At at sik na di An: Lɛ wi tɔk bɔt di tin dɛn we kin mek wi gɛt am, di sayn dɛn we i kin gɛt, ɛn aw fɔ trit am insay simpul wɔd dɛn!

Yu kin fil bak se yu finga dɛn stif smɔl we yu wek na mɔnin, ɛn i nɔ kin izi fɔ bɛn ɔ stret dɛn? Ɔ yu kin fil smɔl pen ɔ bɔn na yu jɔyn ɛn an na ivintɛm afta yu dɔn du smɔl smɔl wok dɛn ɔl di de? Yu kin tink se dis na jɔs sɔntin we kin apin bikɔs pɔsin taya. Bɔt dɛn tin ya kin bi bak di fɔs sayn dɛn we de sho se pɔsin gɛt at at sik na di an . Bikɔs bɔku pipul dɛn nɔ rili no bɔt dis, tide wi go tɔk bɔt am ditayli ɛn rili simpul wan.

Wetin na at at sik na di an? Lɛ wi ɔndastand am rili simpul wan!

Fɔ tɔk am simpul wan, at at sik na sik we kin atak di tisu dɛn na yu jɔyn dɛn. Wetin na jɔyn? Na de tu bon dɛn kin mit. I tan lɛk di hinj dɛn we de na domɔt. Atraytis kin pwɛl di layn na di jɔyn ɔ di saf, kusɛns katilej we de kɔba di ɛnd dɛn na di bon dɛn. Tink bɔt am lɛk di sawnd we yu motoka de mek we di injin pat dɛn na yu motoka de mek kɔntakt wit dɛnsɛf. we dis katilej dכn west, di εnd dεm fכ di bon dεm de kכmכt εn bigin fכ rכb pan dεn wan dεm. Na da tɛm de pen, swel, ɛn stiffness kin apin. Bikɔs wi an dɛn gɛt bɔku smɔl smɔl jɔyn dɛn, at at sik kin apin mɔ na di an dɛn. As tɛm de go, dis kin mek i nɔ izi fɔ yu fɔ du yu wok dɛn ɛvride.

Us kayn at at sik kin afɛkt di an dɛm?

Yɛs, difrɛn kayn at at sik de, bɔt lɛ wi tɔk bɔt di tri men kayn dɛn we kin afɛkt di an dɛn mɔ.

1. Ɔstiɔ-arayt - sik we de pwɛl di jɔyn dɛn

Dis na di kayn at sik we dɛn kin gɛt pas ɔl. Sɔm pipul dɛn kin kɔl am bak "joint wear." Insay ɔstiɔ-arayt, di katilej we a bin dɔn tɔk bɔt kin west smɔl smɔl ɛn brok. Dɔn di ɛnd dɛn pan di bon dɛn kin rɔb pan dɛnsɛf we dɛn nɔ gɛt ɛnitin fɔ protɛkt dɛn. Dis na di rizin we mek tin lɛk pen, stiff, ɛn at fɔ muv kin apin as tɛm de go.

Tink bɔt am, dis tan lɛk di pat dɛn na mashin we dɛn kin yuz bɔku tɛm we kin west as tɛm de go.

Bɔrku tɛm, ɔstiɔ-arayt kin afɛkt yu an, di bays pan yu big an, ɛn di jɔyn dɛm bitwin yu midul ɛn yu finga nel. As tɛm de go, yu kin gɛt smɔl smɔl bon spur dɛn na yu finga jɔyn dɛn.

2. Rimatɔyd Atraytis - Inflameshɔn we de kɔmɔt insay di bɔdi

Rimatɔyd at na wan sik we difrɛn smɔl, we kin mek pɔsin gɛt inflammatory sik we nɔ de mɛn. I kin min se di layn na di jɔyn dɛn kin wam, we dɛn kɔl di saynoviɔm . Na sik we pɔsin kin gɛt we i de fɛt insɛf.. Dat min se yu bɔdi in yon imyun sistɛm kin mistek atak yu yon wɛlbɔdi tisu dɛn. di sinovium we de insay wi joyn dεm de mek wan lכbrik we de εp dεm fכ muv izi wan. Insay rεumatoid at, we dis sinovium inflam, pen, stif, εn i nɔ kin izi fɔ muv. As tɛm de go, dis inflamɛns kin pwɛl di katilej ɛn di bon insɛf kin bigin fɔ west. di tεndon dεm εn di ligament dεm we de rawnd di joyn dεm de wik εn strεch, we kin mek di shep εn posishכn fכ di joyn dεm chenj. Rimatɔyd at at sik kin afɛkt di smɔl smɔl jɔyn dɛn na di an, an, ɛn finga dɛn. Wetin spɛshal na dat bɔku tɛm i kin afɛkt di sem jɔyn dɛn na di tu say dɛn na di bɔdi. Fɔ ɛgzampul, if yu gɛt at at sik na di finga dɛn na wan an, i go mɔs afɛkt di finga dɛn na di ɔda an bak.

3. Psoriatic Arthritis - Jɔyn prɔblɛm dɛn we kin kam wit sik na di skin

Yu go dɔn yɛri bɔt di sik we dɛn kɔl psoriasis na di skin . Psoriatic arthritis na wan kayn at at sik wae kin apun pan sɔm pipul dɛm wit psoriasis. I kin mek di finga dɛn swel, di jɔyn dɛn kin pen, ɛn stif na mɔnin. Bɔrku tɛm, de sayn dɛm kin tan lɛk rεumatoid at. Bɔt sɔntɛnde, na sɔm finga dɛn nɔmɔ i kin afɛkt.

Us pat na di an we dis at at sik kin afɛkt pas ɔl?

Fɔ men say dɛn de na di an we at at sik kin afɛkt:

• di bays fכ di tכmbכl: Dis na di say we di tכmbכl de kכnekt to di an.
• Knuckles: Na di joyn dεm we de kam op we dεn kכl di an.
• Di midul jɔyn dɛn na di finga dɛn.
• di top joyn dεm na di finga dεm: Dat min se di joyn dεm we de nia di nel dεm.

Udat kin gɛt at at sik na in an?

Sɔm pipul dɛn kin gɛt at at pas ɔda pipul dɛn. Si if dɛn tin ya apin to yu:

• Di ej we de go ɔp: Ɔstiɔ-arayt kin bɔku afta yu dɔn ol 50. Rimatɔyd at kin fɔs apin bitwin 35 ɛn 50 ia.
• Fɔ bi uman: Uman dɛn kin gɛt at at pas man dɛn.
• Fɔ bi wayt: (Dis na tru tin we dɛn tɔk bɔt akɔdin to fɔrina data.)
• Fat ɔ we yu de gɛt bɔku bɔku bɔdi : As yu bɔdi de wet, dɛn de put mɔ prɛshɔn pan di jɔyn dɛn.
• Di bad bad tin dɛn we yu bin dɔn du na yu an: Di jɔyn dɛn we dɔn brok, twist, ɔ wund na yu an ɔ yu finga dɛnIf yu dɔn gɛt am, yu go gɛt at at sik leta. Fɔ ɛgzampul, if yu nak yu an tranga wan we yu de ple spɔt ɔ wok, dat kin afɛkt am bak.
• Jɛnɛtik inflɔwɛns : If sɔm kayn at at sik de rɔn na yu famili, yu kin gɛt jɛnɛtik prɛdispɔzishɔn fɔ gɛt am bak.

Wetin na di sayn dɛm wae de sho se yu gɛt an at at sik?

I fayn fɔ tek tɛm smɔl bɔt dɛn kwaliti dɛn ya.

Di sayn dɛm wae yu kin si na di fɔs tɛm:

• Wan pen we nɔ de dɔn ɔ we de bɔn na di jɔyn dɛn: Dis pen kin kam insay sɔm awa ɔ di nɛks de, mɔ afta wan de we yu dɔn wok tranga wan wit yu an. Yu kin fil dis kayn we afta yu dɔn wok tranga wan na di kichin fɔ wan de ɔ yu dɔn klin rawnd di os.
• Mɔnin an/an pen ɛn stif: We yu wek na mɔnin, yu an kin fil stif fɔ sɔm tɛm, we kin mek i nɔ izi fɔ bɛn.
• di joyn dεm na di an/an dεm de swεla.

Dɛn sayn ya kin tranga pasmak as at at sik de go bifo:

• Di sayn dɛm de kam mɔ ɛn mɔ .
• Di pen kin kɔmɔt frɔm wan pen we nɔ gɛt wan bɔt to wan pen we shap ɛn we de chuk pɔsin .
• Yu kin ivin wek na nɛt bikɔs ɔf di pen .
• Pen kin mek yu chenj di we aw yu de yuz yu an . Fɔ ɛgzampul, yu kin yuz difrɛn we fɔ es wet ɔ fɔ ol wan handel.
• di tisu we de rawnd di joyn we afekt kin rεd εn i kin pen we yu tכch am .
• Yu kin yɛri ɔ fil "klik" ɔ krak sawnd ( crepitus ) we yu bɛn yu finga dɛn.
• Sɔntɛm yu nɔ go ebul fɔ ɛkstɛnd yu finga dɛn ɔlsay .
• sכm sכm bon dεm we dεn k כl Bouchard in no dεm εn Heberden in no dεm kin apia na di midul joyn dεm na di finga dεm.
• Di jɔyn dɛn na di finga dɛn kin big, nɔ fayn, ɛn strɛch . Dis kin mek di an dɛn wik ɛn mek i nɔ izi fɔ du di wok dɛn we dɛn kin du ɛvride .

Aw yu kin fɛn dɔktɔ fɔ at at sik na yu an?

If yu gɛt dɛn sik ya, i go fayn fɔ mek yu go to dɔktɔ. Di dɔktɔ go chɛk yu an ɛn aks yu bɔt yu sik dɛn. Pantap dat:

• εks-ray: dεn kin yuz εks-ray fכ si if di kכtilaj we de na di bon dεm dכn west εn if nyu bon dεm de gro na di εnd dεm na di bon dεm (bon spur).
• Blɔd tɛst: Dɛn kin du blɔd tɛst fɔ chɛk if sɔm tin dɛn de na di blɔd, lɛk rεumatoid factor , mɔ if dɛn tink se i gɛt rεumatoid at.

Wetin na di tritmɛnt fɔ han at at sik?

Di tritmɛnt we dɛn kin pik kin dipen pan di kayn at at sik we yu gɛt, di stej we di sik de, ɔmɔs jɔyn dɛn de afɛkt, yu ej, aw yu de wok, if yu an we de oba yu de afɛkt, ɛn ɛni ɔda mɛrɛsin we yu gɛt.

Di men gol dɛm fɔ tritmɛnt na:

• Ridyus di joyn pen ɛn stiffness.
• Fɔ mek di jɔyn dɛn ebul fɔ muv ɛn fɔ wok fayn fayn wan.
• Fɔ mek yu layf bɛtɛ.
• Insay kɔndishɔn lɛk rεumatoid at at sik ɔr psoriatic at, fɔ kɔntrol aw di sik de go bifo.

Di tritmɛnt dɛn we dɛn kin pik na fɔ splin/bracing , mɛrɛsin , injɛkshɔn , we dɛn nɔ yuz drɔgs , ɛn ɔpreshɔn .

1. We yu wɛr splint ɔ bres

Dɛn tin ya de gi sɔpɔt ɛn protɛkshɔn to di jɔyn we di sik afɛkt. Dɛn kin ɛp bak fɔ mek di jɔyn nɔ pwɛl, fɔ mek di jɔyn nɔ chenj, fɔ mek di jɔyn nɔ strɛs, ɛn fɔ mek di jɔyn nɔ de na di rayt say. Yu dɔktɔ, ɔkupeshɔn thɛrapist, ɔ han thɛrapist kin advays yu bɔt di rayt splint fɔ yu, aw fɔ wɛr am, ɛn aw lɔng fɔ wɛr am. If yu wɛr dɛn tin ya fɔ lɔng tɛm, dat kin mek yu mɔsul dɛn wik.

2. Di mɛrɛsin dɛn we dɛn kin yuz

Yu dɔktɔ kin gi yu mɛrɛsin fɔ mek yu jɔyn dɛn nɔ gɛt pen ɛn swɛlin, ɛn fɔ mek yu jɔyn dɛn nɔ pwɛl mɔ pan tin dɛn lɛk rεumatoid ɔ psoriatic arthritis. Yu kin tray difrɛn mɛrɛsin dɛn dipen pan di kayn ɛn aw yu at at sik.

• Acetaminophen: Dis na tin we de mek pɔsin nɔ fil pen.
• Nonsteroidal Anti-inflammatory Drugs (NSAID): Dɛn wan ya kin mek pɔsin nɔ fil pen ɛn swel. Sɔm ɛgzampul dɛn na ibuprofen , diklofenak , naproksen , ɛn sɛlɛkɔksib . Dɛn kin advays fɔs fɔ yuz NSAID krim dɛn we dɛn kin put pan ɔstiɔ-arayt.
• Disease-modifying Antirheumatic Drugs (DMARDs): Dɛn wan ya kin kɔntrol aw rεumatoid atraytis de go bifo ɛn dɛn kin ridyus di sayn dɛm. Ɛgzampul dɛn: Mɛtɔtreksɛt , Haydroksiklɔrokin .
• Kɔtikosterɔyd: Dɛn kin yuz dɛn tin ya as pils we dɛn kin it, as injɛkshɔn na mɔsul, ɔ as injɛkshɔn na vein. Dɛn kin ridyus inflamɛns ɛn ɔda sayn dɛm fɔ rεumatoid at.
• Di mɛrɛsin dɛn we de mek di bɔdi nɔ gɛt bɛtɛ wɛlbɔdi:dis dεm de kכntro di prכgreshכn fכ di rεumatoid atraytis εn dεn de rεdכks di damej pan di bon dεm we de rawnd di jכint dεm.
• Bayolojikal Ejen dɛm: Dɛn wan ya de ɛp fɔ kɔntrol di jɔyn dɛm we de pwɛl pan rεumatoid at. Ɛgzampul dɛn: Adalimumab (Humira®) , Etanercept (Enbrel®) .

Impɔtant: Ivin di mɛrɛsin dɛn we yu kin bay, nɔ fɔ yuz am if yu nɔ go to dɔktɔ, bikɔs dɛn kin miks wit ɔda mɛrɛsin dɛn we yu kin tek ɔ ɔda wɛlbɔdi prɔblɛm dɛn we yu kin gɛt.

3. Stɛroyd Injɛkshɔn

Stɛroyd na wan kayn mɛrɛsin we de ridyus di inflamɛns ɛn mek yu nɔ fil pen. Dɛn kin yuz dɛn injɛkshɔn ya we dɛn nɔ kin ebul fɔ kɔntrol di inflamɛns wit mɛrɛsin, ɔ we di inflamɛns nɔmɔ de na sɔm jɔyn dɛn. Dɛn kin injɛkt dɛn injɛkshɔn ya dairekt insay di jɔyn we di sik afɛkt. Bɔt bikɔs stɛroyd kin mek di tɛndon ɛn di ligamɛnt dɛn wik, dɛn nɔ kin yuz dɛn injɛkshɔn ya ɔltɛm, na fɔ sɔm tɛm nɔmɔ.

4. Ɔda Manejmɛnt Strateji dɛn

Wan kɔmplit tritmɛnt plan gɛt bak:

• Ɛksesaiz: Ɛksesaiz fɔ mek yu jɔyn strɔng ɛn strɛch kin ɛp fɔ ridyus di sayn dɛm ɛn fɔ mek yu wok fayn. Wan dɔktɔ we de mɛn yu bɔdi kin ɛp yu fɔ no us ɛgzampul dɛn we fayn fɔ yu.
• Hot ɛn kol pak: Kol pak kin ridyus pen ɛn swel. Hot pak kin ridyus di kɔnjɛshɔn. Nɔ aplay fɔ pas 20 minit wan tɛm.
• Rɛst: If yu de blo ɔltɛm, dat kin ɛp fɔ mek yu nɔ gɛt pen na yu jɔyn ɛn yu nɔ gɛt inflamɛns.
• Wan fayn it ɛn fɔ kɔntrol dayabitis ɛn kɔlɔstrel.
• Lɔs yu wet if yu fat pasmak.
• Nɔ smok: If yu smok, dat kin mek yu gɛt at at sik mɔ ɛn mɔ.
• Ɔkupeshɔn tɛrapi: Yu kin lan aw fɔ yuz tin dɛn fɔ ɛp yusɛf fɔ ɛp yu fɔ du tin dɛn we yu kin du ɛvride, lɛk fɔ drɛs ɔ fɔ du wok na di kichin.

5. Ɔpreshɔn - as las tin fɔ du

If mɛrɛsin ɛn ɔda tritmɛnt dɛn nɔ de mek pɔsin fil fayn, ɛn di katilej we de na di ɛnd pan di bon dɔn west ɔl, dɛn kin tink bɔt fɔ du ɔpreshɔn. Bɔku men kayn ɔpreshɔn dɛn de:

• Joint fusion (Arthrodesis): Dis ɔpreshɔn de yuz plet ɛn pin fɔ fuz di bon dɛn na yu jɔyn togɛda. Dis kin mek yu gɛt mɔ stebul ɛn nɔ gɛt pen, bɔt i kin mek yu nɔ ebul fɔ muv di jɔyn fleksibul.
• Jɔyn riplesmɛnt (Arthroplasty): .jכs lεk aw dεn kin riples di jכyn dεm lεk di kכn εn di hip dεm, dεn kin riples di joyn dεm na di an bak. Dɛn kin yuz atifishal jɔyn we dɛn mek wit plastic, sɛramik, silikon, ɔ mɛtal fɔ chenj di jɔyn we dɔn pwɛl. Bɔt mɛmba se atifishal jɔyn dɛn we dɛn put na di finga dɛn nɔ kin falamakata di nɔmal finga dɛn we de muv.
• tεndon transfכm: Tεndon na di tisu dεm we de kכnekt mכsul dεm to bon dεm. If yu inflamɛns fɔ lɔng tɛm frɔm at at, dat kin mek di tɛndon dɛn brok. If dis apin, yu kin yuz wan pat pan di hεlty tεndon fכ mek yu an wok bak.

Yu ɛn yu dɔktɔ we de du ɔpreshɔn go tɔk bɔt ɛn disayd us ɔpreshɔn we go fayn fɔ yu, ɛn tek tɛm tink bɔt tin dɛn lɛk yu ej, di lɛvɛl we yu de du tin, di jɔyn dɛn we afɛkt, ɛn di pen ɛn difɔmiti we yu gɛt.

Wetin fɔ ɛkspɛkt afta dɛn dɔn ɔpreshɔn yu an?

Afta yu dɔn ɔpreshɔn, yu go nid fɔ wɛr kas ɔ splint fɔ protɛkt yu an we i de wɛl. Yu dɔktɔ kin sɛn yu bak to dɔktɔ we de mɛn yu an. Dɛn kin gi dɛn mɛrɛsin bak fɔ mek dɛn nɔ fil pen fɔ sɔm tɛm fɔ ɛp fɔ ridyus di pen.

Ɛni prɔblɛm dɛn de we kin apin we dɛn du ɔpreshɔn pan dɛn an?

Lɛk ɛni ɔpreshɔn, ɔpreshɔn pan an kin gɛt sɔm prɔblɛm dɛn. Fɔ ɛgzampul:

• Mobiliti nɔ de impɔtant lɛk aw dɛn bin de ɛkspɛkt.
• Fɔ gɛt fɔ chenj di implant bikɔs i brok ɔ i dɔn west.
• di bon dεm we nכ de jכyn tכgeda כ we de jכyn tכgeda kכrekt we dεn de du fכshכn כpεrayshכn.

Aw lɔng i kin tek fɔ mek pɔsin wɛl afta dɛn dɔn du am ɔpreshɔn?

Di tɛm fɔ wɛl kin dipen pan bɔku tin dɛn, lɛk aw yu sik bad, di kayn ɔpreshɔn we dɛn du, di skil we di dɔktɔ we de du di ɔpreshɔn gɛt, ɛn aw yu de fala di tritmɛnt fayn fayn wan. Bɔku tɛm yu kin go bak to nɔmal tin dɛn lɛk tri mɔnt afta dɛn dɔn ɔpreshɔn yu jɔyn bak. Yu mɛdikal tim go gi yu di bɛst aidia bɔt di tɛm fɔ wɛl we go fayn fɔ yu.

Yu de luk fɔ nyu tritmɛnt dɛn?

Yes, sɔm klinik trial dɛn de we dɛn de du na di US, mɔ fɔ ɔstiɔ-arayt, pan tin dɛn lɛk stem sɛl tritmɛnt. Di tin dɛn we kin apin fɔs kin ɛnkɔrej wi. Dɔn bak, insay di las tɛn ia, dɛn dɔn fɛn bɔku nyu mɛrɛsin fɔ psoriatic arthritis ɛn rheumatoid arthritis, ɛn dɛn de du mɔ risach.

Yu tink se Glucosamine ɛn Chondroitin pils dɛn fayn?

Dɛn supamakit ya nɔ de rivyu ɛn gri fɔ di ɛjɛnshi dɛm lɛk di U.S. Food and Drug Administration (FDA). Dis min se dɛn nɔ de du di sem strɔng klinik trial we dɛn kin du ɔltɛm lɛk di mɛrɛsin dɛn we dɛn kin tek ɔltɛm. Pan ɔl we sɔm klinik trial dɛn dɔn sho se dɛn kin ɛp fɔ ridyus di pen, dɛn nɔ dɔn pruv se dɛn kin slo di prɔgrɛs fɔ ɔstiɔ-arayt. If yu de tink bɔt fɔ yuz sɔntin lɛk dis, mek shɔ se yu aks yu dɔktɔ. Dɛn kin miks wit ɔda mɛrɛsin wae yu de tek.

Yu tink se dɛn kin ebul fɔ avɔyd at at sik na di an?

Bɔt i sɔri fɔ no se dɛn nɔ kin ebul fɔ avɔyd at at sik kpatakpata. Bɔt yu kin pe atɛnshɔn to di sayn dɛm wae de sho se yu gɛt at at as yu de ol. If yu notis ɛni chenj na yu jɔyn dɛn, go to dɔktɔ wantɛm wantɛm. Yu kin du tin dɛn bak fɔ kɔntrol sɔm tin dɛn we kin mek yu gɛt prɔblɛm:

• It tin dɛn we gɛt fayn fayn tin dɛn fɔ it: Gi yu bɔdi di tin dɛn we i nid ɛn mek yu gɛt wɛlbɔdi wet. We yu gɛt bɔku bɔku bɔdi (BMI pas 25) i kin put mɔ prɛshɔn pan yu jɔyn dɛn.
• Nɔ smok: If yu smok, dat kin mek yu gɛt at at sik.

So, wetin wi fɔ mɛmba frɔm dis? (Mɛsej we dɛn kin tek go na os)

If yu gɛt pen we nɔ de mek yu an ɔ yu gɛt pen we de bɔn, we yu gɛt stiff na mɔnin, ɔ yu jɔyn dɛn de swel, dɛn tin ya kin bi sayn dɛn fɔ at at sik. As wi dɔn tɔk, sɔm kayn at at sik kin afɛkt di an dɛm.

Di bɛst tin fɔ du na fɔ go to dɔktɔ wantɛm wantɛm if yu gɛt dɛn sik ya. Di dɔktɔ go chɛk yu gud gud wan ɛn gi yu tritmɛnt plan we go fayn fɔ yu.

Dat tritmɛnt plan kin gɛt tin dɛn lɛk fɔ du ɛksɛsayz na yu an, fɔ pak ɔt ɛn kol, ɛn fɔ chenj yu layf, wit mɛrɛsin, splint/brɛs, stɛroyd injɛkshɔn, ɛn ivin ɔpreshɔn as las tin. Mɛmba se pan ɔl we no mɛrɛsin nɔ de fɔ at at sik, yu kin stil ebul fɔ kɔntrol di sik dɛn we yu gɛt ɛn liv gud layf. So nɔ panik, ɛn fala yu dɔktɔ in advays.

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An at at, joyn pen, osteo-arthritis, rεumatoid at, an pen, joyn swεla, at at tritmεnt