Ni aw ye denba kɔnɔma ye, n’a sɔrɔ aw bɛ sɛgɛsɛgɛliw dɔn minnu bɛ aw den ka kɛnɛya lajɛ. Tuma dɔw la, ni "megaureter" daɲɛ bɔra sɛgɛsɛgɛli rapɔɔri kan, a bɛ kɛ cogo la min bɛ siran kosɛbɛ ani ka hami. Nka, i kana i hakili ɲagami. Ni aw bɛ nin bana in dɔn kosɛbɛ, aw bɛna fanga sɔrɔ kosɛbɛ a kunbɛnni na. Bi, an ka kuma a ye min ye, mun na a bɛ kɛ, ani min bɛ se ka kɛ o la.
N’an y’a fɔ cogo nɔgɔman na, nin Megaureter in ye mun ye?
O bɛ ɲɛ, an ka fɔlɔ ka dɔɔni faamuya sugunɛ kɛcogo la an farikolo la. An bɛ ni sugunɛ fila ye. Olu de bɛ an joli sama ka sugunɛ (sugunɛ) dilan ka bɔ fɛnɲɛnamafagalanw na minnu tɛ mako ɲɛ. O kɔ, tubabufura finman fila bɛ yen minnu bɛ nin sugunɛ in ta ka taa sugunɛ na. nin tubabufura fila ninnu ye an bɛ minnu wele ko sugunɛbaralabana .
A ka ca a la, sugunɛbaralabana min bɛ mɔgɔ kɛnɛman na, o ye tubabufura finman ye min janya bɛ se santimɛtɛrɛ 9 ma, a bonya bɛ se santimɛtɛrɛ kelen ma. Nka, bana min bɛ wele ko ``megaureter``, o sugunɛbaralabana ka bon ani ka bonya ka tɛmɛ a cogo kɔrɔ kan cogo la min tɛ a cogo la. N'an y'a Fɔ a nɔgɔya la, a ye "mega" (ba) ye "ureter" (ureter) i n'a fɔ a tɔgɔ b'a Jira cogo min na.
A ka ca a la, o ye bana ye min bɛ sɔrɔ den bangenen kɔ, min bɛ sɔrɔ den to kɔnɔbara la. O de kama a ka teli ka sɔrɔ jiginni ɲɛfɛ ja sɛgɛsɛgɛliw senfɛ. Ni a ma furakɛ ka ɲɛ, bana jugumanba min bɛ wele ko ``Megaureter``, o bɛ se ka den ka sugunɛbara tiɲɛ.
Yala megaureter suguya kunbabaw bɛ yen wa?
Ɔwɔ, nin bana in bɛ se ka tila suguya kunbaba caman na ka kɛɲɛ ni a kɛcogo ye. Ni aw ka dɔgɔtɔrɔ bɛ baara kɛ ni nin kumasen ninnu ye, an ka u dɔn walasa u faamuyali ka nɔgɔya.
| Megaureter suguya | Min bɛ kɛ, o ka nɔgɔn. |
|---|---|
| Megaureter min bɛ kɛ ka kɔsegin | O ye waati ye ni sugunɛ bɛ bɔ sugunɛ na ka taa kɔfɛ, ka taa sanfɛ, ka jigin sugunɛbara la ka taa sugunɛ fan fɛ. O kɔsegin (vesicoureteral reflux) bɛ kɛ sababu ye ka sugunɛbaralabana wuli ka bonya dɔɔni dɔɔni. |
| Megaureter min bɛ bali fɔlɔ | Min bɛ kɛ yan, o ye ko sugunɛbaralabana, a ni sugunɛbaralabana bɛ ɲɔgɔn sɔrɔ yɔrɔ min na, o bɛ datugu ka dɔgɔya. A bɛ i n’a fɔ ka jibolisira dɔ sɔgɔsɔgɔ a laban na. O bɛ kɛ sababu ye ka sugunɛ bɔ (blockage) ani tubabufura bɛ fa sugunɛ na, o bɛ kɛ sababu ye ka funu ka bonya. |
| Megaureter fɔlɔ min tɛ bali, min tɛ kɔsegin | O cogo la, kun minnu fɔra sanfɛ, olu si tɛ yen. O kɔrɔ ye ko sugunɛ tɛ woyo kɔfɛ, wa a tɛ datugu fana. Nka sugunɛbaralabana kɛra ka bonya. A ka ca a la, o bana bɛ kɛnɛya a yɛrɛ ma ni den bɛ ka bonya. |
| Megauretɛrɛ filananw | Olu bɛ sɔrɔ furakɛlicogo wɛrɛw fɛ, i n’a fɔ sugunɛbaralabana, kɔnɔbara tigɛcogo , walima sugunɛbaralabana min bɛ farikolojidɛsɛ furakɛ . |
Taamasiɲɛ jumɛnw bɛ se ka kɛ ne den na ni nin bana in ye?
A ka ca a la, megaureter bɛ denmisɛn minnu na , taamasiɲɛ foyi tɛ u la . O de kama jiginni ɲɛfɛ sɛgɛsɛgɛliw nafa ka bon kosɛbɛ. Nka, den dɔw, kɛrɛnkɛrɛnnenya la u bangenen kɔfɛ, bana taamasiɲɛw bɛ se ka sɔrɔ. Olu dɔw ye:
- Kɛrɛfɛdimi : Dimi min bɛ bɔ kɔ kɛrɛ fɛ, kɔkiliw duguma.
- Joli bɛ don sugunɛ na (héturie): Ni sugunɛ kɛra pinɛ, bilen walima bulama ye.
- Sugunɛbilenni minnu ka teli ka kɛ (UTI): Sugunɛbana bɛ se ka farigan, farigan, ani jeninida bila mɔgɔ la ni a bɛ koli kɛ.
- Sumaya sababu tɛ a la.
- Sugunɛbaliya : Ni den kɔrɔla dɔɔni, a bɛ se ka gɛlɛya ka a ka koli kunbɛn.
Min nafa ka bon, o ye ko den bɛɛ tɛna kɛ ni nin jogo ninnu bɛɛ ye. Den kelen jogo bɛ se ka kɛ danfaraba ye ni den wɛrɛ ye.
Mun na o bɛ kɛ denw na? O kun ye mun ye?
A ka gɛlɛn ka sababu kelen jira o la, nka kunba damadɔ bɛ yen minnu jirala.
Ni den bɛ ka bonya kɔnɔbara la, sugunɛbara bɛ kɛ ni farikolo yɔrɔ dɔ ye min bɛ se ka sɔgɔsɔgɔ. O farikolo yɔrɔw bɛ ɲɔgɔn minɛ i n’a fɔ jikuruw walasa ka sugunɛ gɛrɛntɛ ka bɔ sugunɛ na ka taa sugunɛ na. An bɛ o wale in Weele ko ``peristalsis``.
Nka tuma dɔw la, o farikolo yɔrɔ in nɔ na, farikolo yɔrɔ gɛlɛn dɔ bɛ bɔ sugunɛbara yɔrɔ dɔ la min ka gɛlɛn, a tɛ se ka wuli . Nin yɔrɔ gɛlɛn in tɛ Se ka Kɔrɔta o cogo la. O de kosɔn, sugunɛ bɔli bɛ bali, ani tubabufura bɛ fa sugunɛ na, a bɛ bonya dɔɔni dɔɔni.
Ka fara o kan, sugunɛbaralabana da la ka taa sugunɛbara la, walima sugunɛbaralabana laban dɔ tiɲɛni (ureterocele), o fana bɛ se ka kɛ sababu ye ka bana dɔ lase mɔgɔ ma min bɛ wele ko ``megaureter'', o bɛ sugunɛ bɔli bali.
Sɛgɛsɛgɛliw y’a jira ko nin bana in ka ca cɛdenw na siɲɛ naani ɲɔgɔn ka tɛmɛ npogotigininw kan.
Dɔgɔtɔrɔw bɛ o sɛgɛsɛgɛ cogo di? Kɔrɔbɔli jumɛnw bɛ kɛ?
I n’a fɔ a fɔra cogo min na ka tɛmɛ, a ka ca a la o bɛ dɔn kɔnɔmaya waati la ni ultrasound scan (ultrasound/sonogramme) ye , o bɛ a to den sugunɛ, sugunɛbaralabana ani sugunɛbara bɛ ye ka jɛya.
Ni den ye bana taamasiɲɛw jira i n’a fɔ sugunɛbilenni tuma caman a bangenen kɔfɛ, dɔgɔtɔrɔ bɛna den sɛgɛsɛgɛ ani ka sɛgɛsɛgɛli wɛrɛw fɔ ni u bɛ sigasiga nin bana in na.
- VCUG (Voiding Cystourethrogram): Nin ye rezow suguya kɛrɛnkɛrɛnnen ye. Yan, tubabufura (catheter) min ka fin kosɛbɛ, o bɛ don den ka sugunɛbara la, ka ji kɛrɛnkɛrɛnnen dɔ (contrast dye) tɛmɛ o fɛ ka don sugunɛ na. O kɔ, ni den bɛ koli kɛ, a bɛ rezow ta walasa ka a dɔn ni ji bɛ bɔ ni sugunɛ ye walima ni a bɛ segin ka taa sugunɛbara sanfɛ.
- Sugunɛbilenni : O bɛ se ka dɛmɛ don ka den ka sugunɛ ni a sugunɛbaralabana hakɛ, a cogoya ani a sɔrɔli lajɛ.
- Sugunɛ sɛgɛsɛgɛli : Nin sɛgɛsɛgɛli in na, fɛn dɔ pikiri bɛ kɛ den ka jolisira dɔ la (radiotracer) hakɛ dɔɔni kosɛbɛ. O kɔfɛ, sɛgɛsɛgɛlikɛlan kɛrɛnkɛrɛnnen dɔ bɛ kɛ ka o fɛn in tɛmɛcogo kɔlɔsi sugunɛ na. O bɛ se ka dɛmɛ don ka a dɔn sugunɛ bɛ baara kɛ cogo min na tigitigi ani ni fɛn dɔw bɛ sugunɛ na.
- Joli sɛgɛsɛgɛli (Electrolyte panel): Elektɔli hakɛ minnu bɛ joli la, olu bɛ lajɛ walasa ka a dɔn ni den sugunɛ bɛ baara kɛ ka ɲɛ.
- Sugunɛsɛgɛsɛgɛli : Sugunɛ sɛgɛsɛgɛli bɛ kɛ ka a lajɛ ni sugunɛbaralabana taamasiɲɛw tɛ a la.
O bɛ se ka furakɛ cogo di? Yala opereli ka kan wa?
O furakɛcogo tɛ kelen ye den ni den cɛ. A bɛ bɔ den si hakɛ la, a taamasiɲɛw cogoya ani a ka kɛnɛya bɛɛ lajɛlen na.
Kibaru dumanba ye,Den fanba mako tɛ furakɛliba walima opereli la. A ka ca a la, bana in bɛ ɲɛ a yɛrɛ ma ni den bɛ kɔrɔbaya.
O la, dɔgɔtɔrɔw bɛ "kɔlɔsili-kɔlɔsili" fɛɛrɛ ta a daminɛ na. O waati kɔnɔna na:
- U bɛ to ka ultrasound scans kɛ walasa ka a dɔn ni den sugunɛw bɛ ka yiriwa ka ɲɛ.
- Banakisɛfagalanw bɛ se ka to sen na walasa ka sugunɛbilenni (UTI) farati dɔgɔya.
Nka ni bana ma ɲɛ den ka san fɔlɔ kɔnɔ, ni sugunɛbaralabana bɛ bonya (a bɛ bonya), ni sugunɛbaralabanaw bɛ to sen na, walima ni sugunɛ baara bɛ tiɲɛ, o tuma na opereli bɛ se ka kɛ.
Opereli suguba fila bɛ yen:
1. Sugunɛbilenni : Nin yɔrɔ in na, operelikɛla bɛ den ka sugunɛbara siri da fitini dɔ la (stoma) min bɛ kɛ kɔnɔbara la. O kɔ, sugunɛ bɛ bɔ da la ka ɲɛ ka don den ka dawolo la sanni a ka don sugunɛ na. O bɛ sugunɛ ni sugunɛw lafiɲɛ ani ka a to u ka kɛnɛya. Kalo damadɔ kɔfɛ, ni sugunɛbara seginna a bonya la, opereli wɛrɛ bɛ kɛ walasa ka a ni sugunɛbara siri kokura.
2. Sugunɛbilenni : Nin opereli in bɛ kɛ sababu ye ka sugunɛbaralabana yɔrɔ min datugulen don walima min dɔgɔyara, o bɔ walima k’a dilan, ka sugunɛbaralabana yɔrɔ fila tɔw siri ɲɔgɔn na kokura.
O opereli ninnu ɲɛtaa hakɛ ka ca kosɛbɛ. O la sa, kun t’a la ka siran o ɲɛ. Dɔgɔtɔrɔ bɛna a ɲɛfɔ aw ye ka ɲɛ furakɛli min ka fisa aw den ma.
Yala waati dɔw bɛ yen aw ka kan ka taa ni aw den ye ETU la wa?
Awɔ. Ni bana dɔ bɛ aw den na min bɛ wele ko ``Megaureter'' ani ni nin taamasiɲɛ ninnu dɔ bɛ a la ka fara sugunɛbilenni kan (UTI), aw bɛ taa n’a ye dɔgɔtɔrɔso la min ka surun aw la, o yɔrɔ la joona
- Kɔdimi
- Sumaya jugumanba
- Dusukunnata ni fɔɔnɔ
Aw kana to so nin waati ɲɔgɔn na. A nafa ka bon kosɛbɛ ka dɔgɔtɔrɔ ka ladilikan ɲini joona.
Take-Home cikan
- Megaureter ye tubabukan bonya ye min tɛ kɛ cogo la min bɛ sugunɛ ta ka bɔ den sugunɛ na ka taa sugunɛ na. A ka ca a la, o ye bana ye min bɛ sɔrɔ bangekɔlɔsi fɛ.
- Aw kana aw hakili ɲagami ni aw ye nin ko in dɔn sɛgɛsɛgɛli kɛtuma na kɔnɔmaya waati. Den fanba mako tɛ opereli la , wa o bana bɛna ban a yɛrɛ ma ni den bɛ ka bonya.
- Ni dɔgɔtɔrɔ ye "kɔlɔsili makɔnɔni" fɛɛrɛ fɔ, aw ye aw jija ka taa ni den ye ka taa a lajɛ don bolodalen na.
- Sugunɛbilenni tuma caman na, o ye nin bana in taamasiɲɛ ye min ka teli ka kɛ. O la, aw bɛ banakisɛfagalan minnu fɔ aw ka dɔgɔtɔrɔ fɛ, aw bɛ olu ta i n’a fɔ a fɔra cogo min na.
- Ni opereli ka kan ka kɛ, a ɲɛtaa hakɛ ka ca kosɛbɛ, o la aw kana siran a ɲɛ kun tɛ.
- Ni bana taamasiɲɛw bɛ den na i n’a fɔ farigan, kɔdimi, ani fɔɔnɔ, aw bɛ taa n’a ye dɔgɔtɔrɔso la joona furakɛli yɔrɔ la (ETU) .
- Ɲininkali walima haminanko o haminanko bɛ aw la, aw bɛ dɔgɔtɔrɔ ɲininka. I mago bɛ kunnafoniw ni dɛmɛ minnu na, u bɛna olu bɛɛ di i ma.











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