So w’akyi yaw no nyɛ nea ɛfata kɛkɛ? Momma yɛnka Ankylosing Spondylitis (AS) ho asɛm .

So w’akyi yɛ wo yaw, wo ho ayɛ wo den anɔpa, anaa wo nkwaa mu yaw pɛn fi bere a woyɛ ɔbabun? Ebia wubesusuw sɛ ɛyɛ atiridii bɔne ara kwa, biribi a efi ɔbrɛ mu ba, anaa biribi a efi nna a ɛnkɔ yiye mu ba. Saa na ɛtaa ba. Nanso ɛtɔ mmere bi a ebetumi ayɛ biribi a anibere wom kɛse. Ɛnnɛ yɛreka tebea bi a nnipa pii nnim ho asɛm, nanso ɛho hia sɛ wohu ho asɛm. Ɛno ne Ankylosing Spondylitis , anaa AS tiawa.

Sɛ yɛbɛka no tiawa a, dɛn ne Ankylosing Spondylitis (AS)?

Eyi nso yɛ ntini mu yare bi. Nanso ɛka w’akyi berɛmo titiriw. Sɛ yɛbɛka no pɛpɛɛpɛ a, ɛyɛ "inflammatory arthritis" tebea. Eyi kyerɛ sɛ wo nipadua no ankasa nipadua mu tumi a ɛko tia nyarewa no di mfomso tow hyɛ nkwaa a ɛwɔ w’akyi berɛmo mu no so. Eyi ma ɔfe, a ɛkyerɛ sɛ ɛho wosow na ɛyaw, ba w’akyi berɛmo mu nkwaa mu. Mpɛn pii no, tebea yi fi ase wɔ mmofraase, wɔ mfe 20 kosi 40. Bere kɔ so no, ɔfe a ɛkɔ so yi ma akyi berɛmo a ɛwɔ w’akyi berɛmo mu no bom, na ɛbɛyɛ te sɛ dompe biako. Wɔfrɛ eyi "ankylosis" wɔ aduruyɛ mu. Fa no sɛ te sɛ nea wɔde semɛnte ahyɛ w’akyi berɛmo mu akyi berɛmo no mu. Eyi betumi ama obi ayɛ den na wagyina hɔ a ɔyɛ kotow. Eyi ne ɔhaw titiriw a ɛwɔ AS ho.

So AS ka obiara saa ara?

Dabi, saa yare yi nka obiara pɛpɛɛpɛ. Nnipa binom te ɛyaw a emu nyɛ den a ɛba na ɛkɔ nkutoo. Ebia afoforo nso te yaw a emu yɛ den na wɔn ho yɛ den a ɛtra hɔ wɔn nkwa nna nyinaa. Nhwehwɛmu ada no adi sɛ sɛnea yare no mu yɛ den no betumi ayɛ soronko wɔ onipa biara ho. Sɛ nhwɛso no, nhwehwɛmu ahorow ada no adi sɛ nnipa akuw bi betumi anya yare no sen afoforo. Ebia eyi fi awosu mu nkɛntɛnso, nneɛma a atwa yɛn ho ahyia, ne nsonsonoe a ɛwɔ akwahosan ho nhyehyɛe a wonya mu. Bio nso, nnipa binom a wɔwɔ AS no wɔ asiane kɛse mu sɛ wobenya ayaresa mu tebea afoforo te sɛ mogya mmoroso, asikreyare, adwenemhaw, ne komayare.

So awosu mu nkwaadɔm di dwuma wɔ AS a ɛba no mu?

Obiara nnim nea ɛde ba ankasa. Nanso ɛtaa tu mmirika wɔ mmusua mu, enti wogye di sɛ efi awosu mu. Sɛ wo maame, wo papa, anaa wo nua wɔ AS a, wo nso wowɔ asiane kɛse mu kakra sɛ wubenya bi. NkankaWɔka awosu mu abɔde a nkwa wom a wɔfrɛ no HLA-B27 a ɛfa yare yi ho no ho asɛm pii. Nnipa a wɔwɔ saa awosu mu abɔde yi wɔ asiane kɛse mu sɛ wobenya AS. Nanso ade a ɛho hia sen biara wɔ ha ne sɛ wuntumi nka sɛ wubenya AS esiane sɛ wowɔ HLA-B27 awosu mu abɔde no ara kwa nti . Wɔ Sri Lanka mpo no, nnipa pii wɔ hɔ a wɔwɔ saa awosu yi nanso wonni yare biara. Afei nso, nnipa a wonni saa awosu mu abɔde yi nso betumi anya AS. Ɛno kyerɛ sɛ mprempren nnuruyɛfo gye di sɛ ɛnyɛ awosu mu nneɛma nko na ɛde yare yi ba, na mmom nneɛma afoforo a atwa yɛn ho ahyia a yennya nhui ankasa nso.

Dɛn ne AS ho sɛnkyerɛnne atitiriw?

Wɔ akyi yaw akyi no, AS betumi de sɛnkyerɛnne afoforo pii aba. Momma yɛnhwɛ sɛnkyerɛnne atitiriw no.

Nsɛnkyerɛnne a ɛkyerɛ	Ɔkwan a wubetumi afa so ate nka
Ɛyaw ne akisikuru a ɛyɛ den wɔ akyi ne akyi berɛmo mu	M’akyi te nka sɛ ɛyɛ den, titiriw bere a mesɔre anɔpa, anaasɛ bere a magyina hɔ bere a matra tebea koro no ara mu akyɛ no. Saa ɛyaw yi so tew bere a menantew kakra anaa meyɛ biribi a mfaso wɔ so no. Ɛyaw no yɛ kɛse anadwo na ebetumi mpo akanyan me afi nna mu.
Ɛyaw a ɛba nkwaa afoforo mu	Ɔhonhon ne ɛyaw betumi aba mmeae te sɛ asen, mmati, nkotodwe, asen, ne asen.
Ɔhome a ɛyɛ den	Sɛ saa ɔfe yi trɛw kɔ mpampam a ɛwɔ koko no mu a, ebia koko no ntrɛwmu kakraa bi na wobetumi ate koko mu yaw nka bere a wɔrehome denneennen no.
Aniwa mu haw (Uveitis) .	AS ayarefo bɛyɛ nkyem abiɛsa mu biako nya aniwa mu yare bi, a wɔfrɛ no uveitis. Nsɛnkyerɛnne no bi ne kɔkɔɔ a ɛyɛ kɔkɔɔ mpofirim, aniwa a ɛyɛ yaw, ɛyɛ den sɛ obehu ade, ne aniwa a ɛyɛ mmerɛw. Eyi yɛ asɛm a egye ntɛmpɛ na egye ayaresa ntɛm ara .
Nneɛma afoforo a ɛtaa ba	Ɔbrɛ a wontumi nkyerɛkyerɛ mu, atiridiinini, mu duru a ɛso tew, honam ani akisikuru, na wɔ nnipa binom fam no, dwensɔtwaa mu nyarewa te sɛ Crohn yare betumi aba.

Sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, dɛn na woyɛ?

Sɛ wo, titiriw sɛ woyɛ abofra a, woanya akyi yaw a ɛyɛ kɛse anɔpa na eye awiabere bɛboro asram 3 a, akyinnye biara nni ho sɛ ɛsɛ sɛ wokɔ w’abusua oduruyɛfo nkyɛn .

Ɛho hia sɛ wudi nokware wɔ wo yaw no ho. Sɛ woankyerɛkyerɛ mu yiye, na wususuw sɛ, "Ɛyɛ ɛyaw kakra bi kɛkɛ" a, ebetumi ayɛ den ama oduruyɛfo no sɛ obehu tebea a ɛde ba no. Enti ka wo haw nyinaa ho asɛm pefee.

Oduruyɛfo no bɛhwɛ wo na sɛ ɛho hia a, ɔhyɛ sɛ wɔnyɛ nhwehwɛmu pii te sɛ:

• X-ray nhwehwɛmu: Hwɛ nsakrae a aba akyi berɛmo ne asen mu.
• MRI scan : Wɔ yare no mfiase no, wobetumi ahu ɔfe tebea horow a wɔmfa X-ray nhu.
• Mogya mu nhwehwɛmu : Nhwehwɛmu te sɛ ESR ne CRP a ɛkyerɛ ɔfe a ɛwɔ nipadua no mu.
• Awosu mu nhwehwɛmu: Sɛ ɛho hia a, hwɛ sɛ HLA-B27 awosu mu nkwaadɔm no wɔ hɔ anaa.

Dɛn ne ayaresa ahorow no?

Ɛwom sɛ wontumi nsa AS koraa de, nanso mprempren ayaresa pa pii wɔ hɔ a ebetumi aboa ma wɔadi yare no ho sɛnkyerɛnne ahorow so, asiw akyi a ɛyɛ den ano, na watra ase sɛnea ɛsɛ.

Asetra kwan a ɛyɛ nnam

Eyi ho ayaresa a eye sen biara no mu biako ne sɛ wobɛkɔ so ayɛ nnam . Apɔw-mu-teɛteɛ a wɔyɛ no daa, titiriw apɔw-mu-teɛteɛ a ɛhyɛ akyi ne ntini a ɛwɔ akyi no mu den na ɛtrɛw no betumi aboa ma ɛyaw no so atew na akɔ so ayɛ nsakrae wɔ akyi. Apɔw-mu-teɛteɛ ho ɔyaresafo betumi aboa wo ma woanya apɔw-mu-teɛteɛ nhyehyɛe a ɛfata.

Nnuru a wɔde yɛ nnuru

Ebia wo duruyɛfo bɛkyerɛw nnuru te sɛ eyinom a egyina tebea a wo tebea no wom so:

• Nnuru a ɛnyɛ steroid a ɛko tia ɔyare mmoawa ( NSAIDs ): Eyinom ne nnuru a edi kan a wɔde ma de tew ɛyaw ne ɔfe so.
• Tumor necrosis factor (TNF) blockers: Eyinom yɛ aduru bi a wɔde yɛ abɔde mu nneɛma. Wɔde wɔn ani si ade bi a ɛde ɔfe ba so na sɛ NSAID antumi anhyɛ yare no so a, ɛhyɛ yare no so.
• Nnuru a wɔde ko tia akisikuru a ɛsakra yare (DMARDs): .Ɛtɔ mmere bi a wɔde nnuru te sɛ Sulfasalazine nso di dwuma.
• Corticosteroids : Wɔde ma bere tiaa bi bere a ɔfe no dɔɔso no.

Wɔ tebea horow bi a emu yɛ den mu no, ebia ɛho behia sɛ wɔyɛ oprehyɛn de sesa nkwaa a asɛe anaasɛ wosiesie nsakrae a ɛba akyi berɛmo no mu.

Nkrasɛm a Wɔde Kɔ Fie

• Ankylosing Spondylitis (AS) yɛ ntini mu yare bi a ɛka akyi berɛmo titiriw na efi ase wɔ ne mmofraase.
• Anɔpa akyi a ɛyɛ den ne ɛyaw (a sɛ apɔw-mu-teɛteɛ so tew) yɛ sɛnkyerɛnne titiriw.
• Ɛnyɛ akyi berɛmo nko na saa yare yi tumi ka, na mmom nipadua no afã afoforo te sɛ aniwa, mmati, ne asen nso.
• Sɛ w’akyi yɛ wo yaw bere nyinaa a, mmu w’ani ngu so na kɔ oduruyɛfo nkyɛn. Sɛ wohu yare no ntɛm a, ebetumi ama wɔasa no yiye.
• Sɛ wokɔ so yɛ nnam, woteɛteɛ w’apɔw mu daa, na wonom nnuru sɛnea wɔakyerɛw ama wo no so a, wubetumi abɔ bra a ɛfata na apɔwmuden.

ankylosing spondylitis, sɛ, akyi yaw, akyi yaw, nkwaa a ɛyɛ hyew, hla-b27, akyi yaw, ntini mu yaw, akyi yaw, sri lanka