Ðe wò ŋutilã nɔa veve sem ɣesiaɣia? Ate ŋu anye kadodoŋusẽdɔléle!

Tsɔe be míaƒe ŋutilã le abe xɔ si wotu nyuie ene. Le xɔ sia me la, nusianu abe anyikpewo, gliwo, xɔta, xɔtaxɔwo, kple bubuawo ene, hiã siminti kple ka be woatsɔ aƒo wo nu ƒu eye woalé wo sesĩe, alo? Nenema ke ŋutinuwo, lãmekawo, ƒuwo, kple lãmeka siwo le míaƒe ŋutilã me la do ƒome kple wo nɔewo, wodoa alɔ wo, eye wokpɔa wo ta to lãkusi tɔxɛ aɖe si woyɔna be ‘Kadodo ƒe Lãmetsiwo’ dzi. Esiawo kaka ɖe míaƒe ŋutilã katã me.

Kpuie ko la, nukae nye kadodoŋusẽ sia?

Esiawoe nye míaƒe ŋutilã ƒe ‘aglu’ kple ‘ɖoɖo si doa alɔe’. Esesẽna be nàkpɔ teƒe aɖe le wò ŋutilã me si me womanɔ o. Le kpɔɖeŋu me:

• Ƒuwo: Nusi naa nɔnɔme kple ŋusẽ míaƒe ŋutilã.
• Ƒunukpeƒetetedɔ: Akpa si le ƒunukpeƒewo dome si le abe ƒunukpeƒe ene si xea mɔ na ƒu eve be woagaƒo ƒu o.
• Ligaments: Ka sesẽ siwo doa ka kple ƒuwo ɖe wo nɔewo ŋu.
• Tendon: Ka si doa ka kple lãmekawo kple ƒuwo.
• Ŋutilã: Etsyɔa míaƒe ŋutilã dzi hekpɔa eta.
• Ŋutilã me ami: edzraa ŋusẽ ɖo eye wòkpɔa ŋutinuwo ta.
• Fascia: Lãmetsi tsɛ aɖe si ƒo xlã lãmekawo kple ŋutinuwo.

Fifia èse alesi kadodoŋusẽ sia le vevie na míaƒe ŋutilã gɔme. Eyata ne dɔléle ƒe nɔnɔme aɖe gblẽ nu le lãmenugbagbevi sia ŋu la, ate ŋu agblẽ nu le ŋutilãa ƒe teƒe geɖe ŋu, ke menye teƒe ɖeka ko o. Esiae nye dɔlélewo ƒe ƒuƒoƒo si míeyɔna zi geɖe be Lãmetsiŋusẽ ƒe Dɔlélewo .

Dɔléle siawo ƒomevi vevi nenie woma?

Kakaɖedzidɔléle ƒomevi siwo wu 200 ye li, gake míate ŋu ama wo ɖe hatsotso vevi etɔ̃ me le woƒe nɔnɔme nu.

Azɔ mina míalé ŋku ɖe hatsotso siawo dometɔ ɖesiaɖe ŋu tsitotsito vie.

1. Autoimmune Connective Tissue Dɔlélewo

Esiae nye nusi ame akpa gãtɔ susuna ne wose nya ‘kadodo ƒe dɔléle’. Esiae nye esime míaƒe ŋutilã ƒe dɔlélenutsiŋutete bua vodadatɔe be mía ŋutɔwo ƒe lãmenugbagbeviwo kple lãkusiwoe nye ‘futɔ’ eye wòdzea wo dzi. Esia hea abi si nɔa anyi didi , alo dɔdzẽ kple vuvu si yia edzi, vɛ le ŋutilã ƒe akpa vovovowo. Le ɣeyiɣi aɖe megbe la, esia ate ŋu ana lãmekaawo nagblẽ tegbee gɔ̃ hã.

Kpɔɖeŋu siwo bɔ dometɔ aɖewo:

• Ƒunukpeƒetetedɔ: Esia gblẽa nu le ƒunukpeƒewo koŋ ŋu. Ƒunukpeƒeawo vuvu, wosẽna, eye wosea veve. Ne womewɔ atike na wo nyuie o la, ƒunukpeƒewo ate ŋu agblẽ. Ɣeaɖewoɣi la, dɔdzẽ sia ate ŋu akaka ɖe ʋukawo kple ŋutinu bubuwo me.
• Lupus: Esia sesẽ vie elabena lupus ate ŋu agblẽ nu le kadodoŋusẽ ɖesiaɖe si le ŋutilãa me ŋu, eye ɣeaɖewoɣi la, ate ŋu agblẽ nu le wo katã ŋu. Ate ŋu agblẽ nu le ŋutinu veviwo abe ŋutigbalẽ, ƒunukpeƒewo, dzi, lãkusi, kple ayiku ene hã ŋu.
• Scleroderma: Le nɔnɔme sia me la, ŋutilãa wɔa protein si woyɔna be collagen wu alesi wòle be wòawɔ. Collagen ye naa ŋusẽ míaƒe lãkusiwo. Gake ne eva sɔ gbɔ akpa la, ŋutigbalẽa kple ŋutinuwo va ƒoa ke eye wosẽna. Ele abe nane si wòle be wòanɔ abe rababa ene la va zua plastik ene.
• Sjögren ƒe dɔléle: Le nɔnɔme sia me la, dɔlélenutsiŋutete dzea lãkusi siwo naa tsi nɔa míaƒe ŋutilã me (abe aɖatsi kple aɖuɖɔtoe ene). Esia wɔnɛ be teƒewo abe ŋku, nu, ŋutigbalẽ, kple gbɔgbɔtsixe ƒe mɔ̃ ene ƒuna akpa.
• Myositis: Esia nye lãmekawo ƒe dɔdzẽ. Esia wɔnɛ be lãmekawo gbɔdzɔna eye ŋutilãa sena le eɖokui me be agbe mele ye si o. Le ƒomevi aɖewo me la, ŋutigbalẽ ƒe ʋuʋudedi ate ŋu adzɔ.

Dɔléle siwo wu ɖeka ƒe dzesiwo ate ŋu anɔ ame aɖewo ŋu, gake dɔléle siawo dometɔ geɖe ƒe dzesiwo hã ate ŋu anɔ wo ŋu ɖekae. Míeyɔa esia be Lãmetsi Siwo Tsakana ƒe Dɔléle . Azɔ hã, nɔnɔme aɖewo li siwo me dzesiawo dometɔ aɖewo dzena le, gake womate ŋu abui godoo be enye dɔléle ɖeka o.

2. Domenyiŋusẽfianu ƒe Kadodo ƒe Dɔlélewo

Domenyiŋusẽfianu ƒe tɔtrɔ si ƒe dome míenyi gbɔe nusiawo tsona. Domenyiŋusẽfianu ƒe gbɔdzɔgbɔdzɔ sia hea kuxiwo vɛ le protein siwo woyɔna be collagen alo elastin, siwo nye kadodoŋusẽ ƒe xɔtunu vevi eve, wɔwɔ me.

• Collagen le abe aŋe si naa ŋusẽ kple ŋusẽ nɔa míaƒe lãkusiwo ŋu ene.
• Elastin nye nane si naa nusi te ŋu trɔna, abe rababa ene.

Ne wogblẽ nusiawo wɔwɔ me la, gbɔdzɔgbɔdzɔ vovovowo dzɔna le lãkusiawo me.

Kpɔɖeŋu aɖewo:

• Marfan ƒe dɔléle: Nɔnɔme sia gblẽa nu le elastin ka ŋu, si wɔnɛ be lãkusiwo te ŋu nɔa te sesĩe wu. Amesiwo ŋu dɔléle sia le ƒe afɔwo didi wu alesi wòle dzɔdzɔmee. Ate ŋu ahe kuxi sesẽwo hã vɛ na dzi kple ʋukawo.
• Ehlers-Danlos ƒe dɔléle: Esia nye nɔnɔme si me ŋutigbalẽ kple ƒunukpeƒewo kekena akpa le esi kolagen ƒe gbɔdzɔgbɔdzɔ ta. Ƒunukpeƒewo vuvuna bɔbɔe eye ŋutigbalẽa hã xɔa abi bɔbɔe.
• Osteogenesis imperfecta: Wogayɔnae be ‘ƒu gbagbãdɔ’, esia nye nɔnɔme si me ŋutilãa mekpɔa collagen ƒomevi aɖeke o, si wɔnɛ be ƒuwo kple aɖuwo te ŋu gblẽna ŋutɔ. Ne edze anyi vie gɔ̃ hã la, ate ŋu ana ƒu nagbã.

Ame siwo wodzi kple domenyiŋusẽfianu ƒe nɔnɔme sia ƒe dzesiwo ate ŋu atso esiwo nu mesẽ o dzi va ɖo esiwo nu sẽ ŋutɔ dzi. Esi domenyiŋusẽfianu ƒe gbɔdzɔgbɔdzɔ sia ƒe atike aɖeke meli o ta la, ɖɔktawo daa dzesiawo kple kuxiawo ɖekaɖeka.

3. Kansa Siwo Le Kadodowo Me

Zi geɖe la, woyɔa kansa siwo dzea egɔme tso kadodoŋusẽ me be sarcomas . Esiawo ate ŋu adze egɔme tso ƒu, ƒunukpeƒetetedɔ, ami, lãmeka, lãkusiwo, lãkusiwo, alo ŋutigbalẽa ƒe akpa siwo goglo wu me.

Kpɔɖeŋu aɖewo:

• Osteosarcoma: Kansa ƒomevi si bɔ wu si dzena le ƒuwo me.
• Chondrosarcoma: Ƒumeŋuɖui si dzea egɔme tso ƒunukpeƒetetedɔ me.
• Liposarcoma: Dɔdzẽ si dzea egɔme tso ŋutilã ƒe ami me.
• Myxofibrosarcoma: Zi geɖe la, edzea egɔme abe ƒunukpeƒetetedɔ si le alɔ alo afɔ ƒe ŋutigbalẽ te ene.

Nukawoe nye dɔléle siawo ƒe dzesi siwo bɔ?

Togbɔ be dɔléle siawo ƒomevi geɖe li hã la, dzesi geɖe le wo si bɔ. Esi dɔléle siawo gblẽa nu le ametia katã ŋu ta la, dzesiawo ate ŋu ato vovo ŋutɔ.

• Lãmetsiwo kple ƒunukpeƒewo ƒe veve, sesẽ, kple gbɔdzɔgbɔdzɔ: Esia nye dɔléle geɖe ƒe dzesi si bɔ. Nuwo abe ŋdi me ʋuʋu, ƒunukpeƒewo ƒe vuvu, kple vevesese ne wole zɔzɔm ene.
• Ðeɖiteameŋu: Ðeɖiteameŋu si gbɔ eme si ame sena le eɖokui me le naneke mawɔmawɔ megbe gɔ̃ hã.
• Ŋusẽ si wòkpɔna ɖe lãkusi kple dzi dzi:Kadodoŋusẽ gbogbo aɖe le míaƒe lãkusiwo me. Eye esi ʋukawo toa lãkusi sia me ta la, dɔdzẽ le teƒe ɖeka ate ŋu akaka ɖe ŋutinu siawo me bɔbɔe. Esia ate ŋu ahe dzesiwo abe gbɔgbɔ sesẽ, akɔtave, kple ʋu ƒe sisi ƒe tɔtrɔ ene vɛ .
• Sarcomas ƒe Dzesiwo: Zi geɖe la, esiawo meɖea dzesiwo fiana o vaseɖe esime wololo. Ɣeaɖewoɣi la , woate ŋu adze abe ƒunukpeƒetetedɔ si me vevesese mele o ene le ŋutigbalẽa te . Alo woate ŋu adze egɔme abe ƒu alo ƒunukpeƒeveame ene.

Aleke wowɔa dɔlélea ƒe dzesi?

Ne ɖɔktaa ɖo to wò dzesiwo vɔ la, ado wò kpɔ. Tsɔ kpe ɖe eŋu la, ate ŋu abia be woawɔ dodokpɔ vovovowo le dɔléle si wosusu be ele eŋu nu.

• Ʋudodokpɔ: Dodokpɔwo abe ESR kple C-reactive protein , siwo dzidzea dɔdzẽ le ŋutilãa me, kpakple dodokpɔ siwo wowɔna be woakpɔ dɔlékuiwutike tɔxɛ aɖewo atsɔ ade dzesi dɔléle siwo dɔlélenutsiŋutete wɔna.
• Nɔnɔmetatawo dodokpɔ: X-ray kple MRI scanwo be woatsɔ alé ŋku ɖe ƒunukpeƒewo kple ƒuwo ƒe nɔnɔme ŋu.
• Biopsy: Lãmetsi sue aɖe ɖeɖe tso ƒu alo ŋutigbalẽ si ŋu ɖikeke le me eye woadoe kpɔ le nusuekpɔmɔ̃ me.
• Dodokpɔ bubuwo: Dodokpɔ siwo dzidzea ŋku alo nu ƒe ƒuƒu, aɖuɖɔ dodokpɔ, kple bubuawo.

Nukawoe nye atikewɔmɔnuawo?

Kakaɖedzidɔ geɖe nye dɔléle siwo nɔa ame ƒe agbemeŋkekewo katã me. Esia fia be esesẽna be woada wo keŋkeŋ. Gake ne woda dɔ nyuie la, woate ŋu aɖu dzesiawo dzi, woate ŋu axe mɔ ɖe dɔlélea nu be wòagagblẽ ɖe edzi o, eye àte ŋu anɔ agbe si sɔ.

• Le dɔléle siwo dɔlélenutsiŋutete hena vɛ gome: Wonaa atikewo abe dɔlélenutsiŋutete ƒe dɔlékuiwutikewo kple corticosteroids ene be woatsɔ axe mɔ ɖe dɔlélenutsiŋutete ƒe dɔwɔwɔ nu.
• Le kansa (sarcomas) gome: Wozãa atikewɔwɔmɔnu siwo nye amekoko, atikewɔmɔnu, kple keklẽŋusẽdɔdamɔnu .
• Le domenyiŋusẽfianu ƒe dɔlélewo gome: Togbɔ be womekpɔ atike na esiawo fifia o hã la, wodaa dzesiawo (e.g. dzidɔ, ƒu ƒe gbagbã) ɖekaɖeka.
• Lãmesẽnyawo Gbɔkpɔkpɔ: Kamedede kple kamedede le vevie ŋutɔ be woaɖe vevesese si le lãmekawo kple ƒunukpeƒewo dzi akpɔtɔ eye woagawɔ dɔ ake.

Ne dɔléle sia ƒomevi le ŋuwò la, wò ɖɔktaEle vevie ŋutɔ be woawɔ ɖe mɔfiame siwo wona dzi pɛpɛpɛ eye woayi atikewɔƒewo ɖe game dzi.