An bɛ baara kɛ kosɛbɛ don o don, tiɲɛ tɛ? Nka yala i b’a dɔn ko k’i to nin ko ninnu na, farikolo yɔrɔ kabakoma fila bɛ i farikolo kɔnɔ minnu bɛ baara kɛ u makun na, sanga 24 kɔnɔ, u tɛ jɔ fo segin kelen wa? Olu de ye an ka sugunɛw ye. N’an y’a Fɔ cogo nɔgɔman na, ninnu de ye ‘filɛri-minɛn’ barikamaw ye an farikolo la. Ni ninnu jɔra, an farikolo bɛɛ bɛ kɛ ɲagami ye. O la, an ka kuma sugunɛ nafama ninnu kan bi.
N’an y’a fɔ cogo nɔgɔman na, sugunɛ ye mun ye?
Sugunɛ ye farikolo yɔrɔ fila ye minnu bɛ i n’a fɔ shɛfan, u bonya bɛ se an bolokɔnincinin ma. U bɛ sɔrɔ an kɔkolo fan fila bɛɛ la, kɔ duguma, kɔkili jukɔrɔ dɔrɔn. U ye an ka sugunɛ kɛcogo yɔrɔba dɔ ye.
Aw ye miiri dɔrɔn, aw sugunɛ bɛ ji litiri 180-190 ɲɔgɔn sama don o don . O bɛ se ka baarakɛminɛnba dɔ fa! O filɛli kɛcogo in senfɛ, fɛnɲɛnamafagalanw ni bagaw bɛ faran ka bɔ farikolo la i n’a fɔ sugunɛ (an b’a wele ko ‘ sugunɛ ’). A ka ca a la an bɛ sugunɛ litiri 1,5 - 2 ɲɔgɔn bɔ tile kɔnɔ. Ani, ji min bɛ filɛri kɛ, o tɔ dun? An farikolo bɛ baara kɛ n’a ye kokura. Yala o tɛ kabako ye wa?
Ka fara o kan, sugunɛ fana jɔyɔrɔ ka bon walasa ka balansi mara ji ni fɛnɲɛnamafagalan nafamaw hakɛ cɛ minnu bɛ wele ko ɛlektrɔlitiki (i n’a fɔ soja ni potasiyɔmu) an farikolo la.
Sugunɛ ka baara kunbabaw ye jumɛnw ye?
Sugunɛ tɛ jolibɔlan dɔrɔn ye. Fɛn caman bɛ o farikolo yɔrɔ misɛnnin fila in na ka tɛmɛ o kan. An ka fɛnw lajɛ minnu nafa ka bon kosɛbɛ.
| Baarakunda | Ɲɛfɔli nɔgɔman dɔ |
|---|---|
| Nɔgɔw bɔli | A bɛ tulumafɛnw ni asidi jugumanw bɔ joli la, i n’a fɔ urea ni kreyatinini, ka u bɔ kɛnɛ kan i n’a fɔ sugunɛ. Joli tasa tilancɛ ɲɔgɔn bɛ saniya o cogo la miniti kelen kɔnɔ. |
| Tansiyɔn kunbɛnni | A bɛ farikolojɔli dumuni dɔ dilan min bɛ wele ko renin, o bɛ dɛmɛ ka tansiyɔn to a hakɛ wajibiyalen na. |
| Ɔrimɔni (hormones) sɔrɔli | Sugunɛ bɛ witamini D (calcitriol) suguya baarakɛta dilan, o min bɛ farikolo dɛmɛ ka kalisiyɔmu minɛ. U bɛ ɔrimɔni dɔ fana dilan min bɛ wele ko eritoropoyitini, o bɛ kolotugudaw lawuli walasa ka joli kuru bilenmanw dilan. |
| Asidi ni basi balansi (pH balansi) farikolo la | A bɛ dɛmɛ don ka asidi hakɛ bɛnnen to an joli la, ka a bali ka caya. |
| Sukaro sɔrɔli | Ni farikolo sukaro hakɛ dɔgɔyara kojugu, sugunɛ bɛ se ka sukaro (glucose) dɔɔni dilan ni a mago bɛ a la. |
O joli ‘filɛli’ kɛcogo bɛ kɛ cogo di?
Nin ye ko ye min ka gɛlɛn kosɛbɛ, nka a bɛ mɔgɔ kabakoya. Sugunɛ kelen-kelen bɛɛ la, filɛri misɛnnin miliyɔn kelen ni kɔ bɛ yen minnu bɛ wele ko sugunɛbilenni . A bɛ i n’a fɔ tebɔlan min bɛ tebuluw sama. Yɔrɔba fila bɛ sugunɛ kelen-kelen bɛɛ la:
- Glomerulus: Nin ye ‘filɛri’ fɔlɔ ye. Ni joli bɛ tɛmɛ o joli siraw fɛ minnu ka ɲi kosɛbɛ, fɛnw i n’a fɔ ji, bɔgɔ ani kɔgɔw bɛ sama ka bɔ.
- Sugunɛbilenniw: Ni ji min bɛ sama ɲɛgɛnɛsira fɛ, o bɛ tɛmɛ o tubabufura ninnu fɛ, farikolo bɛ ji, balofɛnw ani fɛnɲɛnamafagalanw minɛ kokura a mago bɛ minnu na . Fɛnɲɛnamafagalanw, ji wɛrɛw ani asidiw dɔrɔn de bɛ bɔ ka kɛ sugunɛ ye.
Bana minnu ka teli ka kɛ sugunɛ na, olu ye jumɛnw ye?
A fɔ man di nka, furakɛli cogoya caman bɛ yen minnu bɛ se ka an farikolo yɔrɔ nafama ninnu tiɲɛ. A nafa ka bon ka o dɔw dɔn.
- Sugunɛbana basigilen (CKD): Nin ye bana ye min na sugunɛw tɛ baara kɛ dɔɔni dɔɔni waati tɛmɛnen kɔfɛ. Tuma caman na, a sababuba ye sukarodunbana ye min tɛ se ka kunbɛn ani tansiyɔn jiginni .
- Sugunɛbilenni : Sugunɛ baarakɛbaliya barikama (kɔrɔtɔlen) walima kuntaalajan (kɔrɔlen). Nin ye bana juguba ye.
- Sugunɛbilenniw: Sugunɛ kɔnɔ kɔgɔ minnu bɛ sɔrɔ, olu bɛ ɲɔgɔn lajɛ ka kɛ fɛn misɛnninw ye minnu bɛ i n’a fɔ kaba. Ni ninnu donna sugunɛ na, u bɛ se ka dimi jugumanba lase mɔgɔ ma.
- Sugunɛbilenni:Nin bana in bɛ sɔrɔ ni banakisɛw bɛ taa sugunɛbara sanfɛ ka don sugunɛ na.
- Sugunɛbana caman (PKD): Nin ye bana ye min bɛ sɔrɔ jamu fɛ. Kuru caman minnu falen don ji la (kusi) bɛ bɔ sugunɛ na. O bɛ se ka kɛ sababu ye ka sugunɛbaralabana.
- Sugunɛ kansɛri : Kansɛri bɛ se ka sɔrɔ ni sugunɛbilenniw falen don cogo la min tɛ bɛn.
Taamasiɲɛ jumɛnw bɛ mɔgɔ bila ka sigasiga sugunɛbana na?
sugunɛbana caman gɛlɛyaba ye ko u tɛ taamasiɲɛ jɛlenw jira a daminɛ na . Mɔgɔ caman fɛ, o taamasiɲɛw bɛ ye dɔrɔn ni bana juguyara dɔɔni. O la, a nafa ka bon kosɛbɛ ka an janto dɔɔni o kow la.
- Senw, senkɔniw ani ɲɛda fununi: Ni sugunɛ tɛ se ka ji ni natiri tɛmɛnen bɔ ka ɲɛ, ji bɛ caya farikolo la ka funu bila mɔgɔ la. Aw ye aw janto kɛrɛnkɛrɛnnenya la ni aw ye funu kɔlɔsi aw ɲɛw lamini na ni aw kununna sɔgɔma.
- Yɛlɛma donna sugunɛ na:
- Koli ka caya (kɛrɛnkɛrɛnnenya la sufɛ).
- Joli bɛ don sugunɛ na (sugunɛ bɛ se ka kɛ bulama ye walima a ɲɛ ye bulama ye).
- Sugunɛ min bɛ kɛ ni fogonfogon ye (o bɛ se ka a jira ko farikolojɔli dumuni caman bɛ bɔ sugunɛ na).
- Fari ŋɛɲɛ ni fari jalen : O bɛ se ka kɛ ni fɛnɲɛnamafagalanw dalajɛlen don joli la ka nɔ bila fari la.
- Sɛgɛn ni barikantanya tuma bɛɛ : Ni joli kuru bilenmanw dilanni ɔrimɔni (érythropoïétin) bɔli dɔgɔyara, jolidɛsɛ bɛ se ka sɔrɔ ka sɛgɛn bila mɔgɔ la.
- Dumuni nege tɛ mɔgɔ la, kɔnɔboli, ani fɔɔnɔ: Nin taamasiɲɛ ninnu bɛ sɔrɔ ni fɛn tiɲɛnenw i n’a fɔ urea, olu cayara joli la.
- Farikolodimi ni a gɛlɛyali : O bɛ se ka kɛ ni elekitoroliti balansi tiɲɛna.
Min nafa ka bon kosɛbɛ, o ye ko ni nin taamasiɲɛ kelen walima caman bɛ aw la, aw kana siran ka taa dɔgɔtɔrɔso la joona walasa ka laadilikan sɔrɔ . Kana jateminɛ kɛ dɔrɔn.
Sɛgɛsɛgɛli jumɛnw bɛ kɛ walasa ka a dɔn ni ne sugunɛw ka kɛnɛ?
Sɛgɛsɛgɛli nɔgɔman damadɔ bɛ yen aw ka dɔgɔtɔrɔ bɛ se ka minnu kɛ walasa ka aw ka sugunɛ kɛnɛya lajɛ.
| Kɔrɔbɔli | I bɛ mun ye nin ko in na? |
|---|---|
| Sugunɛ sɛgɛsɛgɛli | Sugunɛ bɛ lajɛ ni fɛn dɔw tɛ a la i n’a fɔ farikolojɔli dumuniw, joli, ani sukaro. A ka ca a la, ninnu man ɲi ka sɔrɔ sugunɛ na. |
| Joli Sɛgɛsɛgɛliw | Kɛrɛnkɛrɛnnenya la, serum creatinine hakɛ bɛ jateminɛ joli la. Kɛrɛyatini ye fɛn tiɲɛnen ye. Ni a ka ca joli la, o kɔrɔ ye ko sugunɛ tɛ a filɛ ka ɲɛ. |
| Ultrason Scan (Scan min bɛ kɛ ni ultrasound ye). | O bɛ dɛmɛ ka kabakurunw walima kurukuruw bonya, u cogoya ani u sɔrɔli ye sugunɛ na. |
| Sugunɛbilenni (Biopsie) min bɛ kɛ sugunɛ na | Ni a mago bɛ a la dɔrɔn, dɔgɔtɔrɔ bɛna farikolo yɔrɔ fitininba dɔ ta sugunɛ na ka a sɛgɛsɛgɛ ni mikroskɔpu ye. |
An bɛ se ka fɛn minnu kɛ walasa an ka sugunɛ nafamaw ka to kɛnɛya la
A ka fisa ka sugunɛbana kunbɛn ka tɛmɛ a tɔɔrɔli kan ni a kɛra ka ban. O delinanko nɔgɔmanw don i ka ɲɛnamaya kɔnɔ.
- Aw bɛ ji caman min: Aw bɛ ji litiri 8-10 min tile kɔnɔ. O bɛ sugunɛw dɛmɛ ka nɔgɔw bɔ nɔgɔya la.
- Aw bɛ aw ka tansiyɔn ni sukarodunbana kunbɛn: Ni nin bana ninnu bɛ aw la, aw bɛ fura min sɛbɛn aw ka dɔgɔtɔrɔ fɛ, aw bɛ o ta tigitigi. Nin fla ninnu de ye sugunɛ juguba ye.
- Aw bɛ dɔ bɔ kɔgɔ dunta la: Aw bɛ kɔgɔ hakɛ min fara aw ka dumuni kan, aw bɛ o dɔgɔya. Dumuni pakew ni dumuni teliyalenw kɔgɔ ka ca.
- Aw kana dimimadafura ta ka caya: Ni aw bɛ to ka dimimadafura ta, kɛrɛnkɛrɛnnenya la AINE (misali la, Ibuprofène, Diclofenac), ni dɔgɔtɔrɔ ma a laadi, o bɛ se ka sugunɛ tiɲɛ.
- Aw kana sigarɛti min: Sigarɛtimin bɛ joli siraw tiɲɛ minnu bɛ joli lase sugunɛ ma.
- Aw bɛ aw farikolo girinya ɲuman mara: Aw bɛ to ka farikoloɲɛnajɛ kɛ. Aw bɛ dumuni dafalen dun.
- Aw bɛ furakɛli sɛgɛsɛgɛliw kɛ:Kɛrɛnkɛrɛnnenya la ni sugunɛbana bɛ aw ka denbaya kɔnɔ mɔgɔ dɔ la, walima ni sukarodunbana walima tansiyɔn jiginni bɛ aw la, aw bɛ aw ka sugunɛ kɛcogo lajɛ siɲɛ kelen san kɔnɔ.
Take-Home cikan
- Aw ka sugunɛ ye farikolo yɔrɔ fila ye minnu bɛ nɔgɔw sama ka bɔ farikolo la, ka tansiyɔn kɔlɔsi, ka baara nafama caman wɛrɛw kɛ.
- Sukarodunbana ni tansiyɔn jiginni ye sugunɛ tiɲɛni sababuba fila ye. A nafa ka bon ka ninnu kunbɛn ka ɲɛ.
- Aw ye aw janto a taamasiɲɛw la i n’a fɔ senw fununi, sugunɛ yeli, ani sɛgɛn kojugu. Ni siga bɛ aw la, aw bɛ dɔgɔtɔrɔ ka laadilikan ɲini joona.
- Ji caman minni, kɔgɔ dunni dɔgɔyali, ani ka t’a fɛ ka dimimadafura ta ni dɔgɔtɔrɔw ma laadilikan di, o nafa ka bon kosɛbɛ sugunɛ kɛnɛya la.
- A ka ɲi ka to ka sugunɛ kɛnɛya lajɛ, kɛrɛnkɛrɛnnenya la ni farati bɛ aw la.

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