Yala aw sugunɛ bɛ datugu ni sugunɛbaralabana dɔ ye wa? (Ureteropelvic Junction - UPJ Obstruction) An ka kuma nin kan!

Tuma dɔw la, an denmisɛnnin bɛ kɛ i n’a fɔ kuru fitini dɔ bɛ a kɔnɔbara la, walima a bɛ to ka sugunɛbilenni sɔrɔ, tiɲɛ tɛ? Laala ni sumaya bɛ a la. Nin ko ninnu kun dɔ bɛ se ka kɛ sugunɛ bɛ daminɛ yɔrɔ min na ka bɔ sugunɛ na, o bɛ datugu. Bi, an bɛna kuma ka ɲɛ, nɔgɔya la kosɛbɛ, nin bana in kan min bɛ wele ko `(Ureteropelvic Junction Obstruction)` walima `(UPJ Obstruction)`.

Nin ‘ureteropelvic junction obstruction’ ye mun ye?

N’an y’a fɔ a nɔgɔya la, yɔrɔ dɔ bɛ i sugunɛ fila bɛɛ sanfɛ i n’a fɔ funteni, an b’o wele ko `(Renal Pelvis)` . Sugunɛ min bɛ bɔ sugunɛ na, o bɛ lajɛ nin `(Renal Pelvis)` in na. O kɔ, o sugunɛ bɛ jigin tubabukan dɔ la min bɛ wele ko `(Ureter)` ka lajɛ sugunɛ na. `(Renal Pelvis)` ni `(Ureter)` bɛ ɲɔgɔn sɔrɔ yɔrɔ min na, o bɛ wele ko `(Ureteropelvic Junction - UPJ)`. Ni balili bɛ yen, o kɔrɔ ye ko balili bɛ yen, o yɔrɔ la, kun dɔw kosɔn, sugunɛ tɛ jigin ka ɲɛ. An b'o Weele ko `(UPJ Obstruction)`.

A ka ca a la, sugunɛ kelen-kelen bɛɛ bɛ ni `(Ureter)` kelen dɔrɔn ye. An ka sugunɛw bɛ fɛnɲɛnamafagalanw ni ji tɛmɛnenw sama ka bɔ joli la ka sugunɛ bɔ. Sugunɛ min bɛ bɔ o cogo la, o bɛ lajɛ `(Sugunɛbilenni)` la, ka tɛmɛ `(UPJ)` fɛ, ka tɛmɛ `(Sugunɛ)` fɛ ka taa sugunɛ na. Ni `(UPJ Obstruction)` bɛ yen, o sugunɛ bɛ teliya kosɛbɛ, wa tuma dɔw la a bɛ se ka jɔ pewu. O bɛ dɔ fara sugunɛ tiɲɛni farati kan.

A ka ca a la, nin bana in min bɛ wele ko `(UPJ Obstruction)` , o ye fɛn ye min bɛ sɔrɔ bange waati (o kɔrɔ ye ko `(Congenital urinary abnormality)`). Wa a ka ca a la a bɛ sugunɛ kelen dɔrɔn de minɛ. O tɔgɔ wɛrɛw ye `(UP junction obstruction)`, `(Obstruction of the ureteropelvic junction)`, walima `(UPJO)` ni a surunyalen don.

Yala nin `(UPJ Obstruction)` ye bana jugu ye wa?

Ɔwɔ, UPJ Obstruction ye bana juguba ye. Ni a ma furakɛ ka ɲɛ, a bɛ se ka kɛ sababu ye ka sugunɛbaralabana yɛrɛ sɔrɔ . O de kama a nafa ka bon ka i janto a la ani ka fɛɛrɛw tigɛ minnu ka kan. Foyi tɛ hami, nka aw ka kan ka aw janto a la.

O ko in ka ca cogo di?

Jateminɛ na, den 1500 o 1500 minnu bɛ bange, kelen ɲɔgɔn bɛ nin bana in sɔrɔ (UPJ Obstruction). O kɔrɔ ye ko, hali n’a man ca kosɛbɛ, a bɛ se ka kɛ mɔgɔ bɛɛ la.

`(Ureteropelvic Junction Obstruction)` taamasiɲɛw ye mun ye?

A taamasiɲɛ caman bɛ yen minnu bɛ se ka ye nin bana in na. Nka, tuma dɔw la, kɛrɛnkɛrɛnnenya la den fitiniw na, a bɛ se ka kɛ ko kɛnɛma taamasiɲɛ si tɛ yen.

• Dusukunnata min bɛ i n’a fɔ kurukuru kɔnɔbara la, kɛrɛnkɛrɛnnenya la kɔnɔbara kɛrɛ fɛ. O bɛ sɔrɔ sugunɛ fununi fɛ ka a sababu kɛ sugunɛ balili ye. A bɛ kɛ i n’a fɔ ji balolan.
• Sugunɛbilenni ka teli (UTI), ka fara sumaya kan. Ni denmisɛnni fitini bɛ to ka UTI sɔrɔ, o ye fɛn ye min ka kan ka jateminɛ.
• Dimi bɛ kɛ flankɔ la. Nin ye dimi ye min bɛ sɔrɔ sugunɛ kɔ la. Tuma dɔw la, o dimi bɛ na ka taa.
• Sugunɛbilenni. Sugunɛbilenni ka teli ka bɔ ni sugunɛ datugulen don.
• Joli bɛ sɔrɔ sugunɛ na (`(Hematuria)`) .
• Dusukunnata ni fɔɔnɔ.
• den ka yiriwali kɔtigɛ walima a girinya dɔgɔyali . Tuma dɔw la, o cogoyaw fana bɛ se ka ye.

UPJ Balili sababuba ye mun ye?

n y' a fɔ kaban ko UPJ Obstruction cogoya fanba ye bangekɔlɔsi fɛɛrɛw ye . O kɔrɔ ye ko ni den bɛ kɔnɔbara la, sugunɛbaralabana yɔrɔ dɔw, kɛrɛnkɛrɛnnenya la sugunɛbaralabana walima sugunɛ, olu tɛ dilan ka ɲɛ. Tuma dɔw la, o balili in bɛ se ka sɔrɔ fana joli sira dɔ degun fɛ min bɛ tɛmɛ UPJ fɛ. A ka c’a la, o kow ye ko ye min bɛ kɛ k’a sɔrɔ u ma kɛ cogo si la. Nka, ni nin bana in kɛra aw ka denbaya kɔnɔ mɔgɔ dɔ la, a bɛ se ka kɛ aw fana ka bana sɔrɔli farati ka dɔgɔn.

A man teli kosɛbɛ balikuw ka ``UPJ Obstruction`` sɔrɔ. Nka, a bɛ se ka kɛ balikuw la ka da nin kun ninnu kan:

• K' a sababu kɛ sugunɛbilenni ye .
• K’a sababu kɛ banakisɛw ye sugunɛ sanfɛla la (`Upper UTIs`) .
• Opereli kɔfɛ o yɔrɔ la.
• Ka a sababu kɛ funu (`(Fun)`) ye sugunɛbaralabana sanfɛla la .

O ko bɛ nɔ bila jɔn de la kosɛbɛ?

Ka kɛɲɛ ni kunnafoniw ye minnu bɛ sen na sisan, cɛw ka UPJ Obstruction sɔrɔli ka ca ni musow ta ye siɲɛ fila. Sɛgɛsɛgɛliw y’a jira fana ko nin bana in ka teli ka kɛ sugunɛ kiniyanfan fɛ ka tɛmɛ sugunɛ kiniyanfan kan siɲɛ fila ɲɔgɔn.

Gɛlɛya jumɛnw bɛ se ka sɔrɔ UPJ Obstruction fɛ?

Ni nin bana in (UPJ Obstruction) furakɛ ka ɲɛ, gɛlɛya suguya caman bɛ se ka sɔrɔ.

• Sugunɛbilenni minnu bɛ segin-ka-bɔ (UTI) . Tuma dɔw la, sugunɛ lamini tulumafɛnw bɛ se ka funu (perinephric stranding).
• dimi basigilen bɛ se ka kɛ yɔrɔ la min bananen don .
• Sugunɛbilenni wɛrɛw (``sɔgɔsɔgɔninjɛ kabakurun filananw``) bɛ se ka sɔrɔ.

Min nafa ka bon kosɛbɛ, o ye ko ni a ma furakɛ ka mɛn, o `(UPJ Obstruction)` bɛ se ka sugunɛ tiɲɛ ani ka laban ka kɛ sababu ye ka sugunɛ tiɲɛ . O de kama a nafa ka bon ka a sɛgɛsɛgɛ ka a furakɛ joona.

`(UPJ Obstruction)` cogoya bɛ se ka sɛgɛsɛgɛ cogo di?

A ka c’a la, .Dɔgɔtɔrɔw bɛ se ka UPJ Obstruction sɛgɛsɛgɛ ultrasound scan kɛtuma na ka den to kɔnɔbara la. O bɛ kɛ barisa sugunɛ datuguli bɛ degun bila sugunɛ kɔ la, o bɛ kɛ sababu ye ka a funu ka tɛmɛ a cogo kɔrɔ kan. o bɛ wele ko hydronephrose . O bɛ se ka ye ka jɛya ultrasound fɛ.

Hali den bangenen kɔfɛ, dɔgɔtɔrɔw bɛ se ka sɛgɛsɛgɛli suguya caman yamaruya walasa ka a dɔn sugunɛ bɛ sugunɛ bɔ cogo min na ani ka sugunɛ bɔ a la cogo min na. Olu dɔw ye:

• Joli ni sugunɛ sɛgɛsɛgɛli (`(Joli sɛgɛsɛgɛli ni sugunɛ sɛgɛsɛgɛli)`). Sɛgɛsɛgɛliw i n’a fɔ `(Blood Urea Nitrogen - BUN)` ani `(Creatinine Clearance)` bɛ se k’a jira sugunɛ bɛ joli sama cogo min na.
• Sɛgɛsɛgɛli min bɛ wele ko ``Intravenous Pyelogram - IVP'', o ye ka kalali kɛrɛnkɛrɛnnen dɔ pikiri kɛ i bolokɔni jolisira dɔ la ani ka ``X-ray'' ja ta. O kɔfɛ, kalali bɛ se ka ye ni a bɛ taa sugunɛ fɛ, ``Sugunɛbilenni'', ani ``Sugunɛbilenni'' walasa ka a dɔn ni a datugulen don.
• Ɲɛgɛnɛsiraw ka sɛgɛsɛgɛli. Nin sɛgɛsɛgɛli in na, fɛn dɔ pikiri bɛ kɛ jolisira dɔ la, ka kamera kɛrɛnkɛrɛnnen dɔ kɛ walasa k’a lajɛ a bɛ tɛmɛ sugunɛ fɛ. O bɛ se ka hakilina ɲuman di sugunɛw bɛ baara kɛ cogo min na ani a datugulen hakɛ.
• Ultrason, CT scan ani MRI. Nin ja sɛgɛsɛgɛli ninnu bɛ se ka sugunɛ, sugunɛbaralabana ani sugunɛbaralabana cogoya ye ka jɛya, ka fara sugunɛbaralabana fɛn o fɛn kan.

`(UPJ Obstruction)` bɛ furakɛ cogo di?

O bɛ bɔ ko kɛlenw de la tiɲɛ na. Ni UPJ Obstruction bɛ den na, a bɛ se ka kɛnɛya a yɛrɛ ma tuma dɔw la a si kalo 18 fɔlɔ kɔnɔ. O waati kɔnɔ, den ka dɔgɔtɔrɔ bɛna to ka ultrasound scans ni sɛgɛsɛgɛli wɛrɛw kɛ walasa ka a dɔn ni a datugulen tɛ kojugu foyi lase a ma.

Nka ni den tɛ se ka koli kɛ hali bi kalo 18 kɔfɛ, o kɔrɔ ye ko a datugulen bɛ yen hali bi, a ka c’a la, a ka kan ka opereli kɛ min bɛ wele ko ``Open Pyeloplasty'' . O la, denmisɛnw ka sugunɛbilennikɛla bɛ tigɛba dɔ kɛ, ka yɔrɔ min datugulen don, a bɛ o bɔ, ka ``Sugunɛbilenni'' ni sugunɛ siri kokura, ka da wuli dɔɔni. ``Open Pyeloplasty'' ka teli ka sanga damadɔ ta, wa a ɲɛtaa hakɛ bɛ se 95% ɲɔgɔn ma.

Tuma dɔw la, operelikɛla bɛ se ka nin opereli in kɛ ni fɛɛrɛ ye min bɛ wele ko `(Minimally invasive pyeloplasty)`, o ye robo fɛɛrɛ ye (`(robo opereli)`) . O kɔfɛ, tigɛ fitini dɔ bɛ kɛ ka `(Laparoscope)` ni opereli minɛn wɛrɛw kɛ robo dɔ fɛ. Nin fɛɛrɛ in ɲɛtaa bɛ tali kɛ `(Open Pyeloplasty) ta la.` Nka, o bɛ fɛɛrɛko dɔnniya caman de wajibiya operelikɛla fɛ. A bɛ bɔ den si hakɛ ni a bonya fana na.

Sugandili wɛrɛ ye fɛɛrɛ ye min bɛ wele ko ``Endopyelotomy''.O la, operelikɛla bɛ minɛn dɔ tɛmɛ min bɛ wele ko ``Endoscope`` (tubu finman min bɛ ni kamera ye) ka tɛmɛ sugunɛbara fɛ (``Sugunɛ``), ka tɛmɛ ``Sugunɛ`` fɛ, ka a datugulen lajɛ. O kɔfɛ, nɛgɛ dɔ bɛ tɛmɛ sira dɔ fɛ ``Endoscope`` kɔnɔ, ka datugulan tigɛ n'a ye, ka ``drain``, o kɔrɔ ye ko tubabukan, bɛ bila yen. Nin ``jibɔlan`` in bɛ to a nɔ na dɔgɔkun damadɔ fo a ka kɛnɛya. ``Endopyelotomy`` la, tigɛ tɛ kɛ, wa a ka nɔgɔn ka tɛmɛ opereli fila tɔw kan. Nka, ɲɛtaa hakɛ bɛ dɔgɔya dɔɔnin. Tuma dɔw la, a bɛ se ka kɛ ko o ka kan ka kɛ ka tɛmɛ siɲɛ kelen kan.

Ne bɛna kɛnɛya joona cogo di furakɛli kɔfɛ?

A bɛ bɔ furakɛli la aw ye min sɔrɔ aw ka UPJ Obstruction la. Mɔgɔ fanba bɛ kɛnɛya dɔgɔkun fila fo dɔgɔkun naani kɔnɔ. Nka, aw farikolo tɛ kelen ye, o la aw ka kɛnɛya waati bɛ se ka ɲɔgɔn ta. Aw ka dɔgɔtɔrɔ bɛna hakilina ɲuman di aw ma o ko la.

Yala UPJ Obstruction bɛ se ka bali wa?

Dɔgɔtɔrɔso ɲininikɛlaw ma jɛɲɔgɔnya sɔrɔ fɔlɔ dumuni ni balocogo cɛ kɔnɔmaya waati ni UPJ Obstruction yiriwali cɛ den kɔnɔ. O kɔrɔ ye ko foyi tɛ an bɛ se ka min kɛ walasa ka UPJ Obstruction bali ka kɛ bange waati.

Nka, balikuw minnu ma bange ni UPJ Obstruction ye, ni aw ye aw yɛrɛ tanga nin fɛn ninnu ma, o bɛ se ka dɔ bɔ o farati la:

• sugunɛbilenniw sɔrɔli balili .
• Aw bɛ aw tanga sugunɛbilenniw ma (UTI) .
• Aw bɛ aw yɛrɛ tanga joginda ma aw sugunɛw la .

`(UPJ Obstruction)` bana in ɲɛnabɔcogo ye mun ye?

Ni a sɔrɔla joona ani ni a furakɛra ka ɲɛ, UPJ Obstruction (UPJ Obstruction) ɲɛfɔli ka ɲi kosɛbɛ. Den fanba tɛ gɛlɛya kuntaalajanw sɔrɔ. Ani fana, ni a sɛgɛsɛgɛra sani a ka bange, a bɛ se ka ban tuma dɔw la k’a sɔrɔ a ma furakɛ.

Nka ni a sɔrɔla ko UPJ Obstruction bɛ aw la kɔfɛ, aw bɛ sugunɛ tiɲɛni farati dɔɔni. Ni a ka jugu, ni a ma furakɛ, UPJ Obstruction bɛ se ka kɛ sababu ye ka sugunɛbaralabana kɛ ani ka saya yɛrɛ bila mɔgɔ la. O de y’a to bana sɛgɛsɛgɛli ni a furakɛli joona nafa ka bon kosɛbɛ.

Aw ka kan ka taa dɔgɔtɔrɔso la tuma jumɛn?

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

• Ni joli bɛ sugunɛ na (`(Hematuria)`) .
• Ni a minɛna i bolo la i n’a fɔ kuru bɛ ​​i kɔnɔbara la.
• Ni dimi bɛ aw kɔnɔbara sanfɛla walima kɔ la (`(Flank pain)`) .
• Ni farigan bɛ aw la.
• Ni den ka bonya bɛ gɛlɛya (`(Bonya bɛ sɛgɛn / dɛsɛ ka ɲɛtaa sɔrɔ)`) .

Tuma jumɛn na aw ka kan ka taa furakɛli kɔrɔtɔlenw yɔrɔ la (ETU) ?

Ni aw tɛ se ka koli kɛ, aw bɛ taa kɔrɔtɔko yɔrɔ la min ka surun aw la joona.Nin tɛ fɛn ye min ka kan ka bila kɔfɛ.

Aw ka kan ka ɲininkali jumɛnw kɛ dɔgɔtɔrɔ la?

Aw bɛ se ka dɔgɔtɔrɔ ɲininka ɲininkaliw la i n’a fɔ ninnu:

• Aw bɛ nin bana in sɛgɛsɛgɛ cogo di `(Ureteropelvic Junction Obstruction)`?
• E fɛ, yala ne den ka UPJ Obstruction bɛna kɛnɛya ni furakɛli ma kɛ wa?
• Furakɛli suguya jumɛnw bɛ yen?
• Ni opereli ka kan ka kɛ, aw bɛ fɛɛrɛ jumɛn fɔ?
• UPJ Obstruction ka segin-ka-bɔnye cogoya ye mun ye?

Danfara jumɛn bɛ `(Ureteropelvic Junction Obstruction)` ni `(Ureterovesical Junction - UVJ) Obstruction` cɛ?

N’an y’a fɔ a nɔgɔya la, sugunɛbaralabana (UPJ) ni sugunɛbaralabana (UVJ) fila bɛɛ bɛ kɛ i ka sugunɛbaralabana (surecɛbɔlan) labanw na. UVJ ye yɔrɔ ye aw ka sugunɛbaralabana ni aw ka sugunɛbaralabana bɛ ɲɔgɔn sɔrɔ yɔrɔ min na. UVJ balili dɔ bɛ Kɛ yen. Nka UPJ balili bɛ kɛ sugunɛbaralabana la, sugunɛbaralabana bɛ ɲɔgɔn sɔrɔ yɔrɔ min na ni aw ka sugunɛ ye.

O la sa, an ka kan ka cikan jumɛn ta ka taa so ka bɔ nin bɛɛ la?

A ka ca a la, aw bɛ siran ni aw y’a mɛn ko nin gɛlɛya in bɛ se ka kɛ den na, a kɛra sɛgɛsɛgɛli kɛtuma ye ka den to kɔnɔbara la walima a bangenen kɔfɛ. N’a sɔrɔ i b’a fɛ ka i yɛrɛ jalaki, k’i yɛrɛ ɲininka ko: ‘Yala ne ye kojugu dɔ kɛ wa? Yala fɛn dɔ tun bɛ yen ne tun bɛ se ka min kɛ walisa o kana kɛ wa?’ Nka tiɲɛ yɛrɛ la, nin bana in min bɛ wele ko `(Ureteropelvic Junction Obstruction)`, o ye fɛn ye min bɛ kɛ dɔrɔn tuma dɔw la. Hali dɔgɔtɔrɔw tɛ se k’a fɔ tigitigi a sababu ye min ye.

Min nafa ka bon kosɛbɛ, o ye ko mɔgɔ caman bɛ se ka kɛnɛya ka bɔ nin `(UPJ Obstruction)` cogoya in na. O la, aw kana siran ka taa dɔgɔtɔrɔso la ka kuma a fɛ. Ɲininkaliw ni siran minnu bɛ i hakili la, u bɛ olu bɛɛ faamu. U bɛna i dɛmɛ cogo o cogo u bɛ se ka i dɛmɛ ani ka i ka ɲininkaliw bɛɛ jaabi. Sɛgɛsɛgɛli joona ani a furakɛcogo ɲuman de ye fɛnw ye minnu nafa ka bon kosɛbɛ yan.

` Sugunɛ, sugunɛbaralabana, UPJ balili, Denmisɛnw ka kɛnɛyako, sugunɛbaralabana, Opereli, Sugunɛbilenni balili