Oh, yu dɔn ɛva fil taya we yu nɔ go ebul fɔ imajin, wit bɛlɛ we de at, ɛn fil se yu nɔ ebul fɔ du natin? Sɔntɛm sɔm pat dɛn na yu bɔdi kin luk dak smɔl? Dɛn tin ya nɔto rili simpul tin, dɛn kin bi sayn fɔ wan imejensi we dɛn kɔl adrenal crisis . Lɛ wi tɔk bɔt dis smɔl smɔl tide, bikɔs dis kin afɛkt layf bak.
Wetin mek dɛn kɔl dis adrenal kraysis? Wetin kin apin insay dis?
Fɔ tɔk am simpul wan, adrenal kraysis na siriɔs tin we kin apin we yu adrenal gland dɛn nɔ de mek di ɔmon we dɛn kɔl kɔtisol inof . Dis na rili di kayn we we kin rili bad fɔ mek pɔsin nɔ gɛt adrenal insufficiency , we na wan sik we fiba di sik we dɛn kɔl Addison . If yu sɔspɛkt se yu gɛt dis sik, i bɛtɛ fɔ go to dɔktɔ wantɛm wantɛm.
Naw luk, dɛn adrenal gland ya de ɔp wi kidni dɛn. Dɛn tan lɛk tu smɔl smɔl trayangul dɛn. Dɛn wan ya kin mek bɔku impɔtant ɔmon dɛn, lɛk kɔtisol . Ɔmon dɛn tan lɛk kemikal mɛsenja dɛn we de kɔdinɛt ɔl di wok dɛn we wi bɔdi de du. Dɛn kin travul tru di blɔd ɛn kɛr mɛsej to ɔl di pat dɛn na wi ɔgan, skin, ɛn mɔsul dɛm, we se, "Du dis ya, du dis ya, du dis ya dis tɛm."
Di ɔmon we dɛn kɔl kɔtisol de afɛkt ɔlmost ɔl di ɔgan ɛn tisu dɛn na wi bɔdi. Na sɔm pan di men tin dɛn we i kin du:
- I de kɔntrol aw wi bɔdi de du tin we wi strɛs.
- I de ɛp fɔ kɔntrol wi mɛtabolism.
- I de ridyus di inflamɛns na di bɔdi.
- I de mek di blɔd prɛshɔn rigul.
- I de kɔntrol di blɔd shuga lɛvɛl.
- I kin ɛp bak fɔ mek wi slip ɛn wek.
Dɛn kin kɔl dis bak Addisonian kraysis ɔ akyu adrenal kraysis .
Wetin mek dis adrenal kraysis na so imejensi?
Dis kin rili denja, bikɔs we adrenal kraysis apin, wi bɔdi nɔ kin gɛt bɛtɛ blɔd flɔ. Wi kɔl dis wan shɔk . Dis shok kכ ndyushכn kin bi siriכs kwik kwik wan εn i kin pwεl wi insay כgan dεm. If dɛn nɔ trit dɛn fayn, lɛk 20% pan di pipul dɛn we gɛt dis sik kin day. Dɔn bak, yu kin gɛt sik ɛn kɔma. Na dat mek dɛn kɔl dis imejensi.
Udat dɛn kin afɛkt mɔ pan dis sik? Aw i kɔmɔn?
Adrenal kraysis kin apin pan ɛni ej, bɔt i kin mɔs pan pipul dɛm wae ol bitwin 30 ɛn 50 ia.
Dis nɔto tin we nɔ kɔmɔn. Stɔdi dɔn sho se lɛk 42% pan di pipul dɛn we gɛt adrenal insufficiency go gɛt adrenal kraysis . Insay Amɛrika, di wan dɛn we gɛt adrenal insufficiency na lɛk 1 pan ɛvri 100,000 pipul dɛn. Sɔm stɔdi dɔn sho se lɛk 25% pan di pipul dɛm wae gɛt adrenal kraysis kin day. Na dat mek i impɔtant fɔ no bɔt dis.
Wetin na di sayn dɛm wae de sho se yu gɛt adrenal kraysis?
De men sayn wae de sho pan dis sik na:
- Bɛlɛ de at, ɔ pen na di bɛlɛ we de dɔŋ.
- Fɔ fil se yu de taya ɔltɛm, pasmak.
- Di it nɔ de te.
- Sɔm say dɛn na di skin we de dak (hyperpigmentation) .
- Fɔ fil se yu wik na yu bɔdi.
- Fɔ bi tin fɔ no rizin.
Apat frɔm dis, ɔda sayn dɛn kin de we de wɔn pɔsin:
- Di wata we nɔ de na di bɔdi.
- Rɔnbɛlɛ.
- Diziz, layt ed, layt ed, fɔdɔm, ɔr nɔr de no natin (koma).
- Fɔ gɛt fiva.
- Ed de at.
- Pen na di jɔyn dɛn.
- Di shuga we de na di blɔd we smɔl (di glukɔs we de na di blɔd smɔl).
- Lɔw blɔd prɛshɔn.
- Vɔmit ɛn nɔs.
- Fɔ blo kwik kwik wan.
- Hat rit kwik kwik wan.
If yu gɛt wan ɔr mɔr pan dɛn sik ya, nɔr tek am layt.
Wetin na di tin dɛn we kin mek pɔsin gɛt adrenal kraysis?
Dis kin bi bikɔs ɔf difrɛn tin dɛn we kin mek pɔsin strɛs. Na sɔm pan di men rizin dɛn:
- Nɔr fɔ trit fayn fayn wan sik wae dɛn kɔl adrenal insufficiency, lɛk Addison’s disease .
- Di adrenal gland we de pwɛl. Dat min se, tin dɛn lɛk adrenal gland sik ɛn ɔpreshɔn.
- Di wata we nɔ de na di bɔdi.
- wan kכndyushכn we dεn kכl haypopituitarism (we di pituitary gland de dכn dכn).
- Infεkshכn dεm. Imajin if yu bin gɛt bad kol ɔ ɔda sik.
- Wantɛm wantɛm we dɛn stɔp fɔ tek glukokɔtikoyd mɛrɛsin dɛn (lɛk prɛdnisɔn ) afta dɛn dɔn yuz am fɔ lɔng tɛm.
- Siriɔs strɛs pan maynd ɔ filin. Imajin if yu gɛt big prɔblɛm, yu at pwɛl, ɔ yu gɛt siriɔs prɛshɔn.
Aw dɛn kin no se pɔsin gɛt adrenal kraysis?
I kin tranga smɔl fɔ no bɔt am, bikɔs in sayn dɛn kin tan lɛk ɔda sik dɛn we kin kam pan pɔsin. Bɔt sɔm tɛst dɛn de we go ɛp dɔktɔ dɛn fɔ no di kɔrɛkt we aw i gɛt am:
- Adrɛnokɔtikotropik ɔmon (ACTH) blɔd tɛst
- Blɔd shuga tɛst (blɔd shuga tɛst) .
- Kɔtisol tɛst ( tɛst we de chɛk di kɔtisol lɛvɛl) .
- pH blɔd tɛst ( na tɛst we de sho aw di blɔd gɛt asid) .
- Potassium blood test ( na test we de chɛk di lɛvɛl we potassium de na di blɔd) .
- Sodium blood test ( na test we de chɛk di lɛvɛl we sodium de na di blɔd) .
Dɛn tɛst ya na wae de alaw dɔktɔ fɔ tɛl yu ɛksaktɔli if yu gɛt adrenal kraysis ɔr nɔr gɛt am.
Aw dɛn kin trit dis?
If yu sɔspɛkt se yu gɛt adrenal kraysis , yu dɔktɔ go bigin fɔ trit yu wantɛm wantɛm . Dis kin min fɔ gi yu haydrokɔtizɔn injɛkshɔn (we na haydrokɔtizɔn fɔsfɛt ɔ haydrokɔtizɔn sɔdiɔm suksinɛt ) ɛn salin sɔlvushɔn insay wan vein na yu an ɔ an yuz smɔl nidul ɛn tiub. Dɛn kɔl dis injɛkshɔn we dɛn kin put insay di bɛlɛ (IV) . Di haydrokɔtizɔn injɛkshɔn de wok bay we i de riples di kɔtisol ɔmon we yu bɔdi dɔn lɔs.
Impɔtant: Fɔ bigin dis tritmɛnt kwik kwik wan na di bɛst we fɔ sev pɔsin in layf.
If, ivin if na jɔs bay chans, yu sik na baktriyal infɛkshɔn, yu dɔktɔ kin gi yu antibayɔtik .
Dɔn bak, dɛn kin trit ɔda sayn dɛm wae kin apun wit dis adrenal kraysis . Fɔ ɛgzampul, if di wata nɔ de na di bɔdi ɔ di ilɛktrɔlayt nɔ balans (di sɔl we de na di bɔdi nɔ balans), dɛn kin gi am wata, spɔt drink, ɔ kokonat wata. If di blɔd shuga nɔ bɔku (haypoglycemia) , dɛn kin gi am it dɛn we gɛt kabɔhaydrɛt.
If yu nɔr ɛva gɛt adrenal kraysis bifo, yu dɔktɔ go du tɛst bak lɛk ACTH stimulation test fɔ no di kɔz.
Ɛni sayd ɛfɛkt de we di haydrokɔtizɔn injɛkshɔn kin gɛt?
Yɛs, lɛk ɔl di mɛrɛsin dɛn, sɔm smɔl smɔl sayd ɛfɛkt dɛn de. Bɔt we yu kɔmpia am to di kayn we aw adrenal kraysis kin tranga, bɔku tɛm dɛn kin telɛ dɛn tin ya. Sɔm pipul dɛn kin gɛt:
- Alɛji riakshɔn.
- Blak ɔ blɔd stɔl.
- Fiva.
- Trot de at.
- Kɔf.
- Di we aw pɔsin de fil kin chenj.
- Pen na di hip eria, bak, rib, an, sholda, ɔ leg.
If sɔntin lɛk dis apin, yu fɔ tɛl di dɔktɔ .
Dis haydrokɔtizɔn injɛkshɔn fayn fɔ uman dɛn we gɛt bɛlɛ?
Yɛs, if yu gɛt bɛlɛ ɛn yu gɛt adrenal kraysis , i nɔ bad fɔ gɛt haydrokɔtizɔn injɛkshɔn. dis mεdisin we dεn kכl haydrokכ tisכn nכ de kכros di plasεnta to di pikin.
Jɔs tink bɔt, if yu nɔr gɛt dis tritmɛnt, na risk to yu layf ɛn bak to di pikin in layf. So, e fayn fɔ gɛt tritmɛnt lɛk aw di dɔktɔ dɛn tɛl yu fɔ gɛt.
Aw kwik a go wɛl afta dɛn dɔn trit mi?
I kin tek 24 awa ɔr mɔr fɔ mek yu fil fayn afta yu dɔn gɛt tritmɛnt fɔ wan adrenal kraysis . I nid fɔ peshɛnt smɔl.
Aw fɔ mek yu nɔ gɛt adrenal kraysis?
If yu gɛt adrenal insufficiency , i impɔtant fɔ no bɔt di tin dɛn we kin mek yu strɛs we kin mek yu gɛt adrenal kraysis . Yu mɛmba di tin dɛm wae wi bin dɔn tɔk bɔt, lɛk strɛs, dɛhydration, infɛkshɔn, ɔr nɔr de tek yu glucocorticoid mɛrɛsin fayn fayn wan?
ɔpreshɔn ɛn bɛlɛ kin mek bak di adrenal insufficiency wɔs . So, yu fɔ tɛl yu dɔktɔ se yu gɛt dis sik bifo yu du ɔpreshɔn. If yu de plan fɔ bɔn pikin, tɔk to yu dɔktɔ bɔt dat bak.
Wan ɔda tin we rili impɔtant na fɔ kɛr yu mɛdikal ID kad, nɛks, ɔ breslɛt wit yu ɔltɛm we de sho aw yu sik. I fɔ tɔk klia wan us mɛrɛsin yu nid ɛn us doz yu nid. Dis infɔmeshɔn go ɛp di wan dɛn we de trit yu na imejensi fɔ gi yu di rayt tritmɛnt di rayt tɛm.
Chek yu wet ɔltɛm ɛn chɛk yu blɔd prɛshɔn. If yu de lɔs yu wet ɔ yu blɔd prɛshɔn tu ay ɔ tu smɔl, tɛl yu dɔktɔ .
Yu dɔktɔ kin gi yu kɔtisol injɛkshɔn fɔ tek we yu gɛt imejensi. I go tɛl yu ustɛm fɔ tek am ɛn aw fɔ tek am. Kip dis mɛrɛsin ɛn instrɔkshɔn fɔ yuz wit yu ɔltɛm. If yu wik tumɔs fɔ tek am we ɛnitin apin, tich yu fambul ɔ yu tayt padi aw fɔ tek am.
I fayn fɔ mek yu plan wit yu dɔktɔ bɔt wetin fɔ du if yu nɔ ebul fɔ tek haydrokɔtizɔn pils bikɔs yu de nɔs ɔ yu de vɔmit.
Wetin kin apin if yu gɛt adrenal kraysis? Wetin wi fɔ ɛkspɛkt?
If yu tink se yu gɛt adrenal kraysis , go to dɔktɔ wantɛm wantɛm. If yu tek tumɔs glukokɔtikoyd fɔ shɔt tɛm, i nɔ go du bɔku bad tin. Bɔt if yu nɔ gɛt tritmɛnt kwik, i kin kil yu. So nɔ tek dis na layt.
Bɔrku tɛm, pipul dɛm wae dɔn gɛt adrenal krɛse go gɛt fɔ tek haydrokɔtizɔn pils fɔ di res ɔf dɛn layf. I fayn fɔ gɛt sɔm ɛkstra mɛrɛsin na yu an ɔltɛm, jɔs fɔ mek yu sik ɛn nid mɔ.
Ustɛm a fɔ go to dɔktɔ?
If yu gɛt sayn dɛn fɔ se yu gɛt adrenal kraysis , go to dɔktɔ wantɛm wantɛm .
If yu gɛt big tin wae de mek yu strɛs – ilɛksɛf na injury, sik, ɔr siriɔs pwɛl hat – go to dɔktɔ. Yu go nid fɔ ajɔst di we aw yu de tek di mɛrɛsin.
Us kwɛstyɔn dɛn yu fɔ aks di dɔktɔ?
We yu go si dɔktɔ, i go fayn fɔ aks kwɛstyɔn dɛn lɛk dɛn wan ya:
- Aw yu go no ɛksaktɔli if a gɛt adrenal kraysis ?
- If a nɔ gɛt adrenal kraysis , us ɔda kɔndishɔn a go gɛt?
- Us tin we bin de mek a strɛs bin mek a gɛt prɔblɛm wit di adrenal ?
- Aw lɔng i go tek fɔ mek a wɛl?
- Us kayn mɛrɛsin yu kin advays?
- Aw a fɔ kip dis mɛrɛsin fayn fayn wan?
- Ɛni sayd ɛfɛkt de fɔ dis mɛrɛsin?
Aks dɛn kwɛstyɔn ya so dat yu go ɔndastand di tin we de apin to yu gud gud wan.
Wetin na di difrɛns bitwin Tayrɔyd Stom ɛn Adrenal Kraysis?
Pan ɔl we dɛn tu tin ya na imejensi, difrɛns de bitwin dɛn tu.
Tayrɔyd storm na di kayn sik we kin rili bad we dɛn kɔl tayrotoksikosis . Tayrotoxicosis na we yu bɔdi de mek tumɔs tayroyd ɔmon. di tayroyd gland we de na wi nεk de mek di כmon dεm we dεn kכl triiodothyronine (T3) εn thyroxine (T4) . Dɛn ɔmon ya kin kɔntrol tin dɛn lɛk wi bɔdi tɛmpracha, at rit, ɛn di we aw wi de du tin.
Bɔt, lɛk aw wi dɔn tɔk bɔt adrenal kraysis , na wan sik we kin mek pɔsin in layf de pan denja we di adrenal gland dɛn nɔ de mek inof kɔtisol .
Fɔ dɔn, tin dɛn we wi fɔ mɛmba
So, if yu gɛt adrenal insufficiency , ɔ if yu de gɛt sayn dɛn we de sho se yu gɛt adrenal kraysis , .Tɔk to dɔktɔ wantɛm wantɛm. Kwik tritmɛnt kin sev yu layf.
If yu gɛt adrenal crisis , yu go nid fɔ tek mɛrɛsin fɔ di res ɔf yu layf. Wok wit yu dɔktɔ fɔ no ɛnitin we de mek yu gɛt dis sik ɛn tray fɔ avɔyd dɛn as yu ebul. Yu layf valyu to yu, so tek kia ɔf am.
` Adrenal kraysis, kɔtisol, Addison in sik, ɔmon, adrenal gland, imejensi tritmɛnt, simptom dɛm
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