Yu kin wek na mɔnin wit pen we stif, swel, ɛn we yu nɔ go ebul fɔ bia na yu jɔyn dɛn? Yu jɔyn dɛn lɛk yu ni ɛn ɛlb de at? Sɔntɛm yu dɔktɔ dɔn tɛl yu fɔ bigin wan kayn mɛrɛsin we dɛn kɔl ‘DMARDs’. Yu bin fil fɔ fred smɔl we yu yɛri da nem de? Yu bin tink se, ‘Us kayn mɛrɛsin na dis?’? Nɔ wɔri. Tide, wi go tɔk bɔt dɛn DMARD ya insay wan rili simpul we we yu go ɔndastand.
Wetin na DMARD dɛn insay simpul wɔd dɛn?
Imajin se wan rili smat gad de insay wi bɔdi. Wi kin kɔl dis gad di imyun sistɛm . Di men wok we i de du na fɔ protɛkt wi frɔm sik bay we i de fɛt di jem dɛm we de mek wi gɛt sik (lɛk vayrɔs ɛn baktri dɛm) we de kam insay di bɔdi frɔm ɔdasay.
Bɔt sɔntɛnde, na smɔl tɛm nɔmɔ, dis wachman we de wach wi kin mek smɔl mistek. I kin tink se di sɛl dɛn we gɛt wɛlbɔdi na in yon bɔdi, mɔ na say dɛn lɛk wi jɔyn dɛn, na in na di ɛnimi ɛn i kin bigin fɔ atak dɛn. I tan lɛk se i de trowe ston na in yon os. Wi kin kɔl dis kɔndishɔn ɔtoimyun sik .
Dis na di say we wan klas ɔf mɛrɛsin dɛn we dɛn kɔl DMARD kin kam insay DMARD dɛn tinap fɔ ‘Disease-Modifying Antirheumatic Drugs’. Di nem kin tan lɛk se i lɔng smɔl, bɔt fɔ tru, i rili simpul. Wetin dɛn mɛrɛsin ya de du na fɔ mek di bɔdi kol ɛn kɔntrol di imyun sistɛm, we de wok pasmak ɛn atak in yon bɔdi.
Bɔku men bɛnifit dɛn de we dis mɛrɛsin de gi wi bɔdi:
- I de ridyus di inflamɛns ɛn swɛlin na di jɔyn dɛn.
- I de ɛp yu fɔ kɔntrol di pen we yu de fil.
- I kin mek di sik nɔ bɔku ɔ aw i kin tranga.
- I de ridyus ɔ mek di jɔyn ɛn bon dɛn nɔ pwɛl sote go .
- I de ɛp yu fɔ mek yu jɔyn dɛn wok fayn ɛn du di wok dɛn we yu de du ɛvride.
Us sik dɛn dɛn kin yuz DMARD fɔ?
Dɔktɔ dɛn kin yuz dɛn mɛrɛsin ya, we dɛn kɔl DMARD, mɔ fɔ kɔntrol di inflamɛns we kin kam bikɔs ɔf sik dɛn we pɔsin kin gɛt we i de fɛt insɛf. Na sɔm ɛgzampul dɛn ya:
- Rimatɔyd at at sik
- Ankylosing spondylitis we de mek pɔsin gɛt sik
- Psoriatic arthritis we pɔsin kin gɛt
- Lupus we gɛt di sik
- Juvenil idiopatik at at sik
- Sklɛrodama
- Di sik we dɛn kɔl multiple sclerosis
- Di sik we dɛn kɔl Sjögren in sindrom
- Mayositis we gɛt di sik
- Riumatoid vaskulaytis we de mek pɔsin gɛt sik
- Inflammatory bowel disease - fɔ ɛgzampul, di sik we dɛn kɔl Crohn
Apat frɔm dat, dɛn kin yuz DMARD bak fɔ trit sɔm kayn kansa we nɔ kin bɔku.
Wetin na di men kayn DMARD dɛm?
Dɛn kin sheb DMARD dɛn to tu men grup dɛn. Di we aw dɛn de wok ɛn aw dɛn de yuz dɛn difrɛn smɔl.
| DMARD tayp | Wan simpul ɛksplen | Ɛgzampul dɛn we dɛn kin yuz bɔku tɛm |
|---|---|---|
| Tradishɔnal DMARD dɛn | Dɛn mɛrɛsin ya kin afɛkt di wan ol imyun sistɛm, ɛn dis kin mek i nɔ wok fayn. Dis kayn mɛrɛsin kin bi di fɔs wan fɔ bigin wit. Bɔku tɛm dɛn kin kam lɛk pils we dɛn kin tek na mɔt. |
|
| Bayolojikal tin dɛn | Dis na nyu, advans klas fɔ drɔgs. Dɛn tan lɛk ‘gayded missile’. Dɛn kin tɔch ɛn atak wan patikyula pat pan di imyun sistɛm in sɛl dɛn nɔmɔ we de mek di sik, ɛn dɛn nɔ kin afɛkt di wan ol sistɛm. Dɛn kin gi dɛn as IV infushɔn ɔ as injɛkshɔn ɔnda di bɔdi. |
Yu dɔktɔ go disayd uswan pan dɛn tu kayn ya fɔ gi yu, ɔ if i fɔ gi yu ɔl tu, bay aw yu sik, aw i siriɔs, ɛn wetin go wok fayn fɔ yu bɔdi.
Di stori we ɔlman de fred: Ɛni sayd ɛfɛkt de?
Lɛk ɛni mɛrɛsin, DMARD kin mek sɔm sayd ɛfɛkt. Bɔt nɔ mek yu fred wit dis list. Nɔto ɔlman go gɛt ɔl dɛn sayd ɛfɛkt ya. Yu dɔktɔ go trit yu di kayn we we go mek dis prɔblɛm nɔ bɔku.
| Tayp fɔ di sayd ɛfɛkt | Diskripshɔn ɛn wetin fɔ no |
|---|---|
| Posisibul sayd ifekt dεm we kכmכn fכ di tu kayn DMARD dεm | |
| Di risk fɔ gɛt di sik kin bɔku | Bikɔs dɛn mɛrɛsin ya de stɔp di imyun sistɛm, i kin izi fɔ gɛt infɛkshɔn lɛk kol ɛn flu (di risk kin bɔku smɔl wit bayolojikal). So e fayn fɔ de fa frɔm pipul dɛm wae sik na say dɛm wae gɛt bɔku pipul dɛm. |
| Di blɔd sɛl dɛn we de go dɔŋ | Di wayt blɔd sɛl (lukopenia), rɛd blɔd sɛl (anemia), ɛn pletlɛt (thrombocytopenia) kin go dɔŋ. Dis na di rizin we mek bɔku tɛm di dɔktɔ go du blɔd tɛst. |
| di εnzym dεm na di liva we de εlevεt | Sɔm DMARD kin afɛkt di liva. Dɛn kin wach dis bak tru blɔd tɛst. |
| Posisibul sayd ifekt dεm we spεshal fכ tradishכnal DMARD dεm | |
| Prɔblɛm dɛn we gɛt fɔ du wit di we aw pɔsin de digest | I kin apin we i nɔ kin want fɔ it, i kin mek i nɔ fil fayn, i kin vɔmit, i kin gɛt bɛlɛ pen, ɛn i kin gɛt dayarɛa. |
| Skin rash we de kɔmɔt na di skin | Sɔm pipul dɛn kin gɛt wan sik na dɛn skin. |
| Posisibul sayd ifekt dεm we spεsifi k to biologics | |
| Di ol infεkshכn dεm we de kam bak | If yu bin dɔn gɛt sik dɛn lɛk TB, hεpi, ɔr epataytis, dɛn mɛrɛsin ya kin mek dɛn wok bak. So, yu dɔktɔ go chɛk fɔ dis bifo i bigin fɔ tek di mɛrɛsin. |
| Riakshכn dεm na di sayt we dεn de injεkshכn | I kin gɛt rɛd, swel, ɔ pen na di say we dɛn injekt. |
Di tin we impɔtant pas ɔl na fɔ tɛl yu dɔktɔ wantɛm wantɛm if yu gɛt ɛni nyu sayn ɔ sayd ɛfɛkt.
Aw lɔng i kin tek fɔ mek dis mɛrɛsin wok?
Dis na kwɛstyɔn we rili impɔtant. DMARD nɔto drɔg we yu kin tek as yu tek am, lɛk pen kil. Dɛn drɔgs ya kin tek sɔm tɛm fɔ mek dɛn go insay di bɔdi, kɔntrol di imyun sistɛm, ɛn sho di rizɔlt.
- Tradishonal DMARD kin tek wan mɔnt ɔ mɔ fɔ wok.
- Bɔku tɛm di tin dɛn we gɛt layf kin bigin fɔ wok insay sɔm wiks .
Nɔr wɔri if de pen nɔr de go kwik kwik wan wae yu bigin fɔ tek dis mɛrɛsin. I kin tek sɔm tɛm fɔ si di tin dɛn we kin apin, so i impɔtant fɔ peshɛnt. Yu dɔktɔ go gi yu ɔda mɛrɛsin fɔ ɛp fɔ kɔntrol di pen insay da tɛm de.
Ustɛm a fɔ go to di dɔktɔ bak?
Wae yu dɔn bigin fɔ tek DMARD, yu dɔktɔ go de wach yu ɔltɛm. So i impɔtant fɔ go na di klinik di rayt tɛm. Bɔku tɛm, yu go gɛt dɛn tin ya:
- Blɔd tɛst ɔltɛm: Dɛn go aks yu fɔ du blɔd tɛst ɔltɛm fɔ chɛk if di mɛrɛsin de wok fayn ɛn if ɛni sayd ɛfɛkt de (di blɔd sɛl kɔnt, di liva wok).
- Fɔ chɛk fɔ si if yu gɛt infɛkshɔn: Dɛn go de chɛk yu ɔltɛm fɔ si if yu gɛt infɛkshɔn, mɔ if yu de tek bayolojikal.
- Tεst dεm lεk εks-ray: dεn kin du tεst lεk εks-ray wan wan tεm fכ chεk fכ di jכint dεm we dεn dכn pwεl.
If yu gɛt ɛni nyu sayd ɛfɛkt, fil lɛk se di mɛrɛsin nɔ de wok, ɔ if yu sik de wɔs, tɔk to yu dɔktɔ wantɛm wantɛm, ɛn nɔ wet fɔ di nɛks klinik apɔntinmɛnt.
Pan ɔl we DMARD kin tan lɛk wan klas fɔ mɛrɛsin we de mek yu fred ɛn we kɔmplikt, dɛn kin ɛp fɔ kɔntrol yu sik, mek yu nɔ pwɛl yu jɔyn dɛn, ɛn ɛp yu fɔ liv nɔmal layf. Yu dɔktɔ go pik di rayt kɔmbayn mɛrɛsin fɔ yu. So nɔ fred fɔ aks yu dɔktɔ ɛni kwɛstyɔn we yu go gɛt.
Mɛsej we dɛn kin kɛr go na os
- DMARD nɔto mɛrɛsin fɔ mek pɔsin fil pen. Dɛn na drɔgs wae de kɔntrol di ɔva aktiv imyun sistɛm wae de na di rut fɔ yu sik.
- I kin tek sɔm wik ɔ ivin wan mɔnt fɔ mek dɛn mɛrɛsin ya bigin fɔ wok, so i rili impɔtant fɔ peshɛnt.
- Pan ɔl we sayd ɛfɛkt dɛn kin apin, yu dɔktɔ go de wach yu gud gud wan wit blɔd tɛst ɔltɛm.
- Nɔ ɛva stɔp fɔ tek mɛrɛsin ɔ chenj di doz if yu nɔ gɛt dɔktɔ advays.
- If yu gɛt ɛnitin we nɔ kɔmɔn (fiva, kɔf, ɔda infekshɔn), tɛl yu dɔktɔ wantɛm wantɛm.
- If yu yuz am kɔrɛkt wan, DMARD kin rili ɛp yu fɔ liv yu layf.
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