Yare a nipadua no tumi ko tia nyarewa

Yare a nipadua **no tumi ko tia nyarewa** yɛ tebea a efi nipadua no mu tumi a ɛko tia nyarewa a ɛsakra no no mmuae a ɛnteɛ mu, a edi mfomso de n’ani si nipadua no afa  ɛyɛ adwuma so na ɛtow hyɛ so te sɛ nea ɛyɛ ahɔho mmoawa.  Wobu akontaa sɛ nyarewa bɛboro 80 na wogye tom a nipadua no tumi ko tia nyarewa, na nyansahu mu adanse a wɔanya nnansa yi kyerɛ sɛ tebea horow a ɛsono emu biara bɛboro 100 na ɛwɔ hɔ.

Yare yareɛ a akwaa no ara ko tia ne ho no yɛ kuw soronko wɔ yareɛ a akwaa no ara kɔ so yɛ gyegyeegye ho. Yareɛ mmienu no nyinaa fa nipadua mu nkwammoa a ɛko tia yareɛ a ɛmfiri sɛnea ɛsɛ so, a ebetumi ama yɛanya nsensanee, ɛdom, anaa ɔbrɛ te sɛ nea yɛhwɛɛɛɛ, nanso ade titiriw a ɛde yareɛ no ba anaa sɛnea yareɛ no ba no gu ahorow. Ɛsono sɛnea yareɛ a akwaa no ara kɔ so yɛ gyegyeegye no ba, ɛfiri sɛ ɛyɛ nipadua mu nkwammoa a ɛko tia yareɛ a wɔwoo yɛn ne no no ho asɛm, ɛna yareɛ a akwaa no ara ko tia ne ho no nso fa nipadua mu nkwammoa a ɛko tia yareɛ a yɛsua no ho asɛm.

Yare yareɛ a akwaa no ara ko tia ne ho no yɛ kuw soronko wɔ yareɛ a akwaa no ara kɔ so yɛ gyegyeegye ho. Yareɛ mmienu no nyinaa fa nipadua mu nkwammoa a ɛko tia yareɛ a ɛmfiri sɛnea ɛsɛ so, a ebetumi ama yɛanya nsensanee, ɛdom, anaa ɔbrɛ te sɛ nea yɛhwɛɛɛɛ, nanso ade titiriw a ɛde yareɛ no ba anaa sɛnea yareɛ no ba no gu ahorow. Ɛsono sɛnea yareɛ a akwaa no ara kɔ so yɛ gyegyeegye no ba, ɛfiri sɛ ɛyɛ nipadua mu nkwammoa a ɛko tia yareɛ a wɔwoo yɛn ne no no ho asɛm, ɛna yareɛ a akwaa no ara ko tia ne ho no nso fa nipadua mu nkwammoa a ɛko tia yareɛ a yɛsua no ho asɛm.

Yareɛ a akwaa no ara ko tia ne ho no ho sɛnkyerɛnne betumi asesa kɛse, a egyina yareɛ no pɔtee so ne nipadua fa a ɛreka no. Mpɛn pii no, sɛnkyerɛnne ahorow pii wɔ hɔ na ebetumi ayera ntɛm, asesa fi fam kosi soro, na mpɛn pii no, ɛka atiridii kakraa, ɔbrɛ, ne yaw a ɛba nipadua nyinaa mu.[1] Nanso, yareɛ a akwaa no ara ko tia ne ho bi betumi de sɛnkyerɛnne pɔtee te sɛ honam ani yareɛ (te sɛ urticaria), anaasɛ adwene mu yareɛ aba.

Nea ɛde nyarewa a nipadua no tumi ko tia nyarewa ba ankasa no da so ara yɛ nea wontumi nhu na ɛbɛyɛ sɛ efi nneɛma pii mu, na ɛfa awosu ne nneɛma a atwa yɛn ho ahyia nyinaa ho.  Bere a nyarewa bi te sɛ lupus da abusua mu nkabom adi, a ɛkyerɛ sɛ awosu mu su bi wɔ hɔ, wɔde nsɛm afoforo abata nneɛma a ɛkanyan ɔyare mmoawa anaasɛ nneɛma a atwa yɛn ho ahyia a wɔde wɔn ho hyɛ mu ho, na ɛkyerɛ sɛ awosu mu nkwaadɔm ne nneɛma a atwa yɛn ho ahyia ntam nkitahodi a emu yɛ den wɔ nea ɛde ba no mu.

Nyarewa a wɔtaa kyekyɛ mu sɛ autoimmune no bi ne celiac yare, asikreyare a ɛto so 1, Graves yare, dwensɔtwaa mu nyarewa a ɛyɛ hyew (te sɛ Crohn yare ne ulcerative colitis ), multiple sclerosis, alopecia areata,  Addison yare, mogya a ɛtɔ kɔ nipadua mu a ɛsɛe ade, psoriasis, ntini mu yare, . ne nhyehyɛe mu lupus erythematosus .

## Treatment

Nkyɛkyerɛ a ɛda so no yɛ ɔkwan a ɛda so ne ɔhaw no mu nsɛm. Akwankyerɛ a ɛyɛ ɔhaw a ɛyɛ dɔɔso no yɛ abatoɔ a ɛyɛ duru na ɔkwan biara nni hɔ a ɛbɛtumi akyɛ abatoɔ no mu, nanso nsɛm a ɛda ho adi no bɛtumi ayɛ mmerɛ ne sɛnea ɛbɛyɛ a wɔbɛtumi ayɛ adwuma fa nkyɛkyerɛ no ho. Nkyɛkyerɛ a ɛyɛ aban dea no ka ho

## Treatment

Nkyɛkyerɛ a ɛda so no yɛ ɔkwan a ɛda so ne ɔhaw no mu nsɛm. Akwankyerɛ a ɛyɛ ɔhaw a ɛyɛ dɔɔso no yɛ abatoɔ a ɛyɛ duru na ɔkwan biara nni hɔ a ɛbɛtumi akyɛ abatoɔ no mu, nanso nsɛm a ɛda ho adi no bɛtumi ayɛ mmerɛ ne sɛnea ɛbɛyɛ a wɔbɛtumi ayɛ adwuma fa nkyɛkyerɛ no ho. Nkyɛkyerɛ a ɛyɛ aban dea no ka ho

* Nkyɛmu a ɛyɛ vitamin anaa hormone a ɛboa ma ɔhonam no nya nea ɛhia no a ɛyɛ ɔyare mu (insulin, vitamin B12, thyroid hormone, ne nsɛm foforɔ a ɛda ho adi). Nsuo a wɔde to mu sɛ ɔyare no yɛ nsuo ho a ɛda ho adi.  Nokwasɛm ho adwuma sɛ ɔyare no yɛ ɔkwan a ɛda so wɔ nan, nsam, anaa nipadua mu.15:08

## Treatment

Nkyɛkyerɛ a ɛda so no yɛ ɔkwan a ɛda so ne ɔhaw no mu nsɛm. Akwankyerɛ a ɛyɛ ɔhaw a ɛyɛ dɔɔso no yɛ abatoɔ a ɛyɛ duru na ɔkwan biara nni hɔ a ɛbɛtumi akyɛ abatoɔ no mu, nanso nsɛm a ɛda ho adi no bɛtumi ayɛ mmerɛ ne sɛnea ɛbɛyɛ a wɔbɛtumi ayɛ adwuma fa nkyɛkyerɛ no ho. Nkyɛkyerɛ a ɛyɛ aban dea no ka ho

* Nkyɛmu a ɛyɛ vitamin anaa hormone a ɛboa ma ɔhonam no nya nea ɛhia no a ɛyɛ ɔyare mu (insulin, vitamin B12, thyroid hormone, ne nsɛm foforɔ a ɛda ho adi). Nsuo a wɔde to mu sɛ ɔyare no yɛ nsuo ho a ɛda ho adi.  Nokwasɛm ho adwuma sɛ ɔyare no yɛ ɔkwan a ɛda so wɔ nan, nsam, anaa nipadua mu.15:08 0

Nkyɛmu a ɛyɛ ɔyare ho aduro no kɔ so yɛ aduro a ɛyɛ immunosuppressant a ɛboa ma ɛyɛ den sɛ ɔyare no bɛyɛ dɛn wɔ nipadua no mu. Eyi yɛ aduro a ɛyɛ den ma ɔyare no bɛyɛ dɛn wɔ nipadua no mu, te sɛ:

## Treatment

Nkyɛkyerɛ a ɛda so no yɛ ɔkwan a ɛda so ne ɔhaw no mu nsɛm. Akwankyerɛ a ɛyɛ ɔhaw a ɛyɛ dɔɔso no yɛ abatoɔ a ɛyɛ duru na ɔkwan biara nni hɔ a ɛbɛtumi akyɛ abatoɔ no mu, nanso nsɛm a ɛda ho adi no bɛtumi ayɛ mmerɛ ne sɛnea ɛbɛyɛ a wɔbɛtumi ayɛ adwuma fa nkyɛkyerɛ no ho. Nkyɛkyerɛ a ɛyɛ aban dea no ka ho

* Nkyɛmu a ɛyɛ vitamin anaa hormone a ɛboa ma ɔhonam no nya nea ɛhia no a ɛyɛ ɔyare mu (insulin, vitamin B12, thyroid hormone, ne nsɛm foforɔ a ɛda ho adi). Nsuo a wɔde to mu sɛ ɔyare no yɛ nsuo ho a ɛda ho adi.  Nokwasɛm ho adwuma sɛ ɔyare no yɛ ɔkwan a ɛda so wɔ nan, nsam, anaa nipadua mu.15:08 0

Nkyɛmu a ɛyɛ ɔyare ho aduro no kɔ so yɛ aduro a ɛyɛ immunosuppressant a ɛboa ma ɛyɛ den sɛ ɔyare no bɛyɛ dɛn wɔ nipadua no mu. Eyi yɛ aduro a ɛyɛ den ma ɔyare no bɛyɛ dɛn wɔ nipadua no mu, te sɛ:

* Nnɔbae a ɛnyɛ steroid (NSAIDs) a wɔde yɛ ɔyare ho aduro na ɛyɛ den ma ɔyare no. Glucocorticoids a wɔde yɛ ɔyare ho aduro na ɛyɛ den ma ɔyare no.  Adore a ɛyɛ ɔyare ho aduro a ɛyɛ dɛ (DMARDs) a wɔde yɛ ɔyare ho aduro na ɛyɛ den ma abɔdɛn ne akwan a ɔyare no de ba.15:12

## Treatment

Nkyɛkyerɛ a ɛda so no yɛ ɔkwan a ɛda so ne ɔhaw no mu nsɛm. Akwankyerɛ a ɛyɛ ɔhaw a ɛyɛ dɔɔso no yɛ abatoɔ a ɛyɛ duru na ɔkwan biara nni hɔ a ɛbɛtumi akyɛ abatoɔ no mu, nanso nsɛm a ɛda ho adi no bɛtumi ayɛ mmerɛ ne sɛnea ɛbɛyɛ a wɔbɛtumi ayɛ adwuma fa nkyɛkyerɛ no ho. Nkyɛkyerɛ a ɛyɛ aban dea no ka ho

* Nkyɛmu a ɛyɛ vitamin anaa hormone a ɛboa ma ɔhonam no nya nea ɛhia no a ɛyɛ ɔyare mu (insulin, vitamin B12, thyroid hormone, ne nsɛm foforɔ a ɛda ho adi). Nsuo a wɔde to mu sɛ ɔyare no yɛ nsuo ho a ɛda ho adi.  Nokwasɛm ho adwuma sɛ ɔyare no yɛ ɔkwan a ɛda so wɔ nan, nsam, anaa nipadua mu.15:08 0

Nkyɛmu a ɛyɛ ɔyare ho aduro no kɔ so yɛ aduro a ɛyɛ immunosuppressant a ɛboa ma ɛyɛ den sɛ ɔyare no bɛyɛ dɛn wɔ nipadua no mu. Eyi yɛ aduro a ɛyɛ den ma ɔyare no bɛyɛ dɛn wɔ nipadua no mu, te sɛ:

* Nnɔbae a ɛnyɛ steroid (NSAIDs) a wɔde yɛ ɔyare ho aduro na ɛyɛ den ma ɔyare no. Glucocorticoids a wɔde yɛ ɔyare ho aduro na ɛyɛ den ma ɔyare no.  Adore a ɛyɛ ɔyare ho aduro a ɛyɛ dɛ (DMARDs) a wɔde yɛ ɔyare ho aduro na ɛyɛ den ma abɔdɛn ne akwan a ɔyare no de ba.

## Treatment

Nkyɛkyerɛ a ɛda so no yɛ ɔkwan a ɛda so ne ɔhaw no mu nsɛm. Akwankyerɛ a ɛyɛ ɔhaw a ɛyɛ dɔɔso no yɛ abatoɔ a ɛyɛ duru na ɔkwan biara nni hɔ a ɛbɛtumi akyɛ abatoɔ no mu, nanso nsɛm a ɛda ho adi no bɛtumi ayɛ mmerɛ ne sɛnea ɛbɛyɛ a wɔbɛtumi ayɛ adwuma fa nkyɛkyerɛ no ho. Nkyɛkyerɛ a ɛyɛ aban dea no ka ho

* Nkyɛmu a ɛyɛ vitamin anaa hormone a ɛboa ma ɔhonam no nya nea ɛhia no a ɛyɛ ɔyare mu (insulin, vitamin B12, thyroid hormone, ne nsɛm foforɔ a ɛda ho adi). Nsuo a wɔde to mu sɛ ɔyare no yɛ nsuo ho a ɛda ho adi.  Nokwasɛm ho adwuma sɛ ɔyare no yɛ ɔkwan a ɛda so wɔ nan, nsam, anaa nipadua mu.15:08 0

Nkyɛmu a ɛyɛ ɔyare ho aduro no kɔ so yɛ aduro a ɛyɛ immunosuppressant a ɛboa ma ɛyɛ den sɛ ɔyare no bɛyɛ dɛn wɔ nipadua no mu. Eyi yɛ aduro a ɛyɛ den ma ɔyare no bɛyɛ dɛn wɔ nipadua no mu, te sɛ:

* Nnɔbae a ɛnyɛ steroid (NSAIDs) a wɔde yɛ ɔyare ho aduro na ɛyɛ den ma ɔyare no. Glucocorticoids a wɔde yɛ ɔyare ho aduro na ɛyɛ den ma ɔyare no.  Adore a ɛyɛ ɔyare ho aduro a ɛyɛ dɛ (DMARDs) a wɔde yɛ ɔyare ho aduro na ɛyɛ den ma abɔdɛn ne akwan a ɔyare no de ba.

Sɛnea immunosuppressants yɛ den ma ɔyare no mu a, ɔyare no nsɛm a ɛda ho adi no, ɛsɛ sɛ yɛyɛ nhyehyɛe a ɛbɔ mu na ɛma ɔyare no tumi yɛ adwuma a ɛyɛ den ma ɔyare no ho. Eyi betumi ayɛ ɔhaw a ɛyɛ ɔhaw kɛse ma onipa no.

Nkyerɛkyerɛ a ɛnyɛ ɔkwan a wɔda ho adi no yɛ adwuma, wɔyɛ nhwehwɛmu, na wɔyɛ adwuma, na ɛyɛ nokware sɛ ɔkwan a wɔda ho adi no yɛ ɔhaw. Saa akwan yi bɔ mmɔden sɛ ɛbɛtumi abɔ ɔyare a ɛyɛ den no ho ban anaa atwa ɔkwan a ɛma ɔyare no nsa ka no ho. Saa nkyerɛkyerɛ yi bɔ mmɔden sɛ ɛnyɛ ɔhaw kɛse ma ɔyare no na ɛwɔ ɔkwan a ɛyɛ pɛ. Saa nsɛm a ɛda ho adi no ka ho:

* Monoclonal antibodies a wobetumi de asiw pro-inflammatory cytokines ano
* Antigen-specific immunotherapy a ɛma nipadua no mu nkwammoaa a ɛko tia nyarewa no tumi de wɔn ani si nkwammoaa a ɛnteɛ a ɛde autoimmune yare ba no so pɔtee 
* Co-stimulatory blockade a ɛyɛ adwuma de siw ɔkwan a ɛkɔ autoimmune mmuae mu no ano
* T cell ayaresa a wɔahyɛ da ayɛ a wɔde T cell soronko yi di dwuma de siw autoimmune mmuae ano 
* Wɔayɛ , aduru bi a ɛwɔ nhwiren  mu no ho nhwehwɛmu sɛ ebetumi asa nyarewa pii a nipadua no tumi ko tia nyarewa esiane nkɛntɛnso a enya wɔ ɔfe so nti.