So w’akyi yɛ wo yaw fi wo mmofraase? So ɛyɛ ɛyaw a ɛyɛ nwonwa a ɛkɔ so daa, ɛte sɛ nea wɔde ɔbo ayɛ w’akyi berɛmo bere a wosɔre anɔpa no, na sɛ woteɛteɛ w’apɔw mu a, ɛyɛ yiye? Ebia woasɔ ayaresa ahorow ahwɛ, nanso wunnya nhuu nea ɛyɛ ankasa? Sɛ saa a, asɛm yi bɛyɛ nea ɛho hia wo paa. Ɛnnɛ yɛrebɛka Ankylosing Spondylitis, anaa AS tiawa ho asɛm.
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Dɛn nti na ɛyɛ den saa sɛ wobehu AS?
Sɛ yɛbɛka no tiawa a, Ankylosing Spondylitis (AS) yɛ akyi berɛmo ne akyi berɛmo nkwaa a ɛyɛ hyew a enni sabea. Nneɛma atitiriw pii nti na ebetumi ayɛ den sɛ wobehu yare no.
Ade a edi kan ne sɛ yare yi ho sɛnkyerɛnne ahorow no da adi nkakrankakra yiye . Wonte nsonsonoe kɛse nka ntɛm ara. Ade a ɛto so abien ne nea ɛho hia sen biara ne sɛ yare yi ho sɛnkyerɛnne titiriw ne akyi yaw . Afei susuw ho hwɛ, akyi yaw abu so dɛn? Sɛ woma biribi a ɛnteɛ so, sɛ wotena hɔ kyɛ, sɛ woda baabi a ɛnteɛ a, w’akyi betumi ayɛ wo yaw. Enti, nnipa pii susuw sɛ eyi yɛ akyi haw a ɛfata.
Esiane saa nneɛma yi nti, nhwehwɛmu ahorow ada no adi sɛ ebetumi agye mfe 8 kosi 10 fi bere a obi fi ase da sɛnkyerɛnne ahorow adi ansa na wɔahu sɛ ɔwɔ AS. Nanso, yare no a wobehu ntɛm no ho hia na ama ayaresa no atu mpɔn kɛse.
Enti, sɔhwɛ biako biara nni hɔ a ebetumi asi so dua 100% "So mewɔ AS?" prɛko pɛ. Nanso, oduruyɛfo de nhwehwɛmu ahorow a wɔaka abom de hu yare yi, te sɛ ahodwiriwde bi a wodi ho dwuma, di dwuma de du asɛm bi ho.
Anamɔn bɛn na oduruyɛfo no fa so hu yare no?
Sɛ wokɔ oduruyɛfo nkyɛn fa w’akyi yaw ho asɛm a, sɛ wosusuw sɛ tebea yi wɔ hɔ a, obedi anammɔn pii akyi.
1. Wobebisa wo nsɛm a ɛkɔ akyiri na wayɛ wo nipadua mu nhwehwɛmu
Ade a edi kan a wobɛyɛ ne sɛ wo ne wo bɛkasa yiye na woabisa wo sɛnkyerɛnne ahorow no ho asɛm. Wobebisa wo nsɛm a emu dɔ, titiriw fa w’akyi yaw ho. Sɛ anyɛ yiye koraa no, w’akyi yaw no ne su ahorow a edidi so yi mu anan hyia a, ebia wo duruyɛfo besusuw sɛ AS.
| Su a ɛyɛ adwenem naayɛ | Nkyerɛmu |
|---|---|
| Mfeɛ | So akisikuru no fii ase ansa na ɔredi mfe 35? |
| Rehyɛ aseɛ | So ɛyaw no yɛɛ kɛse nkakrankakra? |
| Berɛ | So akɔ so bɛboro asram abiɛsa ni? |
| Nkɛntɛnso a apɔw-mu-teɛteɛ nya | Sɛ woteɛteɛ w’apɔw mu anaa wo nantew a, ɛyaw no so tew? |
| Anɔpa a ɛyɛ den | Sɛ wosɔre anɔpa a, so w’akyi yɛ den na ɛyɛ den sɛ wobɛkotow bɛyɛ dɔnhwerew biako? |
Nea ɛka ho no, oduruyɛfo no bebisa sɛ ebia obi wɔ w’abusua mu a wanya nkwaa mu yare a ɛte sɛɛ anaa. Ebia eyi wɔ awosu mu abusuabɔ bi. Ɔbɛhwɛ sɛnea w’akyi berɛmo yɛ den na ɛyɛ mmerɛw nso. Ɔbɛhwɛ sɛ ɛyaw nni hɔ bere a woremia w’akyi berɛmo ne wo nkwaa afoforo so no. Ɛtɔ da bi mpo a, ebia ɔbɛhwɛ sɛnea wo moma so trɛw (bere a worehome).
2. Mfoniniyɛ Ho Adesua
Eyinom yɛ sɔhwɛ ahorow a wɔde twa nipadua no mu mfonini. Eyinom boa paa wɔ nyarewa a wohu mu.
- X-ray: Sɛ wosusuw sɛ AS a, oduruyɛfo betumi adi kan ahyɛ sɛ wɔnyɛ X-ray. Wɔfrɛ sacroiliac nkwaa a akyi berɛmo no fi ase na ɛne asen dompe no di nkitaho no sacroiliac nkwaa. Nsakrae a ɛba saa nkwaa yi mu ne AS ho sɛnkyerɛnne a ɛda adi kɛse. Nea ɛyɛ awerɛhow no, nsakrae yi nna adi wɔ X-ray so kosi mfe pii akyi bere a sɛnkyerɛnne ahorow no afi ase .
- CT Scan (Computerized Tomography Scan): Sɛ biribiara nhu pefee wɔ X-ray no so, nanso oduruyɛfo no susuw sɛ AS a, obetumi de wo akɔma CT scan. Eyi betumi ama wɔanya mfonini a ɛkɔ akyiri, a ɛwɔ afã abiɛsa (3D) sen X-ray.
- MRI mfonini (Magnetic Resonance Imaging) a wɔde yɛ mfonini:Eyi ne sɔhwɛ a ɛboa kɛse ma wohu AS wɔ ne mfiase. MRI mfa X-ray nni dwuma, na mmom wɔde magnet kɛse ne kɔmputa mfiridwuma di dwuma de hu nipadua no mu yiye, titiriw ntini a ɛyɛ mmerɛw ne nkwaa, baabi a ɔfe betumi aba no.
- Ultrasound scan: Eyi de nnyigyei asorɔkye na ɛyɛ mfonini. Wɔda so ara reyɛ eyi ho nhwehwɛmu sɛ ɔkwan a wɔbɛfa so ahu AS ntɛm.
3. Mogya mu Nhwehwɛmu
Ebia wo duruyɛfo nso bɛhyɛ sɛ wɔnyɛ mogya mu nhwehwɛmu mpɛn pii, titiriw de hwehwɛ nneɛma a ɛma obi ho hyehye no a ebetumi akyerɛ sɛ ebia ɔfe bi wɔ nipadua no mu anaa.
Afei nso, awosu mu nhwehwɛmu foforo a ɛyɛ pɔtee yiye wɔ hɔ , a ɛno ne HLA-B27 awosu mu nkwaadɔm no ho sɔhwɛ.
Ade a ɛho hia ne sɛ: esiane sɛ wowɔ HLA-B27 awosu mu abɔde wɔ wo nipadua mu nti ɛnkyerɛ sɛ wowɔ AS 100% wɔ bere no mu . Nanso nnipa a wɔwɔ AS no mu dodow no ara wɔ saa awosu mu abɔde yi. Enti, sɛ wowɔ saa awosu mu abɔde yi ka wo sɛnkyerɛnne ahorow ho a, ebetumi ayɛ sɛnkyerɛnne a ɛho hia yiye ama wo duruyɛfo no sɛ obehu yare no.
Enti wubetumi ahu, AS a wobɛhwehwɛ mu no te sɛ nea woreyɛ adwuma sɛ ɔsraani a ɔhwehwɛ nkurɔfo ho nsɛm mu. Egye adanse pii, na ɛnyɛ adanse biako pɛ, na ama yɛanya asɛm a ɛfata.
Nkrasɛm a Wɔde Kɔ Fie
- Wontumi mfa nhwehwɛmu biako pɛ nhu Ankylosing Spondylitis (AS). Ɛyɛ adeyɛ a ɛwɔ anammɔn pii.
- Sɛ w’akyi yɛ wo yaw na wo ho yɛ wo den bere nyinaa fi wo mmofraase, titiriw anɔpa a, mmu w’ani ngu so sɛ biribi a ɛfata na kɔ oduruyɛfo nkyɛn.
- Dodow a wohu yare yi ntɛm no, dodow no ara na ayaresa no di yiye.
- Wo duruyɛfo no bɛka nsɛm a wode bɛma, nipadua mu nhwehwɛmu, mfoniniyɛ mu nhwehwɛmu (X-ray, MRI), ne mogya mu nhwehwɛmu (titiriw HLA-B27) abom na ama wɔahu yare no pɛpɛɛpɛ.
- Sɛ egye bere kakra ansa na woahu sɛ wowɔ yare no a, mma ɛnhaw wo. Eyi yɛ tebea a emu yɛ den, enti ɛyɛ ade a ɛfata sɛ egye bere. Ade a ɛho hia sen biara ne sɛ wo ne wo duruyɛfo bɛkɔ so adi nkitaho na woayɛ nhwehwɛmu a ɛho hia.
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