So eyi na ɛma wo nipadua yɛ wo yaw na wo honam ani sakra? Momma yɛnka Eosinophilia-Myalgia Syndrome (EMS) ho asɛm!

Ɛtɔ mmere bi a, ɛyɛ den sɛ yɛbɛte nyarewa a yenya no ase, ɛnte saa? Mpofirim ara, yɛte yaw wɔ yɛn nipadua mu, nneɛma nketenkete pue wɔ yɛn honam ani, na ɛyɛ den kakra sɛ yɛbɛhome. Ɛnnɛ yɛrebɛka tebea bi a ɛntaa nsi nanso ɛhaw adwene a ɛde saa sɛnkyerɛnne ahorow a ɛte sɛ nea enni abusuabɔ yi ba ho asɛm. Wɔfrɛ eyi `Eosinophilia-Myalgia Syndrome` (EMS). Ɛwom sɛ ebia edin no bɛyɛ te sɛ nea ɛware kakra de, nanso momma yɛnte ase kɛkɛ.

Dɛn ne Eosinophilia-Myalgia Syndrome (EMS) a ɛyɛ yare no?

Sɛ yɛbɛka no tiawa a, `Eosinophilia-Myalgia Syndrome` (EMS) yɛ tebea a ɛntaa nsi a ɛka wo ntini, wo honam ani, ne w’ahurututu . Nea ɛba wɔ eyi mu ne sɛ mogya mu nkwammoaa fitaa bi a wɔfrɛ no `eosinophils` , a ɛwɔ yɛn mogya mu no boaboa ano boro so na ɛkɔhyɛ yɛn ntini mu. Susuw ho saa kwan yi so, saa `eosinophils` yi te sɛ yɛn nipadua no ahobammɔ awɛmfo. Nanso sɛ asraafo yi dɔɔso dodo a, wofi ase de ɔhaw ba yɛn ankasa nipadua so.

Saa tebea yi betumi ama ntini mu yaw kɛse (myalgia) , honam ani akisikuru anaa nsakrae afoforo, na ayɛ den sɛ ɔbɛhome . Ɛtɔ mmere bi a, saa sɛnkyerɛnne ahorow yi betumi de nkwa ato asiane mu anaasɛ ɛde ɛyaw a emu yɛ den a ɛma ɛyɛ den sɛ wɔbɛyɛ da biara da dwumadi ahorow.

Saa tebea a wɔfrɛ no `EMS` yi yɛ tebea foforo a wɔfrɛ no `eosinophilia` no fã ketewaa bi. `Eosinophilia` yɛ `eosinophils` dodow a ɛkɔ soro ara kwa wɔ mogya anaa ntini mu.

Nea ɛtaa de EMS ba ne nnuru a wɔde ka aduan ho a nnuru a wɔfrɛ no L-tryptophan anaa 5-hydroxytryptophan (5-HTP) wom a wɔde di dwuma, sɛnea ebia woate no. Nanso, wɔahu nso sɛ nnipa binom betumi anya yare no a wɔmfa eyinom nni dwuma.

Ɛyɛɛ dɛn na Eosinophilia-Myalgia Syndrome bɛyɛɛ ɔyaredɔm?

Saa asɛm yi yɛ dedaw kakra. Wɔ 1989 mu no, yare foforo bi puei mpofirim wɔ Amerika. Nhwehwɛmufo too din `Eosinophilia-Myalgia Syndrome`. Saa bere no, ɛtrɛw te sɛ ɔyaredɔm. Nnipa a wɔyaree wɔ saa kwan yi so no mu dodow no ara yɛ wɔn a wɔde nnuru a wɔde ka aduan ho a `L-tryptophan` a wɔde ayɛ nneɛma wom dii dwuma. Eyi maa `eosinophils` boaboaa ano wɔ wɔn mogya mu, na ɛmaa ntini mu yaw. Wɔkyerɛ sɛ nnipa bɛyɛ 37 na wowuwui saa bere no.

Saa asɛm yi akyi no, U.S. Aduan ne Nnuru Dwumadibea (FDA) yii nneɛma dodow bi a L-tryptophan wom fii gua so. Ɛno akyi no, EMS nsɛm dodow a wɔbɔɔ ho amanneɛ no so tew kɛse.

Nanso, akyiri yi saa nnwumakuw a wɔde nnuru a wɔde ka aduan ho no de nea ɛte saa ara `5-hydroxytryptophan (5-HTP)` sii `L-tryptophan` ananmu.Mifii ase de nea wɔka no dii dwuma. Saa `supplements` yi kyerɛ nneɛma te sɛ nna a ɛma tu mpɔn, adwene a ɛma wo ho tu mpɔn, ne nea ɛkeka ho Ebia woahu saa nneɛma yi sɛ nneɛma a ɛma nipadua mu ahoɔden tu mpɔn, ɛtew wo mu duru so, anaasɛ ɛboa wo ma woda. Enti, ebetumi aba sɛ `EMS` betumi aba sɛ eyinom mu nsunsuanso bɔne.

Nea ɛyɛ awerɛhow no, esiane nsakrae a ɛbaa mmara ahorow a ɛfa nnuru a wɔde ka aduan ho wɔ United States wɔ 1994 mu nti, nnuru a wɔde ka aduan ho a L-tryptophan a wɔayɛ ne 5-HTP wom no asan aba gua so.

Hena na tebea yi ka no kɛse?

Wɔ 1989 ɔyaredɔm no mu no, nnipa dodow no ara a wɔhuu saa `EMS` tebea yi ne wɔn a wɔnom `supplements` a `L-tryptophan` anaa `5-HTP` wom. Wɔkae sɛ eyinom mu dodow no ara yɛ mmea .

Mprempren, tebea yi ho yɛ na koraa. Nanso, sɛnea yɛadi kan aka no, nnipa a wɔmfaa nneɛma a `L-tryptophan` anaa `5-HTP` wom nni dwuma no nso betumi ahu sɛ wɔwɔ saa `EMS` yare yi.

Eyi abu so dɛn?

Akontaabu pɔtee biara nni hɔ a ɛkyerɛ sɛnea eyi abu so. Wɔkyerɛ sɛ wɔ 1989 ɔyaredɔm no mu no, wɔbɔɔ nnipa 5,000 kosi 10,000 amanneɛ wɔ United States nkutoo. Wɔ saa bere koro no ara mu no, wɔbɔɔ aman te sɛ Germany, Canada, ne United Kingdom nso ho amanneɛ.

Dɛn ne Eosinophilia-Myalgia Syndrome (EMS) ho sɛnkyerɛnne ahorow?

EMS ho sɛnkyerɛnne betumi ayɛ soronko wɔ onipa biara ho, na ɛsono sɛnea emu yɛ den. Mpɛn pii no, saa sɛnkyerɛnne ahorow yi fi ase mpofirim. Saa sɛnkyerɛnne ahorow yi fi eosinophils a ɛboaboa ano wɔ mogya ne ntini ahorow mu, na ɛde ɔfe ba. Ebetumi aka nipadua no afã horow pii.

Nsɛnkyerɛnne a wɔtaa hu ne:

• Ɔbrɛ .
• Huraeɛ .
• Nsa ne anan a ɛho ahonhon (edema) .
• Nsa ne anan a ɛyɛ mmerɛw .
• Ɛyɛ den sɛ wobɛkae anaasɛ wode w’adwene besi biribi so .
• Nsakrae a ɛba wɔ adwene anaa nneyɛe mu .
• Akisikuru anaasɛ ɔfe .
• Ayamtuo .

Nea ɛka ho no, sɛnkyerɛnne pɔtee bi nso betumi aba wɔ ntini, honam ani, koma, ne ahurututu mu.

Ntini ne nkwaa ho sɛnkyerɛnne ahorow

`EMS` no mu ade titiriw biako ne nkɛntɛnso a edidi so yi wɔ ntini ne nkwaa so:

• Ɛyaw (`myalgia` anaa `arthralgia`) : Eyi ne ade titiriw. Nipadua no yɛ yaw, nkwaa no yɛ yaw.
• Nipadua mu yaw .
• Ntini a ɛyɛ den mpofirim na ɛyɛ mmerɛw .
• Mrɛyɛ .
• Ntini anaa nkwaa a ɛnyɛ adwuma yiye .

Ɛyaw a wote no betumi afi nea emu nyɛ den so kosi nea emu yɛ den so. Ebia ɛbɛyɛ kɛse mpo wɔ adapɛn kakraa bi mu.

Honam ani sɛnkyerɛnne ahorow

Honam ani sɛnkyerɛnne betumi atra hɔ bɛyɛ asram abiɛsa kosi asia. Nea ɛka ho ne:

• Honam ani akisikuru a ɛyɛ mmerɛw: Ebia ɛyɛ kɔkɔɔ na ɛyɛ akisikuru.
• Wora a ɛyɛ wo yaw .
• Wora a ɛyɛ nsensanee a nhwi ayɛ mmerɛw .
• Wora a ɛyɛ den : Wɔfrɛ eyi wɔ aduruyɛ mu sɛ `eosinophilic fasciitis`.

Koma ne ahurututu mu sɛnkyerɛnne ahorow

Nsɛnkyerɛnne a ɛka ahurututu no betumi ayɛ nketenkete te sɛ ɔfe, anaasɛ ebetumi ayɛ den kɛse. Sɛ wowɔ sɛnkyerɛnne ahorow a edidi so yi mu biara a, ɛsɛ sɛ wokɔ baabi a wɔhwɛ wɔn a wɔwɔ yare a egye ntɛmpɛ ntɛm ara :

• Ɔhome a ɛyɛ den .
• Ahome a ɛyɛ tiaa .
• Koko mu yaw .
• Koma a ɛbɔ a ɛnteɛ (arrhythmia) .
• Koma ntini a ɛyɛ hyew (`myocarditis`) .

Nea ɛho hia: Sɛ ɛyɛ den sɛ wobɛhome, wo koko yɛ wo yaw, anaa wo koma bɔ wɔ ɔkwan a ɛnteɛ so a, nni agoru. Hwehwɛ nnuruyɛfo afotu ntɛm ara.

Dɛn na ɛde Eosinophilia-Myalgia Syndrome (EMS) ba?

Bere a wodii kan huu EMS wɔ 1989 mu no, wosusuwii sɛ akwahosan ho aduru bi a L-tryptophan a wɔayɛ wom na ɛde bae. L-tryptophan yɛ amino acid a ɛwɔ abɔde mu a ɛwɔ nnuan bi te sɛ turkey mu. Nanso, sɛ wɔde nneɛma a wɔde yɛ nneɛma na ɛyɛ a, wɔada no adi sɛ ɛma ntini mu yaw na ɛma eosinophil dodow kɔ soro.

Ɛwom sɛ nneɛma a L-tryptophan a wɔayɛ no da so ara wɔ gua so nnɛ de, nanso ade foforo a wɔayɛ a ɛte sɛ L-tryptophan a wɔfrɛ no 5-HTP nso betumi de EMS aba.

Nanso, EMS ayarefo binom wɔ hɔ a wɔmfaa biribiara a L-tryptophan anaa 5-HTP wom nni dwuma. Eyi kyerɛ sɛ ebia nneɛma afoforo bi wɔ hɔ a wonnim nea ɛde tebea yi ba. Nhwehwɛmu da so ara kɔ so.

Ɔkwan bɛn so na wohu sɛ obi anya Eosinophilia-Myalgia Syndrome (EMS)?

Oduruyɛfo bi bɛhwɛ EMS denam wo mu nhwehwɛmu ne nhwehwɛmu a ɛho hia a ɔbɛyɛ so. Nneɛma atitiriw a oduruyɛfo no bɛhwehwɛ wɔ nhwehwɛmu yi mu ne:

• Wɔbɛhwɛ mogya a efi wo hɔ no mu sɛ ebia eosinophils akɔ soro anaa.
• Merehwɛ sɛ wowɔ ntini mu yaw anaa.

Wobetumi ayɛ mogya mu nhwehwɛmu afoforo pii de ahu tebea yi. Eyinom yɛ nea wɔde beyi tebea afoforo a ɛwɔ sɛnkyerɛnne a ɛte saa ara afi hɔ. Oduruyɛfo no nso bebisa w'ayaresa ho abakɔsɛm ne nnuru biara a wode bɛka wo ho a worenom ho asɛm . Titiriw no, hwɛ hu sɛ `L-tryptophan` anaa `5-HTP` na ɛwɔ mu.

Ɔkwan bɛn so na wɔsa Eosinophilia-Myalgia Syndrome (EMS) yare no?

Ayaresa pɔtee biara nni hɔ a wɔde sa EMS. Wo duruyɛfo bɛyɛ ayaresa nhyehyɛe a wɔayɛ ama wo na aboa wo ma woadi wo sɛnkyerɛnne ahorow no ho dwuma. Ebia nnuru a edidi so yi ka eyi ho:

• Nnuru a ɛma ntini mu dwo .
• Nnuru a wɔde kum ɛyaw (`nnuru a wɔde kum ɛyaw`) .
• Nnuru a eyi nsuo a ɛboro soɔ fi nipadua no mu (diuretics) - sɛ ɛho ahonhon a.
• Corticosteroids - Eyinom yɛ nnuru bi a wɔde ma de tew ɔfe so.

Ade a ɛho hia sen biara ne sɛ wobɛkenkan nnuru biara a wode ka aduan ho a wobɛnom no ho nsɛm a wɔakyerɛw so yiye. Na wo ne wo duruyɛfo nka nneɛma a wɔde yɛ aduan no ho asɛm. Sɛ `L-tryptophan` anaa `5-HTP` wom a, ɛsɛ sɛ wugyae nom ntɛm ara.

Ɛdenam sɛnea wo ntini mu yaw no mu yɛ den so no, ebia wo duruyɛfo bɛka akyerɛ wo sɛ to apɔw-mu-teɛteɛ ano hye na amma ɛyaw no anyɛ kɛse. Nanso, nnipa binom ahu sɛ apɔw-mu-teɛteɛ a emu nyɛ den daa bere a wɔreyɛ ayaresa no betumi aboa ma ɛyaw no so atew.

So wobetumi asiw Eosinophilia-Myalgia Syndrome (EMS) ano?

Esiane sɛ ɛnyɛ nea ɛde EMS ba nyinaa na wɔte ase yiye nti, ɔkwan biako biara nni hɔ a wɔbɛfa so asiw ano. Nanso, wubetumi atew asiane a ɛwɔ hɔ no so denam nnuru a L-tryptophan anaa 5-HTP wom a wobɛkwati so.

Sɛ mewɔ Eosinophilia-Myalgia Syndrome (EMS) a, dɛn na ɛsɛ sɛ mehwɛ kwan?

Eosinophilia-Myalgia Syndrome (EMS) yɛ tebea a enni sabea , a ɛkyerɛ sɛ wontumi nsa na ɛtra hɔ kyɛ. Wo yare no ho sɛnkyerɛnne betumi aba na akɔ so wɔ w’asetra nyinaa mu. Ɛwom sɛ na sɛnkyerɛnne ahorow no de nkwa to asiane mu wɔ 1989 ɔyaredɔm no mu de, nanso esiane ayaresa ahorow a ɛwɔ hɔ nnɛ nti, wubetumi adi wo sɛnkyerɛnne ahorow no ho dwuma na asiw ɔhaw ahorow a emu yɛ den ano. Nhwehwɛmufo da so ara sua sɛ ebia tebea yi bɛka wo nkwa nna anaa.

Wɔ nnipa binom fam no, nnuru a wɔnom akyi no, apɔw-mu-teɛteɛ a emu nyɛ den a wɔde wɔn ho bɛhyɛ mu da biara da no betumi aboa ma ɛyaw ne ahotɔ so atew. Wo duruyɛfo no ne wo bɛkasa afa asetra mu nsakrae a ɛsɛ sɛ woyɛ bere a woreyɛ wo ayaresa no ho.

Bere bɛn na ɛsɛ sɛ mekɔ oduruyɛfo nkyɛn?

Sɛ wowɔ ntini mu yaw a emu yɛ den a emu yɛ den araa ma wuntumi nyɛ wo da biara da dwumadi ahorow, anaasɛ wonyɛ nnwuma a ɛnyɛ den mpo a, akyinnye biara nni ho sɛ ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn.

Afei nso, sɛ wowɔ sɛnkyerɛnne a emu yɛ den a edidi so yi mu biara a ɛka koma anaa ahurututu a, kɔ baabi a wɔhwɛ wɔn a wɔwɔ yare a egye ntɛmpɛ ntɛm ara:

• Ɔhome a ɛyɛ den .
• Koko mu yaw .
• Koma mu yare a ɛma ɛyɛ mmerɛw .

Nsɛm bɛn na ɛsɛ sɛ mibisa me duruyɛfo?

Sɛ wokɔ oduruyɛfo nkyɛn a, wubetumi abisa nsɛm te sɛ eyinom:

• So mewɔ Eosinophilia-Myalgia Syndrome (EMS) anaa tebea foforo a ɛte saa?
• So saa `EMS` tebea yi fi nnuru a wɔde ka ho a menom no?
• Dɛn ne ayaresa ahorow yi mu nsunsuanso bɔne?
• Ɛsɛ sɛ meyɛ apɔw-mu-teɛteɛ dɛn?
• So ɛsɛ sɛ meyɛ nsakrae bi wɔ m’asetra kwan mu?

Awiei koraa no, kae eyi (Take-Home Message) .

Eosinophilia-Myalgia Syndrome (EMS) yɛ tebea a enni sabea a ebetumi aka wo nipadua no afã horow pii. Ɔkwan a eye sen biara a wobɛfa so atew asiane a wowɔ so ne sɛ wobɛkwati sɛ wobɛnom nnuru a wɔde ka aduan ho a L-tryptophan a wɔayɛ anaa 5-HTP wom. L-tryptophan a ɛwɔ nnuan te sɛ akokɔnam ne mpataa a wɔde ahyɛ toa mu fi awosu mu no yɛ nea asiane biara nni ho sɛ wubedi, nanso nneɛma a wɔde yɛ no betumi apira wo nipadua.

Ɛwom sɛ ayaresa no atirimpɔw titiriw ne sɛ wobedi wo yare no ho sɛnkyerɛnne ahorow so de, nanso ebia ɛho behia nso sɛ wode nneɛma bi ka w’asetra kwan ho, te sɛ da biara da apɔw-mu-teɛteɛ a emu nyɛ duru, na aboa wo ma wo ho atɔ wo. Kae bere nyinaa sɛ, sɛ wuhu sɛnkyerɛnne biara a ɛyɛ soronko, titiriw bere a woafi ase de aduan foforo a wɔde ma akyi a, hwehwɛ aduruyɛfo afotu ntɛm ara.

` eosinophilia-myalgia syndrome, EMS, ntini mu yaw, honam ani nyarewa, L-tryptophan, 5-HTP, aduan a wɔde ma, nnuru a wɔde ka ho, eosinophils, eosinophils, Sri Lanka Akwahosan