Yu kin fil pen bak na yu bak ɛn nɛk we yu grap na bed na mɔnin, lɛk bod we stif, ɛn yu nɔ kin ivin ebul fɔ muv? Yu tink se di pen kin stɔp smɔl afta yu dɔn waka rawnd ɛn du tin dɛn we yu kin du ɛvride, bɔt i kin wɔs we yu ledɔm na nɛt ɔ sidɔm na wan ples fɔ lɔng tɛm? Dis nɔ kin jɔs bi nɔmal bak-ak. I kin bi wan sayn fɔ wan spɛshal inflammatory joyn kɔndishɔn we dɛn kɔl Ankylosing Spondylitis (AS) . So tide, lɛ wi tɔk bɔt wetin na AS, aw in pen difrɛn frɔm ɔda kayn pen, ɛn aw fɔ tɔk bɔt dis pen to yu dɔktɔ ɛn gɛt di rayt tritmɛnt wantɛm wantɛm.
Fɔ tɔk am simpul wan, wetin na Ankylosing Spondylitis (AS)?
Ankylosing Spondylitis, ɔ AS fɔ shɔt, na wan sik we wi bɔdi in imyun sistɛm de atak wi yon jɔyn dɛn, mɔ di wan dɛn we de na di spayna ɛn di bɔdi. Dɛn kɔl dis sik we dɛn kɔl ɔtoimyun sik.
Fɔ tɔk am simpul wan, wi bɔdi in yon sojaman dɛn (immune cells) kin mistek atak wi yon pat dɛn we gɛt wɛlbɔdi, ɛn tink se dɛn na ɛnimi. Dis atak de mek di joyn dεm inflameshn . Dis inflamɛns kin mek yu jɔyn dɛn stif na mɔnin, yu kin fil pen, ɛn yu jɔyn dɛn kin pwɛl fɔ lɔng tɛm. Bɔrku tɛm, dis sik kin bigin wae yɔŋ pipul dɛn dɔn big, bitwin 20 ɛn 40 ia.
Wetin mek i impɔtant fɔ tɔk kɔrɛkt wan bɔt pen?
Yu kin de tink se, "A don se mi bak de at, wetin mek a nid mo ditel?" Bɔt nɔto dat na di tru. Di we aw yu de tɔk bɔt yu pen to yu dɔktɔ na di big tin we go ɛp yu fɔ no di rayt tin fɔ no if yu gɛt di sik.
Tink bɔt am, bɔku bɔku rizin dɛn kin de we kin mek pɔsin gɛt bak pen. Big difrɛns de bitwin pen we pɔsin kin gɛt we i fɔdɔm, we i es ebi ebi lod, ɔ we i sidɔm fayn (we wi kin kɔl mɛkanikal pen) ɛn pen we kin mek pɔsin fil bad we sik lɛk AS kin mek i fil.
Di ditel dɛm wae yu gi go ɛp yu dɔktɔ fɔ no difrɛns bitwin di tu kayn pen dɛm. Dis go ɛp yu fɔ gɛt di rayt tritmɛnt, lɛk NSAID (Non-steroidal anti-inflammatory drugs) ɔ sɔm patikyula mɛrɛsin dɛn lɛk bayolojikal. If yu gi di rɔng ditil dɛm, yu kin delay fɔ gɛt diagnosis ɛn stat tritmɛnt.
Mɛmba se yu nɔ nid fɔ fɛt dis pen yu wan. If yu gi yu di rayt mɛrɛsin ɛn tritmɛnt, yu kin ebul fɔ mɛn dis sik fayn fayn wan ɛn liv nɔrmal layf.
Dis na aw yu de diskraib yu pen to di dɔktɔ !
Di nɛks tɛm we yu go to dɔktɔ, tek smɔl not pan dɛn tin ya wit yu. Dis go rili izi fɔ yu ɛn di dɔktɔ. Wi kin kɔl dis "Pain Diary" . Rayt dɛn tin ya na dis dayari.
| Di kwɛstyɔn we yu fɔ aks yusɛf | Ɛgzampul dɛn we di dɔktɔ kin gi |
|---|---|
| Usay ɛksaktɔli i kin at? | "Dɔkta, a gɛt pen na mi lɔwa bak, na ɔl tu di say dɛn na mi bɔdi. Sɔntɛnde i kin tan lɛk se di pen kin go dɔŋ mi leg. Mi nɛk kin at bak." |
| Aw di pen tan lɛk? | "Dis no bi jos dull ache. Na heviness we de kam wit internal inflammation . Na moning, e de fil laik se yu de fil laik bod. Som taims, shap pen de laik se yu de chuk yu wit naif." |
| Us tɛm pan di de i kin at pas ɔl? | "I kin at pas ɔl we a grap na mɔnin . A nɔ kin ivin bɛn fayn fɔ lɛk af awa so. Di pen kin kam ivin afta a dɔn slip fɔ lɔng tɛm na nɛt. I kin smɔl smɔl we a de waka insay di de." |
| Wetin kin mek di pen wɔs? (Di tin dɛn we de mek pɔsin want fɔ du sɔntin) | "Di pen kin wɔs we yu sidɔm na wan ples fɔ lɔng tɛm, we yu travul bɔku na motoka, ɛn we yu wek na mɔnin afta yu dɔn slip na nɛt. Di pen kin wɔs we yu rɛst ." |
| Wetin yu kin fil se yu nɔ gɛt we yu de du? (Di wan dɛn we de rili fri) . | " We a waka smɔl, du smɔl ɛksesaiz, di pen de go dɔŋ. We a tek ɔt shawa, i de gi mi sɔm rilif bak. We a tek di pen kil we di dɔktɔ gi mi, i nɔ bɔku." |
| Aw di pen de? (Intɛnsity) . | "Na skel we de frɔm 1 to 10, di pen na lɛk 8 oklɔk na mɔnin. I kin go dɔŋ to lɛk 3-4 insay di de. I kin go ɔp bak to lɛk 6-7 na nɛt." |
| Aw lɔng dis pen dɔn de? | "Mi bak don de at laik dis fo 4-5 mun nau. I don wos likl nau pas aw i bin de fos." |
Mɔ wɔd dɛn fɔ ɛp fɔ tɔk bɔt di pen we yu de fil
Sɔntɛnde, i nɔ kin izi fɔ wi fɔ fɛn di wɔd dɛn fɔ tɔk bɔt di pen. If na so i bi fɔ yu, dɛn wɔd ya go ɛp yu:
- Bɔn: I de fil lɛk se i de bɔn faya.
- Tingling/Numbness: I kin fil lɛk se ant de rɔn rawnd, ɔ i kin fil lɛk se yu nɔ ebul fɔ fil am.
- Shap/Stab pen: Lɛk fɔ chuk yu wit nɛf.
- Dull ache: Na dɔl, ebi pen we kin kɔmɔt insay.
- Stiffness: Na tin we at we pɔsin nɔ go ebul fɔ shek, lɛk wud.
- Rayt pen: Pen we de stat na wan ples ɛn travul go ɔda ples (e.g., we i bigin na di bak ɛn muv dɔŋ di leg).
If yu kin gi yu dɔktɔ klia pikchɔ bɔt yu pen dis we, i go bi di fɔs ɛn impɔtant tin fɔ du fɔ yu joyn fɔ wɛl.
Mɛsej we dɛn kin kɛr go na os
- Ankylosing Spondylitis (AS) nɔto jɔs wan kɔmɔn bak prɔblɛm. na inflammatory kondishכn na di joyn dεm we de kכz fכ wan malfunction na di imyun sistεm.
- Di men tin we de sho dis pen na dat i kin bɔku we yu rɛst ɛn i kin go dɔŋ we yu de du ɛksɛsayz . Mɔnin stiffness na wan big sayn.
- I impɔtant fɔ mek di dɔktɔ tɔk kɔrɛkt wan bɔt yu pen (we i de at, di kayn pen we i de fil, ɛn we i de go ɔp ɔ dɔŋ) fɔ mek dɛn no di sik kɔrɛkt wan.
- If yu kip wan dayari fɔ di pen, dat go rili ɛp yu ɛn yu dɔktɔ.
- If yu gɛt bak pen fɔ pas 3 mɔnt, mɔ if i wɔs na mɔnin, yu fɔ rili go to dɔktɔ fɔ advays.
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