Yu dɔn gɛt bak pen frɔm we yu bin yɔŋ? Na strenj pen we de ɔltɛm, fil lɛk se dɛn mek yu spayna wit ston we yu wek na mɔnin, ɛn we de bɛtɛ we yu de du ɛksɛsayz? Sɔntɛm yu dɔn tray difrɛn tritmɛnt dɛn fɔ am, bɔt stil nɔr dɔn no wetin rili i bi? If na so i bi, dis atikul go rili impɔtant to yu. Tide wi go tɔk bɔt Ankylosing Spondylitis, ɔ AS fɔ shɔt.
Wetin mek i nɔ izi fɔ no bɔt AS?
Fɔ tɔk am simpul wan, Ankylosing Spondylitis (AS) na wan inflamɛns we kin de na di jɔyn dɛn na di spayna ɛn di bɔdi we nɔ de dɔn. Bɔku men rizin dɛn de we kin mek i nɔ izi fɔ no if i gɛt am.
Di fɔs tin na dat di sayn dɛm fɔ dis sik kin apia smɔl smɔl . Yu nɔ de fil big difrɛns wantɛm wantɛm. Di sɛkɔn ɛn impɔtant tin na dat di men sayn fɔ dis sik na bak pen . Naw tink bɔt am, aw kɔmɔn tin fɔ gɛt bak pen? If yu es sɔntin we nɔ rayt, if yu sidɔm fɔ lɔng tɛm, if yu slip na di rɔng pozishɔn, yu bak kin at. So, bɔku pipul dɛn kin tink se dis na nɔmal bak prɔblɛm.
Fɔ dɛn rizin ya, stɔdi dɔn sho se i kin tek 8 to 10 ia frɔm di tɛm we pɔsin bigin fɔ sho di sayn dɛm fɔ no se i gɛt AS. Bɔt fɔ no di sik kwik kwik wan rili impɔtant fɔ mek di tritmɛnt wok fayn.
So, no single test de we kin konfam 100% "A get AS?" wan tɛm nɔmɔ. Bɔt dɔktɔ kin yuz kɔmbayn tɛst fɔ no dis sik, lɛk fɔ sɔlv wan pazl, fɔ rich wan kɔnklushɔn.
Us step dɛn di dɔktɔ kin yuz fɔ no di sik?
We yu go to dɔktɔ bɔt yu bak pen, i go fala sɔm step dɛn if dɛn sɔprayz se dis sik.
1. Fɔ aks yu fɔ di ditel dɛn ɛn fɔ chɛk yu bɔdi
De fɔs tin wae yu go du na fɔ tɔk to yu fayn fayn wan ɛn aks bɔt yu sayn dɛm. Dɛn go aks yu dip kwɛstyɔn dɛn, mɔ bɔt yu bak pen. If yu bak pen mach at le 4 pan dɛn kayn tin ya, yu dɔktɔ kin sɔprayz se AS.
| Suspicious characteristic we pɔsin kin gɛt | Tɔk bɔt |
|---|---|
| Ej | Yu tink se di kramp bin bigin bifo i ol 35 ia? |
| Bigin | Yu tink se di pen bin de go ɔp smɔl smɔl? |
| Tɛm | I dɔn pas tri mɔnt we i dɔn de du? |
| Di ifɛkt we ɛksesaiz kin du | Yu tink se di pen kin go dɔŋ we yu de ɛksesaiz ɔ waka? |
| Mɔnin stiffness | We yu wek na mɔnin, yu bak kin fil stif ɛn i nɔ kin izi fɔ bɛn fɔ lɛk wan awa so? |
Apat frɔm dat, di dɔktɔ go aks if ɛnibɔdi na yu famili dɔn gɛt dis kayn jɔyn sik. Dis kin gɛt sɔntin fɔ du wit di jɛnɛtiks. I go chɛk bak aw yu spayna stif ɛn fleksibul. I go chɛk fɔ si if yu de fil pen we yu prɛs yu spayna ɛn ɔda jɔyn dɛn. Sɔntɛnde, i kin ivin chɛk aw yu chɛst de pan (we yu de blo).
2. Stɔdi dɛn fɔ Imajin
Dis na tɛst dɛm we de tek pikchɔ fɔ di insay pat na di bɔdi. Dɛn tin ya kin rili ɛp fɔ no if pɔsin gɛt sik.
- X-ray: If dɛn tink se gɛt AS, dɔktɔ kin ɔda fɔs fɔ mek dɛn tek X-ray. di sakroiliak jכint, usay di spayna de bigin εn kכnekt to di hip bon, dεn kכl am di sakroiliak jכint. di chenj dεm na dis jכint na di sayn dεm we de sho se di AS de sho. Bɔt i sɔri fɔ no se dɛn chenj ya nɔ kin si pan ɛkstrem rayt te sɔm ia afta di sik bigin .
- CT Scan (Computerized Tomography Scan): If natin nɔ de klia wan na di X-ray, bɔt di dɔktɔ sɔprayz se AS, i kin rifer yu fɔ CT skan. Dis kin mek yu gɛt mɔ ditayli, tri-dimɛnshɔnal (3D) pikchɔ pas ɛkstrem rayt.
- MRI skan (Magnetik Rizɔnans Imej): .Dis na di tεst we de εp mכst fכ no AS we i de fכs. MRI nɔ de yuz ɛkstrem rayt, bɔt bifo dat, dɛn de yuz big magnet ɛn kɔmpyuta tɛknɔlɔji fɔ si klia wan insay di bɔdi, mɔ di sɔft tisu ɛn jɔyn dɛn, usay inflamɛns kin apin.
- Ultrasound scan: Dis kin yuz sawnd wev fɔ mek pikchɔ dɛn. Dis stil de du risach as we fɔ no AS kwik kwik wan.
3. Tɛst fɔ Blɔd
Yu dɔktɔ kin ɔda bak fɔ mek dɛn du bɔku blɔd tɛst dɛn, mɔ fɔ luk fɔ mak dɛn we de mek yu bɔdi wam we go sho if inflamɛns de na di bɔdi.
כlso, כda vεri spεsifi k jεnεtik tεst de , we na di tεst fכ di HLA-B27 jin.
di imכtant tin na dis: jכs biכs yu gεt di HLA-B27 jin na yu bכdi nכ min se yu gεt AS 100% pan di tεm . Bɔt bɔku pan di pipul dɛn we gɛt AS gɛt dis jin. So, if yu gɛt dis jin wit yu sik, e kin bi wan rili impɔtant tin fɔ mek yu dɔktɔ no di sik.
So yu kin si, fɔ no AS tan lɛk fɔ wok as ditektiv. I nid bɔku pruf, nɔto jɔs wan pruf, fɔ mek wi ebul fɔ tɔk di rayt tin.
Mɛsej we dɛn kin kɛr go na os
- Dɛn nɔ kin ebul fɔ no di sik we dɛn kɔl Ankylosing Spondylitis (AS) wit wan tɛst. Na wan tin we dɛn kin du fɔ du bɔku tin dɛn.
- If yu dɔn gɛt bak pen ɛn stif ɔltɛm frɔm we yu yɔŋ, mɔ na mɔnin, nɔ ignore am as sɔntin we nɔmal ɛn go to dɔktɔ.
- Di kwik we dɛn no dis sik, na di mɔ di tritmɛnt go wok fayn.
- Yu dɔktɔ go jɔyn di infɔmeshɔn we yu gi, fɔ chɛk yu bɔdi, fɔ du imej tɛst (X-ray, MRI), ɛn blɔd tɛst (espɛshali HLA-B27) fɔ mek yu no di kɔrɛkt tin bɔt di sik.
- Nɔ wɔri if e tek sɔm tɛm fɔ gɛt diagnosis. Dis na kɔmpleks kɔndishɔn, so na nɔmal tin fɔ mek i tek tɛm. Di tin we impɔtant pas ɔl na fɔ de tɔk to yu dɔktɔ ɛn du di tɛst dɛn we yu nid.
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