Yu gɛt rɛd, skel pat dɛn na yu skin? Sɔntɛnde, yu kin si dɛn tin ya mɔ na yu ed, yu ni, ɛn yu ɛlb? Yu kin fil bak se yu bɔdi stif ɛn fil pen, mɔ yu finga ɛn ni, we yu wek na mɔnin? If yu gɛt dɛn tu prɔblɛm ya, yu kin gɛt wan sik we dɛn kɔl ‘Psoriatic Arthritis’. Nɔ fred we yu yɛri dis nem. Dis na sɔntin we bɔku pipul dɛn gɛt. Tide, wi go tɔk bɔt dis simpul we we yu go ɔndastand.
Wetin na dis psoriatic arthritis?
Fɔ tɔk am simpul wan, psoriatic arthritis na wan kayn at at sik. Na inflamɛns na di jɔyn dɛn. I kin apin to pipul dɛm wae gɛt wan sik na dɛn skin we dɛn kɔl psoriasis. Sɔmtɛm, if pɔrsin na yu famili gɛt psoriasis, dɛn kin gɛt am bak.
Naw lɛ wi ɛksplen dis smɔl mɔ.
- At: Dis na kɔmɔn tin we kin afɛkt wi jɔyn dɛn. I kin mek yu gɛt pen ɛn swel (inflammation) insay ɛn rawnd di jɔyn dɛn.
- Psoriasis: Dis na wan sik we de mek yu skin wam. pan dis kכndyushכn, rεd pat dεm na di skin de kכba, we dεn kכba wit silva skel. Dɛn kɔl dɛn pat dɛn ya we gɛt skel, plek. Apat frɔm dat, sɔm pipul dɛn finga nel ɛn fut nel kin tik, skel, ɔ gɛt smɔl smɔl pit.
Dɛn tu sik ya, at at sik ɛn psoriasis, dɛn kin kɔl ɔtoimyun sik dɛn . Tink bɔt dis we: di tin we wi bɔdi de fɛt, we na di imyun sistɛm, tan lɛk ami. I wok na fɔ protɛkt wi bay we i de fɛt fɔrina dɛn we de kam fɛt wi. bכt insay dis ``autoimmune'' kכndishכn, wi כwn difεns sistεm de mistek stat fכ atak wi כwn hεlty sεl dεm. Insay psoriatic arthritis, dis atak kin apin wan tɛm pan di skin ɛn di joyn dɛm.
De sayn dɛm fɔ dis sik nɔr kin de ɔltɛm. Sɔmtɛm de sik kin wɔs, we wi kin kɔl ‘flares’ . Sɔntɛnde, de sik kin go. If yu gɛt nyu say dɛn na yu skin, ɔ if yu gɛt pen, swel, ɔ stif na yu jɔyn dɛn, mek shɔ se yu go to yu dɔktɔ ɛn tɔk bɔt am.
Aw dis sik kin kɔmɔn?
Nɔr to 1% pan di pipul dɛm na di wɔl gɛt psoriatic arthritis. Bɔt if yu dɔn ɔlrɛdi gɛt psoriasis, yu risk fɔ gɛt dis sik kin bɔku pasmak. Na lɛk 30 pan ɔl 100 pipul dɛm wae gɛt psoriasis go gɛt psoriatic arthritis sɔm tɛm na dɛn layf.
Wetin na di men kayn dis sik?
Psoriatic arthritis nɔr kin bi di sem fɔ ɔlman. Dɔktɔ dɛn kin sheb am to fayv men kayn, i kin dipen pan di jɔyn dɛn we i afɛkt ɛn aw di sayn dɛn kin kam. I impɔtant fɔ mek yu no bɔt dɛn tin ya.
| Tayp fɔ sik | Fɔ tɔk am simpul wan... |
|---|---|
| Distal intafalanjal de prɛdominant | dis kin afekt di sכm jכyn dεm we de nia di tכp dεm fכ di finga dεm εn di fut dεm. Dis na di kayn psoriatic arthritis wae kin afɛkt di nel dɛm. Yu nel dɛn kin chenj kɔlɔ, dɛn kin pul dɛn nel dɛn, ɔ dɛn kin gɛt smɔl smɔl pit dɛn. |
| Simɛtrik polyarthritis we pɔsin kin gɛt | Dis kin afɛkt fayv ɔ mɔ jɔyn dɛn di sem tɛm. Di wɔd 'simɛtrik' min "simɛtrik". Dis min se di sem jɔyn dɛn kin afɛkt na di tu say dɛn na di bɔdi . Fɔ ɛgzampul, yu ni ɛn ɔl tu yu ɛlbow dɛn kin afɛkt di sem tɛm. Dis na kɔmɔn kayn bak. |
| Asimɛtrik ɔligoartikular | dis de afekt tu to fכ joyn dεm na di tu say dεm na di bכdi, bכt i nכ de ‘symmetrical’, we min se i nכ de afekt di sem joyn dεm na di tu say dεm. Fɔ ɛgzampul, di rayt ni ɛn di lɛft ɛlb kin afɛkt. Dis na di ɔda kayn bak we pipul dɛn kin gɛt mɔ. |
| Spɔndylitis we gɛt di sik | Wi spayna na smɔl bon dɛn we dɛn kɔl vɛrbra. Insay dis kayn at at sik, di jɔyn dɛn bitwin di vεrbra dɛn kin inflam . Dis kin mek yu bak pen ɛn stiff. Sɔmtɛm, yu kin fil pen bak na yu hip ɛn sholda. |
| Arthritis mutilans we de mek pɔsin gɛt at sik | Dis na di kayn psoriatic arthritis wae kin pasmak ɛn nɔr kin bɔrku . I kin afɛkt di an ɛn fut. Di inflamɛns so bad dat di bon dɛn kin mɛlt. pan mεdikal tεm dεm, dεn kכl dis ``osteolysis.'' bכt dis na wan kכndyushכn we rili rεs. Dɛn kin si dis kayn tin pan less dan 5% pan pipul dɛm wae gɛt psoriatic arthritis. |
Us sayn dɛn yu go gɛt?
Psoriatic arthritis kin afɛkt ɛni jɔyn na di bɔdi. Fɔ sɔm pipul dɛm, de sayn dɛm nɔr kin rili sote. Na wan wan smɔl pat dɛn nɔmɔ de na di skin wit sɔm pen ɛn stif na di jɔyn dɛn. Bɔt we di bɔdi de flay, di pen kin so bad dat dɛn nɔ kin ebul fɔ yuz di jɔyn dɛn ɛn big pat dɛn na di skin kin kam.
Dis na di sayn dɛm wae pɔrsin kin si:
- Jɔyn pen: Pen kin apin na wan ɔ mɔ jɔyn dɛn.
- Stif na di joyn: I nɔ kin izi fɔ bɛn ɔ strɛch di jɔyn dɛn, mɔ we yu wek na mɔnin.
- di joyn dεm we de swεla εn rεd: di jכint dεm we di jכint dεn afekt kin swεla εn rεd rawnd di jכint.
- tεndon εn ligament pen: Pen כ tεnd usay wi mכsul dεm de atak wi bon dεm (e.g., di Akilis tεndon).
- Di finga dɛn we de swel: Di finga dɛn ɔ di fut finga dɛn kin swel lɛk sosish. Dɔktɔ dɛn kin kɔl dis bak `(dactylitis)`.
- Psoriasis rash: Rɛd pat wit silva skel, mɔ na di skel, ni, ɛlb, ɛn dɔŋ bak.
- Di chenj we di nel kin chenj: Di nel kin chenj, i kin gɛt pit, i kin tik, ɔ i kin separet di nel frɔm di skin.
- Taya: Dis nɔto jɔs we pɔsin taya. Na wae yu taya pasmak wae yu nɔr kin ebul fɔ du natin, ɛn e kin fil lɛk dis taya nɔr go dɔn ivin if yu slip ɔl di de.
Wetin mek dis kin apin? Udat dɛn de pan denja pas ɔlman?
Masta sabi pipul dɛn stil nɔ no bɛtɛ bɛtɛ wan wetin kin mek pɔsin gɛt psoriatic arthritis. Bɔt sɔm stɔdi dɔn sho se pipul dɛm wae gɛt dis sik kin gɛt di sem kayn chenj na dɛn jin (genetic mutations). Bɔt i nɔ klia yet if dɛn chenj ya na di jɛnɛtiks kin mek di sik ɔ if dɛn chenj ya kin apin afta di sik dɔn bigin.
Impɔtant tin na dat, lɛk 40% pan di pipul dɛm wae gɛt psoriatic arthritis, ɔr lɛk 40 pan 100, gɛt ɔda famili mɛmba wae gɛt dis sik, wae de sho se i kin bi wan sik wae dɛn kin gɛt frɔm dɛn mama ɛn papa.
So if ɛnibɔdi na yu famili gɛt psoriasis ɔ psoriatic arthritis, mek shɔ se yu tɛl yu dɔktɔ.
Pan ɔl we dis sik kin apin pan ɛni ej, i kin apin mɔs bitwin 30 ɛn 50 ia.I kɔmɔn fɔ pipul dɛn. Bɔrku tɛm, psoriasis (wan sik na di skin) kin kam pan yɔŋ pipul dɛm, arawnd 15-25 ia, ɛn di joyn simptom dɛm kin apia sɔm ia afta dat, insay midlayf.
Dis sik kin mek ɔda sik dɛn?
Yɛs, pipul dɛm wae gɛt psoriatic arthritis kin gɛt smɔl risk fɔ gɛt ɔda wɛl bɔdi prɔblɛm. Dis kin bi bikɔs ɔf di inflamɛns we nɔ de dɔn na di bɔdi.
Sɔm pan di prɔblɛm dɛn we kin apin we kin apin na:
- Ay blɔd prɛshɔn (Hypertension) .
- Di kɔlɔstrel we de na di blɔd we de go ɔp (Hyperlipemia) .
- Fat
- Shuga
- Pwɛl at
- Anemia we nɔ gɛt bɛtɛ blɔd
- Di mɔsul dɛn we wik
Di pen we yu jɔyn kin mek i nɔ izi fɔ du ɛksɛsayz. Bɔt if yu nɔ du ɛksɛsayz, dat kin mek yu bɔdi wet mɔ ɛn mɔ ɛn mek yu jɔyn dɛn strɛs mɔ. So, tɔk to yu dɔktɔ bɔt ɛksesaiz dɛn we nɔ gɛt bɛtɛ impak we nɔ de put tumɔs prɛshɔn pan yu jɔyn dɛn. Tin dɛm lɛk yoga, waka, ɔr akwa tɛrapi na fayn we fɔ mek yu bɔdi gɛt wɛlbɔdi ɛn nɔr de put tumɔs strɛs pan yu jɔyn dɛm.
Aw dɔktɔ kin fɛn dis?
Dɔktɔ kin no if pɔsin gɛt psoriatic atraytis bay we i de chɛk in bɔdi ɛn sɔm ɔda tɛst dɛn. Di dɔktɔ go aks yu bɔt yu sik dɛn ɛn tek tɛm chɛk yu skin ɛn yu jɔyn dɛn.
Dɛn kin sɛn yu bak to spɛshal pipul dɛn:
- Riumatɔlɔjis: Dis na dɔktɔ we spɛshal pan jɔyn sik dɛn, ɔtoimyun sik dɛn, ɛn inflammatory conditions.
- Dermatologist: Dis na dɔktɔ we spɛshal pan sik dɛn we de ambɔg di skin.
Nɔr wan tɛst nɔr de wae kin kɔnfirm psoriatic arthritis. Dɔktɔ dɛn go du tɛst fɔ no ɔda tin dɛn we kin mek yu gɛt di sik.
Sɔm tɛst dɛn we dɛn kin aks yu fɔ du:
- Blɔd tɛst: Chɛk fɔ tin dɛn lɛk infɛkshɔn.
- Imej tɛst: Dɛn tin ya kin luk fɔ damej ɔ inflamɛns na di jɔyn dɛn.
- X-ray we dɛn kin du
- MRI skan we dɛn kin du
- CT skan we dɛn kin du
- Ultrasound skan we dɛn kin yuz
Wetin na di tritmɛnt dɛm fɔ dis?
Yu dɔktɔ go gi yu tritmɛnt fɔ kɔntrol yu sik dɛn. Di kayn tritmɛnt we yu nid go dipen pan bɔku tin dɛn:
- Us joyn dɛn de afɛkt di sik?
- Aw di sayn dɛm kin tranga?
- Aw bɔku dɛn sayn ya kin ambɔg yu fɔ du tin dɛn we yu kin du ɛvride?
Di tritmɛnt dɛm wae dɛn kin yuse mɔr na:
- Pen kil: Yu kin bay pen kil we de ridyus inflamɛns, lɛk ``NSAID'', na famasi.
- Kol ɔ ɔt tritmɛnt: Ridyus pen ɛn stiffness.
- Kɔtikosterɔyd: Na pawaful klas fɔ drɔgs we de ridyus inflamɛns kwik kwik wan. Dɛn kin gi dɛn tin ya as pils ɔ as injɛkshɔn dairekt insay di jɔyn.
- DMARD (Disease-modifying antirheumatic drugs): Dis na spɛshal kayn mɛrɛsin we de chenj di we aw di sik de go, dat na, dɛn de kɔntrol di wok we di imyun sistɛm de du ɛn stɔp fɔ pwɛl di jɔyn dɛn.
- Fizik tritmɛnt ɔr ɔkupeshɔn tɛrapi: Dɛn tin ya kin ɛp yu fɔ lan aw fɔ mek yu jɔyn dɛn wok fayn ɛn gɛt trɛnk ɛn mek di wok dɛn we yu de du ɛvride izi.
Yu tink se i nid fɔ du ɔpreshɔn?
Ɔpreshɔn fɔ psoriatic arthritis nɔ kin apin so ɔltɛm. Bɔt if di sik dɔn pwɛl yu jɔyn dɛn bad bad wan ɔ mek yu bon dɛn lɔs, yu go nid fɔ du ɔpreshɔn fɔ chenj yu jɔyn dɛn (arthroplasty). If na so i bi, yu dɔktɔ ɔ dɔktɔ we de du ɔpreshɔn go ɛksplen di ɔpreshɔn we yu nid ɛn wetin fɔ ɛkspɛkt.
Dis wɔs pas rεumatoid at at sik?
Psoriatic arthritis ɛn rεumatoid arthritis na tu kayn at at sik. Dɛn tu na sik dɛn we dɛn kin gɛt we dɛn de fɛt dɛnsɛf.
- Psoriatic arthritis na wan kayn joyn inflameshn we gɛt fɔ du wit psoriasis (wan sik na di skin ɛn nel).
- Rimatɔyd at na wan kayn at at we di imyun sistɛm de atak di tisu dɛm we de layn di jɔyn dɛm na di tu say dɛm na di bɔdi.
Wan sik nɔ "bɛtɛ" ɔ "wɔs" pas di ɔda wan. Dɛn tu tin ya na tin dɛm wae kin teik lɔng tɛm (krεse). Dis min se yu go gɛt fɔ kɔntrol yu sik dɛn fɔ lɔng tɛm, sɔntɛm yu wan ol layf. Yu dɔktɔ go ɛp yu fɔ fɛn di rayt tritmɛnt fɔ yu ɛn ɛp yu fɔ mek di sik nɔ ambɔg yu ɛvride.
Mɛsej we dɛn kin kɛr go na os
- Psoriatic arthritis na wan sik wae kin apun wae wan sik na yu skin (psoriasis) ɛn wan sik na yu jɔyn (arthritis) kam togɛda.
- Dis na ɔtoimyun sik, we min se wi bɔdi in yon difɛns sistɛm de atak wi yon sɛl dɛn.
- Jɔyn pen, stif, swel, skin we de pul, ɛn nel we de chenj na di men sayn dɛm.
- Dis sik nɔ kin wɛl ɔl, bɔt tritmɛnt dɛn de we rili fayn fɔ kɔntrol di sayn dɛm ɛn di flare-up.
- If yu gɛt psoriasis ɛn yu de gɛt pen na yu jɔyn, nɔr ignore am. Si yu dɔktɔ wantɛm wantɛm. If yu bigin tritmɛnt kwik, dat kin ɛp fɔ mek yu jɔyn dɛn nɔ pwɛl fɔ lɔng tɛm.
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