Yala aw denmisɛnnin bɛ to ka sugunɛbilenni (UTI) sɔrɔ wa? Walima dɔgɔtɔrɔ ye fɛn dɔ fɔ i n’a fɔ funu fitini dɔ bɛ den sugunɛ na sɛgɛsɛgɛli kɛtuma na i kɔnɔmaya waati wa? Nin fɛn ninnu sababu dɔ bɛ se ka kɛ bana ye min bɛ wele ko Ureterocele. N’a sɔrɔ i ma o tɔgɔ mɛn fɔlɔ. Nka, i kana i hakili ɲagami. O ye ko kura ye bangebaga caman bolo. An ka kuma o kan cogo nɔgɔman na ani ka jɛya bi.
N’an y’a fɔ cogo nɔgɔman na, Ureterocele ye mun ye?
O bɛ ɲɛ, an ka fɔlɔ ka sugunɛ kɛcogo faamuya an farikolo la cogo min na nɔgɔya la kosɛbɛ. Sugunɛ fila b’an fari la. Olu de bɛ an joli sama ka fɛnw bɔ yen minnu tɛ mako ɲɛ i n’a fɔ sugunɛ, walima sugunɛ . Sugunɛ min bɛ kɛ o cogo la, o bɛ lajɛ sugunɛ na tubabufura fila fɛ. o tubabufura fila bɛ wele ko sugunɛbaralabana . Ni sugunɛ falen don, an b’a ye ko a ka kan ka koli kɛ .
Sisan, bana dɔ la min bɛ wele ko ureterocele, sugunɛbara laban min bɛ sugunɛ ta ka bɔ sugunɛ na ka taa sugunɛ na, o bɛ funu i n’a fɔ balon. Miiri k’a filɛ, jibolisira dɔ laban bɛ funu dɔɔni. O ye o ɲɔgɔnna fɛn ye. O funu in kosɔn, sugunɛ tɛ se ka woyo ka ɲɛ ka don sugunɛbara la. O kɔ, sugunɛ bɛ gɛrɛntɛ ka segin san fɛ, o kɔrɔ ye ka taa sugunɛ fan fɛ. Furakɛcogo la, an bɛ o wele ko (Vesicoureteral Reflux) . Ni sugunɛ seginna sugunɛ na nin cogo la, o man ɲi sugunɛ kɛnɛya ma fewu.
Min nafa ka bon, o ye ko sugunɛbaralabana ye bana ye min bɛ sɔrɔ bangekɔlɔsi fɛ . O kɔrɔ ye ko a bɛ yiriwa ka den to ka bonya kɔnɔbara la.
Yala sugunɛbaralabana suguya kunbabaw bɛ yen wa?
Ɔwɔ, dɔgɔtɔrɔw bɛ nin bana in tila ka kɛ suguya caman ye. Wajibi tɛ i ka dɔnniya caman sɔrɔ ninnu kan, nka a ka ɲi i ka faamuyali caman sɔrɔ.
- Ka kɛɲɛ ni fan min bananen don: Tuma dɔw la, o bɛ se ka kɛ sugunɛ kelen dɔrɔn de la (yɔrɔ kelen). O de ye suguya ye min ka teli ka kɛ. A man teli kosɛbɛ, nin bana in bɛ se ka kɛ sugunɛ fila bɛɛ la (yɔrɔ fila).
- Ka kɛɲɛ ni yɔrɔ ye:
- Sugunɛbilenni kɔkanna : Nin ye suguya ye min ka ca denyɛrɛniw ni denmisɛnni fitiniw na. Yan, kurukuru min bɛ i n’a fɔ balon, o bɛ se ka jigin fo ka se sugunɛ ma, sugunɛ kɔ ni sugunɛbaralabana fana sen bɛ o la.
- Intravesical Ureterocele : Nin suguya in na, kurukuru bɛɛ bɛ kɛ sugunɛ kɔnɔ. A tɛ janya sugunɛbara kɔkan.
Nin danfara ninnu nafa ka bon kosɛbɛ dɔgɔtɔrɔ bolo walasa ka furakɛli fɛɛrɛw dɔn.
Nin bana in ka ca cogo di? Jɔn de ka teli ka a sɔrɔ?
Nin tɛ bana ye min ka ca kosɛbɛ. A bɛ den kelen ɲɔgɔn minɛ denmisɛn 5000 o 5000 la. A ka ca npogotigininw fana na ka tɛmɛ cɛdenw kan.
Sugunɛbilenni taamasiɲɛw ye mun ye?
A ka ca a la, sugunɛbaralabana fitini tɛ se ka taamasiɲɛ foyi lase mɔgɔ ma. Nka, gɛlɛya bɛ daminɛ ni sugunɛ tɛ se ka woyo ka ɲɛ, o bɛ na ni sugunɛbilenni ye (UTI) . Ni den ye UTI sɔrɔ, u bɛ se ka nin taamasiɲɛ ninnu jira:
| Taamaʃyɛn | A ɲɛfɔra cogo nɔgɔman na |
|---|---|
| Dimi/jeni ni koli bɛ kɛ | ni den kasilen don walima ni a bɛ a jira ko a bɛ koli kɛ . |
| Sugunɛ kasa bɛ bɔ | Sugunɛ kasa ka bon, a kasa man di ka tɛmɛ a cogo kɔrɔ kan. |
| Kɔnɔdimi walima kurukuruni dusukunnata | Dimi bɛ kɛ kɔnɔbara dugumayanfan na walima a bɛ kɛ i n’a fɔ kurukuru bolo la. |
| Joli bɛ sɔrɔ sugunɛ na | Sugunɛ bɛ kɛ pinɛ ye walima ka kɛ bilen ye. |
| A ka kan ka to ka koli kɛ | A ka kan ka koli kɛ ka caya ka tɛmɛ a cogo kɔrɔ kan. |
| SugunɛSebaliya ka fanga kɔrɔsi | koli seginni den na min ye a ka sugunɛ kunbɛnni dege kaban . |
| Sebaliya ka sugunɛ lankolonya pewu | a bɛ kɛ i n' a fɔ sugunɛ bɛ to hali bi koli kɔfɛ . |
Ni nin taamasiɲɛ ninnu dɔ bɛ den na, a nafa ka bon kosɛbɛ ka taa dɔgɔtɔrɔso la joona .
Mun na o bɛ ka kɛ? O kun ye mun ye?
I n’a fɔ an y’a fɔ cogo min na ka tɛmɛ, o bɛ kɛ barisa sugunɛbaralabana laban tɛ yiriwa ka ɲɛ ka sɔrɔ den bɛ ka yiriwa kɔnɔbara la. Tuma dɔw la, a taamasiɲɛw bɛ se ka ye balikuya fana na, nka a sababu ye kelen ye.
Nin ye fɛn ye min nafa ka bon kosɛbɛ ba ni fa bɛɛ hakili la. Nin tɛ fɛn ye i ye kojugu kɛ kɔnɔmaya waati, walima i ye fɛn min dun walima ka min, walima i ye fɛn min kɛ. Ɲininikɛlaw dalen b’a la ko o bɛ kɛ k’a sɔrɔ a ma kɛ cogo si la. O la sa, kana hami o la kun tɛ.
Yala nin ye ko juguba ye wa? Gɛlɛya jumɛnw bɛ se ka sɔrɔ?
Ureterocele ye bana ye min bɛ se ka furakɛ, nka a ka kan ka ta kosɛbɛ. Ni a ma furakɛ, a bɛ se ka gɛlɛya jugumanba lase mɔgɔ ma.
Barisa, ni sugunɛ ma woyo ka ɲɛ ani ni a falen don sugunɛ na (sugunɛ tali), sugunɛbana (UTI) bɛ sɔrɔ. Ni o banakisɛw bɛ taa a fɛ ka caya, u bɛ a daminɛ ka sugunɛ tiɲɛ .
Farati wɛrɛw ye:
- Sugunɛbilenni
- Sugunɛbilenni tiɲɛni
- Sugunɛbilenni minnu bɛ segin-ka-bɔ (UTI) .
fɛn min nafa ka bon kosɛbɛ aw hakili la , o ye ko sugunɛ tiɲɛni tɛ se ka segin kɔ . O kɔrɔ ye ko ni sugunɛ dɔ bɔnɛna a ka baara la, a tɛ se ka segin a cogo kɔrɔ la. O de kama bana sɛgɛsɛgɛli ni furakɛli joona nafa ka bon walasa ka sugunɛ baara sabati.
Dɔgɔtɔrɔw bɛ o sɔrɔ cogo di?
A nisondiyalen don, Ureteroceles fanba bɛ sɔrɔ jiginni ɲɛfɛ ultrasound sɛgɛsɛgɛliw senfɛ.A bɛ se ka dɔn ni sɛgɛsɛgɛli yɛrɛ ye. A ka ca a la, anomaliya sɛgɛsɛgɛli senfɛ, min bɛ kɛ dɔgɔkun 20 ɲɔgɔn na, dɔgɔtɔrɔ bɛna sigasiga ko den sugunɛ walima sugunɛbara dɔ fununen don. O kɔ, o bɛ se ka tiɲɛ ni sɛgɛsɛgɛliw ye den bangenen kɔfɛ.
Tuma dɔw la, a bɛ sɔrɔ den bangenen kɔ. A ka ca a la a bɛ sɔrɔ sɛgɛsɛgɛliw senfɛ minnu bɛ kɛ ni bana taamasiɲɛw bɔra kɛnɛ kan sani u ka se san 2. A bɛ se ka sɔrɔ fana a danma sɛgɛsɛgɛliw senfɛ minnu bɛ kɛ balikuw la sugunɛbilenni walima sugunɛbilenniw na.
Aw ka dɔgɔtɔrɔ bɛ se ka nin sɛgɛsɛgɛli ninnu dɔ la kelen walima caman fɔ:
| Kɔrɔbɔli | I bɛ min kɛ dɔrɔn |
|---|---|
| Sugunɛ ultrasound (Sugunɛ ka Ultrason). | Sugunɛ, sugunɛbaralabana ani sugunɛbaralabana bɛ sɛgɛsɛgɛ walasa ka a dɔn ni u cogoya ni u funu tɛ. |
| VCUG (Voiding Cystourethrogramme) sɛgɛsɛgɛli | Ji kɛrɛnkɛrɛnnen dɔ bɛ don sugunɛ na, ka sɔrɔ ka rezow ta ka den to koli la walasa ka a dɔn ni sugunɛ bɛ segin kɔ ka don sugunɛ na (reflux). |
| Ɲɛgɛnɛsiraw ka sɛgɛsɛgɛli | Sɛgɛsɛgɛli kɛrɛnkɛrɛnnen dɔ kɛ walasa ka a dɔn sugunɛw bɛ baara kɛ cogo min na ani ni u tiɲɛna. |
| CT walima MRI sɛgɛsɛgɛli | Olu bɛ kɛ ka sugunɛ kɛcogo 3D ja jɛlenw sɔrɔ, minnu bɛ ɲɛfɔ ka ɲɛ. |
| Sugunɛ Sɛgɛsɛgɛli | Aw bɛ a lajɛ ni sugunɛbaralabana (UTI) bɛ a la. |
Sugunɛbilenni bɛ furakɛ cogo di?
Furakɛli kɛcogo bɛ dɔn fɛn caman fɛ.
- Bana in bɛ sɔrɔ tuma jumɛn? (Kɔnɔmaya waati walima denmisɛnya la?)
- Yala sugunɛ degunna wa?
- Yala aw bɛ ni vesicoureteral reflux ye wa?
Ni o kɔlɔsira sɛgɛsɛgɛli senfɛ kɔnɔmaya waati, banakisɛfagalanw bɛ se ka di a ma walasa ka dɔ bɔ banakisɛ sɔrɔli la fo ka se den bangeli ma. Den bangenen kɔfɛ, furakɛli ɲuman bɛna dɔn ka da den ka cogoya kan.
Furakɛli fɛɛrɛba ye opereli ye.
Opereli furakɛli minnu bɛ kɛ
opereli kunba ye ka funu bɔ min bɛ i n' a fɔ balon ani ka sugunɛbaralabana lajɔ . Fɛɛrɛ damadɔ bɛ yen o kama.
1. Transurethral Puncture: O bɛ i n’a fɔ ka balon sɔgɔ ni pikirijikɛlan ye. Operelikɛla bɛ minɛn finman dɔ don (cystoscope) ni kamera ye sugunɛbaralabana kɛrɛ fɛ, ka don sugunɛbara la, ka dingɛ fitini dɔ kɛ sugunɛbara fununen na. O bɛ a to sugunɛ min datugulen don, o bɛ se ka woyo ka bɔ a yɛrɛ la. A ka ca a la o tɛ opereliba ye, wa aw bɛ se ka taa so o don kelen na k’a sɔrɔ aw ma to dɔgɔtɔrɔso la (banabagatɔ kɔkanna taabolo). Nka, o bɛ kɛ anestezi basigilen na denmisɛnw na.
2. Sugunɛbilenni seginni : Nin ye opereli ye min ka gɛlɛn dɔɔni. Yan, operelikɛla bɛ tigɛ fitini dɔ kɛ kɔnɔbara dugumayanfan na ka don sugunɛ na. O kɔ, sugunɛbaralabana yɔrɔ min bɛ ni sugunɛbaralabana ye, o bɛ tigɛ ka bɔ a la, ka sɔrɔ ka tubabufura siri sugunɛ na kokura. Flap valve min bɛ sugunɛ bali ka taa kɔfɛ, o fana bɛ bila yɔrɔ wɛrɛ la. Nin opereli in bɛ ɲɛ kosɛbɛ 90% - 95% la.
3. Sugunɛbilenni (Upper Pole Nephrectomy): Nin opereli in bɛ kɛ ko kɛrɛnkɛrɛnnenw na. Den dɔw bɛ se ka sugunɛ kɛ ni duplex ye . O kɔrɔ ye ko sugunɛ kelen min bɛ fan kelen fɛ, o tilalen don yɔrɔ fila ye. Ni sugunɛ in sanfɛla tiɲɛna kosɛbɛ sugunɛbaralabana fɛ, ni a ma baara kɛ fewu, opereli bɛ kɛ ka yɔrɔ min tɛ baara kɛ.
Kɔlɔsili kɛli makɔnɔni na
A ka ca a la, o bɛ kɛ mɔgɔkɔrɔbaw de la. Ni sugunɛbaralabana ka dɔgɔn kosɛbɛ, taamasiɲɛ foyi tɛ a la, wa ni tiɲɛni tɛ sugunɛ na, dɔgɔtɔrɔ bɛ se k’a latigɛ ka bana in kɔlɔsi k’a sɔrɔ opereli ma kɛ.
Yala nin bana in bɛ se ka kɛnɛya pewu wa?
Ɔwɔ, tiɲɛ yɛrɛ la. Sugunɛbilenni bɛ se ka kɛnɛya pewu ni opereli ye. Ni sugunɛbaralabana balili bɔra, o gɛlɛya bɛ ɲɛnabɔ. Nka i n’a fɔ an y’a fɔ cogo min na ka tɛmɛ, ni tiɲɛni kɛra sugunɛ na kaban, o tiɲɛni tɛ se ka dilan. Fɛn min ka fisa, o ye ka tiɲɛni wɛrɛw dabila. O de y’a to bana sɛgɛsɛgɛli ni a furakɛli joona nafa ka bon kosɛbɛ.
Take-Home cikan
- Sugunɛbilenni ye sugunɛbaralabana laban bɔli ye bangenen fɛ i n’a fɔ balon ka don sugunɛ na.
- O tɛ bɔ aw ye kojugu si kɛ kɔnɔmaya waati. A bɛ kɛ dɔrɔn k’a sɔrɔ a ma kɛ cogo si la.
- A taamasiɲɛ fɔlɔ ye sugunɛbilenni ye tuma caman (UTI). Tuma dɔw la, a bɛ se ka kɛ ko bana taamasiɲɛ si tɛ yen fewu.
- Ni a ma furakɛ, sugunɛ bɛ se ka kɔsegin ka sugunɛ tiɲɛ kudayi.
- A ka ca a la, o bɛ se ka ye kɔnɔmaya sɛgɛsɛgɛli senfɛ. O ye hɛrɛba ye.
- Nin bana in bɛ se ka kɛnɛya pewu ni opereli ye. Furakɛli fɛɛrɛw bɛ ɲɛ kosɛbɛ.
- Ni UTI taamasiɲɛw bɛ den na, i n’a fɔ farigan, kɔnɔdimi, walima dimi ni a bɛ koli kɛ , aw bɛ taa dɔgɔtɔrɔso la joona.
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