Yu gɛt dis pen we yu de fil fɔ lɔng tɛm bak? Lɛ wi tɔk bɔt pen we nɔ de dɔn!

Na nɔmal tin fɔ fil pen we wi wund ɔ sik. I tan lɛk alam insay wi bɔdi we de tɛl wi se, "Sɔmtin nɔ rayt ya, pe atɛnshɔn!" Bɔt sɔmtɛm dis pen kin te fɔ pas tri mɔnt, ɔr ivin sɔm ia. Na dat wi kin kɔl pen we nɔ de dɔn . Dis na tin we kin rili mek pɔsin vɛks, bikɔs i kin pul bɔku pan di gladi at we pɔsin kin gɛt na layf.

Wan sɔv wae dɛn du na Amɛrika sho se pas 20% pan di big pipul dɛm, ɔr pas 50 milyɔn pipul dɛm, de sɔfa wit dis pen wae nɔr de dɔn. So yu kin imajin aw dis sik kin kɔmɔn. Dis pen kin gɛt bɔrku impak nɔr to yu bɔdi wɛl bɔdi, bɔt pan yu maynd wɛl bɔdi. Na dat mek i rili impɔtant fɔ no bɔt am ɛn gɛt ɛp if nid de. Lɛ wi tɔk smɔl mɔ bɔt dis pen we nɔ de dɔn tide, nɔto so?

Wetin na dɛn kayn kɔmɔn kayn pen ya we nɔr de dɔn?

Pen we nɔ de dɔn nɔto wan sayz-fit-ɔl kɔndishɔn. I kin kam difrɛn kayn we ɛn i kin apin na bɔku difrɛn pat dɛn na di bɔdi. Pen we nɔ de dɔn na wan sayn fɔ sɔm injury, infɛkshɔn, ɛn sik dɛn. Lɛ wi luk sɔm pan di kayn dɛn we pipul dɛn kin gɛt:

• Jɔyn pen ɔ at at pen: Wan gud ɛgzampul fɔ dis na pen na yu ni, we bɔku pipul dɛn kin gɛt.
• Bak pen: Pen, mɔ na di lɔwa bak, kin kam pan pipul dɛm wae sidɔm na wan pozishɔn fɔ lɔng tɛm.
• Kansa pen: Na bad bad pen we kin kam wit kansa.
• Fibromyalgia: Dis kin gɛt pen, stif, ɛn taya pasmak ɔlsay na di bɔdi.
• Ɛd we de at: Na bad bad ed we de at we nɔ de chenj, lɛk maygren.
• Pen na di nɛk.
• Nyuropatik pen: Pen we kin kam bikɔs di nerv dɛn dɔn pwɛl ɔ nɔ de wok fayn.

Aw di pen we nɔ de dɔn kin tan lɛk?

Dis na ɛkspiriɛns we pɔsin kin gɛt fɔ insɛf. Di we aw ɛnibɔdi kin fil pen kin rili difrɛn. Bɔt di men tin na dat dis pen kin las fɔ pas tri mɔnt . Yu kin tɔk bɔt dis pen wit wɔd dɛn lɛk dis:

• I kin tan lɛk se i de pen frɔm insay.
• Lɛk pɔsin we de bɔn.
• Lɛk fɔ shot.
• Lɛk fɔ swɛt.
• di bכdi de fil stiff, i at fכ bεnd (Stiffness).
• Stinging.
• Lɛk fɔ paund, lɛk fɔ sɔfa (Throbbing).

Di pen we nɔ de dɔn kin kam wit ɔda sayn ɛn kɔndishɔn dɛn. Fɔ tɔk tru, pen na jɔs wan sayn. I kin kam wit am bak:

• Jɛnɛral anxiety disorder: Filin fɔ frayd ɛn nɔr de rεst.
• Major depression disorder: Fɔ fil sɔri ɛn pwɛl hat ɔltɛm.
• Taya: Fɔ fil taya ɔltɛm, fil se yu nɔ ebul fɔ du ɛnitin.
• Inshɔmnia: Nɔr kin ebul fɔ slip na nɛt, ɔr nɔr kin ebul fɔ slip fayn ivin afta yu dɔn slip.
• Iritability ɔ di mud swing.

Mɛmba se if dis pen de ambɔg yu fɔ du tin dɛn we yu de du ɛvride, i go fayn fɔ mek yu go to dɔktɔ fɔ advays.

Wetin mek dis pen we nɔ de dɔn kin apin?

Pen we nɔ de dɔn na tin we rili kɔmpleks. Sɔntɛnde, klia rizin de fɔ dat. Fɔ ɛgzampul, if yu gɛt sik we de te yu lɛk kansa ɔ at at sik, dat kin mek yu fil pen. Bɔt sɔntɛnde, i kin rili at fɔ fɛn di tin we mek i apin. Sɔmtɛm e kin bi se sɔm tin dɛn kin kam togɛda fɔ mek dis pen.

Lɛ wi si wetin na di men tin dɛn we kin mek pɔsin fil pen:

• Nyuropatik pen: Dis kin apin we sɔmtin nɔr fayn ɔr dɔn pwɛl na yu nervɔs sistɛm. εgzampl dεm na pεrifεral nyuropathy, pinched nerves, εn trigeminal nyuraljia. I tan lɛk se waya we dɔn brok de sɛn di rɔng signal.
• Mɔsul ɛn skel pen: Dis na pen we kin afɛkt yu bon, jɔyn, ligamɛnt, mɔsul, ɛn tɛndon. dis pen kin kכz bay injuri (e.g., sprayn wan joyn) כ bay we i "wor out" ova tεm (e.g., tεndonayt).
• Visεral pen: Dis pen de kכmכt frכm yu insay כgan dεm lεk yu at, lכng, blad, riprodaktiv כgan, εn digεstiv כgan dεm. Sɔm pipul dɛn kin gɛt dis kayn pen ɔltɛm.
• Inflammatory pain: Dis pen kin apin we di tisu dɛn dɔn pwɛl ɛn inflamed. I kin kam bikɔs ɔf sik dɛn we nɔ de dɔn ɔ fɔ shɔt tɛm. Fɔ ɛgzampul, if yu gɛt ɔtoimyun kɔndishɔn lɛk rεumatoid at at ɔr lupus, i kin mek yu kɔntinyu fɔ gɛt inflamɛns ɛn pen. Dɔn bak, if yu gɛt infekshɔn lɛk shingles, i kin mek yu gɛt pen na yu nerve fɔ lɔng tɛm we dɛn kɔl postherpetic neuralgia.
• Sɛntral sɛnsitizayshɔn: .Dis na tin we kɔmplikt smɔl. Fɔ tɔk am simpul wan, chenj kin apin na wi sɛntral nervɔs sistɛm (dat na di bren ɛn spɛshal kɔd), ɛn as tɛm de go, wi kin rili fil pen ɛn ɔda tin dɛn we wi kin fil. Ivin smɔl tin dɛn kin bigin fɔ fil big. Dis kin apin wit ɛni kayn pen. I kin fil bak wit layt, sawnd, ɛn ivin di we aw pɔsin de fil.
• Pɛns we de kam pan pɔsin in maynd: Sɔm pipul dɛn kin gɛt pen we nɔ de dɔn, bɔt dɛn nɔ kin ebul fɔ no klia rizin na dɛn bɔdi. Dis nɔ min se yu pen na fek. Bɔrku tɛm, dis kayn pen kin gɛt fɔ du wit di chenj dɛm we de apin na wi nervɔs sistɛm, ɛn bak di tin dɛm we de apin na wi maynd ɛn filin.

Sɔntɛnde, sɔm tin dɛn we kin mek pɔsin fil pen kin de togɛda. Fɔ ɛgzampul, pɔrsin kin gɛt bak pen bikɔs ɔf di degenerative disc disease apat frɔm fibromyalgia.

Wetin na di tin dɛm wae kin mek pɔrsin gɛt pen wae nɔr de dɔn?

Bikɔs bɔku sik ɛn injury kin kam wit pen we nɔ de dɔn, bɔku tin dɛn de we kin mek i gɛt am. In jɛnɛral, dɛn tin ya na di men tin dɛn we kin mek pɔsin gɛt prɔblɛm:

• Jɛnɛtiks: Di tin dɛm wae kin mek pɔrsin gɛt sɔm kayn pen wae nɔr de dɔn, fɔ ɛgzampul maygren ɛn rεumatoid at, kin kɔmɔt frɔm ɔda pipul dɛm.
• Ej: Pen we nɔ de dɔn, mɔ di pen we kin kam we di mɔskul ɛn skel sistɛm de "wear ɛn tear" kin apin mɔ as wi de ol.
• Injury wae yu bin dɔn gɛt bifo: If yu dɔn gɛt siriɔs injury, yu kin gɛt pen wae nɔr de dɔn leta.
• Fɔ gɛt wok we yu de du wit yu an: If yu de wok na wok we de mek yu bɔdi wok tranga wan , yu go gɛt pen we nɔ de dɔn.
• Stret ɔltɛm ɔr bad bad wan: Stɔdi dɔn sho se wan link de bitwin pen we nɔr de dɔn, strɛs ɔltɛm, ɛn post-traumatic stress disorder (PTSD).
• Smok: Di wan dɛn we de smok kin gɛt pen na dɛn bak na lɛk tri tɛm so. Smok kin mek bak yu gɛt mɔr sɛnsitiviti to pen in jɛnɛral.
• Fat: As yu de gɛt mɔ wet, sɔm wɛlbɔdi prɔblɛm dɛn we kin mek yu fil pen, lɛk at at, kin wɔs bikɔs di jɔyn dɛn kin fil mɔ wet.

Aw fɔ no di pen we nɔ de dɔn?

Dɔktɔ dɛn kin tek pen se i nɔ de mɛn if i te fɔ pas tri mɔnt, ɔ if i kam ɛn go. Bikɔs pen kin bi wan sayn, yu dɔktɔ go tray fɔ fɛn wetin mek yu de fil if i pɔsibul. Bɔt pen na tin we pɔsin kin rili tink bɔt. Dat min se na di pɔsin nɔmɔ we de ɛkspiriɛns am go ebul fɔ no ɛn tɔk bɔt am. So sɔntɛnde, i kin at fɔ lɛ dɔktɔ dɛn no di tin we mek i gɛt dis sik.

If yu gɛt pen fɔ lɔng tɛm, go mɔs go to dɔktɔ.Dɔn i go aks yu tin dɛn lɛk:

• Usay di pen de?
• Aw bad i bi? (Na wan skel we de frɔm 0 to 10).
• Aw ɔltɛm di pen kin apin?
• Aw i kin afɛkt yu layf ɛn yu wok?
• Wetin kin mek de pen kin bɔku ɔr kin stɔp?
• Yu gɛt bɔku strɛs ɔ wɔri na yu layf?
• Yu dɔn gɛt ɛni sik, ɔpreshɔn, ɔ sik we nɔ de mɛn bifo?

Yu dɔktɔ go du yu bɔdi ɛgzam ɛn i kin ɔda bak fɔ du tɛst dɛn lɛk dis fɔ ɛp fɔ no wetin mek yu de fil pen:

• Blɔd ɛn urine tɛst.
• Chek di mכsul fכnshכn (EMG - εlektromayografi) tεst.
• Imej tɛst, lɛk X-ray ɛn MRI.
• si if di nεv dεm de rεspכnd fayn fayn wan (Nεv kכndukshכn stכdi dεm).
• Test rifleks ɛn balans.
• Spɛnal fluid tɛst dɛn.

Wetin na di tritmɛnt fɔ pen we nɔ de dɔn?

Yu dɔktɔ kin tɛl yu fɔ tek wan tritmɛnt ɔ yu kin gi yu ɔda tritmɛnt dɛn. Dis kin min fɔ trit di ɔndalayn kɔz fɔ yu pen we nɔ de dɔn ɔ fɔ kɔntrol di pen as sayn. Risach dɔn sho se if yu yuz wan tritmɛnt we yu de yuz togɛda, dat kin mek yu nɔ fil pen bad bad wan, pas fɔ jɔs tek wan tritmɛnt nɔmɔ.

Aw wan tritmɛnt de wok fayn kin difrɛn frɔm wan pɔsin to ɔda pɔsin. Di pen we nɔ de dɔn kin difrɛn ilɛksɛf na di sem tin we kin mek pɔsin fil pen. Dɔktɔ dɛn kin bigin wit di we dɛn we nɔ kin ambɔg yu pen ɔ we dɛn kin yuz tradishɔnal we fɔ mɛn di pen. Na da tɛm de nɔmɔ dɛn kin go to tritmɛnt dɛn we gɛt mɔ prɔblɛm. Bɔt nɔto wan "rayt" we de wok fɔ ɔlman.

Krεse pen mεnεjmεnt kin inklud tin dεm lεk:

• Di chenj we yu de chenj yu layf: kɔntrol yu wet, we yu de kɔntrol yu strɛs, ɛn we yu de du yu bɔdi wok.
• Fizik tɛrapi ɛn ɔkupeshɔn tɛrapi.
• Saikɔlɔjik tritmɛnt fɔ pen: Dɛn tin ya kin inklud kɔgnitiv bihayvya tɛrapi (CBT), grup tɛrapi, akseptans ɛn kɔmitmɛnt tɛrapi (ACT), ɛn mayndfulnɛs tɛrapi.
• Kɔmplimɛnt mɛrɛsin tritmɛnt dɛm: Tin dɛm lɛk masaj tɛrapi, bayɔfidbak, ɛn mɛditeishɔn.
• Di we aw dɛn kin du am ɛn di tin dɛn we dɛn kin yuz fɔ mɛn pipul dɛn: Tin dɛn lɛk ɔpreshɔn, TENS (Transcutaneous Electrical Nerve Stimulation), Steroid injɛkshɔn, ɛn Botulinum toxin (Botox®) injɛkshɔn.
• Di mɛrɛsin dɛn we dɛn kin yuz:`(NSAIDs - Nɔn-stɛroyd anti-inflammatory drɔgs)` (nɔ-stɛroyd anti-inflammatory drɔgs), `(Mɔsul rilaks)`, ɛn `(Opioids)` (pen kilers na di opioid grup).
• Klinik trial dɛn we dɛn kin du.

I kin tek sɔm tɛm fɔ fɛn di tritmɛnt we go wok fɔ yu, i kin dipen pan wetin mek yu de fil pen ɛn di kayn we aw yu de fil. Yu go nid fɔ tray sɔm difrɛn tritmɛnt dɛn. Di mɔ yu de wok klos wit yu dɔktɔ ɔr mɛdikal tim, na di mɔ yu plan fɔ mɛn yu pen go wok fayn, bikɔs di tin dɛn we yu nid go chenj. I impɔtant bak fɔ tɔk bɔt di bɛnifit dɛn, di prɔblɛm dɛn, ɛn di bad tin dɛn we kin apin to ɛni tritmɛnt.

Yu tink se pen we nɔ de dɔn go ɛva dɔn kpatakpata?

Infakt, naw, no "cure" nɔr de fɔ di pen we nɔr de dɔn. De bɛst tin wae yu kin du na fɔ fɛn de tin wae de mek yu fil pen ɛn trit am. Fɔ ɛgzampul, sɔntɛnde, fɔ trit at at sik kin ɛp fɔ mek yu nɔ gɛt pen na yu jɔyn dɛn.

Bɔt bɔrku pipul dɛm wae gɛt krɛse sik nɔr kin no wetin kin mek dɛn fil pen, so dɛn nɔr kin ebul fɔ fɛn mɛrɛsin. Dɛn kin jɔs liv wit de pen, de yuse wan kɔmbayn mɛrɛsin, tritmɛnt, ɛn chenj dɛn layf.

Wetin na de prognosis fɔ pipul dɛm wae gɛt krɛse sik?

Bɔrku tɛm, pen wae de mɛk pɔrsin kin fil nɔr kin dɔn ɔl. Bɔt yu kin ebul fɔ manej am bay we yu yuz wan kɔmbayn we dɛn we de wok fɔ yu. Dɛn se di tritmɛnt dɛm wae de mek pɔrsin gɛt pwɛl hat sik naw kin ridyus di pen lɛvɛl wae pɔrsin gɛt lɛk 30%. Apat frɔm dat, dɛn tritmɛnt ya kin gɛt big impak pan yu kwaliti fɔ liv, ɛn dɛn kin ɛp fɔ ridyus di strɛs we kin kam we yu de liv wit pen we nɔ de dɔn.

Risach pipul dɛm de kɔntinyu fɔ stɔdi bɔt pen dizayd ɛn tritmɛnt dɛm, ɛn wit di advans pan nyurosayns ɛn we dɛn dɔn ɔndastand mɔ bɔt mɔtalman bɔdi, wi kin ɛkspɛkt mɔ tritmɛnt dɛm we go wok fayn tumara bambay.

Wetin na de prɔblɛm wae kin kam wit dis sik?

Di pen we nɔr de mɛn we yu nɔr de manej ɔr nɔr de mɛn fayn kin gɛt bɔrku impak pan yu kwaliti fɔ liv ɛn yu ebul fɔ du tin dɛm ɛvride. I kin mek i nɔ izi fɔ yu fɔ kia fɔ yusɛf, fɔ wok, ɛn fɔ kɔntinyu fɔ gɛt padi biznɛs wit ɔda pipul dɛn. I kin mek bak di sik dɛn we nɔ de mɛn wɔs.

We yu liv wit pen we nɔ de dɔn, dat kin mek yu gɛt mɔ prɔblɛm bak fɔ:

• Diprɛshɔn ɛn/ɔ jɛnɛral wɔri sik: Wan stɔdi dɔn sho se lɛk 67% pan pipul dɛm wae gɛt pwɛl hat sik kin gɛt mɛntɛl hεlth prɔblɛm bak.
• Kid yusɛf: Stɔdi dɔn sho se di layf tɛm risk fɔ kil dɛnsɛf pan pipul dɛm wae gɛt krɛse pen na bitwin 5% ɛn 14%. Apat frɔm dat, lɛk 20% pan pipul dɛn kin tink bɔt fɔ kil dɛnsɛf.If yu ɔr pɔrsin wae yu sabi de gɛt dɛn kayn tin ya, duya kɔl di Suicide and Crisis Lifeline na 988. Sɔmbɔdi de fɔ ɛp yu 24 awa ɛvride.
• Sɔbstans yus ɛn sɔbstans yus disɔda.
• Alzaima sik ɛn ɔda tin dɛm wae gɛt fɔ du wit dis maynia sik.

If yu gɛt pen we nɔ de dɔn ɔ ɛni wan pan di prɔblɛm dɛn we wi dɔn tɔk bɔt, i impɔtant fɔ go to dɔktɔ. Ivin if e tek sɔm tɛm fɔ fɛn di rayt kɔmbayn tritmɛnt fɔ yu, nɔ giv ɔp.

Ustɛm a fɔ go to mi dɔktɔ?

Si yu dɔktɔ pan dɛn kayn tin ya:

• I nɔ bad if di pen go bɔku afta dɛn dɔn trit am, ɔ if i kam bak.
• If di tritmɛnt dɛm fɔ mɛn di pen kin mek yu gɛt sayd ɛfɛkt dɛm we nɔ fayn.
• If yu de fil se yu de wɔri ɔ yu at pwɛl.
• If yu gɛt prɔblɛm fɔ slip na nɛt bikɔs ɔf pen.
• If yu nɔr kin ebul fɔ du di tin dɛm wae yu kin lɛk fɔ du bikɔs ɔf pen.

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

If yu gɛt pen we nɔ de dɔn, i go fayn fɔ aks yu dɔktɔ dɛn kwɛstyɔn ya:

• Wetin na di rizin we mek a de fil pen?
• Yu tink se dis go go? Ɔ, wetin mek nɔto so?
• Us mɛrɛsin dɛn a kin tek? Wetin na dɛn sayd ɛfɛkt dɛn?
• A fɔ tray fɔ trit mi bɔdi ɔ fɔ trit mi maynd?
• Yu tink se i nɔ bad fɔ du ɛksɛsayz?
• Wetin bak a go du fɔ ridyus di pen we a de fil we nɔ de dɔn?
• A fɔ kɔl yu if di pen de wɔs?

Fɔ dɔn, mɛmba... (Tek-Home Message)

Fɔ liv wit pen we nɔr de dɔn kin tranga pasmak. I kin afɛkt ɔltin na yu layf - frɔm yu wok to yu soshal layf, frɔm fɔ kia fɔ yusɛf to fɔ kia fɔ ɔda pipul dɛm. Sɔmtɛm e kin fil mɔr lɛk "liv wit di pen" pas "liv."

Nɔr "wan saiz fit ɔl" we nɔ de fɔ mɛn di pen we nɔ de dɔn. E kin tek sɔm tɛm fɔ fɛn wan plan fɔ mɛn yu pen wae go woke fɔ yu. Bɔt i rili fayn fɔ gɛt di kia we yu nid ɛn we yu fɔ gɛt. Tɔk to yu dɔktɔ ɔr pɔrsin wae sabi bɔt aw fɔ mɛn yu pen fɔ tɔk bɔt aw fɔ trit yu wae go ɛp yu fɔ liv di layf wae yu want. Nɔto yu wan de, ɛn nɔ fred fɔ aks fɔ ɛp.

` Krεse pen, lכng tεm pen, pen mεnejmεnt, joyn pen, bak pen, nerv pen, kכz fכ pen, pen tritmεnt