Yu kin fil bak se yu de stiff ɛn yu de fil pen na mɔnin? Lɛ wi lan bɔt (Polymyalgia Rheumatica) ?

Sɔntɛnde yu kin fil stiff ɛn achy we yu wek na mɔnin? Ɛspɛshali na yu nɛk, yu sholda, ɛn yu hip. Sɔntɛnde, i nɔ kin izi fɔ yu fɔ chenj klos ɔ fɔ kɔm yu ia? If yu gɛt dɛn sik ya, i kin bi bikɔs ɔf wan sik we dɛn kɔl ‘Polymyalgia Rheumatica’, we wi go tɔk bɔt tide. Nɔ wɔri, wi go tɔk bɔt dis ditayli.

Wetin na di sik we dɛn kɔl Polymyalgia Rheumatica?

Fɔ tɔk am simpul wan, Polymyalgia Rheumatica na wan sik we kin apin mɔ to pipul dɛn we dɔn pas 50 ia, ɛn i kin mek yu nɛk, yu sholda, ɛn yu hip dɛn pen ɛn stif . Sɔmtɛm, dis pen kin pas to yu ɔp an, yu shɔl, ɛn bak. Bɔrku tɛm, dis pen ɛn stiffnɛs kin fil ikwal na ɔl tu di say dɛm na yu bɔdi.

Di tin we impɔtant pas ɔl na dat , yu kin fil dis pen ɛn stif we yu grap na mɔnin, ɔ we yu tray fɔ muf afta yu dɔn sidɔm fɔ sɔm tɛm . Dis stif we kin apin na mɔnin kin las fɔ 30 minit ɔ mɔ . Fɔ sɔm pipul dɛm, dis pen kin bi wae yu nɔr kin ebul fɔ bia, bɔt yu kin notis se de pen kin stɔp smɔl wae yu de muv smɔl, ɔr wae yu de du sɔmtin wae yu kin yus.

Aw dis sik kin kɔmɔn?

Insay kɔntri lɛk Amɛrika, dɛn kin se pan 100,000 pipul dɛn na lɛk 50 pipul dɛn kin gɛt dis sik ɛvri ia. Bɔrku tɛm, i kin ambɔg pipul dɛm wae dɔn pas 50. Bɔt i kin pasmak pan pipul dɛm wae ol bitwin 70 ɛn 75 ia .

Wetin na di sayn dɛm fɔ Polymyalgia Rheumatica?

Di men sayn dɛm fɔ dis sik na we yu kin bigin pen wantɛm wantɛm ɛn stif na di big jɔyn dɛm na di bɔdi, mɔ di sholda ɛn hip dɛm . Yu kin fil bak se yu nɔ fayn na yu an, yu bak, yu bɔdi, ɛn yu nɛk. Dis pen ɛn stiffness kin apin insay tu wiks, sɔmtɛm na wan nɛt. Bɔku tɛm, dɛn kin fil di pen na ɔl tu di say dɛn na di bɔdi. Yu kin gɛt prɔblɛm fɔ du simpul wok dɛn lɛk fɔ drɛs ɔ fɔ kɔm yu ia.

Imajin aw i nɔ go izi fɔ yu if yu sholda dɛn so stif ɛn pen so dat yu nɔ go ivin ebul fɔ es yu an fɔ was yu fes we yu wek na mɔnin.

Ɔda sayn dɛm wae yu kin si na:

• Stif we kin las fɔ pas 30 minit we yu wek na mɔnin, ɔ afta yu dɔn tinap afta yu dɔn sidɔm fɔ sɔm tɛm.
• Fɔ fil se yu nɔ gɛt layf ɛn yu wik .
• Fɔ taya ɔltɛm .
• Fɔ fil lɛk se i nɔ wɛl .
• Fɔd nɔ kin te .
• We yu de lɔs yu wet .
• Swel na di an ɔ di an.
• Fɔ gɛt smɔl fiva .

Na lɛk 10% to 20% pan di pipul dɛm wae gɛt polymyalgia rheumatica kin gɛt ɔda sik bak we dɛn kɔl jayant cell arteritis ɔ temporal arteritis. Dis na wan kayn vasculitis bak, we na inflamɛns pan big blɔd vesel dɛm, lɛk di aorta, di men blɔd vesel we de kɛr blɔd frɔm wi at to di ɔda pat na wi bɔdi. כlso, bכt 40% to 60% pan di pipul dεm we gεt jayant sεl atεrayt kin gεt polymyalgia rεumatika bak.

Wetin kin mek dis apin?

Di wan dɛn we de stɔdi bɔt dis nɔ dɔn no yet di rayt tin we kin mek pɔsin gɛt polymyalgia rheumatica, bɔt dɛn tink se bɔku tin dɛn de we kin mek i gɛt dis sik:

• Jεnεtiks : Dis min se sכm jin dεm we de pas dכn tru jεnereshכn kin infכlכ dis.
• Envayrɔmɛnt factors : Tin dɛm lɛk sɔm infɛkshɔn dɛm.
• Aging : Di chenj na di bɔdi kin apin wit di ej.
• Autoimyun sik: Di bɔdi in imyun sistɛm kin mistek atak in yon sɛl dɛn.
• Bursitis na we di smɔl smɔl sak dɛn we dɛn kɔl bursa de swel na di hip ɔ sholda.

Udat de pan denja pas ɔl fɔ dis?

Pan ɔl we wi nɔ no di rayt tin dɛn we kin mek pɔsin gɛt Polymyalgia Rheumatica, dɛn dɔn no bɔku tin dɛn we kin mek pɔsin gɛt dis sik:

• Ej : Dis sik kin afɛkt pipul dɛm wae dɔn pas 50. De chans fɔ gɛt dis sik kin bɔku wit di ej. E kin bɔrku pan pipul dɛm wae ol bitwin 70 ɛn 75 ia.
• Jɛnda : Dis sik kin bɔku pan uman dɛn pas man dɛn.
• Ras ɛn etnik grup : Dis sik kin bɔku pan wayt pipul dɛn, mɔ di wan dɛn we kɔmɔt na Nɔtan Yurop pas ɔda etnik grup dɛn.

Us prɔblɛm dɛn dis kin mek?

If dɛn nɔ trit yu, polymyalgia rheumatica kin afɛkt yu ebul fɔ muv yu bɔdi . Dis kin mek i nɔ izi fɔ du ɛvride wok dɛn lɛk fɔ was, fɔ drɛs, fɔ kɔm yu ia, fɔ grap na sofa, ɛn fɔ go insay ɛn kɔmɔt na motoka. I kin tranga mɔ fɔ es yu an dɛn ɔp pas yu sholda lɛvɛl.

Dɔn bak, Polymyalgia Rheumatica kin gɛt fɔ du wit Jaynt Cell Arteritis, we kin mek di aorta, di men blɔd vesel we de kɛr blɔd frɔm di at to di ɔda pat na di bɔdi, swel. Dis kin mek pɔsin gɛt wan sik we kin mek pɔsin in layf de pan denja we dɛn kɔl aortic aneurysm.

Aw yu no dis?

Polymyalgia Rheumatica kin tranga fɔ mek dɔktɔ no bikɔs in sayn dɛn kin tan lɛk ɔda sik dɛn, lɛk rεumatoid at, spondyloarthritis, pseudogout, myositis, ɛn ɔda sik dɛn we kin kam wit di kɔnektiv tisu, ɛn bak di sik dɛn we kin kam pan di jɔyn dɛn we kin pwɛl. So, yu dɔktɔ go nid fɔ pul dɛn ɔda tin ya bifo i no se yu gɛt dis sik.

Yu dɔktɔ go aks yu bɔt yu mɛdikal istri ɛn du yu bɔdi ɛgzam . We dɛn de du di ɛgzam, dɛn go luk fɔ di kɔmɔn simptom dɛm fɔ polymyalgia rheumatica ɛn sayn dɛm fɔ ɔda kɔndishɔn dɛm.

No patikyula blɔd tɛst nɔ de fɔ dis. Bɔt yu dɔktɔ kin tɛl yu fɔ du bɔku blɔd tɛst fɔ ɛp fɔ mek yu nɔ no ɔda sik dɛn. Dɛn tin ya kin bi:

• Kɔmplit Blɔd Kɔnt (CBC) .
• C-riaktiv protin (CRP) .
• Ɛritrosayt Sɛdimɛnt Rɛt (ESR) .
• Ɔmon we de mek pɔsin gɛt tayroyd (TSH) .
• Kriatin kinaz we dɛn kɔl

Sɔntɛnde, yu dɔktɔ kin no bak bɔt di sik bay aw yu kin ansa kwik kwik wan to wan kayn mɛrɛsin we dɛn kɔl kɔtikosterɔyd. Bɔrku pipul dɛm wae gɛt dis sik kin fil fayn pasmak insay sɔm dez afta dɛn dɔn bigin fɔ tek smɔl doz fɔ wan stɛroyd lɛk prɛdnison.

Aw dɛn kin trit am?

Di tritmɛnt fɔ polymyalgia rheumatica kin bigin wit lɔw doz kɔtikosterɔyd . Yu dɔktɔ kin gi yu 10 to 15 miligram prɛdnison fɔ wan de. Dis kin mek yu nɔ fil pen kwik kwik wan ɛn yu nɔ kin stif. Afta yu sik dɔn stɔp, dɛn kin ridyus di stɛroyd doz smɔl smɔl fɔ wan ɔ tu ia. Sɔntɛnde, di sik kin kam bak. Dɔn yu kin nid fɔ tek smɔl smɔl stɛroyd fɔ lɔng tɛm fɔ mek yu nɔ gɛt flare-up. Sɔntɛnde, dɛn kin nid ɔda mɛrɛsin fɔ kɔntrol di swɛlin ɛn fɔ ridyus di doz fɔ stɛroyd.

Di tin we impɔtant pas ɔl na fɔ mek yu dɔktɔ de wach yu ɔltɛm, bikɔs if yu yuz stɛroyd fɔ lɔng tɛm, dat kin mek yu gɛt sayd ɛfɛkt.

Dɛn tin ya na di sayd ɛfɛkt dɛn we pɔsin kin gɛt we i yuz stɛroyd fɔ lɔng tɛm:

• We yu de gɛt mɔ wet.
• Osteoporosis (we di bon dɛn kin tan).
• Ay blɔd prɛshɔn (Hypertension).
• Di sik we de ambɔg di at ɛn di blɔd .
• Shuga .
• Fɔ mek di skin tan (Skin atrophy).
• Katarakt we pɔsin kin gɛt .

Risach pipul dɛn dɔn stɔdi bak bɔt ɔda mɛrɛsin dɛn we de stɔp di imyun sistɛm, lɛk mɛtɔtreksɛt, fɔ mɛn polymyalgia rheumatica, bɔt di tin dɛn we dɔn kɔmɔt nɔ klia bɛtɛ. Di U.S. Food and Drug Administration (FDA) dɔn gri fɔ di bayolojikal drɔg we dɛn kɔl tocilizumab fɔ trit jayant sɛl atraytis ɛn rεumatoid atraytis. Bɔt dɛn nid mɔ data fɔ no if dis mɛrɛsin sef ɛn i wok fɔ polymyalgia rheumatica.

Rɛst ɛn ɛksesaiz na tu impɔtant tin dɛn fɔ trit Polymyalgia Rheumatica. We yu de du ɛksɛsayz ɔltɛm, dat kin ɛp fɔ mek yu mɔsul dɛn kɔntinyu fɔ gɛt trɛnk ɛn yu jɔyn dɛn kin ebul fɔ chenj. Gud kayn ɛksesaiz dɛn na:

• Fɔ rayd bayk we nɔ de muv.
• De swin.
• De waka.

Yu dɔktɔ kin tɛl yu bak fɔ gi yu bɔdi tritmɛnt fɔ mek yu nɔ fil fayn ɛn fɔ mek yu kɔntinyu fɔ wok fayn.

Wetin wi kin ɛkspɛkt wit dis sityueshɔn?

Wit tritmɛnt, di sayn dɛm fɔ polymyalgia rheumatica kin bɛtɛ insay sɔm dez, ɔr kin ivin go kpatakpata . Di kwik we dɛn no bɔt yu ɛn trit yu, na di mɔ yu go gɛt chans fɔ wɛl frɔm di sik. Bɔku pipul dɛn de liv nɔmal layf ɛn we de mek dɛn gɛt bɔku tin dɛn fɔ du . Siriɔs disabiliti nɔ kin apin so ɔltɛm.

I nɔ tu te yet we sɔm pipul dɛn we de stɔdi bɔt dis dɔn kam fɔ no se pipul dɛn we gɛt polymyalgia rheumatica kin gɛt mɔ sik we dɛn kɔl atherosclerosis, we na wan sik we kin mek di blɔd vesel dɛn gɛt bɔku bɔku fat ɛn mek dɛn at. Bɔt i tan lɛk se dis nɔ de afɛkt di layf we pɔsin de liv.

Yu tink se dɛn kin mɛn di sik we dɛn kɔl Polymyalgia Rheumatica ɔltogɛda?

Wit tritmɛnt, di sayn dɛm fɔ polymyalgia rheumatica kin bɛtɛ insay sɔm dez. Bɔku tɛm, di tritmɛnt kin tek lɛk wan ɔ tu ia so, bɔt sɔm tɛm, di tritmɛnt kin tek lɔng tɛm ɛn di sik kin kam bak. Sɔm pipul dɛn kin nid fɔ tek smɔl doz prɛdnison (2 to 5 miligram fɔ wan de) fɔ di res ɔf dɛn layf fɔ mek di sik nɔ kam bak.

If yu nɔ gɛt tritmɛnt, bɔku tɛm, polymyalgia rheumatica nɔ kin bɛtɛ. Bɔt nɔ kin apin so ɔltɛm, di sik kin sɔlv fɔ insɛf afta wan ia. I kin tek fayv ia fɔ mek di sik go kpatakpata.

Yu tink se dɛn go ebul fɔ stɔp dis?

Bikɔs di wan dɛn we de stɔdi bɔt dis nɔ no di rayt tin we kin mek pɔsin gɛt Polymyalgia Rheumatica, dɛn nɔ kin ebul fɔ stɔp dis sik .

Aw a kin kia fɔ misɛf?

Tin dɛn de we yu kin du fɔ kɔntrol yu sik dɛn ɛn di sayd ɛfɛkt dɛn we yu mɛrɛsin dɛn kin gɛt.I impɔtant fɔ mek yu gɛt di rayt it ɛn tek yu mɛrɛsin dɛn lɛk aw dɛn tɛl yu fɔ it . Apat frɔm dat, mek shɔ se yu gi yu bɔdi rɛst bay we yu de du sɔm tin dɛn ɛvride. Wae yu bɔdi bigin fɔ fil lɛk se yu nɔr de fil pen ɛn nɔr de fil pen, yu kin bigin fɔ du ɔl yu nɔrmal tin dɛn bak ɛvride.

Ustɛm yu fɔ go to dɔktɔ?

Ivin smɔl dos fɔ kɔtikosterɔyd kin mek yu gɛt sayd ɛfɛkt. If yu gɛt ɛni wan pan dɛn sik ya, go to yu dɔktɔ:

• We yu de gɛt mɔ wet.
• Di ay blɔd prɛshɔn.
• Nɔ ebul slip.
• Skin de brus ɔ di skin de tan.
• Katarakt we pɔsin kin gɛt.
• Ɔstioporosis we pɔsin kin gɛt .

Polymyalgia Rheumatica kin kam togɛda wit Jaynt Cell Arteritis, so tɛl yu dɔktɔ if yu gɛt ɛni wan pan di sayn dɛm fɔ da sik de. Dɛn sayn ya na:

• Ed de at.
• Di chenj dɛn we de apin na di we aw pɔsin de si tin.
• Fiva.
• Taya.
• Di it nɔ de te.
• Jaw pen we de mek pɔsin fil pen.
• Pen we yu de tɔch di say we de rawnd di skel.

Us kwɛstyɔn dɛn yu fɔ aks di dɔktɔ?

We yu go si dɔktɔ, yu kin aks dɛn kwɛstyɔn ya:

• Wetin mek dis bin apin to mi?
• Us tritmɛnt dɛn yu kin kɔmɛnt fɔ mi?
• Us sayd ɛfɛkt dɛn a fɔ wach fɔ?
• A gɛt Jaynt Sɛl Atɛraytis bak?
• Wetin na di prɔblɛm dɛn we pɔsin kin gɛt we i gɛt Polymyalgia Rheumatica?
• Wetin a go du fɔ mek dis tin nɔ apin igen?

Di sayn dɛm fɔ Polymyalgia Rheumatica kin rili mɔna yu, ɛn dis kin mek i nɔr izi fɔ du ɛvride. If yu gɛt siriɔs pen na yu mɔsul ɛn yu stif, go to dɔktɔ. Pan ɔl we i nɔ kin izi fɔ no bɔt Polymyalgia Rheumatica, yu dɔktɔ kin ɛp yu fɔ no wetin de apin ɛn us tritmɛnt we bɛtɛ fɔ yu. Fɔ liv wit Jaynt Sɛl Atɛraytis kin tranga fɔ sɔm pipul dɛm. So mek shɔ se yu tɔk to yu dɔktɔ bɔt ɔl di sayn dɛn we yu gɛt.

Mɛsej we dɛn kin kɛr go na os

Polymyalgia Rheumatica na wan sik wae de mek yu anɔynt smɔl, mɔr lɛk wae yu de fil pen ɛn stiff na mɔnin. Bɔt mɛmba se:

• Dis kin apin to pipul dɛm wae dɔn pas 50 ia , mɔr lɛk uman dɛm.
• Di men sayn dɛm na di pen ɛn stif na di sholda, nɛk, ɛn hip , mɔ na mɔnin.
• Pan ɔl we wi nɔ no di rayt rizin, tritmɛnt dɛn de . Bɔku tɛm, kɔtikosterɔyd kin mek pɔsin fil fayn kwik kwik wan.
• I rili impɔtant fɔ no di sik ɛn bigin fɔ trit am kwik .
• Sɔm pipul dɛn kin gɛt wan sik bak we dɛn kɔl ‘Giant Cell Arteritis’ wit dis, so no bɔt dat bak.
• Di tin we impɔtant pas ɔl na fɔ tek tɛm tɔk to yu dɔktɔ ɛn fala in advays .

Nɔr wɔri, wit di rayt tritmɛnt ɛn manejmɛnt, yu kin kɔntrol dis sik ɛn liv gud layf.