Yu bak pen jɔs nɔto nɔmal? Lɛ wi tɔk bɔt Ankylosing Spondylitis (AS) .

Yu dɔn ɛva gɛt bak pen, stif na mɔnin, ɔ yu jɔyn pen frɔm we yu bin yɔŋ? Yu kin tink se na jɔs bad kol, sɔntin we kin kɔmɔt frɔm we yu taya, ɔ sɔntin we kin kɔmɔt frɔm we yu nɔ slip fayn. Bɔku tɛm, na so i kin bi. Bɔt sɔntɛnde, i kin bi sɔntin we rili siriɔs. Tide wi de tɔk bɔt wan kɔndishɔn wae bɔrku pipul nɔr no bɔt, bɔt e impɔtant fɔ no bɔt. Dat na Ankylosing Spondylitis , ɔ AS fɔ shɔt.

Fɔ tɔk am simpul wan, wetin na Ankylosing Spondylitis (AS)?

Dis na wan kayn at sik bak. Bɔt i kin afɛkt yu spayna mɔ. Fכ bi prεsis, na "inflammatory arthritis" kכndyushכn. Dis min se yu bɔdi in yon imyun sistɛm kin mistek atak di jɔyn dɛn na yu spayna. Dis kin mek yu spayna gɛt inflamɛns, we min se yu de swel ɛn fil pen. dis kכndyushכn kin bigin we yu yכng, bitwin 20 εn 40. As tεm de go, dis inflameshn we de kכntinyu de mek di vεrbra dεm na yu spayna fכ fכs tכgeda, i de lεk wan bon. dεn kכl dis "ankylosis" insay mεdikal tεm dεm. Tink bɔt am lɛk se dɛn dɔn siment yu spayna in bɛlɛ dɛn togɛda. Dis kin mek yu stif ɛn yu kin tinap tranga wan. Dis na di men prɔblɛm wit AS.

AS de afɛkt ɔlman di sem we?

Nɔ, dis sik nɔ kin afɛkt ɔlman di sem we. Sɔm pipul dɛn kin jɔs gɛt smɔl pen we kin kam ɛn go. Ɔda pipul dɛn kin gɛt bad bad pen ɛn stif we kin las fɔ dɛn layf. Risach dɔn sho se aw di sik kin tranga kin difrɛn frɔm wan pɔsin to ɔda pɔsin. Fɔ ɛgzampul, stɔdi dɔn sho se sɔm grup dɛn kin gɛt dis sik pas ɔda wan dɛn. Dis kin bi bikɔs ɔf di jɛnɛtik inflɔwɛns, di tin dɛn we de apin na di envayrɔmɛnt, ɛn difrɛns pan di we aw pipul dɛn kin gɛt wɛlbɔdi. Apat frɔm dat, sɔm pipul dɛm wae gɛt AS kin gɛt ɔda kayn mɛrɛsin lɛk ay blɔd prɛshɔn, dayabitis, pwɛl hat, ɛn at sik.

di jin dεm de ple rol fכ divεlכp AS?

Nɔbɔdi nɔ no di rayt tin we kin mek i apin. Bɔt i kin rɔn na famili, so dɛn biliv se na jɛnɛtiks. If yu mama, papa, ɔr brɔda ɛn sista gɛt AS, yu de pan smɔl risk fɔ gɛt am, bak. MɔBɔrku tɔk de bɔt di jin HLA-B27 we gɛt fɔ du wit dis sik. Pipul dεm we gεt dis jin de pan hכy risk fכ gεt AS. Bɔt di tin we impɔtant pas ɔl na ya na dat yu nɔ go ebul fɔ se yu go gɛt AS jɔs bikɔs yu gɛt di HLA-B27 jin . Ivin na Sri Lanka, bɔku pipul dɛn de we gɛt dis jin bɔt nɔ gɛt ɛni sik. Dɔn bak, pipul dɛn we nɔ gɛt dis jin kin gɛt AS bak. Dat min se dɔktɔ dɛn biliv naw se nɔto jɔs di jin, bɔt ɔda tin dɛn we de apin na di say we wi nɔ no yet na dɛn de mek dis sik.

Wetin na di men sayn dɛm fɔ AS?

Apat frɔm bak pen, AS kin mek yu gɛt bɔku ɔda sayn dɛm. Lɛ wi tek wan luk pan di men sayn dɛm.

Di sayn we de sho se di sik de	Di we aw yu kin fil
Pen ɛn stiffness na di bak ɛn buttocks eria	Mi bak kin fil stif, mɔ we a wek na mɔnin, ɔ afta a dɔn tinap afta a dɔn de na di sem pozishɔn fɔ lɔng tɛm. Dis pen kin stɔp we a waka smɔl ɔ du sɔntin we go ɛp mi. Di pen kin bɔku na nɛt ɛn i kin ivin wek mi frɔm slip.
Pen na ɔda jɔyn dɛn	Swel ɛn pen kin apin na say dɛn lɛk di hip, sholda, ni, anklɛ, ɛn il.
I nɔ kin izi fɔ yu fɔ blo	If dis inflameshn spre to di rib dεm na di chεst, di chεst kin sכmtεm εn yu kin fil pen na di chεst we yu de tek dip briz.
Prɔblɛm dɛn we gɛt fɔ du wit di yay (Uveitis) .	Na lɛk wan pat pan tri pan di wan dɛn we gɛt AS kin gɛt wan sik we dɛn kɔl ay infɛkshɔn, we dɛn kɔl uveitis. Di sayn dɛm na fɔ rɛd wantɛm wantɛm, yu yay kin pen, i nɔ kin izi fɔ si, ɛn yu nɔ kin si fayn. Dis na imejensi ɛn i nid fɔ go to dɔktɔ wantɛm wantɛm .
Ɔda tin dɛn we pipul dɛn kin du	Taya we yu nɔr ɛksplen, fiva, we yu de lɔs yu wet, yu skin de rɔsh, ɛn pan sɔm pipul dɛm, sik dɛm na yu intestinal lɛk Crohn’s disease kin kam.

Wetin yu kin du if yu gɛt dɛn sik ya?

If yu, mɔ if yu yɔŋ, dɔn gɛt bak pen we kin wɔs na mɔnin ɛn we kin bɛtɛ insay di de fɔ pas 3 mɔnt, yu fɔ rili go to yu famili dɔktɔ .

I impɔtant fɔ ɔnɛs bɔt di pen we yu de fil. If yu nɔr diskraib am fayn, tink se, "Na jɔs smɔl pen," e kin tranga fɔ mek di dɔktɔ no di ɔndalayn kɔndishɔn. So tɔk klia wan bɔt ɔl di tin dɛn we yu nɔ kin fil fayn.

Di dɔktɔ go chɛk yu ɛn if nid de, i go tɛl yu fɔ du sɔm tɛst dɛn, lɛk:

• X-ray test: Luk fɔ chenj na di spayna ɛn hip.
• MRI skan : Insay di fɔs stej dɛm fɔ di sik, dɛn kin no di inflammatory kondishɔn dɛm we dɛn nɔ kin no bay X-ray.
• Blɔd tɛst : Tɛst lɛk ESR ɛn CRP we de mɛzhɔ inflamɛns na di bɔdi.
• Jεnεtik tεst: If nid de, chεk fכ di HLA-B27 jin.

Wetin na di tritmɛnt dɛn?

Pan ɔl we dɛn nɔ kin ebul fɔ mɛn AS ɔltogɛda, bɔku gud tritmɛnt dɛn de naw we kin ɛp fɔ kɔntrol di sik dɛn, fɔ mek yu nɔ gɛt bak stiff, ɛn liv nɔmal layf.

Aktiv layf stayl

Wan pan di bɛst tritmɛnt fɔ dis na fɔ de aktif . We yu de du ɛksɛsayz ɔltɛm, mɔ we yu de du ɛksɛsayz we de mek yu bak ɛn di kɔr mɔsul dɛn strɔng ɛn we yu de strɛch, dat kin ɛp fɔ mek yu nɔ fil pen ɛn mek yu bak ebul fɔ chenj. Wan dɔktɔ we de mɛn yu bɔdi kin ɛp yu fɔ fɛn fayn ɛksɛsayz program.

Mɛrɛsin dɛn we dɛn kin yuz

Yu dɔktɔ kin gi yu mɛrɛsin lɛk dɛn wan ya dipen pan di kɔndishɔn we yu gɛt:

• Nonsteroidal anti-inflammatory drugs ( NSAIDs ): Dis na di fɔs layn mɛrɛsin dɛn we dɛn kin gi fɔ ridyus pen ɛn inflamɛns.
• Tumor nεkrכsis fכktכ (TNF) blכk dεm: Dis na wan kayn bayolojikal dכg. Dɛn kin tɔch wan tin we de mek pɔsin inflamɛns ɛn kɔntrol di sik if NSAID nɔ kɔntrol am.
• Di mɛrɛsin dɛn we de chenj di sik we de mek pɔsin nɔ gɛt rɔm (DMARD):Sɔntɛnde dɛn kin yuz mɛrɛsin dɛn lɛk Sulfasalazine bak.
• Kɔtikosterɔyd : Dɛn kin gi am fɔ shɔt tɛm we di inflamɛns bɔku.

Sɔntɛnde, i kin nid fɔ du ɔpreshɔn fɔ chenj di jɔyn we dɔn pwɛl ɔ fɔ kɔrɛkt di chenj dɛn we de na di spayna.

Mɛsej we dɛn kin kɛr go na os

• Ankylosing Spondylitis (AS) na wan kayn at at sik we kin mɔs afɛkt di spayna ɛn i kin bigin we i yɔŋ.
• Mɔnin bak stiff ɛn pen (we kin dɔŋ we yu de du ɛksɛsayz) na wan impɔtant sayn.
• Dis sik nɔ kin jɔs afɛkt di spayna, bɔt i kin afɛkt ɔda pat dɛn na di bɔdi, lɛk di yay, di sholda, ɛn di hip.
• If yu gɛt bak pen ɔltɛm, nɔ ignore am ɛn go to dɔktɔ. If yu no di sik kwik kwik wan, dat kin mek yu gɛt di tritmɛnt fayn fayn wan.
• If yu de du tin, ɛksesaiz ɔltɛm, ɛn tek mɛrɛsin lɛk aw dɛn tɛl yu fɔ du, yu go ebul fɔ liv nɔmal layf ɛn gɛt wɛlbɔdi.

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