Yu kin fil bak se yu taya ɛn yu kin slɔp fɔ natin sɔm dez? Yu kin fil se yu ebi smɔl? Yu kin fil kol mɔ ɛn mɔ? Pan ɔl we bɔku tɛm wi kin tink se dɛn tin ya na nɔmal tin, sɔntɛnde, di tin we kin mek wi gɛt dɛn sik ya kin bi wan sik we dɛn kɔl Hashimoto’s Disease. Nɔ wɔri, dis nɔ denja lɛk aw di nem sho. Lɛ wi tɔk bɔt dis simpul wan ɛn klia wan.
Wetin na Hashimoto in Sik?
Fɔ tɔk am simpul wan, Hashimoto in sik na wan sik we de ambɔg di tayroyd gland bikɔs ɔf prɔblɛm wit wi imyun sistɛm. Dɛn kɔl dis wan ɔtoimyun kɔndishɔn . Dis min se di difɛns sistɛm na wi bɔdi kin mistek atak wi yon wɛlbɔdi sɛl dɛn, insay dis kes di tayroyd gland. Dis kin bi wan sik wae de apin to yu layf (krεse).
Tink bɔt am, di tayroyd gland na smɔl gland we tan lɛk bɔtaflay we de ɔnda di skin we de bifo wi nɛk. na pat pan wi εndokrin sistεm. I de mek tayroyd ɔmon ɛn kɔntrol bɔku tin dɛn na wi bɔdi.
di men wok we di tayroyd gland de du na fכ kכntro di rεt we wi bכdi de mεtabolism. Dat min se di rit we di it we wi de it de chenj to ɛnaji. We wi yɛri di wɔd mɛtabolism, bɔku tɛm wi kin tink bɔt fɔ gɛt mɔ wet ɛn fɔ lɛf fɔ gɛt bɔku bɔku bɔdi. Bɔt fɔ tru, dis tin we kin apin kin afɛkt ɔl di pat dɛn na di bɔdi, ivin wi at ɛn wi bren.
Wit Hashimoto in sik, wi imyun sistεm de atak di tayroyd gland, we de mek i nכ de prodyuz inof tayroyd כmon. Dɛn kɔl dis sik haypotayroydism . Dis kin mek wi nɔ ebul fɔ du di wok fayn fayn wan ɛn i kin mek wi gɛt difrɛn sayn dɛn.
Aw dis sik kin bɔku? Udat go mɔs gɛt am?
Hashimoto in sik na rili wan sik we kin rili bɔku. Na kɔntri dɛn lɛk Amɛrika, 5 pan ɔl 100 pipul dɛn gɛt dis sik. Dis sik de kam mɔr naw na Sri Lanka. Insay kɔntri dɛn usay bɔku bɔku sɔl ɛn it we gɛt ayod, na di sik we dɛn kɔl Hashimoto na di men tin we kin mek pɔsin gɛt di sik we dɛn kɔl hypothyroidism.
Pan ɔl we dis sik kin kam pan ɛni ej, uman dɛn kin gɛt am lɛk 10 tɛm pas man dɛn. Dɛn kin no am mɔ pan uman dɛn we ol bitwin 30 ɛn 50 ia.
Wetin na di sayn dɛm fɔ Hashimoto in sik?
Sɔm pipul dɛm wae gɛt dis sik wae gɛt Hashimoto nɔr kin gɛt ɛni sayn wae de kam fɔs. As di sik de go bifo, sɔntɛnde di tayroyd gland kin swel. Dɛn kɔl dis wan goiter.Bɔrku tɛm dis na di fɔs sayn fɔ Hashimoto in sik. Pan ɔl we i nɔ kin mek yu fil pen, yu kin fil ful-ɔp na yu nɛk bifo. I kin tan lɛk bak se i dɔn swel.
As tɛm de go, if di haypothayrɔydism kam bikɔs ɔf di sik we dɛn kɔl Hashimoto, dɛn sayn ya kin apin wan afta di ɔda wan.
| Di sayn we de sho se di sik de | Tɔk bɔt |
|---|---|
| Taya ɛn les | I kin taya ɔltɛm, i kin taya, ɛn i kin slip pasmak fɔ no rizin. |
| We yu de gɛt mɔ wet | Di bɔdi wet kin go ɔp smɔl smɔl pan ɔl we dɛn kin kɔntrol di it dɛn we dɛn de it ɛn ɛksesaiz. |
| Ifɛkt dɛn pan di skin | Dray skin, ia we de lɔs, ia we de dray ɛn brit. |
| Fɔ fil kol | Fɔ fil kol pasmak, ivin na say we nɔmal fɔ ɔda pipul dɛn. |
| Saikɔlɔjik ifɛkt dɛn | Sɔri, pwɛl hat, nɔr de mɛmba, i nɔr kin izi fɔ pe atɛnshɔn. |
| Di chenj dɛn we kin apin na di bɔdi | Kɔnstipɛshɔn, di at rit sloslo (bradycardia), di mɔsul ɛn jɔyn pen, di fes ɛn yay de swel. |
| Prɔblɛm dɛn we gɛt fɔ du wit wɛlbɔdi biznɛs we dɛn de bɔn pikin | uman dεm kin gεt mεnstral saykl we nכ de rεgulεr כ bכku bכku bכku wan, dεn kin dכn want fכ du mami εn dadi biznεs, εn i kin at fכ bεlε. |
Aw yu bɔdi kin fil we yu gɛt Hashimoto in sik?
If yu gɛt Hashimoto bɔt nɔr gɛt haypotayroyd, yu nɔr kin notis ɛni chenj.
Bɔt if yu gɛt haypothayrɔydism, yu kin fil lɛk se ɔltin na yu bɔdi de wok na "slow motion."
Imajin se yu bɔdi in injin de rɔn sloslo. Yu nɔ gɛt di trɛnk fɔ rɔn, jomp, ɔ ɛksesaiz lɛk aw yu bin de du trade. Yu at rit bak dɔn slo. Yu bren kin fil fɔg, yu kin fɔgɛt tin dɛn, ɛn yu nɔ kin ebul fɔ pe atɛnshɔn pan sɔntin. Yu kin fil bad bak ɛn yu at pwɛl. Yu dijestiv sistɛm bak de wok sloslo, we kin mek yu gɛt kɔnstipɛshɔn.
If yusɛf fil se yu bɔdi ɛn maynd dɔn stɔp ɛn de wok sloslo, fɔ tru, tɔk to yu dɔktɔ.
Wetin mek di sik we dɛn kɔl Hashimoto kin apin? Wetin na di tin dɛn we kin mek pɔsin gɛt dis sik?
As wi bin dɔn tɔk, Hashimoto in sik na wan sik we pɔsin kin gɛt we i de fɛt insɛf. Dis min se wi bɔdi in yon difens sistɛm de wok agens wi. Nɔmal wan, wi imyun sistɛm de protɛkt wi frɔm fɔrina invayda dɛn lɛk baktri ɛn vayrɔs. Bɔt insay Hashimoto in yon, na dis kin apin:
1. Fɔ wan rizin we wi nɔ no, yu imyun sistɛm kin bigin fɔ mek antibodi dɛm we de atak di tayroyd gland.
2. Bɔku bɔku wayt blɔd sɛl dɛn, mɔ wan kayn we dɛn kɔl limfosayt , kin gɛda na di tayroyd gland.
3. Dis kin mek di tayroyd gland inflam. Dɛn kɔl dis tayroyd . dis inflameshn εn antibodi atak dεm de pwεl di gland.
4. As tɛm de go, dis damej kin mek di tayroyd gland nɔ ebul fɔ mek inof ɔmon fɔ di bɔdi, ɛn dis kin mek di tayroyd nɔ gɛt bɛtɛ tayroyd .
Bɔku tin dɛn de we kin mek pɔsin gɛt dis sik we dɛn kɔl Hashimoto:
- Famili histri: If pɔrsin na yu famili gɛt Hashimoto in sik ɔr ɔda kayn tayroyd, yu go gɛt dis sik. Risach sho se 80% pan di kes dɛm na jɛnɛtiks.
- Sεks: As wi bin dɔn tɔk, uman dɛn kin gɛt dis sik 10 tɛm pas aw dɛn kin gɛt dis sik.
- Ej: Di risk fɔ gɛt dis sik kin bɔku wit di ej.
Dɔn bak, yu kin gɛt Hashimoto if yu gɛt ɔda ɔtoimyun kɔndishɔn. Fɔ ɛgzampul:
- Tayp 1 dayabitis
- Rimatɔyd at at sik
- Lupus we gɛt di sik
- Siliak sik we dɛn kin gɛt
Aw dɛn kin no bɔt di sik we dɛn kɔl Hashimoto?
Afta yu dɔn aks bɔt yu sik, yu dɔktɔ go fɔs chɛk yu. I go palpat yu nɛk mɔ fɔ chɛk if yu tayroyd gland dɔn swel (goiter). Dɔn i go ɔda fɔ mek dɛn du bɔku blɔd tɛst fɔ no if pɔsin gɛt di sik.
- TSH (Thyroid-Stimulating Hormone) Test: If yu gɛt ay TSH lɛvɛl, dat min se yu tayroyd gland nɔ de mek inof T4 ɔmon. Dis na big sayn fɔ se pɔsin nɔ gɛt bɛtɛ tayroyd.
- Fri T4 (Thyroxine) test: If di T4 lεvεl lכw, i de kכnfכm di kכndishכn fכ haypotayroydism mכr.
- Antitayroyd Antibɔdi Tɛst: If yu gɛt dɛn patikyula antibodi ya na yu blɔd, dɛn kin no klia wan se di tin we mek yu gɛt aypotayroyd na Hashimoto in sik.
Sɔntɛnde, yu dɔktɔ kin tɛl yu bak fɔ du ɔltrasɔund na yu tayroyd fɔ chɛk di sayz fɔ yu tayroyd gland ɛn if ɛni nodul de.
Aw dɛn kin trit am?
Nɔto ɔlman we gɛt Hashimoto in sik go gɛt haypothayrɔydism. If di antibodi dɛm na yu blɔd bɔku bɔt yu TSH ɛn T4 lɛvɛl nɔmal, yu dɔktɔ nɔ go bigin fɔ trit yu, bɔt i go wach yu wit blɔd tɛst ɔltɛm.
Bɔt if na Hashimoto in sik de mek pɔsin gɛt haypotayroyd, di men ɛn bɛst tritmɛnt na wan mɛrɛsin we dɛn kɔl lɛvotayroksin . Dis na wan sintetik T4 ɔmon. Dɛn kin tek dis mɛrɛsin as pil ɛvride.
We yu yuz dis mɛrɛsin, yu kin mek di tayroyd ɔmon lɛvɛl dɛn we yu nid na di bɔdi kam bak. Di tin we impɔtant pas ɔl na dat yu nid fɔ tek dis mɛrɛsin ɛvride fɔ di res ɔf yu layf .
Di doz fɔ di mɛrɛsin we yu nid kin chenj as tɛm de go. So, i rili impɔtant fɔ mek yu de du blɔd tɛst ɔltɛm lɛk aw yu dɔktɔ tɛl yu ɛn ajɔst di doz as nid de.
Ɛni bad bad tin dɛn de we di mɛrɛsin kin du?
Di sayd ɛfɛkt dɛn we lɛvotayroksin kin gɛt nɔ kin apin so ɔltɛm. If dɛn kin apin, di men rizin na bikɔs yu de tek mɔ pas wetin yu nid. Dis kin mek pɔsin gɛt wan sik we dɛn kɔl tayrotoksikosis , usay di bɔdi kin mek bɔku bɔku tayroyd ɔmon. Di sayn dɛm na:
- di at rεt (tachycardia) - כltεm i kin pas 100 bit pan wan minit.
- Di at we nɔ de bit ɔltɛm (arithmia).
- We yu de lɔs yu wet witout ɛni rizin.
- Fɔ fil se yu de shek shek.
- Fɔ nɔ rɛst, fɔ vɛks.
- I nɔ kin gri fɔ mek i wam ɛn i kin swet pasmak.
If yu gɛt dɛn sik ya, tɛl yu dɔktɔ wantɛm wantɛm.
Yu tink se spɛshal it de fɔ di wan dɛn we gɛt Hashimoto?
Nɔr patikyula it nɔr de fɔ Hashimoto in sik. Bɔt sɔm it dɛn, mɛrɛsin dɛn, ɛn vaytamɛn dɛn kin ambɔg di we aw di lɛvotayroksin nɔ de tek am. Sɔm ɛgzampul dɛn na:
- Ayɔn ɛn kalsiɔm sɔpɔtmɛnt dɛn.
- Sɔm kayn mɛrɛsin dɛn we de mek pɔsin nɔ gɛt asid.
If yu tek sɔntin lɛk dis, yu kin avɔyd dis prɔblɛm bay we yu tek yu tayroyd pil 4 awa bifo ɔ afta.
Fɔ it fayn, fɔ du ɛksɛsayz, fɔ slip fayn, ɛn fɔ kɔntrol strɛs, ɔl dis kin ɛp yu imyun sistɛm. Bɔt ilɛk wetin yu du, if yu gɛt haypo tayroyd, i impɔtant fɔ tek yu mɛrɛsin jɔs lɛk aw yu dɔktɔ tɛl yu fɔ tek.
Yu tink se Hashimoto in sik denja we uman gɛt bɛlɛ?
If dɛn nɔ trit di haypo tayroyd we uman gɛt bɛlɛ, i kin denja fɔ di mama ɛn di pikin.
- We uman kin pwɛl bɛlɛ
- Fɔ bɔn pikin bifo tɛm
- di ay blɔd prɛshɔn we uman gɛt bɛlɛ (preeclampsia) .
Dɔn bak, if dɛn nɔ trit di pikin, i kin afɛkt di we aw di pikin de gro ɛn di we aw in bren de gro. So if yu gɛt Hashimoto ɛn yu de plan fɔ gɛt bɛlɛ ɔ yu dɔn gɛt bɛlɛ, tɛl yu dɔktɔ wantɛm wantɛm. If yu gɛt di rayt tritmɛnt ɛn monitar, prɔblɛm nɔ de fɔ bɔn pikin we gɛt wɛlbɔdi.
Kes dɛm we nid fɔ gɛt imejensi tritmɛnt (kes dɛm we nid fɔ go na di ETU) .
If dɛn nɔ trit yu, we rili siriɔs, wan imejensi we nɔ kin apin bɔt we kin mek yu layf de pan denja we dɛn kɔl myxedema coma kin apin. If dɛn sayn ya de, kɛr di pɔsin go wantɛm wantɛm na di ɔspitul we de nia yu in Imejɛnsi Dipatmɛnt (ETU) .
- di tεmprachכ na di bכdi we rili lכw (haypothermia).
- Di bɔdi kin swel, mɔ di fes, di tɔŋ, ɛn di leg dɛn.
- Hat bit rili slo ɛn wik puls.
- Fɔ blo kin slo ɔ i nɔ kin izi fɔ blo.
- Kɔnfyushɔn ɔ lɔs pan kɔnshɛns.
Na nɔmal tin fɔ fil frayd ɛn wɔri we dɛn jɔs no se yu gɛt wan sik. Bɔt di bɛst pat na dat, Hashimoto in sik na sik we pɔsin kin trit ɛn we pɔsin kin ebul fɔ kɔntrol. If yu gɛt dɛn kayn sik ya, ɔr if pɔrsin na yu famili gɛt tayroyd sik, nɔr shem fɔ go to yu dɔktɔ. Wan simpul blɔd tɛst kin no if yu tayroyd de wok fayn.
Mɛsej we dɛn kin kɛr go na os
- Hashimoto na wan sik we de mek wi ebul fɔ fɛt insɛf we wi yon imyun sistɛm de atak wi tayroyd gland.
- Dis sik na di men tin we kin mek di tayroyd nɔ de wok fayn (hypothyroidism).
- Di sayn dɛm lɛk fɔ taya ɔltɛm, fɔ gɛt bɔku bɔku bɔdi, fɔ fil kol, fɔ dray skin, ɛn fɔ gɛt kɔnstipɛshɔn.
- Di tritmɛnt na wan levothyroxine pill we dɛn kin tek ɛvride, we dɛn fɔ tek fɔ layf.
- If yu gɛt di rayt tritmɛnt ɛn di dɔktɔ we de kia fɔ yu, yu go ebul fɔ liv yu layf we gɛt wɛlbɔdi ɛn nɔmal layf.
- If yu gɛt dɛn sik ya, nɔ ignore dɛn. Mek shɔ se yu go to yu dɔktɔ fɔ advays.
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