So ɛtɔ mmere bi a wosɔre anɔpa a w’akyi berɛmo mu yɛ den na wote ɛyaw a ɛmma wuntumi nteɛ w’akyi berɛmo? Ɛyaw a ɛte sɛɛ, titiriw wɔ akyi ne asen mu, betumi ayɛ biribi a emu dɔ kɛse sen akyi yaw kɛkɛ mfiase, titiriw bere a woyɛ abofra no. Eyi nyɛ akyi yaw a ɛyɛ mmerɛw ara kwa. Ɛnnɛ yɛbɛka tebea a ɛte saa biako ho asɛm, ankylosing spondylitis (AS), ntini mu yare a ɛntaa nsi. Momma yɛnka nea ɛde ba ne onii a ɔwɔ asiane kɛse mu ma no ho asɛm.
Sɛ yɛbɛka no tiawa a, dɛn ne Ankylosing Spondylitis (AS)?
Ankylosing Spondylitis, anaa AS tiawa no yɛ ntini mu yare bi. Ɛka akyi berɛmo no titiriw . Ɛma ɔfe, a ɛkyerɛ sɛ ɛma akyi berɛmo no nkwaa ne ɛtɔ mmere bi a nkwaa afoforo te sɛ asen mu hohoro na ɛyɛ den. Eyi betumi ama obi ayɛ den na wayɛ no yaw anɔpa.
Sɛ ɔfe yi kɔ so kyɛ, bere a yɛn nipadua no rebɔ mmɔden sɛ ɛbɛsa no, nnompe asinasin foforo fi ase ba. Sɛ eyi mu nsunsuanso bɔne no, akyi berɛmo no betumi ayɛ den na akyi berɛmo no atumi ahwere sɛnea ɛyɛ mmerɛw. Eyi ma ɛyɛ den sɛ wobɛma akyi berɛmo no ayɛ tẽẽ na wakotow.
So nnuruyɛfo nim nea enti a ɛte saa ankasa?
Sɛ yɛbɛka nokware a, nnuruyɛfo da so ara ntumi nka nea ɛde AS ba ankasa. Nanso, mprempren wogye tom sɛ nneɛma abien a wɔaka abom na ɛde ba: yɛn awosu ne nneɛma a atwa yɛn ho ahyia.
Susuw ho saa kwan yi so: yɛn awosu mu nkwaadɔm te sɛ atuo a wɔaboaboa ano. Nanso sɛ ɛbɛhyew a, ehia sɛ ogyaframa a efi akyi ba. Saa ara na ɛkɔ so wɔ ha. Ɛwom mpo sɛ awosu mu su bi wɔ hɔ a ɛma obi nya AS de, nanso ‘nea ɛkanyan’ anaa ‘ogyaframa’ bi a efi nneɛma a atwa yɛn ho ahyia mu ho hia na ama yare no aba.
Awosu mu nkɛntɛnso ne HLA-B27
Sɛ yɛreka AS ho asɛm a, ade biako a ɛsɛ sɛ yɛka ho asɛm ankasa ne awosu mu abɔde a wɔfrɛ no HLA-B27 . Eyi yɛ awosu mu abɔde a ɛma protein soronko bi, anaa ‘awosu mu agyiraehyɛde’, wɔ yɛn nipadua mu. Dwumadi titiriw a saa awosu mu abɔde yi yɛ ne sɛ ɛbɛboa yɛn nipadua mu tumi a ɛko tia nyarewa no . Ɛne sɛ, sɛ wɔbɛboa ma wɔahu nneɛma a epira te sɛ mmoawa ne mmoawa a wɔhyɛn nipadua no mu na wɔako atia.
Nnipa a wɔwɔ AS no mu dodow no ara wɔ saa HLA-B27 awosu mu abɔde yi wɔ wɔn nipadua mu. Nanso, ade a ɛho hia sen biara wɔ ha ne sɛ:
Ɛnyɛ obiara na onya AS esiane sɛ ɔwɔ HLA-B27 awosu mu abɔde no ara kwa nti.Nokwarem no, nnipa dodow no ara a wɔwɔ saa awosu mu abɔde yi rennya AS da wɔ wɔn nkwa nna mu. Afei nso, ebetumi aba sɛ obi a onni saa awosu mu abɔde yi benya AS.
Ɛno kyerɛ sɛ HLA-B27 yɛ asɛm no fã bi kɛkɛ. Nyansahufo ahu awosu mu nkwaadɔm afoforo pii a ɛne AS wɔ abusuabɔ. Ɛkame ayɛ sɛ saa awosu mu nkwaadɔm yi nyinaa ka yɛn nipadua mu tumi a ɛko tia nyarewa no dwumadi ho wɔ ɔkwan bi so.
Nea ɛkanyan no
Okay, enti momma yɛnka sɛ wowɔ awosu mu su, anaa ‘tuo’, a ɛbɛma woanya AS. Afei wuhia ‘spark’ a wode bɛhyew no. Nyansahufo da so ara reyɛ nhwehwɛmu wɔ nea ogyaframa yi yɛ ho.
Nsusuwii titiriw biako ne sɛ ɔyare mmoawa bi na ɛkanyan saa ɔhyew yi . Ne titiriw no, wosusuw sɛ ebia nea ɛde eyi ba ne yɛn aduan mu nneɛma a ɛbɔ yɛn ho ban, a ɛne dwensɔtwaa no , a asɛe . Sɛ eyi ba a, mmoawa ahorow bi a wofi dwensɔtwaa mu betumi akɔ mogya no mu.
Sɛ mmoawa hyɛn mogya mu wɔ saa kwan yi so a, obi a ɔwɔ awosu mu tumi a ɛko tia nyarewa no yɛ ade boro so, na ɛbɔ dam. Ne saa nti, nipadua no mu tumi a ɛko tia nyarewa no fi ase tow hyɛ nipadua no afã horow a ɛwɔ apɔwmuden so, titiriw nkwaa a ɛwɔ akyi berɛmo no mu. Eyi ne ɔkwan a AS fi ase.
Hena na ɔwɔ asiane kɛse ma eyi?
Ɛwom sɛ obiara betumi anya AS de, nanso nnipa binom wɔ asiane kɛse mu kakra. Momma yɛnhwɛ nnipa ko a wɔyɛ.
| Asiane a Ɛde Ba | Nkyerɛmu |
|---|---|
| Abusua abakɔsɛm | Sɛ obi a ɔwɔ w’abusua mu, titiriw ɛna, agya, anaa wo nua bi wɔ AS a, wowɔ asiane kɛse mu sɛ wubenya bi sen onipa a ɔte saa. Eyi kyerɛ nkɛntɛnso a awosu mu nkwaadɔm nya. |
| Mfeɛ | AS taa fi ase wɔ mmerante ne mmabaa a wɔadi fi mfe 17 kosi 45. Ɛtaa fi ase ntɛm koraa sen ntini mu yare afoforo a ɛba bere a obi nyin no. |
| Bɔbea | Anyɛ yiye koraa no, mmarima taa nya AS sen mmea mmɔho abien. |
| Nyarewa a wɔtaa nya wɔ dwensɔtwaa mu | Asiane yi betumi akɔ soro kakra ama obi a ɔtaa nya yafunu mu yare ne aduan mu yare no. Ɛte saa esiane ‘ogya gyaframa’ a yɛadi kan aka ho asɛm no nti. |
| Nyarewa afoforo a nipadua no tumi ko tia nyarewa | Sɛ wowɔ yare foforo a nipadua no tumi ko tia nyarewa dedaw, te sɛ psoriasis , Crohn yare , anaa ulcerative colitis , a, asiane kɛse wom sɛ wubenya AS. Nea nyarewa yi nyinaa yɛ pɛ ne nipadua mu ahoɔden a ɛko tia nyarewa a entumi nyɛ adwuma yiye. |
Sɛ w’akyi yɛ wo yaw anaasɛ wo ho yɛ wo den te sɛ eyi, titiriw sɛ ɛyɛ kɛse anɔpa na ɛkyɛ bɛboro dɔnhwerew fã a, mmu w’ani ngu so kɛkɛ. Mfa no kɛkɛ sɛ, ‘Eyi ne nea ɛba bere a woanyin a.’ Hwɛ wo duruyɛfo ntɛm ara na ka ho asɛm. Dodow a wuhu tebea no ntɛm no, dodow no ara na hokwan a wowɔ sɛ wubedi so, atew wo nkwaa a ɛsɛe no so, na woatra ase yiye.
Nkrasɛm a Wɔde Kɔ Fie
- Ankylosing Spondylitis (AS) yɛ ntini mu yare bi a ɛka akyi berɛmo, na ɛnyɛ akyi yaw a ɛyɛ mmerɛw kɛkɛ.
- Ɛwom sɛ biribiara nni hɔ a ɛde eyi ba pɔtee de, nanso wosusuw sɛ awosu mu nkwaadɔm te sɛ HLA-B27 ne nneɛma a atwa yɛn ho ahyia a ɛkanyan te sɛ ɔyare mmoawa a wɔaka abom na ɛde ba.
- Sɛ wowɔ HLA-B27 awosu mu abɔde mu nkwaadɔm anaasɛ asiane afoforo a wowɔ no nkyerɛ sɛ akyinnye biara nni ho sɛ wubenya AS.
- Saa yare yi taa fi ase wɔ mmofraase, wɔ mfe 17-45 ntam.
- Sɛ w’akyi yɛ wo yaw na wo ho yɛ wo den mpɛn pii, titiriw anɔpa a, nsɛe bere nkɔ oduruyɛfo nkyɛn.
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