We yu grap na bed na mɔnin, yu bak kin fil stif ɛn fil pen? E kin fil lɛk se de pen kin stɔp afta yu dɔn waka smɔl ɔ du sɔntin we go ɛp yu? Bɔku pipul dɛn kin tink se dis na jɔs bak-ak ɔ sɔntin we kin kɔmɔt frɔm taya, bɔt sɔntɛnde i kin bi di biginin fɔ sɔntin we dip. Tide wi de tɔk bɔt dis kayn sik, dat na Ankylosing Spondylitis (AS). Nɔr wɔri, de tin wae impɔtant pas ɔl na fɔ no bɔt dis ɛn fɔ fɛn di rayt tritmɛnt.
Wetin rili na Ankylosing Spondylitis (AS)?
Fɔ tɔk am simpul wan, Ankylosing Spondylitis (AS) na wan kayn at at sik. insay dis, di imyun sistεm na wi bכdi de atak di joyn dεm na wi spayna. dis kin mek di joyn dεm na di spayna inflameshn . dis kin stat bכku tεm na di lכs pat na di spayna, dat na di jכint dεm we de kכnekt to di hip bon dεm (sacroiliac joyn dεm).
Fɔs, dis pen kin bigin na wan say, ɛn afta sɔm wik ɔ mɔnt, i kin pas na ɔl tu di say dɛn. Sɔntɛnde, dis pen kin rich di bɔdi bak. Dis pen nɔ tan lɛk nɔmal bak-ak, nɔ kin stɔp we yu rɛst, bɔt di tin we difrɛn pas ɔl na dat i kin fil fayn smɔl we yu de du ɛksɛsayz ɛn we yu de waka .
As tɛm de go, dis inflamɛns kin mek yu fil taya ɔltɛm. Dis na bikɔs di bɔdi de yuz bɔku ɛnaji fɔ fɛt dis inflamɛns.
Wetin wi fɔ du we wi bigin?
If yu gɛt dɛn sik ya, di fɔs tin we yu fɔ du na fɔ go to dɔktɔ we de mɛn yu bɔdi, we na dɔktɔ we spɛshal pan jɔyn sik dɛn. I go gi yu tritmɛnt plan we go fayn fɔ yu.
- Di tin dɛn we de mek pɔsin fil pen: Fɔ kɔntrol di pen ɛn inflamɛns we i bigin, yu dɔktɔ kin gi yu NSAID (Nonsteroidal anti-inflammatory drugs) , lɛk ibuprofen ɔ naproxen.
- Ɛksesaiz: Ɛksesaiz tan lɛk mɛrɛsin fɔ pɔsin we gɛt AS. Na pat pan di tritmɛnt plan. We yu de du ɛksɛsayz, .
- I de kɔntrol di sik fɔ mek i nɔ wɔs.
- I de ridyus di pen ɛn stiffness.
- I de ɛp fɔ mek di bɔdi ebul fɔ chenj chenj.
- Tɔk to yu fizik thɛrapist fɔ mek yu gɛt sef ɛksɛsayz we go fayn fɔ yu.
- Di it: I rili impɔtant fɔ adopt wan anti-inflammatory diet. Put grɛn lif vɛjitebul, kɔlɔful vɛjitebul (e.g., spinach, tomato), brɔkoli, ɛn kabij insay yu it. Nɔ it tin dɛn we dɛn dɔn prosɛs we gɛt bɔku shuga, wayt flawa, ɔyl we nɔ fayn fɔ wɛlbɔdi, ɛn atifishal tin dɛn.
- Fɔ avɔyd fɔ smok:If yu na pɔsin we de smok, lɛf fɔ smok kwik kwik wan. Smok kin mek dis sik wɔs. If nid de, tɔk to yu dɔktɔ fɔ ɛp yu.
Aw de sik kin go bifo as tɛm de go (Progression) .
AS kin go sloslo frכm di lכw spayna to di nεk. Skan lεk MRI kin sho aw bכku damej dεn dכn du to di spayna. I nɔ kin izi fɔ no dɛn chenj ya insay di fɔs sɔm ia, bɔt as tɛm de go, dɛn kin no mɔ bɔt dɛn.
as di inflameshn de go כp, i kin afekt nכto di spayna nכmכ bכt כda pat dεm na di bכdi, spεshal wan di εria dεm we di tεndon dεm εn ligament dεm de kכnekt to di bon dεm (εntesis).
| Ɔda ples dɛn we kin afɛkt | Tɔk bɔt |
|---|---|
| Rib dɛn | Chɛst pen ɔ i kin at fɔ blo. |
| Sholda dɛn | Pen ɛn limiteshɔn fɔ muvmɛnt na di sɔldɔm jɔyn dɛm. |
| Hip jɔyn dɛn | Pen we yu de waka ɛn bɛn. |
| Il dɛn | Pen na di tεndon we de kכnekt di il to di fut in sכl. |
Ɔda mɛrɛsin dɛn we gɛt fɔ du wit am
- Ay inflameshn: Na lɛk wan pat pan tri pan di wan dɛn we gɛt AS go gɛt ay inflamɛns (uveitis ɔ iritis) sɔm tɛm na dɛn layf. Di sayn dɛm na di yay we de pen, we de rɛd, we yu de kray, we yu nɔ de si fayn, ɛn we yu nɔ de si layt. If yu gɛt ɛni wan pan dɛn sik ya, go to dɔktɔ fɔ yu yay wantɛm wantɛm. If dɛn nɔ trit am, i kin mek i nɔ ebul fɔ si fayn igen.
- dijestiv trakt inflameshn: Na lɛk 70% pan di AS pasɛnt dɛn kin gɛt dijestiv trakt inflameshɔn, bɔt bɔku pan dɛn nɔ kin sho di sayn dɛn. Na lɛk 10% kin gɛt IBD (Inflammatory Bowel Disease)., we min se kɔndishɔn lɛk Crohn’s disease ɔ Ulcerative Colitis kin apin.
- Skin sik: Na lɛk 10% pan pipul dɛm kin gɛt psoriasis bak.
Tritmɛnt as di sik de go bifo
If di NSAID dɛn we dɛn kin gi ɔltɛm nɔ kin mek yu fil fayn, yu dɔktɔ kin gi yu wan kayn mɛrɛsin we strɔng pas am we dɛn kɔl biologics . Dɛn tin ya kin wok fayn bikɔs dɛn kin tɔch di tin dɛn we de na wi imyun sistɛm we kin mek wi gɛt inflamɛns dairekt wan.
TNF inhibito drɔgs (e.g., Adalimumab (Humira), Etanercept (Enbrel), Infliximab (Remicade)) kin gi fɔs. If dɛn tin ya nɔ wok, dɛn kin yuz IL-17 inhibito drɔgs (e.g., Secukinumab (Cosentyx)). Dis tɛm ya, yu kin nid bak fɔ ɛp yu frɔm ay, gastroenterology, ɔ dermatology spɛshal pipul dɛm.
Advans stej fɔ di sik
We di sik rili bad, di dɔktɔ go tɛl yu se yu gɛt "spinal fusion." dis min se nyu bon de gro bitwin di vεrbra dεm na di spayna εn i de fכs dεm togeda. Dɛn kɔl dis spɛshal fushɔn .
we di spayna bigin fכ fכs tכgeda dis we, di spayna de lכs bכku pan in fleksibiliti. Pan ɔl we dis kin apin smɔl smɔl, sɔntɛnde di wan ol spayna kin tan lɛk wan stik.
dis fכs de mek di risk fכ spεnal frakshכn go כp. I kin mek bak di spayna bɛn fɔ go bifo ɛn bigin fɔ tinap . Fyzikal tritmɛnt kin ɛp fɔ kɔntrol dis sik.
pan tap dat, dis kin afekt di joyn dεm bitwin di rib dεm εn di spayna, εn di ples dεm we di rib dεm kכnεkt to di brεstbon. Dɔn i kin at fɔ ivin tek dip briz. If na so i bi, yu kin lan we fɔ mek i izi fɔ blo frɔm dɔktɔ we de mɛn yu we de blo.
Na sכm tεm we di nεv dεm we de na di bכs pat pan di spayna kin pwεl kin mek wan sik we dεn kכl cauda equina syndrome . I kin mek yu nɔ ebul fɔ kɔntrol yu blad ɛn yu bɔdi, yu nɔ kin ebul fɔ du mami ɛn dadi biznɛs, ɛn yu leg kin pen ɛn wik.
Bɔt mɛmba se dɛn siriɔs tin ya nɔ kin apin so ɔltɛm. If yu tek di mɛrɛsin dɛn we yu dɔktɔ tɛl yu fɔ du ɛn fala wetin i tɛl yu fɔ du, i nɔ kin at fɔ avɔyd dɛn kayn siriɔs sik dɛn de. I impɔtant fɔ go to dɔktɔ fɔ chɛk-ap ivin we yu nɔ gɛt ɛni sayn.
Ustɛm fɔ go to dɔktɔ
If yu gɛt ɛni nyu sik ɔ if yu sik de wɔs, tɔk to yu dɔktɔ wantɛm wantɛm. Nɔ delay, mɔ if pɔrsin wae gɛt AS gɛt ɛni wan pan dɛn sik ya:
| Go to dɔktɔ wantɛm wantɛm! | |
|---|---|
| Di sayn we de sho se di sik de | Tɔk bɔt |
| I nɔ kin izi fɔ yu fɔ blo | If yu fil se yu chɛst tayt ɔ yu nɔ izi fɔ blo. |
| Prɔblɛm dɛn we pɔsin kin gɛt we i de si | Ay rɛd, pen, blurred vishɔn. |
| Chɛst de pen | I impɔtant fɔ mek shɔ se nɔto at atak. |
| Sivɛri bak ɔ jɔyn pen | Wan pen we wɔs pas yu nɔmal pen. |
| We yu de lɔs yu wet we yu nɔ gɛt rizin | I kin bi sayn fɔ ɔda mɛrɛsin sik. |
| Di bak stiffness we de go ɔp | If klia wan de dכn pan bak muvmεnt. |
Mɛsej we dɛn kin kɛr go na os
- Ankylosing Spondylitis (AS) nɔto jɔs bak pen, na wan kayn at at sik we de afɛkt di spayna.
- I rili impɔtant fɔ no di sik kwik kwik wan ɛn go to spɛshal dɔktɔ.
- Ɛksesaiz na impɔtant tritmɛnt fɔ dis sik. Nɔ ɛva skip am.
- Tek di mɛrɛsin we yu dɔktɔ tɛl yu fɔ tek lɛk aw dɛn tɛl yu fɔ tek am ɛn fɔ di tɛm we dɛn tɛl yu fɔ tek. Nɔ stɔp fɔ tek di mɛrɛsin jɔs bikɔs yu sik dɔn stɔp.
- Nɔ smok kpatakpata. Adopt di it we gɛt wɛlbɔdi.
- If yu gɛt nyu sayn dɛn lɛk yu yay pen, yu nɔ de si fayn, ɔ yu nɔ ebul fɔ blo fayn, tɛl yu dɔktɔ wantɛm wantɛm.
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