If yu gɛt Ankylosing Spondylitis, ɔ AS fɔ shɔt, yu ɔl di tin we yu de pe atɛnshɔn pan na fɔ manej di sik ɛn fɔ mek di sayn dɛn we i gɛt nɔ wɔs. Pan ɔl we yu de dil wit am, fɔ pe fɔ mɛrɛsin we yu nɔ bin de ɛkspɛkt ɛn fɔ go to dɔktɔ kin rili tranga. So tide wi go tɔk bɔt aw fɔ pripia fɔ dɛn spɛns ya we wi nɔ bin de ɛkspɛkt ɛn wi nɔ go sɔprayz.
Fɔs, lɛ wi si, wetin na ankylosing spondylitis (AS)?
Fɔ tɔk am simpul wan, ankylosing spondylitis na wan kayn at at sik. sכm pipul dεn kin kכl am bak ``Bechterew in sik.'' di men tin we kin apin pan dis kכndishכn na we di jכint dεm bitwin di vεrbra dεm na yu spayna kin swεla εn inflam. As tɛm de go, dɛn vɛrbra dɛn ya kin jɔyn togɛda, ɛn yu spayna nɔ kin ebul fɔ chenj igen. Dis kin mek yu de slop fɔ go bifo, ɛn i kin put yusɛf dɔŋ.
Nɔto dat nɔmɔ, dis sik kin mek pɔsin fil pen ɛn nɔ fil fayn na say dɛn lɛk di rib, di hip jɔyn, ɛn di sɔl jɔyn, ɛn sɔntɛnde i kin mek di yay fil pen.
Di impɔtant tin na dat, no mɛrɛsin nɔ de fɔ AS yet. Bɔt if dɛn tek di rayt mɛrɛsin ɛn di fizik tritmɛnt, dɛn kin kɔntrol di sayn dɛm ɛn di sik kin slo . Dɛn kin jɔs nid fɔ du ɔpreshɔn pan tin dɛn we rili bad, lɛk we di jɔyn dɛn dɔn pwɛl bad bad wan.
Lɛ wi tek tɛm luk di tritmɛnt ɛn di kɔst fɔ am.
We yu AS flare, yu mεdikal εkspεns kin inkrεs. Dis kin bi tru mɔ if yu fɔ go to yu dɔktɔ bɔku tɛm ɛn yuz dia dia mɛrɛsin. Ivin if yu gɛt wɛlbɔdi inshɔrans, i nɔ go kɔba di ful kɔst, so yu go nid fɔ spɛn sɔm mɔni na yu poket. So, if yu du risach ɛn no bɔt dɛn kɔst ya bifo tɛm, yu go ebul fɔ manej dis mɔni prɔblɛm fayn fayn wan.
Fɔ go to di dɔktɔ ɔltɛm
Wit dis kכndyushכn, yu go nid fכ go to rεumat כlכg כltεm. Tipikli, yu go nid fɔ si dɛm lɛk wan tɛm ɛvri 3 mɔnt fɔ tɔk bɔt yu kɔndishɔn ɛn tritmɛnt plan. If yu simptom ɛn pen kin tranga, yu kin nid fɔ si dɛn bɔku tɛm.
Insay Sri Lanka, yu go mɔs no se fɔ go to spɛshal pɔsin fɔ insɛf, i kin tek mɔni. So dis visit we yu kin go ɔltɛm na sɔntin bak fɔ ad pan yu list fɔ di tin dɛn we yu go spɛn.
Di kayn mɛrɛsin dɛn ɛn dɛn prayz
Di big tin we dɛn kin spɛn pan tritmɛnt na fɔ tek mɛrɛsin. Fɔs, yu dɔktɔ go mɔs gi yu wan kayn mɛrɛsin we de mek yu fil pen we wi ɔl no. Wi kin kɔl dɛn tin ya `(Nonsteroidal anti-inflammatory drugs)` ɔ NSAID fɔ shɔt. Ɛgzampul dɛn na `Ibuprofen` ɛn `Naproxen`. Dɛn tin ya nɔ dia bɛtɛ.
Bɔt as tɛm de go, dɛn kɔmɔn tin ya we dɛn kin yuz fɔ mɛn pen nɔ kin du fɔ kɔntrol di sik. Dɔn yu dɔktɔ kin tɔk bɔt mɛrɛsin dɛn we kɔmpleks ɛn we dia. Lɛ wi ɔndastand dɛn mɛrɛsin ya frɔm dis tebul.
| Di Kategori fɔ Drug | Simpul ɛksplen ɛn ɛgzampul dɛn |
|---|---|
| DMARD dɛn | Di kayn tablɛt dɛn we dɛn kin gi fɔ kɔntrol pen ɛn swel na smɔl jɔyn dɛn. Ɛgzampul dɛn: Sɔlfasalazin, Mɛtɔtreksɛt . |
| TNF Blɔka dɛn | Dis na bayolojikal drɔgs. Injεkshכn dεm we dεn kin gi fכ ridyus pen, stif, εn inflamεshכn na di joyn dεm. Ɛgzampul dɛn: adalimumab (Humira), ɛtanɛsɛpt (Enbrel), infliximab (Rɛmikɛd) . |
| JAK Inhibitɔ dɛn | Na wan kayn pil we dɛn kin gi pipul dɛn we nɔ de ansa to TNF blɔk. Fɔ ɛgzampul: tofacitinib (Xeljanz) . |
| IL-17 Inhibitɔ dɛn | Dɛn tin ya na bayolojikal drɔgs bak. Dɛn kin ɛp fɔ ridyus di inflamɛns na di bɔdi. Ɛgzampul dɛn: sɛkukinumab (Cosentyx), ixekizumab (Taltz) . |
Dɛn nyu mɛrɛsin ya, mɔ di wan dɛn we de blok TNF (biologics), kin dia pasmak . Dɛn kin gɛt bɔku mɔni ɛvri mɔnt. So i impɔtant fɔ mek yu tɔk to yu dɔktɔ bifo yu chenj to wan pan dɛn mɛrɛsin ya.
Fizik Tɛrapi
Fyzikal tritmɛnt bak na impɔtant pat pan dis tritmɛnt. Gud dɔktɔ we de mɛn yu bɔdi kin ɛp fɔ ridyus yu pen, yu trɛnk ɛn ebul fɔ chenj, ɛn tich yu ɛksesaiz dɛn we yu kin du na os.
Bɔt dis kin kam bak wit kɔst. Imajin aw i go kɔst yu fɔ go na fizik tɛrapi wan tɛm insay di wik, insay di mɔnt ɔ insay di ia. So e fayn fɔ tink bɔt di kɔst bifo yu ad dis to yu tritmɛnt plan.
Lɛ wi bi proactive, nɔ fred fɔ spɛnd!
Na tru se ankylosing spondylitis kin bi wan sik wae de mek yu tranga, pan yu bɔdi, yu maynd, ɛn pan mɔni biznɛs. Bɔt if yu du risach bɔt dɛn kɔst ya bifo tɛm ɛn rɛdi fɔ dɛn, yu kin ridyus dis lod bad bad wan.
Tɔk opin wan bɔt dɛn kɔst ya wit yu dɔktɔ. Ɔda mɛrɛsin dɛn kin de (jenɛrik drɔgs) we nɔ dia bɔt we gɛt di sem kayn prɔpati. Ɔ yu kin ebul fɔ gɛt ɛp fɔ mek di tritmɛnt plan fɔ yu mɔni. Tɔk bɔt dis witout fred ɔ shem. Na bikɔs yu wɛlbɔdi ɛn yu maynd pis impɔtant jɔs lɛk dat.
Mɛsej we dɛn kin kɛr go na os
- Ankylosing spondylitis (AS) na wan kכndyushכn we nid fכ lכng tεm, kכntinyu mεnejmεnt εn di kכst dεm we de kכmכt wit am.
- Dɛn tin ya we dɛn kin spɛn na fɔ go to spɛshal dɔktɔ dɛn, fɔ tek dia dia mɛrɛsin dɛn (especially biologics), ɛn fɔ tek fizik tritmɛnt.
- Tɔk opin wan bɔt di kɔst wit yu dɔktɔ (rheumatologist). Dɛn kin ebul fɔ gi advays bɔt mɔ tin dɛn we dɛn nɔ go ebul fɔ pe fɔ ɔ aw fɔ pe.
- Pripia bifo tɛm. Risach di kɔst dɛm, ɔndastand yu inshɔrans kɔvarej (if yu gɛt wan), ɛn plan yu faynans. Nɔ mek di bil dɛn we yu nɔ bin de ɛkspɛkt fɔ ad pan yu strɛs.
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