Yu no bɔt da smɔl bɔtaflay de we de na yu nɛk? Lɛ wi tɔk bɔt di tayroyd gland!

Yu dɔn ɛva tink bɔt di smɔl pat we tan lɛk bɔtaflay jɔs ɔnda di skin we de bifo yu nɛk? Dat na di tayroyd gland. Na wɔndaful pat pan wi bɔdi, bɔt stil impɔtant. Fɔ tɔk am simpul wan, dis smɔl bɔbɔ de kɔntrol bɔku pan di impɔtant tin dɛn we wi bɔdi de du.

Wetin na di tayroyd gland? Ɛn wetin na di ɛndokrin sistɛm?

Okay, lɛ wi ɔndastand fɔs wetin na dis tayroyd gland. A dɔn tɔk bifo tɛm, na smɔl gland we tan lɛk bɔtaflay . Fɔ tɔk di kɔrɛkt tin, i de bifo yu nɛk, jɔs dɔŋ yu winda paip. Dis na pat pan wi ɛndokrin sistɛm . Naw yu de aks, "Wetin na di εndokrin sistεm, dכkta?" Imajin, wi gɛt bɔku bɔku smɔl smɔl faktri dɛn na wi bɔdi. Dɛn faktri dɛn ya kin mek spɛshal kemikal dɛn we dɛn kɔl ɔmon . di netwok fכ dεn faktri dεm de na wetin wi kכl di εndokrin sistεm. Di ɔmon dɛn we dɛn gland ya de mek kin go dairekt insay di blɔd, travul ɔlsay na di bɔdi, ɛn kɛr mɛsej to difrɛn ɔgan dɛn, skin, ɛn mɔsul dɛn. Dɛn tan lɛk mɛsenja dɛn na wi bɔdi. Dɛn kin tɛl wi bɔdi wetin fɔ du ɛn ustɛm fɔ du am. Na sɔm ɔda gland dɛn we de pat pan wi ɛndokrin sistɛm:

• Hypothalamus we dɛn kɔl haypothalamus
• Pituitary gland we de na di bɔdi
• Paratayroyd gland dɛn
• Di adrenal gland dɛn we de na di bɔdi
• Pinal gland we dɛn kɔl pineal gland
• Pankrias we de na di bɔdi
• Ovaries (insay uman dɛn) .
• Testes (man) .

di men wok we di tayroyd gland de du na fכ kכntrכl wi mεtabolik rεt . "Mεtabolism" jכs min di prכsεs we di it we wi de it de kכnvכlt to enεji. Ɛni sɛl na wi bɔdi nid ɛnaji fɔ mek i ebul fɔ wok. Di tayroyd de kɔntrol aw kwik da ɛnaji de de kɔmɔt ɛn yuz am.

Jɔs tink bɔt, if yu tayroyd nɔ de wok fayn, i kin afɛkt yu wan ol bɔdi. So i rili impɔtant fɔ no bɔt dis.

Wetin de apin wit mi tayroyd?

as εndokrin gland, di tayroyd de mek εn kכl sεvεra כmon dεm. Dɛn tin ya na:

• Tayrɔksin (T4): .Dis na di men ɔmon we di tayroyd de mek. Bɔt i nɔ de afɛkt di mɛtabolism dairekt wan. afta T4 go insay di bכdi, i de kכnvכlt to T3 tru wan prכsεs we dεn kכl `deyodination`.
• Triiodothyronine (T3): di tayroyd de prodyuz sכm T3 pas T4. Bɔt na di T3 ɔmon we gɛt di big impak pan di mɛtabolism .
• Rivεs triiodothyronine (RT3): dis de prodyuz insay rili sכm sכm. RT3 de rivεs di akshכn we T3 de du.
• Calcitonin: Dis ɔmon de ɛp fɔ rigul di amount of calcium na wi blɔd.

Fɔ mek dɛn tayroyd ɔmon ya, di tayroyd gland nid wan tin we dɛn kɔl ayodin . Wi kin gɛt ayodin frɔm it (espɛshali sɔl we gɛt ayodin) ɛn wata. Di tayroyd gland de tek dis ayodin ɛn chenj am to tayroyd ɔmon. Tink bɔt am, if yu bɔdi gɛt tumɔs ɔ tu smɔl ayodin, i kin afɛkt di kayn ɔmon dɛn we i de mek na di tayroyd. Tayrɔyd ɔmon dɛn kin afɛkt tin dɛn lɛk:

• Aw wi bɔdi de yuz ɛnaji ( mɛtabolism ) .
• At rit we yu de bit
• We yu de blo
• Di we aw pɔsin de digest
• Di tɛmpracha na di bɔdi
• di bren divεlכpmεnt
• Di tin dɛn we pɔsin kin du na in maynd
• Skin ɛn bon mentenɛns
• Fɔ bɔn pikin

Us ɔda ɔgan ɛn gland dɛn gɛt fɔ du wit di tayroyd gland?

wi εndokrin sistεm na wan nεtwכk we rili kכmpleks. Bɔku gland ɛn ɔmon dɛn de wok pan signal frɔm ɔda gland ɛn ɔmon dɛn. Dɔn bak, sɔm ɔmon dɛn kin stɔp ɔda ɔmon dɛn. Wan rili kɔmpleks sistɛm de bak fɔ kɔntrol di lɛvɛl we di tayroyd ɔmon dɛn de na wi bɔdi. Fɔs, di haypothalamus we na wan pat pan wi bren, de pul wan ɔmon we dɛn kɔl tayroyd-rilis ɔmon (TRH). dis TRH de go fכ mek wan pat pan wi pituitary gland , we de rilis thyroid-stimulating hormone (TSH). afta dat dis TSH de mek di fכlikul sεl dεm na di tayroyd gland fכ prodyuz T4 εn T3 כmon dεm. Bɔt fɔ mek dis wok, i fɔ gɛt inof ayodin na di bɔdi. Di tayroyd gland ɛn in ɔmon dɛn kin afɛkt ɔlmost ɔl di sistɛm dɛn na wi bɔdi. Fɔ gi sɔm ɛgzampul dɛn:

• di kadyovaskul sistεm: di tayroyd de εp fכ rεgεl tin dεm lεk כl di bכdi we wi at de pכmp (kadyak autput), di at rεt, εn di trεnk we wi at de kכntrakt.
• Di nervɔs sistɛm: .We di tayroyd nɔ de wok fayn, sɔm sayn dɛn we gɛt fɔ du wit di nervɔs sistɛm kin apin. Fɔ ɛgzampul, yu kin gɛt swɛt , yu kin swɛt , yu kin fil pen, ɛn yu kin bɔn na sɔm say dɛn. Dɔn bak, if di tayroyd nɔr de wok fayn (haypothyroidism), pwɛl hat kin kam, ɛn if i dɔn bɔku (hyperthyroidism), wɔri kin kam.
• di dijestiv sistεm: di tayroyd de involv bak pan di we aw di it we wi de it de muv tru di dijestiv trakt (gastrointestinal motility).
• di rεprכdaktiv sistεm: If prכblεm de wit di tayroyd, uman dεn mεnstral saykl kin bi rεgulεr εn fεtiliti prכblεm kin apin.

Pɔsin kin liv witout tayroyd gland?

Yɛs, yu kin ebul. Bɔt yu go nid fɔ tek mɛrɛsin fɔ chenj di ɔmon fɔ di res ɔf yu layf fɔ mek yu gɛt wɛlbɔdi ɛn fɔ avɔyd di bad tin dɛn we kin apin to yu. Ɔpreshɔn fɔ pul di tayroyd gland, we dɛn kɔl tayroyd , na kɔmɔn ɔpreshɔn fɔ sɔm tayroyd sik dɛn.

Usay di tayroyd gland de? Wetin na in pat dɛn? Aw big i bi?

As a bin dɔn tɔk bifo tɛm, di tayroyd gland de bifo yu nɛk, jɔs ɔp yu briz paip (trachea) . I shep lɛk bɔtaflay – wit wan smɔl wan na di midul ɛn tu big wing dɛn we de spre na di tu say dɛn. Bɔrku tɛm nɔr kin si wan wɛl bɔdi tayroyd gland (i nɔr kin tan lɛk lump na yu nɛk), ɛn yu nɔr kin fil am if yu tɔch am wit yu finga na di fɔs pat na yu nɛk. di tayroyd gland gεt tu men pat dεm: di tu lכb dεm (lob dεm) εn di midul pat we de kכnεkt dεn tu lob dεm ya (tayroyd isthmus) . dis na tayroyd f כlikul sεl dεm (tayrosayt dεm), we de mek εn stכr tayroyd כ mon dεm (mεnli T3 εn T4), εn C-sεl dεm , we de mek di כmon kalsitonin. Di tayroyd gland lɔng lɛk 2 inch . Bɔku tɛm, dɛn nɔ kin si wan wɛlbɔdi tayroyd gland ɛn i kin kɔmɔt na di nɛk. Bɔt sɔm mɛrɛsin dɛn kin mek di tayroyd big. Dɛn kɔl dis wan goiter . Sɔm pipul dɛn kin kɔl am bak "goiter." If yu gɛt goiter, yu kin gɛt sɔm kayn sik lɛk dis:

• Wan swɛlin na di fɔs pat na di nɛk, jɔs dɔŋ di kɔlabɔn.
• Fɔ fil se yu trot tayt.
• Di vɔys kin chenj, fɔ ɛgzampul, i kin mek pɔsin ala lawd lawd wan.

Us sik ɛn kɔndishɔn dɛn kin afɛkt di tayroyd gland?

Bɔku kayn tayroyd sik de. Dɛn tin ya kin rili kɔmɔn. Dɛn se na lɛk 20 milyɔn pipul dɛn nɔmɔ na Amɛrika gɛt sɔm kayn sik we dɛn kɔl tayroyd. Uman dɛn kin gɛt tayroyd sik fayv to et tɛm pas man dɛn. Dɛn kin sheb di tayroyd sik mɔ to tu kayn: praymari ɛn sɛkɔndari .

• Insay praymari tayroyd sik, di sik kin bigin na di tayroyd gland insɛf.
• Insay sɛkɔndari tayroyd sik , di sik kin bigin na di pituitary gland. Fɔ ɛgzampul, if wan nodul de divɛlɔp pan yu tayroyd ɛn mek i mek tumɔs tayroyd ɔmon, na di praymar haypa tayroyd. Bɔt if tumbu kam na yu pituitary gland ɛn mek i mek tumɔs TSH, we de mek di tayroyd mek tumɔs ɔmon, na sɛkɔndari haypa tayroyd.

Fo men tin dεm de we de afekt di tayroyd gland:

• Hypothyroidism (tayroyd gland we nɔ de wok fayn) .
• Hyperthyroidism ( tayroyd gland we de wok pasmak) .
• Goiter ( tayroyd gland we dɔn big/goiter) .
• Tayrɔyd kansa

haypotayroydism - we di tayroyd gland nɔ de wok fayn

Dis kin apin we yu tayroyd gland nɔ de mek inof tayroyd ɔmon . Dis kin mek sɔm pan yu mɛtabolism slo. Dis na tin bak we pipul dɛn kin gɛt. Tritmɛnt dɛn de fɔ am. Bɔku tin dɛn de we kin mek pɔsin gɛt haypo tayroyd:

• Hashimoto in sik: Dis na `autoimmune` sik. Dis min se wi yon imyun sistɛm de atak di tayroyd.
• Tayroyd: Na inflamɛns na di tayroyd gland.
• Di ayodin we nɔ gɛt bɛtɛ ayodin.
• Di tayroyd nɔ kin wok fayn we dɛn bɔn am.
• Yuz pasmak mɛrɛsin fɔ aypa tayroyd.
• Ɔpreshɔn fɔ pul di tayroyd gland.

haypa tayroyd - we di tayroyd gland de wok pasmak

Dis kin apin we yu tayroyd gland de mek ɛn pul tumɔs tayroyd ɔmon . Dis kin mek sɔm pan yu mɛtabolism kwik kwik wan. Tritmɛnt dɛn de fɔ dis bak. Bɔku tin dɛn de we kin mek pɔsin gɛt aypa tayroyd:

• Graves in sik: Dis na ɔtoimyun kɔndishɔn bak.
• Tayrɔyd nodul dɛn.
• Tayroyditis we dɛn kin gɛt.
• Postpartum thyroiditis: Inflameshɔn na di tayroyd gland we kin apin afta dɛn bɔn pikin.
• Di ayodin we pasmak na di blɔd, ilɛksɛf na it ɔ mɛrɛsin.
• Yuz pasmak mɛrɛsin fɔ di haypothayroydism.
• wan tכmכro we nכ de kεnsar (benign) na di pituitary gland.

Goiter - we di tayroyd de big

Goiter na we di tayroyd gland de big. Dis na tin bak we nɔ kin apin so ɔltɛm. De tin wae kin mek yu gɛt dis sik kin difrɛn difrɛn wan fɔ di kayn goit:

• Simpul goiters: Dɛn tin ya kin apin we di tayroyd gland nɔ de mek inof ɔmon fɔ di bɔdi. Dɔn di tayroyd kin tray fɔ big fɔ kɔmpɛns di tin we nɔ de.
• Endemic goiters: Dɛn kin kam pan pipul dɛm wae nɔr kin gɛt inof ayodin frɔm dɛn it. Insay Sri Lanka, dis sik nɔ kin bɔku naw bikɔs wi kin ad ayodin to di sɔl we wi de it.
• Sporadic goiters: Bɔrku tɛm, no klia rizin nɔr kin de fɔ dis. Sɔntɛnde, dɛn kin kam bak bikɔs ɔf sɔm mɛrɛsin dɛn lɛk litiɔm.

Tayrɔyd kansa

Dis na kansa we de stat na di tayroyd tisu. Di tritmɛnt fɔ bɔku pan di tayroyd kansa dɛn kin rili wok fayn. Nɔ wɔri, i kin mɛn bɔku tɛm. Dɛn kin sheb tayroyd kansa akɔdin to di kayn sɛl we di kansa de kɔmɔt frɔm:

• Papillary: Na lɛk 80% pan di tayroyd kansa dɛn na dis kayn.
• Fɔlikul: na lɛk 15% na dis kayn.
• Medullary: Na lɛk 2%. Dis kin bi bak bikɔs ɔf wan jin we de chenj.
• Anaplastik: Na lɛk 2%. Dis kin tranga smɔl, bɔt nɔto kɔmɔn tin.

Wetin na di sayn dɛm wae de sho se yu gɛt tayroyd prɔblɛm kwik kwik wan?

Difrɛn kayn tayroyd sik dɛn kin gɛt difrɛn sayn dɛn. Bɔt bikɔs di tayroyd de ple big pat pan bɔku tin dɛn na wi bɔdi, lɛk di at rit, di mɛtabolism, ɛn kɔntrol di tɛmpracha, yu fɔ no bɔt dɛn sayn ya:

• Di at rit we de go dɔŋ ɔ we de go ɔp.
• Fɔ bi tin ɔ fat fɔ natin.
• I nɔ kin izi fɔ bia wit kol ɔ wam.
• Pwɛl hat ɔ wɔri.
• Menstrual saykl we nɔ de ɔltɛm na uman dɛn.

If yu gɛt wan ɔ mɔ pan dɛn sik ya, i go fayn fɔ mek yu go to dɔktɔ ɛn du blɔd tɛst fɔ chɛk aw yu tayroyd de wok.

Wetin na di kɔmɔn tɛst dɛm wae dɛn kin du fɔ chɛk di tayroyd wɛl bɔdi?

Di fɔs ɛn impɔtant tɛst fɔ chɛk yu tayroyd wɛlbɔdi na fɔ chɛk yu blɔd tɛst fɔ chɛk yu TSH (Thyroid-Stimulating Hormone) lɛvɛl. Dis kin gi yu wan aidia bɔt ɔl tu di haypo tayroyd ɛn haypa tayroyd. di nכmal rεnj fכ TSH bכdi tεst de bitwin 0.5 εn 5.0 mIU/L (milli-intanashכnal yunit dεm pan wan lita). Bɔt dis kin difrɛn smɔl frɔm wan lab to ɔda lab, i kin dipen pan tin dɛn lɛk yu ej ɛn di we aw yu gɛt bɛlɛ. So kɔmpia am to di valyu dɛn we de na yu ripɔt. Yu dɔktɔ kin chɛk yu T4 ɛn T3 (tayroyd ɔmon) lɛvɛl bak na yu blɔd. If yu tɛst rizɔlt nɔrmal, yu dɔktɔ kin ɔda fɔ mek dɛn skan yu tayroyd.Dɛn kin aks yu fɔ du ɔl tu CT skan (we de yuz smɔl, sef redioaktiv tin fɔ tek pikchɔ fɔ di tayroyd) ɔ tayroyd ɔltrasɔund .

Aw dɛn kin trit tayroyd sik dɛn?

Bɔku tritmɛnt dɛn de fɔ di sik we dɛn kɔl tayroyd. I dipen pan wetin de sik ɛn aw i bad. Tri men tritmɛnt dɛn de we yu kin yuz:

• Mɛrɛsin we dɛn kin gi
• Ɔpreshɔn
• Redyushɔn tɛrapi ɛn kemotɛrapi

Mɛrɛsin we dɛn kin gi

Mɛrɛsin fɔ sik dɛn we gɛt tayroyd:

• Antitayroyd mɛrɛsin: Dɛn mɛrɛsin ya kin stɔp di tayroyd fɔ mek ɔmon. Dɛn kin gi dɛn fɔ di wan dɛn we gɛt aypa tayroyd.
• Beta-blɔka: Dɛn mɛrɛsin ya kin kɔntrol di sayn dɛm we de sho se pɔsin gɛt aypa tayroyd (lɛk we pɔsin in at bit kwik kwik wan), bɔt dɛn nɔ kin mɛn di tayroyd sik insɛf.
• Redioaktiv ayodin: Dis mɛrɛsin kin pwɛl di tayroyd sɛl dɛn, ɛn leta i kin pwɛl di tayroyd gland. Na tritmɛnt fɔ aypa tayroyd ɛn tayroyd kansa.
• Tayroyd ɔmon mɛrɛsin: Dɛn wan ya na sɛntetik tayroyd ɔmon. Dɛn kin gi dɛn fɔ trit di sik we dɛn kɔl hypothyroidism. Pipul dɛn we dɛn dɔn pul tayroyd ɔ we dɛn tayroyd nɔ de wok bikɔs ɔf redioaktiv ayodin go gɛt fɔ tek dɛn mɛrɛsin ya fɔ di res ɔf dɛn layf.

Ɔpreshɔn

Di men ɔpreshɔn we dɛn kin du fɔ mek pɔsin gɛt tayroyd sik na fɔ pul tayroyd . Dis min se dɛn fɔ ɔpreshɔn di wan ol tayroyd gland. Tayroyd kɔt na tritmɛnt opshɔn fɔ tayroyd sik ɛn na di fɔs layn tritmɛnt fɔ tayroyd kansa. Wan ɔda ɔpreshɔn we dɛn kin du na fɔ pul di bɔdi we dɛn kɔl lobectomy , we dɛn kin pul wan pat pan di tayroyd nɔmɔ.

Redyushɔn tɛrapi ɛn kemotɛrapi

Dis na tritmɛnt opshɔn fɔ tayroyd kansa. Dɛn tu tritmɛnt ya kin kil di kansa sɛl dɛn ɛn stɔp dɛn fɔ gro. Bɔt bɔku pan di tayroyd kansa dɛn nɔ nid fɔ gɛt raytin ɔ kemotɛrapi.

Wetin na di tin dɛn we kin mek pɔsin gɛt tayroyd sik?

Tayrɔyd sik na kɔmɔn tin ɛn i kin ambɔg pipul dɛm wae gɛt ɛni ej. Bɔt sɔm tin dɛn kin mek yu gɛt tayroyd sik:

• Fɔ gɛt famili histri bɔt tayroyd sik (hereditary link).
• Fɔ gɛt wan sik we pɔsin kin gɛt we i de fɛt insɛf, lɛk tayp 1 dayabitis, rεumatoid at, ɔ lupus.
• Fɔ tek mɛrɛsin we gɛt tumɔs ayodin.
• Fɔ dɔn pas 60 ia, mɔ if yu na uman.

Aw a go mek mi tayroyd gɛt wɛlbɔdi?

Wetin yu nid fɔ mek yu tayroyd gɛt wɛlbɔdiDi men we na fɔ gɛt inof ayodin frɔm di it dɛn we yu de it. Di tayroyd nid ayodin fɔ mek di tayroyd ɔmon dɛn. Di gud nyus na dat bɔku pipul dɛn kin gɛt inof ayodin frɔm sɔl we gɛt ayodin ɛn it dɛn we dɛn ad ayodin. Ɔda it dɛn we gɛt ayodin:

• Chiz
• Kaw in milk
• Eg dɛn
• Yogɔt we yu kin yuz
• Si fish dɛn we de na di si
• Shelfish, lɛk krab ɛn shrimps
• Si-sid we de na di si
• Soya milk
• Soya sos we dɛn kin mek

Bɔt fɔ tek bɔku ayodin nɔ fayn ɛn i kin mek yu gɛt prɔblɛm bak. If yu gɛt ɛni kwɛstyɔn ɔr wɔri bɔt yu tayroyd wɛl bɔdi, nɔr shem fɔ tɔk to yu dɔktɔ.

Ustɛm a fɔ tɔk to dɔktɔ bɔt mi tayroyd?

If yu de gɛt sɔm sayn dɛm fɔ tayroyd sik, lɛk fɔ chenj yu wet, yu at rit, ɔr yu tɛmpracha , go to yu dɔktɔ. I kin du simpul blɔd tɛst fɔ si if na yu tayroyd de mek yu gɛt di sik.

Fɔ dɔn, tin dɛn fɔ mɛmba (Take-Home Message) .

Yu tayroyd na wan rili impɔtant gland na yu ɛndokrin sistɛm. I kin afɛkt bɔku tin dɛn na yu bɔdi. Tayrɔyd sik kin rili bɔku, ɛn dɛn kin trit am ɛn mɛn am bɔku bɔku wan.

If yu gɛt sayn dɛm wae gɛt fɔ du wit tayroyd sik, ɔr if yu want fɔ no if yu gɛt ɛni risk fɔ gɛt tayroyd sik, nɔr frayd ɔr shem fɔ tɔk to yu dɔktɔ. Dɛn de ya fɔ ɛp yu. Fɔ kia fɔ yu wɛlbɔdi na di tin we impɔtant pas ɔl!

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