Bak pen na tin we kin apin to bɔku pipul dɛn. Bɔt yu kin fil stiff ɛn pen bak we yu wek na mɔnin? Yu tink se di pen kin stɔp as yu de wok fɔ di de, ɛn afta dat i kin kam bak we yu sidɔm fɔ lɔng tɛm? Dis nɔ kin jɔs bi simpul bak-ak. Tide wi de tɔk bɔt wan sik wae nɔr kin bɔrku bɔt wae dɛn kin mɛn fayn fayn wan wae kin mek pɔrsin gɛt di sem kayn sik. Dat na di sik we dɛn kɔl Ankylosing Spondylitis .
Wetin rili na Ankylosing Spondylitis (AS)?
Fɔ tɔk am simpul wan, Ankylosing Spondylitis (AS) na wan kayn at at sik we nɔ kin apin so ɔltɛm we kin afɛkt yu spayna. Na sik we pɔsin kin gɛt we i de fɛt insɛf . Dis min se di difens sistɛm na wi bɔdi kin bigin fɔ atak wi yon sɛl dɛn fɔ natin. Dis sik kin de fɔ ɔl in layf. Bɔku tɛm, i kin bigin na di ɔda pat na di bɔdi we de dɔŋ. Frɔm de, i kin go na di nɛk ɛn afɛkt ɔda jɔyn dɛn na di bɔdi.
as di nem sho, "Ankylosis" min fכ fכs di bon dεm togeda. "Spondylitis" min inflameshn na di vεrbra dεm na di spayna. If di sik bad, di spayna kin bɛn fɔ go bifo ɛn tan lɛk dome.
Bɔt nɔ wɔri. Wae AS nɔr kin wɛl ɔl, di rayt mɛrɛsin ɛn ɛksesaiz kin ɛp fɔ kɔntrol di pen ɛn kip yu spayna strɔng.
Wetin na di sayn dɛm fɔ dis sik?
AS sayn dɛm kin difrɛn frɔm wan pɔrsin to ɔda pɔrsin. i kin stat wit inflameshn na di sacroiliac joyn dεm, usay yu spayna de kכnekt to yu hip bon dεm. Fɔs, yu kin fil pen ɛn stif na yu bɔdi we de dɔŋ ɛn yu hip. As di sik de go bifo, i kin afɛkt bak di tɛndon ɛn ligamɛnt dɛm we de kɔnɛkt yu bon dɛm to yu spayna. If i siriɔs, yu spayna kin fuz togɛda.
Lɛ wi si us ɔda kɔmɔn sik dɛn de na di tebul we de dɔŋ ya.
| Di sayn we de sho se di sik de | Tɔk bɔt |
|---|---|
| Bak ɛn hip pen | I kin stiff ɛn pen mɔ, mɔ na mɔnin ɛn afta yu dɔn sidɔm fɔ lɔng tɛm. |
| Pen na di nɛk, di sholda, ɛn di rib kech | Dis pen kin apun wae de sik de spre up to di spayna. |
| Pen na ɔda jɔyn dɛn | Pen ɛn swel na di jɔyn dɛn na say dɛn lɛk fut, il, an. |
| I nɔ izi fɔ mek yu bak stret | as tεm de go, di spayna de kכba fכ go bifo (lεk hunchback). |
| Taya | Fɔ fil taya ɔltɛm bikɔs ɔf inflamɛns na di bɔdi. |
| Ɔda tin dɛn we de apin | Skin rash, prɔblɛm wit yu yay (uveitis), prɔblɛm fɔ blo. |
Dɛn sayn ya nɔr kin bi di sem fɔ ɔlman. Di sayn dɛm kin bɔku sɔm tɛm (flare-up) ɛn kin dɔŋ ɔda tɛm.
Wetin mek dis kin apin? Udat dɛn de pan big risk?
AS na ``autoimmune'' sik, we min se di bכdi in imyun sistεm de atak in כwn sεl dεm. Dɔktɔ dɛn stil nɔ no bɛtɛ bɛtɛ wan wetin mek dis kin apin. Bɔt dɛn dɔn si se i gɛt sɔntin fɔ du wit in jɛnɛtiks we de apin na famili dɛn .
bכku pipul dεm we gεt AS gεt wan jin we dεn kכl `HLA-B27`. Nɔto ɔlman wae gɛt dis jin go gɛt AS, bɔt pipul dɛm wae gɛt dis jin kin gɛt bɔrku risk fɔ gɛt dis sik.
Udat de pan ay risk ?
- Fɔ man dɛm: Dis sik kin bɔku pan man dɛm pas uman dɛm.
- Fɔ pipul dɛm wae nɔr rich 40 ia: Dis sik kin bigin arawnd wae dɛn ol 30 ia.
- Famili histri : If yu fambul we de nia yu na yu famili gɛt AS, yusɛf de pan ay risk.
- Pipul wae gɛt ɔda ɔtoimyun sik dɛm lɛk Crohn’s disease, psoriasis, ɛn ulcerative colitis dɛnsɛf kin gɛt mɔ risk fɔ gɛt AS.
Aw dɔktɔ kin fɛn dis?
Bak pen na wan kɔmɔn sayn, so i kin tranga fɔ no AS na di fɔs stej. Yu dɔktɔ go tek tɛm lisin to yu sayn dɛn. Apat frɔm dat, dɛn kin du dɛn tɛst ya:
- Fɔ chɛk yu bɔdi : Dɛn go chɛk yu bak, aw yu jɔyn dɛn de muv, ɛn di say dɛn we yu de fil pen.
- bכdi tεst: dεn de du bכdi tεst fכ chεk if di `HLA-B27` jin de εn fכ mכsu di lεvεl fכ inflameshn na di bכdi.
- Imej tɛst: Dɛn kin du ɛkstrem rayt ɔ MRI skan fɔ luk fɔ chenj dɛn na di spayna ɛn jɔyn dɛn.
Bɔku tɛm, yu famili dɔktɔ go sɛn yu to dɔktɔ we de mɛn yu bɔdi, we na dɔktɔ we spɛshal pan sik dɛn lɛk at at.
Wetin na di tritmɛnt dɛm fɔ dis?
Bɔku tritmɛnt opshɔn dɛn de fɔ AS. di men gol dεm fכ dεn tritmεnt ya na fכ rεdכks pen εn stiffness, prεsεv spεnal mobiliti, εn kכntrכl di sik prכgreshכn.
Ɛksesaiz ɛn Fizik Tɛrapi
Dis na di pat we impɔtant pas ɔl fɔ manej AS. Di mɔ yu de du tin, na di mɔ yu go fil fayn.
- Ɛksesaiz: I de ɛp fɔ mek di spayna stret, di jɔyn dɛn kin chenj, ɛn i kin mek di pen nɔ bɔku. Ɛksesaiz insay wata (aqua therapy) kin fayn fɔ bɔku pipul dɛn.
- Fɔ trit yu bɔdi: Pɔsin we de mɛn yu bɔdi kin tich yu aw fɔ tinap fayn, fɔ strɛch yu mɔsul dɛn we tayt, ɛn fɔ mek yu nɔ fil pen.
Di mɛrɛsin dɛn we dɛn kin yuz
Yu dɔktɔ kin gi yu difrɛn mɛrɛsin dɛn dipen pan di kɔndishɔn we yu gɛt.
| Di kayn drɔg we dɛn kin yuz | Diskripshɔn ɛn ɛgzampul dɛn |
|---|---|
| NSAID (Drɔg dɛn we nɔ gɛt sterɔyd) . | Mεdikeshכn dεm we dεn kin gi fכs fכ ridyus inflamεshכn εn pen. Fɔ ɛgzampul: Ibuprofen, Naproxen. Bɔt dɛn tin ya kin mek pɔsin gɛt sayd ɛfɛkt lɛk fɔ blɔd na in intestinal we dɛn tek am fɔ lɔng tɛm. |
| TNF blɔk dɛn | Dɛn tin ya kin blok wan tin na di bɔdi we kin mek pɔsin inflamɛns. Dɛn kin gi dɛn tin ya as injɛkshɔn. Ɛgzampul dɛn: Adalimumab (Humira), Etanercept (Enbrel). |
| IL-17 inhibito dεm | Dis na ɔda kayn vaysin we de kɔntrol inflamɛns. Fɔ ɛgzampul: Sɛkukinumab (Cosentyx), Ixekizumab (Taltz). |
| JAK inhibito dɛn | Dis na nyu klas fɔ drɔgs we dɛn kin tek as pils. Fɔ ɛgzampul: Tofasitinib (Xeljanz), Upadacitinib (Rinvoq). |
Di ɔpreshɔn dɛn we dɛn kin du
Bɔrku pipul dɛm wae gɛt AS nɔr nid ɔpreshɔn. Bɔt fɔ di wan dɛn we gɛt sik we rili bad, .
- Ɔpreshɔn fɔ chenj di jɔyn: Put di jɔyn we dɔn pwɛl bad bad wan, lɛk di hip jɔyn.
- Spinal osteotomy: Stret wan spayna we kɔba bad bad wan .
Tin dɛm fɔ tink bɔt we yu de liv wit AS
Fɔ liv wit AS kin tranga sɔm tɛm, bɔt fɔ tek kia ɔf yu bɔdi ɛn maynd wɛl bɔdi fayn fayn wan kin mek ɛvride layf izi.
- Di it: Pan ɔl we no patikyula it nɔ de fɔ AS, fɔ mek yu gɛt wɛlbɔdi wet impɔtant. Dis na bikɔs we yu gɛt ɛkstra wet, dat kin mek di jɔyn dɛn gɛt mɔ prɛshɔn. I bɛtɛ fɔ pe atɛnshɔn pan it we nɔ de mek yu bɔdi nɔ gɛt bɔku bɔku bɔdi, lɛk fish, frut, ɛn vɛjitebul dɛn we gɛt omega-3 fat asid.
- Nɔ smok: Dɛn dɔn sho se di AS simptom dɛm pan pipul dɛm we de smok kin wɔs as tɛm de go.
- Mental hεlth: Na kɔmɔn tin fɔ fil fɔ fil bad, sɔri, wɔri, ɛn pwɛl hat wae yu de liv wit pen wae nɔr de dɔn. If yu de gɛt dɛn kayn filin ya, fɔ go to advays ɔr fɔ jɔyn sɔpɔt grup wit pipul dɛm lɛk yu kin rili ɛp yu.
- Slip fayn: Pen kin mek yu nɔ slip fayn. Bɔt fɔ slip fayn na nɛt rili impɔtant fɔ mek di bɔdi wɛl ɛn fɔ mek i gɛt trɛnk. Yuz pilo dɛn we de ridyus prɛshɔn na yu bak ɛn nɛk.
Mɛsej we dɛn kin kɛr go na os
- Ankylosing Spondylitis (AS) nɔto jɔs bak prɔblɛm, bɔt na at at sik we nɔ de mɛn we kin afɛkt di spayna.
- If yu kɔntinyu fɔ gɛt mɔnin stiffness ɛn pen, nɔ ignore am ɛn go to yu dɔktɔ. I impɔtant fɔ no di sik kwik kwik wan.
- Ɛksesaiz ɛn fyzikal tritmɛnt na tu impɔtant tin dɛn fɔ mɛn dis sik. If yu kɔntinyu fɔ du tin, dat go mek big difrɛns.
- Bɔku mɛrɛsin dɛn de we de tide fɔ kɔntrol pen ɛn inflamɛns. Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn di rayt we.
- Pan ɔl we nɔr kɔmplit mɛrɛsin nɔr de fɔ dis, if yu de trit dis fayn fayn wan, yu kin liv nɔrmal, aktif layf. So nɔ giv ɔp fɔ gɛt op.
💬 Comments (0)
No kɔmɛnt nɔ de yet. Ad yu kɔmɛnt ya fɔ di fɔs tɛm.
Ad yu kɔmɛnt