Yu dɔn de fil pen bak bɔku tɛm na yu bak ɛn hip eria frɔm we yu bin yɔŋ? Ɛspɛshali we yu wek na mɔnin, yu bak kin fil stif ɛn i nɔ kin izi fɔ bɛn ɔ du ɛni wok fɔ sɔm tɛm? Bɔku tɛm wi kin fɔgɛt bɔt dɛn kayn tin ya, ɛn tink se "i kin bi sprain" ɔ "i kin bi bikɔs ɔf taya we wi de wok." Bɔt dis kin bi wan sik we nid fɔ pe atɛnshɔn smɔl. Tide wi de tɔk bɔt wan sik we fiba dis, ɛn we bɔku pipul dɛn nɔ no bɛtɛ, bɔt i rili impɔtant fɔ no bɔt. Dat na di sik we dɛn kɔl Ankylosing Spondylitis .
Wetin na Ankylosing Spondylitis (AS) simpul wan?
Fɔ tɔk am simpul wan, na wan kayn at at sik we kin afɛkt di jɔyn dɛn na di spayna. I kin mɔs afɛkt yu spayna ɛn di sakroiliak jɔyn dɛm, usay di ɔda pat pan yu spayna de kɔnɛkt to yu hip bon dɛm. Dis sik kin mek yu bɔdi in imyun sistɛm mistek atak dɛn jɔyn ya, ɛn dis kin mek yu gɛt inflamɛns fɔ lɔng tɛm .
As dis inflamɛns de kɔntinyu fɔ de as tɛm de go, i kin mek di bak ɛn hip pen, i kin mek di spayna nɔ ebul fɔ chenj, ɛn i kin mek i nɔ ebul fɔ muv . Sɔm pipul dɛn kin ivin gɛt stif nɛk as tɛm de go.
Dɛn se na lɛk wan pan ɛvri 1,000 pipul dɛn na di wɔl kin gɛt dis sik. No mɛrɛsin nɔ de fɔ dis yet. Bɔt nɔr wɔri , if dɛn no di sik kɔrɛkt wan ɛn trit am ɔnda di advays fɔ kwalifay dɔktɔ, yu kin kɔntrol dis sik fayn fayn wan ɛn liv nɔrmal layf.
Udat dɛn kin gɛt dis sik?
Wetin mek sɔm pipul dɛn kin gɛt dis sik? Pan ɔl we dɛn nɔ dɔn no di rayt tin we kin mek i gɛt dis sik, sayɛnsman dɛn dɔn no bɔku tin dɛn we kin mek di sik bɔku.
Jɛnɛtik inflɔwɛns (Jɛnɛtiks) .
Dɛn dɔn si se di tin dɛn we de mek pɔsin gɛt dis sik na in de mek pɔsin gɛt dis sik.
- HLA-B27 jin: Dis na di jin we gɛt fɔ du wit dis sik pas ɔl. dis jin de εp wi bכdi in imyun sistεm fכ no ‘dεn ya na wi כwn sεl dεm’ εn ‘fכrin vayrus כ baktri dεm’. pipul dεm we gεt wan sכm vεryכnt fכ dis jin (di `HLA-B27` vεryכnt) de pan hכy risk fכ divεlכp AS.
- Di tin we impɔtant pas ɔl: Bɔt di tin we impɔtant pas ɔl na ya na dat jɔs bikɔs yu gɛt dis `HLA-B27` jin na yu bɔdi, yu nɔ go ebul fɔ se yu go gɛt dis sik. Bɔrku pipul dɛm wae gɛt dis jin nɔr go ɛva gɛt dis sik. Dɔn bak, pipul dɛn we nɔ gɛt dis jin kin gɛt dis sik bak.
- כda jin dεm: pan tap dat, dεn fכnshכn se sεvεra כda jin dεm we riliyt to di imyun sistεm, lεk `ERAP1`, `IL1A`, εn `IL23R`, de sho se dεn gεt dis sik.
Ɔda Kɔndishɔn dɛn we kin mek pɔsin gɛt inflammatory
Sɔm pipul dɛm wae gɛt AS kin gɛt ɔda inflammatory conditions bak. Fɔ ɛgzampul:
- Psoriasis we dɛn kɔl Psoriasis
- Ɔlsɛrativ Kɔlayt
- Di sik we dɛn kɔl Crohn in sik
So, if pɔrsin na yu famili gɛt dɛn kayn sik ya, ɔr Ankylosing Spondylitis, yu kin de pan denja bak.
Aw wɛda man ɔ uman ɛn di ej kin afɛkt
di simptom dεm fכ AS kin bigin bifo di ej 40. sכmtεm, di simptom dεm kin apin as ali as 16 ia, we dεn kכl `juvenile-onset ankylosing spondylitis`.
Di we aw dis sik de biev kin difrɛn difrɛn wan bay wɛda man ɔ uman. If yu no bɔt dɛn difrɛns ya, dat go ɛp yu fɔ no di sik kwik kwik wan.
| Di kwaliti we pɔsin gɛt | Male sayd | Uman dɛn sayd |
|---|---|---|
| Di prɛvalɛns fɔ di sik | Mɔ bɔku | If yu kɔmpia am wit am, i smɔl |
| Di men sayn dɛn we de sho se i gɛt dis sik | di spεnal kכd dεm we dεn dכn pwεl (dεn kin si am klia wan pan εks-ray) . | Jɔyn pen na di an ɛn fut (peripheral arthritis) . |
| Diagnostik delay fɔ no di sik | Bɔku tɛm, i kin smɔl | I kin lɔng pas dat (sɔntɛm fɔ lɔng tɛm) . |
Wan rizin we mek uman dɛn kin delay fɔ gɛt diagnosis na di mistek we di sosayti ɛn sɔntɛm ivin dɔktɔ dɛn kin tink se dis na ‘man sik’. Dɔn bak, bikɔs uman dɛn kin si di sik difrɛn frɔm man dɛn (ivin MRI skan kin sho se dɛn nɔ gɛt bɛtɛ spɛnal damej), i kin tek tɛm fɔ no di sik.
Yu tink se di kɔlɔ ɛn trayb sɛf de du sɔntin?
Yɛs, di rays kin ɛp fɔ du sɔntin te to sɔm mak. Stɔdi dɔn sho se dis sik kin bɔku pan wayt pipul dɛn, mɔ na di kɔntri dɛn na di nɔt pat na Yurop. I nɔ kin bɔku pan blak pipul dɛn na Afrika.
Bɔt wan impɔtant pɔynt de ya. Pan ɔl we di risk fɔ gɛt dis sik nɔ bɔku, stɔdi dɛn dɔn sho se if blak pɔsin gɛt AS, di sik kin rili bad .
כlso, nia 90% pan di wayt pipul dεm we gεt AS gεt di HLA-B27 jin. כltu, na 50%-60% pan blak pipul dεm we gεt AS gεt dis jin. So, i impɔtant fɔ tink bɔt di rays ɛn di jɛnɛtik bakgrɔn we yu de du diagnosis.
Dilayed diagnosis ɛn di impak we i gɛt
Fɔ bɔrku pipul dɛm, i kin tek lɛk 8 to 10 ia fɔ no di sik fayn fayn wan afta di sayn dɛm bigin. Dis delay kin tek lɔng tɛm fɔ uman dɛn, mɔ.
Dis delay kin mek dɛn delay di tritmɛnt. Dis kin mek di damej we di sik kin kɔz bɔku. as tεm de go, di bon dεm na di spayna kin fכs tכgeda (fyushכn), εn di muvmεnt fכ di spayna kin lכs kכmplit.
Fɔ no di sik kwik kwik wan ɛn fɔ trit am fayn fɔ mek yu gɛt gud wɛlbɔdi ɛn fɔ mek yu ebul fɔ kɔntrol di sik.
So, if yu gɛt bak pen ɔltɛm, yu de stiff mɔnin, ɔ ɔda sayn dɛn, mɔ if yu na uman , duya nɔ ignore am. Si dɔktɔ we sabi du di wok ɛn tɔk klia wan bɔt di sik dɛn we yu gɛt. Nɔ fred fɔ aks fɔ ɛkstrem rayt ɔ MRI skan if nid de. Yu gɛt rayt fɔ tɔk fɔ yusɛf.
Mɛsej we dɛn kin kɛr go na os
- Ankylosing Spondylitis (AS) nɔto jɔs wan simpul bak sprain, bɔt na siriɔs at at sik we de afɛkt di spayna.
- Dis kin bi infכmeshכn bay jεnεtik fכktכr (HLA-B27), famili histri fכ sik, εn כda inflammatory kכndyushכn dεm.
- Dis sik kin afɛkt uman ɛn man difrɛn we. Uman dɛn kin gɛt difrɛn sayn dɛm, we kin delay fɔ no di sik.
- Nɔ ɛva ignore bak pen fɔ lɔng tɛm ɛn mɔnin stiffness we kin bigin we yu yɔŋ.
- If yu no di sik kwik kwik wan ɛn bigin fɔ trit yu ɔnda di advays we kwalifay dɔktɔ gi, yu go ebul fɔ kɔntrol di sik fayn fayn wan ɛn liv nɔmal layf.
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