Sugunɛbilenni ye mun ye? An ka kuma nin bana jugu in kan ni kuma nɔgɔmanw ye.

Sugunɛ ye farikolo yɔrɔ kabakoma ye an farikolo la. A bɛ iko izini belebeleba dɔ. A bɛ baara nafama caman kɛ i n’a fɔ bagaw bɔli, ka dumuniw sɔgɔsɔgɔ dɛmɛ, ani fanga marali. Nka, o sugunɛ nafama bɛ se ka tiɲɛ kun caman kosɔn. Ni sugunɛ bɛ to ka tiɲɛ waati tɛmɛnen kɔfɛ, ŋɛɲɛ bɛ daminɛ ka kɛ farikolokisɛ kɛnɛmanw nɔ na. An bɛ bana min wele ko cirose, o ye bana ye.

Sirose ye mun ye tigitigi?

Miiri k’a filɛ ni joginda dɔ tun b’i fari la min kɛnɛyara ani ka joginda to yen, tiɲɛ tɛ? O de bɛ Kɛ sugunɛ na. Ni funu bɛ sugunɛ na ka mɛn, sugunɛ b’a ɲini k’a yɛrɛ kɛnɛya. O kɛcogo la, sɔgɔsɔgɔninjɛ gɛlɛnw, minnu tɛ baara kɛ, olu bɛ sɔrɔ sugunɛbara kɛnɛman ni nɔgɔlen nɔ na.

N’an y’a fɔ cogo nɔgɔman na, sirozi ye sugunɛbana basigilen laban ye. Nin waati in na, sugunɛ yɔrɔ kɛnɛman fanba kɛra ŋɛɲɛ ye. Ni o sɔgɔsɔgɔninjɛ bɛ ka caya, sugunɛ tɛ se k’a ka baara kɛcogo kɔrɔ kɛ, n’o ye ka joli saniya ani ka balofɛnw baara. A laban na, o bɛ se ka kɛ sababu ye ka sugunɛbilenni kɛ .

Yala sirozi taamasiɲɛw bɛ yen wa?

Ɔwɔ, cirose fana bɛ juguya dɔɔni dɔɔni. An ka kuma o kan n’a tilalen don dakunba fila ye.

1. Sirozi min bɛ sara: Nin ye a taamasiɲɛ fɔlɔ ye. Nin waati in na, hali ni sugunɛ tiɲɛna, sugunɛ yɔrɔ kɛnɛman tɔ bɛ se ka tiɲɛni in musaka bɔ, walima ka ‘k’a kɛ’, ka farikolo baara to a la. O de kama a bɛ se ka kɛ ko bana taamasiɲɛ si tɛ aw la fewu. Mɔgɔ caman yɛrɛ t’a dɔn ko nin bana in bɛ u la.

2. Ɲɛgɛnɛsiraw: Waati tɛmɛnen kɔfɛ, ni sɔgɔsɔgɔninjɛ hakɛ bɛ caya sugunɛ na, sugunɛ tɛ se ka tiɲɛniw dilan tuguni. O waati de la bana taamasiɲɛw bɛ daminɛ ka bɔ kɛnɛ kan. A taamasiɲɛw i n’a fɔ ji min bɛ kɔnɔbara la ani ɲɛw ni fari jɛmanw bɛ ye nin waati in na. Nin ye bana in taabolo jugumanba ye.

An ka kan ka an janto bana taamasiɲɛ jumɛnw na?

Sirozi taamasiɲɛw tɛ ye joona. A ka ca a la, u bɛ bɔ dɔrɔn bana juguyalen kɔfɛ. An ka danfara don bana taamasiɲɛ fɔlɔw ni taamasiɲɛ labanw cɛ nin cogo la.

Mun na sirozi bɛ sɔrɔ? O sababuba ye jumɛnw ye?

Bana basigilen fɛn o fɛn bɛ kɛ sababu ye ka sugunɛ funu kuntaalajan kɔnɔ, o bɛ laban ka kɛ sababu ye ka sirozi bila mɔgɔ la. Ninnu ye sababu dɔw ye minnu ka ca an ka jamana kɔnɔ ani diɲɛ kɔnɔ.

1. Dɔlɔmin kojugu (Dɔlɔ min bɛ sɔrɔ sugunɛbilenni fɛ) .

O de ye sababu ye min lakodɔnnen don kosɛbɛ ani min dɔnna kosɛbɛ. Dɔlɔmin kojugu waati jan kɔnɔ, o bɛ tiɲɛniba lase sugunɛ ma. O bɛ kɛ sababu ye ka sugunɛ funu, waati tɛmɛnen kɔfɛ, o bɛ se ka kɛ sababu ye ka sirozi bila mɔgɔ la.

2. Sugunɛbilenni (MASH) .

O tɔgɔ dafalen ye Metabolic dysfunction-associé steatohepatitis (MASH) ye. N’an y’a fɔ cogo nɔgɔman na, bana jugumanba don min bɛ sɔrɔ tulumafɛnw dalajɛli fɛ sugunɛ na mɔgɔ minnu tɛ dɔlɔ min. Farikoloɲɛnajɛ bɛ mɔgɔ minnu na i n’a fɔ sukarodunbana, kolosinsinnan, tansiyɔn jiginni, ani fasa, olu farati ka bon.

3. Sugunɛbilenni B ni C banakisɛ basigilenw

Sugunɛbilenni ye fura tɔgɔ ye min bɛ fɔ sugunɛ funu ma. Sugunɛbilenni banakisɛ bɛ se ka kɛ bana basigilen ye mɔgɔ caman na. Hali ni fura ɲumanw bɛ yen sisan o ko la, mɔgɔ caman yɛrɛ t’a dɔn ko banakisɛ in b’u la. Sugunɛbilenni banakisɛ fana bɛ se ka kɛ mɔgɔ dɔw la. Banakisɛ fila bɛɛ bɛ se ka sugunɛ tiɲɛ ani ka sirozi bila mɔgɔ la ni u bɛ yen ka mɛn.

Sababu wɛrɛ minnu man teli ka kɛ

Ka fara kun minnu fɔra sanfɛ, kun damadɔ wɛrɛw bɛ yen minnu man teli ka kɛ:

• Bana min bɛ sɔrɔ farikolo tangalanw fɛ: Tuma dɔw la, an yɛrɛ farikolo tangalanw bɛ fili ka bin sugunɛbilenni kan. Misali la, bana minnu bɛ i n’a fɔ `(Sugunɛbilenni yɛrɛmahɔrɔnyalen)` ani `(Kɔnɔboli fɔlɔ)`.
• Jɛnkulu ka banaw : Cɛsiribana dɔw bɛ se ka kɛ sababu ye ka baga dɔw dalajɛ sugunɛ na ka tiɲɛni kɛ. Nin bana ninnu misaliw ye `(Wilson Disease)` ani `(Cystic Fibrosis)` ye.
• Fura dɔw ni baga dɔw (Sugunɛbilenni toxic): Ni aw ye dimimadafura dɔw (AINE, Asetaminophen) kɛ ka tɛmɛ a dan kan walima ni aw ye furakisɛ baga dɔw ta sigida la, o bɛ se ka sugunɛ tiɲɛ.
• Dusukunnabana : Dusukun tantanni (CHF) bɛ se ka tiɲɛni kɛ sugunɛ na ka a sababu kɛ joli sɔrɔbaliya ye walima joli hakɛ dɔgɔyali min bɛ se sugunɛ na.

Dɔgɔtɔrɔw bɛ o sɔrɔ cogo di?

Ni aw hakili la ko kirinni taamasiɲɛw bɛ aw la, aw ka kan ka taa dɔgɔtɔrɔso la sisan. A bɛna aw sɛgɛsɛgɛ ani ka aw ɲininka aw ka furakɛli tariku la, aw bɛ fura minnu ta, ani aw ka ɲɛnamaya kɛcogo. O kɔ, u bɛ se ka yamaruya di sɛgɛsɛgɛli caman kɛ walasa ka bana in sɛgɛsɛgɛ.

1. Joli sɛgɛsɛgɛli : Sugunɛ baarakɛcogo sɛgɛsɛgɛli bɛ se ka hakilina di ni sugunɛ tiɲɛni bɛ yen ani a juguya cogo min na. U bɛ a lajɛ fana ni joli kuruli seko dɔgɔyara.

2. Ja sɛgɛsɛgɛliw: Ultrasound scan bɛ se ka sugunɛ bonya, a cogoya ani a cogoya lajɛ. Sɛgɛsɛgɛli suguya kɛrɛnkɛrɛnnen dɔ min bɛ wele ko elastography, o bɛ se ka sugunɛ gɛlɛya jateminɛ, o ye sɔgɔsɔgɔninjɛ hakɛ ye.

3. Sugunɛ yɔrɔ fitinin dɔ sɛgɛsɛgɛli (Liver Biopsy):Hali ni a man kan tuma bɛɛ, a dɔw la, farikolo yɔrɔ fitininba dɔ bɛ ta sugunɛ na ni pikirijikɛlan fitinin ye ka a lajɛ ni mikroskɔpu ye walasa ka bana in dafa ka ɲɛ ani ka a sababu sɔrɔ.

Furakɛliw ye jumɛnw ye?

Hali ni sɔgɔsɔgɔninjɛ min bɛ sɔrɔ sirozi fɛ, o tɛ se ka kɔsegin, furakɛli kunba fila bɛ a la. O dɔ ye ka sugunɛ tiɲɛni wɛrɛw dabila. A filanan ye ka gɛlɛyaw kunbɛn minnu bɛ sɔrɔ bana in fɛ.

A sababu furakɛli

• Fura : Sisan, banakisɛfagalanw bɛ yen minnu bɛ se ka banakisɛfagalanw furakɛ pewu i n’a fɔ sugunɛbilenni C. Fura dɔw bɛ yen minnu bɛ sugunɛbilenni kunbɛn.
• Dɔlɔmin furakɛli : Ni dɔlɔ de ye sirozi sababu ye, a furakɛcogo kelenpe ni a ka fisa, o ye ka dɔlɔmin dabila pewu. O bɛ se ka kɛ ladili ni furakɛli kɛrɛnkɛrɛnnenw de wajibiya.
• Farikoloɲɛnajɛ fɛnw ɲɛnabɔli : Ni bana in sababu bɔra sugunɛ tuluma la, a nafa ka bon kosɛbɛ ka fɛnw kunbɛn i n’a fɔ kolosinsinnan, sukarodunbana, ani farikolojidɛsɛ.

Dumunikɛcogo ni ɲɛnamaya kɛcogo bɛ Changé

A nafa ka bon fana ka dumuni nafama dun, ka aw girinya kunbɛn, ani ka balodɛsɛ furaw ta minnu ka kan ka kɛ i n’a fɔ dɔgɔtɔrɔ y’a fɔ cogo min na.

Gɛlɛyaw furakɛcogo

Gɛlɛya minnu bɛ sɔrɔ ni bana juguyara, olu fana ka kan ka furakɛ.

• Ni kɔnɔbara falen don ji la (`(Ascites)`), ji bɛ bɔ ni pikirijikɛlan ye (`(Paracentesis)`).
• Ni aw bɛ joli fɔɔnɔ, jolisiraw bɛ jɔ ni endoskopi (sclerothérapie) ye.
• Dialyse bɛ se ka kɛ wajibi ye bana dɔw la i n’a fɔ sugunɛbaralabana.

Sugunɛbilenni

Ni furakɛli tɔw bɛɛ ma ɲɛ ani ni farati bɛ sugunɛbilenni na pewu, fɛɛrɛ laban min bɛ jateminɛ, o ye sugunɛ cili ye. O ye ka sugunɛ bananen bɔ ka a bila a nɔ na min ka kɛnɛ.

Yala a bɛ se ka kɛ ka jigiya sɔrɔ ɲɛnamaya la ni nin bana in ye wa?

Nin ye ko ye min bɛ mɔgɔ kɔnɔnafili kosɛbɛ. Sirose bɛ mɔgɔ min na, o tigi ka ɲɛnamaya bɛ bɔ fɛn caman na. Fɛn minnu bɛ i n’a fɔ bana juguya cogo min na, gɛlɛya minnu bɔra a la, i farikolo bɛ furakɛli jaabi cogo min na, ani i ka kɛnɛya bɛɛ lajɛlen.

Dɔgɔtɔrɔw bɛ baara kɛ ni jatebɔ fɛɛrɛw ye i n’a fɔ ``Child-Turcotte-Pugh (CTP)'' ani ``Model for End-Stage Liver Disease (MELD)'' walasa ka hakilina sɔrɔ bana juguya kan ani siniko ɲɛfɔcogo kan.

Min nafa ka bon kosɛbɛ, o ye ka bana in sɛgɛsɛgɛ a daminɛ na (taamasenɲɛ min bɛ kɛ ni musaka ye) ani ka a sababu furakɛ ka ɲɛ.Ni furakɛli ni ɲɛnamaya kɛcogo yɛlɛmana, mɔgɔ caman bɛ se ka bana in bali ka juguya ani ka ɲɛnamaya kɛcogo ɲuman kɛ waati jan kɔnɔ. O la sa, kana jigiya dabila. A nafa ka bon kosɛbɛ ka tugu dɔgɔtɔrɔso laadilikan ɲumanw kɔ.