Nnipa pii susuw sɛ Ankylosing Spondylitis, anaa AS tiawa mu no, yɛ tebea a ɛka akyi berɛmo nkutoo, na ɛma ɛyɛ yaw na ɛyɛ den. Ɛyɛ nokware, nkɛntɛnso titiriw a yare yi de ba ne akyi berɛmo so. Nanso so wunim sɛ bɛyɛ AS ayarefo baasa biara mu biako nso betumi anya ɔhaw ahorow wɔ nipadua no afã afoforo, titiriw wɔ anan mu? Yiw, saa tebea yi betumi ama wo ho ayɛ wo den na woayɛ wo yaw wɔ mmeae te sɛ wo nansoaa, wo nan ase, wo nansoaa, anaa wo nan ase. Ɛtɔ da bi a, ɛyaw yi yɛ ketewaa bi, nanso wɔ nnipa binom fam no, ebetumi ayɛ kɛse araa ma wontumi nnantew mpo. Enti ɛnnɛ, momma yɛnka nkɛntɛnso a AS nya wɔ nan so no ho asɛm.
Ɔhaw bɛn na AS betumi de aba nan mu?
Ankylosing spondylitis (AS) betumi aka wo nan wɔ akwan horow so. Nea ɛde ba titiriw ne ɔfe a ɛba nkwaa no mu ne baabi a ntini ne ntini ahorow no bata nnompe ho (a wɔfrɛ no `entheses`). Sɛ yɛbɛka no tiawa a, nipadua no mu tumi a ɛko tia nyarewa no tow hyɛ mmeae yi so. Ɔhaw atitiriw a ebetumi afi ɔfe yi mu aba no bi ni.
| Nan tebea | Sɛ yɛbɛka no tiawa a, eyi ne nea ɛba. |
|---|---|
| Plantar Fasciitis a Ɛyɛ Fɛ | Plantar fasciitis yɛ ntini a ɛyɛ den a ɛwɔ wo nan ase a ɛka wo nan ase dompe ne wo nansoaa ase no ho ahonhon. Eyi ma ɛyaw kɛse ba wo nan ase ne wo nan ase bere a wotiatia fam anaasɛ wode mu duru to so no. Nnipa binom te ɛyaw a emu yɛ den araa ma wontumi ntu anammɔn a edi kan mpo mfi mpa so anɔpa. Ɛyaw no taa brɛ ase wɔ simma 5-10 ntam. |
| Achilles Ntini a Ɛma Ntini Mu Nyarewa | Achilles ntini, ntini a ɛsõ sen biara a ɛwɔ nan no akyi, a ɛwɔ nan ase dompe no atifi no ahonhon. Eyi na ɛboa yɛn ma yɛma yɛn nan ase bere a yɛnantew na yɛretu mmirika no. Sɛ eyi hohoro a, asen no akyi ne asen no fã no yɛ yaw na ɛyɛ den. Ɛtɔ da bi mpo a, wutumi hu ahurututu ne akuru wɔ saa beae no. |
| Toe Dactylitis a Ɛyɛ Fɛ | Sɛ AS ka nansoaa no a, nansoaa no hohoro na ɛyɛ kɔkɔɔ. Wɔsan frɛ tebea no "soseji digits" efisɛ nansoaa a ahonhon no te sɛ soseji. Eyi betumi ayɛ yaw paa. Ɛtɔ mmere bi a, ɛyaw no kɔ, nanso ebia ɔfe no bɛkɔ so. |
| Nsakrae a ɛba wɔ sɛnea obi nantew mu | Esiane ɛyaw ne akisikuru a ɛwɔ akyi ne nipadua no afã horow nti, yɛsesa ɔkwan a yɛfa so nantew, yɛtra ase, na yegyina hɔ a yennim na yɛakwati ɛyaw no. Eyi de nhyɛso kɛse ba nan ntini ahorow no so, na ebetumi ama anan no ayɛ yaw na abubu. |
Nea ɛho hia sen biara ne sɛ, sɛ wowɔ AS na wufi ase te ɛyaw foforo wɔ wo nan mu a, mmu w’ani ngu so. Hwɛ hu sɛ wobɛka ho asɛm akyerɛ wo duruyɛfo.
Ɔkwan bɛn so na wobedi nan mu yaw a AS de ba no so?
Akwan pa a wobɛfa so atew nan mu yaw ne nea ɛyɛ den so ne sɛ wobɛyɛ nneɛma koro no ara a woyɛ de di wo AS ho dwuma no. Ayaresa a wo duruyɛfo bɛkamfo akyerɛ no begyina nneɛma pii so, a sɛnea wo sɛnkyerɛnne ahorow no mu yɛ den ne w’akwahosan nyinaa ka ho. Ebia ayaresa nhyehyɛe a wɔtaa yɛ no bi ne:
Apɔw-mu-teɛteɛ, Apɔw-mu-teɛteɛ, ne Gyinabea Ntetee
Eyinom betumi aboa ma ɛyaw ne nea ɛyɛ den no so atew, asiw nkwaa a asɛe no ano, na ama wo gyinabea atu mpɔn. Ɛda adi sɛ apɔw-mu-teɛteɛ a ɛnyɛ den pii a ɛmma wo nkwaa nhyɛ wo nkwaa so kɛse bɛka w’apɔw-mu-teɛteɛ nhyehyɛe no ho. Adwene ne nipadua apɔw-mu-teɛteɛ te sɛ tai chi ne yoga nso betumi aboa wo ma woagye w’ahome na woate ɛyaw so.
Nea ɛho hia sen biara: Ansa na wubefi apɔw-mu-teɛteɛ nhyehyɛe biara ase no, hwɛ hu sɛ wo ne wo duruyɛfo bɛkasa ahwehwɛ afotu. Ɔbɛkyerɛ wo apɔw-mu-teɛteɛ a eye ma wo.
Nnuru a wɔde di dwuma
Ebia wo duruyɛfo bɛkyerɛw nnuru te sɛ eyinom de atew ɔfe so na asiw ɛyaw ne akisikuru ano:
- Nnuru a ɛnyɛ steroid a ɛko tia ɔyare mmoawa (NSAIDs): Eyinom ho nhwɛso bi ne nnuru te sɛ ibuprofen ne naproxen.
- Glucocorticoid a wɔde twitwiw nipadua no mu: Eyinom yɛ steroid a wɔde twitwiw nkwaa a ɛyɛ yaw no mu tẽẽ.
- Nnuru a ɛsakra yare a ɛko tia akisikuru (DMARDs): Nnuru te sɛ sulfasalazine ne methotrexate.
- Nnuru a wɔde yɛ abɔde a nkwa wom:Eyinom yɛ nnɛyi nnuru a wɔde si nipadua no mu tumi a ɛko tia nyarewa no afã pɔtee bi so. Nhwɛsoɔ bi ne nnuru a ɛwɔ nnuru a ɛko tia TNF, anti-interleukin 17, ne JAK inhibitors (te sɛ `infliximab`, `adalimumab`, `secukinumab`, `tofacitinib`).
- Nnuru a wɔde kum ɛyaw (Opioids): Wobetumi de ama bere tiaa bi wɔ ɛyaw a emu yɛ den ho.
Ɛtɔ mmere bi a wo duruyɛfo betumi de wo akɔma wo nan ho oduruyɛfo , na obetumi atu wo fo wɔ mpaboa, teyp, ne nnuru a wɔde twitwiw wo nan ho a ɛfa wo nan ho haw pɔtee ho.
Nneɛma bɛn na wubetumi ayɛ wɔ fie?
Nea ɛka ayaresa a wo duruyɛfo de ma ho no, wubetumi atew nan mu yaw yi so kɛse denam nneɛma kakraa bi a ɛnyɛ den a wubetumi ayɛ wɔ fie so.
- Fa nsukyenee gu so: Fa nsukyenee gu baabi a ɛyɛ yaw no bɛyɛ mpɛn anan da biara, bɛyɛ simma 20 bere koro mu. Eyi bɛtew ɔfe ne ɛyaw so.
- Ma no ahomegye: Ma wo nan ahome bere biara a ɛbɛyɛ yiye. Sɛ wubetumi ama wɔakɔ soro a, eye mpo.
- Kari pɛ wɔ w’apɔw-mu-teɛteɛ mu: Tow apɔw -mu-teɛteɛ a ɛwɔ nkɛntɛnso kɛse te sɛ mmirikatu ne ahuruhuruw ano hye sɛnea wubetumi biara. Nanso, ɛno nkyerɛ sɛ wobɛtra baabi biako da mũ nyinaa. Saa a wobɛyɛ no betumi ama wo ho ayɛ den na wayɛ yaw kɛse. Biribi te sɛ nantew a ɛyɛ ntɛmntɛm ye.
- Yɛ Stretches: Yɛ stretches a ɛnyɛ den a ɛbɛboa w’asen, wo nansoaa, ne wo nansoaa.
- Wɔ plantar fasciitis ho: Fa tɛnis bɔɔl to wo nan ase, tena akongua so, na bobɔw.
- Wɔ Achilles Tendonitis ho: Gyina hɔ hwɛ ɔfasu bi, kotow wo nan biako wɔ wo kotodwe so, na fa wo nan a ɛyɛ yaw no to w’akyi tẽẽ, na fa wo nan ase to fam. Afei pia w’asen kɔ ɔfasu no ho. Kura mu kosi sɛ wobɛte nka sɛ wo hamstring no atrɛw, afei gyae. Yɛ eyi, na sɛ ɛyaw no kɔ soro a, gyae.
- Hyɛ mpaboa a ɛfata: Kwati sɛ wobɛnantew wo mpaboa na wobɛhyɛ mpaboa sɛnea wubetumi biara. Ɛho hia sɛ wohyɛ mpaboa a ɛwɔ arch support pa ne cushioned soles , titiriw agumadi mpaboa pa.
Nkrasɛm a Wɔde Kɔ Fie
- Ankylosing spondylitis (AS) nyɛ akyi berɛmo mu yare ara kwa. Ebetumi nso de ɛyaw ne ɔhaw afoforo aba wo nan so.
- Sɛ wowɔ ɛyaw foforo, wo hohoro, anaa wo nan, wo nan ase, anaa wo nansoaa a ɛyɛ den a, mmu w’ani ngu so. Ebetumi ayɛ AS no fã.
- Hwɛ hu sɛ wo ne wo duruyɛfo bɛkasa afa eyi ho. Ɔde ayaresa ne afotu a ɛfata bɛma wo.
- Wobetumi adi ɛyaw yi so kɛse denam apɔw-mu-teɛteɛ a wobɛyɛ sɛnea wo duruyɛfo kyerɛ no, ofie ayaresa a ɛnyɛ den (icing, stretching), ne mpaboa a ɛfata a wobɛhyɛ so.
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