Ðe nèsena le ɖokuiwò me ɣeaɖewoɣi be yemate ŋu aɖu yeƒe ŋutilã dzi oa? Mese alesi wòate ŋu anye ŋukpe kple ŋukpee gɔme, vevietɔ ne èɖe aɖuɖɔ vi aɖe le vo me aleke kee nèdze agbagbae o. Ne wò awu te tsi ɣesiaɣi eye nèse le ɖokuiwò me be yele ʋeʋẽm la, màdi be yeadze ŋgɔ hadomegbenɔnɔ gɔ̃ hã o. Esia nye kuxi si nyɔnu geɖewo kpea fu le ɖoɖoezizi me, gake womedina be yewoaƒo nu tso eŋu o. Gake mègatsi dzi o, menye wò ɖeka koe o. Egbea míele nu ƒom tso atikewɔwɔ ƒe nɔnɔme aɖe si ate ŋu ahe esia vɛ ŋu, si nye Vesicovaginal Fistula (VVF).
Nuka tututue nye Vesicovaginal Fistula (VVF)?
Kpuie ko la, Vesicovaginal Fistula (VVF) nye ʋuʋu alo kadodo si mesɔ o si le wò tsinyegoe kple vidzidɔ dome . Bu eŋu kpɔ, zi geɖe la, aɖuɖɔ si le míaƒe tsinyegoe me dona le ŋutilãa me to tsinyegoe me. Emae nye mɔ nyuitɔ.
Gake ne VVF nɔnɔme sia dzɔ la, ele abe ɖe wowɔ "mɔ kpui" sue yeye aɖe le tsinyegoe kple nyɔnu ƒe vidzidɔ dome ene. Do siae nye nusi míeyɔna be fistula. Eyata le do sia ta la, aɖuɖɔ si le tsinyegoea me ƒe ɖewo metoa mɔ nyuitɔ dzi o, ke boŋ edzea dodo gɔme to mɔ kpui yeye sia dzi, si to nyɔnu ƒe vidzidɔ me, evɔ menya o. Ɣeaɖewoɣi la, esia ate ŋu anye tsidzadza vi aɖe, alo ɣeaɖewoɣi ate ŋu anye aɖuɖɔ si le sisim ɣesiaɣi.
Togbɔ be esia nye ŋutilã me kuxi hã la, susu me nuteɖeamedzi si wòhena vɛ la meɖi naneke o. Gake nya nyuiae nye be zi geɖe la, woate ŋu ada nɔnɔme sia keŋkeŋ to amekoko me. Wò ɖɔkta kple atikewɔlawo ƒe ƒuƒoƒo le klalo ɣesiaɣi be yewoana atike kple kpekpeɖeŋu si nèhiã la wò.
Nukawoe nye nɔnɔme sia ƒe dzesi siwo bɔ?
Ame si ŋu VVF le ate ŋu akpɔ dzesi vovovowo. Dzesi siawo ate ŋu ato vovo le doa ƒe lolome kple nu bubuwo nu. Ne èle dzesi siawo dometɔ aɖe kpɔm la, ele vevie be nàkpɔ ɖɔkta kaba ale si nàte ŋui.
| Dzesi si dzena | Numeɖeɖe bɔbɔe aɖe |
|---|---|
| Aɖuɖɔtoe ƒe Dɔmawɔmawɔ nyuie | Esiae nye dzesi vevitɔ si dze ƒã wu. Màte ŋu aɖu edzi o, ɖeko aɖuɖɔ dona le wò vidzidɔ me. |
| Awu te ƒe tsidede enuenu | Ne wò awu te xɔ dzo le tsileƒe vɔ megbe gɔ̃ hã la, ate ŋu anye nɔnɔme sia ƒe dzesi. |
| Tsi alo ʋeʋẽ si mebɔ o si dona le nyɔnuwo ƒe vidzidɔ me | Aɖuɖɔ ate ŋu ana tɔtrɔ nanɔ nyɔnu ƒe vidzidɔa me, si ana tsi alo tsi si ʋẽna lilili nado. |
| Dzoxɔxɔ/ʋuʋudedi le vidzidɔ alo nuto siwo ƒo xlãe me | Ne aɖuɖɔ ka asi eŋu enuenu la, ate ŋu ana nyɔnu ƒe vidzidɔ kple ŋutigbalẽ si ƒo xlãe (vulva) nabiã, abi, eye wòavuvu. |
| Vevesese le gbɔdɔdɔ me | Nɔnɔme sia ate ŋu ana gbɔdɔdɔ nanye vevesese. |
| Edzɔna le amekoko megbe | Zi geɖe la, ne aɖuɖɔtoe sia dze egɔme le kwasiɖa ɖeka alo eve le ƒodo ƒe dɔwɔwɔ vɔ megbe (e.g., vidzidɔ ɖeɖeɖa) la, anɔ eme be VVF gbɔe wòtso. |
Nukawoe hea VVF vɛ?
VVF dzɔna ne lãkusi si le tsinyegoe kple nyɔnu ƒe vidzidɔ dome gblẽ eye wòku. Emegbe nu sia si gblẽ la wɔa do. Susu vevi geɖewo li siwo tae wògblẽ nu sia ɖo.
- Akɔtadɔ: Esia koŋue hea VVF vɛ le dukɔwo abe mía tɔ ene me. Vevietɔ le vidzidɔa ɖeɖe kple tsinyegoe ƒe dɔwɔwɔ me la, woate ŋu agblẽ nu le lãkusi siawo ŋu vodadatɔe. Menye ɖɔktaa ƒe vodadae esia nye o, ke boŋ enye kuxi si ate ŋu ado mo ɖa le amekoko me.
- Dɔwɔwɔ si Woxe Mɔ Na:Le vidzidzi sesẽwo me, afisi wodzia vidzĩa tsi megbe akpa la, vidzĩa ƒe ta ate ŋu ami lãmeka si le tsinyegoe kple vidzidɔ dome la dzi sesĩe, si ana ʋu natso ɖe teƒe ma eye wòana lãkusia naku. Do sia ate ŋu adzɔ eye aɖuɖɔ ate ŋu adze sisi gɔme le vidzĩa dzidzi megbe ŋkeke ʋɛ aɖewo. Togbɔ be nusi gbɔ wòtsona dzi ɖe kpɔtɔ vie le atikewɔƒe siwo nyo wu le Sri Lanka ta hã la, womeɖe afɔkua ɖa keŋkeŋ haɖe o.
- Kansa ƒe nɔnɔmewo kple atikewɔwɔ: Nɔnɔmewo abe vidzidɔ me kansa kple tsinyegoe me kansa hã ate ŋu ahe VVF vɛ. Azɔ hã, keklẽŋusẽ ƒe atikewɔwɔ na kansa ate ŋu ana lãmekawo nagbɔdzɔ eye wòana do siawo ƒomevi nado le ɣeyiɣi aɖe megbe.
Ðe kuxi bubu aɖewo li siwo ate ŋu ado tso esia mea?
Ne womeda VVF nyuie o la, lãmesẽkuxi bubuwo ate ŋu ado mo ɖa.
- Dɔlékui siwo gbugbɔna: Esi wònye be aɖuɖɔ nɔa nyɔnu ƒe vidzidɔ me ɣesiaɣi ta la, aɖuɖɔtoe me dɔlékuiwo (UTIs) kple nyɔnuwo ƒe dɔlékuiwo ate ŋu adzɔ enuenu.
- Ʋuʋudedi alo Dɔlékui: Ne womewɔ atike nɛ o la, dɔlékuia ate ŋu asẽ eye wòazu abi, si ate ŋu ade ame ƒe agbe afɔku me.
- Gbugbɔgadzɔ le atikewɔwɔ vɔ megbe gɔ̃ hã: Ɣeaɖewoɣi la, le amekoko megbe gɔ̃ hã la, mɔnukpɔkpɔ sue aɖe nɔa anyi be fistula sia nagadzɔ ake.
- Susu kple hadomekuxiwo: Aɖuɖɔɖɔɖɔ enuenu kple gbɔgbɔtsixe ate ŋu ana wòasesẽ na wò be nàde ha kple amewo, ade wɔnawo, alo anɔ ƒometɔwo gbɔ. Esia ate ŋu ana ame nalé blanui eye wòaɖe eɖokui ɖe aga le hadome.
Ne èle nuteɖeamedzi sem le nɔnɔme sia ta la, mègahe ɖe megbe le nuƒoƒo na ɖɔkta alo susumedɔdala aɖe tso eŋu o. Ele vevie ŋutɔ.
Aleke ɖɔkta awɔ ake ɖe esia ŋu?
Ne èyi ɖɔkta gbɔ la, woabia wò gbã tso wò dzesiwo, amekoko siwo nèwɔ va yi, kple vidzidzi ŋutinya ŋu. Emegbe woawɔ ŋutilãmedɔ kple akɔta dodokpɔ. Be ɖɔktaa naɖo kpe esia dzi ahawɔ ɖoɖo ɖe amekokoa ŋu la, atso nya me be yeawɔ dodokpɔ tɔxɛ aɖewo.
| Dodokpɔ | Nusi dzɔna ko |
|---|---|
| Amadede Dodokpɔ | Ðɔktaa ade amadede blɔ wò tsinyegoe me eye wòabia tso asiwò be nàde tampon wò vidzidɔ me. Ne tampon la trɔ zu blɔ le ɣeyiɣi aɖe megbe la, efia be aɖuɖɔ le dodom tso wò tsinyegoe me yi ɖe wò nyɔnu ƒe vidzidɔ me, si fia be VVF le ŋuwò. |
| Cystoscopy ƒe dɔwɔwɔ | Le esia me la, wotsɔa mɔ̃ tsɛ aɖe si me fotoɖemɔ̃ le la dea tsinyegoea ŋu be woakpɔ tsinyegoea ƒe eme kple afisi tututu fistula la ƒe ʋuʋu le. |
| CT ƒe Aɖuɖɔtoemedɔdamɔnu | Esia nye CT-dɔdamɔnu tɔxɛ aɖe. Wodoa amadede si to vovo na wo nɔewo ɖe ŋutilãa me eye woɖea aɖuɖɔtoe (ayiku, tsinyegoe) ƒe nɔnɔmetata tsitotsito. |
| Dodokpɔ bubuwo | Ɣeaɖewoɣi la, woate ŋu awɔ MRI scan alo speculum dodokpɔ le atike si naa alɔ̃dɔdɔ ame me. |
Nukawoe nye atike siwo wozãna na esia?
Atikewɔwɔ vevitɔ si kpɔa dzidzedze wue nye amekoko . Wozãa amekoko tsɔ xea doa.
Fistula sue aɖe ŋutɔ si wowɔ yeyee ate ŋu ada le eɖokui si ɣeaɖewoɣi amekoko manɔmee, to Foley-ka si wotsɔna tsia tsinyegoea me léle ɖe teƒea kwasiɖa ʋɛ aɖewo eye wònana tsinyegoea nagbɔ ɖe eme. Ke hã, esia mebɔ kura o.
Ehiã be woawɔ dɔ na ame geɖe. Woate ŋu awɔ amekoko sia to vidzidɔ me alo to lãɖeɖe le ƒodo me (to dɔgboa me) . Ɣeaɖewoɣi la, woate ŋu azã safui ƒe do, abe laparoscopy ene. Wò amekola adzro amekoko si nyo na wò me kpli wò.
Le amekoko vɔ megbe la, ahiã be nàde aɖuɖɔtoe me kwasiɖa eve va ɖo etɔ̃. Esia nye be woana amekokoƒea nakpɔ ɣeyiɣi ahaya nyaƒoɖeamenu aɖeke manɔmee. Le ɣeyiɣi ma megbe la, ɖɔktaa aɖe catheter la ɖa ne ekpɔe ɖa be fistula la haya nyuie hã.
Ɣeyiɣi didi kae wòxɔna hafi wòhayana le amekoko vɔ megbe?
Exɔa abe kwasiɖa 6 va ɖo 8 ene hafi wòhayana keŋkeŋ le VVF dɔwɔwɔ vɔ megbe.Ele vevie ŋutɔ be nàwɔ ɖe wò ɖɔkta ƒe mɔfiamewo dzi nyuie le ɣeyiɣi sia me. Zi geɖe la, woaɖo aɖaŋu na wò be nàƒo asa na nusiwo gbɔna le ɣeyiɣi sia me:
- Gbɔdɔdɔ: Ele be nàƒo asa na gbɔdɔdɔ vaseɖe esime amekokoa ƒe teƒea nahaya keŋkeŋ.
- Kpekpeme kɔkɔ: Ƒo asa na nu kpekpewo kɔklɔ kple kamedede sesẽ.
- Dɔ siwo tea ɖeɖi ame ŋu: Ele vevie be míaƒo asa na nusianu si ana ŋutilãa nase le eɖokui me be ɖeɖi te ye ŋu la wɔwɔ.
Gbɔɖeme alea akpe ɖe amekokoa ƒe abi ŋu ŋutɔ be wòahaya nyuie eye wòaxe mɔ ɖe kuxi bubuwo nu.
Le kɔdzi bibi siwo wɔa amekoko sia ƒomevi enuenu me la, ame 85-95 le 100 ɖesiaɖe me hayana keŋkeŋ le amekoko gbãtɔ megbe. Esia fia be aɖuɖɔ ƒe sisi nu tsona keŋkeŋ. Ðewohĩ ahiã be woawɔ dɔ na ame aɖewo zi evelia. Enɔ te ɖe nusiwo nye fistula ƒe lolome, afisi wòle, kple wò lãmesẽ bliboa dzi.
Gbedasi si Wotsɔ Yi Aƒeme
- Vesicovaginal fistula (VVF) nye ʋuʋu si mesɔ o si le wò tsinyegoe kple vidzidɔ dome, si ate ŋu ana nàdo aɖuɖɔ to wò nyɔnu ƒe vidzidɔ me evɔ màte ŋu aɖu edzi o.
- Menye wò vodadae nye esia o . Nɔnɔme sia ate ŋu ado mo ɖa le susuwo abe amekoko abe vidzidɔ ɖeɖeɖa alo vidzidzi sesẽ ene ta.
- Esia menye nusi ŋu wòle be ŋu nakpe le ahakpe fu le o. Atikewɔwɔ siwo wɔa dɔ ŋutɔ li na esia . Atikewɔwɔ vevitɔe nye be woatu doa to amekoko me.
- Ne dzesi siawo le ŋuwò la, mègavɔ̃ alo nàhe ɖe megbe le ɖɔkta gbɔ yiyi enumake o . Zi alesi nèdze atikewɔwɔ gɔme kaba la, zi nenemae emetsonuwo kpɔa dzidzedzee.
- Ne èle nuteɖeamedzi sem le nɔnɔme sia ta la, ele vevie be nàƒo nu tso eŋu na wò ɖɔkta alo susumedɔléle ŋuti aɖaŋuɖola. Menye wò ɖeka koe o.
💬 Comments (0)
Womeɖo nya aɖeke ɖe amewo haɖe o. Tsɔ wò nyaŋuɖoɖo kpe ɖe afisia zi gbãtɔ.
Tsɔ wò nyaŋuɖoɖo kpee