Yala aw den ka sugunɛbaralabana ka bon kojugu wa? An ka kuma nin Megaureter in kan!

N’i ​​ye denba kɔnɔma ye, n’a sɔrɔ i siranna ka ‘megaureter’ daɲɛ ye i ka sɛgɛsɛgɛli rapɔɔri kan. Walima a bɛ se ka kɛ ko sugunɛbilenni bɛ to ka aw denmisɛnnin minɛ. A ka ca a la, i bɛ siran dɔɔni ni i ye nin ɲɔgɔnna fɛn mɛn walima ni i ye. Nka aw kana aw hakili ɲagami, a ka ca a la nin tɛ bana jugumanba ye. Bi, an bɛna kuma fɛn bɛɛ kan cogo nɔgɔman na ani cogo jɛlen na.

N’an y’a fɔ cogo nɔgɔman na, nin Megaureter in ye mun ye?

O bɛ ɲɛ, an ka fɔlɔ ka nin faamuya. An bɛɛ bɛ sugunɛ fila sɔrɔ an fari la, tiɲɛ tɛ? O sugunɛw bɛ sugunɛ (sugunɛ) bɔ. O kɔ, o sugunɛ bɛ taa sugunɛbara la ni tubabufura fila ye. I n’a fɔ ji bɛ ta ka bɔ jidagayɔrɔ la cogo min na ka tɛmɛ pipe fila fɛ. O tubabufura fila bɛ wele ko ‘ureters’.

A ka ca a la, o tubabufura minnu bɛ mɔgɔ kɛnɛman na, olu ka fin kosɛbɛ. Nka tuma dɔw la, kɛrɛnkɛrɛnnenya la bange waati, o tubabufura kelen walima u fila bɛɛ bɛ se ka bonya ka bonya ka tɛmɛ a cogo kɔrɔ kan. An b’o de Weele ko megaureter furakɛli la. ‘Mega’ kɔrɔ ye ‘ba’ ye. O la ‘Megaureter’ kɔrɔ ye ‘suguya-yɔrɔ bonyalen’.

Dɔgɔtɔrɔw ka teli k’o dɔn jiginni ɲɛfɛ sɛgɛsɛgɛliw senfɛ. A ka ɲi ka se k’a dɔn joona, barisa o kɔ, aw bɛ se ka fɛɛrɛ wajibiyalenw tigɛ ni den bangera dɔrɔn.

Megaureter suguya jumɛnw bɛ yen?

Nin bana in bɛ se ka tila suguya kunbaba caman na ka kɛɲɛ ni a kɛcogo ye. Hali ni o bɛ se ka kɛ ko a ka gɛlɛn dɔɔnin, a faamuyali ka nɔgɔn. An ka nin tabali in lajɛ.

Nin taamasiɲɛ ninnu bɛ den na wa?

A ka ca a la, nin bana in bɛ denmisɛn minnu na , olu tɛ taamasiɲɛ foyi jira . O de y’a To a ka c’a la, a bɛ Sɔrɔ sɛgɛsɛgɛliw dɔrɔn de fɛ. Nka denmisɛn dɔw bɛ se ka bana taamasiɲɛw sɔrɔ i n’a fɔ ninnu:

• Sugunɛbilenni minnu ka teli ka kɛ (UTI): Nin ye a taamasiɲɛ ye min ka teli ka kɛ.
• Kɛrɛfɛdimi : Dimi min bɛ bɔ kɔ kɛrɛ fɛ, kɔkili duguma.
• Joli bɛ don sugunɛ na (héturie).
• Sumaya bɛ to ka kɛ a la.
• Sugunɛ kunbɛnni gɛlɛya (sugunɛbaliya).

Mun na o bɛ ka kɛ? O kun ye mun ye?

A ka ca a la, o bɛ kɛ ka a sababu kɛ fɛn misɛnni yeli ye min bɛ kɛ ni den bɛ ka bonya kɔnɔbara la.

Aw bɛ miiri sugunɛbara la i n’a fɔ tubabufura min dilannen don ni farikolo yɔrɔw ye. Sugunɛ bɛ bɔ sugunɛ na ka taa sugunɛ na barisa o fasaw bɛ ɲɔgɔn minɛ i n’a fɔ jikuru, ka sugunɛ gɛrɛntɛ ka jigin. Nka tuma dɔw la, ni den bɛ ka bonya, nin tubabufura in yɔrɔ dɔ bɛ gɛlɛya dɔɔni, i n’a fɔ fɛnɲɛnamafagalanw, farikolo yɔrɔ nɔ na. O kɔ, sugunɛ gɛrɛgɛrɛli taabolo min bɛ kɛ ka jigin i n’a fɔ jikuru, o tɛ baara kɛ ka ɲɛ. O la, sugunɛ bɛ dalajɛ ani tubabukan bɛ bonya.

A sababu wɛrɛ ye balili ye yɔrɔ min na tubabukan bɛ don sugunɛ na. o bɛ se ka sɔrɔ bana dɔw fɛ i n' a fɔ sugunɛbaralabana . O cogo la, tubabufura bɛ fa sugunɛ na ka bonya.

Min ka teli ka a sɔrɔ, a bɛ se ka den bɛɛ minɛ, nka ɲininiw y’a jira ko a ka ca cɛdenw na ka tɛmɛ npogotigininw kan siɲɛ naani ɲɔgɔn .

Dɔgɔtɔrɔw bɛ o sɔrɔ cogo di?

I n’a fɔ a fɔra cogo min na sanfɛ, o bɛ ye tuma caman na jiginni ɲɛfɛ ultrasound sɛgɛsɛgɛliw senfɛ aw ka kɔnɔmaya waati.

Den bangenen kɔ, dɔgɔtɔrɔ bɛna den sɛgɛsɛgɛ. O kɔ, walasa ka bana in dafa ka taa a fɛ, nin sɛgɛsɛgɛli ninnu bɛ se ka kɛ:

• Voiding Cystourethrogramme (VCUG): Nin ye rezow suguya dɔ ye. Tubabu fitini dɔ bɛ don den ka sugunɛbara la ka kalali kɛrɛnkɛrɛnnen dɔ pikiri a la. O kɔfɛ, rezow bɛ a lajɛ ni ji bɛ sugunɛ na walima ni a bɛ segin ka segin ka wuli tubabukan na.
• Sugunɛbilenni : Nin sɛgɛsɛgɛli in bɛ kɛ walasa ka a dɔn den sugunɛ ni a sugunɛ bɛ cogo min na ani a siraw bonyalen don cogo min na.
• Sugunɛbilenni : Nin yɔrɔ in na, fɛnɲɛnamafagalan dɔɔni dɔɔni bɛ pikiri den jolisira dɔ la. O kɔfɛ, sɛgɛsɛgɛlikɛlan kɛrɛnkɛrɛnnen dɔ bɛ kɛ ka o fɛn in tɛmɛcogo lajɛ sugunɛ na. O bɛ se ka a dɔn tigitigi sugunɛw bɛ baara kɛ ka ɲɛ cogo min na ani ni balili dɔ bɛ yen.
• Joli sɛgɛsɛgɛli (Electrolyte panel): Nin joli sɛgɛsɛgɛli bɛ dɛmɛ ka a dɔn ni sugunɛ bɛ baara kɛ ka ɲɛ.
• Sugunɛ sɛgɛsɛgɛli : Sugunɛ sɛgɛsɛgɛli bɛ kɛ ka a sɛgɛsɛgɛ ni bana tɛ a la.

A bɛ furakɛ cogo di? Yala opereli ka kan wa?

Ɲininkali min bɛ na bɛɛ hakili la n'u y'o mɛn, o ye ko "E, yala n den ka kan ka opereli kɛ sisan wa?"

Den fanba bɛ kɛnɛya u yɛrɛ ma ni u kɔrɔla, o la aw ka dɔgɔtɔrɔ bɛ se ka "kɔlɔsili ni makɔnɔni" fɛɛrɛ ta. O kɔrɔ ye ko:

• Sɛgɛsɛgɛli kɛli tuma bɛɛ : Den bɛ sɛgɛsɛgɛli kɛ tuma ni tuma walasa ka a dɔn ni sugunɛw bɛ ka yiriwa ka ɲɛ ani ni a siraw bonya bɛ dɔgɔya.
• Banakisɛfagalanw tali : Walasa ka sugunɛbilenni farati dɔgɔya, dɔgɔtɔrɔ bɛ se ka banakisɛfagalan dɔ sɛbɛn min hakɛ ka dɔgɔn, aw ka kan ka min ta don o don.

Opereli ka kan ka kɛ tuma jumɛn?

Nka, ni bana ma ɲɛ den ka san fɔlɔ kɔnɔ, ni a sira bɛ bonya, ni sugunɛbaralabana basigilen bɛ yen ni sumaya ye, walima ni sugunɛ baara bɛ tiɲɛ, dɔgɔtɔrɔ bɛ se ka opereli fɔ.

Opereli suguba fila bɛ yen:

1. Sugunɛbilenni (Ureterostomie):Yan, operelikɛla bɛ sugunɛbaralabana min bonyalen don, o siri waati dɔɔni da fitini dɔ la (stoma) min bɛ kɛ den kɔnɔbara la. O kɔ, sugunɛ bɛ ɲɔgɔn lajɛ ka ɲɛ dawolo la sanni a ka don sugunɛ na. O bɛ sugunɛ ni sugunɛbara lafiɲɛ ani ka a to u ka kɛnɛya. Kalo damadɔ o kɔfɛ, o tubabufura bɛ segin ka don sugunɛ na opereli wɛrɛ la.

2. Piyeloplastie : Nin opereli in na, sugunɛbaralabana yɔrɔ min datugulen don walima min dɔgɔyara, o bɛ bɔ ka sɔrɔ ka tubabufura siri kokura ka ɲɛ.

O opereli ninnu ɲɛtaa hakɛ ka ca kosɛbɛ. O la, kana siran o ɲɛ. Aw ka dɔgɔtɔrɔ bɛna furakɛli min bɛnnen don aw den ma, o ɲɛfɔ aw ye.

Den ka kan ka taa dɔgɔtɔrɔso la tuma jumɛn?

Ni megaureter bɛ den na, aw ka kan ka aw janto kosɛbɛ sugunɛbilenni taamasiɲɛw la. Ni nin taamasiɲɛ ninnu dɔ bɛ den na ka fara sugunɛbilenni kan , aw bɛ taa n’a ye dɔgɔtɔrɔso la min ka surun dɔgɔtɔrɔso la joona (ETU) :

• Sumaya jugumanba
• Kɔdimi walima kɔdimi
• Fɔɔnɔ ni kɔnɔboli

Nin taamasiɲɛ ninnu b’a jira ko a bɛ se ka kɛ ko bana in ye sugunɛ de minɛ. O la sa, kana mɛn.