Sɛ wusɔre fi mpa so anɔpa a, so w’akyi yɛ den na ɛyɛ yaw? So ɛte sɛ nea ɛyaw no ano brɛ ase bere a woanantew kakra anaa woayɛ biribi a mfaso wɔ so akyi? Nnipa pii susuw sɛ eyi yɛ akyi yaw anaa biribi a efi ɔbrɛ mu ba ara kwa, nanso ɛtɔ mmere bi a ebetumi ayɛ biribi a emu dɔ mfiase. Ɛnnɛ yɛreka tebea a ɛte saa ho asɛm, a ɛne Ankylosing Spondylitis (AS). Mma ɛnhaw wo, ade a ɛho hia sen biara ne sɛ wubehu eyi ho nsɛm yiye na woahwehwɛ ayaresa a ɛfata.
Dɛn ankasa ne Ankylosing Spondylitis (AS)?
Sɛ yɛbɛka no tiawa a, Ankylosing Spondylitis (AS) yɛ ntini mu yare bi. Wɔ eyi mu no, yɛn nipadua mu tumi a ɛko tia nyarewa no tow hyɛ nkwaa a ɛwɔ yɛn akyi berɛmo mu no so. Eyi ma akyi berɛmo no nkwaa mu yɛ hyew . Eyi taa fi ase wɔ akyi berɛmo no fã a ɛba fam koraa, kyerɛ sɛ, nkwaa a ɛne asen nnompe (sacroiliac nkwaa) di nkitaho no.
Mfiase no, ɛyaw yi fi ase wɔ ɔfã biako, na adapɛn anaa asram kakraa bi akyi no, ebetumi atrɛw akɔ ɔfã abien no nyinaa. Ɛtɔ da bi a, ɛyaw yi nso tumi du asen mu. Nea ɛnte sɛ akyi yaw a ɛyɛ daa no, ɛyaw yi ano brɛ ase bere a obi agye n’ahome no, nanso ade a ɛda nsow sen biara ne sɛ sɛ nipadua no teɛteɛ n’apɔw mu na ɛnantew a, ɛte nka sɛ ne ho ye kakra .
Bere kɔ so no, saa ɔfe yi betumi ama woate nka sɛ woabrɛ paa bere nyinaa. Nea enti a ɛte saa ne sɛ nipadua no de ahoɔden pii ko tia ɔfe yi.
Dɛn na ɛsɛ sɛ yɛyɛ wɔ mfiase no?
Sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, ade a edi kan a ɛsɛ sɛ woyɛ ne sɛ wobɛkɔ akɔhwɛ akisikuru ho oduruyɛfo, oduruyɛfo a ne ho akokwaw wɔ nkwaa mu nyarewa mu. Ɔbɛma wo ayaresa nhyehyɛe a ɛfata wo.
- Nnuru a wɔde kum ɛyaw: Nea ɛbɛyɛ na woadi ɛyaw ne ɔfe so wɔ mfiase no, wo duruyɛfo betumi akyerɛw NSAID (Nonsteroidal anti-inflammatory drugs) , te sɛ ibuprofen anaa naproxen ama wo.
- Apɔw-mu-teɛteɛ: Apɔw-mu-teɛteɛ te sɛ aduru ma obi a ɔwɔ AS. Ɛyɛ ayaresa nhyehyɛe no fã. Sɛ wɔde apɔw-mu-teɛteɛ di dwuma a, .
- Ɛhyɛ yare no so na ansɛe.
- Ɛtew ɛyaw ne nea ɛyɛ den so.
- Ɛboa ma nipadua no tumi yɛ nsakrae.
- Wo ne wo nipadua mu ɔyaresafo nkasa na ama woanya apɔw-mu-teɛteɛ nhyehyɛe a ahobammɔ wom a ɛfata wo.
- Aduane: Ɛho hia paa sɛ wobɛfa aduan a ɛko tia ɔyare mmoawa. Fa nhabannuru a ɛyɛ ahabammono, nhabannuru a ɛyɛ kɔla ahorow (sɛ nhwɛso no, akutu, tomato), broccoli, ne kabege ka w’aduan ho. Twe wo ho fi nnuan a wɔayɛ a asikre, esiam fitaa, ngo a ɛnyɛ papa, ne nneɛma a wɔde ayɛ nneɛma pii wom ho.
- Sigaretnom a wobɛkwati:Sɛ woyɛ obi a ɔnom sigaret a, gyae ntɛm ara sɛnea wubetumi. Sigaretnom betumi ama tebea yi asɛe kɛse. Sɛ ɛho hia a, wo ne wo duruyɛfo nkasa na ɔmmoa wo.
Sɛnea yare no kɔ so bere tenten (Nkɔso) .
AS taa kɔ so nkakrankakra fi akyi berɛmo a ɛwɔ fam no so kosi kɔn no mu. Scan te sɛ MRI betumi akyerɛ sɛnea wɔasɛe akyi berɛmo no. Ebia ɛbɛyɛ den sɛ wobehu nsakrae yi wɔ mfe kakraa a edi kan no mu, nanso bere kɔ so no, ɛda adi kɛse.
Bere a ɔfe no kɔ soro no, ɛnyɛ akyi berɛmo no nko na ebetumi aka, na mmom nipadua no afã afoforo nso, titiriw mmeae a ntini ne ntini ahorow ne nnompe (entheses) di nkitaho no.
| Mmeae afoforo a ebetumi aka no | Nkyerɛmu |
|---|---|
| Ribs | Ebia koko mu yaw anaasɛ ɛbɛyɛ den sɛ ɔbɛhome. |
| Mmati so | Ɛyaw ne anohyeto a entumi nkɔ baabiara wɔ mmati nkwaa mu. |
| Hip nkwaa | Ɛyaw bere a wonam na wokotow no. |
| Heels a ɛyɛ fɛ | Ɛyaw a ɛba ntini a ɛka nan ase ne nan ase no mu. |
Ayaresa mu tebea afoforo a ɛbata ho
- Aniwa a ɛyɛ hyew: AS ayarefo bɛyɛ nkyem abiɛsa mu biako benya aniwa mu ɔfe (uveitis anaa iritis) wɔ wɔn asetra mu bere bi. Nsɛnkyerɛnne no bi ne aniwa a ɛyɛ yaw, ɛyɛ kɔkɔɔ, nusu, aniwa a ɛyɛ kusuu, ne hann a ɛyɛ mmerɛw. Sɛ wuhu saa sɛnkyerɛnne ahorow yi bi a, kɔ aniwa ho oduruyɛfo nkyɛn ntɛm ara. Sɛ wɔansa a, aniwa a ɛyera betumi aba.
- Digestive tract inflammation: AS ayarefo bɛyɛ 70% nya digestive tract a ɛyɛ hyew, nanso pii nkyerɛ sɛnkyerɛnne biara. Bɛyɛ 10% nya IBD (Inflammatory Bowel Disease)., a ɛkyerɛ sɛ tebea horow te sɛ Crohn yare anaa Ulcerative Colitis betumi aba.
- Honam ani nyarewa: Nnipa bɛyɛ 10% nso betumi anya psoriasis.
Ayaresa bere a yare no kɔ so no
Sɛ NSAID a wɔde ma daa no mma wo ho ntɔ wo a, ebia wo duruyɛfo bɛkyerɛw nnuru a emu yɛ den a wɔfrɛ no biologics . Eyinom betumi atu mpɔn kɛse efisɛ wɔde wɔn ani si nneɛma a ɛwɔ yɛn nipadua mu ahoɔden a ɛko tia nyarewa mu a ɛde ɔfe ba no so tẽẽ.
Wobetumi adi kan de nnuru a esiw TNF ano (sɛ nhwɛso no, Adalimumab (Humira), Etanercept (Enbrel), Infliximab (Remicade)) ama. Sɛ eyinom anyɛ adwuma a, wobetumi de nnuru a esiw IL-17 ano (e.g., Secukinumab (Cosentyx)) adi dwuma. Saa bere yi de, ebia wubehia aniwa, yafunu, anaa honam ani yare ho animdefo nso mmoa.
Yare no fã a ɛkɔ anim
Sɛ yare no mu yɛ den yiye a, oduruyɛfo no bɛka akyerɛ wo sɛ wowɔ "spinal fusion." Eyi kyerɛ sɛ dompe foforo nyin wɔ akyi berɛmo no akyi berɛmo no ntam na ɛka bom. Wɔfrɛ eyi akyi berɛmo mu fusion .
Sɛ akyi berɛmo no fi ase ka bom wɔ saa kwan yi so a, akyi berɛmo no hwere sɛnea ɛyɛ mmerɛw kɛse. Ɛwom sɛ eyi kɔ so nkakrankakra de, nanso ɛtɔ mmere bi a akyi berɛmo no nyinaa betumi ayɛ te sɛ poma biako.
Saa fusion yi ma asiane a ɛwɔ hɔ sɛ akyi berɛmo bɛpaapae no yɛ kɛse. Ebetumi nso ama akyi berɛmo no akotow akɔ n'anim na ayɛ nea ɛkɔ fam . Apɔw-mu-teɛteɛ betumi aboa ma wɔadi tebea yi so.
Nea ɛka ho no, eyi betumi aka nkwaa a ɛda mpampam ne akyi berɛmo ntam, ne mmeae a mpampam no ne nufu mu dompe no di nkitaho no. Afei ebetumi ayɛ den sɛ wobɛhome denneennen mpo. Wɔ nsɛm a ɛtete saa mu no, wubetumi asua akwan a wobɛfa so ama home ayɛ mmerɛw afi ɔhome ho ɔyaresafo hɔ.
Ɛntaa mma sɛ ntini a ɛwɔ akyi berɛmo no ase no sɛe betumi de tebea bi a emu yɛ den a wɔfrɛ no cauda equina syndrome aba. Ebetumi ama wahwere akisikuru ne dwensɔtwaa so tumi, nna mu ɔhaw, ne nan mu yaw ne mmerɛwyɛ.
Nanso kae sɛ tebea horow a emu yɛ den yi ho yɛ na koraa. Sɛ wonom nnuru a wo duruyɛfo akyerɛ wo no na wudi n’akwankyerɛ akyi a, ɛnyɛ den sɛ wobɛkwati tebea horow a emu yɛ den saa. Ɛho hia sɛ wokɔ oduruyɛfo nkyɛn kɔhwɛ wo bere mpo a wunni yare no ho sɛnkyerɛnne biara.
Bere a ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn
Sɛ wunya sɛnkyerɛnne foforo biara anaasɛ wo sɛnkyerɛnne no mu yɛ den a, wo ne wo duruyɛfo nkasa ntɛm ara. Mma nntwentwɛn wo nan ase, titiriw sɛ obi a ɔwɔ AS nya sɛnkyerɛnne ahorow a edidi so yi mu biara a:
| Hwehwɛ aduruyɛ mu afotu ntɛm ara! | |
|---|---|
| Nsɛnkyerɛnne a ɛkyerɛ | Nkyerɛmu |
| Ɔhome a ɛyɛ den | Sɛ wote nka sɛ wo moma so ayɛ wo den anaasɛ ɛyɛ den sɛ wobɛhome a. |
| Anisoadehu mu haw ahorow | Aniwa a ɛyɛ kɔkɔɔ, ɛyaw, aniwa a ɛyɛ mmerɛw. |
| Koko mu yaw | Ɛho hia sɛ wohwɛ hu sɛ ɛnyɛ komayare. |
| Akyi anaa nkwaa mu yaw a emu yɛ den | Ɛyaw a enye koraa sen ɛyaw a wote daa no. |
| Mu duru a ɛso tew a ntease biara nnim | Ebetumi ayɛ aduruyɛ mu tebea foforo ho sɛnkyerɛnne. |
| Akyi a ɛyɛ den a ɛkɔ soro | Sɛ akyi a wɔde kankyee no so tew pefee a. |
Nkrasɛm a Wɔde Kɔ Fie
- Ankylosing Spondylitis (AS) nyɛ akyi yaw kɛkɛ, ɛyɛ ntini mu yare bi a ɛka akyi berɛmo.
- Ɛho hia paa sɛ wohu yare no ntɛm na wohu oduruyɛfo titiriw.
- Apɔw-mu-teɛteɛ yɛ ayaresa a ɛho hia ma saa yare yi. Mma ntwa so da.
- Fa aduru a wo duruyɛfo akyerɛw ama wo no sɛnea wɔakyerɛw ama wo no ne bere a wɔakyerɛw ama wo no. Nnyae aduru no nom esiane sɛ wo yare no ho sɛnkyerɛnne no ano abrɛ ase nti.
- Kwati sigaretnom koraa. Fa aduan a ahoɔden wom di dwuma.
- Sɛ wunya sɛnkyerɛnne foforo te sɛ aniwa mu yaw, aniwa mu haw, anaa ɛyɛ den sɛ wobɛhome a, bɔ wo duruyɛfo amanneɛ ntɛm ara.
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