If yu gɛt Ankylosing Spondylitis, ɔ AS fɔ shɔt, yu kin dɔn gɛt sɔdɛn inkris pan bak ɛn hip pen ɛn stiffness. I kin tan lɛk se di sik dɔn wɔs wantɛm wantɛm. We wi de tɔk bɔt mɛrɛsin, wi kin kɔl dis ‘flare-up’, ɔ flare-up. I kin rili mek yu at pwɛl ɛn i kin mek yu at pwɛl. Bɔt nɔto yu wan, bɔku pipul dɛn we gɛt AS kin ɛkspiriɛns dis.
Wetin na AS ‘flare-up’? Aw yu de fil?
Infakt, ivin dɔktɔ dɛn nɔ gɛt difinitiv, buk-layk difinishɔn fɔ wetin na flawa-ap. Bɔt if yu de gɛt dis sik, yu no aw i kin fil. Di we aw yu de fil kin difrɛn frɔm di we aw ɔda pɔsin de fil. Fɔ sɔm, i kin afɛkt dɛn wan ol bɔdi, bɔt fɔ ɔda wan dɛn, i kin afɛkt wan patikyula say nɔmɔ, lɛk dɛn bak ɔ dɛn hip.
Imajin, sɔm dez yu nɔ kin ivin ebul fɔ grap na bed na mɔnin, yu wan ol bɔdi kin fil so stif, ɛn yu bak kin fil bad sote yu nɔ kin ivin ebul fɔ stret am. Pan ɔl we di de de go, da taya ɛn stiffnɛs de nɔ de stɔp. Dat na di men kwaliti fɔ ‘flare-up’.
Lɛ wi tek wan luk pan de sik wae kin kam pan pɔrsin dis tɛm.
| Di sayn we de sho se di sik de | Aw i kin fil |
|---|---|
| I kin fil pen bad bad wan | Pen we kin wɔs pas aw i kin fil, mɔ na di bak, hip, nɛk, ɛn ɔda jɔyn dɛn. |
| Taya | Fɔ fil se yu nɔ gɛt layf ilɛksɛf yu rɛst ɔ slip. Fɔ fil se yu de slip ɔl di de. |
| Di stiffness we pɔsin kin gɛt | I nɔ izi fɔ muv yu bɔdi, mɔ we yu wek na mɔnin ɛn afta yu dɔn de na di sem pozishɔn fɔ sɔm tɛm. Dis kin las ɔl di de. |
| Di chenj dɛn we pɔsin kin gɛt na in maynd | De pen ɛn diskɔmfɔt wae de kɔntinyu kin mek yu nɔr intres pan ɛnitin, yu kin vɛks, ɛn sɔmtɛm yu kin gɛt pwɛl hat. |
| Ɔda tin dɛn we de apin | Sɔm pipul dɛn kin gɛt fiva, kol, swet, bɔn na dɛn jɔyn, ɛn mɔsul dɛn kin spam. |
Wetin mek di sik de bɔku wantɛm wantɛm lɛk dis?
I at fɔ no wan wan kɔz fɔ dis, bɔt di men tin na dat di inflamɛns de go ɔp insay di bɔdi. dis inflameshn de inkrεs εn di simptom dεm de wכs bikoz fכ sכm chenj dεm na di fכnshכn fכ wi imyun sistεm.
Apat frɔm dat, bɔku ɔda rizin dɛn kin afɛkt dis:
- Ɔda mɛrɛsin kɔndishɔn dɛn: If yu gɛt ɔda mɛrɛsin apat frɔm AS, i kin mek yu gɛt flawa bak.
- Infεkshכn: Ivin sכm kol, fiva, כ urinary tract infεkshכn kin mek di bכdi inflameshn bכku εn i kin mek AS wɔs.
- Injury: Ivin smɔl injuri na in bak, hip, ɔ ɔda jɔyn kin mek i flare-up.
- Skip fɔ tek mɛrɛsin: Dis rili impɔtant. If yu nɔ tek di mɛrɛsin we yu dɔktɔ dɔn gi yu di rayt tɛm, ɔ if yu mis di doz, chans de fɔ mek di sik nɔ ebul fɔ kɔntrol am ɛn i go wɔs.
- Stress ɛn Ɔva Wok: Bɔku pipul dɛn kin se dis prɔblɛm kin bɔku we yu gɛt bɔku strɛs ɛn yu de du am pasmak. Imajin se yu gɛt big wok na os, ɔ yu tu bizi na wokples, tin dɛn lɛk dis kin bi kɔz bak.
- We di wɛda kin chenj: I kin tan lɛk se i strenj, bɔt fɔ sɔm pipul dɛn, di sik kin wɔs we di wɛda kol ɛn wet.
Sɔmtɛm, fɔ nɔr rizin, di sik aktiviti kin jɔs inkrisayz ɛn mek ‘flare-up’.
Aw fɔ kɔntrol di flawa-ap dɛn?
I at fɔ bia wit flare-up, bɔt sɔm tin dɛn de we wi kin du fɔ manej am.
Di tin we impɔtant pas ɔl na fɔ fala wetin yu dɔktɔ tɛl yu fɔ du. I go fayn fɔ tɔk to yu dɔktɔ bifo tɛm ɛn mek plan fɔ wetin fɔ du if yu gɛt flawa.
Na di tin dɛn we yu kin du ɔltɛm na di tɛm lɛk dis:
Yuz drɔgs
If yu dɔktɔ dɔn gi yu pen kil, i.e. NSAID mɛrɛsin (e.g. Ibuprofen, Diclofenac), dɛn kin aks yu fɔ inkrisayz di doz smɔl wan wan tɛm lɛk dis. Bɔt mɛmba se, nɔ chenj di doz fɔ di mɛrɛsin bay yu yon sɛns. Yu fɔ rili du am afta yu dɔn go to yu dɔktɔ.
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.
Di we dɛn we nɔto fɔ tek drɔgs
Apat frɔm mɛrɛsin, dɛn tin ya go ɛp yu bak.
- Slip ɛn rɛst fayn: Gi yu bɔdi rɛst as yu ebul. We yu slip fayn, dat kin ɛp fɔ mek yu nɔ gɛt inflamɛns.
- Fɔ ɛksesaiz saful saful: I nɔ fayn fɔ jɔs sidɔm de bikɔs yu bɔdi stif. Sɔm ɛksesaiz dɛn we yu kin du fɔ strɛch saful wan we yu sidɔm na bed kin rili ɛp dis tɛm. I de mek di bɔdi nɔ stif ɛn mek i izi fɔ mek di jɔyn dɛn muv.
- Fɔ yuz ɔt ɛn kol: If yu put ɔt wata bɔtul na di say we yu de fil pen, dat kin ɛp fɔ rilaks di mɔsul dɛn ɛn ridyus di pen. Sɔm pipul dɛn kin gɛt fridɔm bak we dɛn kin put ays pak. Si wetin go wok fayn fɔ yu.
- Fɔ was wit ɔt wata: If yu was wit ɔt wata, dat kin mek yu nɔ stif ɛn nɔ fil pen bad bad wan.
- Masaj: If yu masaj am saful saful, i kin mek yu mɔsul dɛn rilaks ɛn i kin mek yu nɔ fil pen.
Ustɛm yu rili nid fɔ go to di dɔktɔ?
Pan ɔl we dɛn kin ebul fɔ kɔntrol wan flawa na os, sɔm kes dɛn de we yu kin rili nid fɔ gi dɔktɔ advays.
If yu pen dɔn wɔs afta lɛk 7 dez, ɛn yu nɔr dɔn fil fayn wit mɛrɛsin na os ɛn mɛrɛsin ɔltɛm, yu fɔ mɔs go to yu dɔktɔ bak.
Dɔn bak, no bɔt dɛn tin ya:
- If de pen wɔs pas aw yu kin fil: If de pen wae yu gɛt dis tɛm pas aw yu kin fil, fɔ ɛgzampul, if yu gɛt bak pen we yu nɔ go ebul fɔ bia, go to dɔktɔ wantɛm wantɛm.
- If yu de gɛt mɔ flawa: If yu de gɛt mɔ flawa lɛk dis, ɔ if yu flawa de tek lɔng tɛm fɔ wɛl, tɔk to yu dɔktɔ bɔt am. E kin bi sayn fɔ sho se na tɛm fɔ chenj yu tritmɛnt.
If yu kip yu dayari fɔ yu sayn dɛm ɛn wae dɛn de wɔs, dat go ɛp yu dɔktɔ fɔ ɔndastand yu sik kɔrɛkt wan.
Mɛsej we dɛn kin kɛr go na os
- I kɔmɔn fɔ gɛt flawa-ap, ɔ flare-ap, fɔ Ankylosing Spondylitis (AS). Nɔ wɔri, nɔto yu wan de.
- Stret, wok pasmak, infekshɔn, ɛn skip fɔ tek mɛrɛsin kin bi di men rizin fɔ dis sik kin wɔs. Tek tɛm as yu ebul fɔ du dɛn tin ya.
- Tek di mɛrɛsin we yu dɔktɔ gi yu di rayt we ɛn di rayt tɛm. Nɔ ɛva chenj di doz bay yu yon sɛns.
- Tɔk to yu dɔktɔ (rheumatologist) bifo tɛm ɛn mek plan fɔ wetin fɔ du if yu gɛt flare-up.
- If di pen bad bad wan, nɔr de stɔp insay sɔm dez, ɔr if yu gɛt flare-up ɔltɛm, mek shɔ se yu go to dɔktɔ.
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