An bɛɛ bɛ sugunɛw dɔn an fari la. Nka yala aw delila ka sugunɛ kɔnɔna yɔrɔ dɔ mɛn min bɛ wele ko ‘Sugunɛbilenni’ wa? N’a sɔrɔ i ye nin daɲɛ in ye i ka skan rapɔɔri dɔ la ani i y’i yɛrɛ ɲininka o ye mun ye. Aw kana aw hakili ɲagami, nin ye sugunɛ yɛrɛ yɔrɔ dɔ ye. An ka kuma o kan bi dɔrɔn.
N’an y’a fɔ cogo nɔgɔman na, sugunɛbaralabana ye mun ye?
Miiri k’a filɛ, sugunɛ ye duguba ye. O kɔfɛ, sugunɛbaralabana ye yɔrɔ ye i n’a fɔ o dugu ka ɲɔgɔndanba walima cɛmancɛ bisiw jɔyɔrɔ. Sugunɛ mago bɛ fɛn minnu na, olu bɛ don ani sugunɛ bɛ fɛn minnu bɔ, olu bɛ bɔ nin santiriba in fɛ.
N’an y’a fɔ cogo nɔgɔman na, nin ye yɔrɔ ye min kɔnɔna bɛ sugunɛ cɛmancɛ la. O yɔrɔ in kɔnɔ, sugunɛ yɔrɔ damadɔ minnu nafa ka bon kosɛbɛ, olu bɛ lakana. O yɔrɔw bɛ lamini ni tulumafɛnw ye walasa ka u tanga.
Mun bɛ nin santiri in kɔnɔ?
Fɛn minnu bɛ nin yɔrɔ in kɔnɔ, n’olu bɛ wele ko sugunɛbaralabana, olu ye :
- Sugunɛ sira ni jolisira : Joli siraba minnu bɛ na ni joli ye sugunɛ na ani ka bɔ sugunɛ na.
- Sugunɛbilenni : Sugunɛ bɛ sugunɛ min bɔ, o yɔrɔ min bɛ i n’a fɔ funteni.
- Calyces belebelebaw ni misɛnniw : U ye fɛn misɛnninw ye minnu bɛ i n’a fɔ tasa, sugunɛ bɛ daminɛ ka ɲɔgɔn lajɛ yɔrɔ minnu na. Sugunɛ min bɛ lajɛ ninnu na, o de bɛ don sugunɛbara la.
- Lamɔgɔya siraw (Lymphatic channels): Yɔrɔ minnu bɛ ji ta minnu bɛ tali kɛ farikolo tangacogo la.
- Nɛrɛw yɛrɛmahɔrɔnyalen : Nɛrɛ minnu bɛ walew kɔlɔsi an tɛ se ka minnu kunbɛn (misali la, joli siraw sɔgɔsɔgɔli).
- Jɛɲɔgɔnya ni farikolo tulu : Fasa ni fɛnɲɛnamafagalan bɛ yen minnu bɛ fɛn tɔw bɛɛ lakana ani ka yɔrɔw fa.
Min nafa ka bon kosɛbɛ, o ye ko sugunɛbaralabana fanba ye tulu ye. O tulu hakɛ bɛ se ka caya dɔɔni dɔɔni ni aw bɛ kɔrɔbaya ani ka girinya.
Bana jumɛnw bɛ sɔrɔ tuma caman na minnu bɛ sugunɛbaralabana bila?
Sugunɛ yɔrɔ in fana bɛ se ka gɛlɛya suguya caman sɔrɔ. Nka o mɔgɔw fanba tɛ farati ye. An k’a lajɛ ko minnu bɛ kɛ tuma caman na , minnu bɛ ye.
| Dɔgɔtɔrɔso cogoya | Ɲɛfɔli nɔgɔman dɔ |
|---|---|
| Sugunɛbilenni kuru | Nin ye suguya ye min ka teli ka kɛ. N’an y’a fɔ cogo nɔgɔman na, a ye kuru ye min falen bɛ ji la. Olu tɛ kansɛribana ye. Tuma dɔw la, u bɛ bɔ sinji kɔnɔ (sɔgɔsɔgɔninjɛ peripelvic), tuma dɔw la u bɛ bɔ a kɔkan, ka surunya a la (parapelvic cyst). |
| Sugunɛbilenni lipomatose (banakisɛfagalan) min bɛ wele ko lipomatose | O bɛ wele ko tuluma caya kojugu sugunɛbaralabana kɔnɔ. |
| Nefroma cystique multiloculaire (banakisɛfagalan caman) min tɛ bana jugu ye | Nin fana ye kuru ye min tɛ kansɛri ye, nka a bɛ se ka bonya ka taa sugunɛbara la. |
| Kaliɛktasi (Caliectasis) (Caliectasie). | Fɛn minnu bɛ i n’a fɔ tasa (calyces) minnu bɛ sugunɛ lajɛ, olu bɛ fa ji la kojugu ani ka funu. Ni a ma furakɛ, o bɛ se ka kɛ sababu ye ka sugunɛbaralabana. |
| Joli-sira-funu-yɔrɔw | Ko minnu bɛ kɛ i n’a fɔ sugunɛbaralabana, sugunɛbaralabana kogo min bɛ sugunɛbaralabana kɔnɔ, o bɛ fanga dɔgɔya ka a kuru i n’a fɔ balon. |
| Sugunɛbilenni kansɛri | Nin ye kansɛribana ye min bɛ sɔrɔ sugunɛ na. Tuma dɔw la, o kurukuru ninnu bɛ se ka jɛnsɛn sugunɛbaralabana kɔnɔ. |
Kalan dɔw y’a jira ko jɛɲɔgɔnya bɛ sugunɛbaralabana tuluma hakɛ ni tansiyɔn jiginni cɛ.
Aw bɛ sugunɛ yɔrɔ in sɛgɛsɛgɛ cogo di?
Ni dɔgɔtɔrɔ bɛ sigasiga ko sugunɛ gɛlɛya bɛ aw la, u bɛ se ka sɛgɛsɛgɛli caman kɛ walasa ka a dɔn.
| Kɔrɔbɔli suguya | O bɛ mun kɛ? |
|---|---|
| Jala-sɛgɛsɛgɛliw | |
| CT scan (CT scan) kɛcogo | Sugunɛ ni sugunɛbaralabana ja caman sɔrɔli. |
| MRI sɛgɛsɛgɛli (MRI) . | Sugunɛ ja jɛlenba sɔrɔli ni magɛnni ye. |
| Sugunɛ ultrasound (Sugunɛ ka ultrasound). | Baara kɛli ni mankanw ye walasa ka fɛnw cogoya sɛgɛsɛgɛ i n’a fɔ sugunɛ ni kurukuruw. |
| Kɔrɔbɔli wɛrɛw | |
| Joli sɛgɛsɛgɛliw | Aw bɛ a lajɛ ni sugunɛw bɛ joli sama ka ɲɛ (glomerular filtration). |
| Sugunɛbilenni biyopisi | Ni gɛlɛya dɔ bɛ yen, aw bɛ farikolo yɔrɔ fitinin dɔ bɔ sugunɛ na ka a lajɛ. |
| Sugunɛ sɛgɛsɛgɛli | Sugunɛ lajɛ ni joli, farikolojɔli dumuni walima banakisɛ taamasiɲɛw tɛ a la. |
Yala sugunɛbaralabana bɛ bɛɛ sɔrɔ wa?
Ɔwɔ, tiɲɛ na. Kurukuruw ni farikolojidɛsɛ fila bɛɛ ye banaw ye minnu ka ca kosɛbɛ, minnu bɛ sɔrɔ ni mɔgɔ kɔrɔbayara. Mɔgɔ minnu si tɛmɛna san 70 kan, olu 33% ɲɔgɔn, walima mɔgɔ saba o saba, kelen ɲɔgɔn bɛ se ka kɛ ni kuru kelen ye u sugunɛ na.
A ka ca a la, o kurukuru ninnu tɛ taamasiɲɛ foyi lase mɔgɔ ma , o la a bɛ se ka kɛ i yɛrɛ t’a dɔn ko dɔ bɛ i la. Tuma caman na, dɔgɔtɔrɔw bɛ u sɔrɔ u danma ni u bɛ sɛgɛsɛgɛli kɛ kun wɛrɛ la.
Ne bɛ se k’a dɔn cogo di ni sugunɛbaralabana bɛ ne la?
I n’a fɔ a fɔra cogo min na sanfɛ, mɔgɔ fanba tɛ bana taamasiɲɛ si ye. Nka, ni kuru bɛ bonya, walima ni a karilen don, ka joli bɔ a la, walima ni banakisɛ donna a la, a taamasiɲɛw bɛ se ka kɛ. O ko suguw la, aw bɛ se ka ninnu sɔrɔ:
- Kɔnɔbara dimi : Dimi bɛ kɛ kɛrɛ, kɔnɔbara walima kɔ la kɔkiliw ni kɔkiliw cɛ.
- Sumaya: Sumaya min bɛ mɔgɔ fari la.
- Koli kɛli tuma caman : A ka kan ka koli kɛ ka caya ka tɛmɛ a cogo kɔrɔ kan.
- Joli bɛ don sugunɛ na : Joli bɛ don sugunɛ na walima sugunɛ dibiman.
Ni nin taamasiɲɛ ninnu bɛ aw la, a ka fisa aw ka taa dɔgɔtɔrɔso la joona walasa ka laadilikan sɔrɔ.
Sugunɛ ni sugunɛbaralabana ka kɛnɛya cogo di?
Ikomi sugunɛbaralabana ye sugunɛ yɛrɛ yɔrɔ dɔ ye, aw bɛ fɛn minnu kɛ walasa ka sugunɛw to kɛnɛya la, olu kelenw ka ɲi a fana ma. A nafa ka bon kɛrɛnkɛrɛnnenya la ka i farikolo girinya kunbɛn. Ni aw bɛ girinya ka taa a fɛ, tulu bɛ se ka caya sugunɛbaralabana fana na.
Aw bɛ se ka fɛn nɔgɔman minnu kɛ walasa ka aw ka sugunɛw kɛnɛya lakana, olu filɛ nin ye:
- Aw kana sigarɛti min: Sigarɛtimin bɛ joli siraw tiɲɛ minnu bɛ joli lase sugunɛ ma.
- Kɔgɔ kɔlɔsi: Aw bɛ kɔgɔ hakɛ min fara aw ka dumuni kan, aw bɛ o dɔgɔya. Kɔgɔ caya kojugu bɛ se ka jolisegindumuni hakɛ caman Changer ani ka degun bila i sugunɛw la.
- Aw bɛ ji caman min : Ni aw bɛ ji hakɛ bɛnnen min tile kɔnɔ, o bɛ a to sugunɛ ka baga ka bɔ farikolo la ka nɔgɔya.
- Farikoloɲɛnajɛ: Farikoloɲɛnajɛ kɛli don o don, o bɛ se ka tansiyɔn kunbɛn. A ka ɲi sugunɛ ma kosɛbɛ.
- Aw ye aw janto dimimadafura la: Aw bɛ aw yɛrɛ tanga dimimadafura tali ma, kɛrɛnkɛrɛnnenya la, funufura minnu tɛ stɛroyi ye (AINE) (misali la, ibuporofɛni) ni aw ma dɔgɔtɔrɔw ka laadilikan di. Ni aw ye a ta kojugu, o bɛ se ka aw ka sugunɛ tiɲɛ.
- Aw ye aw ɲɛ jɔ aw ka tansiyɔn na: Ni tansiyɔn jiginni bɛ aw la, aw bɛ a kunbɛn ni aw ye fura ta aw ka dɔgɔtɔrɔ ye min di aw ma.
- Sukarodunbana kunbɛnni : Ni sukarodunbana bɛ aw la, ka aw ka sukaro hakɛ kɔlɔsi ka ɲɛ, o nafa ka bon walasa ka aw ka sugunɛw tanga.
Take-Home cikan
- Sugunɛbilenni ye yɔrɔ ye min bɛ aw ka sugunɛ cɛmancɛ la min bɛ joli sira nafamaw ni yɔrɔ minnu bɛ sugunɛ lajɛ.
- Sugunɛbilenni kurukuruw ka ca kosɛbɛ , kɛrɛnkɛrɛnnenya la ni an bɛ kɔrɔbaya. Ninnu fanba tɛ kojugu ye, wa u tɛ taamasiɲɛ foyi lase mɔgɔ ma.
- A ka ca a la, o furaw tɛ mako ɲɛ. Aw ka dɔgɔtɔrɔ bɛna u kɔlɔsi ni sɛgɛsɛgɛliw ye.
- Ni aw ye bana taamasiɲɛw ye i n’a fɔ kɔdimi, farigan, koli kɛli tuma caman, walima joli min bɛ aw ka sugunɛ na, aw bɛ dɔgɔtɔrɔ ka laadilikan ɲini joona.
- Kɛnɛya delinankow i n’a fɔ ka i farikolo girinya ɲuman mara, ka ji caman min, ka kɔgɔ dunta dɔgɔya, ani ka i yɛrɛ tanga sigarɛtimin ma, olu bɛ se ka aw dɛmɛ ka aw ka sugunɛw ni sugunɛbaralabanaw to kɛnɛya la.
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