If yu gɛt rεumatoid arthritis, yu dɔn ɛva notis wan smɔl lump ɔr bɔmp ɔnda yu skin na say dɛm lɛk yu εlbo ɛn yu kכl? Sɔm pipul dɛn kin fred smɔl we dɛn si dɛn tin ya, dɛn kin tink se, "Dis na sɔntin we siriɔs?" Bɔt nɔ wɔri. Bɔku tɛm, dɛn tin ya nɔ kin denja. Tide wi de tɔk bɔt dɛn spɛshal lumps ya we kin kam wit rεumatoid at, we dɛn kɔl rεumatoid nodules.
Wetin na dɛn rεumatoid nodul ya?
Fɔ tɔk am simpul wan, rεumatoid nodul na sכm sכm sכm bכdi dεm we de divεlכp כnda di skin כ sכmtεm insay di bכdi we yu gεt rεumatoid atraytis (RA). insay mεdikal tεm dεm, wi kin kכl ‘nodul’ lεk wan lump we kin sכm sכm pas wan inch (lεk 3 milimita).
Di impɔtant tin na dat dɛn lumps ya nɔto kansa (benign). If yu gɛt dɛn, dat nɔ min se yu gɛt kansa ɔ yu go gɛt kansa tumara bambay. So nɔ wɔri bɔt am.
Dɛn lumps ya na wan bɔnch sɛl dɛn we dɔn gɛda togɛda. Dat min se:
- Dɛd skin sɛl dɛn
- di fibrin sel dεm (dεn na wan strכng protin we de εp fכ kכlכt) .
- Inflammatory sel dεm na yu imyun sistεm
Dɛn sɛl dɛn ya kin kam togɛda fɔ mek da smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl.
Usay na di bɔdi dɛn lumps ya kin apin mɔ?
Dɛn bɔmp ya kin fɔm rawnd di jɔyn dɛn we yu kin yuz mɔ we yu de du yu wok ɛvride ɛn we kin gɛt strɛs ɔltɛm. Lɛ wi tek wan luk pan di ples dɛn we pipul dɛn kin si dɛn ɛn we dɛn nɔ kin si dɛn.
| Usay dɛn kin si lumps mɔ | Rarely lumps (insay di bɔdi) . |
|---|---|
| Ɛlbo | Pulmonari nodul dɛn |
| Finga ɛn fut finga dɛn | Di wayt pat na di yay (sclera) . |
| Fɔ-am dɛn | Vokal kɔd dɛn |
| Klostu to di il ɔ di Akilis tɛndon | - . |
| In rilayshɔn to di hip bon | - . |
| Lɔwa bak (Sacrum) . | - . |
| Skul (espɛshali pan di wan dɛn we de na bed) . | - . |
Aw dɛn lumps ya kin fil na di an? Ɛni pen de?
We yu tɔch dɛn lumps ya, sɔm kin fil tranga, lɛk smɔl ston we stɔp ɔnda di skin . Ɔda pipul dɛn kin fil lɛk se dɛn saf smɔl, lɛk bɔl we de strɛs, ɛn dɛn kin fil lɛk se dɛn kin krɔs dɛn .
We i kam pan saiz, dɛn tin ya kin kɔmɔt frɔm smɔl smɔl tin dɛn we di sayz tan lɛk pensil iras to, we nɔ kin apin so ɔltɛm, tin dɛn we big lɛk kɔmpyuta maws.
Di impɔtant tin na dat, dɛn lumps ya nɔ kin gɛt pen. Bɔt yu kin fil pen ɛn sɔri we yu prɛs di say we de rawnd di lump. Dis tεndεns kin bi mכr notis if di lכmp de nia wan jכint usay yu at at sik dεn dכn כlrεdi bad.
Yu nɔr kin fil lump wae de divɛlɔp insay yu bɔdi, lɛk na yu lɔng, yay, ɔr vokal kɔd. Bɔrku tɛm dɛn kin no bɔt dɛn bay we dɛn de du ɛkstrem rayt ɔr ay ɛgzam fɔ ɔda rizin.
Wetin mek dɛn rεumatoid nodul ya kin fכm?
Di sem tin wae kin mek yu gɛt rεumatoid at at sik kin mek bak dɛn lumps ya fɔm. Dat min se na bikɔs ɔf wan ɔtoimyun rispɔns na yu imyun sistɛm .
Bɔt nɔto ɔlman we gɛt RA kin gɛt dɛn lumps ya. Dɔktɔ dɛn se bitwin 25% ɛn 40% pan di wan dɛn we gɛt RA kin gɛt dɛn lumps ya. εn less dan 1% pan pipul dεm de divεlכp lumps na ples dεm lεk di lכng εn yay.
Insay RA, yu imyun sistɛm kin atak di jɔyn dɛn we gɛt wɛlbɔdi, ɛn dis kin mek yu inflamɛns. Dis inflameshn kin mek di joyn dεm swel εn kin fil pen. we di imyun sistεm de wok pasmak, i kin afekt כda tisu dεm na di bכdi bak.
Imajin se yu na kapɛnta ɔ pɔsin we de tayp. Yu an ɛn finga dɛn de yuz ɔltɛm. So if yu gɛt RA, yu go gɛt dɛn lumps ya rawnd yu jɔyn dɛn we yu kin yuz bɔku tɛm.
Pipul dεm we gεt hכy lεvεl כf Rεumatoid Factor כ CCP antibodi dεm na dεn bl כd kin gεt bכku risk fכ gεt dεn lumps dεm ya. Yu dɔktɔ kin mɛzhɔ dɛn tin ya wit simpul blɔd tɛst.
Wetin na di tritmɛnt dɛm fɔ pul dɛn lumps ya?
Sɔmtɛm dɛn lumps ya nɔr nid ɛni tritmɛnt. Dɛn kin fɔm ɛn dɔnawe pan dɛnsɛf, jɔs lɛk aw di RA simptom kin flawa sɔm dez ɛn stɔp sɔm dez.
Aw lɔng wan lump go de dipen pan usay i fɔm, di stej we yu RA de, ɛn yu ɔl wɛlbɔdi.
Bɔt if di bɔmp dɛn de mek yu fil pen, nɔ go fɔ dɛnsɛf, ɔ if di we aw dɛn tan de afɛkt yu kɔnfidɛns pan yusɛf, yu dɔktɔ go gi yu tritmɛnt.
Di tritmɛnt dɛn we dɛn kin yuz bɔku tɛm:
- Kɔtikosterɔyd: Dɛn wan ya na wan kayn mɛrɛsin we de ridyus di inflamɛns. Sɔntɛnde yu dɔktɔ kin gi yu kɔtizɔn shot rayt nia di lump.
- DMARD (Disease-modifying antirheumatic drugs): Dɛn mɛrɛsin ya kin kɔntrol di ɔva aktiviti fɔ di imyun sistɛm ɛn ridyus inflamɛns na di bɔdi.
- NSAID: Dɛn tin ya na tin dɛn bak we de mek pɔsin fil pen we de ridyus di inflamɛns. Yu dɔktɔ go tɛl yu di rayt kayn fɔ yu.
- Monoclonal antibodies: Dis na antibodi dεm we dεn mek wit atifishal wan. Dɛn kin ɛp fɔ rigul di imyun sistɛm. Wan ɛgzampul na di rituximab injɛkshɔn.
Yu tink se dɛn nid fɔ ɔpreshɔn fɔ pul dɛn lumps ya?
Bɔku tɛm, i nɔ kin nid fɔ du ɔpreshɔn, bɔt yu dɔktɔ kin tɛl yu fɔ du ɔpreshɔn pan dɛn kayn tin ya:
- If di lump de pan ɔ nia wan ɔgan insay di bɔdi, ɛn i nɔ dɔn go fɔ insɛf.
- If di lump rili big in saiz.
- If di lump nɔ go pan ɔl we yu dɔn tray ɔda tritmɛnt dɛn.
- if dεn bכmp dεm ya de mek i at fכ yuz di limb כ du εvride aktiviti (e.g., if yu de bכmp wit sכmtin כltεm).
Ustɛm a fɔ go to dɔktɔ?
If yu notis ɛni nyu chenj, lumps, ɔ bɔmp pan ɔ ɔnda yu skin, mek shɔ se yu go to dɔktɔ fɔ mek dɛn chɛk am.
If yu dɔn ɔlrɛdi gɛt tritmɛnt fɔ RA ɛn yu fil se yu mɛrɛsin nɔ de wok fayn lɛk aw i bin de wok trade, tɛl yu dɔktɔ bɔt dat bak.
Na nɔmal tin fɔ sɔprayz ɛn fred smɔl we yu si nyu skin lump. Bɔt di gud nyus na dat, bɔku tɛm, di rεumatoid nodul dɛn nɔ kin du bad ɛn bɔku tɛm i kin go if dɛn nɔ gɛt tritmɛnt. Ivin if dɛn nid tritmɛnt, bɔku pan am na di sem tritmɛnt we yu dɔn ɔlrɛdi de yuz fɔ RA.
Di tin we impɔtant pas ɔl na fɔ mek dɔktɔ chɛk ɛni nyu lump. Dis na di we we sef fɔ no fɔ tru if na rεumatoid lump ɔr ɔda tin.
Dɔn bak, if dɛn lumps ya de ambɔg yu ɛvride wok ɔ di tin dɛn we yu lɛk fɔ du, ɔ if yu de wɔri bɔt aw yu luk, tɔk to yu dɔktɔ bɔt dat bak. I go ɛksplen to yu di opshɔn dɛn fɔ ridyus ɔ pul dɛn.
Mɛsej we dɛn kin kɛr go na os
- Riumatoid nodul na wan kayn lump we nɔ gɛt kansa we kin apin we gɛt fɔ du wit rεumatoid atraytis (RA).
- dis kin apin mכst nia di joyn dεm we dεn kin yuz fכs lεk di εlbo dεm εn di finga dεm, bכt i nכ kin rili divεlכp insay di כgan dεm we de insay lεk di lכng dεm.
- Bɔku tɛm, dɛn tin ya nɔ kin mek pɔsin fil pen, bɔt i impɔtant fɔ mek dɔktɔ chɛk ɛni nyu lumps.
- Nɔto ɔltɛm i nid fɔ gɛt tritmɛnt. Sɔm lumps kin go fɔ dɛnsɛf. Bɔt if dɛn de mek pɔsin fil pen ɔ we de mek i gɛt prɔblɛm, tritmɛnt dɛn de we go ɛp yu.
- Tɔk opin wan wit yu dɔktɔ bɔt ɛni nyu chenj ɔ lumps we yu notis na yu skin.
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