Yala aw ka sugunɛw bɛ i n’a fɔ ɛponji wa? Bi an bɛna kuma Medullary Sponge Kidney kan!

N’a sɔrɔ aw ma ‘sɔgɔsɔgɔninjɛ sɔgɔsɔgɔninjɛ’ daɲɛ mɛn fɔlɔ. Hali n’a bɛ se ka kɛ ko a ɲɛfɔli ka gɛlɛn dɔɔni, tiɲɛ yɛrɛ la, a ye bangekɔlɔsi bana ye min ni sugunɛ bɛ tali kɛ ɲɔgɔn na. N’an y’a fɔ a nɔgɔya la, jikuru misɛnniw bɛ sɔrɔ yɔrɔ min na, n’u bɛ wele ko kurukuru, olu bɛ sɔrɔ i ka sugunɛ kɔnɔ, kɛrɛnkɛrɛnnenya la sugunɛ cɛmancɛ yɔrɔ la (medulla). An ka kuma o kan ka ɲɛ bi, tiɲɛ tɛ wa?

Sugunɛ min bɛ wele ko Medullary Sponge Kidney ye mun ye tigitigi?

An ka fɔlɔ ka a lajɛ sugunɛ ye min ye ani a bɛ baara kɛ cogo min na. I n’a fɔ aw b’a dɔn cogo min na, sugunɛ ye sugunɛ nafamaba ye an fari la. Sugunɛ kelen-kelen bɛɛ cɛmancɛ yɔrɔ dɔ bɛ yen, an b’o wele ko medulla. O medulla in bɛ ni kanal finmanw ye kosɛbɛ minnu bɛ wele ko tubules misɛnninw. O siraw bɛ fɛnɲɛnamafagalan minnu sama ka bɔ joli la, olu lajɛ ka sugunɛ kɛ. O kɔ fɛ, o siraw bɛ Jὲ ka Jὲ ni kanw ye minnu ka bon dɔɔnin, n’olu bɛ Weele ko ‘dugukolo-yɔrɔw. Olu la, sugunɛ bɛ taa dalajɛyɔrɔba la sugunɛ cɛmancɛ la, o ye sugunɛbaralabana ye. Ka bɔ yen, sugunɛ bɛ tɛmɛ sugunɛbara fɛ ka taa sugunɛ na, ka sɔrɔ ka tɛmɛ sugunɛbara fɛ ka bɔ fari la.

O bɛ ɲɛ, sisan min bɛ kɛ mɔgɔ la min bɛ ni `Medullary Sponge Kidney` ye, o ye ko n ye dalajɛyɔrɔ minnu kofɔ, olu bɛ kuru misɛnninw bɔ, o siraw bɛ funu ka bonya. U bɛ i n’a fɔ ɛponji. O de y'a To a bɛ Weele ko `Sponge Kidney`. A ka ca a la nin bana in bɛ sugunɛ fila bɛɛ minɛ, nka tuma dɔw la, a bɛ se ka sugunɛ kelen dɔrɔn de minɛ.

Nin sugunɛbaralabana in bɛ kɛ cogo di?

Sisan, ɲininkali dɔ bɛ aw bolo, min bɛ kɛ ni nin kurukuru ninnu bɔra. Ni o kurukuruw bɔra, o sira finmanw (tubules) tɛ se ka baara kɛ ka ɲɛ. O kɔ, fɛn minnu bɛ i n’a fɔ kalisiyɔmu, olu bɛ daminɛ ka don o siraw kɔnɔ. An b’o wele ko (nephrocalcinose). Kalisiyɔmu dɔrɔn tɛ, nka fɛn wɛrɛw fana bɛ se ka dalajɛ o cogo la i n’a fɔ fositɛri ni ɔkisalati. Waati tɛmɛnen kɔfɛ, o fɛn dalajɛlenw bɛ nɔrɔ ɲɔgɔn na ka sugunɛbilenni kɛ .

O kurukuruw ni kabakurunw fana bɛ sugunɛ tɛmɛsira bali, o bɛ dɔ fara sugunɛbilenni (UTI) farati kan .

Danfara jumɛn bɛ nin ni sugunɛbaralabana caman cɛ?

N’a sɔrɔ aw ye sugunɛbaralabana (PKD) ko mɛn. O fana ye bana ye, kurukuruw bɛ sɔrɔ sugunɛ na. O la sa, danfara jumɛn bɛ o fila ni ɲɔgɔn cɛ?

Sugunɛbilenni (PKD) ye bana ye min bɛ sɔrɔ jamu fɛ, a ka ca a la a bɛ sɔrɔ ciyɛn fɛ. A bɛ kɛ sababu ye ka sugunɛw bonya, kuru caman bɛ kɛ farikolo fan bɛɛ la. PKD bɛ se ka gɛlɛyabaw lase mɔgɔ ma tuma dɔw la.A bɛ se ka gɛlɛyaw lase mɔgɔ ma a ka ɲɛnamaya bɛɛ kɔnɔ. PKD bɛ mɔgɔ caman minnu na, olu bɛ sugunɛbaralabana sɔrɔ, wa u mago bɛ diyalizi la walasa ka u joli saniya.

Nka, sugunɛbaralabana ka teli kosɛbɛ mɔgɔ minnu na, sugunɛ min bɛ wele ko medullary sponge kidney (MSK). O de ye danfaraba ye.

Nin bana in bɛ jɔn de minɛ kosɛbɛ? A ka ca cogo di?

Nin ``sponge medullary sponge kidney (MSK)'' bana in bɛ miiri sisan ko a bɛ kɛ k’a sɔrɔ a ma kɛ cogo si la. O kɔrɔ ye ko sababu kɛrɛnkɛrɛnnen si t’a la. Nka, ikomi a bɛ sɔrɔ denbaya dɔw la, a bɛ se ka kɛ ko dɔ bɛ se ka kɛ ciyɛn ye. Nka, jamu cogoya jɛlen ma Sɔrɔ fɔlɔ o la.

Mɔgɔ fanba b’a dɔn bana in bɛ u la dɔrɔn a taamasiɲɛw bɔlen kɔ, a ka ca a la u si bɛ san 20 la. a fɔra fana ko musow bɛ farati la dɔɔnin ka tɛmɛ cɛw kan .

A ka ca kosɛbɛ, mɔgɔ 5000 o 5000, mɔgɔ kelen bɛ MSK sɔrɔ. Nka, a ka ca kosɛbɛ sugunɛbilenni bɛ mɔgɔ minnu na. O kɔrɔ ye ko MSK bɛ se ka kɛ o mɔgɔw la 12% ni 20% cɛ.

Yala sugunɛ min bɛ kɛ ni ɛponji ɲɛkisɛ ye, o bɛ tansiyɔn jiginni bila mɔgɔ la wa?

Dɔw bɛ se k’u yɛrɛ ɲininka ni nin ``MSK'' in bɛ tansiyɔn walima degun bila mɔgɔ la. Ka kɛɲɛ ni ɲininiw ye minnu kɛra sisan, dalilu si tɛ yen min b’a jira ko ``sponge medullary kidney'' bɛ tansiyɔn jiginni bila mɔgɔ la.

Mun bɛ kɛ sababu ye ka sugunɛ min bɛ wele ko medullary sponge sugunɛ?

Dɔgɔtɔrɔw t’a dɔn hali bi tigitigi mun na nin bana in bɛ mɔgɔ dɔw la. A bɛ miiri ko a bɛ sɔrɔ sugunɛ yiriwali gɛlɛya fɛ den kɔnɔbara la, waati min na den bɛ kɔnɔbara la hali bi .

Nin bana in taamasiɲɛw ye jumɛnw ye?

Kabako don, sugunɛ min bɛ wele ko Medullary Sponge Kidney (MSK) bɛ mɔgɔ caman na, olu tɛ taamasiɲɛ foyi ye . O kɔrɔ ye k’u bɛ balo k’a sɔrɔ u yɛrɛ t’a dɔn bana in b’u la. Kɛmɛsarada la, mɔgɔ damadɔ dɔrɔn de bɛ bana taamasiɲɛw sɔrɔ, 10% ɲɔgɔn.

Ni o taamasiɲɛ suguw kɛra, a ka ca a la, u bɛ tali kɛ sugunɛbilenni (UTI) ni sugunɛbilenni na. Ninnu ye a taamasiɲɛ kunbabaw ye:

• Joli bɛ don sugunɛ na (héturie): O kɔrɔ ye ko sugunɛ bɛ se ka bilen, tuma dɔw la a ɲɛ ye teji ye.
• Kɛrɛfɛdimi : Dimi min bɛ kɛ i kɔ fan fila bɛɛ la, i kɔkili jukɔrɔ.
• Dimi bɛ kɛ ni koli bɛ kɛ (sɔgɔsɔgɔninjɛ): A bɛ se ka kɛ jeninida ni dimi bɛ se ka kɛ ni koli bɛ kɛ.
• Sugunɛbilenni: Nin ye fɛn ye mɔgɔ caman ye min sɔrɔ. A bɛ se ka na ni kɔdimi jugumanba ye.
• Sugunɛbilenni : A taamasiɲɛw i n’a fɔ koli kɛli tuma caman ani farigan bɛ se ka sɔrɔ.

Ɲɛgɛnɛsiraw bɛ sɔrɔ cogo di?

Ni nin taamasiɲɛ ninnu bɛ aw la, aw ka dɔgɔtɔrɔ bɛna farikolo sɛgɛsɛgɛli kɛ fɔlɔ. U bɛna ɲininkali kɛ aw ka furakɛli tariku la, aw ka denbaya ka tariku la, ani aw bɛ taamasiɲɛ minnu sɔrɔ.

Ni dɔgɔtɔrɔ bɛ sigasiga ko sugunɛbana bɛ i la, a ka c’a la, u bɛna yamaruya di ka joli ni sugunɛ sɛgɛsɛgɛli caman kɛ . Olu bɛna a lajɛ:

• Joli bɛ sugunɛ na wa?
• Sugunɛw bɛ baara kɛ cogo di?
• Yala sugunɛbaralabana bɛ yen wa?

Ka fara o kan, ja sɛgɛsɛgɛli kɛrɛnkɛrɛnnenw bɛ se ka kɛ walasa ka n ye kuru minnu kofɔ sugunɛ na, olu lajɛ. Scan suguya minnu ka teli ka kɛ olu ye:

• CT scan: O bɛ kɛ ni X-ray ye walasa ka sugunɛ ja saba (3D) dilan.
• Piyelogramme intravenous (IVP): O bɛ kɛ ni kalali kɛrɛnkɛrɛnnen dɔ pikiri ye aw jolisira la. O kɔ, ja damadɔw bɛ ta ni rezow ye. Kala bɛ sama joli fɛ ka bɔ sugunɛ na ka don sugunɛ na, o la, ja minnu bɛ kɛ ni rezow ye, olu bɛ sugunɛ sira jira ka jɛya. O bɛ se ka dɛmɛ don ka kurukuruw sɔrɔ ani sugunɛ bɛ datugu yɔrɔ minnu na.
• Ultrasound scan: O bɛ kɛ ni mankanw ye walasa ka sugunɛw ja ta.

Ɲɛgɛnɛsiraw bɛ furakɛ cogo di?

Sisan, furakɛli kɛrɛnkɛrɛnnen tɛ nin bana in na min bɛ wele ko sugunɛ min bɛ wele ko medullary sponge kidney (MSK). Furakɛli kunba ye sugunɛbilenniw (UTI) ni sugunɛbilenniw kunbɛnni ni u furakɛli ye.

sugunɛbilenni furakɛli kunba ye banakisɛfagalanw ye .

Sugunɛbilenni furakɛli bɛ bɔ kabakurun bonya la. A ka ca a la, kaba misɛnniw bɛ tɛmɛ sugunɛ fɛ u yɛrɛ ma. Aw ka dɔgɔtɔrɔ bɛ se k’a fɔ aw ye ko aw ka ji caman min walasa ka kabakurun tɛmɛ joona. U bɛ se ka dimimadafura ni furaw fana di aw ma walasa ka aw ka sugunɛbaralabana fasaw lafiya.

Kabakurunbaw bɛ se ka furakɛli kɛ dɔɔni. Misali damadɔw filɛ nin ye:

• Shock Wave Lithotripsy : Nin ye furakɛli ye min tɛ mɔgɔ minɛ, a bɛ kɛ ni shock wave ye min fanga ka bon walasa ka sugunɛbaralabana kari. O kɔ, a yɔrɔ karilenw bɛ tɛmɛ ka bɔ fari la sugunɛ na.
• Sugunɛbilenni : O bɛ kɛ ni tubabufura jan finman dɔ ye min bɛ wele ko sugunɛbaralabana walasa ka kabakurun bɛ yɔrɔ min na, o lajɛ. O minɛn in bɛ se ka kɛ ka kabakurun misɛnninw bɔ, walima laser bɛ se ka kɛ ka kabakurun belebelebaw kari.
• Nefrolitotomie (banakisɛfagalan) min bɛ kɛ farikolo la:Dɔgɔtɔrɔw bɛ nin fɛɛrɛ in kɛ dɔrɔn ni fɛɛrɛ wɛrɛw ma ɲɛ. O ye ka tigɛ fitini dɔ kɛ kɔ la ka sugunɛbara mugumugu a fɛ k’a sama ka bɔ. Nin fana ye opereli ye min tɛ fɛn caman kɛ.

Yala sugunɛ min bɛ wele ko medullary sponge sugunɛ bɛ se ka bali wa?

Sugunɛ min bɛ wele ko medullary sponge kidney (MSK) ye bana ye min bɛ sɔrɔ bange kɔnɔ, a sababu tɛ dɔn, o la a tɛ se ka bali . Nka, aw bɛ se ka fɛɛrɛw tigɛ walasa ka sugunɛbilenniw (UTI) ni sugunɛbilenniw bali minnu bɛ se ka sɔrɔ o fɛ.

Aw ka dɔgɔtɔrɔ bɛ se ka furaw di aw ma i n’a fɔ ninnu:

• Banakisɛfagalanw tata hakɛ dɔgɔman walasa ka sugunɛbilenni segin-segin bali.
• Fura minnu bɛ kɛ i n’a fɔ sitɛrɛti potasiyɔmu walima tiyazidi (a bɛ fɔ fana ko jifura) olu bɛ se ka kalisiyɔmu hakɛ dɔgɔya sugunɛ na ani ka sugunɛbilenni bali.

Ni aw ye aw ka dumunikɛcogo Changer, o fana bɛ se ka aw dɛmɛ ka sugunɛbilenni ni sugunɛbilenni bali:

• Kalisiyɔmu : Ni aw ye kalisiyɔmu caman sɔrɔ aw ka dumuni na, o bɛ se ka dɔ bɔ sugunɛbilenni farati la. (Mɔgɔ dɔw bɛ se k’a miiri ko kalisiyɔmu caman tali bɛ dɔ fara kabakurunw sɔrɔli kan, nka o tɛ kɛ. Aw ka kan k’a ta ka kɛɲɛ ni a hakɛ ye. Aw bɛ taa dɔgɔtɔrɔso la).
• Jimafɛnw: Ji caman minni nafa ka bon kosɛbɛ. O bɛ sugunɛ nɔgɔya ani ka kabakurun bɔli farati dɔgɔya. A bɛ dɛmɛ fana ka banakisɛw bɔ sugunɛ na. Aw bɛ aw jija ka ji litiri 2-3 min tile kɔnɔ.
• Farikolojɔli dumuni minnu ka ca : Ni aw ye dan sigi farikolojɔli dumuniw na i n’a fɔ sogo, jɛgɛ ani kɔnɔw, o bɛ se ka sugunɛbilenni bali.
• Kɔgɔ: Kɔgɔ dɔgɔyali i ka dumuni na, o fana nafa ka bon kosɛbɛ. Kɔgɔ caman dunni bɛ dɔ fara sugunɛbilenni farati kan. O la, aw bɛ kɔgɔ hakɛ min fara aw ka dumuni kan, aw bɛ aw janto o la. Fɛn minnu bɛ kɛ bidon kɔnɔ ani misiden minnu bɛ kɛ teliya la, kɔgɔ ka ca olu la.

Nafama: Aw bɛ dɔgɔtɔrɔ walima dumunikɛla dɔ ɲininka tuma bɛɛ sani aw ka fɛn o fɛn Changer aw ka dumunikɛcogo la.

Mɔgɔ min bɛ ni sugunɛ ye min bɛ wele ko medullary sponge kidney, o tigi ka siniɲɛsigi ye mun ye?

Mɔgɔ caman bɛ se ka siran ka nin mɛn, nka sugunɛ min bɛ wele ko Medullary Sponge Kidney (MSK) bɛ mɔgɔ minnu na, olu fanba bɛ se ka sugunɛ baara ɲuman sabati u ka ɲɛnamaya bɛɛ kɔnɔ .

Nka, mɔgɔ dɔɔni, 10% ɲɔgɔn, bɛ se ka sugunɛbaralabana sɔrɔ. A sababuba ye sugunɛbilenniw (UTI) minnu ka teli, minnu bɛ segin-ka-bɔ, ani sugunɛbilenni.

Dimi basigilen ye gɛlɛya wɛrɛ ye min man teli ka sɔrɔ mɔgɔ minnu na, sugunɛbilenni bɛ to minnu na. Nin bana in bɛ se ka kunbɛn ni fɛɛrɛw tigɛli ye walasa ka sugunɛbilenni bali.

Ɲɛgɛnɛsiraw (MSK) bɛ se ka kɛ sababu ye ka kalisiyɔmu hakɛ dɔgɔya joli la. o bɛ se ka kolo fanga dɔgɔya . O bɛ dɔ fara banaw kan minnu bɛ sɔrɔ kolo la. I n'a fo:

• Koloci (bana min na kolotugudaw bɛ fin ani ka kari) .
• Parathyroïdie secondaire ( hormones bɔli kojugu parathyroïde glandes fɛ) .

Walasa ka nin kolo tiɲɛni kuntaalajan suguya in bali, dɔgɔtɔrɔ bɛ se ka fura dɔw di aw ma i n’a fɔ sitɛrɛti potasiyɔmu.

Cogo di ka ɲɛnamaya kɛ ni sugunɛ ye min bɛ wele ko medullary sponge?

Aw ka dɔgɔtɔrɔ bɛna aw ka sugunɛ baara kɔlɔsi tuma bɛɛ ani ka dɛmɛ don aw ma ni aw mago bɛ a la. A nafa ka bon ka aw ka furaw ta i n’a fɔ a ɲɛfɔlen don cogo min na tigitigi, ka aw ka dumunikɛcogo labato, ani ka tugu aw ​​ka tugu-tugu-ɲɔgɔn kɔ lajɛw kɔ . Nin fɛn ninnu bɛ se ka dɛmɛ don ka sugunɛbilenni ni sugunɛbilenni bali.

Fura tɛ sugunɛ na min bɛ wele ko Medullary Sponge Kidney (MSK). Nka i n’a fɔ n y’a fɔ cogo min na ka tɛmɛ, nin bana in bɛ mɔgɔ caman na, taamasiɲɛ foyi tɛ u la, wa dɔw yɛrɛ t’a dɔn ko a bɛ u la. Ni bana taamasiɲɛw kɛra, a ka ca a la, u bɛ sɔrɔ sugunɛbilenni fɛ walima sugunɛbilenni fɛ. nin fila bɛɛ furakɛli bɛ se ka kɛ kosɛbɛ . Aw bɛ se ka sugunɛbilenni ni sugunɛbilenni fana bali ni aw ye yɛlɛma don aw ka dumunikɛcogo ni aw ka ɲɛnamaya kɛcogo la. Ni ɲininkali walima haminanko dɔ bɛ aw fɛ, aw kana siga ka kuma aw ka dɔgɔtɔrɔ fɛ .

Take-Home cikan

O bɛ ɲɛ, o la n jigi b’a kan ko sisan aw ye faamuyali ɲuman sɔrɔ `Medullary Sponge Kidney` kan, an ye kuma min kan. An k’an hakili jigin yɔrɔ nafamabaw la kokura:

• Nin ye bana ye min bɛ sɔrɔ bangekɔlɔsi fɛ, kuru misɛnniw bɛ bɔ sugunɛ cɛmancɛ yɔrɔ la (medulla).
• taamasiɲɛ foyi tɛ mɔgɔ fanba la . Ni u y’o kɛ, o bɛ sɔrɔ sugunɛbilenni (UTI) walima sugunɛbilenni de kosɔn.
• Furakɛli kɛrɛnkɛrɛnnen tɛ o la, nka a taamasiɲɛw ni a gɛlɛyaw bɛ se ka furakɛ ka ɲɛ.
• A nafa ka bon kosɛbɛ ka sugunɛbilenni ni sugunɛbana kunbɛn . Walasa ka o kɛ, aw bɛ ji caman min, aw bɛ aw janto aw ka dumuni duntaw la, ka aw ka dɔgɔtɔrɔ ka laadilikanw labato.
• mɔgɔ fanba bɛ se ka sugunɛ baara ɲuman sabati u ka ɲɛnamaya bɛɛ kɔnɔ . Sugunɛ dɛsɛ man teli.
• Ni ɲininkali dɔw bɛ aw fɛ o ko la, aw bɛ taa dɔgɔtɔrɔso la sisan .

Aw kana aw hakili ɲagami, mɔgɔ caman bɛ se ka ɲɛnamaya kɛ cogo bɛnnen na, kɛnɛya la ni nin bana in ye!

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