Ðe nèkpɔa aɖuɖɔ si le dodom le ɖokuiwò si hãa? Esia ate ŋu anye Vesicovaginal Fistula ƒe nya!

Ðe nèbiaa ɖokuiwò ɣeaɖewoɣi be, "Nukatae mele aɖuɖɔ ƒom evɔ nyemenya gɔ̃ hã oa?" Ate ŋu aɖe fu na ame ŋutɔ, vevietɔ le amekoko vɔ megbe alo le lãmesẽkuxi bubu aɖe ta? Togbɔ be zi geɖe la, esia nyea kuxi si ŋu kpena eye womate ŋu agblɔe o hã la, ele vevie be nànyae. Menye nya sue aɖe koe esia nye o, ke boŋ enye nɔnɔme si ate ŋu abia be woawɔ atike nɛ.

Nukae nye Vesicovaginal Fistula?

Kpuie ko la, fistula nye ʋuƒo alo do si dona le míaƒe ŋutilã ƒe akpa eve dome, zi geɖe le teƒe eve siwo mele be woatsɔ aƒo ƒui o dome. Bu eŋu abe do aɖe si le gli si ma xɔ eve dome zi ɖeka ene. Susu geɖe ate ŋu anɔ anyi si tae fistula sia ƒomevi dzɔna ɖo. Le kpɔɖeŋu me, ate ŋu atso dɔlékui aɖe, abi aɖe, alo dɔdzẽ aɖe si le ŋutilãa ƒe akpa aɖe gbɔ. Esiawo ate ŋu adzɔ le ŋutilã ƒe akpa vovovowo.

Vesicovaginal fistula, alo VVF kpuie, nye kadodo alo ʋuʋu si mesɔ o si le wò tsinyegoe (kotoku si me aɖuɖɔ ƒoa ƒu ɖo) kple wò vidzidɔ ƒe gli dome. Ele abe ɖe ʋuʋu sue aɖe le wò tsinyegoe kple wò vidzidɔ dome ene. Esia nana aɖuɖɔ si tso wò tsinyegoe me dona to wò vidzidɔ me. Ɣeaɖewoɣi la, ate ŋu anye tsi si le dodom sue aɖe ŋutɔ, si me tsi le. Gake ne aɖuɖɔtoea lolo la, ate ŋu ana aɖuɖɔ nado ɣesiaɣi hã .

Menye atikewɔwɔ me nɔnɔme sesẽ aɖe koe esia nye o, ke ate ŋu ate ɖe ame dzi ŋutɔ hã. Ate ŋu anye nusi me dziɖeleameƒo le, ŋukpe, eye ɣeaɖewoɣi la, ate ŋu aʋẽna ne woɖe aɖuɖɔ. Esia tae ame geɖe medina be yewoaƒo nu tso eŋu o, gake anyo wu be woayi ɖɔkta gbɔ boŋ.

Nukatae esia le dzɔdzɔm? Nukawoe nye susu siwo tae?

Ðewohĩ ànɔ ɖokuiwò biam be, “Nukatae le anyigba dzi nusia dzɔ ɖe dzinye?” Susu vevi geɖewo tae wòle alea ɖo.

• Kuxi siwo dona tso amekoko megbe: Zi geɖe la, vesicovaginal fistula dzɔna abe kuxi si dona le amekoko megbe be woatsɔ ada kuxi aɖe le tsinyegoe alo nyɔnu ƒe vidzidɔ me ene. Le kpɔɖeŋu me, ate ŋu adzɔ le vidzidɔ alo tsinyegoe ƒe dɔwɔwɔ vɔ megbe. Menye ɖe woɖoe koŋ wɔe le amekoko me o, gake ɣeaɖewoɣi la, abi sue aɖe tsia ŋutinu eveawo dome eye mehayana o eye ate ŋu atrɔ azu fistula. Bu eŋu abe aɖatsi sue aɖe si le awu me si va lolona evɔ mèkpɔe dze sii o ene.

• Nyɔnuwo ƒe Kansa ƒe Nɔnɔmewo: Nɔnɔme sia ate ŋu atso nyɔnuwo ƒe kansa aɖewo hã gbɔ. Kansa la ŋutɔ ate ŋu ana lãmeka siwo le teƒe ma nagbɔdzɔ eye wòana fistula nadzɔ, alo dɔdzẽa dada, abe keklẽŋusẽdɔdamɔnu ene, ate ŋu ahe nɔnɔme sia vɛ.Esia ate ŋu adzɔ hã abe amekoko ƒe nugbegblẽ le ame ŋu ene.

• Kuxi siwo dona le vidzidzi me (vevietɔ le dukɔ madeŋgɔwo me): Togbɔ be nɔnɔme sia mebɔ kura fifia le Sri Lanka o hã la, le xexeame ƒe akpa aɖewo, vevietɔ ne vidzidzi didi alo ne kuxi aɖewo do mo ɖa le vidzidzi me la, VVF ate ŋu adzɔ le nyaƒoɖeamenu si le tsinyegoe kple nyɔnu ƒe vidzidɔ dome ta, si agblẽ nu le lãmekawo ŋu. Esia do ƒome kple nɔnɔme aɖe si woyɔna be ‘Obstructed labor’ .

• Aɖuɖɔtoedɔléle enuenu alo sesẽ: Esia nye nusi mebɔ o. Gake tsinyegoe me dɔlékui sesẽ siwo nɔa anyi ɖaa, siwo womekpɔna o (UTIs) ate ŋu ana tsinyegoe ƒe gli nagbɔdzɔ ɣeaɖewoɣi eye wòana tsinyegoe ƒe ʋuʋu nadze ame dzi. Ke hã, esia menye nusi gbɔ wòtsona zi geɖe o.

Aleke ɖɔktawo wɔna kpɔa esia?

Zi geɖe la, fistula ƒe dzesiwo dzena le amekoko vɔ megbe ŋkeke ʋɛ aɖewo. Nu vevitɔ si dɔnɔa gblɔna enye be, "Ðɔkta, aɖuɖɔ geɖe le dodom nyitsɔ laa."

Ne èyi ɖɔkta gbɔ la, nu gbãtɔ si wòwɔnae nye be nàɖo to nya si nàgblɔ nyuie eye emegbe wòado nutoa me kpɔ nyuie. Eyae nye be wotoa nyɔnu ƒe vidzidɔa me heléa ŋku ɖe ʋuʋu aɖeke ŋu abe esia ene hã.

Le ema megbe la, woate ŋu abia tso asiwò be nàwɔ dodokpɔ aɖewo atsɔ aɖo kpe nɔnɔmea dzi geɖe wu eye nànya afisi tututu fistula la le kple afisi wòle.

• Dodokpɔwo kple amadede tɔxɛ aɖe: Ɣeaɖewoɣi la, wotsɔa mɔ̃ aɖe dea tsinyegoea me eye wotsɔa tsi (amadede) si le amadede me toa eme be woakpɔe ɖa be amadedea do tso nyɔnu ƒe vidzidɔa me hã. Ne ewɔe la, efia be fistula aɖe li.
• X-ray alo CT Scan: Woate ŋu abia tso asiwò be nàwɔ wò akɔta ƒe X-ray alo CT scan (Computed Tomography scan). CT-dɔdamɔnu ate ŋu abia be woado amadede tɔxɛ aɖe si woyɔna be contrast ɖe ʋuka me alo ɖe tsinyegoe me. Esia aɖe afisi tututu lãmeka si ŋu kuxia le kple fistula la le afia.
• Cystoscopy: Ðɔkta ate ŋu atsɔ mɔ̃ sue aɖe si me fotoɖemɔ̃ le (si woyɔna be cystoscope) ato tsinyegoea me ayi tsinyegoea me be wòakpɔ eme, abe afisi fistula la le kple eƒe lolome ene.

Le dodokpɔ siawo megbe la, ɖɔkta ate ŋu agblɔ nɔnɔme si tututu le ŋuwò kple nusi wòle be woawɔ tso eŋu na wò.

Nukawoe nye atike siwo wozãna na esia?

Nya nyuiae nye be atike nyuiwo li na dɔléle sia si woyɔna be Vesicovaginal Fistula. Mɔ ɖeka kolia si dzi woato aɖɔ fistula sia ɖoe nye be woawɔ dɔ nɛ atsɔ axe mɔ si womedi o la. Womate ŋu adae kple atike bubuwo ɖeɖeko o.

Ɣeaɖewoɣi la, ehiãna be woawɔ dɔ bubuwo atsɔ aɖɔ kuxi gbãtɔ si he fistula la vɛ, abe tsinyegoe ƒe gbegblẽ ene.

Ðe amekokoa kpɔ dzidzedzea?

Zi geɖe la, amekoko be woatsɔ adzra vesicovaginal fistula ɖo la kpɔa dzidzedze ŋutɔ. Gake le amesi ŋu fistula le le dɔléle aɖe abe kansa ene ta gome la, ɖewohĩ emetsonuwo manyo abe ame bubuwo ene o. Enɔ te ɖe nusiwo nye kansa ƒomevi kple alesi wòwɔa nu ɖe ​​atikewɔwɔ ŋu nyuie dzi.

Le amekoko vɔ megbe la, ahiã be nàde ka si me abi le kwasiɖa ʋɛ aɖewo esime abi la le hayahayam. Esia nye mɔ̃ sue aɖe si ɖea aɖuɖɔ le wò tsinyegoe me. Esia wɔnɛ be aɖuɖɔ dona le wò tsinyegoea me evɔ mehea nyaƒoɖeamenu alo vevesese aɖeke vɛ na teƒe yeye si wotso o, eye wòkpena ɖe abi la ŋu wòhayana kabakaba. Eɖea dzi ɖi vie, gake ele vevie be wòahaya kaba. Wò ɖɔkta agblɔ ɣeyiɣi didi si wòle be nàna wòanɔ teƒea na wò.

Nu vevitɔe nye be ne dzesi siawo le ŋuwò la, mègakpe ŋu alo navɔ̃ o, eye nàyi ɖɔkta bibi gbɔ kaba ale si nàte ŋui. Emegbe woate ŋu ade dzesi kuxia kaba eye woadze atikewɔwɔ si hiã la gɔme.

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

Nu aɖewo siwo wòle be wòanɔ susu me na wòe nye esi:

• Vesicovaginal fistula nye kadodo si mesɔ o si le tsinyegoe kple nyɔnu ƒe vidzidɔ dome, si ate ŋu ana aɖuɖɔ nado to nyɔnu ƒe vidzidɔa me.
• Nusi koŋ gbɔ esia tsoe nye kuxi siwo dona tso akɔta ƒe dɔwɔwɔ vɔ megbe. Kansa ƒe nɔnɔmewo kple keklẽŋusẽdɔdamɔnu hã ate ŋu anye nusiwo gbɔ wòtso.
• Ne dzesiwo abe aɖuɖɔtoe si melɔ̃na o, tsidzadza enuenu, kple ʋeʋẽ lilili ene le ŋuwò la, kpɔ egbɔ be yeyi ɖɔkta gbɔ.
• Woate ŋu ada nɔnɔme sia keŋkeŋ to amekoko me, eyata mègatsi dzi o.
• Ele vevie ŋutɔ be nàwɔ ɖe ɖɔkta ƒe mɔfiamewo dzi pɛpɛpɛ be wòahaya kaba.

Mele mɔ kpɔm be nyatakaka sia akpe ɖe ŋuwò. Ðo ŋku edzi be wò agbanɔamedzie wònye be nàlé be na wò lãmesẽ.

` Vesicovaginal Fistula, Aɖuɖɔtoe, Vidzidɔ, Tsinyegoe, Nyɔnuwo ƒe Lãmesẽ, Amekoko, Fistula, VVF, Aɖuɖɔtoe