An ka glomerulosclerose (glomerulosclerose) dɔn dɔrɔn, o ye sugunɛbilenni joli-sira-funu-yɔrɔw joginni ye.

Yala aw bɛ ka funu barikama sɔrɔ aw fari la, kɛrɛnkɛrɛnnenya la aw senw, aw senkɔniw, aw bolow walima aw ɲɛda la wa? Walima aw bɛ fogonfogon caman ye aw ka sugunɛ na ka tɛmɛ a cogo kɔrɔ kan wa? Olu bɛ se ka kɛ gɛlɛya taamasiɲɛw ye tuma dɔw la an farikolo yɔrɔ nafama dɔ la, n’o ye sugunɛ ye. Bi an bɛna kuma bana dɔ kan min bɛ sugunɛ degun, o min man ca kosɛbɛ, nka a nafa ka bon kosɛbɛ ka a dɔn. O bɛ wele ko Glomerulosclerose.

N’an y’a fɔ cogo nɔgɔman na, Glomerulosclerose ye mun ye?

An ka sugunɛw bɛ i n’a fɔ super filter fila. U bɛ fɛnɲɛnamafagalanw sama ka bɔ an joli la ka u bɔ fari la i n’a fɔ sugunɛ. O filɛli kɛcogo bɛ kɛ joli sira misɛnniw ka rezo kɔnɔ sugunɛ kɔnɔ. An bɛ minnu Weele ko `Glomeruli` olu ye ninnu ye. Glomerulosclerose ye bana ye min na o joli samalan misɛnninw bɛ kɛ joli ye walima ka u bonya. I n’a fɔ sɔgɔsɔgɔninjɛ bɛ sɔrɔ cogo min na ni an fari joginna, ni o joli filɛriw tiɲɛna, u bɛ kɛ sɔgɔsɔgɔninjɛ ye. Ni o kɛra, o rezow tɛ se ka baara kɛ ka ɲɛ. Nin bana in bɛ se ka denmisɛnw, mɔgɔkɔrɔbaw ani mɔgɔ o mɔgɔ minɛ. Nka, a ka ca dɔɔni cɛw la.

Mun bɛ se ka kɛ sababu ye ka nin ko in kɛ?

Ko dɔw bɛ yen, sababu kɛrɛnkɛrɛnnen tɛ ɲɛgɛnɛsiralabanaw la. Nka a ka ca a la, a bɛ sɔrɔ furakɛli cogoya wɛrɛw fɛ walima fɛn wɛrɛw fɛ. A sababuba ye bana ye min bɛ wele ko `FSGS` (Focal Segmental Glomerulosclerosis). O kɔrɔ ye ko sugunɛ na filɛri yɔrɔ bɛɛ tɛ tiɲɛ, yɔrɔ dɔw dɔrɔn de tiɲɛna (Focal). Wa o tiɲɛni bɛ Kɛ yɔrɔ min na, farikolo yɔrɔ dɔ (Segmental) dɔrɔn de bɛ Tiɲɛ, farikolo yɔrɔ bɛɛ tɛ Tiɲɛ. Nin ye sababu wɛrɛw ye minnu bɛ se ka nin `FSGS` bana in ni Glomerulosclerose (Glomerulosclerose) bɛɛ lajɛlen nɔ bila:

• Jabɛtibana : Sukarodunbana min tɛ se ka kunbɛn, o ye faratiba ye sugunɛ tiɲɛni na.
• Fasa : Farikolo girinya tɛmɛnen bɛ degun wɛrɛ lase sugunɛw ma.
• Sidabanakisɛ sɔrɔli : .Nin banakisɛ in bɛ se ka sugunɛbilenniw tiɲɛ k’a ɲɛsin u yɛrɛ ma.
• Bana minnu bɛ sɔrɔ farikolo tangalanw fɛ i n’a fɔ lupus : Olu la, farikolo yɛrɛ ka farikolo tangalanw bɛ bin sugunɛw kan.
• Sikilibana : Nin fana ye bana ye min bɛ sɔrɔ jamu fɛ, min bɛ se ka sugunɛ tiɲɛ.
• Sugunɛbilenni (reflux nephropathy) : Nin bana in na, sugunɛ bɛ segin ka bɔ sugunɛ na ka taa sugunɛ na, ka sugunɛ tiɲɛ.
• Glomerulonephritis : Min bɛ kɛ yan, o ye ko an ye joli-sira-funu-yɔrɔw (Glomeruli) minnu kofɔ ka tɛmɛ, olu bɛ funu, o kɔrɔ ye ko u bɛ funu.
• Fura dɔw ni furakisɛ dɔw : Fura dɔw ni furakisɛ dɔw fana bɛ se ka kɛ sababu ye ka sugunɛ kɛ.

O taamasiɲɛw ye mun ye?

Nin bana in daminɛ na, a bɛ se ka kɛ a taamasiɲɛ jɛlen tɛ a la . O de ye faratiba ye o ko la. Nka waati tɛmɛnen kɔfɛ, taamasiɲɛ dɔw bɛ daminɛ ka bɔ kɛnɛ kan. A nafa ka bon kosɛbɛ ka aw janto nin taamasiɲɛ ninnu na. Tuma caman na, nin bana in bɛ sɔrɔ dɔgɔtɔrɔso sɛgɛsɛgɛli kɛcogo kɔrɔ dɔ senfɛ min bɛ kɛ kun wɛrɛ la. Sugunɛ sɛgɛsɛgɛli bɛ se ka a jira ko farikolojɔli dumuni caman bɛ a la (Proteinuria) walima joli sɛgɛsɛgɛli bɛ se ka a jira ko farikolojɔli dumuni hakɛ dɔgɔyara (Hypoproteinemia).

Aw bɛ nin bana in sɛgɛsɛgɛ cogo di ka ɲɛ?

Ikomi taamasiɲɛ minnu kofɔlen don sanfɛ, olu bɛ se ka ye bana wɛrɛw fana na, o cogo kelenpe ni fɛɛrɛ ɲuman min bɛ se ka nin bana in dafa, o ye ka sugunɛbilenni kɛ .

Nin sugunɛbaralabana in ye mun ye?

Kana jɔrɛ. O ye ka farikolo yɔrɔ fitinin dɔ ta i ka sugunɛ na ni minɛn fitinin ye min bɛ i n’a fɔ pikirijikɛlan. O kɔ, a bɛ farikolo yɔrɔ sɛgɛsɛgɛ ni mikroskɔpu ye walasa ka a dɔn ni nɔ minnu kofɔlen don ka tɛmɛ, olu dɔw bɛ yen. Ka fara o kan, aw ka dɔgɔtɔrɔ bɛ se ka nin sɛgɛsɛgɛli ninnu fana fɔ:

• Glomerular Filtration Rate (GFR) sɛgɛsɛgɛli : O bɛ aw ka sugunɛw baara ka ɲɛ cogo min na, o jateminɛ.
• Sugunɛ ultrasound scan: Aw bɛ sugunɛbaralabana hakɛ, a cogoya ani a sɔrɔli lajɛ.
• Jɛnkulu sɛgɛsɛgɛli : A man teli ka kɛ dɔw la, walasa k’a dɔn ni jamu sababu dɔ bɛ yen.

O furakɛcogo jumɛnw bɛ yen?

A ka c’a la, fura tɛ ɲɛgɛnɛsiralabanaw la. Fura kɛrɛnkɛrɛnnenw fana ma dabɔ a kama. Nka, i kana i hakili ɲagami! Furakɛli damadɔ bɛ yen minnu bɛ se ka bana in taabolo kunbɛn, ka bana taamasiɲɛw kunbɛn, ani ka ɲɛnamaya kɛ cogo bɛnnen na. Furakɛli kunba ye ka bana in bali ka taa ɲɛ ani ka sugunɛbaralabana bali. A ka ca a la furakɛli bɛ kɛ ni ninnu ye:

• Tansiyɔn furaw : Fura minnu bɛ i n’a fɔ ACE inhibiteurs ani ARBs, olu tɛ tansiyɔn kunbɛn dɔrɔn, nka u bɛ dɛmɛ fana ka farikolojɔli dumuniw bɔli dɔgɔya sugunɛ na.
• Farikolo tangalan furaw : Stɛroyidiw i n’a fɔ Prednisolone ani fura wɛrɛw bɛ dɛmɛ ka farikolo tangalanw ka baara kunbɛn, ka farikolojɔli dumuniw bɔli dɔgɔya, ani ka sugunɛ baara ɲɛ.
• Fura minnu bɛ kolosinsinnanw kɛlɛ (Statins): Kɔlɔsili hakɛ cayalenba kɔlɔsi.
• Sugunɛ furaw : Aw bɛ ji ni kɔgɔ tɛmɛnen bɔ fari la ka funu dɔgɔya.
• Kɔnɔnatumuw (anticoagulants).
• Yɛlɛma donna ɲɛnamaya kɛcogo la: Dumuni nafama dunni , farikoloɲɛnajɛ, ani witamini tali nafa ka bon kosɛbɛ.

Hali ni furakɛli bɛɛ kɛra, a dɔw la, bana bɛ se ka taa ɲɛ fo ka se sugunɛbaralabana ma. O cogo la, sugunɛbilenni walima sugunɛbilenni bɛ se ka kɛ wajibi ye. Glomerulosclerose Sinhala, sugunɛbana, sugunɛbilenni, farikolojɔli dumuni sugunɛ na, farikolojɔli dumuni Sinhala, sen funu, sugunɛbilenni