Yu kin fil taya bak ɔltɛm? Yu skin dɔn chenj in kɔlɔ? Yu tink se na Adisin in Sik?

Yu kin fil bak se yu taya ɛn taya ɔl di de fɔ natin? Yu fil se yu nɔ gɛt ɛni trɛnk? Ɔ yu de lɔs yu wet wit yu nɔ want fɔ it? Pan ɔl we bɔku tɛm wi kin tink bɔt dɛn tin ya as nɔmal taya, sɔntɛnde dis kin bi sayn fɔ sɔntin we rili siriɔs. Na dat na di kɔndishɔn we wi de tɔk bɔt tide, we na Addison’s Disease. Nɔ wɔri, wi go tɔk bɔt ɔltin insay simpul wɔd dɛn.

Fɔ tɔk am simpul wan, wetin na Addison’s Disease?

Imajin se wi bɔdi na faktri we rili kɔmpleks ɛn we wɔndaful. Insay dis faktri, wan grup de we gɛt kemikal mɛsenja dɛn we de mek ɔltin balans ɛn wok fayn fayn wan. Wi kin kɔl dɛn ɔmon . Jɔs ɔp wi kidni dɛn, tu smɔl smɔl gland dɛn de, wi kin kɔl dɛn di adrenal gland dɛn . Dɛn tu smɔl smɔl gland dɛn ya kin mek difrɛn kayn ɔmon dɛn we rili impɔtant fɔ wi layf. So, if fɔ sɔm rizin dɛn adrenal gland ya nɔ ebul fɔ mek di ɔmon dɛn we dɛn nid, na dat wi kin kɔl Addison’s Disease ɔ Primary Adrenal Insufficiency. Dis na tin we nɔ kin apin so ɔltɛm. I kin afɛkt lɛk wan pan ɛvri milyɔn pipul dɛn. Bɔt di bɛst tin na dat if dɛn no di sik kɔrɛkt wan ɛn tek di tritmɛnt we dɔktɔ tɛl yu fɔ du, yu kin liv nɔmal layf ɛn nɔ gɛt ɛni prɔblɛm.

Lɛ wi lan bɔt tu pan di ɔmon dɛn we impɔtant pas ɔl.

Tu men kayn ɔmon de we de ridyus na di bɔdi we de pan di sik we dɛn kɔl Addison. 1. Kכtisol: dεn kכl dis bak di 'strεs כmon'. Dɛn kin yuz dis ɔmon fɔ rɛdi di bɔdi fɔ dil wit strɛs, ilɛksɛf na maynd ɔ bɔdi. Apat frɔm dat, i kin ɛp fɔ kɔntrol blɔd prɛshɔn ɛn aw di bɔdi de yuz prɔtin, kabɔhaydrɛt, ɛn fat. 2. Aldosterone: Dis כmon de kכntro di sכlt (sodium) εn potashכm lεvεl na di bכdi tru wi kidni dεm. If dɛn nɔ du dis fayn, di sɔl we de na di bɔdi kin go dɔŋ ɛn di blɔd prɛshɔn kin bigin fɔ go dɔŋ.

Wetin na di sayn dɛm fɔ Addison in sik?

De sayn dɛm fɔ dis sik kin apia smɔl smɔl, smɔl smɔl. So, sɔntɛnde, i kin tek tɛm fɔ no di sik. Bikɔs bɔku pan dɛn sik ya tan lɛk ɔda sik dɛn, i rili impɔtant fɔ go to dɔktɔ fɔ no di kɔrɛkt tin .

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

Di men ɛn kɔmɔn tin we kin mek dis apin na wan sik we pɔsin kin gɛt we i de fɛt insɛf . Fɔ tɔk am simpul wan, di difɛns sistɛm na wi bɔdi (immune system) kin mistek atak ɛn pwɛl wi yon adrenal gland dɛn. Dis na di kɔz fɔ lɛk 70% pan di kes dɛm. Apat frɔm dat, ɔda tin dɛn kin de we kin mek i apin.

• Infɛkshɔn dɛn: Tubakulosis , .Siriɔs, lɔng tɛm infekshɔn, lɛk HIV ɛn sɔm fɔngal infɛkshɔn, kin pwɛl di adrenal gland dɛn .
• Kεnsar: Kansa sεl dεm we kכmכt frכm כdasay kin spre to di adrenal gland dεm (dis nכ kin bכku).
• Blɔd we de kɔmɔt insay di bɔdi: Blɔd we de kɔmɔt insay di adrenal gland dɛn.
• Jɛnɛtik tin dɛm: Risk de bak fɔ gɛt dis sik bikɔs ɔf sɔm jɛnɛtik kɔndishɔn dɛm.
• Ɔpreshɔn: Tin dɛn lɛk ɔpreshɔn fɔ pul di adrenal gland dɛn.

Aw dɔktɔ kin no bɔt dis sik?

We yu go to dɔktɔ, i go tek tɛm lisin to yu sik dɛn ɛn chɛk yu bɔdi, mɔ fɔ luk fɔ ɛni dak dak kɔlɔ na yu skin ɛn yu gam. Dɔn, dɛn go du sɔm tɛst fɔ kɔnfirm di diagnosis.

• Blɔd tɛst: Dɛn tin ya kin chɛk di lɛvɛl we sɔdiɔm (sɔl), potashɔm, ɛn kɔtisol ɔmon dɛn de na di bɔdi. Insay di sik we dɛn kɔl Addison, di sɔdiɔm lɛvɛl kin smɔl ɛn di potashɔm lɛvɛl kin bɔku.
• ACTH stimulation test: Dis na di men tɛst we dɛn kin yuz fɔ no di sik. Insay dis tɛst, dɛn kin gi wan ɔmon we dɛn kɔl ACTH, we kin kɔmɔt na di bren, as injɛkshɔn, dɔn dɛn kin mɛzhɔ di kɔtisol lɛvɛl na di blɔd. Insay pɔsin we gɛt wɛlbɔdi, di kɔtisol lɛvɛl kin bɔku. Bɔt pan pɔsin we gɛt Addison in sik, di adrenal gland dɛn nɔ de wok, so di kɔtisol lɛvɛl kin stil smɔl.
• Ɔda tɛst dɛn: Sɔntɛnde dɛn kin du CT skan fɔ chɛk if infɛkshɔn, kansa, ɔ blɔd de kɔmɔt na di adrenal gland dɛn.

Tritmɛnt ɛn manejmɛnt

Di sik we Addison gɛt na we di ɔmon dɛn we nɔ de na di bɔdi, ɛn di tritmɛnt na fɔ gi di ɔmon dɛn we nɔ de na di bɔdi na do. Dis na sɔntin we pɔsin fɔ du ɔl in layf.

• Hydrocortisone tablets: Dɛn fɔ tek dɛn tin ya ɛvride fɔ tek di ples fɔ di kɔtisol ɔmon.
• Fludrocortisone tablets: Dɛn fɔ tek dɛn tin ya ɛvride fɔ tek di ples fɔ di ɔmon we dɛn kɔl aldosterone.

If yu gɛt strɛs, lɛk infekshɔn, ɔpreshɔn, ɔ aksidɛnt, yu go nid fɔ ad di doz fɔ dis mɛrɛsin. Yu dɔktɔ go tɛl yu bɔt dis.

Di kɔmplikeshɔn we denja pas ɔl: Addisonian Crisis

Dis na di imejensi wae kin pasmak ɛn wae kin mek pɔrsin in layf de pan denja wae kin apun pan Addison in sik.. we di bכdi de כnda siriכs strεs (e.g., big infεkshכn, aksidεnt, כpεrayshכn), di bכdi nכ kin ebul fכ bia biכs di כmon lεvεl dεm lכw. Dɔn di sayn dɛn kin rili bad wantɛm wantɛm. Di sayn dɛm fɔ wan Addisonian kraysis:

• Wantɛm wantɛm , bad bad pen na in bak, bɛlɛ, ɔ leg
• Bɔku bɔku vɔmit ɛn dayarɛa, we kin mek yu nɔ gɛt wata na yu bɔdi
• Shok we pɔsin kin gɛt bikɔs in blɔd prɛshɔn rili smɔl
• Lɔs fɔ no bɔt sɔntin
• Ay fiva ɛn wikɛdnɛs

If ɛni wan pan dɛn sayn ya apin, na mɛdikal imejensi. Dɛn fɔ kɛr di pɔsin go na di ɔspitul we de nia am na di Imejɛnsi Tritmɛnt Yunit (ETU) wantɛm wantɛm.