Di mɛrɛsin dɛn we dɛn kin tek fɔ Ankylosing Spondylitis gɛt sayd ɛfɛkt? (AS Mɛrɛsin Sayd Ɛfɛkt dɛn)

Yu go mɔs no se Ankylosing Spondylitis (AS) na wan sik we de mek yu fil pen ɛn we de mek yu spayna ɛn jɔyn dɛn stif. We yu de trit dis, i rili impɔtant fɔ ɛksesaiz ɛn yuz di mɛrɛsin we yu dɔktɔ gi yu kɔrɛkt wan. Bɔt sɔntɛnde, dɛn mɛrɛsin ya kin mek yu gɛt smɔl smɔl sayd ɛfɛkt dɛn. Bɔt nɔ fred dɛn. Nɔto ɔlman kin gɛt dɛn kayn bad bad tin ya, ɛn di tin dɛn we kin apin to ɛnibɔdi kin difrɛn. Di tin we impɔtant pas ɔl na fɔ tɔk to yu dɔktɔ ɛn pik di tritmɛnt we go wok fɔ yu ɛn we nɔ go gɛt bɛtɛ sayd ɛfɛkt.

Fɔs layn pen kil: NSAID dɛn

Bɔku tɛm, dɔktɔ dɛn kin gi dis kayn mɛrɛsin fɔs fɔ AS. Wi kin kɔl dɛn Nonsteroidal Anti-inflammatory Drugs, ɔ NSAID fɔ shɔt tɛm. Dɛn tin ya kin wok fɔ ridyus di swɛlin ɛn pen na di jɔyn dɛn. Sɔntɛm yu dɔn yɛri bɔt dɛn nem ya:

• Ibuprofen (Advil, Motrin) we de na di bɔdi.
• Naproxen (Naprosyn) we dɛn kin yuz fɔ mɛn sik dɛn.
• Indomɛtasin (Indosin, Tivɔrbɛks) .
• Sɛlɛkɔksib (Sɛlɛbrɛks) .

Bɔt we wi tek dɛn mɛrɛsin ya bɔku bɔku wan fɔ lɔng tɛm, di layt we de protɛkt wi bɛlɛ kin tan lɛk tin, we kin mek wi gɛt sɔm sayd ɛfɛkt dɛn.

Wan we fɔ trit pipul dɛn tide: Bayolojikal (IL-17 Inhibitors) .

Dis na wan kayn mɛrɛsin we dɔn go bifo smɔl, we spɛshal. Dɛn kin wok bay we dɛn de tɔch wan patikyula kemikal na di bɔdi we de mek di bɔdi inflamɛns ɛn blok di tin we i de du. Secukinumab (Cosentyx) ɛn Ixekizumab (Taltz) na tu pan dɛn kayn mɛrɛsin ya. Dɛn kɔl dɛn IL-17 inhibito dɛn . Pan ɔl we dɛn tritmɛnt ya rili fayn, dɛn kin mek sɔm bad bad tin dɛn apin.

JAK inhibitors we dɛn tek as pils

Dis na ɔda klas fɔ drɔgs we de ridyus inflamɛns. Tofacitinib (Xeljanz) na wan pan dɛn mɛrɛsin ya we dɛn kin tek as pil. Dɛn tin ya kin gɛt sayd ɛfɛkt.

• Ed de at
• Rɔnbɛlɛ
• Taya
• Di at we de blo
• Risk fɔ mek di liva pwɛl

So, yu dɔktɔ go de chɛk yu wɛlbɔdi ɔltɛm we yu de tek dis mɛrɛsin.

Kɔtikosterɔyd, we dɛn kin gi wan wan tɛm nɔmɔ

Dɛn tin ya nɔ kin bi mɛrɛsin dɛn we kin tek lɔng tɛm fɔ AS. Bɔt if di pen ɛn swel na wan patikyula jɔyn go bɔku wantɛm wantɛm (a flare-up) , dɛn kin gi kɔtikosterɔyd to da jɔyn de nɔmɔ.Di dɔktɔ kin disayd fɔ gi yu wan shot. Dɛn sayd ɛfɛkt ya kin apin mɔ we yu yuz dɛn fɔ lɔng tɛm. Bɔt shot fɔ shɔt tɛm nɔ go mek ɔl dɛn tin ya. Bɔt i fayn fɔ no.

Ɔda mɛrɛsin dɛn (Sulfasalazine ɛn Methotrexate) .

Sɔlfasalazin we dɛn kɔl

If NSAID nɔ de kɔntrol yu jɔyn pen (especially na yu sholda, an, ɛn leg), yu dɔktɔ kin gi yu wan mɛrɛsin we dɛn kɔl Sulfasalazine (Azulfidine). Dis gɛt sayd ɛfɛkt dɛn we nɔ kin apin so ɔltɛm.

• Pen na di jɔyn dɛn
• Fiva
• Ed de at
• I kin mek di skin fil mɔ we di san de shayn
• Skin rash ɔ it
• Vɔmit

Mɛtɔtreksɛt we dɛn kɔl

Yu kin tek dis mɛrɛsin as pil ɔ as injɛkshɔn. Di dɔktɔ go mɔs tɛl yu fɔ tek wan fɔlik asid vaytamɛn we yu de tek dis. di rizin fכ dis na dat di sayd ifekt dεm fכ Methotrexate kin ridyus bכku bכku wan bay fכlik asid.

• Nɔs ɛn vɔmit
• Ɔlsa na yu mɔt
• Ed de at
• Fɔ fil se yu taya

Wetin fɔ du if dɛn bad bad tin ya apin?

Dis na di pat we impɔtant pas ɔl. If yu gɛt ɛni chenj na yu bɔdi, nyu simptom, ɔ yu nɔ fil fayn bikɔs ɔf wan mɛrɛsin we yu de tek fɔ AS, di fɔs ɛn bɛst tin we yu fɔ du na fɔ tɛl yu dɔktɔ wantɛm wantɛm.

Yu dɔktɔ go ɛp yu. I kin:

• Di doz fɔ di mɛrɛsin we dɛn go gi yu go ridyus smɔl .
• Dɛn go chenj yu to ɔda mɛrɛsin .
• Apat frɔm di mɛrɛsin we dɛn de yuz naw, dɛn go gi ɔda mɛrɛsin fɔ kɔntrol di bad tin dɛn we kin apin to am .

Di pɔynt ya na fɔ mek yu ɛn yu dɔktɔ wok togɛda as tim fɔ fɛn di bɛst tritmɛnt we go wok fɔ yu bɔdi, wit di smɔl sayd ɛfɛkt, ɛn wit di smɔl risk. So nɔ fred ɛnitin, ɛn tɔk to yu dɔktɔ bɔt ɔltin opin wan.