So ɛtɔ mmere bi a wosɔre anɔpa a wo nkotodwe ne w’asen mu yɛ wo yaw kɛse? So ɛyaw no ano brɛ ase bere tiaa bi akyi, na afei ɛsan ba bio? Ebia wubesusuw sɛ eyi yɛ ade a ɛfata, anaasɛ ɛyɛ menewam yaw a efi mmɔdenbɔ boro so mu ara kwa. Nanso ɛtɔ mmere bi a, wɔ ɛyaw a ɛyɛ mmerɛw saa akyi no, ebia aduruyɛ mu tebea bi wɔ hɔ a ɛsɛ sɛ yɛhwɛ so. Ɛnnɛ, yɛrebɛka tebea a ɛte saa, a ɛne Ankylosing Spondylitis (AS) ho asɛm.
AS sen akyi yaw ara kwa.
Nnipa pii susuw sɛ AS yɛ yare bi a ɛma akyi yɛ yaw na ɛyɛ den ara kwa. Yiw, akyi yaw ne akisikuru ne yare yi ho sɛnkyerɛnne atitiriw. Nanso nokwasɛm ne sɛ, AS yɛ tebea a ebetumi aka nipadua no nyinaa. Sɛ yɛbɛka no pɛpɛɛpɛ a, ɛyɛ nhyehyɛe mu yare , a ɛkyerɛ sɛ ɛka nhyehyɛe ahorow pii wɔ nipadua no mu, na ɛnyɛ beae biako pɛ.
Sɛ eyi ba mmerante ne mmabaa so a, ɛtɔ mmere bi a akyi yaw betumi adi yaw anim wɔ nkwaa akɛse te sɛ mmati ne asen mu. Afei nso, tebea bi a wɔfrɛ no enthesitis abu so kɛse wɔ saa yare yi mu.
Enti dɛn ne Enthesitis?
Sɛ yɛbɛka no tiawa a, ɛyɛ ntini ne ntini a ɛde yɛn ntini bata yɛn nnompe ho no mu ɔfe. Wɔtaa hu eyi wɔ Achilles ntini a ɛwɔ nan ase ne nan ase ntini a ɛwɔ nan ase no mu. Sɛ worete wo nan ase yaw kɛse bere a wudi kan sɔre fi mpa so anɔpa a, ebetumi afi tebea yi mu.
Ɛwom sɛ na madi mfe 21 de, nanso na menantew te sɛ obi a madi mfe 90, na me nipadua yɛ den na mewosow fi ɔfã biako kɔ ɔfã foforo.
Obi a wayare saa yare yi na ɔkaa saa asɛm yi. Ɛtɔ da bi a, sɛ saa sɛnkyerɛnne ahorow yi ba a, yɛmfa yɛn adwene nsi so kɛse. Anaasɛ yɛn werɛ fi sɛ yɛbɛka ho asɛm akyerɛ yɛn duruyɛfo. Ɛno nti na ebetumi agye mfe pii ansa na nnipa binom ahu AS pɛpɛɛpɛ no. Titiriw sɛ oduruyɛfo a ɔhwɛ wo nyinaa resa wo yare a, ebia ɔrensusuw nkwaa a ɛyɛ hyew a ɛte sɛɛ ho. Enti , ɛho hia yiye sɛ wo ne wo duruyɛfo kasa fa sɛnkyerɛnne biara a wowɔ ho, ɛmfa ho sɛnea ɛyɛ ketewaa no.
Sɛnea AS ka akyi berɛmo no
AS yɛ tebea a ɛkɔ so wɔ nkwa nna nyinaa mu. Sɛ wɔanhwɛ so yiye a, ebetumi abɔ w’akyi berɛmo daa na aka sɛnea wotumi nantew mpo. Sɛ wote ɛyaw wɔ mmeae afoforo a ɛnyɛ w’akyi a, ɛkyerɛ sɛ ebia wowɔ yare no a emu yɛ den kɛse. Momma yɛnhwɛ mmeae atitiriw a AS betumi aka wɔ w’akyi akyi.
| Nipadua fã a ɛka no | Nneɛma a ɛsɛ sɛ wuhu ne sɛnkyerɛnne ahorow |
|---|---|
| Asen ne mmati | Bɛyɛ nnipa 3 biara mu 1 a wɔwɔ AS te ɛyaw wɔ saa nkwaa yi mu. Ɛyaw no betumi afi ase wɔ asen, nkotodwe, anaa asen anim. |
| Ani | AS ayarefo bɛyɛ 40% nya tebea bi a wɔfrɛ no uveitis , a ɛyɛ aniwa no mu ɔfe. Sɛ wowɔ sɛnkyerɛnne ahorow te sɛ w’ani a ɛyɛ kɔkɔɔ, ɛyaw, na ɛyɛ den sɛ wobɛhwɛ hann a, kɔ oduruyɛfo nkyɛn ntɛm ara. |
| Nnuan a wɔyam (dwensɔtwaa) . | Nnipa bɛyɛ 10 biara mu 1 a wɔwɔ AS betumi anya dwensɔtwaa mu yare a ɛma obi ho hyehye no (IBD) , te sɛ Crohn yare anaasɛ akisikuru . Nsɛnkyerɛnne no bi ne akisikuru a mogya wom, mu duru a ɛso tew, ne ɔbrɛ a ɛtra so. |
| Apantan | AS ayarefo bɛyɛ 10% nya ɔfe wɔ anom nkwaa mu, na ebetumi ama ayɛ den sɛ wobedidi. Ɛho hia sɛ wokɔ sẽ ho oduruyɛfo nkyɛn sɛ wowɔ ɛyaw a ɛte sɛɛ a. |
| Nnompe | AS ayarefo bɛyɛ fã wɔ asiane mu sɛ wobenya nnompe mu yare , yare bi a ɛma nnompe no yɛ mmerɛw. Calcium ne vitamin D a wɔnom ne apɔw-mu-teɛteɛ te sɛ nantew betumi aboa ma nnompe ayɛ den. |
| Ahrawa | Ɛtɔ mmere bi a, AS betumi ama nkwaa a ɛda akyi berɛmo ne mpampam ntam no ayɛ den, na ama wo koko no ntrɛw yiye bere a worehome no. Eyi betumi ama ayɛ den sɛ ɔbɛhome. Sɛ wo koko yɛ wo yaw a, kɔ oduruyɛfo nkyɛn ntɛm ara. |
| Akoma | AS ma asiane a ɛwɔ hɔ sɛ obi benya komayare no yɛ kɛse. Aorta, ntini titiriw a ɛma mogya fa nipadua no nyinaa mu no betumi ahonhon. Koma a ɛbɔ nso betumi ayɛ ntɛmntɛm anaasɛ ayɛ brɛoo. Enti, ɛho hia sɛ anyɛ yiye koraa no wɔyɛ echocardiogram (koma no mu nhwehwɛmu a ɛyɛ den) pɛnkoro afe biara. |
Momma yensua ayaresa ne sɛnea wɔde di dwuma nso ho ade.
Sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, ade a eye sen biara a ɛsɛ sɛ woyɛ ne sɛ wobɛkɔ akɔhwɛ oduruyɛfo a ɔhwɛ akisikuru . Ɔbɛhwehwɛ wo mu na sɛ ɛho hia a, ɔhyɛ sɛ wɔnyɛ nhwehwɛmu te sɛ X-ray, MRI, ne mogya mu nhwehwɛmu de kyerɛ sɛ woahu sɛ wowɔ wo yare no.
Sɛ́ ayaresa no, wɔtaa di kan ma nnuru a wɔde kum ɛyaw a wɔfrɛ no NSAIDs (Nonsteroidal anti-inflammatory drugs) . Nanso, nnipa binom betumi anya nneɛma bɔne te sɛ yafunu mu yaw ne akisikuru a efi nnuru yi mu. Sɛ ɛba saa a, ɛsɛ sɛ woka ho asɛm kyerɛ wo duruyɛfo. Afei ebia obetumi asesa nnuru ko a wɔde ma no anaasɛ wasakra dodow a wɔde ma no.
Sɛ yare no mu yɛ den kɛse a, mprempren nnɛyi nnuru te sɛ biologics a ebetumi asiw ɔsɛe a yare no de ba nipadua no so wɔ hɔ.
Ade a ɛho hia sen biara ne sɛ wode wo ho bɛhyɛ apɔw-mu-teɛteɛ ne apɔw- mu-teɛteɛ a ɛfata mu , ne nnuru nso. Eyi bɛboa kɛse ma nkwaa a ɛyɛ den no so atew na ama nipadua no ayɛ mmerɛw.
Wo mu duru, wo mogya mmoroso, ne srade dodow a wobɛhwɛ so nso ho hia yiye ma koma akwahosan. Afei nso, sɛ wonom sigaret a, ɛsɛ sɛ wugyae ntɛm ara. Sigaretnom ma tebea yi mu yɛ den.
Nkrasɛm a Wɔde Kɔ Fie
- AS nyɛ yare a ɛwɔ akyi berɛmo mu nkutoo. Ebetumi aka aniwa, koma, ahurututu, dwensɔtwaa, ne nkwaa afoforo nso.
- Sɛ wowɔ sɛnkyerɛnne afoforo ka w’akyi yaw ho, te sɛ aniwa kɔkɔɔ, asen mu yaw, asen mu yaw, anaasɛ ɛyɛ den sɛ wobɛhome a, ka eyinom nyinaa kyerɛ wo duruyɛfo.
- Sɛ wohu yare no ntɛm, na wɔde ayaresa a ɛfata ne asetra mu nsakrae ka ho a, wobetumi adi AS ho dwuma yiye na wɔatra ase a ɛfata.
- Apɔw-mu-teɛteɛ ne apɔw-mu-teɛteɛ ayaresa a wɔakyerɛw ama wɔn a wɔde wɔn ho bɛhyɛ mu sɛnea oduruyɛfo kyerɛ no ho hia te sɛ nnuru a wɔnom.
- Wo tebea no a wobɛkyerɛkyerɛ wo ho no ne ɔkwan a eye sen biara a wobɛfa so ne no atra ase yiye.
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