A ka ca a la ka siran dɔɔni ani ka jɔrɔ ni dɔgɔtɔrɔ y’a fɔ i ye walima i dɔnbaga dɔ ko i mago bɛ sugunɛ opereli la. A tɛ kabako ye, kɛrɛnkɛrɛnnenya la, sugunɛ ye o yɔrɔ nafamaba ye an farikolo la. Nka aw ka dɔgɔtɔrɔ bɛ aw dusukunnataw faamu. O de kama u bɛna opereli ɲɛfɔ aw ye, opereli minnu bɛ makɔnɔ, ani kɛnɛya waati.
N’an y’a fɔ cogo nɔgɔman na, Heminephrectomy ye mun ye?
Ɲɛgɛnɛsiraw bɔli (hemi-nephrec-to-me) ye opereli ye min bɛ aw ka sugunɛ yɔrɔ min tɛ baara kɛ, o dɔrɔn de bɔ. Sugunɛ bɛɛ tɛ bɔ, a yɔrɔ min tɛ baara kɛ dɔrɔn.
a ka ca a la opereli in bɛ kɛ mɔgɔw la minnu ka bana dɔ bɛ wele ko Duplex Kidney . Sisan, n’a sɔrɔ i b’i yɛrɛ ɲininka o ye mun ye.
Miiri k’a filɛ, sugunɛ fila bɛ an bɛɛ fari la. A ka ca a la, sugunɛbara kelen dɔrɔn de bɛ kɛ ka sugunɛ ta ka bɔ sugunɛ kelen na ka taa sugunɛbara la. Nka mɔgɔ dɔw bɛ bange ni sugunɛbara fila ye sugunɛ kelen na ka a sababu kɛ bangekɔlɔsi bana dɔ ye. O de y'a To an b'a Weele ko ``Duplex Kidney``.
Nka ``Duplex Kidney'' bɛ mɔgɔ o mɔgɔ la, o bɛɛ tɛna gɛlɛya sɔrɔ. Mɔgɔ dɔw bɛ balo k’a sɔrɔ u yɛrɛ t’a dɔn ko nin bana in bɛ u la. Nka tuma dɔw la, a bɛ se ka gɛlɛya dɔw lase mɔgɔ ma.
Gɛlɛya jumɛnw bɛ se ka sɔrɔ sugunɛ Duplex fɛ?
Gɛlɛyaba saba bɛ yen minnu bɛ se ka sɔrɔ `Duplex Kidney` fɛ. An k’a lajɛ u ye min ye.
| Gɛlɛya (Condition) . | N'an y'a fɔ cogo nɔgɔman na... |
|---|---|
| Reflux vésicouretéral (VUR) ye . | O bɛ kɛ sababu ye sugunɛbaralabana ka segin ka woyo ka taa san fɛ sugunɛ na. Waati jan kɔnɔ, o bɛ se ka sugunɛ tiɲɛ. |
| Sugunɛbilenni kɔkanna | Min bɛ kɛ yan, o ye ko sugunɛbaralabana wɛrɛ tɛ siri sugunɛ na, nka a bɛ tali kɛ farikolo yɔrɔ wɛrɛ la min bɛ a kɛrɛfɛ. O fana bɛ se ka tiɲɛni kɛ o farikolo yɔrɔ la. |
| Sugunɛbilenni (Ureterocele). | Sugunɛsira, a bɛ don sugunɛbara la yɔrɔ min na, o bɛ funu i n’a fɔ balon, ka sugunɛ bɔli bali. O bɛ se ka dɔ fara degun kan sugunɛ kɔnɔ ani ka tiɲɛni kɛ. |
Hali ni nin gɛlɛya ninnu bɛ aw la, a ka ca a la, aw ka dɔgɔtɔrɔ bɛna aw kɔlɔsi dɔrɔn. Nka ni sugunɛbaralabana bɛ aw la tuma caman , walima ni aw ka sugunɛ yɔrɔ dɔ ma baara kɛ pewu ka a sababu kɛ kun minnu fɔra sanfɛ, aw ka dɔgɔtɔrɔ bɛ se ka sugunɛbaralabana fɔ aw ye.
Aw ka kan ka aw labɛn cogo di sani aw ka opereli kɛ?
Sani opereli ka kɛ, aw ka operelikɛla (urologist) bɛna opereli ɲɛfɔ aw ye ka ɲɛ ani ka aw ka sɔnni sɔrɔ. Ka fara o kan, u bɛna sɛgɛsɛgɛli caman kɛ walasa ka a dɔn ko aw bɛ kɛnɛya la opereli kama. Siga t’a la, u bɛna aw ɲininka nin ko ninnu na:
- Aw ka kɛnɛyako tariku dafalen .
- Aw bɛ fura minnu ta, aw ka kan ka olu fɔ aw ka dɔgɔtɔrɔ ye. O ye furaw ye minnu bɛ sɛbɛn dɔgɔtɔrɔso la, fura minnu tɛ sɔrɔ dɔgɔtɔrɔso la, furabuluw, ani hali witaminiw. Fura dɔw, i n’a fɔ joli segin furaw, olu bɛ se ka dɔ fara joli bɔli kan opereli senfɛ.
- Alɛrizi fɛn o fɛn bɛ se ka kɛ aw la.
Tile damadɔ sani opereli ka kɛ, aw bɛna ladili kɛ fura minnu ka kan ka ta, ni olu bɛ yen, ani waati min na aw ka kan ka u tali dabila. A bɛna fɔ aw ye fana tigitigi waati min na aw ka kan ka dumuni ni minni (sunɔgɔ) dabila sani opereli ka kɛ.
Opereli bɛ kɛ cogo di?
O opereli bɛ se ka kɛ cogo saba la: opereli dafalen, opereli min bɛ kɛ ni laparoskopi ye, ani opereli robo fɛ.
| Opereli suguya | A kɛcogo n’a nafaw |
|---|---|
| Heminephrectomie da wulilen | Dɔgɔtɔrɔ bɛna tigɛ kɛ i kɔnɔbara la min janya ye santimɛtɛrɛ 12 ye, i kɔkiliw ni i kɔkili cɛ. O bɛna a to dɔgɔtɔrɔ ka sugunɛ ye ka ɲɛ. Yɔrɔ min tɛ baara kɛ, o bɛ se ka bɔ ni bolo ye. |
| Opereli min bɛ kɛ ni laparoskopi ye | O ye ka tigɛ misɛnni caman kɛ kɔnɔbara la sanni ka tigɛba kelen kɛ. Minɛn finman dɔ bɛ don a kɔnɔ ni kamera ye (laparoskopi) tigɛyɔrɔ kelen fɛ walasa ka sugunɛ lajɛ. Opereli minɛnw bɛ don tigɛyɔrɔ wɛrɛw fɛ walasa ka yɔrɔ min tɛ baara kɛ, o bɔ. Nafa min bɛ o la, o ye ko a kurukuruni ka dɔgɔn wa a kɛnɛyali bɛ teliya. |
| Opereli min bɛ kɛ ni robo ye | O ni laparoscopie opereli bɛ tali kɛ ɲɔgɔn na, nka yan, dɔgɔtɔrɔ bɛ opereli minɛnw kɔlɔsi ni robo masin bolow ye. O bɛ kɛ sababu ye ka opereli kɛ min ka nɔgɔn kosɛbɛ ani min bɛ kɛ ka ɲɛ. |
Sani opereli ka daminɛ, anestezikɛla bɛna anestezi caman di aw ma (`Anestezi camanba`). O la, i tɛna dimi foyi sɔrɔ, i bɛna sunɔgɔ. O kɔ, Foley catheter bɛ don a kɔnɔ walasa ka aw ka sugunɛ lankolonya. a ka ca a la opereli bɛ se ka sanga fila fo lɛri saba ɲɔgɔn kɛ .
Mun bɛ kɛ opereli kɔfɛ? Ani, a bɛ waati joli ta walasa ka kɛnɛya?
Opereli kɔfɛ, aw bɛna kɔlɔsi kɛnɛyaso la fo ka se aw kununni ma ani ka aw ka kɛnɛya sabati. Fura bɛna di aw ma walasa ka aw ka dimi kunbɛn.
A kɛnɛyali waati bɛna ɲɔgɔn ta ka kɛɲɛ ni opereli suguya ye i ye min kɛ.
- Laparoskopi walima robo opereli kɔfɛ, a ka ca a la, aw bɛ se ka segin baara kɛcogo kɔrɔw la dɔgɔkun 4-6 kɔnɔ .
- a bɛ se ka dɔgɔkun 8-12 ɲɔgɔn ta ka kɛnɛya pewu opereli dafalen kɔfɛ .
Aw ka dɔgɔtɔrɔ bɛna aw jija aw ka taama dɔɔni aw ka kɛnɛya waati la. Taama ka ɲi i farikolo ma, wa a bɛ se ka dɛmɛ don ka fɛnw bali i n’a fɔ joli kurulenw ni sɔgɔsɔgɔninjɛ. Nka aw ka kan ka aw yɛrɛ tanga fɛn o fɛn kɔrɔta ma min girinya ka ca ni kilo 10 ye (ji galɔn kelen girinya ɲɔgɔn).
Yala aw ka kan ka aw janto dumuni ni minfɛnw na wa?
Awɔ. Dɔgɔkun naani fɔlɔ opereli kɔfɛ, aw bɛna a fɔ ko aw ka jifilen 6-8 min tile kɔnɔ ani ka dumuni nɔgɔlen dun min bɛ se ka dun nɔgɔya la. Aw bɛna laadilikan fana sɔrɔ ka aw yɛrɛ tanga dumuni dɔw ma fo aw ka banakɔtaa ka segin a cogo kɔrɔ la.
| Dumuni ɲumanw | Fɛn minnu ka kan ka kɔlɔsi |
|---|---|
|
Ni nin taamasiɲɛ ninnu bɛ aw la, aw bɛ taa dɔgɔtɔrɔso la joona!
Ni aw ye nin taamasiɲɛ ninnu dɔ ye opereli kɔfɛ, aw ka kan ka dɔgɔtɔrɔ wele joona walima ka taa dɔgɔtɔrɔso la min ka surun aw la, o ka kɔrɔtɔko ɲɛmɔgɔso (ETU) .
- Ninakili gɛlɛya
- Joli bɔli kojugu ka bɔ suturayɔrɔ la
- Fari farali ni sɔgɔsɔgɔninjɛ ye
- Banakisɛ taamasiɲɛw : O ye joginda lamini na bilenni, bulama, bulama walima nɛrɛmuguma ye, farigan, kuru bɔli joginda la, walima kasa jugu.
- Dimi min tɛ se ka muɲu, o bɛ ka caya
- Senw dimi
- Joli bɛ sɔrɔ sugunɛ na
A bɛnnen don ka siran opereli ɲɛ. A bɛ kɛ cogo la ka ɲininkaliw kɛ i n'a fɔ "Ni opereli ma ɲɛ do?" walima "Ni ne ka bana taamasiɲɛw juguyara do?" Nka, i ka miiri ko ɲumanw fana na. "Nin opereli in bɛna ne ka ɲɛnamaya nɔgɔya cogo di?" walima "Yala ne bɛna se ka banakisɛw bɔ ne la minnu tun bɛ ne la wa?" Ni aw bɛ miiri nin cogo la, o bɛ se k’aw dɛmɛ ka aw yɛrɛ sɔrɔ kosɛbɛ.
Take-Home cikan
- Ɲɛgɛnɛsiraw bɔli ye opereli ye min bɛ sugunɛ yɔrɔ min tɛ baara kɛ, o dɔrɔn de bɔ. Sugunɛ bɛɛ tɛ bɔ.
- Nin opereli in bɛ kɛ tuma caman na gɛlɛyaw la minnu bɛ sɔrɔ bangekɔlɔsi bana dɔ fɛ min bɛ wele ko Duplex Kidney.
- Opereli bɛ se ka kɛ da wulilen na, ni laparoscopie ye walima ni robo ye. A kɛnɛyali waati bɛ bɔ fɛɛrɛ de la.
- Aw bɛ dɔgɔtɔrɔ ka laadilikanw labato ka ɲɛ opereli kɔfɛ, kɛrɛnkɛrɛnnenya la dumunikɛcogo ni girinya kɔrɔtacogo kan.
- Ni aw ye lasɔmini taamasiɲɛw ye i n’a fɔ ninakili gɛlɛya, joli bɔli kojugu, walima bana taamasiɲɛw, aw bɛ dɔgɔtɔrɔ ka ladilikan ɲini joona.
- Aw bɛ kuma aw ka dɔgɔtɔrɔ fɛ k’a jɛya ɲininkali walima siran fɛn o fɛn bɛ aw la.
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