Yu gɛt dɛn sayn ya? Lɛ wi tɔk bɔt Cushing Syndrome!

Yu dɔn ɛva yɛri bɔt Cushing Syndrome? Di nem kin bi nyu tin to yu smɔl. Fɔ tɔk am simpul wan, na wan sik we kin apin we wi bɔdi de mek tumɔs pan di ɔmon we dɛn kɔl kɔtisol . Sɔm pipul dɛn kin kɔl am bak hypercortisolism. "Syndrome" na wan kɔlekɛshɔn fɔ di sayn dɛm wae kin kam togɛda. Yu go dɔn si am se sɔm pipul dɛn kin kɔl am Cushing’s syndrome.

So wetin na dis kɔtisol?

Kɔtisol na wan stɛroyd ɔmon we de na wi bɔdi. Bɔku tɛm wi kin kɔl am "stress hormone" bikɔs we wi de ɔnda strɛs, wi bɔdi kin pul mɔ kɔtisol. Insay dɛn tɛm ya, kɔtisol kin ɛp wi:

• Yu at de bit de go ɔp.
• Yu blɔd prɛshɔn de go ɔp.
• I de kɔntrol di blɔd shuga lɛvɛl.
• I de kɔntrol di we aw pɔsin de blo.
• I de mek di mɔsul dɛn tɛnsiɔn go ɔp.

nכto dat nכmכ, bכt we wi strεs, kכtisol de εp bak fכ sכt sכm tεm di sistεm dεm we nכ implεnt fכ wi bכdi da tεm de, fכ egzampl, di dijestiv sistεm εn di riprodaktiv sistεm.

Kɔtisol na impɔtant ɔmon fɔ wi bɔdi. Kɔtisol impɔtant fɔ dɛn tin ya:

• Mek yu kɔntinyu fɔ gɛt blɔd prɛshɔn.
• Rigul di blɔd shuga lɛvɛl.
• Ridyus di inflamɛns.
• Bil mɛmori dɛn.
• Kɔntrol di we aw yu de blo.
• Mek di sɔl balans na di bɔdi.
• Tɛn di it we wi de it to ɛnaji.

di kכtisol lεvεl dεm na tu sכm gland dεm we de tap wi kidni dεm, di adrenal gland dεm, di pituitary gland na di bren, εn di haypothalamus we de oba di pituitary gland.

Bɔrku tɛm na wan tumbu kin kam wit di sik we dɛn kɔl Cushing’s syndrome . Dis kin apin tu men we dɛn:

• εndojen: Dis min se na kכndishכn we kכtisol we de mek insay wi bכdi de kכz.
• Eksojen: Dis min se wan kכndyushכn de kכz fכ kכz dεm na do as sayd ifekt fכ sכm mεdikeshכn dεm we dεn tek fכ trit כda mεdikal kכndyushכn dεm.

Udat kin gɛt di sik we dɛn kɔl Cushing Syndrome?

Di sik we dɛn kɔl Cushing’s syndrome kin bɔrku pan pikin dɛm, yɔŋ pipul dɛm, ɛn big pipul dɛm. I kin pasmak pan pipul dɛm wae ol bitwin 25 ɛn 50. Pipul wae de tek mɛrɛsin wae gɛt kɔtisol (fɔ ɛgzampul, mɛrɛsin fɔ asma ɛn rεumatoid at at) kin gɛt dis sik. Na lɛk 70% pan di pipul dɛm wae gɛt dis sik na uman dɛm ɛn 30% na man dɛm.

Aw kɔmɔn tin dis kin apin?

Cushing’s syndrome na wan sik wae nɔr kin bɔrku , wae kin afɛkt bitwin 40 ɛn 70 pan ɔl wan milyɔn pipul dɛm ɛvri ia.

Wetin na di difrɛns bitwin Cushing Syndrome ɛn Cushing Disease?

Cushing in sik na wan kayn sik wae de kam wit Cushing’s syndrome. Na wan benign tumor we de na di pituitary gland kin mek am. Dis tכmכro de kכl tu mכch כmon ACTH (adrenocorticotropic hormone) . dis kin mek di adrenal gland dεm de kכtisol tu mכch.

Fɔ di wan dɛm wae gɛt Cushing’s syndrome, pas 70% pan di big pipul dɛm ɛn bitwin 60% ɛn 70% pan di pikin dɛm ɛn yɔŋ pipul dɛm gɛt dis kayn Cushing’s disease.

Us kayn dɔktɔ dɛn kin trit di sik we dɛn kɔl Cushing Syndrome?

Yu jenɛral prɛktishɔn go rifer yu to spɛshal dɔktɔ we dɛn kɔl ɛndokrinɔlɔjis fɔ no ɛn trit dis sik.

Yu tink se Cushing Syndrome kin kil pɔsin?

Yɛs, Cushing’s Syndrome kin kil pɔsin if dɛn nɔ trit am fayn. If dɛn nɔ trit am, dis ay kɔtisol lɛvɛl (hypercortisolism) kin mek yu gɛt difrɛn difrɛn wɛlbɔdi prɔblɛm dɛn. Fɔ ɛgzampul:

• Infεkshכn dεm
• Blɔd kin klɔt, mɔ na di lɔng ɛn leg
• Pwɛl at
• At atak
• We yu de gɛt mɔ wet
• Prɔblɛm fɔ mɛmba ɔ i nɔ kin izi fɔ pe atɛnshɔn pan sɔntin
• Ay blɔd prɛshɔn ɔ ay kɔlɔstrel
• Bɔn dɛn we dɔn brok
• Tayp 2 dayabitis, prediabetes, ɔr glukɔs we yu de fast we nɔ fayn

If dɛn nɔ trit am, di sik we dɛn kɔl Cushing’s syndrome kin ivin mek pɔsin day.

Wetin na de tin wae kin mek pɔrsin gɛt Cushing Syndrome?

Di sik we dɛn kɔl Cushing’s syndrome kin kam bikɔs di kɔtisol de bɔku na di bɔdi. Bɔku tin dɛn de we kin mek dis apin:

• Yuz Glucocorticoid Medications: Dɛn kin yuz glucocorticoid mɛrɛsin (fɔ ɛgzampul, prednisone) fɔ trit asma we nɔ de dɔn, rεumatoid at, lupus, sarcoidosis, ɛn bɔku ɔda sik dɛn we kin mek pɔsin gɛt sik dɛn we kin mek i gɛt inflamɛns we nɔ de dɔn. If yu tek dɛn mɛrɛsin ya fɔ lɔng tɛm, i kin mek yu gɛt "iatrogenic" ɔ exogenous Cushing syndrome. Di wɔd "iatrogenic" min se ɔda tin kin kɔmɔt frɔm mɛrɛsin.
• Pituitary tumors: Cushing syndrome ( we nɔ de inklud iatrogenic Cushing syndrome) na di pituitary tumors we de mek tumɔs ACTH, we na wan ɔmon we de tɛl di adrenal gland dɛm fɔ mek kɔtisol, ɛn i kin afɛkt 8 pan 10 pipul dɛm. Dɛn kɔl dis kayn sik we dɛn kɔl Cushing disease.
• di adrenal kכtikal tכmכro dεm: tכmכro we de divεlכp pan di adrenal gland kin mek tu mכch kכtisol. Dɛn tin ya kin bi benign tumor. Bɔt sɔm tɛm dis tɔŋ kin bi adrenal kɔtikal kansa, we na wan kayn adrenal kansa we nɔ kin apin so ɔltɛm.
• di tכmכro dεm na di lכng, pankrias, tayroyd εn taymus: we di tכmכro dεm we de na do na di pituitary gland de mek ACTH, dεn kכl am εktopik ACTH sεndrכm. Dɛn tumbu ya kin bi bad bad tin. Di wan we kin bɔku pan dɛn na smɔl sɛl kansa na di lɔng kansa.

Yu tink se Cushing Syndrome na frɔm in mama ɛn papa?

Bɔku tɛm, nɔ . Bɔrku pan di kes dɛm wae gɛt Cushing’s syndrome nɔr kin kɔmɔt frɔm dɛn mama ɛn papa.

Wetin na di sayn dɛm wae de sho se yu gɛt Cushing Syndrome?

Apat frɔm di sayn dɛm wae kin gɛt sɔm kayn sik wae de kam wit Cushing’s syndrome, sɔm kayn sayn dɛm de bak wae kin kam pan bɔrku ɔda sik dɛm. Nɔto ɔlman go gɛt di sem sayn. Dis na di sayn dɛm wae kin apun:

• di wet we yu de gεt kwik kwik wan na di fes (sכm pipul dεn kכl dis "mun fes"), di bεlε εria, di bak pat na di nεk (sכm pipul dεn kכl dis "bכfalo hכmp"), εn di chεst.
• Wan rɛd, rawnd fes.
• Wund dɛn kin tek tɛm fɔ wɛl.
• Ay blɔd prɛshɔn (haypa prɛshɔn).
• If yu ia gro pasmak na yu fes, yu nɛk, yu chɛst, yu bɛlɛ, yu bɔdi, ɛn yu shɔl, ɔ yu ia kin lɔs (bɔld).
• Shuga.

Ɔda sayn dɛn kin bi:

• di apinεns fכ pepul strεch mak dεm na di bכdi εria.
• I izi fɔ brus di an ɛn fut.
• Jɛnɛral wikɛdnɛs ɛn taya.
• Blɔr vishɔn ɛn diziz.
• Di mɔsul dɛn wik ɛn di limb dɛn we de west.
• Libido chenj ɛn erectile dysfunction na man dɛn.
• Pikin dɛn nɔ de gro fayn.

Aw lɔng Cushing Syndrome kin las?

Aw lɔng Cushing’s syndrome de te, de dipen pan aw yu de du tritmɛnt. Bɔrku pipul dɛm wae gɛt ay kɔtisol lɛvɛl (hypercortisolism) kin wɛl afta sɔm wiks wae dɛn dɔn trit dɛn.

Yu tink se Cushing Syndrome kin mek yu nɔr ebul fɔ blo fayn?

Nɔ.Fɔ shɔt brith nɔto wan kayn sayn fɔ di sik we dɛn kɔl Cushing’s syndrome.

Yu tink se Cushing Syndrome kin mek yu gɛt ɔstioporosis?

Yɛs. Cushing’s syndrome kin mek yu bon dɛn wik. Dis kin mek yu frakt, mɔ if yu dɔn gɛt dis sik fɔ lɔng tɛm. Bɔn dɛn we wik kin mek pɔsin fil pen bak.

Yu tink se Cushing Syndrome kin mek yu gɛt haypokalemia?

Hypokalemia na wan sik wae de potassium na yu blɔd nɔr de bɔku. Dis sik kin apun if yu gɛt Cushing’s syndrome.

Aw dɛn kin no se pɔsin gɛt Cushing Syndrome?

If yu dɔktɔ sɔspɛkt se di kɔtisol lɛvɛl bɔku (haypa kɔtisolism), sɔm gaydlain dɛn de we dɛn go fala. Dɛn go aks kwɛstyɔn, tek yu mɛdikal istri, du fyzikal ɛgzam, ɛn afta dat dɛn go ɔda sɔm lab tɛst. Dɛn kin wach yu bak fɔ sɔm tɛm.

Sɔntɛnde, i kin tranga smɔl fɔ no bɔt dis sik we dɛn kɔl Cushing. If yu tɛl yu dɔktɔ se yu taya ɛn yu de gɛt bɔku bɔku bɔdi, dɛn nɔ go tink bɔt di sik we dɛn kɔl Cushing’s syndrome wantɛm wantɛm. Dis na bikɔs dɛn sayn ya kin kam pan bɔrku difrɛn sik dɛm.

Dɔn bak, sɔm tɛm dɛn kin kɔnfyus di sik we dɛn kɔl Cushing’s syndrome wit polycystic ovary syndrome ɔ mɛtabolik sindrom . Yu dɔktɔ go nid fɔ pul ɔda sik dɛn fɔ mek yu no if yu gɛt di sik.

Us tɛst dɛn kin du fɔ no if pɔsin gɛt Cushing Syndrome?

Yu dɔktɔ kin du sɔm pan dɛn tɛst ya:

• 24 awa urinary cortisol test: Dis tεst de mכsu di amount of kכtisol na yu urine insay maykrogram (mcg). Yu dɔktɔ go aks yu fɔ gɛda yu urine fɔ 24 awa.
• Midnayt saliva kɔtisol tɛst: Nɔmal wan, di kɔtisol lɛvɛl kin rili smɔl na nɛt. dis tεst de chεk di kכtisol lεvεl bitwin 11 εn 12 am. If yu gɛt Cushing’s syndrome, yu kɔtisol lɛvɛl go abnɔmal wan da tɛm de.
• Lɔw-doz dɛksametazɔn sɔpreshɔn tɛst:Dexamethasone na wan mɛrɛsin we fiba kɔtisol. Fɔ dis tɛst, yu kin tek wan miligram (mg) pan dis mɛrɛsin bay yu mɔt na nɛt, dɔn dɛn kin mɛzhɔ yu kɔtisol lɛvɛl bitwin 8 ɛn 9 a.m. Dis blɔd tɛst de luk if yu adrenal gland dɛn dɔn ansa di dɛksametazɔn bay we i de ridyus di kɔtisol we dɛn de pul. If yu gɛt Cushing’s syndrome, yu kɔtisol lɛvɛl go bɔku.
• Blɔd tɛst: Blɔd tɛst de sho di lɛvɛl we ACTH de na yu blɔd. If di ACTH lɛvɛl smɔl, yu kin gɛt adrenal tumor. If di lɛvɛl nɔmal ɔ i ay, yu kin gɛt pituitary tumor ɔ ectopic tumor.
• di hεy doz dεksametazכn sכpreshכn tεst: Dis na di sem lεk di lכw doz dεksametazכn sכpreshכn tεst, bכt di doz na 8 miligram insted כf 1. Dis tεst kin bi afta di lכw doz tεst sho se di kכtisol lεvεl hכy na mכnin εn blכd tεst sho hכy lεvεl fכ ACTH na di bכdi. Dis tɛst kin ɛp fɔ no wetin de mek pɔsin gɛt di sik we dɛn kɔl Cushing. I kin ɛp fɔ no difrɛns bitwin wan pituitary adenoma (we dɛn kin kɔl bak Cushing’s disease) ɛn wan tumor ɔdasay na yu bɔdi (lɛk na di lɔng dɛm).

Wae yu dɔktɔ dɔn kɔnfirm se yu gɛt Cushing’s syndrome, di nɛks tin we yu fɔ du na fɔ no wetin de mek yu gɛt am. Bɔku tɛm, i kin bi mɛrɛsin ɔ tumor. If yu de tek glucocorticoids, dat go mɔs bi di kɔz, so yu dɔktɔ kin ridyus yu doz. If yu nɔ de tek glukokɔtikoyd, i kin sho se yu gɛt tumbu na yu adrenal gland, pituitary gland, ɔ ɔdasay. Yu dɔktɔ kin tɛl yu fɔ du imej stɔdi lɛk dis fɔ ɛp fɔ no usay di tumbu de:

• CAT skan (CT scan) ɔ MRI bɛlɛ: Yu dɔktɔ kin du CT skan ɔ MRI fɔ si if yu gɛt tumbu na yu adrenal gland dɛn. Dɛn kin du dɛn skan ya wit ɔ atɔl intravenɔs kɔntrast (IV kɔntrast). dis tεst dεm kin rili sεnsitiv fכ no di adrenal tכmכro dεm.
• Magnεtik rεsכnans imej (MRI) fכ di pituitary:MRI kin tek pikchɔ dɛn fɔ yu pituitary gland fɔ luk fɔ wan tumbu. Sɔntɛnde, MRI nɔto kɔmplit diagnosis. Na lɛk 50% pan di pipul dɛm wae gɛt Cushing's syndrome gɛt "nɔmal" MRI, wae 10% kin gɛt tumor wae nɔr gɛt ɛnitin fɔ du wit di syndrome.
• baylatarכl infεriכs pεtrosal sayn sεmpl (BIPPS): dis tεst de fכn di sכs fכ ACTH sekreshכn. ACTH ɛn ɔda pituitary ɔmon dɛn de kɔmɔt na di pituitary gland ɛn go insay di blɔd. wan εkspiriεns intavεnshכnal raydiolojist de du dis tεst tru tu vein dεm we dεn kכl di infεriכr pεtrosal sayn dεm. di akכda rεt fכ dis tεst de bitwin 95% εn 98%.
• CT skan chɛst: If yu dɔktɔ sɔspɛkt se yu gɛt ɛktɔpik tɔŋ, dɛn kin ɔda fɔ mek dɛn tek CT skan na di chɛst fɔ chɛk if yu gɛt kansa na yu lɔng.

Aw dɛn kin trit Cushing Syndrome?

di kayn tritmεnt de dipכnt pan di כndalayn kכz fכ di hכy kכtisol lεvεl. If yu de tek glukokɔtikoyd, i go mɔs bi se yu dɔktɔ go ridyus yu doz ɔ gi yu mɛrɛsin we nɔ gɛt glukokɔtikoyd.

If na wan tumbu de mek yu gɛt di sik we dɛn kɔl Cushing, yu dɔktɔ kin tɛl yu fɔ du ɔpreshɔn ɔ fɔ gi yu raytin.

Wan ɔda tin we yu kin du na fɔ mek yu dɔktɔ gi yu mɛrɛsin we de mek yu nɔ gɛt bɔku kɔtisol, lɛk ketoconazole. Yu kin nid fɔ wok wit sɔm difrɛn dɔktɔ dɛn fɔ trit di tumbu ɛn di sayn dɛm fɔ Cushing’s syndrome.

• Kimotɛrapi: If di tumbu gɛt kansa ɛn i dɔn skata to ɔda pat dɛn na di bɔdi, i kin nid fɔ tek kimotɛrapi. Mek shɔ se yu tɔk to yu dɔktɔ bɔt ɛni bad bad tin we go apin to yu.
• Mɛrɛsin dɛm: Fɔ ad mɛrɛsin dɛm wae de stɔp kɔtisol ɔr fɔ pul mɛrɛsin dɛm wae kin mek yu gɛt Cushing’s Syndrome.
• Radieshɔn: Dɛn nɔ kin du ɔpreshɔn fɔ pul wan pituitary tumor. If na so i bi, yu kin gɛt fɔ tek siks wiks fɔ tek redyushɔn tɛrapi. I kin tek sɔm ia fɔ mek di kɔtisol lɛvɛl kam bak to nɔmal. Tɔk to yu dɔktɔ bɔt ɛni sayd ɛfɛkt.
• Ɔpreshɔn:We dɛn du ɔpreshɔn fɔ pul di pituitary tumor, adrenal tumor, ɛn ectopic tumor, i kin wok fayn, bɔt yu go nid fɔ ajɔst to di nyu, lɔwa kɔtisol lɛvɛl. Insay dis tɛm, yu kin nid fɔ tek kɔtisol mɛrɛsin we tan lɛk haydrokɔtizɔn pils. Yu go ebul fɔ stɔp fɔ tek dis mɛrɛsin afta 6 to 18 mɔnt. Bɔku tɛm, afta dɛn dɔn du yu ɔpreshɔn wit laparoscopic, yu go ebul fɔ kɔmɔt na di ɔspitul insay wan ɔ tu dez.

If dɛn trit di Cushing’s syndrome fayn fayn wan, i kin tek ɛnisay frɔm 2 to 18 mɔnt fɔ mek i wɛl. Stay in klos kɔntakt wit yu dɔktɔ insay dis tɛm ɛn afta dat.

Wetin a kin ɛkspɛkt if a gɛt Cushing Syndrome?

Yu dɔktɔ kin trit di sik we dɛn kɔl Cushing’s syndrome ɛn i fɔ trit am. If dɛn nɔ trit am, i kin kil pɔsin. Si dɔktɔ kwik kwik wan fɔ tɔk to yu dɔktɔ bɔt yu sik dɛn.

Yu tink se Cushing Syndrome kin wɔs?

Di sik we dɛn kɔl Cushing’s syndrome kin wɔs if dɛn nɔ trit am fayn. Stay kɔntakt wit yu dɔktɔ ɛn mek dɛn no bɔt ɛni nyu sayn, sayn dɛm wae de wɔs, ɔr ɛni ɔda prɔblɛm.

Aw a go ridyus ɔ avɔyd di risk fɔ gɛt Cushing Syndrome?

Yu bɔdi nid kɔtisol ɔltɛm. Yu nid am fɔ mek yu kɔntinyu fɔ du sɔntin. I de kɔntrol aw yu de blo, i de tɔn di it we yu de it to ɛnaji, i de mek yu blɔd shuga nɔ bɔku, i de ɛp yu fɔ dil wit strɛs, ɛn i de du bɔku ɔda tin dɛn. Kɔtisol nɔto yu bɔdi in ɛnimi, bɔt if yu it am tumɔs, i nɔ fayn. Bɔt, yu nɔ go ebul fɔ liv if yu nɔ gɛt kɔtisol.

If yu de tek glukokɔtikoyd ɔ stɛroyd, mek yu dɔktɔ wach yu kɔtisol lɛvɛl gud gud wan. כnכfכs, no we nכ de fכ mek tכmכro nכ kכz Cushing’s Syndrome (hypercortisolism).

Aw e tan lɛk fɔ liv wit Cushing Syndrome?

Fɔ liv wit Cushing’s syndrome kin tranga, bɔt nɔr nid fɔ bi wan sik wae de mek yu layf de pan denja. Dɔktɔ dɛn de we dɛn tren fɔ ɛp yu, ɛn tritmɛnt dɛn de. Dɛn tritmɛnt ya kin ɔltɛm mɛn di sik we dɛn kɔl Cushing’s syndrome ɛn impruv di simptom dɛm fɔ di ay kɔtisol lɛvɛl (hypercortisolism).

Cushing’s syndrome kin mek yu gɛt sɔm prɔblɛm dɛn we yu de fil ɛn aw yu de wit ɔda pipul dɛn. Sɔm pipul dɛn kin shem we dɛn ia kin lɔs, dɛn ia kin gro pasmak, ɛn/ɔ dɛn kin gɛt bɔku bɔku wet na dɛn fes ɛn bak na dɛn nɛk. Wan "mun fes" ɛn "buffalo hump" kin mek yu tink tu tɛm bɔt fɔ tek pat pan sɔshal sityueshɔn. As tɛm de go, tritmɛnt kin ɛp fɔ mek dɛn sik ya bɛtɛ. Di sik we dɛn kɔl Cushing’s syndrome kin mek pɔsin gɛt pwɛl hat ɛn ɔda sik dɛn bak na in maynd. If nid de, go to dɔktɔ fɔ advays ɛn saykayatrist fɔ mɛrɛsin fɔ ɛp yu fɔ dil wit di imɔshɔnal ifɛkt dɛm we di kɔtisol lɛvɛl bɔku (hypercortisolism) kin gɛt.

Ustɛm a fɔ go to dɔktɔ?

Si dɔktɔ if yu gɛt ɛni wan pan dɛn sayn ya fɔ Cushing’s syndrome:

Di sayn dɛm wae kin afɛkt uman dɛm spɛshal wan:

• Nyu ɔ pasmak fes ia we de gro.
• Chenj na di we aw pɔsin kin want fɔ du mami ɛn dadi biznɛs.
• Chenj na di menstrual saykl.

Di sayn dɛm wae kin afɛkt ɔlman:

• di wet we yu de gεt kwik kwik wan na di fes (sכm pipul dεn kכl dis "mun fes"), di bεlε εria, di bak pat na di nεk (sכm pipul dεn kכl dis "bכfalo hכmp"), εn di chεst.
• Wan rɛd, rawnd fes.
• Ay blɔd prɛshɔn (haypa prɛshɔn).
• Di ia we de gro pasmak na yu fes, yu nɛk, yu chɛst, yu bɛlɛ, ɛn yu shɔl.
• Shuga.
• Nyu ɔ pasmak akni.
• di apinεns fכ pepul strεch mak dεm na di bכdi εria.
• I izi fɔ brus di an ɛn fut.
• Jɛnɛral wikɛdnɛs ɛn taya.
• Blɔr vishɔn ɛn diziz.
• Wund dɛn kin tek tɛm fɔ wɛl.
• Di mɔsul dɛn we wik.

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

• Us mɛrɛsin dɛn a kin tek fɔ ɛp mi wit di sik we dɛn kɔl Cushing’s syndrome?
• Ɛksesaiz dɛn de we a kin du fɔ ɛp mi mɔsul dɛn we wik?
• Ɛni mɛrɛsin de we dɛn kin yuz fɔ ɛp fɔ mek yu gɛt strɛch mak?
• A fɔ go to spɛshal pɔsin we gɛt di sik we dɛn kɔl Cushing Syndrome?
• A nid fɔ stɔp fɔ tek ɛni wan pan di mɛrɛsin dɛn we a de tek naw?
• Wetin na di bɛst tritmɛnt fɔ mi?
• Ɛni ɔda tin dɛn de we a fɔ du fɔ mek a nɔ gɛt dis sik?

Cushing’s syndrome kin bi wan sik wae nɔr kin izi fɔ dil wit. I kin mek pɔsin wik, i kin mek i gɛt ay blɔd prɛshɔn, ɛn i kin taya. Tritmɛnt dɛn lɛk ɔpreshɔn, mɛrɛsin, redyushɔn tɛrapi, ɛn kemotɛrapi kin tranga. Bɔt dɛn fayn, bikɔs if dɛn trit dɛn di rayt tritmɛnt, dɛn kin mɛn di sik we dɛn kɔl Cushing’s syndrome.

Sɔma (Mɛsej we dɛn kin tek go na os) .

Cushing’s Syndrome na wan sik wae de kam bikɔs di ɔmon kɔtisol de bɔku na wi bɔdi. Dis na tin we nɔ kin apin smɔl, bɔtIf dɛn no se i gɛt di sik ɛn trit am fayn, i kin mɛn . I rili impɔtant fɔ go to dɔktɔ if yu gɛt sɔm sayn dɛn lɛk we yu fes de swel, we yu gɛt bɔku bɔku bɔdi, we yu ia de gro pasmak, ɔ we yu gɛt ay blɔd prɛshɔn. Di tritmɛnt we dɛn kin pik kin difrɛn difrɛn wan bay di tin we kin mek i gɛt am. So tɔk to yu dɔktɔ bɔt ɔltin ɛn fala dɛn advays. Mɛmba se nɔto yu wangren de, ɛn ɛp de.

` Cushing’s Syndrome, kɔtisol, ɔmon, adrenal gland, pituitary gland, ACTH, simptom dɛm, tritmɛnt, ɛndokrinɔlɔjis