Yala aw bɛ hami aw ka sugunɛw la wa? Aw ka kan ka fɛn o fɛn dɔn sugunɛbaralabana basigilen kan

Yala aw delila k’a miiri ko an ka sugunɛw bɛ i n’a fɔ super filter fila wa? Ɔwɔ, o de bɛ kɛ tigitigi. Sugunɛw ka baara kunba ye ka fɛnɲɛnamafagalanw, bagaw ani ji tɛmɛnenw sama ka bɔ an joli la minnu man ɲi. Nka tuma dɔw la, nin filɛri in bɛ tiɲɛ ani a bɛ baara kɛ ka ɲɛ. Nin sugunɛ baara dɔgɔyali dɔɔni dɔɔni waati tɛmɛnen kɔfɛ, an bɛ min wele ko sugunɛbana basigilen (CKD) .

N’an y’a fɔ cogo nɔgɔman na, sugunɛbaralabana basigilen (CKD) ye mun ye?

Miiri k’a filɛ, i ka so jifilen bɛ ka datugu dɔɔni dɔɔni. A daminɛ na, aw tɛna danfaraba kɔlɔsi, nka waati tɛmɛnen kɔfɛ, ji bɔli bɛ sumaya ani ji duman bɛ Changé. O de bɛ kɛ ni aw ka sugunɛ tiɲɛna.

Ni sugunɛ tiɲɛna, u tɛ se ka fɛnɲɛnamafagalanw bɔ joli la ka ɲɛ. O fɛnɲɛnamafagalanw bɛ daminɛ ka dalajɛ joli la o kɔfɛ. Daɲɛ "kɔrɔlen" bɛ fɔ barisa o bana in bɛ kɛ waati tɛmɛnen kɔfɛ. Nin tɛ bana ye min bɛ sɔrɔ su kelen kɔnɔ.

Mun bɛ kɛ an ka sugunɛw la tiɲɛ na?

An bɛ ni sugunɛ fila ye. O farikolo yɔrɔ minnu bɛ i n’a fɔ shɛfan, olu bɛ sɔrɔ an kɔ la, an kɔkolo fan fila bɛɛ la, an kɔkili jukɔrɔ dɔrɔn. Sugunɛ kelen bonya bɛ bɛn an bolokɔfɛfɛn ma. Hali n’u ka baara kunba ye ka joli sama, u bɛ baara nafama caman wɛrɛw fana kɛ.

• Joli saniyali : Fɛnɲɛnamafagalanw, bagaw, ani ji tɛmɛnen minnu bɛ joli la, olu bɛ bɔ ka kɛ sugunɛ ye.
• Kɔgɔw ni jolisegindumuniw balan : A bɛ dɛmɛ ka farikolo magoɲɛfɛnw (kɔgɔ) hakɛ bɛnnen mara, i n’a fɔ soja ni potasiyɔmu.
• Ɔrimɔni bɔli : Ɔrimɔni minnu bɛ tansiyɔn kɔlɔsi ani ɔrimɔni minnu bɛ joli kuru bilenmanw dilan, olu bɛ sɔrɔ sugunɛ fɛ.
• A bɛ kolo barika bonya: Witamini D bɛ baara kɛ ani ka dɛmɛ don ka kolo barika bonya.

Ni o kow ma kɛ ka ɲɛ, fɛnɲɛnamafagalanw bɛ ɲɔgɔn lajɛ farikolo la ani an bɛ bana.

Sugunɛbana taabolo 5 ye jumɛnw ye?

Dɔgɔtɔrɔw, sumanikɛlan dɔ bɛ yen min b’a jira ko aw sugunɛ bɛ baara kɛ ka ɲɛ. A bɛ fɔ a ma ko GFR (Glomerular Filtration Rate) . N’an y’a fɔ cogo nɔgɔman na, o bɛ joli mililitiri hakɛ jateminɛ i ka sugunɛw la miniti kelen kɔnɔ. Nin GFR hakɛ in bɛ kɛ ka bana in tila tilayɔrɔ duuru ye. O nafa bɛ se ka sɔrɔ joli ni sugunɛ sɛgɛsɛgɛli fɛ.

Nin bana in taamasiɲɛw ye jumɛnw ye?

bana in gɛlɛyaba ye ko a tɛ taamasiɲɛ foyi jira a daminɛ na . A bɛ se ka san caman kɛ walasa nɔgɔ ka caya farikolo la ani ka bana taamasiɲɛw jira. O de kama mɔgɔ caman t’a dɔn bana in b’u la. Ni bana bɛ ka taa ɲɛ, aw bɛ se ka fɛn dɔw sɔrɔ i n’a fɔ:

• A ka kan ka to ka koli kɛ.
• A bɛ kɛ i n’a fɔ a sɛgɛnnen don kosɛbɛ ani a tɛ ɲɛnamaya sɔrɔ.
• Dumuni tɛ diya.
• Bolo, senw ani senkɔniw funu.
• Ninakili gɛlɛya.
• Sugunɛ min bɛ kɛ ni fomu ye (bubbly).
• Funu bɛ ɲɛw kɔrɔ.
• Fari jalen ani a bɛ nɛ bɔ.
• A ka gɛlɛn ka i hakili to fɛn dɔ la.
• Sùnɔgɔbaliya.
• Ɲɛgɛnɛsiraw bɛ kɛ farikolo yɔrɔ dɔw la.
• Dusukunnata walima fɔɔnɔ.
• Farikoloɲɛnajɛw.
• Tansiyɔn jiginni.
• Fari dibi donni.

Nin taamasiɲɛ ninnu bɛ se ka kɛ bana wɛrɛw fana na, o la ni nin ɲɔgɔnna fɛn dɔ bɛ aw la, a ka fisa ka taa dɔgɔtɔrɔso la walasa ka laadilikan sɔrɔ.

Sugunɛbana sababuba ye jumɛnw ye?

Nin bana in bɛ sɔrɔ ni sugunɛ tiɲɛna, wa a tɛ baara kɛ ka ɲɛ tuguni. Sugunɛbana basigilen na, o tiɲɛni bɛ kɛ dɔɔni dɔɔni, san caman kɔnɔ. Kunba fila de bɛ nin bana in na Sri Lanka ani diɲɛ fan bɛɛ.

1. Tansiyɔn jiginni : Ni tansiyɔn cayara, joli sira nɔgɔlen minnu bɛ joli lase sugunɛ ma, olu bɛ tiɲɛ. Waati tɛmɛnen kɔ, o tiɲɛni bɛ dɔ bɔ sugunɛw ka se ka joli sama.

2. Sukarodunbana : Ni sukaro hakɛ cayara joli la, a bɛ sugunɛbilenni yɔrɔw (glomeruli) fana tiɲɛ.

Ka fara o kunba fila kan, kun caman wɛrɛw bɛ se ka kɛ.

Jɔn de bɛ farati la kosɛbɛ?

Mɔgɔ o mɔgɔ bɛ se ka sugunɛbana basigilen sɔrɔ. Nka, faratiba bɛ aw la ni nin fɛn ninnu dɔ bɛ aw la:

• Ni sukarodunbana bɛ aw la.
• Ni tansiyɔn jiginni bɛ aw la.
• Ni dusukunnabana bɛ aw la.
• Ni sugunɛbana ye mɔgɔ o mɔgɔ sɔrɔ denbaya kɔnɔ.
• Ni aw si tɛmɛna san 60 kan.
• Ni aw bɛ dimimadafura (AINE) ta , o kɔrɔ ye ko dimimadafura suguya dɔw, aw bɛ se ka minnu san furakɛliso la, kabini waati jan.

Bana in bɛ se ka sɛgɛsɛgɛ cogo di?

Ni aw taara dɔgɔtɔrɔso la, a bɛna aw ɲininka aw ka furakɛli tariku, aw ka denbaya ka tariku, aw bɛ fura minnu ta, ani aw bɛ taamasiɲɛ minnu sɔrɔ. O kɔ, u bɛna farikololajɛ kɛ ani ka yamaruya di ka joli ni sugunɛ sɛgɛsɛgɛli caman kɛ walasa ka aw ka sugunɛ kɛcogo lajɛ.

• Joli sɛgɛsɛgɛliw : Olu bɛ aw ka GFR ni serum creatinine hakɛ de lajɛ kosɛbɛ. Kɛrɛyatini ye fɛn tiɲɛnen ye min bɛ bɔ an farikolo la. Sugunɛ kɛnɛmanw b’a bɔ sugunɛ na. Ni sugunɛw ma ɲɛ, kɛrɛyatinini bɛ caya joli la.
• Sugunɛ sɛgɛsɛgɛli : O bɛ farikolojɔli dumuni (albumine) walima joli lajɛ sugunɛ na. Sugunɛ kɛnɛmanw tɛ a to o fɛnw ka tɛmɛ sugunɛ na.

Tuma dɔw la, fɛn dɔ bɛ se ka kɛ i n’a fɔ ultrasound scan walasa ka sugunɛ bonya ni a cogoya lajɛ. Walima, sugunɛbilenni bɛ se ka kɛ, o min ye ka sugunɛ yɔrɔ fitininba dɔ ta k’a sɛgɛsɛgɛ.

A bɛ furakɛ cogo di?

Sugunɛbana basigilen tɛ se ka kɛnɛya pewu. Nka an bɛ se ka dɔ bɔ sugunɛ tiɲɛni na ani k’u to baara kɛcogo ɲuman na waati jan kɔnɔ. Fɛn minnu ka kan ka kɛ, olu dɔw filɛ nin ye.

Ɲɛnamaya kɛcogo bɛ Changé

• Ka taa dɔgɔtɔrɔso la tuma caman na:Aw bɛ aw ka sugunɛ furakɛla kunbɛn don latigɛlenw na ani ka sɛgɛsɛgɛli wajibiyalenw kɛ.
• Sukarodunbana ni tansiyɔn kunbɛnni: Ni sukarodunbana walima tansiyɔn jiginni bɛ aw la, aw bɛ u kunbɛn ka ɲɛ.
• Aw bɛ aw yɛrɛ tanga furaw ma minnu bɛ sugunɛ tiɲɛ: Aw kana to ka dimimadafura ta, kɛrɛnkɛrɛnnenya la ni dɔgɔtɔrɔ ma a laadi.
• Dumuni min bɛ sugunɛ kɛ: O nafa ka bon kosɛbɛ. Aw bɛna ladilikan di aw ma ka dɔ bɔ kɔgɔ (sodium), potasiyɔmu na, ka farikolojɔli dumuniw dɔgɔya, ani ka dumuniw dun minnu kolosinsinnan ka dɔgɔn.
• Aw ye aw yɛrɛ tanga sigarɛtimin ma.
• Farikoloɲɛnajɛ: Aw bɛ farikoloɲɛnajɛ kɛ miniti 30 tile kɔnɔ, a dɔgɔyalenba tile 5 dɔgɔkun kɔnɔ.
• Aw bɛ aw farikolo girinya kɛnɛman mara.

Fura minnu bɛ kɛ

Ka kɛɲɛ ni aw ka bana ye, dɔgɔtɔrɔ bɛ se ka fura suguya caman di aw ma. I n'a fo:

• Tansiyɔn jiginni furaw (ACE inhibiteurs, ARBs).
• Sugunɛ furaw ye furaw ye minnu bɛ ji tɛmɛnen bɔ farikolo la.
• Fura minnu bɛ kolosinsinnanw dɔgɔya.
• Ni jolidɛsɛ bɛ aw la, aw bɛ furaw ta minnu bɛ joli kuru bilenmanw bɔ.
• Fɛn minnu bɛ i n’a fɔ witamini D walasa ka kolo fanga dɔgɔya.

Ni sugunɛw dɛsɛra pewu (Sugunɛbana laban) ka kan ka mun kɛ?

Ni bana sera taabolo 5nan na, o kɔrɔ ye ko sugunɛbaralabana pewu, aw bɛna fɛɛrɛ wɛrɛw ta walasa ka kisi. Sugandiliba fila bɛ yen o kama.

1. Dialyse : Dialyse ye joli saniyali ye, sugunɛ tɛ se ka min kɛ ni masin dɛmɛ ye.

• Hémodialyse (Hémodialyse): O yɔrɔ ye aw joli bɛ ci masin dɔ la, o yɔrɔ la, fɛnɲɛnamafagalanw bɛ bɔ yen ka sɔrɔ ka segin aw fari la. A ka ca a la o bɛ kɛ siɲɛ saba dɔgɔkun kɔnɔ, fo lɛri 4 ɲɔgɔn o waati kelen-kelen bɛɛ la.
• Kɔnɔbara basigilen : O la, ji kɛrɛnkɛrɛnnen dɔ bɛ pikiri kɛ tubabufura dɔ fɛ min bilalen don aw kɔnɔbara la. Ji in kɛlen kɔ ka fɛnɲɛnamafagalanw sama ka bɔ aw fari la, o kɔfɛ, a bɛ bɔ o tubabufura kelen in fɛ. O bɛ se ka kɛ so kɔnɔ, k’a sɔrɔ i ma taa dɔgɔtɔrɔso la.

2. Sugunɛ cili : Opereli bɛ sugunɛ tiɲɛnen bila sugunɛ kɛnɛman nɔ na. O bɛ se ka kɛ mɔgɔ ɲɛnama dɔ fɛ (a ka c’a la, denbaya kɔnɔmɔgɔ dɔ) walima mɔgɔ salen dɔ fɛ (a farikolo yɔrɔw dibaga).