Aw ka sugunɛ furakɛla: Jɔn ye sugunɛbilennikɛla ye?

Yala aw delila ka "Sugunɛ furakɛla" dɔ ko mɛn wa? Laala aw ka denbaya dɔgɔtɔrɔ (PCP) ye aw bila o dɔgɔtɔrɔ kɛrɛnkɛrɛnnen dɔ fɛ, walima aw tun bɛ aw yɛrɛ ɲininka aw ka kan ka taa jɔn fɛ bana dɔ la min bɛ tali kɛ sugunɛ na. O la sa, yala an bɛna kuma nin ko in kan ka ɲɛ dɔɔnin bi wa? Nin barokun bɛna fɛn caman ɲɛfɔ i ye o ko la.

Nin sugunɛbilennikɛla in ye jɔn ye? N'an y'a fɔ cogo nɔgɔman na...

N’an y’a fɔ cogo nɔgɔman na, sugunɛbilennikɛla ye dɔgɔtɔrɔ ye min ka baara ɲɛsinnen bɛ banaw ni banaw ma minnu bɛ tali kɛ sugunɛ na. "Sugunɛ-dɔgɔtɔrɔ" yɔrɔ kɔrɔ ye "sugunɛ" ani "-dɔgɔtɔrɔ" kɔrɔ ye ko kɛrɛnkɛrɛnnen dɔ kɛrɛnkɛrɛnnen ye. O la, ni nin fla ninnu farala ɲɔgɔn kan, "sugunɛ-dɔgɔtɔrɔ" hakilina bɛ Nà.

Ka fara o kan, o dɔgɔtɔrɔ kɛrɛnkɛrɛnnenw fana bɛ faamuyaliba sɔrɔ sugunɛbaralabanaw kan, farikolo yɔrɔ minnu ni sugunɛ bɛ tali kɛ ɲɔgɔn na, i n’a fɔ ɲɛgɛnɛsira ni kɔnɔbara.

Sugunɛbilennikɛla bɛ farikolo yɔrɔ sugu jumɛnw furakɛ?

Mɔgɔ caman bɛ taa sugunɛbilenni dɔgɔtɔrɔso la walasa ka sugunɛbanaw sɛgɛsɛgɛ ani k’u furakɛ, kɛrɛnkɛrɛnnenya la sugunɛbana basigilen n’a gɛlɛyaw . Nka, jɛɲɔgɔnya bɛ se ka kɛ sugunɛbana ni farikolo yɔrɔ wɛrɛw ka banaw cɛ.

Aw ye miiri a la, aw ka sugunɛ ye bilisi yɔrɔ dɔ ye. Farikolo yɔrɔ tɔ minnu bɛ nin sigida in na, olu ye ɲɛgɛnɛsira ni kɔnɔbara ye. U bɛɛ bɛ ɲɔgɔn na. O la, ni farikolo yɔrɔ kelen banana, a bɛ se ka farikolo yɔrɔ tɔw fana minɛ.

Yala sugunɛbilenni ni kɔnɔboli dɔgɔtɔrɔ ye mɔgɔ fila ye minnu tɛ kelen ye wa? Walima u ye mɔgɔ kelen ye wa?

Nin ye ɲininkali ye min bɛ mɔgɔ caman bolo. Sugunɛbilennikɛla bɛɛ ye kɔnɔboli furakɛla ye. O kɔrɔ ye ko mɔgɔ min ka kalan kɛrɛnkɛrɛnnen bɛ dumunikɛminɛnw na. Nka, kɔnɔboli-dɔgɔtɔrɔ bɛɛ tɛ sugunɛ-dɔgɔtɔrɔ ye.

Walasa ka ɲɛfɔli kɛ dɔɔnin, Gastroenterology ye furakɛli yɔrɔ ye min bɛ dumunikɛminɛnw bɛɛ sɛgɛsɛgɛ (sugunɛ fana sen bɛ o la). Sugunɛbilenni ye o kelen in ka suguya fitinin wɛrɛ ye. O kɔrɔ ye ko kɔnɔboli-dɔgɔtɔrɔ bɛ se k’a ka kalan sinsin sugunɛbanaw dɔrɔn kan, ka kɛ sugunɛ-dɔgɔtɔrɔ ye.

N’an y’a fɔ cogo nɔgɔman na, kɔnɔboli dɔgɔtɔrɔ bɛ se ka sugunɛbanaw fana furakɛ. Nka, sugunɛbilennikɛla ye mɔgɔ ye min taara a fɛ ka taa a fɛ ani ka dɔnniya sɔrɔ o baara la.

O kɔ, yala aw bɛ se ka sugunɛbilennikɛla dɔ fana ɲininka biɲɛdimi ni kɔnɔboli ko la wa?

Ɔwɔ, aw bɛ se ka sugunɛbilenni dɔ ɲininka gɛlɛya dɔ la min bɛ tali kɛ aw ka biɲɛdimi walima aw ka kɔnɔboli la. Sabula u dege o farikolo yɔrɔw fana na. Nka, u kaA sinsinnen don kosɛbɛ sugunɛ de kan.

A ka ca a la, ni biɲɛdimi walima kɔnɔboli gɛlɛya bɛ a la, a ka ca a la, aw bɛ taa kɔnɔboli furakɛla dɔ fɛ. Dɔgɔtɔrɔw fana bɛ yen minnu ka baara ɲɛsinnen bɛ kɔnɔboli ma (Pancreatologists), nka u man ca dɔɔni.

Mun na n ka dɔgɔtɔrɔ bɛna n bila sugunɛ dɔgɔtɔrɔ dɔ fɛ?

Aw ka furakɛli fɔlɔ dɔgɔtɔrɔ (PCP) bɛ se ka aw bila sugunɛbilennikɛla dɔ fɛ ni u bɛ sigasiga ko sugunɛbana bɛ aw la. O bɛ se ka kɛ barisa u bɛ fɛn dɔw ye minnu tɛ kelen ye aw ka joli-sira-funu walima aw ka sugunɛ kɛcogo sɛgɛsɛgɛliw la.

Tuma dɔw la, hali kɔnɔboli dɔgɔtɔrɔ min ye aw furakɛ ka tɛmɛ sugunɛbana kan, o bɛ se ka aw bila sugunɛbilennikɛla dɔ fɛ ni u y’a ye ko aw ka bana in bɛ sugunɛbilenni dɔnni de wajibiya.

Sugunɛbilennikɛla bɛ bana jumɛnw furakɛ?

Aw ka dɔgɔtɔrɔ bɛ se ka aw bila sugunɛbilennikɛla dɔ fɛ walasa ka nin bana ninnu sɛgɛsɛgɛ ani k’u furakɛ:

Sugunɛbanaw:

• Sugunɛbilenni min bɛ sɔrɔ banakisɛ dɔ fɛ, misali la, Sugunɛbilenni B walima C.
• Dɔlɔmin bɛ sɔrɔ sugunɛbilenni ni sugunɛbilenni fɛ.
• Sugunɛbilenni min tɛ dɔlɔ ye ani sugunɛbilenni. O bɛ kɛ ka caya sisan kosɛbɛ.
• Sugunɛbilenni ye sugunɛbilenni ye min bɛ sɔrɔ farikolo yɛrɛ ka farikolo tangalanw ka bin sugunɛ kan.
• Sugunɛbilenni toxic.
• Wilson ka bana - Nin ye bana ye min bɛ sɔrɔ jamu fɛ.
• Sugunɛbilenni (cirrhose) bɛ sɔrɔ sugunɛ na. Nin ye bana juguba ye.
• Sugunɛbilenni jugumanba walima a basigilen.
• Sugunɛ kansɛri fɔlɔ.

Bana minnu bɛ sɔrɔ joli sira fɛ:

• Bili bɔli balili (Cholestasis).
• Biliary stricture (Biliary stricture) bɛ kɛ.
• Kɔnɔnatumu fɔlɔ min bɛ wele ko Sclerose Cholangitis.
• Biliary Cholangitis fɔlɔ.
• Kansɛri min bɛ wele ko Bile Duct.

Ni aw ye nin lisi ye, n’a sɔrɔ aw b’a faamu sugunɛbilennikɛla jɔyɔrɔ ka bon cogo min na, tiɲɛ tɛ?

Nin Transplantation Hepatologist in ye jɔn ye?

Transplant Hepatology ye seereyaw kɛrɛnkɛrɛnnen wɛrɛ ye, kɔnɔboli dɔgɔtɔrɔso bɛ se ka min kɛ. Olu ye:Jateminɛ kɛrɛnkɛrɛnnen bɛ kɛ sugunɛbana laban na ani a gɛlɛyaw la, ka fara furakɛli kan sani sugunɛbilenni ka kɛ ani a kɔfɛ.

Sugunɛbilenni dɔgɔtɔrɔw bɛ baara kɛ dɔgɔtɔrɔsobaw la minnu bɛ sugunɛ cili kɛ. u bɛ kalan kɛrɛnkɛrɛnnen kɛ walasa k' a dɔn ni sugunɛbilenni ye fɛɛrɛ ɲuman ye aw bolo ani ka aw ladon o baara bɛɛ kɔnɔ .

Sugunɛbilenni dɔgɔtɔrɔ bɛ gɛlɛya jumɛnw ɲɛnabɔ?

Sugunɛbana labanw na, aw ka kɛnɛyako magow bɛ gɛlɛya ka taa a fɛ. Sugunɛbilenni dɔgɔtɔrɔw degecogo bɛ se ka o magow ɲɛ. U bɛ gɛlɛya suguya caman ɲɛnabɔ, i n’a fɔ:

• Tansiyɔn jiginni jolisiraw la minnu ni sugunɛ sirilen don (Portal Hypertension).
• Asiti (Ascite) bɛ sɔrɔ.
• Sugunɛ bonya ni a ka baara caya kojugu (Hypersplenism).
• Esophageal Varices ani kɔnɔbara basigilen joli bɔli.
• Kɔnɔboli walima nɛ min bɛ sɔrɔ sugunɛbana fɛ.
• Sugunɛbilenni ye bana ye min na sugunɛ bɛ nɔ bila kunsɛmɛ na.
• Sugunɛbilenni (Syndrome hepatorenal) .
• Ninakilidegun (syndrome hépatopulmonaire) .

Hali ni sugunɛbilenni ɲɛnabɔra ka ɲɛ, gɛlɛya kuraw bɛ se ka sɔrɔ ka a sababu kɛ farikolo tangalan furaw ye aw bɛ minnu ta. Olu fana bɛ ɲɛnabɔ ka ɲɛ sugunɛbilennikɛla dɔ fɛ. Misaliw:

• Bana kɛli tuma caman na ani ka juguya.
• Tansiyɔn jiginni (Hypertension).
• Sukaro caman sɔrɔli joli la ani sukarodunbana suguya 2.
• Kolow fitini (Osteoporose).
• Sugunɛbana min bɛ taa ɲɛ ani sugunɛbaralabana.
• Sugunɛbana min bɛ segin-ka-bɔ.

Cogo di ka kɛ sugunɛbilennikɛla ye?

Furakɛcogo bɛɛ lajɛlen ka setigiya dafalen kɔfɛ dɔrɔn, aw bɛ se ka sugandi ka kɛ sugunɛbilenni kɛrɛnkɛrɛnnen ye. O kɔrɔ ye ka san naani dɔgɔtɔrɔya kalan kɛ ani ka san saba sigiyɔrɔma kalan kɛ.

O kɔfɛ, sugunɛbilennikɛlaw bɛ san saba baarakɛɲɔgɔnya porogaramu wɛrɛ dafa kɔnɔboli la. U bɛ waati caman kɛ sugunɛbilenni kalanni na.

Mɔgɔ dɔw bɛ fɔlɔ ka kɛ kɔnɔboli dɔgɔtɔrɔ ye, o kɔfɛ, u bɛ kalan kɛrɛnkɛrɛnnen dɔ kɛ min sinsinnen bɛ sugunɛbilenni kan. A ka c’a la, o jɛɲɔgɔnya porogaramuw bɛ kɛ san kelen fo san fila kɔnɔ.

Dɔ wɛrɛw b’a sugandi ka kɛ sugunɛbilennikɛla ye. Walasa k’o kɛ, kɔnɔboli dɔgɔtɔrɔw ka kan ka san kelen kalan bolodalen dɔ kɛ, ka tɛmɛ ɛkizamɛn dɔ fɛ, ka kɛ seere ye.

Nin Denmisɛnw ka sugunɛbilennikɛla in ye jɔn ye?

Denmisɛnw ka sugunɛbilennikɛla ye denmisɛnw ka dɔgɔtɔrɔ ye min ye kalan wɛrɛw sɔrɔ kɔnɔbara ni sugunɛ furakɛli la. U bɛ kɔnɔboli ( GI), sugunɛbaralabana ani sugunɛbaralabanaw furakɛ denyɛrɛniw, denmisɛnninw ni denmisɛnniw na.

Nin taama in bɛ daminɛ ni dɔgɔtɔrɔya diplomu ye ani san saba sigiyɔrɔma ye denmisɛnw ka furakɛliba la. O kɔfɛ, a ye san saba wɛrɛ kɛ denmisɛnw ka kɔnɔboli la.

Denmisɛnw ka kɔnɔboli dɔgɔtɔrɔ bɛ se ka kɛ sugunɛbilenni kɛrɛnkɛrɛnnen ye u sigiyɔrɔ la, walima kɔfɛ, u bɛ se ka jɛɲɔgɔnya dɔ dafa sugunɛbilenni na, ka kɛ denmisɛnw ka sugunɛbilennikɛla ye.

Ka fara o kan, denmisɛnw ka kɔnɔboli dɔgɔtɔrɔ dɔ bɛ se ka kɛ ni seere ye Pediatric Transplant Hepatology la. O dɔgɔtɔrɔ kɛrɛnkɛrɛnnenw bɛ se kɛrɛnkɛrɛnnenya la ka denmisɛnniw furakɛ minnu ka sugunɛbaralabana bɛ u la ani sugunɛ kansɛri bɛ minnu na.

Aw ka sugunɛ ye farikolo yɔrɔ ye min ka bon kosɛbɛ ani a cɛmancɛ la. A tɛ kɛ dɔrɔn bawo, a bɛ ten tiɲɛ na. Fɛn caman bɛ se ka nɔ bila sugunɛ na. Ani fana, ni sugunɛ banana, a bɛ se ka farikolo yɔrɔ caman ni farikolo yɔrɔ caman minɛ. O la, sugunɛbanaw furakɛli ye baara gɛlɛn ye dɔɔni. Kalan min ka kan ka kɛ, o ka bon, wa a ka dun. Ani fana, a bɛ cɛsiri caman de wajibiya hakili la. Nka, min nafa ka bon kosɛbɛ, o ye ko a laban na, sugunɛbilennikɛlaw bɛ mɔgɔ caman ka ɲɛnamaya kisi.

Fɛn nafama minnu ka kan ka to aw hakili la (Take-Home Message) .

• Sugunɛbilennikɛla ye dɔgɔtɔrɔ ye min ka baara ɲɛsinnen bɛ sugunɛ ni sugunɛbaralabanaw ma.
• Sugunɛbilennikɛla bɛɛ ye kɔnɔboli dɔgɔtɔrɔ ye, nka u kɛrɛnkɛrɛnnen don sugunɛbanaw dɔnniya jugumanba la.
• Ni aw ka denbaya dɔgɔtɔrɔ walima kɔnɔboli dɔgɔtɔrɔ dɔ bɛ sigasiga ko sugunɛbana bɛ aw la, u bɛ se ka aw bila sugunɛbilennikɛla dɔ fɛ.
• U bɛ sugunɛbana suguya caman furakɛ i n’a fɔ Sugunɛbilenni, Cirrhose, ani Fatty Liver Disease.
• Sugunɛbilennikɛlaw fana bɛ yen minnu ka baara ɲɛsinnen bɛ sugunɛ cili ma.
• Aw bɛ se ka denmisɛnniw ka sugunɛbilenni dɔgɔtɔrɔ dɔ ka dɛmɛ ɲini denmisɛnniw ka sugunɛbanaw na.

O la, ni sugunɛ gɛlɛya bɛ aw walima aw dɔnbaga dɔ la, a nafa ka bon kosɛbɛ ka taa dɔgɔtɔrɔ kɛrɛnkɛrɛnnen dɔ fɛ.

` Sugunɛ, sugunɛbana, kɛrɛnkɛrɛnnenya la, sugunɛbilennikɛla, kɔnɔbaralabana, sugunɛbilenni, biɲɛdimi