An ka aw ka sugunɛ girinya kɛrɛnkɛrɛnnen dɔn. Mun na o nafa ka bon sugunɛ kɛnɛya la?

Bi an bɛna kuma sugunɛ sɛgɛsɛgɛli nɔgɔmanba dɔ kan min bɛ se k’aw dɛmɛ k’a dɔn aw sugunɛw bɛ baara kɛ cogo min na. Dɔgɔtɔrɔw b'o wele ko "Specific Gravity of Urine" sɛgɛsɛgɛli. N’a sɔrɔ i y’o mɛn ka kɔrɔ. An k’a lajɛ nin sɛgɛsɛgɛli in bɛ min kɛ tiɲɛ na, a bɛ kɛ cogo min na, ani an bɛ se ka min kalan a jaabiw la.

Sugunɛ girinya kɛrɛnkɛrɛnnen ye mun ye? An k’a faamu cogo nɔgɔman na!

N’an y’a fɔ cogo nɔgɔman na, aw ka sugunɛ girinya kɛrɛnkɛrɛnnen bɛ aw ka sugunɛw bɛ ji balansi mara cogo min na aw fari la ani ka fɛnɲɛnamafagalanw (i n’a fɔ kemikɛlifɛnw) bɔ aw joli la cogo min na. O bɛ aw ka sugunɛ ka bon cogo min na, o suman k’a ɲɛsin a ma ni a bɛ tali kɛ ji nɔgɔman na.

Miiri k’a filɛ, nin fɛnɲɛnamafagalan suguya ninnu bɛ se ka sɔrɔ aw ka sugunɛ na:

• Ureya : Ureya ye fɛn ye min bɛ sɔrɔ ni farikolo ye farikolojɔli dumuniw tiɲɛ an bɛ minnu dun.
• Asidi uriki : O bɛ sɔrɔ ni an farikolo bɛ furakisɛw tiɲɛ minnu bɛ wele ko purini. Puriniw ye furakisɛw ye minnu bɛ sɔrɔ u yɛrɛ la, minnu bɛ sɔrɔ dumuniw na i n’a fɔ sogo, jɛgɛ ani biyɛri.
• Kɔgɔw (kɛrɛnkɛrɛnnenya la sodiyɔmu): Kɔgɔ bɛ sɔrɔ an bɛ dumuni minnu dun, olu caman na, ani fura dɔw la. Tiɲɛ na, u bɛ dɛmɛ ka joli kɔnɔ joliseginfɛn wɛrɛw balansi ani ka balofɛnw ta farikolo fan bɛɛ la.
• Asidi aminiki : Olu ye farikolojɔlifɛn jɔnjɔnw ye.

Sisan, ni girinya kɛrɛnkɛrɛnnen bɛ aw ka sugunɛ na, o kɔrɔ ye ko ji ka ca kojugu aw ​​ka sugunɛ na. O kɔrɔ ye ko sugunɛ bɛ wuli, wa a bɛ se ka kɛ ko aw bɛ ji caman min. Faan wɛrɛ fɛ, ni girinya kɛrɛnkɛrɛnnen ka bon, o kɔrɔ ye ko fɛnɲɛnamafagalan caman bɛ sugunɛ na, wa sugunɛ bɛ kɛ fɛn ye min bɛ kɛ ka caya. O bɛ se ka kɛ farikolojidɛsɛ sababu ye.

Nka, o nafaw tɛ Changé tuma bɛɛ ka da ji hakɛ kan. Tuma dɔw la, o girinya kɛrɛnkɛrɛnnen in fana bɛ se ka Changé ka da furakɛli cogoya dɔ kan min bɛ sugunɛw degun.

Nin ``Sugunɛ girinya kɛrɛnkɛrɛnnen'' sɛgɛsɛgɛli in fana bɛ wele ni tɔgɔ damadɔ wɛrɛw ye. Aw ka dɔgɔtɔrɔ bɛ se ka baara kɛ ni nin tɔgɔ ninnu dɔ ye:

• Sugunɛ hakɛ sɛgɛsɛgɛli
• Sugunɛ girinya kɛrɛnkɛrɛnnen
• Sugunɛ SG
• SG sugunɛ sɛgɛsɛgɛli
• Sugunɛ sɛgɛsɛgɛli min bɛ kɛ ni girinya kɛrɛnkɛrɛnnen ye
• Sugunɛ girinya kɛrɛnkɛrɛnnen sɛgɛsɛgɛli
• Sugunɛ hakɛ
• Ji doni sɛgɛsɛgɛli
• Jiko gɛlɛya sɛgɛsɛgɛli

Sugunɛ girinya kɛrɛnkɛrɛnnen bɛ mun fɔ an ye?

Nin sɛgɛsɛgɛli in bɛ furakisɛw bɛɛ hakɛ jira aw ka sugunɛ na.

Ni aw ka sugunɛ bɛ kɛ ka ɲɛ (a girinya kɛrɛnkɛrɛnnen ka dɔgɔn) kun jumɛnw bɛ a la?

• Ji caman minni:Mɔgɔ dɔw bɛ ji caman min k’a sababu kɛ u delinanko ye.
• Jabɛtibana ye bana ye min farikolo tɛ ɔrimɔni `(Vasopressin)` (a bɛ fɔ fana ko `(Antidiuretic Hormone)` walima `(ADH)`) bɔ ka ɲɛ, walima sugunɛ tɛ a jaabi ka ɲɛ. O ɔrimɔni in bɛ ji hakɛ kɔlɔsi farikolo la.
• Sugunɛbilenni dɔ: Misali la, `(Pyelonephrite)`.
• Sugunɛbana basigilen (CKD): Sugunɛ baarakɛbaliya waati tɛmɛnen kɔfɛ.
• Sugunɛbilenni.

Ni aw ka sugunɛ bɛ kɛ ka caya (a girinya kɛrɛnkɛrɛnnen ka bon) kun jumɛnw bɛ a la?

• Farikolojidɛsɛ: Aw kana ji caman min tile fɛ.
• Fɔɔnɔ: Ni aw bɛ to ka fɔɔnɔ, ji caman bɛ bɔ aw fari la.
• Kɔnɔboli : O cogo kelen de bɛ kɛ banakɔtaa lajɔlen na.
• Sugunɛbanakisɛfagalan (ADH) bɔli kojugu farikolo la: O bɛ wele ko Syndrome de sécrétion antidiurétique inappropriée (SIADH).
• Joli tɛ se ka taa sugunɛ na: Misali la, `(Prerenal azotemia)`.
• Surɔfiyen ka dɛsɛ ka ɔrimɔni caman dilan: O bɛ wele fana ko ``Addison ka bana''.

Nin sugunɛ kɛrɛnkɛrɛnnen girinya sɛgɛsɛgɛli bɛ kɛ waati jumɛn?

Ni dɔgɔtɔrɔ dɔ bɛ sigasiga ko gɛlɛya bɛ aw sugunɛw la ka ji hakɛ balansi aw fari la walima ka fɛnɲɛnamafagalanw bɔ aw joli la, u bɛ se ka ``Sugunɛ girinya kɛrɛnkɛrɛnnen'' sɛgɛsɛgɛli fɔ.

Aw bɛ nin sɛgɛsɛgɛli in kɛ cogo di? A ka nɔgɔn kosɛbɛ!

A ka nɔgɔn kosɛbɛ. Aw ka kan ka min kɛ dɔrɔn, o ye ka sugunɛ dɔ kɛ tasa sanuman dɔ kɔnɔ. O kɔfɛ, dɔgɔtɔrɔ walima mɔgɔ dɔ min bɛ laboratuwari la, o bɛna ``Dipstick'' don sɛgɛsɛgɛli la. ``Dipstick'' ye plastiki walima papiye sɔgɔlen fitinin ye. Kɔnɔnatumu misɛnninw b’a la minnu datugulen don ni kemikɛlifɛnw ye. O farikolokisɛw bɛ u kulɛri Changer ka kɛɲɛ ni aw ka sugunɛ girinya kɛrɛnkɛrɛnnen ye. O de b'a jira i la ko nafa b'a la.

Tuma dɔw la, walasa ka jateminɛ kɛcogo ɲuman sɔrɔ, dɔgɔtɔrɔ bɛ se ka aw ka sugunɛ tacogo dɔɔni kɛ minɛn dɔ kɔnɔ min bɛ wele ko ``Refractometer`` ``Refractometer`` ye furakɛli minɛn ye min bɛ yeelen hakɛ jateminɛ min bɛ tɛmɛ aw ka sugunɛ fɛ. Ni aw ka sugunɛ ji ka ca, o kɔrɔ ye ko a dilalen don, yeelen caman bɛ tɛmɛ a fɛ. Ni a bɛ ɲɔgɔn sɔrɔ ka tɛmɛ, o kɔrɔ ye ko a bɛ ɲɔgɔn sɔrɔ, yeelen ka dɔgɔn ka tɛmɛ o fɛ.

Aw ka kan ka mun dɔn sani aw ka sɛgɛsɛgɛli kɛ?

• Dɔgɔtɔrɔ bɛna aw ɲininka aw ka furakɛli tariku dafalen na ani ka ɲininkali caman fana kɛ.
• Aw bɛ fura o fura ta (dɔgɔtɔrɔ ye min sɛbɛn, aw ye min san furakɛlitɔn fɛ, Ayurveda furaw, hali furabuluw) .A nafa ka bon ka o fɔ barisa fura dɔw bɛ se ka nɔ bila nin sɛgɛsɛgɛli in jaabiw la. O la, a bɛ se ka ɲini aw fɛ aw ka u tali dabila tile damadɔ sani sɛgɛsɛgɛli ka kɛ. Nka, aw kana fura si tali dabila fo dɔgɔtɔrɔ ka a fɔ aw ye.
• Ni aw ye anestezi kɛ kɔsa in na ani sɛgɛsɛgɛli fɛn o fɛn (i n’a fɔ MRI walima CT scan) minnu bɛ kɛ ni danfara ye, aw bɛ o fana fɔ aw ka dɔgɔtɔrɔ ye, barisa o bɛ se ka nɔ bila a nɔ na.
• Aw ka kan ka min kɛ sani sɛgɛsɛgɛli ka kɛ, aw ka dɔgɔtɔrɔ bɛna o fɔ aw ye tigitigi. Tuma dɔw la, a bɛ se ka ɲini aw fɛ aw ka dan sigi aw ka ji minta la fo lɛri 12 ɲɔgɔn sani sɛgɛsɛgɛli ka kɛ.

Mun bɛ kɛ kɔrɔbɔli waati la?

A ka ca a la, aw bɛna sugunɛ kɛcogo dɔ di dɔgɔtɔrɔso la walima laboratuwari la. A nafa ka bon kosɛbɛ ka aw tɛgɛw ko ka ɲɛ ni safinɛ ye sani aw ka koli kɛ tasa kɔnɔ.

Ni koli ka gɛlɛn aw ma so kɔkan (mɔgɔ dɔw bɛ o kɛ, wa a bɛ fɔ o ma ko "syndrome de l’esprit maloya"), aw bɛ kɔn ka o fɔ aw ka dɔgɔtɔrɔ ye. U bɛ se ka tasa di aw ma ka taa n’a ye so, ka misali di aw ma, walima ka fɛɛrɛ wɛrɛ fɔ aw ye min ka di aw ye kosɛbɛ.

Ani fana, n’aw bɛ kalolabɔ la, aw k’o fana fɔ, i n’a fɔ kalolabɔ joli fana bɛ se ka nɔ bila sugunɛ girinya kɛrɛnkɛrɛnnen na.

Aw kɛlen kɔ ka sɛgɛsɛgɛli kɛ, dɔgɔtɔrɔso baarakɛlaw bɛna a fɔ aw ye aw ka kan ka min kɛ a la.

Mun bɛ kɛ kɔrɔbɔli kɔfɛ?

Aw kɛlen kɔ ka sugunɛ kɛcogo di, dɔgɔtɔrɔso baarakɛlaw bɛna ``Dipstick'' sɛgɛsɛgɛli kɛ joona walima k’a ci laboratuwari la walasa ka a sɛgɛsɛgɛ ni ``Refractometer'' ye.

O nɔ ye mun ye? U bɛ mun fɔ an ye?

Sugunɛ girinya kɛrɛnkɛrɛnnen hakɛ bɛ 1,0101 ni 1,030 cɛ (ji girinya kɛrɛnkɛrɛnnen bɛ 1,000 ɲɔgɔn bɔ).

• Ni aw ka sugunɛ girinya kɛrɛnkɛrɛnnen ma se 1,0101 ma, o kɔrɔ ye ko aw ka sugunɛ ji ka ca kojugu ani a bɛ dila.
• Ni aw ka sugunɛ girinya kɛrɛnkɛrɛnnen ka ca ni 1,030 ye, o kɔrɔ ye ko fɛnɲɛnamafagalan caman bɛ aw ka sugunɛ na, wa a ka ca.

A bɛ waati joli ta walasa ka o nɔw dɔn?

Ni dɔgɔtɔrɔ ye `(Dipstick)` kɛ, a bɛ se ka fɔ ko a nɔ bɛ se ka dɔn o yɔrɔnin bɛɛ. Nka ni `(Refractometer)` kɛra, a bɛ se ka mɛn dɔɔni.

A ka ca a la, nin sugunɛ kɛrɛnkɛrɛnnen girinya sɛgɛsɛgɛli in bɛ kɛ ka fara sugunɛ sɛgɛsɛgɛli damadɔ wɛrɛw kan. O la, aw bɛna sɛgɛsɛgɛliw bɛɛ jaabiw sɔrɔ ɲɔgɔn fɛ, a ka c’a la, baarakɛdon kelen fo tile fila kɔnɔ. Aw ka dɔgɔtɔrɔ bɛ se ka aw wele ka jaabiw fɔ aw ye, walima u bɛ se k’u ci aw ma ɛntɛrinɛti kan.

Ni a nɔfɛkow ma kɛ cogo la, aw bɛ mun kɛ o kɔfɛ?

Ni aw ka sugunɛ girinya kɛrɛnkɛrɛnnen tɛ a cogo la, dɔgɔtɔrɔ bɛ se ka sɛgɛsɛgɛli wɛrɛw kɛ walasa ka a sababu tigitigi dɔn. Nin sɛgɛsɛgɛli ninnu bɛna bɔ ni aw ka sugunɛ kɛra fɛn ye min bɛ se ka wuli walima ni a kɛra fɛn ye min bɛ se ka kɛ a la ani ni aw bɛ siga furakɛli cogoya la. Olu bɛ se ka kɛ ninnu ye:

• Joli sɛgɛsɛgɛliw : Misali la, `(Osmolality blood test)`, `(Compréhensive Metabolic Panel - CMP)`, `(Blood Urea Nitrogen - BUN) sɛgɛsɛgɛli`.
• Ja sɛgɛsɛgɛliw: `(MRI - Magnetic Resonance Imaging)`, `(CT scan - Computed Tomography scan)`, walima `(Sugunɛ ultrasound)` sugunɛw la.
• Sugunɛ sɛgɛsɛgɛli wɛrɛw ka fara a kan.

Tuma jumɛn na ne ka kan ka taa dɔgɔtɔrɔso la?

Aw bɛ dɔgɔtɔrɔ wele ni:

• Ni aw ma aw ka sɛgɛsɛgɛli jaabiw sɔrɔ tile damadɔ kɔfɛ.
• Ni aw ye fɛn o fɛn kɔlɔsi aw ka sugunɛ na (i n’a fɔ a kulɛri, a kasa, a kɛcogo).
• Ni ɲininkali dɔw bɛ aw fɛ jaabiw kan.

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

Ka sugunɛ kɛ tasa kɔnɔ, o bɛ se ka kɛ fɛn ye min bɛ mɔgɔ tɔɔrɔ dɔɔni ani ka maloya, nka nin sɛgɛsɛgɛli in, n’o bɛ wele ko i ka sugunɛ girinya kɛrɛnkɛrɛnnen, o ye fɛɛrɛ ye min teliyalen don, min tɛ mɔgɔ minɛ, walasa dɔgɔtɔrɔw k’a dɔn i ka sugunɛ bɛ baara kɛ cogo min na.

Ni aw ka jateminɛw tɛ se ka kɛ, aw ka dɔgɔtɔrɔ bɛ se k’a latigɛ joona ni aw mago bɛ sɛgɛsɛgɛli wɛrɛw la walima ni aw ka kan ka furakɛli daminɛ.

O la, ni nin hakilina in bɛ aw hakili la, ni ɲininkali dɔw bɛ aw fɛ, aw kana siga abada ka dɔgɔtɔrɔ ɲininka. Min nafa ka bon kosɛbɛ, o ye ka i janto i ka kɛnɛya la!

` Sugunɛ girinya kɛrɛnkɛrɛnnen, sugunɛ kɛnɛya, sugunɛ sɛgɛsɛgɛli, sugunɛ hakɛ, sugunɛbana, farikolojidɛsɛ