Yala gɛlɛyaw bɛ aw kɔnɔbara la walima aw banakɔtaa la wa? An ka kuma kɔnɔboli dɔgɔtɔrɔ dɔ kan!

Tuma dɔw la, kɔnɔboli suguya caman bɛ an sɔrɔ. Kɔnɔdimi, an bɛ funu, an bɛ kɛ i n’a fɔ an tɛ se ka dumuni sɔgɔ... A bɛ mɔgɔ dimi tiɲɛ na ni nin ɲɔgɔnna kow bɛ to ka kɛ, tiɲɛ tɛ? O la, yala i b’a dɔn ko dɔgɔtɔrɔ dɔ bɛ yen min ka baara ɲɛsinnen bɛ banaw ma minnu bɛ tali kɛ dumunikɛminɛnw na wa? o dɔgɔtɔrɔ in bɛ wele ko kɔnɔboli furakɛla . An ka kuma o kan ka ɲɛ bi.

Jɔn ye kɔnɔboli furakɛla ye?

N’an y’a fɔ cogo nɔgɔman na, kɔnɔbolikɛla ye dɔgɔtɔrɔ ye min ka baara ɲɛsinnen bɛ i ka dumunikɛminɛnw banaw ma – o kɔrɔ ye ko farikolo yɔrɔw bɛɛ minnu bɛ dumunikɛcogo la. U bɛ fɔlɔ ka u yɛrɛ dege i n’a fɔ dɔgɔtɔrɔ bɛɛ. San saba ɲɔgɔn furakɛli kalan kɔfɛ, u bɛ dɔnniya sɔrɔ bana suguya bɛɛ furakɛli la. O kɔfɛ, walasa ka kɛ kɔnɔboli dɔgɔtɔrɔ ye, u ka kan ka kalan kɛ kɛrɛnkɛrɛnnenya la san saba wɛrɛ kɔnɔ. A laban na, u bɛ seere kɛrɛnkɛrɛnnen dɔ sɔrɔ. O de b’a Fɔ k’u ye dumunikɛminɛnw ka banaw kɛrɛnkɛrɛnnenw ye . Ani fana, setigi kɛrɛnkɛrɛnnenw b’u bolo walasa ka sɛgɛsɛgɛliw ni furakɛli dɔw kɛ, dɔgɔtɔrɔw bɛɛ tɛ minnu kɛ, ani ka o sɛgɛsɛgɛliw ni furakɛliw jaabiw faamuya.

Yala dɔgɔtɔrɔ kɛrɛnkɛrɛnnen dɔ bɛ denmisɛn fitiniw ka dumunikɛcogo la wa? (Denmisɛnw ka kɔnɔboli furakɛla) .

Ɔwɔ, u bɛ yen tiɲɛ na. An b’u wele ko `(Denmisɛnw ka kɔnɔboli dɔgɔtɔrɔ)`. O dɔgɔtɔrɔw bɛ dege fɔlɔ i n’a fɔ `(Denmisɛnw ka dɔgɔtɔrɔ)`. O kɔfɛ, u bɛ san saba ɲɔgɔn dege kɛrɛnkɛrɛnnen sɔrɔ dumunikɛcogo la. U bɛ u sinsin kosɛbɛ denmisɛnw, denmisɛnninw ani denmisɛnnin fitininw ka dumunikɛcogo ni u sugunɛ banaw kan . U b’u janto kɛrɛnkɛrɛnnenya la denmisɛnw ka balodɛsɛ la . O mɔgɔw dege kɛrɛnkɛrɛnnenya la walasa ka denmisɛnw ka bana taamasiɲɛw dɔn ani ka u farikolo fitiniw kɔnɔna sɛgɛsɛgɛ.

Kɔnɔbarako dɔgɔtɔrɔ bɛ a sinsin farikolo yɔrɔ jumɛnw kan?

Ni aw ye nin tɔgɔ in mɛn – (Gastroenterologist) – ‘Gastro’ kɔrɔ ye kɔnɔbara , ‘entero’ kɔrɔ ye banakɔtaa ye . ‘dɔnkilidala’ kɔrɔ ye kɛrɛnkɛrɛnnenya la. O la, kɛrɛnkɛrɛnnenya la kɔnɔbara ni banakɔtaa. Nka, an ka dumunikɛcogo ka bon kosɛbɛ ka tɛmɛ o kan.

Aw ye miiri a la, nin sigida in bɛ daminɛ da la yɛrɛ n’an bɛ dumuni kɛ.

O kɔ fɛ , dawolo, dumunikɛminɛn, kɔnɔbara , banakɔtaa fitini ani banakɔtaa belebele bɛ a ta ye.

O dɔrɔn tɛ, nka farikolo yɔrɔ minnu bɛ bile ni dumunikɛminɛnw dilan minnu bɛ dumuni toli dɛmɛ , olu fana sen bɛ o la. U ye:

• Biɲɛ
• Gallbladder (sugunɛbilenni bɛ lajɛ ka mara yɔrɔ min na) .
• Pankreyasi (pankreyasi).
• Bile ducts (tubabukan minnu bɛ bile ta) .

o la kɔnɔboli dɔgɔtɔrɔ bɛ banaw ɲini minnu bɛ sɔrɔ nin farikolo yɔrɔ ninnu bɛɛ la .

Mun na an ka kan ka taa kɔnɔboli furakɛla dɔ fɛ?

Ɲininkali ɲuman. Laala dumunikɛcogo taamasiɲɛw bɛ aw la (misali la, kɔnɔdimi, kɔnɔboli, kɔnɔboli), nka aw ka denbaya dɔgɔtɔrɔ basigilen tɛ se k’a dɔn, walima u bɛ fura minnu di aw ma, olu tɛ se ka kɛ. O cogo la, a ka ɲi ka taa dɔgɔtɔrɔ kɛrɛnkɛrɛnnen dɔ fɛ.

Walima, ni aw b’a dɔn kaban ko dumunikɛbaliya jugumanba dɔ bɛ aw la (i n’a fɔ IBD), a ka fisa aw ka taa dɔgɔtɔrɔ kɛrɛnkɛrɛnnen dɔ fɛ walasa ka fura ɲuman sɔrɔ a la.

Ikomi o dɔgɔtɔrɔ kɛrɛnkɛrɛnnenw bɛ to ka ɲinini kɛ, ka ɲinini kɛ, ka bana suguya ninnu sɛgɛsɛgɛ, u bɛ se ka bana in sɛgɛsɛgɛ ka ɲɛ ani ka teliya, ani ka a furakɛ ni gɛlɛya caman ye

Banakisɛfagalan bɛ bana kunbaba jumɛnw furakɛ?

Bana caman bɛ yen . An ka a kunba dɔw lajɛ.

Kɔnɔbara basigilen banaw : 1 .

• Banakɔtaa jugumanba (IBS), o ye bana ye min bɛ kɔnɔboli walima kɔnɔboli bila mɔgɔ la tuma caman
• Banakɔtaa funu (IBD) (o la, Crohn ka bana ni Ulcerative Colitis bɛ o la) .
• Celiac disease , o ye faritanabana ye min bɛ sɔrɔ farikolojɔli dumuni na min bɛ sɔrɔ malomugu la
• Banakisɛ fitiniw ka caya kojugu (SIBO) .
• Dumuni faritanabana ni dumuni suguya caman muɲunbaliya
• Kɔnɔbara basigilenw
• Diverticulitis ( foroko misɛnniw minnu bɛ kɛ banakɔtaa la ka sɔrɔ ka bana sɔrɔ ) .
• Apendisiti (a ka ca a la o bɛ opereli de wajibiya) .
• Kɔnɔnatumu misɛnniw bɛ wele ko ``Colorectal polyps`` (a nafa ka bon ka ninnu bɔ barisa u bɛ se ka wuli ka kɛ kansɛri ye) .
• Ɲɛgɛnɛsiraw

Dumunikɛminɛnw ka banaw:

• Munumunu gɛlɛyaw
• Gastroesophageal Reflux Disease (GERD) ye bana ye min bɛ sɔrɔ kɔnɔbara asidi ka wuli ka don dumunikɛminɛn kɔnɔ (an b’o wele fana ko asidi kɔsegin).
• Esophagitis (Dɔgɔtɔgɔninjɛ).
• Hiatal hernias ( kɔnɔbara yɔrɔ dɔ min bɛ bɔ disi la ) .

Sugunɛbanaw: 1 .

• Sugunɛbilenni banakisɛ fɛ (misali la sugunɛbilenni B, C) .
• Sugunɛ tiɲɛni ka a sababu kɛ bagaw ye (Sugunɛbilenni toxic) .
• Sugunɛbana tuluma
• Cirrhose ( sugunɛ gɛlɛyali ) .

Pankreyasi, biliaire ani gallblade banaw:

• Galo kabakurunw
• Kɔnɔboli
• Pankreyasi banakisɛ

Aw ka kan ka taamasiɲɛ jumɛnw fɔ kɔnɔboli dɔgɔtɔrɔ dɔ ye?

Ni nin taamasiɲɛ ninnu dɔ bɛ aw la, a nafa ka bon kosɛbɛ aw ka a fɔ dɔgɔtɔrɔ kɛrɛnkɛrɛnnen dɔ ye:

• Kɔnɔdimi
• Kɔnɔbara bɛ funu
• Dumunikɛbaliya gɛlɛyaw, dumunikɛbaliya
• Gazi ni gazi dimi
• Dusukunnata ni fɔɔnɔ
• Joli bɔli ɲɛgɛnɛsira la (o bɛ se ka kɛ bilen walima nɛrɛmuguma ye) .
• Kɔnɔboli (banakɔtaa min bɛ to ka bɔ mɔgɔ la) .
• Kɔnɔboli walima sɔgɔsɔgɔninjɛ gɛlɛya
• Kisɛya dɔgɔyali walima farikolo girinya dɔgɔyali min ɲɛfɔlen tɛ
• Dusukunnabana (i n’a fɔ GERD) .
• Fari ni ɲɛw jɛman (Jaundice) .

Gastroenterologist bɛ mun kɛ?

Fɔlɔ, dɔgɔtɔrɔ bɛna i farikolo sɛgɛsɛgɛ . U bɛna aw kɔnɔbara digidigi, ka lamɛnni kɛ ni tubabufura ye, wa u bɛ se ka bolokɔni dɔ yɛrɛ don aw kɔnɔbara la (sɛgɛsɛgɛli digitɛri kɔnɔbara la).

O kɔfɛ, u bɛ se ka yamaruya di joli sɛgɛsɛgɛli ma , banakɔtaa sɛgɛsɛgɛli , walima kɛnɛma ja sɛgɛsɛgɛli i n’a fɔ X-ray walasa ka kunnafoni wɛrɛw sɔrɔ.

Nka, ni nin sɛgɛsɛgɛli ninnu dɔrɔn tɛ se ka bana in sɛgɛsɛgɛ ka ɲɛ, kɔnɔboli dɔgɔtɔrɔw dege kɛrɛnkɛrɛnnenya la ka endoskopi fɛɛrɛw kɛ.

Endoskopi ye mun ye?

N’an y’a fɔ cogo nɔgɔman na, o ye ka tubabukan jan dɔ don, min ka fin, min bɛ se ka wuli, (a bɛ fɔ o ma ko endoskopu) ni kamera sirilen don farikolo la, ka kɔnɔna yɔrɔw lajɛ k’a ɲɛsin a ma. O bɛ se ka kunnafoni caman di.

Endoskopi sɛgɛsɛgɛli suguya kunbaba caman bɛ yen:

• Sanfɛla endoskopi (EGD): O ye ka dumunikɛminɛn, kɔnɔbara, ani banakɔtaa fitini yɔrɔ fɔlɔ (duodenum) sɛgɛsɛgɛ ni tubabufura ye min bɛ don da kɔnɔ.
• Banakɔtaa fitini (`Enteroscopy`): O bɛ kɛ ka banakɔtaa fitini bɛɛ lajɛ.
• Kolonkɔni: Mɔgɔ caman ye o ko mɛn. Tubabufura dɔ bɛ don kɔnɔbara la ka banakɔtaa belebele (kolon) bɛɛ lajɛ.
• Endoskopi ultrasound : Ultrason masin yɔrɔ fitinin dɔ bɛ siri endoskopi laban na ani ka kɔnɔnafɛnw (kɛrɛnkɛrɛnnenya la, galo ni kɔnɔbara) farikolo yɔrɔ jugumanw sɛgɛsɛgɛ.
• ERCP (Endoscopic Retrograde Cholangiopancreatography): Nin ye sɛgɛsɛgɛli ye min ka gɛlɛn dɔɔni. A bɛ kɛ i n’a fɔ sanfɛla endoskopi, ka fɛn kɛrɛnkɛrɛnnen dɔ don joli siraw ni kɔnɔboli siraw la ka sɔrɔ ka X-ray ta.
• Polypectomy : Kɔnɔbara walima banakɔtaa falenfɛn misɛnniw (polyps) bɔli endoskopi kɛtuma na.

Endoskopi sɛgɛsɛgɛliw tɛ dɛmɛ dɔrɔn ka bana in dɔn tigitigi, nka nafa wɛrɛw fana b’u la. Dɔgɔtɔrɔ bɛ se ka minɛn misɛnniw tɛmɛ endoskopu fɛ ka farikolo yɔrɔw ta (biopsies) ka u bila laboratuwari la. u bɛ se ka furakɛli misɛnninw fana kɛ . Misali la, u bɛ se ka yɔrɔ datugulen dɔ bonya, ka joli bɔli dabila, walima ka kuru misɛnniw bɔ sani opereli ka kɛ. Tuma caman na, u bɛ se ka kɛ o yɔrɔnin bɛɛ la.

Yala kɔnɔboli dɔgɔtɔrɔw fana bɛ kansɛri furakɛ wa?

Ɔwɔ, a ka ca a la, kɔnɔboli dɔgɔtɔrɔ de bɛ kansɛri sɔrɔ fɔlɔ dumunikɛminɛnw na (i n’a fɔ kɔnɔbara, banakɔtaa, dumunikɛminɛn, sugunɛ, kɔnɔbara, galo). U bɛ se ka endoskopi ni biyopisi kɛ ka kansɛri falenfɛnw sɔrɔ ani ka fɛnw ta walasa ka bana sɛgɛsɛgɛli dafa.

Ni kansɛri sɛgɛsɛgɛra, endoskopi sɛgɛsɛgɛli wɛrɛw bɛ se ka kɛ walasa ka a dɔn a jɛnsɛnna fo yɔrɔ min (o bɛ wele ko `staging`).

Tuma dɔw la, kɔnɔboli dɔgɔtɔrɔw bɛ se ka kansɛri suguya dɔw bɔ endoskopu (dissecting) fɛ walima k’u tiɲɛ ni laser ye.

Kansɛri suguya minnu bɛ u ni ɲɔgɔn cɛ kosɛbɛ olu ye:

• Kɔnɔbara kansɛri
• Kolotuguda kansɛri
• Kansɛri min bɛ sɔrɔ dumunikɛminɛn kɔnɔ
• Sugunɛ kansɛri
• Pankreyasi kansɛri
• Kansɛri min bɛ sɔrɔ ɲɛgɛnɛsira la
• Kansɛri min bɛ kɛ ka joli siraw la

O dɔrɔn tɛ, nka kansɛri suguya wɛrɛ bɛ mɔgɔ min na, o tigi fana mago bɛ se ka kɛ kɔnɔboli dɔgɔtɔrɔ ka dɛmɛ na walasa k’a dɔn ni kansɛri jɛnsɛnna dumunikɛminɛnw na, walima ka kansɛri furakɛli kɔlɔlɔw ɲɛnabɔ (misali la, `(Chimiothérapie)`, `(Radiation therapy)`) minnu bɛ nɔ bila dumunikɛcogo la (misali la, da/banakɔtaa ŋɛɲɛ `(Mucositis)`, `(Radiation kɔnɔboli)`, kɔnɔboli, fɔɔnɔ, kɔnɔboli, kɔnɔboli, balodɛsɛ).

Danfara jumɛn bɛ kɔnɔboli-bana-dɔgɔtɔrɔ ni kɔnɔboli-dɔgɔtɔrɔ cɛ?

Ɲininkali ɲuman. ``Proctologist'' daɲɛ man teli ka fɔ nin donw in na. O nɔ na, ​​``kolonɔbila operelikɛla '' daɲɛ bɛ mɛn ka caya.

N'an y'a fɔ cogo nɔgɔman na, ``Proctologist'' walima ``Colorectal surgeon'' ye operelikɛlaw ye . U dege kɛrɛnkɛrɛnnenya la walasa ka opereli kɛ kolotuguda, kɔnɔbara ani kɔnɔbara banaw kan. U bɛ san duuru ɲɔgɔn kɛ opereli bɛɛ lajɛlen na dɔgɔtɔrɔso kalan kɔfɛ, o kɔfɛ, u bɛ kalan kɛrɛnkɛrɛnnen sɔrɔ kolotuguda yɔrɔ la.

Nka, kɔnɔboli furakɛla ye dɔgɔtɔrɔso kɛrɛnkɛrɛnnen ye, a tɛ operelikɛla ye . A ka baara kunba ye ka banaw sɛgɛsɛgɛ, k’u furakɛ ni fura ye, ka sɛgɛsɛgɛliw kɛ i n’a fɔ endoskopi.

Kɔnɔboli dɔgɔtɔrɔ bɛ se k’a fɔ aw ye ni aw mago bɛ opereli la walima ni aw mago tɛ opereli la. Nka a tɛ opereli kɛ. A bɛ aw bila kolotuguda operelikɛla dɔ fɛ. O de ye danfaraba ye.

A laban na, fɛn minnu ka kan ka to an hakili la (Take-Home Message) .

An ka dumunikɛminɛnw ye farikolo yɔrɔw ye minnu ka gɛlɛn, minnu ni ɲɔgɔn cɛsirilen don. O ye wale ye min bɛ kɛ tuma bɛɛ, an bɛ dumuni minnu dun, an bɛ olu tiɲɛ, ka balofɛnw minɛ an mago bɛ minnu na, ani ka fɛnɲɛnamafagalanw gɛn. O la, ni fɛn dɔ ma ɲɛ nin sigida in na, an farikolo bɛna o dusu sɔrɔ.

Kɔnɔdimi ni dumunikɛbaliya ka ca kosɛbɛ. Nka a man nɔgɔn k’a dɔn tigitigi min bɛ u sababuya. O waati de la aw mago bɛ dɔgɔtɔrɔ kɛrɛnkɛrɛnnen dɔ ka dɛmɛ na. Kɔnɔbarako dɔgɔtɔrɔ bɛ se ka nin farikolo yɔrɔ ninnu bɛɛ bɛ baara kɛ ɲɔgɔn fɛ cogo min na, a bɛ se k’o dɔn tigitigi min bɛ aw ka dumunikɛminɛnw na, ka furakɛli kɛ aw mago bɛ min na.

O la, ni kɔnɔdimi basigilen bɛ aw la walima ni dumunikɛcogo gɛlɛyaw bɛ aw la, aw kana siran ka taa kɔnɔboli dɔgɔtɔrɔ dɔ fɛ. A bɛ se ka lafiyaba di i ma.

` Dumunikɛcogo, kɔnɔboli, kɔnɔbaralabanaw, endoskopi, kolosinsinnan, sugunɛ, kɔnɔbara