Yu gɛt ankylosing spondylitis (AS)? Sɔntɛnde, di pen na yu bak, yu hip, ɛn yu bɔdi kin bɔku wantɛm wantɛm, ɛn dis kin mek i nɔ izi fɔ grap na bed na mɔnin, ɛn i kin mek i nɔ izi fɔ du ɛnitin. Dɔktɔ dɛn kin kɔl dis ‘flare-up’, ɔr fɔ mek di sik wɔs. I tan lɛk faya we dɛn dɔn ɔt ɛn wantɛm wantɛm i bigin fɔ bɔn bak. Nɔto ɔlman kin gɛt dis pen di sem we. Bɔt na di wan dɛn nɔmɔ we dɔn ɛkspiriɛns am no aw i kin tranga.
Wetin kin rili apin di tɛm we ‘flare-up’ de?
Fɔ tɔk am simpul wan, ‘flare-up’ na tɛm we yu Ankylosing Spondylitis (AS) kin bi mɔ aktif fɔ sɔm tɛm. Insay dis tɛm, di sayn dɛm kin kam tranga pasmak. Pan ɔl we sɔm pipul dɛn kin gɛt dis prɔblɛm ɔlsay na dɛn bɔdi, ɔda wan dɛn kin gɛt mɔ pen na jɔs wan say, lɛk dɛn bak ɔ dɛn hip.
Lɛ wi si us sayn dɛm wae dɛn kin si dis tɛm.
| Di sayn we de sho se di sik de | Tɔk bɔt |
|---|---|
| I kin fil pen bad bad wan | Big pen, mɔ na di bak, hip, ɛn ɔda jɔyn dɛn. |
| Taya pasmak/taya pasmak | Taya pasmak ɛn slip ivin afta yu nɔ du natin. |
| I nɔ izi fɔ muv di bɔdi | difεlεns fכ bεnd εn tכn biכs fכ stiffness in di joyn dεm εn spayna. Dis sik kin tranga mɔ na mɔnin. |
| Di chenj dɛn we pɔsin kin gɛt na in maynd | Bɔku tɛm, yu kin fil bad, yu at kin pwɛl, ɛn sɔntɛnde yu kin fil bad . |
| Apat frɔm dat, ɔda sayn dɛm wae sɔm pipul dɛm kin gɛt na: | |
| Ɔda tin dɛn we de apin | Fɔ fil fiva, swet, jɔyn dɛn inflamɛns ɛn wam, ɛn mɔsul dɛn we de spam . |
Sɔntɛnde, bifo flare-up, mɔnin stiffness kin tranga pas aw i kin bi. I tan lɛk sayn we de wɔn pɔsin.
Wetin mek di sik de go bifo wantɛm wantɛm lɛk dis?
I at fɔ sho wan rizin fɔ dis. Bɔku tin dɛn kin de we kin apin.
- di inflamɛns we de go ɔp: Di men tin we kin mek i gɛt inflamɛns na di bɔdi we de inflamɛns wantɛm wantɛm, mɔ na di jɔyn dɛn na di spayna.
- Ɔda infɛkshɔn ɔ injury: Ɔda infekshɔn we de kam insay di bɔdi, ɔ ivin smɔl injuri, kin mek sɔm tɛm dɛn gɛt flare-up.
- Nɔ fɔ tek mɛrɛsin fayn: Dis na tin we rili impɔtant. If yu nɔ tek di mɛrɛsin we yu dɔktɔ gi yu di rayt tɛm, ɔ if yu mis di doz, chans de fɔ mek dis tin apin.
- Taya pasmak ɛn strɛs: Imajin se yu bin taya fɔ wan big pati na os, ɔ yu lɔs slip fɔ wan big wok we yu bin de du na di ɔfis. Sɔm sik pipul dɛn kin se dis sik kin kam bak bikɔs dɛn strɛs ɛn taya pasmak .
- We di wɛda kin chenj: Sɔm pipul dɛn kin fil se dɛn kin fil pen pasmak we di ples kol.
- Chenj pan tritmɛnt: Sɔntɛm de tritmɛnt wae yu de tek naw nɔr fit yu bɔdi fayn fayn wan. Dat kin mek bak di flare-up.
Bɔt sɔmtɛm, i kin dipen pan aw di sik tan, di prɔblɛm kin bɔku dis kayn we witout ɛni patikyula rizin.
Aw yu go gɛt kɔrej insay dis tranga tɛm?
E kin tranga pasmak wae flawa de kam, bɔt sɔm tin dɛn de we wi kin du fɔ manej am.
- Mɛrɛsin: Dɛn kin nid mɛrɛsin fɔ kɔntrol di pen.
- If yu dɔn ɔlrɛdi de tek NSAID (Nonsteroidal Anti-inflammatory Drugs) mɛrɛsin fɔ mek yu fil pen, yu dɔktɔ go advays yu fɔ mek yu ad di mɛrɛsin fɔ sɔm tɛm.
- If yu de tek wan patikyula kayn mɛrɛsin we dɛn kɔl biologic , yu dɔktɔ kin disayd fɔ chenj di doz fɔ da mɛrɛsin de ɔ chenj yu to ɔda mɛrɛsin. Nɔ ɛva chenj di doz fɔ di mɛrɛsin yusɛf.
- Rɛst ɛn slip: I rili impɔtant fɔ gi yu bɔdi inof rɛst. Gɛt gud slip na nɛt.
- Layt ɛksesaiz:Yu kin ridyus di jɔyn dɛn we de stif bay we yu de strɛch sloslo ɛn izi, pas fɔ du ɛksɛsayz tranga wan.
- Ɔt ɛn kol tritmɛnt: If yu put ɔt wata bɔtul ɔ ays pak na di say we yu de fil pen, dat kin mek yu fil fayn.
- Hot bath: If yu was hot, i kin mek yu mɔsul ɛn jɔyn dɛn rilaks ɛn i kin mek yu nɔ fil pen.
- Masaj: Masaj saful saful kin mek yu fil fri frɔm di pen we yu de fil na yu mɔsul.
Wetin wi go du fɔ mek wi nɔ gɛt flawa?
Pan ɔl we i nɔ pɔsibul fɔ stɔp di flawa dɛn kpatakpata, yu kin tray fɔ ridyus di frɛkuɛns.
Di tin we impɔtant pas ɔl na fɔ tɔk to yu dɔktɔ we de mɛn yu rεumatɔlɔji ɛn mek plan bifo tɛm fɔ wetin fɔ du if yu gɛt flawa. Aks am fɔ mek i klarify dɛn tin ya:
- A fɔ chenj di mɛrɛsin we a de tek we a gɛt flawa? If na so, wetin na di kɔrɛkt doz fɔ tek?
- Wetin na di maksimal doz we dɛn kin tek fɔ wan de?
- Aw lɔng ɛn aw ɔltɛm dɛn kin yuz dɛn mɛrɛsin ya?
Rayt dɛn instrɔkshɔn ya sɔmsay. Dɔn bak, tɛl yu dɔktɔ bɔt ɔl di mɛrɛsin dɛn we yu de tek (ivin di mɛrɛsin dɛn we yu de tek fɔ mek yu fil pen).
Ustɛm i bɛtɛ fɔ go to dɔktɔ?
Pan ɔl we nɔto ɔl pen kin nid fɔ go to dɔktɔ, sɔntɛnde i kin impɔtant fɔ go to dɔktɔ. Mek shɔ se yu tɔk to yu dɔktɔ if yu gɛt ɛni wan pan dɛn tin ya:
| Pozishɔn | Wetin fɔ du |
|---|---|
| If di pen nɔr dɔn afta lɛk 7 dez tritmɛnt akɔdin to yu plan. | Kɔl yu dɔktɔ wantɛm wantɛm ɛn aks fɔ advays. |
| If di flawa-ap de bכku bכku wan pas aw i kin bi (e.g., bak pen we yu nכ kin bia). | Kɔl yu dɔktɔ wantɛm wantɛm. |
| If flare-up kin apin mɔ ɔ i kin las fɔ lɔng tɛm pas aw i kin bi. | Tɛl yu dɔktɔ bɔt dis na yu nɛks mɛdikal apɔntinmɛnt. |
Mɛsej we dɛn kin kɛr go na os
- Flare-up na kɔmɔn tin fɔ Ankylosing Spondylitis (AS), ɛn di diskɔmfɔt we pɔsin kin gɛt kin difrɛn frɔm wan pɔsin to ɔda pɔsin.
- Tin dɛm lɛk fɔ tray pasmak, strɛs, ɛn fɔ mis di mɛrɛsin dɛm wae dɛn dɔn gi yu kin mek yu gɛt flare-up.
- Tɔk to yu dɔktɔ bɔt aw fɔ kɔntrol di flawa ɛn mek plan bifo tɛm.
- If di pen rili bad, nɔr de bɛtɛ insay sɔm dez, ɔr de flay de kam mɔr, nɔr shem fɔ go to dɔktɔ.
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