia sɔ kple akɔta dodokpɔ. Woadi be yewoalé ŋku ɖe ŋutinu kple lãkusi siwo le wò akɔta, woƒe nɔnɔme, kple woƒe ŋusẽ ŋu nyuie. Woate ŋu abia tso asiwò hã be nàtsɔ wò vidzidɔ afia yewo alo awɔ dodokpɔ aɖe.

Woanɔ te ɖe nusi dodokpɔ siawo kpɔ dzi aɖo aɖaŋu na wò be woawɔ atike na wò, alo agblɔ dodokpɔ bubu siwo hiã be woatsɔ anya dɔlélea (e.g., aɖuɖɔ dodokpɔwo, dodokpɔ tɔxɛwo abe `urodynamic studies` ene).

Nya kawoe wòle be mabia nye tsinyegoeŋutinunyala?

Ne èdo go kple wò ɖɔkta la, mègavɔ̃ be yeabia nya aɖeke si le asiwò o. Ne nane li si gɔme mèse o la, gabiae ake. Nyabiase aɖewo siwo nàte ŋu abiae nye esi:

• Nukae ate ŋu ahe nye akɔta ƒe kuxiwo vɛ wu?
• Nuka gbegbee gblẽ le nye akɔta ƒe anyigba ŋu?
• Atikewɔwɔ kawoe nèdo ɖa nam? Viɖe kple kuxi kawoe le wo dometɔ ɖesiaɖe ŋu?
• Ŋusẽ nenie magakpɔ le nye akɔta le atikewɔwɔ vɔ megbe? Aleke gbegbee mate ŋu akpɔ mɔ be ahaya kaba?
• Tɔtrɔ kawoe mate ŋu awɔ le nye gbesiagbegbenɔnɔ me be nye akɔta nawɔ dɔ nyuie eye kuxi siawo nagadzɔ ake o?
• Tsɔ kpe ɖe atikewɔwɔ siawo ŋu la, ɖe nanewo li abe kamedede ene si mate ŋu awɔa?

Gbedasi mamlɛtɔ si woatsɔ ayi aƒemee

Míebua lãmeka siwo kpɔa ŋutilã ƒe dɔwɔwɔ veviwo abe aɖuɖɔtoe kple aɖuɖɔtoe ene dzi boo o ɖe, alo? Ne èdo aɖuɖɔ abe alesi mèwɔe kpɔ o ene, alo ne èse le ɖokuiwò me be yeƒe vidzidɔ me yɔ fũu si mènya o la, ate ŋu ado dziku na ame ŋutɔŋutɔ, ado ŋukpe ame, eye wòaɖe ame ɖe aga le hadome.

Gake nyɔnuwo ƒe tsinyegoeŋutinunyalawo se esia gɔme nyuie ŋutɔ. Wobi ɖe wò akɔta ƒe kuxiwo didi kple atikewɔwɔ nyuitɔ kekeake siwo akpe ɖe ŋuwò didi me. Woaɖo to wò eye woadze agbagba adi egbɔkpɔnu nyuitɔ kekeake na wò. Wowɔ dɔ kple ame geɖe siwo to nuteƒekpɔkpɔ mawo tɔgbe me kpɔ. Ne kuxi siawo le ŋuwò la, bia wò ƒomea ƒe ɖɔkta be wòaɖo ye ɖe aɖuɖɔtoedɔdala gbɔ, alo wò ŋutɔ àte ŋu awɔ ɖoɖo ɖe eŋu.

Ðo ŋku edzi be mehiã be nàɣla nusiawo ahakpe fu o, nu vevitɔe nye be nàxɔ kpekpeɖeŋu. Menye wò ɖeka koe o!

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