So wo X-ray no ntumi nkyerɛ nea ɛde w’akyi yaw ba? Momma yɛnka eyi ho asɛm! (Axial Spondyloarthritis a Ɛnyɛ Radiographic) .

Yɛn nyinaa anya akyi yaw wɔ yɛn asetra mu bere bi. Ɛtɔ mmere bi a, ɛyaw a ɛba bere a wɔma nneɛma a emu yɛ duru so anaasɛ wɔtra ase wɔ ɔkwan a ɛnteɛ so no ano bɛbrɛ ase wɔ nna kakraa bi mu. Nanso sɛ w’akyi yaw a ɛtra hɔ asram pii, titiriw anadwo ne sɛ wosɔre anɔpa a, mmu w’ani ngu so kɛkɛ. Ɛnnɛ, yɛbɛka Non-Radiographic Axial Spondyloarthritis , anaa sɛnea yɛn nnuruyɛfo frɛ no (nr-axSpA) , ntini mu yare bi a ɛnda adi wɔ X- ray mu nanso ebetumi aka w’asetra ho asɛm.

Sɛ yɛbɛka no tiawa a, dɛn ne nr-axSpA?

Ebia woate nnompe mu yare , tebea bi a ɛma nkwaa te sɛ nkotodwe ne asen brɛ bere a worenyin no ho asɛm. Nanso nr-axSpA yɛ tebea foforo, a yɛn nipadua no nipadua mu ahoɔden a ɛko tia nyarewa no ntumi nyɛ adwuma yiye na ɛde ba . Sɛ yɛbɛka no tiawa a, yɛn nipadua no ankasa ahobammɔ nhyehyɛe, anaa nkwammoaa a ɛko tia nyarewa no di mfomso tow hyɛ yɛn ankasa nkwaa a ɛka yɛn akyi berɛmo ne yɛn akyi berɛmo ho no so . Eyi de ɔfe ba saa nkwaa no mu, na ɛma ɛyɛ den na ɛyɛ yaw.

Saa yare yi ne ntini mu yare a emu yɛ den kɛse a wɔfrɛ no Ankylosing Spondylitis (AS) wɔ abusuabɔ kɛse . Ɛtɔ da bi a nr-axSpA betumi ayɛ AS no mfiase. Nanso, ɛnyɛ obiara a ɔwɔ nr-axSpA na obenya AS.

Dɛn ne tebea yi ho sɛnkyerɛnne?

Nr-axSpA ho sɛnkyerɛnne titiriw ne akyi yaw . Nanso eyi yɛ soronko wɔ akyi yaw a ɛyɛ daa no ho. Momma yɛnte saa nsonsonoe yi ase yiye.

Wɔ akyi yaw akyi no, wobetumi ahu sɛnkyerɛnne afoforo pii:

• Ankle pain : Ɛyaw ne den, titiriw wɔ mmeae te sɛ Achilles ntini a ɛwɔ nan ase.
• Nsateaa a ɛho ahonhon: Nsateaa anaa nansoaa bi hohoro koraa te sɛ soseji. Yɛfrɛ eyi dactylitis .
• Ɛyaw a ɛba nkwaa afoforo mu: Ɛyaw betumi aba nkwaa afoforo te sɛ asen, nkotodwe, ne mmati nso mu.
• Ɔbrɛ a ɛtaa ba : .Ɔbrɛ ne ɔbrɛ a wobɛte nka kɛse ɛmfa ho sɛnea wobɛda no.

Dɛn nti na eyi ba? Dɛn ne nneɛma a ɛde asiane ba?

Sɛnea yɛadi kan aka no, ade titiriw a ɛma eyi ba ne ɔhaw bi a ɛwɔ yɛn nipadua mu tumi a ɛko tia nyarewa no mu. Wonnim nea enti a ɛte saa ankasa. Nanso, nhwehwɛmufo gye di sɛ abusuabɔ bi wɔ awosu mu.

Titiriw no, wɔahu sɛ awosu mu abɔde bi a wɔfrɛ no HLA-B27 ne eyi wɔ abusuabɔ. Nnipa pii a wɔwɔ nr-axSpA ne AS wɔ saa awosu mu abɔde yi. Nanso, eyi nkyerɛ sɛ obiara a ɔwɔ HLA-B27 awosu mu abɔde no benya saa ntini mu yare yi. Ɛyɛ yare pɔtee bi a ɛma obi nya yare bi kɛkɛ.

Asiane afoforo a ɛde tebea yi ba ne:

• Mfe: Mpɛn pii no, yare no ho sɛnkyerɛnne fi ase wɔ mpanyin afe so, bere a wɔadi fi mfe 20 kosi 40.
• Abusua abakɔsɛm: Sɛ obi a ɔwɔ w’abusua a ɛbɛn wo (awofo, anuanom) wɔ nr-axSpA anaa AS a, wowɔ asiane kɛse mu sɛ wo nso wubenya bi.
• Sigaretnom : Wɔn a wɔnom sigaret no wɔ asiane kɛse mu sɛ wobenya saa yare yi, ne asiane a ɛwɔ hɔ sɛ yare no mu bɛyɛ den nso.

Ɔkwan bɛn so na wobetumi ahu yare no pɛpɛɛpɛ?

Saa yare yi a wobehu no yɛ den kakra efisɛ ɛnna adi wɔ X-ray mu, na mpɛn pii no, sɛnkyerɛnne ahorow no da adi wɔ mmerante ne mmabaa a wɔwɔ apɔwmuden mu. Enti ɛtɔ mmere bi a, wobetumi adi mfomso aka sɛ ɛyɛ akyi yaw ketewaa bi, na ɛde ayaresa no akyɛ.

Sɛ wokɔ wo duruyɛfo nkyɛn a, ɔbɛyɛ saa nneɛma yi:

1. Obetie wo sɛnkyerɛnne ahorow no yiye: bisa bere a ɛyaw no fi ase, bere tenten a ɛwɔ hɔ, ne sɛ ebia sɛ woteɛteɛ w’apɔw mu a, ɛyɛ yiye anaa.

2. Ɔyɛ nipadua mu nhwehwɛmu: Ɔhwɛ sɛnea akyi berɛmo no tu ne mmeae a ɛyaw no te.

3. Wɔhyɛ sɛ wɔnyɛ mogya mu nhwehwɛmu: wɔnhwɛ sɛ HLA-B27 awosu mu abɔde no wɔ hɔ anaa na wɔhyɛ sɛ wɔnyɛ nhwehwɛmu te sɛ CRP ne ESR a ɛkyerɛ sɛ ɔfe wɔ nipadua no mu.

4. MRI scan: Eyi ne sɔhwɛ a ɛho hia sen biara a wɔde hu nr-axSpA. MRI scan betumi ada ɔfe ne ɔfe a ɛnyɛ anifere adi pefee wɔ nkwaa a wontumi nhu wɔ X-ray so no mu.

Dɛn ne ayaresa ahorow no?

nr-axSpA a wɔhwɛ so yɛ apɔw-mu-teɛteɛ, apɔw-mu-teɛteɛ, ne nnuru a wɔde ka bom.

1. Apɔw-mu-teɛteɛ

Eyi te sɛ aduruyɛ. Da biara da apɔw-mu-teɛteɛ ho hia. Apɔw-mu-teɛteɛ ma ɛyaw so tew, ɛma akyi a ɛyɛ den no so tew, na ɛtew ɔbrɛ a wote nka bere nyinaa no so. Ɛboa nso ma w’akyi berɛmo kɔ baabiara na ɛnkotow.

2. Nnubɔne a wɔde di dwuma

Mfiase no, wo duruyɛfo betumi akyerɛw nnuru a wɔde kum ɛyaw ne nnuru a ɛnyɛ steroid a ɛko tia ɔyare mmoawa (NSAIDs) (e.g., Indomethacin, Naproxen). Nanso, ɛsɛ sɛ wɔde eyinom di dwuma wɔ aduruyɛfo hwɛ ase nkutoo . Sɛ wɔde di dwuma bere tenten a, ebetumi de ɔhaw ahorow te sɛ yafunu a ɛyɛ yaw ne asaabo a ɛsɛe aba.

Sɛ NSAID ahorow no ntumi nyɛ adwuma yiye a, ebia wo duruyɛfo bɛkyerɛw nnuru pɔtee bi (biologics) a ɛhwɛ nipadua no mu tumi a ɛko tia nyarewa no dwumadi so, te sɛ nnuru a esiw TNF ano .

3. Nipadua mu Ayaresa

Ɛho hia yiye sɛ wusua apɔw-mu-teɛteɛ a ɛfata wɔ apɔw-mu-teɛteɛ ho ɔyaresafo a wɔatete no akwankyerɛ ase. Wɔbɛkyerɛ wo apɔw-mu-teɛteɛ a ɛhyɛ akyi berɛmo mu den, ɛtrɛw ntini a ɛyɛ den mu, gyina hɔ a ɛteɛ, ne ɔkwan a wɔfa so home.

So ɛka akyi berɛmo no nkutoo? So nsɛnnennen afoforo wɔ hɔ?

Yiw, nr-axSpA nyɛ yare a ɛwɔ akyi berɛmo mu nkutoo. Saa nipadua no mu tumi a ɛko tia nyarewa yi betumi aka nipadua no afã afoforo nso.

• Aniwa: Uveitis yɛ tebea a ɛtaa ba a ɛma aniwa no mu yɛ hyew. Nsɛnkyerɛnne no bi ne kɔkɔɔ , ɛyaw, aniwa a ɛyɛ kusuu , ne hann a ɛyɛ mmerɛw. Sɛ wuhu saa sɛnkyerɛnne ahorow yi bi a, ɛsɛ sɛ wokɔ aniwa ho oduruyɛfo nkyɛn ntɛm ara .
• Digestive system: Wɔ nnipa binom famInflammatory Bowel Disease (IBD) , te sɛ Crohn Yare anaa Ulcerative Colitis , betumi de sɛnkyerɛnne ahorow te sɛ yafunu mu yaw ne akisikuru a ɛkyɛ aba.
• Wora: Ayarefo bɛyɛ 10% nso betumi anya psoriasis , honam ani yare a ɛma honam ani yɛ kɔkɔɔ na ɛyɛ nsensanee .

Ɛyɛ den sɛ wobɛka sɛnea yare yi bɛka wo bere tenten no pɛpɛɛpɛ. Ebia nnipa binom yare no ho sɛnkyerɛnne bɛkɔ so ayɛ nea ɛte saa ara, bere a afoforo nso betumi asɛe kɛse. Ebia nnipa binom tebea no bɛkɔ so akodu AS. Nanso, sɛ wonya ayaresa ne asetra kwan a ɛfata a, wubetumi adi tebea yi ho dwuma yiye na woabɔ bra sɛnea ɛsɛ.