Tuma dɔw la, sugunɛbaralabana (UTI) bɛ se ka kɛ aw denmisɛnnin na tuma caman. Walima u bɛ se ka ŋunan kɔnɔdimi na. Tuma caman na, an b’a miiri ko ninnu ye fɛn gansanw ye, nka tuma dɔw la, gɛlɛya fitinin dɔ bɛ se ka sɔrɔ min bɛ sɔrɔ kabini an bange waati. O de ye bana ye min bɛ wele ko ‘Ureterocele’. Hali n’a tɔgɔ bɛ Se ka Kɛ siranfɛn ye dɔɔnin, n’an y’a Faamu ka ɲɛ, o ye fɛn ye min bɛ Se ka Labɛn. O la bi, an ka kuma nin kan cogo nɔgɔman na, i bɛ se ka min faamu.
N’an y’a fɔ cogo nɔgɔman na, Ureterocele ye mun ye?
O bɛ ɲɛ, an ka nin faamuya nin cogo in na. Sugunɛ fila b’an fari la. O sugunɛw bɛ min kɛ, o ye ka an joli sama ka bɔ fɛnɲɛnamafagalanw na minnu man ɲi i n’a fɔ sugunɛ. Sugunɛ min bɛ bɔ o cogo la, o bɛ lajɛ sugunɛ na ni tubabufura fila ye. an bɛ o tubabukan fila wele ko sugunɛbaralabana . Sugunɛbilenni kelen bɛ bɔ sugunɛ kelen-kelen bɛɛ la.
Sisan, aw bɛ miiri ko sugunɛbaralabana in laban, a ni sugunɛbaralabana bɛ ɲɔgɔn sɔrɔ yɔrɔ min na, o bɛ ka wuli i n’a fɔ balon fitinin. An bɛ o de wele ko ureterocele.
Nin yɔrɔ in min bɛ i n’a fɔ balon, o bɛ sugunɛ bali ka woyo ka don sugunɛ na. A bɛ iko bɔgɔdaga. Mun bɛ kɛ o tuma na? Ikomi sugunɛ tɛ se ka jigin ka ɲɛ, a bɛ daminɛ ka woyo kɔfɛ ka taa sugunɛ fan fɛ. An bɛ o wele furakɛli siratigɛ la ko (vesicoureteral reflux) . O de ye gɛlɛyaba ye min bɛ sɔrɔ sugunɛbilenni na. Sabula sugunɛ min bɛ woyo kɔfɛ, o man ɲi sugunɛ ma.
Yala sugunɛbaralabana suguya dɔw bɛ yen wa?
Ɔwɔ, o ko in bɛ se ka tila cogoba caman na.
- Ka kɛɲɛ ni a bɛ fan kelen fɛ walima a fila bɛɛ la: Den dɔw bɛ se ka nin bana in sɔrɔ sugunɛbaralabana kelen dɔrɔn na (yɔrɔ kelen). O de ka teli ka kɛ. Nka a man teli kosɛbɛ, o dili bɛ se ka kɛ sugunɛbara fila bɛɛ la (yɔrɔ fila).
- Ka kɛɲɛ ni kurukuru yɔrɔ ye : Ani fana, o kurukuru ninnu bɛ tila ka kɛɲɛ ni u bɛ yɔrɔ min na sugunɛ kɔnɔ. Dɔw bɛ dan sugunɛ na (intravesical). Nka, a suguya min ka teli ka kɛ, kɛrɛnkɛrɛnnenya la denmisɛnni fitiniw na (extravesical), o bɛ se ka jigin sugunɛbara la, ka taa a bila tubabukan na min bɛ sugunɛ bɔ (sugunɛbilenni).
Nin danfara ninnu nafa ka bon dɔgɔtɔrɔw bolo ka furakɛli fɛɛrɛ sugandi min bɛ bɛn den ma kosɛbɛ.
Sugunɛbilenni taamasiɲɛw ye mun ye?
Kabako don, a ka ca a la, Ureterocele bɛ se ka taamasiɲɛ si jira. Nka, i n’a fɔ n y’a fɔ cogo min na ka tɛmɛ, sugunɛbilenni (UTI) sɔrɔli ka ca ka a sababu kɛ sugunɛ tɛ woyo ka ɲɛ ani ka a siri. O waati de la bana taamasiɲɛw bɛ daminɛ ka bɔ kɛnɛ kan.
Aw bɛ a lajɛ ni nin taamasiɲɛ ninnu dɔ bɛ aw den na. Olu bɛ se ka kɛ sugunɛbilenni taamasiɲɛw ye.
| Taamaʃyɛn | N'an y'a fɔ cogo nɔgɔman na... |
|---|---|
| Dimi bɛ kɛ ni koli bɛ kɛ | Den bɛ kasi ni a bɛ koli, walima a bɛ ŋunan dimi na. U bɛ se k’a fɔ yɛrɛ ko a bɛ kɛ i n’a fɔ jeninida. |
| Sugunɛ kasa bɛ bɔ | Sugunɛ kasa ka bon, a kasa ka jugu ka tɛmɛ a cogo kɔrɔ kan. |
| Kɔnɔdimi walima kurukuru | A bɛ se ka kɛ i n’a fɔ kɔnɔbara duguma dimi walima kuru fitini min bɛ se ka ye bolo la. |
| Joli bɛ sɔrɔ sugunɛ na | Sugunɛ bɛ kɛ pinɛ ye walima bilen. |
| A ka kan ka to ka koli kɛ | Ka a fɔ ko "Ne ka kan ka sugunɛ kɛ " ka caya ka tɛmɛ a cogo kɔrɔ kan. |
| Sebaliya ka sugunɛ kunbɛn | Hali denmisɛn min ye ɲɛgɛn dege, o bɛ se ka koli kɛ hali bi u ka finiw kan k’a sɔrɔ a ma a dɔn. |
| Sugunɛbilenni tɛ lankolonya pewu | A bɛ kɛ i n’a fɔ sugunɛ bɛ sugunɛ na hali bi koli kɔfɛ. |
Ni nin taamasiɲɛ ninnu dɔ ye den ye, aw bɛ taa dɔgɔtɔrɔso la joona.
Mun na o bɛ ka kɛ? O kun ye mun ye?
O ye ko ye min nafa ka bon kosɛbɛ bangebagaw bolo. Ureterocele yeBana min bɛ sɔrɔ bangekɔlɔsi fɛ. O kɔrɔ ye ko ni den bɛ ka bonya kɔnɔbara la, n ye sugunɛbara min kofɔ ka tɛmɛ, o tɛ yiriwa ka ɲɛ, a ni sugunɛ bɛ jɛ yɔrɔ min na.
O tɛ bɔ ba ka fili si la kɔnɔmaya waati, walima a ye fɛn dɔ dun walima ka minfɛn dɔ min, walima a ye fɛn dɔ fɔ walima ka kɛ. Ɲininikɛlaw dalen b’a la ko nin ye ko ye min kɛra k’a sɔrɔ a ma kɛ k’a sɔrɔ a ma kɛ. O la sa, i kana hami o la abada.
Tuma dɔw la, nin bana in taamasiɲɛw bɛ ye balikuya waati. Nka hali o tuma na, a sababu ye kelen ye. O ye fɛn ye min tun bɛ farikolo la kabini a bangeli.
Yala nin ye bana juguba ye wa? Gɛlɛya jumɛnw bɛ o la?
Ureterocele ye bana jugumanba ye min ka kan ka furakɛ. Nka min ka fisa, o ye ko a bɛ se ka furakɛ. Gɛlɛyaw bɛ sɔrɔ ni a ma furakɛ. Faratiba min bɛ a la, o ye sugunɛ tiɲɛni ye.
Ni sugunɛ bɛ segin kɔ ka don sugunɛ na, sugunɛ bɛ se ka funu, ka bana sɔrɔ, wa waati tɛmɛnen kɔfɛ, ka sugunɛ baara tiɲɛ pewu.
Min nafa ka bon kosɛbɛ, o ye ko sugunɛ tiɲɛni tɛ se ka kɔsegin. O kɔrɔ ye ko ni sugunɛ baara dɔgɔyara fo ka se hakɛ dɔ ma, a ka gɛlɛn ka a lasegin a cogo kɔrɔ la. O de kama a nafa ka bon kosɛbɛ ka nin bana in sɛgɛsɛgɛ ani k’a furakɛ sani sugunɛ ka tiɲɛni ka kɛ.
Gɛlɛya wɛrɛw bɛ se ka kɛ ninnu ye:
- Sugunɛbilenni.
- Sugunɛbilenni tiɲɛni.
- Sugunɛbilenni minnu bɛ segin-ka-bɔ (UTIs).
Dɔgɔtɔrɔ bɛ o sɔrɔ cogo di?
A ka ca a la, nin bana in bɛ dɔn sani den ka bange. Ɔwɔ, jiginni ɲɛfɛ ultrasound kɛtuma na . A ka ca a la, a bɛ kɛ dɔgɔkun 20 ɲɔgɔn na, dɔgɔtɔrɔw bɛ se ka siga sugunɛ walima sugunɛbaralabana na ni u ye funu ye. O kɔ, den bangenen kɔ, u bɛ sɛgɛsɛgɛli caman kɛ walasa k’a dɔn.
Nka tuma dɔw la a bɛ sɔrɔ bange kɔfɛ, a si bɛ san 2 ɲɔgɔn na.A bɛ se ka sɔrɔ fana balikuw la balawu la sugunɛbilenni walima sugunɛbilenni sɛgɛsɛgɛliw senfɛ.
Dɔgɔtɔrɔw bɛ sɛgɛsɛgɛli minnu kɛ walasa ka nin bana in dɔn, olu dɔw filɛ nin ye.
| Kɔrɔbɔli | O bɛ mun kɛ? |
|---|---|
| Sugunɛ ultrasound (Sugunɛ ka Ultrason). | Sugunɛ ni sugunɛ cogoya, u bonya ani u funu bɛ lajɛ. |
| VCUG (Voiding Cystourethrogramme) sɛgɛsɛgɛli | Nin ye sɛgɛsɛgɛli kɛrɛnkɛrɛnnen ye min bɛ kɛ ni X-ray ye. Tubabufura fitini dɔ bɛ don sugunɛbara la ka a fa ji kɛrɛnkɛrɛnnen dɔ la. X-ray bɛ kɛ ka den to koli la. O bɛ se ka kɛ ka sugunɛ seginni (sugunɛ kɔsegin) lajɛ. |
| Ɲɛgɛnɛsiraw ka sɛgɛsɛgɛli | O bɛ dɛmɛ ka sugunɛw baaracogo ɲuman kɔlɔsi, kɛmɛsarada la, ani ni u tiɲɛna. |
| CT walima MRI sɛgɛsɛgɛli | O sɛgɛsɛgɛliw bɛ se ka kɛ walasa ka sugunɛ kɛcogo ja jɛlenw sɔrɔ, minnu bɛ ɲɛfɔ ka ɲɛ. |
| Sugunɛ Sɛgɛsɛgɛli | Siga t’a la, o bɛ kɛ walasa ka a dɔn ni sugunɛbilenni (UTI) bɛ aw la. |
Sugunɛbilenni bɛ furakɛ cogo di?
Furakɛli fɛɛrɛ bɛ dɔn ni fɛn caman jateminɛni ye, i n’a fɔ den si hakɛ, sugunɛbaralabana hakɛ, ni sugunɛ tiɲɛna, ani ni sugunɛ bɛ segin ka bɔ.
Furakɛli kunbabaw ye opereli ni makɔnɔni kɔlɔsili ye.
Opereli furakɛlicogo
Opereli kunba ye ka funu bɔ min bɛ i n’a fɔ balon ani ka sugunɛ bila ka bɔ a yɛrɛ la. Opereli fɛɛrɛ suguya caman bɛ yen o kama.
| Opereli kɛcogo | Ɲɛfɔli nɔgɔman |
|---|---|
| Transurethral Puncture (banakisɛfagalan min bɛ wele ko Transurethral Puncture). | O ye fɛɛrɛ nɔgɔman ye. Yan, operelikɛla bɛ tubabufura finman dɔ don ni kamera ye (cystoscope) sugunɛbaralabana fɛ walasa ka sugunɛ kɔnɔna lajɛ. O kɔ, dingɛ fitini dɔ bɛ kɛ sugunɛbara la min bɛ i n’a fɔ balon. A bɛ iko i bɛ balon fiyɛ. O kɔ, sugunɛ min datugulen don, o bɛ woyo nɔgɔya la. A ka ca a la o bɛ kɛ anestezi fɛ, wa a ye kɛnɛyaso kɔkanna fɛɛrɛ ye. |
| Sugunɛbilenni seginni | Nin ye opereli ye min ka gɛlɛn dɔɔni. Tigɛ fitini dɔ bɛ kɛ kɔnɔbara dugumayanfan na walasa ka sugunɛ da wuli. O kɔ, sugunɛbaralabana yɔrɔ min bɛ ni sugunɛbaralabana ye, o bɛ tigɛ ka bɔ a la, ka sugunɛ kɛnɛman siri kokura ni sugunɛbaralabana ye, o bɛ sugunɛ bali ka woyo kɔfɛ (flap valve mechanism). Nin opereli in bɛ ɲɛ 90%-95%. |
| Sugunɛbilenni (Pole supérieure) bɛ kɛ ka ɲɛgɛnɛ kɛ | Den dɔw bɛ ni bana dɔ ye min bɛ wele ko ‘sugunɛ duplex’. O kɔrɔ ye ko sugunɛ kelen bɛ tila ka kɛ yɔrɔ fila ye. Ni sugunɛbaralabana ye sugunɛ sanfɛla tiɲɛ kosɛbɛ ani a ye baara dabila, opereli ka kan ka kɛ walasa ka a yɔrɔ tiɲɛnen bɔ. |
Kɔlɔsili kɛli makɔnɔni na
Nin wale in bɛ kɛ tuma caman na balikuw de la. Ni sugunɛbaralabana tɛ taamasiɲɛ foyi lase mɔgɔ ma walima ni a bɛ sugunɛ tiɲɛ, aw ka dɔgɔtɔrɔ bɛ se k’a latigɛ ka bana in kɔlɔsi waati dɔ kɔnɔ k’a sɔrɔ opereli ma kɛ.
Den ka miiriya ye mun ye?
O ko ɲɛnabɔcogo ka ɲi kosɛbɛ. Sabula sugunɛbaralabana bɛ kɛ waati dɔɔni kɔnɔ. A latilenni kɔfɛ ni opereli ye, den bɛ se ka ɲɛnamaya kɛ cogo bɛnnen na. Fɛn kelen min ka kan ka to aw hakili la, o ye ko ni sugunɛbaralabana ye tiɲɛni fɛn o fɛn kɛ sugunɛ na, o tiɲɛni bɛ kɛ kudayi. A tɛ se ka kɔsegin. An bɛ se ka min kɛ, o ye ka tiɲɛni wɛrɛw dabila. O de kama nin bana in sɛgɛsɛgɛli ni a furakɛli joona nafa ka bon ɲɛnamaya kɔnɔ.
Take-Home cikan
- Ureterocele ye bana ye min bɛ sɔrɔ bangekɔlɔsi fɛ. A tɛ bɔ bangebagaw ka jalaki si la.
- O faratiba ye ko sugunɛ bɛ se ka sugunɛw kɔsegin ka u tiɲɛ.
- A ka ca a la, nin bana in bɛ se ka dɔn sɛgɛsɛgɛliw fɛ sani den ka bange.
- Opereli bɛ se ka nin bana in furakɛ pewu. O nɔw bɛ ɲɛ kosɛbɛ.
- Ni sugunɛbilenni bɛ to den na walima ni a bɛ dimi ka ŋunan ni a bɛ koli kɛ, aw kana aw ɲɛmajɔ o la. Aw bɛ taa dɔgɔtɔrɔso la joona. Furakɛli teliya bɛ se ka sugunɛ tanga.
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