Yu dɔn de gɛt bak pen fɔ sɔm tɛm? Yu kin tink se na jɔs nɔmal bak-ak we pɔsin kin gɛt we i sidɔm di rayt we ɔ we i es ebi ebi wet. Ɛspɛshali if yu yɔŋ, i nɔmal fɔ de wɔnda se, ‘Us kayn joyn sik dis na dis ej?’ Bɔt sɔmtɛm, biɛn dis bak pen we de kɔntinyu, taya, ɛn stif, wan spɛshal inflammatory joyn kɔndishɔn kin de we dɛn kɔl Ankylosing Spondylitis (AS). E kin tranga smɔl fɔ no dis sik. Lɛ wi si aw dɔktɔ dɛn kin no bɔt dis sik.
Wetin mek sɔntɛnde i nɔ kin izi fɔ no bɔt AS?
Bɔku rizin dɛn de we mek i nɔ kin izi fɔ no if pɔsin gɛt Ankylosing Spondylitis (AS).
Di fɔs tin na dat di men sayn dɛm fɔ dis sik, bak pen ɛn taya, kin kam pan bɔku ɔda sik dɛm . Dɛn sayn ya kin kam frɔm ɛnitin frɔm wan simpul mɔsul strɛs to ɔda wɛl bɔdi prɔblɛm.
Di sɛkɔn tin na dat dis sik kin afɛkt yɔŋ pipul dɛn mɔ . Pipul wae de bitwin 20-40 ia kin bigin fɔ gɛt am. So, pɔrsin wae gɛt da ej de nɔr kin izi fɔ tink se dɛn gɛt jɔyn sik lɛk at at sik.
Tɔd, sɔm difrɛns kin de pan di sayn dɛm bitwin uman ɛn man . Pan ɔl we dis sik kin bɔku pan man dɛn, i kin ambɔg uman dɛn bak. Bɔt uman dɛn kin fɔs gɛt sɔm sayn dɛn lɛk pen na dɛn nɛk pas fɔ gɛt bak pen. Dis kin mek di diagnosis kɔmplikt.
Di tin we impɔtant pas ɔl na dat, nɔr wan tɛst nɔr de wae kin se, "Yɛs, dis na di sik." So, di dɔktɔ gɛt fɔ jɔyn bɔku tin dɛn fɔ mek i kam fɔ no sɔntin.
If yu praymari kia dɔktɔ sɔspɛkt se yu gɛt AS, i kin rifer yu to rεumatɔlɔjis, dɔktɔ we spɛshal pan jɔyn sik dɛn. Dɛn gɛt spɛshal no fɔ no ɛn trit dɛn kayn inflammatory joyn kɔndishɔn ya.
Wetin yu kin du we yu si di dɔktɔ? (Fɔ ɛgzamin in bɔdi)
Di fɔs tin we di dɔktɔ we de chɛk yu go du na fɔ chɛk yu bɔdi gud gud wan (Physical Exam).
Dis tɛm, dɛn go aks yu fɔ bɛn bifo, bak, ɛn na di sayd dɛn fɔ chɛk if yu bak ɛn yu jɔyn dɛn kin chenj. Dis go ɛp yu fɔ no usay ɛn ustɛm yu bak pen de apin. Dɛn kin aks yu bak fɔ tayt sɔm say dɛn na yu bak ɛn hip, ɛn muv yu leg dɛn na difrɛn say dɛn. Sɔntɛnde, dɛn kin aks yu fɔ tek dip briz fɔ mek yu no se yu chɛst dɔn go ɔp.
Apat frɔm dat, di dɔktɔ go mɔs aks yu kwɛstyɔn dɛn lɛk dɛn wan ya:
- Ustɛm di pen bigin?
- Aw lɔng di pen kin te?
- Us tɛm pan di de, di pen kin rili bad? (Stif ɛn pen de we yu wek na mɔnin?)
- Yu tink se di pen kin go dɔŋ ɔ i kin bɔku we yu de du ɛksɛsayz ɔ waka?
- Ɛnibɔdi na yu famili gɛt dis kayn jɔyn sik (AS)? (Famili Istri)
- Ɛni ɔda sayn de (e.g., rɛd yay, finga dɛn we swel, taya pasmak) apat frɔm bak pen?
Speshal tɛst fɔ no if pɔsin gɛt di sik
Afta yu dɔn chɛk yu bɔdi, yu dɔktɔ go rifer yu fɔ du difrɛn tɛst fɔ no mɔ bɔt di sik. Dɛn kin sheb dɛn tin ya to tu men kategori: Imej Tɛst ɛn Blɔd Tɛst.
| Test tayp | Wetin yu si pan dis? | Tin dɛn we yu fɔ no |
|---|---|---|
| X-ray we dɛn kin du | wi de luk pan chenj dεm na di spayna εn sakroiliak jכint dεm, lεk we di spεs bitwin di bon dεm de sכm. | We di sik bigin, dɛn nɔ kin si ɛni chenj pan ɛkstrem rayt. I kin tek sɔm ia fɔ mek di chenj dɛn we klia fɔ si. |
| MRI Skan we dɛn kin du | כlso di bon dεm, di kכndishכn fכ di katilej εn sכft tisu dεm de rili klia. inflameshn na di joyn dεm kin de fכs fכs. | I dia pasmak pas ɛkstrem rayt, bɔt na tɛst we rili impɔtant fɔ no di sik kwik kwik wan. |
| Tɛst fɔ Blɔd | Wi de luk mɔ pan tu tin dɛn: 1. Wan jin de we dɛn kɔl HLA-B27 ? 2. Mak dεm we dεn kכl ESR εn CRP , we de mכsu di lεvεl fכ inflameshn na di bכdi. | we yu gεt di HLA-B27 jin nכmכ i nכ de mek AS . Dɔn bak, nɔto ɔlman we gɛt AS gɛt dis jin. Mak dεm lεk ESR εn CRP kin εlevεt bak pan כda infεkshכn kכndishכn dεm. So, dɛn nɔ kin yuz dɛn wan fɔ no if pɔsin gɛt di sik. |
Smɔl mɔ bɔt blɔd tɛst...
Yu dɔktɔ kin tɛst yu blɔd fɔ gɛt wan jenɛtik mak we dɛn kɔl HLA-B27 . Bɔrku pipul dɛm wae gɛt AS gɛt dis jin. Bɔt mɛmba se nɔto ɔlman we gɛt dis jin go gɛt AS. Dɔn bak, smɔl nɔmba pan pipul dɛn we gɛt AS kin nɔ gɛt dis jin.
pan tap dat, dεn kin du tεst dεm we dεn kכl ESR (Erythrocyt Sedimentation Rate) εn CRP (C-reactive Protein) fכ chεk fכ inflameshn na di bכdi. Dɛn valyu ya kin ɛlevɛt bikɔs ɔf AS. Bɔt bikɔs dɛn tin ya kin go ɔp bak pan ɔda tin dɛn lɛk infɛkshɔn ɔ anemia, dis na jɔs wan ɔda pruf.
So aw dɛn kin dɔn kɔnfyus di sik?
Yu go dɔn ɔndastand naw se dis nɔto wan tɛm tɛst, i tan lɛk fɔ sɔlv pɔzl. Sɔmtɛm, dɛn nɔ kin no di sik te sɔm ia afta di sik bigin. Dis na prɔblɛm fɔ di pɔsin ɛn di dɔktɔ.
Dɔktɔ go ɔltɛm se yu gɛt AS if dɛn mit dɛn tin ya:
di chenj dεm we di jכint de chenj we kכnsist wit AS de sho pan εks-ray כ MRI skan , εn at le wan pan dεn tin ya de:
- Limitɛd abiliti fɔ bɛn yu lɔwa bak fɔ go bifo ɛn to di sayd dɛn.
- we yu de blo, yu chεst de pan (expand) sכmtεm we yu kכmpεr to yu ej εn jεnda.
- Bak pen we dɔn de fɔ pas 3 mɔnt , ɛn we kin pul am we yu de du ɛksɛsayz ɔ muv .
Imajin se yu imej tɛst (X-ray, MRI) nɔ sho ɛni chenj we klia, bɔt yu gɛt ɔl di tri sayn dɛn we wi dɔn tɔk bɔt. If na so i bi, yu dɔktɔ kin tɛl yu se yu gɛt "Probable Ankylosing Spondylitis" (wan sik we kin bi AS).
Dat min se fɔ kɔnfirm di sik, di dɔktɔ kin disayd fɔ du di las tin bay we i kin jɔyn ɔltin frɔm di sayn dɛm we yu gɛt, di tin dɛm we yu dɔn fɛn pan yu bɔdi, blɔd tɛst, ɛn ɛkstrem rayt/MRI ripɔt.
Mɛsej we dɛn kin kɛr go na os
- Ankylosing Spondylitis (AS) na wan sik we de mek yu fil bad na di spayna we kin apin we yu yɔŋ. Nɔ ignore am as jɔs simpul bak-ak.
- Bikɔs nɔr wan difinitiv tɛst nɔr de fɔ no dis sik, sɔmtɛm fɔ no bɔt dis sik kin kɔmplikt.
- Di dɔktɔ kin no di sik bay we i de tink bɔt di sayn dɛn we yu gɛt, fɔ chɛk yu bɔdi, fɔ tɛst yu blɔd (HLA-B27, CRP, ESR), ɛn fɔ du imej tɛst (X-ray, MRI).
- If bak stiffness ɛn pen, mɔ na mɔnin, de go dɔŋ wit ɛksesaiz, mek shɔ se yu pe atɛnshɔn to am.
- If yu gɛt dɛn sik ya, go to yu dɔktɔ wantɛm wantɛm fɔ advays. I go rifer yu to dɔktɔ we de mɛn yu bɔdi if nid de.
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