We yu dɔktɔ tɛl yu se yu gɛt Ankylosing Spondylitis (AS), yu kin fred smɔl ɛn wɔri. Dat frayd kin dɔn bɔku we yu yɛri se, "No mɛrɛsin nɔ de fɔ dis." Bɔt nɔ wɔri. Na tru se no mɛrɛsin nɔ de yet. Bɔt nɔto ɔlman we gɛt dis sik gɛt di sem ɛkspiriɛns. Bɔrku tritmɛnt de wae kin ɛp yu fɔ kɔntrol yu pen, fɔ ridyus yu joyn dɛm wae de pwɛl yu bɔdi, ɛn liv nɔrmal layf. Lɛ wi tɔk bɔt dɛn tide.
Mɛrɛsin dɛn we dɛn kin yuz fɔ trit
I impɔtant fɔ bigin fɔ trit dis sik kwik kwik wan. Dis go ɛp fɔ kɔntrol di damej we de pan di jɔyn dɛn we di sik de mek. Yu dɔktɔ kin gi yu wan ɔ mɔ pan dɛn mɛrɛsin ya.
NSAID (dɛn mɛrɛsin dɛn we de mek pɔsin fil pen) .
Fɔ tɔk am simpul wan, dɛn mɛrɛsin ya na mɛrɛsin dɛn we de mek pɔsin nɔ fil pen ɛn nɔ stif . Bɔku tɛm, na dɛn fɔs mɛrɛsin ya fɔ bigin wit. Nɔto ɔlman go gɛt di sem kayn NSAID, so i kin tek sɔm tɛm fɔ fɛn di rayt wan fɔ yu. Pan ɔl we dɛn mɛrɛsin ya kin ɛp fɔ ridyus di pen, stɔdi dɔn sho se dɛn nɔ kin stɔp di damej we di sik kin kam pan di jɔyn dɛn.
Yu kin bay sɔm NSAID dɛn, lɛk ibuprofen ɛn naproxen, na di famasi. Bɔt if dɛn tin ya nɔ ɛp, yu dɔktɔ kin gi yu wan NSAID we strɔng pas am.
| Sɔm kayn NSAID dɛn we dɔktɔ kin gi yu | |
|---|---|
| Sɛlɛkɔksib (Sɛlɛbrɛks) . | Diklɔfenak (Vɔltaran) . |
| Diklɔfenak ɛn misoprostɔl (Arthrotec) . | Indomɛtasin (Indosin) . |
| Mɛlɔksikam (Mobik) . | |
Impɔtant: NSAID kin mek yu gɛt at sik smɔl. If yu gɛt histri bɔt at sik, tɔk to yu dɔktɔ bɔt am.Fɔ tru, tɛl di dɔktɔ.
DMARD (drɔg dɛn we de chenj di sik) .
Dis na tritmɛnt dɛn we kin tek lɔng tɛm. Yu dɔktɔ kin disayd fɔ bigin yu fɔ tek dis kayn mɛrɛsin if yu nɔ fil se yu gɛt bɛtɛ fridɔm frɔm NSAID ɔ if yu gɛt sayd ɛfɛkt. Dɛn tin ya kin blok inflamɛns ɛn mek yu jɔyn dɛn nɔ pwɛl mɔ.
- Mɛtɔtreksɛt (Rɛumatrɛks) .
- Sɔlfasalazin (Azulfidin) we dɛn kɔl .
We yu de tek dis mɛrɛsin, yu dɔktɔ go de du blɔd tɛst ɔltɛm fɔ chɛk aw yu liva de wok ɛn ɔda prɔblɛm dɛn we de mit yu.
Kɔtikosterɔyd dɛn
Dis na sɛntetik stɛroyd dɛn. Dɛn kin ridyus di inflamɛns kwik kwik wan. Dɛn kɔl dɛn prɛdnisɔn ɔ kɔtizɔn. Dɛn kin yuz dɛn as pils, krim, ɔ injɛkshɔn dairekt insay di jɔyn. Bɔt dɛn tin ya na sɔlv fɔ shɔt tɛm, nɔto sɔlv fɔ lɔng tɛm . Yu dɔktɔ kin gi yu dɛn yay drɔp ya fɔ ɛp fɔ mek di yay inflamɛns, we na wan kɔmɔn kɔmplikeshɔn fɔ AS.
Bayolojikal tin dɛn
Dis na tritmɛnt dɛn we dɛn kin yuz fɔ mɛn pipul dɛn we gɛt layf. Dɛn kin wok kwik ɛn fayn fayn wan na AS.
| Bayolojikal tayp | Diskripshɔn ɛn ɛgzampul dɛn |
|---|---|
| TNF inhibito dεm | I rili wok fɔ inflamɛns na di jɔyn, intestinal, ɛn yay. Dɛn tin ya na: Adalimumab (Humira), Sɛrtolizumab (Cimzia), Ɛtanɛsɛpt (Enbrel), Infliksimab (Rɛmikɛd), Golimumab (Simponi). |
| Intalyukin 17 (IL-17) inhibitɔ dɛn | Dɛn kin gi dɛn tin ya if di TNF inhibito dɛn nɔ de wok. Ɛgzampul dɛn: Ixekizumab (Taltz), Sɛkukinumab (Cosentyx). |
| JAK inhibitor we de mek pɔsin nɔ ebul fɔ du sɔntin | I de kɔntrol di inflamɛns na di intestinal ɛn ɔda ɔgan dɛn. Ɛgzampul dɛn: Tofacitinib (Xeljanz, Xeljanz-XR). |
| Notis: Dɛn biyolojikal drɔgs ya kin ridyus yu bɔdi in ebul fɔ fɛt infɛkshɔn ( immunity ). So, yu fɔ tek tɛm spɛshal fɔ protɛkt yusɛf frɔm infɛkshɔn we yu de tek dɛn tritmɛnt ya. | |
Drug dɛn we de mek pɔsin nɔ gɛt ɔlsa
Sɔntɛnde AS kin mek yu gɛt prɔblɛm wit yu dijestiv, lɛk bɛlɛ pen ɛn dayarɛa. Mεdikeshכn dεm lεk misoprostol (Cytotec) כ sucralfate (Carafate) kin εp fכ protεkt di layn dεm na di bεlε εn intestinal dεm.
Di Abit dɛn we Yu De Layf
Mɛrɛsin na jɔs wan pat pan di tritmɛnt. If yu tray smɔl, dat kin ɛp yu fɔ liv fayn wit dis sik.
Stay aktif.
Dɛn dɔn sho se ɛksɛsayz kin rili bɛnifit pipul dɛn we gɛt AS. I kin mek yu nɔ fil pen, i kin mek yu mɔsul dɛn strɔng, ɛn i kin mek yu ebul fɔ chenj chenj . Fɔ ɛksesaiz wit grup na fayn tin fɔ disayd. Ɔ yu kin du dɛn tin ya fɔ yusɛf.
- De swin
- De waka
- Praktis fɔ mek yu tinap di rayt we
- Ɛksesaiz fɔ blo
- We yu de strɛch
- Weytliftin (Fri wet dɛn) .
- Yoga we dɛn kin du
- Tai chi
Di it we gɛt wɛlbɔdi
Sɔm it dɛn kin ɛp fɔ ridyus di inflamɛns na di jɔyn dɛn ɛn mek di bon dɛn gɛt wɛlbɔdi.
- It it dɛn we gɛt bɔku kalsiɔm.
- It mɔ fish, bins, nɛt, ɛn eg.
- Limit fɔ it rɛd mit.
- It mɔ Omega-3 fat asid, we de insay it dɛn lɛk salmɔn ɛn flaks sid.
- Nɔ stɔp fɔ drink rɔm.
- It fresh frut ɛn vɛjitebul.
- Drink 8-10 glas wata wan de.
- Ridyus di it dɛn we gɛt ɔyl, we dɛn dɔn prosɛs, ɛn we dɛn dɔn frɛsh.
- Tɔk to yu dɔktɔ bɔt aw fɔ tek wan vaytamɛn sɔpɔtmɛnt ɛvride.
We yu de na di san
Dɛn dɔn si se di wan dɛn we gɛt AS gɛt smɔl vaytamɛn D. Vitamin D de ɛp fɔ protɛkt wi bon dɛn ɛn mek dɛn strɔng. Wi bɔdi de mek vaytamɛn D we di san de shayn pan wi skin. So i rili fayn fɔ put wisɛf na di san fɔ shɔt tɛm ɛvride na mɔnin .
Nɔ smok.
If yu de smok, wan pan di bɛst tin we yu go du na fɔ tray fɔ lɛf fɔ smok tide . Smok kin mek yu jɔyn dɛn pwɛl kwik kwik wan ɛn i kin mek i nɔ izi fɔ blo. Aks yu dɔktɔ bɔt aw fɔ gɛt ɛp fɔ lɛf fɔ smok.
Kɔmplimɛnt ɛn Ɔda Tritmɛnt dɛn
Dɛn tritmɛnt ya, we yu kam togɛda wit yu mɛrɛsin ɛn ɛksesaiz, kin ɛp mɔ fɔ mek yu nɔ gɛt di sik.
- Akupankcha: Na pɔsin we tren fɔ du dis. Dis kin ɛp fɔ mek yu nɔ fil pen.
- Masaj: Stɔdi dɔn sho se masaj kin ridyus pen, stif, ɛn taya we AS kin mek.
- Ɔt ɛn kol tritmɛnt: Ɔt bat ɛn ɔt pad kin ɛp fɔ ridyus pen ɛn stif. Kol kɔmprɛs, lɛk ays pak, kin ɛp fɔ ridyus di inflamɛns.
- Fizik Tɛrapi: I rili valyu fɔ go to pɔsin we de mɛn yu bɔdi ɛn lan ɛksashɔn fɔ mek yu mɔsul strɔng ɛn strɛch we fayn fɔ yu.
- Tɔk Tɛrapi: Na kɔmɔn tin fɔ fil bad, wɔri, ɔr pwɛl hat wae yu de liv wit sik lɛk dis fɔ lɔng tɛm. Dɛn kayn tɛm dɛn de, i rili impɔtant fɔ tɔk to pɔsin we de advays yu ɛn mek yu maynd kol.
Ɔpreshɔn
Dis na opshɔn we nɔ kin apin so ɔltɛm fɔ di wan dɛn we gɛt AS. Yu dɔktɔ kin tɛl yu fɔ du ɔpreshɔn pan yu nɔmɔ if yu gɛt bad bad pen we yu nɔ go ebul fɔ kɔntrol wit mɛrɛsin ɔ if yu bak dɔn arch bad bad wan ɛn we de mek i nɔ izi fɔ du tin dɛn we yu de du ɛvride. Sɔm pan dɛn ɔpreshɔn ya na Laminectomy, Osteotomy, Spinal fusion, ɛn Hip riplesmɛnt. Dɛn go disayd dis afta dɛn dɔn chɛk yu sik gud gud wan.
Mɛsej we dɛn kin kɛr go na os
- Pan ɔl we dɛn nɔ kin ebul fɔ mɛn Ankylosing Spondylitis (AS) ɔltogɛda, dɛn kin ebul fɔ mɛn am fayn fayn wan bay we dɛn de kɔntrol di pen ɛn mek di jɔyn dɛn nɔ pwɛl bɛtɛ.
- I rili impɔtant fɔ bigin tritmɛnt jɔs afta dɛn dɔn no di sik, ɛn fala di dɔktɔ in instrɔkshɔn.
- Apat frɔm mɛrɛsin, fɔ chenj in layf lɛk fɔ du ɛksɛsayz, fɔ it fayn, ɛn fɔ avɔyd fɔ smok na impɔtant tin bak fɔ kɔntrol di sik.
- Tek kia ɔf yu maynd wɛl bɔdi ɛn bak yu bɔdi wɛl bɔdi. If yu de fil strɛs, nɔ shem fɔ tɔk bɔt am.
- Ɔltɛm tɔk to yu dɔktɔ us tritmɛnt we bɛtɛ fɔ yu.
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