An bɛɛ b’a dɔn ko a ka c’a la, an ka nɔgɔ bɛ kɛ bulama ye. Nka tuma dɔw la, i bɛ min ye ɲɛgɛn kɔnɔ, o bɛ se ka i jɔrɔ dɔɔni. Miiri k’a filɛ n’i y’a ye ko i ka nɔgɔ finman, nɛrɛmuguma, walima hali i n’a fɔ bɔgɔ wa? Tiɲɛ na, a bɛ siran dɔɔnin. Nka n’a kɛra siɲɛ kelen walima siɲɛ fila, o tɛ hami foyi ye. Nka, ni aw ka nɔgɔ bɛ to ka kɛ nin cogo la, o tɛ fɛn ye aw ka kan ka aw ɲɛmajɔ min na. Sabula a bɛ se ka kɛ kɛnɛya gɛlɛya jugu dɔ taamasiɲɛ ye i farikolo kɔnɔ.
Mun na banakɔtaa bɛ kɛ jɛman ye ten? O sababuba ye jumɛnw ye?
N’an y’a fɔ cogo nɔgɔman na, an ka banakɔtaa bɛ u kulɛri bulama sɔrɔ min bɛ kɛ ka a sababu kɛ an ka sugunɛ bɛ bile min bɔ. furakisɛ dɔ bɛ nin bile in na min bɛ wele ko bilirubini . Nin bilirubini in de bɛ banakɔtaa kulɛri di dumunikɛ waati la.
O la, ni kun dɔw la, nin bileji in ma bɔ ka caya i n’a fɔ a ka kan ka kɛ cogo min na, walima ni balili walima balili dɔ bɛ joli siraw la minnu bɛ ji ta ka bɔ sugunɛ na ka taa banakɔtaa la, banakɔtaa tɛ kɛ kulɛri ye. O nɔ bɛ kɛ nɔgɔ finman, nɛrɛmuguma walima bɔgɔ ye.
Min nafa ka bon, o ye ko a ka ca a la o bɛ sɔrɔ furakɛlicogo wɛrɛ fɛ min bɛ a kɔnɔ, o la a nafa ka bon ka nin taamasiɲɛ in dɔn.
Tablo min bɛ duguma, o bɛ kɛnɛyako kunbaba dɔw jira minnu bɛ se ka nɔ bila o la.
| Cogo | Ɲɛfɔli nɔgɔman dɔ |
|---|---|
| Sugunɛbilenni | Sugunɛbilenni min bɛ sɔrɔ banakisɛw, bagaw walima dɔlɔmin kojugu fɛ. |
| Cirrhose (banakisɛfagalan). | K’a sababu kɛ sugunɛ tiɲɛni kuntaalajan ye, a bɛ gɛlɛya, wa a bɛ se ka kɛ ko a baara tɛ ban pewu. |
| Galo kabakurunw | Kɔnɔbara basigilen minnu bɛ sɔrɔ biɲɛdimi na, olu bɛ se ka don biɲɛdimi siraw la, ka biɲɛdimi bali. |
| Biliary strictures (Biliary strictures) (Biliary strictures (banakisɛfagalanw)). | Bili siraw dɔgɔyali walima u balili ka a sababu kɛ kun wɛrɛw ye. |
| Biliary atresia (banakisɛfagalan min bɛ wele ko atresia biliaire). | Nin ye bana ye min bɛ den fitiniw de minɛ kɛrɛnkɛrɛnnenya la. Bili siraw tɛ yiriwa walima u bɛ datugu kabini u bange waati. |
| Tumuw (tumours). | Kansɛri walima kuru wɛrɛ minnu bɛ sɔrɔ sugunɛ na, ɲɛgɛnɛsira la, joli siraw la, walima kɔnɔbara la. |
| Pankreyasi banakisɛ | Pankreyasi funu. |
Dɔgɔtɔrɔ bɛ o bana in sɛgɛsɛgɛ cogo di?
Ni aw taara dɔgɔtɔrɔso la ni nin taamasiɲɛ ninnu bɛ aw la, a bɛna aw ɲininka fɔlɔ aw ka bana taamasiɲɛw, aw ka dumunikɛcogo ani aw ka furakɛli kɛcogo tɛmɛnenw na. O kɔ, a bɛna farikolo sɛgɛsɛgɛ.
Walasa ka a sababu tigitigi dɔn, nin sɛgɛsɛgɛli ninnu dɔ walima u caman bɛ se ka kɛ.
| Kɔrɔbɔli | I bɛ mun ye nin ko in na? |
|---|---|
| Joli sɛgɛsɛgɛliw | Aw bɛ banakisɛfagalanw dɔn farikolo la ani kɛrɛnkɛrɛnnenya la sugunɛ baara. |
| Kɔnɔbara lajɛ | Aw bɛ a lajɛ ni funu, kaba, walima fɛn dɔw bɛ a bali ka kɛ farikolo yɔrɔw la i n’a fɔ sugunɛ ni biɲɛdimi. |
| CT walima MRI sɛgɛsɛgɛli | Aw bɛ ja jɛlen sɔrɔ, min bɛ ɲɛfɔli kɛ fɛnw kan, minnu bɛ fɛnw datugu, kabakurunw walima kurukuruw kan. |
| ERCP sɛgɛsɛgɛli (Kolangiopancréatography retrograde endoskopique) . | Tubabu finman dɔ bɛ don da kɔnɔ min bɛ ni kamera (endoskopi) ye walasa ka bilisi ni kɔnɔboli siraw sɛgɛsɛgɛ. O bɛ se ka kɛ fana ka furakɛli dɔw kɛ, i n’a fɔ ka fɛn dɔw bɔ. |
O furakɛcogo jumɛnw bɛ yen?
Furakɛli bɛ bɔ aw ka banakɔtaa jɛman sababu jugumanba de la. Ni aw ka dɔgɔtɔrɔ ye sɛgɛsɛgɛli kɛ ka ban, a bɛna furakɛli boloda ka da o sɛgɛsɛgɛli kan.
- Yɛlɛma donna dumuni na: Misali la, ka dɔlɔmin dabila ani ka dumuni tulumaw dɔgɔya.
- Opereli : Opereli bɛ se ka kɛ walasa ka joli siraw datugulenw bɔ walima ka ɲɛgɛnɛsira yɛrɛ bɔ.
- Fura : Ni banakisɛfagalanw bɛ mɔgɔ minɛ i n’a fɔ sugunɛbilenni, furaw bɛ se ka di walasa ka sugunɛ funu dɔgɔya walima ka ɲɛgɛnɛsiralabanaw labɔ.
- Sugunɛ opereli : O man kan ka kɛ a fanba la, nka a bɛ se ka jateminɛ bana jugu dɔw la.
Yala an bɛ se ka nin ko in bali ka kɛ wa?
Tiɲɛ na, fɛn damadɔ bɛ yen an bɛ se ka minnu kɛ walasa ka dɔ bɔ bana dɔw farati la minnu bɛ banakɔtaa jɛman bila mɔgɔ la.
- Dumuni nafama: Aw bɛ dumuni dafalen dun min kɔnɔ farikolojɔli dumuniw, jolisegindumuniw, tulu kɛnɛmanw ani sumanw bɛ sɔrɔ.
- Aw bɛ aw farikolo girinya ɲuman mara: Fasa bɛ dɔ fara sugunɛbana kan.
- Lakanali ka bɔ sugunɛbilenni banakisɛ fɛ : Boloci bɛ kɛ sugunɛbilenni A ni sugunɛbilenni B. A nafa ka bon fana ka aw yɛrɛ tanga pikirijikɛlan tilali ma ani ka cɛnimusoya kɛ min tɛ mɔgɔ tɔɔrɔ.
- Aw bɛ dɔlɔ dan sigi: Ni aw bɛ dɔlɔ min kojugu, o bɛ se ka aw sugunɛ tiɲɛ kosɛbɛ.
Waati jumɛn ka fisa ka taa dɔgɔtɔrɔso la?
Ni aw ka banakɔtaa tora ka kɛ jɛman ye tile damadɔ kɔnɔ, aw bɛ taa dɔgɔtɔrɔso la k’a sɔrɔ aw ma mɛn. Kana i ɲɛmajɔ o la.
Kɛrɛnkɛrɛnnenya la, aw ka kan ka taa dɔgɔtɔrɔso la joona ni nin taamasiɲɛ ninnu bɛ aw la:
- Nɔgɔ finmanw ye bɔgɔ ye
- Aw ta donFari ni ɲɛw jɛman (jaŋɔni) .
- Sugunɛ dibiman (te kulɛri) .
Ni nin taamasiɲɛ saba bɛɛ kɛra ɲɔgɔn fɛ, o ye gɛlɛya jugumanba taamasiɲɛ ye sugunɛ walima sugunɛbaralabana na, o la a nafa ka bon ka taa dɔgɔtɔrɔso la joona.
Take-Home cikan
- Aw kana aw hakili ɲagami ni aw ka banakɔtaa bɛ kɛ jɛman ye siɲɛ kelen walima siɲɛ fila. Nka ni nin bana in tora senna, o tɛ ko ye min bɛ kɛ.
- A ka ca a la, banakɔtaa jɛman ye bana taamasiɲɛ ye min bɛ sɔrɔ sugunɛ, ɲɛgɛnɛsira walima kɔnɔbara la.
- Bile de bɛ banakɔtaa kɛ a ɲɛ jɛman ye. Ni bile bɔli jɔra, banakɔtaa bɛ kɛ jɛman ye.
- Aw kana aw ɲɛmajɔ abada banakɔtaa jɛman, fari jɛman (jaŋɔni) ani sugunɛ dibi taamasiɲɛw. A bɛ se ka kɛ bana jugumanba ye, o la aw bɛ taa dɔgɔtɔrɔso la joona.
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