Mí katã míese veve le míaƒe agbe me ɣeaɖeɣi, alo? Ne èbɔbɔ vie vodadatɔe alo kɔ nu kpekpe aɖe la, vevesesea nu ayi le ŋkeke eve alo etɔ̃ megbe. Gake... ɣeaɖewoɣi la, akɔtave sia menɔa bɔbɔe nenema gbegbe o. Ate ŋu anye kuxi gã aɖe si le fu ɖem na wò ƒe geɖe eye womate ŋu akpɔe nyuie o la ƒe gɔmedzedze. Egbea míele nu ƒom tso nɔnɔme mawo dometɔ ɖeka ŋu. Emae nye Ankylosing Spondylitis, alo AS kpuie.
Nukae nye Ankylosing Spondylitis (AS) ƒe dɔléle?
Kpuie ko la, Ankylosing Spondylitis (AS) nye ƒunukpeƒetetedɔ ƒomevi aɖe si nɔa anyi didi, si naa dɔdzẽ, si gblẽa nu le wò akɔta koŋ ŋu . Nusi dzɔnae nye be ŋutilãa ƒe dɔlélenutsiŋutete dzea wò akɔta ƒe ƒunukpeƒewo dzi vodadatɔe. Le ɣeyiɣi aɖe megbe la, dɔdzẽ sia ate ŋu ana wò akɔta ƒe akɔtaƒuwo naƒo ƒu, si ana màte ŋu atrɔ ɖe nɔnɔmewo ŋu o eye wòana nàbɔbɔ.
Ðɔkta aɖewo gblɔ be dɔléle sia didi le abe aŋe didi le gbe me ene. Susu geɖewo li siwo tae.
Nukatae AS ƒe dɔlélea didi sesẽ nenema gbegbe ɖo?
Numekukuwo ɖee fia be zi geɖe la, exɔa ƒe 7-10 tso esime AS ƒe dzesiwo dze egɔme vaseɖe esime wokpɔ dɔlélea nyuie. Bu ɣeyiɣi didi si ema xɔ ŋu kpɔ! Susu vevi siwo tae wòle alea ɖoe nye:
- Akɔtave bɔ: Abe alesi míegblɔe va yi ene la, akɔtave bɔ ŋutɔ. Eyata ame geɖe susuna be esɔ eye woŋea aɖaba ƒua edzi.
- X-ray nyatakakawo ƒe megbedede: Le AS me la, ne dɔlélea do ŋgɔ vie ko hafi wòdzena le akɔta kple akɔta ƒe ƒunukpeƒewo ƒe sacroiliac ƒunukpeƒewo.
- Dzesiawo to vovo: AS gblẽa nu le ame ɖesiaɖe ŋu le mɔ vovovowo nu. Akɔtave koe ame aɖewo sena, evɔ ame bubuwo ya ate ŋu akpɔ kuxiwo le woƒe ŋkuwo, afɔkpodziwo, kple ƒunukpeƒe bubuwo hã ŋu.
- Dodokpɔ ɖeka ƒe anyimanɔmanɔ: Ʋudodokpɔ alo scan ɖeka aɖeke megali si ate ŋu aɖo kpe edzi 100% be AS ye nye esia o.
Tabla sia akpe ɖe ŋuwò nàse vovototo si le akɔtave si sɔ kple vevesese si AS hena vɛ dome gɔme.
| Nɔnɔme si le ame ŋu | Mɔ̃ɖaŋununya ƒe Akɔtave | Akɔtave le AS (Inflammatory Back Pain) me . |
|---|---|---|
| Veveseseae nye gãtɔ kekeake. | Le dɔ megbe, le ŋkekea ƒe nuwuwu | Le ŋdi kple zã me, vevietɔ le ɖiɖiɖeme megbe |
| Ne ègbɔ ɖe eme | Vevesesea dzi le ɖeɖem kpɔtɔ. | Vevesese kple sesẽme dzina ɖe edzi. |
| Kamedede/Ʋuʋu | Vevesesea ate ŋu adzi ɖe edzi. | Vevesese kple sesẽme dzi ɖena kpɔtɔna |
| Ŋdi ƒe Sesẽme | Exɔa ɣeyiɣi si mede miniti 30 o | Exɔa wu miniti 30 (zi geɖe la, exɔa wu gaƒoƒo ɖeka) . |
Agbe siwo wozã le dɔléle siwo womekpɔ nyuie o dome...
Ne míese amesiwo le dɔléle sia lém ƒe nuteƒekpɔkpɔwo la, míesea nya sia ƒe vevienyenye gɔme nyuie wu.
Don ƒe ŋutinya: "Ele abe ŋkuwo gbã ene, gake ŋkuwo ya le dzedzem".
Exɔ ƒe 7 hafi Don va kpɔ dɔlélea. Gake ne etrɔ kpɔ megbe la, ese le eɖokui me be exɔ ƒe 30 sɔŋ. Esi wòdze klo ƒe vevesese gɔme esime wòxɔ ƒe 10 la, amesiame yɔe be "tsitsi ƒe vevesese."
Gake esi wòxɔ ƒe 40 lɔƒo la, eƒe agbenɔnɔ trɔ dziŋɔ. Ɣemaɣie wòxɔ uveitis , si nye ŋkudɔ si me dɔdzẽ le si ate ŋu anye AS ƒe kuxi sesẽ aɖe. Don gblɔ be: "Nye ŋku bu ŋutɔŋutɔ. Nɔnɔmewo koe mete ŋu kpɔa, eye kekeli ƒe nu léa dzi nam ŋutɔ. Ðeko wònɔ abe ŋkuagbãtɔe menye ene, gake menye ŋkuagbãtɔ ŋutɔŋutɔ o."
Togbɔ be ŋkudɔdalawo mete ŋu ke ɖe nusi gbɔ wòtso ŋu o hã la, wosusui be ate ŋu anye “dɔléle ƒomevi aɖe si dɔlélenutsiŋutete hena vɛ.” Esi Don mekpɔ ŋuɖoɖo si me kɔ o ta la, eɖe nya ma ɖa. Esi wòyi ɖɔkta siwo wu 30 gbɔ ƒe geɖe eye woda nusianu tso kansa dzi va ɖo ahɔhɔ̃mekawo ƒe dɔlélewo dzi vɔ la, wova kpɔe mlɔeba be AS le eŋu esi wòkpɔ ƒunukpeƒeŋutinunyala vɔ megbe.
Charis ƒe ŋutinya: "Menye dɔléle si dzea ŋutsuwo ɖeɖeko dzi o".
Dadaa ye nyi Charis. AS nɔ fofoa ŋu. "Nyemenya dɔlélea ƒe ŋkɔ gɔ̃ hã o. Gake menya be nyemaxɔe o, elabena enye 'ŋutsuwo ƒe dɔléle'," Charis gblɔ.
Esia nye nukpɔsusu totro si le ame geɖe dome. Togbɔ be wosusui tsã be ŋutsuwo koe AS gblẽa nu le hã la, nyatakaka yeyewo ɖee fia be dɔlélea gblẽa nu le nyɔnuwo hã ŋu le agbɔsɔsɔ gã aɖe me.
Charis nɔ klo kple ƒunukpeƒeveame bubuwo kpem tso eƒe ɖevime ke, gake esusu be kuxi bubu aɖee wònye ne ele kamedefefe wɔm. Ðɔkta aɖe gblɔ nɛ be dzimaɖitsitsie. Gake Charis mexɔ edzi se o. Esusu be dzesiawo sɔ kple ye fofo tɔ. Mlɔeba esi wòbia fofoa, eye wòwɔ ɖe eƒe aɖaŋuɖoɖo dzi vɔ la, eyi ɖɔkta gbɔ eye wokpɔe be AS le eŋu.
Domenyiŋusẽfianu si woyɔna be HLA-B27 le AS dɔnɔ siwo ade 80%-95% me. Woate ŋu anyi esia ƒe dome tso dzilawo gbɔ na ɖeviwo. Gake menye amesiame si si domenyiŋusẽfianu sia le ye axɔ AS o, eye anya wɔ hã be woaxɔ AS domenyiŋusẽfianu sia manɔmee. Eyata womate ŋu anya esia to domenyiŋusẽfianu dodokpɔ ɖeɖeko me o.
Charis ɖɔ eƒe seselelãmewo ale:
"Blenuiléle kple dɔléle si nɔa anyi didi le abe tɔɖiayɔviwo ene, wonɔa anyi ɖekae ɣesiaɣi."
Mɔ didi si woazɔ ayi dɔléle aɖe gbɔ ate ŋu agblẽ nu le ame ŋu le seselelãme gome. Eyata ne èle nane si le abe esia ene me tom la, mègahe ɖe megbe le nuƒoƒo tso eŋu me o eye nàdi kpekpeɖeŋu tso susumedɔdala gbɔ ne ehiã.
Nukatae ɖɔktawo toa AS ŋu?
Susu ɖeka si tae nye ɣeyiɣi sue si woate ŋu akpɔ dɔnɔwo. Dɔwɔla bibi aɖe gblɔ be: “Aɖabaƒoƒo 15 pɛ ko kple dɔnɔ aɖe mesɔ gbɔ o.” Be nànya dɔléle sesẽ aɖe abe AS ene la, ele be nàɖo to nya si gblɔm dɔnɔa le nyuie eye nàbia nya siwo sɔ.
Azɔ hã, AS ƒe dzesiwo ɖia dɔléle bubuwo tɔ ɣeaɖewoɣi. Le kpɔɖeŋu me:
- Vevesese le akɔta kple afɔkpodzi
- Psoriasis, si nye ŋutigbalẽdɔléle
- Nuɖuɖumeŋusẽ ƒe dɔlélewo abe Crohn ƒe dɔléle alo ulcerative colitis ene
Ne atikewɔla (GP) mekpɔ AS dɔnɔ geɖe le eƒe dɔwɔƒe o la, ɖewohĩ masusu AS ne ekpɔ dzesi siawo o.Esia tae wòle vevie ŋutɔ be nàkpɔ ƒunukpeƒeŋutinunyala ne akɔtave le ŋuwò ɣeyiɣi didi, vevietɔ ne evɔ̃ɖi wu le ŋdi me.
Nya nyuiae nye be fifia ɖɔktawo nya AS ƒe dzesiwo nyuie wu tsã. Azɔ hã, atike yeyewo li (abe dɔlékuiwutikewo ene) siwo wɔa dɔ ŋutɔ le dɔlélea dzi ɖuɖu me. Eyata mehiã be nàkpe fu abe tsã ene o. Nu vevitɔe nye be nànya dɔlélea le ɣeyiɣi nyuitɔ dzi eye nàdze atikewɔwɔ nyuitɔ gɔme.
Gbedasi si Wotsɔ Yi Aƒeme
- Ne akɔtave le ŋuwò wu ɣleti 3 la, mègaŋe aɖaba ƒu edzi o.
- Ne wò akɔtavea nu sẽna ŋutɔ le ŋdi me, wògblẽna ɖe edzi ne ègbɔ ɖe eme, eye wòɖiɖina ne èle azɔli zɔm alo dea kame la, ate ŋu anye AS ƒe dzesi.
- Kpɔ nyuie le ŋdi me wò akɔta kple ƒunukpeƒewo ƒe sesẽ si nɔa anyi wu gaƒoƒo afã ŋu .
- Tsɔ kpe ɖe akɔtave ŋu la, ne dzesiwo abe ŋkuwo biã alo vevesese (uveitis), afɔkpodzi ƒe vevesese, alo ƒunukpeƒe bubuwo ƒe vuvu ene le ŋuwò la, gblɔe na wò ɖɔkta.
- Ðo dze kple wò ɖɔkta tso wò dzesiwo ŋu. Ne ehiã la, bia be woaɖo ye ɖe lãmekaŋutinunyala gbɔ .
- Mègaɖe asi le avuwɔwɔa ŋu o vaseɖe esime wokpɔ dɔlélea nyuie. Nu vevitɔ kekeakee nye be nàɖo to wò ŋutilã.
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