Yu gɛt pen na yu bak ɔ yu hip? (Ankylosing Spɔndylitis) we gɛt di sik.

Sɔntɛnde yu kin fil wan strenj pen ɔ stif na yu bɔdi we de dɔŋ, yu hip, ɛn yu bɔdi (dat na, ɔp yu bɔdi)? Ɛspɛshali we yu wek na mɔnin. Dis nɔ kin jɔs bi simpul bak-ak. Tide wi go tɔk bɔt wan kayn at at sik wae kin teik lɔng tɛm wae dɛn kɔl Ankylosing Spondylitis wae de sho dɛn kayn sik ya. Nɔ wɔri, wi go tɔk bɔt dis simpul wan.

Wetin na dis (Ankylosing Spondylitis)?

Fɔ tɔk am simpul wan, Ankylosing Spondylitis na wan kayn at at sik we kin afɛkt di jɔyn dɛn na yu spayna . Sɔntɛnde, dɔktɔ dɛn kin kɔl am bak Axial Spondyloarthritis. i kin mεntal afekt di lכw pat pan yu spayna, di jכint dεm usay yu hip bon dεm (pεlvis) de mit. Wi kin kɔl dɛn jɔyn ya (Sacroiliac joints) .

Tink bɔt am, di sakroiliak jɔyn dɛn na di say we di triangul bon we de na di ɛnd pan yu spayna (sakrum) ɛn di tap ɛn bak pan yu hip bon (ilium) de mit. Dɛn tin ya tan lɛk di tu men brij dɛn we de kɔnɛkt yu spayna ɛn yu hip eria. Infakt, dɛn jɔyn ya na sɔm pan di big big jɔyn dɛn na yu bɔdi. Dɛn kin yuz dɛn jɔyn ya ɛvri tɛm we yu de muv, ɛvri tɛm we yu de muv yu hip dɛn bak ɛn go bifo. So aw yu kin fil we yu gɛt prɔblɛm wit dɛn?

Dɔn bak, fɔ sɔm pipul dɛn, pan ɔl we nɔto ɔlman, Ankylosing Spondylitis kin afɛkt ɔda jɔyn dɛn bak. Fɔ ɛgzampul:

• Yu sholda dɛn
• Wesbon dɛn
• Ni dɛn

Dis sik kin mek yu fil pen, yu kin stif, ɛn sɔntɛnde yu kin gɛt sɔm kayn sik dɛn na yu bɛlɛ . If yu gɛt pen na yu bak, mɔ if i de wɔs ɛn i de mek i nɔ izi fɔ du tin dɛn we yu de du ɛvride, i impɔtant fɔ go to dɔktɔ fɔ advays.

Wetin na di sayn dɛm fɔ Ankylosing Spondylitis?

De sayn dɛm kin difrɛn frɔm wan pɔrsin to ɔda pɔrsin. Bɔt di tin we kin apin mɔs na we yu de fil pen na yu bak . dis kin kכz fכ inflameshn כ Sacroiliitis na di sacroiliac joyn dεm.

Dis pen kin pas sɔmtɛm to ɔda say dɛm, fɔ ɛgzampul:

• Pen na di hip jɔyn dɛn
• Pen na di bɔdi
• Nek de pen
• Sɔm pipul dɛn kin gɛt bɛlɛ pen bak.

Apat frɔm dat, sɔm ɔda sayn dɛn kin de:

• Stif ɔ nɔ ebul fɔ muv di hip jɔyn dɛn ɛn di lɔwa bak fayn fayn wan . Dis kin notis mɔ we yu fɔs grap na mɔnin, ɔ afta yu dɔn tinap fɔ lɔng tɛm na di sem pozishɔn.
• Fɔ fil taya ɔltɛm (Fatigue) . I tan lɛk se di bɔdi nɔ gɛt layf.
• Sɔm pipul dɛn kin gɛt prɔblɛm fɔ blo (dyspnea) .
• I nɔ kin want fɔ it ɔ i nɔ kin gɛt bɔku bɔku bɔdi fɔ no rizin .
• Sɔm pipul dɛn kin gɛt dayarɛa .
• Skin rash we de kɔmɔt na di skin .
• Prɔblɛm fɔ si tin kin apin bak.

Wetin mek dis (Ankylosing Spondylitis) kin apin?

Ankylosing Spondylitis na wan sik we pɔsin kin gɛt we i de fɛt insɛf . Fɔ tɔk am simpul wan, wi bɔdi gɛt wan ami we de fɛt ɛnimi dɛn, we dɛn kɔl di imyun sistɛm. Dis na fɔ protɛkt wi frɔm sik dɛn. Bɔt insay dis sik we wi kin gɛt we i de fɛt, wi yon ami kin mistek atak wi yon gud sɛl dɛn. I tan lɛk se wi de atak wi yon os.

Dɛn nɔ no yet di rayt tin we kin mek pɔsin gɛt Ankylosing Spondylitis. Bɔt risach dɔn sho se sɔm patikyula jɛnɛtik muteshon dɛn gɛt strɔng link to dis sik. dis jεnεtik mכtεshכn dεm na sכm sכm chenj dεm we de apin na wi DNA we wi sεl dεm de sheb, we min se nyu sεl dεm de fכm.

I pas 60 jin dɛm we dɔn chenj we dɛn tink se gɛt fɔ du wit dis sik. Wan men ɛgzampul na di HLA-B27 jin . dεn fכnshכn se mכr dan 90% pan di wayt pipul dεm we gεt Ankylosing Spondylitis gεt dis mכtayt HLA-B27 jin.

Udat dɛn kin gɛt dis sik?

Ɛnibɔdi kin gɛt dis sik, bɔt sɔm grup dɛn kin gɛt dis sik mɔ.

• Pipul wae nɔr rich 40 ia : Mɔr pas 80% pan pipul dɛm wae gɛt Ankylosing Spondylitis kin no se dɛn gɛt dis sik we dɛn ol 30 ia.
• Man dɛn kin gɛt dis sik mɔ.
• If pɔsin na yu famili, mɔ yu mama ɛn papa, gɛt Ankylosing Spondylitis, yusɛf de pan denja fɔ gɛt am.

Dɔn bak, pipul dɛm wae gɛt sɔm ɔda sik kin gɛt Ankylosing Spondylitis. Fɔ ɛgzampul:

• (Crohn’s disease) (wan inflammatory kondishɔn na di dijestiv trakt) .
• Ulcerative colitis (wan inflammatory kondishכn na di big intestin) .
• (Psoriasis) (di sik we de na di skin) .

Wetin na di prɔblɛm dɛn we kin apin we pɔsin gɛt Ankylosing Spondylitis?

Pipul wae gɛt Ankylosing Spondylitis kin gɛt bɔrku risk fɔ gɛt spɛshal fraktrɔs bikɔs di bon dɛm na di spayna kin wik as tɛm de go.

Ɔda prɔblɛm dɛn kin apin bak:

• Fused vertebrae : dis de mek i at fכ bεnd כ tכn di spayna, εn i de mek i nכ pכsibul fכ kip di spayna stret.
• (Kyphosis) : Dis min se di spayna de bɛn fɔ go bifo, we de mek i tan lɛk se pɔsin de hunch ova.
• Ɔstioporosis : Di bon dɛn kin brok ɛn i kin izi fɔ brok.
• di prɔblɛm wit di yay ɛn di we aw yu de si : Fɔ ɛgzampul , uveitis (inflameshɔn na di insay layt na di yay) ɔ layt sɛnsitiviti kin apin.
• At sik : (Aortitis) .di kכndishכn dεm lεk (inflamεshכn fכ di big at dεm), (Aritmia) (di at bit we nכ de bit rεgulεr) εn (Cardiomyopathy) (we di at mכsul wik).
• Nɛv dɛn we dɔn pwɛl .

Dɛn kɔmplikeshɔn ya nɔ kin apin to ɔlman, bɔt di risk fɔ mek dɛn apin kin bɔku if dɛn nɔ kɔntrol di sik fayn fayn wan.

Aw dɔktɔ dɛn kin no se yu gɛt Ankylosing Spondylitis?

Dɔktɔ go fɔs no dis sik bay we i du in bɔdi ɛgzam . Dɛn go chɛk yu bɔdi ɛn tɔk to yu bɔt yu sik dɛn. E fayn fɔ tɛl yu dɔktɔ bɔt ustɛm yu fɔs bigin fɔ gɛt pen ɔr ɔda sayn dɛm, us tɛm pan de yu kin fil dɛn mɔr, ɛn if dɛn kin wɔs wit ɛnitin we yu de du.

Yu kin nid bak fɔ go to dɔktɔ we de mɛn yu bɔdi, dɔktɔ we sabi bɔt at at ɛn ɔda kayn sik dɛn we tan lɛk dis .

Us tɛst dɛn kin yuz fɔ no if pɔsin gɛt Ankylosing Spondylitis?

Nɔr wan tɛst nɔr de fɔ no if dis sik de. Di dɔktɔ go jɔs kam fɔ no wetin i dɔn du afta i dɔn du bɔku tɛst dɛn.

• X-ray dεm fכ di sacroiliac joyn dεm εn spayna : dεn ya de chεk fכ sayn dεm fכ at at.
• (Magnetic Resonance Imaging - MRI) : Dis kin si mɔ ditil pas ɛkstrem rayt. I kin ivin si chenj dɛn we nɔ klia na di jɔyn dɛn.
• Blɔd tɛst : Yu kin du blɔd tɛst fɔ si if yu gɛt di mutated gene we wi bin dɔn tɔk bɔt (HLA-B27). Bɔt nɔto ɔlman we gɛt dis jin go gɛt Ankylosing Spondylitis, ɛn ivin di wan dɛn we nɔ gɛt dis jin kin gɛt am. So dis na jɔs wan tin.

Aw dɛn kin trit Ankylosing Spondylitis?

Yu dɔktɔ go tɛl yu bɔt tritmɛnt wae go ɛp fɔ kɔntrol yu sik ɛn fɔ ridyus di impak wae de sik kin gɛt pan yu ɛvride layf.

Di tritmɛnt dɛm wae dɛn kin yuse fɔ Ankylosing Spondylitis na:

• Ɛksesaiz : If yu de du yu bɔdi ɔltɛm, dat kin ɛp fɔ mek yu jɔyn dɛn nɔ stif ɛn stɔp di sik fɔ mek i nɔ wɔs. Fɔ bɔrku pipul dɛm, de pen kin wɔs wae dɛn nɔr de du natin. Wan dɔktɔ we de mɛn yu bɔdi kin tɛl yu fɔ du sɔm patikyula tin dɛn fɔ strɛch ɛn ɛksesaiz we go mek di mɔsul dɛn we de sɔpɔt yu bak ɛn yu spayna strɔng.
• Nonsteroidal anti-inflammatory drugs (NSAIDs) : Di mɛrɛsin dɛn we dɛn kin bay na kɔt lɛk ibuprofen ɛn naproxen kin ɛp fɔ ridyus pen ɛn inflamɛns. Bɔt i bɛtɛ fɔ mek yu tɔk to dɔktɔ bifo yu tek dɛn mɛrɛsin ya fɔ pas 10 dez.
• Biologic disease-modifying anti-rheumatic drugs (DMARDs) : Dɛn mɛrɛsin ya na prɛskrishɔn mɛrɛsin dɛn we de ridyus inflamɛns ɛn pen. Dɛn kin stɔp bak fɔ mek di sik (Ankylosing Spondylitis) nɔ wɔs.
• (Kɔtikosterɔyd) .: Dɛn mɛrɛsin ya na anti-inflammatory mɛrɛsin bak we dɔktɔ kin gi. Sɔntɛnde, dɛn kin gi kɔtizɔn shot dairekt to di jɔyn dɛn we afɛkt.
• Ɔpreshɔn : Ɔpreshɔn nɔ kin rili nid fɔ gɛt ankylosing spondylitis. Bɔku tɛm, dɔktɔ dɛn kin se dɛn fɔ du ɔpreshɔn pan pipul dɛn nɔmɔ we gɛt siriɔs sik ɛn we nɔ bin dɔn du ɔda tritmɛnt.

Aw kwik a go fil fayn?

We yu dɔn bigin fɔ trit yu, smɔl smɔl yu go bigin fɔ fil fayn. Sɔntɛm yu sik nɔr go dɔn ɔl, bɔt as yu de fɛn tritmɛnt wae de woke fɔ yu, yu sik go shɔt ɛn yu layf go izi. Ɛksesaiz ɛn fyzikal tritmɛnt na tin dɛn we kin tek tɛm fɔ wok. Dɔn bak, di tɛm we ɛni mɛrɛsin kin tek fɔ wok kin difrɛn. So aks yu dɔktɔ bɔt aw lɔng yu go ebul fɔ ɛkspɛkt fɔ si se yu go bɛtɛ.

Wetin pɔsin we gɛt Ankylosing Spondylitis fɔ ɛkspɛkt?

Ankylosing Spondylitis na wan sik we nɔ de mɛn ɛn we kin de fɔ lɔng tɛm . Yu kin gɛt fɔ kɔntrol yu sik dɛn fɔ lɔng tɛm, sɔntɛm yu wan ol layf. Sɔm pipul kin gɛt sɔm kayn tɛm wae dɛn nɔr kin gɛt bɛtɛ sik ɔr nɔr kin gɛt bɛtɛ sayn (remissions). Bɔt ivin if yu nɔ gɛt ɛni sik fɔ sɔm tɛm, dɛn kin stil kam bak.

Di impɔtant tin na dat, no mɛrɛsin nɔ de fɔ Ankylosing Spondylitis ɔ ɛni ɔda kayn at at sik . Bɔt dat nɔ min se yu fɔ liv wit pen.

Tɔk to yu dɔktɔ opin wan bɔt aw yu de fil, aw yu sik de afɛkt yu ɛvride woke, ɛn aw yu de du de tin wae yu lɛk.

Aw a fɔ kia fɔ misɛf?

Apat frɔm we yu fala yu Ankylosing Spondylitis tritmɛnt rijim, sɔm tin dɛn de we yu kin du yusɛf fɔ ridyus inflamɛns na yu bɔdi ɛn ridyus prɛshɔn pan yu jɔyn dɛn:

• Fɔ fala wan fayn it ɛn ɛksɛsayz plan we go fayn fɔ yu.
• Limit fɔ drink rɔm.
• If yu de smok, stɔp. Dis kin mek di inflamɛns bɔku.

Ustɛm a fɔ go to mi dɔktɔ?

Si dɔktɔ if yu gɛt nyu sik ɔ if yu sik de wɔs. Tɛl yu dɔktɔ bak if i tan lɛk se yu tritmɛnt nɔ de kɔntrol yu sik dɛn lɛk aw i bin de kɔntrol.

If yu gɛt ɛni wan pan dɛn sayn ya, go to dɔktɔ wantɛm wantɛm:

• Chɛst de pen
• I nɔ kin izi fɔ yu fɔ blo
• Prɔblɛm dɛn we pɔsin kin gɛt we i de si
• Bak pen bad bad wan ɔ ɔda jɔyn pen
• If yu spayna fil stiff we nɔ kɔmɔn ɛn nɔ ebul fɔ bɛn
• If yu de lɔs yu wet fɔ no rizin

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

Sɔm kwɛstyɔn dɛn we yu kin aks yu dɔktɔ:

• A gɛt Ankylosing Spondylitis ɔ ɔda kayn at at sik?
• A go nid fɔ du tɛst fɔ no if a gɛt jɛnɛtiks?
• Us tritmɛnt dɛn go ɛp fɔ kɔntrol mi sik dɛn?
• A go nid fɔ gɛt fizik tritmɛnt?

Fɔ dɔn, tin dɛn we wi fɔ mɛmba

Fɔ liv wit ɛni kayn at at sik kin tranga. If yu gɛt Ankylosing Spondylitis, i kin bi rial pen na yu bɔdi. De pen, stiffness, ɛn ɔda sayn dɛm kin tek yu ɛvride layf. Bɔt di gud nyus na dat, Ankylosing Spondylitis na wan sik we pɔsin kin ebul fɔ kɔntrol.

Yu dɔktɔ kin ɛp yu fɔ fɛn tritmɛnt dɛm wae kin ɛp fɔ ridyus di impak wae yu sik dɛm wae gɛt Ankylosing Spondylitis kin gɛt pan yu ɛvride layf. Nɔr frayd fɔ aks kwɛstyɔn ɛn tɔk bɔt yu tritmɛnt. Yu sabi di bɛst we aw yu de fil. So tɛl yu dɔktɔ bɔt wetin yu tink.

` Bak pen, ankylosing spondylitis, at at, imyun sistεm, spayna, tritmεnt, HLA-B27