So worehu wo honam ani wo honhon, wo ho ayɛ wo den, na wote ɛyaw? Momma yɛnka Eosinophilic Fasciitis ho asɛm!

So woate nka mpofirim sɛ wo nsa anaa wo nan honam ani yɛ kurukuruwa, wohonhon, anaa wote yaw? Ebia ɛbaa bere a wɔateɛteɛ wɔn apɔw mu yiye akyi. So woanya biribi a ɛte sɛɛ pɛn? Enti, tebea bi a wonnim pii a ebia ɛho hia wo ni.

Dɛn ne Eosinophilic Fasciitis?

Sɛ yɛbɛka no tiawa a, Eosinophilic Fasciitis yɛ tebea a ɛma ntini a ɛkata yɛn ntini ne ntini a ɛwɔ yɛn honam ani – yɛfrɛ no fascia wɔ aduruyɛ mu – mpofirim ara ɛyɛ hyew, ɛyɛ den, na ɛyɛ den. Fa no sɛ ahama a ɛkyekyere yɛn honam ani ne yɛn ntini bom na ɛboa ma wodi akɔneaba, te sɛ ahama a yɛde gu yɛn kar no akyi bere a yɛrekɔtotɔ nneɛma no ara pɛ.

Wɔkyekyɛ eyi mu sɛ `autoimmune disease` . Eyi kyerɛ sɛ yɛn nipadua no ahobammɔ nhyehyɛe, nipadua no mu tumi a ɛko tia nyarewa no, di mfomso fi ase tow hyɛ yɛn ankasa nipadua no afã horow a ɛte apɔw so. Ɛte sɛ nea yɛtow hyɛ yɛn ankasa abusua mufo so bere a wosusuw sɛ wɔabɔ wɔn korɔn no.

Sɛ wɔanhu na wɔansa no ntɛm a, ebetumi ama honam ani nsakrae a ɛtra hɔ daa na nkwaa no ntumi nkɔ baabiara . Enti, ɛho hia paa sɛ wohwehwɛ aduruyɛfo afotu bere a sɛnkyerɛnne ahorow no da adi ara pɛ.

Ɔkwan bɛn so na tebea yi ka kɛse? Henanom na ɛka wɔn?

Eosinophilic Fasciitis betumi aka fascia wɔ nipadua no mu baabiara, nanso ɛtaa ka nsa ne anan . Wɔ nnipa pii fam no, sɛnkyerɛnne ahorow te sɛ ɛyaw anaa ɔfe no betumi adi kan ada adi wɔ apɔw-mu-teɛteɛ a emu yɛ den anaa adwuma a ɛhwehwɛ sɛ wogyina hɔ da mũ nyinaa akyi.

Saa sɛnkyerɛnne ahorow yi te sɛ ntini mu yaw ne ɔfe betumi ayɛ te sɛ nyarewa afoforo a ɛtaa ba no, enti sɛ wuhu nsakrae foforo anaa ɛyaw biara wɔ wo honam ani, wo ntini, anaa wo nkwaa mu a, ɛho hia sɛ wokɔ oduruyɛfo nkyɛn ntɛm ara . Ebia ɛho behia nso sɛ wokɔ akisikuru ho oduruyɛfo, oduruyɛfo a ne ho akokwaw wɔ nkwaa ne nyarewa afoforo a ɛma obi ho hyehye no ho.

Mprempren wonni aduru biara a wɔde bɛsa yare yi. Nanso, asɛmpa no ne sɛ, wɔ nnipa dodow no ara fam no, yare no ho sɛnkyerɛnne no fi hɔ wɔ mfe kakraa bi mu, a ɛkyerɛ sɛ yare no kɔ `remission`, anaasɛ tebea a ɛda hɔ mu. Nanso, nnipa binom betumi anya yare no ho sɛnkyerɛnne asan aba bio.

Nsonsonoe a Ɛda Eosinophilic Fasciitis ne Scleroderma ntam

Sɛ wɔreka saa nyarewa mmienu yi ho asɛm a, ebia nnipa binom bɛma wɔn adwene atu afra wɔ yareɛ foforɔ a wɔfrɛ no `Scleroderma` ho. `Eosinophilic Fasciitis` ne `Scleroderma` nyinaa yɛ `autoimmune` nyarewa a ɛntaa nsi koraa. Afei nso, wɔ nyarewa abien yi nyinaa mu no, nipadua no mu ntini yɛ den na ɛyɛ den.

Enti nsonsonoe bɛn na ɛwɔ mu? Nsonsonoe no wɔ ntini ahorow a ɛka ho no mu.

• Wɔ Eosinophilic Fasciitis mu no, sɛnea yɛadi kan aka ho asɛm no, fascia, ntini a ɛyɛ tratraa a ɛyɛ den a ɛka bom wɔ honam ani no, nya nkɛntɛnso. Bere kɔ so no, saa fascia yi yɛ den na ɛtrɛw, na ɛma ɛyɛ den sɛ wobɛkanyan nipadua no fã a ɛka no no.
• Nanso wɔ `Scleroderma` mu no, nipadua no mu tumi a ɛko tia nyarewa no kanyan nkwammoaa afoforo ma wɔyɛ protein bi a wɔfrɛ no `collagen` (biribi a ɛma yɛn honam ani ne yɛn ntini ahoɔden) pii. Saa collagen a ɛboro so yi kɔ honam ani ne nipadua no mu akwaa ahorow mu, na ɛma ɛyɛ den na ɛyɛ den te sɛ akuru dedaw bi. Nanso sɛ́ anka saa collagen a ɛboro so yi bɛsa kuru no, ebetumi asɛe ntini a ɛte apɔw nso.

Eosinophilic Fasciitis ne COVID-19 a ɛwɔ nipadua no mu

Wobu nnipa a wɔwɔ nyarewa a nipadua no tumi ko tia nyarewa te sɛ Eosinophilic Fasciitis sɛ wɔwɔ asiane a ɛkɔ soro kakra sɛ wobenya COVID-19 sen nnipa dodow no ara.

Abenfoɔ da so ara nnim sɛ ebia nnipa a wɔwɔ saa tebea yi taa nya COVID-19 ho sɛnkyerɛnne a emu yɛ den anaa. Enti, ɛbɛyɛ papa sɛ wubedi akwahosan ho mpanyimfo te sɛ Centers for Disease Control and Prevention (CDC) nyansahyɛ ahorow akyi de abɔ wo ho ban afi ɔyare mmoawa ho.

Hena na ɛda adi sɛ obenya saa yare yi?

Eosinophilic Fasciitis betumi aka obiara, nanso ɛtaa ka nnipa a wɔadi fi mfe 30 kosi 60.

Bio nso, nnipa a wɔwɔ akwahosan tebea horow bi a enni sabea no taa nya saa yare yi. Tebea horow yi bi ne:

• Aplastic anemia (aplastic anemia - mogya a ɛtɔ kɔ nipadua mu a mogya mu nkwammoaa a wɔyɛ no so tew) .
• Hemolytic anemia (mogya a mogya mu nkwammoaa kɔkɔɔ sɛe ntɛmntɛm) .
• Lymphoma (kokoram a ɛba nipadua no mu) .
• Leukemia (mogya mu nkwammoaa mu kokoram) .
• `Thyroid yare` ahorow bi

Eyi abu so dɛn?

Eosinophilic Fasciitis yɛ yare a ɛntaa nsi koraa ankasa . Ɛde besi ha no, nnipa kakraa bi pɛ na wɔabɔ amanneɛ wɔ nyansahu ho nsɛmma nhoma ahorow mu wɔ wiase nyinaa, bɛyɛ 300. Nanso, ebia esiane sɛ wɔanhu yare no yiye anaasɛ wɔammɔ amanneɛ yiye nti, ebia nnipa dodow a wɔanya bi no bɛdɔɔso kɛse.

Ɔkwan bɛn so na Eosinophilic Fasciitis ka me nipadua?

Sɛnea yɛadi kan aka ho asɛm no, saa tebea yi fi fascia, ntini a ɛyɛ tratraa a ɛyɛ mmerɛw a ɛka bom wɔ honam ani no a ɛyɛ hyew. Saa fascia a ɛwɔ nipadua no mu yi kata yɛn ntini ne yɛn mu akwaa ahorow bi so na ɛbɔ ho ban. Ɛsan nso kura honam ani ne ntini ahorow no mu na ɛboa bere a ɛretu no.

Susuw ho hwɛ, saa fascia yi boa ma yɛn akwaa no yɛ mmerɛw, nanso ɛnyɛ sɛ ɛsensɛn fam kɛkɛ. Nanso wɔ obi a ɔwɔ `Eosinophilic Fasciitis` mu no, saa fascia membrane yi yɛ hyew, nkakrankakra ɛyɛ den, na ɛyɛ den. Awiei koraa no, saa ɔfe yi ma ɛyɛ den sɛ wɔbɛkanyan honam ani ne ntini a atwa ho ahyia no. Sɛ wɔansa a, saa fascia yi betumi akɔhyɛ baabi biako na ayɛ den. Ɛtɔ da bi a wɔfrɛ eyi `contracture`. Ɛne sɛ, tebea a wontumi ntrɛw nkwaa bi mu anaasɛ wontumi nkɔtow.

Sɛ́ anka fascia no bɛyɛ nea ɛyɛ den sɛnea ɛsɛ no, nipadua akwaa a ɛka no no bɛyɛ yaw anaasɛ ɛyɛ den sɛ ɛbɛkanyan.

Nipadua akwaa a ɛtaa ka no ne:

• Nsa (titiriw nsateaa, kyerɛ sɛ nsa no mu) .
• Nan (titiriw anim, wɔ asen dompe no so pɛɛ) .
• Nkwammoaa anaa mmeae a atwa ho ahyia

Ɛwom sɛ ɛntaa nsi de, nanso saa tebea yi betumi aka honam ani a ɛwɔ anim, koko, ne yafunu nso.

Ayarefo binom a wɔwɔ Eosinophilic Fasciitis nso betumi anya nkwaa mu ɔfe a ɛte sɛ Rheumatoid Arthritis. Sɛ wɔanhyɛ saa nkwaa a ɛyɛ hyew yi so a, ntini a ɛwɔ nkwaa no mu no betumi asɛe, na ɛde ntini mu yare a ɛtra hɔ kyɛ aba.

Afei nso, sɛ saa yare yi ka wo nsa anaa wo nsateaa mu fascia a, ɔfe no betumi ama median nerve, nsa no mu ntini atitiriw no mu biako no ayɛ den, na ɛde tebea bi a wɔfrɛ no Carpal Tunnel Syndrome (nsa no mu a ɛyɛ mmerɛw, ɛyaw, ne mmerɛwyɛ) aba.

Adeɛ a ɛho hia ne sɛ Eosinophilic Fasciitis yɛ tebea a ɛtumi sesa na ɛyɛ ntɛmntɛm paa. Wubetumi afi ase ahu nneɛma a wotumi hu wɔ bere tiaa bi mu, te sɛ adapɛn kakraa bi. Enti, sɛ wuhu sɛnkyerɛnne anaa nsakrae bi wɔ wo nipadua mu a, kɔ oduruyɛfo nkyɛn ntɛm ara.

Dɛn ne Eosinophilic Fasciitis ho sɛnkyerɛnne ahorow?

Enti, ɔkwan bɛn so na ɛsɛ sɛ wususuw yare yi ho? Nsɛnkyerɛnne atitiriw no bi ni:

• Ntini mu yaw .
• Wora a ɛyɛ mmerɛw .
• Ɔfe anaasɛ ɔfe .
• `Carpal Tunnel Syndrome` ho sɛnkyerɛnne (te sɛ nsa a ɛyɛ mmerɛw, ɛyaw, nsa a ɛyɛ mmerɛw).
• Arthritis (arthritis - nkwaa a ɛho ahonhon, ɛyaw, anɔpa a ɛyɛ den).
• Wora te nka sɛ ɛyɛ den na ɛyɛ den sen sɛnea ɛte daa.
• Wɔ mmeae bi no, honam ani hwɛbea no te sɛ nea ɛyɛ kurukuruwa na ɛyɛ mmerɛw, te sɛ borɔdɔma bi a ɛyɛ mmerɛw (`honam ani a ɛyɛ kurukuruwa` anaa "peau d'orange" anim).

Dɛn nti na ɛte saa?

Sɛ yɛbɛka nokware a, abenfo da so ara nnim nea ɛde Eosinophilic Fasciitis ba ankasa. Te sɛ nyarewa pii a nipadua no tumi ko tia nyarewa no, ebetumi aba mpofirim, ɛtɔ mmere bi a ntease biara nni mu.

Nanso, nhwehwɛmu bi ada no adi sɛ saa nyarewa a nipadua no tumi ko tia nyarewa yi betumi ``akanyan`` nneɛma bi so. Ɛne sɛ, biribi foforo nti na yare no betumi aba. Nhwɛsoɔ:

• Nyarewa ahorow bi .
• Nneɛma bi a ɛma obi ho yɛ no hyew .
• Nnuru bi a wɔde di dwuma .
• Nnuru bi a wɔde di dwuma .

Nnipa binom a wɔwɔ Eosinophilic Fasciitis ka sɛ wɔn sɛnkyerɛnne a edi kan no bae bere a wɔde apɔw-mu-teɛteɛ a emu yɛ den te sɛ mmirikatu, nneɛma a emu duru so, anaa apɔw-mu-teɛteɛ, anaa bere a wɔreyɛ adwuma bi a egye mmɔdenbɔ kɛse wɔ wɔn nsa anaa wɔn nan so akyi.

Ɛyɛ papa sɛ wo ne wo duruyɛfo bɛkasa afa asiane ahorow a ɛbɛma woanya yare a nipadua no tumi ko tia nyarewa te sɛ eyi ho.

Ɔkwan bɛn so na nnuruyɛfo hu yare yi? (Nyare a Wɔahu) .

Sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, oduruyɛfo betumi ayɛ nhwehwɛmu pii de ahu sɛ wowɔ Eosinophilic Fasciitis anaa:

1. Fascia Biopsy: Biopsy yɛ bere a wo duruyɛfo fa wo ntini ketewaa bi na ɔde kɔ lab kɔhwɛ wɔ microscope mu. Nea ɛka eyi ho ne sɛ wɔbɛfa honam ani honam ani fã ketewaa bi ne fascia a ɛwɔ n’ase no na wɔahwehwɛ mu. Mpɛn pii no, eyi ne ɔkwan a wotumi de ho to so sen biara a wɔfa so hu tebea no.

2. Mogya mu nhwehwɛmu: Sɛ wowɔ Eosinophilic Fasciitis a, ebia mogya mu nkwammoaa fitaa bi a wɔfrɛ no Eosinophils dɔɔso wɔ wo mogya mu (ɛhɔ na yare no nyaa ne din). Nanso, mogya mu nhwehwɛmu nkutoo ntumi nsi yare no so dua. Mpɛn pii no, ɛho hia sɛ wɔyɛ nipadua no mu nhwehwɛmu.

3. Mfoniniyɛ mu sɔhwɛ ahorow: Nhwehwɛmu te sɛ MRI (Magnetic Resonance Imaging) betumi aboa ma wɔahu ɔfe a ɛwɔ nipadua no mu, titiriw wɔ fascia ne ntini a atwa ho ahyia no mu. Nanso, te sɛ mogya mu nhwehwɛmu no, ɛnyɛ pɔtee te sɛ nipadua mu nhwehwɛmu a wɔde hu yare no.

Eosinophilic Fasciitis a wɔde sa yare

Ɛntaa mma sɛ yare no ho sɛnkyerɛnne ahorow no ankasa befi hɔ a wonnya ayaresa biara. Nanso mpɛn pii no, nnuruyɛfo de aduru bi a wɔfrɛ no corticosteroids sa Eosinophilic Fasciitis . Eyinom yɛ steroid bi.

Corticosteroids yɛ adwuma denam ɔfe a ɛtew nipadua no mu na esiw nipadua no mu tumi a ɛko tia nyarewa a ɛyɛ adwuma boro so no ano so. Prednisone ne corticosteroid a wɔtaa kyerɛw ma obi sen biara.

Ebia wo duruyɛfo nso bɛkyerɛw ayaresa afoforo a ɛka corticosteroids ho, te sɛ:

• `NSAIDs`: Nnuru a ɛnyɛ steroid a ɛko tia ɔyare mmoawa (NSAIDs) a ɛwɔ nnurutɔnbea – sɛ nhwɛso no, ibuprofen ne diclofenac – betumi atew sɛnkyerɛnne te sɛ ɛyaw ne ɔfe so. Nanso, sɛ worenom `corticosteroids` dedaw a, wo ne wo duruyɛfo nkasa ansa na woanom `NSAIDs`. Nnom `NSAIDs` bɛboro nnafua 10 wɔ bere koro mu a wo duruyɛfo no mpene so.
• Nnuru a esiw nipadua no mu tumi a ɛko tia nyarewa ano: Ɛdenam sɛnea wo tebea no mu yɛ den so no, wo duruyɛfo betumi akyerɛw nnuru afoforo (e.g., Methotrexate) a esiw nipadua no mu tumi a ɛko tia nyarewa a ɛyɛ adwuma boro so a ɛde Eosinophilic Fasciitis ba no ano.
• Apɔw-mu-teɛteɛ: Apɔw-mu-teɛteɛ betumi aboa ma wo fascia no atrɛw na ayɛ mmerɛw bere a ɛyɛ den no, na aboa ma nkwaa no akɔ so atumi akɔ so. Wo duruyɛfo anaa apɔw-mu-teɛteɛ ho ɔyaresafo bɛkyerɛ wo apɔw-mu-teɛteɛ ne sɛnea wobɛtrɛw wo ho a ɛfata wo sɛnkyerɛnne ahorow.
• Tebea afoforo a wobɛsa: Ebia wobɛte nka sɛ wo ho tɔ wo kɛse denam tebea afoforo te sɛ carpal tunnel syndrome anaa ntini mu yare ho sɛnkyerɛnne a wobɛsa so.
• Oprehyɛn: Sɛ wo Eosinophilic Fasciitis no mu yɛ den araa ma ɛma wo ho yɛ wo hyew a, ebia ebehia sɛ woyɛ oprehyɛn de yi wo fascia (fascial release) no fã bi fi hɔ anaasɛ woyi fi hɔ. Eyi taa yɛ ɔkwan a etwa to.

Ɔkwan bɛn so na wobedi yare no ho sɛnkyerɛnne ahorow ho dwuma?

• Ɛho hia paa sɛ wobɛnom aduru no sɛnea oduruyɛfo no ka no pɛpɛɛpɛ , bere tenten a wɔakyerɛw ama wo no.
• Sɛ wo duruyɛfo anaa apɔw-mu-teɛteɛ ho ɔbenfo ma wo kwan ma wo trɛw anaa ɔteɛteɛ w’apɔw mu a, yɛ no mpɛn dodow a wɔbɛka akyerɛ wo na aboa ma woatrɛw fascia a ayɛ basaa no mu. Ɛwom sɛ eyi betumi ayɛ den de, nanso sɛ wokɔ so yɛ wɔn a, ebetumi ayɛ nea mfaso wɔ so.
• Sɛ wowɔ Carpal Tunnel Syndrome a, ebia ebehia sɛ wohyɛ aduru a wɔde hyɛ wo nsateaa mu na ama wo nsateaa akɔ so ayɛ nea ɛfata bere a woada no. Fa di dwuma sɛnea wo duruyɛfo kyerɛ no.

Me ho bɛtɔ me ntɛm dɛn wɔ ayaresa akyi?

Ɛsɛ sɛ ɔfe a Eosinophilic Fasciitis de ba no fi ase brɛ ase wɔ nnɔnhwerew kakraa bi akyi bere a wɔanom corticosteroids dodow a edi kan no. Ebia saa ahotɔ yi bɛyɛ bere tiaa mu de, na yare no ho sɛnkyerɛnne betumi asan aba bere a aduru no sa. Enti, ɛho hia sɛ wonom aduru no bere tenten a wo duruyɛfo akyerɛw ama wo no nyinaa.

So wobetumi asiw Eosinophilic Fasciitis ano?

Nea ɛyɛ awerɛhow no, ɔkwan pɔtee biara nni hɔ a wɔbɛfa so asiw yare yi ano. Abenfo nnim nea ɛde nyarewa a nipadua no tumi ko tia nyarewa ba anaa sɛnea ɛkanyan no ankasa, enti wontumi nka bere anaa nea enti a wubenya bi.

Dɛn na ɛsɛ sɛ obi a ɔwɔ saa yare yi hwɛ kwan?

Sɛ wohu sɛ wowɔ Eosinophilic Fasciitis a, ɛsɛ sɛ wohwɛ kwan sɛ wubedi wo sɛnkyerɛnne ahorow no ho dwuma bere tiaa bi. Sɛ wuhu nsakrae bi wɔ wo sɛnkyerɛnne ahorow mu, titiriw sɛ ɛyɛ kɛse a, wo ne wo duruyɛfo nkasa ntɛm ara.

Sɛnea yɛadi kan aka no, aduru biara nni hɔ a wɔde bɛsa eyi. Nnipa pii ne no tena mfeɛ kakra, afei sɛnkyerɛnne no kɔ (kɔ `remission` mu). Nnipa binom nnya bio, nanso ebinom nso betumi anya yare no ho sɛnkyerɛnne asan aba akyiri yi (`recur`).

So worentumi nkɔ adwuma anaa sukuu?

Sɛ wubetumi ayɛ w’adwuma anaa sukuu adwuma a woremfa nhyɛso kɛse mma wo fascia a ɛka wo no so a, ɛsɛ sɛ wutumi san kɔ adwuma anaa sukuu kosi sɛ wo ho bɛtɔ wo afi Eosinophilic Fasciitis ho. Nanso, wo duruyɛfo bɛkyerɛ wo dwumadi ahorow a ɛsɛ sɛ wokwati kosi sɛ wo ho bɛtɔ wo. Ɛho hia sɛ wudi akwankyerɛ ahorow yi akyi.

Hwɛ hu sɛ wo ne wo duruyɛfo bɛkasa na woanya kwan ansa na woasan afi apɔw-mu-teɛteɛ a emu yɛ den te sɛ mmirikatu, nneɛma a emu duru so, anaa apɔw-mu-teɛteɛ ase.

Bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn?

• Sɛ wohu sɛnkyerɛnne foforo biara wɔ wo nsa, wo nan, anaa wo nkwaa mu – titiriw sɛ wowɔ ɛyaw anaa ɔfe a ɛnkɔ bere a woagye w’ahome nna kakraa bi akyi a – kɔ oduruyɛfo nkyɛn ntɛm ara.
• Sɛ wɔahu sɛ wowɔ Eosinophilic Fasciitis dedaw a, sɛ wo sɛnkyerɛnne no mu yɛ den, anaasɛ wuhu sɛ wo nipadua no fã bi reyɛ den anaasɛ ayɛ mmerɛw a, ka kyerɛ wo duruyɛfo ntɛm ara .

Bere bɛn na ɛsɛ sɛ wokɔ Emergency Treatment Unit (ETU) ?

Sɛ mpofirim ara wuntumi nkɔ baabiara anaasɛ wuntumi mfa wo nipadua no fã bi nni dwuma, anaasɛ wote ɛyaw a wuntumi nnyina ano a, kɔ baabi a wɔhwɛ wɔn a wɔwɔ yare a egye ntɛmpɛ a ɛbɛn wo ntɛm ara .

Nsɛm bɛn na ɛsɛ sɛ wubisa oduruyɛfo no?

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

• So mewɔ Eosinophilic Fasciitis, anaasɛ ɛyɛ biribi foforo?
• Me yare no ho sɛnkyerɛnne betumi asɛe ntɛmntɛm dɛn?
• Ayaresa bɛn na mihia? Bere tenten ahe na ebehia ayaresa?
• So ebehia sɛ wɔyɛ me oprehyɛn?
• Bere bɛn na metumi asan afi apɔw-mu-teɛteɛ a meyɛ daa no ase?
• Saa tebea yi ka me da biara da asetra dɛn?

Nneɛma a ɛho hia paa a ɛsɛ sɛ yɛkae fi saa asɛm yi mu no bi ne

Eosinophilic fasciitis yɛ tebea a ɛntaa nsi nanso emu yɛ den a ebetumi aka wo ntɛmntɛm. Sɛ wuhu sɛ ɛyaw foforo, wohonhon, anaasɛ wo nsa anaa wo nan mu ayɛ wo den, titiriw sɛ ankɔ nna kakraa bi mu a, ntwentwɛn wo nan ase sɛ wobɛkɔ oduruyɛfo nkyɛn. Esiane sɛ tebea yi betumi aba ntɛmntɛm , dodow a wohwɛ wo sɛnkyerɛnne ahorow no ntɛm no, dodow no ara na wo duruyɛfo betumi ahu nea ɛde ba no ntɛm na wafi ayaresa a ɛho hia ase.

Wo duruyɛfo de corticosteroids ne ayaresa afoforo bɛka ho sɛ ɛho hia a na aboa ma woadi wo sɛnkyerɛnne ahorow no so. Mma ehu nka wo, na mmom hu wo yare no ho sɛnkyerɛnne na di wo duruyɛfo akwankyerɛ akyi yiye. Yɛpɛ sɛ wo ho tɔ wo ntɛm!

` Eosinophilic Fasciitis, Eosinophilic Fasciitis, Honam ani Nyarewa, Fascia, Ntini mu Ɛyaw, Ntini mu Ɛyaw, Ntini a Ɛko Tia Nyarewa