Yu kin fil se yu de taya ɛn yu de taya mɔ ɛn mɔ ɛvride? Apat frɔm di pen na yu bɛlɛ ɛn nɔys, sɔntɛnde yu kin gɛt wan strenj krayv fɔ it tin dɛn we gɛt sɔl? Pan ɔl we dɛn tin ya kin tan lɛk nɔmal tin, sɔntɛm biɛn dis na wan kɔndishɔn we wi nɔ yɛri bɔku bɔt, bɔt we wi nid fɔ manej fayn fayn wan. Tide wi de tɔk bɔt wan pan dɛn kayn sik ya, we na di sik we dɛn kɔl Addison.
Wetin rili na di sik we dɛn kɔl Addison’s Disease?
Fɔ tɔk am simpul wan, di sik we dɛn kɔl Addison na wan sik we nɔ de mɛn we kin apin we di adrenal gland dɛn na wi bɔdi nɔ de mek tu impɔtant ɔmon dɛn we na kɔtisol ɛn aldosterone .
Naw yu go de wɔnda wetin na di adrenal gland dɛn. Dis na tu smɔl smɔl triangul gland dɛn we de sidɔm lɛk kap pan wi kidni dɛn. Dɛn na impɔtant pat pan wi bɔdi in ɛndokrin sistɛm.
- Kɔtisol: Dis ɔmon impɔtant fɔ wi layf. Imajin we yu sik, gɛt aksidɛnt, ɔ du ɔpreshɔn, yu bɔdi kin fil bɔku strɛs. Dɛn kayn tɛm ya, di kɔtisol ɔmon kin ɛp di bɔdi fɔ bia wit da strɛs de. Nɔto dat nɔmɔ, bɔt i de ɛp bak fɔ kɔntrol di blɔd prɛshɔn, di at wok, di imyun sistɛm, ɛn di shuga we de na di blɔd.
- Aldosterone: Dis ɔmon de mek di sɔdiɔm (sɔl) ɛn potashɔm we de na wi blɔd balans. I de kɔntrol bak ɔmɔs wata we wi kidni dɛn de pul as urine. Dis kin afɛkt wi blɔd volyum ɛn wi blɔd prɛshɔn dairekt wan.
Dɛn kin kɔl am bak di sik we dɛn kɔl Addison’s disease praymari adrenal insufficiency . Wan ɔda tin de we gɛt fɔ du wit dis we dɛn kɔl sɛkɔndari adrenal insufficiency . pan dis kכndyushכn, di pituitary gland na di bren nכ de prodyuz inof כmon we dεn kכl ACTH . dis כmon, ACTH, de mek di adrenal gland dεm fכ mek kכtisol.
Wetin na di difrɛns bitwin di sik we dɛn kɔl Addison ɛn di sik we dɛn kɔl Cushing?
Nɔ kɔnfyus di tu. I rili simpul.
- Di sik we de na di sik: Kɔtisol (ɛn aldosterone) nɔ de na di bɔdi.
- Cushing’s Syndrome: Di kɔtisol de bɔku na di bɔdi.
Udat kin gɛt dis sik pas ɔlman?
Pan ɔl we di sik we dɛn kɔl Addison kin apin pan ɛni ej, i kin bɔku pas ɔl di ɔda wan dɛn we ol bitwin 30 ɛn 50 ia.Na midul pipul dɛn. Dis na tin we nɔ kin apin so ɔltɛm.
Dɔn bak, pipul dɛm wae gɛt sɔm ɔtoimyun sik dɛm kin gɛt bɔrku risk fɔ gɛt am. Autoimyun sik na we wi bɔdi in yon imyun sistɛm mistek atak wi yon wɛlbɔdi sɛl dɛn. Pipul wae gɛt dis sik kin gɛt bɔrku risk fɔ gɛt dis sik:
- Tayp I dayabitis
- Anemia we kin pwɛl pɔsin in bɔdi
- Grevs in sik
- Tayroyditis we nɔ de mɛn
- Dɛmatitis hɛpɛtifɔmis
- Vitiligo we gɛt di sik
- Myasthenia gravis we gɛt di sik
Wetin na di sayn dɛm fɔ Addison in sik?
pan dis sik, di damej pan di adrenal gland dεm kin apin sכmtεm, as tεm de go. So, di sayn dɛm kin apia smɔl smɔl. Dɛn sayn ya kin difrɛn frɔm wan pɔrsin to ɔda pɔrsin.
| Di sayn we de sho se di sik de | Tɔk bɔt |
|---|---|
| Fɔ fil bɔku tɛm fɔ taya pasmak | Dis na kɔmɔn sayn ɛn i de go ɔp smɔl smɔl. |
| Dak spat na di skin (Hyperpigmentation) . | Di skin we dak, mɔ na wund, skata, skin fold (ɛlbo, ni), ɛn gam. |
| Bɛlɛ de pen, nɔs, ɛn vɔmit | Prɔblɛm dɛn we de na di dijestiv sistɛm. |
| Blɔt (dayarɛa) . | Bɛlɛ kramp ɔltɛm wit dayarɛa. |
| I nɔ kin want fɔ it ɛn i nɔ kin gɛt bɔku bɔku bɔdi | We yu de lɔs yu wet ɛn yu nɔ go want fɔ it fɔ no rizin. |
| Mɔsul ɛn jɔyn pen | Kכndishכn dεm lεk bכdi pen εn mכsul dεm we de spam. |
| Lɔw Blɔd Prɛshɔn | Fɔ fil diziz ɛn fɔdɔm we yu tinap. |
| Fɔ want sɔl pasmak | Wan sayn we de kam bikɔs di sɔl lɛvɛl na di bɔdi de go dɔŋ. |
| Lɔw blɔd shuga (Hypoglycemia) . | Sɔm kayn sik lɛk aw yu bɔdi kin at ɛn yu kin swet kin apin. |
| Di chenj dɛn we pɔsin kin gɛt na in maynd | Vɛks, pwɛl hat, ɛn i nɔ kin izi fɔ pe atɛnshɔn pan sɔntin we yu nɔ kin ɛksplen. |
If uman dɛn gɛt dis sik, dɛn kin gɛt sɔm sayn dɛn bak lɛk we dɛn nɔ kin gɛt mɔnt ɔltɛm, dɛn bɔdi ia kin lɔs, ɛn dɛn nɔ kin want fɔ du mami ɛn dadi biznɛs igen.
Imejɛnsi: Wetin na Addisonian Krays?
Sɔmtɛm, mɔ di tɛm we di bɔdi de strɛs bad bad wan (e.g., siriɔs sik, aksidɛnt), di sayn dɛm kin wɔs wantɛm wantɛm ɛn kin mek pɔsin in layf de pan denja. Dɛn kɔl dis Addisonian crisis ɔ akyu adrenal failure .
Dis na mɛdikal imejensi. If dɛn nɔ trit am fayn, i kin mek pɔsin shɔk ɛn ivin day.
If yu ɔ pɔsin we yu sabi gɛt dɛn sik ya, kɛr am go na di ɔspitul we de nia yu in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
| Wonin sayn dɛm fɔ Addisonian kraysis | |
|---|---|
| 1. 1. 1. . | Wantɛm wantɛm, i kin taya pasmak ɛn i kin wik. |
| 2. 2. . | Wantɛm wantɛm, i kin pen bad bad wan na di bɛlɛ we de dɔŋ, di bak, ɔ di leg dɛn. |
| 3. 3. . | Bɔku bɔku vɔmit ɛn dayarɛa, we kin mek yu nɔ gɛt wata na yu bɔdi. |
| 4. 4. . | Blɔd prɛshɔn de drɔp tumɔs. |
| 5. 5. . | Fɔ fil se yu gɛt kɔnfyushɔn na yu maynd, yu nɔ de rɛst, ɔ yu de fred. |
| 6. 6. . | Nɔbɔdi nɔ kin no natin. |
Wetin kin mek pɔsin gɛt Addison in sik?
Di men tin we kin mek pɔsin gɛt Addison in sik na di ɔtoimyun rεspכns . Fɔ tɔk am simpul wan, wi bɔdi in yon difɛns sistɛm (di imyun sistɛm) kin mistek atak wi yon wɛlbɔdi tisu dɛn. insay dis sik, di imyun sistεm de atak di כta pat pan di adrenal gland dεm (di adrenal kכtεks). Dis na di say we dɛn kin mek kɔtisol ɛn aldosterɔn. Di sayn dɛm nɔ kin apin te lɛk 90% pan dis damej dɔn apin. Dis kin tek sɔm mɔnt, ɔ ivin sɔm ia. Dis na di kɔz fɔ 75% pan di sik pipul dɛm na Addison.
Trade, TB na bin di men tin we kin mek dɛn gɛt dis, ɛn i stil de mek dɛn gɛt dis na di divɛlop kɔntri dɛn.
Ɔda rizin dɛn de we nɔ kin apin:
- Infεkshכn dεm lεk HIV/AIDS εn fכn infεkshכn.
- di kεnsar sεl dεm we de spre frכm כdasay to di adrenal gland dεm.
- Blɔd we de kɔmɔt na di adrenal gland dɛn (blɔd de kɔmɔt).
- Ɔpreshɔn fɔ pul di adrenal gland dɛn.
- Sik dɛm lɛk amyloidosis.
Aw dɔktɔ kin no bɔt dis sik?
Bikɔs di sayn dɛn kin apin smɔl smɔl ɛn i kin apin to bɔku ɔda sik dɛn, i kin tranga fɔ no dis sik kɔrɛkt wan.
Bɔku tɛm, dɔktɔ kin dawt we di blɔd tɛst we dɛn kin du ɔltɛm sho se di sodium nɔ bɔku ɔ di potashɔm bɔku na di blɔd. Dak spat na di skin na ɔda big sayn we kin mek pɔsin sɔprayz dis.
If yu dɔktɔ sɔprayz se yu gɛt Addison in sik bay di sayn dɛm we yu gɛt, dɛn go ɔda fɔ du sɔm ɔda tɛst fɔ no if yu gɛt di sik.
- Blɔd tɛst: Dɛn tin ya de mɛzhɔ di lɛvɛl we sɔdiɔm, potashɔm, kɔtisol, ɛn ACTH ɔmon dɛn de na yu blɔd.
- ACTH stimulashכn tεst: Dis involv fכ injεkt wan sεntetik ACTH כmon εn fכ luk if yu adrenal gland dεm de prodyuz kכtisol fכ ansa. di lכw kכtisol lεvεl kin sho se di gland dεm nכ de wok.
- Insulin-induced hypoglycemia test: Dis kin chɛk fɔ si if yu prɔblɛm gɛt fɔ du wit di pituitary gland.
- CT skan: Dis kin chɛk fɔ si if di adrenal gland dɛn dɔn pwɛl ɔ if i gɛt infɛkshɔn.
Wetin na di tritmɛnt dɛm fɔ dis?
Dɛn kin trit di sik we dɛn kɔl Adisɔn bay we dɛn de chenj di ɔmon dɛn we nɔ de na di bɔdi wit sɔm mɛrɛsin dɛn we dɛn mek.
- Dɛn kin gi wan mɛrɛsin we dɛn kɔl haydrokɔtizɔn instead ɔf kɔtisol.
- Dɛn kin tek wan mɛrɛsin we dɛn kɔl fludrocortisone .
Adisin sik na wan sik wae nɔr de dɔn, so yu go gɛt fɔ tek dɛn mɛrɛsin ya fɔ di res ɔf yu layf .
Di doz fɔ dis mɛrɛsin kin difrɛn frɔm wan pɔsin to ɔda pɔsin. Dɔn bak, yu dɔktɔ kin inkrisayz di doz fɔ di mɛrɛsin fɔ mek yu nɔ gɛt Addisonian kraysis if yu gɛt strɛs, lɛk infekshɔn, aksidɛnt, ɔ ɔpreshɔn.
If yu gɛt Addison in sik, aw yu kin tek kia ɔf yusɛf?
If yu gɛt dis sik, i rili impɔtant fɔ tek kia ɔf yusɛf.
- Ɔltɛm wɛr ID kad ɔ mɛdikal alert breslɛt so dat di mɛdikal pɔblisha dɛn go no bɔt yu kɔndishɔn if ɛnitin apin.
- Tɔk to yu dɔktɔ bɔt wetin fɔ du we yu sik ɔ we yu gɛt bɔku strɛs, bikɔs yu go nid fɔ ajɔst di we aw yu de tek di mɛrɛsin dɛn tɛm lɛk dis.
- Fɔ wan imejensiAks yu dɔktɔ bɔt aw fɔ kip kɔtisol injɛkshɔn na yu an ɛn tich yu famili aw fɔ gi yu am.
Ustɛm yu fɔ go to yu dɔktɔ?
If yu gɛt Addison in sik, yu fɔ go to yu dɔktɔ (bɔku tɛm na endocrinologist) ɔltɛm fɔ mek shɔ se di mɛrɛsin we yu de gi yu fayn fɔ yu.
If yu gɛt wan big tin we de mek yu strɛs, lɛk aksidɛnt, sik, ɔ pɔsin we yu lɛk day, kɔl yu dɔktɔ bikɔs yu go nid fɔ chenj di doz fɔ yu mɛrɛsin.
If di sayn dɛm fɔ wan Addisonian krɛse (lɛk fɔ wik pasmak wantɛm wantɛm, fɔ gɛt siriɔs pen) apin, go na di ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm fɔ gɛt mɛrɛsin.
We yu no se yu gɛt sik we nɔ de dɔn, dat kin mek yu fil bad. Bɔt di gud nyus na dat, dɛn kin ebul fɔ mɛn Adisin in sik fayn fayn wan wit mɛrɛsin. If yu de go to yu dɔktɔ ɔltɛm, tek di rayt mɛrɛsin, ɛn kia fɔ yusɛf, yu go ebul fɔ liv fayn ɛn nɔmal layf.
Mɛsej we dɛn kin kɛr go na os
- Di sik we dɛn kɔl Addison na wan sik we nɔ kin apin so ɔltɛm, we kin mek di adrenal gland dɛn nɔ de mek inof ɔmon dɛn we dɛn kɔl kɔtisol ɛn aldosterɔn.
- Di men sayn dɛm na we pɔsin kin taya mɔ ɛn mɔ, dak pat na di skin (espɛshali usay di skin kin fold), ɛn i kin want fɔ it tin dɛn we gɛt sɔl pasmak.
- Addisonian kraysis na wan mɛdikal imejensi we kin mek yu layf de pan denja, ɛn if yu gɛt di sik, yu fɔ go wantɛm wantɛm na ɔspitul in imejensi dipatmɛnt (ETU).
- Fɔ trit yu nid fɔ gɛt tritmɛnt fɔ riples di ɔmon fɔ ɔl yu layf.
- If yu fala di rayt advays we dɔktɔ gi yu ɛn tek yu mɛrɛsin dɛn jɔs lɛk aw dɛn tɛl yu fɔ du, yu go ebul fɔ liv fayn ɛn nɔmal layf.
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