Yɛn nyinaa nim sɛnea ɛyɛ den sɛ wobɛtra ase ne Ankylosing Spondylitis, anaa AS tiawa. Ɛnyɛ mmerɛw sɛ wubedi akyi yaw ne anɔpa a ɛyɛ den bere nyinaa no ho dwuma. Nanso so wunim sɛ wɔ AS mu no, asiane a ɛwɔ hɔ sɛ wubenya tebea afoforo bi no yɛ kɛse kakra? Mma wo ho nnpopo bere a wote eyi no. Ade a ɛho hia sen biara ne sɛ wubehu asiane ahorow yi. Efisɛ ɛno akyi no yebetumi adi kan ayɛ nneɛma a ɛho hia de abɔ yɛn ho ban afi wɔn ho.
Momma yensua nnompe mu yare ho ade.
Sɛ yɛbɛka no tiawa a, eyi ne bere a wo nnompe yɛ mmerɛw na ebetumi abubu ntɛmntɛm, mpo esiane sɛ wohwe ase kɛkɛ nti. Saa tebea yi abu so kɛse wɔ nnipa a wɔwɔ AS mu.
Kae sɛ AS yɛ ɔyare a ɛma nipadua no yɛ hyew. Saa ɔfe a enni sabea yi ka nnompe no akwahosan tẽẽ. Afei nso, saa tebea yi `(Osteoporosis)` betumi aba bere mpo a nantew ne apɔw-mu-teɛteɛ so tew esiane ɛyaw ne akisikuru a AS de ba nti. Anwonwasɛm ne sɛ, ɛtɔ da bi a nnuruyɛfo tumi hu `(Osteoporosis)` ho sɛnkyerɛnne ansa na nsakrae akɛse aba nipadua no mu esiane AS nti.
Sɛ́ ayaresa no, adanse bi wɔ hɔ a ɛkyerɛ sɛ nnuru a wɔde kum ɛyaw, titiriw nnuru a ekum ɔyare mmoawa a ɛnyɛ steroid (NSAID) betumi aboa ma asiane a ɛwɔ hɔ sɛ obi bebubu no so atew. Nanso, eyi ho nsɛm kakraa bi da so ara wɔ hɔ. Enti ɛyɛ den sɛ yɛbɛka sɛ ebia eyi fata obiara anaa. Afei nso, ɛwom sɛ nnuru a ɛhwɛ ɔfe so te sɛ nea esiw TNF ano betumi aboa ma nnompe no ayɛ kɛse de, nanso wonnya nhuu sɛ ebia esiw nnompe a abubu ano anaa. Ɛyɛ papa sɛ wo ne wo duruyɛfo bɛkasa afa eyi ho na woasi nea eye ma wo ho gyinae.
So wowɔ nna ho haw nso?
Nnipa pii a wɔwɔ AS no yɛ den sɛ wɔbɛda yiye anadwo. Nneɛma pii nti na ɛte saa.
- Ɛyaw: Eyi ne ade titiriw a ɛde ba. Ɛtɔ mmere bi a, ɛyaw mma wuntumi nna. Mmere foforo nso, ɛyaw no mu yɛ den esiane sɛ wunnya nna a ɛdɔɔso nti. Ɛte sɛ kyinhyia bɔne bi. Nhwehwɛmu ahorow ada no adi sɛ AS ayarefo a wɔwɔ nna ho haw no wɔ anɔpa a ɛyɛ den ne sɛnkyerɛnne afoforo kɛse sen wɔn a wɔda yiye no.
- Adwenemhaw ne Dadwen: Ɛtaa ba sɛ wobɛte adwenemhaw ne dadwen nka bere a wo ne ɛyaw a ɛkɔ so tra ase no. Saa adwene a ɛsakra yi nso betumi anya wo nna so nkɛntɛnso kɛse. Sɛ woadi awerɛhow anaa woayɛ basaa bɛboro adapɛn abien, woagyae nneɛma a na w’ani gye ho yɛ, anaasɛ woayɛ basaa asram pii a, ɛho hia sɛ wohwehwɛ aduruyɛfo afotu . Tebea a enni sabea te sɛ AS a wobedi ho dwuma no betumi ayɛ den sɛ wo nkutoo bɛyɛ.
Nan mu yaw ne ɔhaw ahorow
AS nyɛ yare a ɛwɔ akyi berɛmo mu nkutoo. Ebetumi aka nkwaa ne ntini afoforo a ɛwɔ nipadua no mu nso. Ɛyaw abu so titiriw wɔ anan mu.
- Plantar Fasciitis: Ntini bi a ɛyɛ den wɔ nan no ase a efi nan ase kosi nansoaa so. Wɔfrɛ saa ɔfe yi ``Plantar Fasciitis``. Eyi ho sɛnkyerɛnne titiriw ne ɛyaw a emu yɛ den bere a wufi mpa so anɔpa no.
- Asen mu yaw (Achilles Tendonitis): Achilles ntini a ɛka asen dompe no bom no nso betumi ama obi ate ɛyaw na ne ho ayɛ no yaw.
Nea ɛka ho no, AS ayarefo nso betumi ate ɛyaw mpɛn pii wɔ mmeae te sɛ asen nkwaa, mmati, nkotodwe, ne wɔn nansoaa.
Koko mu yaw, nanso ɛnyɛ komayare (Costochondritis) .
Eyi ma obi koko yɛ yaw. Ɛtɔ da a, ɛyaw no tumi yɛ den araa ma ebia wubesusuw sɛ ɛyɛ komayare.
Nanso eyi nyɛ koma mu haw. Ɛnam ntini a ɛka wo mpampam bom ne nufu dompe no a ɛho ahonhon no so na ɛba. Nnipa a wɔwɔ AS no taa nya saa ɔfe yi. Mpɛn pii no, ɛno ara kɔ, nanso sɛ ɛkɔ so a, ebia ebehia sɛ wonom nnuru sɛnea wo duruyɛfo kyerɛ wo no.
Adwene a wɔde si komayare ne mogya mmoroso so titiriw
Mogya mmoroso (Hypertension) .
Ɛda adi sɛ ɔhaw yi fa nnuru ko a wonom ma AS ho sen yare no ankasa. Sɛ woyɛ obi a ɔtaa de nnuru a ɛnyɛ steroid a ɛko tia ɔyare mmoawa (NSAIDs) (e.g., ibuprofen, diclofenac) di dwuma ma AS ɛyaw a, ɛsɛ sɛ wuhu asiane a ɛwɔ hɔ sɛ wubenya mogya mmoroso (hypertension). Nhwehwɛmu bi ada no adi sɛ nnipa a wɔnom saa nnuru yi bere tenten no wɔ asiane kɛse sɛ wobenya mogya mmoroso 12% sen wɔn a wɔnnom no. Enti, ɛho hia paa sɛ wo ne wo duruyɛfo kasa na wɔma wɔhwɛ wo mogya mmoroso daa.
Koma Yare
Ɛwom sɛ ɛntaa nsi de, nanso nnuruyɛfo ahu abusuabɔ bi a ɛda AS ne koma ne ntini mu yare ntam. Saa tebea horow yi betumi aba nnipa a wɔwɔ AS no mu 2% kosi 10% mu. Ɛwom sɛ abusuabɔ a ɛda AS ne komayare ntam no mu nna hɔ de, nanso yenim sɛ ɔfe a enni sabea wɔ nipadua no mu no ma asiane a ɛwɔ hɔ sɛ obi benya komayare no yɛ kɛse. Enti ebia ɛno ne ade titiriw nti a wɔde saa nkitahodi yi ba.
| Aduruyɛ mu tebea | Wɔakyerɛkyerɛ mu tiawa |
|---|---|
| Koma ne ntini mu yare | Koma ntini no sõ na ɛyɛ mmerɛw, na ɛma ɛyɛ den ma koma no sɛ ɛbɛfa mogya akɔ nipadua no nyinaa mu. |
| Nneɛma a ɛma nipadua no yɛ adwuma no mu basabasayɛ | Koma a ɛbɔ daa (ntɛmntɛm, brɛoo) esiane basabasayɛ a ɛba koma no anyinam ahoɔden nsɛnkyerɛnne nhyehyɛe mu nti. |
| Aortitis a ɛyɛ yare | Aorta, mogya ntini titiriw a ɛde mogya fi koma no mu kɔ nipadua no mu no a ɛho ahonhon. |
| Aortic valve yare | Ɔhaw ahorow a ɛwɔ valve a ɛda koma no pɔmpɛ dan titiriw ne aorta ntam no ho. |
| Komayare a ɛma mogya tu | Mogya a ɛkɔ koma ntini no mu a ɛso tew. Nea ɛde eyi ba titiriw ne ahrawa mu ntini mu yare. |
Tebea Afoforo a Autoimmune Ba
AS nso yɛ yare a nipadua no tumi ko tia nyarewa. Eyi kyerɛ sɛ nipadua no mu tumi a ɛko tia nyarewa no di mfomso tow hyɛ n’ankasa nkwammoaa so. Enti, asiane kakraa bi na ɛwɔ hɔ sɛ nnipa a wɔwɔ AS no benya nyarewa afoforo a nipadua no tumi ko tia nyarewa.
Yare a Ɛma Ɔyare a Ɛma Ɔyare (IBD) .
IBD yɛ dwensɔtwaa mu yare a ɛma obi ho hyehye no a Crohn yare ne akisikuru a ɛyɛ kurukuruwa nyinaa ka ho. Ɛntaa mma wɔ nnipa a wɔwɔ AS mu. Nanso abusuabɔ bi da nyarewa abien no ntam. Sɛ wowɔ AS ho sɛnkyerɛnne te sɛ yafunu mu yaw ne akisikuru a, ɛho hia sɛ woka kyerɛ wo duruyɛfo .
Ntini a Ɛyɛ Fɛ (MS) .
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 pɛ na wɔwɔ AS ne MS nyinaa. Nhwehwɛmu da so ara kɔ so de hu sɛ ebia abusuabɔ ankasa da nyarewa abien no ntam anaa, anaasɛ sɛ obi kɔ oduruyɛfo nkyɛn kɔhwehwɛ biako a, ɛma ɛyɛ mmerɛw sɛ obehu foforo no.
Nkrasɛm a Wɔde Kɔ Fie
- AS (Ankylosing Spondylitis) nyɛ yare bi a ɛka akyi berɛmo ne nkwaa kɛkɛ. Ebetumi aka nnompe, koma, ne akwaa afoforo nso.
- Sɛ wowɔ sɛnkyerɛnne foforo te sɛ wo koko mu yaw, wo nan mu yaw, anaa nna mu haw a, mmu w’ani ngu so. Wo ne wo duruyɛfo nkasa wɔn ho asɛm.
- Sɛ worenom nnuru a wɔde kum ɛyaw (NSAID) bere tenten a, ɛho hia yiye sɛ wobɛhwɛ wo mogya mmoroso daa.
- AS a wɔbɛhwɛ so yiye, kyerɛ sɛ, ɔfe a wɔbɛhyɛ so no ne ɔkwan a eye sen biara a wɔbɛfa so atew asiane a ɛwɔ hɔ sɛ wobenya nyarewa afoforo yi so.
- Ɔkwan a eye sen biara a wobɛfa so anya apɔwmuden ne sɛ wubehu w’akwahosan na wo ne wo duruyɛfo akasa pefee, a wunsuro anaasɛ wo ho popo.
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