Yu gɛt jɔyn dɛn bak we stif ɛn jɔyn dɛn we de at na mɔnin? Dis kin bi rεumatoid at at sik?

Sɔntɛnde, yu kin fil stiff we yu wek na mɔnin? I tan lɛk se dɛn dɔn hama wan wud insay yu bɔdi, we mek i nɔ izi fɔ bɛn ɔ muv? If yu joyn dεm tu de at εn swεla, spεshal wan na yu finga dεm, yu an dεm, εn yu ni dεm... yu nכ de pe bכku atεnshכn to dεn tin ya. Yu kin tink se, "Sɔntɛm i jɔs taya smɔl" ɔ "Na jɔs aw yu de ol." Bɔt if dɛn sik ya kɔntinyu, i kin bi wan fɔs sayn fɔ wan sik we dɛn kɔl Rimatɔyd Atraytis (RA) . Lɛ wi tɔk mɔ bɔt dis tide, nɔto so?

Wetin na Rimatɔyd Atraytis? Fɔ tɔk am simpul wan...

Fɔ tɔk am simpul wan, rεumatoid arthritis na wan sik we nɔr de mɛn , ɔr we de kɔntinyu, we ɔtoimyun sik . Naw yu kin de wɔnda, "Wetin na dis ɔtoimyun sik?" Wɛl, wi bɔdi gɛt wan imyun sistɛm. I tan lɛk wi yon ami. I fɔ protɛkt wi frɔm jem ɛn sik dɛn we de kɔmɔt na do. Bɔt pan rεumatoid at, wi yon difɛns sistɛm kin mistek bigin fɔ atak wi yon jɔyn dɛn, mɔ di tin we de kɔba dɛn, we na di synovium . Imajin, i tan lɛk se wi yon ami de atak wi yon os!

I kin afɛkt di jɔyn dɛn na di finga dɛn, an, an, ni, anklɛ, fut, ɛn fut finga dɛn mɔ . wetin intrestin na dat RA kin afekt di sem joyn dεm na di tu say dεm na di bכdi. Dat min se if i afɛkt di an na di rayt an, i go mɔs bi se i go afɛkt di an na di lɛft an bak. Dis na wan rizin wae mek RA difrɛn frɔm sɔm ɔda kayn at at sik.

Dis inflamɛns we wi nɔ kin kɔntrol , we kin mek wi swel, rɛd, ɛn pen, kin pwɛl di katilej we de na wi jɔyn dɛn. di kכtilaj lεk ‘shכk abzכba', na kushכn we de mek di jכint dεm nכ de rכb tכgeda εn i de εp dεn fכ muv izi wan. As tɛm de go, dis we aw di bɔdi kin pwɛl kin mek di jɔyn dɛn nɔ fayn ɛn leta di bon dɛn kin west. Dis kin mek di jɔyn dɛn jɔyn togɛda, ɛn dis kin mek dɛn nɔ ebul fɔ muv.

Dis prכsεs de involv spεshal sεl dεm εn kεmikכl dεm frכm wi imyun sistεm. Pan ɔl we dɛn kin mek dɛn tin ya insay di jɔyn dɛn, dɛn kin travul ɔlsay na di bɔdi tru di blɔd ɛn mek ɔda sayn dɛn. Dis min se nɔto di jɔyn dɛn nɔmɔ gɛt rεumatoid atraytis. Sɔntɛnde, dis na wi:

• Kanda
• Yay
• Mɔt
• Lɔng
• At

I kin afɛkt ɔda pat dɛn na di bɔdi bak.

Wetin na di kes dɛm fɔ dis sik?

Wi kin tɔk bɔt rεumatoid at at sik mɔ pan 4 stej dɛm. Bɔt nɔto ɔl dɛn stej ya kin kam di sem tɛm fɔ ɔlman, ɛn sɔm pipul dɛn kin go tru dɛn stej ya fɔ lɔng lɔng tɛm.

• Stej 1: Dis na di fɔs stej . Dis tɛm ya, di tisu dɛn we de rawnd yu jɔyn dɛn kin bigin fɔ inflam, ɔ swel. Yu kin fil sɔm pen ɛn stif na yu jɔyn dɛn. If dɔktɔ du ɛkstrem rayt dis tɛm, dɛn nɔ go si ɛni big chenj ɔ damej pan di bon dɛn.
• Stej 2: Naw di inflamɛns we wi bin dɔn tɔk bɔt dɔn bigin fɔ pwɛl di katilej na yu jɔyn dɛn. Yu kin fil se yu jɔyn dɛn kin stif mɔ, ɛn di say we yu kin muv kin smɔl.
• Stej 3: Bay naw, di inflamɛns dɔn rili bad ɛn di bon dɛn bak dɔn bigin fɔ pwɛl. di pen εn stiffness de bכku pas di Stej 2. di rεnj fכ muvmεnt fכ di joyn dεm de rεdכks mכr. na dis tεm, chenj dεm na di we aw di jכint dεm de luk (dεn de tεnd, swεla) kin ivin bigin fכ si.
• Stej 4: Na dis tεm, di siriכs inflameshn we bin de fכs dεn dכn stכp, bכt di jכint dεm de kכntinyu fכ pwεl. Yu kin fil bad bad wan, yu kin swel, yu kin stif, ɛn yu nɔ kin ebul fɔ muv igen .

Mɛmba se nɔto ɔlman kin go tru ɔl di 4 stej dɛn. Sɔm pipul dɛn kin ebul fɔ kɔntrol di sik na wan lɛvul, mɔ if dɛn gɛt di rayt tritmɛnt di rayt tɛm .

Yu tink se ej de wae dis sik kin apun?

Rimatɔyd at at sik kin kam pan pipul dɛm wae ol bitwin 30 ɛn 60. Bɔt e kin afɛkt pipul dɛm wae gɛt ɛni ej. Na pikin ɛn yɔŋ pipul dɛn, we kin ol bitwin 16 ɛn 40 ia, dɛn kin kɔl am Young-Onset Rheumatoid Arthritis (YORA) . Na pipul dɛm wae gɛt dis sik afta dɛn dɔn ol 60 ia, dɛn kin kɔl am Leta-Onset Rheumatoid Arthritis (LORA) .

Wetin na di men sayn dɛm wae de sho se pɔrsin gɛt rεumatoid at?

De sayn dɛm fɔ dis sik kin difrɛn frɔm wan pɔrsin to ɔda pɔrsin, bɔt sɔm kɔmɔn sayn dɛm de:

• Pen, swel, stif, ɛn tεnd na mכr dan wan jכint.
• Stif, mɔ na mɔnin ɔ afta yu dɔn tinap fɔ lɔng tɛm. Fɔ sɔm, dis stiffnɛs kin las fɔ lɔng lɔng tɛm.
• Pen ɛn stif na di sem jɔyn dɛn na di tu say dɛn na di bɔdi. Fɔ ɛgzampul, if i de na di rayt ni, na di sem tin na di lɛft ni.
• Taya. Dis nɔto jɔs nɔmal taya, bɔt na bad bad taya we de mek yu fil lɛk se yu nɔ gɛt ɛni ɛnaji, ilɛksɛf yu slip bɔku.
• Wik.
• Fiva.

RA nɔr de afɛkt ɔlman in layf di sem we. Fɔ sɔm pipul dɛn, di sik kin kam smɔl smɔl, fɔ lɔng tɛm. Fɔ ɔda pipul dɛm, di sayn dɛm kin kam kwik kwik wan. Bɔrku pipul kin gɛt sɔm tɛm wae dɛn kin gɛt mɔr sik ( flares ), wae de sik kin wɔs, ɛn sɔm tɛm wae dɛn nɔr kin gɛt sɔm kayn sik, wae kin tan lɛk se dɛn gɛt wɛl bɔdi ( remission ).

Wetin na de sayn dɛm wae dɛn kin si na di fɔs tɛm wae de sik de kam?

Di fɔs sayn dɛm fɔ rεumatoid at at sik kin bi wae yu de tεnd ɔr yu de fil pen na yu smɔl smɔl jɔyn dɛm, lɛk yu finga ɛn yu fut finga dɛm . Ɔ i kin bigin lɛk pen na yu jɔyn we big lɛk yu ni ɔ yu sholda. Dɛn fɔs sayn dɛn ya tan lɛk alam we dɛn dɔn sɛt fɔ shek. Sɔntɛm yu nɔ go pe atɛnshɔn to dɛn. Bɔt dɛn fɔs sayn dɛn ya rili impɔtant. Di kwik we yu no se yu gɛt RA, na di kwik we yu kin bigin fɔ tek tritmɛnt. Ɛn fɔ trit yu kwik kwik wan kin ɛp fɔ mek yu nɔ pwɛl di jɔyn dɛn we go de sote go ɛn we go mek yu fil pen.

Wetin na di rizin fɔ dis? Wetin mek dis de apin?

Wi nɔr stil no di rayt tin we kin mek pɔsin gɛt rεumatoid at. Risach pipul dɛn biliv se i kin bi wan tin we gɛt fɔ du wit di jɛnɛtiks, ɔmon, ɛn di tin dɛn we de arawnd wi .

Nɔmal wan, wi imyun sistɛm kin protɛkt di bɔdi frɔm sik. bכt insay RA, sכmtin (trig) de mek dis imyun sistεm atak wi כwn jכint dεm. Dis kin kam bikɔs ɔf infekshɔn, smok, ɔr strɛs na in bɔdi ɔr maynd .

Yu tink se rεumatoid atraytis na jεnεtiks?

Sayɛnsman dɛn dɔn stɔdi bɔku jin dɛn we kin afɛkt di divɛlɔpmɛnt fɔ RA. Sɔm jɛnɛtik difrɛns ɛn tin dɛn we nɔto jɛnɛtiks kin kam togɛda fɔ mek pɔsin gɛt mɔ risk fɔ gɛt RA. Tin dɛm we nɔto jɛnɛtiks inklud tin dɛm lɛk jɛnɛral ɛn fɔ de pan tin dɛm lɛk smok.

Na patikyula pipul dεm we dεn bכn wit sכm vεryushכn dεm na di Human Leukocyte Antigen (HLA) jin dεm dεn fכnshכn fכ gεt rεumatoid atraytis. dis HLA jin dεm de εp wi imyun sistεm fכ difrεnt bitwin di protin dεm we dεn prodyuz insay di bכdi εn di protin dεm frכm fכrin invayda dεm lεk vayrus εn baktri dεm.

Udat de pan denja fɔ gɛt dis sik?

Bɔku tin dɛn de we kin mek pɔsin gɛt rεumatoid at at sik. Dɛn na:

• Bayolojikal famili histri: If sɔmbɔdi na yu fambul we de nia yu gɛt RA, yu kin gɛt am bak.
• Sɛks: Uman dɛn kin gɛt RA lɛk tri tɛm pas man dɛn.
• Fɔ smok: .Smok nɔr kin jɔs mek di risk fɔ gɛt RA, bɔt i kin mek di sik wɔs mɔr.
• Fat: If yu bɔdi wet pas aw i fɔ bi, dat min se if yu fat, yu go gɛt RA.

Us prɔblɛm dɛn kin apin if dɛn nɔ trit am?

If dɛn nɔ trit rεumatoid atraytis fayn fayn wan, bɔku ɔda prɔblɛm dɛn kin apin. Sɔm pan dɛn na:

• Jɔyn dɛn we dɔn pwɛl ɔ di jɔyn dɛn we nɔ fayn
• I izi fɔ gɛt vayral infɛkshɔn
• Dray yay ɛn dray mɔt (kɔndishɔn lɛk Sjögren’s syndrome ) .
• Carpal tunnel syndrome (na wan sik wae kin kam wae yu kɔmprεs wan nerv na di an) .
• Osteoporosis ( bon dεm kin tכn εn i izi fכ brok) .
• At sik
• Intastitial lכng sik (wan kכndyushכn we de afekt di lכng) .
• Limfoma ( kansa na di limfatik sistɛm) .

Na dat mek i rili impɔtant fɔ go to dɔktɔ kwik kwik wan ɛn bigin di tritmɛnt we yu nid if yu gɛt sɔm sayn dɛn.

Aw dɛn kin no dis sik? (Diagnosis) .

Fɔ no if yu gɛt at at sik, yu jenɛral dɔktɔ kin sɛn yu to wan dɔktɔ we de mɛn yu at , we na dɔktɔ we spɛshal pan at at sik. Wan dɔktɔ we de mɛn yu bɔdi go no if yu gɛt RA bay we i tink bɔt sɔm tin dɛn.

Dɛn go fɔs du wan ɛgzam fɔ yu bɔdi , aks bɔt yu mɛdikal istri ɛn di sayn dɛn we yu gɛt, ɛn ɔda fɔ mek dɛn du blɔd tɛst ɛn tek imej tɛst .

Blɔd tɛst kin luk mɔ fɔ inflamɛns na di bɔdi ɛn fɔ sɔm blɔd protin dɛm (antibodi dɛm) we spɛshal fɔ rεumatoid at. Dɛn tɛst ya na:

• εritrosayt Sεdimεntεshכn Rεt (ESR כ “sed rεt”) .
• C-riaktiv Protein (CRP) we de mek yu gɛt .
• Riumatoid Faktɔ (RF) Antibodi dɛn
• Sayklik Sitrulinɛt Pɛptid (CCP) Antibodi dɛn

Tin dɛn lɛk dis kin de insay.

Imej tɛst dɛn kin luk fɔ sayn dɛn we de sho se yu jɔyn dɛn dɔn west ɛn rɔtin. Rimatɔyd at kin mek di ɛnd dɛm fɔ di bon dɛm we de insay yu jɔyn dɛn west. Di tɛst dɛn we dɛn kin yuz fɔ dis na:

• X-ray we dɛn kin du
• Ultrasound skan dɛn we dɛn kin du
• Magnɛtik Rizɔnans Imej (MRI) skan

Sɔntɛnde, dɔktɔ go jɔs no if yu gɛt RA afta i dɔn wach yu sik dɛn fɔ sɔm tɛm.

Wetin na di tritmɛnt fɔ rεumatoid at?

Di men gol fɔ trit rεumatoid at at na fɔ ridyus di pen ɛn swel na di joyn dɛm. We yu du dat, i kin ɛp fɔ mek yu jɔyn dɛn kɔntinyu fɔ wok ɔ fɔ mek yu wok fayn. Di gol fɔ lɔng tɛm na fɔ ridyus ɔ stɔp di damej pan di jɔyn dɛn. We dɛn kɔntrol di inflamɛns na di jɔyn dɛn, yu kin ridyus yu pen ɛn yu kwaliti fɔ liv bɛtɛ.

RA tritmɛnt kin gɛt wan ɔ mɔ mɛrɛsin. Sɔntɛnde, dɔktɔ kin tɛl yu fɔ du ɔpreshɔn. Yu dɔktɔ go disayd aw fɔ trit yu bay tin dɛn lɛk yu ej, yu wɛlbɔdi, yu mɛrɛsin histri, ɛn aw yu sik bad bad wan.

Mɛrɛsin fɔ mɛn at at sik

If yu bigin fɔ tek sɔm mɛrɛsin dɛn kwik kwik wan na di sik, dat kin rili ɛp yu fɔ gɛt wɛlbɔdi fɔ lɔng tɛm. Dɛn dɔn si bak se sɔntɛnde if yu yuz bɔku mɛrɛsin dɛn togɛda, i kin wok fayn pas fɔ jɔs yuz wan mɛrɛsin.

Bɔrku kayn mɛrɛsin de wae dɛn kin yuse fɔ ridyus di joyn pen, swɛlin, ɛn inflamɛns, ɛn fɔ mek di sik nɔr ɔr kɔntrol. Di men kategori dɛm fɔ di mɛrɛsin dɛm na:

• Disease-Modifying Antirheumatic Drugs (DMARDs): Dis na di men kayn mɛrɛsin we dɛn kin yuz fɔ trit RA. Dɛn kin wok bay we dɛn de kɔntrol di imyun sistɛm ɛn ridyus di damej pan di jɔyn dɛn.
• Nɔn-Steroidal Anti-Inflammatory Drugs (NSAID): Dɛn wan ya de ridyus pen ɛn swel. Bɔt dɛn nɔ kin stɔp di pwɛl hat we di sik kin mek di jɔyn dɛn pwɛl.
• Kɔtikosterɔyd: Dɛn wan ya na pawaful mɛrɛsin dɛn we de mek pɔsin nɔ fil bad. Dɛn kin ɛp fɔ ridyus pen ɛn swel kwik kwik wan. Bɔt bikɔs dɛn kin mek bad tin apin we dɛn yuz dɛn fɔ lɔng tɛm, dɔktɔ dɛn kin tek tɛm gi dɛn mɛrɛsin.
• Janus Kinase (JAK) inhibitors: Dis na nyu klas fɔ drɔgs. Dɛn kin blok sɔm pan di wok we di imyun sistɛm de du bak ɛn ridyus di inflamɛns.
• Bayolojikal: Dɛn kayn mɛrɛsin ya bak na nyu kayn mɛrɛsin ɛn dɛn kin dia smɔl. Dɛn mek dɛn bay we dɛn de yuz jenɛtik injinɛri tɛknɔlɔji. Dɛn kin wok bay we dɛn de tɔch sɔm patikyula pat dɛn na di imyun sistɛm we kin mek pɔsin inflamɛns.

Di mɛrɛsin we sef fɔ yu go bi di wan we go gi yu di mɔs bɛnifit wit di smɔl smɔl sayd ɛfɛkt dɛn . Dis go difrɛn difrɛn wan fɔ yu wɛl bɔdi istri ɛn aw yu RA simptom dɛn tranga. Yu dɔktɔ go mek wan tritmɛnt plan we go fayn fɔ yu.

Ustɛm dɛn kin yuz ɔpreshɔn?

Ɔpreshɔn kin bi wan opshɔn fɔ mek di jɔyn dɛn we dɔn pwɛl bad bad wan, wok bak. Dɔn bak, if di mɛrɛsin dɛn nɔ de kɔntrol di pen we yu de fil, yu dɔktɔ kin tɛl yu fɔ du ɔpreshɔn. Di ɔpreshɔn fɔ RA inklud:

• Fɔ chenj di ni
• Hip riplesmɛnt
• Ɔda ɔpreshɔn dɛn fɔ kɔrɛkt di tin dɛn we nɔ fayn

Inklud tin dɛn lɛk.

Wetin na de prognosis fɔ pɔrsin wae gɛt dis sik?

Naw, no mɛrɛsin nɔ de fɔ mɛn di sik we dɛn kɔl rεumatoid at. Bɔt bɔku fayn tritmɛnt dɛn de we kin ɛp fɔ ridyus yu pen ɛn inflamɛns, ɛn slo fɔ mek di sik nɔ go bifo. I impɔtant fɔ no di sik kwik kwik wan ɛn fɔ gɛt di rayt tritmɛnt.

If yu nɔ go to dɔktɔ ɛn gɛt tritmɛnt fɔ RA, di sik kin mek yu bɔdi pwɛl fɔ ɔltɛm ɛn leta yu jɔyn dɛn. Nɔto dat nɔmɔ, RA kin pwɛl ɔgan dɛn lɛk yu lɔng ɛn at bak.

Aw a fɔ kia fɔ misɛf? (Fɔ kia fɔ yusɛf) .

I impɔtant fɔ go to yu dɔktɔ ɔltɛm fɔ wach yu sik dɛn. Dɔn bak, if yu de gɛt ɛni bad bad tin we de apin to yu bikɔs ɔf di mɛrɛsin dɛn we yu de tek, yu fɔ tɛl yu dɔktɔ . Dɔn yu dɔktɔ go ebul fɔ ajɔst di mɛrɛsin we yu de tek ɔ gi yu ɔda mɛrɛsin. I impɔtant bak fɔ kɔntinyu fɔ tek yu mɛrɛsin dɛn lɛk aw dɛn tɛl yu te yu dɔn tɔk to yu dɔktɔ.

Apat frɔm dat, yu kin:

• It fayn it .
• Du sɔm tin dɛn we yu de du fɔ yu bɔdi ɛvride (as yu dɔktɔ tɛl yu fɔ du).
• If yu na pɔsin we de smok, fɔ lɛf fɔ smok na sɔntin we yu fɔ du.
• Rɛst fayn fayn wan.
• Fɛn we dɛn fɔ ridyus strɛs .

Kwɛstyɔn dɛn we yu fɔ aks yu dɔktɔ

We yu go to dɔktɔ, i go fayn fɔ aks kwɛstyɔn dɛn lɛk dɛn wan ya:

• A gɛt RA, ɔ ɔda kayn at at sik?
• Us mɛrɛsin dɛn yu kin rɛkɔmɛnd fɔ mi?
• Wetin na di bad tin dɛn we dɛn mɛrɛsin dɛn de kin du? Aw a go no bɔt dɛn?
• Wetin a kin du fɔ mek RA nɔ flay?
• Yu tink se a go nid ɔpreshɔn?
• Yu tink se dis sik kin pas tru jin to mi pikin dɛn?

If yu gɛt rεumatoid arthritis (RA), sɔmtɛm e kin fil lɛk yu layf na rola kɔsta fɔ pen ɛn taya. E fayn fɔ tɔk to yu dɔktɔ bɔt dɛn filin ya ɛn yu sayn dɛm. Apat frɔm ɛkstrem rayt ɛn blɔd tɛst, wetin yu tɛl yu dɔktɔ bɔt yu sik kin ɛp am fɔ plan aw fɔ trit yu. Yu dɔktɔ go chɛk yu sayn dɛm ɛn tɛl yu fɔ gi yu tritmɛnt plan we go fayn fɔ yu. Bɔrku pipul dɛm wae gɛt rεumatoid arthritis kin ebul fɔ du de tin wae dɛn lɛk ɛn liv layf wae de fil fayn.

Fɔ dɔn, di tin we impɔtant pas ɔl (Take-Home Message) .

Okay, so wi don tok plenti boht rεumatoid arthritis (RA) tide. Na sɔm pan di impɔtant tin dɛn we yu fɔ mɛmba:

• RA na sik wae yu yone imyun sistεm de atak yu joyn dεm.
• Mɔnin stiffness, joyn pen, ɛn swel na di men sayn dɛm.
• If yu no di sik kwik kwik wan ɛn trit yu, dat kin mek yu jɔyn dɛn nɔ pwɛl bad bad wan.
• Pan ɔl we naw, dɛn nɔ gɛt kɔmplit mɛrɛsin fɔ mɛn am, sɔm tritmɛnt dɛn de we go ɛp wi fɔ kɔntrol di sik ɛn liv gud layf.
• I rili impɔtant fɔ mek yu kɔntinyu fɔ tɔk to yu dɔktɔ ɔltɛm, tek di mɛrɛsin dɛn we dɛn dɔn tɛl yu fɔ du di rayt we, ɛn fala wɛlbɔdi layf.

If yu gɛt ɛni wan pan dɛn sik ya, nɔ panik, go to dɔktɔ wantɛm wantɛm fɔ advays. If yu tek akshɔn kwik kwik wan, dat kin rili afɛkt yu wɛlbɔdi tumara bambay.

` Rimatɔyd at, jɔyn pen, at, ɔtoimyun sik, jɔyn swel, mɔnin stiffness, rεumatoid