Yu fil se yu at de bit fast fast fɔ natin? Yu kin swet ivin we yu du smɔl tin? Yu kin lɔs yu wet ivin we yu de it fayn? Sɔntɛnde, yu kin fil bad bad wan ɛn wɔri? If dɛn tin ya kin apin to yu, di rizin kin bi bikɔs wan smɔl gland we tan lɛk bɔtaflay na yu bɔdi, we na di tayroyd gland, de wok tumɔs smɔl. Tide wi go tɔk bɔt Graves’ Disease, wan sik wae kin mek dis sik, bɔt dɛn kin kɔntrol am fayn fayn wan if dɛn trit am fayn.
Wetin na Graves’ Disease, fɔ tɔk am simpul wan?
Fɔ tɔk am simpul wan, Graves in sik na sik we kin kam bikɔs ɔf smɔl mistek na wi bɔdi in imyun sistɛm. Wi kin kɔl dis sik we pɔsin kin gɛt we i de fɛt insɛf . Nɔmal wan, wi imyun sistɛm kin fɛt di jem dɛn we kin mek wi gɛt sik. Bɔt pan dis sik, wi yon imyun sistɛm kin mistek atak wi yon tayroyd gland na wi nɛk.
Dis atak de mek di tayroyd gland wok ɛn mek i mek tumɔs tayroyd ɔmon. Dɛn kɔl dis sik we dɛn kɔl haypa tayroyd . I tan lɛk motoka we dɛn prɛs di aksilarayt pedal dɔŋ, ɛn dis kin mek wi bɔdi wok kwik kwik wan. Graves in sik na di men tin wae kin mek pɔrsin gɛt haypa tayroyd. I kin bi bak we pɔsin gɛt frɔm in mama ɛn papa. I nɔ kin afɛkt di tayroyd gland nɔmɔ, bɔt i kin afɛkt wi yay ɛn skin bak.
Wetin na di sayn dɛm wae kin kam pan dis sik?
Bikɔs Graves sik kin mek yu bɔdi in mɛtabolism kwik, yu kin gɛt difrɛn kayn sayn dɛm. Sɔm pipul dɛn kin gɛt jɔs wan ɔ tu pan dɛn sik ya, ɛn ɔda pipul dɛn kin gɛt bɔku pan di tin dɛn we de na dis list. Dɛn sayn ya nɔr kin apin wan tɛm, bɔt dɛn kin kam smɔl smɔl fɔ sɔm wik ɔr mɔnt.
| Di sayn we de sho se di sik de | Wan simpul ɛksplen |
|---|---|
| At bit kwik kwik wan (Tachycardia) . | Fɔ fil lɛk se yu at de bit fɔ natin. |
| I nɔ kin gri fɔ mek i wam ɛn i kin swet pasmak | Yu kin fil wam ɛn swet ɔltɛm, pan ɔl we na nɔmal tin fɔ ɔda pipul dɛn. |
| We yu de lɔs yu wet | I klia se di bɔdi wet kin ridyus pan ɔl we i de it fayn. |
| Tremor | Wan subtil trem na di an dɛn. |
| Fɔ wɔri ɔltɛm ɛn nɔ de rɛst | Fɔ de wɔri ɔltɛm ɛn nɔ de rɛst. |
| Chenj dεm na di dijestiv sistεm | Fɔ muv yu bɔdi ɔltɛm ɔ nid fɔ go na di bafa bɔku tɛm pas aw yu kin go. |
| Swɛlin na di nɛk (Goiter) . | di fכnt pat na di nεk de swεla bikoz fכ di tayroyd gland we big. |
| Nɔ slip ɛn yu ia kin lɔs | I nɔ kin izi fɔ slip na nɛt ɛn yu ia kin lɔs. |
| di chenj dεm we de apin na di mכnt mεnstral saykl na uman dεm | Di blɔd we de kɔmɔt na di mɔnt we de kam dɔŋ, di saykl we di mɔnt nɔ de kɔmɔt ɔltɛm ɔ we i de stɔp. |
If yu gɛt wan ɔ mɔ pan dɛn sik ya, i go fayn fɔ mek yu go to dɔktɔ fɔ advays yu ɛn nɔ wɔri bɔt am.
Aw dis kin afɛkt di yay ɛn di skin?
Pan ɔl we nɔto ɔlman gɛt Grev in sik, na lɛk wan pan ɔl tri pipul dɛn go gɛt prɔblɛm wit dɛn yay. Dis kכndyushכn dεn kכl am Graves’ orbitopathy כTayrɔyd Ay Sik we pɔsin kin gɛt.
- Ay dɛn we de bɔl
- Dabl vishɔn
- Wan grit, gritty filin na di yay
- I nɔ izi fɔ si layt (Photophobia) .
- Fɔ fil se yu de prɛs ɔ yu de fil pen insay yu yay
pan tap dat, na sכm pipul dεm (lεk 4%) kin gεt wan kכndyushכn we di skin na dεn leg kin tik, lכm, εn kכla kin chenj. Dɛn kɔl dis prɛtibial myxedema .
Wetin mek Graves in sik kin apin?
As wi bin dɔn tɔk, di men rizin fɔ dis na we wi yon imyun sistɛm nɔ de wok fayn. Wi bɔdi de mek wan antibodi we dɛn kɔl Thyroid-Stimulating Immunoglobulin (TSI) . dis TSI antibodi de atak di sεl dεm na di tayroyd gland εn i de sεnd di rכng signal to di gland fכ "mek mכr כmon, mek mכr."
Sayɛnsman dɛn nɔ dɔn fɛn yet di rayt rizin we mek di imyun sistɛm nɔ de wok fayn dis kayn we, bɔt dɛn biliv se tu men tin dɛn kin mek dis apin.
1. Jɛnɛtiks: If pɔsin na yu famili gɛt Grev sik ɔ ɔda tayroyd sik, yu kin gɛt dis sik.
2. Di tin dεm we de apin na di envayroment: fכ strεs pasmak, bεlε εn afta i bכn, εn sכm vayral infεkshכn kin bi ‘trigεr’, dat na fכ push fכ di fכs, fכ di biginin fכ dis sik.
Wetin na di denja tin dɛm wae kin apun if dɛn nɔr trit am?
Graves in sik na wan sik we pɔsin kin gɛt we i nid fɔ go to dɔktɔ wantɛm wantɛm . If dɛn nɔ trit am ɔ dɛn nɔ mɛn am fayn, i kin mek i gɛt siriɔs prɔblɛm dɛn.
- At sik: De risk fɔ gɛt siriɔs sik lɛk aw yu at nɔ de bit ɔltɛm ( Atrial Fibrillation - Afib ), at atak, ɛn strok de bɔku.
- Ɔstioporosis: Bikɔs ɔf di ifɛkt dɛm we di kalsiɔm lɛvɛl na di bɔdi kin gɛt, di bon dɛm kin wik ɛn kin brok izi wan.
- Tayrɔyd Stom: Dis na tin we nɔ kin apin so ɔltɛm bɔt we kin mek pɔsin in layf de pan denja . pan dis kכndyushכn, di tayroyd gland de rilis bכku כmon dεm na di bכdi insay fכ sכm tεm. Di sayn dɛm na wae yu gɛt ay fiva, yu at kin bit kwik kwik wan, ɛn yu kin kɔnfyus. If dis kayn tin apin, yu fɔ go wantɛm wantɛm na di Imejɛnsi Dipatmɛnt (ETU) na ɔspitul.
- Prɔblɛm dɛn we uman gɛt bɛlɛ: If dɛn nɔ trit am we uman gɛt bɛlɛ, i kin afɛkt di mama ɛn di pikin we de na di bɛlɛ. Sɔm tin dɛn de we kin mek i nɔ gɛt bɛlɛ, we i bɔn bifo tɛm, ɛn we i bɔn we i nɔ gɛt bɔku wet.
Aw dɔktɔ kin no kɔrɛkt wan bɔt dis sik?
We yu go to dɔktɔ, i go aks yu bɔt yu sik, yu famili mɛdikal istri, ɛn du yu bɔdi ɛgzam. Dɔn dɛn kin tɛl yu fɔ du sɔm tɛst fɔ no if yu gɛt di sik.
- Tayroyd Blɔd Tɛst: Dɛn tɛst ya de mɛzhɔ di lɛvɛl we di tayroyd ɔmon (T4, T3) ɛn TSH (tayroyd stimulating hormone) de na di blɔd. Insay Graves in sik, di tayroyd ɔmon lɛvɛl kin go ɔp ɛn di TSH lɛvɛl kin rili smɔl.
- Tayroyd Antibodi Tεst: I de chεk fכ antibodi dεm na di bכdi, lεk TSI, we de mek Graves in sik.
- Tayrɔyd we de tek ɛn skan: Dɛn kin gi di pɔsin smɔl redioaktiv ayodin fɔ drink, ɛn dɛn kin du skan fɔ si ɔmɔs pan di ayodin de tek di tayroyd gland. Insay Graves in sik, di gland kin tek tumɔs ayodin.
- Doppler Ultrasound: If yu gɛt bɛlɛ ɔ yu de gi pikin in bɛlɛ, dɛn nɔ go fayn fɔ du di redioaktiv ayodin tɛst. If na so i bi, dis skan kin no aw blɔd de flɔ to di tayroyd gland ɛn gi yu aidia bɔt di sik.
Wetin na di tritmɛnt fɔ Graves in sik?
Pan ɔl we Graves in sik na sik we pɔsin kin gɛt fɔ ɔl in layf (we kin de te), tritmɛnt kin ɛp fɔ kɔntrol di ɔmon lɛvɛl. Sɔmtɛm, de sik kin go fɔ sɔm tɛm we dɛn dɔn trit am.
| Di we aw dɛn kin trit am | Wetin kin apin to am? |
|---|---|
| Beta-blɔk dɛn | Dɛn tin ya nɔ de ridyus di tayroyd ɔmon, bɔt dɛn kin kɔntrol di sayn dɛm lɛk at bit kwik kwik wan, shek shek, ɛn wɔri kwik kwik wan. Dɛn kin yuz dɛn fɔ mek pɔsin fil fayn te ɔda tritmɛnt dɛn bigin fɔ wok. |
| Medikeshɔn dɛn we de mek pɔsin nɔ gɛt tayroyd | Drug dεm lεk Methimazole εn Propylthiouracil de mek di tayroyd gland nכ de mek כmon dεm. |
| Redio ayodin Tɛrapi | Dɛn kin gi yu wata ɔ kapsul we gɛt redioaktiv ayodin fɔ drink. dis ayodin de tek di tayroyd sεl dεm εn sכmtεm i de pwεl dεm, we de mek di כmon dεm nכ de mek i dכn. |
| Ɔpreshɔn | Tayroydɛktɔmi na ɔpreshɔn we dɛn kin pul ɔl ɔ pat pan di tayroyd gland. |
Afta dɛn dɔn trit dɛn wit redioaktiv ayodin ɛn ɔpreshɔn, bɔku tɛm, wan tayroyd ɔmon we dɛn kin kɔl bak haypotayroyd, kin apin. Dɔn yu go gɛt fɔ tek tayroyd ɔmon pils fɔ di res ɔf yu layf. Bɔt, i izi fɔ kɔntrol di haypo tayroyd pas di haypa tayroyd.
Di impɔtant tin na dat ɛni wan pan dɛn tritmɛnt ya gɛt in gud ɛn bad tin dɛn. I impɔtant fɔ tɔk to yu dɔktɔ us tritmɛnt opshɔn go fayn fɔ yu.
Mɛsej we dɛn kin kɛr go na os
- Graves in sik na wan sik wae de mek pɔrsin ebul fɔ kɔntrol insɛf fayn fayn wan wit tritmɛnt, so nɔr frayd fɔ nɔr nid fɔ de.
- If yu gɛt sɔm sayn dɛm lɛk aw yu at de bit, yu de lɔs yu wet, yu de swet pasmak, ɔr de wɔri fɔ natin, nɔr ignore dɛm.
- If dɛn nɔ trit dis sik, i kin mek siriɔs prɔblɛm dɛn we kin afɛkt di at ɛn bon dɛn.
- Mek shɔ se yu tɔk to yu dɔktɔ fɔ pik di bɛst tritmɛnt fɔ yu.
- We dɛn dɔn no di sik, i rili impɔtant fɔ fala di dɔktɔ in instrɔkshɔn dɛn gud gud wan ɛn fɔ go na klinik dɛn di rayt tɛm.
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