I nɔmal fɔ mek wi gɛt smɔl pen ɛn pen na wi jɔyn dɛn wan wan tɛm. Dis kin apin we wi de wok tranga wan ɔl di de, we wi nɔ sidɔm fayn, ɔ we wi gɛt smɔl injuri. Bɔt if dis pen de fɔ sɔm dez ɔ wiks we i nɔ de stɔp, if di jɔyn dɛn swel, rɛd, ɛn stif we wi grap na bed na mɔnin, dat min se i nɔ nɔmal. Dis na we wi nid di ɛp fɔ wan ‘Rheumatologist’ .
Udat rili na ‘Rheumatologist’?
Fɔ tɔk am simpul wan, ‘Rheumatologist’ na dɔktɔ we spɛshal fɔ no ɛn trit sik dɛn we gɛt fɔ du wit wi jɔyn, mɔsul, bon, ɛn kɔnɛktiv tisu (ligamɛnt, tɛndon). I kin pe atɛnshɔn mɔ pan di sik dɛn we pɔsin kin gɛt we i de fɛt insɛf ɛn di sik dɛn we pɔsin kin gɛt we i gɛt inflamɛns .
Naw yu go de wɔnda wetin na dɛn ɔtoimyun sik ya. Imajin se yu bɔdi in difɛns sistɛm, yu imyun sistɛm , mistek bigin fɔ atak yu yon wɛlbɔdi sɛl dɛn, lɛk di wan dɛn we de na yu jɔyn, skin, ɛn yay. Na dat kin apin. Dis atak kin mek yu gɛt sayn dɛm lɛk fɔ swel, pen, ɛn rɛd (inflammation) na di say dɛm we di sik afɛkt.
Yu famili dɔktɔ (praymari kia dɔktɔ) kin rifer yu to dɔktɔ we de mɛn yu rεumatɔlɔji bay di sayn dɛm we yu gɛt. I go du di tɛst dɛn we yu nid, no wetin mek yu gɛt di sik, ɛn gi yu di bɛst tritmɛnt plan.
Wetin na di men tin dɛm wae dɔktɔ wae de mɛn yu rεumatכl kin trit?
Wan dɔktɔ we de mɛn yu bɔdi kin trit pas 100 sik dɛn we de na di jɔyn dɛn, di mɔsul dɛn, ɛn di bon dɛn. Di tebul we de dɔŋ ya sho sɔm pan di tin dɛn we kin apin to pɔsin.
| Mɛdikal kɔndishɔn | Wan simpul ɛksplen |
|---|---|
| Rimatɔyd Atraytis | Pen ɛn swel we di imyun sistɛm de atak di jɔyn dɛn. |
| Ɔstiɔ-arayt sik | wan kכndyushכn we kin kכz we di katilej bitwin di joyn dεm de west εn te we di jכint dεm de ol כ bikoz dεn de yuz am pasmak. |
| Gout we pɔsin kin gɛt | siriכs pen we de kכz fכ di εlevεt yurik asid lεvεl na di bכdi εn di dכpכshכn fכ sכm sכm pat dεm pan am na di jכint dεm. |
| Lupus we gɛt di sik | Na sik we kin ambɔg difrɛn pat dɛn na di bɔdi we de fɛt di sik, lɛk di jɔyn, di skin, di kidni, ɛn di bren. |
| Fibromyalgia we pɔsin kin gɛt | Wan sik wae de mek yu de fil pen ɔlsay na yu bɔdi, taya, ɛn gɛt prɔblɛm wit slip. |
| Ɔstioporosis we pɔsin kin gɛt | Bɔn dɛn kin wik ɛn i kin brok izi wan. |
Bikɔs bɔku tɛm dɛn sik ya kin afɛkt pas wan pat na yu bɔdi, dɔktɔ we de mɛn yu bɔdi go wok wit ɔda spɛshal pipul dɛn lɛk dɔktɔ dɛn we de mɛn yu bɔdi, dɔktɔ dɛn we de mɛn yu at, ɛn dɔktɔ dɛn we de mɛn yu bɔdi if nid de.
Wetin mek yu fɔ go to Riumatɔlɔjis?
If yu dɔn gɛt wan ɔ mɔ pan dɛn sik ya fɔ lɔng tɛm, i rili impɔtant fɔ mek yu go to yu famili dɔktɔ fɔs ɛn, pan dɛn advays, go to dɔktɔ we de mɛn yu bɔdi.
- Pen we de kɔntinyu fɔ de, we de swel, ɔ we de stif na wan ɔ mɔ jɔyn dɛn.
- Stif na di joyn dεm we de las pas 30 minit we yu wek na mכnin.
- Fiva we nɔ de dɔn, we yu taya, ɔ we yu de lɔs yu wet we yu nɔ ebul fɔ ɛksplen.
- If pɔsin na yu famili gɛt ɔtoimyun sik (e.g. Rheumatoid Arthritis, Lupus) ɛn yu gɛt di sayn dɛm bak we wi dɔn tɔk bɔt.
I rili impɔtant fɔ no ɛn trit dɛn sik ya kwik, bikɔs if nɔto dat, di jɔyn dɛn kin pwɛl ɔltɛm as tɛm de go.
Wetin kin apin we yu go to dɔktɔ we de mɛn yu bɔdi?
Natin nɔ de fɔ fred we yu go to dɔktɔ we de mɛn yu bɔdi. De gol na fɔ tek di step dɛm wae nid fɔ no bɔt yu sik fayn fayn wan.
1. Fɔ tɔk to yu ɛn gɛt di ditel dɛn
Fɔs, di dɔktɔ go tɔk to yu gud gud wan ɛn aks yu bɔt yu sik dɛn. I go aks yu bɔku kwɛstyɔn dɛn, lɛk ustɛm di pen bigin, ustɛm di pen dɔn wɔs, if yu du ɛnitin kin mek di pen wɔs, ɛn if ɛnibɔdi na yu famili gɛt dis sik. I rili impɔtant fɔ tɛl ɔlman we yu sabi ɛn nɔ ayd ɛnitin.
2. Ɛgzam we yu de du fɔ yu bɔdi
Neks, di dɔktɔ go chɛk yu bɔdi, mɔ di jɔyn dɛn we de mek yu fil pen. Dɛn go chɛk fɔ si if di jɔyn dɛn dɔn swel, rɛd, ɔ wam we yu tɔch dɛn. Dɛn go aks yu bak fɔ bɛn ɛn strɛch jɔyn dɛn lɛk yu an, sholda, ɛn hip. Dis go ɛp yu fɔ no ɔmɔs muvmɛnt nɔ de muv na yu jɔyn dɛn.
3. Labɔrɔtɔri ɛn raydiolojikal tɛst
Dɛn kin aks yu fɔ du sɔm tɛst fɔ no if yu gɛt di sik ɛn fɔ no aw i siriɔs.
| Test tayp | Wetin yu de luk? |
|---|---|
| Blɔd tɛst dɛn | i de tεst fכ mak dεm fכ inflameshn na di bכdi (ESR, CRP) εn antibodi dεm we riliyt to sik dεm lεk rεumatoid atraytis (Rheumatoid Factor - RF) . |
| Tɛst dɛn we dɛn kin yuz fɔ tek pikchɔ | X-ray kin sho se di bon dɛn dɔn pwɛl. MRI ɔ ɔltra saund skan kin sho klia wan se di sɔft tisu dɛn lɛk di jɔyn dɛn, di mɔsul dɛn, ɛn di katilej dɔn pwɛl ɛn swel. |
| Ɔda tɛst dɛn | Sɔntɛnde dɛn kin tek wan sɛmpul pan jɔyn wata fɔ tɛst (fɔ no if pɔsin gɛt gaut ). If nid de, dɛn kin tek smɔl sampul bak pan di skin ɔ di mɔsul tisu (bayopsi) fɔ tɛst. |
4. Fɔ gi pɔsin tritmɛnt
Afta yu dɔn tink bɔt ɔl dis, yu dɔktɔ go bigin fɔ gi yu di tritmɛnt we go fayn fɔ yu. I kin rikɔmɛnd wan ɔ mɔ pan dɛn tin ya:
- Mεdikeshכn dεm: Mεdikeshכn dεm we de ridyus pen εn swεl (kכtikostεroyd), mεdikeshכn dεm we de kכntrכl di aktiviti fכ di imyun sistεm, εn כda tin dεm.
- Jɔyn injɛkshɔn: Injekt mɛrɛsin dairekt insay di jɔyn fɔ ridyus pen ɛn swel kwik kwik wan.
- Fizik Tɛrapi: Tich ɛksesaiz ɛn tɛknik fɔ ridyus pen, fɔ mek di jɔyn dɛn muv mɔ, ɛn fɔ mek di mɔsul dɛn gɛt mɔ trɛnk.
- Ɔkupeshɔn Tɛrapi: Tich aw fɔ du ɛvride wok izi ɛn sef wan ɛn fɔ rɛkɔmɛnd di tin dɛn we nid fɔ ɛp (e.g. splint).
Bɔrku pan dɛn sik ya nɔr kin te, dat min se i nɔ kin izi fɔ mɛn dɛn ɔl. Bɔt if yu kɔntinyu fɔ trit yu ɛn fala wetin yu dɔktɔ tɛl yu, yu go ebul fɔ kɔntrol di sik fayn fayn wan ɛn liv nɔmal layf we yu nɔ go gɛt pen .
Mɛsej we dɛn kin kɛr go na os
- ‘Rheumatologist’ na dɔktɔ we spɛshal fɔ trit sik dɛn na di jɔyn, mɔsul, ɛn bon, mɔ di sik dɛn we pɔsin kin gɛt we i de fɛt insɛf.
- Nɔ ignore di joyn pen we de kɔntinyu, swel, ɛn mɔnin stiffness lɛk aw i nɔmal.
- If yu no ɛn trit di sik kwik kwik wan, dɛn kin mek di jɔyn dɛn nɔ pwɛl sote go.
- If yu gɛt dɛn sik ya, nɔ shek fɔ go to yu dɔktɔ fɔ advays. I go rifer yu to dɔktɔ we de mɛn yu bɔdi if nid de.
- Pan ɔl we bɔku pan dɛn sik ya na sik dɛn we nɔ de mɛn, if dɛn trit dɛn fayn, dɛn kin ebul fɔ kɔntrol dɛn fayn fayn wan ɛn liv fayn layf.
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