If yu gɛt rεumatoid arthritis (RA), yu go dɔn no aw i nɔr kin izi fɔ liv wit de pen. Bɔt yu no se ɔda sik de we nɔ kin apin so ɔltɛm, bɔt sɔntɛnde i kin rili bad, we dis at at sik kin kam wit? Na dat wi de tok abaut tide. Dɛn kɔl am Rimatɔyd Vaskulaytis . Nɔ wɔri, wi go tɔk bɔt am simpul wan we yu go ɔndastand.
Wetin na Rimatɔyd Vaskulaytis?
Fɔ tɔk am simpul wan, Rheumatoid Vasculitis na inflamɛns, ɔ swel, na yu blɔd vesel dɛm. Dis kin kam bikɔs ɔf yu rεumatoid at at sik we yu dɔn gɛt.
Lɛ wi brok dis smɔl mɔ:
- Vasculitis: Dis kin min se yu blɔd vesel dɛn de inflamɛns. Tink bɔt di blɔd vesel dɛn we de ɔlsay na wi bɔdi lɛk wan nɛtwɔk we gɛt wata paip dɛn. Blɔd kin pas na dɛn paip dɛn ya. Insay vaskulaytis, di wɔl dɛn na dɛn paip ya kin inflam, we kin mek di blɔd nɔ flɔ.
- Rimatɔyd Atraytis: Yu sabi dis wan. Wetin kin apin na we wi bɔdi in yon imyun sistɛm kin mistek atak wi yon jɔyn dɛn.
- Autoimyun Disease: Dɛn tu sik ya we wi dɔn tɔk bɔt de insay dis kategori. Simply put, i tan laik se di ami we sopoz to protekt wi kontri de mistek atak wi oun pipul. Di imyun sistɛm we dɛn se de protɛkt wi bɔdi, kin bigin fɔ atak wi yon wɛlbɔdi sɛl dɛn.
So, insay Rheumatoid Vasculitis, wetin kin apin na dat di imyun sistεm, we rεumatoid atraytis de ambɔg, de bigin fכ atak nכto di joyn dεm nכmכ, bכt di bכdi vεsul dεm bak.
Aw dis sik kin kɔmɔn?
Dis na rili wan sik we nɔ kin apin so ɔltɛm . So nɔ fred we yu de rid dis. Nɔto na Sri Lanka nɔmɔ, bɔt na di wɔl, na smɔl pipul dɛn nɔmɔ gɛt dis sik.
Trade, dis sik bin rili kɔmɔn pan pipul dɛn we gɛt rεumatoid at. Bɔt naw, bikɔs mɔ advans ɛn ifektiv tritmɛnt dɛn de fɔ rεumatoid at, di wan dɛn we de gɛt rεumatoid vasculitis dɔn dכn bכku. Dat na rili gud nyus.
Dis sik kin mɔs si pan pipul dɛm wae dɔn pas 50 ia wae dɔn de sɔfa wit rεumatoid arthritis fɔ lɔng tɛm.
Wetin na di sayn dɛm we de sho se yu gɛt dis sik? Aw wi no dis?
De sayn dɛm fɔ dis sik kin difrɛn frɔm wan pɔrsin to ɔda pɔrsin. Bɔt sɔm tin dɛn de we kin apin to pɔsin ɛn sɔm tin dɛn we kin apin we rili siriɔs. Lɛ wi luk dɛn tin ya di we we izi fɔ ɔndastand.
| Di sayn we de sho se di sik de | Wan simpul ɛksplen |
|---|---|
| Di sayn dɛm we dɛn kin si bɔku tɛm | |
| Ɔlsa dɛn na di skin | Smɔl wund dɛn we nɔ de wɛl, mɔ na di finga dɛn ɔ rawnd di nel dɛn. |
| Spɔt/bɔmp dɛn na di skin | Rɛd, pepul spat ɔ smɔl smɔl bɔmp dɛn na di skin. |
| Di kɔlɔ we di skin kin chenj | Yu kin si chenj na di skin in kɔlɔ, we tan lɛk we yu gɛt brus. |
| Pen na di limb dɛn | Pen na di an, finga, fut, ɛn fut finga dɛn. |
| Di limb dɛn we de na di an ɛn fut dɛn kin swɛla | Yu nɔ de fil fayn ɔ yu de fil lɛk yu de swɛt, mɔ na di an ɛn fut. |
| Di mɔsul dɛn we wik | Fɔ fil se yu nɔ gɛt layf ɛn yu mɔsul dɛn wik. |
| Simptom dɛm wae kin apun if de sik siriɔs | |
| Bɛlɛ de at | Pɔsin we de fil pen na di bɛlɛ. |
| Kɔf ɛn chɛst pen | Dɛn tin ya kin apin if di blɔd vesel dɛn na di lɔng dɛn afɛkt. |
| I nɔ kin want fɔ it ɛn i nɔ kin gɛt bɔku bɔku bɔdi | I nɔ kin want fɔ it ɛn i nɔ kin gɛt bɔku bɔku bɔdi fɔ natin. |
| Fiva ɛn taya pasmak | Fiva ɛn taya ɔltɛm bikɔs ɔf inflamɛns na di bɔdi. |
Di tin we impɔtant pas ɔl na fɔ tɛl yu dɔktɔ wantɛm wantɛm if yu gɛt rεumatoid at at sik ɛn notis ɛni nyu sayn lɛk dis, mɔr di chenj na yu skin.
Udat de pan big risk fɔ dis sik?
Pan ɔl we ɛnibɔdi we gɛt dis sik kin gɛt dis, sɔm pipul dɛn kin gɛt dis sik smɔl. Lɛ wi tek wan luk pan udat dɛn bi.
| Risk factor | Dat min se... |
|---|---|
| Fɔ gɛt siriɔs RA | Fɔ di wan dɛn we dɛn nɔ kin kɔntrol dɛn at at sik fayn fayn wan ɛn we de na di stej we rili bad. |
| Fɔ gɛt RA fɔ lɔng tɛm | Bɔrku tɛm na fɔ pipul dɛm wae dɔn gɛt at at sik fɔ pas 10 ia. |
| Fɔ gɛt RA na bɔku jɔyn dɛn (Polyarthritis) . | If at at sik dɔn afɛkt bɔku jɔyn dɛn na di bɔdi. |
| Prɛsɛns fɔ Riumatɔyd Nodul dɛn | 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 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 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. |
| Fɔ gɛt wan sik we dɛn kɔl Felty Syndrome | Dis na ɔda prɔblɛm we nɔ kin apin so ɔltɛm we RA kin gɛt, we kin mek di splin big ɛn di wayt blɔd sɛl dɛn kin go dɔŋ. |
| Fɔ smok | Dis na rili impɔtant tin we kin mek pɔsin gɛt prɔblɛm. Pipul wae de smok kin gɛt dis sik pasmak. |
Kɔmplikɛshɔn dɛn we kin apin if dɛn nɔ trit am
Dɛn tin ya nɔ kin apin so ɔltɛm ɛn dɛn kin apin nɔmɔ if dɛn nɔ du di tritmɛnt fayn.
- Nεkrכsis: di tisu dεm we de day na di εria we di skin afekt bikoz di bכdi de lכs.
- At atak: If di vessel dɛm we de gi blɔd to di at afɛkt.
- Strɔk: I kin afɛkt di blɔd vesel dɛn we de gi blɔd to di bren.
Bifo yu fred dɛn tin ya, i impɔtant fɔ go to dɔktɔ jɔs afta yu si di sayn dɛn. Dis kin ɛp fɔ mek dɛn nɔ gɛt dɛn kayn siriɔs tin ya.
Aw yu go fɛn dis, Dɔktɔ?
Yu dɔktɔ go tek tɛm luk yu fɔs ɛn aks yu bɔt di sik dɛn we yu gɛt. I impɔtant fɔ mek i no aw lɔng yu dɔn gɛt rεumatoid at at ɛn us mɛrɛsin yu de tek.
Dɔn, dɛn kin du sɔm tɛst fɔ no if pɔsin gɛt di sik:
- Blɔd tɛst: Fɔ no bɔt aw di bɔdi de inflamɛns ɛn aw di imyun sistɛm de wok.
- Bayopsi: Dis na di bɛst we fɔ kɔnfɔm di sik. Dɛn kin tek smɔl sampul pan di skin ɔ ɔda tisu we afɛkt ɛn chɛk am ɔnda maykroskɔp fɔ si if inflamɛns de na di blɔd vesel dɛn.
- Angiogram: Dis na wan kayn ɛkstrem rayt. Dɛn kin put spɛshal day insay di blɔd vesel dɛn fɔ luk fɔ si if di blɔd vesel dɛn dɔn blok ɔ if i dɔn pwɛl.
- Ɔda skan dɛn: Dɛn kin du CT skan, MRI skan, ɛn ɔda tin dɛn as nid de.
Yu go mɔs nid fɔ go to dɔktɔ we de mɛn yu rεumatɔlɔji.
Wetin na di tritmɛnt dɛn?
Tu men gol dɛn de fɔ tritmɛnt. Wan na fɔ kɔntrol di sayn dɛn we pɔsin kin gɛt, ɛn di ɔda wan na fɔ mek di blɔd vesel ɛn di ɔgan dɛn we de insay di bɔdi nɔ pwɛl.
1. Gud kɔntrol fɔ di rεumatoid at at sik:Bɔku tɛm, we yu RA tritmɛnt strɔng ɛn dɛn dɔn kɔntrol di sik fayn fayn wan, dɛn go kɔntrol di Rimatɔyd Vaskulaytis kɔndishɔn bak. So, yu kin nid fɔ tɔk to yu dɔktɔ bɔt di mɛrɛsin we yu de tek naw ɛn mek ɛni chenj we yu nid.
2. Spɛshal mɛrɛsin dɛn: Apat frɔm di mɛrɛsin dɛn we dɛn kin gi fɔ RA, dɛn kin nid fɔ gi yu mɛrɛsin dɛn we spɛshal fɔ dis sik.
- Kɔtikosterɔyd: Dɛn wan ya na pawaful mɛrɛsin dɛn we de mek pɔsin nɔ fil bad. Mεdikeshכn dεm lεk Prednisolone kin rεdכks di swel na di bכdi vεsul dεm kwik kwik wan.
- Immunosuppressants ɔ Biologics: Dɛn tin ya de wok bay we dɛn de kɔntrol wan imyun sistɛm we de wok pasmak.
Fɔ lɛf fɔ smok: If yu na pɔsin we de smok, fɔ lɛf fɔ smok ɔltogɛda rili impɔtant fɔ mek yu tritmɛnt go bifo. If yu lɛf fɔ smok, dat kin ɛp yu fɔ kɔntrol yu sik. Tɔk to yu dɔktɔ bɔt aw fɔ ɛp yu fɔ du dis.
Aw fɔ liv wit dis sityueshɔn?
Dis na sik we kin de fɔ lɔng tɛm. Dis min se ivin if yu nɔ gɛt di sik, yu go stil nid fɔ de ɔnda di dɔktɔ in kia.
- Go fɔ mek dɛn chɛk yu ɔltɛm: Go na klinik dɛn di rayt tɛm lɛk aw yu dɔktɔ tɛl yu fɔ du. Mek dɛn du tin dɛn lɛk blɔd tɛst.
- Yu fɔ no bɔt di sayn dɛm: Pe atɛnshɔn to ɛni nyu chenj na yu bɔdi, ɔr if yu fil se yu sayn dɛm de wɔs.
- Fɔ fala di tritmɛnt plan jɔs lɛk aw yu dɔktɔ tɛl yu fɔ du. If yu fil se wan mɛrɛsin nɔ de wok, tɔk to yu dɔktɔ bɔt am.
Afta yu dɔn de fɛt fɔ lɔng tɛm wit rεumatoid at, i kin mek yu at pwɛl fɔ no se yu gɛt ɔda sik. Bɔt mɛmba se yu dɔktɔ de fɔ ɛp yu. We yu tɔk to am opin wan, yu kin mek ɛni chenj we nid fɔ chenj to yu RA tritmɛnt plan.
Lisin to yu bɔdi. Nɔr frayd fɔ tɛl yu dɔktɔ bɔt ɛni nyu ɔr chenj wae yu notis. Di bɛst we fɔ avɔyd prɔblɛm dɛn na fɔ de ɔnda di rayt dɔktɔ we de kia fɔ yu.
Mɛsej we dɛn kin kɛr go na os
- Rimatɔyd vaskulaytis na wan prɔblɛm we nɔ kin apin so ɔltɛm we kin mek di blɔd vesel dɛn inflamɛns.
- Bɔku tɛm, dɛn kin si di sayn dɛn na di skin. Fɔ ɛgzampul, wund dɛn we nɔ de wɛl na di finga dɛn, spat dɛn na di skin, ɛn we pɔsin nɔ de fil fayn.
- Di bɛst we fɔ mek yu nɔ gɛt ɛn trit dis sik na fɔ kip yu rεumatoid at at sik ɔnda rili gud kɔntrol.
- If yu de smok, i rili impɔtant fɔ lɛ yu stɔp wantɛm wantɛm. I go ɛp bad bad wan fɔ kɔntrol di sik.
- If yu gɛt RA ɛn ɛni wan pan di sayn dɛm we wi dɔn tɔk bɔt na dis atikul de kam, duya go to yu dɔktɔ ɛn nɔ de te.
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