Yu bɔdi in imyun sistɛm, di difɛns sistɛm we de protɛkt yu frɔm sik, sɔntɛnde mistek kin bigin fɔ atak yu yon wɛlbɔdi sɛl dɛn. Dɛn kɔl dis sik ɔtoimyun sik. Na di wan dɛn nɔmɔ we dɔn sɔfa wit am no aw i nɔ kin izi fɔ liv wit di joyn pen, swel, ɛn stif we i kin mek. So, yu dɔktɔ dɔn gi yu wan kayn mɛrɛsin we dɛn kɔl DMARD? Ɔ yu dɔn yɛri bɔt dɛn? Tide, lɛ wi tɔk bɔt wetin na dɛn DMARD ya, aw dɛn de wok, ɛn wetin yu nid fɔ no bɔt dɛn.
Wetin na DMARD dɛn? Fɔ tɔk am simpul wan...
DMARD dɛn tinap fɔ Disease-Modifying Antirheumatic Drugs . Pan ɔl we di nem tan lɛk se i kɔmplikt smɔl, di wok rili simpul. Dis na spɛshal mɛrɛsin dɛm wae de stɔp yu imyun sistɛm fɔ mek yu nɔr de wok pasmak ɛn pwɛl yu yone bɔdi.
Tink bɔt yu imyun sistɛm lɛk ami we de fɛt fɔ wan kɔntri. Nɔmal wan, dis ami kin jɔs atak fɔrina ɛnimi dɛn (jɛm). Bɔt pan ɔtoimyun sik, dis ami kin go na di rɔng rod ɛn atak pipul dɛn we nɔ du natin na in yon kɔntri (di tisu dɛn we gɛt wɛlbɔdi na di bɔdi). Wetin DMARD dɛn de du na fɔ mek dis ɔvaaktiv ami kol ɛn mek i wok fayn bak.
Di men bɛnifit dɛn we yu kin gɛt frɔm dis mɛrɛsin na:
- I de ridyus di inflamɛns na di bɔdi, we min se i de swel, i de rɛd, ɛn i de fil pen.
- I de mek pɔsin nɔ fil pen.
- I kin mek di sik nɔr de skata ɔr i kin tranga.
- I de ridyus ɔ nɔ de pwɛl yu bon ɛn jɔyn dɛn we di sik dɔn mek.
- I de ɛp fɔ mek di jɔyn dɛn kɔntinyu fɔ wok fayn fayn wan.
Us sik dɛn dɛn kin yuz DMARD fɔ?
Dɔktɔ dɛn kin yuz mɔ DMARD fɔ kɔntrol difrɛn ɔtoimyun kɔndishɔn dɛn we kin mek pɔsin inflamɛns. Sɔntɛm yu dɔn yɛri bɔt sɔm pan dɛn tin ya.
| Nem fɔ di sik (Kɔndishɔn) . | Wan shɔt introdukshɔn |
|---|---|
| Rimatɔyd Atraytis | Wan kɔmɔn tin we kin mek di jɔyn dɛn pen, swel, ɛn stif. |
| Ankylosing Spɔndylitis we de mek pɔsin gɛt sik | Wan kayn at at sik we kin mɔs afɛkt di spayna. |
| Psoriatic Arthritis we pɔsin kin gɛt | Psoriasis na wan kayn at at sik wae kin kam pan sɔm pipul dɛm wae gɛt psoriasis. |
| Lupus we gɛt di sik | Na sik we kin ambɔg difrɛn pat dɛn lɛk di skin, di jɔyn, di kidni, ɛn di bren. |
| Juvenile Idiopatik Atraytis we pɔsin kin gɛt | At at sik na pikin dɛm we nɔ rich 16 ia yet. |
| Sklɛrodama | Na sik we di men tin we de sho se di skin de at ɛn tik. |
| Mɔltipɛl Sklɛrosis | Na sik we de na di nervous system we de afɛkt di bren ɛn di spaynal kɔd. |
Apat frɔm dat, dɛn nɔ kin yuz DMARD dɛn bak fɔ sɔm kayn kansa ɛn fɔ uveitis, we na wan inflammatory kɔndishɔn na di yay we nɔ dɔn ansa ɔda tritmɛnt dɛn.
Us kayn DMARD dɛn de?
Dɛn kin sheb DMARD dɛn to tu men kategori.
1. Tradishɔnal DMARD dɛn
Dis na di fɔs kayn DMARD dɛm we dɛn dɔn fɛn. Dɛn mɛrɛsin ya kin wok bay we dɛn kin jɔs mek di wan ol imyun sistɛm kol . Bikɔs dɛn nɔ gɛt bɛtɛ sayd ɛfɛkt, i go mɔs bi se yu dɔktɔ go gi yu dis kayn mɛrɛsin fɔs. Bɔku tɛm, dɛn kin tek dɛn tin ya as pil.
Sɔm ɛgzampul dɛn:
- `Azatioprin`
- `Haydroksiklorokin`
- `Lɛflunomid`
- `Mɛtɔtrɛksɛt`
- `Sulfasalazin`
2. Bayolojikal DMARD dɛn (Bayolojikal) .
Dis na nyu, advans drɔgs. Dɛn tan lɛk snaypa. Dɛn nɔ de afɛkt di ɔl imyun sistɛm lɛk tradishɔnal DMARD, .Dɛn kin tɔch ɛn atak di patikyula imyun sɛl dɛn nɔmɔ we de mek di prɔblɛm.
Dɛn tin ya kin gɛt mɔ pawa ɛn wok pas tradishɔnal DMARD dɛn. Bɔt dɛn kin kɛr bak smɔl smɔl risk fɔ gɛt sayd ɛfɛkt. If yu nɔr wɛl wit tradishɔnal mɛrɛsin, yu dɔktɔ kin disayd fɔ stat yu pan dis kayn mɛrɛsin as di nɛks step.
Bɔku tɛm dɛn kin gi dɛn tin ya as infushɔn we dɛn kin put insay di bɛlɛ (IV), ɔ as injɛkshɔn we dɛn kin put dɛnsɛf ɔnda di bɔdi. If yu nid fɔ yuz dis kayn injɛkshɔn, yu dɔktɔ ɔ nɔs go tich yu aw fɔ gi am sef ɛn kɔrɛkt wan.
Yu tink se DMARD dɛn gɛt sayd ɛfɛkt?
Lɛk ɛni mɛrɛsin, DMARD kin mek sɔm sayd ɛfɛkt. Bɔt, nɔto ɔlman kin gɛt dɛn. Dɛn tin ya kin difrɛn difrɛn wan bay di kayn mɛrɛsin we yu de gɛt.
Impɔtant: Nɔ fred we yu de rid bɔt dɛn sayd ɛfɛkt ya. Yu dɔktɔ go tek tɛm tink bɔt di prɔblɛm ɛn bɛnifit dɛn bifo yu gi yu dis mɛrɛsin. I go tich yu bak aw fɔ sɔlv ɛni prɔblɛm we go kam.
| Tayp fɔ di sayd ɛfɛkt | Sɔm sayn dɛn we kin apin |
|---|---|
| Sayd ɛfɛkt dɛn we kɔmɔn fɔ ɔl tu di kayn mɛrɛsin dɛn | |
| Di risk fɔ gɛt infɛkshɔn kin bɔku | Bikɔs i de ridyus di imyuniti, infɛkshɔn lɛk kol ɛn flu kin izi fɔ divɛlɔp (dis risk kin bɔku wit bayolojikal). |
| Di blɔd sɛl dɛn we de go dɔŋ | I kin mek di wayt blɔd sɛl dɛn (lukopenia), di rɛd blɔd sɛl dɛn (anemia), ɔ di pletlɛt dɛn (thrombocytopenia) go dɔŋ. |
| di εnzym dεm na di liva we de εlevεt | Dɛn kin no dis bay we dɛn de du blɔd tɛst. |
| Sayd ifekt dεm we spεsifi k to tradishכnal DMARD dεm | |
| Prɔblɛm dɛn we de na di dijestiv sistɛm | I nɔ kin want fɔ it, yu nɔ kin fil fayn, yu kin vɔmit, yu bɛlɛ kin at, yu kin gɛt dayarɛa. |
| Prɔblɛm dɛn we de na di skin | Rash na di skin. |
| Sayd ifekt dεm we spεshal fכ biolojikal dεm | |
| Infεkshכn dεm we ayd de kכmכt | Infεkshכn lεk TB εn hεpi, we bin de slip na di bכdi afta dεn bin dכn kכl am bifo, kin kam bak. |
| Ɔda | di kכlestכl lεvεl we de go כp, di risk fכ blכd kכlכt, rεd כ swel na di say we dεn injεkt. |
Aw kwik dis mɛrɛsin kin bigin fɔ wok?
Na wan prɔblɛm we bɔku pipul dɛn gɛt. DMARD nɔto wan kayn mɛrɛsin we yu jɔs de tek ɛn fil fayn bɔt, lɛk pen kil. Dɛn mɛrɛsin ya kin tek ɛnisay frɔm sɔm wiks to wan mɔnt ɔr mɔr fɔ mek di imyun sistɛm kol ɛn kɔntrol di sayn dɛm.
So, nɔr stɔp fɔ tek di mɛrɛsin jɔs bikɔs yu nɔr de fil bɔrku difrɛns insay di fɔs wik. I rili impɔtant fɔ peshɛnt ɛn kɔntinyu fɔ yuz di mɛrɛsin lɛk aw yu dɔktɔ tɛl yu.
Ustɛm yu nid fɔ go to yu dɔktɔ bak?
Afta yu dɔn bigin fɔ tek DMARD, yu dɔktɔ go nid fɔ si yu ɔltɛm fɔ chɛk if di mɛrɛsin de wok ɛn if ɛni sayd ɛfɛkt de. Yu kin nid fɔ mek dɛn du sɔm tɛst dɛn insay dis tɛm.
- Blɔd tɛst: Chɛk if di mɛrɛsin de wok, if di liva afɛkt, ɛn if di blɔd sɛl lɛvɛl nɔmal.
- Test fɔ infɛkshɔn: Chɛk fɔ infɛkshɔn we ayd, mɔ if yu de tek bayolojikal.
- Imej test lεk X-ray: Si aw di damej pan di joyn dεm de chenj as tεm de go.
If yu notis ɛni nyu sayd ɛfɛkt, if yu sik de wɔs, ɔ if i tan lɛk se di mɛrɛsin nɔ de wok fayn lɛk aw i bin de wok trade, tɛl yu dɔktɔ wantɛm wantɛm.
DMARD kin tan lɛk se dɛn kɔmplikt smɔl fɔs. Bɔku kayn mɛrɛsin de, ɛn bɔku difrɛn nem dɛn de. Bɔt nɔ wɔri. Yu dɔktɔ go ɛp yu fɔ pik di kɔmbayn mɛrɛsin dɛn we go fayn fɔ yu sik, we go gi yu di bɛst rizɔlt, ɛn we nɔ gɛt bɛtɛ sayd ɛfɛkt. Nɔ shem fɔ aks am ɛni kwɛstyɔn we yu go gɛt.
Mɛsej we dɛn kin kɛr go na os
- DMARD na spɛshal kayn mɛrɛsin wae dɛn kin yuse fɔ trit ɔtoimyun sik dɛm. Dɛn kin wok bay we dɛn de mek yu imyun sistɛm kol.
- Dɛn mɛrɛsin ya nɔ de wok wantɛm wantɛm lɛk pen kil. I kin tek sɔm wik ɔ mɔnt fɔ si di rizɔlt. So peshɛnt ɛn kɔntinyu fɔ yuz dɛn.
- Sɔm pipul dɛn, pan ɔl we nɔto ɔlman, kin gɛt sayd ɛfɛkt. So, i impɔtant fɔ mek yu kɔntinyu fɔ tɔk to yu dɔktɔ ɔltɛm.
- Nɔ ɛva chenj di doz we dɛn gi yu ɔ stɔp fɔ tek di mɛrɛsin wantɛm wantɛm if yu dɔktɔ nɔ advays yu.
- If yu gɛt ɛni kwɛstyɔn bɔt yu mɛrɛsin ɔr sik, aks yu dɔktɔ.
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