So wunim mogya mu nhwehwɛmu a wɔfrɛ no ENA Panel no ho asɛm? Momma yɛnte ase kɛkɛ (ENA Panel) .

So ɛtɔ mmere bi a wo nkwaa mu yaw a ɛba kwa, wobrɛ bere nyinaa, anaasɛ wo honam ani yɛ wo yaw? Ebia wo duruyɛfo yɛɛ ANA nhwehwɛmu na ɔkae sɛ ɛyɛ papa? Sɛ saa a, hokwan kɛse wɔ hɔ sɛ wɔbɛka akyerɛ wo sɛ yɛ mogya mu nhwehwɛmu titiriw yi a wɔfrɛ no ENA panel yi akyi. Nnipa pii te saa din yi a, ehu ka wɔn kakra. Nanso mma ɛnhaw wo. Ɛnnɛ, yɛbɛka biribiara a ɛfa ENA panel yi ho asɛm tiawa.

Dɛn ankasa ne ENA panel?

Sɛ yɛbɛka no tiawa a, ENA panel no yɛ nhwehwɛmu titiriw bi a ɛhwɛ yɛn mogya. Ɛhwehwɛ protein soronko (yɛfrɛ saa antibodies yi ) titiriw wɔ yɛn mogya mu a ɛtow hyɛ yɛn ankasa nipadua afã horow a ɛte apɔw so anaasɛ ɛyɛ adwuma tia.

Susuw ho hwɛ, yɛn nipadua te sɛ ɔman. Asraafo dɔm bi wɔ hɔ a wɔbɔ ɔman yi ho ban. Saa asraafo dɔm no ne yɛn nipadua mu ahoɔden a ɛko tia nyarewa no . Asraafo a wɔwɔ saa asraafo yi mu ne nnuru a ɛko tia nyarewa . Mpɛn pii no, saa asraafo yi ko tia atamfo a wofi akyi, kyerɛ sɛ, mmoawa te sɛ mmoawa ne mmoawa, na wɔbɔ yɛn ho ban fi nyarewa ho.

Nanso ɛtɔ da bi a, yɛn ankasa asraafo di mfomso na wofi ase tow hyɛ nnipa pa a wɔwɔ yɛn ankasa man mu, nkwammoaa a wɔwɔ apɔwmuden a ɛwɔ yɛn ankasa nipadua mu no so. Ɛno ne nea yɛfrɛ no yare a nipadua no tumi ko tia nyarewa . Nea ENA panel no yɛ ne sɛ wɔhwehwɛ "asraafo" (antibodies) ahorow bi wɔ yɛn mogya mu a wodi mfomso tow hyɛ wɔn so.

Bere bɛn na ɛsɛ sɛ meyɛ ENA sɔhwɛ yi?

Ɛnyɛ obiara na obehia sɔhwɛ yi. Nneɛma atitiriw pii nti na wo duruyɛfo betumi ahyɛ sɛ wɔbɛyɛ nhwehwɛmu yi:

• Sɛ ANA nhwehwɛmu no yɛ papa a: Sɛ wowɔ yareɛ a nipadua no tumi ko tia nyarewa ho sɛnkyerɛnne (e.g., nkwaa mu yaw, ɔbrɛ, honam ani akisikuru) na woanya ANA (Antinuclear Antibody) nhwehwɛmu a ɛyɛ papa wɔ bere a atwam no mu a, wobetumi aka akyerɛ wo sɛ yɛ ENA panel yi sɛ anammɔn a edi hɔ.
• Bere a wonyinsɛn: Sɛ wowɔ lupus na woanyinsɛn a, ebia wo duruyɛfo bɛkamfo nhwehwɛmu yi akyerɛ wo. Nea enti a ɛte saa ne sɛ ɛna no nipadua mu nkwammoaa a ɛko tia nyarewa no bi tumi twa awotwaa no mu na ɛka akokoaa no. Eyi nso betumi aka akokoaa no koma dwumadi. Enti sɔhwɛ yi boa wo ma wuhu eyi ntɛm.

Nyarewa ahorow bɛn na ENA kuw no hwehwɛ?

Nnuru a ɛko tia nyarewa ahorow a ENA kuw no hwehwɛ no ne nyarewa pɔtee pii a nipadua no tumi ko tia nyarewa no wɔ abusuabɔ. Nanso kae sɛ, sɛ wonya nhwehwɛmu yi mu aba pa a, ɛnkyerɛ sɛ wowɔ yare no 100%. Eyi yɛ ade biako pɛ a ɛho hia wɔ ɔkwan a wɔfa so hwehwɛ yare no mu.

Ɔkwan bɛn so na wobetumi asiesie wɔn ho ama sɔhwɛ no? Dɛn na ɛsɛ sɛ yɛhwɛ kwan?

Eyi ne asɛmpa a eye sen biara. Ahosiesie titiriw biara nni hɔ a ɛho hia ma ENA bagua no. Wubetumi adidi, anom, na woanom wo nnuru sɛnea wotaa de di dwuma.

Nea ɛka nhwehwɛmu no ho ne sɛ wubegye mogya ketewaa bi afi ntini bi a ɛwɔ wo nsa mu, te sɛ mogya mu nhwehwɛmu a wɔyɛ daa no ara pɛ. Ebia wobɛte ɛyaw kakra bere a wɔde ade no hyɛ mu na wɔayi afi mu no. Sɛ wosuro nnade a, ɛbɛyɛ papa sɛ wobɛtwe wo ho afi ho. Sɔhwɛ no begye nea ennu simma biako. Afei wɔde mogya no kɔ adwumayɛbea bi a wɔyɛ nhwehwɛmu.

So asiane bi wɔ eyi mu?

Eyi yɛ nhwehwɛmu a ahobammɔ wom koraa, nanso te sɛ mogya mu nhwehwɛmu biara no, nneɛma nketenkete betumi asi.

• Ebia wo ho bɛtɔ wo kakra bere a wɔtwe wo mogya no.
• Beae a wɔde ade no guu mu no betumi adan bruu (hematoma).
• Ɛntaa mma koraa sɛ ɔyare mmoawa bi betumi aba.

Ɔkwan bɛn so na yɛbɛte sɔhwɛ no mu aba no ase?

Ebia w'amanneɛbɔ no bɛkyerɛ nea afi mu aba no sɛ Positive , Negative , anaa Borderline .

• Nea enye: Eyi kyerɛ sɛ nnuru pɔtee a ɛko tia nyarewa a wɔayɛ ho nhwehwɛmu no nni wo mogya mu, anaasɛ kakraa bi pɛ na ɛwɔ hɔ.
• Adepa: Eyi kyerɛ sɛ wɔahu nnuru a ɛko tia nyarewa a wɔasɔ ahwɛ no mu biako anaa nea ɛboro saa wɔ wo mogya mu.
• Borderline: Eyi kyerɛ sɛ nea efi mu ba no wɔ mfinimfini gyinabea a ɛrentumi nyɛ yiye sɛ yɛbɛka no yiye sɛ ɛyɛ papa anaasɛ enye.

So ENA positive kyerɛ sɛ mewɔ lupus?

Ɛnyɛ saa koraa. Nea eye biako pɛ a efi mu ba wɔ ENA panel no so no nkyerɛ sɛ wowɔ yare pɔtee bi te sɛ lupus. Sɛ nhwɛso no, tumi a ɛko tia nyarewa a ɛyɛ papa wɔ obi a ɔwɔ Sjögren yare no mu nso betumi ayɛ papa wɔ obi a ɔwɔ lupus mu. Enti, sɛnea wohu yare no te sɛ nea woredi ahodwiriwde bi ho dwuma. ENA panel no yɛ saa ahodwiriwde no fã biako pɛ.

Nsonsonoe bɛn na ɛwɔ ANA ne ENA sɔhwɛ ahorow no ntam?

Eyi yɛ biribi a ɛma nnipa pii adwene tu fra. Momma yɛmfa nhwɛso tiawa bi nte eyi ase.

Susuw ANA sɔhwɛ no ho sɛ ɔkwan a wɔfa so bisa wɔ ɔkwan a ɛkɔ akyiri so sɛ, "Hena na ɔwɔ mu?" denam ofie bi pon a wɔbɛbɔ so. Ɛkyerɛ wo sɛ ebia obi wɔ mu anaasɛ onni mu nkutoo. Ɛyɛ sɔhwɛ a wɔde hwehwɛ nipadua mu a ɛma wunya adwene a ɛyɛ den sɛ ebia wowɔ autoimmune haw anaasɛ wunnya bi.

ENA panel no te sɛ nea wobue ɔpon bi, kɔ mu, na woka sɛ, "Oh, Nimal, Kamala, Sunil wɔ mu," na afei worehwehwɛ onipa no din pɔtee. Ɛne sɛ, bere a ANA nhwehwɛmu no ahu sɛ ɛyɛ papa akyi no, wɔyɛ nhwehwɛmu bi de hu nipadua mu nkwammoaa pɔtee a ɛko tia nyarewa a ɛde ba no ankasa.

Bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn?

• Sɛ wo nsa ka wo nhwehwɛmu amanneɛbɔ wie a, hwɛ hu sɛ wo ne wo duruyɛfo behyiam asusuw ho. Nsuro sɛ wubebisa nsɛm biara a wowɔ wɔ nea efi mu ba no ho.
• Sɛ baabi a wɔtwe mogya no yɛ yaw kɛse, ɛho ahonhon, ɛyɛ kɔkɔɔ, akisikuru a ɛretu, anaasɛ wowɔ atiridii a, kɔ ayaresabea a ɛbɛn wo no Dwumadibea a Ɛhwɛ Ntɛmntɛm (ETU) ntɛm ara .

ENA panel no yɛ sɔhwɛ a ɛho hia yiye a ɛboa nnuruyɛfo ma wohu nyarewa a nipadua no tumi ko tia nyarewa. Nsɛm a ɛde ma no, sɛ wɔde ka wo sɛnkyerɛnne ahorow ho a, ɛma wuhu w’akwahosan ho mfonini pefee. Enti, sɛ wɔka kyerɛ wo sɛ yɛ sɔhwɛ yi a, mma wo ho nnyɛ wo hu. Ɛyɛ anammɔn a wubetumi atu de aboa wo ho ara kwa.