Sɛ woanyinsɛn anaa woresusuw ho sɛ wobɛwo a, ebia nsɛmmisa pii bɛba w’adwenem. Ɛyɛ ade a ɛyɛ daa yiye. So ɛsɛ sɛ woma wo ba no nufu anaasɛ wode toa ma no? So awo no bɛyɛ den? Ɛsɛ sɛ aduan no yɛ dɛn? Nsɛmmisa te sɛ eyinom nyinaa ba w’adwenem.
Nanso sɛ wowɔ ankylosing spondylitis (AS) a, ebia wo nsɛmmisa bɛyɛ soronko kakra. "So metumi anyinsɛn?", "So AS bɛma awo ayɛ den?", "Na sɛ yare no mu yɛ den wɔ nyinsɛn mu nso ɛ?", "So yare yi bɛka me ba?" Ebia woresusuw ho. Enti, ɛnnɛ, momma yɛnka sɛnea yebegyina AS ano wɔ nyinsɛn mu ne akyiri yi ho asɛm.
So wubetumi anyinsɛn wɔ Ankylosing Spondylitis (AS) ho?
Asɛmpa no ne sɛ AS nnya w’awo so nkɛntɛnso. Ɛno kyerɛ sɛ wubetumi anyinsɛn. Nanso, ɛho behia sɛ wudi kan yɛ nhyehyɛe kakra sen obi a onni AS. Ebia ɛho behia sɛ wugyae nnuru a wonom ma AS no bi adapɛn anaa asram kakraa bi ansa na woanyinsɛn na amma woasiw awo mu dɛmdi ano.
Akwan a eye sen biara a wobɛfa so ayɛ nyinsɛn ho nhyehyɛe no biako ne sɛ wode awo ano aduru bedi dwuma. Wubetumi de awo ano aduru biara adi dwuma. Nanso mpɛn pii no, mfiri a wɔde gu awotwaa no mu, a wɔfrɛ no intrauterine devices (IUD) no tu mpɔn kɛse wɔ bere tenten mu. Eyinom yɛ mfiri nketewa a ɛte sɛ T a wo duruyɛfo de hyɛ w’awotwaa mu.
Sɛ woasiesie wo ho sɛ wubesusuw akokoaa ho a, hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo. Sɛ ɛho hia a, obetumi asesa wo nnuru, ayi IUD afi hɔ sɛ wowɔ bi a, na wakyerɛkyerɛ wo sɛnea wubedi AS ho sɛnkyerɛnne ahorow ho dwuma bere a wonyinsɛn no.
Ɛsɛ sɛ mmarima nso hu: Nhwehwɛmu ahorow bi ada no adi sɛ nnuru a wɔde sa AS te sɛ cyclophosphamide ne sulfasalazine betumi aka mmarima mmadwoa a wɔyɛ. Eyi betumi ama ayɛ den ama mmarima sɛ wobenyinsɛn. Enti, sɛ mmarima nso resusuw ho sɛ wɔbɛwo a, ɛho hia paa sɛ woka kyerɛ wo duruyɛfo ntɛm ara sɛnea wubetumi.
So AS betumi de nsɛnnennen aba bere a wɔyem no?
Nhwehwɛmu pii kyerɛ sɛ AS ne asiane a ɛba fam a ɛwɔ hɔ sɛ obenya nsɛnnennen a emu yɛ den wɔ nyinsɛn mu no wɔ abusuabɔ. Nnipa dodow no ara a wɔwɔ AS no nyinsɛn sɛnea ɛsɛ. Sɛnea ɛte wɔ nyinsɛn biara ho no, nyinsɛn betumi atu, nanso AS mma asiane no nkɔ soro.
Nanso, sɛ wo AS sɛnkyerɛnne ahorow no mu yɛ den yiye aSɛ wowɔ ayaresa mu tebea afoforo a, hokwan a ɛwɔ hɔ sɛ wubenya nsɛnnennen no yɛ kɛse. Afei nso, sɛ wo nya mogya mmoroso wɔ nyinsɛn mu a, tebea bi a wɔfrɛ no ``preeclampsia,'' nsɛnnennen betumi aba. Eyi yɛ tebea a asiane wom ma ɛna no ne akokoaa no nyinaa.
Wɔ tebea horow a ɛtete saa mu no, pon a ɛwɔ ase ha no kyerɛ nsɛnnennen a ebetumi aba wɔ AS ho no bi.
| Nsɛnnennen a ɛba | Nkyerɛmu |
|---|---|
| Awo a ɛba ntɛm | Asiane a ɛkɔ soro sɛ wobɛwo akokoaa ansa na wadi adapɛn 37. |
| Nkokoaa mu duru a ɛso tew | Akokoaa no mu duru bere a wɔawo no no nnu nea ɛfata. |
| Oprehyɛn a wɔde yɛ oprehyɛn | Hokwan a ɛkɔ soro sɛ ɛsɛ sɛ wɔyɛ oprehyɛn (C-section). |
| NICU a wɔde wɔn kɔ ayaresabea | Sɛ wɔwo akokoaa no wie a, ɛda adi sɛ ɛho behia sɛ wɔde akokoaa no kɔ Neonatal Intensive Care Unit (NICU). |
So me AS sɛnkyerɛnne ahorow no betumi asɛe bere a manyinsɛn no?
Bere a wo ba no nyin wɔ nyinsɛn mu no, wo nipadua mu duru nso kɔ soro wɔ asram 9 mu. Eyi de nhyɛso kɛse ba wo nipadua so, titiriw wo nkwaa, wo ntini, ne w’akyi. Ne saa nti, wo AS ho sɛnkyerɛnne te sɛ akyi a ɛyɛ den, ɛho wosow, ne ɛyaw betumi akɔ soro kakra bere a wohyɛn wo ɔsram abiɛsa a ɛto so abien ne abiɛsa mu no.
Flare-up betumi aba bere biara wɔ nyinsɛn mu. Nhwehwɛmu bi daa no adi sɛ nnipa a wɔwɔ AS no mu bɛyɛ 80% nya ɔyare a ɛyɛ hyew bere a wɔyem no. Na, ɛkame ayɛ sɛ obiara nya ne yare no ho sɛnkyerɛnne a emu yɛ den wɔ asram a edi awo akyi no mu. Nanso asɛmpa no ne sɛ mpɛn pii no, saa sɛnkyerɛnne ahorow yi tu mpɔn bere a bere kɔ so no.
Nanso ade no ni: Mmea a wɔyem binom nhu nsakrae biara wɔ wɔn AS sɛnkyerɛnne ahorow no mu. Nokwarem no, wɔ mmea kakraa bi pɛ fam no, wɔn yare no ho sɛnkyerɛnne betumi atu mpɔn mpo bere a wɔyem no.
Nneɛma a ɛsɛ sɛ yɛhwɛ kwan wɔ nyinsɛn mu
Nneɛma pii wɔ hɔ a ɛsɛ sɛ woma ɛtra w’adwenem bere a woanyinsɛn akyi, bere a wo ba no nyin, ne bere a worebɛn awo no.
Aduruyɛ ne akokoaa nkɔso
Gye sɛ asiane bi wɔ wo ba no akwahosan ne ne nkɔso so a, ebia wo duruyɛfo bɛkamfo akyerɛ sɛ kɔ so de AS nnuru bi nni dwuma na ama woadi wo sɛnkyerɛnne ahorow no so.
Nea ɛka eyi ho ne nnuru a wɔde kum ɛyaw kuw bi a wɔfrɛ no nnuru a ɛnyɛ steroid a ɛko tia ɔyare mmoawa (NSAIDs), te sɛ aspirin, celecoxib, ibuprofen, ne naproxen. Mpɛn pii no, eyinom yɛ nea asiane biara nni ho sɛ wobegye adapɛn 20 wɔ nyinsɛn akyi. Nanso, sɛ wɔnom wɔ ɛno akyi a, ebetumi de asaabo ne komayare aba akokoaa no mu. Enti, ɛho hia sɛ wo ne wo duruyɛfo kasa fa nea ɛfata wo ho.
So wɔde AS bɛma akokoaa no?
Tebea horow a nipadua no tumi ko tia nyarewa te sɛ AS betumi afi awosu mu. Ɛno kyerɛ sɛ wobetumi de afi awo ntoatoaso so akɔ awo ntoatoaso so. Sɛ wowɔ awosu mu abɔde a wɔfrɛ no HLA-B27 a, ɛyɛ 50% sɛ wo mma benya bi. Nanso, ɛnyɛ obiara a ɔwɔ saa awosu mu abɔde yi na obenya AS. Nhwehwɛmu kyerɛ sɛ mmofra a wɔwɔ HLA-B27 awosu mu abɔde mu nkwaadɔm no mu 20% pɛ na wobenya AS daakye.
AS ne awo
Mmea pii a wɔwɔ AS nyinsɛn a ɛfata na ɛyɛ papa. Nanso, nyinsɛn de nhyɛso kɛse ba w’akyi, w’asen, ne w’akyi berɛmo a afrafra so. Eyi betumi ama awo a wɔde fa ɔbea no awotwaa mu no ayɛ den kakra.
Afei nso, ɔfe a ɛwɔ akyi berɛmo mu no betumi ama ayɛ den sɛ wobenya epidural. Epidural yɛ biribi a oduruyɛfo a ɔde aduru a ɛma obi dwensɔ ma wo bere a worewo no. Eyi hwehwɛ sɛ wɔde aduru bɛhyɛ w’akyi berɛmo mu na ama yafunu no ase ayɛ mmerɛw. Eyi betumi aboa ma wɔadi awo mu yaw so.
Ɔkwan pa a wobɛfa so asiesie wo ho ama eyi ne sɛ wubedi kan ne wo OB/GYN ne oduruyɛfo a ɔhwɛ aduru a ɛma obi dwensɔ nkasa. Hwɛ sɛ wɔwɔ osuahu wɔ ayarefo a wɔwɔ AS a wɔne wɔn yɛ adwuma mu anaa. Wobetumi akyerɛkyerɛ nneɛma a wubetumi apaw mu akyerɛ wo. Sɛ ɛho hia a, wobetumi ayɛ nhyehyɛe sɛ wɔbɛyɛ C-section ntɛm na ama asiane a ɛwɔ hɔ ma wo ba no ne w’akyi no so atew.
Ɔkwan bɛn so na wobɛhwɛ akokoaa bere a woawo no awie no?
Akokoaa a wɔawo no foforo a wobɛhwɛ no betumi ayɛ ɔbrɛ kɛse. Sɛ́ obi a ɔwɔ AS no, nneɛma kakraa bi wɔ hɔ a ɛsɛ sɛ wohwɛ yiye wɔ ho titiriw.
- Nufu a wɔde ma:AS nnya tumi a wubetumi ama nufu no so nkɛntɛnso. Wobetumi anom AS nnuru dodow no ara bere a wɔrema nufu no. Nanso, nnuru bi betumi akɔ wo nufusu mu kakraa bi. Sɛ woreyɛ nhyehyɛe ama nufu a, di kan ne wo duruyɛfo nkasa. Ɔbɛkyerɛ wo nnuru a ɛnyɛ nea asiane biara nni ho mma wo ba no.
- Awo akyi sɛnkyerɛnne: Sɛ wowo akokoaa wie a, ɛda adi sɛ wo AS sɛnkyerɛnne no mu yɛ den anaasɛ ɛbɛhyew. Eyi betumi akɔ so asram pii. Sɛ eyi ba a, kɔ wo ntini mu yare ho oduruyɛfo, oduruyɛfo a ne ho akokwaw wɔ nkwaa mu nyarewa ho. Ɔbɛyɛ nsakrae wɔ wo nnuru dodow mu sɛ ɛho hia a.
- Wo ba a wobɛhwɛ no: Akokoaa a wɔawo no foforo hia sɛ wɔhwɛ no 24/7. Sɛ wowɔ AS a, wo sɛnkyerɛnne no betumi ayɛ kɛse denam nkwaa ne akyi yaw, nna a wuntumi nna, ne ɔbrɛ so. Ebia ɛbɛyɛ den ama wo sɛ wobɛkɔ so ayɛ nneɛma te sɛ wo ba a wobɛma so, wobɛkotow ama nufu, ne mpaboa a wobɛsesa. Enti, yɛ nhyehyɛe sɛ wobɛhwehwɛ obi a ɔbɛboa wo ansa na wɔawo wo ba. Bisa abusuafo ne nnamfo sɛ wɔmmoa wo. Sɛ ɛbɛyɛ yiye a, hwehwɛ obi a obetumi aboa wo wɔ sika fam.
Bere koro no ara mu no, ɛho hia yiye nso sɛ wohwɛ wo ho. Di nnuan a ahoɔden wom, na bɔ mmɔden sɛ wobɛda kakra bere a wo ba no ada no.
Nkrasɛm a Wɔde Kɔ Fie
- Ankylosing Spondylitis (AS) nka sɛnea wubenyinsɛn no, nanso sɛ woresusuw ho sɛ wobɛwo a, ɛho hia sɛ wo ne wo duruyɛfo kasa na wudi kan yɛ nhyehyɛe .
- AS ho sɛnkyerɛnne betumi asɛe kɛse bere a wɔyem no, na ebetumi ayɛ kɛse wɔ awo akyi. Mma ɛnhaw wo, eyi yɛ ade a ɛfata.
- Bisa wo duruyɛfo no nnuru biara a wobɛnom bere a woanyinsɛn no ho asɛm, titiriw nnuru a wɔde kum ɛyaw.
- Wo ne wo mmea ho ɔyaresafo ne oduruyɛfo a ɔde aduru a ɛma obi dwensɔ nkasa ansa na woawo na si ɔkwan a eye ma wo ho gyinae.
- Sɛ wowo akokoaa wie a, sɛ wunya obi a ɔbɛboa wo a, ɛbɛboa wo kɛse ama wo nipadua akwahosan. Enti ntwentwɛn wo nan ase sɛ wobɛsrɛ mmoa.
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