So w’akyi yɛ wo yaw bere tiaa bi? Ebia wubesusuw sɛ ɛyɛ akyi yaw a ɛyɛ daa a efi tena ase a ɛnteɛ anaasɛ nneɛma a emu yɛ duru a wɔma so de ba ara kwa. Titiriw sɛ woyɛ abofra a, ɛyɛ ade a ɛfata sɛ wubesusuw ho sɛ, ‘Nkwaa mu yare bɛn na eyi yɛ wɔ mfe yi mu?’ Nanso ɛtɔ mmere bi a, wɔ akyi yaw a ɛkɔ so tra hɔ, ɔbrɛ, ne a ɛyɛ den yi akyi no, ebia nkwaa mu yare titiriw bi a ɛyɛ hyew a wɔfrɛ no Ankylosing Spondylitis (AS) wɔ hɔ. Ebetumi ayɛ den kakra sɛ wobehu yare yi. Ma yɛnhwɛ sɛnea nnuruyɛfo hu yare yi.
Dɛn nti na ɛtɔ mmere bi a ɛyɛ den sɛ wobehu AS?
Nneɛma pii nti na sɛ wobehu sɛ obi anya Ankylosing Spondylitis (AS) a, ebetumi ayɛ den.
Ade a edi kan ne sɛ tebea yi ho sɛnkyerɛnne atitiriw, akyi yaw ne ɔbrɛ, abu so wɔ nyarewa afoforo pii mu . Biribiara betumi afi ntini a ɛyɛ mmerɛw so kosi akwahosan ho haw afoforo so na ɛde saa sɛnkyerɛnne ahorow yi aba.
Ade a ɛto so abien ne sɛ saa yare yi ka mmerante ne mmabaa kɛse . Nnipa a wɔadi fi mfe 20-40 betumi afi ase anya bi. Enti, ebia ɛnyɛ mmerɛw sɛ obi a wadi saa mfe no besusuw sɛ ɔwɔ nkwaa mu yare te sɛ ntini mu yare.
Nea ɛto so abiɛsa no, ebia nsonsonoe bi wɔ mmea ne mmarima ntam wɔ sɛnkyerɛnne ahorow mu . Ɛwom sɛ saa yare yi abu so wɔ mmarima mu de, nanso ebetumi aka mmea nso. Nanso, mmea betumi adi kan ahu sɛnkyerɛnne ahorow te sɛ kɔn mu yaw mmom sen akyi yaw. Eyi betumi ama yare no a wobehu no ayɛ den kɛse.
Ade a ɛho hia sen biara ne sɛ sɔhwɛ biako biara nni hɔ a ebetumi aka ntɛm ara sɛ, "Yiw, eyi ne yare no." Enti, ɛsɛ sɛ oduruyɛfo no ka nneɛma pii bom na ama watumi de asɛm bi aba awiei.
Sɛ wo duruyɛfo titiriw susuw sɛ wowɔ AS a, obetumi de wo akɔma oduruyɛfo a ɔhwɛ ntini mu yare, oduruyɛfo a ne ho akokwaw wɔ nkwaa mu nyarewa mu. Wɔwɔ nimdeɛ titiriw wɔ nkwaa mu tebea horow a ɛyɛ hyew yi a wobehu na wɔasa mu.
Sɛ wokɔ oduruyɛfo nkyɛn a, dɛn na woyɛ? (Nipadua mu nhwehwɛmu) .
Adeɛ a ɛdi kan a oduruyɛfoɔ a ɔhwɛ wo no bɛyɛ ne sɛ ɔbɛhwehwɛ wo nipadua mu yie (Physical Exam).
Saa bere yi de, wɔbɛka akyerɛ wo sɛ kotow kɔ w’anim, w’akyi, ne nkyɛnkyɛn na woahwɛ sɛnea w’akyi ne wo nkwaa no tumi dannan. Eyi bɛboa wo ma woahu baabi a w’akyi yaw no reyɛ ne bere a ɛreyɛ no yiye. Ebia wɔbɛka akyerɛ wo nso sɛ kyekye w’akyi ne w’asen mu mmeae bi denneennen, na fa wo nan kɔ mmeae ahorow. Ɛtɔ mmere bi a, ebia wɔbɛka akyerɛ wo sɛ home denneennen na ama woate nka sɛ wo moma so atrɛw.
Nea ɛka ho no, akyinnye biara nni ho sɛ oduruyɛfo no bebisa wo nsɛm te sɛ eyinom:
- Bere bɛn na ɛyaw no fii ase?
- Ɛyaw no taa di bere tenten ahe?
- Da no mu bere bɛn na ɛyaw no mu yɛ den sen biara? (So wo ho yɛ den na ɛyɛ yaw bere a wosɔre anɔpa no?)
- Sɛ woteɛteɛ w’apɔw mu anaa wo nantew a, ɛyaw no so tew anaasɛ ɛkɔ soro?
- So obi wɔ w’abusua mu a ɔwɔ saa nkwaa mu yare (AS) yi? (Abusua Abakɔsɛm) .
- So sɛnkyerɛnne afoforo bi wɔ hɔ (sɛ nhwɛso no, aniwa kɔkɔɔ, nsateaa a ahonhon, ɔbrɛ kɛse) a akyi yaw ka ho?
Nhwehwɛmu titiriw a wɔyɛ de si yare no so dua
Sɛ woyɛ wo nipadua mu nhwehwɛmu wie a, wo duruyɛfo de wo bɛkɔ akɔyɛ nhwehwɛmu ahorow na ama woahu yare no ho nsɛm pii. Yebetumi akyekyɛ eyinom mu akuw atitiriw abien: Mfoniniyɛ mu Nhwehwɛmu ne Mogya mu Nhwehwɛmu.
| Sɔhwɛ su | Dɛn na wuhu wɔ eyi mu? | Nneɛma a ɛsɛ sɛ wuhu |
|---|---|---|
| X-ray a wɔde kyerɛ | Yɛhwɛ nsakrae a ɛba akyi berɛmo ne sacroiliac nkwaa mu, te sɛ nnompe no ntam kwan a ɛyɛ teateaa. | Wɔ yare no mfiase no, ebia nsakrae biara renhu wɔ X-ray so. Ebetumi agye mfe pii ansa na nsakrae a ɛda adi pefee no ada adi. |
| MRI Scan a Wɔde Yɛ Adwuma | Nnompe nso, tebea a ɛwɔ ntini a ɛyɛ mmerɛw ne ntini a ɛyɛ mmerɛw mu no da adi pefee. Wobetumi ahu ɔfe a ɛwɔ nkwaa no mu ntɛm ara. | Ne bo yɛ den koraa sen X-ray, nanso ɛyɛ sɔhwɛ a ɛho hia yiye a wɔde hu yare no ntɛm. |
| Mogya mu Nhwehwɛmu | Yɛrehwɛ nneɛma abien titiriw: 1. So awosu mu abɔde bi wɔ hɔ a wɔfrɛ no HLA-B27 ? 2. Agyiraehyɛde ahorow a wɔfrɛ no ESR ne CRP , a ɛkyerɛ sɛnea nipadua no mu ɔfe dodow te. | Sɛ obi wɔ HLA-B27 awosu mu abɔde no nkutoo a, ɛmma AS . Afei nso, ɛnyɛ obiara a ɔwɔ AS na ɔwɔ saa awosu mu abɔde yi. Wobetumi ama agyiraehyɛde ahorow te sɛ ESR ne CRP nso akɔ soro wɔ tebea afoforo a ɛde ɔyare mmoawa ba mu. Enti, ɛnyɛ wɔn nkutoo na wɔde di dwuma mfa nhu yare no. |
Kakraa bi fa mogya mu nhwehwɛmu ho...
Ebia wo duruyɛfo bɛsɔ wo mogya ahwɛ sɛ ebia awosu mu agyiraehyɛde bi a wɔfrɛ no HLA-B27 . Nnipa a wɔwɔ AS no mu dodow no ara wɔ saa awosu mu abɔde yi. Nanso, kae sɛ ɛnyɛ obiara a ɔwɔ saa awosu mu abɔde yi na obenya AS. Afei nso, ebia nnipa kakraa bi a wɔwɔ AS nni saa awosu mu abɔde yi.
Bio nso, wɔyɛ nhwehwɛmu ahorow a wɔfrɛ no ESR (Erythrocyte Sedimentation Rate) ne CRP (C-reactive Protein) de hwɛ sɛ ɔfe wɔ nipadua no mu anaa. Saa gyinapɛn ahorow yi betumi akɔ soro esiane AS nti. Nanso esiane sɛ eyinom betumi akɔ soro wɔ tebea afoforo te sɛ ɔyare mmoawa anaa mogya a ɛtɔ kɔ nipadua mu nso mu nti, eyi yɛ adanse biako pɛ bio.
Enti ɔkwan bɛn so na awiei koraa no wosi yare no so dua?
Ebia woate ase mprempren sɛ eyi nyɛ sɔhwɛ a wɔyɛ no pɛnkoro pɛ, ɛte sɛ nea woredi ahodwiriwde bi ho dwuma. Ɛtɔ da bi a, ebia wɔrentumi nsi yare no so dua kosi mfe pii akyi bere a yare no ho sɛnkyerɛnne afi ase. Eyi yɛ asɛnnennen ma ɔyarefo no ne oduruyɛfo no nyinaa.
Mpɛn pii no, oduruyɛfo bɛka sɛ wowɔ AS sɛ wodi nneɛma a edidi so yi ho dwuma a:
Nsakrae a ɛba nkwaa mu a ɛne AS hyia no da adi wɔ X-ray anaa MRI mfoninitwa mu , na anyɛ yiye koraa no, nea edidi so yi mu biako wɔ hɔ:
- Tumi a anohyeto wom a wode bɛkotow w’akyi ase akɔ w’anim ne nkyɛnkyɛn.
- Sɛ wohome a, wo moma so ntrɛw (ɛtrɛw) kakraa bi sɛ wɔde toto wo mfe ne wo bɔbeasu ho a.
- Akyi yaw a ɛwɔ hɔ bɛboro asram 3 , na ɛnam apɔw-mu-teɛteɛ anaa kankyee so fi hɔ .
Fa no sɛ wo mfoninitwa nhwehwɛmu (X-ray, MRI) no nkyerɛ nsakrae biara a ɛda adi pefee, nanso wowɔ sɛnkyerɛnne abiɛsa a yɛaka ho asɛm wɔ atifi hɔ no nyinaa. Wɔ tebea a ɛte saa mu no, wo duruyɛfo betumi ahu sɛ wowɔ "Probable Ankylosing Spondylitis" (yare a ebetumi ayɛ AS).
Ɛno kyerɛ sɛ, sɛnea ɛbɛyɛ na oduruyɛfo no asi yare no so dua no, osi gyinae a etwa to denam biribiara a efi wo yare no ho sɛnkyerɛnne, nea wohu wɔ nipadua mu nhwehwɛmu, mogya mu nhwehwɛmu, ne X-ray/MRI amanneɛbɔ so a ɔka bom no so.
Nkrasɛm a Wɔde Kɔ Fie
- Ankylosing Spondylitis (AS) yɛ akyi berɛmo mu yare a ɛma obi ho hyehye no a ebetumi aba wɔ ne mmofraase. Mma w’ani ngu so sɛ akyi yaw ketewaa bi kɛkɛ.
- Esiane sɛ nhwehwɛmu biako pɛ nni hɔ a wobetumi de ahu yare yi nti, ɛtɔ mmere bi a ebetumi ayɛ den sɛ wobehu yare yi.
- Oduruyɛfo no nam wo sɛnkyerɛnne ahorow, nipadua mu nhwehwɛmu, mogya mu nhwehwɛmu (HLA-B27, CRP, ESR), ne mfoniniyɛ mu nhwehwɛmu (X-ray, MRI) a osusuw ho no so hu yare no.
- Sɛ akyi a ɛyɛ den ne ɛyaw, titiriw anɔpa, so tew bere a woteɛteɛ w’apɔw mu a, hwɛ hu sɛ wobɛma w’ani aku ho.
- Sɛ wowɔ saa sɛnkyerɛnne ahorow yi a, kɔ wo duruyɛfo nkyɛn ntɛm ara kɔhwehwɛ afotu. Sɛ ɛho hia a, ɔde wo bɛkɔ akisikuru ho ɔyaresafo nkyɛn.
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