Yu gɛt ɔda sayn dɛm bak wit dis kayn joyn pen? Lɛ wi lan bɔt Riaktiv Atraytis!

Sɔntɛnde, wi kin gɛt pen na di jɔyn dɛn wantɛm wantɛm, nɔto so? Apat frɔm dat, ɔda sayn dɛm lɛk bɔdi we de at ɛn rɛd yay kin apin bak. Yu nɔ go ivin tink bɔt am, bɔt dis kin bi wan sayd ɛfɛkt fɔ wan smɔl infɛkshɔn we yu bin gɛt bifo. Na da kayn sik de wae wi go tɔk bɔt tide, wae dɛn kɔl Riaktiv Atraytis.

Wetin na Riaktiv Atraytis?

Fɔ tɔk am simpul wan, riaktiv at at sik, we sɔm pipul dɛn kin kɔl Reiter’s Syndrome, na wan sik we kin apin fɔ sɔm tɛm ɛn we kin mek di jɔyn dɛn swel ɛn fil pen. Na baktri infεkshכn de kכz am. Imajin se yu gɛt baktriyal infɛkshɔn sɔmsay na yu bɔdi, sɔntɛm na yu urinary tract, genital, ɔ intestines, ɛn afta yu dɔn trit am, yu imyun sistɛm kin riak wan strenj we.

Nɔmal wan, wi imyun sistɛm kin fɛt di infɛkshɔn ɛn kil dɛn. Bɔt wetin kin apin pan dis riaktiv at at na dat ivin afta di infεkshɔn dɔn go, di imyun sistɛm kin tink se, "Di fɛt nɔ dɔn yet." So i kin mek yu gɛt inflamɛns na say dɛn we nɔ bin gɛt di sik, mɔ na yu jɔyn dɛn, yu yay, ɛn yu skin. I tan lɛk sojaman dɛn we stil de shot dɛnsɛf afta wɔ, bɔt dɛn nɔ ebul fɔ jɔs sidɔm ɛn wet.

Bɔt lɛk bɔku kayn at at sik, dis nɔto tin we kin apin to pɔsin in layf. Bɔku tɛm, i nɔ kin rich wan ia. Yu nɔ tink se dat kin mek pɔsin fil fayn?

Wetin na di sayn dɛm we de sho se yu gɛt dis sik?

Naw lɛ wi si us sayn dɛm wi kin ɛkspɛkt pan dis riaktiv at at sik.

Di impɔtant ɛn kɔmɔn sayn dɛm na di joyn pen ɛn stiffness , mɔ na dɛn say ya:

• Yu lɔwa bak de fayn.
• Ni dɛn
• Fut
• Fut

Bɔt apat frɔm dis, difrɛn ɔda sayn dɛn kin apin. Lɛ wi si wetin dɛn bi:

• Ay rεd, swεla, εn pen (i kin fil lεk sכmtin de na di yay).
• di simptom dεm na di gεstrointestinal lεk bεlε we de at εn dayariya.
• Di nid fɔ pis ɔltɛm ɛn fil pen we yu de pis.
• Skin rash ɛn mɔt sos .
• Il pen, sɔntɛm na Akilis tɛndinayt .
• Di finga dɛn we de swel, mɔ di finga dɛn ɛn di fut finga dɛn. Sɔm pipul dɛn kin kɔl dis ‘sosish finga’ bikɔs di finga insɛf kin swel lɛk sosish.
• Di sayn dɛm we tan lɛk flu lɛk fiva, bɔdi pen, ɛn taya pasmak.

Wetin na dis ‘Triad’?

Sɔmtɛm we dɔktɔ dɛn kin tɔk bɔt riaktiv at, dɛn kin tɔk bɔt ‘triad’. Dat min se, na tri sayn dɛn we dɛn jɔyn togɛda . Dis kin ɛp fɔ no dis sik kwik kwik wan. Di tri sayn dɛm na:

1. Atraytis - Dis min se di joyn dεm de inflameshn.

2. Kɔnjɔktivitis - Dis min se di yay dɛn de inflamɛns, di yay dɛn de rɛd.

3. Yurethritis - Dis min se di urethra de inflamesh, i de bɔn we yu de pis.

Bɔt mɛmba se nɔto ɔlman kin gɛt ɔl dɛn tri tin ya di sem tɛm. Sɔm pipul dɛn nɔ kin ɛva gɛt ɔl tri di sem tɛm. Difrɛn sayn dɛn kin kam ɛn go. So yu kin gɛt ɔda sayn dɛm wae nɔr de na dis ‘triad’.

Wetin kin mek i apin?

Wi dɔn tɔk se riaktiv at at sik kin bigin wit baktriyal infɛkshɔn . Dis na wetin kin apin bɔku tɛm:

• Infεkshכn na di Urinary Tract (UTI) .
• Wan sik we pɔsin kin gɛt we i du mami ɛn dadi biznɛs wit ɔda pɔsin (STI) .
• Wan infekshɔn na di bɛlɛ, lɛk we pɔsin gɛt pɔyzin fɔ it .
• Wan trot we de at .

Sɔm patikyula kayn baktri dɛm de bak we kin afɛkt dis:

• Klamidia we gɛt di sik
• Gɔnoria we de mek pɔsin gɛt sik
• Salmonella we dɛn kɔl Salmonella
• Shigɛla we de na di wɔl
• Kampilɔbaktɔ
• Yersinia we de na di wɔl
• Maykoplasma we gɛt di sik
• C. difficile we nɔ izi fɔ ɔndastand
• Streptococcus we gɛt di sik

Reiter’s Syndrome kin stat sɔm dez ɔr wik afta di fɔs infɛkshɔn. Ɛn i nɔ kin apin to ɔlman, na smɔl pipul dɛn nɔmɔ we kin gɛt di sik. I tan lεk se na di infεkshכn we de trigεr כtoimyun rεspכns na yu imyun sistεm. Dat min se yu imyun sistɛm kin mistek bigin fɔ atak di pat dɛn na yu bɔdi we gɛt wɛlbɔdi, ɛn dis kin mek yu inflamɛns.

Bɔt fɔtunate wan, nɔr lɛk bɔku ɔtoimyun sik dɛm, riaktiv at at sik kin bi wan sik wae de kam fɔ sɔm tɛm.

Riaktiv at at sik de pan wan grup we gɛt inflammatory atraytis we dɛn kɔl spondyloarthritis. Bɔku pan dɛn tin ya na sik dɛn we pɔsin kin gɛt we i de fɛt insɛf. Sayɛnsman dɛn stil nɔ shɔ wetin mek sɔm pipul dɛn kin gɛt dɛn sik ya ɛn ɔda wan dɛn nɔ kin gɛt am. Riaktiv at at nɔ nid fɔ gɛt big, siriɔs infɛkshɔn fɔ mek i kam.

Wan tin we kin afɛkt dis na wan jin we dɛn kɔl HLA-B27 . Bɔrku pipul dɛm wae gɛt spondyloarthritis ɛn Reiter’s syndrome gɛt dis jin.

Udat dɛn go mɔs afɛkt dis?

Pan ɔl we ɛnibɔdi kin gɛt riaktiv at at sik, sɔm pipul dɛn kin gɛt dis sik. Dɛn tin ya na:

• Man dɛn we nɔ rich 40 ia yet.
• If yu gɛt HIV infɛkshɔn .
• If yu gɛt ɔda sik we pɔsin kin gɛt we i de fɛt insɛf .
• If yu gɛt di HLA-B27 jin we wi bin dɔn tɔk bɔt na yu bɔdi.

Aw yu no dis?

If yu jɔs dɔn gɛt sɔm sayn dɛn we gɛt at at sik, lɛk we yu jɔyn dɛn de pen ɛn swel, yu fɔ tɛl yu dɔktɔ. I go chɛk yu. We sɔm sayn dɛn kam togɛda, yu dɔktɔ kin tink se yu gɛt riaktiv at. Mɔtalman, i go aks if yu jɔs dɔn wɛl frɔm wan infekshɔn we bin fɔ dɔn mek yu gɛt am.

Dɛn kin nid fɔ du difrɛn tɛst fɔ no if yu gɛt dis sik kɔrɛkt wan. Fɔ ɛgzampul:

• X-ray ɛgzamɛn dɛn.
• CT skan (Kɔmpyut Tomografi - CT skan) .
• MRI (Magnetik Rɛsɔnans Imej - MRI) skan.
• Joint aspiration/arthrocentesis: dεn kin du dis fכ chεk fכ inflameshn εn כda infεkshכn dεm insay di joyn.
• Fɔ tek trot kɔlchɔ (if dɛn sɔprayz se yu gɛt trot infɛkshɔn).
• Urinalysis we dɛn kin du .
• Blɔd tɛst : Dɛn tin ya kin chɛk fɔ si if di HLA-B27 jin de, ɛn ɔda infɛkshɔn dɛn.

Aw dɛn kin trit am?

Dɔktɔ dɛn kin tɛl yu fɔ yuz difrɛn tritmɛnt dɛn fɔ at at sik we de mek pɔsin gɛt riaktiv.

• Antibayɔtik: Dipen pan di ɔndalayn infɛkshɔn ɛn if i stil de wok, dɛn kin gi yu antibayɔtik lɛk dɔksisayklin ɛn rifampin. Dɛn tin ya kin ɛp fɔ stɔp ɔr kwik fɔ mɛn di riaktiv at at sik.
• NSAID (Nonsteroidal anti-inflammatory drugs): Dɛn wan ya na nɔ-stɛroyd anti- inflammatory drɔgs. Dɛn kin gi wan strɔng NSAID lɛk Indomethacin insay ay dos fɔ sɔm tɛm. Di doz kin ridyus we di simptom dɛn dɔn stɔp.
• DMARD dεm (Disease-modifying anti-rheumatic drugs): DMARD dεm lεk sulfasalazine, de trit inflammatory arthritis bay we dεn de sכpres sכm pan di wok we yu imyun sistεm de du. Dɛn tin ya kin ɛp if dɛn nɔ kɔntrol di NSAID dɛn fayn fayn wan.
• Kɔtikosterɔyd dɛn:Dis na pawaful mɛrɛsin dɛn we de mek pɔsin nɔ gɛt inflammatory. Pan ɔl we stɛroyd we dɛn kin tek bay mɔt nɔ kin gi bɔku bɛnifit to bɔku pipul dɛn we gɛt Reiter’s Syndrome, sɔntɛnde dɛn kin put am na di skin as krim ɔ gi am as injɛkshɔn dairekt insay wan jɔyn we de pen.

Impɔtant: Ɔl dɛn tritmɛnt ya fɔ tek ɔnda dɔktɔ advays nɔmɔ. If yu tek mɛrɛsin fɔ yusɛf, dat kin mek di sik wɔs.

Yu tink se dis kin mɛn kpatakpata?

Bɔrku tɛm, di Reiter’s Syndrome kin ‘sεlf-limited’ . Dis min se i go sɔlv insɛf as tɛm de go (bɔku tɛm insay 3 to 12 mɔnt). Insai dis tɛm, tritmɛnt kin ɛp fɔ kɔntrol de sik ɛn ɛp yu fɔ wɛl kwik kwik wan.

Bɔt bikɔs riaktiv at at na sik we pɔsin kin gɛt we i de fɛt insɛf, nɔ sik we pɔsin kin rili ebul fɔ ‘kyuz.’ Dis min se chans de ɔltɛm fɔ mek di sik kam bak. Fɔ ɛgzampul, if yu gɛt ɔda infekshɔn.

Na smɔl pipul dɛm, di sik wae de kam wit Reiter kin mek yu gɛt wan sik wae de mɛk pɔrsin gɛt dis sik wae kin teik lɔng tɛm wae dɛn kɔl spondyloarthritis. Dɛn kin gɛt inflamɛns fɔ lɔng tɛm na di jɔyn dɛn, we kin mek di jɔyn dɛn pwɛl. E tranga fɔ tɔk fɔ tru if dis na krɛse sik ɔr na bikɔs ɔf ɔda sik. Wan sik we pɔsin kin gɛt we i de fɛt insɛf kin mek i gɛt ɔda wan, ɛn sɔm pipul dɛn kin gɛt pas wan.

Wetin yu kin du we yu de liv wit dis sik?

Pan ɔl we na fɔ shɔt tɛm nɔmɔ, riaktiv at at sik kin gɛt bɔku impak pan yu ɛvride layf. Sɔm pipul dɛn kin gɛt sɔm kayn sik wae nɔr kin kam ɛn go, ɛn ɔda pipul dɛn kin taya pasmak ɛn nɔr kin fil fayn. Yu kin nid bak fɔ mek sɔm chenj dɛn to yu ɛvride ɛn wok schedule insay dis tɛm.

Yu dɔktɔ kin tɛl yu fɔ du tin dɛn lɛk:

• Fizik tritmɛnt: Fizik tritmɛnt kin tich yu aw fɔ ɛksesaiz di mɔsul ɛn tɛndon dɛn we de sɔpɔt yu jɔyn dɛn we de pen saful saful. Dis kin ɛp fɔ mek di jɔyn dɛn nɔ stif ɛn mek di prɛshɔn we de pan di jɔyn dɛn nɔ de. Imajin se i nɔ bin izi fɔ Sameera fɔ waka bikɔs i bin de fil pen na in ni. We di dɔktɔ we de mɛn in bɔdi bin de du simpul ɛgzampul dɛn ɛvride, i bin de mek i nɔ fil pen smɔl smɔl ɛn i bin de alaw am fɔ wok di rayt we bak.
• Ɔtotiks: Wan ɔkupeshɔn tɛrapist kin advays yu bɔt aw fɔ sɔpɔt ɔ chenj di we aw yu de yuz yu jɔyn dɛn. Yu kin bɛnifit if yu yuz bres, splint, ɔ tin we dɛn kin put insay shuz.
• Ɔt/kol tɛrapi: Ays pak ɛn ɔt pak kin ɛp fɔ pul pen difrɛn we dɛn. Fɔ ɛgzampul, yu dɔktɔ go se yu fɔ put ays pan di jɔyn dɛn we de pen ɔ yu fɔ put ɔt pan di mɔsul dɛn we tayt.
• Pawa nap: If yu taya fɔ lɔng tɛm, dat kin mek yu taya. Bɔt fɔ de na bed fɔ lɔng tɛm nɔ kin fayn fɔ yu jɔyn dɛn we de pen ɔ yu mɔsul dɛn we tayt. Bifo dat, tek pawa nap ɛn tray fɔ muv rawnd smɔl we i de du am.

Imajin, jɔs we yu tink se yu infɛkshɔn dɔn dɔn, dis strenja we dɛn kɔl riaktiv at at kin kam wantɛm wantɛm, ɛn i kin briŋ bak di sayn dɛm fɔ di fɔs infekshɔn, ɛn bak nyu sayn dɛm, mɔ di joyn inflamɛns. If e kin afɛkt yu smɔl ɔr bɔrku, e kin tranga fɔ liv wit de nɔr shɔ ustɛm dis go dɔn. Bɔt, fɔ bɔku pipul dɛn, i kin dɔn, ɛn te da tɛm de, tritmɛnt kin ɛp.

Tin dɛn fɔ mɛmba fɔ shɔt tɛm

Okay, so lɛ wi sɔma di tin dɛm wae yu nid fɔ mɛmba bɔt Riaktiv Atraytis.

• Riaktiv at na wan tɛmporari inflamɛns na di jɔyn dɛn we kin apin afta baktriyal infɛkshɔn.
• Dis kin mek yu gɛt sɔm sayn dɛm lɛk aw yu jɔyn dɛn kin fil pen, yu kin swel, yu yay kin rɛd, ɛn yu kin gɛt infekshɔn na yu urinary tract.
• Nɔto ɔlman kin gɛt di sem kayn sik, ɛn de sik kin kam ɛn go.
• Dis nɔto sik we pɔsin kin gɛt, bɔt di infɛkshɔn dɛn we kin mek i gɛt am (e.g. STI, fud pɔyzin) kin pas.
• Dis kin wɛl insay sɔm mɔnt to wan ia.
• Tritmɛnt kin kɔntrol di sayn dɛm. Mek shɔ se yu fala wetin yu dɔktɔ tɛl yu fɔ du.
• Bikɔs dis na ɔtoimyun kɔndishɔn, i nɔ kin rili kam bak ɔ i kin te.
• If yu gɛt dɛn sik ya, duya go to dɔktɔ fɔ advays. Nɔ wɔri, dɛn kin kɔntrol dis sik wit di rayt tritmɛnt ɛn mɛnejɛmɛnt.

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