Sɔntɛnde, yu kin fil stiff we yu wek na mɔnin? Ɔ yu kin gɛt bak pen ɔl di de? Tu kayn at at sik de wae kin afɛkt di spayna wae gɛt di sem kayn sayn dɛm. Wan na DISH (Diffuse Idiopathic Skeletal Hyperostosis) ɛn di ɔda wan na AS (Ankylosing Spondylitis) . De sayn dɛm fɔ dɛn tu kin fiba sɔm kayn wae, wae kin mek wi kɔnfyus sɔmtɛm. So tide, lɛ wi tɔk bɔt dɛn tu sik ya ditayli ɛn ɔndastand klia wan wetin na di difrɛns, wetin na di sayn dɛm, ɛn aw fɔ trit dɛm.
Wetin kin mek wi gɛt dɛn tu sik ya?
Fɔ tɔk am simpul wan, dɛn tu sik ya kin afɛkt di jɔyn ɛn ligamɛnt dɛn na wi spayna, bɔt di we aw dɛn kin afɛkt am difrɛn smɔl.
Wetin na DISH (Difyuz Idiopatik Skel Hyperostosis)?
DISH na di kכndyushכn we di kalsiכm sכlt dεm de bכku na di ligament dεm εn di tεndon dεm we de rawnd wi spayna. Dis kalsiɔm kin mek dɛn say dɛn de at smɔl smɔl lɛk bon, lɛk se nyu bon de gro. Dɔktɔ dɛn nɔ no bɛtɛ bɛtɛ wan wetin kin mek i apin. Bɔt dɛn biliv se di jɛnɛtiks, di tin dɛn we de apin na di say we wi de, ɔ we dɛn ɔl tu jɔyn, kin ɛp.
Aw di Ankylosing Spondylitis (AS) kin kam?
dεn biliv se di jεnεtik εn invayroment fכktכ dεm de ple rol fכ AS. Pipul wae gɛt di HLA-B27 jin kin gɛt dis sik pasmak. dis HLA dεm de εp wi imyun sistεm fכ difrεnt bitwin wi כwn sεl dεm εn fכrin invayda dεm. כltu, risεch stil de go bifo fכ aw dis patikyula jin de mek AS. insay AS, di imyun sistεm de atak di joyn dεm na wi spayna. Dis kin mek yu gɛt inflamɛns, we kin mek yu spayna stif ɛn pen.
Udat dɛn kin gɛt dɛn sik ya mɔ?
Difrɛns klia wan de pan di ej ɛn tin dɛn we kin mek pɔsin gɛt dɛn tu sik ya. Mek wi ɔndastand am izi wan frɔm dis tebul.
| Tin dɛn | DISH (Difyuz Idiopatik Skel Hayperostɔsis) . | AS (Ankylosing Spondylitis) we gɛt di sik. |
|---|---|---|
| Di ej we dɛn afɛkt | Bɔku tɛm i kin apin to pipul dɛn we dɔn pas 50 ia . | I kin bigin we i yɔŋ , bitwin 15-30 ia. |
| Pati we dɛn afɛkt | I kin apin mɔ pan man dɛn pas uman dɛn. | I kin apin mɔ pan man dɛn pas uman dɛn. |
| Ɔda tin dɛn we kin mek pɔsin gɛt prɔblɛm |
|
De impɔtant tin na dat bɔrku pipul dɛm wae gɛt DISH nɔr kin gɛt ɛni symptom. Bɔku tɛm, dɛn kin no am bay we dɛn tek ɛkstrem rayt fɔ ɔda rizin.
Wetin na de difrɛns pan de sayn dɛm?
Pan ɔl we di men sayn dɛm fɔ dɛn tu sik ya na bak pen ɛn stiff, klia difrɛns de pan usay di pen kɔmɔt, aw i de fil, ɛn ɔda sayn dɛm we de kam wit am.
| Di kwaliti we pɔsin gɛt | As yu si am na DISH | As yu si am na AS |
|---|---|---|
| Di ples usay di pen kin apin | Bɔku tɛm, pen kin apin na di ɔp pat na di bak. | Di pen kin bigin na di ɔda pat na di bɔdi we de dɔŋ . |
| Di ifɛkt we ɛksesaiz kin du | No spɛshal ɛfɛkt nɔ de. | Pen ɛn stiffness kin go dɔŋ we yu de du ɛksɛsayz ɛn waka. |
| Bak pen | Pen kin apin na say dεm lεk di sכlda, εlbo, ni, εn il. | Pen kin apin na di rib, sholda, hip, ni, ɔ fut. |
| Ɔda spɛshal tin dɛn | Bɔn we de gro na di nɛk kin kɔmprɛs di nɛf dɛn, ɛn dis kin mek i nɔ izi fɔ swɛla ɔ di vɔys kin ala . | Dɛn kin sho di sayn dɛm wae kin afɛkt di wan ol bɔdi. Fɔ ɛgzampul: - We yu de lɔs yu wet - Fɔ taya pasmak - Sik dɛn na di skin (rash) . - Bɛlɛ de pen - Vishɔn chenj (rɛd, pen) . |
Aw dɔktɔ kin no difrɛns ɛn no bɔt dɛn tu sik ya?
Fɔ no bɔt dɛn tu tin ya kin tranga smɔl. If yu gɛt ɛni dawt bɔt aw yu gɛt di sik, natin nɔr bad fɔ go to ɔda dɔktɔ fɔ gɛt sɛkɔn opinion.
De dɔktɔ go aks yu fɔs bɔt yu sik ɛn mɛdikal histri. Dɔn i go du wan ɛgzam pan in bɔdi. Apat frɔm dat, i kin ɔda fɔ du dɛn tɛst ya.
Tɛst fɔ Blɔd
insay AS, we dεn de tεst di HLA-B27 jin kin bi positifu bכku tεm. tεst dεm we de mכsu inflameshn na di bכdi, lεk C-reactive protein (CRP) εn ESR, kin εlevεt bak. Bɔku tɛm, dɛn tin ya nɔ kin chenj na DISH.
Tɛst dɛn we dɛn kin yuz fɔ tek pikchɔ
dis tεst dεm de tek pikchכ dεm fכ di insay pat na di bכdi εn de luk fכ chenj dεm na di spayna εn di jכint dεm.
- X-ray: Luk fɔ chenj dɛn na di bon dɛn.
- MRI (Magnetic Resonance Imaging): Gɛt ditayla pikchɔ dɛn bɔt di spayna, di jɔyn dɛn, ɛn di kɔnektiv tisu dɛn.
- CT scan (Computed Tomography): Gɛt pikchɔ dɛn we gɛt bɔku tin dɛn.
Dɛn kin no difrɛns pan di tu sik dɛn bay wetin dɛn kin si pan dɛn tɛst ya.
- If yu gɛt AS: Inflameshɔn ɛn stiffness na di sacroiliac joyn dɛn ( sacroiliitis) .Yu kin si am. Sɔntɛnde, di spayna dɛn kin kɔnɛkt togɛda ɛn dɛn kin tan lɛk bambu. Dɛn kɔl dis bambu spayna .
- if yu gεt DISH: Yu kin si di kכnektiv tisu we de rכn along di fכnt pat pan di spayna de tik εn tכn to bon. Bɔt yu nɔ go si di kɔndishɔn fɔ Sacroiliitis. Dis na wan pan di men tin dɛn we de mek dɛn tu difrɛn.
Wetin na di tritmɛnt dɛm fɔ dis?
AS ɛn DISH ɔl tu nɔ go ebul fɔ wɛl ɔl. Bɔt if dɛn tek di rayt tritmɛnt, dɛn kin kɔntrol di sik dɛn ɛn liv nɔmal layf. Insay dɛn tu sik ya, di spayna kin kɔmprɛs, so di risk fɔ mek i brok kin bɔku ivin if i gɛt smɔl aksidɛnt. So, i rili impɔtant fɔ tek tɛm.
Di tritmɛnt dɛn we dɛn kin yuz fɔ ɔl tu:
- fyzikal tεrapi εn εksεsayz: Dis impɔtant fכ mek di mכsul dεm we de rawnd di spayna strכng εn fכ mek di jכint dεm fכ fleksibul.
- Di tin dɛn we de mek pɔsin fil pen: NSAID (Nonsteroidal anti-inflammatory drugs) lɛk ibuprofen ɛn naproxen de ridyus di pen ɛn swel.
- Stɛroyd injɛkshɔn: Stɛroyd injɛkshɔn dairekt insay di joyn dɛn we de pen kin gi sɔm kayn rilif fɔ shɔt tɛm.
- Ɔpreshɔn: Dis nɔto kɔmɔn tritmɛnt, bɔt if yu gɛt siriɔs sik dɛn we yu nɔ go ebul fɔ kɔntrol wit ɔda tritmɛnt, yu dɔktɔ go tɛl yu fɔ du ɔpreshɔn.
Spɛshal tritmɛnt dɛn fɔ AS:
Apat frɔm di tritmɛnt dɛm we wi bin dɔn tɔk bɔt fɔ AS, wan spɛshal klas de fɔ drɔgs we de ridyus inflamɛns bay we dɛn de chenj di wok we di imyun sistɛm de du. Dɛn kɔl dɛn tin ya DMARD (Disease-modifying antirheumatic drugs) . Sɔm ɛgzampul dɛn na:
- Intalyukin-17 (IL-17) inhibito dεm (εgz., sεkukinumab, ixekizumab) .
- JAK inhibito dεm (εgz., tofacitinib, upadacitinib) .
- TNF inhibito dεm (εgz., adalimumab, εtanεsεpt, infliximab) .
- Mɛtɔtreksɛt we dɛn kɔl
- Sɔlfasalazin we dɛn kɔl
Yu dɔktɔ go no uswan pan dɛn mɛrɛsin ya we go fayn fɔ yu.
Mɛsej we dɛn kin kɛr go na os
- DISH ɛn AS na tu kayn at at sik we kin afɛkt di spayna. Pan ɔl we de sayn dɛn kin fiba, di tin dɛn we kin mek i sik ɛn di tin dɛn we kin apin kin difrɛn.
- DISH kin apin mɔ pan man dɛn we dɔn pas 50 ia ɛn bɔku tɛm i nɔ kin gɛt ɛni sayn. AS kin bigin we i yɔŋ.
- di say we di pen de (DISH - oba di sכlda, AS - dכn di sכlda) εn di rεspכns to εksεsayz (pen de dכn na AS) de εp fכ difrεnt di tu.
- Yu dɔktɔ go mek di kɔrɛkt diagnosis bay yu mɛdikal istri, ɛgzam, blɔd tɛst, ɛn imej tɛst (espɛshali ɛkstrem rayt ɛn MRI).
- Pan ɔl we dɛn nɔ go ebul fɔ mɛn dɛn sik ya ɔltogɛda, tritmɛnt fɔ yu bɔdi, mɛrɛsin, ɛn fɔ chenj yu layf kin ɛp yu fɔ kɔntrol di sik dɛn we yu gɛt ɛn liv fayn layf. Ɔltɛm tɔk to yu dɔktɔ bɔt dis.
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