So wowɔ nkwaa mu yaw a honam ani akisikuru ka ho? Momma yɛnka psoriatic arthritis ho asɛm.

So wowɔ nsensanee kɔkɔɔ a ɛyɛ nsensanee wɔ wo honam ani? So ɛtɔ mmere bi a wuhu eyinom kɛse wɔ wo ti, wo nkotodwe, ne wo nsateaa so? So wote nka nso sɛ wo ho yɛ den na ɛyɛ wo yaw wɔ wo nipadua mu, titiriw wo nsateaa ne wo nkotodwe, bere a wosɔre anɔpa no? Sɛ wowɔ saa ɔhaw mmienu yi nyinaa a, ebia wobɛnya tebea bi a wɔfrɛ no ‘Psoriatic Arthritis’. Mma wo ho nnsuro sɛ wote saa din yi a. Eyi yɛ biribi a nnipa pii wɔ. Ɛnnɛ, yɛbɛka eyi ho asɛm wɔ ɔkwan tiawa bi a wubetumi ate ase so.

Dɛn ne saa psoriatic arthritis yi?

Sɛ yɛbɛka no tiawa a, psoriatic arthritis yɛ ntini mu yare bi. Ɛyɛ nkwaa a ɛyɛ hyew. Ɛtaa ba nnipa a wɔwɔ honam ani yare bi a wɔfrɛ no psoriasis so. Ɛtɔ da bi a, sɛ obi wɔ w’abusua mu wɔ psoriasis a, wɔn nso betumi anya bi.

Afei momma yɛnkyerɛkyerɛ eyi mu kakra.

• Ntini mu yare: Eyi yɛ tebea a ɛtaa ka yɛn nkwaa. Ɛma ɛyaw ne ɔfe (ɔfe) ba nkwaa no mu ne nea atwa ho ahyia.
• Psoriasis: Eyi yɛ honam ani yare a ɛma ɛyɛ hyew. Wɔ tebea yi mu no, honam ani nsensanee kɔkɔɔ pue, na dwetɛ nsenia akata so. Wɔfrɛ saa nsensanee a ɛyɛ nsensanee yi plaques. Nea ɛka ho no, nnipa binom nsateaa nnadewa ne wɔn nan ase nnadewa betumi ayɛ den, ayɛ nwansena, anaa amena nketewa.

Wɔkyekyɛ tebea horow abien yi nyinaa, ntini mu yare ne psoriasis, mu sɛ nyarewa a nipadua no tumi ko tia nyarewa . Susuw ho saa kwan yi so: yɛn nipadua no ahobammɔ nhyehyɛe, nipadua no mu tumi a ɛko tia nyarewa no te sɛ asraafo dɔm. N’adwuma ne sɛ ɛbɛbɔ yɛn ho ban denam amannɔne ntuafo a ɛbɛko atia so. Nanso wɔ saa ``autoimmune'' tebea yi mu no, yɛn ankasa ahobammɔ nhyehyɛe no di mfomso fi ase tow hyɛ yɛn ankasa nkwammoaa a ɛwɔ apɔwmuden so. Wɔ psoriatic arthritis mu no, saa ntua yi ba honam ani ne nkwaa bere koro mu.

Saa yare yi ho sɛnkyerɛnne nyɛ nea ɛkɔ so daa. Ɛtɔ mmere bi a, sɛnkyerɛnne ahorow no mu yɛ den, na yɛfrɛ no ‘flares’ . Ɛtɔ mmere bi a, yare no ho sɛnkyerɛnne no kɔ. Sɛ wunya honam ani nsensanee foforo, anaasɛ wote ɛyaw, wohonhon, anaasɛ wo nkwaa mu yɛ den a, hwɛ hu sɛ wobɛkɔ wo duruyɛfo nkyɛn na woaka ho asɛm.

Saa tebea yi abu so dɛn?

Wiase nnipa a wonnu 1% na wɔwɔ psoriatic arthritis. Nanso, sɛ wowɔ psoriasis dedaw a, asiane a ɛwɔ hɔ sɛ wubenya tebea no yɛ kɛse koraa. Nnipa a wɔwɔ psoriasis 100 biara mu bɛyɛ 30 benya psoriatic arthritis wɔ wɔn asetra mu bere bi.

Dɛn ne yare yi ahorow titiriw?

Psoriatic arthritis nyɛ ade koro mma obiara. Nnuruyɛfo kyekyɛ mu ahorow atitiriw anum, na egyina nkwaa a ɛka ne sɛnea sɛnkyerɛnne ahorow no ba so. Ɛho hia sɛ wuhu eyinom.

Nsɛnkyerɛnne bɛn na ebia wubenya?

Psoriatic arthritis betumi aka nipadua no nkwaa biara. Wɔ nnipa binom fam no, yare no ho sɛnkyerɛnne no nyɛ den koraa. Ebia honam ani nketenkete kakraa bi pɛ na ɛwɔ hɔ a ɛyaw ne den kakra wɔ nkwaa no mu. Nanso, bere a ɛyaw no rehyew no, ɛyaw no betumi ayɛ kɛse araa ma wontumi mfa nkwaa no nni dwuma na honam ani nsensanee akɛse betumi ayɛ.

Eyinom ne sɛnkyerɛnne ahorow a wɔtaa hu:

• Nkwaa mu yaw: Ɛyaw betumi aba nkwaa biako anaa nea ɛboro saa mu.
• Nkwaa a ɛyɛ den: Ɛyɛ den sɛ wobɛkotow anaa wobɛtrɛw nkwaa no mu, titiriw bere a wosɔre anɔpa no.
• Nkwaa a ɛho ahonhon na ɛyɛ kɔkɔɔ: Nkwaa a ɛka ho no betumi ahonhon na ayɛ kɔkɔɔ wɔ nkwaa no ho.
• Tendon ne ligament pain: Ɛyaw anaasɛ ɛyɛ mmerɛw wɔ baabi a yɛn ntini bata yɛn nnompe ho (e.g., Achilles tendon).
• Nsateaa a ɛho ahonhon: Nsateaa anaa nansoaa no hohoro te sɛ soseji. Nnuruyɛfo nso frɛ eyi `(dactylitis)`.
• Psoriasis akisikuru: Ntrɛwmu kɔkɔɔ a ɛwɔ nsensanee te sɛ dwetɛ, titiriw wɔ ti nhwi, nkotodwe, nsateaa, ne akyi.
• Nnadewa a ɛsakra: Nnadewa no kɔla sesa, ɛyɛ amena, ɛyɛ den, anaasɛ nnadewa no ne honam ani tetew.
• Ɔbrɛ: Eyi nyɛ ɔbrɛ ara kwa. Ɛyɛ ɔbrɛ a ɛtra so na ɛma wuntumi nyɛ biribiara, na ɛte sɛ nea sɛ woda da mũ nyinaa mpo a, ɔbrɛ yi renkɔ.

Dɛn nti na eyi ba? Hena na ɔwɔ asiane mu kɛse?

Abenfo da so ara nnim nea ɛde psoriatic arthritis ba ankasa. Nanso, nhwehwɛmu ahorow bi ada no adi sɛ nnipa a wɔwɔ yare no wɔ nsakrae a ɛte saa ara wɔ wɔn awosu mu (awosu mu nkwaadɔm mu nsakrae). Nanso, wonnya nhuu sɛ ebia awosu mu nsakrae yi na ɛde yare no ba anaasɛ nsakrae yi ba bere a yare no anyin akyi.

Enti sɛ obi wɔ w’abusua mu a ɔwɔ psoriasis anaa psoriatic arthritis a, hwɛ hu sɛ wobɛka akyerɛ wo duruyɛfo.

Ɛwom sɛ yare yi betumi aba wɔ mfe biara mu de, nanso ɛtaa ba bere a wɔadi mfe 30 kosi 50.Ɛtaa ba nnipa mu. Mpɛn pii no, psoriasis (honam ani yare) ba mmerante ne mmabaa mu, bɛyɛ mfe 15-25, na nkwaa ho sɛnkyerɛnne da adi mfe pii akyi, wɔ wɔn mfe mfinimfini.

Saa tebea yi betumi de nyarewa afoforo aba?

Yiw, ebia nnipa a wɔwɔ psoriatic arthritis no wɔ asiane a ɛkɔ soro kakra sɛ wobenya akwahosan ho haw afoforo. Eyi fi ɔfe a enni sabea a ɛwɔ nipadua no mu no.

Nsɛnnennen a ɛtaa ba a ebetumi aba no bi ne:

• Mogya mmoroso (Hypertension) .
• Mogya mu srade a ɛkɔ soro (Hyperlipemia) .
• Obolo
• Asikyireyareɛ
• Hahaahayɔ
• Mogya a ɛtɔ kɔ nipadua mu
• Ntini mu mmerɛwyɛ

Nkwaa mu yaw betumi ama ayɛ den sɛ wobɛteɛteɛ w’apɔw mu. Nanso apɔw-mu-teɛteɛ a worennyɛ no betumi ama wo nipadua mu duru ayɛ kɛse na ɛde adwennwen kɛse aba wo nkwaa so. Enti, wo ne wo duruyɛfo nkasa mfa apɔw-mu-teɛteɛ a ɛnyɛ den pii a ɛmma wo nkwaa nhyɛ wo so kɛse ho. Nneɛma te sɛ yoga, nantew, anaa nsu mu ayaresa yɛ akwan pa a wobɛfa so ama wo nipadua anya apɔwmuden a woremfa nhyɛso pii mma wo nkwaa so.

Ɔkwan bɛn so na oduruyɛfo hu eyi?

Oduruyɛfo bi nam nipadua mu nhwehwɛmu ne nhwehwɛmu afoforo pii so hu psoriatic arthritis. Oduruyɛfo no bebisa wo wo yare no ho sɛnkyerɛnne na wahwɛ wo honam ani ne wo nkwaa mu yiye.

Wobetumi nso de wo akɔ animdefo nkyɛn:

• Ntini mu yare ho ɔyaresafo: Oyi yɛ oduruyɛfo a ne ho akokwaw wɔ nkwaa mu nyarewa, nyarewa a nipadua no tumi ko tia nyarewa, ne ɔyare a ɛma obi ho hyehye no ho.
• Dermatologist: Oyi yɛ oduruyɛfo a ne ho akokwaw wɔ honam ani nyarewa ho.

Sɔhwɛ ahorow bi a ebia wɔbɛka akyerɛ wo sɛ yɛ:

• Mogya mu nhwehwɛmu: Hwɛ sɛ nneɛma te sɛ ɔyare mmoawa anaa.
• Mfonini a wɔde yɛ nhwehwɛmu: Eyinom betumi ahwehwɛ sɛ nkwaa no asɛe anaasɛ ayɛ hyew.
• X-ray ahorow a wɔde yɛ
• MRI scan a wɔde yɛ nhwehwɛmu
• CT scan a wɔde yɛ adwuma
• Ultrasound a wɔde yɛ nhwehwɛmu

Dɛn ne ayaresa ahorow a wɔde sa eyi?

Wo duruyɛfo bɛkyerɛw wo ayaresa de adi wo sɛnkyerɛnne ahorow no ho dwuma. Ayaresa ko a wuhia no begyina nneɛma pii so:

• Nkwaa bɛn na yare no ka?
• Nsɛnkyerɛnne no mu yɛ den dɛn?
• Saa sɛnkyerɛnne ahorow yi siw wo da biara da dwumadi ahorow kwan akodu dɛn?

Ayaresa a wɔtaa de di dwuma ne:

• Nnuru a wɔde kum ɛyaw: Wobetumi atɔ nnuru a wɔde kum ɛyaw a ɛtew ɔfe so, te sɛ ``NSAIDs'', wɔ nnurutɔnbea.
• Atiridii anaa ɔhyew ayaresa: Tew ɛyaw ne akisikuru so.
• Corticosteroids: Nnuru a ano yɛ den a ɛtew ɔfe so ntɛmntɛm. Wobetumi de eyinom ama sɛ nnuru a wɔde twitwiw nipadua no anaasɛ wɔde ahyɛ nkwaa no mu tẽẽ.
• DMARDs (Nnuru a ɛsesa yare a ɛko tia akisikuru): Eyinom yɛ nnuru titiriw bi a ɛsakra yare no kwan, kyerɛ sɛ, ɛhwɛ nipadua no mu tumi a ɛko tia nyarewa no dwumadi so na ɛma nkwaa no sɛe.
• Apɔw-mu-teɛteɛ anaa adwuma mu ayaresa: Eyinom betumi aboa wo ma woasua sɛnea wobɛma nkwaa no dwumadi ne ahoɔden atu mpɔn na ama da biara da nnwuma ayɛ mmerɛw.

So oprehyɛn ho hia?

Oprehyɛn a wɔyɛ ma psoriatic arthritis ho yɛ na koraa. Nanso, sɛ yare no asɛe wo nkwaa kɛse anaasɛ ama nnompe asɛe a, ebia ebehia sɛ wɔyɛ wo nkwaa foforo oprehyɛn (arthroplasty). Sɛ ɛba saa a, wo duruyɛfo anaa oprehyɛn ho ɔbenfo no bɛkyerɛkyerɛ oprehyɛn a ɛsɛ sɛ woyɛ ne nea ɛsɛ sɛ wohwɛ kwan no mu.

So eyi nye sen ntini mu yare?

Psoriatic arthritis ne rheumatoid arthritis yɛ ntini mu yare ahorow abien. N’abien nyinaa yɛ nyarewa a nipadua no tumi ko tia nyarewa.

• Psoriatic arthritis yɛ nkwaa mu ɔfe bi a ɛne psoriasis (honam ani ne nnadewa mu yare) wɔ abusuabɔ.
• Ntini mu yare yɛ ntini mu yare bi a nipadua no mu tumi a ɛko tia nyarewa no tow hyɛ ntini a ɛtow hyɛ nkwaa a ɛwɔ nipadua no afã abien no nyinaa so no so.

Yare biako "nyɛ papa" anaasɛ "bɔne" nsen ɔfoforo no. Nneɛma abien no nyinaa yɛ tebea horow a ɛtra hɔ kyɛ (a enni sabea). Eyi kyerɛ sɛ ɛsɛ sɛ wudi wo yare no ho sɛnkyerɛnne ahorow ho dwuma bere tenten, ebia w’asetra nyinaa. Wo duruyɛfo bɛboa wo ma woanya ayaresa a ɛfata ama wo na waboa wo ma woatew nkɛntɛnso a yare no nya wɔ wo da biara da asetra so no so.