Ðe akɔta vea wò zi geɖea? Ne èfɔ tso aba dzi le ŋdi me la, wò akɔta sesẽna eye màte ŋu abɔbɔe nyuie gɔ̃ hã hena ɣeyiɣi aɖe oa? Mía dometɔ geɖe ŋlɔa nusiawo ɖa be "dɔwɔwɔ ƒe ɖeɖiteameŋu" alo "akɔtave vi aɖe." Gake ɣeaɖewoɣi la, dzesi siawo, vevietɔ ne wodze egɔme tso woƒe ɖevime la, ate ŋu anye nusi de ŋgɔ wu akɔtave dzro aɖe ko. Egbea míele nu ƒom tso nɔnɔme mawo dometɔ ɖeka ŋu, si nye Ankylosing Spondylitis, alo AS kpuie.
Nukatae AS ƒe dɔlélea didi sesẽ vie?
Le nyateƒe me la, susu geɖe li siwo tae ankylosing spondylitis (AS) ate ŋu asesẽ vie be woakpɔe enumake.
Nu gbãtɔe nye be wokpɔa nɔnɔme sia ƒe dzesi vevitɔwo, abe akɔtave kple lãmeka, kple ɖeɖiteameŋu si gbɔ eme , hã le dɔléle bubu geɖe me. Eyata esesẽna be ɖɔkta gɔ̃ hã nagblɔ enumake be AS ye nye esia.
Nu eveliae nye be zi geɖe la, dɔléle sia dzea egɔme tso woƒe ɖevime . Bu eŋu kpɔ ko, ne ame aɖe si xɔ ƒe 20 alo 30 gblɔ be yeƒe akɔta le veve sem la, mía dometɔ aɖeke masusu be ƒunukpeƒetetedɔe o, alo? Ame geɖe susuna be ne ètsi ko hafi ƒunukpeƒetetedɔ dzea ame dzi. Esia tae sɔhɛwo meléa ŋku ɖe eŋu boo o.
Etɔ̃lia, ŋutsuwo ate ŋu axɔ AS wu nyɔnuwo abe zi gbɔ zi atɔ̃ ene. Esia ate ŋu ana wòasesẽ na ɖɔktawo be woakpɔ AS le nyɔnuwo ŋu, elabena dzesi siwo nyɔnuwo kpɔna ate ŋu ato vovo ɣeaɖewoɣi. Le kpɔɖeŋu me, nyɔnu aɖewo ate ŋu ase veve le kɔ me hafi akɔta nave wo.
Nu vevitɔe nye be dodokpɔ ɖeka aɖeke meli si ate ŋu aɖo kpe AS dzi o. Eyata ele be wò ɖɔkta naƒo mɔnu bubu geɖe nu ƒu, abe aɖaŋunu aɖe gbɔ kpɔkpɔ ene, hafi ate ŋu akpɔ dɔlélea.
Ne wò ɖɔkta gbãtɔ susu be AS le ŋuwò la, anɔ eme be aɖo wò ɖe dɔdala bibi aɖe gbɔ. Esia nye ƒunukpeƒetetedɔŋutinunyala. Kpuie ko la, amesiawo nye ɖɔkta siwo bi ɖe ƒunukpeƒewo kple dɔdzẽ ƒe nɔnɔmewo abe AS ene me.
Nukawoe nye dodokpɔ siwo wowɔna tsɔ dia dɔlélea?
Ðɔktaa dzea dɔlélea didi gɔme to wò dodokpɔ nyuie me. Emegbe le alesi wòhiãe nu la, aɖo wò ɖe dodokpɔ vovovowo me. Na míakpɔ nusiwo nye afɔɖeɖe siawo ɖa.
1. Lãmesẽdodokpɔ
Gbã la, ɖɔktaa ado wò ŋutilã kpɔ.
- Woabia tso asiwò be nàbɔbɔ ɖe akpa vovovowo. Esia akpe ɖe ŋuwò nàse alesi gbegbe wò akɔta ƒe ʋuʋu sesẽe kple afisi vevesesea le gɔme.
- Wò akɔta kple akɔta ƒe akpa aɖewo xaxa.Àte ŋu akpɔe ɖa be vevesese aɖe li hã.
- Wodzea agbagba be yewoaʋuʋu wò afɔwo le nɔnɔme vovovowo me .
- Woadzidze wò akɔta ƒe kekeme to biabia tso asiwò be nàgbɔ ya sesĩe me . Esia le alea elabena ne AS le ŋgɔ yim la, ate ŋu agblẽ nu le ƒunukpeƒe siwo le akɔta hã ŋu, si ana akɔta mate ŋu akeke ne ele gbɔgbɔm o.
Tsɔ kpe ɖe eŋu la, ɖɔktaa abia nya ʋɛ aɖewo wò godoo. Wò ŋutinya le vevie ŋutɔ na dɔlélea didi.
- Ɣekaɣie vevesese sia dze egɔme?
- Zi geɖe la, ɣeyiɣi didi kae vevesesea nɔa anyi? (Ŋdi me koe wònyea? Ŋkeke bliboa katãe wònyea?)
- Ŋkekea ƒe ɣeyiɣi ka mee vevesesea nu sẽna wu? (Zi geɖe la, AS vevesese nu sẽna ɖe edzi le ŋdi me kple ne wole ɖiɖim ɖe eme.)
- Ðe vevesesea dzi ɖena kpɔtɔna ne èle kame dem alo nèle zɔzɔm? (Esia nye AS ƒe nɔnɔme tɔxɛ aɖe ŋutɔ.)
- Ðe akɔtadɔ alo ƒunukpeƒetetedɔ abe esia ene le wò ƒomea mea? (Elabena domenyinyi ƒe kadodo aɖe le eme)
- Ðe dzesi bubu aɖewo hã lia? (e.g., ŋku dzĩwo, ŋutigbalẽ ƒe kuxiwo, dɔgbo ƒe kuxiwo)
2. Nɔnɔmetatawo Dodokpɔwo Kple Ʋudodokpɔwo
Le wò ŋutilãdodokpɔ vɔ megbe la, ne ɖɔktaa hiã nyatakaka bubuwo la, ate ŋu aɖo aɖaŋu na wò be nàwɔ dodokpɔwo abe X-ray, MRI, kple ʋudodokpɔ aɖewo ene.
| Dodokpɔ ƒomevi | Nusiwo woakpɔ mɔ na kple nusiwo wòle be woanya |
|---|---|
| X-ray-mɔ̃ dzi | Esia ate ŋu aɖe tɔtrɔ siwo va wò akɔta kple akɔta ƒe ƒunukpeƒewo (sacroiliac joints) afia. Gake le AS ƒe gɔmedzedze la , tɔtrɔ aɖeke mate ŋu akpɔ le X-ray dzi o. Ate ŋu anye ƒe geɖe le dɔlélea ƒe gɔmedzedze megbe esime tɔtrɔwo te dzedze. |
| MRI Scan ƒe Dɔwɔɖoɖo | MRI-dɔdamɔnu ate ŋu aɖe wò ƒuwo kpakple wò lãkusi falɛfalɛwo hã ƒe foto nyuie. Esia na wòkpena ɖe ame ŋu ŋutɔ le dzesidede dɔdzẽ le ƒunukpeƒewo me le dɔlélea ƒe gɔmedzedze . Gake MRI-dɔdamɔnu xɔ asi sã wu X-ray. |
| Ʋudodokpɔwo |
|
Aleke nèwɔna va ɖoa dɔléle mamlɛtɔ si wokpɔna gbɔ?
Abe alesi nàte ŋu akpɔe ene la, esia menye nusi woate ŋu atsɔ dodokpɔ ɖeka akpɔe o. Ate ŋu axɔ ƒe geɖe ɣeaɖewoɣi hafi woaɖo kpe AS dzi, elabena nɔnɔmetatawo kple ʋudodokpɔ menaa kpeɖodzi si me kɔ le eƒe gɔmedzedze o.
Zi geɖe la, ɖɔkta aɖo kpe AS ƒe dzesi dzi ne woɖo dzidzenu siwo gbɔna dometɔ ɖeka alo esi wu nenema gbɔ:
1. Ne nɔnɔmetatawo dodokpɔ (X-ray alo MRI) ɖe tɔtrɔ siwo do ƒome kple AS le akɔta alo akɔta ƒe ƒunukpeƒewo fia kɔte, eye tsɔ kpe ɖe eŋu la, dzesi siwo gbɔna dometɔ ɖeka ya teti le ŋuwò:
- Akɔtave si nɔ anyi wu ɣleti 3, vevietɔ ne vevesesea nu sẽ wu le ɖiɖiɖemeɣi eye wòɖee ɖa to ʋuʋu me.
- Ne ŋutete si le ame si be wòabɔbɔ akɔta ƒe akpa si le ete la se ɖe afi aɖe.
- Ne wò akɔta ƒe kekeme ne èle gbɔgbɔm la mede esi nèkpɔ mɔ na le wò ƒexɔxɔ kple ŋutsu alo nyɔnu nyenye nu o.
Le go aɖewo me la, ne nɔnɔmetatawo dodokpɔ meɖe tɔtrɔ aɖeke si dze ƒã fia o hã la, ne dzesi etɔ̃ siwo míeyɔ ɖe etame la katã le ŋuwò (akɔtave, ʋuʋu ƒe didime si seɖoƒe li na, kple akɔta ƒe keke dzi ɖeɖe kpɔtɔ) la, wò ɖɔkta ate ŋu akpɔe be "anɔ eme be ankylosing spondylitis" le ŋuwò.
Eyata woƒoa nya ta mamlɛtɔ to wò dzesiwo katã, ɖɔkta ƒe ŋutilãmedɔdada, kple dodokpɔ bubuwo ŋuti nyatakakawo ƒoƒo ƒu me.
Gbedasi si Wotsɔ Yi Aƒeme
- Ankylosing Spondylitis (AS) nye dɔléle sesẽ aɖe si ate ŋu axɔ ɣeyiɣi aɖe hafi woate ŋu akpɔe, eyata gbɔ dzi ɖi.
- Mègabu akɔtave, vevietɔ ne ènye sɔhɛ, si nu sẽna ɖe edzi ne ègbɔ ɖe eme eye wònyona ɖe edzi ne ède kame la nu tsɛe gbeɖe o. Ðewohĩ manye "akɔtave si sɔ" o.
- "Akunyawɔwɔ" dodokpɔ ɖeka aɖeke meli si aɖo kpe AS dzi o. Dɔléle didi nye nyametsotso si wotu ɖe wò ŋutinya, ŋutilãmedɔdada, kple dodokpɔ bubuwo me tsonu dzi.
- Ne dzesi siawo le ŋuwò la, mègavɔ̃ be yeayi ɖɔkta gbɔ ahaƒo nu tso eŋu kaba o. Zi alesi wokpɔ dɔlélea kaba la, zi nenemae atikewɔwɔ kple emetsonuwo ate ŋu anyo wu.
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