Yala nin ye farati ye aw ka sugunɛ fana na wa? (Necrose papillaire rénale) An ka kunnafoni sɔrɔ o kan!

Yala i b’a dɔn sugunɛ fitinin fila minnu bɛ an farikolo la, olu bɛ baara hakɛ min kɛ wa? Tiɲɛ na, sugunɛ de ye farikolo yɔrɔ kolomaw ye minnu bɛ fɛnɲɛnamafagalanw sama ka bɔ an fari la ani ka joli saniya an fari la. Nka, tuma dɔw la, o sugunɛw fana bɛ se ka bana dɔw sɔrɔ an ma miiri minnu na. Bi an bɛna kuma bana dɔ kan min ka jugu dɔɔni, nka n’aw y’a dɔn, o bɛ se k’aw dɛmɛ ka a kunbɛn ani k’a kunbɛn.

Sugunɛ bɛ baara kɛ cogo di? Sugunɛbilenni ye mun ye?

N’an y’a fɔ cogo nɔgɔman na, an ka sugunɛw bɛ i n’a fɔ super filter fila an farikolo la. U ka baara kunba ye ka fɛnɲɛnamafagalanw bɔ joli la minnu man ɲi, k’u bɔ kɛnɛ kan i n’a fɔ sugunɛ. Walasa ka o kɛ, joli bɛ don sugunɛ na ka tɛmɛ sira misɛnni caman fɛ. O fɛnɲɛnamafagalanw bɛ lajɛ ka bɔ sugunɛ kɛnɛma yɔrɔ la ka sɔrɔ ka na sugunɛ cɛmancɛ la, o min ye sugunɛbaralabana ye . Yɔrɔ minnu bɛ i n’a fɔ funteni, olu filɛ nin ye. O funankɛminɛn ninnu kuncɛ, minnu bɛ wele ko sugunɛbaralabana, olu bɛ sugunɛ lajɛ. Ka bɔ yen, sugunɛ bɛ tɛmɛ sugunɛbara fɛ ka taa sugunɛbara la ka bɔ. An ka sugunɛw bɛ baara kɛ ten.

An bɛ kuma sugunɛbaralabana min kan sisan, o ye sugunɛ cɛmancɛ yɔrɔ (`Medulla`) ni sugunɛbaralabana (`Renal Papilla`) farikolokisɛw ni farikolo yɔrɔw saya ye, n ye minnu kofɔ ka tɛmɛ. Aw ye miiri dɔrɔn, n’o yɔrɔw ma baara kɛ ka ɲɛ, sugunɛ bɛ baara min kɛ, o tɛ baara kɛ ka ɲɛ, ɔnhɔn? O de kosɔn, sugunɛ bɛ barika dɔgɔya dɔɔni dɔɔni, wa a laban bɛ se ka kɛ sababu ye ka sugunɛbaralabana kɛ .

Jɔn de farati ka bon kosɛbɛ nin bana in na?

Nin bana in (Renal Papillary Necrosis) ka teli ka kɛ mɔgɔw la minnu si tɛmɛna san 60. Dɔgɔtɔrɔw fana b’a jira ko musow ka teli ka a sɔrɔ ka tɛmɛ cɛw kan.

Sugunɛbilenni sababuw ye mun ye?

Kunba caman bɛ yen minnu bɛ kɛ sababu ye ka nin bana in sɔrɔ. An k’a lajɛ u ye min ye.

• Jabɛtibana : Nin ye a sababu kelen ye min nafa ka bon kosɛbɛ ani min ka teli ka sɔrɔ. Sukarodunbana kunbɛncogo man ɲi mɔgɔ minnu na, olu ka sugunɛ tiɲɛni farati ka bon. Sukaro hakɛ caman sɔrɔli waati jan kɔnɔ, o bɛ sugunɛbilenni joli sira nɔgɔlenw tiɲɛ.
• Dimimadafura (AINE) tali kojugu : Ni aw bɛ to ka dimimadafura ta (fura minnu tɛ stɛroyi ye, walima AINE) i n’a fɔ asipirini, ibuporofɛni, walima naporozɛni, waati jan kɔnɔ ka sɔrɔ aw ma taa dɔgɔtɔrɔso la, aw ka kan ka aw janto kosɛbɛ. Ninnu caman tali bɛ se ka kɛ sababu ye ka sugunɛbilenni joli siraw dɔgɔya ani ka sugunɛbaralabana tiɲɛ.
• Sikilɛri bana: Nin ye bana ye min bɛ sɔrɔ jamu fɛ. Nin bana in na, joli kuru bilenmanw cogoya bɛ Changé ani u bɛ se ka nɔrɔ joli siraw la. O fana bɛ se ka kɛ sababu ye ka joli seli dɔgɔya sugunɛ na (Renal Papillary Necrosis).

Ka fara nin sababuba ninnu kan, bana damadɔ wɛrɛw fana bɛ se ka sugunɛbilenni bila mɔgɔ la:

• Sugunɛbana basigilen
• Piyelonefrite, o ye banakisɛ ye min bɛ sɔrɔ sugunɛ na (o bɛ se ka sugunɛbaralabana tiɲɛ) .
• Sugunɛbilenni, bana min bɛ sugunɛw minɛ fogonfogon kɔkan
• Sugunɛbilenni (joli min bɛ kɛ joli sira la min bɛ joli ta ka bɔ sugunɛ na) .
• Sugunɛbilenni (misali la, ka a sababu kɛ sugunɛbilenni ye) .
• Jolilabanaw, o ye joli siraw fununi ye

Min nafa ka bon, o ye ko nin sababu kelen walima caman bɛ mɔgɔ o mɔgɔ la, o bɛɛ tɛna kɛ (Renal Papillaire Necrose). Nka a farati ka bon.

Yala o bɛ sugunɛ fila bɛɛ minɛ wa?

Ɔwɔ, a fɔra ko mɔgɔ tan o tan, wolonwula ɲɔgɔn na , nin bana in (Renal Papillary Necrosis) bɛ sugunɛ fila bɛɛ minɛ .

(Renal Papillaire Necrose) taamasiɲɛw ye jumɛnw ye?

Nin bana in daminɛ na, a bɛ se ka kɛ a taamasiɲɛ si tɛ a la . O de kama a ka gɛlɛn ka a dɔn ani k’a furakɛ joona. Miiri k’a filɛ, gɛlɛya foyi t’i la, nka i sugunɛ bɛ se ka tiɲɛ ka bɔ kɔnɔna na. Nka, a bɛ se ka kɛ fana ko o bɛ sɔrɔ bala la ni bana wɛrɛ sɛgɛsɛgɛli bɛ kɛ.

Nka, ni bana in (Necrose papillaire rénale) juguyara ka taa a fɛ, a taamasiɲɛw i n’a fɔ ninnu bɛ se ka ye:

• Koli dimi (Dysuria) .
• Sumaya ni farigan (kɛrɛnkɛrɛnnenya la ni banakisɛ dɔ bɛ a la) .
• Joli bɛ sɔrɔ sugunɛ na (`Hematuria`) - Joli hakɛ bɛ se ka ye ɲɛkisɛ fɛ (sugunɛ bɛ se ka bilen walima ka kɛ bulama ye), walima a bɛ se ka kɛ a ka dɔgɔn fo a bɛ se ka ye mikroskɔpu dɔrɔn fɛ.
• A ka kan ka to ka koli kɛ su fɛ (`Nocturia`) .
• Joli kuru finmanw hakɛ cayalenba sugunɛ na (`Pyuria`) - o kɔrɔ ye ko sugunɛ bɛ se ka kɛ i n’a fɔ sɔgɔsɔgɔninjɛ, ani sugunɛ bɛ se ka kɛ sankaba ye.
• Dimi jugumanba bɛ kɛ kɔ fan fila bɛɛ la, kɔkiliw ni kɔkolo kolow cɛ (sugunɛ bɛ yɔrɔ min na). O dimi bɛ se ka barika sɔrɔ walima ka bonya dɔɔni dɔɔni.
• Sugunɛbilenni minnu bɛ to ka sɔrɔ.

Sugunɛbilenni bɛ sɔrɔ cogo di?

Dɔgɔtɔrɔw bɛna sɛgɛsɛgɛli caman kɛ walasa ka nin bana in dɔn (Renal Papillaire Necrose). Aw ye aw ka bana taamasiɲɛw ni aw ka furakɛli tariku lamɛn kɔfɛ, u bɛ se ka yamaruya di ka sɛgɛsɛgɛliw kɛ i n’a fɔ:

• Urografi (Urography) kɛcogo: O ye ka i ka sugunɛw lajɛ ni X-ray, CT scan walima MRI ye. Sani sɛgɛsɛgɛli ka kɛ, kalali kɛrɛnkɛrɛnnen (kala) bɛ di aw ma jolisira dɔ fɛ. O bɛ dɛmɛ ka sugunɛ tiɲɛni yɔrɔw ye ka jɛya ani fɛn minnu bɛ yeli kɛ ɲɛgɛnɛsira la.
• Sugunɛbilenni : O ye ka tubabufura finman dɔ don min bɛ se ka wuli (kamera bɛ a laban na) ka tɛmɛ sugunɛbaralabana fɛ walasa ka sugunɛbara, sugunɛbaralabana ani sugunɛ kɔnɔna lajɛ. O bɛ kɛ sababu ye ka papiyew cogoya ye ka jɛya.
• Sugunɛbilenni : Nin sɛgɛsɛgɛli in na, farikolo yɔrɔ fitinin dɔ bɛ bɔ sugunɛ na ni pikirijikɛlan kɛrɛnkɛrɛnnen ye ka a lajɛ ni mikroskɔpu ye. O bɛ se ka dɛmɛ don ka a dɔn ni farikolokisɛw sara walima ni farikolo yɔrɔ tiɲɛna.

Joli ni sugunɛ sɛgɛsɛgɛli

Ka fara o kan, joli ni sugunɛ sɛgɛsɛgɛli minnu bɛ kɛ walasa ka sugunɛ kɛcogo lajɛ, olu fana nafa ka bon kosɛbɛ:

• Joli urea azote (BUN) sɛgɛsɛgɛli : O bɛ urea azote hakɛ jateminɛ joli la. Nin ye fɛn tiɲɛnen ye. O hakɛ bɛ caya joli la ni sugunɛw tɛ baara kɛ ka ɲɛ.
• Kɛrɛyatinini sɛgɛsɛgɛli : Kɛrɛyatinini ye fɛnɲɛnamafagalan wɛrɛ ye min bɛ bɔ farikolo baara kɛcogo ɲuman na. A ka ca a la, a bɛ bɔ sugunɛ fɛ. Ni a hakɛ ka ca joli la, o b’a jira fana ko sugunɛ tɛ baara kɛ ka ɲɛ.
• Glomerular Filtration Rate (eGFR) jateminɛlen : O bɛ jate ni fɛnw jateminɛni ye i n’a fɔ aw ka joli la, aw ka kɛrɛyatinini hakɛ, aw si hakɛ, aw cɛya ni musoya ani aw farikolo bonya. eGFR hakɛ b’a jira aw la aw sugunɛ bɛ joli hakɛ min sama miniti kɔnɔ. Ni o hakɛ bɛ dɔgɔya, aw ka sugunɛw tɛ baara kɛ ka ɲɛ.
• Sugunɛ sɛgɛsɛgɛli : O ye ka sugunɛ ta ka a sɛgɛsɛgɛ ni ɲɛ ye (a kulɛri, a jɛlen don), ni mikroskɔpi ye (jolikisɛw, sɔgɔsɔgɔninjɛ, banakisɛw, papillaire debris), ani kemikɛli fɛ (poroteyini, sukaro kama). Tuma dɔw la, sugunɛbaralabana yɔrɔ dɔw fana bɛ se ka ye mikroskɔpu fɛ.
• Sugunɛ furakisɛ ni kɛrɛyatini hakɛ : O bɛ farikolojɔli dumuni hakɛ jateminɛ sugunɛ na. Sugunɛ kɛnɛmanw bɛ farikolojɔli dumuni dɔɔni dɔrɔn de bɔ. Farikolojɔli dumuni caman sɔrɔli sugunɛ na, o ye sugunɛ tiɲɛni taamasiɲɛ ye.

Gɛlɛya jumɛnw bɛ se ka sɔrɔ (Necrose papillaire rénale) fɛ?

Ni nin bana in (Renal Papillary Necrosis) ma furakɛ ka ɲɛ, bana in bɛ se ka juguya ka taa a fɛ ka gɛlɛya jugumanba lase mɔgɔ ma.

• Sugunɛbana basigilen (CKD) : Ka da sugunɛ tiɲɛni kan tuma bɛɛ, u ka baara bɛ dɔgɔya dɔɔni dɔɔni, o bɛ na ni sugunɛbana basigilen ye.
• Sugunɛbilenni: Ni bana juguyara, sugunɛ bɛ se ka kɛ baarakɛbaliya ye pewu, o kɔrɔ ye ko a bɛ se ka kɛ sugunɛbaralabana ye.
• Walasa ka kisi, aw bɛ se ka sugunɛbilenni kɛ (aw bɛ aw joli saniya ni masin ye) walima sugunɛbilenni .
• A jirala fana ko nin bana in bɛ dɔ fara kansɛri suguya dɔ sɔrɔli kan min bɛ wele ko transition cell cancer, o bɛ sɔrɔ sugunɛ walima sugunɛbara la.
• Banakisɛ jugumanba (sepsis) fana farati bɛ a la.

Sugunɛbilenni bɛ furakɛ cogo di?

Furakɛli kɛrɛnkɛrɛnnen tɛ sugunɛbilenni na. furakɛli kunba ye ka bana in sababuba furakɛ . I n'a fo:

• Ni a sababu bɔra sukarodunbana na, o tuma na, a nafa ka bon ka sukarodunbana kunbɛn ka ɲɛ.
• Ni a sababu bɔra AINE tali la, aw bɛ o furaw tali dabila.
• Ni a sababu bɔra banakisɛ dɔ la, aw bɛ banakisɛfagalanw di a ma.
• Ni koli sira datugulen don, a ka kan ka bɔ.

Laɲini fɔlɔ ye ka dan sigi sugunɛ tiɲɛni wɛrɛw la ani ka sugunɛ baara lakana ni a bɛ se ka kɛ.

Furakɛli ɲɛtaa bɛ bɔ sugunɛ tiɲɛni hakɛ la ani bana in sababu la. A jugumanba dɔw la, bana bɛ se ka juguya ka taa a fɛ hali ni a furakɛra. Nka, ni a man jugu, ani ni a sababu furakɛra joona, sugunɛ baara bɛ se ka sabati walima ka ɲɛ dɔɔni yɛrɛ.

Yala ne bɛ se ka ne yɛrɛ tanga sugunɛbaralabana ma wa?

Ɔwɔ, fɛn dɔw bɛ yen an bɛ se ka minnu kɛ walasa k’an yɛrɛ tanga nin ko in ma, fo ka se hakɛ caman ma.

• min nafa ka bon kosɛbɛ , o ye ka i ka kɛnɛya bɛɛ lajɛlen mara . Dumuni dafalen dunni, ji caman minni ani farikoloɲɛnajɛ kɛli tuma bɛɛ , o nafa ka bon.
• Ni aw bɛ dimimadafura ta minnu tɛ sɔrɔ dɔgɔtɔrɔso la (AINE), aw bɛ u kɛ dɔrɔn i n’a fɔ a ɲɛfɔlen don a foroko kan walima i n’a fɔ dɔgɔtɔrɔ y’a fɔ cogo min na. Aw kana u ta ka caya walima ka mɛn ka tɛmɛ a mago kan. Aw kana u ta tuma bɛɛ dimi misɛnniw ni dimi na walima kungolodimi na.
• Ni sukarodunbana (Diabetes Mellitus), sikilibana (Sickle Cell Disease), walima bana wɛrɛw bɛ aw la minnu bɛ se ka sugunɛbana bila aw la (Renal Papillary Necrosis), aw bɛ dɔgɔtɔrɔ ka laadilikanw labato tigitigi. Aw bɛ taa dɔgɔtɔrɔsow la a waati la. Aw bɛ fura minnu kofɔlen don, aw bɛ olu ta. Aw bɛ dumuni kɛcogo ɲuman sirataama.
• A nafa ka bon kosɛbɛ ka laboratuwari sɛgɛsɛgɛliw kɛ walasa ka sugunɛ kɛcogo lajɛ waati ni waati i n’a fɔ dɔgɔtɔrɔ y’a fɔ cogo min na, ani ka fɛn o fɛn Changer joona.

Nin bana in bɛ mɔgɔ min na, o tigi kɛnɛyali hakɛ ye joli ye?

Aw ka ɲɛnamaya ɲɛfɔcogo bɛ bɔ bana sababu la, sugunɛ tiɲɛni hakɛ la, aw ka kɛnɛya bɛɛ lajɛlen na, ani aw bɛ furakɛli daminɛ joona cogo min na.

• Sukarodunbana bɛ mɔgɔ minnu na, a nɔ bɛ se ka dɔgɔya dɔɔni , barisa sukarodunbana ye bana ye min bɛ mɛn sen na, wa a tɛ kunbɛn ka ɲɛ tuma bɛɛ. Ni sukarodunbana bɛ aw la, ka a kunbɛn ka ɲɛ, o bɛna kɛ sababu ye ka sugunɛ tiɲɛni bali.
• Ni bana juguman don (Necrose papillaire rénale), a bɛ se ka kɛ sababu ye ka sugunɛbilenni ni sugunɛ cili kɛ . Ni banakisɛ donna a la, a bɛ se ka mɔgɔ ka ɲɛnamaya bila farati la. Saya bɛ se ka kɛ sugunɛbaralabana fɛ.
• Sikilibana na, sugunɛbilenni ye gɛlɛya caman dɔ dɔrɔn de ye minnu bɛ se ka sɔrɔ sugunɛ na. Ni nin gɛlɛya ninnu bɛɛ farala ɲɔgɔn kan, banabagatɔ ka ɲɛnamaya bɛ se ka dɔgɔya kosɛbɛ.

Tuma jumɛn na ne ka kan ka taa dɔgɔtɔrɔso la?

Ni nin taamasiɲɛ kelen walima caman bɛ aw la, aw kana waati tiɲɛ ani aw bɛ taa dɔgɔtɔrɔso la sisan :

• Ni joli bɛ aw ka sugunɛ na (sugunɛ bɛ bilen, ka kɛ bulama ye, walima ka kɛ bulama ye).
• Ni farigan walima farigan bɛ aw la (kɛrɛnkɛrɛnnenya la ni taamasiɲɛ wɛrɛw bɛ aw la).
• Ni dimi walima jeninida bɛ aw la ni aw bɛ koli kɛ.
• Ni dimi kura bɛ aw kɔ walima ni dimi bɛ ka juguya aw kɔ fan fila bɛɛ la, aw kɔ kolotugudaw ni aw kɔkiliw cɛ yɔrɔ la (sɔgɔsɔgɔninjɛ yɔrɔ).
• Ni aw bɛ to ka sugunɛbilenni sɔrɔ.
• Ni aw tɛ koli ka dɔgɔn walima ni aw senw ni aw senkɔniw bɛ funu (o bɛ se ka kɛ sugunɛ baara dɔgɔyali taamasiɲɛw ye).

Aw ye aw hakili to a la ko nin taamasiɲɛ ninnu bɛ se ka sɔrɔ bana wɛrɛw fana fɛ. Nka, a nafa ka bon ka taa dɔgɔtɔrɔso la walasa ka a sababu tigitigi dɔn.

A laban na, an ka kan ka to an hakili la min na (Take-Home Message) .

An ka sugunɛw ye farikolo yɔrɔ ye min nafa ka bon kosɛbɛ, a bɛ baara kɛ min tɛ kuma ani min nafa ka bon. U bɛ fɛnɲɛnamafagalanw sama ka bɔ u la ani ka ji ni kɔgɔ balansi mara farikolo la. Sukarodunbana min tɛ se ka kunbɛn, dimimadafura (AINE) tali kojugu, ani furakɛlicogo suguya wɛrɛw bɛ se ka sugunɛ tiɲɛ, ka na ni bana jugumanw ye i n’a fɔ sugunɛbilenni.

Nin bana in jugumanba ye ko a bɛ se ka kɛ ko taamasiɲɛ foyi tɛ aw la a daminɛ na. O la, ni sukarodunbana bɛ aw la, ni aw bɛ to ka AINE ta, walima ni sugunɛbana farati wɛrɛw bɛ aw la, aw bɛ kuma aw ka dɔgɔtɔrɔ fɛ aw ka sugunɛ lakanani fɛɛrɛw kan. Ni aw bɛ to ka sɛgɛsɛgɛli kɛ ani ka tugu ɲɛnamaya kɛcogo ɲuman kɔ, aw bɛ se ka aw ka sugunɛw to kɛnɛya la. Ka a dɔn joona ani ka wale kɛ, o ye fɛn bɛɛ la ɲuman ye tuma bɛɛ.

` Sugunɛ, sugunɛbaralabana, sugunɛbana, sukarodunbana, AINE, sugunɛbaralabana, sugunɛ