Yala aw denmisɛnnin bɛ to ka sugunɛbilenni (UTI) sɔrɔ wa? A bɛ se ka kɛ dɔgɔtɔrɔ y’a fɔ aw ye ko o bɛ kɛ barisa sugunɛ bɛ woyo kɔfɛ ka bɔ sugunɛbara la, ka taa sugunɛ fan fɛ. Furakɛcogo la, o bana in bɛ wele ko Vesicoureteral Reflux (VUR) . Aw kana siran ka nin tɔgɔ in mɛn ani ka miiri ko bana jugu don. Nin ye bana ye min bɛ ye denmisɛnw na. Sisan, furakɛli nɔgɔmanba bɛ yen, min tɛ mɔgɔ tɔɔrɔ ani min bɛ se ka kɛ o la. Bi, an bɛ kuma furakɛli dɔ kan min tɔgɔ ye ko Deflux .
Deflux ye mun ye?
N’an y’a fɔ cogo nɔgɔman na, Deflux ye fɛn jilama ye min bɛ i n’a fɔ jeli. A bɛ kɛ pikiri ye. A bɛ baara kɛ ni sugunɛ bali ka segin ka woyo ka taa sanfɛ sugunɛbara la, o ye tubabufura ye min bɛ sugunɛ ta ka bɔ sugunɛ na ka taa sugunɛ na.
Aw k’a miiri i n’a fɔ bɔgɔdaga min bɛ pibilikiw kɔnɔ min bɛ bɔ an ka jidagayɔrɔ la so kɔnɔ min dilannen don walasa ji ka se ka woyo sira kelen dɔrɔn fɛ. Ani fana, ni nin Deflux jeli in pikirila sugunɛbaralabana ni sugunɛbaralabana bɛ ɲɔgɔn sɔrɔ yɔrɔ min na, kuru fitini dɔ bɛ bɔ yen ka kɛ i n’a fɔ sɔgɔsɔgɔninjɛ nafama. O bɛ a to sugunɛ bɛ taa sira ɲuman fɛ, o kɔrɔ ye ka bɔ sugunɛbara la, ka a bali pewu ka kɔsegin.
Nin furakɛli in bɛ kɛ sugunɛbilennikɛla dɔ fɛ, dɔgɔtɔrɔ min ka baara ɲɛsinnen bɛ sugunɛbanaw ma. Sistoscopie ye fɛɛrɛ ye min tɛ fɛn caman kɛ, ni kamera bɛ min na (cystoscope) bɛ don sugunɛ na.
Ko jumɛnw de bɛ Deflux furakɛli de wajibiya?
Nin furakɛli in bɛ kɛ ka caya ka VUR furakɛ, bana min bɛ ye denmisɛnw na. Nka, a bɛ kɛ mɔgɔkɔrɔbaw fana na tuma dɔw la. VUR bɛ se ka kɛ sababu ye ka sugunɛ bila kɔfɛ ka don sugunɛ na. Farati ye ko o bɛ se ka kɛ sababu ye ka sugunɛbilenni bila mɔgɔ la tuma caman, sugunɛbilenni, ani gɛlɛya wɛrɛw waati tɛmɛnen kɔfɛ.
Denmisɛn fanba fɛ, VUR bɛna ɲɛnabɔ a yɛrɛ ma ni u bɛ kɔrɔbaya. Nka, Deflux ye fura ɲumanba ye walasa ka sugunɛ tiɲɛni bali ka a sɔrɔ aw bɛ a makɔnɔ a ka ban.
Miiri k’a filɛ, sugunɛbaralabana bɛ den na ni sumaya ye kalo damadɔ o kalo damadɔ. A bɛ fura ta tuma o tuma, nka a bɛ to ka segin. Ni dɔgɔtɔrɔ ye sɛgɛsɛgɛliw kɛ dɔrɔn, a b’a ye ko VUR bɛ a la. O waati de la Deflux furakɛli bɛ kɛ nafa ye kosɛbɛ.
| VUR cogoya nɔfɛkow | Fura min bɛ di Deflux fɛ |
|---|---|
| Sugunɛbilenni minnu ka teli ka kɛ (UTIs). | A bɛ sugunɛ bali ka taa kɔfɛ, o bɛ banakisɛw bali ka se sugunɛ na ani ka banakisɛ sɔrɔli farati dɔgɔya. |
| Sugunɛbilenni bɛ kɛ waati kɔnɔ. | A bɛ sugunɛw tanga, ka tiɲɛni ni gɛlɛya kuntaalajan bali. |
| Den bɛ se ka kɛnɛya a yɛrɛ la ni u bɛ ka bonya. | A bɛ kɛ sugunɛ tangalan ye fo den farikolo ka kɛnɛya a yɛrɛ la. |
Nin Deflux in dilannen don ni mun ye?
Foyi tɛ hami ni nin fura in ye. A bɛɛ dilannen don ni fɛnw ye minnu bɛ bɔ fɛnɲɛnamaw la, minnu bɛ se ka tiɲɛ.
- Dextranomer : Nin ye polisakaridi ye, witaminiw min bɛ kɛ ni sukaro mɔlikuluw ye. A bɛ kɛ fana furaw ni joginda saniya furaw dilanni na.
- Asidi hyaluronic jeli : Nin fana ye polisakaridi ye. O ye fɛn ye min bɛ Kɛ an farikolo la a yɛrɛ la. N’a sɔrɔ aw y’a mɛn ko a bɛ kɛ fana cɛɲa furaw la kosɛbɛ barisa a bɛ fari mɔ.
Nin jeli in bɛ bila an yɛrɛ ka farikolo yɔrɔw nɔ na waati tɛmɛnen kɔfɛ, wa a bɛ minɛ farikolo la lafiya la. Nka, o tɛ nɔ bila furakɛli ɲɛtaa la.
Aw bɛ aw labɛn cogo di furakɛli kama ani a bɛ kɛ cogo di?
Aw ka dɔgɔtɔrɔ bɛna cikan jɛlenw di aw ma o ko la. A ka ca a la, a bɛna ɲini aw fɛ aw ka sunɔgɔ lɛri damadɔ kɔnɔ ka kɔn furakɛli ɲɛ. A nafa ka bon fana ka dɔgɔtɔrɔ ladɔnniya fura wɛrɛw la aw bɛ minnu ta. Aw kana aw walima aw den ka furaw tali dabila abada ni aw ma dɔgɔtɔrɔ ka laadilikan di.
Furakɛli taabolo ka nɔgɔn kosɛbɛ:
1. Fɔlɔ, an bɛ anestezi basigilen di den ma . O la, u tɛna dimi walima dusukasi si sɔrɔ.
2. Aw bɛ jeli dɔ kɛ sugunɛbaralabana na.
3. O kɔ, tubabufura finman dɔ bɛ tɛmɛ ni kamera sirilen ye (cystoscope) ka tɛmɛ sugunɛbara fɛ ka don sugunɛbara la.
4. Walasa ka sugunɛ kɔnɔna ye ka ɲɛ, a bɛ fa kɔgɔ la.
5. O kɔ, pikirijikɛlan dɔ bɛ tɛmɛ o tubabukan na ka Deflux jeli pikiri kɛ sugunɛbaralabana ni sugunɛbaralabana bɛ yɔrɔ min na.
6. Ni baara banna, pikirijikɛlan ni tubabufura bɛ bɔ, ji fɛn o fɛn bɛ sugunɛ na, o bɛ bɔ.
o kɛcogo bɛɛ tɛ miniti 30 bɔ . Nin tɛ kɛnɛyaso kɔkanna taabolo ye. O kɔrɔ ye ko aw bɛ se ka taa so joona furakɛli bannen kɔfɛ.
Mun bɛ kɛ furakɛli kɔfɛ? Ani min ka kan ka kɔlɔsi
Furakɛli kɔfɛ, aw den bɛ se ka dimi dɔɔni. A ka fisa ka lafiɲɛ so kɔnɔ tile tɔ kɔnɔ. Dɔgɔtɔrɔ bɛ se ka sɛgɛsɛgɛli wɛrɛ fana kɛ (voiding cystourethrogramme - VCUG) walasa ka a dɔn ni furakɛli bɛ ɲɛ.
A ka ca a la ka ninnu ye tile kelen walima tile fila furakɛli kɔfɛ:
- Koli walima ji minni negebaliya.
- Jenini walima dimi fɔli ni koli bɛ kɛ.
- Incontinence walima dilan jisuma.
- Kulɛri pinki bɛ sugunɛ na.
Olu bɛna tunun pewu tile kelen walima tile fila kɔnɔ. Aw bɛ aw jija den ka jimafɛn caman min. Ani fana, aw bɛ aw janto aw kana tɛmɛ lɛri 8 kan ka sɔrɔ aw ma koli kɛ.
| Waati min na aw ka kan ka dɔgɔtɔrɔ wele joona | |
|---|---|
| Koli sebaliya | Ni den ma koli fo lɛri 8-10. |
| Dimi jugumanba | Koli dimi, walima dimi jugumanba kɔnɔbara, kɔ, walima kɛrɛw la, o bɛ to sen na tile fila furakɛli kɔfɛ. |
| Farigan | Ni farikolo funteni ka ca ni 38,6 ye (101,5 Fahrenheit). |
| Fɛn wɛrɛw | Fɔɔnɔ ka teli, sugunɛbilenni min bɛ mɛn ka tɛmɛ lɛri 24 kan, walima kɔ/kɔdimi. |
Deflux furakɛli bɛ se ka kɛ 70% ni 93% cɛ. A kɔlɔlɔw ka ɲi kɛrɛnkɛrɛnnenya la bana daminɛ na (VUR hakɛ dɔgɔman).
Take-Home cikan
- VUR (sugunɛbana kɔfɛ) ye bana ye min ka teli ka kɛ denmisɛnw na. A bɛ se ka sugunɛbilenni bila mɔgɔ la tuma caman ani ka sugunɛ tiɲɛ.
- Deflux ye pikiri furakɛli ye min farati ka bon kosɛbɛ, a nɔgɔn don, wa a bɛ se ka kɛ o la.
- O tɛ miniti 30 bɔ, a bɛ kɛ ni anestezi ye, wa aw bɛ se ka taa so o don kelen na k’a sɔrɔ aw ma to dɔgɔtɔrɔso la. A kɛnɛyali waati ka surun kosɛbɛ.
- Furakɛli kelen-kelen bɛɛ n’a nafa n’a dɛsɛ don. O la, aw bɛ a latigɛ furakɛli min ka fisa aw den ma, ka kuma aw ka dɔgɔtɔrɔ fɛ, ka kunnafoni bɛɛ sɔrɔ.
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