Sugunɛbana basigilen taamasiɲɛw ye jumɛnw ye? An k’o dɔn ni kuma nɔgɔmanw ye.

Yala dɔgɔtɔrɔ y’a fɔ aw ye ko sugunɛ gɛlɛya walima ko barikantanya bɛ aw la wa? Walima i y’a mɛn ko sugunɛbana bɛ i dɔnbaga dɔ la wa? A bɛnnen don kosɛbɛ ka siran dɔɔni ani ka hami ni i ye nin kumaw mɛn. Nka n’an b’o dɔn, o siran bɛ se ka dɔgɔya fo ka se hakɛ dɔ ma. O la bi, an ka kuma nin sugunɛbana kuntaalajan in kan, o kɔrɔ ye ko `Sugunɛbana basigilen (CKD)`, a taabolo danfaralenw ye mun ye, ani an ka kan ka min kɛ a taabolo kelen-kelen bɛɛ la.

Mun na sugunɛbana (CKD) tilalen don dakunw na?

N’an y’a fɔ cogo nɔgɔman na, CKD ye bana ye min kɔnɔ sugunɛ baara bɛ dɔgɔya dɔɔni dɔɔni waati tɛmɛnen kɔfɛ. O tɛ kɛ siɲɛ kelen. O de kama dɔgɔtɔrɔw bɛ bana in tila tilayɔrɔba 1 fo 5 la walasa k’a juguya faamuya.

Miiri k’a filɛ i n’a fɔ ɛrɛzɛnsun. Ni aw bɛ ɛrɛzɛnsun sanfɛ, aw sugunɛw bɛ baara kɛ ka ɲɛ. Ni aw bɛ jigin, u ka baara bɛ dɔgɔya.

• A daminɛ na (taamasenɲɛ 1-3): Nin waati ninnu na, aw ka sugunɛw bɛ baara kɛ ka ɲɛ hali bi walima u bɛ baara kɛ cogo la min bɛ se ka kɛ . A ka ca a la, taamasiɲɛba si tɛ yen nin waati in na.
• A labanw (taamasenɲɛ 4-5): Nin waati in na, sugunɛ baara bɛ dɔgɔya kosɛbɛ. A laban na, sugunɛ bɛ se ka kɛ a bɛ se ka kɛ ko a tɛ baara kɛ pewu.

O taabolo ninnu bɛ latigɛ cogo di? GFR ye mun ye?

O bɛ ɲɛ, sisan an k’a lajɛ dɔgɔtɔrɔ bɛ se k’a dɔn cogo min na tigitigi i bɛ taabolo min na, o bɛ dɔn kɛrɛnkɛrɛnnenya la ni i ka sugunɛw ka "filtration rate" lajɛ ye.

Sugunɛ fila minnu bɛ an fari la, olu bɛ i n’a fɔ jifilen fila. Sugunɛw ka baara kunba ye ka fɛnɲɛnamafagalanw, ji tɛmɛnenw ni kɔgɔ minnu bɛ bɔ joli la, olu sama ka u saniya ka u bɔ u la i n’a fɔ sugunɛ. Sugunɛ kɔnɔna na, fɛn fitinin miliyɔn caman bɛ yen minnu bɛ o filɛri kɛcogo in kɛ. An b'u Weele ko `(nephrons)`. Filɛtiri min bɛ o sugunɛ kelen-kelen bɛɛ la, o bɛ wele ko `(glomerulus)`.

aw joli saniya joona cogo min na nin filɛri ninnu fɛ , o sumanikɛlan bɛ wele ko Glomerular Filtration Rate , walima GFR .

Ni sugunɛ tiɲɛna, o filɛri hakɛ (GFR) bɛ dɔgɔya. Ikomi a ka gɛlɛn ka nin GFR in suman k’a ɲɛsin i ma, dɔgɔtɔrɔw bɛ fɛn tiɲɛnen dɔ hakɛ suman min bɛ wele ko ``kreyatinini'' i joli la, o kɔfɛ, u bɛ baara kɛ n’o ye walasa ka i ka GFR jateminɛ ni bɛnkan kɛrɛnkɛrɛnnen ye, i n’a fɔ i si hakɛ ni i cɛya ni musoya. An bɛ o wele ko GFR jateminɛlen , walima eGFR.Nin ye nafa ye min sɛbɛnnen don i n’a fɔ eGFR aw ka joli jatebɔsɛbɛn kɔnɔ.

Ka fara o kan, sugunɛ sɛgɛsɛgɛli bɛ kɛ walasa ka farikolojɔli dumuni (albumin) lajɛ sugunɛ na. Tuma dɔw la, hali ni eGFR bɛ cogo la, farikolojɔli dumuni minnu bɛ sugunɛ na, olu bɛ se ka kɛ sugunɛ tiɲɛni taamasiɲɛ fɔlɔ ye.

CKD taabolow n’u kɔrɔ

Nin ye eGFR hakɛ ye min bɛ kɛ ka CKD taabolo 5 danfara. Aw bɛ se k’a faamu nɔgɔya la ni aw ye nin tabali in lajɛ.

Taamasiɲɛ jumɛnw bɛ se ka ye a taamasiɲɛ kelen-kelen bɛɛ la?

CKD ka fɛn kɛrɛnkɛrɛnnen dɔ ye ko a taamasiɲɛw tɛ kelen ye ka kɛɲɛ ni a taamasiɲɛw ye.

Fasa 1nan ni 2nan

Nin waati fɔlɔw la, taamasiɲɛ foyi tɛ mɔgɔ fanba la barisa u sugunɛ bɛ baara kɛ ka ɲɛ hali bi. A ka ca a la a bɛ sɔrɔ a danma ni joli walima sugunɛ sɛgɛsɛgɛli kɛra bana wɛrɛ la, walima ni tansiyɔn lajɛra. Nka mɔgɔ dɔw bɛ se ka fɛnw kɔlɔsi i n’a fɔ:

• Bolo, senw walima senkɔniw funu
• Sugunɛbilenni minnu bɛ to ka sɔrɔ
• Sugunɛ min bɛ kɛ ni fomu ye

Fasa 3a ni 3b

Ni sugunɛ baara bɛ dɔgɔya ka taa a fɛ, a bɛ gɛlɛya farikolo ma ka a yɛrɛ dege a la. O waati de la mɔgɔ caman bɛ daminɛ ka bana taamasiɲɛw ye.

• Senw ni senkɔniw fununi
• Kisɛya ni dumuni nege dɔgɔyali
• A bɛ kɛ i n’a fɔ a sɛgɛnnen don ani a tɛ ɲɛnamaya sɔrɔ
• Farikoloɲɛnajɛw
• Ninakili gɛlɛya
• Sùnɔgɔbaliya
• Fari bɛ nɛ bɔ
• A ka kan ka to ka koli kɛ, kɛrɛnkɛrɛnnenya la sufɛ
• Sugunɛ min bɛ kɛ ni fomu ye walima min bɛ kɛ dibi ye

Taabolo 4nan ni 5nan

O waati la, sugunɛw tɛ baara kɛ ka ɲɛ tuguni, wa farikolo la fɛnɲɛnamafagalanw bɛ daminɛ ka dalajɛ joli la. O bɛ se ka na ni gɛlɛyabaw ye. Ka fara taamasiɲɛ minnu fɔra sanfɛ, ninnu fana bɛ se ka kɛ:

• A ka gɛlɛn ka i hakili to fɛn na
• Kunkolodimi
• Kɔnɔbara duguma dimi
• Bolo ni senw sɔgɔsɔgɔninjɛ
• Dusukunnata ni fɔɔnɔ
• Koli dɔgɔyali walima a dabila pewu
• Ninakili jugu
• Fari kulɛri caman cili (a bɛ kɛ nɛrɛmuguma walima jɛman ye) .

Sugunɛbana furakɛcogo jumɛnw bɛ yen?

CKD fura tɛ yen fɔlɔ. Nka, furakɛli bɛ se ka bana taamasiɲɛw kunbɛn ani ka bana in taabolo sumaya. Furakɛli suguyaw tɛ kelen ye ka kɛɲɛ ni bana taabolo ye.

Furakɛli min bɛ kɛ taabolo 1 ni 2 la

Laɲini kunba min bɛ nin waati in na, o ye ka sugunɛw tiɲɛni wɛrɛw bali. Aw ka dɔgɔtɔrɔ bɛ se ka ninnu fɔ:

• Ni aw bɛ sigarɛti min, aw bɛ a dabila joona.
• Dumuni nafama dunni, kɔgɔ ni tulu ka dɔgɔn.
• Farikoloɲɛnajɛ kɛli tuma bɛɛ.
• Farikolo girinya kɔlɔsili.
• Ni sukarodunbana bɛ aw la, aw bɛ aw ka sukaro hakɛ kɔlɔsi ka ɲɛ.
• Ni tansiyɔn jiginni bɛ aw la, aw bɛ a kunbɛn.

Furakɛli min bɛ kɛ taabolo 3a ni 3b la

Nin waati in na, ka fara ɲɛnamaya kɛcogo caman caman cili kan, furaw fana bɛ se ka kɛ walasa ka bana in kunbɛn.

• Tansiyɔn jiginni furaw : Hali ni tansiyɔn jiginni tɛ aw la, fura dɔw bɛ se ka dɔ bɔ aw ka sugunɛ tiɲɛni na.
• Fura minnu bɛ kolosinsinnanw dɔgɔya.
• Sukarodunbana furaw : Fura dɔw, kɛrɛnkɛrɛnnenya la SGLT2 balilanw, bɛ di walasa ka sugunɛ tanga hali sukarodunbana tɛ mɔgɔ minnu na.
• Sugunɛ furaw : U bɛ dɛmɛ ka kɔgɔ ni ji wɛrɛw bɔ farikolo la.
• Fura wɛrɛw : Nɛgɛfura walima witamini wɛrɛw walasa kolo ka barika sɔrɔ ani ka jolidɛsɛ bali.

Furakɛli min bɛ kɛ taabolo 4nan ni 5nan na

Ni sugunɛw surunyana ka dɛsɛ, furaw dɔrɔn tɛ se ka kɛ tuguni walasa farikolo ka kɛnɛya. Furakɛli suguya fila minnu bɛ kɛ nin waati in na olu ye:

• Dialyse: Masina min bɛ joli bɔ aw ka sugunɛ na.
• Sugunɛ cili : Opereli ye sugunɛ kɛnɛman cili ye farikolo la.