Na swɛlin na di nɛk? Yu tink se dis kin bi goit? Mek wi no fɔ tru!

Yu dɔn ɛva fil lɛk se wan lump ɔ swel de na di fɔs pat na yu nɛk? Sɔntɛm yu si am we yu luk na miro, ɔ ɔda pɔsin tɛl yu bɔt am. Na nɔmal tin fɔ mek yu fred smɔl we yu si sɔntin lɛk dis. Bɔt pan ɔl we bɔku pipul dɛn kin fred dis, bɔku tɛm dis kin bi wan kɔndishɔn we dɛn kɔl ‘Goiter’. Tide, wi go tɔk bɔt dis simpul wan, di we we yu go ɔndastand.

Fɔ tɔk am simpul wan, wetin na goiter?

Goiter na we yu tayroyd gland de big. Imajin, na di fɔs pat na wi nɛk, jɔs dɔŋ di Adam in apul, wan smɔl gland de we tan lɛk bɔtaflay. Na dat wi kin kɔl di tayroyd gland .

Dis smɔl gland de mek tu ɔmon dɛn we rili impɔtant fɔ wi bɔdi. Dɛn na tayroksin (T4) ɛn triayodotayrɔnin (T3). Dɛn ɔmon ya de kɔntrol bɔku tin dɛn na wi bɔdi. Jɔs lɛk di injin fɔ motoka.

• Metabolism: Dis na di rεt we di it we wi de it de kכnvכlt to enεji.
• Di tɛmpracha na di bɔdi: I de mek wi bɔdi wam.
• Di we aw wi de fil: I kin afɛkt di we aw wi de fil, di we aw wi kin gladi, ɛn aw wi kin vɛks.
• At rit: I de kɔntrol di rit we wi at de bit.
• Digestion: I de ɛp wi fɔ digest di it we wi de it.

So, if fכ sכm rizin di tayroyd gland swεla כ big, wi kin kכl dat kכndyushכn ‘goiter’. dis kin bi wan lump כ nodul insay di gland.

Wetin na di kayn we aw pɔsin kin gɛt gota?

Dɔktɔ dɛn kin klas di wan dɛn we gɛt gota difrɛn we dɛn. Wan na bay aw i de swel. Di ɔda wan na bay di lɛvɛl we di tayroyd ɔmon de. Lɛ wi tek wan simpul luk pan dɛn tu tin ya.

Klasifikɛshɔn akɔdin to di kayn swɛlin

Klasifikɛshɔn bay di tayroyd ɔmon lɛvɛl

• Toxic goiter: Insay dis, di tayroyd gland kin big ɛn i kin mek mɔ tayroyd ɔmon dɛn pas aw i nid . Dɛn kin kɔl dis bak `Hyperthyroidism`.
• Nontoxic goiter: Insay dis kes, pan ɔl we di tayroyd gland dɔn big, di ɔmon lɛvɛl nɔmal . dat min se, nכ inkrεs (`Hyperthyroidism`) nכ de dכn (`Hypothyroidism`) pan כmon dεm.

Udat de pan denja fɔ gɛt dis sik?

Ɛnibɔdi kin gɛt goiter, bɔt sɔm pipul dɛn kin gɛt mɔ risk.

• Fɔ uman dɛn: Uman dɛn kin gɛt goiter lɛk 4 tɛm pas man dɛn.
• Ej: Dis risk kin go ɔp afta yu dɔn ol 40 ia.
• Famili istri: If pɔsin na yu famili gɛt tayroyd sik, yusɛf go gɛt dis sik.
• Ɔda wɛl bɔdi prɔblɛm dɛm: Pipul dɛm wae gɛt sik lɛk fɔ fat pasmak ɛn fɔ nɔr gɛt insulin kin gɛt bɔrku risk bak.
• We pɔsin gɛt raytin: If dɛn dɔn put raytin na di nɛk ɔ ed fɔ mek dɛn go trit am, dat kin mek i gɛt prɔblɛm bak.

Di men tin we kin mek pɔsin gɛt gota ɔlsay na di wɔl na we i nɔ gɛt ayodin . Bɔt na kɔntri dɛn lɛk Sri Lanka, bikɔs wi de ad ayodin to di sɔl we wi de yuz, da kɔz de nɔ bɔku naw.

Wetin na di sayn dɛm wae de sho se pɔrsin gɛt goiter?

Goiter kin difrɛn frɔm smɔl smɔl, we nɔ kin notis, to big goiter we pɔsin kin si. Bɔrku tɛm, gota nɔr kin fil pen. Bɔt if dɛn gɛt inflamɛns na di tayroyd gland (tayroyd), dɛn kin mek yu fil pen.

Lɛ wi si wetin de sho se yu gɛt dis sik na di tebul we de dɔŋ ya.

Wetin na de tin wae kin mek pɔrsin gɛt goiter?

Goiter na sayn fɔ prɛshɔn pan di tayroyd gland. I kin gɛt bɔku tin dɛn we kin mek i apin.

• Iodine deficiency: Dis na di men tin we kin mek pɔsin nɔ gɛt bɛtɛ ayodin na di wɔl. Ayodin impɔtant fɔ mek di tayroyd ɔmon dɛn kɔmɔt. If yu nɔ gɛt inof ayodin frɔm yu it, di gland go tray fɔ mek mɔ sɛl dɛn, gro big, ɛn sɔm kayn we fɔ mek di ɔmon dɛn.
• Graves in sik: Dis na `autoimmune` kכndishכn. Dis min se wi bɔdi in yon imyun sistɛm de atak wi tayroyd gland. dis de mek di gland de ova stimulate, big, εn prodyuz tu mכch כmon (`Hyperthyroidism`).
• Hashimoto in sik: Dis na `autoimmune` kכndishכn bak. pan dis kכndyushכn, di imyun sistεm de atak di gland εn mek i inflam. as tεm de go, di gland in fכnshכn de pwεl εn i de mek כmon dεm we nכ go du (`Hypothyroidism`). Di gland kin swel fɔ kɔmpɛns.
• Tayrɔyd kansa: Tayrɔyd kansa kin mek bak di gland big. Bɔt nɔto ɔl di wan dɛn we gɛt kansa kin gɛt kansa . I nid fɔ du dɔktɔ ɛgzam fɔ no fɔ tru.
• bεlε: di tayroyd gland kin big sכm bikoz fכ di כmon ``Human chorionic gonadotropin`` (HCG), we de kכmכt we uman bεlε.
• Tayroyd: Di gland kin inflam ɛn swel bikɔs ɔf difrɛn rizin dɛn.

Aw di dɔktɔ kin no se dis na goiter?

If yu gɛt wan swɛlin na yu nɛk, yu fɔ rili go to dɔktɔ . Di dɔktɔ go du sɔm tɛst fɔ no if na goiter ɛn wetin de mek i gɛt am.

1. Fɔ chɛk yu bɔdi: Fɔs, di dɔktɔ go fil yu nɛk fɔ chɛk if yu swel, yu gɛt lumps, ɛn yu de fil pen.

2. 2. .Blɔd tɛst: Dɛn tin ya de mɛzhɔ di lɛvɛl dɛn na di tayroyd ɔmon (T3, T4) ɛn TSH. Dis kin sho if di gland de wok fayn ɛn if di ɔmon bɔku ɔ smɔl.

3. Tayroyd Ultrasound Skan: Semweso lεk pikin skan, dis de luk di gland na di nεk. I kin si klia wan aw di gland big, if ɛni lumps de, ɛn if di lumps na solid ɔ liquid.

4. Bayopsi: If di skan sho big ɔ suspicious lump, di dɔktɔ go yuz nidul fɔ tek smɔl sampul sɛl frɔm di lump ɛn sɛn am na di lab fɔ tɛst fɔ kansa sɛl. Dɛn kin du dis fɔ mek dɛn nɔ gɛt ɛni chans fɔ gɛt kansa.

5. CT ɔ MRI skan: If di goiter rili big, ɔ if dɛn tink se i dɔn gro insay di chɛst, dɛn kin du dis kayn skan bak.

Wetin na di tritmɛnt fɔ goiter?

Di tritmɛnt dipen pan di saiz fɔ di goiter, di sayn dɛm wae yu gɛt, ɛn de kɔz.

• Wachful wet: If di goiter smɔl, yu nɔ gɛt ɛni prɔblɛm, ɛn yu ɔmon lɛvɛl nɔmal, yu dɔktɔ kin disayd fɔ wach yu fɔ wan patikyula tɛm we yu nɔ gɛt ɛni tritmɛnt.
• Di kayn mɛrɛsin dɛn we dɛn kin yuz:
• if di כmon lεvεl dεm lכw ( Hypothyroidism ), dεn kin gi כmon pil dεm lεk `Levothyroxine' fכ tek evride.
• If di ɔmon lɛvɛl bɔku ( hyperthyroidism ), dɛn kin gi mɛrɛsin lɛk Methimazole fɔ ridyus di ɔmon we dɛn de mek.
• If di gland inflamɛns, dɛn kin gi am mɛrɛsin fɔ mɛn pen ɔ kɔtikosterɔyd.
• Redioaktiv ayodin tɛrapi: Dis na tritmɛnt fɔ haypa tayroyd. Yu tek wan likwid ɔ kapsul we gɛt redioaktiv ayodin we de go insay di tayroyd gland, we de pwɛl di ɔvaaktiv sɛl dɛn we de de ɛn mek di gland smɔl.
• Ɔpreshɔn (Ɔpreshɔn - Tayroydɛktɔmi):
• If di goiter rili big ɛn mek i nɔ izi fɔ blo ɔ swɛla.
• If dɛn kɔnfyus se na kansa.
• If big prɔblɛm de wit aw pɔsin luk.

If dɛn kayn tin ya apin, yu dɔktɔ kin tɛl yu fɔ du ɔpreshɔn fɔ pul wan pat pan di gland ɔ ɔl di gland. If dɛn pul di gland kpatakpata, yu go gɛt fɔ tek tayroyd ɔmon pils fɔ di res ɔf yu layf.