So wo nnadewa retutu wo honam ani? Momma yɛnka saa (Onycholysis) yi ho asɛm!

So woahyɛ no nsow pɛn sɛ nnadewa bi a ɛwɔ wo nsa anaa wo nan so no so fi honam ani hwɛbea a ɛwɔ ase no so kɛkɛ na ɛte sɛ nea ɛretu? Ebia nnadewa no kɔla asesa. Eyi betumi ahaw adwene kakra, ɛnte saa? Mma ɛnhaw wo, eyi to nnipa pii. Ɛnnɛ, yɛbɛka saa tebea yi a wɔfrɛ no ``Onycholysis'' ho asɛm wɔ ɔkwan tiawa bi so a wobɛtumi ate aseɛ.

Dɛn ne nea wɔfrɛ no onycholysis yi?

Sɛ yɛbɛka no tiawa a, onycholysis yɛ bere a wo nsateaa nnadewa anaa wo nan ase nnadewa (nnuruyɛfo frɛ no nnadewa mprɛte) tetew ne honam ani a ɛbata ho (a wɔfrɛ no nnadewa mpa) no ho. Ɛte sɛ nea nnadewa no retu kɛkɛ. Mpɛn pii no, eyi to nnadewa biako pɛ. Ɛtɔ da bi a, ebetumi ato nnadewa pii, nanso ɛntaa nsi.

Hena na obetumi anyin saa?

Nokwarem no, saa tebea a wɔfrɛ no ``Onycholysis'' yi betumi aba obiara mu. Nanso, ɛda adi sɛ nnipa binom benya bi.

• Wɔ mmea fam no: Eyi abu so kakra wɔ mmea mu sen mmarima.
• Wɔ mpanyimfo fam no: Asiane yi betumi ayɛ kɛse bere a obi nyin no.
• Nnipa a wɔwɔ honam ani yare ahorow bi: Sɛ nhwɛso no, nnipa a wɔwɔ honam ani yare te sɛ psoriasis, lichen planus, nnadewa mu ntontom, anaa akisikuru a ɛwɔ nnadewa ase nso betumi ahu eyi.

Eyi abu so dɛn? Bere tenten ahe na ɛtra hɔ?

Onycholysis nyɛ nea ɛntaa nsi ankasa sɛnea ebia wususuw no, ɛyɛ tebea a abu so yiye. Ebetumi atra hɔ asram pii, ɛtɔ mmere bi mpo a ɛboro afe biako. Kae sɛ, awiei koraa no, biribiara a ɛka wo nnadewa ase honam ani hwɛbea no betumi ama woanya tebea yi.

Dɛn ne eyi ho sɛnkyerɛnne?

Sɛ wowɔ Onycholysis a, ebia wubenya yare no ho sɛnkyerɛnne te sɛ:

• Wo honam ani a wobɛpae afi nnadewa no ase: Eyi ne sɛnkyerɛnne titiriw no.
• Wora a ɛyɛ den wɔ nnadewa no ase, te nka sɛ ɛyɛ den.
• Ɔhye bi a ɛyɛ soronko pue wɔ nnadewa no fã a ɛyɛ pink ne ano fitaa a ɛwɔ nnadewa no ano no ntam: Ebia ɔhye yi yɛ asorɔkye. Ebia ɔfã fitaa no bɛyɛ den wɔ mmeae bi na ayɛ tratraa wɔ mmeae afoforo.
• Nsakrae a ɛba nnadewa no kɔla ne honam ani a ɛwɔ nnadewa no ase no mu: ebetumi ayɛ fitaa, ahabammono, kɔkɔɔ, fitaa, anaa kɔkɔɔ.
• Nneɛma nketenkete a ɛte sɛ kuruwa a ɛba nnadewa no mu.
• Nnadewa yɛ mmerɛw na ɛbubu ntɛmntɛm.
• Mogya nketenkete a ɛretu (mogya a ɛtɔ) wɔ nnadewa no ase a wubehu.

Mpɛn pii no, onycholysis nyɛ yaw. Nanso, sɛ opira anaa fungal infection na ɛde ba a, ɛnde ebia wobɛte ɛyaw anaa ɔfe nka.

Dɛn nti na onycholysis ba? Dɛn na ɛde ba?

Ebia nneɛma pii nti na ɛte saa. Momma yɛnhwɛ emu atitiriw no.

• Opira (`(Ahodwiriwde)`): .
• Eyi betumi aba esiane opira a ɛba nnadewa no so anaasɛ baabi a nnadewa no fi ase nyin (``nail matrix``). Sɛ nhwɛso no, sɛ wo nnadewa bɔ baabi, bere a wohyɛ mpaboa a ɛyɛ den, anaa bere a wode wo nnadewa kɔ nsu mu bere nyinaa a, eyi betumi aba.
• Nnipa pii kɔ mmeae a wɔyɛ nnadewa daa kɔyɛ nsaanodwuma. Ɛtɔ mmere bi a tumi a wɔde twitwa nnadewa no, siesie, na wɔhohoro no betumi ama onycholysis aba.
• Susuw ho hwɛ, sɛ woabɔ wo nnadewa wɔ biribi so akyɛ (e.g. pon) a, ɛno nso betumi ayɛ nea enti a ɛte saa.

• Nnuru a wɔde yɛ adwuma:
• Saa tebea yi nso betumi afi nnuru a ɛwɔ nnadewa a wɔde yɛ nnadewa, nnadewa a wɔde hyerɛn, nnadewa a ɛyɛ den, nnadewa a wɔde yi nnadewa, ne atoro nnadewa a yɛde di dwuma de yɛ fɛ no mu.

• Fungal Nyarewa (`(Fungal Nyarewa)`):
• Saa ɔyare mmoawa yi taa ba bere a ntontom bi fa mpaapaemu ketewaa bi mu hyɛn nnadewa no mu ne honam ani hwɛbea a ɛwɔ nnadewa no ase no mu fa mpaapaemu ketewaa bi mu anaasɛ wɔatwa wɔ nsateaa anaa nansoaa bi so no. Fungal yare betumi ama nnadewa no ayɛ den na ayɛ kɔkɔɔ. Ebia wubehu nsensanee fitaa anaa nsensanee nso.

• Nnuru bi (`(Nnuru)`):
• Onycholysis nso betumi afi nnuru a wɔde sa kokoram, ne nnuru bi a ɛma hann ho nkate mu. Nhwɛso ahorow bi ne nnuru a ekum ɔyare mmoawa a wɔfrɛ no tetracycline, nnuru bi a ɛnyɛ steroid a ɛko tia ɔyare mmoawa (NSAIDs), psoralens, ne retinoids a wɔnom.

• Psoriasis (bark) tebea a ɛwɔ nnadewa no mu:
• Nail psoriasis ma nsakrae ba nnadewa no nhyehyɛe mu. Eyi nso yɛ nneɛma a ɛde onycholysis ba no mu biako.

Nneɛma a ɛntaa nsi a ɛka nnadewa nyinaa

Mpɛn pii no, onycholysis ka nnadewa biako anaa abien. Nanso, ɛntaa mma koraa sɛ ebetumi aka wo nsateaa nnadewa ne wo nan ase nnadewa nyinaa. Nea ebetumi de aba no bi ne:

• Iron a enni nipadua mu: Sɛ wunnya iron a ɛdɔɔso mfi w’aduan mu a, eyi betumi aba. Iron a enni nipadua mu nso betumi de tebea bi a wɔfrɛ no mogya a ɛtɔ kɔ nipadua mu aba.
• Hyperthyroidism: Eyi ne bere a thyroid gland a ɛwɔ wo kɔn mu no yɛ hormone pii sen nea wo nipadua hia. Eyi betumi de sɛnkyerɛnne ahorow te sɛ koma a ɛbɔ ntɛmntɛm, mu duru a ɛso tew a wontumi nkyerɛkyerɛ mu, aduan ho akɔnnɔ a ɛkɔ soro, ne dadwen a ɛba obi so aba.

So eyi yɛ fungal yare?

Dabi, ɛnyɛ bere nyinaa na onycholysis yɛ fungal yare mmoawa. Nanso, sɛnea yɛadi kan aka ho asɛm no, ɛtɔ mmere bi a fungal yare betumi ama Onycholysis aba.

So eyi yɛ ɔyare mmoawa?

`(Onycholysis)` .

• Sɛ Onycholysis fi opira, psoriasis, anaa aduru anaa nnuru bi a ɛyɛ adwuma a, ɛnyɛ nea ɛde ɔyare ba.
• Nanso, sɛ Onycholysis fi ntontom bi a, ebetumi ayɛ nea ɛde ɔyare no ba.
• Saa ntontom yi betumi atrɛw afi obi a ɔwɔ ɔyare no mu akɔ foforo mu denam honam ani honam ani a ɛbɛka honam ani.
• Afei nso, fungal yareɛ betumi atrɛw denam baabi a ɔyare mmoawa no wɔ a wɔbɛka so (sɛ nhwɛso no, mpaboa a wɔde wɔn ho bɛbɔ wɔ ɔmanfo asuguarebea, aguaree) anaasɛ nneɛma te sɛ mpopaho ne nnadewa a wɔde twitwa nneɛma a wɔbɛkyɛ so.

Wobɛyɛ dɛn ahu eyi?

Onycholysis yɛ tebea a ɛnyɛ den sɛ wobehu. Enti, sɛ wunim nea ɛde ba a, ɛho nhia sɛ wokɔ oduruyɛfo nkyɛn kɔkyerɛ sɛ ɛyɛ Onycholysis anaa.

Nanso, sɛ wuntumi nhu nea enti a eyi rekɔ so a, ɛbɛyɛ papa sɛ wobɛkɔ oduruyɛfo nkyɛn. Ɔbɛhwɛ wo nnadewa a ayɛ wo yaw no yiye na wahwɛ wo sɛnkyerɛnne ahorow no.

Sɔhwɛ ahorow bɛn na wɔreyɛ?

Oduruyɛfo no betumi ayɛ nhwehwɛmu ahorow pii de akyerɛ sɛ Onycholysis no wɔ hɔ na wahu nea ɛde ba:

• Biopsy: Eyi ne baabi a oduruyɛfo no de ahama anaa scalpel yi nkwammoaa ketewaa bi fi wo nsateaa nnadewa mu. Wɔde saa nkwammoaa yi kɔ adwumayɛbea bi na wɔde afiri a wɔde hwɛ nneɛma nketenkete hwehwɛ mu.
• Fungal sɔhwɛ: Wɔpopa wo nnadewa no fã ketewaa bi na wɔyɛ Potassium Hydroxide (KOH) aduru anaa Fungal culture de hwɛ sɛ ebia fungus na ɛde ba anaa. Sɛ saa sɔhwɛ ahorow no mu nna hɔ a, wobetumi ayɛ Periodic Acid-Schiff (PAS) stain nso.
• Mogya mu nhwehwɛmu: Ɛha yi, woyi mogya ketewaa bi fi ntini bi a ɛwɔ wo nsa mu mu de hwɛ sɛ ebia nhyehyɛe mu yare foforo biara a ebetumi de Onycholysis aba anaa.

So aduru bi wɔ hɔ a wɔde sa eyi? So wobetumi asa no yare?

Sɛ yɛbɛka nokware a, ɛrentumi nyɛ yiye sɛ wobɛsan de nnadewa no fã bi a ahwe ase no abata ho. Wontumi nsa. Nanso, ayaresa betumi aboa ma nnadewa no fã a ɛrenyin foforo no abata honam ani a ɛwɔ nnadewa no ase no ho yiye.

Dɛn ne ayaresa no?

• Sɛ wowɔ onycholysis esiane opira nti a: Dadewa a atetew no bɛsansan nkakrankakra na ahwe ase. Fa ahwɛyiye twitwa ɔfã no denam nnadewa a wɔde twitwa anaa nnadewa a wɔde twitwiw nnadewa so.
• Sɛ wowɔ Onycholysis esiane fungus nti a: Ebia wowɔ ayaresa ahorow yi:
• Nnuru a wɔnom de ko tia fungal:Ebia wo duruyɛfo bɛma wo aduru a ɛyɛ nsu, aduru, anaa aduru bi. Eyinom ho nhwɛso ne Terbinafine (Lamisil®), Itraconazole (Sporanox®), ne Fluconazole (Diflucan®).
• Nnuru a wɔde gu nipadua no so a ekum fungal: Eyinom yɛ cream, srade, anaa gel. Wɔde gu nnadewa no so tẽẽ.

Ebetumi ayɛ den sɛ wɔbɛsa nnadewa mu ntontom. Enti, ɛho hia yiye sɛ wode aduru no di dwuma pɛpɛɛpɛ ma aduan a edi mũ a wo duruyɛfo akyerɛw ama wo no. Sɛ wugyae nom ntɛm dodo a, ebia ntontom no bɛsan aba na ayɛ den mpo sɛ wobɛsa.

Wobɛyɛ dɛn ahwɛ wo nnadewa so wɔ saa bere yi mu?

Sɛ wowɔ Onycholysis a, saa nneɛma yi betumi aboa wo ma woahwɛ wo nnadewa so:

• Fa aduru no di dwuma sɛnea oduruyɛfo no ka kyerɛ wo no pɛpɛɛpɛ.
• Bere nyinaa ma nnadewa a ayɛ wo yaw no ntwitwa tiawa. Fa ahwɛyiye twitwa nnadewa biara a ayɛ mmerɛw na yi fi hɔ.
• Bɔ wo nnadewa ho ban na ansɛe bio.
• Hohoro wo nsa yiye na amma ɔyare mmoawa ankɔ so. Fa biribi te sɛ ntama a ɛho tew siesie wo nnadewa ase.
• Fa wo nnadewa gu aduru a ekum fungal anaa ɔyare mmoawa mu na aboa ma woasiw ɔyare mmoawa ano. Wubetumi de lemon nsu, vinegar, hydrogen peroxide, ne ngo a ɛho hia te sɛ tii dua ngo, akutu ngo, anaa clove ngo adi dwuma.
• Nanso kae sɛ, ɛwom sɛ ngo a ɛho hia yi nyɛ nea asiane biara nni ho ma nnipa dodow no ara de, nanso eye sɛ wobɛkɔ oduruyɛfo nkyɛn ansa na wode adi dwuma. Ebia wowɔ biribi a ɛma wo ho yɛ wo hyew.

Ɔkwan bɛn so na wobetumi asiw eyi ano?

Saa afotu yi a wobedi akyi no bɛboa ma wɔasiw ``Onycholysis`` a ɛbɛba no ano:

• Ma wo nnadewa no nyɛ tiaa. Eyi bɛtew hokwan a ɛwɔ hɔ sɛ wo nnadewa no bɛkyekyere na ayɛ wo nnadewa ase honam ani hwɛbea no so.
• Sɛ wowɔ su sɛ wobɛka wo nnadewa a, gyae.
• Hwɛ yiye paa bere a worehohoro wo nnadewa ase no. Nnwinnade bi (e.g. cuticle sticks, nail brushes) betumi asɛe wo nnadewa ase honam ani na ama woanya ɔyare mmoawa.
• Kwati sɛ wode nnuru anaa nneɛma a epira wo nnadewa anaa wo honam ani hwɛbea a atwa wo ho ahyia no bedi dwuma. Eyi betumi ayɛ nnadewa a wɔde hyɛ, nnadewa a ɛhyerɛn, nnadewa a wɔde hyɛ mu den, nnadewa a wɔde yi nnadewa, ne nnadewa a wɔde ayɛ.
• Hyɛ nsateaa bere a woreyɛ nnwuma a ebetumi asɛe wo nnadewa te sɛ nkuku hohoro, agumadi, anaa turoyɛ.
• Hyɛ sɔks a ɛho tew ne mpaboa a ɛyɛ fɛ na ahobammɔ wom.
• Hwɛ yiye bere a wode nneɛma a emu yɛ duru bɛn wo nan no.

Tebea yi bɛkɔ so akosi bere bɛn? So ɛbɛyɛ yiye?

Sɛ wo ne wo duruyɛfo betumi ahu nea ɛde onycholysis no ba a, wo nnadewa no bɛsan anyin, nanso akyinnye biara nni ho sɛ ɛbɛsan anyin bio. Nanso, nsateaa nnadewa san nyin nkakrankakra paa, na nan ase nnadewa san nyin nkakrankakra mpo.Ebetumi agye bɛyɛ asram 6 kosi 9 ansa na nsateaa nnadewa asan anyin koraa. Ebetumi agye bɛyɛ asram 12 kosi 18 ansa na nansoaa bi asan anyin koraa. Enti ɛsɛ sɛ wotɔ wo bo ase.

Bere bɛn na ɛsɛ sɛ wokɔ oduruyɛfo nkyɛn?

Hwɛ oduruyɛfo wɔ nsɛm a edidi so yi mu:

• Sɛ wowɔ sɛnkyerɛnne afoforo a anibere wom (sɛ nhwɛso no, ɔbrɛ a ɛtra so, awɔw, adwenemhaw anaa mmerɛwyɛ, tiyɛ, tɛkrɛma mu akuru, koma a ɛbɔ ntɛmntɛm) a onycholysis ka ho a.
• Sɛ yare no ho sɛnkyerɛnne no ankɔ yiye ɛmfa ho ayaresa a.
• Sɛ ɛte sɛ nea honam ani hwɛbea a atwa nnadewa no ho ahyia no wɔ ɔyare mmoawa (kɔkɔɔ, kɔkɔɔ, fitaa anaa fitaa; ɛho ayɛ hyew na ɛho ahonhon).

Nsɛmmisa a ɛsɛ sɛ wubisa wo duruyɛfo

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

• Oduruyɛfo, wobɛyɛ dɛn ahu sɛ mewɔ `(Onycholysis)`?
• Sɛ minni Onycholysis a, tebea foforo bɛn na ebetumi ayɛ?
• Adɛn nti na eyi too me?
• Sɛ ntontom na ɛde eyi ba a, mɛyɛ dɛn asiw ano sɛ antrɛw ankɔ me nipadua no afã afoforo?
• Sɛ ntontom na ɛde eyi ba a, mɛyɛ dɛn asiw ano sɛ antrɛw ankɔ afoforo mu?
• Aduru bɛn na oduruyɛfo no kamfo kyerɛ?
• So nsunsuanso bɔne bi wɔ saa nnuru no mu?
• So ayaresa bi wɔ hɔ a wobetumi ayɛ wɔ fie?
• So nsunsuanso bɔne bi wɔ saa ofie ayaresa ahorow no mu?
• Dɛn bio na ɛsɛ sɛ meyɛ na aboa me nnadewa ma ayɛ yiye ntɛmntɛm?
• So ɛsɛ sɛ mekɔ honam ani yare ho oduruyɛfo anaa ɔbenfo foforo nkyɛn?

Nea etwa to no, nneɛma a ɛsɛ sɛ yɛkae

Onycholysis yɛ bere a wo nnadewa no fi honam ani hwɛbea a ɛwɔ n’ase no ho. Mpɛn pii no, ɛnyɛ yaw, nanso sɛ ntontom na ɛde ba a, ebetumi akɔ nnipa mu.

Ɛho hia sɛ wohwɛ wo nnadewa so yiye. Sɛ wuhu sɛ nnadewa bi repaapae saa a enni opira anaa biribiara a, nyansa wom sɛ wobɛkɔ oduruyɛfo nkyɛn ntɛm ara. Ebetumi ayɛ ntontom, anaasɛ ebetumi ayɛ tebea bi a emu yɛ den kɛse ho sɛnkyerɛnne. Enti, eye sɛ wobɛma w’ani aku wo nipadua ho.

` Onycholysis, nnadewa a wɔtetew mu, nnadewa mu nyarewa, nnadewa a wɔpaapae mu, nnadewa mpa, fungal yare mmoawa, nnadewa mu fungus, honam ani nyarewa