Ðe nèfɔna le ŋdi me ɣeaɖewoɣi eye wò klowo kple akɔta le veve sem veviea? Ðe vevesesea nu fa le ɣeyiɣi aɖe megbe, emegbe wògatrɔna vaa? Ðewohĩ àsusu be esia sɔ, alo be ŋɔti me vevesese si tso agbagbadzedze fũu akpa gbɔ koe wònye. Gake ɣeaɖewoɣi la, le vevesese bɔbɔe ma megbe la, atikewɔwɔ me nɔnɔme aɖe ate ŋu anɔ anyi si ŋu wòle be míalé ŋku ɖo. Egbea, míele nu ƒom tso nɔnɔme sia tɔgbe, si nye Ankylosing Spondylitis (AS) ŋu.
AS menye akɔtave ko o.
Ame geɖe bua AS be enye dɔléle aɖe si nana akɔtave eye wòsẽna ko. Ẽ, akɔtave kple lãmekawoe nye dɔléle sia ƒe dzesi vevitɔwo. Gake nyateƒeae nye be AS nye nɔnɔme si ate ŋu agblẽ nu le ŋutilã bliboa ŋu. Ne míagblɔe tututu la, enye dɔléle si tsoa ɖoɖo nu , si fia be egblẽa nu le ŋutilãa ƒe ɖoɖo geɖe ŋu, ke menye nuto ɖeka ko o.
Ne esia dzɔ ɖe sɔhɛwo dzi la, ɣeaɖewoɣi la, akɔtave ate ŋu ado ŋgɔ na vevesese le ƒunukpeƒe gãwo abe abɔta kple akɔta ene. Azɔ hã, nɔnɔme aɖe si woyɔna be enthesitis bɔ ŋutɔ le dɔléle sia me.
Eyata nukae nye Enthesitis?
Kpuie ko la, enye lãkusi kple lãkusi siwo léa míaƒe lãmekawo ɖe míaƒe ƒuwo ŋu ƒe dɔdzẽ. Esia dzena zi geɖe le Achilles ƒe lãkusi si le afɔkpodzi kple afɔkpodzi ƒe lãkusi si le afɔkpodzi. Ne afɔkpodzi le veve sem vevie esime nèfɔ tso aba dzi zi gbãtɔ le ŋdi me la, ate ŋu atso nɔnɔme sia gbɔ.
Togbɔ be mexɔ ƒe 21 hã la, mezɔ abe ƒe 90 vi ene, nye ŋutilã sesẽ eye menɔ ʋuʋum tso axa ɖeka yi axa ke.
Ame aɖe si ŋu dɔléle sia le ye gblɔ ŋutinya sia. Ɣeaɖewoɣi ne dzesi siawo va la, míeléa ŋku ɖe wo ŋu boo o. Alo míeŋlɔna be be míagblɔe na míaƒe ɖɔkta. Esia tae ate ŋu axɔ ƒe geɖe hafi ame aɖewo nakpɔ AS ƒe dɔlélea nyuie. Vevietɔ ne atikewɔla si le dɔ wɔm na wò la, ɖewohĩ mabu ƒunukpeƒetetedɔ sia ƒomevi ŋu o. Eyata , ele vevie ŋutɔ be nàƒo nu kple wò ɖɔkta tso dzesi ɖesiaɖe si le ŋuwò ŋu, aleke kee wòɖale sue o.
Alesi AS kpɔa ŋusẽ ɖe akɔta dzii
AS nye nɔnɔme si nɔa ame ŋu le eƒe agbemeŋkekewo katã me. Ne mèkpɔ egbɔ nyuie o la, ate ŋu abɔbɔ wò akɔta tegbee eye wòagblẽ nu le wò azɔlizɔzɔ ƒe ŋutete gɔ̃ hã ŋu. Ne èse veve le teƒe bubuwo tsɔ kpe ɖe wò akɔta ŋu la, efia be dɔlélea ate ŋu asẽ wu. Mina míalé ŋku ɖe nu vevi siwo dzi AS ate ŋu akpɔ ŋusẽ ɖo tsɔ kpe ɖe wò akɔta ŋu.
| Ŋutilã ƒe akpa si ŋu wògblẽ nu le | Nusiwo wòle be woanya kple dzesiwo |
|---|---|
| Akɔta kple abɔta | Ame 1 le 3 ɖesiaɖe me si ŋu AS le la sea veve le ƒunukpeƒe siawo me. Vevesesea ate ŋu adze egɔme tso akɔta, klowo, alo akɔta ƒe ŋgɔgbe. |
| Ŋkuwo | AS dɔnɔ siwo ade 40% xɔa nɔnɔme aɖe si woyɔna be uveitis , si nye ŋku ƒe dɔdzẽ. Ne dzesiwo abe ŋku biã, vevesese, kple kekeli kpɔkpɔ sesẽ na wò ene la, yi ɖɔkta gbɔ enumake. |
| Nuɖuɖumeŋusẽ (dɔgbowo) . | Ame siwo ŋu AS le dometɔ 1 le 10 ɖesiaɖe me ate ŋu axɔ dɔgbo ƒe dɔléle (IBD) , abe Crohn ƒe dɔléle alo dɔgbo ƒe dɔléle ene . Dzesiawo dometɔ aɖewoe nye aɖuɖɔtoe si me ʋu le dodom le, lolo dzi ɖeɖe kpɔtɔ, kple ɖeɖiteameŋu si gbɔ eme. |
| Glã | AS dɔnɔ siwo ade 10% kpɔa aɖuɖɔtoewo ƒe dɔdzẽ, si ate ŋu ana nuɖuɖu nasesẽ. Ele vevie be nàkpɔ aɖudɔdala ne vevesese sia ƒomevi le fu ɖem na wò. |
| Ƒuwo | AS dɔnɔwo ƒe afã lɔƒo le afɔku me be woaxɔ ƒumeŋuɖui , si nye dɔléle si nana ƒuwo ƒuna. Calcium kple vitamin D ƒe kpeɖeŋutɔ nono kple kamedede abe azɔlizɔzɔ ene ate ŋu akpe ɖe ame ŋu be ƒuwo nasẽ ŋu. |
| Dzitodzito | Ɣeaɖewoɣi la, AS ate ŋu ana ƒunukpeƒe siwo le akɔta kple akɔta dome natsi, si ana akɔta nagakeke nyuie ne èle gbɔgbɔm o. Esia ate ŋu ana gbɔgbɔ nasesẽ. Ne akɔta le veve sem na wò la, yi ɖɔkta gbɔ enumake. |
| Dzi | AS dzia dzidɔ ƒe afɔkua ɖe edzi. Aorta, si nye ʋuka vevitɔ si tsɔa ʋu yia ŋutilã bliboa me, ate ŋu avuvu. Dzi ƒe tsotso hã ate ŋu ava kabakaba alo anɔ blewu. Eyata ele vevie be woawɔ echocardiogram (dzi ƒe gbeɖiɖi sesẽ dodokpɔ) zi ɖeka ya teti le ƒea me. |
Mina míasrɔ̃ nu tso atikewɔwɔ kple edzikpɔkpɔ hã ŋu.
Ne dzesi siawo le ŋuwò la, nu nyuitɔ si nàwɔe nye be nàyi lãmekaŋutinunyala gbɔ . Ado wò kpɔ eye ne ehiã la, abia be woawɔ dodokpɔwo abe X-ray, MRI, kple ʋudodokpɔ ene atsɔ aɖo kpe dɔlélea dzi.
Abe atike ene la, zi geɖe la, wonaa vevesesenutsitike siwo woyɔna be NSAIDs (Nonsteroidal anti-inflammatory drugs) gbã. Gake ame aɖewo ate ŋu akpɔ nugbegblẽ le ame ŋu abe dɔgbo ƒe dzikudodo kple lãmetutudɔ ene le atike siawo ta. Ne edzɔ alea la, ele be nàgblɔe na wò ɖɔkta. Emegbe ate ŋu atrɔ atike si woazã alo atrɔ asi le atikeawo ƒe agbɔsɔsɔme ŋu.
Ne dɔlélea nu sẽ wu la, egbegbe atikewo abe biologics ene li fifia siwo ate ŋu aɖu nusiwo dɔlélea gblẽna le ŋutilã ŋu dzi.
Nu vevitɔ kekeakee nye be nàƒo ɖokuiwò ɖe kamedede kple kamedede nyuie , kpakple atikewo zazã me. Esia akpe ɖe ame ŋu ŋutɔ be ƒunukpeƒewo ƒe sesẽ dzi naɖe akpɔtɔ eye wòana ŋutilãa nate ŋu atrɔ ɖe nɔnɔmewo ŋu.
Wò kpekpeme, ʋu ƒe sisi, kple ʋumemi ƒe agbɔsɔsɔ dzi ɖuɖu hã le vevie ŋutɔ na dzi ƒe lãmesẽ. Azɔ hã, ne ènoa atama la, ele be nàdzudzɔ enumake. Sigaretnono nana nɔnɔme sia gagblẽna ɖe edzi.
Gbedasi si Wotsɔ Yi Aƒeme
- Menye akɔta koe AS nye dɔléle o. Ate ŋu agblẽ nu le ŋku, dzi, lãkusi, dɔgbo, kple ƒunukpeƒe bubuwo hã ŋu.
- Ne dzesi bubuwo le ŋuwò kpe ɖe wò akɔtave ŋu, abe ŋku biã, afɔkpodzi ƒe vevesese, akɔtave, alo gbɔgbɔ sesẽ ene la, gblɔ nusiawo katã na wò ɖɔkta.
- Ne wokpɔ dɔlélea kaba, tsɔ kpe ɖe atikewɔwɔ nyuitɔ kple agbenɔnɔ ƒe tɔtrɔ ŋu la, woate ŋu akpɔ AS gbɔ nyuie eye woate ŋu anɔ agbe si sɔ.
- Kamedede kple kamedede ƒe atikewɔwɔ siwo woŋlɔ na ame abe alesi ɖɔkta gblɔe ene me nɔnɔ le vevie abe atike nono ene.
- Nufiafia ɖokuiwò tso wò nɔnɔmea ŋue nye mɔ nyuitɔ si dzi nàto anɔ agbe kplii dzidzedzetɔe.
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