Yala a ka gɛlɛn aw ma ka aw ka sugunɛ kunbɛn wa? A bɛ se ka kɛ ko a bɛ bɔ hakiliɲagami bana dɔ de la! (Sugunɛ min bɛ wele ko neurogénique) - Nirogi Lanka

Yala aw bɛ a ye tuma dɔw la ko aw ma se ka aw ka sugunɛ kɛcogo tiɲɛ wa ? Laala, koli nege bɛ i la yɔrɔnin kelen, min tɛ se ka i kunbɛn, walima i bɛ a ye ko i ka sugunɛ tɛ lankolonya ka ɲɛ dɔrɔn. Nin tɛ ko ye min bɛ kɛ k’a sɔrɔ a ma kɛ k’a sɔrɔ a ma kɛ dɔrɔn; a bɛ se ka bɔ ko dɔ la min bɛ aw ka farikoloɲɛnajɛ kɔnɔ . Furakɛcogo la, an bɛ nin bana in wele ko Neurogenic Bladder. An k’o tila-tila ka kɛ daɲɛ nɔgɔmanw ye, minnu faamuyali ka nɔgɔn ni Nirogi Lanka ye.

Ni an y’a fɔ cogo nɔgɔman na, Sugunɛbilenni ye mun ye?

Miiri i farikolo la i n’a fɔ kuran sɛrɛkili gɛlɛn. I kunkolo bɛ baara kɛ i n’a fɔ cɛmancɛ-kunnafoni-yɔrɔ, ka taamasiɲɛw ci i farikolo yɔrɔ bɛɛ ma nɛrɛw fɛ. Ni i ka sugunɛ falen don, o bɛ ci bila i kunkolo ma: “Sugunɛ falen don, a lankolonya waati sera.” Waati bɛnnen na, i hakili bɛ segin taamasiɲɛ ci sugunɛbaralabana fasaw ma walasa u ka sɔgɔsɔgɔ ka sɔrɔ k’a fɔ o waati kelen na ko sugunɛbɔlan ka da. O wale bɛɛ bɛ tali kɛ farikoloɲɛnajɛ kɛnɛman na min bɛ baara kɛ.

Sugunɛbilenni bɛ sɔrɔ ni joginda walima bana dɔ bɛ i kunkolo, kɔkolo walima i ka nɛrɛmuguma, ka o taamasiɲɛw kɛcogo tiɲɛ. A jɔyɔrɔba ye “jὲɲɔgɔnya jugu” ye. Ikomi taamasiɲɛw bɛ datugu, ka tigɛli walima ka tunun, aw ka sugunɛ tɛ cikan ɲumanw sɔrɔ, o bɛ na ni aw yɛrɛ sago ye.

Sugunɛbilenni suguya belebele fila

Ka kɛɲɛ ni nɛrɛmuguma tiɲɛni bɛ nɔ bila taamasiɲɛw la cogo min na, a ka c’a la, Sugunɛbilenni bɛ tila suguya belebele fila ye:

1. Sugunɛbilenni min bɛ baara kɛ kojugu (Spastic Bladder): O cogo la, aw ka sugunɛ bɛ sɔgɔsɔgɔ cogo la min tɛ se ka kunbɛn ani ka to ka a yɛrɛ minɛ. Hali ni sugunɛ dɔɔni dɔrɔn de bɛ yen, i hakili bɛ taamasiɲɛw sɔrɔ tuma bɛɛ walasa k’a lankolonya. O bɛ na ni koli nege ye tuma caman na, yɔrɔnin kelen, wa a ka gɛlɛn tuma caman na ka koli kɛ.

2. Sugunɛbilenni min tɛ baara kɛ (Sugunɛbilenni : Sugunɛbilenni): Yan, a kɔkanna bɛ kɛ. Sugunɛbilenni fasaw tɛ taamasiɲɛw sɔrɔ minnu ka kan walasa ka u sɔgɔsɔgɔ. O de kosɔn, hali ni aw ka sugunɛ falen don, aw bɛ se ka gɛlɛya sɔrɔ ka a lankolonya pewu, o bɛ kɛ sababu ye ka sugunɛ to a kɔnɔ.

A taamasiɲɛw ye mun ye?

Aw bɛ taamasiɲɛ minnu sɔrɔ, olu bɛna bɔ Sugunɛbilenni suguya kɛrɛnkɛrɛnnen na min bɛ aw la. Fɛn minnu ka kan ka kɔlɔsi, olu kuncɛlen bɛ duguma.

Mun de bɛ o kɛ?

Sugunɛbilenni bɛ se ka bɔ yɔrɔ caman na—dɔw bɛ sɔrɔ bange waati la (u bɛ sɔrɔ bange waati), dɔw bɛ sɔrɔ kɔfɛ ɲɛnamaya kɔnɔ ka a sababu kɛ jogin walima bana ye.

Bange sababuw

• Kɔkolodimi : Bangekɔlɔsibana don , kɔkolo tɛ yiriwa ka ɲɛ yɔrɔ min na.
• Kunsɛmɛnasumaya : Bana kulu dɔ don min bɛ nɔ bila lamaga ni farikolo lamagacogo la.
• Caudal regression syndrome : Kɔkolo dugumayanfan yiriwali tɛ cogo la.

Sababu sɔrɔlenw

• Kɔkolo joginw: Tiɲɛni minnu bɛ sɔrɔ kasaara walima joginda fɛ.
• Farikoloɲɛnajɛw : 1.1.
• Sklerose multiple (MS) bana .
• Parkinson ka bana
• Kuru bɔ
• Cɛmancɛ farikolo yɔrɔw kuruw: A bɛ bonya kunsɛmɛ walima kɔkolo la.
• Sukarodunbana : Ni sukaro hakɛ ma se ka a kunbɛn waati jan kɔnɔ, o bɛ se ka kɛ sababu ye ka farikolo yɔrɔw tiɲɛ (neuropathie).

Gɛlɛya minnu bɛ se ka sɔrɔ

Ni a ma furakɛ, Neurogenic Bladder bɛ se ka kɛ sababu ye ka kɛnɛyako gɛlɛyabaw lase mɔgɔ ma. Aw bɛ taa aw ka dɔgɔtɔrɔ fɛ ni aw ye nin taamasiɲɛ ninnu kɔlɔsi. Ni aw ye koli sebaliya sɔrɔ pewu ka fara kɔnɔbara duguma dimi juguman kan, aw bɛ taa dɔgɔtɔrɔso la joona aw ka dɔgɔtɔrɔso la min ka surun aw la walima aw bɛ 911 wele joona.

• Sugunɛbilenni minnu ka teli ka sɔrɔ (UTI): Sugunɛ min tora sugunɛ na, o bɛ banakisɛw lamɔyɔrɔ di, o bɛ dɔ fara i ka banakisɛw seginni farati kan kosɛbɛ.
• Sugunɛ tiɲɛni : Ni degun bɛ caya sugunɛ kɔnɔ walima sugunɛ min bɛ segin sugunɛ na ( vesicoureteral reflux ) o bɛ se ka kɛ sababu ye ka sugunɛ tiɲɛni kɛ waati jan kɔnɔ.
• Sugunɛbilenni: Aw bɛ se ka kabakurunw sɔrɔ aw ka sugunɛ walima sugunɛbaralabana kɔnɔ ka a sababu kɛ sugunɛ jɔlen ye.
• Hakilila ta fan fɛ: Ni gɛlɛya bɛ i ka sugunɛ kunbɛnni na, o bɛ se ka kɛ sababu ye ka siran walima maloya dusukunnataw lase i ma, o bɛ kɛ sababu ye ka mɔgɔw ni ɲɔgɔn cɛ jɛɲɔgɔnyaw kɛ gɛlɛya ye. o bɛ se ka kɛ sababu ye ka jɔrɔnanko ni degun bila mɔgɔ la . Aw ye aw jija, aw kana siga abada ka kuma aw ka dɔgɔtɔrɔ fɛ kɛnɛ kan nin dusukunnata ninnu kan; i hakili lafiya nafa ka bon i n’a fɔ i farikolo kɛnɛya.

A bɛ sɛgɛsɛgɛ cogo di?

Ni aw bɛ baro kɛ nin taamasiɲɛ ninnu kan ni aw ka dɔgɔtɔrɔ ye, u bɛna aw ka furakɛli tariku lajɛ ani ka farikolo sɛgɛsɛgɛli kɛ. Ni siga bɛ a la ko sugunɛbaralabana bɛ mɔgɔ la, u bɛ se ka sɛgɛsɛgɛli kɛrɛnkɛrɛnnenw kɛ walasa ka a sababu juguman dɔn:

• Ja sɛgɛsɛgɛliw: Aw ka dɔgɔtɔrɔ bɛ se ka yamaruya di Ultrasound scan, CT scan, walima MRI scan ma walasa ka aw ka sugunɛ ni sugunɛ ye.
• Sistoskɔpi : Tubabu finman dɔ min bɛ se ka wuli, kamera bɛ min kɔnɔ, o bɛ bila ka don aw ka sugunɛbara la walasa dɔgɔtɔrɔ ka se ka aw ka sugunɛ kɔnɔna lajɛ.
• Sugunɛbilenni sɛgɛsɛgɛli : Nin sɛgɛsɛgɛli kɛrɛnkɛrɛnnen in bɛ sugunɛ hakɛ jateminɛ aw ka sugunɛ bɛ se ka min minɛ, sugunɛ kɔnɔna tansiyɔn, a jibɔ hakɛ, ani aw ka sugunɛ lankolonya cogo min na.

Nin sɛgɛsɛgɛli ninnu kɔfɛ, aw bɛ se ka taa ni aw ye sugunɛbilennikɛla dɔ fɛ walasa ka aw ladon kɛrɛnkɛrɛnnenya la.

Furakɛliw ye jumɛnw ye? Yala a bɛ se ka furakɛ wa?

Aw ka furakɛli bolodacogo min bɛ kɛ aw yɛrɛ ye, o bɛna bɔ aw ka bana taamasiɲɛ kɛrɛnkɛrɛnnenw na, bana juguya hakɛ ani a sababu ju la.

1. Ɲɛnamaya kɛcogo caman yeli ani sugunɛbilenni dege

A ka c’a la, dɔgɔtɔrɔ bɛna a fɔ aw ye ko aw ka a daminɛ ni ninnu ye:

• Sugunɛbilenni : Aw bɛ sugunɛ kɛ waati min na, a hakɛ jateminɛlen, a sababuw (i n’a fɔ ji dɔw), ani a bɔli waati o waati, aw bɛ o sɛbɛn. O bɛ dɛmɛ ka misaliw dɔn walasa k’aw dɛmɛ ka fɛnw bɔli kɛcogo bolodalen sigi sen kan.
• Dumunikɛcogo ladilanni: Minfɛn minnu bɛ i n’a fɔ kafe, te, dɔlɔ ani minfɛn gazimaw, olu bɛ se ka sugunɛbilenni dimi. Ni aw ye dɔ bɔ o fɛnw na, o bɛ se ka dɛmɛ don.
• Kegel degeliw : Degeliw laɲinitaw walasa ka aw ka basibɔn fasaw barika bonya.

2. Fura minnu bɛ kɛ

Fura dɔw bɛ se ka sugunɛ lafiya walima ka farikolojidɛsɛ dɔgɔya a yɛrɛ sago la. Misali dɔw ye `oxybutynin`, `tolterodine`, ani `mirabegron` ye. Aw bɛ ninnu ta ka ɲɛ tuma bɛɛ dɔgɔtɔrɔw ka kɔlɔsili kɔnɔ.

3. Katetɛri tali

Ni a ka gɛlɛn aw ma ka aw ka sugunɛ lankolonya pewu, nin fɛɛrɛ in nafa ka bon kɛnɛya ma:

• Yɛrɛlabɔli : Dɔgɔtɔrɔ walima dɔgɔtɔrɔso baarakɛla bɛ aw kalan ka tubabufura fitini (catheter) kɛ siɲɛ caman tile kɔnɔ walasa ka aw ka sugunɛ ji bɔ ka ɲɛ.
• Katetɛri tali ka taa a fɛ: Katetɛri min bɛ sigi a kɔnɔ, o kɛli walasa ka ji bɔ ka taa a fɛ.

4. Furakɛli suguya wɛrɛw

• Botox® pikiriw : Olu bɛ se ka pikiri kɛ sugunɛbaralabana la walasa ka dɔ bɔ a ka baara caya kojugu la.
• Opereli : Ni furakɛli wɛrɛw ma ɲɛ, opereli suganditaw bɛ se ka jateminɛ, i n’a fɔ `augmentation cystoplasty` (ka sugunɛ bonya) walima `sugunɛ jiginni` (ka sugunɛ sira kura dilan).

Aw ka dɔgɔtɔrɔ bɛna baro kɛ o sugandiliw kan ni aw ye walasa ka furakɛli sira bɛnnen dɔn aw mago kɛrɛnkɛrɛnnenw na.

Sugunɛbilenni, sugunɛbaralabana, farikolojidɛsɛ, sugunɛ kɛnɛya, sugunɛbaralabana, sugunɛbaralabana