Yu gɛt prɔblɛm wit yu jɔyn ɛn intestinal? Lɛ wi tɔk bɔt Ɛnteropatik Atraytis!

Sɔntɛnde, yu kin fil lɛk dis? We yu wek na mɔnin, yu jɔyn dɛn kin at ɛn fil se dɛn dɔn swel... Along wit dat, yu bɛlɛ kin pwɛl ɛn yu nid fɔ go na tɔylɛt bɔku tɛm insay di de. If yu gɛt dɛn tu sayn ya di sem tɛm, yu go nid fɔ no bɔt wan sik we dɛn kɔl ɛntɛropatik at.

Wetin na Ɛnteropatik Atraytis?

Fɔ tɔk am simpul wan, ɛntɛropatik at na wan sik we de mek yu jɔyn dɛn gɛt pen ɛn swel (atraytis) wit inflamɛns na yu dijestiv sistɛm, ɔ yu intestinal (Inflammatory Bowel Disease - IBD) . Imajin se yu gɛt prɔblɛm wit dɛn ɔl tu wan tɛm. Sɔm pipul dɛn kin kɔl dis ɛnteropathic arthropathy, ɔ IBD-related arthropathy.

Naw, luk, we wi se at at sik, wi ɔl no se na sik we kin mek yu jɔyn dɛn swel, we kin mek yu fil pen, ɛn i kin te . Na di ɔda say, we wi se IBD, i min se inflamɛns ɔ injuri de fɔ lɔng tɛm we kin apin pan pat ɔ ɔl yu dijestiv trakt, mɔ yu intestinal. So, if yu gɛt EnA, yu gɛt pen ɛn swel na dɛn jɔyn ya, bɔt yu gɛt inflamɛns bak na yu intestin.

EnA de pan wan big grup pan sik dεm we de afekt di joyn dεm. Dɛn kɔl am spondyloarthropathy. Na kɔmplikɛt nem, bɔt i de tɔk bɔt wan sik we kin de na di jɔyn dɛn fɔ lɔng tɛm. Dis sik kin ambɔg yu nɔrmal layf smɔl , bɔt di gud nyus na dat tritmɛnt dɛn de fɔ am.

Wetin na di sayn dɛm wae de sho se yu gɛt ɛnteropathic arthritis (EnA)?

fכ pכsin we gεt EnA, di men ifekt dεm na yu joyn dεm εn di dijestiv sistεm (Gastrointestinal - GI sistεm).

Di sayn dɛm we gɛt fɔ du wit di jɔyn:

Dɛn tin ya kin afɛkt di jɔyn dɛn na yu an ɛn yu fut mɔ, bɔt sɔntɛnde dɛn pen ɛn nɔ kin fil fayn kin apin bak na yu bak .

• Di chenj we di jɔyn dɛn shep de chenj: Fɔ ɛgzampul, i kin tan lɛk se di finga dɛn dɔn drɔ kɔmɔt, ɔ i kin tan lɛk se dɛn gɛt knob.
• Di kɔlɔ we di skin kin chenj: Di skin we de oba di jɔyn kin rɛd ɛn chenj in kɔlɔ.
• Pen: Dis na di men sayn.
• Joint stiffness/stiffness: We yu wek na mɔnin, yu kin fil se i nɔ izi fɔ bɛn ɔ ɛkstɛnd yu joyn fɔ sɔm tɛm.
• Swel: I tan lɛk se di jɔyn dɛn dɔn swel ɛn big.
• Tɛnd: I kin pen we yu tɔch ɔ prɛs di jɔyn.
• Jɔyn wam: Di say we di jɔyn de kin fil wam pas ɔda say dɛn.

di simptom dεm we de fכ di dijestiv sistεm (GI sistεm):

• Bɛlɛ we de at: Bɛlɛ kin at ɔltɛm.
• Blɔd na di stɔl we yu de go tɔylɛt: Dis na sayn we yu fɔ rili wɔri bɔt.
• Dayrɛa ɔltɛm: Fɔ go na di bafa bɔku tɛm insay di de.
• Yu nɔ want fɔ lɔs yu wet: Nɔto bikɔs yu de tray tranga wan fɔ lɛf yu wet, na jɔs bikɔs yu de lɔs yu wet.

Sɔm pipul dɛn kin gɛt GI simptom fɔs, dɔn dɛn kin gɛt joyn simptom . Ɔ i kin bi di ɔda we. Dat min se di joyn dɛn kin bigin fɔ at fɔs, dɔn di bɛlɛ prɔblɛm dɛn kin bigin. Sɔntɛnde, dɛn tu sayn ya kin kam pan di sem tɛm.

Wetin mek ɛnterɔpatik at at sik (EnA) kin kam? Wetin na di tin dɛn we kin mek i apin?

Infakt, sayɛnsman dɛn stil nɔ dɔn no di rayt tin we kin mek pɔsin gɛt EnA . Bɔt dɛn tink se wan prɔtin we dɛn kɔl HLA-B27 , we de na di say we wi wayt blɔd sɛl dɛn de, de insay.

tink bɔt am dis we, bikɔs ɔf dis `HLA-B27` protin, wi bɔdi in imyun sistɛm kin mistek bigin fɔ atak wi yon wɛlbɔdi sɛl dɛn, mɔ di sɛl dɛn na wi jɔyn dɛn . I tan lɛk se wi yon ami de atak dɛnsɛf.

Bɔt ɔda tin de ya. Dis `HLA-B27` nɔto fɔ dis sik nɔmɔ. Dat min se nɔto ɔlman we gɛt `HLA-B27` pɔsitiv go gɛt ɛnteropatik at. Sɔm pipul dɛm wae gɛt wɛl bɔdi kin bi pɔsitiv fɔ am bak. So, pan ɔl we dis kin bi wan rizin, i stil na sɔntin we stil de na di risach stej .

Udat de pan ay risk fɔ gɛt ɛntɛropatik at at sik (EnA)?

Dɛn se lɛk wan pan ɛvri fayv pipul dɛn we gɛt inflammatory bowel disease (IBD) go gɛt ɛnteropathic arthritis. IBD kin inklud kכndyushכn dεm lεk כ lsεraytiv kolεt εn Krכn sik .

Apat frɔm dat, EnA kin gɛt fɔ du wit ɔda tin dɛn we kin afɛkt yu smɔl intestinal . Fɔ ɛgzampul:

• Siliak sik: Dis na ɔtoimyun kɔndishɔn bak. Dis min se di bɔdi in imyun sistɛm de atak in yon sɛl dɛn.
• Inflameshɔn we kin apin afta baktriyal infɛkshɔn lɛk Salmonella ɛn Shigella. Sɔm baktriyal infɛkshɔn kin mek bak di intestinal inflamɛns, we kin mek yu gɛt prɔblɛm wit di jɔyn dɛn.
• Sɔm intestinal ɔpreshɔn dɛn (intestinal baypas ɔpreshɔn).
• Whipple disease: Dis na wan sik wae de kam wit baktri wae nɔr kin bɔrku.

Aw dɔktɔ dɛn kin no bɔt dis?

We yu go to dɔktɔ wit dɛn sik ya, di fɔs tin we i go du na fɔ mek dɛn chɛk yu bɔdi kɔmplit wan.. Dɔn, dɛn go tek tɛm luk yu pasɔnal wɛlbɔdi istri . Dɛn go aks yu bɔrku kwɛstyɔn bak bɔt yu sayn dɛm. Mɔtalman, dɛn go aks yu kwɛstyɔn dɛn bɔt aw yu jɔyn pen kin chenj ɔl di de, lɛk if i kin wɔs na mɔnin ɔ na nɛt .

Dɛn go aks bak bɔt yu dijestiv sistɛm (GI) simptom dɛm , lɛk we yu de chenj yu bɔdi ɛn yu nɔ go want fɔ it.

Apat frɔm dat, i impɔtant fɔ no yu famili in mɛdikal histri , mɔ if ɛnibɔdi na yu famili dɔn gɛt IBD ɔ at at sik.

Us tɛst dɛn kin yuz fɔ no if yu gɛt ɛnteropathic arthritis (EnA)?

No patikyula tɛst nɔ de fɔ no if pɔsin gɛt EnA. Bɔt yu dɔktɔ kin ɔda fɔ du sɔm tɛst fɔ no se yu gɛt IBD ɛn at at sik, ɔ fɔ pul ɔda tin dɛn we kin mek yu gɛt di sik. Dɛn tɛst ya kin bi:

• Arthrocentesis: Dis na fɔ tek smɔl smɔl wata we dɛn kɔl synovial fluid frɔm yu jɔyn ɛn tɛst am . Dis kin gi infɔmeshɔn bɔt inflamɛns na di jɔyn.
• Tek wan sampul pan yu stɔl ɛn du baktriyal kɔlchɔ tɛst.
• Bayopsi na tɛst we dɛn kin tek wan pat pan di tisu frɔm di dijestiv sistɛm.
• bכdi tεst dεm we de sho inflameshn: fכ egzampl, εrythrocyt sedimentation rate (ESR) כ C-reactive protein (CRP) tεst dεm. Dɛn tin ya kin gi yu aidia if swel ɔ inflamɛns de sɔmsay na di bɔdi.
• Wan blɔd tɛst fɔ `HLA-B27` .
• Kolonoskopi: Dis na tεst we dεn de egzamin di big intestinal we dεn de yuz tכb wit kεmεra.
• X-ray fɔ jɔyn dɛn we de mek yu fil pen ɔ we de mek yu tɔch yu.

Aw dɛn kin trit ɛntɛropatik at at sik (EnA)?

Di men gol fɔ ɛnteropathic arthritis tritmɛnt na fɔ ridyus di diskɔmfɔt na yu dijestiv sistɛm ɛn bak di diskɔmfɔt na yu jɔyn dɛm . I impɔtant bak fɔ mek di jɔyn dɛn nɔ pwɛl mɔ .

Yu kin yuz dɛn tin ya as tritmɛnt opshɔn:

• Glucocorticoids injection: Dɛn tin ya kin ɛp fɔ ridyus pen ɛn swel. Dɛn kin injɛkt dɛn bak dairekt insay di jɔyn.
• Disease-modifying antirheumatic drugs (DMARDs): Dɛn drɔgs ya kin chenj di we aw yu imyun sistɛm de wok ɛn slo di sik fɔ go bifo. Sɔm ɛgzampul dɛn na mɛtɔtreksɛt , sɔlfasalazin , .Drug dɛn lɛk Hydroxychloroquine ɛn Leflunomide .
• di tכmכro nεkrכsis fכktכ-alfa inhibito dεm (TNF-alfa inhibito dεm): Dis na כda pawaful klas כf dεm we de afekt di imyun sistεm. Wan ɛgzampul na Infliximab .
• Fizik tɛrapi: Dis kin rili ɛp fɔ mek di jɔyn dɛn kɔntinyu fɔ wok fayn ɛn fɔ mek di jɔyn dɛn nɔ pwɛl ɛn nɔ pwɛl.
• Ɔpreshɔn: Insay sɔm bad bad kes dɛm, mɔ if bak prɔblɛm de, i kin nid fɔ du ɔpreshɔn.
• Laif stayl chenj: I rili impɔtant fɔ tek tɛm, mɔ wit wetin yu de it ɛn drink (diet) .

Aw a go tek kia ɔf mi wɛlbɔdi wit ɛntɛropatik at at sik (EnA)?

Pan ɔl we EnA kin afɛkt yu ɛvride layf, sɔm we dɛn de fɔ ɛp yu fɔ fil fayn ɛn fɔ wok fayn :

• If yu put ɔt pan di jɔyn dɛn we de mek yu fil pen, dat kin ɛp fɔ mek di mɔsul dɛn rilaks. Semweso, if yu put kol, dat kin ɛp fɔ mek yu nɔ gɛt pen na yu jɔyn dɛn. Sɔm pipul dɛn kin si se ɔt kin ɛp, ɛn ɔda wan dɛn kin si se kol kin ɛp. Fɛn ɔda tin dɛn we go wok fɔ yu.
• Pik it ɛn drink dɛn we nɔ de mek yu bɔdi wam. Dat min se yu fɔ stɔp fɔ it tin dɛn we gɛt spays ɛn ɔyl ɛn ad mɔ vɛjitebul, frut, ɛn ɔyl to yu it.
• Praktis fɔ mek yu tinap fayn. Dat min se, tinap stret we yu sidɔm ɛn tinap.
• Tek pat pan sɔpɔt grup dɛn. Fɔ tɔk to ɔda pipul dɛm wae gɛt sik lɛk at at sik ɔr IBD kin bi big sɔs fɔ trɛnk ɛn infɔmeshɔn.
• If yu de smok ɔ yu de yuz tin dɛn we dɛn kin yuz fɔ smok, stɔp. Dɛn tin ya kin mek di sayn dɛn we de sho se di sik wɔs.
• Stret ɛn du tin dɛn we yu de du ɔltɛm. Aks yu dɔktɔ us ɛgzampul dɛn we fayn fɔ yu ɛn du dɛn.
• Tray fɔ tek kɔmplimɛnt tritmɛnt dɛn, lɛk fɔ masaj , fɔ tink gud wan , fɔ tek akupankcha , fɔ tek pikchɔ dɛn we dɛn de gayd, ɛn fɔ rilaks . Bɔt i fayn fɔ tɔk to yu dɔktɔ bifo yu tray dɛn tin ya.

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

We yu go to dɔktɔ, i go fayn fɔ mek yu aks kwɛstyɔn dɛn lɛk dɛn wan ya:

• Us kayn tritmɛnt yu kin kɔmɛnt fɔ mi?
• Ɛni spɛshal it dɛn de we a nɔ fɔ it?
• Wetin a kin du fɔ mek a nɔ gɛt flawa?
• Mi pikin dɛnsɛf kin gɛt dis sik? (Dat min se, i kɔmɔt frɔm dɛn mama ɛn papa?)

Yu tink se dɛn kin ebul fɔ avɔyd ɛntɛropatik at at sik (EnA)?

Bikɔs sayɛnsman dɛn stil nɔ ɔndastand gud gud wan wetin kin mek pɔsin gɛt ɛnteropathic arthropathy, no we nɔ de fɔ mek dɛn nɔ gɛt dis sik kpatakpata . Bɔt, we dɛn de we yu go ɛp fɔ mek yu nɔ gɛt di sik .

Yu kin pe atɛnshɔn pan wan plan fɔ it fayn fayn wan we gɛt bɔku fresh vɛjitebul ɛn frut dɛn . Tray fɔ du sɔm tin dɛn fɔ du wit yu bɔdi ɛvride. If yu de smok, yu go mɔs lɛf fɔ smok . Tɔk to yu dɔktɔ bɔt ɔda we dɛn we yu go ebul fɔ ridyus dɛn sik ya ɔltɛm.

Wetin na di prɔgnosis fɔ pɔrsin wae gɛt ɛntɛropatik at at sik (EnA)?

Di kɔs fɔ di sik pan pɔsin we gɛt EnA kin difrɛn bad bad wan frɔm wan pɔsin to ɔda pɔsin . Di sayn dɛm kin de ɔltɛm ɔr kin kam ɛn go . Flare-up kin bi smɔl anɔynt fɔ sɔm pipul dɛm, ɛn fɔ ɔda pipul dɛm kin tranga fɔ disrɔb dɛn de.

Bɔt, di tin we impɔtant pas ɔl na dat bɔku pipul dɛn we gɛt ɛntɛropatik at at kin liv nɔmal, prodaktiv layf ɛn liv nɔmal layfspan .

Nɔto jɔs yu gɛt jɔyn pen, bɔt naw yu gɛt gut ishu bak? Enteropathic arthritis kin bi wan sik wae de rili pen, wae de mek yu layf de pan denja. Di sayn dɛm kin difrɛn, bɔt wae de sik kin tranga, e kin afɛkt yu wan ol de. Bɔt gud tin na dat, tritmɛnt dɛn de we pɔsin kin gɛt . Bɔt, i kin tek sɔm tɛm fɔ fɛn di rayt tritmɛnt fɔ yu. Yu spɛshal, so yu sik nɔr kin bɛtɛ lɛk aw ɔda pɔrsin in sik kin bɛtɛ. Tɔk to yu dɔktɔ. I kin ɛp yu fɔ mek wan tritmɛnt plan we go wok fɔ yu.

Tin dɛn we wi fɔ mɛmba frɔm dis stori (Take-Home Message)

Okay, so lɛ wi luk sɔm simpul tin dɛm fɔ mɛmba bɔt di ɛntɛropatik at at sik we wi bin tɔk bɔt:

• EnA na wan sik we kin apin togɛda wit at at sik ɛn inflammatory bowel disease (IBD) .
• Di sayn dɛm kin bi we yu jɔyn dɛn kin pen, swel, ɛn stif, ɛn yu bɛlɛ kin kramp, yu kin gɛt dayarɛa, ɛn yu kin gɛt blɔd na di stɔl .
• di εksakεt kכz fכ dis dεn nכ fכnshכn yet , bכt jεnεtik fכs lεk `HLA-B27` kin ple wan rol.
• Pipul wae gɛt IBD (especially Crohn’s disease ɛn ulcerative colitis) kin gɛt bɔrku risk fɔ gɛt am.
• Dɛn kin yuz difrɛn tɛst dɛn (blɔd, stɔl, kɔlon skɔpi, ɛkstrem rayt) fɔ no di sik.
• Di tritmɛnt dɛn na fɔ tek mɛrɛsin, fɔ mɛn yu bɔdi, ɛn fɔ chenj di we aw yu de liv yu layf.I impɔtant.
• Pan ɔl we dɛn nɔ go ebul fɔ avɔyd di sik ɔltogɛda, i pɔsibul fɔ kɔntrol di sayn dɛm ɛn liv fayn layf .
• De tin wae impɔtant pas ɔl na fɔ nɔr frayd, bɔt fɔ tɔk to yu dɔktɔ ɛn gɛt di tritmɛnt ɛn advays wae bɛtɛ fɔ yu.

If yu gɛt dɛn sik ya, nɔr fɔ sɔfa yu wan, bɔt go to dɔktɔ kwik kwik wan. Dɔn yu kin gɛt rilif kwik kwik wan.

` Ɛnteropatik at, at, bɔdi sik, dijestiv trakt, jɔyn pen, IBD, Kron sik