Yu de fil taya ɛn yu nɔ de fil fayn dɛn tɛm ya? Yu kin wɔri bɔt di smɔl smɔl tin dɛn, yu kin fil lɛk se yu at de rɔn, ɛn yu nɔ kin ebul fɔ slip na nɛt? If yu de lɔs yu wet pan ɔl we yu de it fayn, yu go de tink se ɔl dis na bikɔs yu de wok pasmak ɔ yu strɛs. Na tru se dat kin bi di rizin. Bɔt dɛn sayn ya kin bi bak bikɔs ɔf prɔblɛm wit yu tayroyd gland, we tan lɛk smɔl bɔtaflay na yu nɛk. Tide wi go tɔk bɔt wan pan dɛn kayn sik ya, we na Graves’ Disease. Nɔr wɔri, dis na sik wae yu kin mɛn if yu ɔndastand am fayn fayn wan.
Fɔ tɔk am simpul wan, wetin na Grev in Sik?
Imajin se yu gɛt ami we de protɛkt yu kɔntri. Di wok we dis ami de du na fɔ protɛkt di kɔntri frɔm ɛnimi dɛn we de na do. Wi bɔdi gɛt di sem kayn difens sistɛm bak, we wi kin kɔl di imyun sistɛm . Bɔt sɔntɛnde dis difens sistɛm kin mek mistek. Bifo dɛn bigin fɔ atak wan gud ɔgan we gɛt wɛlbɔdi na wi yon bɔdi.
Graves’ Disease na wan pan dɛn kayn sik ya. Wetin kin apin ya na dat wi imyun sistɛm kin mistek atak wi yon tayroyd gland . Dis atak de mek di tayroyd gland de wok pasmak ɛn wok pasmak. Di amount of thyroid hormone we i de prodyuz de plenti pas di bodi nid. Insay mɛrɛsin, wi kin kɔl dis sik haypa tayroyd , ɔ tayroyd we de wok pasmak. Graves’ Disease na di men tin wae de mek dis sik.
Pan ɔl we dis na sik we yu go gɛt fɔ yu layf (we nɔ de mɛn), if yu gɛt di rayt tritmɛnt, yu kin kɔntrol am fayn fayn wan ɛn yu kin liv nɔmal layf.
Yu sabi dɛn sayn ya?
Grev sik kin mek wi bɔdi in mɛtabolism, we na di rit we dɛn de mek ɛn yuz ɛnaji, go ɔp bad bad wan. I tan lɛk se yu de step pan di aksilarayt na motoka ɔltɛm. Dis kin mek yu gɛt difrɛn kayn sayn dɛm. Sɔm pipul dɛn kin jɔs gɛt wan ɔ tu pan dɛn sik ya, ɛn ɔda pipul dɛn kin gɛt bɔku pan dɛn sayn ya wan tɛm.
Si di tebul we de dɔŋ fɔ no wetin na dɛn kwaliti ya.
| Di sayn we de sho se di sik de | Wan simpul ɛksplen |
|---|---|
| We yu de lɔs yu wet | Fɔ bi tin pan ɔl we yu de it fayn ɛn yu want fɔ it. |
| At bit kwik kwik wan (Tachycardia) . | I kin tan lɛk se yu at de bit fast, de bit, ivin we yu jɔs tinap de. |
| I nɔ kin gri fɔ mek i wam ɛn i kin swet pasmak | Fɔ fil wam pasmak ɛn fɔ swet ɔltɛm, ivin na say we nɔmal fɔ ɔda pipul dɛn. |
| Fɔ wɔri ɛn nɔ gɛt rɛst | Fɔ fil wɔri, nɔ rɛst, ɛn fɔ vɛks izi wan fɔ natin. |
| Tremor | Wan subtil trem na di an dɛn. |
| Nɔ ebul slip | Di prɔblɛm we de mek pɔsin nɔ ebul fɔ slip na nɛt. |
| Swɛlin na di nɛk (Goiter) . | Na di tayroyd gland we de bifo di nɛk we de swel ɛn big. |
| Chenj dεm na di dijestiv sistεm | Fɔ muv bɔku tɛm (dayarɛa) ɔ nid fɔ go na di bafa bɔku tɛm insay di de. |
| di chenj dεm we de apin na di mεnstral saykl na uman dεm | Di blɔd we de kɔmɔt na di mɔnt we de kam dɔŋ ɔ we di mɔnt nɔ de kam ɔltɛm/stɔp. |
Yu tink se i kin afɛkt di yay ɛn di skin bak?
Yes, Graves’ Disease nɔr kin afɛkt di tayroyd gland nɔmɔ, bɔt sɔmtɛm kin afɛkt di yay ɛn skin bak.
Ifekt pan di yay (Graves’ Orbitopathy) .
Na lɛk wan pan ɔl tri pipul dɛm wae gɛt Graves’ Disease kin gɛt dis sik. Dɛn kin kɔl am bak Tayrɔyd Ay Sik . wetin de apin ya na di imyun sistεm de atak di mכsul dεm εn di tisu dεm we de rawnd di yay. Dat mek,
- Bulging eyes: Di yay dɛn kin tan lɛk se dɛn big ɛn dɛn kin bul.
- Fɔ fil pen ɔ prɛshɔn na yu yay.
- I de it, lɛk se san de na di yay.
- Dabl vishɔn.
- I nɔ izi fɔ si na do na brayt layt (Photophobia).
Di tin dɛn we kin apin to di skin (Graves’ Dermopathy) .
Dis na tin we nɔ kin apin so ɔltɛm. I min se di skin na di leg dɛn tik, mɔ di shin dɛn, ɛn tek wan rɛd ɔ pepul kɔlɔ wit bɔmp. Dɛn kin kɔl am bak Pretibial Myxedema .
Wetin mek wi kin gɛt Graves’ Disease?
As wi bin dɔn tɔk, di men rizin fɔ dis na we wi yon imyun sistɛm nɔ de wok fayn. biכs fכ dis mכlfunshכn, di bכdi de mek wan kayn antibodi we dεn kכl Thyroid-Stimulating Immunoglobulin (TSI) . dis TSI antibodi dεm de atak di sεl dεm na di tayroyd gland εn de sεnd di rכng signal to di gland fכ "mek mכr כmon, mek mכr."
Sayɛnsman dɛn stil nɔ shɔ 100% wetin mek di imyun sistɛm nɔ de wok fayn dis we, bɔt dɛn biliv se sɔm tin dɛn de we kin mek dis apin.
- di tin dεm we de mek wi jεnεtiks: Risach dεn dכn sho se 79% pan di Graves in Sik na wi jin dεm de kכz am. Dis min se if pɔrsin na yu famili (mama, papa, brɔda ɛn sista dɛm) gɛt tayroyd sik ɔ ɔda ɔtoimyun sik dɛm, yu kin gɛt dis sik.
- Di tin dɛm we de apin na di envayrɔmɛnt: Di ɔda 21% pan di risk de kɔmɔt frɔm di tin dɛm we de apin na di envayrɔmɛnt. Dat na,
- Stress: Fɔ lɔng tɛm, siriɔs strɛs kin bi wan tin wae de mek yu gɛt ɔtoimyun sik dɛm lɛk dis.
- bεlε εn bכn pikin: Dis kכndyushכn kin apin wit di כmon dεm we de chenj na di bכdi we uman bεlε εn afta i bכn.
- Vayrɔs ɛn infɛkshɔn: Dis sik kin apin afta sɔm vayrɔs infɛkshɔn, as di imyun sistɛm de wok difrɛn we.
- Smok: Pipul wae de smok kin gɛt bɔrku bɔrku risk fɔ gɛt Graves’ Disease. Nɔto dat nɔmɔ, if pɔsin we de smok gɛt dis sik, di tin dɛn we i kin du to in yay (Graves’ Orbitopathy) kin rili bad.
Wetin na di denja tin dɛm wae kin apun if dɛn nɔr trit am?
Graves’ Disease na wan sik wae de mɛk yu nid fɔ go to dɔktɔ kwik kwik wan. If dɛn nɔ trit am, i kin mek i gɛt siriɔs prɔblɛm dɛn.
- At sik: We di tayroyd ɔmon dɛn de bɔku, dat kin mek di at gɛt bɔku prɔblɛm. Dis kin mek yu gɛt atrial fibrillation (Afib), we na wan sik we di at nɔ de bit ɔltɛm. Dis kin mek yu gɛt at atak ɛn strok.
- Ɔstioporosis: We di tayroyd ɔmon dɛn bɔku, dat kin mek di kalsiɔm we de na di bon dɛn go dɔŋ, ɛn dis kin mek dɛn tan ɛn i izi fɔ brok.
- Tayrɔyd Stom: Dis na tin we rili denja ɛn we kin mek pɔsin in layf de pan denja. Wetin kin apin na dat di bɔdi kin pul bɔku bɔku tayroyd ɔmon dɛn wantɛm wantɛm. Di sayn dɛm na wae yu kin gɛt ay fiva, yu at kin bit kwik kwik wan, yu kin swet, yu kin kɔnfyus, ɛn yu kin vɔmit. If dɛn sik ya apin, dɛn fɔ kɛr yu go na ɔspitul in Imejɛnsi Tritmɛnt Yunit (ETU) wantɛm wantɛm.
- Prɔblɛm dɛn we uman gɛt bɛlɛ: If dɛn nɔ kɔntrol di sik we dɛn kɔl Grevs we uman gɛt bɛlɛ, i kin mek di mama ɛn di pikin gɛt prɔblɛm. I kin mek di pikin nɔ gɛt bɛlɛ, di pikin nɔ gɛt bɛtɛ wet, i kin bɔn pikin bifo tɛm, ɛn i kin mek di mama gɛt ay blɔd prɛshɔn (preeclampsia).
Aw di dɔktɔ kin no bɔt dis sik?
If yu gɛt di sayn dɛm we wi dɔn tɔk bɔt, di fɔs tin we yu fɔ du na fɔ go to dɔktɔ. I go tek wan ditayli luk pan yu sayn dɛm ɛn yu famili mɛdikal histri. Dɔn, dɛn go ɔda sɔm tɛst fɔ kɔnfirm di diagnosis.
- Tayrɔyd Blɔd Tɛst: Dɛn tin ya de chɛk di lɛvɛl we di tayroyd ɔmon (T3, T4) ɛn TSH (tayroyd-stimulating ɔmon) de na yu blɔd. Insay Graves’ Disease, di tayroyd ɔmon lɛvɛl kin go ɔp ɛn di TSH lɛvɛl kin rili smɔl.
- Antibodi Blɔd Tɛst: Dis tɛst kin kɔnfɔm if yu gɛt di TSI antibodi dɛm we wi bin dɔn tɔk bɔt fɔs na yu blɔd.
- Tayroid Uptake and Scan: Insay dis tɛst, dɛn kin gi yu smɔl redioaktiv ayodin we tan lɛk pil. Di tayroyd gland fɔ pɔsin we gɛt Grevs Disease kin tek bɔku pan dis ayodin. Yu kin si dis wit di skan.
- Doppler Ultrasound: Dɛn kin du dis skan bikɔs mama dɛn we gɛt bɛlɛ ɔ we de gi pikin dɛn bɛlɛ nɔ kin ebul fɔ gɛt redioaktiv ayodin. I de mɛzhɔ di spid we blɔd de flɔ to di tayroyd gland. Dis spid de rili ay pan Graves’ Disease.
Wetin na di tritmɛnt dɛn?
Graves’ Disease na wan sik we pɔsin kin ebul fɔ kɔntrol. Bɔku tritmɛnt dɛn de we pɔsin kin gɛt. Yu fɔ tɔk to yu dɔktɔ us tritmɛnt go fayn fɔ yu.
| Di we aw dɛn kin trit am | Wetin kin apin? | Wetin fɔ no |
|---|---|---|
| Beta-blɔk dɛn | Dɛn mɛrɛsin ya nɔ de mek di tayroyd ɔmon lɛvɛl go dɔŋ, bɔt dɛn kin kɔntrol di sik dɛn lɛk at bit kwik kwik wan, an dɛn we de shek shek, ɛn wɔri kwik kwik wan. | Dɛn kin gi am mɔ fɔ kɔntrol di sik dɛn te ɔda tritmɛnt dɛn wok fayn. |
| Medikeshɔn dɛn we de mek pɔsin nɔ gɛt tayroyd | dis mεdikeshכn dεm (e.g. Methimazole, Propylthiouracil) de blכk di prodyushכn fכ כmon dεm we di tayroyd gland de mek. | Yu kin nid fɔ tek dɛn mɛrɛsin ya fɔ sɔm mɔnt ɔ ia. Sɔm pipul dɛn kin ivin go na rɛmishɔn. |
| Redio ayodin Tɛrapi | Redioaktiv ayodin, we dɛn kin gi as kapsul ɔ likwid, kin pwɛl di sɛl dɛn na di tayroyd gland smɔl smɔl, ɛn dis kin mek di gland smɔl. | Afta dis tritmɛnt, bɔku tɛm, haypo tayroyd kin apin, ɛn i kin nid fɔ gɛt tayroksin tɛrapi fɔ ɔl yu layf. |
| Ɔpreshɔn (Tayroydɛktɔmi) . | Ɔpreshɔn kin pul wan pat ɔ ɔl di tayroyd gland. | If dɛn pul di gland kpatakpata, yu go nid fɔ tek tayroksin pils fɔ di res ɔf yu layf. Dis na gud opshɔn fɔ pipul dɛm we gɛt prɔblɛm fɔ blo bikɔs dɛn gland dɔn big (goiter). |
Yu kin tink se hapo tayroyd, afta tritmɛnt, na sik bak. Yɛs, na sik. Bɔt i izi fɔ kɔntrol pas aypa tayroyd, ɛn i nɔ kin gɛt bɔku wɛlbɔdi prɔblɛm dɛn we kin de fɔ lɔng tɛm.
Mɛsej we dɛn kin kɛr go na os
- Graves’ Disease nɔto sɔntin fɔ fred, bɔt na sik we pɔsin kin trit ɛn we pɔsin kin kɔntrol.
- If yu gɛt sɔm sayn dɛn lɛk we yu de lɔs yu wet we yu nɔ ebul fɔ ɛksplen, yu at de bit kwik kwik wan, yu an dɛn de shek shek, yu de swet pasmak, ɛn yu nɔ de rɛst, mek shɔ se yu go to dɔktɔ.
- If pɔsin na yu famili gɛt tayroyd sik, yusɛf de pan denja, so tek tɛm.
- We di tritmɛnt bigin, i rili impɔtant fɔ tek di mɛrɛsin lɛk aw di dɔktɔ tɛl yu ɛn fɔ go fɔ fala di apɔntinmɛnt.
- If yu gɛt sayn dɛm fɔ ‘tayroyd storm’ lɛk ay fiva, at bit kwik kwik wan, ɛn kɔnfyushɔn, na imejensi. Go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm.
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