Yu pikin in jɔyn dɛn dɔn swel ɛn i de fil pen? I kin bi (Oligoarthritis)! Mek wi tok.

Yu smɔl pikin kin fil lɛk se i de limp we i wek na mɔnin? Ɔ dɛn kin se ɔltɛm se, "Mama, dat kin at" we dɛn ni ɔ anklɛ de at? Sɔntɛnde wi kin tink bɔt dɛn tin ya as smɔl injuri ɔ sprain we wi de ple, bɔt dis kin bi sɔntin we rili siriɔs. Tide wi go tɔk bɔt wan sik we dɛn kɔl ``Oligoarthritis'', we kin afɛkt yɔŋ pikin dɛm, dat na pikin dɛm we nɔ rich 16 ia yet, ɛn kin mek dɛn gɛt sɔm sayn dɛm lɛk fɔ swel, stif, ɛn pen na di jɔyn dɛm.

Wetin na `(Oligoarthritis)`? Lɛ wi fɛn ɔltin simpul wan!

Fɔ tɔk am simpul wan, `(Oligoarthritis)` na wan kayn at at sik we kin apin we dɛn smɔl. Di Latin wɔd ``Oligo`` min "smɔl" ɔ "smɔl." So, lεk aw di nem sho, pikin we gεt `(Oligoarthritis)` gεt dis inflameshn na less dan fayv joyn dεm na in bכdi. Dis de pan di big kategori `(Juvenile Idiopathic Arthritis - JIA)` ɛn na di kayn we we kɔmɔn pas ɔl pan dɛn.

Dis sik kin afɛkt di pikin in big jɔyn dɛn mɔ . Dat min se, na di joyn dεm lεk di kכn, ankכl, εn εlbo dεm na dεn kin tכk bכku bכku wan. pan sכm pikin dεm, wit prכblεm wit dεn joyn dεm ya, inflameshn na di midul layεr insay di yay (`(Uvea)`) kin apin bak, wan kכndyushכn we dεn kכl `(Uveitis)`. So, yu fɔ no bak bɔt di sayn dɛm lɛk yu yay rɛd, yu nɔr ebul fɔ si na do, ɛn yu nɔr de si fayn fayn wan.

Yu tink se kayn `(Oligoarthritis)` de?

Yes, dεn kin sheb `(Oligoarthritis)` to tu men tכp dεm, i dipכnt pan aw כl di joyn dεm de afekt ova tεm:

• Oligoarthritis we nɔ de dɔn: Insay dis, 4 ɔ smɔl jɔyn dɛn kin stil afɛkt afta siks mɔnt.
• Ɛkstend Oligoarthritis: Insay dis, pas 4 jɔyn dɛn kin afɛkt afta siks mɔnt.

Udat kin gɛt dis pas ɔlman?

Oligoarthritis na wan sik we dɛn kin gɛt we dɛn smɔl. Dis min se i kin apin to yɔŋ pikin dɛn ɛn yɔŋ pipul dɛn (bɔku tɛm we nɔ rich 16 ia yet). Pan ɔl we i kin apin smɔl pan gyal pikin dɛn pas bɔy pikin dɛn, i kin afɛkt ɛni pikin.

Aw kɔmɔn tin na `(Oligoarthritis)`?

As wi bin dɔn tɔk, `(Oligoarthritis)` na di kayn we we dɛn kin kɔl `(Juvenile Idiopathic Arthritis - JIA)`. If yu luk di statystik na kɔntri dɛm lɛk Nɔt Amɛrika ɛn Yurop, dɛn se na lɛk 4 to 16 pan 10,000 pikin dɛm gɛt `(JIA).` Na lɛk af pan dɛn pikin ya we gɛt `(JIA)` gɛt `(Oligoarthritis).` Dɔn bak, lɛk 20% pan di pikin dɛm we dɛn no se gɛt `(Oligoarthritis)` kin prɛzɛnt wit `(Uveitis)`, ɔ inflammation of di yay dɛn.

Aw `(Oligoarthritis)` kin afɛkt pikin in bɔdi? Dis na `(Autoimmune)` sik?

Yes, `(Oligoarthritis)` na `(Autoimmune disease)`, dat na, wan autoimmune sik.. Naw tink bɔt am, wi gɛt difens sistɛm na wi bɔdi, wi kɔl am di imyun sistɛm. I tan lɛk ami we de protɛkt wi kɔntri. dis sistεm de protεkt wi bכdi frכm εnεmi dεm we de na do, dat na frכm jεm, baktri, vayrus, εn כda tin dεm.

Bɔt, insay wan `(Autoimmune)` sik, sɔntin we strenj kin apin. Dis na smɔl mistek na wi yon difens sistɛm. I tan lɛk se wi yon ami de atak inosɛnt pipul dɛn na wi yon kɔntri. na ya, di imyun sistεm nכ de כndastand wetin na hεlty sεl dεm εn wetin na εnεmi frכm כdasay. So, i kin bigin fɔ atak wi yon wɛlbɔdi sɛl ɛn tisu dɛn.

Di sem tin kin apin na `(Oligoarthritis)`. di pikin in imyun sistεm de atak di mεmbran we de rawnd di jכint (di `(Synovium)`) , lεk se i de atak εnimi frכm do. Nɔmal wan, wi jɔyn dɛn kin mek wan patikyula wata (synovial fluid) fɔ mek dɛn kɔntinyu fɔ muv izi wan ɛn nɔ fɔ rɔb pan dɛnsɛf. bikɔs ɔf dis atak we di imyun sistɛm de atak, da jɔyn mɛmbran de pwɛl, ɛn i kin bigin fɔ mek mɔ wata pas aw i kin bi . Na da tɛm de di jɔyn kin swel, i kin big, i kin stif, ɛn i kin at. Dis na di besik simptom dɛm fɔ `(Oligoarthritis)`.

Wetin na di sayn dɛm fɔ `(Oligoarthritis)`?

di simptom dεm fכ `(Oligoarthritis)` nכ de di sem fכ כl pikin. Sɔm pikin dɛn kin gɛt sayn dɛn we nɔ kin rili at fɔ si, ɛn ɔda wan dɛn kin gɛt mɔ sik. Fɔs, di sayn dɛm kin afɛkt 4 ɔ smɔl joyn dɛm. De men sayn wae yu kin si na:

• Blurred vision: Dis na simptom wae de kam wit di kondishon `(Uveitis)`.
• Taya ɛn taya: If di pikin de tɔk ɔltɛm se dɛn taya ɛn dɛn nɔ gɛt ɛni intres fɔ ple.
• Joyn diskɔmfɔt/pen: Dis pen kin bɔku, mɔ we yu wek na mɔnin ɔ afta yu dɔn tinap fɔ sɔm tɛm.
• Joint stiffness: Fɔ fil se i at fɔ bɛn ɔ stret jɔyn na mɔnin.
• di joyn dεm we tεnd כ swεla: If di pikin gεt swel rawnd di jכint εn i de fil pen we i tכch am.

Mɛmba se if yu pikin sho wan ɔ mɔ pan dɛn sik ya, i rili impɔtant fɔ go to dɔktɔ ɛn nɔ dismis am as sɔntin we simpul.

Wetin kin mek pɔsin gɛt `(Oligoarthritis)`?

Oligoarthritis na wan kayn Juvenile Idiopathic Arthritis. Di wɔd " idiopathic " min "we dɛn nɔ no bɔt di rizin." Dis min se dɛn nɔ dɔn fɛn di rayt tin we kin mek dis sik apin yet .

Bɔt sɔm stɔdi dɛn dɔn sho se dis sik kin kɔmɔt frɔm wan vayrɔs ɔ baktri we kin ambɔg pikin wit wan jenɛtik muteshɔn. Bɔt dɛn tin ya stil de na di risach stej.

Dis kin skata to ɔda jɔyn dɛn?

Sɔntɛnde, yɛs. sכm pikin dεm we gεt `(Oligoarthritis)` kin gεt di sik we de spre to כda joyn dεm ova tεm (afta 6 mכnt). Dis na wetin wi bin kɔl `(Extended Oligoarthritis)` bifo tɛm. Bɔt dis nɔ kin apin to ɔl pikin dɛn. Sɔm kin gɛt am jɔs fɔ di jɔyn dɛn we bin afɛkt fɔs. Di tin dɛm wae de sik kin difrɛn bak frɔm wae nɔr kin pasmak to wae kin rili bad.

Aw fɔ no if yu gɛt `(Oligoarthritis)`?

Fɔ no kɔrɛkt wan if yu pikin gɛt ``Oligoarthritis,'' di dɔktɔ go fala sɔm step dɛm.

1. Kɔmplit mɛdikal istri ɛn di sayn dɛm: Di dɔktɔ go aks yu bɔku tin bɔt di sik dɛm we yu pikin gɛt (wetin dɛn bi, aw lɔng i dɔn de de, aw i bad), bɔt yu pikin in ɔda sik dɛm, ɛn if ɛnibɔdi na yu famili dɔn gɛt di sem kayn joyn prɔblɛm.

2. Fɔ chɛk in bɔdi: Dɔn dɛn kin tek tɛm chɛk di pikin in jɔyn dɛn we dɔn afɛkt. Dɛn kin luk fɔ swel, pen we dɛn tɔch am, ɛn if di jɔyn kin bɛn ɛn ɛkstɛnd fayn fayn wan.

3. Fɔ pul ɔda sik dɛn: Bikɔs ɔda sik dɛn de we kin mek pɔsin gɛt di sem kayn sik, wan pan di men tin we di dɔktɔ want na fɔ pul dɛn kayn sik ya ɛn kɔnfɔm se fɔ tru na `(Oligoarthritis)`.

4. Spɛshal tɛst dɛn:

• Imej tɛst: Dɛn kin se yu fɔ du ɛkstrem rayt ɔ MRI skan fɔ si wetin de apin insay di jɔyn dɛn.
• Labɔrɔtɔri tɛst: Blɔd tɛst, urine tɛst, ɛn sɔntɛnde jɔyn wata tɛst kin ɛp fɔ no wetin mek di sik ɛn di lɛvɛl we di inflamɛns de.

5. Ay ɛgzam: If yu pikin gɛt sɔm sayn dɛn lɛk we i nɔ de si ɔ in yay rɛd, mek shɔ se yu mek dɔktɔ we de mɛn yu yay chɛk am fɔ mek yu nɔ gɛt wan sik we dɛn kɔl uveitis.

Wetin na di tritmɛnt dɛm fɔ `(Oligoarthritis)`?

Bɔku men gol dɛn de fɔ trit oligoarthritis:

• Fɔ ridyus di inflamɛns ɛn swel na di jɔyn dɛn.
• Fɔ mek di jɔyn dɛn nɔ pwɛl mɔ.
• Fɔ mek di jɔyn dɛn muv ɛn wok fayn fayn wan.
• Fɔ kɔntrol di pen.

Fɔ dis, di dɔktɔ kin tɛl yu wan ɔ mɔ pan dɛn tin ya, i go dipen pan di pikin in kɔndishɔn:

• Nonsteroidal anti-inflammatory drugs (NSAID): Dɛn wan ya kin mek di pen ɛn di jɔyn dɛn kin swel. Sɔm ɛgzampul dɛn na ibuprofen ɛn naproxen.
• Kɔtikosterɔyd injɛkshɔn ɔ tablɛt: Dɛn kin gi kɔtikosterɔyd injɛkshɔn dairekt insay di jɔyn we di sik afɛkt. Ɔ, lɛk aw yu dɔktɔ tɛl yu, yu kin gi am as tablɛt we yu kin it. Dɛn tin ya kin ɛp fɔ ridyus di inflamɛns kwik kwik wan.
• Disease-modifying anti-rheumatic drugs (DMARDs): Dɛn mɛrɛsin ya de wok bay we dɛn de stɔp di imyun sistɛm fɔ atak di jɔyn dɛn, we de mek di bon ɛn jɔyn dɛn nɔ pwɛl fɔ lɔng tɛm. Dɛn DMARD ya (e.g., methotrexate) kin bi if dɛn nɔ kɔntrol di sik fayn wit NSAID ɔ stɛroyd injɛkshɔn, ɔ as praymar tritmɛnt.
• Bayolojikal: Dɛn kin yuz dɛn patikyula bayolojikal drɔgs ya we di jɔyn dɛn nɔ de ansa fayn to ɔda tritmɛnt dɛn. Dɛn kin wok bak bay we dɛn de tɔch sɔm patikyula pat dɛn na di imyun sistɛm.
• Fyzikal ɛn wok tɛrapi: Dis rili impɔtant. Fyzikal tritmɛnt kin ɛp fɔ mek di mɔsul dɛn strɔng, fɔ mek di jɔyn dɛn ebul fɔ chenj, ɛn fɔ mek dɛn ebul fɔ muv fayn fayn wan. Ɔkupeshɔn tɛrapi kin ɛp di pikin fɔ du di wok dɛn we i kin du ɛvride (lɛk fɔ drɛs, wɛr sus, ɛn rayt) izi wan. Sɔntɛnde, dɛn kin se dɛn fɔ yuz spɛshal bres fɔ protɛkt di jɔyn dɛn ɛn fɔ mek dɛn ebul fɔ muv mɔ.

Ɛni bad tin de we di tritmɛnt kin du?

Jɔs lɛk ɛni ɔda mɛrɛsin, dɛn tritmɛnt ya kin gɛt sɔm bad bad tin dɛn. Yu dɔktɔ go tich yu bɔt dɛn tin ya ɛn plan yu tritmɛnt fɔ mek di sayd ɛfɛkt dɛn nɔ bɔku.

• Kɔtikosterɔyd: Ɛspɛshali stɛroyd we dɛn kin tek bay mɔt, if dɛn tek am fɔ lɔng tɛm, i kin mek di bon dɛn wik, i kin afɛkt di we aw di pikin de gro fayn fayn wan, ɛn i kin mek i gɛt mɔ wet. So, dɔktɔ dɛn kin yuz dɛn tin ya fayn fayn wan, ɛn na fɔ di tɛm nɔmɔ we dɛn nid.
• NSAID: Dɛn tin ya kin mek sɔm pikin dɛn bɛlɛ at, nɔs, ɛn at kin bɔn. Na dat mek dɔktɔ dɛn kin se yu fɔ tek dɛn mɛrɛsin ya wit it.

Aw kwik a go fil fayn afta dɛn dɔn trit mi?

Dis kin difrɛn frɔm wan pikin to ɔda pikin, i kin dipen pan aw di sik tranga, ɛn aw i kin biev we dɛn gɛt tritmɛnt. De sik (Oligoarthritis) kin te frɔm sɔm mɔnt to sɔm ia.

di bεst pat na dat wit di rayt tritmεnt, bכku tεm dεn kin rεdכks di sayn dεm, εn sכmtεm dεn kin ivin kכmplit (`(Rεmishכn)`) . Dis min se di pikin kin liv nɔmal wan we nɔ gɛt ɛni sayn. Bɔt sɔntɛnde, di sik kin go na ɔda jɔyn dɛn we di pikin de gro. So, i rili impɔtant fɔ fala di tritmɛnt plan we di dɔktɔ gi yu di rayt we.

Yu tink se dɛn kin ebul fɔ protɛkt di divɛlɔpmɛnt fɔ `(Oligoarthritis)`?

As wi bin dɔn tɔk, naw, no patikyula we nɔ de fɔ mek di `(Oligoarthritis)` nɔ gro, bikɔs dɛn nɔ no di rayt kɔz.

Wetin yu fɔ ɛkspɛkt as mama ɔ papa fɔ pikin we gɛt `(Oligoarthritis)`?

Pikin we gɛt ``(oligoarthritis)``, mɔ if dɛn nɔ trit am, i kin gɛt smɔl prɔblɛm fɔ rɔn, ple, ɛn du tin lɛk ɔda pikin dɛn. Dis kin bi bikɔs ɔf di pen ɛn stiffness na di joyn dɛm.

Bɔt bɔku pikin dɛn kin gro pas dis sik as dɛn de ol, dat na we dɛn de big . Sɔm pikin dɛn kin gɛt sɔm prɔblɛm dɛn na ɔda jɔyn dɛn we dɛn de ol.

Di tin we impɔtant pas ɔl na dat, di rayt tritmɛnt ɛn fizik tritmɛnt kin ɛp fɔ kɔntrol di pen ɛn stiffness na di jɔyn dɛn . I kin mek bak di pikin in jɔyn dɛn ebul fɔ muv fayn fayn wan ɛn ɛp am fɔ du tin dɛn ɛn spɔt dɛn ɛvride ɛn nɔ gɛt ɛnitin fɔ stɔp am.

Ustɛm a fɔ go to dɔktɔ?

If yu pikin gɛt ɛni wan pan dɛn sik ya, go to dɔktɔ wantɛm wantɛm:

• If di pikin gɛt prɔblɛm fɔ waka, rɔn, jomp, ɔ muv in jɔyn.
• If di joyn pen ɛn swɛlin nɔ go dɔŋ wit di mɛrɛsin we di dɔktɔ gi am, ɔ if i wɔs.
• If di pikin gɛt prɔblɛm wit di we aw i de si (we i nɔ de si fayn, i nɔ izi fɔ si na brayt layt).
• If yu gɛt sɔm kayn sik lɛk aw yu yay de at ɔ yu de rɛd ɔltɛm.

Us kwɛstyɔn dɛn yu fɔ aks di dɔktɔ?

We yu de tɔk to di dɔktɔ bɔt yu pikin, nɔ shem fɔ aks kwɛstyɔn dɛn lɛk dɛn wan ya:

• "Ɛni sayd ɛfɛkt de fɔ dɛn mɛrɛsin ya? Wetin na dɛn?"
• "Ɔmɔs kɔtikosterɔyd injɛkshɔn di pikin go nid fɔ bɛtɛ?"
• "Aw often a fɔ go si fizik tɛrapist?"
• "Mi pikin we get `(Oligoarthritis)` fit ple di spot we im laik?"
• "Dis go afekt skul wok? Wetin dem fit du abaut am?"

Wetin na di difrɛns bitwin `(Oligoarthritis)` ɛn `(Polyarthritis)`?

Oligoarthritis ɛn polyarthritis na tu kayn juvenile idiopathic arthritis (JIA). di men difrεns bitwin di tu na di nכmba כf di jכint dεm we afekt εn di kayn jכyn dεm we afekt .

• `(Oligoarthritis)`: pan dis, lεk aw wi bin dכn tכk, nכ pas fayv joyn dεm (usually 1-4) dεn de afekt. di big joyn dεm lεk di kכn, ankכl, εn εlbo dεm kin afekt mכst.
• Polyarthritis: "Poly" min "bɔku." So, pan polyarthritis, fayv ɔ mɔ jɔyn dɛn kin afɛkt. Bɔku tɛm dis kin inklud di smɔl smɔl jɔyn dɛn na di an ɛn fut.

Fɔ dɔn, tin dɛn we wi fɔ mɛmba

Juvenile Idiopathic Arthritis (JIA) na wan sik wae kin kam pan pikin wae kin gɛt inflammatory joint, ɛn Oligoarthritis na di wan wae kin mɔna. I kin las fɔ lɔng tɛm. Bɔt dɛn nɔ fɔ alaw am fɔ kɔntrol pikin in layf ɔltogɛda.

Ivin if dɛn no se yu pikin gɛt `(Oligoarthritis)`, i kin stil tek pat pan in ɛvride aktiviti dɛm, di gem dɛm we dɛn lɛk, ɛn spɔt dɛm lɛk ɔda pikin dɛm. Di tin we impɔtant pas ɔl na fɔ wok wit yu pikin in dɔktɔ fɔ mek wan tritmɛnt plan we go spɛshal fɔ yu pikin ɛn we fit yu pikin. Dis go ɛp yu pikin fɔ gro ɛn nɔ gɛt pen, gladi, ɛn du tin dɛn. Di sɔpɔt we yu de gi yu pikin rili impɔtant!

` Oligoarthritis, Juvenile Idiopathic Arthritis, JIA, Jɔyn pen, Yuveitis