So wunim sɛ sɛ wowɔ ankylosing spondylitis, anaa AS sɛnea yɛn nyinaa nim no a, asiane kɛse wom kakra sɛ wubenya akwahosan ho haw afoforo bi aka tebea no ho? Bere a ɛnyɛ bere nyinaa na ɛda adi pefee sɛ nea enti a eyi ba no, asiane ahorow yi a wubehu no betumi aboa wo ma woabɔ wo ho ban afi ho. Enti ɛnnɛ, momma yɛnka akwahosan tebea afoforo a wɔtaa hu wɔ AS ho no bi ho asɛm.
Nnompe mu yare
Sɛ yɛbɛka no tiawa a, eyi kyerɛ sɛ wo nnompe yɛ mmerɛw, n’ahoɔden so tew, na ɛda adi sɛ sɛ wohwe ase kakra mpo a, ebubu ntɛmntɛm. Saa tebea yi abu so kakra wɔ nnipa a wɔwɔ AS mu.
Ade titiriw nti a eyi ba ne ɔfe a enni sabea a AS de ba nipadua no mu ne nea efi mu ba a ɛma obi ntumi nkɔ baabiara. Fa no sɛ, ɛyaw ne akisikuru a ɛwɔ akyi ne nkwaa mu no ma ɛnyɛ den sɛ wobɛnantew na woateɛteɛ w’apɔw mu. Saa apɔw-mu-teɛteɛ a wɔhwere yi ka nnompe akwahosan tẽẽ. Nanso nea ɛyɛ nwonwa ne sɛ, ɛtɔ mmere bi mpo ansa na AS de nsakrae akɛse aba nipadua no mu no, nnipa binom tumi hu nnompe mu yare ho sɛnkyerɛnne ahorow yi wɔ wɔn nnompe mu.
Wosusuw sɛ nnuru bi a wɔde kum ɛyaw te sɛ nnuru a ekum ɔyare mmoawa a ɛnyɛ steroid (NSAIDs) ma asiane a ɛwɔ hɔ sɛ obi bebubu no so tew, nanso eyi ho nsɛm kakraa bi da so ara wɔ hɔ. Enti ɛyɛ den ma nnuruyɛfo sɛ wɔbɛka no pen sɛ ebia wɔfata obiara anaa. Afei nso, ɛwom sɛ nnuru a esiw TNF ano, nnuru bi a esiw ade bi a ɛde ɔfe ba ano no betumi aboa ma nnompe no ayɛ kɛse de, nanso wonnya nhuu sɛ ebia ebetumi asiw nnompe a abubu ano anaa.
Ɔhaw ahorow a ɛfa nna ho
Ɔhaw kɛse a ɛwɔ hɔ ma nnipa pii a wɔwɔ AS ne nna. Sɛ obi ntumi nna yiye anadwo. Sɛnea nhwehwɛmu bi kyerɛ no, AS ayarefo no fã nya nna ho haw esiane nipadua ne adwene mu ntease ahorow nti.
Dae a wontumi nna esiane ɛyaw nti
Abusuabɔ a ɛyɛ nwonwa wɔ nna ne ɛyaw ntam. Ɛtɔ mmere bi a, ɛyɛ den sɛ wubehu nea edii kan bae. Ɛyɛ den sɛ wobɛka sɛ ebia worete yaw da mũ nyinaa esiane sɛ woantumi anda sɛnea ɛsɛ anadwo nti, anaasɛ worehyia ɔhaw wɔ nna a wobɛda anadwo esiane ɛyaw a efi AS mu nti. Nanso, wɔahu sɛ AS ayarefo a wɔwɔ nna ho haw no taa nya anɔpa a wɔn ho yɛ den na wonya AS ho sɛnkyerɛnne afoforo sen wɔn a wɔda yiye no.
Adwennwen ne dadwen
Adwenemhaw ne dadwen nyinaa ka wo nna ne wo nipadua. Sɛ nhwɛso no, sɛ woadi awerɛhow, anidaso biara nni wo ho, anaasɛ wuntumi nyɛ nneɛma a na w’ani gye ho bɛboro adapɛn abien ni a, ebia wubehia mmoa. Afei nso, sɛ wowɔ dadwen a ɛkɔ so daa a ɛrehaw w’asetra bɛboro asram 6 a, hwɛ hu sɛ wo ne wo duruyɛfo bɛkasa afa ho. Sɛ wo ne tebea a enni sabea te sɛ AS bɛtra ase a, ɛnyɛ mmerɛw. Ɛno nti na ɛho hia sɛ wunya adwene mu mmoa a wuhia no.
Ɛyaw a ɛba anan mu
Ebia worebisa sɛ, "Mewɔ akyi ho haw, adɛn nti na saa nan yi yɛ me yaw?" Ɛyɛ yie sɛ wo nan reyɛ wo yaw esiane AS nti.
AS betumi aka nkwaa ne ntini ahorow a ɛwɔ nipadua no mu.
- Plantar Fasciitis: Eyi yɛ ade a ɛtaa de asen mu yaw ba. Ɛba bere a ntini a ɛyɛ den a ɛka wo nan ase dompe ne wo nansoaa bom no ho hyehye no.
- Achilles Tendinitis: Sɛ woka wo nan ase ntini a ɛyɛ den a ɛka wo nan ase (Achilles tendon) no ho hyew a , ebetumi ama woayɛ yaw kɛse wɔ wo nan ase na sɛ woka wo a, ɛyɛ mmerɛw.
Wɔ nan akyi no, nnipa a wɔwɔ AS nso taa te ɛyaw wɔ mmeae te sɛ wɔn asen, mmati, nkotodwe, ne wɔn nansoaa.
Koko mu yaw (Costochondritis) .
Eyi yɛ koko mu yaw a ebetumi ate nka te sɛ komayare pɛpɛɛpɛ. Nanso mma ɛnhaw wo, eyi nyɛ koma mu haw.
Ɛyaw yi fi ntini a ɛka wo mpampam ne wo nufu dompe no ho hyew. Sɛ́ obi a ɔwɔ AS no, apɔw-mu-teɛteɛ a woteɛteɛ w’apɔw mu da biara da no betumi aboa wɔ eyi mu. Ɛtɔ da bi a, ɛyaw yi fi hɔ ara, nanso sɛ ankɔ a, wo duruyɛfo bɛkyerɛw nnuru ama wo.
Mogya mmoroso ne komayare
Mogya mmoroso (Hypertension) .
Ɛda adi sɛ ɔhaw yi fa nnuru ko a wonom ma AS ho sen biribi a tebea no ankasa de ba tẽẽ. Sɛ woyɛ obi a wode NSAIDs (nnuru a ɛnyɛ steroid a ɛko tia ɔyare mmoawa) di dwuma de di AS ɛyaw ho dwuma a, asiane kɛse wom kakra sɛ wubenya mogya mmoroso, anaa mogya mmoroso.
Nhwehwɛmu bi daa no adi sɛ AS ayarefo a wɔde NSAID di dwuma bere nyinaa no wɔ asiane kɛse 12% sɛ wobenya mogya mmoroso sen wɔn a wɔamfa anni dwuma anaasɛ wɔde dii dwuma bere a ɛho hia nkutoo no.
Asiane a ɛwɔ hɔ sɛ obi benya komayare
Ɛwom sɛ ɛnyɛ nea ɛtaa ba de, nanso nnuruyɛfo ahu abusuabɔ bi a ɛda AS ne koma ne ntini mu yare ntam. AS ayarefo 2% kosi 10% betumi anya saa ɔhaw ahorow yi. Ade titiriw nti a ɛte saa ne sɛ ɔfe a enni sabea a ɛwɔ nipadua no mu a AS de ba no nso ka koma akwahosan.
| Koma mu tebea | Sɛ yɛbɛka no tiawa a... |
|---|---|
| Koma ne ntini mu yare | Koma ntini no yɛ kɛse na ɛyɛ mmerɛw, na ɛma tumi a etumi de mogya kɔ nipadua no mu no so tew. |
| Nneɛma a Ɛma Nneyɛe Ho Basabasayɛ | Koma a ɛbɔ daa (ntɛmntɛm, brɛoo ) esiane basabasayɛ a ɛba koma no anyinam ahoɔden nsɛnkyerɛnne nhyehyɛe mu nti. |
| Aortitis a ɛyɛ yare | Aorta, ntini titiriw a ɛde mogya fi koma no mu kɔ nipadua no mu no mu ɔfe. |
| Aortic Valve Yare a Ɛyare | Ɔhaw ahorow a ɛwɔ valve a ɛda koma no pɔmpɛ dan titiriw ne aorta ntam no ho. |
| Koma Yare a Ɛyɛ Ischemic | Mogya a ɛkɔ koma ntini no mu no so tew. Mpɛn pii no, ahrawa mu ntini mu yare na ɛde eyi ba. |
Yare a Ɛma Ɔyare a Ɛma Ɔyare (IBD) .
IBD yɛ tebea a Crohn yare ne akisikuru ka ho. Ɛntaa mma sɛ IBD bɛba wɔ AS ho. Nanso esiane sɛ abien no nyinaa yɛ tebea horow a nipadua no tumi ko tia nyarewa, a ɛkyerɛ sɛ nipadua no mu tumi a ɛko tia nyarewa no di mfomso tow hyɛ n’ankasa nipadua so nti, abusuabɔ bi da abien no ntam. Sɛ wowɔ sɛnkyerɛnne te sɛ yafunu mu yaw ne ɔfe a ɛka AS ho a, ɛho hia sɛ wo ne ntini mu yare ho oduruyɛfo kasa.
Multiple Sclerosis (MS) yare a ɛma obi ho kyere no
MS yɛ yare a ɛka amemene ne akyi berɛmo. Ɛha nso, nipadua no mu tumi a ɛko tia nyarewa no tow hyɛ ade a ɛbɔ ho ban a atwa ntini ahorow ho ahyia no so. Nnipa kakraa bi na wɔwɔ MS ne AS nyinaa. Nhwehwɛmu da so ara kɔ so de hu sɛ ebia abusuabɔ ankasa da nyarewa abien no ntam, anaasɛ sɛ obi kɔ oduruyɛfo nkyɛn ma ɔyare biako a, ɛbɛma wɔahu foforo no ntɛm anaa.
Nkrasɛm a Wɔde Kɔ Fie
- Ma ɛntra w’adwenem sɛ nyarewa afoforo te sɛ nnompe mu yare, komayare, mogya mmoroso, ne nan mu yaw betumi aka AS ho.
- Ɔfe a enni sabea a AS de ba no ne nea ɛde ɔhaw ahorow yi pii ba.
- Sɛ wunya sɛnkyerɛnne foforo (e.g., koko mu yaw, akyi yaw, nna a wontumi nna, dadwen a ɛboro so) a, nnye ntom sɛ "ɛne AS nni abusuabɔ."
- Wo ne wo duruyɛfo nka eyinom nyinaa ho asɛm pefee. Sɛ woka wo haw nyinaa kyerɛ no a, ɛbɛboa wo ma woanya ayaresa a ɛfata na woadi asiane ahorow yi ho dwuma.
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