Yu bak jɔyn dɛn kin at bak? Lɛ wi lan bɔt spondyloarthritis!

Yu kin bigin yu de bak wit stiff bak ɛn pen we yu wek na mɔnin? Ɔ sɔntɛnde yu kin fil lɛk se yu bak pen kin go na yu bɔdi? Yu kin nɔr kin fil fayn smɔl wit sɔm kayn sik lɛk dis. Dis kɔndishɔn nɔ kin bi simpul bak-ak. Tide wi go tɔk bɔt wan sik we kɔmplikt smɔl, bɔt we pɔsin kin ɔndastand we dɛn kɔl Spondyloarthritis .

Wetin na spondyloarthritis? Fɔ tɔk am simpul wan...

Fɔ tɔk am simpul wan, spondyloarthritis na at at sik we kin apin na di jɔyn dɛn na yu spayna . "Spondyl-" min se i gɛt fɔ du wit di spayna. "Atraytis" min pen ɛn stif na di jɔyn dɛm. Dis kכndyushכn kin mεntal afekt di jכint dεm we de kכnεkt yu spayna. dat min se di sכm jכint dεm (facet joyn dεm) bitwin di vεrbra dεm εn di sakroiliac joyn dεm we de kכnekt yu spayna to yu hip bon dεm. Dis na di rizin we mek bɔku tɛm di pen we de na di lɔwa bak na di men sayn . Bɔt nɔto jɔs di spayna nɔmɔ i kin du. I kin afɛkt ɔda jɔyn dɛn ɛn mek ɔda sayn dɛn.

Mɛmba se dis nɔto wan sik, bɔt na grup fɔ sik dɛn we gɛt di sem sayn. Dɔktɔ dɛn kin kɔl dis sik bak spondyloarthropathy . i min sik (`-pathy`) na di joyn dεm na di spayna (`arthro-`). Yu kin dɔn yɛri bɔt ɔstiɔ-arayt (we kin kam bikɔs yu jɔyn dɛn kin wɛr) ɛn rεumatoid at (RA) (we kin kam bikɔs ɔf prɔblɛm wit di imyun sistɛm). Spondyloarthritis na difrεn kכndyushכn frכm dεn tu, bכt i kin afekt di joyn dεm na di spayna bak.

Wetin na de men tin wae de sho se dis sik? Lɛ wi tek tɛm luk am gud gud wan!

Sɔm patikyula sayn dɛm de wae gɛt fɔ du wit spɔndyloarthritis:

• Dis na rεumatik sik: Spondyloarthritis na wan kayn at at sik wae de fכl כnda di kategori כf rεumatik sik , wae na wan kayn at at sik wae de mek yu inflammatory . If yu gɛt inflamɛns we nɔ de dɔn, dat kin mek yu gɛt pen ɛn swel na di jɔyn dɛn. Nɔto wan sik wae de mek yu jɔyn dɛn pwɛl lɛk ɔstiɔ-arayt. Inflammatory arthritis na wan sik wae de mek pɔrsin ebul fɔ fɛt insɛf . Dis min se yu bɔdi in imyun sistɛm kin mistek atak yu yon jɔyn dɛn, ɛn dis kin mek yu kɔntinyu fɔ gɛt inflamɛns. Dis inflamɛns nɔ kin afɛkt di jɔyn dɛn nɔmɔ, bɔt i kin afɛkt ɔda pat dɛn na di bɔdi bak.

• Dis nɔto rεumatoid at at (RA): Pan ɔl we rεumatoid at at sik na wan kayn at, dis na di rεumatoid at at (RA) we wi ɔl no.Nɔ, wi no dis bikɔs we dɛn de du blɔd tɛst fɔ pipul dɛn we gɛt spondyloarthritis, dɛn nɔ de sho se wan antibodi we dɛn kɔl rεumatoid factor , we spɛshal fɔ RA, de. Dis na di rizin we mek sɔm tɛm dɛn kin kɔl dis sik “seronegative spondyloarthropathy .” "Seronegative" min se di blɔd tɛst fɔ RA na negatif. No spεsifi k antibodi dεn nכ fכnshכn yet fכ spondyloarthritis (SpA).

• Enthesitis: Wan ɔda impɔtant sayn fɔ spondyloarthritis na inflamation (enthesitis) na yu enthesis . Dɔktɔ dɛn kin luk fɔ dis we dɛn de no di sik. εnthεsis dεm na fayv kכnektiv tisu. mכr spεshal wan, dεn na di "jכyn dεm" usay yu tεndon dεm εn ligament dεm de kכnekt to yu bon dεm. Spondyloarthritis kin mek yu gɛt ɛntesitis na difrɛn pat dɛn na di bɔdi. di il εn di ni dεm na di say dεm we dεn kin si dis kכndyushכn pas ɔl.

• HLA-B27 jin: Bitwin 80% ɛn 95% pan di pipul dɛn we gɛt spɔndyloarthritis we kɔmɔt na Nɔtan Yurop gɛt di HLA-B27 jin . Dis jin nɔ kin bɔku pan pipul dɛm wae gɛt dis sik na ɔda etnik grup dɛm. Dɔn bak, we pɔsin gɛt dis jin, i nɔ kin mek pɔsin gɛt di sik bay insɛf. Bɔt i kɔmɔn fɔ lɛ dɔktɔ tɛst fɔ dis jin fɔ ɛp fɔ no di sik.

Aw dis sik kin bɔku?

Pan ɔl we bɔku pipul dɛn nɔ no bɔku tin bɔt am, spondyloarthritis na rili wan sik we kin ivin pas rεumatoid arthritis . Dɛn se lɛk 0.5% to 2% pan di pipul dɛm na di wɔl gɛt sɔm kayn spondyloarthropathy.

Wetin na di men kayn spɔndylo-arthritis?

Bɔku difrɛn sik dɛn de we de ɔnda di jenɛral edlayn we dɛn kɔl spondyloarthritis. Dɔktɔ dɛn kin sheb dɛn tin ya to tu men kategori: akshal spɔndylo-arthritis ɛn peripheral spondyloarthritis .

Aksial Spɔndilɔ-arayt

I kin afɛkt mɔ di jɔyn dɛn na yu akshal skel , we na di nɛk, chɛst, ɛn spayna . As di sik de go bifo, ɔda jɔyn dɛn ɛn sɔntɛm di ɔgan dɛn kin afɛkt.

Ankylosing Spondylitis na wan bad bad fכm fכ aksial spondyloarthritis. i de sho se i de chenj klia wan na di bon dεm na di spayna, we dεn kכl am ankylosis.(lεk di bon dεm we de fכs tכgeda). In jɛnɛral, dis na di kayn spɔndylo-arthritis we kin bɔku pas ɔl.

Pɛriferal Spɔndilɔ-arayt

dis kayn de fכs afekt yu pεriferal jכint dεm εn di εnthεsis dεm. dat min se di joyn dεm we de autsay di akshal skel (fכ egzampl, di joyn dεm na di limb dεm). As di sik de go bifo, di spayna kin afɛkt ɔ ivin pwɛl am.

Pεrifεral spכndyloarthritis kin involv inflameshn na כda כgan dεm bak. difrεn kayn kin afekt difrεn כgan dεm (lεk di yay, di skin, εn di intestinal). Bɔt, di sayn dɛm kin fiba smɔl. Sɔm pan di men kayn dɛn na:

• Psoriatic Arthritis: Dis na at at sik we kin apin wit psoriasis , we na wan sik we de mek pɔsin nɔ ebul fɔ fɛt di skin we kin mek i gɛt inflammatory skin rash. (Na wi pat na di wɔl, dɛn kin kɔl dis bak "scaly skin"). Bɔku tɛm i kin afɛkt di smɔl smɔl jɔyn dɛn na di an ɛn fut, ɛn dis kin mek di finga dɛn swel ɛn pen.
• Ɛnteropatik At: Dis na at at sik we kin apin wit Inflammatory Bowel Disease (IBD) . "Enteropathic" min se i involv yu intestinal.
• Riaktiv at: Dis na ɔtoimyun kɔndishɔn we kin apin we yu gɛt infɛkshɔn na yu intestin ɔ yu urinary tract. I kin afɛkt yu yay, yu skin, yu blad, yu bɔdi, ɔ yu intestinal. Bɔrku tɛm, na fɔ shɔt tɛm nɔmɔ, bɔt i kin te fɔ 12 mɔnt. Na sɔm pipul dɛm, e kin tɔn to at at sik wae nɔr de dɔn.

Spɔndyloarthritis we nɔ difrɛn

Dis na di diagnosis we dɛn kin gi if yu simptom dɛn jɔs fit di wan dɛn we gɛt spondyloarthritis, bɔt nɔ fit fayn fayn wan insay ɛni patikyula sɔbtayp.

Juvenile Spɔndyloarthritis we dɛn kin gɛt

Dis na wan kכndyushכn fכ spondyloarthritis we kin apin na pikin, bכku tεm bifo dεn rich 16. Pikin dεm kin gεt wan patikyula kayn כ wan kכmbaynshכn fכ difrεn tכp dεm.

Wetin na di sayn dɛm wae de sho se yu gɛt Spondyloarthritis?

Bɔrku tɛm, de sayn dɛm fɔ difrɛn kayn spɔndilo-arayt kin bi di sem. Pan ɔl we sɔm sayn dɛn kin bi mɔ fɔ sɔm kayn sik, yu kin si ɛni wan pan di sayn dɛn pan ɛni kayn.

Di men sayn dɛm kin bi:

• pen na di lכw bכk, sכmtεm i kin rayt to di bכtכm (sacroiliitis). Fɔ sɔm pipul dɛm, dis kin fil lɛk pen we de kɔmɔt insay di hip bon.
• Di stiffness na di joyn na mɔnin, we kin izi smɔl we yu de muv rawnd. I tan lɛk we yu wek na mɔnin, yu bɔdi kin fil lɛk wud, ɛn i kin jɔs lus we yu de muv smɔl.
• Pen na di midul ɛn ɔp bak, pen na di chɛst mɔsul, ɔ pen na di nɛk.
• di spayna de kכva sכmtεm (lεk sכliכsis).
• pen εn stif na di joyn dεm na di limb dεm – hip, sכlda, kכn, εlbo, wrist, ankכl.
• di finga dεm de swεla bad bad wan ("sosish finga dεm" כ dactylitis). Dis na we wan finga ɔ fut kin swel ɔlsay, ɛn i kin tan lɛk sosish.
• Di dijestiv sistɛm simptom dɛm, fɔ ɛgzampul, bɛlɛ pen ɛn dayarɛa.
• Pen ɛn inflamɛns na di urinary tract.
• Itchy, skel skin rash (psoriasis).
• Smɔl smɔl pit dɛn na di nel dɛn (nel psoriasis).
• Taya we nɔ de dɔn.
• Di it nɔ de te.
• Inflameshɔn na di yay (uveitis). Dis kin mek yu rɛd, pen, ɛn fil lɛk layt.
• Sɔl dɛn na yu mɔt.
• Il pen (bikɔs ɔf ɛntesitis).
• Fכmeshכn fכ sכm sכm bon spכr dεm.

Impɔtant tin na dat, di sayn dɛm fɔ spɔndylo-arayt kin bigin fɔ apia kwik pas ɔda kayn at, bɔku tɛm bifo i ol 45. Dɛn sayn ya kin bigin smɔl smɔl ɛn wɔs smɔl smɔl. Bɔrku tɛm, dɛn sayn ya kin de ɔltɛm.

Wetin na de tin wae kin mek pɔrsin gɛt spondyloarthritis?

Di simptom dɛm fɔ spɔndylo-arthritis kin kam bikɔs yu joyn ɛn ɔda tisu dɛm kin gɛt inflamɛns we nɔ de dɔn . Dis inflameshn na yu yone imyun sistεm de kכz am otomatik . Dis na wetin wi kɔl ɔtoimyun sik .

Risach pipul dɛm stil nɔr ɔndastand gud gud wan wetin mek dɛn ɔtoimyun sik ya kin apin. Bɔt i tan lɛk se bɔku tin dɛn kin ɛp fɔ du dat. Bɔku ɔtoimyun kɔndishɔn dɛn, lɛk spɔndyloarthritis, kin tan lɛk se dɛn gɛt wan tin we de mek dɛn gɛt jɛnɛtik .

di HLA (Human Leukocyte Antigen) famili fכ di jin dεm kin gεt bכku tεm wit inflammatory arthritis. wan protin we dεn jin dεm ya de mek na in di imyun sistεm de yuz fכ no di difrεns bitwin yu yon sεl dεm εn fכrin sεl dεm. sכm vεryushכn dεm na dεn jin dεm kin mek di imyun sistεm nכ de wok fayn. Dis kin mek di imyun sistɛm nɔ no yu yon sɛl dɛn di rɔŋ we ɛn atak yu yon sɛl dɛn.

Wetin na di tin dɛm wae kin mek pɔrsin gɛt spondyloarthritis?

Pan ɔl we di jɛnɛtiks de afɛkt, nɔto in wangren de mek pɔsin gɛt dis sik. Pan ɔl we bɔku pipul dɛn we gɛt spondyloarthritis gɛt di HLA-B27 jin , nɔto ɔlman we gɛt da jin de go gɛt spondyloarthritis.

Ɔda tin nid fɔ mek dis prɔses apin. Risach pipul dɛn gɛt difrɛn aidia bɔt wetin kin mek dis apin. Sɔm pan dɛn tin ya na bad bad sik, pɔyzin we de na di envayrɔmɛnt, fɔ smok, ɛn fɔ drink rɔm.

Wan tiori na dat spondyloarthritis kin gɛt fɔ du wit wan imbalans (dysbiosis) na yu gut maykrobayɔm . Pipul dεm wae gεt spondyloarthritis (SpA) gεt lכw difrεns fכ di gut mכtalman, we de mek i izi fכ di harmful maykirob dεm fכ gro. dis imbalans na di gכt (`gut dysbiosis`) kin mek yu izi fכ infεkshכn, mek yu inflameshn we de te na di gכt, εn i kin mek yu imyun sistεm wik. di miks we yu gut maykrob dεm miks na sכmtin bak we yu kin gεt to sכm tεm we yu bכn.

Aw dɛn kin no se pɔsin gɛt spondyloarthritis?

Spondyloarthritis kin tranga smɔl fɔ no, mɔr lɛk if yu nɔr gɛt klia sɛt fɔ simptom dɛm. Sɔm pipul dɛn kin jɔs gɛt pen na dɛn jɔyn dɛn ɛn dɛn kin stif, ɛn bɔku ɔda tin dɛn kin de we kin mek dɛn gɛt pen.

Dɔktɔ go aks yu fɔs bɔt yu sik ɛn chɛk fɔ ɔda sayn dɛm wae yu nɔr dɔn tɔk bɔt bɔt kin gɛt fɔ du wit am. Dɛn go aks bak bɔt yu wɛl bɔdi istri ɛn yu famili in wɛl bɔdi istri.

Dɔn, dɛn go chɛk yu spayna ɔ ɔda jɔyn dɛn fɔ si aw fa yu go ebul fɔ muv dɛn. Dɛn go tek ɛkstrem rayt fɔ luk fɔ pruf fɔ at at ɔ ɛntɛsaytis, bɔt nɔto ɔltɛm dɛn kin si dis pruf na di pikchɔ dɛn.

Dɛn kin du blɔd tɛst bak fɔ chɛk fɔ si if yu gɛt sayn dɛn fɔ inflamɛns ɔ ɔtoimyun sik. Dɛn kin tɛst bak fɔ di HLA-B27 jin . Dɛn tɛst ya kin ɛp fɔ no difrɛns bitwin spondyloarthritis (SpA) frɔm ɔda sik dɛn.

Wetin na di tritmɛnt fɔ spondyloarthritis?

Di tritmɛnt dipen pan yu patikyula sayn dɛm. Dɔktɔ dɛn kin fala wan stɛp-by-stɛp we fɔ trit, dɛn kin bigin wit ɛksɛsayz ɛn ɔva-di-kɔnta pen riliva (OTC nonsteroidal anti-inflammatory drugs / NSAIDs) .

If dɛn tin ya nɔ go du fɔ kɔntrol yu pen ɛn inflamɛns, yu dɔktɔ kin tɛl yu:

• Dɛn kin gi kɔtizɔn shot wan wan tɛm fɔ ridyus di pen we de na di say we yu de.
• Kɔnvɛnshɔnal ɔ bayolojikal DMARD dɛn (Disease-Modifying Anti-Rheumatic Drugs / DMARDs). Dis na drɔgs wae de chenj di kayn sik.

Fɔ sɔm patikyula kayn spɔndylo-arthritis, lɛk psoriatic arthritis ɛn enteropathic arthritis, ɔda tritmɛnt dɛn de we spɛshal fɔ di ɔndalayn kɔndishɔn (psoriasis ɔ inflammatory bowel disease (IBD)).

Aw siriɔs dis tin de apin? Aw wi de go bifo?

If inflammatory arthritis kin kam bad bad wan ɛn i kin te, sɔm siriɔs prɔblɛm dɛn kin apin. Bɔt dɛn prɔblɛm ya kin afɛkt yu kwaliti layf pas aw yu de liv yu layf. Fɔ ɛgzampul, yu kin dɔn mek yu jɔyn dɛn nɔ ebul fɔ muv ɛn yu kin gɛt mɔ bon dɛn we kin brok. Bɔt nɔto ɔlman go gɛt siriɔs sik, ɛn tritmɛnt kin ɛp fɔ kɔntrol aw di sik de go bifo.

Di rεt wae spondyloarthritis de go bifo kin difrεn frɔm wan pɔrsin to ɔda pɔrsin. Fɔ sɔm, i kin go bifo smɔl smɔl ɛn i kin izi fɔ kɔntrol am wit tritmɛnt. Fɔ ɔda pipul dɛn, i kin go bifo to ankylosing spondylitis, we na wan sik we kin mek dɛn spɛnal fushɔn, insay sɔm ia.

Di kayn we aw yu inflamɛns de afɛkt aw di spɔndylo-arthritis kin go bifo kwik kwik wan. If yu fala yu tritmɛnt ɛksaktɔli, dat kin ɛp fɔ kɔntrol di inflamɛns ɛn mek yu nɔ gɛt prɔblɛm dɛn.

Wetin yu kin du wae yu de liv wit spondyloarthritis?

Fɔ ɛnibɔdi we gɛt at at sik, i impɔtant fɔ du ɛksɛsayz ɔltɛm fɔ mek di jɔyn dɛn ebul fɔ muv bɔku bɔku wan. Bɔku dɔktɔ dɛn se dis impɔtant ɛn wok pas ɛni mɛrɛsin.

If yu nɔ shɔ us kayn ɛksesaiz fayn fɔ yu, aks yu dɔktɔ. Bɔku dɔktɔ dɛn kin se dɛn fɔ tek fizik tritmɛnt fɔ sɔm patikyula jɔyn dɛn ɔ say dɛn we gɛt prɔblɛm.

Spondyloarthritis na wan grup wae gɛt fɔ du wit dis sik, bɔt wae dɛn difrɛn. Pan ɔl we dɔktɔ dɛn kin no dɛn bay aw dɛn fiba, ɛni kayn – ɛn ɛni pɔsin in sik – na in yon.

Fɔ bɔku pipul dɛn, spɔndylo-arthritis na wan sik we dɛn kin gɛt fɔ dɛn layf ɔl. Bɔt di kayn we aw i kin afɛkt yu layf kin difrɛn. Yu dɔktɔ go bi yu bɛst patna fɔ kɔntrol yu sik dɛn ɛn wetin yu kin ɛkspɛkt fɔ yusɛf.

Di tin dɛn we impɔtant pas ɔl fɔ mek yu mɛmba

Okay, so wi don tok plenti boht spondyloarthritis. Fɔ tɔk smɔl, na sɔm tin dɛn we yu fɔ mɛmba:

• Spondyloarthritis na wan inflammatory arthritis kכndyushכn we de apin na di joyn dεm na di spayna.
• Dis na sik we pɔsin kin gɛt we i de fɛt insɛf ; dat min se yu yon imyun sistεm de atak yu joyn dεm.
• di men sayn dεm na bak pen (especially worse in the morning), joyn stiffness, εn enthesitis (inflammation of di joyn dεm usay di tεndon dεm de atak di bon dεm).
• di jin HLA-B27 kin involv, bכt nכto in wan de kכz.
• Difrɛn kayn dɛn de, lɛk Ankylosing Spondylitis ɛn Psoriatic Arthritis.
• Dɛn kin yuz di sayn dɛm, tɛst dɛm, ɛn sɔmtɛm dɛn kin du di jenɛtik tɛst fɔ no di sik.
• Di tritmɛnt na fɔ ɛksesaiz, fɔ tek mɛrɛsin fɔ mek pɔsin fil pen, ɛn sɔm tɛm dɛn kin tek sɔm patikyula mɛrɛsin dɛn (DMARD) .
• Fɔ du ɛksɛsayz ɔltɛm ɛn fɔ fala dɔktɔ advays rili impɔtant fɔ mek yu ebul fɔ kɔntrol dis sik.

If yu gɛt dɛn kayn sik ya, nɔr frayd fɔ go to dɔktɔ ɛn gɛt advays. If yu no di sik kwik kwik wan ɛn trit yu, dat go ɛp yu fɔ mek yu kɔntinyu fɔ liv fayn layf.

` Spondyloarthritis, Spondyloarthropathy, Bak atraytis, Jɔyn inflamɛns, Bak pen, Ɔtoimyun sik dɛn, HLA-B27, Ankylosing Spondylitis, Psoriatic Arthritis