Yu nek dɔn swel? Mek wi tok abaut goiter!

Bɔku pipul dɛn kin fred smɔl we dɛn si smɔl swɛlin na dɛn nɛk, nɔto so? Wetin dis? Yu go dɔn yɛri bɔt ' Gout '. Tide wi go tɔk bɔt dis sik, we dɛn kɔl mɛrɛsin na `( Goiter )`. Nɔ fred, di tin we impɔtant pas ɔl na fɔ no bɔt dis.

Wetin na dis tayroyd gland?

Okay, fɔs lɛ wi si wetin na dis `(Goiter)` ɔ tayroyd gland . Dis tayroyd gland na smɔl gland we tan lɛk bɔtaflay na yu nɛk, spɛshal wan jɔs dɔŋ di kɔlabɔn. dis na pat pan di `( Endocrine system )` na wi bכdi.

Pan ɔl we dɛn smɔl, di ɔmon dɛn we di tayroyd gland de mek rili impɔtant. di tu men כmon dεm we dεn prodyuz ya na tayroksin (dεn kin kכl am bak `(T4)`) εn triayodotayronin (dεn kin kכl am bak `(T3)`). Dɛn ɔmon ya de du bɔku impɔtant wok dɛn na wi bɔdi. Fɔ ɛgzampul:

• di mεtabolism na wi bכdi na di prכsεs we di it we wi de it de kכnvכlt to enεji.
• Fɔ kɔntrol di bɔdi in tɛmpracha .
• Tin dɛn lɛk wi mud , wɔri, ɛn ɔda tin dɛn.
• At rit .
• Di we aw dɛn de digest .

Yu si, pan ɔl we i smɔl, i de du bɔku wok. So ivin if dis gland jɔs swel, ɔ mek ɔmon tumɔs ɔ tu smɔl, wi kin gɛt prɔblɛm.

So, yu tink se ɛni kayn dis rɔk de?

Yɛs, dɛn kin kɔl dis goiter tu we. Wan na akɔdin to aw i de gro. Di ɔda wan na akɔdin to yu tayroyd ɔmon lɛvɛl.

Dɛn kin klas am akɔdin to di we aw dɛn de gro:

• Simpul ɔ Difyuz Goiter: Dis na we di wan ol tayroyd gland kin swel ɛn fil saf we yu tɔch am.
• Nodular Goiter: insay dis, wan sכlid כ fכl fכ wata (nodule) de divεlכp insay di tayroyd gland, we de fil lεk lump we dεn tכch am.
• Multinodular Goiter: Dis na we bכku nodul dεm de divεlכp insay di tayroyd gland. dis nodul dεm kin si frכm do כ yu kin כnli fכnshכn we dεn de tεst.

Dɛn kin klas am akɔdin to di tayroyd ɔmon lɛvɛl:

• Toxic Goiter: Insay dis, di tayroyd gland kin swel ɛn i kin mek tumɔs tayroyd ɔmon. Dis kin mek pɔsin gɛt wan sik we dɛn kɔl haypa tayroyd.
• Nontoxic Goiter: Insay dis kes, di tayroyd gland kin swel, bɔt di ɔmon lɛvɛl nɔmal. Dis min se nɔto haypa tayroyd ɔ haypa tayroyd nɔ de, we na wan kɔndishɔn we di tayroyd ɔmon lɛvɛl smɔl. Dɔktɔ dɛn kin kɔl dis sik bak yutayrɔyd.

Sɔntɛnde, dɔktɔ dɛn kin jɔyn dɛn tu kayn tin ya. fכ egzampl, ``Toxic Multinodular Goiter'' na kכndyushכn we plεnti nodul dεm de fכm na di tayroyd gland εn prodyuz εksyכs כmon dεm.

Udat kin gɛt dis kayn galston?

Fɔ tru, ɛnibɔdi kin gɛt goiter. Bɔt dɛn se uman dɛn kin gɛt am 4 tɛm pas man dɛn . Dɔn bak, di risk fɔ gɛt goiter kin bɔku wit di ej. I kin mɔs bi afta pɔsin dɔn ol 40 ia .

Apat frɔm dat, pipul dɛn we gɛt dɛn sik ya kin gɛt gal ston bak:

• Fat
• Insulin rɛsistɛns
• Mεtabolik sεndrכm

Dɔn bak, if yu dɔn gɛt raytin na yu ed ɛn nɛk as mɛrɛsin, ɔ if sɔmbɔdi na yu famili gɛt tayroyd sik na yu famili , yu kin gɛt bɔku chans bak fɔ gɛt goiter.

Aw kɔmɔn tin dis kin apin?

Galblad kansa na rili wan sik we nɔ kin apin so ɔltɛm. Fɔ ɛgzampul, na Amɛrika, na lɛk 5% pan di pipul dɛn gɛt am.

Bɔt ɔlsay na di wɔl, di men tin we kin mek pɔsin gɛt gota na we i nɔ gɛt ayodin . Dɛn se na lɛk 2.2 milyɔn pipul dɛn de sɔfa wit dis prɔblɛm.

Di chans fɔ mek yu gɛt goiter kin difrɛn difrɛn wan dipen pan di kayn we aw yu nɔ gɛt ayodin:

• If di lכw lεvεl de fכ ayodin dεfisiεns , 5% to 20% chans de fכ divεlכp gכta.
• if di ayodin dεfichεshכn na mכdarεt , i de inkrεs to bitwin 20% εn 30%.
• If di ayodin dɛfisiɛns bad bad wan , di chans fɔ gɛt goiter kin go ɔp to pas 30%.

Us sayn dɛn a go gɛt if a gɛt galston?

Goiter kin gɛt sayz frɔm we i rili smɔl, we pɔsin nɔ kin notis, to we i rili big. Bɔku tɛm, pɔsin we gɛt goiter nɔ kin fil pen. Bɔt if yu gɛt tayroyd, we na we yu tayroyd gland kin swel ɛn rɛd, yu kin fil pen.

Wi kin si di men sayn dɛm lɛk:

• I kin tan lɛk se yu gɛt smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl.
• Fɔ fil lɛk se sɔntin dɔn stɔp na yu trot .
• Hoarseness (voys chenj).
• I tan lɛk se di vein dɛn na di nɛk de bɔl.
• Fɔ fil diziz we yu es yu an ɔp ɔp ed.

Ɔda sayn dɛn de we nɔ kin bɔku:

• Di shɔt we aw yu de blo .
• Kɔf.
• Wisl sawnd we yu de blo (bikɔs ɔf di we aw di briz de blo).
• I nɔ izi fɔ swɛla (bikɔs di εsophagus nɔ de ambɔg).

Sɔm pipul dɛn kin gɛt wan sik bak we dɛn kɔl haypa tayroyd, we na we di tayroyd ɔmon dɛn kin bɔku wit goiter. If dis apin, sɔm sayn dɛm lɛk:

• At bit kwik kwik wan (Tachycardia) .
• Fɔ bi tin fɔ natin .
• Rɔnbɛlɛ.
• Swet ivin if yu nɔ du ɛksɛsayz ɔ ivin we di rum tɛmpracha nɔ tu ay.
• Di bɔdi we de shek shek.
• Wɔri.

Dɔn bak, sɔm pipul dɛn kin gɛt wan sik we dɛn kɔl haypothayrɔydism, we na wan sik we de mek di tayroyd ɔmon dɛn we de go dɔŋ wit goiter. If na so i bi, yu kin si sayn dɛm lɛk:

• Fɔ fil taya bad bad wan (Fatigue) .
• Banbɛlɛ.
• Dray skin.
• Fɔ big fɔ natin .
• Menstrual saykl we nɔ de ɔltɛm na uman dɛn.

Wetin mek dis galston kin fɔm? Wetin na di tin dɛn we kin mek i apin?

Goiter na rili wan adaptiv rispכns fכ yu tayroyd gland sεl dεm to eni prכsεs we de intafεr di prodakshכn fכ tayroyd כmon dεm. Pan ɔl we di ayodin we nɔ gɛt bɛtɛ ayodin na di men tin we kin mek pɔsin gɛt goiter ɔlsay na di wɔl, bɔku ɔda tin dɛn de we kin mek pɔsin gɛt gota.

Tin dɛn we kin mek pɔsin gɛt galston na:

• Ayodin we nɔ de: Yu tayroyd gland nid ayodin fɔ mek tayroyd ɔmon. If yu nɔ gɛt inof ayodin frɔm di it we yu de it, di tayroyd gland de tray fɔ mek mɔ tayroyd ɔmon. I de mek mɔ sɛl dɛn, we min se i de big. Dis na di men rizin ɔlsay na di wɔl. Bɔt na kɔntri dɛn lɛk Sri Lanka, dis kin smɔl bikɔs dɛn kin yuz sɔl we gɛt ayod. Wi kin gɛt di ayodin we wi nid frɔm sifud, dairy prodakt, ɛn sɔl we gɛt ayodin. Bɔt fɔ tek ayodin sɔpɔtmɛnt dɛn we yu nɔ gɛt dɔktɔ advays nɔ fayn fɔ bɔku pipul dɛn, bikɔs i kin mek ɔda wɛlbɔdi prɔblɛm dɛn.
• Graves’ disease: Dis na sik we pɔsin kin gɛt we i de fɛt insɛf. Dis min se yu yon imyun sistɛm de atak yu tayroyd gland, we de mek i big. Grev in sik kin mek bak wan sik we dɛn kɔl haypa tayroyd, we nid fɔ trit.
• Hashimoto in sik: Dis na sik bak we pɔsin kin gɛt we i de fɛt insɛf. I kin mek di tayroyd gland inflamɛns. Na sɔm pipul dɛm, Hashimoto in sik kin mek di tayroyd gland big as kɔmpɛnsatɔri kɔndishɔn. Dis kayn gota kin bɛtɛ fɔ insɛf as tɛm de go. Bɔt sɔm pipul dɛn we gɛt Hashimoto nid fɔ tek tayroyd ɔmon pils.
• Tayrɔyd kansa:Kansa na di tayroyd gland kin mek bak di gland big.
• di bεlε: we uman bεlε, di tayroyd gland kin big sכm bikoz fכ di כmon ``Human Chorionic Gonadotropin (HCG)'' we dεn de mek na uman in bכdi.
• Tayroyd: If di tayroyd gland insɛf inflam, i kin mek bak di gland big. Bɔku rizin dɛn kin de fɔ dis.

Sɔmtɛm, gota kin kam witout ɛni patikyula rizin. Wi kin kɔl dɛn ``Sporadic goiters``. Sɔm mɛrɛsin dɛn kin mek dis sik bak. Fɔ ɛgzampul, di drɔg ``Lithium``, wae dɛn kin yuse fɔ trit sɔm kayn maynd sik kin mek yu gɛt dis kayn goiter.

Aw dɔktɔ dɛn kin no dis kɔrɛkt wan?

We yu go to dɔktɔ, dɛn kin chɛk yu nɛk fɔ si if di tayroyd gland dɔn big bay we dɛn fil am. Bɔt goiter min se prɔblɛm de wit yu tayroyd gland. So yu nid fɔ no wetin na da prɔblɛm de.

Dɔktɔ dɛn kin du bɔku tɛst dɛn fɔ dat:

• Fizik ɛgzam: As a bin dɔn tɔk, di dɔktɔ go fil yu nɛk eria fɔ si if ɛni lumps ɔ pen de.
• Tayrɔyd blɔd tɛst: Dɛn blɔd tɛst ya de mɛzhɔ di tayroyd ɔmon lɛvɛl. Dis kin ɛp fɔ no if di tayroyd gland de wok fayn.
• Antibodi test: Dis bכdi tεst de luk fכ spεshal antibodi dεm we sכm kayn goiter de mek. Antibodi na protin we wi wayt blɔd sɛl dɛn mek. Dɛn tin ya de protɛkt wi frɔm jem dɛn we de mek wi gɛt sik.
• Tayrɔyd ɔltrasɔund: Ɔltrasɔund na tɛst we dɛn kin yuz ay frikyuɛnsi sawnd wev fɔ pas tru di bɔdi tisu. Di pikchɔ dɛn we de kɔmɔt de sho na kɔmpyuta skrin. Dɔn di dɔktɔ kin “si” di tayroyd gland, ɛn chɛk in saiz ɛn if ɛni lumps de.
• Bayopsi: Bayopsi na we dɛn kin tek wan sɛmpul pan di tisu ɔ sɛl dɛn ɛn tɛst dɛn na lab. If yu gɛt big lump na yu tayroyd gland, yu kin nid fɔ du bayɔpsi. Bɔku tɛm dɛn kin du dis fɔ mek dɛn nɔ gɛt kansa.
• di tayroyd we de tek ɛn skan: Dis imej tɛst de gi infɔmeshɔn bɔt di sayz ɛn di wok we di tayroyd gland de du. I min fɔ injɛkt smɔl smɔl redioaktiv tin insay wan vein ɛn mek wan pikchɔ bɔt di tayroyd gland na kɔmpyuta skrin. Bɔt nɔto ɔltɛm dɛn kin du dis tɛst ɛn i kin jɔs yus pan spɛshal kes dɛn.
• CT skan ɔ MRI (Magnetik Rizɔnans Imej): .If di tכnsil dεm rili big כ dεn dכn spre to di chεst εria, dεn kin du CT skan כ MRI fכ mכsu di saiz εn di spred fכ di tכnsil dεm.

Yu tink se galston dɛn go bɛtɛ fɔ dɛnsɛf?

Simpul goiter kin bɛtɛ fɔ insɛf as tɛm de go, ɛn nɔr gɛt ɛni tritmɛnt.

Bɔku gota, lɛk multinodular goiters, kin kam we di tayroyd ɔmon lɛvɛl nɔmal. We dɔktɔ dɔn no se i gɛt di sik, dɛn nɔ nid ɛni patikyula tritmɛnt. Bɔt yu kin gɛt risk fɔ gɛt haypo tayroyd ɔ haypa tayroyd tumara bambay.

Bɔt if yu notis se yu tayroyd gland dɔn big, i rili impɔtant fɔ go to dɔktɔ . Bikɔs bɔku tin dɛn de we kin mek pɔsin gɛt gota, sɔm pan dɛn kin nid fɔ gɛt tritmɛnt.

Wetin na di tritmɛnt dɛn we dɛn kin gɛt?

Di tritmɛnt fɔ goiter dipen pan aw yu tayroyd gland big, wetin yu de si, ɛn wetin de mek yu gɛt dis sik. Bɔku tritmɛnt dɛn de we yu kin pik:

• Nɔr tritmɛnt / “Watchful waiting”: If de goiter smɔl ɛn nɔr de mɔna yu, yu dɔktɔ kin disayd se tritmɛnt nɔr nid fɔ de. Bɔt i go de wach yu tayroyd gud gud wan fɔ si if yu gɛt chenj dɛn.
• Di mɛrɛsin dɛn we dɛn kin yuz:
• Levothyroxine (e.g. Levothroid®, Synthroid®) na wan tεrapi we de riples di tayroyd כmon. Yu dɔktɔ kin gi yu dis mɛrɛsin if yu goiter na bikɔs yu tayroyd ɔmon nɔ bɔku (haypothyroidism).
• If di tin we kin mek pɔsin gɛt gota na we di tayroyd ɔmon dɛn bɔku (Hyperthyroidism), dɛn kin gi am ɔda mɛrɛsin dɛn. εgzampl dεm na Methimazole (e.g. Tapazole®) εn Propylthiouracil.
• If di tin we kin mek di tɔnsil na inflamɛns, di dɔktɔ kin gi yu aspirin ɔ wan kɔtikosterɔyd.
• Redioaktiv ayodin tɛrapi: Dɛn kin yuz dis tritmɛnt fɔ mɛn di wan dɛn we gɛt aypa tayroyd. Insay dis tritmɛnt, dɛn kin tek redioaktiv ayodin bay mɔt. Dis ayodin de go insay di tayroyd gland ɛn pwɛl di tayroyd sɛl dɛn, ɛn dis kin mek di gland smɔl. Afta dis tritmɛnt, yu kin nid fɔ tek tayroyd ɔmon riplesmɛnt pils fɔ di res ɔf yu layf.
• Ɔpreshɔn: Yu dɔktɔ kin tɛl yu fɔ du ɔpreshɔn we dɛn kɔl tayroyd fɔ pul ɔl ɔ sɔm pat pan yu tayroyd gland. I kin nid fɔ du ɔpreshɔn if di goiter big ɛn i kin mek i nɔ izi fɔ blo ɔ swɛla. Sɔntɛnde dɛn kin yuz ɔpreshɔn bak fɔ pul di nodul dɛn. Bɔku tɛm, dɛn kin nid fɔ du ɔpreshɔn if kansa de. Dipen pan di kayn tayroyd gland we dɛn pul, yu kin nid fɔ tek tayroyd ɔmon riplesmɛnt pils fɔ di res ɔf yu layf.

Wi go ebul fɔ mek dis nɔ apin?

Iodine deficiency goiter (simple goiter) na di onli kayn goiter we wi kin ɔltɛm avɔyd. Dɛn kin avɔyd dis kayn gota if yu put inof fish, dairy prodakt, ɛn ayodaiz sɔl (tebul sɔl) insay di it. Fɔ ɔda kayn goiter, bɔku tɛm i nɔ kin fayn fɔ tek ayodin sɔpɔtmɛnt ɔ ɔda sɔpɔtmɛnt dɛn we nɔ gɛt dɔktɔ advays. Dɛn kin du mɔ bad pas gud.

Wetin na de lukin-grɔn fɔ dis sik? (Prɔgnosis) .

di prכgnosis fכ gal ston de dipכnt pan in tכp εn di kכz.

Wan simpul goiter gɛt gud lukin-grɔn. Bɔt if di tayroyd gland kɔntinyu fɔ big, i kin push di tisu dɛn we de rawnd am, ɛn dis kin mek i nɔ izi fɔ blo, swɛla, ɛn i kin mek pɔsin ala lawd wan.

If goiter na sayn fɔ ɔda tayroyd sik, lɛk Graves’ disease ɔ Hashimoto’s disease, de lukin-grɔn dipen pan di ɔndalayn kɔz fɔ yu tayroyd big.

Ustɛm a fɔ go to dɔktɔ bɔt mi galston dɛn?

Fɔ ɛni rizin, if dɛn dɔn no se yu gɛt goiter, i rili impɔtant fɔ go to dɔktɔ ɔltɛm (at least wan tɛm insay di ia) fɔ wach am.

If yu gɛt ɛni nyu sayn, tɔk to yu dɔktɔ.

Yu tayroyd na wan rili impɔtant gland na yu ɛndokrin sistɛm, we de afɛkt bɔku tin dɛn na yu bɔdi. Tayroyd we big kin bi sayn fɔ wan ɔndalayn tayroyd kɔndishɔn. Di gud nyus na dat, dɛn kin trit gota ɛn sɔntɛnde i kin go fɔ dɛnsɛf. If yu notis se wan smɔl smɔl tin de na yu nɛk, tɔk to yu dɔktɔ. I kin chɛk fɔ si if na goiter ɛn wetin de mek i gɛt am.

Faynal Mɛsej fɔ Tek-Hom

Okay, so frɔm wetin wi dɔn tɔk bɔt, a op se yu dɔn gɛt bɛtɛ ɔndastandin bɔt Goiter. Fɔ sɔmtin:

• Goiter na we di tayroyd gland de swel. Dis kin gɛt bɔku tin dɛn we kin mek i apin.
• If yu notis ɛnitin lɛk fɔ swel na yu nɛk, i nɔ izi fɔ swɛla, i nɔ izi fɔ blo, ɔ yu vɔys chenj, mek shɔ se yu go to dɔktɔ.
• Nɔto ɔl gal ston nid tritmɛnt, bɔt i impɔtant fɔ fɛn di kɔz ɛn go to tritmɛnt if nid de.
• Pan ɔl we ayodin we nɔ de na di wɔl na big tin we kin mek pɔsin gɛt ayodin, di tin nɔ kin apin so na wi kɔntri bikɔs ɔf di sɔl we gɛt ayodin.
• Nɔ ɛva tek tayroyd ɔmon ɔ ayodin pils we yu nɔ gɛt dɔktɔ advays.
• If yu gɛt goiter, i rili impɔtant fɔ mek yu de du ɛgzam fɔ fala yu ɔltɛm lɛk aw yu dɔktɔ tɛl yu.

Natin nɔr de fɔ frayd, dɛn kin ebul fɔ kɔntrol dɛn sik ya fayn fayn wan ɔnda di rayt mɛrɛsin gayd.