Wetin rili de mek yu nɔ de fil pen na yu bak? (Axial Spondyloarthritis) Lɛ wi lan bɔt am!

Sɔntɛnde yu kin gɛt pen ɛn pen na yu bak ɔ yu hip we nɔ kin go fɔ sɔm mɔnt? Yu kin fil stiff ɛn stiff mɔ we yu wek na mɔnin? Yu kin sɔfa bak wit bak pen we sɔmtɛm kin bɛtɛ we yu de du ɛksɛsayz, bɔt kin wɔs we yu de slip ɔ rɛst na nɛt? Pan ɔl we yu go tink se dɛn tin ya na jɔs bak-ak, swɛt, ɔ strɛs, i kin bi sɔntin we dip pas dat. Tide wi go tɔk bɔt axial spondyloarthritis , ɔ (axSpA) fɔ shɔt, wan kɔndishɔn we kɔmplikt smɔl, bɔt dɛn kin kɔntrol am if dɛn manej am fayn.

Wetin na ɛksaktɔl spɔndyloarthritis?

Fɔ tɔk am simpul wan, akshal spɔndyloarthritis (axSpA) na wan kayn at at sik. Bɔt i nɔ tan lɛk di joyn pen we wi kin yɛri bɔt as wi de ol. i de afekt wi "akshal skel" spεshal wan. dat min se di bon dεm we de na di midul pan wi bכdi - di men pat dεm lεk di chεst, spayna, εn hip - na dεn kin afekt dεm mכst. dis kכndyushכn (axSpA) de kכz fכ chenj di we aw wi imyun sistεm de wok. Fɔ tɔk di kɔrɛkt tin, di imyun sistɛm we dɛn se de protɛkt wi bɔdi, kin mistek bigin fɔ atak wi yon jɔyn ɛn sɔft tisu dɛn. Wi kin kɔl dis "inflammation." Dis inflamɛns na in kin mek di jɔyn dɛn swel, pen, ɛn as tɛm de go, di jɔyn dɛn kin pwɛl. (axSpA) na wan kכndyushכn we de pan wan big grup כf sik dεm we dεn kכl spondyloarthritis . Wan spɛshal tin bɔt dis grup fɔ spɔndylo-arthritis sik na dat dɛn nɔ kin afɛkt di jɔyn dɛn nɔmɔ, bɔt dɛn kin afɛkt ɔda sistɛm dɛn na di bɔdi bak. Fɔ ɛgzampul, if yu gɛt (axSpA), apat frɔm bak pen, yu kin gɛt sɔm sayn dɛn bak lɛk inflamɛns na yu yay (uveitis) ɛn dayarɛa . pan ɔl we i kin tan lɛk se dɛn tin ya nɔ gɛt fɔ du wit bak pen we yu luk am fɔs, dɛn tin ya kin apin wit (axSpA).

Udat kin gɛt dis sik (axSpA)?

Akchuali, enibodi kin divεlכp axSpA. Bɔt na wan sik we nɔ kin apin so ɔltɛm. Dɛn se na lɛk 1% pan di pipul dɛm na di wɔl gɛt dis sik. Dis sik kin mɔs pan pipul dɛm wae nɔr rich 40 ia. Bɔrku tɛm, de sik kin bigin fɔ sho wae yu yɔŋ ɔr yu dɔn pas 20 ia . Man ɛn uman kin gɛt dis sik ikwal wan.

Aw axial spondyloarthritis (axSpA) kin afɛkt mi bɔdi?

if dεn nכ trit axSpA fayn, as tεm de go di bon dεm na di spayna kin bigin fכ fכs tכgeda . Dis fכs fכ bon dεm na mεdikal dεm kכl am ankylosis.Dis kin mek di spayna nɔ kin ebul fɔ chenj, ɛn dis kin mek i nɔ izi fɔ mek di spayna stret. Dɔn bak, dis sik kin mek yu gɛt wan sik we de mek yu bɔdi tan lɛk ɔstioporosis na di spayna. Dis kin mek di bon dɛn na di spayna wik, ɛn dis kin mek di spaynal brok . Jɔs tink bɔt dat, ivin we pɔsin fɔdɔm smɔl, i kin brok bon na in spayna.

Wetin na di tin dɛn we kin mek pɔsin gɛt axSpA?

pan ɔl we dɛn nɔ no yet di rayt tin we kin mek axSpA, dɛn biliv se i kin rɔn na famili dɛn . di jεnεtik tεst pan bכku pipul dεm we gεt axSpA dεn fכnshכn se dεn gεt wan jin we dεn kכl HLA-B27 . כltu, dis nכ min se כlman we gεt di HLA-B27 jin go divεlכp axSpA. Dɔn bak, pipul dɛm wae nɔr gɛt dis jin, ɛn wae nɔr gɛt famili histri bɔt dis sik, kin gɛt axSpA. So, dis na tin we kɔmplikt smɔl.

Wetin na di sayn dɛm fɔ (Axial Spondyloarthritis)?

Di men ɛn mɔs kɔmɔn simptom fɔ axSpA na bak pen . Bɔt nɔto jɔs bak pen. Bɔku patikyula tin dɛn de we kin mek pɔsin gɛt dis pen:

• Krεse: Dis min se de pen kin teik pas tri mכnt.
• Nɔto injuri ɔ mashin prɔblɛm: Fɔ ɛgzampul, nɔto pen we sɔntin lɛk we di disk slip ɔ we di mɔsul dɛn de spam.

If yu gɛt axSpA, yu bak pen kin tan lɛk dis bak:

• We yu de du ɛksɛsayz ɛn muv yu bɔdi, i de go dɔŋ smɔl.
• Di pen kin bɔku na nɛt we yu de slip ɔ rɛst.
• We a wek na mɔnin, mi bak kin at bikɔs a kin stif .
• Di pen kin go na di hip eria ɔ di bɔdi.

di inflameshn we axSpA de mek nכ de limited to di spayna. I kin afɛkt ɔda sistɛm dɛn bak na di bɔdi. Fɔ ɛgzampul:

• Prɔblɛm dɛn we de na di dijestiv: Lɛk we yu bɛlɛ de at.
• Taya .
• Enthesitis: I de swel, di kalsi כm de dכn, εn di bon spur dεm na di say dεm we di tεndon εn ligament dεm de atak di bon dεm.
• Dactylitis: di finga dεm כ di fut dεm de swel kכmplit (lεk di sosish fut dεm).
• Psoriasis na wan sik we de na di skin.
• Inflameshɔn na di yay, mɔ di uveitis .

Imajin, wan yɔŋ man we nem Saman bin de sɔfa wit bak pen frɔm we i ol lɛk 22 ia so. We i wek na mɔnin, i nɔ bin ebul fɔ bɛn in bak. I bin tink se i bin dɔn swɛt in anklɛ we i bin de ple kriket. Bɔt mɔnt dɛn pas ɛn di pen nɔ bin dɔn. Leta, i si wan dɔktɔ ɛn lan bɔt dis (axSpA). I bin tɔk bak se apat frɔm in bak pen, sɔntɛnde in yay kin rɛd ɛn pen.

Aw dɛn kin no se pɔsin gɛt Axial Spondyloarthritis?

We yu go to dɔktɔ bɔt yu bak pen, i go fɔs chɛk yu impɔtant sayn dɛn ɛn du yu bɔdi ɛgzam . Dɛn tu tin ya kin gi yu wan aidia bɔt yu jenɛral wɛlbɔdi. Apat frɔm dat, di dɔktɔ kin du tɛst dɛn bak lɛk:

• bכdi tεst : dεn de du bכdi tεst fכ chεk if di HLA-B27 jin de εn fכ chεk di lεvεl fכ di C-riaktiv protin, we de sho if inflameshn de na di bכdi.
• Imej tɛst: Dɛn tɛst ya kin ɛp fɔ si aw di bon dɛn we de na yu akshal skel de, lɛk yu spayna ɛn hip.
• X-ray: X-ray na di spayna kin ɛp fɔ no axSpA ɔ ɔda bon prɔblɛm dɛn.
• MRI: Dɛn tin ya kin tek pikchɔ dɛn we rili klia, we gɛt ditayli. MRI kin no tin dεm lεk inflameshn na di spayna bifo dεn kin si dεm pan εks-ray.

Sɔntɛnde, yu kin gɛt sɔm sayn dɛm fɔ axSpA (lɛk bak pen), bɔt yu nɔ kin si ɛni klia inflamɛns pan imej tɛst (X-ray ɔ MRI). Bɔt dɔktɔ dɛn kin kɔl yu "non-radiographic axSpA ." "Nɔn-radiographic" min se i nɔ de si am pan imej tɛst. Sɔm pipul dɛm wae gɛt dis "non-radiographic axSpA" kin gɛt dɛn kɔndishɔn we de wɔs as tɛm de go ɛn dɛn kin si dɛn leta pan X-ray ɔ MRI. Bɔt bɔku tɛm, di sik nɔ kin rili bad lɛk aw i kin tan lɛk we dɛn de tɛst dɛn fɔ tek pikchɔ dɛn.

Aw dɛn kin trit Axial Spondyloarthritis?

Na ɔnfɔni, no mɛrɛsin nɔ de fɔ axSpA. Bɔt if dɛn tek di rayt tritmɛnt, dɛn kin ebul fɔ kɔntrol di sayn dɛn ɛn di kwaliti fɔ liv bɛtɛ . Di tritmɛnt dɛn we yu kin gɛt kin bi:

• Nɔn-stɛroyd anti-inflammatory drɔgs (NSAIDS):Dis na ɔva-di-kɔnta (OTC) mɛrɛsin dɛn we yu kin bay na famasi we yu nɔ gɛt prɛskrishɔn. Dɛn kin mek pɔsin nɔ fil pen ɛn i kin mek di bɔdi nɔ gɛt bɔku bɔku bɔdi. Di mɛrɛsin dɛn we dɛn kin yuz mɔ na aspirin, ibuprofen, ɛn naproxen sodium .
• Fizik tritmɛnt: Yu dɔktɔ kin sɛn yu to pɔsin we de mɛn yu bɔdi, we go tich yu patikyula ɛksesaiz dɛn we dɛn mek fɔ yu nid. Fyzikal tritmɛnt kin ɛp fɔ ridyus pen ɛn fɔ mek yu ebul fɔ chenj ɛn trɛnk.
• Stɛroyd injɛkshɔn: Kɔtikosterɔyd na pawaful klas fɔ drɔgs we de fɛt pen ɛn inflamɛns. If yu gɛt bad bad pen ɔ swɛlin na wan patikyula say na yu bɔdi, if yu injɛkshɔn stɛroyd na da say de, dat kin mek yu fil fayn.
• Disease-modifying anti-rheumatic drugs (DMARDs): If ɔda tritmɛnt dɛn nɔ ɛp yu inof, dɛn kin yuz wan klas ɔf drɔgs we dɛn kɔl disease-modifying anti-rheumatic drugs (DMARDs). Dɛn tin ya kin mek di pen ɛn di jɔyn dɛn kin swel. Dɛn kin ɛp bak fɔ mek di jɔyn dɛn nɔ pwɛl tumara bambay.
• Bayolojikal: Dis na spɛshal kayn mɛrɛsin we de insay di DMARDs kategori bak. Dɛn kin tɔch yu imyun sistɛm dairekt wan ɛn ɛp fɔ kɔntrol inflamɛns. Pan ɔl we dɛn biyolojikal ya kin rili wok, dɛn kin mek sɔm sayd ɛfɛkt dɛn bak, lɛk fɔ gɛt mɔ risk fɔ gɛt infɛkshɔn. So, na ɔnda dɔktɔ advays nɔmɔ dɛn fɔ yuz dɛn.

Dɛn kin ebul fɔ avɔyd dis sik (Axial Spondyloarthritis)?

Fɔ tɔk tru, no we nɔ de we dɛn no fɔ mek dɛn nɔ gɛt axSpA. Dɔn bak, i nɔ kin kam bikɔs ɔf injury na in bak.

Aw a go no if a de pan risk fɔ gɛt dis?

If yu mama ɛn papa ɔ yu brɔda ɛn sista gɛt axSpA, yu de pan smɔl risk fɔ gɛt dis sik. Bɔt i nɔ shɔ se yu go gɛt axSpA jɔs bikɔs sɔmbɔdi na yu famili gɛt am ɔ gɛt di HLA-B27 jin.

Wetin go apin tumara bambay fɔ di wan dɛn we gɛt Axial Spondyloarthritis?

as wi bin dכn tכk, axSpA nכ kin kכl kכmplit wan. If yu gɛt axSpA, yu sik kin kam ɛn go sɔm tɛm. Ɔ dɛn kin de ɔltɛm. Bɔt if dɛn de mɛn pipul dɛn fayn fayn wan, pipul dɛn we gɛt dis sik kin liv lɔng ɛn gladi at. De tin wae impɔtant pas ɔl na fɔ woke wit yu dɔktɔ fɔ kɔntrol yu sik dɛm ɛn fɔ gɛt wɛl bɔdi as yu ebul.

Aw a kin kia fɔ misɛf?

Bɔku tin dɛn de we yu kin du fɔ mek yu gɛt wɛlbɔdi ɛn fɔ mek yu ebul fɔ kɔntrol di sik dɛn we de sho se yu gɛt axSpA:

• Si yu dɔktɔ pan yu apɔntinmɛnt dɛn we yu dɔn sɛtul. If yu tritmɛnt plan inklud fyzikal tritmɛnt, mek shɔ se yu atɛnd dat bak.
• Yuz di mɛrɛsin jɔs lɛk aw di dɔktɔ tɛl yu.
• Nɔ smok. If yu de smok, gɛt ɛp fɔ lɛf fɔ smok. Smok kin mek di inflamɛns bɔku ɛn i kin mek di axSpA wɔs, we kin pwɛl di bon dɛn wɛlbɔdi.
• Du layt ɛksesaiz, lɛk fɔ waka, ɔltɛm. Ɛksesaiz kin ɛp fɔ mek yu bon ɛn jɔyn dɛn gɛt wɛlbɔdi. i kin εp bak fכ kכntrכl di prכgreshכn fכ axSpA εn inkrεs fεksibiliti na yu spayna.
• It fayn it we gɛt bɔku frut ɛn vɛjitebul. Dɛn tin ya kin ɛp fɔ fɛt inflamɛns.

Ustɛm a fɔ go to dɔktɔ?

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

• If di tritmɛnt we yu de tek de mek yu gɛt sayd ɛfɛkt dɛn we yu nɔ want .
• If i tan lɛk se yu sik dɛn de wɔs .
• If yu fil se di tritmɛnt dɛm wae de naw nɔr de ɛp .

Wetin na di difrɛns bitwin (Axial Spondyloarthritis) ɛn (Ankylosing Spondylitis)?

Ankylosing spondylitis na rili wan kayn akshal spondyloarthritis (axSpA) . Ankylosing spondylitis de mεntal afekt di sacroiliac joyn dεm , we na di jכint dεm usay yu lכw spayna de kכnekt to yu hip dεm. כltu, axSpA kin afekt di chεst כ כda pat dεm na yu spayna bak. Bɔku ɔda tin dɛn de we kin fɔdɔm insay di spɔndylo-arthritis kategori:

• Pɛriferal spɔndyloarthritis: Dis kin afɛkt di jɔyn dɛn na yu an ɛn fut.
• Psoriatic arthritis: Na at at sik wae gɛt fɔ du wit di skin sik we dɛn kɔl psoriasis.
• Riaktiv at at sik: Na sɔm kayn at at sik wae nɔr kin bɔrku wae kin kam wit baktriyal infεkshɔn.
• Inflammatory bowel disease (IBD)-related arthritis: Dɛn kin si am pan pipul dɛm wae gɛt sik lɛk Crohn’s disease ɔ ulcerative colitis.

Mɛsej we dɛn kin kɛr go na os

Fɔ liv wit ankylosing spondylitis (axSpA) kin tranga. Bɔt mɛmba se bɔrku pipul dɛm wae gɛt dis sik kin mɛn am fayn fayn wan ɛn liv lɔng, wɛl bɔdi layf. Yu kin ɛp fɔ kɔntrol yu sik bay we yu de go to yu dɔktɔ ɔltɛm ɛn kia fɔ yu ɔl yu wɛlbɔdi. I kin ɛp bak fɔ jɔyn sɔpɔt grup fɔ pipul dɛm wae gɛt ankylosing spondylitis (axSpA) ɛn spondyloarthritis. Dɛn grup ya kin ɛp yu fɔ tɔk to pipul dɛm wae ɔndastand aw yu de fil ɛn no de chalenj wae yu de gɛt.

So, if yu gɛt sɔm sayn dɛm lɛk fɔ de pen na yu bak ɔltɛm ɛn fɔ de stiff mɔnin, i go fayn fɔ go to dɔktɔ ɛn no wetin na di prɔblɛm ɛn nɔ jɔs ignore am. If yu no am kwik ɛn bigin fɔ trit yu, yusɛf kin liv nɔmal layf.

Akshal spondyloarthritis, bak pen, joyn inflameshn, HLA-B27, atraytis, spondyloarthritis, ankylosing spondylitis