Bɔku tɛm yu kin gɛt bak pen? We yu grap na bed na mɔnin, yu bak kin fil stif ɛn yu nɔ kin ivin ebul fɔ bɛn am fayn fɔ sɔm tɛm? Bɔku pan wi kin rayt dɛn tin ya as "wok taya" ɔ "smɔl bak pen." Bɔt sɔntɛnde, dɛn sayn ya, mɔ if dɛn bigin we dɛn yɔŋ, nɔ kin jɔs bi wan simpul bak-ak. Tide wi go tɔk bɔt wan pan dɛn kayn sik ya, Ankylosing Spondylitis, ɔ AS fɔ shɔt.
Wetin mek i at smɔl fɔ no bɔt AS?
Infakt, sɔm rizin dɛn de we mek ankylosing spondylitis (AS) kin kɔmplikt smɔl fɔ no am wantɛm wantɛm.
Di fɔs tin na dat, dɛn kin si di men sayn dɛm fɔ dis sik, lɛk bak pen ɛn stif, ɛn taya pasmak , dɛn kin si bak pan bɔku ɔda sik dɛm. So, i nɔ kin izi fɔ mek ivin dɔktɔ tɔk wantɛm wantɛm se dis na AS.
Di sɛkɔn tin na dat dis sik kin bigin bɔku tɛm we i yɔŋ . Jɔs tink bɔt, we pɔsin we ol 20 ɔ 30 ia se i gɛt bak pen, nɔbɔdi nɔ go tink se na at at, nɔto so? Bɔku pipul dɛn kin tink se at at sik kin jɔs kam we yu dɔn ol. Na dat mek yɔŋ pipul dɛn nɔ kin pe atɛnshɔn tumɔs to am.
Tɔd, man dɛn kin gɛt AS lɛk fayv tɛm pas uman dɛn. Dis kin mek i nɔ izi fɔ dɔktɔ dɛn fɔ no AS pan uman dɛn, bikɔs sɔm tɛm dɛn de di sayn dɛn we uman dɛn kin gɛt kin difrɛn. Fɔ ɛgzampul, sɔm uman dɛn kin gɛt pen na dɛn nɛk bifo dɛn bak pen.
Di impɔtant tin na dat, no wan tɛst nɔ de we go ebul fɔ kɔnfɔm AS. So yu dɔktɔ gɛt fɔ put togɛda sɔm ɔda we dɛn, lɛk fɔ sɔlv wan pazl, fɔ mek yu no se yu gɛt di sik.
If yu praymari kia dɔktɔ sɔspɛkt se yu gɛt AS, i go mɔs bi se i go rifer yu to spɛshal pɔsin. Dis na dɔktɔ we de mɛn rεumatɔlɔji. Fɔ tɔk am simpul wan, dɛn wan ya na dɔktɔ dɛn we spɛshal pan jɔyn ɛn inflammatory kɔndishɔn lɛk AS.
Wetin na di tɛst dɛn we dɛn kin du fɔ no if pɔsin gɛt sik?
Di dɔktɔ kin bigin fɔ no di sik bay we i tek tɛm chɛk yu. Dɔn, i go dipen pan di nid, i go rifer yu fɔ du difrɛn tɛst dɛn. Lɛ wi si wetin na dɛn step ya.
1. Fɔ Ɛgzam fɔ Yuz
Fɔs, di dɔktɔ go chɛk yu bɔdi.
- Dɛn go aks yu fɔ bɛn na difrɛn say dɛn. Dis go ɛp yu fɔ ɔndastand aw bɔku muvmɛnt na yu bak nɔ de muv ɛn usay di pen de.
- Sɔm say dɛn na yu bak ɛn yu hip eria tayt.Yu kin si if ɛni pen de.
- Dɛn kin tray fɔ muv yu leg dɛn na difrɛn say dɛn .
- Dɛn go mɛzhɔ di we aw yu chɛst de bɔku bay we dɛn aks yu fɔ blo dip dip wan . dis na biכs as AS de go bifo, di jכint dεm na di chεst kin afekt bak, we de mek di chεst nכ ebul fכ εkspכnd we yu de brith.
Apat frɔm dat, di dɔktɔ go mɔs aks yu sɔm kwɛstyɔn dɛn. Yu histri rili impɔtant fɔ di diagnosis.
- Ustɛm dis pen bigin?
- Aw lɔng di pen kin te? (Na mɔnin nɔmɔ? Na ɔl di de?)
- Us tɛm pan di de, di pen kin rili bad? (Bɔku tɛm, AS pen kin wɔs na mɔnin ɛn we yu de rɛst.)
- Yu tink se di pen kin go dɔŋ we yu de ɛksesaiz ɔ waka? (Dis na wan rili spɛshal tin we AS gɛt.)
- Ɛnibɔdi na yu famili gɛt bak prɔblɛm ɔ at at lɛk dis? (Bikɔs wan ɛritaj link de)
- Ɛni ɔda sayn dɛn de we de sho se yu gɛt dis sik? (e.g., rεd yay, skin prכblεm, intestinal prכblεm)
2. Imej Tɛst ɛn Blɔd Tɛst
Afta yu dɔn chɛk yu bɔdi, if di dɔktɔ nid mɔ infɔmeshɔn, i kin tɛl yu fɔ du tɛst lɛk ɛkstrem rayt, MRI, ɛn sɔm blɔd tɛst.
| Test tayp | Wetin fɔ ɛkspɛkt ɛn tin dɛn fɔ no |
|---|---|
| X-ray we dɛn kin du | dis kin sho chenj dεm na yu spayna εn hip jכint dεm (sacroiliac joyn dεm). Bɔt insay di fɔs stej dɛm fɔ AS, dɛn nɔ kin si ɛni chenj pan ɛkstrem rayt. E kin bi sɔm ia afta de sik bigin wae chenj kin bigin fɔ apia. |
| MRI Skan we dɛn kin du | MRI skan kin tek klia pikchɔ fɔ yu bon dɛn ɛn bak yu sɔft tisu dɛn. Dis kin mek i rili ɛp fɔ no if yu gɛt inflamɛns na di jɔyn dɛn we di sik bigin . Bɔt MRI skan kin dia pas ɛkstrem rayt. |
| Tɛst fɔ Blɔd |
|
Aw yu kin rich fɔ no di las diagnosis?
As yu si, dis nɔto sɔntin we pɔsin kin no wit wan tɛst. Sɔntɛnde i kin tek sɔm ia fɔ kɔnfɔm AS, bikɔs imej ɛn blɔd tɛst nɔ kin gi klia pruf na di fɔs stej.
Dɔktɔ go ɔltɛm kɔnfɔm se i gɛt AS if dɛn mit wan ɔ mɔ pan dɛn krayteria ya:
1. If imej tɛst (X-ray ɔ MRI) sho klia wan chenj dɛn we gɛt fɔ du wit AS na di spayna ɔ hip jɔyn dɛn, ɛn apat frɔm dat, yu gɛt at le wan pan dɛn simptom ya:
- Bak pen we dɔn te fɔ pas 3 mɔnt, mɔ if di pen kin wɔs we yu de rɛst ɛn i kin lɛf am bay we yu de muv.
- If di ebul fɔ bɛn di lɔwa bak nɔ bɔku.
- If yu chɛst we yu de blo smɔl pas aw yu bin de tink fɔ yu ej ɛn man ɔ uman.
Sɔntɛnde, ivin if di imej tɛst nɔ sho ɛni chenj we klia, if yu gɛt ɔl di tri sayn dɛm we wi dɔn tɔk bɔt (bak pen, yu nɔ de muv bɛtɛ, ɛn yu chɛst nɔ de bɔku), yu dɔktɔ kin no se yu gɛt "probable ankylosing spondylitis."
So, yu kin rich di las kɔnklushɔn bay we yu jɔyn ɔl yu sik dɛn, di dɔktɔ in bɔdi ɛgzam, ɛn ɔda tɛst ripɔt dɛn.
Mɛsej we dɛn kin kɛr go na os
- Ankylosing Spondylitis (AS) na wan kɔmpleks sik we kin tek sɔm tɛm fɔ no if i gɛt am, so peshɛnt.
- Nɔ ɛva ɔndastand bak pen, mɔ we yu yɔŋ, we kin wɔs we yu rɛst ɛn bɛtɛ we yu de du ɛksɛsayz. I nɔ kin bi "nɔmal bak-aks."
- No single "magic" test nɔ de fɔ kɔnfɔm AS. Diagnosis na fɔ disayd bay yu stori, yu bɔdi ɛgzam, ɛn ɔda tɛst rizɔlt.
- If yu gɛt dɛn sik ya, nɔr frayd fɔ go to yu dɔktɔ ɛn tɔk bɔt am witout delay. Di kwik we dɛn no di sik, na di mɔ di tritmɛnt ɛn rizulyt kin bɛtɛ.
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