Yu de fil bad bad wan bak dɛn tɛm ya? Yu kin fil taya ivin we yu wek na mɔnin, slip ɔl di de, ɛn yu nɔ gɛt trɛnk fɔ du ɛnitin? Na di sem tɛm, yu kin fil lɛk se yu de gɛt mɔ wet ivin we yu nɔ mek ɛni big chenj pan wetin yu de it ɛn drink? Yu kin tink se dis na nɔmal tin, na bikɔs ɔf bɔku wok. Bɔt biɛn dɛn tin ya, sɔntɛnde, smɔl smɔl chenj dɛn kin de we kin apin na wi yon bɔdi. Na dat wi go tɔk bɔt tide.
Fɔ tɔk am simpul wan, wetin na Hypothyroidism?
Okay, mek wi put am dis we. Wi gɛt wan smɔl gland we tan lɛk bɔtaflay na wi nɛk. Dis na wetin wi kɔl tayroyd gland . Jɔs lɛk di injin na motoka, i de kɔntrol bɔku tin dɛn na wi bɔdi, dat min se na in de sho aw wi bɔdi de spid (mɛtabolism). In ɔmon dɛn kin afɛkt bɔku tin dɛn lɛk yu at rit, bɔdi wam, ɛn aw yu de it kwik kwik wan.
Hypothyroidism na wan sik we di tayroyd gland nɔ de wok fayn ɛn i nɔ de mek di ɔmon dɛn we dɛn nid. Dɔn, jɔs lɛk we motoka in injin slo, ɔl di tin dɛn we de apin na wi bɔdi kin bigin fɔ slo. Na dat mek yu kin fil taya ɛn yu bɔdi kin ebi.
Bɔku pipul dɛn kin tink se fɔ taya ɛn fɔ gɛt bɔku bɔku bɔdi na nɔmal tin. Bɔt sɔntɛnde, dɛn tin ya kin bi sayn dɛn we de sho se pɔsin nɔ gɛt bɛtɛ tayroyd. Di bɛst pat na dat, dɛn kin no am wit simpul blɔd tɛst .
Dis na sik we dɛn kin trit ɛn kɔntrol bɔku tɛm, so no rizin nɔ de fɔ mek wi fred. Bɔt, i kin denja if dɛn nɔ trit am.
Wetin na di men kayn hapothayroidism?
difrεn men kayn dεm de dipכnt pan aw dis kכndyushכn de apin. Pan ɔl we dis na smɔl mɛrɛsin, i fayn fɔ no am wit simpul wɔd dɛn. Imajin, wan big bɔs de na wi bren (Hypothalamus), we de tɛl ɔda wan (Pituitary Gland) fɔ du sɔntin, we insɛf de tɛl di Tayroyd Gland fɔ wok. If prɔblɛm de ɛnisay na dis rod, Hypothyroidism kin apin.
| Tayp fɔ di haypotayroydism | Fɔ tɔk am simpul wan... |
|---|---|
| Praymari Haypotayroydism | Dis na di kayn we we pipul dɛn kin gɛt mɔ. Na ya, di prɔblɛm de dairekt wit di tayroyd gland insɛf . I sik ɛn i nɔ de mek ɔmon fayn fayn wan. Dis kin kam bikɔs ɔf tin dɛn lɛk Hashimoto in sik . |
| Sɛkɔndari Haypotayroydism | Di tayroyd gland fayn na ya. Bɔt di pituitary gland we de na di bren we de kɔmand am fɔ wok, nɔ de wok fayn. fכ dat, di tayroyd nכ de gεt di signal we dεn kכl TSH. |
| Tɛshari Haypotayroydism | Dis kin ivin apin we nɔ kin apin so ɔltɛm. Na ya di prɔblɛm de wit di big big bɔs na di bren. Dat min se, di haypothalamus . Bikɔs i nɔ de sɛn signal to di pituitary gland, di wan ol sistɛm kin kɔnfyus. |
| Sabklinik Haypotayroydism | Dis na wan sik we nɔ kin rili at fɔ du. Di TSH ɔmon we de na di blɔd ripɔt jɔs go ɔp smɔl, bɔt ɔda tayroyd ɔmon lɛvɛl dɛn nɔmal. Bɔku tɛm, dis kin sɔlv fɔ insɛf insay sɔm mɔnt. |
Wetin na di sayn dɛm fɔ dis sik?
Bɔrku tɛm, de sayn dɛm wae de sho se yu gɛt haypothayroyd nɔr kin kam wantɛm wantɛm. Dɛn kin divɛlɔp smɔl smɔl, smɔl smɔl. Sɔntɛnde, i kin tek sɔm ia. Si if yu gɛt dɛn sik ya bak.
| Di sayn we de sho se di sik de | Wetin kin apin wit dis? |
|---|---|
| We yu de gɛt mɔ wet fɔ natin | as di bכdi in mεtabolism de slo, di bכn fכ it de dכn εn di fεt we de kכmכt de bכku. |
| Fɔ taya ɔltɛm | Bikɔs di bɔdi in ɛnaji de go dɔŋ, yu nɔ go fil taya ilɛksɛf yu slip bɔku. |
| Intolerance fɔ di kol | Fɔ ɔda pipul dɛn, nɔmal kol kin fil lɛk kol we yu nɔ go ebul fɔ bia. |
| Dray, rɔf skin ɛn ia | Di skin kin dray ɛn gɛt skel. Di ia we de lɔs kin bɔku bak. |
| Banbɛlɛ | Kɔnstipɛshɔn kin apin bikɔs di dijestiv prɔses kin slo. |
| Di chenj dɛn we pɔsin kin gɛt na in maynd | Bren fɔg, fɔgɛt, pwɛl hat, ɛn wɔri kin apin. |
| Mɔsul pen, wik | Di bɔdi kin at, ɛn yu kin fil lɛk se yu an nɔ de fil fayn. |
| Ifɛkt pan uman dɛn | Tin dεm lεk mεnstral saykl dεm we nכ de rεgulεr εn bכku bכku bכku wan kin apin. |
If yu gɛt wan ɔ mɔ pan dɛn sik ya, di bɛst tin fɔ du na fɔ go to yu dɔktɔ fɔ advays.
Wetin mek Hypothyroidism kin apin?
Sɔntɛm bɔku rizin dɛn de fɔ dis.
- Hashimoto in sik: Dis na di men ɛn kɔmɔn tin wae kin mek pɔrsin gɛt dis sik. Fɔ tɔk am simpul wan, na wan sik we pɔsin kin gɛt we i de fɛt insɛf . Dis min se di imyun sistɛm we dɛn se de protɛkt wi bɔdi, kin mistek bigin fɔ atak in yon tayroyd gland. As tɛm de go, di gland kin pwɛl ɛn di ɔmon dɛn we dɛn de mek nɔ de wok igen.
- Fɔ pul di tayroyd gland:We dɛn du ɔpreshɔn fɔ pul ɔl ɔ pat pan di tayroyd gland bikɔs ɔf sɔm kansa ɔ kɔndishɔn dɛn lɛk goiter.
- Radieshɔn Tɛrapi: We dɛn yuz redyushɔn tɛrapi fɔ ed ɔ nɛk kansa, i kin pwɛl di tayroyd gland bak.
- Sɔm mɛrɛsin dɛm: Sɔm mɛrɛsin dɛm wae dɛn kin yuse fɔ hat sik ɛn maynd sik (e.g., Lithium, Amiodarone) kin mek bak di tayroyd nɔr de wok fayn.
- Ayodin we nɔ de: Ayodin na minral we impɔtant fɔ mek di tayroyd ɔmon dɛn kɔmɔt. Dis kכndyushכn kin apun if wi nכ gεt inof ayodin frכm wi it. Bɔt na Sri Lanka, dɛn nɔ kin si dis bɔku tɛm bikɔs dɛn dɔn ad ayodin to di sɔl we wi de yuz.
- di tin dεm we dεn kin bכn pikin dεm: sכm pikin dεn kin bכn we dεn nכ gεt tayroyd gland, כ wit gland we nכ de wok fayn.
Aw dɛn kin du di diagnosis?
We yu go to dɔktɔ, di fɔs tin we i go du na fɔ aks yu bɔt yu sik dɛn. Dɔn, dɛn go chɛk yu nɛk fɔ si if yu tayroyd gland dɔn swel.
Bɔt fɔ kɔnfirm dis sik fɔ tru, dɛn nid fɔ du blɔd tɛst.
Dis blɔd tɛst de luk mɔ pan:
- TSH (Thyroid-Stimulating Hormone): Dis na ɔmon we di pituitary gland na di bren de pul. If di tayroyd gland nɔ de wok, di bren de tray fɔ mek i wok bay we i de sɛn mɔ TSH. So, di TSH lεvεl dεm kin εlevεt bכku tεm pan haypotayroydism.
- T4 (Thyroxine): Dis na di men ɔmon we di tayroyd gland de mek. Insay haypo tayroyd, di lɛvɛl na dis ɔmon kin ridyus .
Sɔntɛnde, if nid de, di dɔktɔ kin ɔda fɔ du tɛst dɛn lɛk fɔ mek dɛn du ɔltra saund ɔ CT skan .
Wetin na di tritmɛnt dɛn? Na sɔntin we wi fɔ fred?
Nɔ, natin nɔ de fɔ wɔri bɔt atɔl. Di tritmɛnt fɔ di haypothayrɔydism rili simpul ɛn i kin wok fayn.
Di men tritmɛnt na Ɔmon Riplesmɛnt Tɛrapi . Fɔ tɔk am simpul wan, na we yu gi yu wan pil we dɛn kɔl Levothyroxine , we de tek di ples fɔ di tayroyd ɔmon we yu bɔdi nɔ ebul fɔ mek.
Dis na mɛrɛsin we yu nid fɔ tek ɛvride, bɔku tɛm na mɔnin, lɛk af awa bifo yu it brɛf, pan ɛmti bɛlɛ. I nid fɔ tek am fɔ di res ɔf yu layf.
Fɔs, yu dɔktɔ go du blɔd tɛst wan wan tɛm fɔ no di rayt doz fɔ yu. Wae yu dɔn tek di rayt doz, bɔrku pan yu sik dɛn go dɔn ɛn yu kin liv nɔrmal layf.
Aw lɔng i go tek fɔ mek yu wɛl afta yu dɔn bigin fɔ trit yu?
Di ɔmon lɛvɛl go bigin fɔ kam bak to nɔmal wans yu bigin fɔ tek di mɛrɛsin. Bɔt i kin tek sɔm wiks fɔ mek yu sik dɛn lɛk we yu taya ɛn we yu de gɛt bɔku bɔku bɔdi, nɔ de igen. So i impɔtant fɔ peshɛnt.
Wetin kin apin if yu nɔ gɛt tritmɛnt?
Dis na di tin we impɔtant pas ɔl. Pan ɔl we di tritmɛnt go sɔlv ɛni prɔblɛm, if dɛn nɔ trit am, siriɔs prɔblɛm dɛn kin apin.
- Goiter: Di tayroyd gland kin big bikɔs i de kɔntinyu fɔ stimulate.
- At sik: If yu gɛt bɔku bɔku bad kɔlɔstrel (LDL) i kin mek yu gɛt at sik.
- Prɔblɛm na yu maynd: Kɔndishɔn lɛk pwɛl hat ɛn wɔri kin kam tranga.
- Pɛriferal Nyuropati: If di nerv dɛn pwɛl, i kin mek di an ɛn fut dɛn fil pen ɛn swɛ.
- I nɔ kin bɔn pikin: I nɔ kin izi fɔ uman dɛn fɔ gɛt bɛlɛ. If dɛn nɔ trit di pikin we i gɛt bɛlɛ, i kin mek di pikin kɔmɔt na di bɛlɛ ɔ i kin afɛkt di pikin.
- Myxedema Coma: Dis na sik we nɔ kin apin so ɔltɛm, bɔt i kin mek pɔsin in layf de pan denja . Di wok we di bɔdi de du kin rili pwɛl ɛn i kin apin we pɔsin nɔ no natin.
Ustɛm a fɔ go to di dɔktɔ?
If yu gɛt ɛni wan pan di sayn dɛn we wi dɔn tɔk bɔt (lɛk we yu de taya ɔltɛm, we yu de gɛt bɔku bɔku bɔdi, we yu skin de dray), mek shɔ se yu go to dɔktɔ. I go chɛk yu ɛn if nid de, ɔda fɔ mek dɛn chɛk yu blɔd.
If yu dɔn ɔlrɛdi de tek mɛrɛsin fɔ haypo tayroyd ɛn yu fil se yu sik de kam bak, mek yu dɔktɔ no. Sɔntɛm yu go nid fɔ chenj di we aw yu de tek di mɛrɛsin.
Ustɛm fɔ go na di ETU (Imejɛnsi Tritmɛnt Yunit) kwik kwik wan
If yu gɛt ɛni wan pan dɛn bad bad tin ya, go na ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm . Dɛn tin ya kin bi sayn fɔ di Myxedema Coma kɔndishɔn we wi bin dɔn tɔk bɔt.
- I nɔ kin izi fɔ yu fɔ blo
- Smɔl we yu nɔ ebul fɔ bia, kɔnfyushɔn
- Hypothermia (we di bɔdi nɔ gɛt bɛtɛ tɛmpracha) .
- Hypotension (we blɔd prɛshɔn rili smɔl) .
- Di at bit we kin rili slo (Bradycardia) .
Mɛsej we dɛn kin kɛr go na os
- Hypothyroidism na wan tayroyd gland we nɔ de wok fayn. Dis na wan sik we kin rili kɔmɔn.
- If yu fil taya fɔ natin, if yu taya ɔltɛm, if yu skin dray, ɔ if yu nɔ ebul fɔ bia wit di kol, den yu fɔ sɔprayz.
- Nɔ wɔri! Dɛn kin no dis wit simpul blɔd tɛst ɛn dɛn kin manej am fayn wit wan pil we dɛn kin tek ɛvride.
- Bɔku tɛm, di tritmɛnt kin de fɔ ɔl in layf. Nɔ stɔp fɔ tek mɛrɛsin if yu dɔktɔ nɔ advays yu.
- If yu gɛt di rayt tritmɛnt, yu kin liv wɛl, nɔrmal layf ɛn nɔr gɛt ɛni prɔblɛm.
- If yu gɛt sɔm kayn sik, nɔr shem fɔ go to dɔktɔ ɛn gɛt advays. Dat na di bɛst step fɔ gɛt wɛlbɔdi layf.
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