Yala gɛlɛyaw bɛ aw ka sugunɛ na wa? An ka kunnafoni sɔrɔ sugunɛbilenni kansɛri (RCC) kan!

Yala i delila ka miiri kosɛbɛ i ka sugunɛw la wa? Sugunɛ ye farikolo yɔrɔ misɛnnin fila ye nka u nafa ka bon kosɛbɛ an farikolo la. U bɛ i n’a fɔ filɛriw an farikolo la. Nka, tuma dɔw la, o sugunɛw fana bɛ se ka gɛlɛyaw sɔrɔ. Bi an bɛna kuma kansɛri suguya dɔ kan min bɛ se ka sɔrɔ sugunɛ na, n’o ye "Renal Cell Carcinoma" walima RCC . Aw kana aw hakili ɲagami, an bɛna kuma nin kan cogo nɔgɔman na, cogo la min bɛ se ka faamuya.

Sugunɛbilenni (RCC) ye mun ye?

N’an y’a fɔ cogo nɔgɔman na, sugunɛbilenni kansɛri (RCC) ye sugunɛbilenni suguya ye min ka ca. an sugunɛw bɛ ni tubabufura ye min ka ɲi kosɛbɛ , n' o bɛ wele ko tubuw . O tubabufura ninnu de bɛ farikolo ji ni balofɛnw ta ka don joli la ani ka fɛnɲɛnamafagalanw bɔ sugunɛ na. O tubabukan ninnu de kɔnɔ de RCC bɛ daminɛ ka kɛ. Sugunɛ kansɛri 85% ɲɔgɔn ye nin suguya in ye.

A ka ca a la, RCC bɛ daminɛ i n’a fɔ kansɛribanakisɛw kuru fitini sugunɛ kelen kɔnɔ. o fana bɛ wele ko kuru . Nka tuma dɔw la, kuru caman bɛ se ka bɔ sugunɛ kelen na, walima sugunɛ fila bɛɛ la.

RCC suguya jɔnjɔnw ye jumɛnw ye?

RCC suguya wɛrɛw bɛ yen. Miiri k’a filɛ i n’a fɔ mɔgɔ tɛ kelen ye denbaya kelen kɔnɔ. O danfara in sinsinnen bɛ kansɛribanakisɛw ɲɛda cogoya kan mikroskɔpu fɛ, u ka ADN , walima u ka jamu fɛn dɔ. A suguba damadɔ bɛ yen:

• Sugunɛbilenni kansɛri jɛlen (ccRCC): Nin suguya in bɛ kɛ RCC 85% ɲɔgɔn ye. A tɔgɔ Sɔrɔla bari kansɛribanakisɛw bɛ Ye ka jɛya mikroskɔpu fɛ.
• Sugunɛbilenni kansɛri : Nin suguya in bɛ kɛ sugunɛbilenni bɛɛ la 10% ni 15% cɛ. A tɔgɔ Dara bolokɔnincininw ( papillae ) minnu bɛ sɔrɔ o kurukuru ninnu kan.
• Sugunɛbilenni kansɛri min bɛ wele ko chromophobe : Nin suguya in bɛ 5% ni 10% cɛ. A ka c’a la, o farikolokisɛw fana ɲɛ ka nɔgɔn, u ni selilu jɛlenw bɛ tali kɛ ɲɔgɔn na, nka u ka bon dɔɔni.
• RCC min ma jate : RCC 6% ɲɔgɔn tɛ se ka tila suguya belebele si la. Nka, dɔnnikɛlaw bɛ ka to k’a ɲini ka nin kulu min ma tila, o tila cogo kura la, ka da fɛnw kan i n’a fɔ farikolokisɛw ni u ka ADN cogoya mikoroskɔpi .

N’a sɔrɔ aw ye dɔgɔtɔrɔw ka kuma mɛn minnu bɛ kuma “localized” walima “advanced” walima “metastatic” kan ni u bɛ kuma RCC kan. RCC sigida la, o kɔrɔ ye ko kansɛri bɛ sugunɛ dɔrɔn de la, wa a bɛ se ka kɛ a jɛnsɛnna farikolo yɔrɔw la minnu bɛ a kɛrɛfɛ. RCC min bɛ taa yɔrɔ wɛrɛw laO kɔrɔ ye ko kansɛri jɛnsɛnna farikolo yɔrɔ wɛrɛw la. Aw bɛ suguya min na, o de bɛ aw ka furakɛli suguyaw ni aw ka kɛnɛya cogoya jira.

RCC ka ca cogo di?

Diɲɛ kɔnɔ, RCC banakisɛ kura 400 000 ɲɔgɔn bɛ sɔrɔ san o san. Etazuni jamana na, o hakɛ bɛ se mɔgɔ 80 000 ɲɔgɔn ma. Hali ni mɔgɔ bɛɛ bɛ se ka RCC sɔrɔ, a ka ca cɛw la minnu si bɛ san 60 ni san 80 cɛ .

Sugunɛbilenni taamasiɲɛw ye jumɛnw ye?

Mɔgɔ caman tɛ taamasiɲɛ foyi ye a daminɛ na. A taamasiɲɛw bɛ daminɛ ka ye ni kansɛri bonyalen don ka a daminɛ ka a lamini farikolo yɔrɔw walima farikolo yɔrɔw minɛ.

RCC taamasiɲɛw bɛ se ka kɛ ninnu ye:

• Joli bɛ don sugunɛ na (héturie). Nin ye bana taamasiɲɛ ye min ka teli ka kɛ.
• Kɛrɛfɛdimi : O bɛ dimi de kofɔ min bɛ kɛ farikolo fan fila bɛɛ la, cɛya sanfɛ ani kɔkili duguma.
• Kurukuru dɔ dusukunnata min bɛ kɔnɔbara la, kɔ duguma walima kɔkolo la.
• Sumaya min bɛ na ni kun tɛ.
• Sufɛ sumaya.
• Kisɛya dɔgɔyali min ɲɛfɔlen tɛ.

Ka fara o kan, jolidɛsɛ taamasiɲɛw fana bɛ se ka sɔrɔ , i n’a fɔ ninakilidegun ani sɛgɛn. Walima bana dɔ taamasiɲɛw fana bɛ se ka bɔ kɛnɛ kan min bɛ wele ko paranéoplastique syndromes . O cogo la, fɛn dɔw i n’a fɔ ɔrimɔni bɛ bɔ kansɛribanakisɛw la, minnu bɛ fɛn caman caman wuli farikolo la.

RCC sababu ye mun ye?

RCC bɛ sɔrɔ ni sugunɛbaralabana farikolokisɛ minnu tɛ cogo la, olu bɛ daminɛ ka bonya ka sɔrɔ u ma se ka kunbɛn. A sababu tigitigi ma dɔn fɔlɔ. Nka, dɔnnikɛlaw ye farati dɔw jira minnu bɛ dɔ fara RCC sɔrɔli farati kan.

Farati minnu bɛ o la, olu ye mun ye?

RCC sɔrɔli farati ka bon ni nin fɛn ninnu bɛ aw la:

• Sigarɛtimin: Ni aw bɛ sigarɛti min ka caya, o farati ka bon.
• Fasa: Ni i farikolo girinya hakɛ (IMC) ka bon, i ka farati bɛ bonya.
• Tansiyɔn jiginni (Hypertension).
• Sugunɛbana basigilen : Minnu bɛ diyalizi furakɛli kuntaalajan kɛ, olu fana sen bɛ o la.
• Sugunɛbilenni C banakisɛ basigilen.
• Dimimadafura dɔw tali kuntaalajan (misali la, AINE, asetaminofɛni).
• Ka tɛmɛ ni fiɲɛ ye furakɛli kɛ kɔnɔbara yɔrɔ la.
• Kansɛribana furaw tali, i n’a fɔ kadimi ni asibiti .
• Sikilibana : O bɛ tali kɛ RCC suguya dɔ la min man teli ka sɔrɔ.
• Sugunɛ kansɛri bɛ denbaya kɔnɔ.
• Yɛlɛma minnu bɛ kɛ jamu fɛ: Olu ye fɛn caman yeli ye farikolokisɛw ka ADN la.
• Sklerose tuberuse complexe.
• Von Hippel-Lindau ka bana (VHL).

Ni nin farati ninnu dɔ bɛ aw la, aw ka dɔgɔtɔrɔ bɛ se ka a fɔ aw ye ko aw ka to ka sugunɛ sɛgɛsɛgɛ, o bɛ se ka dɛmɛ don ka kansɛri dɔn a daminɛ na.

RCC bɛ se ka dɔn cogo di ?

RCC bɛ mɔgɔ minnu na, olu 25% ɲɔgɔn bɛ bana in sɔrɔ kansɛri jɛnsɛnnen kɔ dɔɔni, o kɔrɔ ye ko ni a taamasiɲɛw daminɛna ka bɔ kɛnɛ kan.

Nka, kibaru duman ye ko ja sɛgɛsɛgɛli minnu kɛra kun wɛrɛw la, olu bɛ ka RCC kuruw dɔn ka caya sisan k’a sɔrɔ u ma kɛ cogo la, sani bana taamasiɲɛw ka bɔ kɛnɛ kan. O de kosɔn, mɔgɔ caman bɛ ka kansɛri furakɛ a furakɛcogo bɛɛ la.

Sɛgɛsɛgɛli minnu bɛ kɛ walasa ka RCC sɛgɛsɛgɛ

Dɔgɔtɔrɔw bɛ ja sɛgɛsɛgɛliw kɛ walasa ka kansɛri sɛgɛsɛgɛ ani ka furakɛli boloda. Sɛgɛsɛgɛli minnu ka teli ka kɛ olu ye:

• Ultrasound scan: O ye ka mankanba ci farikolo yɔrɔw fɛ ani ka ja dɔw dilan minnu bɛ se ka lajɛ monitor (kɔlɔsilikɛlan) kan. Ultrasound bɛ se ka dɛmɛ don ka a dɔn ni kuru falen don ji la (min ka teli ka kɛ kuru ye ) walima ni fɛn gɛlɛn ye (o ka ca kansɛri kurukuruw la).
• Computed tomography (CT) scan: O bɛ ja dɔw dilan minnu bɛ farikolo kɔnɔna ja caman di. A ka c’a la, aw bɛna kalalifɛn dɔ pikiri kɛ jolisira dɔ la min bɛ wele ko contrast ani ka sɛgɛsɛgɛli kɛ ka kɔn o ɲɛ ani o kɔfɛ. Nin kalali in bɛ taa kansɛri la, k’a jira ka jɛya.
• Magnetic resonance imaging (MRI) scan: O bɛ kɛ ni magɛnni belebeleba ye, arajo fiɲɛw ani ɔridinatɛri ye walasa ka farikolo kɔnɔna ja caman dilan. Dɔgɔtɔrɔ bɛ se ka MRI fɔ aw ye ni aw tɛ se ka CT scan kɛ (misali la, ni aw fari tɛ sɔn kalali ma min kofɔra ka tɛmɛ), walima ni ultrasound ni CT scan jaabiw tɛ se ka kɛ.

Hali ni a ka ca a la biyɔpisi bɛ kɛ walasa ka kansɛri dɔn, o man teli ka kɛ RCC la. Biyopisi bɛ kɛ ka farikolo yɔrɔ fitinin dɔ ta ka bɔ tumu na ka a sɛgɛsɛgɛ ni mikroskɔpu ye walasa k’a dɔn ni kansɛribanakisɛw bɛ yen.

Nka biyɔpisi RCC ka teli ka kɛ farati ye barisa a bɛ se ka sugunɛ tiɲɛ. O la, dɔgɔtɔrɔw ka teli ka kansɛribanakisɛw sɛgɛsɛgɛ u kɛlen kɔ ka kuru bɛɛ bɔ ka kɛ fura ye. Ni jaaw y’a jira ko kansɛri jɛnsɛnna, u bɛ se ka kansɛribanakisɛw ta ka bɔ yɔrɔ wɛrɛ la ni sugunɛ tɛ, k’u sɛgɛsɛgɛ.

Nin selilu ninnu sɛgɛsɛgɛli de ye fɛɛrɛ kelenpe ye walasa k’a dɔn tiɲɛ na RCC suguya min bɛ aw la (ni a ma jɛya ja la). A bɛ dɛmɛ fana k’a dɔn furakɛli minnu bɛ baara kɛ ka ɲɛ o kansɛri suguya la.

Sugunɛbilenni kansɛri taamasiɲɛw

Ni aw ye aw ka kansɛri taamasiɲɛ dɔn, o bɛ aw dɛmɛ ka dɔgɔtɔrɔ dɛmɛ a k’a faamu aw ka kansɛri jɛnsɛnna fo ka se yɔrɔ min na. a b' a fɔ aw ye fana ni kansɛri bɛ yɔrɔ la walima ni a bɛ taa yɔrɔ wɛrɛw la . Nin kunnafoniw bɛ se ka aw dɛmɛ ka aw ka furakɛli boloda ani ka hakilina di aw ma a ɲɛfɔcogo kan.

Dɔgɔtɔrɔw bɛ baara kɛ ni fɛɛrɛ ye min bɛ wele ko TNM (tumor, lymph node, metastasis) walasa ka RCC taabolo dɔn. U bɛ kansɛri tila-tila ka kɛ dakun fɔlɔ la ka taa a bila dakun naani na. Kansɛri taamasiɲɛ fɔlɔ, filanan ani sabanan bɛ jate sigida la, ka sɔrɔ taabolo IV ye RCC ye min bɛ taa yɔrɔ wɛrɛw la.

• Taabolo fɔlɔ RCC : Kansɛri ka dɔgɔn ni santimɛtɛrɛ 7 ye, wa a ma jɛnsɛn sugunɛ kɔkan.
• Taabolo filanan RCC : Kansɛri ka bon ni santimɛtɛrɛ 7 ye, nka a ma jɛnsɛn sugunɛ kɔkan.
• Taabolo sabanan RCC : Tumu bɛ se ka kɛ bonya suguya bɛɛ ye, wa a jɛnsɛnna sugunɛ lamini yɔrɔw la minnu ka surun.
• Taabolo IV RCC : Kansɛri jɛnsɛnna sugunɛ kɔfɛ ka taa ɲɛgɛnɛsiraw ni farikolo yɔrɔ wɛrɛw la.

Nafama: Kansɛri taabolo dɔnni nafa ka bon walasa ka furakɛli dɔn, o la aw bɛ baro kɛ o kan ka ɲɛ ni aw ka dɔgɔtɔrɔ ye.

RCC bɛ jɛnsɛn yɔrɔ jumɛn fɔlɔ?

A ka ca a la, RCC min bɛ taa yɔrɔ wɛrɛw la, o bɛ jɛnsɛn aw ka ɲɛgɛnɛsiraw, fogonfogonw, kolotugudaw, sugunɛ ani kunsɛmɛ na. A bɛ se ka jɛnsɛn tuma dɔw la ka taa aw ka kɔnɔbara walima aw ka cɛya la.

Sugunɛbilenni furakɛcogo jumɛnw bɛ yen?

Furakɛli bɛ bɔ fɛn caman na, i n’a fɔ kansɛri taabolo ani i ka kɛnɛya bɛɛ. RCC sigida furakɛli ni RCC min bɛ taa yɔrɔ wɛrɛw la , o furakɛli tɛ kelen ye .

Sugunɛbilenni kansɛri furakɛli sigida la

O furakɛcogo ye ka kansɛri bɔ, walima ka kansɛri tiɲɛ ni ablation fɛɛrɛw ye (ka farikolokisɛw faga ni funteni walima nɛnɛba ye).

Opereli ye furakɛli ye min ka teli ka kɛ RCC sigida la.

• Sugunɛbilenni radikali : O ye ka sugunɛ bɔ ni kansɛri ye ani a lamini yɔrɔ dɔw (i n’a fɔ ɲɛgɛnɛsira ni sugunɛbaralabana, kansɛribanakisɛw bɛ se ka kɛ yɔrɔ minnu na). Mɔgɔ fanba fɛ, sugunɛ kɛnɛman kelen de bɛ bɔ.
• Sugunɛbilenni yɔrɔ dɔ:O ye ka sugunɛ yɔrɔ dɔrɔn bɔ, kansɛri bɛ min na. Nin opereli in bɛ se ka kɛ ni aw ka kansɛri ka dɔgɔn. O bɛ se ka aw ka sugunɛ baara dɔw kisi. O nafa ka bon kosɛbɛ ni sugunɛ kɛnɛman fila tɛ aw bolo.

Ni aw tɛ opereli kɛbaga ɲuman ye, aw ka dɔgɔtɔrɔ bɛ se ka opereli kɛcogo dɔw fɔ aw ye. Olu dɔw ye:

• Cryothérapie: Kansɛribanakisɛw bɛ faga ni u bilala nɛnɛ na.
• Radiofréquence ablation : Kansɛribanakisɛw bɛ jeni ni u bilala funteni caman na.

Sugunɛbilenni kansɛri furakɛli min bɛ taa yɔrɔ wɛrɛw la

RCC min bɛ taa yɔrɔ wɛrɛw la , o furakɛli bɛ kansɛribana banakisɛw kɛlɛ farikolo fan bɛɛ la. Opereli bɛ se ka kɛ walasa ka kuru bɔ, nka o tɛ se ka kansɛri min bɛ taa yɔrɔ wɛrɛw la, o ban pewu. Nka, ni aw ye kuru bɔ, o bɛ se ka dɔ bɔ bana taamasiɲɛw la ani ka furakɛli wɛrɛw daminɛni bila kɔfɛ.

furakɛli minnu ka teli ka kɛ , olu ye farikolo tangalanw ni furakɛli laɲinitaw ye . Ka kɛɲɛ ni fɛn suguya caman ye, fura ninnu bɛ di u kelen na walima u faralen ɲɔgɔn kan.

Banakisɛfagalanw furakɛli

Banakisɛfagalanw bɛ baara kɛ ni i farikolo tangacogo barika bonya ye, k’a dɛmɛ ka kansɛribanakisɛw sɔrɔ ani k’u kɛlɛ. O fura dɔw ye ninnu ye:

• Avelumab (Avelumab - Bavencio®) ye fura ye.
• Ipilimumabi (Ipilimumab - Yervoy®) .
• Nivolumab (Nivolumab - Opdivo®) ye fura ye.
• Pembrolizumab (Pembrolizumab - Keytruda®) ye fura ye.

Furakɛli minnu ɲɛsinnen don furakɛli ma

Furakɛcogo minnu ɲɛsinnen don u ma, olu bɛ baara kɛ ni u bɛ dankari kɛ kansɛri banakisɛw caya taabolo la. O furakɛli bɛ dan sigi joli sɔrɔli la kansɛribanakisɛw la, o bɛ u bonya sumaya. O fura dɔw ye ninnu ye:

• Akisitinibi (Axitinib - Inlyta®) .
• Bevacizumab (Bɛvasizumabi - Avastin®) .
• Kabozantinibi (Kabozantinibi - Cabometyx®) .
• Ɲɛgɛnɛsiraw (Everolimus - Afinitor®) .
• Lenvatinibi (Lenvatinib - Lenvima®) ye .
• Pazopanibi (Pazopanibi - Votrient®) .
• Sorafenibi (Sorafenib - Nexavar®) .
• Sunitinibi (Sunitinibi - Sutent®) .
• Temisirolimusi (Temsirolimusi - Torisel®) .
• Tivozanibi (Tivozanibi - Fotivda®) .

Ka kɛɲɛ ni kansɛri taabolo ye, a jɛnsɛnna yɔrɔ min na, a juguya hakɛ, ani i ka jaabi furakɛli wɛrɛw la, i ka dɔgɔtɔrɔ bɛ se ka kansɛri furakɛcogo wɛrɛw fana fɔ, i n’a fɔ kɛnɛyaji .

Yala RCC bɛ se ka kɛnɛya pewu wa?

A bɛ bɔ aw ka bana sɛgɛsɛgɛli kɛrɛnkɛrɛnnen na. RCC min bɛ sigida laRCC sigida la faratiba bɛ mɔgɔ minnu na, ni u ka kansɛri bɔra opereli fɛ, a ka c’a la, olu bɛ sɔrɔ kuntaalajan ɲuman na. RCC sigida la faratiba bɛ mɔgɔ minnu na, olu fana bɛ se ka farikolo tangalan furakɛ kansɛri bɔlen kɔfɛ walasa ka kuntaalajan sɔrɔcogo ɲɛ.

Sisan fura tɛ RCC jugumanba la min jɛnsɛnna sugunɛ kɔfɛ. Nka, ikomi dɔnnikɛlaw bɛ furakɛli ɲumanw sɔrɔ minnu bɛ kansɛribanakisɛ kɛrɛnkɛrɛnnenw laɲini, RCC min bɛ taa yɔrɔ wɛrɛw la, olu bɛ ɲɛnamaya jan kɛ sisan.

RCCw ka ɲɛtaa ye mun ye?

Sisan dɔgɔtɔrɔw bɛ se ka RCC dɔn joona, waati min na kansɛri furakɛli ka ca. Ni aw ye a dɔn joona ani ka furakɛli ɲɛ ka taa a fɛ, o ye ɲɛnamaya kɛcogo ɲɛ. RCC taamasiɲɛ fɔlɔ bɛ mɔgɔ minnu na, olu 90% bɛ balo san duuru kɔnɔ. O cogo kelen na, hali ni RCC taamasiɲɛ IV bɛ mɔgɔ minnu na, olu ka ɲɛnamaya tun bɛ dan kalo caman ma, sisan u caman bɛ balo san damadɔ kɔnɔ.

Yala RCC bɛ se ka bali wa?

RCC tɛ se ka bali tuma bɛɛ. Nka aw bɛ se ka dɔ bɔ aw ka farati la. Misali la, sigarɛtiminbaliya (walima ka sigarɛtimin dabila ni aw ye o kɛ) ye fɛn ɲumanw dɔ ye aw bɛ se ka minnu kɛ walasa ka dɔ bɔ aw ka kansɛri la. A nafa ka bon fana ka farikolo girinya sabati, ka dumuni dafalen dun, ani ka tansiyɔn jiginni kunbɛn.

Ne bɛ se ka ne yɛrɛ ladon cogo di?

Aw bɛ kuma aw ka dɔgɔtɔrɔ fɛ ladonni fɛɛrɛ dɔ kan min bɛna aw dɛmɛ ka aw ka kansɛri taamasiɲɛw ni aw ka furakɛli kɔlɔlɔw kunbɛn. Misali la, mɔgɔ dɔw bɛ se ka diyalizi daminɛ opereli kɔfɛ ni sugunɛ kelen walima sugunɛ fila bɛɛ tɛ baara kɛ ka ɲɛ. A nafa ka bon ka a dɔn furakɛli ninnu bɛna nɔ bila aw la cogo min na.

aw bɛ se ka dɛmɛ sɔrɔ furakɛli laɲinitaw walima farikolo tangalanw kɔlɔlɔw kunbɛnni na . Aw bɛ dɔgɔtɔrɔ ɲininka aw ka kan ka min makɔnɔ sani aw ka furakɛli daminɛ.

Ne ka kan ka ɲininkali jumɛnw kɛ n ka dɔgɔtɔrɔ la?

• RCC suguya jumɛn bɛ ne la?
• Ne ka kansɛri jɛnsɛnna fo ka se hakɛ jumɛn ma (a taabolo ye mun ye)?
• Furakɛli minnu bɛ sɔrɔ, olu nafa ni u dɛsɛ ye jumɛnw ye?
• Ne ka kan ka kɔlɔlɔ walima gɛlɛya jumɛnw dɔn sani ne ka furakɛli kɛ?
• Siɲɛ joli ne ka kan ka na sɛgɛsɛgɛli kɛ furakɛli kɔfɛ?
• Yɛlɛma jumɛnw ka kan ka kɛ ne ka ɲɛnamaya kɛcogo la furakɛli waati?
• Ne ka bana in ɲɛfɔli ye mun ye?

Aw ka sugunɛbilenni kansɛri (RCC) kansɛri furakɛli kɛcogo bɛna bɔ fɛn caman na, i n’a fɔ aw ka kɛnɛya bɛɛ lajɛlen, RCC suguya ni a taabolo, ani aw ka furakɛli jaabi. Nka sugunɛ kansɛri bɛ mɔgɔ o mɔgɔ la, o tigi bɛna nafa sɔrɔ ni jɛɲɔgɔnya ɲuman donna u ni u ka dɔgɔtɔrɔso jɛkulu cɛ. Aw kana siga ka ɲininkaliw kɛ aw ka bana sɛgɛsɛgɛli kan, furakɛli suguyaw nafaw ni u dɛsɛw, ani a kɔlɔlɔw makɔnɔnenw kan. Aw ka dɔgɔtɔrɔ de ye mɔgɔ ɲuman ye min bɛ se ka a ɲɛfɔ aw ye ko RCC sɔrɔli kɔrɔ ye min ye.

A laban na, fɛn minnu ka kan ka to an hakili la

Hali ni sugunɛbilenni kansɛri (RCC) ye bana jugumanba ye, a furakɛli hakɛ ɲɛnabɔra kosɛbɛ ni a sɔrɔla joona ani ni a furakɛra ka ɲɛ. Ni taamasiɲɛ dɔw bɛ aw la, kɛrɛnkɛrɛnnenya la joli bɛ aw ka sugunɛ na, ni dimi bɛ aw kɔkolo la, ni kuru dɔ bɛ aw bolo la, walima ni aw ka denbaya kɔnɔ sugunɛ kansɛri bɛ aw la, aw bɛ dɔgɔtɔrɔ ka ladilikan ɲini joona. Aw bɛ se ka dɔ bɔ aw ka bana in sɔrɔli la ni aw ye aw yɛrɛ tanga sigarɛtimin ma ani ka ɲɛnamaya kɛcogo ɲuman ta. Aw kana siran ka kuma aw ka dɔgɔtɔrɔ fɛ ni haminanko dɔw bɛ aw la. I kelen tɛ.

` Sugunɛ kansɛri, sugunɛbilenni kansɛri, RCC, sugunɛbilenni, kansɛri taamasiɲɛw, kansɛri furakɛli, sugunɛ kɛnɛya