Yala aw delila k’a kɔlɔsi ko aw ka sugunɛ kulɛri jiginna wa? Laala a ɲɛ ye pinki-bilen ye... Walima i b’a miiri ko i ka kan ka to ka koli kɛ, nka a bɛ i n’a fɔ i tɛ se wa? Hali ni a ka c’a la, an t’an janto o fɛnw na, tuma dɔw la, u bɛ se ka kɛ taamasiɲɛ nafamaw ye, an farikolo bɛ minnu di an ma. O ye o barokun nafama dɔ ye, sugunɛbilenni kansɛri, an bɛna kuma min kan bi. Aw kana siran, min nafa ka bon kosɛbɛ, o ye ka aw janto nin ko in na.
N’an y’a fɔ cogo nɔgɔman na, sugunɛbaralabana kansɛri ye mun ye?
Sugunɛbilenni ye kansɛri suguya ye min man teli ka sɔrɔ. A bɛ daminɛ farikolokisɛw la minnu bɛ an ka sugunɛ kɔnɔna lamini. Aw bɛ miiri aw ka sugunɛ na i n’a fɔ farikolo yɔrɔ fitinin min bɛ i n’a fɔ bɔrɔ , o bɛ aw ka sugunɛ lajɛ ani k’a mara . Nin kansɛri in furakɛcogo caman bɛ yen, opereli bɛ kɛ ka kansɛri banakisɛw bɔ.
Nka min nafa ka bon kosɛbɛ aw hakili la, o ye ko sugunɛbilenni kansɛri bɛ se ka segin a kan furakɛli kɔfɛ. O la, a nafa ka bon nin bana in bɛ mɔgɔ min na, o ka to ka kuma a ka dɔgɔtɔrɔ fɛ ani ka tugu-tugu ɲɔgɔn kɔ tuma bɛɛ. Ni o dɔnna joona, o kɔrɔ ye ko ni kansɛri furakɛra sani a ka jɛnsɛn farikolo yɔrɔ wɛrɛw la, ɲɛtaa bɛ se ka sɔrɔ. Nka hali ni a furakɛra a daminɛ na, a bɛ se ka segin a kan 75%. O la, a nafa ka bon kosɛbɛ ka an janto an yɛrɛ la.
O bana bɛ nɔ bila an farikolo la cogo di?
Aw ka sugunɛ bɛ sɔrɔ aw kɔkolo kolow ni ɲɔgɔn cɛ, aw ka sugunɛw duguma. Sugunɛ min bɛ bɔ aw ka sugunɛ na, o bɛ lajɛ sugunɛ in na. A kɔnɔna bɛ lamini ni fɛn kɛrɛnkɛrɛnnen dɔ ye min bɛ wele ko urothélium. Nin ɲɛgɛnɛsira in kɔnɔ, farikolokisɛw bɛ se ka wuli ni sugunɛ falen don sugunɛ na, ka segin ka u yɛrɛ sɔgɔsɔgɔ ni a lankolon don. A bɛ i n’a fɔ lastikuw. A ka ca a la, a bɛ se ka sugunɛ taji 2 ɲɔgɔn minɛ.
Sugunɛ kansɛri bɛ sɔrɔ ni sugunɛbaralabana (urothélium) kɔnɔ farikolokisɛ dɔw ye fɛn caman sɛmɛntiya ani ka daminɛ ka tila cogo la min tɛ bɛn ani ka a kunbɛn. O farikolokisɛw bɛ bonya ɲɔgɔn fɛ ka kɛ kuruw ye. Ni o kansɛribana ma furakɛ, u bɛ se ka jɛnsɛn sugunɛ kogow fɛ ka taa ɲɛgɛnɛsira kɛrɛfɛ ani ka bɔ yen ka taa farikolo yɔrɔ wɛrɛw la, i n’a fɔ kolo, fogonfogon walima sugunɛ.
Sugunɛbilenni suguya jumɛnw bɛ yen?
Sugunɛ kansɛri suguya caman bɛ yen. Olu bɛ tila ka kɛɲɛ ni kansɛri bɛ daminɛ selilɛri suguya min na. An ka suguya kunbabaw lajɛ.
| Kansɛri suguya | Ɲɛfɔli nɔgɔman |
|---|---|
| Kansɛri selilɛri tɛmɛnen | Nin ye suguya ye min ka teli ka kɛ (90% ɲɔgɔn). A bɛ daminɛ sugunɛ kɔnɔna kogo tɛmɛsiraw la. A bɛ se ka jɛnsɛn fo ka se sugunɛbara ma. a bɛ fɔ fana ko sugunɛbilenni kansɛri . |
| Kansɛribana min bɛ wele ko cellules squamous cellules | A bɛ daminɛ sɔgɔsɔgɔninjɛw la minnu bɛ sugunɛ kɔnɔna lamini. A ka dɔgɔn dɔɔni (5%) ɲɔgɔn. A ka teli ka sɔrɔ mɔgɔw la minnu ka sugunɛbilenni walima banakisɛw bɛ u la kabini tuma jan . |
| Adenocarcinome (Adenokansɛri) (adenocarcinome). | Nin ye kansɛri suguya dɔ ye min bɛ sɔrɔ ɲɛgɛnɛsiraw la. Nin suguya in, min bɛ daminɛ sugunɛbaralabanaw la, a man ca kosɛbɛ (1%-2%) ɲɔgɔn. |
| Kansɛribana min bɛ sɔrɔ selilɛri misɛnniw na | Nin fana ye kansɛri suguya ye min man ca kosɛbɛ. |
| Sarkoma (Sarcome) bɛ sɔrɔ | Kansɛri suguya min man ca kosɛbɛ, a bɛ daminɛ sugunɛbaralabana farikolo yɔrɔw la. |
Ka fara o kan, dɔgɔtɔrɔw bɛ kansɛri in tila cogo wɛrɛ la, o min bɛ bɔ kansɛri jɛnsɛnna cogo min na.
- A tɛ don a la : O kɔrɔ ye ko kansɛri bɛ dan sugunɛ kɔnɔna kogo sanfɛla la.
- Farikolo-yɔrɔ tɛ min na: Kansɛri donna dɔɔni dɔɔni, nka a ma don farikolo yɔrɔ la.
- Muscle-invasive: O cogo la, kansɛri donna sugunɛbaralabana farikolo yɔrɔ la. N’a sɔrɔ a jɛnsɛnna ka tɛmɛ yen. Nin ye ko ye min ka jugu kosɛbɛ.
Jɔn de ka teli ka nin bana in ye?
Sugunɛbilenni ye mun ye?Kansɛri min ka ca cɛw la, o naaninan. Cɛw ka teli ka a sɔrɔ ka tɛmɛ musow kan siɲɛ naani ɲɔgɔn.
Nka dusukasi ye ko ni musow ye nin bana in sɔrɔ, a ka ca a la a bɛ se ka juguya kosɛbɛ a sɔrɔ waati la. O bɛ kɛ barisa musow tɛ a taamasiɲɛw dɔn kosɛbɛ. Misali la, hali ni joli min bɛ sugunɛ na (joli) ye bana in taamasiɲɛba ye, musow b’a miiri ko a ye musoya gɛlɛya ye (misali la, gɛlɛya min bɛ tali kɛ kalolabɔ la). O kama, u t’u janto o la kosɛbɛ.
A ka ca a la nin kansɛri in bɛ mɔgɔ minɛ minnu si tɛmɛna san 55. Ni bana in sɔrɔla mɔgɔ min na, o si hakɛ bɛ se san 73 ɲɔgɔn ma.
Sugunɛbilenni taamasiɲɛ kunbabaw ye jumɛnw ye?
Nin bana in taamasiɲɛba ni a ka ca a la, o ye joli ye min bɛ kɛ sugunɛ na (jolibana). Nka, aw kana siran k’a miiri ko joli bɛ aw ka sugunɛ na dɔrɔn, o ye kansɛri ye. A bɛ se ka sɔrɔ fana furakɛli bana wɛrɛw fɛ (misali la, sugunɛbilenni, banakisɛw). Nka, ni aw ye joli ye aw ka sugunɛ na kun o kun, aw ka kan ka taa dɔgɔtɔrɔso la joona.
An ka bana taamasiɲɛ tɔw lajɛ.
| Taamaʃyɛn | Cogojirali |
|---|---|
| Joli bɛ sɔrɔ sugunɛ na (Hematuria) . | Sugunɛ bɛ se ka kɛ bilen/pinki ye, a bɛ ye ɲɛkisɛ fɛ. Tuma dɔw la, joli dɔɔni bɛ se ka sɔrɔ min bɛ se ka ye mikroskɔpi dɔrɔn fɛ sugunɛ sɛgɛsɛgɛli waati. |
| Dimi ni koli bɛ kɛ (Disuria) . | Jenini ni dimi ni koli bɛ kɛ. Cɛw fana bɛ se ka dimi sɔrɔ cɛya la. |
| A ka kan ka to ka koli kɛ | A ka kan ka koli kɛ ka tɛmɛ a cogo kɔrɔ kan tile kɔnɔ. |
| Koli gɛlɛya | Sugunɛ bɔli waati ni waati walima dɔɔni dɔɔni. |
| Sugunɛbilenni minnu tɛ furakɛli jaabi | Ni sugunɛbilenni bɛ to sen na hali ni aw bɛ banakisɛfagalanw ta, aw ka kan ka sigasiga. |
Sugunɛbilenni sababuw ni a faratiw ye mun ye?
Hali dɔgɔtɔrɔw tɛ se k’a fɔ tigitigi mun na sugunɛbilenniw bɛ wuli ka kɛ kansɛribanakisɛw ye. Nka, farati caman dɔnna minnu bɛ dɔ fara o farati kan.
- Sigarɛtimin: O de ye faratiba ni faratiba ye. Mɔgɔ min bɛ sigarɛti min, o tigi ka kan ka nin kansɛri sɔrɔ siɲɛ fila ni a tɛ sigarɛti min. Sigarɛti, pibilikiw, ani sisi fɔlɔ fiyɛli fana bɛ dɔ fara farati kan.
- Fiɲɛ bilali : Ni aw ye fiɲɛ bila kɔnɔbara la i n’a fɔ kansɛri wɛrɛ furakɛli, o fana ye farati ye.
- Simifura : Simifura dɔw fana bɛ se ka dɔ fara a farati kan.
- Fura dɔw tali: Mɔgɔ minnu bɛ baara kɛ ni kemikɛlifɛnw ye, kɛrɛnkɛrɛnnenya la minnu bɛ kɛ kalali, lastikuw, wuluwulu, penti, fini dɔw ani kunsigi la, olu farati ka bon.
- Sugunɛbilenni ka teli: Mɔgɔ minnu bɛ tɔɔrɔ ni bana dɔw ye i n’a fɔ sugunɛbilenni ani sugunɛbilenni ka mɛn, farati bɛ olu la ka kansɛri sɔrɔ min bɛ wele ko squamous cell carcinoma.
- Sugunɛbilenni tali kuntaalajan : Sugunɛbilenni bɛ mɔgɔ minnu na ka mɛn kun dɔw la, olu fana bɛ nin farati in sɔrɔ.
Dɔgɔtɔrɔ bɛ o sɛgɛsɛgɛ cogo di? (Sɛgɛsɛgɛli) .
Ni aw taara dɔgɔtɔrɔso la ni bana taamasiɲɛw bɛ a la, a bɛna sɛgɛsɛgɛliw kɛ ka tugu ɲɔgɔn na walasa ka bana in sɛgɛsɛgɛ.
Kɔrɔbɔli minnu bɛ kɛ senfɛ-senfɛ
1. Sugunɛ sɛgɛsɛgɛli : A fɔlɔ ye ka sugunɛ sɛgɛsɛgɛli kɛ. O bɛ se ka dɛmɛ don ka a dɔn ni banakisɛ bɛ a la walima ni a tɛ a la.
2. Sitolozi (cytologie) : Sugunɛ tacogo la, farikolokisɛ minnu bɛ sɔrɔ, olu bɛ sɛgɛsɛgɛ ni mikroskɔpu ye walasa ka a dɔn ni kansɛribanakisɛ dɔw bɛ yen.
3. Sisitɔsikɔpi : Nin ye sɛgɛsɛgɛliba ye min bɛ kɛ ka bana in dɔn.O la, tubabufura finman dɔ (cystoscope) min bonya bɛ se kretiɛn ma, kamera sirilen bɛ min na, o bɛ don sugunɛbara fɛ walasa ka sugunɛ kɔnɔna bɛɛ lajɛ. Tuma dɔw la, yeelen bulu kɛrɛnkɛrɛnnen ni kalali bɛ kɛ walasa ka kansɛribana banakisɛw dɔn ka jɛya. O waati la, farikolo yɔrɔ fitinin dɔ (biopsie) fana bɛ se ka bɔ yɔrɔ la min bɛ siga la, ka ci ka taa a lajɛ.
Ni o sɛgɛsɛgɛliw y’a jira ko kansɛri bɛ a la, sɛgɛsɛgɛli wɛrɛw bɛ kɛ walasa ka fɛn caman dɔn kansɛri kan.
- Sugunɛbilenni kuru tigɛcogo transurethral `(TURBT)`: O bɛ kɛ bana sɛgɛsɛgɛli ni furakɛli fila bɛɛ la. Minɛn min bɛ i n’a fɔ sitoskɔpu, o bɛ kɛ ka kuru tigɛ ka bɔ sugunɛ na. Tumu bɔlen bɛ sɛgɛsɛgɛ walasa ka a dɔn ni kansɛri jɛnsɛnna farikolo yɔrɔw la.
- MRI ni CT sɛgɛsɛgɛli : Nin sɛgɛsɛgɛli suguya ninnu bɛ se ka a lajɛ ni kansɛri jɛnsɛnna sugunɛbara kɔfɛ ka taa a lamini yɔrɔw la.
- Disi lajɛ ni kolotugudaw lajɛ : Nin sɛgɛsɛgɛli ninnu bɛ kɛ walasa ka a dɔn ni kansɛri jɛnsɛnna fogonfogon walima kolotugudaw la.
Dɔgɔtɔrɔ bɛ kansɛri taabolo dɔn ka da kunnafoniw kan minnu bɛ sɔrɔ o sɛgɛsɛgɛli kelen-kelen bɛɛ la.
O furakɛcogo jumɛnw bɛ yen?
Furakɛli kunbaba naani bɛ sugunɛbilenni na. Tuma dɔw la, fura ninnu dɔ walima u caman bɛ se ka kɛ ɲɔgɔn fɛ.
1. Opereli kɛli
Nin ye fura ye min bɛ kɛ ka caya. Opereli suguya min bɛ kɛ, o bɛ danfara ka kɛɲɛ ni kansɛri taabolo ye.
- TURBT: An ye kuma ``TURBT'' taabolo min kan ka tɛmɛ, o fana bɛ kɛ furakɛli ye ni kansɛri ma jɛnsɛn farikolo la. Tumu bɛ tigɛ ka bɔ a la walima ka a jeni ni kuran ye min fanga ka bon.
- Sistectomie radical : Ni kansɛri jɛnsɛnna sugunɛbara kɔfɛ walima ni kuru dɔw bɛ sugunɛbara bɛɛ la, opereli bɛ sugunɛ bɛɛ bɔ. Cɛw la, ɲɛgɛnɛsira fana bɛ se ka bɔ, musow la, denso ni kɔnɔbara fana bɛ se ka bɔ. Sugunɛ bɔlen kɔfɛ, sugunɛ kɛcogo dɔ bɛ dabɔ walasa sugunɛ ka bɔ.
2. Simifura (chimiothérapie).
Olu ye furaw ye minnu bɛ kansɛribanakisɛw faga. Tuma dɔw la, fura ninnu bɛ don sugunɛbara la ka ɲɛ tubabufura fɛ. o bɛ wele ko furakɛli min bɛ kɛ kɔnɔbara kɔnɔ . O bɛ se ka dɔ bɔ tiɲɛni na farikolokisɛ kɛnɛmanw na.
3. Banakisɛfagalanw furakɛli
O ye ka i farikolo yɛrɛ ka farikolo tangalanw lawuli walasa ka bin kansɛribanakisɛw kan. Furakɛli minnu bɛ kɛ ka caya, olu dɔ ye Bacillus Calmette-Guérin (BCG) boloci ye.
4. Furakɛli min bɛ kɛ ni fiɲɛ ye
O ye ka baara kɛ ni fiɲɛw ye minnu fanga ka bon walasa ka kansɛribanakisɛw tiɲɛ. Tuma dɔw la, a bɛ kɛ opereli nɔnabila ye.
5. Furakɛli min ɲɛsinnen don a ma
Nin ye furakɛli fɛɛrɛ kura ye. O bɛ tali kɛ furaw dili la minnu bɛ fɛn caman laɲini jamu caman yeli dɔrɔn ye minnu bɛ farikolokisɛ kɛnɛmanw tigɛli kɛ kansɛribanakisɛw ye.
I b’i janto i yɛrɛ la cogo di?
Ka ɲɛnamaya kɛ ni sugunɛbilenni ye, o bɛ se ka kɛ gɛlɛya ye, kɛrɛnkɛrɛnnenya la, barisa a bɛ se ka segin ka na. Fɛn damadɔw bɛ yen i bɛ se ka minnu kɛ.
A nafa ka bon kosɛbɛ ka dɔgɔtɔrɔ ka laadilikanw labato furakɛli kɔfɛ tigitigi ani ka taa tuguni kɛ waati la. Aw kana ɲinɛ o kɔ abada.
- Aw bɛ dumuni nafama dunni kɛ: Aw bɛ sogo, jɛgɛ, nɔnɔmafɛnw, nɔnɔmafɛnw, ani jiriden ni nakɔfɛn suguya caman don aw ka dumuni na.
- Dumuni minnu nafa ka bon, olu dun: O bɛna dɛmɛ don dumunikɛbaliya gɛlɛyaw la minnu bɛ sɔrɔ furakɛli fɛ.
- Farikoloɲɛnajɛ: Farikoloɲɛnajɛ nɔgɔman bɛ dɛmɛ ka dɔ bɔ degun na.
- Jɛɲɔgɔnya kɛ ni mɔgɔ wɛrɛw ye: Mɔgɔ wɛrɛw bɛ yen minnu bɛ ka nin bana sugu in kunbɛn. N’i y’u ka ko kɛlenw fɔ u ye ani ka kuma u fɛ, o bɛ se ka kɛ sababu ye ka i hakili barika bonya kosɛbɛ.
Take-Home cikan
- Ni aw ye joli ye aw ka sugunɛ na, aw kana aw ɲɛmajɔ abada. A bɛ iko yeelen bilenman. Aw bɛ taa dɔgɔtɔrɔso la joona.
- Sigarɛtimin ye faratiba ye sugunɛbaralabana kansɛri la. Aw bɛ se ka fɛn caman kɛ ni aw ye sigarɛtimin dabila bi.
- I n’a fɔ kansɛri suguya bɛɛ, ni a sɔrɔla joona, a furakɛli ni kɛnɛya sɔrɔli ka ca kosɛbɛ.
- Furakɛli kɔfɛ, farati bɛ a la ka segin bana in kan. O la, a nafa ka bon ka taa dɔgɔtɔrɔso la tuma bɛɛ (follow-ups) .
- Ni ɲininkali, siran, walima siga bɛ aw la o ko la, aw bɛ kuma aw ka dɔgɔtɔrɔ fɛ kɛnɛ kan o ko la.










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