Yala sugunɛbaralabana fila fana bɛ aw ka sugunɛ na wa? (Duplex Kidney) An ka bana in dɔn nɔgɔya la!

An farikolo ye danfɛn kabakoma ye, tiɲɛ tɛ? Tuma dɔw la, fɛn dɔw bɛ kɛ an farikolo kɔnɔ, an tɛ minnu dɔn, an tɛ se ka miiri minnu yɛrɛ la. O ye o ko kɛrɛnkɛrɛnnen dɔ ye an bɛna kuma min kan bi. Miiri k’a filɛ, ko tubabufura minnu bɛ sugunɛ ta ka bɔ i sugunɛ kelen na ka taa sugunɛ na (an b’o wele ko `(sugunɛbilenni)`) a ka c’a la, fila bɛ sɔrɔ kelen nɔ na! Ɔwɔ, o ye tiɲɛ ye. An bɛ min wele ko `(Duplex Kidney)` walima `(Duplicated Ureters)` furakɛli dɔnniya la. Aw kana siran ni aw ye tɔgɔ mɛn, nin ye fɛn ye min tɛ gɛlɛya caman lase mɔgɔ fanba ma. An ka kuma o kan ka ɲɛ ani cogo nɔgɔman na.

Nin ``Duplex Kidney'' ye mun ye? An ka faamuyali sɔrɔ tigitigi!

N’an y’a fɔ cogo nɔgɔman na, sugunɛ duplex ye bana ye min bɛ sɔrɔ bangekɔlɔsi fɛ, min bɛ sɔrɔ bange waati. O ye ni aw sugunɛ kelen walima u fila bɛɛ bɛ ni tubabufura fila ye minnu bɛ wele ko sugunɛbaralabana minnu bɛ sugunɛ ta ka taa sugunɛ na. A ka ca a la, sugunɛbaralabana kelen dɔrɔn de bɛ don sugunɛ na ka bɔ sugunɛ kelen na.

An bɛɛ bɛ sugunɛ fila sɔrɔ an fari la. O sugunɛw bɛ fɛnɲɛnamafagalanw sama ka bɔ an fari la ka sugunɛ bɔ. O kɔ, o sugunɛ bɛ tɛmɛ tubabukan na min bɛ wele ko ``ureters`` ka lajɛ sugunɛ na. Ni sugunɛ falen don, an b’a ye ko a ka kan ka koli kɛ. Sisan, nin ``Duplex Kidney`` cogoya in na, tubabukan fila bɛ bɔ sugunɛ kelen na. Kelen bɛ daminɛ sugunɛ sanfɛla la, tɔ kelen bɛ daminɛ duguma yɔrɔ la ka sugunɛ ta ka taa sugunɛ na. O bɛ kɛ ni sugunɛ ni sugunɛbara bɛ ka yiriwa kɔnɔbara la i n’a fɔ den.

`(Duplex Kidney)` suguya kunbabaw ye jumɛnw ye?

Nin ``Duplex Kidney'' bana in bɛ se ka sugunɛ kelen dɔrɔn de minɛ, walima a bɛ se ka sugunɛ fila bɛɛ minɛ (an b’o wele ko ``bilateral duplex kidneys''). Ani fana, a bɛ se ka kɛ dafalen ye walima dafalen tɛ . An k’a lajɛ o ye min ye.

• Sugunɛbilenni dafalen : O cogo la, sugunɛbara fila minnu bɛ daminɛ sugunɛ kelen na ka u ni sugunɛbara siri ɲɔgɔn na. O kɔrɔ ye ko tubabufura fila bɛ don sugunɛbara la.
• Duplex Kidney dafabali : Yan, sugunɛbara fila bɛ daminɛ sugunɛ kelen na, nka sani u ka don sugunɛ na, u bɛ fara ɲɔgɔn kan ka kɛ tubabufura kelen ye. Miiri a la i n’a fɔ ‘Y’ sɛbɛnni.

Nin bana in taamasiɲɛw ye jumɛnw ye? Yala bɛɛ bɛ bana taamasiɲɛw sɔrɔ wa?

kibaru duman ye ko sugunɛ duplex bɛ mɔgɔ minnu na , olu fanba tɛ taamasiɲɛ si sɔrɔ . U bɛ ɲɛnamaya kɛ cogo bɛnnen na. Nka tuma dɔw la, kɛrɛnkɛrɛnnenya la ni sugunɛ duplex dafalen don, ni sugunɛbaralabana ma siri ka ɲɛ walima ni sugunɛ bɔli balilan dɔ bɛ yen, a taamasiɲɛw bɛ se ka sɔrɔ gɛlɛyaw fɛ.

Taamasiɲɛ minnu bɛ se ka sɔrɔ olu ye:

• Sugunɛbilenni minnu bɛ kɛ tuma caman (UTIs) .A kɛcogo. O waati kɔnɔ, aw bɛ se ka jeninida, dimi, ani ka to ka koli kɛ.
• Sugunɛbilenni (ni UTI ni sumaya bɛ taa ɲɔgɔn fɛ). Nin ye ko jugu ye dɔɔnin. A taamasiɲɛw bɛ se ka kɛ farigan, farigan ani kɔdimi ye.
• Sugunɛbilenni ye sugunɛ bɔli ye a yɛrɛ sago la hali ni den ye ɲɛgɛn dege (a bɛ fɔ fana ko pɔsɔni dege) . O bɛ kɛ kɛrɛnkɛrɛnnenya la npogotigininw na.

Miiri k’a filɛ, farigan bɛ to denmisɛn dɔw la, dɔgɔtɔrɔ bɛ fura di u ma, nka u bɛ to ka u sɔrɔ tuguni. Laala a sababu ye sugunɛbilenni ye min bɛ sɔrɔ ``Duplex Kidney'' dogolen dɔ fɛ.

Yala Duplex Kidney bɛ koli kɛ kojugu wa?

Ayi, ni Duplex Kidney (Duplex Kidney) bɛ aw bolo, o tɛ kɛ sababu ye ka sugunɛ caman minɛ, wa o tɛ kɛ sababu ye fana ka sugunɛ kɛ ka caya. An bɛ sugunɛ hakɛ min bɔ, o bɛ kɔlɔsi an farikolo yɔrɔ wɛrɛw fɛ. Nka, i n’a fɔ n y’a fɔ cogo min na ka tɛmɛ, ni sugunɛbaralabana bɛ mɔgɔ min na, o tigi bɛ to ka UTI sɔrɔ, a bɛ se ka kɛ ko a ka kan ka koli kɛ ka caya ka a sababu kɛ banakisɛ in ye. O tɛ bana in nɔ tilennen ye, nka a ye bana in taamasiɲɛ ye.

Mun na nin ``Duplex Kidney'' in bɛ kɛ?

A ka ca a la o bɛ sɔrɔ selilɛri tilali fili fɛ min bɛ kɛ denso yiriwali daminɛ na kɔnɔbara la. O kɔrɔ ye ko yɛlɛma dɔɔni bɛ kɛ sugunɛ ni sugunɛ kɛcogo la. Min nafa ka bon, o ye ko dalilu si tɛ yen min b’a jira ko nin bana in bɛ sɔrɔ ba ye fɛn o fɛn kɛ walima a ma min kɛ kɔnɔmaya waati. O la sa, kana jalaki o ko la.

Yala nin ye fɛn ye min bɛ bɔ mɔgɔw la wa?

Ɔwɔ, tuma dɔw la Duplex Kidney bɛ se ka sɔrɔ ciyɛn na . O kɔrɔ ye ko ni bana in bɛ bangebaga dɔ la, u den bɛ se ka bana in sɔrɔ 50%. Nka, ko dɔw bɛ yen denmisɛnw bɛ se ka sugunɛbilenni sɔrɔ hali ni o bana tɛ bangebagaw la. O la sa, ni a bɛ denbaya kɔnɔmɔgɔ dɔ la, a ka ɲi an k’a dɔn.

``Duplex Kidney'' gɛlɛya jumɛnw bɛ se ka sɔrɔ?

A ka ca a la, sugunɛ duplex taamasiɲɛw bɛ ye dɔrɔn ni gɛlɛya wɛrɛw bɛ sɔrɔ sugunɛbaralabana yiriwali fɛ. Yɛlɛma ninnu bɛ se ka sugunɛ bɔli bali, ka sugunɛ funu (hydronephrose), walima ka sugunɛ bila kɔfɛ ka don sugunɛ na (reflux). Nin bana ninnu dɔ la kelen bɛ se ka kɛ sababu ye ka sugunɛbilenni bila mɔgɔ la tuma caman (UTI).

Bana wɛrɛ minnu bɛ se ka ye ka fara ``Sugunɛ Duplex'' kan, olu ye:

• `Ureterocele`: O ye waati ye `(ureter)` min ni a ni sugunɛ bɛ ɲɔgɔn cɛ, o bɛ kɛ i n’a fɔ balon. O bɛ se ka sugunɛ bɔli bali.
• Sugunɛbilenni kɔkanna:Yan, sugunɛbaralabana bɛ siri sugunɛ yɔrɔ wɛrɛ la (misali la, sugunɛbaralabana walima musoya) sanni a ka kan ka kɛ yɔrɔ min na. O bɛ se ka kɛ sababu ye ka sugunɛ bɔ ka bɔ a la k’a sɔrɔ a ma kɛ ni laɲini ye (incontinence).
• Vesicoureteral reflux (VUR): O ye sugunɛ ye min bɛ bɔ sugunɛ na ka segin ka woyo ka taa sugunɛbara la ka taa sugunɛ na. O bɛ se ka sugunɛ tiɲɛ ani ka bana bila mɔgɔ la.
• Sugunɛbilenni : O ye sugunɛ bɛ caya sugunɛ na ka funu. O bɛ kɛ ni fɛn dɔ datugulen don sugunɛbaralabana yɔrɔ dɔ la.

Nin ``Duplex Kidney'' bana in bɛ sɔrɔ cogo di?

Dɔgɔtɔrɔw bɛ se ka sugunɛbaralabana fila sɛgɛsɛgɛ ni ja sɛgɛsɛgɛli kɛrɛnkɛrɛnnenw ye walasa ka aw ka sugunɛ kɛcogo ja ta. Ni aw b’a ɲini ka aw ka bana taamasiɲɛw sababu dɔn, aw ka dɔgɔtɔrɔ bɛ se ka ɲininkaliw kɛ aw la i n’a fɔ:

• Yala kɔdimi walima kɔnɔdimi bɛ aw la wa?
• Yala gɛlɛya bɛ aw la ni sugunɛbaralabana ye wa?
• Yala denbaya kɔnɔ (joli somɔgɔw) mɔgɔ dɔ bɛ ni ``Duplex Kidney'' ye wa?

A ka ca a la sugunɛbaralabana fila bɛ sɔrɔ denmisɛnniw na , kɛrɛnkɛrɛnnenya la ni u bɛ to ka UTI sɔrɔ walima ni u tɛ se ka u yɛrɛ minɛ. Nka, mɔgɔ dɔw t’a dɔn bana in bɛ u la fo ka se mɔgɔkɔrɔbaw ma. A ka ca a la a bɛ sɔrɔ a danma sɛgɛsɛgɛliw senfɛ bana wɛrɛ kan. A taamasiɲɛ dɔw ni bana wɛrɛw ta bɔlen don ɲɔgɔn fɛ, o la a sɛgɛsɛgɛli bɛ se ka gɛlɛya.

Sɛgɛsɛgɛli jumɛnw bɛ kɛ walasa ka nin bana in dɔn?

Aw ka dɔgɔtɔrɔ bɛ se ka yamaruya di ja sɛgɛsɛgɛliw ma i n’a fɔ ninnu walasa ka a dɔn ni Duplex Kidney bɛ aw la:

• Sugunɛ ni sugunɛbilenni ultrasound : Nin ye sɛgɛsɛgɛli nɔgɔman ye min tɛ dimi ye, min bɛ kɛ ni mankanw ye walasa ka kɔnɔnafɛnw ja ta.
• `Computed Tomography (CT) scan`: O bɛ kɛ ni X-ray ni ɔridinatɛri ye walasa ka farikolo ja caman ta.
• Magnetic Resonance Imaging (MRI): O bɛ kɛ ni magnɛti fanga ni arajo ye walasa ka farikolo kɔnɔna ja jɛlenw dilan.
• Piyelogramme rétrograde : Nin ye sɛgɛsɛgɛli kɛrɛnkɛrɛnnen ye. Kamera fitini ni kalali bɛ tɛmɛ sugunɛbara fɛ, ani ka ja ta ni rezow ye walasa ka sugunɛ kɛcogo n’a baarakɛcogo ye.

`(Duplex Kidney)` furakɛcogo jumɛnw ye?

Mɔgɔ fanba mago tɛ fura si la sugunɛ duplex la. Nka ni sugunɛbaralabana bɛ aw la, i n’a fɔ a fɔra cogo min sanfɛ, walima ni gɛlɛya wɛrɛw bɛ aw la minnu bɛ a taamasiɲɛw lase aw ma, aw bɛ se ka opereli kɛ aw sugunɛ, sugunɛbara walima sugunɛbara la.

Yala aw bɛ ``Sugunɛ Duplex'' bɔ wa?

Dɔgɔtɔrɔw man teli ka ``Sugunɛ fila bɔ pewu.`` Gɛlɛya tɛ sugunɛ fila sɔrɔli ye, nka gɛlɛya minnu bɛ sɔrɔ u la. Ni bana taamasiɲɛw bɛ yen, opereli suguya caman bɛ yen minnu bɛ se ka kɛ:

• `Ureteroureterostomy`: O la, operelikɛla bɛ `(ureters)` fila fara ɲɔgɔn kan, ka `(ureter)` dɔ dilan min bɛ kɛ `(Y') cogo la walasa ka sugunɛ ta ka taa sugunɛ na. O bɛ kɛ walasa ka tubabufura fila fara ɲɔgɔn kan, o ni `(Incomplete Duplex Kidney)` bɛ tali kɛ ɲɔgɔn na.
• Sugunɛbilenni seginni : Ni sugunɛbaralabana bɛ aw la, walima sugunɛbaralabana min bɛ segin kɔ, operelikɛla bɛna da kura dɔ da walasa k’a ni sugunɛbara siri ɲɔgɔn na. O bɛna sugunɛ dɛmɛ ka taa ka ɲɛ ani ka a bali ka segin kɔ.
• Sugunɛbilenni : O ye sugunɛ yɔrɔ dɔ walima a bɛɛ bɔli ye min tɛ baara kɛ ka ɲɛ. O bɛ se ka dɔ bɔ yɛrɛminɛbaliya ni banakisɛ sɔrɔli farati la. Nka, o furakɛli tɛ kɛ tuma caman na. A bɛ kɛ dɔrɔn ni sugunɛ kelen tiɲɛna kosɛbɛ ka gɛlɛya lase mɔgɔ ma, ni sugunɛ tɔ kelen bɛ baara kɛ ka ɲɛ.

A bɛ waati joli ta walasa ka kɛnɛya opereli kɔfɛ?

Waati min bɛ ta walasa aw ka kɛnɛya opereli kɔfɛ, o bɛna ɲɔgɔn ta ka kɛɲɛ ni aw si hakɛ ye ani aw ye opereli suguya min kɛ. Misali la, a ka c’a la, denmisɛnnin dɔ bɛ to dɔgɔtɔrɔso la tile kelen walima tile fila, ka sɔrɔ ka taa so ka lafiɲɛ dɔgɔkun kelen walima dɔgɔkun fila wɛrɛ. Opereli kɔfɛ, dɔgɔtɔrɔ bɛna sugunɛ ultrasound kɛ walasa ka a dɔn ko fɛn bɛɛ bɛ ka ɲɛ.

Ni ``Duplex Kidney'' bɛ ne la, ne ka kan ka mun makɔnɔ?

Sugunɛbilenni bɛ mɔgɔ minnu na, olu fanba tɛ gɛlɛya foyi sɔrɔ. Nka ni bana dɔw bɛ aw la i n’a fɔ sugunɛbilenni, kɔsegin, walima UTI minnu bɛ to ka kɛ, aw bɛ se ka opereli kɛ walasa ka u latilen.

Yala ``Duplex Kidney'' ye bana jugu ye wa?

A ka ca a la sugunɛ duplex tɛ bana jugumanba ye walima bana faratilen ye . A taamasiɲɛw tɛ mɔgɔ fanba la, wa u mako tɛ furakɛli la.

Yala ne bɛ se ka ɲɛnamaya kɛ cogo bɛnnen na ni Duplex Kidney ye wa?

Duplex Kidney tɛ mɔgɔ ka ɲɛnamaya bila farati la. Hali ni furakɛli ka kan ka kɛ, a ka ca a la a bɛ nɔba bila bana taamasiɲɛw lajɔli la. O la sa, ɔwɔ, i bɛ se ka ɲɛnamaya kɛ cogo la min bɛ bɛn pewu .

Ne bɛ se ka ne yɛrɛ ladon cogo di?

Ni aw b’a dɔn ko sugunɛ duplex bɛ aw walima aw den na, aw ye aw janto taamasiɲɛw la minnu bɛ sugunɛbaralabana bila (i n’a fɔ UTI minnu bɛ ni sumaya ye walima koli kɛli a yɛrɛ sago la). Ni aw walima aw den ye opereli kɛ, aw bɛ dɔgɔtɔrɔ ka laadilikanw labato ka ɲɛ .

Tuma jumɛn na ne ka kan ka taa n ka dɔgɔtɔrɔ fɛ?

Ni a sɔrɔla ko Duplex Kidney (Duplex Kidney) bɛ aw la, ni taamasiɲɛ dɔw bɛ aw la, aw hakili la ko u ni o bɛ tali kɛ ɲɔgɔn na, aw bɛ taa aw yɛrɛ lajɛ dɔgɔtɔrɔso la. Aw bɛ a ɲininka bana taamasiɲɛ kura dɔw la walima aw ka kan ka min kɛ ni aw ka bana taamasiɲɛw juguyara.

Tuma jumɛn na ne ka kan ka taa Kɔrɔtɔko ɲɛmɔgɔso la (ETU) ?

Ni bana juguman dɔ taamasiɲɛw bɛ aw la, aw bɛ taa kɔrɔtɔyɔrɔ la joona. O taamasiɲɛw ye:

• Sumaya jugumanba (a bɛ tɛmɛ degere 102 kan / degere 39 kan).
• Kɔnɔdimi jugumanba barikama .
• fɔɔnɔ tuma caman na ani sebaliya ka dumuni kɛ walima ka fɛn si min .

Ne ka kan ka ɲininkali jumɛnw kɛ n ka dɔgɔtɔrɔ la?

A bɛ se ka kɛ ko nafa bɛ a la ka dɔgɔtɔrɔ ɲininka nin ɲininkali ninnu na:

• Yala fura dɔw bɛ yen ne ka kan ka minnu ta wa?
• ``Duplex Kidney'' suguya jumɛn bɛ ne la?
• Yala ne mago bɛ opereli la wa? A sugu jumɛn?
• Yala ne ka kan ka taa dɔgɔtɔrɔ kɛrɛnkɛrɛnnen dɔ fɛ wa? Yala ne mago bɛ ``(referral)`` la o kama wa?
• E fɛ, yala ne ka bana taamasiɲɛw bɛna ban u yɛrɛ ma wa?
• Ni ``Duplex Kidney'' bɛ ne la, yala ne den fana ka kan ka sɛgɛsɛgɛli kɛ wa?

``Duplex Kidney'' ka teli ka kɛ cogo di?

Sugunɛ tilalen fila ye bangekɔlɔsi bana ye min ka teli ka sugunɛbaralabana tiɲɛ. Mɔgɔ 125 o 125, kelen ɲɔgɔn bɛ sugunɛ tilayɔrɔ fila dafalen walima tilayɔrɔ dafabali sɔrɔ.

A laban na, fɛn minnu ka kan ka to an hakili la (Take-Home Message) .

Sugunɛ fila walima sugunɛbaralabana fila tɛ bana ye min bɛ mɔgɔ ka ɲɛnamaya bila farati la, wa a ka ca a la a tɛ taamasiɲɛw lase mɔgɔ ma. Mɔgɔ caman yɛrɛ t’a dɔn ko bana in bɛ u la. Ni a sɔrɔla ko Duplex Kidney (Duplex Kidney) bɛ aw walima aw den na, ni a taamasiɲɛw bɛ a la, a ka ca a la furakɛli bɛ nɔ bɔ kosɛbɛ u furakɛli la. Hali ni a bɛ se ka kɛ maloyako ye ka kuma fɛnw kan i n’a fɔ koli min tɛ kɛ ni i yɛrɛ sago ye walima dimi ni i bɛ koli kɛ, a nafa ka bon ka kuma dɔgɔtɔrɔ fɛ i ka bana taamasiɲɛw kan . U bɛ yen walisa k’i dɛmɛ. U bɛ se ka aw ka bana taamasiɲɛw sababu dɔn ani ka fura ɲuman fɔ walasa ka aw dɛmɛ ka aw lafiya. Min nafa ka bon kosɛbɛ, o ye ka siran ani ka dɔgɔtɔrɔ ka laadilikan ɲumanw sɔrɔ.

` Sugunɛ fila, sugunɛ fila, sugunɛbana bangenen, sugunɛbaralabana, sugunɛ opereli, sugunɛbaralabana, vesicoureteral reflux