Yu jɔs taya? Yu nek dɔn swel? Sɔntɛm dis na Hashimoto in Sik!

Sɔntɛnde, yu kin fil taya, yu kin taya, ɔ yu kin jɔs fil bad smɔl? Yu de gɛt mɔ wet? Ɔ yu kin fil lɛk se di fɔs pat na yu nɛk dɔn swel smɔl? Dɛn tin ya kin bi sayn fɔ wan sik we dɛn kɔl Hashimoto in sik. We yu yɛri dis nem, dat kin mek yu fred smɔl. Bɔt nɔ fred. Tide, wi go tɔk bɔt Hashimoto in Sik ditayli ɛn rili simpul wan.

Wetin na Hashimoto in Sik?

Fɔ tɔk am simpul wan, Hashimoto in sik na wan sik we kin kam wit smɔl prɔblɛm na wi yon imyun sistɛm, di sistɛm we de protɛkt wi frɔm sik. Wetin kin apin pan dis kes na we wi yon difɛns sɛl dɛn kin atak wi tayroyd gland. We dis kin apin as tɛm de go, di tayroyd gland nɔ kin ebul fɔ wok fayn, ɛn di ɔmon dɛn we i de mek kin go dɔŋ. Wi kin kɔl dis kɔndishɔn haypotayroydism . Hashimoto in sik na wan sik wae de kam wae yu de liv yu layf, wae nɔr de mɛn.

Wetin na di tayroyd gland? Aw i impɔtant fɔ wi bɔdi?

di tayroyd gland na smɔl gland we tan lɛk bɔtaflay we de bifo yu nɛk, jɔs ɔnda di skin. Na pat pan wi ɛndokrin sistɛm . I de mek tayroyd ɔmon dɛn ɛn mek dɛn kɔmɔt na di blɔd.

Di men wok we di tayroyd gland de du na fɔ kɔntrol di we aw wi bɔdi de wok . mεtabolism na di prכsεs we di it we wi de it de kכnvכlt to enεji. Wi kin tink bɔt dis nɔmɔ we wi de gɛt mɔ wet ɔ we wi de lɔs, bɔt fɔ tru dis kin afɛkt ɔl di ɔgan dɛn na wi bɔdi, ivin wi at ɛn bren.

Wetin kin rili apin pan Hashimoto in sik?

Na bɔrku pipul dɛm wae gɛt Hashimoto in sik, di tayroyd gland nɔr kin ebul fɔ mek inof tayroyd ɔmon fɔ di bɔdi. dis de mek di mεtabolik prכsεs we wi bin dכn tכk bכt de bigin slo dכn. Na da tɛm de di sayn dɛm kin bigin fɔ sho.

Wan dɔktɔ we kɔmɔt Jepan we nem Dɔktɔ Hakaru Hashimoto bin kam fɔ no bɔt dis sik fɔ di fɔstɛm insay 1912. Na dat mek dɛn kɔl am Hashimoto in sik. Dɛn kin kɔl am bak:

• Hashimoto tayroyditis we dɛn kɔl Hashimoto
• Kronik ɔtoimyun tayroyditis
• Limfosaytik tayroyditis

Aw kɔmɔn sik we dɛn kɔl Hashimoto? Udat go mɔs gɛt am?

Hashimoto in sik na wan sik we kin rili bɔku . Statistikin na sɔm kɔntri dɛn sho se i kin afɛkt 5 pan 100 pipul dɛn.

Insay kɔntri dɛn usay sɔl we dɛn ad ayodin ɛn ɔda it dɛn we gɛt ayodin kin bɔku, na di sik we dɛn kɔl Hashimoto na di men tin we kin mek pɔsin gɛt haypothayroyd. Insay ɔda kɔntri dɛn, na di men tin we kin mek pɔsin nɔ gɛt ayodin.

Udat kin gɛt am? Ɛnibɔdi, pan ɛni ej, kin gɛt di sik we dɛn kɔl Hashimoto. Bɔt,Uman dɛn kin gɛt dis sik lɛk 10 tɛm pas man dɛn, ɛn dɛn kin no am mɔ pan uman dɛn we ol bitwin 30 ɛn 50 ia.

Wetin na di sayn dɛm fɔ Hashimoto in sik? Aw yu de fil?

Sɔm pipul kin gɛt Hashimoto in sik bɔt nɔr kin sho ɛni sayn na di fɔs stej.

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. I nɔ de mek pɔsin fil pen, bɔt i kin fil lɛk se sɔntin ful-ɔp na di ɔda pat we de dɔŋ na di nɛk. Di fɔs pat pan di nɛk kin tan lɛk se i dɔn swel bak.

If di tayroyd ɔmon dɛn dɔn ridyus bikɔs ɔf di sik we dɛn kɔl Hashimoto (Hypothyroidism), as tɛm de go, dɛn tin ya kin apin:

• I kin slip, i kin taya pasmak, ɛn i kin nid fɔ slip ɔltɛm.
• Na smɔl wet we yu go gɛt.
• Banbɛlɛ.
• Dray skin.
• Nɔ ebul fɔ bia di kol.
• Wan at rit we slo pas aw i fɔ bi (Bradycardia).
• Jɔyn pen ɛn mɔsul pen.
• Di ia we dray, di ia we de brok, di ia we nɔ de gro ɔ di ia we de lɔs.
• Gladi at we de go dɔŋ, pwɛl hat.
• Di yay ɛn fes kin swel.
• Di mɛmori we de go dɔŋ, i nɔ kin izi fɔ pe atɛnshɔn pan sɔntin.
• Menstrual saykl we nɔ de ɔltɛm ɔ we uman dɛn de blɔd bɔku.
• Di libido we dɔn go dɔŋ.
• Infεrtiliti na man ɔ uman.

Aw pɔsin we gɛt Hashimoto kin fil?

Ivin if yu gɛt Hashimoto in sik, if yu tayroyd ɔmon nɔ bɔku (hypothyroidism), yu nɔ go notis bɔku difrɛns.

Bɔt if yu gɛt haypothayrɔydism, yu kin fil lɛk se "sɔntin nɔ fayn." "Hypo-" min "lɛs" ɔ "ɔnda." So yu kin tink bɔt di sayn dɛm fɔ haypotayroydizm as "slowing down" fɔ difrɛn prɔses dɛm na di bɔdi.

Yu go fil lɛk se yu nɔ gɛt bɛtɛ trɛnk lɛk aw yu bin de du, ɛn yu nɔ go ebul fɔ ɛksesaiz lɛk aw yu bin de du trade. If yu yuz fitnɛs traka, i go tan lɛk se yu at rit smɔl pas aw i bin de bit trade. Yu kin gɛt fɔg na yu bren, ɛn i kin at fɔ mɛmba tin dɛn. Hypothyroidism kin "slow down" yu mud bak - yu kin fil sɔri ɛn pwɛl hat. I kin ridyus yu sɛks drayv bak ɛn slo yu dijestiv sistɛm - we min se yu nɔ kin gɛt bɔdi muvmɛnt ɔltɛm lɛk aw yu bin de du trade.

If yu bɔdi ɛn maynd fil lɛk se dɛn dɔn stɔp na fim we de 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?

Kɔz: Na wan malfunkshɔn na wi yon difens sistɛm (Autoimmune Disease) .

Hashimoto’s na wan sik we pɔsin kin gɛt we i de fɛt insɛf . Dat min se yu bɔdi in yon imyun sistɛm de atak yu yon sɛl ɛn ɔgan dɛn. Imajin am, lɛk se di ami we dɛn se fɔ protɛkt wi kɔntri de atak wi kɔntri.

Nɔmal wan, wi imyun sistɛm de protɛkt wi frɔm bad bad tin dɛn lɛk baktri ɛn vayrɔs. Bɔt pan Hashimoto in sik, na dis kin apin:

• Yu imyun sistɛm, fɔ sɔm rizin we wi nɔ no, de mek antibodi dɛm we de atak yu tayroyd tisu.
• Bɔku bɔku wayt blɔd sɛl dɛn, mɔ di limfosayt dɛn , kin gɛda insay di tayroyd gland.
• Dis we aw i kin gɛda kin mek di tayroyd gland inflamɛns, ɔ tayroyd , ɛn i kin pwɛl di gland.
• As tɛm de go, dis damej kin mek di tayroyd gland nɔ ebul fɔ mek inof tayroyd ɔmon fɔ di bɔdi. Dis na wetin de mek yu gɛt `Hypothyroidism`.
• Bɔt nɔto ɔlman we gɛt Hashimoto in sik kin gɛt haypotayroyd.

Tin dɛn we de mek di risk bɔku

Bɔku tin dɛn de we kin mek pɔsin gɛt dis sik we dɛn kɔl Hashimoto:

• Famili histri: Risach dɔn sho se lɛk 80% pan yu risk fɔ gɛt Hashimoto in sik na bikɔs ɔf di jenɛtiks. If yu fambul dɛm na yu blɔd gɛt Hashimoto in sik ɔ ɔda tayroyd sik, yu kin gɛt am bak.
• Jɛnda: Uman dɛn kin gɛt dis sik lɛk 10 tɛm pas man dɛn. Di inflɛns we di ɔmon dɛn we de du mami ɛn dadi biznɛs gɛt kin bi bak wan rizin.
• Ej: Di risk fɔ gɛt dis sik (ɛn ɔda tayroyd sik dɛn) kin go ɔp wit di ej.

Dɔn bak, yu kin gɛt bɔrku risk fɔ gɛt Hashimoto if yu gɛt ɔda sik dɛn we yu kin gɛt we yu de fɛt, lɛk:

• Di sik we Addison bin gɛt
• Siliak sik we dɛn kin gɛt
• Lupus we gɛt di sik
• Anemia we kin pwɛl pɔsin in bɔdi
• Rimatɔyd at at sik
• Di sik we dɛn kɔl Sjögren in sindrom
• Tayp 1 dayabitis

Aw dɛn kin no bɔt di sik we dɛn kɔl Hashimoto?

Yu dɔktɔ go du dɛn tin ya fɔs:

• A de aks bɔt yu simptom dɛm.
• Aks bɔt yu mɛdikal histri (lɛk if ɛnibɔdi na yu famili gɛt tayroyd prɔblɛm).
• Dɛn go du wan ɛgzam fɔ yu bɔdi, ɛn insay da tɛm de dɛn go ɛgzamin yu tayroyd gland wit dɛn an.

Afta dis asɛsmɛnt, dɛn go ɔda fɔ du sɔm blɔd tɛst fɔ kɔnfirm di diagnosis:

• Tayroyd Stimulating Hormone Test (TSH test): If yu gɛt ay TSH lɛvɛl, dat kin min se yu tayroyd gland nɔ de mek inof tayroksin (T4) ɔmon. Dis rizɔlt sho se yu gɛt ɔl tu di haypo tayroyd ɔ sabklinik haypotayroyd (na wan kɔndishɔn we nɔr gɛt ɛni sayn, bɔt chenj de na di ɔmon lɛvɛl).
• Fri Tayroksin (Fri T4) tɛst: T4 lɛvɛl we smɔl na ɔda tin we de sho se yu gɛt haypotayroydism.
• Antitayroyd antibodi test: If yu gɛt sɔm ɔtoantibodi dɛm na yu blɔd, i de sho se di tin we de mek yu gɛt haypothayroyd nɔto ɔda tin lɛk we yu nɔ gɛt ayodin, bɔt na Hashimoto in sik.

Sɔntɛnde, yu dɔktɔ kin tɛl yu bak fɔ du tayroyd ɔltrasɔund fɔ chɛk di sayz fɔ di tayroyd gland ɛn fɔ chɛk if di tayroyd nodul dɛn (smɔl smɔl smɔl tin dɛn we kin mek na di gland).

Wetin na di tritmɛnt fɔ di sik we dɛn kɔl Hashimoto?

Yu tink se ɔlman nid mɛrɛsin?

Nɔto ɔlman wae gɛt Hashimoto in sik kin gɛt hypothyroidism. If yu blɔd antibodi lɛvɛl bɔku bɔt yu nɔ gɛt klinik sayn fɔ haypothayroyd, yu dɔktɔ go de wach yu tayroyd lɛvɛl ɔltɛm instead fɔ bigin tritmɛnt.

Di men tritmɛnt: Levothyroxine

If yu gɛt haypothayrɔydism bikɔs ɔf di sik we dɛn kɔl Hashimoto, di men tritmɛnt na wan mɛrɛsin we dɛn kɔl levothyroxine . dis na sεntetik fכm fכ di T4 כmon we yu tayroyd gland de mek.

Levothyroxine de ɔnda difrɛn brand nem dɛn. Yu dɔktɔ go gi yu di rayt wan fɔ yu.

Dis mɛrɛsin de ɛp fɔ mek di tayroyd ɔmon lɛvɛl kam bak na yu bɔdi. Yu go nid fɔ tek am ɛvride fɔ di res ɔf yu layf . As tɛm de go, di doz fɔ mɛrɛsin we yu nid fɔ tek kin chenj. Yu dɔktɔ go no aw fɔ ajɔst di doz fɔ mek i ebul fɔ kɔntrol yu haypothayrɔydism fayn fayn wan.

Yu tink se Levothyroxine gɛt sayd ɛfɛkt?

If yu de gɛt sayd ɛfɛkt frɔm levothyroxine, i go mɔs bi se yu de tek tumɔs. dis kin mek yu gεt wan kכndyushכn we dεn kכl tayrotoksikosis – we di tayroyd כmon dεm de inkrεs.

Di sayn dɛm fɔ tayrotoksikosis na:

• di at bit kwik kwik wan (Tachycardia) – i kin bi pas 100 bit pan wan minit.
• Di at we nɔ de bit ɔltɛm (Aritmia).
• We yu de lɔs yu wet we yu nɔ ɛksplen.
• Fɔ fil lɛk se yu bɔdi de shek.
• Nɔ rɛst, wɔri, vɛks.
• Inkris sɛnsitiviti to ɔt ɛn swet pas aw i kin bi.
• di chenj dεm we de apin na di mεnstral saykl.

If yu gɛt sayn dɛn lɛk dis, yu fɔ tɛl yu dɔktɔ wantɛm wantɛm.

Yu tink se pipul dɛm wae gɛt Hashimoto in sik nid spɛshal it?

Nɔr patikyula it nɔr de fɔ Hashimoto in sik. Bɔt sɔm it dɛn, mɛrɛsin dɛn, ɔ sɔpɔtmɛnt dɛn kin afɛkt di we aw yu de tek di lɛvotayroksin we yu de tek. Fɔ ɛgzampul:

• Ayɔn ɛn kalsiɔm sɔpɔtmɛnt dɛn.
• Sucralfate (na mɛrɛsin fɔ ɔlsa na yu bɛlɛ).
• Cholestyramine ɛn aluminium haydroksayd (dɛn kin fɛn am na sɔm antasid dɛn).

Yu kin avɔyd dis prɔblɛm if yu tek dɛn 4 awa ya bifo ɔ afta yu tek lɛvotayroksin.

If yu gɛt ɛni kwɛstyɔn bɔt it, tɔk to yu dɔktɔ ɔ wan Rejistret Daytitian.

If yu it fayn ɛn liv fayn layf (we yu de du ɛksɛsayz, slip fayn, we yu de kɔntrol strɛs) go ɛp yu imyun sistɛm. Bɔt if yu gɛt haypo tayroyd, i impɔtant fɔ tek yu mɛrɛsin fayn fayn wan ilɛk wetin apin.

Yu tink se dɛn go ebul fɔ mɛn di sik we dɛn kɔl Hashimoto kpatakpata? Yu tink se dɛn go ebul fɔ stɔp am?

Bɔt i sɔri fɔ no se, no mɛrɛsin ɔ we nɔ de fɔ mek dɛn nɔ gɛt di sik we dɛn kɔl Hashimoto. Bɔt, mɛrɛsin fɔ ɔl yu layf kin ɛp fɔ kɔntrol di haypo tayroyd ɛn di tayroyd ɔmon lɛvɛl.

Na ɔnfɔni, natin nɔr de we wi kin du fɔ mek wi nɔ gɛt Hashimoto in sik bikɔs wi nɔ kin chenj di risk factor dɛm wae kin afɛkt am - tin dɛm lɛk jin ɛn ej.

Wetin na de prɔblɛm wae kin kam wae pɔrsin de liv wit Hashimoto in sik?

If dɛn de wach ɛn trit pipul dɛn fayn fayn wan ɔlsay na dɛn layf, pipul dɛn we gɛt dis sik kin gɛt rili gud wɛlbɔdi.

Bɔt if dɛn nɔ trit di haypothayrɔydism we Hashimoto in sik kin mek, dɛn wɛlbɔdi prɔblɛm ya kin apin:

• Kɔlestɔl we bɔku.
• At sik ɛn at we nɔ de wok fayn.
• Di ay blɔd prɛshɔn.
• Pwɛl at.
• Myxedema kɔma we de na di kɔma . Dis na wan prɔblɛm we nɔ kin apin so ɔltɛm, we kin mek pɔsin in layf de pan denja we kin mek pɔsin gɛt siriɔs haypotayroyd. Di wok we di bɔdi de du kin slo so dat i kin ivin mek pɔsin day.

Hashimoto in sik we uman gɛt bɛlɛ

If dɛn nɔ trit di haypothayrɔydism we uman gɛt bɛlɛ, dɛn prɔblɛm ya kin bɔku:

• We uman kin pwɛl bɛlɛ.
• Fɔ bɔn pikin bifo tɛm.
• We dɛn bɔn pikin we dɔn day.

Ɔ, yu kin gɛt wan sik we dɛn kɔl prɛeklampsia, we na wan denja ay blɔd prɛshɔn let we yu gɛt bɛlɛ. If yu nɔ trit yu pikin we yu nɔ bɔn yet, i kin afɛkt di we aw yu pikin we nɔ bɔn yet de gro ɛn in bren. So, yu dɔktɔ dɛn go ɛp yu fɔ kɔntrol yu haypothayrɔydism fayn fayn wan we yu gɛt bɛlɛ.

Hapotayroyd nɔ kin apin we uman gɛt bɛlɛ. Bɔt di sayn dɛm we i kin gɛt (lɛk we pɔsin taya ɛn we i kin gɛt bɔku bɔku bɔdi) kin tan lɛk di wan dɛn we pɔsin kin si we uman gɛt nɔmal bɛlɛ, so sɔntɛnde pɔsin kin mis am. If yu fil se yu gɛt sayn dɛm fɔ hapo tayroyd, ɔr if yu tink se yu kin gɛt goiter, tɛl yu dɔktɔ wantɛm wantɛm.

Ustɛm a fɔ go to dɔktɔ? Wetin na imejensi?

Apɔntinmɛnt fɔ dɔktɔ ɔltɛm

If yu gɛt Hashimoto in sik, yu go nid fɔ go to yu dɔktɔ ɔltɛm . I go du blɔd tɛst fɔ chɛk if yu tayroyd ɔmon lɛvɛl nɔmal ɛn if di mɛrɛsin we yu de tek rayt fɔ yu.

Apat frɔm dat, go to yu dɔktɔ if yu gɛt nyu sik dɛn, if di sik dɛn we yu dɔn gɛt dɔn wɔs, ɔ if yu notis ɛni chenj na yu tayroyd gland (e.g., swel).

Kes dɛm we nid fɔ go na ɔspitul wantɛm wantɛm (Myxedema Coma) .

If yu si sayn dɛm fɔ myxedema coma , kɔl 911 ɔ go na imejensi rum kwik kwik wan. Dis siriɔs prɔblɛm we kin mek pɔsin gɛt haypothayrɔydism kin mek pɔsin in layf de pan denja!

Dɛn kwaliti dɛn de na:

• Hypothermia na we di bɔdi in tɛmpracha de dɔŋ pas 35 digri sɛlshiɔs (95 digri Fahrenheit).
• Swel (edema) na di bɔdi, mɔ na di fes, di tɔŋ, ɛn di ɔda leg dɛn we de dɔŋ.
• Di at rit we de slo bad bad wan ɛn di puls we wik.
• Fɔ blo sloslo (Bradypnea) ɛn fɔ mek i nɔ izi fɔ blo (Dyspnea).
• Kɔnfyushɔn ɔ lɔs pan kɔnshɛns.

Fɔ dɔn, sɔm tin dɛn we yu fɔ mɛmba (Take-Home Message) .

Na nɔmal tin fɔ fil smɔl strɛs ɛn fred we yu gɛt nyu diagnosis. Bɔt di gud nyus na dat Hashimoto in sik na sik we dɛn kin mɛn fayn fayn wan ɛn we dɛn kin mɛn .

If yu tink se yu kin gɛt sɔm sayn dɛm fɔ Hashimoto, ɔr if yu gɛt tin dɛm wae kin mek yu gɛt dis sik, lɛk wae yu famili gɛt tayroyd sik, mek shɔ se yu go to yu dɔktɔ. Dɛn kin du sɔm simpul tɛst fɔ si if yu tayroyd de mek inof ɔmon. Mɛmba se, di kwik we dɛn no am, na di mɔ dɛn kin bigin fɔ trit am kwik kwik wan. Dɔn yu go ebul fɔ liv fayn layf ɛn kɔmfyut layf.

` Hashimoto in sik, tayroyd, haypotayroyd, ɔtoimyun sik, tayroyd ɔmon, lɛvotayroksin, goiter