Nin kuru kabakoma minnu bɛ sɔrɔ sugunɛ na, olu ye jumɛnw ye? An ka (Oncocytome rénale) dɔn cogo nɔgɔman na!

Yala aw delila k’a mɛn ko kuru suguya wɛrɛw bɛ se ka bɔ sugunɛ na wa? Tuma dɔw la, ninnu bɛ sɔrɔ danma, k’a sɔrɔ u bɛ sɛgɛsɛgɛli wɛrɛ kɛ. Bi an bɛna kuma kuru suguya dɔ kan min bɛ sɔrɔ sugunɛ na, nka a ka ca a la a tɛ kansɛri ye, o kɔrɔ ye ko `(benign)` kuru. O bɛ wele ko `(Oncocytome rénale)`. Aw kana siran, an bɛna kuma nin ko in kan ka ɲɛ, nɔgɔya la kosɛbɛ.

Nin ye mun ye (Oncocytome rénale)?

N’an y’a fɔ cogo nɔgɔman na, sugunɛbilenni ye kuru jugu ye min bɛ sɔrɔ i ka sugunɛ kelen walima i fila bɛɛ la. Miiri k’a filɛ i n’a fɔ bololanɛgɛ fitinin. Tuma dɔw la, o kurukuru ninnu tɛ taamasiɲɛ foyi lase mɔgɔ ma, wa u tɛ mako ɲɛ furakɛli la. A ka ca a la, dɔgɔtɔrɔw b’u sɔrɔ u danma, k’a sɔrɔ u bɛ bana wɛrɛ sɛgɛsɛgɛliw kɛ. Misali la, i terikɛ fa tun bɛ ka CT scan kɛ kɔnɔbara gɛlɛyaw kosɔn, wa a sɔrɔla ko kuru fitini dɔ bɛ a sugunɛ na.

O daɲɛ fila kɔrɔ ye mun ye?

N’an ye daɲɛ `(Renal Oncocytoma)` kɔrɔ tiɲɛ, o bɛ kɛ nin cogo la:

• `(Sugunɛ)` kɔrɔ ye `min ɲɛsinnen bɛ sugunɛ ma' latigɛkan na. Nin daɲɛ in bɛ Fɔ fɛnw ma minnu bɛ tali Kɛ an ka sugunɛw la.
• ``(Oncocytoma)`` kɔrɔ ye kuru ye min bɛ bɔ farikolokisɛ suguya kɛrɛnkɛrɛnnen dɔ la min bɛ wele ko ``(oncocytes)`` furakɛli dɔnniya la. O la ni nin fila farala ɲɔgɔn kan, o kɔrɔ ye ko kuru dɔ bɛ sɔrɔ kansɛribanakisɛw la sugunɛ na. Yala i y’a faamu wa?

Nin (Oncocytome rénale) ka teli ka kɛ cogo di?

Sugunɛbilenni 7% ɲɔgɔn ye sugunɛbilenni ye. O kɔrɔ ye ko sugunɛbilenni 100 o 100, 7 ɲɔgɔn ye nin suguya in ye. Mɔgɔ dɔw, sugunɛbilenni bɛ mɔgɔ minnu na, olu 13% ɲɔgɔn, bɛ se ka kuru caman sɔrɔ sugunɛ fila bɛɛ la. O bana in bɛ wele ko Renal Oncocytose.

Jɔn de farati ka bon ka sugunɛbilenni sɔrɔ?

Nin kuru ninnu, n’u bɛ wele ko ``Renal Oncocytome'', olu bɛ se ka kɛ mɔgɔ bɛɛ la tiɲɛ na. Nka a bɛ ye ko u sɔrɔli hakɛ ka ca dɔɔni cɛw ni mɔgɔ minnu si tɛmɛna san 60 kan .

Ani fana, jamu dɔw, i n’a fɔ `(Birt-Hogg-Dubé syndrome), bɛ se ka kɛ sababu ye ka `(Renal Oncocytoma) bila mɔgɔ la.` Nin jamu bana in, `(Birt-Hogg-Dubé syndrome),` bɛ dɔ fara sugunɛbilenni, kuru minnu tɛ kansɛri ye, i n’a fɔ `(Renal Oncocytoma),` ani sugunɛ kansɛri.

Yala nin (Renal Oncocytome) kuru in bɛ se ka kɛ bana jugu ye wa?

O ye gɛlɛya ye min bɛ mɔgɔ caman kan. Nin kuru ninnu, n’u bɛ wele ko ``Renal Oncocytoma'', ka kɛ kansɛri ye, o sababu ka dɔgɔn kosɛbɛ . O kɔrɔ ye ko u ka teli ka kɛ ``benign'' ye.

Nka, a man teli kosɛbɛ, o kɔrɔ ye ko a man teli kosɛbɛ, `(Renal Oncocytoma)` bɛ mɔgɔ minnu na, kansɛri taamasiɲɛ tɛ minnu na fɔlɔ, a jirala ko kansɛribana bɛ u la minnu jɛnsɛnna sugunɛ walima kolo la (kansɛri min bɛ taa yɔrɔ wɛrɛw la). O kɔrɔ ye k’u ka kansɛri kɛra kansɛri ye. Nka, n bɛ segin a kan, nin bɛ kɛ a man teli kosɛbɛ, kosɛbɛ . O la sa, kana siran kun tɛ.

Danfara jumɛn bɛ sugunɛbilenni ni sugunɛbilenni kansɛri cɛ?

Aw ka kan ka aw janto min na, o filɛ nin ye. Nin kuru in min bɛ wele ko `(Renal Oncocytoma)`, n’an y’a lajɛ kɛnɛma, o kɔrɔ ye ko n’an y’a lajɛ ni `(CT scan)` walima `(MRI)` ye, a ni `(Renal Cell Carcinoma)` bɔlen don kosɛbɛ, o min ye sugunɛbilenni suguya ye min ka teli ka sɔrɔ.

A fɔ man di nka, a ka gɛlɛn k’a dɔn ni dannaya ye nin `(ja sɛgɛsɛgɛliw)` dɔrɔn fɛ ni kuru dɔ ye `(benign)` ye, o kɔrɔ ye ko kansɛri tɛ, walima `(bana jugu)`, o kɔrɔ ye kansɛri ye. O de kama dɔgɔtɔrɔw ka teli ka opereli fɔ walasa ka kuru bɔ. O kɔ, tumu yɔrɔ dɔ bɛ ta ka a lajɛ `(biopsie)` walasa ka a dɔn ni `(Renal Oncocytoma)`, walima sugunɛ kansɛri don.

Danfara jumɛn bɛ kurukuruw ni kurukuruw cɛ?

Bɛɲɔgɔnya ni danfara bɛ u fila ni ɲɔgɔn cɛ. An k’a lajɛ u ye min ye.

• Kurukuruw ye foroko misɛnniw ye minnu bɛ se ka kɛ ji, fiɲɛ walima fɛn gɛlɛnw ye. Kuru fanba tɛ kansɛri ye.
• `(Tumours)` (Tumours) ye farikolo yɔrɔw kurukuru gɛlɛnw ye. `(Tumor)` bɛ se ka kɛ kansɛri ye walima a tɛ se ka kɛ kansɛri ye. `(Renal Oncocytoma)` ye `(tumor)` ye, nka a ka ca a la a tɛ kansɛri ye.

Mun bɛ sugunɛbilenni bila mɔgɔ la?

Sugunɛbilenni fanba, i n’a fɔ sugunɛbilenni, o sababu tigitigi ma dɔn . Furakɛla dɔw dalen b’a la ko fɛn dɔw bɛ kɛ an bangenen kɔfɛ jamu kɔnɔ, o b’a to mɔgɔ dɔw ka teli ka o kuru ninnu sɔrɔ. Sɛgɛsɛgɛli bɛ sen na hali bi o ko kan.

Yala (Oncocytome rénale) bɛ sɔrɔ cɛya la wa?

Denbaya dɔw la, jɛnɛya caman cili walima fɛn caman cili bɛ se ka dɔ fara sugunɛbilenni kansɛri caman sɔrɔli kan sugunɛ fila bɛɛ la. Bana minnu bɛ i n’a fɔ tuberous sclérose complexe ani Birt-Hogg-Dubé syndrome, olu bɛ se ka kɛ sababu ye ka kurukuruw sɔrɔ farikolo yɔrɔ caman na, sugunɛ fana sen bɛ o la. Ni nin bana ninnu bɛ aw ka denbaya kɔnɔmɔgɔ dɔ la, a nafa ka bon aw ka o fɔ aw ka dɔgɔtɔrɔ ye.

(Renal Oncocytoma) taamasiɲɛw ye mun ye?

Miiri k’a filɛ, `(Renal Oncocytoma)` bɛ mɔgɔ naani o naani la, saba tɛ taamasiɲɛ si sɔrɔ ! O kɔrɔ ye k’u yɛrɛ t’a dɔn ko a b’u bolo.

Nka, ni bana taamasiɲɛw kɛra, u ni sugunɛbilenni taamasiɲɛw bɛ se ka bɔ ɲɔgɔn na kosɛbɛ. Misali damadɔw filɛ nin ye:

• Joli bɛ don aw ka sugunɛ na (héturie) . Nin man kan ka kɛ bilen ye siɲɛ kelen, a bɛ se ka kɛ tuma dɔw la ka kɛ pinki walima bulama ye.
• kɔdimi ye dimi ye min bɛ bɔ kɔnɔbara kɛrɛ fɛ . O dimi bɛ se ka kɛ tuma bɛɛ walima ka na ka taa.
• Kuru min bɛ kɛ i n’a fɔ a bɛ se ka minɛ bolo la sugunɛ bananen kɛrɛ fɛ. Nka, bɛɛ tɛ o ye.

Sugunɛbilenni bɛ sɔrɔ cogo di?

A ka ca a la, dɔgɔtɔrɔw bɛ `(Renal Oncocytoma)` sɔrɔ u danma ni u bɛ `(ja sɛgɛsɛgɛliw)` lajɛ, i n’a fɔ `(sugunɛ ultrasounds)`, `(MRI)`, walima `(CT scans)`, walasa ka gɛlɛya wɛrɛw lajɛ, i n’a fɔ sugunɛbilenni.

I n’a fɔ n y’a fɔ cogo min na ka tɛmɛ, kansɛri banakisɛw i n’a fɔ `(Renal Oncocytoma)` ani `(Renal Cell Carcinoma)` bɛ kɛ kelen ye `(ja scans) kan. O de kosɔn, a ka gɛlɛn dɔgɔtɔrɔw ma k’a dɔn joona ni kuru dɔ bɛ mɔgɔ la min tɛ kansɛri ye walima ni kansɛri bɛ a la. Sɛgɛsɛgɛli ɲuman kɛcogo kelenpe ye `(biopsie)` kɛli ye, o min bɛ tumu farikolokisɛw sɛgɛsɛgɛ. A ka ca a la nin `(biopsie)` in bɛ kɛ opereli kɔfɛ walasa ka kuru bɔ.

Misali la, a bɛ sɔrɔ sugunɛbilenni 45% ɲɔgɔn tɛ kansɛri ye ni u kɛra biyɔpisi ye. O la, ni aw ka kuru ka dɔgɔn (a ka ca a la a tɛ santimɛtɛrɛ 3-4 bɔ) ani ni a tɛ gɛlɛya foyi lase aw ma, aw ka dɔgɔtɔrɔ bɛ se ka ``kɔlɔsili kɛcogo ɲuman'' fɔ opereli nɔ na. Nin ``kɔlɔsili waleyali'' waati in na, aw bɛna a ɲini ka ``ja sɛgɛsɛgɛli'' kɛ tuma bɛɛ walasa ka a dɔn ni kuru bɛ ​​ka bonya walima ni a bɛ ka Changé cogo o cogo min bɛ se ka kɛ kansɛri ye.

Yala sugunɛbilenni minnu tɛ kansɛri ye, olu ka kan ka bɔ wa?

Ni kuru tɛ bonya walima ni a bɛ gɛlɛya si lase mɔgɔ ma, a bɛ se ka kɛ a mako tɛ furakɛli la . Nka, ni siga bɛ a la bana sɛgɛsɛgɛli la, ni kuru bɛ ​​ka bonya joona, walima ni bana taamasiɲɛw bɛ aw la, dɔgɔtɔrɔ bɛ se ka opereli fɔ aw ye.

Opereli bɛ se ka kuru dɔrɔn bɔ (sɔgɔsɔgɔninjɛ yɔrɔ dɔ) walima sugunɛ bɛɛ (sɔgɔsɔgɔninjɛ radikali). Dɔgɔtɔrɔ bɛna a latigɛ opereli suguya min ka kan ka kɛ ka kɛɲɛ ni kuru bonya n’a sigiyɔrɔ ye. Hali ni aw ka sugunɛ kelen bɔra, aw bɛ se ka ɲɛnamaya kɛ cogo la min bɛ kɛ ka ɲɛ, ka ɲɛnamaya kɛ ni sugunɛ tɔ kelen ye. Hami foyi tɛ yen.

(Renal Oncocytoma) bɛ mɔgɔ min na, o tigi ka ɲɛtaa ye mun ye?

Kansɛri tɛ, o kɔrɔ ye ko sugunɛbilenni minnu tɛ bana jugu ye, olu tɛ nɔba bila i ka ɲɛnamaya kɛcogo la, min bɛ baara kɛ. Onkositoma bɛ se ka wuli ka kɛ kansɛri ye, o hakɛ ka dɔgɔn kosɛbɛ, kosɛbɛ. Onkositɔmu minnu bɔra opereli fɛ, a ka ca a la u tɛ segin kɔ kosɛbɛ.

Nka, ni bana dɔ bɛ aw la (i n’a fɔ Birt-Hogg-Dubé syndrome) min bɛ farikolo yɔrɔw kuruw bila aw la, o tuma na, a ko bɛ se ka kɛ cogo wɛrɛ la dɔɔni. O cogo la, a nafa ka bon ka kuma dɔgɔtɔrɔ fɛ ani ka to ka taa a lajɛ.

Ne ka kan ka taa dɔgɔtɔrɔso la waati jumɛn?

Ni aw ye nin taamasiɲɛ ninnu dɔ ye, aw ye aw jija ka taa dɔgɔtɔrɔso la:

• Ni joli bɛ aw ka sugunɛ na.
• Ni dimi basigilen bɛ aw kɛrɛ la walima kurukuru min bɛ se ka ye aw bolo la.
• Ni farigan bɛ aw la kun t’a la, walima ni aw bɛ a ye ko aw bɛ ka aw farikolo girinya dɔgɔya, o tɛ baasi ye.

Nin taamasiɲɛ ninnu tɛ kɛrɛnkɛrɛnnenya la `(Renal Oncocytoma)` la, nka u bɛ se ka kɛ sugunɛbana wɛrɛw taamasiɲɛw fana ye. O la, a ka fisa aw ka dɔgɔtɔrɔso laadilikan ɲini joona.

Ne ka kan ka ɲininkali jumɛnw kɛ dɔgɔtɔrɔ la?

Aw bɛ se ka dɔgɔtɔrɔ ɲininka ɲininkaliw la i n’a fɔ ninnu:

• Mun na ne ye nin `(Renal Oncocytome)` in sɔrɔ?
• Yala ne ka kan ka opereli kɛ wa? Walima n bɛ se ka ``kɔlɔsili active'' kɛ wa?
• Yala farati bɛ ne la ka kansɛri sɔrɔ wa?
• Yala ne ka kan ka hami gɛlɛyaw la wa?
• Yala ne ka kan ka yɛlɛma dɔw kɛ ne ka ɲɛnamaya kɛcogo la wa?

Aw kana siran ka nin ɲininkali ninnu kɛ. A nafa ka bon kosɛbɛ i ka faamuyali ɲuman sɔrɔ i ka ko la.

An ka danfara min bɛ (Renal Oncocytome) ni (Chromophobe Renal Cell Carcinoma) cɛ, an ka o lajɛ .

Chromophobe Renal Cell Carcinoma ye sugunɛbilenni suguya ye min man ca kosɛbɛ. A bɛ sɔrɔ tubabufura misɛnniw na (tubules) aw sugunɛ na minnu bɛ dɛmɛ ka fɛnɲɛnamafagalanw bɔ aw joli la. Nin fɛnɲɛnamafagalan ninnu bɛ bɔ aw ka sugunɛ kɛcogo fɛ. Sugunɛ kansɛri 5% ɲɔgɔn ye chromophobe suguya ye.

Birt-Hogg-Dubé ka bana bɛ mɔgɔ minnu na, olu ka teli ka sugunɛbilenni sɔrɔ. U farati ka bon ka tumuw sɔrɔ minnu tɛ kansɛri ye (Renal Oncocytoma) ani kuru kansɛri (Chromophobe Renal Cell Carcinoma). Tumu suguya tigitigi bɛ se ka dɔn opereli ni biyɔpisi dɔrɔn fɛ.

O la sa, an ka kan k’an hakili to mun na nin bɛɛ la?

Sugunɛbilenni ye kuru suguya dɔ ye min tɛ kansɛri ye, a ka teli ka sɔrɔ sugunɛ na, wa a tɛ taamasiɲɛ foyi lase mɔgɔ ma. Tuma caman na, dɔgɔtɔrɔw b’a sɔrɔ a danma sɛgɛsɛgɛli wɛrɛw senfɛ. Ikomi a bɛ i n’a fɔ sugunɛbilenni kansɛri, sugunɛbilenni suguya dɔ, opereli bɛ se ka kɛ walasa ka kuru bɔ. Biopsie ye fɛɛrɛ kelenpe ye min bɛ se ka a dɔn ka jɛya ni sugunɛbilenni walima sugunɛ kansɛri bɛ aw la. Aw kana siran, nka ni haminanko dɔw bɛ aw la, aw bɛ taa dɔgɔtɔrɔso la. K’a dɔn joona ani k’a furakɛ ka ɲɛ, o ye fɛnba ye.

` Sugunɛbilenni, sugunɛbilenni, kansɛri tɛ min na, sugunɛ kansɛri, taamasiɲɛw, biyopisi, sugunɛ opereli