Mina míasrɔ̃ nu tso dɔléle bubu siwo ate ŋu akpe ɖe AS ŋua? (Ankylosing Spondylitis ƒe Dɔléle) .

Ènya be ne ankylosing spondylitis, alo AS abe alesi mí katã míenyae ene, le ŋuwò la, ke èle afɔku me vie be nàxɔ lãmesẽkuxi bubu aɖewo kpe ɖe nɔnɔmea ŋua? Togbɔ be mekɔna ɣesiaɣi be nusitae esia dzɔna o hã la, afɔku siawo nyanya ate ŋu akpe ɖe ŋuwò nàkpɔ ɖokuiwò ta tso wo me. Eyata egbea, mina míaƒo nu tso lãmesẽkuxi bubu siwo wokpɔna zi geɖe le AS ŋu la dometɔ aɖewo ŋu.

Ƒumeŋuɖui ƒe dɔléle

Kpuie ko la, esia fia be wò ƒuwo gbɔdzɔna, woƒe ŋusẽ dzi ɖena kpɔtɔna, eye anɔ eme be wogbãna bɔbɔe ne wodze anyi vie gɔ̃ hã. Nɔnɔme sia bɔ ɖe amesiwo ŋu AS le dome vie.

Nusi koŋ gbɔ esia tsoe nye abi si nɔa anyi didi si AS hena vɛ le ŋutilãa me kple alesi wògblẽa nu le ame ŋu ƒe ʋuʋu. Bu eŋu kpɔ, vevesese kple sesẽ si le akɔta kple ƒunukpeƒewo na be azɔlizɔzɔ kple kamedede meganɔa bɔbɔe o. Kamedede ƒe bu sia kpɔa ŋusẽ ɖe ƒuwo ƒe lãmesẽ dzi tẽ. Gake nusi wɔ nuku enye be, ɣeaɖewoɣi hafi AS nahe tɔtrɔ gãwo vɛ le ŋutilã me gɔ̃ hã la, ame aɖewo te ŋu kpɔa ƒumeŋuɖui ƒe dzesi siawo le woƒe ƒuwo me.

Wosusu be vevesesenutsitike aɖewo, abe nonsteroidal anti-inflammatory drugs (NSAIDs) ene, ɖea afɔku si le lãmekawo ƒe gbagbã me dzi kpɔtɔna, gake nyatakaka ʋɛ aɖewo koe li ku ɖe esia ŋu. Eyata esesẽna na ɖɔktawo be woagblɔe kple kakaɖedzi nenye be wosɔ na amesiame. Azɔ hã, togbɔ be TNF mɔxenu, si nye atike ƒomevi aɖe si xea mɔ na nusi hea abi, ate ŋu akpe ɖe ame ŋu wòadzi ƒu ƒe kpekpeme ɖe edzi hã la, womenya haɖe nenye be woate ŋu axe mɔ ɖe ƒu ƒe gbagbã nu o.

Kuxi siwo do ƒome kple alɔ̃dɔdɔ

Kuxi gãtɔ kekeake si le ame geɖe siwo ŋu AS le ŋue nye alɔ̃dɔdɔ. Mète ŋu dɔa alɔ̃ nyuie le zã me o. Numekuku aɖe ɖee fia be alɔ̃dɔdɔ ƒe kuxiwo le AS dɔnɔwo ƒe afã ŋu le ŋutilã kple susu me susuwo ta.

Alɔ̃madɔmadɔ le vevesese ta

Kadodo wɔnuku aɖe le alɔ̃dɔdɔ kple vevesese dome. Ɣeaɖewoɣi la, esesẽna be woanya esi va gbã. Esesẽ be nànya nenye be èle veve sem ŋkeke bliboa le esi mèdɔ alɔ̃ nyuie le zã me o ta, alo nenye be alɔ̃dɔdɔ le sesẽm na wò le zã me le vevesese si tso AS gbɔ ta. Gake wokpɔe be AS dɔnɔ siwo ŋu alɔ̃dɔdɔ ƒe kuxiwo le la ƒe ŋdi me sẽ kple AS ƒe dzesi bubuwo sɔ gbɔ wu amesiwo dɔa alɔ̃ nyuie.

Nuteɖeamedzi kple dzimaɖitsitsi

Blanuiléle kple dzimaɖitsitsi siaa kpɔa ŋusẽ ɖe wò alɔ̃dɔdɔ kple wò ŋutilã dzi. Le kpɔɖeŋu me, ne èlé blanui, mɔkpɔkpɔ bu ɖe wò, alo màte ŋu awɔ nusiwo doa dzidzɔ na wò tsã o kwasiɖa eve kple edzivɔe nye sia la, àte ŋu ahiã kpekpeɖeŋu. Azɔ hã, ne dzimaɖitsitsi si nu metsina o si le nu gblẽm le wò agbe ŋu wu ɣleti 6 la, kpɔ egbɔ be yeƒo nu tso eŋu na wò ɖɔkta. Agbenɔnɔ kple dɔléle si nɔa anyi didi abe AS ene mele bɔbɔe o. Esia tae wòle vevie be nàxɔ susu me kpekpeɖeŋu si nèhiã.

Vevesese le afɔwo ŋu

Ðewohĩ ànɔ ɖokuiwò biam be, "Akɔta ƒe kuxi aɖe le ŋunye, nukatae afɔ siawo le veve sem?" Ate ŋu adzɔ ŋutɔ be wò afɔwo le veve sem le AS ta.

AS ate ŋu akpɔ ŋusẽ ɖe ƒunukpeƒe kple lãkusi vovovowo dzi le ŋutilãa me.

• Afɔkpodzi ƒe Dɔléle: Esia nye nusi gbɔ afɔkpodzi ƒe vevesese tsona zi geɖe ŋutɔ. Edzɔna ne lãkusi ɣi si do ƒome kple wò afɔkpodzi ƒe ƒu kple afɔbidɛwo la xɔ dzo.
• Achilles Tendinitis: Lãmetsi sesẽ si do ƒome kple wò afɔkpodzi (Achilles tendon) ƒe dɔdzẽ ate ŋu ana afɔkpodzia nase veve vevie eye wòavivi ne èka asi eŋu.

Tsɔ kpe ɖe afɔwo ŋu la, zi geɖe la, amesiwo ŋu AS le hã sea veve le teƒewo abe akɔta, abɔta, klo, kple afɔkpodzi ene.

Akɔtave (Costochondritis) .

Vevesese sia tso ƒunukpeƒe si do ƒome kple wò akɔtaƒu kple wò no ƒe ƒu ƒe dɔdzẽ gbɔ. Abe amesi ŋu AS le ene la, kamedede siwo nèwɔna gbesiagbe ate ŋu akpe ɖe ŋuwò le esia me. Ɣeaɖewoɣi la, vevesese sia nu yina le eɖokui si, gake ne medzo o la, wò ɖɔkta aŋlɔ atike na wò.

Ʋusɔgbɔdɔ kple dzidɔ

Ʋusɔgbɔdɔ (Hypertension) .

Anɔ eme be kuxi sia do ƒome kple atike si ƒomevi nènona na AS wu nane si tso nɔnɔmea ŋutɔ gbɔ tẽ. Ne ènye amesi zãa NSAID (atike siwo me steroid mele o siwo tsia dzodzodzoetsitsi nu) tsɔ léa AS ƒe vevesese nu la, ke afɔku le eme vie be ʋusɔgbɔdɔ, alo ʋusɔgbɔdɔ nadze dziwò.

Numekuku aɖe ɖee fia be AS dɔnɔ siwo zãa NSAID atraɖii la ƒe ʋusɔgbɔdɔ ƒe afɔku 12% sɔ gbɔ wu amesiwo mezãa wo o alo wozãa wo ne ehiã ko.

Dzidɔ ƒe afɔku

Togbɔ be mebɔ boo o hã la, ɖɔktawo kpɔe be kadodo aɖe le AS kple dzitodzito me dɔléle dome. AS dɔnɔ siwo le 2% va ɖo 10% ate ŋu akpɔ kuxi siawo. Susu vevitɔ si tae nye be dɔdzẽ si nɔa anyi didi le ŋutilã me si AS hena vɛ hã kpɔa ŋusẽ ɖe dzi ƒe lãmesẽ dzi.

Dɔgbo ƒe Dɔléle (IBD) .

IBD nye dɔléle si me Crohn ƒe dɔléle kple abi ƒe dɔdzẽ le. Ƒã hafi IBD nadzɔ kple AS. Gake esi wònye be wo ame evea siaa nye dɔlélenutsiŋutete ƒe nɔnɔmewo, si fia be ŋutilãa ƒe dɔlélenutsiŋutete dzea eya ŋutɔ ƒe ŋutilã dzi vodadatɔe ta la, kadodo aɖe le wo ame evea dome. Ne dzesiwo abe ƒodo ƒe vevesese kple ʋuʋudedi ene le ŋuwò kpe ɖe AS ŋu la, ele vevie be nàƒo nu kple ƒunukpeƒeŋutinunyala.

Dɔléle si nye Multiple Sclerosis (MS) ƒe dɔléle

MS nye dɔléle si gblẽa nu le ahɔhɔ̃ kple aklã ŋu. Le afisia hã la, dɔlélenutsiŋutete dzea ametakpɔnu si ƒo xlã lãmekawo dzi. MS kple AS siaa le ame ʋɛ aɖewo ŋu. Wogale numekuku wɔm be woakpɔe ɖa be kadodo ŋutɔŋutɔ aɖe le dɔléle eveawo dome hã, alo nenye be ɖɔkta yiyi le dɔléle ɖeka ta ana woakpɔ evelia kaba.