Yu go dɔn yɛri bɔt di tayroyd gland, we na wan smɔl gland we tan lɛk bɔtaflay we de bifo yu nɛk. I de wok lɛk injin na wi bɔdi. I de mek tayroyd
ɔmon , we impɔtant fɔ ɔlmost ɔl di sɛl dɛn na wi bɔdi. Bɔt sɔntɛnde di wok we dis gland de du kin go dɔŋ ɛn wan kɔndishɔn kin apin we di tayroyd ɔmon dɛn nɔ kin mek inof. Wi kin kɔl dis
haypotayroydism . Tide wi de tɔk bɔt di kes we kin rili bad, ivin we kin mek pɔsin in layf de pan denja. Dat na Myxedema Kɔma.
Fɔs, lɛ wi si wetin na Hypothyroidism.
Fɔ tɔk am simpul wan, haypo tayroyd na tayroyd gland we nɔ de wok fayn. Dis kin mek di bɔdi in ɔgan dɛn wok sloslo. Di sayn dɛm na:
Bikɔs dɛn sik ya kin kam pan bɔku pipul dɛn, sɔm pipul dɛn nɔ kin ivin tink se na sik. Bɔt if dɛn nɔr no dis sik fayn fayn wan ɛn trit am fayn, e kin bi denja.
So wetin na Myxedema Coma?
Imajin, dis na wan sik wae kin apun wae di haypothayroydism kin kam bad bad wan, ɛn di lɛvɛl wae di tayroyd ɔmon na di bɔdi kin drɔp to di lɛvɛl wae denja. Pan ɔl we dis na tin we nɔ kin apin so ɔltɛm,
na wan mɛrɛsin we kin rili mek pɔsin in layf de pan denja . Pan ɔl we di wɔd "Coma" de insay di nem Myxedema Coma, nɔto ɔl di sik pipul dɛn kin nɔ no natin. Bɔt dɛn nɔ kin no bɛtɛ bɛtɛ wan ɛn dɛn kin slip so dat dɛn nɔ kin ebul fɔ du sɔntin.
Dɛn kin tek dis as di las, mɔs siriɔs stej fɔ haypothayroyd, so i impɔtant fɔ no bɔt dis.
Wetin kin mek pɔsin gɛt myxedema kɔma?
Fɔ pɔrsin wae dɔn ɔlrɛdi gɛt siriɔs haypothayroydism, ɛni wan pan dɛn tin ya kin mek dis denja sik.
| Trig Factor we de mek pɔsin want fɔ du sɔntin | Tɔk bɔt |
|---|
| Infεkshכn dεm | Ɛspɛshali di lɔng (nyumonia) ɛn urinary tract infection. |
| Ɔda tin dɛn we kin apin to pɔsin we sik | Kɔndishɔn lɛk at pwɛl ɛn strok. |
| Di tin dɛn we kin apin to pɔsin in bɔdi | Fɔ gɛt big aksidɛnt (Trauma) ɔ ɔpreshɔn. |
| Sɔm mɛrɛsin dɛn | Sɔm mɛrɛsin dɛn lɛk tranquilizer, lithium, ɛn amiodarone. |
| If yu nɔ fala di advays we dɔktɔ gi yu | Di rizin we kɔmɔn pas ɔl! Nɔ tek di tayroyd mɛrɛsin we di dɔktɔ gi yu di rayt we. |
Wetin na di denja sayn dɛm fɔ wach fɔ?
If pɔrsin wae gɛt haypothayroydism gɛt wan ɔr mɔr pan dɛn kayn sik ya, i kin bi prɛkursɔr fɔ wan sik wae dɛn kɔl Myxedema Coma.
- Wiknɛs ɔr taya: Pɔsin kin slip so dat i nɔ kin wek.
- Kɔnfyushɔn ɔ nɔ de ansa: Nɔ ɔndastand wetin dɛn de tɔk ɔ nɔ de ansa.
- Lɔw bɔdi tɛmpracha (Hypothermia): Di bɔdi kin fil kol lɛk ays we yu tɔch am.
- Bɔdi swel : Ɛspɛshali di fes, tɔŋ, ɛn leg dɛn kin swel.
- Difεlεns fכ brith : di brith rεt de dכn bכku bכku wan.
If pɔsin we gɛt dɛn sik ya nɔ no natin ɔ i nɔ de slip fayn, na
imejensi ɛn dɛn fɔ kɛr am go na ɔspitul wantɛm wantɛm . Fambul ɔ padi dɛn fɔ kɛr dɛn go na di
Imejɛnsi Tritmɛnt Yunit (ETU) we de nia dɛn wantɛm wantɛm.Yu gɛt fɔ tek am. We yu west tɛm, dat go jɔs mek yu layf bɔku.
Test ɛn tritmɛnt na di ɔspitul
Afta dɛn kɛr dɛn go na di ɔspitul, di dɔktɔ dɛn kin du bɔku tɛst dɛn kwik kwik wan fɔ no if pɔsin gɛt di sik.
- Blɔd tɛst: Blɔd tɛst de chɛk di tayroyd ɔmon lɛvɛl (TSH, T4), shuga, ilɛktrɔlayt , ɛn kɔtisol.
- Blɔd gas dɛm: I de chɛk di lɛvɛl we ɔksijɛn ɛn kabon dayɔgzayd de na di blɔd.
- ECG test: De chɛk fɔ ɛni prɔblɛm wit di at in wok.
As tritmɛnt, dɛn kin admit di pɔsin
na di Intensive Care Unit (ICU) .
- Ɔmon dɛn we dɛn kin put insay di bɛlɛ: Fɔ mek di tayroyd ɔmon kam bak kwik kwik wan, dɛn kin gi ɔmon dɛn as injɛkshɔn (intravenous ɔ IV) .
- Sɔpɔt fɔ kia fɔ yu: If di bɔdi wam, wam am wit blankit we de mek yu wam . If di blɔd shuga smɔl, gi glukɔs. If infekshɔn de, gi am antibayɔtik. If yu tink se prɔblɛm de wit di adrenal gland dɛm, gi stɛroyd (glucocorticoids).
Di tin we impɔtant pas ɔl we famili dɛn nid fɔ no!
If dis kayn tin apin to yu fambul ɔ padi, di tin we impɔtant pas ɔl na fɔ lɛ yu nɔ fred ɛn du di rayt tin.
Pɔsin we de na myxedema kɔma nɔ kin no natin. So, dɛn nɔ go ebul fɔ du ɛnitin fɔ dɛnsɛf. Nɔ ɛva tray fɔ gi tayroyd pils na os. Di tin we yu fɔ du wantɛm wantɛm na fɔ kɛr dɛn go na ɔspitul, we na ETU. Bikɔs sɔntɛnde, if dɛn gi tayroyd mɛrɛsin wit ɔda ɔmon dɛn we nɔ de, i kin mek pɔsin gɛt wan sik we denja pasmak (adrenal crisis). So, na dɔktɔ nɔmɔ fɔ disayd fɔ du dat.
Yu tink se dɛn go ebul fɔ mek dis tin nɔ apin?
Yɛs! Di bɛst tin fɔ du na fɔ mek dis sik nɔ apin. I rili rili simpul. If yu gɛt haypo tayroyd, di impɔtant tin fɔ du na
fɔ tek di tayroyd mɛrɛsin we yu dɔktɔ tɛl yu fɔ tek di rayt doz, di rayt tɛm, ɛvride . Nɔr stɔp fɔ tek di mɛrɛsin bikɔs yu de bost ɔr bikɔs yu tink se "i bɛtɛ naw." Dɔn bak, i rili impɔtant fɔ go to yu dɔktɔ di rayt tɛm ɛn du blɔd tɛst lɛk TSH fɔ wach yu kɔndishɔn. If yu fala dɛn tu simpul tin ya, yu go ebul fɔ protɛkt yusɛf ɔlmost frɔm wan denja sik lɛk Myxedema Coma.
Mɛsej we dɛn kin kɛr go na os
- Myxedema Coma na di imejensi we kin rili bad, we kin mek pɔsin in layf de pan denja fɔ di haypothayrɔydism we dɛn nɔ trit.
- Di men sayn dɛm na wae yu de slip pasmak, yu kɔnfyus, yu bɔdi kol pasmak, yu de swel, ɛn yu nɔr kin ebul fɔ blo.
- If yu si dɛn sayn ya, kɛr di pɔsin go na di Imejɛnsi Tritmɛnt Yunit (ETU) we de nia yu wantɛm wantɛm.
- Nɔ tray fɔ injekt tayroyd pils na os fɔ ɛni rizin.
- Di bɛst we fɔ avɔyd dis na fɔ tek di tayroyd mɛrɛsin we yu dɔktɔ tɛl yu fɔ tek ɛvride, di doz we dɛn tɛl yu fɔ tek, ɛn fɔ go to dɔktɔ lɛk aw dɛn tɛl yu fɔ tek am.
myxedema koma, haypotayroyd, tayroyd, tayroyd ɔmon, haypotayroyd, tayroyd dɛfisiɛns, imejensi tritmɛnt
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