Yɛn nyinaa akyi yɛ yaw wɔ yɛn asetra mu bere bi, ɛnte saa? Sɛ wokotow kakra wɔ ɔkwan a ɛnteɛ so anaasɛ woma ade a emu yɛ duru so a, ɛyaw no befi hɔ wɔ nna abien akyi. Nanso... ɛtɔ da bi a saa akyi yaw yi nyɛ mmerɛw saa. Ebetumi ayɛ ɔhaw kɛse bi a ahaw wo mfe pii na wontumi nhu no yiye no mfiase. Ɛnnɛ yɛreka tebea a ɛte saa biako ho asɛm. Ɛno ne Ankylosing Spondylitis, anaasɛ AS tiawa.
Dɛn ne Ankylosing Spondylitis (AS)?
Sɛ yɛbɛka no tiawa a, Ankylosing Spondylitis (AS) yɛ ntini mu yare a ɛtra hɔ kyɛ na ɛyɛ hyew a ɛka w’akyi berɛmo titiriw . Nea ɛba ne sɛ nipadua no mu tumi a ɛko tia nyarewa no di mfomso tow hyɛ nkwaa a ɛwɔ w’akyi berɛmo mu no so. Bere kɔ so no, saa ɔfe yi betumi ama w’akyi berɛmo mu akyi berɛmo no ayɛ biako, na ama wotumi ayɛ nsakrae na ama woakotow.
Nnuruyɛfo binom ka sɛ, sɛ wohu yare yi a, ɛte sɛ nea worehwehwɛ ade wɔ sare mu. Nneɛma pii nti na ɛte saa.
Dɛn nti na ɛyɛ den saa sɛ wobehu AS?
Nhwehwɛmu ahorow ada no adi sɛ ɛtaa gye mfe 7-10 fi bere a AS sɛnkyerɛnne ahorow no fi ase kosi sɛ wobehu yare no yiye. Wo de susuw bere tenten a ɛno yɛ ho hwɛ! Nneɛma atitiriw a enti ɛte saa ne:
- Akyi yaw abu so: Sɛnea yɛadi kan aka no, akyi yaw abu so yiye. Enti, nnipa pii susuw sɛ ɛyɛ ade a ɛfata na wobu wɔn ani gu so.
- X-ray amanneɛbɔ a ɛkyɛ: Wɔ AS mu no, akyi berɛmo ne akyi berɛmo no sacroiliac nkwaa a ɛsɛe no da adi wɔ X-ray so bere a yare no akɔ anim kakra akyi.
- Ɛsono sɛnea yare no ho sɛnkyerɛnne: Ɛsono sɛnea AS ka onipa biara. Nnipa binom akyi yɛ wɔn yaw nkutoo, bere a afoforo nso betumi anya ɔhaw ahorow wɔ wɔn aniwa, wɔn nan ase, ne wɔn nkwaa afoforo ho.
- Nhwehwɛmu biako a wonni: Mogya mu nhwehwɛmu anaa scan biako biara nni hɔ a ebetumi asi so dua 100% sɛ eyi yɛ AS.
Saa pon yi bɛboa wo ma woate nsonsonoe a ɛda akyi yaw a ɛfata ne ɛyaw a AS de ba no ase.
| Su a ɛwɔ hɔ | Mfiridwuma mu Akyi Ɛyaw | Akyi yaw wɔ AS (Inflammatory Back Pain) mu . |
|---|---|---|
| Ɛyaw no ne nea ɛsen biara. | Adwuma akyi, wɔ da no awiei | Anɔpa ne anadwo, titiriw bere a wɔagye wɔn ahome awie no |
| Bere a woagye w’ahome no | Ɛyaw no so retew. | Ɛyaw ne nea ɛyɛ den no kɔ soro. |
| Apɔw-mu-teɛteɛ/Kankan | Ɛyaw no betumi ayɛ kɛse. | Ɛyaw ne sɛnea ɛyɛ den no so tew |
| Anɔpa a Ɛyɛ Den | Ɛkyɛ nnu simma 30 | Edi bɛboro simma 30 (ɛtaa boro dɔnhwerew biako) . |
Nkwa a wɔde di dwuma wɔ misdignoses mu...
Sɛ yɛte nnipa a wɔte saa yare yi suahu ahorow a, yɛte aniberesɛm a asɛm yi yɛ no ase yiye mpo.
Don asɛm: "Ɛte sɛ aniwa anifurae, nanso aniwa no da adi".
Egyee Don mfe 7 ansa na wɔrehu yare no. Nanso sɛ ɔhwɛ n’akyi a, ɔte nka sɛ egyee no mfe 30. Bere a ofii ase yɛɛ ne kotodwe mu yaw bere a na wadi mfe 10 no, obiara frɛɛ no "ɛyaw a ɛma onyin."
Nanso bɛyɛ mfe 40 no, n’asetra danee ehu. Ɛno ne bere a onyaa uveitis , aniwa mu yare bi a ɛyɛ hyew a ebetumi ayɛ AS ho haw a emu yɛ den. "Mehweree m'ani ankasa. Na mitumi hu nsusuwii ahorow nkutoo, na na mete hann nka yiye. Na ɛte sɛ nea m'ani afura, nanso na ɛnyɛ anifuraefo ankasa," Don ka.
Ɛwom sɛ aniwa ho animdefo antumi anhu nea ɛde ba de, nanso wosusuwii sɛ ebia ɛyɛ “yare bi a nipadua no tumi ko tia nyarewa.” Esiane sɛ Don nni mmuae a emu da hɔ nti, ɔde saa asɛm no too nkyɛn. Bere a ɔde mfe pii kɔɔ nnuruyɛfo bɛboro 30 nkyɛn na wɔsaa no yare wɔ biribiara ho fi kokoram so kosi ntini mu yare so akyi no, awiei koraa no wohui sɛ ɔwɔ AS bere a ɔkɔɔ akisikuru ho oduruyɛfo nkyɛn akyi.
Charis asɛm: "Ɛnyɛ yareɛ a ɛka mmarima nko ara".
Charis na ne maame na ɔtetee no. Ná ne papa wɔ AS. "Ná minnim yare no din mpo. Nanso na minim sɛ merennya, efisɛ na ɛyɛ 'mmarima yare'," Charis ka.
Eyi yɛ adwene a ɛnteɛ wɔ nnipa pii mu. Bere a kan no na wosusuw sɛ mmarima nkutoo na AS ka wɔn no, nsɛm a aba nnansa yi kyerɛ sɛ yare no ka mmea nso wɔ ɔkwan a ɛho hia so.
Ná Charis rehu amane wɔ ne kotodwe ne nkwaa afoforo mu yaw fi ne mmofraase, nanso osusuwii sɛ ɛyɛ ɔhaw foforo bi bere a na ɔbɔ agumadi no. Oduruyɛfo bi ka kyerɛɛ no sɛ ɛyɛ dadwen. Nanso Charis annye no anni. Ná osusuw sɛ yare no ho sɛnkyerɛnne no te sɛ ne papa de no. Awiei koraa no, bere a obisaa ne papa, na odii n’afotu akyi no, ɔkɔɔ oduruyɛfo nkyɛn na wohui sɛ ɔwɔ AS.
AS ayarefo bɛyɛ 80%-95% wɔ awosu mu abɔde a wɔfrɛ no HLA-B27 . Yebetumi anya eyi afi awofo hɔ ama mmofra. Nanso, ɛnyɛ obiara a ɔwɔ saa awosu mu abɔde yi na obenya AS, na wobetumi nso anya AS a saa awosu mu abɔde yi nka ho. Enti, wontumi mfa awosu mu nhwehwɛmu nkutoo so nhu eyi.
Charis ka ne nkate ho asɛm sɛnea edidi so yi:
"Adwenemhaw ne yare a enni sabea te sɛ wɔn nuanom mmarima, wɔbom bɔ bere nyinaa."
Akwantu tenten a wɔde kɔ baabi a wobehu yare no betumi ayɛ nea ɛma obi ho dwiriw no wɔ nkate fam. Enti sɛ worefa biribi a ɛte sɛɛ mu a, ntwentwɛn wo nan ase sɛ wobɛka ho asɛm na sɛ ɛho hia a, hwehwɛ mmoa fi adwenemyare ho ɔbenfo hɔ.
Dɛn nti na nnuruyɛfo hwere AS?
Ade biako nti a ɛte saa ne bere tiaa a wɔde hwɛ ayarefo no. Oduruyɛfo bi a ɔyɛ ɔbenfo ka sɛ: “Simma 15 pɛ a wode bɛtra ɔyarefo bi nkyɛn no nnɔɔso.” Sɛ wubehu yare a emu yɛ den te sɛ AS a, ɛsɛ sɛ wutie nea ɔyarefo no reka no yiye na wubisa nsɛm a ɛfata.
Afei nso, ɛtɔ mmere bi a AS ho sɛnkyerɛnne te sɛ nyarewa afoforo de. Nhwɛsoɔ:
- Ɛyaw a ɛba akyi ne nan ase
- Psoriasis, honam ani yare bi
- Nyarewa a ɛma aduan mu yɛ den te sɛ Crohn yare anaasɛ akisikuru a ɛma obi nya akisikuru
Sɛ oduruyɛfo a ɔhwɛ ayarefo nyinaa (GP) nhuu AS ayarefo pii wɔ n’ayaresabea a, ebia ɔrensusuw AS ho bere a ohu saa sɛnkyerɛnne ahorow yi no.Ɛno nti na ɛho hia kɛse sɛ wobɛkɔ akisikuru ho oduruyɛfo nkyɛn sɛ w’akyi yɛ wo yaw bere tenten a, titiriw sɛ ɛyɛ kɛse anɔpa a.
Asɛmpa no ne sɛ mprempren nnuruyɛfo nim AS ho sɛnkyerɛnne ahorow no yiye sen bere biara. Afei nso, ayaresa foforo (te sɛ nnuru a wɔde sa yare a ɛma nkwa) wɔ hɔ a etu mpɔn kɛse wɔ yare no ano aduru mu. Enti ɛnsɛ sɛ wuhu amane te sɛ kan no. Nea ɛho hia sen biara ne sɛ wubehu yare no wɔ bere ano na woafi ayaresa a ɛfata ase.
Nkrasɛm a Wɔde Kɔ Fie
- Sɛ w’akyi yɛ wo yaw bɛboro asram 3 a, mmu w’ani ngu so.
- Sɛ w’akyi yaw no mu yɛ den titiriw anɔpa, ɛyɛ kɛse bere a woagye w’ahome, na ɛso tew bere a wonam anaa woteɛteɛ w’apɔw mu a, ebetumi ayɛ AS ho sɛnkyerɛnne.
- Hwɛ yiye wɔ w'akyi ne wo nkwaa a ɛyɛ den anɔpa a ɛtra hɔ bɛboro dɔnhwerew fã .
- Wɔ akyi yaw akyi no, sɛ wowɔ sɛnkyerɛnne ahorow te sɛ aniwa a ɛyɛ kɔkɔɔ anaa ɛyaw (uveitis), asen mu yaw, anaa nkwaa afoforo a ɛho ahonhon a, ka ho asɛm kyerɛ wo duruyɛfo.
- Wo ne wo duruyɛfo a ɔhwɛ wo nyinaa nkasa mfa wo sɛnkyerɛnne ahorow no ho asɛm. Sɛ ɛho hia a, bisa sɛ wɔmfa no nkɔ oduruyɛfo a ɔhwɛ akisikuru nkyɛn .
- Mma nnyae ntɔkwaw no kosi sɛ wubehu sɛ wowɔ yare no yiye. Nea ɛho hia paa ne sɛ wubetie wo nipadua.
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