So wowɔ Ankylosing Spondylitis ? Sɛ saa a, ebia w’akyi, w’asen, ne wo nkwaa afoforo mu yɛ wo yaw, na wo ho yɛ wo den anɔpa. Sɛ nnuruyɛfo resa tebea yi a, wodi kan bɔ mmɔden sɛ wɔbɛma wo nnuru a wɔde kum ɛyaw te sɛ Ibuprofen ne Naproxen a wɔfrɛ no NSAIDS (nnuru a ɛnyɛ steroid a ɛko tia ɔyare mmoawa) . Nanso ɛtɔ da bi a, saa nnuru yi nyɛ adwuma mma wo. Anaasɛ ebia worentumi mfa saa NSAID ahorow yi nni dwuma esiane akwahosan ho haw afoforo nti. Ɛno ne bere a ebia wo duruyɛfo besusuw aduru foforo te sɛ Sulfasalazine ho. Titiriw sɛ wowɔ ankylosing spondylitis ne inflammatory bowel disease (IBD) , Sulfasalazine taa betumi ayɛ ano aduru pa.
Ɔkwan bɛn so na aduru a wɔfrɛ no Sulfasalazine yi yɛ adwuma wɔ nipadua no mu ankasa?
Sɛ yɛbɛka no tiawa a, Sulfasalazine yɛ aduru a esiw ɔfe a ɛwɔ nipadua no mu ano. Nnuru bi wɔ hɔ a wɔfrɛ no prostaglandins a ɛboa ma ɛyaw ne ɔfe ba yɛn nipadua mu. Sulfasalazine yɛ adwuma denam saa nnuru no a wogyae no so. Mfiase no wɔpenee saa aduru yi so sɛ wɔmfa nsa tebea bi a wɔfrɛ no ulcerative colitis , a ɛka dwensɔtwaa no.
Nanso ɛnyɛ ɛyaw so kɛkɛ. Nnuruyɛfo frɛ saa aduru yi DMARD (aduru a wɔde ko tia akisikuru a ɛsakra yare) . Dɛn na ɛno kyerɛ? Eyi kyerɛ sɛ, ɛyaw ne ɔfe a ntini mu yare de ba no a wobedi so akyi no, aduru yi betumi asesa sɛnea yare no ankasa te nso. Eyi kyerɛ sɛ ɛnyɛ sɛ ebetumi asiw sɛnkyerɛnne ahorow no ano nko, na mmom esiw wo nkwaa a ɛbɛsɛe bere tenten nso ano. Enti, saa aduru yi nso betumi aboa ma wo da biara da dwumadi ahorow no anyɛ nea entumi nyɛ adwuma esiane ankylosing spondylitis nti.
Saa aduru yi tu mpɔn dɛn ma ankylosing spondylitis?
Ankylosing spondylitis ka akyi berɛmo no titiriw. Sulfasalazine boa kɛse sɛ wowɔ ɔhaw ahorow wɔ wo nkwaa a ɛwɔ akyi no ho, de ka w’akyi berɛmo ho a. Eyi kyerɛ sɛ ebetumi aboa ma ɛyaw ne wo nkwaa a ɛho ahonhon no so atew. Ebetumi nso aboa ma w’akyi a ɛyɛ den no so atew na ama woate nka sɛ wo ho adwo wo kakra.
Nanso momma yɛnka nokware. Nhwehwɛmu ahorow nnya nkyerɛɛ pefee sɛ saa aduru yi a wode bedi dwuma no bɛma akyi berɛmo no atu mpɔn kɛse anaasɛ ɛbɛma wo nipadua dwumadi atu mpɔn kɛse. Ɛnnya nkɛntɛnso kɛse nso wɔ ɔhyew tebea horow a ɛba wɔ ntini a ɛne nkwaa no di nkitaho no mu no so.
Wɔ nhwehwɛmu bi mu no, wɔde sulfasalazine totoo aduru foforo a wɔfrɛ no etanercept ho. Etanercept wɔ nnuru kuw bi a wɔfrɛ no TNF-alpha inhibitors a ɛyɛ adwuma wɔ ɔkwan foforo so mu. Wɔ saa nhwehwɛmu no mu no, wohui sɛ etanercept tu mpɔn kɛse sen sulfasalazine. Enti, sɛ NSAIDs ntumi nyɛ adwuma mma wo a, ebia nnuru afoforo wɔ hɔ a ebia ɛbɛyɛ adwuma yiye ama wo asen sulfasalazine. Ade a eye sen biara a ɛsɛ sɛ woyɛ ne sɛ wo ne wo duruyɛfo bɛkasa akyerɛ nea ɛfata wo ne sɛ ebia ɛfata sɛ wosɔ sulfasalazine hwɛ anaa.
Ɔkwan bɛn so na ɛsɛ sɛ mede Sulfasalazine di dwuma?
Eyi ba wɔ aduruyɛ mu. Ade a ɛho hia paa ne sɛ wobɛfa saa aduru yi ne aduane. Sɛnea ɛbɛyɛ a yafunu renhaw wo no, fa nsu kuruwa a ɛyɛ ma nom. Mpɛn pii no, wo duruyɛfo befi ase anom nnuru biako anaa abien da biara. Afei, wubetumi de nkakrankakra ama dodow no akɔ soro sɛnea ɛho hia.
Kae sɛ ɛho hia sɛ wonom nsu anaa nsu afoforo pii da mũ no nyinaa bere a worenom aduru yi no. Mfa aduru yi nnom bere a wo yafunu da mpan. Afei nso, nnom saa aduru yi bere a woanom nnuru a ekum asikre ma yafunu mu yare awie no.
Ade foforo a ɛho hia ne sɛ ebia saa aduru yi benya nkɛntɛnso ketewaa bi wɔ sɛnea nipadua no twetwe aduannuru folate no so. Enti, wo duruyɛfo bɛtaa aka akyerɛ wo sɛ fa folic acid aduru bi ka aduru yi ho. Eyi ho hia titiriw sɛ woanyinsɛn anaa woreyɛ nhyehyɛe sɛ wubenyinsɛn a.
Sɛ wopa nnuru dodow bi a, dɛn na ɛsɛ sɛ woyɛ?
Sɛ wo werɛ fi sɛ wobɛnom pill , nom bere a wokae ara pɛ. Nanso nnom nnuru abien prɛko pɛ da. Sɛ ɛkame ayɛ sɛ bere aso sɛ wobɛma wo dodow a edi hɔ a, twa dodow a woayera no so na fa wo dodow a edi hɔ no wɔ bere a woahyɛ da ayɛ no mu.
Dɛn ne aduru yi mu nsunsuanso bɔne?
Te sɛ aduru biara no, Sulfasalazine betumi anya nkɛntɛnso bɔne. Nanso, ɛnyɛ obiara na onya bi. Momma yɛnhwɛ nsunsuanso bɔne a ɛtaa ba ne nea ɛntaa nsi.
| Nsunsuanso bɔne a Sulfasalazine Nya | |
|---|---|
| Nneɛma bɔne a wɔtaa hu | |
| Tipaeɛ | Eyi betumi aba bere a aduru no dodow kɔ soro no. |
| Akisikuru ne ɔfe | Ɛtaa ba kɛse wɔ bere a wofi ase de nnuru di dwuma no mu. |
| Huraeɛ | Ebetumi aba sɛ adeyɛ a ɛba nipadua no mu. |
| Wora a ɛyɛ mmerɛw | Ebia ɛbɛyɛ obi a ne ho yɛ no yaw ho sɛnkyerɛnne. |
| Mmarima a wontumi nwo | Ebia mmadwoa dodow so bɛtew, nanso eyi san ba sɛnea na ɛte bere a wɔagyae aduru no akyi. |
| Owia hann a ɛma obi te nka | Ɛnyɛ den sɛ were no betumi ahyew. |
| Wora ne nsu a ɛyɛ kɔkɔɔ | Eyi nyɛ biribi a ɛsɛ sɛ ɛhaw adwene na aduru no na ɛde ba. Nanso, ɛho hia sɛ wobɔ oduruyɛfo no amanneɛ. |
| Nneɛma bɔne a ɛntaa nsi nanso ebetumi ayɛ aniberesɛm | |
| Hepatitis, ahurututu mu yare, Stevens-Johnson syndrome, mogya a ɛtɔ, asaabo mu yare, ne mogya mu nkwammoaa fitaa a ɛba fam. | |
Ɛnsɛ sɛ saa nsunsuanso bɔne a ɛntaa nsi nanso anibere wom yi ma wo ho dwiriw wo. Wo duruyɛfo bɛhwɛ wo yiye bere a worenom saa aduru yi no. Adapɛn 6 a edi kan no akyi, ne afei asram 6 biara no, wɔbɛyɛ wo mogya mu nhwehwɛmu de ahwɛ sɛnea wo mogya mu nkwammoaa dodow ne w’asaabo dwumadi. Sɛ wunya yare no ho sɛnkyerɛnne foforo biara a wususuw sɛ ebetumi ayɛ aduru no nkɛntɛnso bɔne a, ka kyerɛ wo duruyɛfo ntɛm ara.
Henanom na ɛnsɛ sɛ wɔde Sulfasalazine di dwuma?
Sɛ wo ho nyɛ wo den wɔ sulfa nnuru ho a, ɛnsɛ sɛ wonom saa aduru yi. Nanso ɛtɔ mmere bi a, sɛ wunya akisikuru nketenkete mpo bere a wufi ase nom aduru no a, aduru no yɛ adwuma yiye ma wo ankylosing spondylitis tebea no. Wɔ tebea horow a ɛtete saa mu no, wo ne wo duruyɛfo nkasa mfa nkyerɛ sɛ ebia ɛfata sɛ wokɔ so nom aduru no anaa. Ebetumi aba sɛ nkakrankakra wo nipadua no de aduru no bɛyɛ ne su na sɛnea ɛyɛ adwuma no ayera. Wɔ tebea horow a ɛtete saa mu no, wo duruyɛfo no befi ase de dodow a ɛba fam koraa na ama dodow no akɔ soro nkakrankakra.
Nkrasɛm a Wɔde Kɔ Fie
- Sulfasalazine nyɛ aduru a wɔde kum ɛyaw kɛkɛ. Ɛyɛ DMARD a ɛsakra sɛnea yare no te na esiw nkwaa a ɛsɛe no ano.
- Fa saa aduru yi ka aduan ne nsu pii ho bere nyinaa. Kwati sɛ wobɛnom bere a wo yafunu da mpan.
- Bere a worenom aduru no hwɛ hu sɛ wobɛyɛ mogya mu nhwehwɛmu a wo duruyɛfo akyerɛw ama wo no wɔ bere ano . Eyi ho hia paa ma w’ahobammɔ.
- Sɛ wuhu sɛnkyerɛnne biara a ɛyɛ soronko, titiriw atiridiinini, honam ani akisikuru, anaa ɔbrɛ a ɛtra so a, ka kyerɛ wo duruyɛfo ntɛm ara.
- Ɛwom sɛ ebia mmarima mmadwoa dodow bɛka de, nanso ɛyɛ bere tiaa mu de na ɛsan ba sɛnea na ɛte bere a wɔagyae aduru no akyi.
- Nnyae aduru no nom anaasɛ nsakra dodow no esiane biribiara nti a wunni aduruyɛfo afotu.
💬 Comments (0)
Wɔnnya nyɛɛ nsɛm biara. Fa wo nsɛm no ka ho wɔ ha nea edi kan.
Fa wo nsɛm no ka ho