An bɛɛ b’a dɔn sugunɛ fila nafa ka bon cogo min na an farikolo la. U bɛ kɛ i n’a fɔ filɛri, u bɛ an joli saniya ani ka fɛnɲɛnamafagalanw bɔ u la i n’a fɔ sugunɛ. Nka yala i b’a dɔn ko datugulan kɛrɛnkɛrɛnnen dɔ bɛ an farikolo kɔnɔ walisa ka o sugunɛ nafamaw lakana wa? An b’o de Weele ko Gerota ka fasa furakɛli la. An ka kuma nin kan dɔɔnin, nɔgɔya la kosɛbɛ.
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N’an y’a fɔ cogo nɔgɔman na, Gerota ka fassia ye mun ye?
Gerota ka fascia ye jɛɲɔgɔnya yɔrɔ finman ye nka a barika ka bon, min bɛ an ka sugunɛw ni sugunɛbara lamini u sanfɛ. A bɛ iko barajuru. Nin barajuru in kɔnɔ, an ka sugunɛw, an ka sugunɛbaralabanaw, ani tulumafɛnw (perinephric fat) minnu bɛ u lamini, olu bɛ lakana.
Nin datugulan in baara kunba ye ka sugunɛ ni sugunɛbaralabana faranfasi ka bɔ kɔnɔbara yɔrɔ tɔw la, i n’a fɔ pake danfaralen. O b’a to sugunɛw bɛ se k’u ka baara kɛ ka ɲɛ, k’a sɔrɔ foyi ma bali.
Nin datugulan in kɔnɔfɛnw ka baara ye mun ye?
Sugunɛ ni sugunɛbaralabana minnu bɛ Gerota fascia kɔnɔ, olu ye an farikolo yɔrɔ nafama fila ye. An k’a lajɛ min bɛ kɛ u la.
| Organ (yɔrɔ) min bɛ wele ko | Baara kunbabaw |
|---|---|
| Sugunɛw |
|
| Surɔfiyen (Glande supérieure). |
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Gerota ka fascia bɛ an ka sugunɛ ni sugunɛbara lamini. O bɛ sugunɛw ni jolisira belebelebaw fara ɲɔgɔn kan an fari la. O kɔrɔ ye ko:
- Ka bɔ joli siraba la (Abdominal aorta) min bɛ bɔ an ka dawolo la ka taa an senkɔni na.
- Inferior vena cava, o min bɛ joli ta ka bɔ kɔnɔbara ni senw na ka taa dusukun na.
- Ka bɔ joli siraw ni jolisiraw la minnu ni sugunɛw bɛ ɲɔgɔn cɛ (Sugunɛ siraw ni jolisiraw).
O datugulan in dilannen don ni jɛɲɔgɔnya ye min bɛ wele ko kolajɛ. Hali ni a ka fin kosɛbɛ, a barika ka bon ka tɛmɛ i bɛ se ka miiri min na. O datugulan in bɛ siri farikolo yɔrɔ wɛrɛw la fan saba fɛ sugunɛ lamini na.
- Kɔnɔbara ɲɛfɛla : Gerota ka fascia min bɛ sugunɛ kelen ɲɛfɛ, o ni Gerota ka fascia min bɛ sugunɛ tɔ kelen ɲɛfɛ, o bɛ fara ɲɔgɔn kan.
- Kɔfɛla : Sugunɛ kɔfɛ, o fasa in bɛ jɛ ni farikolo yɔrɔ dɔ ye (psoas fascia) an kɔkolo ni kɔkolo cɛ.
- Sanfɛla : Sugunɛ sanfɛla la, o ɲɛgɛnɛsira bɛ fara ɲɛgɛnɛsira wɛrɛ kan sugunɛ kɔfɛ, o kɔ a bɛ tila ka kɛ yɔrɔ fila ye walasa ka sugunɛbara lamini.
Bana jumɛnw bɛ nɔ bila Gerota ka fascia la?
Furakɛcogo damadɔ bɛ yen minnu bɛ se ka nɔ bila nin tangalan in na. O de kama dɔgɔtɔrɔw bɛ nin kala in sɛgɛsɛgɛ koɲuman.
| Dɔgɔtɔrɔso cogoya | Ɲɛfɔli nɔgɔman |
|---|---|
| Sugunɛbilenni kuruw | Bonya minnu bɛ sɔrɔ surɔfiyen glandew kan. |
| Sugunɛ kansɛri | Ni kansɛri bɛ nin layini in kɔnɔ, a bɛ jate taabolo 1, 2 walima 3. Ni kansɛri jɛnsɛnna ka tɛmɛ nin layini in kan, a bɛ jate taabolo 4. O la, nin yɔrɔ in nafa ka bon kosɛbɛ kansɛri juguya sumani na. |
| Sugunɛbilenni | Kurukuru belebelebaw minnu bɛ kɛ sugunɛ na. Tuma dɔw la, o fɛnw bɛ se ka nɔ bila o finimugu in na. |
| Perinephrique (banakisɛfagalan) kurukuruw | Kuru minnu falen don nɔgɔ la, olu sɔrɔli Gerota ka fascia kɔnɔ. Ninnu bɛ se ka sɔrɔ bana dɔw fɛ i n’a fɔ sukarodunbana, kɔnɔmaya, sugunɛbilenni (UTI), walima sugunɛbilenni. |
Ne bɛ se ka nin datugulan in kɛnɛya lajɛ cogo di?
Ni aw ka dɔgɔtɔrɔ b’a fɛ ka Gerota ka fasa cogoya dɔn, a ka ca a la u bɛ se ka nin sɛgɛsɛgɛli ninnu yamaruya:
- Sugunɛ ultrasound scan.
- Tomografi (CT) bɛ kɛ ni kalali ye (contraste).
- Magnetic resonance imaging (MRI) sɛgɛsɛgɛli.
Nin sɛgɛsɛgɛli ninnu ye dɛmɛba ye dɔgɔtɔrɔw ma, a tɛ kɛ Gerota ka fasa cogoya dɔnni dɔrɔn na, nka u bɛ sugunɛ kansɛri taabolo dɔn fana, walima ka a dɔn tigitigi ni kuru dɔ bɛ sugunɛ na ani ni a jɛnsɛnna o datugulan in na.
An bɛ se ka fɛn minnu kɛ walasa Gerota ka fasa ni a sugunɛ ka to kɛnɛya la
Gerota fascia yɛrɛ man teli ka bana sɔrɔ. Nka, sugunɛbana bɛ se ka nɔ bila o datugulan in na. O la, a ka fisa an ka sugunɛw to kɛnɛya la. Walisa k’o kɛ, i ka nin fɛn nɔgɔmanw fara i ka ɲɛnamaya kan.
- Aw bɛ ji caman min : Ni aw bɛ ji hakɛ wajibiyalen min tile bɛɛ kɔnɔ, o bɛ sugunɛ dɛmɛ ka baara kɛ ka ɲɛ.
- Farikoloɲɛnajɛ kɛli tuma bɛɛ: Ka farikolo to a ka baara la, o ka ɲi kosɛbɛ kɛnɛya bɛɛ ma.
- Aw bɛ girinya kɛnɛman mara: Fasa bɛ degun wɛrɛ lase sugunɛ ma.
- Aw bɛ dɔ bɔ kɔgɔ dunni na : Kɔgɔ caman dunni bɛ se ka dɔ fara tansiyɔn kan ani ka sugunɛ tiɲɛ.
- Aw kana sigarɛti min: Ni aw ye sigarɛtiminbaga ye, aw bɛ aw jija ka dɔlɔmin dabila joona. O bɛ dɔ bɔ joli bɔli la sugunɛ na.
- Aw ye aw janto dimimadafura la: Dimimadafura dɔw tali kuntaalajan (fura minnu tɛ stɛroyi ye) olu bɛ se ka kojugu kɛ sugunɛ na. Aw kana taa a fɛ ka ninnu ta ni aw ma kuma aw ka dɔgɔtɔrɔ fɛ.
- Ni sukarodunbana bɛ aw la: Aw bɛ aw ka sukaro hakɛ kɔlɔsi ka ɲɛ.
- Aw bɛ dɔgɔtɔrɔso lajɛ kɛ san o san:Aw bɛ se ka banaw dɔn joona ni aw ye aw ka dɔgɔtɔrɔ kunbɛn ani ka sɛgɛsɛgɛli kɛ tuma bɛɛ.
Take-Home cikan
- Gerota ka fascia ye lakanafɛn ye min bɛ an ka sugunɛ ni sugunɛbara lamini.
- O datugulan in b’a to sugunɛw bɛ se ka faran ka bɔ farikolo yɔrɔ wɛrɛw la ani k’u ka baara kɛ ka ɲɛ.
- Nin datugucogo in nafa ka bon kosɛbɛ sugunɛbilenni juguya (a taabolo) dɔnni na.
- Banaw i n’a fɔ sugunɛbilenni walima kurukuruw fana bɛ se ka nɔ bila o datugucogo la.
- Ka an ka sugunɛw to kɛnɛya la, o ye fɛɛrɛ ɲuman ye min bɛ se ka Gerota ka ɲɛgɛnɛsira to kɛnɛya la. O kama, ka tugu ɲɛnamaya kɛcogo ɲuman na, o nafa ka bon kosɛbɛ.
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