Udat na dis dɔktɔ we de mɛn yu bɔdi? Mek wi kam fɔ no dis spɛshal pɔsin.

Sɔntɛnde yu kin gɛt pen na yu jɔyn, yu kin stif na mɔnin, ɔ yu kin jɔs gɛt pen ɛn pen na yu bɔdi? Sɔntɛnde, dɛn tin ya kin dɔn insay sɔm dez. Bɔt if dɛn prɔblɛm ya kɔntinyu ɔ dɛn de wɔs, yu nid fɔ luk insay am. Na da tɛm de wi nid di ɛp fɔ dɔktɔ we de mɛn di sik we de mek pɔsin in rɔtin.

Udat na Riumatɔlɔjis?

Fɔ tɔk am simpul wan, dɔktɔ we de mɛn wi bɔdi na dɔktɔ we spɛshal pan kɔmpleks sik dɛn na wi bon, jɔyn, mɔsul, ɛn kɔnektiv tisu dɛn. Dɛn dɔktɔ ya, afta dɛn dɔn gradyuet frɔm jenɛral mɛdisin, dɛn kin gɛt spɛshal trenin fɔ sɔm ia pan dis wok.

Bɔku tɛm dɛn sik ya kin de te ɔ dɛn kin gɛt dɛnsɛf, we min se wi imyun sistɛm kin atak wi yon sɛl dɛn . Sɔntɛnde, dɛn kin pas dɛn tin ya frɔm wan jɛnɛreshɔn to ɔda jɛnɛreshɔn. So, rεumatכlכg de εp fכ kכntrכl di pen we dεn kכndyushכn ya kin kam wit εn i kin εp fכ ridyus inflamεshכn na di bכdi.

Wetin na Rimatɔlɔji?

Riumatoloji na wan branch pan mεdikal we de mεntal stכdi "rεumatik sik dεm." Dis na sik dɛm we nɔ de mɛn we kin afɛkt di kɔnɛktiv tisu dɛm na wi bɔdi bɔku tɛm, dat na, lɛk aw a bin dɔn tɔk, bon dɛm, jɔyn dɛm, mɔsul dɛm, tɛndon dɛm, ɛn ligamɛnt dɛm.

Tink bɔt am, sɔm kayn at at sik de, we dɛn kin kɔl bak ``inflammatory arthritis.'' Insay dɛn kayn sik ya, di bɔdi kin riak agens in yon tisu dɛm. Ɔda sik dɛn de, we kin kam to prɔblɛm we de kɔntinyu fɔ gɛt mɔsul ɔ bon, sɔntɛnde we wan ol wund nɔ kin wɛl fayn. Ɔl dɛn tin ya de ɔnda di fild fɔ rεumatɔlɔji.

Wetin dɔktɔ we de mɛn di sik we dɛn kɔl rεumatɔlɔji kin du?

Di men wok we dɔktɔ we de mɛn rεumatɔlɔji de du na fɔ no ɛn trit kɔmpleks sik dɛn we de afɛkt wi bon dɛn, jɔyn dɛn, mɔsul dɛn, ɛn kɔnektiv tisu dɛn kɔrɛkt wan. Dis nɔto simpul tin lɛk simpul brus ɔ sprain, bɔt na prɔblɛm dɛn we dip smɔl pas dat.

Bɔku kayn sik dɛn de we gɛt fɔ du wit rεumatik:

• Autoimyun sik dεm: Dis na we wi bכdi in imyun sistεm de mistek atak wi כwn hεlty sεl dεm εn tisu dεm.
• di sik dεm we de kכnεkt di tisu dεm: dεn ya de afekt di sכpכt strכkchכ dεm we de כlsay na wi bכdi.
• Inflammatory disorder or infection: Dɛn tin ya kin afɛkt di mɔsul dɛm, di jɔyn dɛm, ɔr bon dɛm.

We dɛn de no dɛn sik ya, dɔktɔ dɛn kin yuz blɔd tɛst ɛn difrɛn `(imaging)` skan (e.g. `(X-ray)`, `(Ultrasound)`) . Di tritmɛnt nɔto di sem.Dɛn kin mek wan tritmɛnt plan bay we dɛn kin jɔyn difrɛn we dɛn lɛk fɔ tek mɛrɛsin, sɔm tɛm dɛn kin gi spɛshal injɛkshɔn na di jɔyn dɛn, ɛn fɔ trit dɛn bɔdi fayn.

Us sik dɛn we dɔktɔ we de mɛn yu bɔdi kin mɛn?

Wan list de fɔ sik dɛn we dɔktɔ we de mɛn rεumatɔlɔji kin trit. Sɔntɛm yu dɔn yɛri bɔt sɔm pan dɛn nem dɛn ya.

• Ankylosing Spondylitis: Dis kin mek di joyn dεm na di spayna stif εn pen.
• Bursitis: Infεkshכn na di sak dεm we fulכp wit wata (bursa) we de rawnd di joyn dεm.
• Gaut : Na sik we yurik asid kin bɔku na di bɔdi, ɛn i kin mek di jɔyn dɛn swel ɛn pen bad bad wan.
• Osteoarthritis: Na wan sik wae kin kam wae di joyn dεm de west εn te we yu de ol.
• Rimatɔyd Atraytis: Dis na sik we pɔsin kin gɛt we i de fɛt insɛf. di joyn dεm na di bכdi kin swεla, i kin fil pen, εn sכft na mɔnin.
• Rimatik Fiva: Afta yu gɛt trot infekshɔn, i kin afɛkt say dɛn lɛk di at, di jɔyn dɛn, ɛn di bren.
• Lupus (Systemic Lupus Erythematosus - SLE): Dis na ɔtoimyun sik bak we kin afɛkt difrɛn pat dɛn na di bɔdi.
• Sklerodama: I kin tik di skin ɛn i kin afɛkt di ɔgan dɛn we de insay di bɔdi bak.
• Vasculitis: Na inflamɛns na di blɔd vesel dɛn.

Rimatɔlɔg dɛn kin trit bɔku ɔda sik dɛn lɛk dɛn wan ya. Ɛni wan pan dɛn sik ya difrɛn, ɛn dat mek di tritmɛnt dɛn difrɛn.

Aw bɔku stɔdi i nid fɔ bi dɔktɔ we de mɛn di sik we dɛn kɔl rεumatɔlɔjis?

Dis nɔto izi waka. Fɔ bi rεumatɔlɔjis, yu fɔ gɛt bachɛlɔ digri fɔs, dɔn yu fɔ dɔn fɔ 4 ia na mɛdikal skul (MD ɔ DO digri). Afta dat, yu fɔ dɔn tri ia rɛzidɛns na intanɛnt mɛdisin ɔ pikin dɛn.

Afta dis rezidensi, yu fɔ pas ɛgzam fɔ bi spɛshal pɔsin pan da fild de. Afta dat, yu fɔ du ɔda tu ɔ tri ia spɛshal trenin (`(fellowship)`) pan di fild fɔ rεumatɔlɔji. We yu de du dis trenin, yu kin lan dip tin bɔt bon, jɔyn, ɛn ɔtoimyun sik dɛn. Fɔ dɔn, dɛn kin no yu as dɔktɔ we de mɛn yu bɔdi jɔs afta yu dɔn pas ɔda strɔng ɛgzam we de sho se yu no da tin de. Afta dat, yu fɔ ɔpdet yu no ɔltɛm bay we yu de lan nyu tin (`(Continuing Medical Education - CME)`). So yu go ɔndastand aw dis nid fɔ gi yu layf to Jiova.

Wetin mek wi nid fɔ go to dɔktɔ we de mɛn yu bɔdi?

Bɔku rizin dɛn kin de we mek yu fɔ go to dɔktɔ we de mɛn yu bɔdi.

• If pɔsin na yu famili gɛt rεumatik sik ɔr ɔtoimyun sik: Bikɔs sɔm pan dɛn sik ya kin kɔmɔt frɔm yu mama ɛn papa, i bɛtɛ fɔ mek yu du tɛst kwik kwik wan.
• If yu praymari kia (PCP) rifer yu: Afta yu dɔn luk sɔm pan yu sayn dɛm, if di dɔktɔ sɔspɛkt se dis kin bi rεumatik sik, i go rifer yu to rεumatɔlɔjis.

Sɔm sayn dɛm de wae kin kam pan pɔrsin wae gɛt rεumatik sik:

• I nɔ kin jɔs apin na wan ples na di bɔdi, bɔt na bɔku say dɛn wan tɛm. I kin ivin afɛkt di wan ol bɔdi.
• I kin afɛkt difrɛn kayn tisu dɛn lɛk di mɔsul dɛn, di nerv dɛn, ɛn di skin.
• Yu kin fil pen, stif, ɛn swel na dɛn say dɛn de.
• Apat frɔm dis, di sistɛm simptom dɛm lɛk fiva ɛn taya kin apin bak.

Imajin, na mɔnin, di jɔyn dɛn na yu finga dɛn kin stif ɛn dɛn kin fil pen, dɛn nɔ kin ebul fɔ bɛn. Afta sɔm tɛm, i go stɔp smɔl. Bɔt dis kin apin ɛvride. Ɔ, fɔ no rizin, rɛd spat dɛn kin apia na di skin na difrɛn say dɛn na di bɔdi, wit pen na di jɔyn dɛn ɛn taya. Dis na de tin wae yu kin si pan rεumatik sik.

Ustɛm yu fɔ go to dɔktɔ we de mɛn yu bɔdi?

If yu ɔ yu jenɛral dɔktɔ tink se yu gɛt rεumatik sik, i rili impɔtant fɔ go to spɛshal dɔktɔ, rεumatɔlɔjis, kwik kwik wan. Ɛspɛshali if yu sik bigin wantɛm wantɛm ɔ yu de wɔs kwik kwik wan, yu fɔ rili du am kwik kwik wan.

Bikɔs, dɛn rεumatik sik ya kin de go bifo. Dat min se, as di sik de go bifo, mɔr tisu dɛn kin afɛkt ɛn nyu sayn dɛn kin apia. Sɔm sik dɛn kin ivin mek wi tisu dɛn pwɛl sote go. So, dis damej kin smɔl if yu no di sik kwik kwik wan ɛn bigin fɔ trit am.

Aw yu kin rɛdi fɔ go to dɔktɔ we de mɛn yu bɔdi?

If yu du dɛn tin ya bifo yu go to dɔktɔ we de mɛn yu bɔdi, i go izi fɔ di dɔktɔ ɛn fɔ yu.

• Kip yu ol mɛdikal rɛkɔd dɛn ɔdasay: Dis inklud not dɛn frɔm dɔktɔ dɛn we yu dɔn si bifo, tɛst rizɔlt, ɛn ɔda tin dɛn Yu kin dɔn gɛt dɛn tin ya, ɔ yu kin nid fɔ aks fɔ dɛn frɔm di rayt say dɛn.
• Rayt yu mɛrɛsin histri: Di ​​dɔktɔ go aks yu bɔt di mɛrɛsin dɛn, vaytamɛn dɛn, ɛn sɔpɔtmɛnt dɛn we yu de tek naw, ɛni sik we yu bin gɛt trade, ɛn ɛni mɛrɛsin we yu bin dɔn yuz.
• Kip yu simptom journal: Riumatik simptom kin difrɛn ɛn chenj kwik kwik wan. We yu rayt di ditel dɛm lɛk "Dis mɔnin, dis aftanun, dis yestede" kin ɛp yu dɔktɔ fɔ gɛt klia pikchɔ bɔt yu kɔndishɔn.
• Plan fɔ rayt wetin di dɔktɔ se:We yu go fɔ di fɔs tɛm, yu go lan bɔku nyu tin dɛn. I kin at fɔ mɛmba ɔltin wan tɛm. If i pɔsibul, tek yu padi ɔ fambul wit yu. Dɛn kin ɛp yu fɔ rayt tin dɛn.

Us tɛst dɛn we di dɔktɔ dɛn we de mɛn di sik kin yuz fɔ no if pɔsin gɛt di sik?

Apat frɔm we yu de chɛk yu bɔdi, yu dɔktɔ kin tɛl yu fɔ du sɔm ɔda tɛst dɛn fɔ ɛp fɔ no if yu gɛt di sik. Fɔ ɛgzampul:

• Blɔd tɛst: Dɛn tin ya kin no bɔku tin, lɛk if inflamɛns de na di bɔdi ɛn if antibodi dɛn de we gɛt fɔ du wit di ɔtoimyun kɔndishɔn.
• Imej tɛst: Test lɛk X-ray, ɔltra saund, CT skan, ɔ MRI kin luk aw di jɔyn dɛn, bon dɛn, ɛn mɔsul dɛn de.
• di bon dεnsiti tεst (DEXA scan): Chεk fכ di bon trεnk dεn dכn dכn (כstioporosis).
• Tisu biopsy: Sɔntɛnde, dɛn kin tek smɔl pat pan di tisu we afɛkt fɔ tɛst.
• Electromyogram (EMG): Na tɛst fɔ chɛk aw di mɔsul ɛn nerv dɛn de wok.
• כgan fכnshכn tεst: Chεk if כgan dεm lεk di kidni εn liva dεn afekt.

Aw di wan dɛn we de mɛn di sik dɛn we de mek pɔsin gɛt rɔm kin trit dɛn sik ya?

Fɔ trit rεumatik sik na tin we at fɔ du smɔl. Na bikɔs nɔto ɔlman dɛn kin trit di sem we. Yu dɔktɔ go mek wan tritmɛnt plan we go fayn fɔ yu bay bɔku tin dɛn, lɛk di sayn dɛn we yu gɛt, di kayn sik we yu gɛt, ɛn aw yu de du tritmɛnt.

Bɔku we dɛn de fɔ trit pɔsin:

• Kɔtikosterɔyd: Dɛn tin ya kin ɛp fɔ ridyus di inflamɛns na di bɔdi kwik kwik wan.
• Immunosuppressants: Dɛn kin gi dɛn tin ya fɔ kɔntrol di wok we di bɔdi in imyun sistɛm de du pan ɔtoimyun sik dɛn.
• Disease-modifying antirheumatic drugs (DMARDs): Dɛn mɛrɛsin ya kin ɛp fɔ ridyus di jɔyn dɛn we di sik kin pwɛl ɛn kɔntrol aw di sik de go bifo.
• Jɔyn injɛkshɔn: Dɛn kin injɛkt mɛrɛsin dairekt na di jɔyn dɛn we de pen ɛn we dɔn swel.
• Ɔtotiks: Sɔntɛnde dɛn kin yuz am fɔ gi sɔpɔt to di jɔyn dɛn ɛn fɔ ridyus di pen.
• Fizik tritmɛnt: Fɔ mek yu jɔyn dɛn wok fayn ɛn gɛt trɛnk tru ɛksɛsayz ɛn ɔda we dɛn.
• Occupational therapy: Trenin fɔ aw fɔ du di wok dɛn we pɔsin kin du ɛvride izi wan.
• Rifer to wan Ɔtpidik Sɔjɔn:Sɔntɛnde, if di jɔyn dɛn dɔn pwɛl bad bad wan, i kin nid fɔ du ɔpreshɔn.

Di tin we impɔtant pas ɔl na fɔ go to yu dɔktɔ ɔltɛm fɔ dɛn tritmɛnt ya, mek dɛn du di tɛst dɛn we yu nid, ɛn wach aw yu sik. Na bikɔs dɛn sik ya kin chenj as tɛm de go ɛn nyu prɔblɛm dɛn kin kam. Dɔn yu dɔktɔ kin chenj yu tritmɛnt plan fɔ du dat. If yu de tɔk to yu dɔktɔ ɔltɛm, yu kin ajɔst yu tritmɛnt bifo yu fil ɛnitin we nɔ fayn.

Fɔ dɔn, tin dɛn we wi fɔ mɛmba

Okay, so a op se yu naw geht gud aidia boht udat na rεumatologist en wetin i de du.

Mɛmba se, rεumatɔlɔjis na spɛshal pipul dɛm wae kin trit bɔrku tɛm fɔ lɔng tɛm ɛn kɔmpleks kɔndishɔn dɛm wae gɛt fɔ du wit di jɔyn dɛm, mɔsul dɛm, ɛn di kɔnektiv tisu dɛm na di bɔdi.

• If yu gɛt pen ɔltɛm na yu jɔyn, yu de swel, yu de stif, ɔ yu bɔdi de at we yu nɔ ebul fɔ ɛksplen, nɔ jɔs ignore am.
• Fɔs, go to yu famili dɔktɔ (GP). I kin asɛs yu kɔndishɔn ɛn rifer yu to rεumatɔlɔjis if nid de.
• Insay dɛn kayn sik ya , if yu no di sik kwik kwik wan ɛn trit yu fayn, dat kin mek yu nɔ gɛt big big prɔblɛm ɛn i kin mek yu liv gud layf.

So, tek kia ɔf yu bɔdi. If yu gɛt ɛni prɔblɛm, nɔ fred fɔ tɔk to dɔktɔ.

` Riumatɔlɔjis, Rimatɔlɔjis, Jɔyn sik dɛn, Atraytis, Atraytis, Ɔtoimyun sik, Ɔtoimyun sik, Mɔskul skel pen, Rimatɔlɔji