Yu kin fil pen ɛn stif na yu bak ɛn hip bak we yu grap na bed na mɔnin? I tan lɛk se dis pen kin stɔp smɔl smɔl we yu de waka smɔl ɛn du di tin dɛn we yu de du ɛvride? Sɔntɛnde yu kin wek na nɛt bikɔs yu de fil pen? Dɛn tin ya nɔto jɔs bak pen, bɔt dɛn kin bi sayn fɔ wan sik we dɛn kɔl Ankylosing Spondylitis (AS) . Dis na at at sik we kin apin na di spayna ɛn ɔda jɔyn dɛn bikɔs ɔf prɔblɛm wit di imyun sistɛm. So, we yu go to spɛshal pɔsin fɔ tɔk bɔt dis, wi go tɔk bɔt wetin yu nid fɔ no ɛn aw fɔ rɛdi yusɛf.
Wetin mek wi nid fɔ go to spɛshal pɔsin fɔ dis?
Ankylosing Spondylitis (AS) nɔto sɔntin we go dɔn insay sɔm dez lɛk kol. Na wan sik we kin de fɔ lɔng tɛm . Dis min se wi fɔ lan fɔ liv wit am fɔ di res ɔf wi layf. So di bɛst pɔsin fɔ trit dis sik na dɔktɔ we de mɛn yu bɔdi .
Fɔ tɔk am simpul wan, Rimatɔlɔjis na dɔktɔ we spɛshal pan sik dɛn we gɛt fɔ du wit di jɔyn dɛn, mɔsul dɛn, ɛn bon dɛn na wi bɔdi. I ɔndastand gud gud wan bɔt ɔl kayn at at sik, ivin AS.
Di men gol dɛm fɔ tritmɛnt na:
- Fɔ ridyus yu pen ɛn stiffness .
- Fɔ ɛp yu fɔ muv bɛtɛ .
- Fɔ kɔntrol di sik we de wɔs as yu ebul.
So, afta yu dɔn gɛt fɔs advays frɔm jenɛral prɛktishɔn, i bɛtɛ fɔ mek yu rili go to Riumatɔlɔjis ɛn mek wan tritmɛnt plan we go fayn fɔ yu.
Na dis na aw fɔ pripia bifo yu go si dɔktɔ
Di tɛm we wi gɛt fɔ go to dɔktɔ nɔ bɔku. So fɔ mek wi yuz da tɛm de fayn fayn wan, wi nid fɔ rɛdi gud gud wan. Gayd infɔmeshɔn bɔt dɛn tin ya. Fɔ mek dis izi, lɛ wi luk dis tebul.
| Wetin fɔ pripia | Diskripshɔn (Wetin mek i impɔtant?) |
|---|---|
| Yu simptom dɛm | Tɛl wi ustɛm di pen de (shɔlda, hip, il), us tɛm pan di de i kin apin (mɔnin, nɛt), aw lɔng i dɔn de, ɛn wetin kin mek i wɔs/wɔs. Dɛn ditil ya go ɛp bɔku fɔ mek dɛn no di sik kɔrɛkt wan. |
| Us mɛrɛsin yu de yuz? | Tɛl wi ɔltin we yu de tek, nɔto fɔ dis sik nɔmɔ, bɔt fɔ ɔda sik dɛn lɛk dayabitis, ay blɔd prɛshɔn, ɛn ɔda mɛrɛsin dɛn, lɛk vaytamɛn ɛn tradishɔnal mɛrɛsin. If yu gɛt ɛni mɛrɛsin we yu gɛt alɛji to, nɔ fɔgɛt fɔ tɛl wi bɔt dɛn bak. |
| Ɔda wɛlbɔdi prɔblɛm dɛn | Tɛl yu dɔktɔ bɔt ɛni ɔda mɛrɛsin we yu dɔn gɛt ɔ we yu de sɔfa naw (e.g. yay sik, skin sik, intestinal sik). Dɛn tin ya kin gɛt fɔ du wit AS. |
| Famili mɛdikal istri | Tɛl yu mama ɛn papa, brɔda ɛn sista, ɛn padi dɛn if dɛn gɛt pen na dɛn jɔyn, bak pen, ɔ ɔda tin dɛn we gɛt fɔ du wit at at. Na wan jenɛtik prɛdispɔzishɔn de fɔ AS. |
| Test dɛn we dɛn bin dɔn du trade | If yu dɔn du X-ray ɔ MRI fɔ yu spayna ɔ hip bifo tɛm, kam wit di ripɔt ɛn fim wit yu. Ɔ, aks di rεumatɔlɔjis in ɔfis usay dɛn du di tɛst fɔ sɛn dɛn to yu. |
Kwɛstyɔn dɛn we yu fɔ rili aks yu dɔktɔ
Nɔr to yu dɔktɔ nɔmɔ de disayd bɔt yu sik ɛn tritmɛnt, yu fɔ involv bak. Di bɛst we fɔ du dat na fɔ lisin to ɔl wetin de na yu maynd. I fayn fɔ mek yu gɛt rayt frɔm yu dɔktɔ ɛn rayt in ansa dɛn na yu fon ɔ na notbuk. Na bikɔs yu go fɔgɛt sɔm tin dɛn we yu rich na os.
Na sɔm impɔtant kwɛstyɔn dɛn we yu kin aks:
"Dɔkta, wetin na di bɛst we fɔ kɔntrol mi pen? Na jɔs mɛrɛsin, ɔ ɛksesaiz de bak?"
"A kin ridyus dɛn sik ya if a chenj mi it? Wetin na di gud ɛn bad it fɔ it?"
"A no fit slip gud fo nait bikos of di pen. Wetin a shud du to slip izi?"
"Dis sik go beta o wos ova taim? Wetin a go expekt?"
"A go gɛt ɔda wɛlbɔdi prɔblɛm (e.g., at sik, yay prɔblɛm) tumara bambay bikɔs ɔf AS?"
"Aw lɔŋ i kin tek fɔ si rizɔlt frɔm di tritmɛnt dɛm we yu de gi?"
"Wetin na di sayd effekt dɛm fɔ dis mɛrɛsin? Wetin a fɔ du if a gɛt ɛni wan pan dɛn tin ya?"
"Eni aktiviti de we a shud avoid, laik hevi lifting?"
"Aw kwik a fɔ kam si di dɔktɔ bak?"
Dɛn kwɛstyɔn ya go ɛp yu fɔ ɔndastand di tin we de apin to yu.
Wetin wi fɔ ɛkspɛkt na di mitin?
Yu fɔs apɔntinmɛnt go mɔs las fɔ wan awa ɔ mɔ. Di dɔktɔ go aks yu kwɛstyɔn dɛn ɛn chɛk yu.
Kwɛstyɔn dɛn we di dɔktɔ kin aks
Fɔ mek yu ɔndastand di sik dɛn we yu gɛt, i kin aks kwɛstyɔn dɛn lɛk:
- "Ustɛm ɛksaktɔli di pen bigin?"
- "Aw many taims fo de di pen de kam?"
- "Wetin de mek di pen wɔs? (e.g., na mɔnin, we yu tinap wansay)".
- "Di pen de fil smɔl we yu de ɛksesaiz yu limb ɛn waka?"
Fizik Ɛgzam
Neks, yu dɔktɔ go du yu bɔdi ɛgzam fɔ si aw yu spayna ɛn yu jɔyn dɛn de muv fayn fayn wan. I kin aks yu fɔ:
- Bɛnd fɔ go bifo, bak, ɛn to di sayd dɛn.
- Tek dip briz (wach yu chɛst we de opin).
- Muv yu leg ɛn hip dɛn na difrɛn say dɛn.
I go chɛk bak if yu fil ɛni pen dis tɛm.
Labɔrɔtɔri Tɛst dɛn
Dɛn kin yuz dɛn tɛst ya fɔ kɔnfirm di diagnosis:
- Imej Tεst dεm: εks-ray כ MRI fכ luk fכ swel כ chenj dεm na di sakroiliak jכint dεm, we de na di lכw pat pan di spayna εn rawnd di hip dεm.Rifer fɔ tɛst. Dis na wan impɔtant tin we AS gɛt.
- Blɔd Tɛst: Dɛn go du blɔd tɛst fɔ chɛk if yu gɛt mak dɛn we de sho se yu blɔd dɔn inflamɛns. Dɛn kin tɛst yu bak fɔ wan jin we dɛn kɔl HLA-B27 . dis jin de fכn insay mכr dan 95% pan di pipul dεm we gεt AS. Bɔt mɛmba se nɔto ɔlman we gɛt dis jin go gɛt AS.
Mɛsej we dɛn kin kɛr go na os
- Ankylosing Spondylitis (AS) na wan sik wae kin teik lɔng tɛm wae kin afɛkt di joyn dɛm ɛn di spayna. I rili impɔtant fɔ go to dɔktɔ we de mɛn rεumatɔlɔji fɔ dis.
- Bifo yu go to dɔktɔ, pripia wan ditayli list fɔ yu sik dɛn, di mɛrɛsin dɛn we yu de tek, ɛn famili mɛdikal istri.
- Fil fri fɔ aks yu dɔktɔ ɛni kwɛstyɔn we yu gɛt bɔt yu sik ɛn tritmɛnt. Na yu rayt, ɛn i go ɛp fɔ mek yu tritmɛnt go bifo.
- Fɔ fala di tritmɛnt, ɛksesaiz, ɛn instrɔkshɔn dɛn we yu dɔktɔ gi yu di rayt we. Dis na sik wae yu nid fɔ de mɛn yu fɔ lɔng tɛm, so yu kɔmitmɛnt rili impɔtant.
- Fɔ liv wit dis sik kin tranga sɔm tɛm, bɔt mɛmba se if yu gɛt di rayt tritmɛnt ɛn mɛnejɛmɛnt, yu go ebul fɔ kɔntrol yu pen ɛn liv layf we go mek yu gladi.
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