Yu X-ray nɔ go sho wetin mek yu bak de pen? Lɛ wi tɔk bɔt dis! (Nɔn-Raydiografik Akshal Spɔndilɔ-Atrit) .

Wi ɔl dɔn gɛt bak pen sɔm tɛm na wi layf. Sɔntɛnde, di pen we kin kam we yu es di wet ɔ we yu nɔ sidɔm fayn, go stɔp insay sɔm dez. Bɔt if yu gɛt bak pen we kin de fɔ sɔm mɔnt, mɔ na nɛt ɛn we yu grap na mɔnin, nɔ jɔs ignore am. Tide, wi go tɔk bɔt Non-Radiographic Axial Spondyloarthritis , ɔ as wi dɔktɔ dɛn kin kɔl am (nr-axSpA) , na wan kayn at at sik we nɔ kin sho pan ɛkstrem rayt bɔt kin afɛkt yu layf.

Simply put, wetin na nr-axSpA?

Sɔntɛm yu dɔn yɛri bɔt ɔstiɔ-arayt , we kin mek yu jɔyn dɛn lɛk di ni ɛn hip dɛn we yu de ol. Bɔt nr-axSpA na difrɛn tin, we kin apin bikɔs di bɔdi in imyun sistɛm nɔ de wok fayn . Fɔ tɔk am simpul wan, wi bɔdi in yon difens sistɛm ɔ di imyun sɛl dɛn kin mistek atak wi yon jɔyn dɛn, we kin kɔnɛkt to wi spayna ɛn bɔdi . Dis kin mek dɛn jɔyn dɛn de inflamɛns , ɛn dis kin mek dɛn stif ɛn pen.

Dis sik gɛt fɔ du wit wan at at sik we kin rili bad we dɛn kɔl Ankylosing Spondylitis (AS) . sכmtεm nr-axSpA kin bi wan εli stej fכ AS. כltu, nכto כlman we gεt nr-axSpA go divεlכp AS.

Wetin na di sayn dɛm fɔ dis sik?

Di men simptom fɔ nr-axSpA na bak pen . Bɔt dis difrɛn frɔm nɔmal bak pen. Lɛ wi ɔndastand dis difrɛns klia wan.

Apat frɔm bak pen, dɛn kin si sɔm ɔda sayn dɛn:

• Anklɛ pen : Pen ɛn stif, mɔ na say dɛn lɛk di Akilis tɛndon ɔnda di il.
• Di finga dɛn we de swel: Finga ɔ fut kin swel ɔlsay lɛk sosish. Wi kin kɔl dis daktilaytis .
• Pen na ɔda jɔyn dɛn: Pen kin apin bak na ɔda jɔyn dɛn lɛk di hip, ni, ɛn sholda.
• Fɔ taya bɔku tɛm : .Fɔ fil taya pasmak ɛn taya ilɛksɛf yu slip bɔku.

Wetin mek dis kin apin? Wetin na di tin dɛn we kin mek pɔsin gɛt dis sik?

As wi bin dɔn tɔk, di men rizin fɔ dis na wan prɔblɛm we de na wi imyun sistɛm. Wi nɔ no di rayt rizin fɔ dis. Bɔt di wan dɛn we de stɔdi bɔt dis biliv se sɔntin de we gɛt fɔ du wit di jɛnɛtiks.

spεshal wan, dεn fכnshכn se wan jin we dεn kכ l HLA-B27 de sho se i gεt dis. Bɔku pipul dɛn we gɛt nr-axSpA ɛn AS gɛt dis jin. Bɔt dis nɔ min se ɔlman we gɛt di HLA-B27 jin go gɛt dis at at sik. Na jɔs we pɔsin kin gɛt wan patikyula sik.

Ɔda tin dɛn we kin mek pɔsin gɛt dis sik na:

• Ej: Di sayn dɛm kin bigin we dɛn yɔŋ, bitwin 20 ɛn 40 ia.
• Famili histri: If pɔsin na yu fambul we de nia yu (mama ɛn papa, brɔda ɛn sista) gɛt nr-axSpA ɔ AS, yu de pan ay risk fɔ gɛt am bak.
• Smok : Pipul dɛn we de smok kin gɛt dis sik, ɛn dɛn kin gɛt dis sik fɔ wɔs.

Aw fɔ no di sik kɔrɛkt wan?

Fɔ no dis sik kin tranga smɔl bikɔs i nɔ kin sho pan ɛkstrem rayt, ɛn bɔku tɛm di sayn dɛm kin apia pan yɔŋ pipul dɛm wae gɛt wɛl bɔdi. So sɔmtɛm, dɛn kin mistek kɔl am simpul bak-ak, we kin mek i delay fɔ di tritmɛnt.

We yu go si yu dɔktɔ, i go du dɛn tin ya:

1. I go tek tɛm lisin to yu sayn dɛm: aks am ditayli bɔt ustɛm di pen bigin, aw lɔng i dɔn de, ɛn if i kin bɛtɛ we yu de du ɛksɛsayz.

2. I de du fyzikal egzamin: I de chɛk aw di spayna de muv ɛn di say dɛn we i de fil pen.

3. dεn כda blכd tεst: fכ chεk fכ di prεsεns fכ di HLA-B27 jin εn fכ כda tεst lεk CRP εn ESR, we de sho se inflameshn na di bכdi.

4. MRI skan: Dis na di mכst imכtant tεst fכ no nr-axSpA. MRI skan kin sho klia wan se di joyn dεm de inflameshn εn swεla we dεn nכ de si pan εks-ray.

Wetin na di tritmɛnt dɛn?

Managing nr-axSpA na wan kɔmbaynshɔn fɔ ɛksɛsayz, fyzikal tɛrapi, ɛn mɛrɛsin.

1. Ɛksesaiz

Dis tan lɛk mɛrɛsin. Fɔ ɛksesaiz ɛvride rili impɔtant. We yu de du ɛksasaiz, i de mek yu nɔ fil pen, i nɔ de mek yu bak nɔ stif, ɛn i nɔ de taya ɔltɛm we yu de fil. I de ɛp bak fɔ mek yu spayna nɔ de na wan ples ɛn fɔ mek i nɔ bɛn.

2. Drug dɛn

Fɔs, yu dɔktɔ kin gi yu mɛrɛsin fɔ mɛn pen ɛn nɔ-stɛroyd anti-inflammatory drugs (NSAID) (e.g., Indomethacin, Naproxen). Bɔt dɛn fɔ jɔs yuz dɛn tin ya ɔnda dɔktɔ in sɔpɔtishɔn . If yu yuz am fɔ lɔng tɛm, i kin mek yu gɛt sayd ɛfɛkt lɛk we yu bɛlɛ kin at ɛn yu kidni kin pwɛl.

If NSAID nɔ wok, yu dɔktɔ kin gi yu sɔm patikyula mɛrɛsin dɛn (bayolojikal) we de kɔntrol di wok we di imyun sistɛm de du, lɛk TNF inhibitors .

3. Fizik Tɛrapi

I rili impɔtant fɔ lan di kɔrɛkt ɛgzampul dɛn ɔnda di gayd we pɔsin we tren fɔ mɛn yu bɔdi de gayd yu. Dɛn go tich yu ɛksesaiz dɛn we de mek yu spayna strɔng, strɛch tayt mɔsul dɛn, kɔrɛkt we fɔ tinap, ɛn aw fɔ blo.

Yu tink se na di spayna nɔmɔ i kin afɛkt? Ɔda prɔblɛm dɛn de we kin apin?

Yes, nr-axSpA nɔto sik we de jɔs de na di spayna. Dis imyun sistεm inflameshn kin afekt כda pat dεm na di bכdi bak.

• Ay: Yuveitis na kɔmɔn tin we kin mek yu gɛt inflamɛns insay di yay. Di sayn dɛm na fɔ rɛd , pen, yu nɔ de si fayn , ɛn yu nɔ de fil lɛk layt. If yu gɛt ɛni wan pan dɛn sik ya, yu fɔ go to dɔktɔ fɔ yu yay wantɛm wantɛm .
• Dijestiv sistɛm: Fɔ sɔm pipul dɛnInflammatory Bowel Disease (IBD) , lɛk Crohn’s Disease ɔ Ulcerative Colitis , kin mek yu gɛt sɔm sayn dɛn lɛk bɛlɛ pen ɛn dayarɛa fɔ lɔng tɛm.
• Skin: Na lɛk 10% pan di sik pipul dɛn kin gɛt psoriasis bak, we na wan sik we de mek dɛn gɛt rɛd, skel pat na dɛn skin.

E nɔr kin izi fɔ tɔk bɔt aw dis sik go afɛkt yu as tɛm de go. Sɔm pipul dɛn kin gɛt di sem kayn sik, ɛn ɔda wan dɛn kin wɔs. Sɔm pipul dɛn kɔndishɔn kin go bifo to AS. Bɔt if yu gɛt di rayt tritmɛnt ɛn layf, yu kin ebul fɔ kɔntrol dis sik fayn fayn wan ɛn liv nɔmal layf.