Yala i bɛ gɛlɛya tuma dɔw la ni i kununna sɔgɔma wa? Walima kɔdimi bɛ aw la tile bɛɛ kɔnɔ wa? Jolidɛsɛ suguya fila bɛ yen minnu bɛ kɔkolo minɛ minnu taamasiɲɛw bɛ ɲɔgɔn ta. Kelen ye DISH (Diffuse Idiopathic Skeletal Hyperostosis) ye, tɔ kelen ye AS (Ankylosing Spondylitis) ye . U fila bɛɛ taamasiɲɛw bɛ ɲɔgɔn ta dɔɔni, o bɛ se ka an hakili ɲagami tuma dɔw la. O la bi, an ka kuma nin bana fila in kan ka ɲɛ ani k’a faamu ka jɛya danfara min bɛ u ni ɲɔgɔn cɛ, a taamasiɲɛw ye mun ye, ani u furakɛcogo.
Mun de bɛ nin bana fila in lase mɔgɔ ma?
N’an y’a fɔ cogo nɔgɔman na, nin bana fila bɛɛ bɛ an kɔkolo kolotugudaw ni kolotugudaw de minɛ, nka u bɛ a minɛ cogo min na, o tɛ kelen ye dɔɔni.
DISH (Hyperostose skeletale idiopathique diffuse) ye mun ye?
DISH ye bana ye min na kalisiyɔmu kɔgɔw bɛ ɲɔgɔn sɔrɔ ligaments ni tendons la minnu bɛ an kɔkolo lamini. O kalisiyɔmu bɛ a to o yɔrɔw bɛ gɛlɛya dɔɔni dɔɔni i n’a fɔ kolo, i n’a fɔ kolo kura bɛ ka falen. Dɔgɔtɔrɔw t’a dɔn tigitigi a sababu ye min ye. Nka u dalen b’a la ko jamu, sigida fɛnw, walima u fila bɛɛ faralen ɲɔgɔn kan, o bɛ se ka jɔyɔrɔba ta.
Ankylosing Spondylitis (AS) bɛ sɔrɔ cogo di?
A bɛ fɔ ko jamu ni sigida fɛnw jɔyɔrɔ ka bon AS la. HLA-B27 jamu bɛ mɔgɔ minnu na, olu farati ka bon ka bana in sɔrɔ. O HLA ninnu bɛ an farikolo tangalanw dɛmɛ u ka danfara don an yɛrɛ ka farikolokisɛw ni jamana wɛrɛw ka binkannikɛlaw cɛ. Nka, ɲininiw bɛ senna hali bi o jɛnɛya kɛrɛnkɛrɛnnen in bɛ AS lase mɔgɔ ma cogo min na. AS la, farikolo tangalanw bɛ bin an kɔkolo kolotugudaw kan. O bɛ funu bila mɔgɔ la, o bɛ kɛ sababu ye ka kɔkolo gɛlɛya ani ka dimi bila a la.
Jɔn de ka teli ka nin bana ninnu sɔrɔ?
Danfara jɛlen bɛ si hakɛ ni farati minnu bɛ nin bana fila in sɔrɔli la. An k'a faamu nɔgɔya la ka bɔ nin tabali in na.
| Kunnafoni | DISH (Hyperostose squelettique idiopathique diffuse) . | AS (Spondylite ankylose) (Spondylite ankylose) . |
|---|---|---|
| Kɔrɔya min bɛ nɔ bila a la | a ka ca a la a ka ca mɔgɔ minnu si tɛmɛna san 50 kan . | A ka ca a la a bɛ daminɛ denmisɛnni na , san 15-30 cɛ. |
| Mɔgɔ min tɔɔrɔla | A ka ca cɛw la ka tɛmɛ musow kan. | A ka ca cɛw la ka tɛmɛ musow kan. |
| Farati wɛrɛw |
|
Min nafa ka bon, o ye ko DISH bɛ mɔgɔ caman na, taamasiɲɛ foyi tɛ u la. A ka ca a la, a bɛ sɔrɔ a danma ni X-ray kɛra kun wɛrɛ la.
Danfara jumɛnw bɛ bana taamasiɲɛw la?
Hali ni bana fila bɛɛ taamasiɲɛ kunbabaw ye kɔdimi ni gɛlɛya ye, danfara jɛlen bɛ dimi bɛ bɔ yɔrɔ min na, a bɛ kɛ cogo min na, ani taamasiɲɛ wɛrɛw minnu bɛ taa ɲɔgɔn fɛ.
| Karamɔgɔya | I n’a fɔ a bɛ ye cogo min na DISH kan | I n’a fɔ a bɛ ye cogo min na AS kɔnɔ |
|---|---|---|
| Dimi bɛ kɛ yɔrɔ min na | A ka ca a la dimi bɛ kɛ kɔ sanfɛla la . | Dimi bɛ daminɛ kɔ dugumayanfan fɛ . |
| Farikoloɲɛnajɛ nɔ min bɛ sɔrɔ a la | Kɛrɛnkɛrɛnnenya la, nɔ kɛrɛnkɛrɛnnen tɛ. | Dimi ni gɛlɛya bɛ dɔgɔya ni farikoloɲɛnajɛ ni taama bɛ kɛ. |
| Kɔdimi | Dimi bɛ se ka kɛ yɔrɔw la i n’a fɔ kamankunw, kɔkiliw, gɛnɛgɛnɛw, ani senkɔniw. | Dimi bɛ se ka kɛ kɔkiliw, kamankunw, kɔkiliw, gɛnɛgɛnɛw walima senw na. |
| Fɛn kɛrɛnkɛrɛnnen wɛrɛw | Kolow falenni kɔ la, o bɛ se ka farikolojidɛsɛw degun, ka kɛ sababu ye ka gɛlɛya don a la ka munumunu walima ka kan ka mankan bɔ . | Taamasiɲɛ minnu bɛ farikolo bɛɛ minɛ, olu jiralen don. I n'a fo: - Kɛrɛnkɛrɛnnenya la - Sɛgɛn kojugu - Faribanaw (wuluwuluw) . - Kɔnɔdimi - Yeli bɛ yɛlɛma (bilenni, dimi) . |
Dɔgɔtɔrɔ bɛ nin bana fila ninnu faranfasi cogo di ani k’u sɛgɛsɛgɛ?
Nin bana fila ninnu sɛgɛsɛgɛli bɛ se ka gɛlɛya dɔɔni. Ni siga bɛ aw la aw ka bana sɛgɛsɛgɛli la, foyi tɛ a la ka taa dɔgɔtɔrɔ wɛrɛ fɛ walasa ka hakilina filanan sɔrɔ.
Dɔgɔtɔrɔ bɛna aw ɲininka fɔlɔ aw ka bana taamasiɲɛw ni aw ka furakɛli tariku la. O kɔ, a bɛna farikolo sɛgɛsɛgɛ. Ka fara o kan, a bɛ se ka yamaruya di o sɛgɛsɛgɛliw ma.
Joli Sɛgɛsɛgɛliw
AS la, HLA-B27 jamu sɛgɛsɛgɛli ka teli ka kɛ koɲuman ye. Sɛgɛsɛgɛli minnu bɛ funu suman farikolo la, i n’a fɔ C-reactive protein (CRP) ani ESR, olu fana bɛ se ka caya. A ka c’a la, ninnu tɛ Changé DISH kɔnɔ.
Jala-sɛgɛsɛgɛliw
Nin sɛgɛsɛgɛliw bɛ farikolo kɔnɔna ja ta ani ka fɛn dɔw ɲini kɔkolo ni kolotugudaw la.
- X-ray: Aw bɛ fɛn dɔw ɲini kolotugudaw la.
- MRI (Magnetic Resonance Imaging): Aw bɛ kɔkolo, kolotugudaw ani jɛɲɔgɔnya yɔrɔw ja caman sɔrɔ.
- CT scan (Computer Tomography): Aw bɛ ja minnu ɲɛfɔlen don kosɛbɛ, olu sɔrɔ.
Bana fila ninnu bɛ se ka faranfasi ka da fɛnw kan minnu bɛ ye nin sɛgɛsɛgɛli ninnu na.
- Ni AS bɛ aw la: Farikolo yɔrɔw fununi ni u gɛlɛyali ( sacroiliitis ) .Aw bɛ se k’a ye. Tuma dɔw la, kɔkolow bɛ siri ɲɔgɔn na, u bɛ i n’a fɔ baganw. o bɛ wele ko bagan kɔkolo .
- Ni DISH bɛ aw la: Aw bɛ se ka a ye ko fɛnɲɛnamafagalan min bɛ boli kɔkolo ɲɛfɛ, o bɛ ka bonya ka wuli ka kɛ kolo ye. Nka aw tɛna Sacroiliitis cogoya ye. O ye fɛnba dɔ ye min bɛ danfara don u fila ni ɲɔgɔn cɛ.
O furakɛcogo jumɛnw bɛ yen?
AS ni DISH fila bɛɛ tɛ se ka kɛnɛya pewu. Nka, ni furakɛli ɲuman kɛra, bana taamasiɲɛw bɛ se ka kunbɛn ani ka ɲɛnamaya kɛcogo ɲuman kɛ. Nin bana fila bɛɛ la, kɔkolo bɛ digidigi, o la, a karilen farati ka bon hali ni kasaara fitini dɔ kɛra. O la, a nafa ka bon kosɛbɛ ka an janto an yɛrɛ la.
Furakɛli minnu ka teli ka kɛ u fila bɛɛ la:
- Farikoloɲɛnajɛ ni farikoloɲɛnajɛ : O nafa ka bon walasa ka kɔkolo lamini farikolo yɔrɔw barika bonya ani ka to ka ɲɔgɔn sɛgɛsɛgɛ kolotugudaw la.
- Dimimadafura : AINE (Fura minnu tɛ sɔgɔsɔgɔninjɛ furakɛ) i n’a fɔ ibuporofɛni ni naporozɛni, olu bɛ dimi ni funu dɔgɔya.
- Stɛroyi pikiri : Stɛroyi pikiri kɛli kolotugudaw la dimi bɛ minnu na, o bɛ se ka lafiya di waati kunkuruni ma.
- Opereli : Nin tɛ furakɛli ye min bɛ kɛ tuma caman na, nka ni bana taamasiɲɛ jugumanw bɛ aw la minnu tɛ se ka kunbɛn ni fura wɛrɛw ye, aw ka dɔgɔtɔrɔ bɛ se ka opereli fɔ aw ye.
Furakɛli kɛrɛnkɛrɛnnen minnu bɛ kɛ AS la:
Ka fara furakɛli minnu kofɔlen don sanfɛ AS la, fura suguya kɛrɛnkɛrɛnnen dɔ bɛ yen min bɛ funu dɔgɔya ni u bɛ farikolo tangacogo baara Changer. Olu bɛ wele ko DMARDs (Bana caman sɛgɛsɛgɛli furaw) . Misali dɔw ye ninnu ye:
- Interleukin-17 (IL-17) balilanw (misali la, secukinumab, ixekizumab) .
- JAK balilanw (misali la, tofasitinibi, upadacitinibi) .
- TNF balilanw (misali la, adalimumab, etanercept, infliximab) .
- Metɔtiriksati (méthotrexate) (méthotrexate).
- Sulfasalazini (sulfasalazine).
Aw ka dɔgɔtɔrɔ bɛna a dɔn fura ninnu la jumɛn bɛnnen don aw ma kosɛbɛ.
Take-Home cikan
- DISH ni AS ye jolidɛsɛ suguya fila ye minnu bɛ kɔkolo minɛ. Hali ni a taamasiɲɛw bɛ ɲɔgɔn ta, a sababuw ni a nɔfɛkow tɛ kelen ye.
- DISH ka teli ka kɛ cɛw la minnu si tɛmɛna san 50 kan, wa a ka ca a la a taamasiɲɛ foyi tɛ a la. AS bɛ se ka daminɛ a denmisɛnman.
- Dimi bɛ yɔrɔ min na (DISH - kamankun sanfɛ, AS - kamankun duguma) ani farikoloɲɛnajɛ jaabi (dimi bɛ dɔgɔya AS la) bɛ dɛmɛ ka o fila danfara bɔ.
- Aw ka dɔgɔtɔrɔ bɛna bana sɛgɛsɛgɛli tigitigi kɛ ka da aw ka furakɛli tariku kan, aw ka sɛgɛsɛgɛli, aw ka joli sɛgɛsɛgɛliw ani aw ka ja lajɛw (kɛrɛnkɛrɛnnenya la, X-ray ni MRI).
- Hali ni nin bana ninnu tɛ se ka kɛnɛya pewu, farikoloɲɛnajɛ, furaw, ani ɲɛnamaya kɛcogo caman bɛ se ka aw dɛmɛ ka aw ka bana taamasiɲɛw kunbɛn ani ka ɲɛnamaya kɛ cogo ɲuman na. Aw bɛ kuma aw ka dɔgɔtɔrɔ fɛ o ko la tuma bɛɛ.
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