Yala aw tun bɛ o jolisira nafama in dɔn aw ka sugunɛ na wa? An ka kuma sugunɛbaralabana kan!

Yala aw delila ka "sugunɛ joli" ko mɛn wa? N’a sɔrɔ i ye dɔgɔtɔrɔ dɔ ka kuma mɛn, walima i y’a kalan yɔrɔ dɔ la. Nin ye an farikolo yɔrɔ ye min nafa ka bon kosɛbɛ, kɛrɛnkɛrɛnnenya la, a bɛ tali kɛ an ka sugunɛw baaracogo la. O la sa, an ka kuma o kan bi cogo nɔgɔman na, i bɛ se ka min faamu wa?

Nin sugunɛbaralabana in ye mun ye?

N’an y’a fɔ cogo nɔgɔman na, sugunɛbaralabana ye joli sira ye min bɛ joli ta ka bɔ i ka sugunɛ na ka taa i dusukun na. Daɲɛ "sugunɛ" kɔrɔ ye "min ɲɛsinnen bɛ sugunɛ ma." Sugunɛ bɛ i n’a fɔ jifilen an ka so kɔnɔ. Fɛɛrɛ ka kan ka kɛ walasa ka o joli saniyalen in ci ka segin farikolo la. O cogo de ye sugunɛbaralabana ye.

A ka c’a la, sugunɛ fila bɛ an bɛɛ la. O la sugunɛ kelen-kelen bɛɛ bɛ ni sugunɛbaralabana ye min bɛ bɛn o ma. O kɔrɔ ye ko joli sira fila bɛ yen minnu tɛ kelen ye, minnu bɛ joli ta ka bɔ sugunɛ fila la ka taa dusukun na.

Sugunɛbilenni ni sugunɛbaralabana bɛ mun kɛ?

Sisan, n’a sɔrɔ i bɛ miiri ko, yala o tɛ se ka kɛ ni jolisira ye walasa ka joli lase sugunɛ ma wa? Ɔwɔ, i bɛ tiɲɛ fɔ! joli min bɛ na ni joli ye sugunɛ na , o bɛ wele ko sugunɛbaralabana . sugunɛbaralabana ni sugunɛbaralabana fila bɛɛ ye an ka joli-sira-funu yɔrɔ dɔw ye .

Miiri joli-sira-funu-yɔrɔ la i n’a fɔ sira belebelebaw sigicogo min bɛ joli ta an farikolo fan bɛɛ la. Nin joli in ye:

• A bɛ oksizɛni, ɔrimɔni ani balofɛnw ta ka taa an farikolo yɔrɔw la, an farikolo yɔrɔw la ani an farikolo yɔrɔw la.
• A bɛ dɛmɛ fana ka fɛnɲɛnamafagalanw bɔ an fari la minnu man ɲi, i n’a fɔ gazi ɲuman, asidi ani ji tɛmɛnen.

O la, sugunɛbaralabana bɛ joli oksizɛni sɔrɔ ka bɔ dusukun na ka taa sugunɛ na. O kɔfɛ, sugunɛ bɛ bagaw ni fɛnɲɛnamafagalanw bɔ o joli la minnu man ɲi. Joli min tɛ oksizɛni sɔrɔ, o min saniyalen don o cogo la, o bɛ segin ka bɔ sugunɛ na ka taa dusukun na sugunɛbaralabana fɛ. Yala i y’a faamu wa? A bɛ i n’a fɔ ka na ni fɛnɲɛnamafagalanw ye izini dɔ la, ka fɛn dilannen bɔ.

Olu bɛ min an farikolo la?

An ka sugunɛw bɛ sɔrɔ kɔnɔbara kɔ fɛ (kɔnɔna), kɔkili duguma disi la, ani cɛya sanfɛ dɔɔni.

• Sugunɛ kiniyanfan fɛ : O bɛ sɔrɔ farikolo kiniyanfan fɛ, ɲɛgɛnɛsira ni kɔnɔbara kɔfɛ. Sugunɛ kiniyanfan bɛ janya dɔɔni ka tɛmɛ kininbolo ta kan barisa a bɛ yɔrɔ jan ni sugunɛbara dugumayanfan ye, o min ye farikolo siraba belebele dɔ ye. A janya bɛ se ka kɛ santimɛtɛrɛ 6 fo 10 ɲɔgɔn (santimɛtɛrɛ 2 fo 4 ɲɔgɔn).
• Sugunɛbilenni kiniyanfan fɛ:A bɛ sɔrɔ farikolo kinin fɛ, an ka banakɔtaa fitini (duodenum) sanfɛla kɔfɛ. A ka surun ni numanbolo ta ye, a janya bɛ Taa santimɛtɛrɛ 2 fo 4 ɲɔgɔn na (santimɛtɛrɛ 3⁄4 fo 1,5 ɲɔgɔn).

Sugunɛbilenni bɛ joli sɔrɔ min?

Sugunɛbilenni, i n’a fɔ n y’a fɔ cogo min na, o ka jan, o la a tɛ joli sɔrɔ sugunɛ kiniyanfan dɔrɔn na, nka a bɛ joli sɔrɔ farikolo yɔrɔ damadɔ wɛrɛw fana na. An k’a lajɛ u ye mun ye:

• Sugunɛ kiniyanfan fɛ : Sugunɛbara ye tubabufura fila ye minnu bɛ sugunɛ ta ka bɔ sugunɛ na ka taa sugunɛ na. Joli min bɛ bɔ sugunɛbara la numan fɛ, o bɛ lajɛ o jolisira in na.
• Nɛgɛjuru kiniyanfan fɛ : Nɛgɛso minnu bɛ wele ko musow ka kɔnɔbara ani cɛw ka cɛya, olu bɛ woyo ka don sugunɛ kiniyanfan fɛ.
• Sugunɛbilenni kiniyanfan fɛ : Sugunɛbilenni ye gland misɛnnin fila ye minnu bɛ i n’a fɔ finimugu sugunɛ sanfɛ. U bɛ ɔrimɔni nafamaw dilan i n’a fɔ kɔritizɔli, epinefirini (adrénaline), ani norepinephrine (noradrenaline) . O la, joli min bɛ bɔ sugunɛbara kiniyanfan fɛ, o fana bɛ fara nin jolisira in kan.
• Left Inferior Phrenic Vein: Diaphragme ye farikoloba ye min b’an dɛmɛ ka ninakili. Joli min bɛ bɔ o jolisira in na, o fana bɛ bɔ sugunɛbara kiniyanfan fɛ.

Nka, sugunɛbara kiniyanfan bɛ joli sɔrɔ sugunɛ kiniyanfan dɔrɔn de la. A tɛ joli lajɛ yɔrɔ caman na i n’a fɔ numanbolo ta.

Joli bɛ taa min sugunɛbaralabana kɔfɛ?

I n’a fɔ an y’a fɔ cogo min na ka tɛmɛ, sugunɛ bɛ fɛnɲɛnamafagalanw sama ka bɔ joli la. Ka fara o kan, u bɛ baara kɛ ni oksizɛni ni sukaro (glucose) ye joli la walasa ka fanga sɔrɔ. Joli min saniyalen don o cogo la, nka sisan a ma kɛ ni oksizɛni ye, o bɛ tɛmɛ sugunɛbaralabana fɛ ka fara sugunɛbara dugumayanfan fɛ . Nin ye joli belebeleba ye min bɛ joli min tɛ oksizɛni sɔrɔ, o bɛ bɔ an farikolo duguma yɔrɔ la ka taa dusukun na. O kɔ, joli bɛ taa dusukun na, a bɛ oksizɛni ta tuguni ka a ka taama daminɛ farikolo fan bɛɛ la.

Bana minnu ka teli ka sugunɛbaralabana minɛ, olu ye jumɛnw ye?

Hali ni fɛn bɛɛ bɛ ka ɲɛ ni kow bɛ ka ɲɛ, tuma dɔw la furakɛli cogoya dɔw bɛ se ka sugunɛbaralabana bila. Olu kunbabaw ye:

• Nutcracker Syndrome : O bɛ sugunɛbara kiniyanfan de minɛ kɛrɛnkɛrɛnnenya la. O cogo la, sugunɛbara kiniyanfan bɛ siri Kɔnɔbara basigilen ni joli sira wɛrɛ cɛ kɔnɔbara la (Sugunɛbilenni sanfɛla). A bɛ i n’a fɔ nɔnɔmugu min sirilen bɛ a fan fila bɛɛ la. O bɛ kɛ sababu ye ka tansiyɔn caya jolisira la, o bɛ joli bali ka taa sugunɛ na.
• Sugunɛbilenni : O ye joli kurulen ye sugunɛbaralabana dɔ la. Furakɛcogo dɔw, i n’a fɔ jolilabanaw, kansɛri, ani sugunɛbilenni, olu bɛ se ka kɛ sababu ye ka nin joli kuruli suguya in kɛ.

Ni sugunɛbaralabana dɔ datugulen don, mun bɛ kɛ?

Ni sugunɛbaralabana dɔ datugulen don, a kɛra kasaara ye wo, a kɛra joli kurulen ye wo, o bɛ se ka gɛlɛya suguya caman lase mɔgɔ ma. Misali damadɔw filɛ nin ye:

• Dimi juguman bɛ se ka kɛ, kɛrɛnkɛrɛnnenya la cɛya yɔrɔ la.
• Aw bɛ se ka joli sɔrɔ aw ka sugunɛ na (héturie).
• Dimi (sɔgɔsɔgɔninjɛ) bɛ se ka kɛ ni a jɔlen don (Orthostatic Hypotension).
• a bɛ se ka kɛ sababu ye ka cɛ walima muso ka bangekɔlɔsi kɛ .
• Sugunɛ tiɲɛni bɛ se ka kɛ.
• Sugunɛ bɔli bɛ se ka dɔgɔya ka tɛmɛ a cogo kɔrɔ kan (oliguria).
• Farati min ka bon kosɛbɛ, o ye ko o joli kurulen yɔrɔ dɔ bɛ se ka kari ka nɔrɔ fogonfogon la jolisira dɔ la (Pulmonaire Embolisme). O bɛ se ka mɔgɔ ka ɲɛnamaya bila farati la.

Nafama: Ni nin taamasiɲɛ ninnu bɛ aw la, a nafa ka bon kosɛbɛ aw ka dɔgɔtɔrɔ ka ladilikan ɲini joona.

Sɛgɛsɛgɛli jumɛnw bɛ kɛ walasa ka sugunɛbaralabana kɛnɛya lajɛ?

Ni dɔgɔtɔrɔ bɛ sigasiga ko gɛlɛya bɛ aw ka sugunɛbaralabana na, a bɛ se ka yamaruya di ka sɛgɛsɛgɛli suguya caman kɛ. Sɛgɛsɛgɛli minnu ka teli ka kɛ olu ye:

• CT Scan (CT - Tomografie informatique) .
• Ultrason duplex/Doppler (Duplex/Doppler) ye
• MRI Scan (MRI - Résonance magnétique) .
• Ultrason (ultrason) lajɛ
• Venogramme : O la, ji kɛrɛnkɛrɛnnen dɔ bɛ pikiri kɛ jolisiraw la ka sɔrɔ ka X-ray ta.

Aw bɛ se ka sugunɛ sɛgɛsɛgɛli fana kɛ walasa ka a lajɛ ni farikolojɔli dumuniw ka ca (protéineuria) walima joli bɛ aw ka sugunɛ na. Nin fila bɛɛ bɛ se ka kɛ sugunɛ tiɲɛni taamasiɲɛw ye.

An bɛ se ka an ka sugunɛbara to kɛnɛya la cogo di?

A ka gɛlɛn k’a dɔn ni fɛn kɛrɛnkɛrɛnnen dɔ bɛ kɛ sugunɛbilenni na. Nka, n’an bɛ an ka sugunɛw ni joli-sira-funu bɛɛ to kɛnɛya la, o fana bɛ sugunɛbaralabana kɛnɛya lakana.

• A ka ɲi ka farikolo sɛgɛsɛgɛli kɛ san o san. O bɛna aw dɛmɛ ka kɔn k’a dɔn ni farati bɛ aw la joli kurulenw na.
• Aw ka dɔgɔtɔrɔ bɛ se ka ninnu fɔ:
• Tansiyɔn furaw (ni tansiyɔn jiginni bɛ aw la).
• Fura minnu bɛ joli segin furaw walima joli segin furaw (ni farati bɛ joli kuruli la).
• Farikoloɲɛnajɛ kɛli bɛ to ka joli lasegin farikolo la ka ɲɛ.
• Aw bɛ ji ni jimafɛn caman min.
• Aw bɛ nakɔfɛnw ni jiriden caman fara aw ka dumuni kan.
• Ni aw bɛ sigarɛti min, aw bɛ a dabila.

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

I n’a fɔ aw ɲɛ b’a la cogo min na, sugunɛbaralabana ye an ka joli-sira-funu yɔrɔ nafamaba ye, kɛrɛnkɛrɛnnenya la minnu bɛ joli ta ka bɔ sugunɛ na. N’a sɔrɔ an tɛna a dɔn o yɔrɔnin bɛɛ la ko gɛlɛyaw bɛ u la. Nka, ni dɔgɔtɔrɔw bɛ to ka taa dɔgɔtɔrɔso la, u bɛ se ka nin bana ninnu taamasiɲɛw ɲini.

Aw ka dɔgɔtɔrɔ ye kunnafoni sɔrɔyɔrɔ ɲuman ye aw ka sugunɛ ni sugunɛbaralabana kɛnɛyali kan. U bɛna a fɔ i ye fana i ka kan ka min makɔnɔ ni gɛlɛya dɔw bɛ yen. O la sa, kana siran ka kuma u fɛ!

` Sugunɛbilenni, Sugunɛ, Joli Labɔli, Joli, Jolibana, Sugunɛ Kɛnɛya