So wote nka bere nyinaa sɛ woyɛ mmerɛw, wo nkwaa mu yaw, na wo honam ani nsɛnnennen nso? Ebia wo duruyɛfo aka wo sɛ yɛ ANA nhwehwɛmu wɔ bere a ɛte sɛɛ mu. Sɛ wote saa din yi a, nnipa binom suro kakra, na wosusuw sɛ, "Ɔyare kɛse bɛn na sɔhwɛ yi yɛ ma?" Nanso nokwarem no, ɛyɛ mogya mu nhwehwɛmu a ɛyɛ mmerɛw yiye, a wɔyɛ no daa. Enti momma yɛnkyerɛkyerɛ nsɛmmisa a wowɔ wɔ ho nnɛ no nyinaa mu. Momma yɛnhwɛ nea ANA sɔhwɛ yi yɛ, nea enti a wɔyɛ, ne nea nea efi mu ba no ka ankasa.
Sɛ yɛbɛka no tiawa a, dɛn ne ANA sɔhwɛ yi?
Sɛ yɛbɛte eyi ase a, ɛsɛ sɛ yedi kan hu nea ‘ antibodies ’ yɛ. Fa no sɛ yɛn nipadua yɛ ɔman. Afei nnuru a ɛko tia nyarewa te sɛ saa ɔman no asraafo a wɔbɔ wɔn ho ban . Saa nnuru a ɛko tia nyarewa yi adwuma ne sɛ wobehu na wɔako atia atamfo te sɛ mmoawa (mmoawa, mmoawa) a wofi abɔnten reba na wɔabɔ yɛn ho ban afi nyarewa ho.
Nanso, ɛtɔ da bi a yɛn defenses di mfomso ketewaa bi. Sɛ́ anka wɔbɛyɛ ɔtamfo a ofi abɔnten no, wodi mfomso bu yɛn ankasa nkwammoaa ne ntini a ɛte apɔw sɛ ɛyɛ ɔtamfo. Afei wofi ase tow hyɛ saa nkwammoaa a ɛte apɔw no so. Yɛfrɛ saa nnuru a ɛko tia nyarewa a wodi mfomso tow hyɛ yɛn ankasa nipadua so yi ‘autoantibodies’ .
Enti, Antinuclear Antibody (ANA) nhwehwɛmu no yɛ mogya mu nhwehwɛmu a ɛhwɛ sɛ saa ‘autoantibodies’ yi wɔ wo mogya mu. ‘Antinuclear’ kyerɛ sɛ ‘ɛko tia nuklea’. Eyi kyerɛ sɛ saa autoantibodies yi tow hyɛ nucleus a ɛyɛ yɛn nkwammoaa no so tumi no so pɔtee.
Saa autoantibodies yi a ɛwɔ wo nipadua mu no yɛ sɛnkyerɛnne a ɛkyerɛ sɛ ebia wowɔ ‘ autoimmune disease’, tebea a nipadua no mu tumi a ɛko tia nyarewa no dan ne ho . Nhwɛsoɔ:
- Lupus yare (Systemic Lupus Erythematosus - SLE) .
- Ntini a Ɛma Ntini Mu Nyarewa
- Scleroderma a ɛma nipadua no yɛ adwuma
- Sjögren Yare a Ɛyɛ Fɛ
Nsɛnkyerɛnne bɛn na ɛbɛma oduruyɛfo akamfo nhwehwɛmu yi akyerɛ?
Nyarewa a nipadua no tumi ko tia nyarewa no wɔ sɛnkyerɛnne pii. Sɛ woanya sɛnkyerɛnne a ɛwɔ ase ha yi mu biako anaa nea ɛboro saa bere tenten a, ebia wo duruyɛfo bɛkamfo akyerɛ sɛ wɔnyɛ ANA nhwehwɛmu na woahu nea ɛde ba.
| Nsɛnkyerɛnne a ɛkyerɛ | Nkyerɛmu |
|---|---|
| Nkwaa ne ntini mu yaw | Anɔpa nkwaa a ɛyɛ den, ɛho ahonhon, ne ɛyaw a ɛkɔ so daa. |
| Ɔbrɛ | Te a wobɛte nka sɛ wunni nkwa ɛmfa ho sɛnea wobɛda no. |
| Atiridiinini a ɛsan ba bio | Sɛ́ wubenya atenka bere nyinaa sɛ wo ho yɛ hyew na wo ho ayɛ wo hyew a ntease pɔtee biara nni ho. |
| Nwansena a Ɛyɛ Nwansena | Akisikuru kɔkɔɔ a ɛte sɛ ntontom pue wɔ hwene no so ne hwene no atifi (eyi yɛ lupus ho sɛnkyerɛnne titiriw). |
| Nkwammoaa a ɛyɛ mmerɛw | Nsa anaa anan a ɛyɛ mmerɛw anaasɛ ɛyɛ mmerɛw. |
| Nwi a ɛtɔ | Nwi a ɛtɔ kɛse sen sɛnea ɛte daa. |
| Nkate a ɛwɔ hann ho | Wora a ɛyɛ hyew anaasɛ ɛnyɛ dɛ bere a wɔde owia hann anaa hann a ano yɛ den to no. |
Nneɛma a ɛsɛ sɛ wuhu ansa na woayɛ sɔhwɛ no
Biribi titiriw biara nni hɔ a ɛsɛ sɛ woyɛ ansa na sɔhwɛ yi aba. Ɛho nhia sɛ wudi mmuada anaa woyɛ biribi titiriw biara. Nanso, ɛho hia sɛ woka nnuru a worenom mprempren nyinaa (a vitamin ne nnuru a wɔde ka ho ka ho) kyerɛ wo duruyɛfo. Nnuru bi betumi aka ANA aba no.
Wobɛyɛ dɛn ayɛ sɔhwɛ no?
Eyi yɛ adeyɛ a ɛyɛ mmerɛw yiye. Lab no gye mogya ketewaa bi fi ntini bi a ɛwɔ wo nsa mu mu. Wɔde simma kakraa bi na wowie saa adeyɛ yi. Wɔde plaster ketewaa bi gu baabi a wɔfaa mogya no. Ɛno akyi no, wubetumi akɔ fie sɛnea wotaa yɛ no. Wɔsɔ mogya no hwɛ wɔ aduruyɛdan mu.
So ANA aba no... Ɛyɛ Pa (+)? Negetifu (-)? Dɛn na eyi kyerɛ?
Eyi ne ɔhaw kɛse a obiara wɔ.
- Nea efii mu bae (-) a enye: Eyi kyerɛ sɛ wɔanhu autoantibodies biara wɔ wo mogya mu. Eyi kyerɛ sɛ ɛnyɛ nea ɛda adi koraa sɛ wowɔ yare bi a nipadua no tumi ko tia nyarewa.
- Nea efi mu ba pa (+): Eyi kyerɛ sɛ wɔahu autoantibodies wɔ wo mogya mu.
Nanso biribi wɔ hɔ a ɛsɛ sɛ woma ɛtra w’adwenem wɔ ha.
Ade a ɛho hia ne sɛ ANA nhwehwɛmu a ɛyɛ papa no nkyerɛ sɛ wowɔ yare bi a nipadua no tumi ko tia nyarewa.
Nokwarem no, nnipa a wɔwɔ apɔwmuden a wonni aduruyɛ mu tebea biara a ɛhyɛ ase no mu 3% kosi 15% betumi anya ANA nhwehwɛmu a ɛkyerɛ sɛ ɛyɛ papa. Ebetumi nso afi nnuru bi, mmoawa a wɔde nyarewa ba , ne ayaresa mu tebea afoforo mu aba.
Eyi kyerɛ sɛ ANA nhwehwɛmu no yɛ nea wɔde hu yare no fã biako pɛ. Wo duruyɛfo no bɛba awiei a etwa to denam wo sɛnkyerɛnne ahorow, nipadua mu nhwehwɛmu , ne nhwehwɛmu afoforo a sɛ ɛho hia a ɔbɛka abom no so.
| Aduruyɛ mu tebea horow a ebetumi aka ANA aba | |
|---|---|
| Nyarewa a ɛtaa ma ANA fi mu ba pa (Autoimmune Diseases) . | |
| |
| Tebea afoforo a ebetumi ama ANA aba pa aba | |
|
Sɛ ANA nhwehwɛmu no yɛ papa a, dɛn na ɛba akyi?
Sɛ ANA nhwehwɛmu no yɛ papa a, wo duruyɛfo no bɛyɛ mogya mu nhwehwɛmu titiriw kakraa bi bio de ahu yare a nipadua no tumi ko tia nyarewa a ɛne wo sɛnkyerɛnne ahorow hyia pɛpɛɛpɛ. ANA sɔhwɛ no ka kɛkɛ sɛ "ebia ɔhaw bi wɔ hɔ." Wɔnam sɔhwɛ afoforo te sɛ eyinom so na ɛkyerɛ sɛnea saa ɔhaw no te ankasa.
- Anti-dsDNA sɔhwɛ: Eyi yɛ sɔhwɛ a wɔde di dwuma titiriw de hu lupus.
- Anti-centromere nhwehwɛmu: Eyi boa ma wohu sɛ obi anya scleroderma.
- ENA panel: Eyi hwɛ autoantibodies ahorow pii bere koro mu. Ebetumi ama woahu yare a nipadua no tumi ko tia nyarewa a wowɔ no yiye.
Enti nkura adwenem naayɛ biara wɔ wo ANA aba no ho. Wo ne wo duruyɛfo nkasa pefee na ma emu nna hɔ wɔ nea ɛsɛ sɛ woyɛ akyi ne ayaresa a ɛsɛ sɛ wofa ho.
Nkrasɛm a Wɔde Kɔ Fie
- ANA nhwehwɛmu yɛ mogya mu nhwehwɛmu a ɛnyɛ den a ɛhwɛ sɛ protein ahorow a wɔfrɛ no ‘autoantibodies’ wɔ mogya no mu a ɛtow hyɛ yɛn ankasa nipadua so.
- Sɛ wohu nhwehwɛmu a ɛyɛ papa a, ɛnyɛ bere nyinaa na ɛkyerɛ sɛ wowɔ yare no. Nnipa a wɔwɔ apɔwmuden nso betumi anya nea efi mu ba yi.
- Saa sɔhwɛ yi yɛ adwinnade biako pɛ a wo duruyɛfo de di dwuma de hu yare no. Wo sɛnkyerɛnne ne nhwehwɛmu afoforo nso ho hia.
- Wo duruyɛfo nkutoo na obetumi de afotu a eye sen biara ama wo wɔ nea efi mu ba, nea ɛkyerɛ, ne anammɔn a ɛsɛ sɛ woyɛ akyi, enti nsuro sɛ wo ne wɔn bɛkasa.
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