Yala o ye sugunɛ tɛmɛsira datugulen ye ka bɔ sugunɛ na wa? An ka kuma o kan cogo nɔgɔman na.

Yala dɔgɔtɔrɔ y’a fɔ aw ka jiginni ɲɛfɛ sɛgɛsɛgɛli senfɛ ko aw den sugunɛ kelen bɛ i ko a fununen don dɔɔni wa? Walima a ka teli ka sugunɛbilenni sɔrɔ aw denmisɛnnin na wa? N’a sɔrɔ aw bɛ kuma dimi dɔɔni kan aw kɔnɔbara kɛrɛ fɛ wa? Bi, an bɛna kuma bana dɔ kan min bɛ se ka nin ko in bila mɔgɔ la, nka a tɛ fɔ kosɛbɛ. O bɛ wele ko Ureteropelvic Junction Obstruction, walima UPJ Obstruction ni a surunyalen don.

N’an y’a fɔ cogo nɔgɔman na, UPJ Obstruction ye mun ye?

Walasa k’o faamuya, an ka fɔlɔ k’a lajɛ an ka sugunɛw bɛ baara kɛ cogo min na. Aw ye miiri an ka sugunɛw la i n’a fɔ jibɔlan fila. Joli min bɛ an fari la, o bɛ sama, ka a kɔnɔ ji nɔgɔlenw ni ji kunntanw lajɛ ka kɛ sugunɛ ye.

Sugunɛ min bɛ kɛ o cogo la, o bɛ lajɛ yɔrɔ la min bɛ i n’a fɔ funteni sugunɛ kɔnɔ (sugunɛbara basigilen) . O kɔ, sugunɛ bɛ jigin tubabufura finman dɔ fɛ (sɔgɔsɔgɔninjɛ) min bɛ daminɛ ka bɔ o funteni na ka lajɛ sugunɛ na.

Sugunɛbilenni ni sugunɛbaralabana min bɛ daminɛ yen, olu bɛ ɲɔgɔn sɔrɔ yɔrɔ min na, an bɛ min wele ko Sugunɛbilenni (UPJ).

Sisan, i y’a faamu, tiɲɛ tɛ? UPJ Obstruction ye ni balili walima balili bɛ o ɲɔgɔndan na, o kɔrɔ ye ko funteni ni tubabukan bɛ ɲɔgɔn sɔrɔ yɔrɔ min na. I n’a fɔ ni jisigiyɔrɔ pipe dɔ datugulen don cogo min na, sugunɛ tɛ se ka jigin ka a daminɛ ka fa sugunɛ kɔnɔ. Furakɛcogo la, o bɛ wele ko (Hydronephrose) ni sugunɛ falen don sugunɛ na.

Yala nin ko in ka jugu wa?

Ɔwɔ, UPJ Obstruction ye bana ye min ka kan ka ladon. Sabula, ni a ma furakɛ ka ɲɛ, sugunɛ bɛ se ka tiɲɛ ani a ka baara bɛ se ka dɔgɔya ka a sababu kɛ sugunɛ falenni ye sugunɛ kɔnɔ waati jan kɔnɔ. Ni a juguman don, sugunɛ yɛrɛ bɛ se ka kɛ baarakɛbaliya ye pewu (sɔgɔsɔgɔninjɛ dɛsɛ).

Nka, i kana i hakili ɲagami. Ni a minɛna joona ka furakɛ ka ɲɛ, a bɛ se ka kɛnɛya pewu. Den fanba bɛ se ka ɲɛnamaya kɛ kɛnɛya la, k’a sɔrɔ a ma nɔ bila kuntaalajan na.

Nin bana in taamasiɲɛw ye jumɛnw ye?

UPJ Obstruction taamasiɲɛw bɛ se ka ɲɔgɔn ta ka kɛɲɛ ni mɔgɔ si hakɛ ye. Tuma dɔw la, denmisɛnni fitini tɛ se ka bana taamasiɲɛ si jira. Nka, taamasiɲɛ dɔw bɛ yen minnu ka teli ka ye, minnu bɛ se ka ye.

O kun ye mun ye? Mun na o bɛ ka kɛ?

Bange sababuw

A ka ca a la, a ka ca ni 95% ye, UPJ Obstruction ye bana ye min bɛ sɔrɔ bangekɔlɔsi fɛ.O kɔrɔ ye ko balili bɛ kɛ barisa sugunɛ ni sugunɛ tɛ kɛ ka ɲɛ ka a sɔrɔ den bɛ ka bonya kɔnɔbara la. O sababu tigitigi ma Sɔrɔ fɔlɔ. A bɛ kɛ dɔrɔn.

Tuma dɔw la, o balili in bɛ se ka sɔrɔ fana joli sira dɔ fɛ min bɛ joli di sugunɛ ma min bɛ tɛmɛ yɔrɔ jugu la, n’o ye UPJ kolotuguda sanfɛ yɛrɛ.

Kun minnu bɛ sɔrɔ balikuya waati

Nin bana in man ca mɔgɔkɔrɔbaw la kosɛbɛ. Ni a kɛra, a bɛ se ka kɛ:

• Sugunɛbilenni bɛ datugu
• Sugunɛ sanfɛla banakisɛw
• Jogindaw opereli kɔfɛ o yɔrɔ la
• Funu bɛ kɛ sugunɛbara sanfɛla la

I bɛ nin sɔrɔ cogo di, Dɔgɔtɔrɔ?

A ka ca a la nin bana in bɛ sɔrɔ kɔnɔmaya waati, sani den ka bange, ultrasound scan kɛtuma na . Ni sɛgɛsɛgɛli y’a jira ko den sugunɛ dɔ fununna ka tɛmɛ a bonya kan (hydronephrose), dɔgɔtɔrɔw bɛna sigasiga o la.

Den bangenen kɔfɛ, sɛgɛsɛgɛli caman wɛrɛw bɛ se ka kɛ walasa ka nin bana in dɔn ani ka a dɔn tiɲɛni hakɛ min kɛra sugunɛ na.

O furakɛcogo jumɛnw bɛ yen?

Furakɛli kɛcogo bɛ dɔn fɛn caman fɛ, i n’a fɔ a balili juguya, sugunɛ baara, ani den si hakɛ.

1. Ka makɔnɔni kɛ ni ɲɛmajɔ ye

Aw kana kabakoya, den minnu bangera ni nin bana in ye, olu fanba bɛ furakɛ fɔlɔ ni kɔlɔsili ye k’a sɔrɔ opereli si ma kɛ. O bɛ kɛ barisa a bɛ se ka kɛ ko balili bɛ ɲɛnabɔ a yɛrɛ ma ni den bɛ ka bonya. O bɛ se ka kɛ den kalo 18 fɔlɔ kɔnɔ.

O waati kɔnɔ, dɔgɔtɔrɔ bɛna ultrasound scans kɛ tuma ni tuma walasa ka a lajɛ ni funu si bɛ sugunɛ na. A bɛ se ka taa a fɛ fana ka banakisɛfagalanw di minnu hakɛ ka dɔgɔn walasa ka sugunɛbaralabana bali.

2. Opereli kɛli

Ni sugunɛ fununi cayara kɔlɔsili waati la, ni sugunɛ baara dɔgɔyara, ni den bɛ to ka kirinni kɛ, walima ni kɔnɔboli ma ɲɛ kalo 18 kɔfɛ, dɔgɔtɔrɔ bɛ opereli fɔ a ye.

opereli kunba min bɛ kɛ o kama , o bɛ wele ko Pyeloplasty .

• Piyeloplastie : O ye ka sugunɛbaralabana yɔrɔ min datugulen don, a dɔgɔyalenba tigɛ ka bɔ ani ka sugunɛbara kɛnɛman ni sugunɛ siri kokura. O bɛ siraba dɔ dilan sugunɛ ka se ka tɛmɛ min fɛ. Nin opereli in bɛ ɲɛ kosɛbɛ (a ka ca ni 95% ye).
• Nin opereli in bɛ se ka kɛ i n’a fɔ opereli dafalen min bɛ kɛ cogo la walima ni tigɛtigɛ misɛnniw ye, i n’a fɔ opereli min bɛ kɛ ni laparoskopi ye.

furakɛli fɛɛrɛ wɛrɛ ye Endopyelotomy ye . O la, ni tigɛ foyi ma kɛ, kamera fitini dɔ (endoskope) bɛ tɛmɛ sugunɛbaralabana fɛ, ka a datugulen tigɛ ka bɔ kɔnɔna na ka bonya. Nka, o tɛ ɲɛ kosɛbɛ ka tɛmɛ Pyeloplasty kan.

Mun bɛ kɛ furakɛli kɔfɛ?

A ka ca a la, a bɛ dɔgɔkun fila fo dɔgɔkun naani ɲɔgɔn kɛ walasa ka kɛnɛya pewu opereli kɔfɛ. Nka a tɛ kelen ye mɔgɔ kelen-kelen bɛɛ la. Aw ka dɔgɔtɔrɔ bɛna o ɲɛfɔ aw ye ka ɲɛ.

Ni a sɔrɔla joona ani ni a furakɛra ka ɲɛ, nin bana in ɲɛnabɔcogo ka ɲi kosɛbɛ . Den fanba bɛ se ka ɲɛnamaya kɛ cogo bɛnnen na, gɛlɛya kuntaalajan si tɛ u la.

Aw ka kan ka taa dɔgɔtɔrɔso la tuma jumɛn?

Ni nin taamasiɲɛ ninnu bɛ aw walima aw den na, aw bɛ taa dɔgɔtɔrɔso la joona.

• Ni joli bɛ sugunɛ na
• Ni kuru dɔ bɛ aw kɔnɔbara la, aw tɛ se ka aw bolo don min na
• Ni dimi bɛ aw kɔnɔbara sanfɛla la walima kɔkolo la
• Ni farigan bɛ aw la (kɛrɛnkɛrɛnnenya la ni sugunɛbaralabana don) .
• Ni denmisɛnnin dɔ tɛ ka girinya ani ni a bɛ i n’a fɔ a tɛ se ka ɲɛtaa sɔrɔ

A bɛnnen don ka siran ni jɔrɔnanko caman sɔrɔ ni aw ye nin bana in mɛn, kɛrɛnkɛrɛnnenya la denba kɔnɔma na. I bɛ se k’i yɛrɛ ɲininka ko: “Yala ne ye kojugu dɔ kɛ wa?” Nka, aw hakili to a la ko nin tɛ mɔgɔ si ka hakɛ ye. A bɛ kɛ dɔrɔn. Min nafa ka bon, o ye ko furaw bɛ yen minnu bɛ se ka kɛ kosɛbɛ o la. Aw bɛ kuma aw ka dɔgɔtɔrɔ fɛ o ko la kɛnɛ kan. I bɛ se ka ɲininkali o ɲininkali kɛ a la.