So nsensanee kɔkɔɔ bi apue mpofirim wɔ wo honam ani, so ɛyɛ wo yaw? So ɛyɛ hyew? Ebetumi ayɛ Wells Nyarewa!

So woahyɛ no nsow pɛn sɛ nsensanee bi a ɛwɔ wo honam ani, anaa obi a wunim no de so yɛ kɔkɔɔ mpofirim, ɛho ahonhon, na ebia ɛte sɛ akisikuru mpo, nanso ɛnyɛ opira bi na ɛde ba ankasa? Anaasɛ ɛte sɛ nea honam ani ayɛ kɔkɔɔ na ɛrehyew esiane ɛyaw a wontumi nnyina ano nti? Saa nneɛma yi betumi asi nipadua no baabiara. Sɛ woanya saa osuahu yi a, ebetumi ayɛ tebea bi a ɛntaa nsi a wɔfrɛ no Wells’ Syndrome, a yɛrebɛka ho asɛm nnɛ. Mma ɛnhaw wo, yɛbɛka eyi ho asɛm akɔ akyiri .

Dɛn ne Wells Nyarewa? Sɛ yɛbɛka no tiawa a...

Wells’ Syndrome yɛ honam ani yare a ɛntaa nsi koraa. Wɔsan frɛ no "Eosinophilic Cellulitis" . Afei ebia woresusuw sɛ, "Sɛ woka sɛ cellulitis a, ɛkyerɛ ɔyare mmoawa, ɛnte saa?" Yiw, mpɛn pii no, cellulitis yɛ honam ani a ɛyɛ kɔkɔɔ na ɛhoa a ɔyare mmoawa de ba. Nanso, wɔ Wells’ Syndrome mu no, ɛwom sɛ honam ani te sɛ nea ɛyɛ kɔkɔɔ, ɛho ahonhon, na ɛyɛ mmerɛw de, nanso nokwarem no, ɔyare biara nni hɔ . Ɛno ne nea ɛyɛ soronko. Enti dɛn nti na eyi ba? Nkwammoaa ahorow pii wɔ yɛn nipadua mu a ɛyɛ adwuma te sɛ asraafo nkumaa. Wɔfrɛ asraafo kuw titiriw biako eosinophils . Wɔte sɛ yɛn nipadua mu awɛmfo. Sɛ ɔtamfo bi te sɛ ɔyare mmoawa anaa ɔyare mmoawa bi hyɛn nipadua no mu a, saa eosinophils yi kɔ ko tia wɔn na wogye yɛn nkwa. Wɔn nso ka ho bere a akisikuru aba no. Nanso ɛtɔ mmere bi a, saa eosinophil asraafo yi ani gye dodo. Anaasɛ, wɔyɛ eosinophils pii wɔ nipadua no mu sen sɛnea ɛsɛ sɛ wɔyɛ. Afei nea ɛba ne sɛ wofi ase tow hyɛ wɔn ankasa nipadua no afã horow a ɛwɔ apɔwmuden so, titiriw honam ani. Ɛte sɛ nea wɔretow abo agu wɔn ankasa fie. Ɛno na ɔhaw a wɔfrɛ no Wells’ Syndrome yi fi ase. Ɛno nti na honam ani yɛ hyew, ɛyɛ kɔkɔɔ, na ɛho ahonhon no.

Tebea yi ho yɛ na dɛn? Hena na ɛda adi sɛ obenya bi?

Nokwarem no, eyi yɛ tebea a ɛntaa nsi koraa . Worentumi nsusuw ho mpo. Ɛde besi nnɛ no, nnipa nnu 100 na wɔabɔ amanneɛ wɔ wiase nyinaa. Ɛno kyerɛ sɛ akyinnye biara nni ho sɛ ebia nnipa ɔpepem biako biara mu biako mpo benya bi. Mpɛn pii no, wohu tebea yi wɔ mpanyimfo mu. Nanso, ɛntaa mma koraa, wɔabɔ amanneɛ sɛ anya nkɔso wɔ mmofra nkumaa nso mu. Nsonsonoe biara nni mmarima ne mmea ntam, wɔn baanu nyinaa tumi nya no pɛpɛɛpɛ. Enti, sɛ wowɔ saa sɛnkyerɛnne ahorow yi mpo a, mma wo ho nnpopo ntɛm ara sɛ eyi ne Wells’ Syndrome, efisɛ eyi ho yɛ na yiye. Nanso, ɛho hia sɛ wohwehwɛ aduruyɛfo afotu.

Dɛn nti na Wells Nyarewa no ba? Dɛn na ɛde ba?

Eyi yɛ biribi a ɛsɛ sɛ yesusuw ho. Nnuruyɛfo nnya nhuu nea ɛde Wells Nyarewa no ba ankasa.Ɛda so ara yɛ ahintasɛm. Nanso, nnuruyɛfo gye di sɛ ebia eyi yɛ tebea bi a yɛn nipadua mu tumi a ɛko tia nyarewa no ntumi nyɛ adwuma yiye na ɛde ba. Ɛne sɛ, ebetumi ayɛ ɔyare a nipadua no tumi ko tia nyarewa . Sɛ yɛbɛka no tiawa a, nipadua no mu tumi a ɛko tia nyarewa a wɔkyerɛ sɛ ɛbɔ yɛn nipadua ho ban no di mfomso susuw sɛ n’ankasa nkwammoaa ne ntini a ɛte apɔw no ne ɔtamfo no na efi ase tow hyɛ wɔn so. Mpɛn pii no, saa yare yi ba kwa, a ntease pɔtee biara nni mu. Nanso, wɔahu sɛ saa yare yi tu mmirika wɔ mmusua mu wɔ nsɛm a ɛntaa nsi koraa mu. Nea ɛka ho no, wosusuw sɛ nneɛma afoforo bi betumi ayɛ adwuma sɛ nea ɛkanyan Wells’ Syndrome no mfiase. Ɛne sɛ, ebia saa nneɛma yi bɛma yare no afi ase. Wɔne:

• Nkoekoemmoa a wɔka wɔn ne wɔn a wɔwe wɔn (arthropod bites and stings): Titiriw mmoa te sɛ nwansena ne ntontom a wɔka wɔn .
• Viral infections : Bere a mmoawa ahorow bi hyɛn nipadua no mu.
• Dermatitis : Honam ani yare afoforo a na ɛwɔ hɔ dedaw.
• Giardiasis: Eyi yɛ ɔyare mmoawa a ɛba dwensɔtwaa mu.
• Leukemia: Eyi yɛ mogya mu kokoram bi.
• Fungal infections : Fungal infections a ɛba honam ani anaa nipadua no mmeae foforo.
• Nnuru anaa dade bi ho nneyɛe bɔne.

Nanso kae sɛ, eyinom nyɛ nneɛma a wɔagye atom 100% de besi nnɛ. Eyinom yɛ mprempren adwenem naayɛ ahorow no ara kwa.

Dɛn ne Wells’ Syndrome ho sɛnkyerɛnne ahorow?

Okay, afei momma yɛnhwɛ sɛnkyerɛnne ahorow a yare yi de ba bere a aba no. Mpɛn pii no, efi ase denam honam ani fã biako anaa nea ɛboro saa a ɛyɛ wo yaw anaasɛ ɛyɛ hyew so. Afei, wɔ nna kakraa bi mu no, beae no fi ase yɛ kɔkɔɔ na ɛho ahonhon . Saa mmeae a ahonhon yi betumi ayɛ yaw sɛ wode wo nsa bɛka. Wɔ nnipa binom fam no, ɛte sɛ nea wɔapirapira wɔn, te sɛ nea obi abɔ wɔn. Ɛtɔ da bi a, nsɛnkyerɛnne a edi kan ne akisikuru foforo , a nsu ahyɛ mu ma anaasɛ ntini a epue wɔ honam ani. Wɔ afoforo fam no, ebia wɔbɛda adi sɛ nsensanee a ɛte sɛ nkaa.Ebetumi aba. Sɛnea ɛbɛyɛ foforo no, akisikuru a ɛyɛ yaw betumi apue wɔ nipadua no nyinaa so, na ayɛ te sɛ akisikuru.

Fa no sɛ, da bi, yɛn papa nua barima Sunil nyaa ne nan ho yaw a na ontumi nnyina ano mpofirim. Ná osusuw sɛ biribi aka no. Nnan abien anaa abiɛsa akyi no, beae no hohoroo kɛse na ɛyɛɛ yaw. Ná ɛte sɛ nea obi ayɛ biribi hyew. Ná ɛrehyew bere a ɔde kyerɛɛ oduruyɛfo bi, na ɔka kyerɛɛ no ​​sɛ eyi yɛ tebea foforo, ebia Wells’ Syndrome.

Nsɛnkyerɛnne afoforo a ɛwɔ nipadua no mu, te sɛ ɔhome a ɛyɛ den te sɛ ayamtu , nkwaa mu yaw , anaa atiridiinini no ho yɛ na wɔ yare yi ho. Nanso, ɛnyɛ nea entumi nyɛ yiye, na wɔntaa mmɔ sɛnkyerɛnne a ɛtete saa ho amanneɛ. Bere kɔ so no, honam ani yare yi nso fi ase sesa kɔla. Kɔla kɔkɔɔ a edi kan no dan kɔla bruu-kɔla nkakrankakra. Afei ebetumi asesa akɔ kɔla bruu-akuturuku , na awiei koraa no akɔ kɔla a ɛyɛ ahabammono-akuturuku . Sɛnea akuru sesa kɔla bere a ɛsa no. Asɛmpa no ne sɛ mpɛn pii no, saa nsensanee ne akisikuru yi sa a ennya nkɛntɛnso biara a ɛtra hɔ daa wɔ adapɛn kakraa bi kosi asram kakraa bi mu. Nanso, ɛtɔ mmere bi a ebetumi asan aba bio.

Ɔkwan bɛn so na wohu yare yi pɛpɛɛpɛ?

Sɛ wowɔ sɛnkyerɛnne te sɛ eyinom a, ɛho hia sɛ wuhu nea ɛyɛ ankasa. Ɔkwan titiriw a wɔfa so hu Wells’ Syndrome ne sɛ wɔbɛyɛ honam ani nipadua mu nhwehwɛmu . Eyi kyerɛ sɛ wobegye honam ani fã ketewaa bi afi baabi a ayɛ no wɔ aduru a wɔde kum nipadua no mu na wɔde afiri a wɔde hwɛ nneɛma nketenkete ahwɛ mu. Nea ɛka ho no, ɛtɔ mmere bi a mogya a wɔkan koraa no betumi akyerɛ sɛ mogya mu nkwammoaa fitaa a wɔfrɛ no eosinophils no dodow boro nea ɛfata so wɔ mogya no mu a yɛadi kan aka ho asɛm no. Sɛ nnuruyɛfo reyɛ honam ani nhwehwɛmu a, wobetumi ahu sɛ ebia eosinophils pii wɔ honam ani ne ntini a ɛwɔ honam ani no mu anaa. Wɔhwehwɛ ɔfe ahorow bi nso a ɛyɛ soronko wɔ Wells’ Syndrome ho. Saa nhwehwɛmu yi betumi aboa ma yɛasi so dua sɛ ɛnyɛ biribi foforo na ɛde sɛnkyerɛnne ahorow no ba – akisikuru a ɛtaa ba, ɔyare mmoawa a wɔde wɔn ho hyɛ mu, honam ani yare foforo (dermatitis), nkoekoemmoa a wɔka wɔn, anaa tebea a ɛntaa nsi te sɛ Churg-Strauss syndrome.

Ɔkwan bɛn so na wobetumi adi eyi ho dwuma? So wobetumi asa no yare?

Yiw, ayaresa ahorow wɔ hɔ a wɔde sa eyi. Ayaresa bi a mpɛn pii no wobetumi adi so yiye ne aduru bi a wɔfrɛ no Prednisone . Eyi yɛ steroid a wɔde di dwuma wɔ nhyehyɛe mu.Ɔkwan bi a wɔfa so yɛ. "Systemic" kyerɛ sɛ wɔde ma sɛ pill anaasɛ sɛ injection, na ɛka nipadua nhyehyɛe nyinaa. Saa steroid nnuru yi yɛ adwuma denam yɛn nipadua mu tumi a ɛko tia nyarewa no dwumadi a ɛtra so a ɛtew so (immunosuppressant effect). Ɛne sɛ, wodi nipadua no mu tumi a ɛko tia nyarewa no so na ɛntow nhyɛ n’ankasa nipadua so. Sɛ yɛbɛka no tiawa a, yɛn nipadua no wɔ steroid hormone bi a wɔfrɛ no cortisol, a adrenal glands a ɛwɔ asaabo no atifi no fi awosu mu na ɛyɛ, na prednisone yɛ nea wɔayɛ. Sɛ wufi ase nom eyi sɛ aduru a, wo sɛnkyerɛnne ahorow no so bɛtew wɔ nna kakraa bi mu na wo ho atɔ wo. Ɛno akyi no, wo duruyɛfo no bɛtew aduru no dodow so nkakrankakra wɔ bɛyɛ ɔsram biako mu. Ɛtɔ mmere bi a ayaresa afoforo bi ne:

• Nnuru a ekum fungal: Sɛ nhwɛso no, griseofulvin.
• Nnuru a ekum ɔyare mmoawa : Sɛ nhwɛso no, dapsone.

Oduruyɛfo betumi akyerɛw eyinom nso. Ɛtɔ mmere bi a, sɛ sɛnkyerɛnne ahorow no mu nyɛ den dodo, kyerɛ sɛ, wɔ tebea horow a emu nyɛ den mu a , wobetumi asa denam steroid cream (e.g. hydrocortisone) a wɔde bɛhyɛ honam ani mmeae a ɛka ho no ara kwa so.

So ɔkwan bi wɔ hɔ a wɔbɛfa so asiw yare yi ano?

Eyi yɛ awerɛhow kakra. Esiane sɛ wonnya nhuu nea ɛde Wells Yare no ba ankasa nti, wontumi nka ɔkwan pɔtee bi a wɔbɛfa so asiw ano ho asɛm. Sɛ wohu nea ɛde ba no daakye a, ebia yebehu akwan a yɛbɛfa so asiw ano nso.

Dɛn ne nkɔmhyɛ a ɛwɔ hɔ ma obi a ɔwɔ Wells’ Syndrome? (Nkɔmhyɛ) .

Eyi yɛ asɛmpa! Nkɔmhyɛ a ɛwɔ hɔ ma nnipa a wɔwɔ Wells’ Syndrome no ye yiye. Eyi kyerɛ sɛ honam ani akuru ne ɔfe a tebea yi de ba no taa fi hɔ koraa wɔ adapɛn kakraa bi kosi asram kakraa bi mu. Mpɛn pii no, akuru biara nni hɔ a ɛtra hɔ daa. Ɛtɔ mmere bi a, bere a tebea no agyae no, ebia honam ani kɔla bɛsakra kakra. Eyi kyerɛ sɛ honam ani betumi ayɛ fitaa kakra anaasɛ ayɛ tuntum asen sɛnea ɛte daa. Nanso, kɔla a ɛsakra yi bɛyera nkakrankakra bere a bere kɔ so no. Nanso, ade biako a ɛsɛ sɛ yɛkae ne sɛ tebea yi betumi asan aba bio . Wɔ nsɛm a ɛte saa a ɛsan ba no mu no, ayaresa betumi agye mfe pii ansa na wɔadi so koraa. Nanso, wobetumi adi ho dwuma yiye denam ayaresa a ɛfata so.

Nea etwa to no, nneɛma a ɛsɛ sɛ wokae (Take-Home Message) .

Okay, enti seesei woanya Wells’ Syndrome ho ntease pa, sɛnea yɛaka ho asɛm no. Nneɛma atitiriw bi a ɛsɛ sɛ wokae ni:

• Wells’ Syndrome yɛ honam ani yare a ɛntaa nsi koraa .
• Eyi nyɛ honam ani yare, nanso ebia sɛnkyerɛnne ahorow no bɛyɛ te sɛ ɔyare mmoawa.
• Ɛwom sɛ wonnim nea ɛde ba ankasa de, nanso wosusuw sɛ efi ɔhaw bi a ɛwɔ nipadua no mu tumi a ɛko tia nyarewa no mu .
• Nsɛnkyerɛnne titiriw ne honam ani a ɛyɛ no yaw , ɛhyew, ɛyɛ kɔkɔɔ , ne honam ani a ɛho ahonhon .
• Wɔnam honam ani nipadua mu nhwehwɛmu so si yare no so dua .
• Wobetumi de nnuru te sɛ steroid asa no yiye .
• Yare no ho nkɔmhyɛ ye yiye , na ɛsa a akuru biara nni ho.
• Nanso, yare no betumi asan aba bio .

Sɛ wo anaa obi a wunim no wɔ saa sɛnkyerɛnne ahorow yi bi a, yɛsrɛ sɛ kɔ oduruyɛfo a ɔfata nkyɛn ntɛm ara . Mma nnyɛ wo ho aduru. Oduruyɛfo betumi ahu yare no pɛpɛɛpɛ na wama wo ayaresa a ɛfata sen biara.

Biribiara nni hɔ a ɛsɛ sɛ wosuro. Ade a ɛho hia sen biara ne sɛ wobɛma w’ani aku tebea horow yi ho. Kɔ so nya apɔwmuden!