Ɛtɔ mmere bi a, sɛ wosɔre anɔpa a, wote nka sɛ wo ho yɛ den? Anaasɛ w’akyi yɛ wo yaw da mũ nyinaa? Ntini mu yare ahorow abien na ɛka akyi berɛmo a ɛwɔ sɛnkyerɛnne a ɛte saa ara. Baako ne DISH (Diffuse Idiopathic Skeletal Hyperostosis) na biako nso ne AS (Ankylosing Spondylitis) . Nneɛma abien no nyinaa ho sɛnkyerɛnne di nsɛ kakra, na ɛtɔ mmere bi a ebetumi ama yɛn adwene atu afra. Enti ɛnnɛ, momma yɛnka nyarewa abien yi ho asɛm nkɔ akyiri na yɛnte nsonsonoe a ɛwɔ mu, nea ɛkyerɛ ne sɛnea wɔsa no ase pefee.
Dɛn na ɛde nyarewa abien yi ba?
Sɛ yɛbɛka no tiawa a, nyarewa abien yi nyinaa ka nkwaa ne ntini a ɛwɔ yɛn akyi berɛmo mu no, nanso ɔkwan a wɔfa so ka no no yɛ soronko kakra.
Dɛn ne DISH (Diffuse Idiopathic Nnompe mu Hyperostosis)?
DISH yɛ tebea a ɛma calcium nkyene boaboa ano wɔ ntini ne ntini a atwa yɛn akyi berɛmo ho ahyia no mu. Saa calcium yi ma saa mmeae no yɛ den nkakrankakra te sɛ dompe, te sɛ nea dompe foforo renyin. Nnuruyɛfo nnim nea ɛde ba ankasa. Nanso wogye di sɛ ebia awosu, nneɛma a atwa yɛn ho ahyia, anaa abien no nyinaa a wɔaka abom di dwuma.
Ɔkwan bɛn so na Ankylosing Spondylitis (AS) nya nkɔso?
Wogye di sɛ awosu ne nneɛma a atwa yɛn ho ahyia di dwuma wɔ AS mu. Nnipa a wɔwɔ HLA-B27 awosu mu abɔde no wɔ asiane kɛse mu sɛ wobenya yare no. Saa HLA ahorow yi boa yɛn nipadua mu tumi a ɛko tia nyarewa no ma ɛma nsonsonoe da yɛn ankasa nkwammoaa ne ahɔho a wɔtow hyɛ yɛn so no ntam. Nanso, wɔda so ara rekɔ so ayɛ nhwehwɛmu wɔ sɛnea saa awosu mu abɔde pɔtee yi de AS ba no ho. Wɔ AS mu no, nipadua no mu tumi a ɛko tia nyarewa no tow hyɛ yɛn akyi berɛmo mu nkwaa so. Eyi de ɔfe ba, na ɛma akyi berɛmo no mu yɛ den na ɛyɛ yaw.
Hena na ɛda adi kɛse sɛ obenya saa nyarewa yi?
Nsonsonoe a ɛda adi pefee wɔ mfe a obi adi ne nneɛma a ebetumi ama obi anya nyarewa abien yi mu. Momma yɛnte ase ntɛm mfi pon yi so.
| Asɛm | DISH (Diffuse Idiopathic Nnompe mu Hyperostosis) . | AS (Akisikuru a Ɛyɛ Ankylosing) . |
|---|---|---|
| Mfe a wɔadi a ɛka no | Mpɛn pii no ɛtaa ba nnipa a wɔadi boro mfe 50 so . | Mpɛn pii no efi ase wɔ mmofraase , wɔ mfe 15-30 ntam. |
| Ɔfã a ɛka no | Ɛtaa ba mmarima so sen mmea. | Ɛtaa ba mmarima so sen mmea. |
| Nneɛma afoforo a ɛde asiane ba |
|
Nea ɛho hia ne sɛ nnipa pii a wɔwɔ DISH no nni sɛnkyerɛnne biara. Mpɛn pii no, wohu no wɔ akwanhyia mu bere a wɔyɛ X-ray esiane biribi foforo nti no.
Nsonsonoe bɛn na ɛwɔ sɛnkyerɛnne ahorow mu?
Ɛwom sɛ nyarewa abien no nyinaa ho sɛnkyerɛnne titiriw ne akyi yaw ne akisikuru de, nanso nsonsonoe a ɛda adi pefee wɔ baabi a ɛyaw no fi, sɛnea ɛte nka, ne sɛnkyerɛnne afoforo a ɛka ho no mu.
| Su a ɛwɔ hɔ | Sɛnea yehu wɔ DISH so no | Sɛnea yehu wɔ AS mu no |
|---|---|---|
| Beae a ɛyaw no ba | Ɛyaw taa ba akyi berɛmo no atifi . | Ɛyaw no fi ase wɔ akyi berɛmo no ase. |
| Nkɛntɛnso a apɔw-mu-teɛteɛ nya | Nkɛntɛnso titiriw biara nni hɔ. | Ɛyaw ne akisikuru so tew bere a woreyɛ apɔw-mu-teɛteɛ na wɔnantew no. |
| Akyi yaw | Ɛyaw betumi aba wɔ mmeae te sɛ mmati, nsateaa, nkotodwe, ne nan ase. | Ɛyaw betumi aba mparow, mmati, asen, nkotodwe, anaa anan mu. |
| Nneɛma titiriw afoforo | Nnompe a enyin wɔ kɔn mu no betumi amia ntini ahorow, na ama ayɛ den sɛ ɔbɛmene anaasɛ ɛnne no ayɛ den . | Wɔada sɛnkyerɛnne ahorow a ɛka nipadua no nyinaa adi. Nhwɛsoɔ: - a wode wo mu duru so tew - a ewo ho dodo - honam ani nyarewa (rashes) . - yafunu mu yaw - anisoadehunu mu nsakraee (redness, eyaw) . |
Ɔkwan bɛn so na oduruyɛfo tumi hu nsonsonoe a ɛwɔ nyarewa abien yi mu na ohu?
Saa tebea abien yi a wobehu no betumi ayɛ den kakra. Sɛ w’adwene mu yɛ wo naa wɔ sɛnea wɔahu wo yare no ho a, mfomso biara nni ho sɛ wobɛkɔ oduruyɛfo foforo nkyɛn akɔhwehwɛ adwene a ɛto so abien.
Oduruyɛfo no bedi kan abisa wo wo yare no ho sɛnkyerɛnne ne w’ayaresa ho abakɔsɛm. Afei ɔbɛyɛ nipadua mu nhwehwɛmu. Nea ɛka ho no, obetumi ahyɛ sɛ wɔnyɛ saa sɔhwɛ ahorow yi.
Mogya mu Nhwehwɛmu
Wɔ AS mu no, mpɛn pii no, nhwehwɛmu a wɔyɛ de hu HLA-B27 awosu mu abɔde no yɛ nea ɛyɛ papa. Ebia sɔhwɛ ahorow a ɛkyerɛ ɔfe a ɛwɔ nipadua no mu te sɛ C-reactive protein (CRP) ne ESR nso akɔ soro. Mpɛn pii no, eyinom nsakra wɔ DISH mu.
Mfoninitwa Sɔhwɛ ahorow
Saa sɔhwɛ ahorow yi twa nipadua no mu mfonini na ɛhwehwɛ nsakrae a ɛba akyi berɛmo ne nkwaa mu.
- X-ray: Hwehwɛ nsakrae a ɛba nnompe no mu.
- MRI (Magnetic Resonance Imaging): Nya akyi berɛmo, nkwaa, ne ntini a ɛka bom no ho mfonini a ɛkɔ akyiri.
- CT scan (Computed Tomography): Nya mfonini ahorow a ɛkɔ akyiri yiye.
Wobetumi agyina nea wohu wɔ nhwehwɛmu ahorow yi mu so ahu nsonsonoe a ɛda nyarewa abien no ntam.
- Sɛ wowɔ AS: Sacroiliac nkwaa a ɛyɛ hyew na ɛyɛ den ( sacroiliitis) .Wubetumi ahu. Ɛtɔ mmere bi a, akyi berɛmo no bom na ɛte sɛ bamboo. Wɔfrɛ eyi sɛ bamboo akyi berɛmo .
- Sɛ wowɔ DISH a: Wubetumi ahu sɛ ntini a ɛka bom a ɛnam akyi berɛmo no anim no reyɛ kɛse na adan dompe. Nanso worenhu Sacroiliitis tebea no. Eyi yɛ nneɛma atitiriw a ɛma nsonsonoe da abien no ntam no mu biako.
Dɛn ne ayaresa ahorow a wɔde sa eyi?
AS ne DISH nyinaa ntumi nsa koraa. Nanso, sɛ wɔde ayaresa a ɛfata di dwuma a, wobetumi adi sɛnkyerɛnne ahorow no so na wɔatra ase sɛnea ɛsɛ. Wɔ nyarewa abien yi nyinaa mu no, akyi berɛmo no mia, enti asiane a ɛwɔ hɔ sɛ obi bebubu no yɛ kɛse wɔ akwanhyia ketewaa bi mpo mu. Enti, ɛho hia paa sɛ yɛhwɛ yiye.
Ayaresa a wɔtaa de ma abien no nyinaa:
- Apɔw-mu-teɛteɛ ne apɔw-mu-teɛteɛ: Eyi ho hia na ama ntini a atwa akyi berɛmo no ho ahyia no ayɛ den na ama nkwaa no atumi ayɛ nsakrae.
- Nnuru a wɔde kum ɛyaw: NSAID (Nnuru a ɛnyɛ steroid a ɛko tia ɔyare mmoawa) te sɛ ibuprofen ne naproxen brɛ ɛyaw ne ɔfe ase.
- Steroid a wɔde twitwiw nipadua no mu: Steroid a wɔde twitwiw nkwaa a ɛyɛ yaw mu tẽẽ no betumi ama obi ho atɔ no bere tiaa bi.
- Oprehyɛn: Eyi nyɛ ayaresa a wɔtaa yɛ, nanso sɛ wowɔ sɛnkyerɛnne ahorow a emu yɛ den a wontumi mfa ayaresa afoforo nsiw ano a, ebia wo duruyɛfo bɛkamfo akyerɛ sɛ wɔnyɛ oprehyɛn.
Ayaresa pɔtee a wɔde sa AS:
Wɔ ayaresa ahorow a yɛaka ho asɛm wɔ atifi hɔ ama AS akyi no, nnuru soronko bi wɔ hɔ a ɛtew ɔfe so denam nipadua no mu tumi a ɛko tia nyarewa no dwumadi a ɛsakra no so. Wɔfrɛ eyinom DMARDs (Nnuru a wɔde ko tia akisikuru a ɛsakra yare) . Nhwɛso ahorow bi ne:
- Nnuru a esiw interleukin-17 (IL-17) ano (sɛ nhwɛso no, secukinumab, ixekizumab) .
- Nnuru a esiw JAK ano (sɛ nhwɛso no, tofacitinib, upadacitinib) .
- Nnuru a esiw TNF ano (sɛ nhwɛso no, adalimumab, etanercept, infliximab) .
- Methotrexate a wɔde di dwuma
- Sulfasalazine a wɔde ma
Wo duruyɛfo na ɔbɛkyerɛ nnuru yi mu nea ɛfata wo kɛse.
Nkrasɛm a Wɔde Kɔ Fie
- DISH ne AS yɛ ntini mu yare ahorow abien a ɛka akyi berɛmo. Ɛwom sɛ sɛnkyerɛnne ahorow no yɛ pɛ de, nanso ɛsono nea ɛde ba ne nea efi mu ba.
- DISH taa ba mmarima a wɔadi boro mfe 50 so na mpɛn pii no enni sɛnkyerɛnne biara. AS betumi afi ase wɔ mmofraase.
- Beae a ɛyaw no wɔ (DISH - mmati atifi, AS - mmati ase) ne sɛnea wɔyɛ wɔn ade wɔ apɔw-mu-teɛteɛ ho (ɛyaw no so tew wɔ AS mu) boa ma nsonsonoe da abien no ntam.
- Wo duruyɛfo no begyina w’ayaresa ho abakɔsɛm, nhwehwɛmu, mogya mu nhwehwɛmu, ne mfoniniyɛ mu nhwehwɛmu (titiriw X-ray ne MRI) so ahu yare no pɛpɛɛpɛ.
- Ɛwom sɛ wontumi nsa nyarewa yi koraa de, nanso nipadua mu ayaresa, nnuru, ne asetra mu nsakrae betumi aboa wo ma woadi wo yare no ho sɛnkyerɛnne ahorow ho dwuma na woatra ase yiye. Wo ne wo duruyɛfo nka eyi ho asɛm bere nyinaa.
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