Di taya we yu kin fil afta yu bɔn pikin, di nɛt we yu nɔ kin slip, di prɛshɔn we kin kam wit nyu rispɔnsibiliti... Wit ɔl dis, yu kin tink se dɛn chenj ya na nɔmal tin. Dis na tin we bɔku mama dɛn kin gɛt. Bɔt sɔm tɛm, biɛn dis bad bad taya, wɔri, ɛn chenj na yu bɔdi nɔto di nɔmal tin we kin apin afta yu bɔn pikin. I kin bi wan sik we dɛn kɔl ‘Postpartum Thyroiditis’, we bɔku pipul dɛn nɔ kin tɔk bɔt, bɔt i impɔtant fɔ no bɔt.
Fɔ tɔk am simpul wan, wetin na Postpartum Thyroiditis?
Dis kin tan lɛk se na strenj nem, bɔt i rili simpul fɔ ɔndastand. Postpartum min "afta dεn bכn pikin." Tayroyd min "swel ɔ inflameshn na di tayroyd gland." Postpartum Thyroiditis na inflameshn na yu tayroyd gland we kin apin insay di fכs ia afta yu bכn pikin.
Naw yu go mɔs de wɔnda, wetin na dis tayroyd gland? Na wan rili impɔtant smɔl gland we tan lɛk bɔtaflay we de bifo wi nɛk. Dis gland de mek ɔmon dɛn we de kɔntrol bɔku impɔtant tin dɛn lɛk aw wi bɔdi de yuz ɛnaji, ɔ di we aw wi de chenj in bɔdi. So we prɔblɛm de wit dis, di wan ol bɔdi kin fil am.
Aw dis kin apin? Lɛ wi lan bɔt tri stej dɛn.
Postpartum Thyroiditis kin go bifo tru sɔm stej dɛm. Bɔt nɔto ɔlman kin gɛt ɔl dɛn stej ya di sem we. I impɔtant fɔ mɛmba dat.
| Stej | Tɔk bɔt |
|---|---|
| Stej 1 (Haypatayroydism) . | Dis na we di tayroyd gland de swel ɛn di ɔmon dɛn we dɛn dɔn kip insay de gɛda wantɛm wantɛm na di blɔd pasmak. dis min se di lεvεl fכ di tayroyd כmon dεm na di bכdi de inkrεs bכku bכku wan. dis kin apin bitwin 1 εn 6 mכnt afta dεn bכn di pikin. Dis sik kin te frɔm wan wik to lɛk tri mɔnt. |
| Stej 2 (Haypotayroydism) . | Afta we di tayroyd gland dɔn mek bɔku ɔmon dɛn, i kin stɔp fɔ wok fayn fayn wan. Dat min se i nɔ de mek di ɔmon dɛn we dɛn nid. dis kin mek di lεvεl fכ di tayroyd כmon dεm na di bכdi dכn bכku bכku wan. dis kin apin bitwin 4 εn 8 mכnt afta dεn bכn di pikin. Dis sik kin te fɔ wan ia. |
| Stej Tri (Rɛkɔvri) . | Bɔku tɛm, afta dɛn tu stej ya, di tayroyd gland kin kam bak to nɔmal ɛn bigin fɔ mek ɔmon dɛn nɔmal wan. |
Bɔt mɛmba se sɔm mama dɛn kin jɔs gɛt di fɔs stej (Hyperthyroidism) ɛn afta dat dɛn kin wɛl wantɛm wantɛm. Di sɛkɔn stej (Hypothyroidism) nɔ kin apin atɔl. Na smɔl tɛm nɔmɔ pɔsin kin gɛt fɔ kɔntinyu fɔ de na di sɛkɔn stej, we min se di ɔmon lɛvɛl nɔ kin bɔku.
Wetin na di sayn dɛm we de sho se yu gɛt dis sik? Aw wi no dis?
di big prכblεm wit dis na dat dεn simptom dεm ya kin כvalap wit nכmal kכndyushכn dεm we kin apin afta dεn bכn pikin.
Bɔku mama dɛn kin tink se na di strɛs we dɛn kin gɛt we dɛn de kia fɔ di pikin kin mek ɔl dis taya ɛn di we aw dɛn de fil. So, dɛn nɔ kin fil se dɛn nid fɔ go to dɔktɔ.
Lɛ wi si wetin de sayn dɛm wae gɛt fɔ du wit di tu stej dɛm.
Fɔs stej: We di ɔmon dɛn de bɔku (Hyperthyroidism) .
insay dis tεm, di bכdi in prכsεs dεm de bi "haypa," we min se dεn de spid. Bɔt bɔrku pipul dɛn nɔr kin sho ɛni big big sayn pan dis tɛm. Ɔ dɛn kin ignore dɛn.
- Fɔ de wɔri ɔltɛm ɛn nɔ de rɛst.
- Fɔ lɔs bɔku ia fɔ natin.
- Fɔ lɔs yu wet pan ɔl we yu de it fayn.
- Fɔ fil lɛk se yu at de bit fast (Tachycardia).
- Di wam wam ples nɔ kin ebul fɔ bia.
Stej Tu: We di ɔmon dɛn nɔ bɔku (Hypothyroidism) .
Bɔrku pipul kin bigin fɔ si de sik klia wan insay dis tɛm. Dis na we di tin dɛn we di bɔdi de du kin slo.
- Fɔ fil ɔltɛm fɔ taya pasmak ɛn taya.
- We yu de gɛt bɔku bɔku bɔdi pan ɔl we yu de kɔntrol wetin yu de it ɛn drink.
- Fɔ fil bad ɛn fɔ fil bad .
- Skin we rili dray.
- Banbɛlɛ .
- Di pen na di bɔdi ɛn di mɔsul dɛn.
- Nɔto inof milk fɔ gi di pikin.
- Nɔ ebul fɔ bia wit di kol.
Wetin mek dis de apin? Wetin na di rizin?
Fɔ tɔk am simpul wan, dis na ɔtoimyun.Wan sik we wi bɔdi in difɛns sistɛm, di imyun sistɛm, kin mistek atak wi yon tayroyd gland. I tan lɛk se di "sɔja" (antibodi dɛm) we dɛn se de protɛkt wi bɔdi frɔm sik, dɛn mistek kɔl dɛn yon ɛn atak am. Dis atak kin mek di tayroyd gland swel.
Dis kin rili fiba di sik we dɛn kɔl Hashimoto , we na wan sik we dɛn kɔl tayroyd. pan tap we dεn nכ no yet bכku bכku wan wetin mek dis kin apin afta bεlε, wan pan di men tiori dεm na dat dis כtoimyun kכndishכn bin de na yu bכdi bifo bεlε εn i kin כnli kam na di sכfa afta yu bכn.
Udat de pan denja fɔ gɛt dis sik?
If yu gɛt wan ɔ mɔ pan dɛn tin ya, yu risk fɔ gɛt tayroyd we yu bɔn afta yu bɔn kin bɔku smɔl.
- If yu dɔn gɛt dis sik afta yu dɔn bɔn pikin bifo tɛm .
- If yu gɛt ɔda sik we pɔsin kin gɛt we i de fɛt insɛf, lɛk Tayp 1 dayabitis .
- If ɛnibɔdi na yu famili (mama, sista) gɛt tayroyd sik.
- If yu bin gɛt anti-tayroyd antibodi na yu bɔdi bifo yu gɛt bɛlɛ (yu nɔ go no bɔt am, bikɔs i nɔ go gɛt ɛni sayn fɔ sho).
Aw yu go fɛn dis, Dɔktɔ?
We yu dɔn tɔk bɔt yu sik dɛn, di dɔktɔ go chɛk yu. Dɔn, dɛn go ɔda fɔ mek dɛn du simpul blɔd tɛst fɔ no if pɔsin gɛt di sik.
Dis blɔd tɛst de chɛk di lɛvɛl dɛn na di tayroyd ɔmon (T3, T4) ɛn TSH (Thyroid Stimulating Hormone) na yu blɔd. bay di chenj dεm na dεn lεvεl dεm ya, di dכkta kin kכrekt fכ no if dis na Postpartum Thyroiditis כ כda tayroyd sik lεk Graves in sik.
Wetin na di tritmɛnt dɛn? Dɛn tin ya nɔ bad fɔ mama we de gi pikin in bɛlɛ?
De gud nyus na dat bɔrku mama dɛm nɔr nid ɛni spɛshal tritmɛnt bikɔs dɛn sik nɔr kin so bad. Bɔt if yu sik bad bad wan ɛn ambɔg yu layf, yu dɔktɔ go gi yu mɛrɛsin.
Di tin we impɔtant pas ɔl na dat if yu de gi yu pikin in bɛlɛ, yu fɔ rili tɛl yu dɔktɔ so dat i go gi yu mɛrɛsin dɛn we nɔ bad fɔ yu ɛn yu pikin.
Di tritmɛnt dipen pan us stej yu de.
- If yu gɛt ay ɔmon lɛvɛl (Hyperthyroidism): Insay dis kes, dɛn kin gi mɛrɛsin lɛk beta-blɔka fɔ kɔntrol di at rit, ɛn mɛrɛsin lɛk kɔtikosterɔyd (e.g. prednisone) fɔ ridyus di swel.
- Hypothyroidism: Dɛn kin trit dis wit ɛksternal tayroyd ɔmon pils. Dis tritmɛnt kin te fɔ 6 mɔnt to wan ia. Bɔrku pipul kin stɔp fɔ tek dis mɛrɛsin smɔl smɔl wans dɛn tayroyd gland dɔn kam bak to nɔmal.
Dis na sik we go de sote go? A go gɛt fɔ tek mɛrɛsin sote go?
Nɔ. Bɔku tɛm, di tayroyd we dɛn kɔl Postpartum Thyroiditis na tin we kin apin fɔ sɔm tɛm. pan 70% - 80% pan di mama dεm we de gεt dis kכndyushכn, dat na sεvin to et pan tεn, di tayroyd gland go bigin fכ wok nכmal wan bak as tεm de go. Dɔn dɛn nɔ go nid fɔ tek mɛrɛsin.
Bɔt lɛk 20% to 30% pan pipul dɛn kin gɛt pɔrmɛnt haypotayroyd, we kin nid fɔ kɔntinyu fɔ tek di tayroyd ɔmon riplesmɛnt tɛrapi.
Wae yu gɛt dis sik, yu de pan smɔl risk fɔ gɛt ɔda tayroyd sik (haypothyroidism ɔ goiter) tumara bambay. So, ivin if yu tayroyd gland kam bak to nɔmal, i go fayn fɔ mek yu de chɛk yu dɔktɔ ɔltɛm.
A kin gɛt bɛlɛ bak?
Yɛs, yu go mɔs ebul fɔ du am. We yu gɛt tayroyd we yu bɔn afta yu bɔn, dat nɔ de mek yu nɔ gɛt wɛlbɔdi pikin bak.
Bɔt if yu de tink bɔt fɔ bɔn ɔda pikin, i impɔtant fɔ tɛl yu dɔktɔ bɔt dis sik we yu bin dɔn gɛt trade we yu de plan fɔ gɛt bɛlɛ. dis na biכs pipul dεm we dεn bin gεt dis kכndyushכn bifo dεn gεt 20% chans fכ gεt am bak insay dεn nεks bεlε. Dɔn yu dɔktɔ kin wach yu tayroyd ɔmon lɛvɛl ɛn ɛp yu fɔ gɛt wɛlbɔdi bɛlɛ.
Mɛsej we dɛn kin kɛr go na os
- Nɔ dismis di filin fɔ taya pasmak, sɔri, ɛn fɔ chenj yu wet afta yu bɔn pikin as "nɔmal." Wan sik kin de we dɛn kɔl Postpartum Thyroiditis biɛn am.
- Bɔku tɛm, dis na tin we pɔsin kin gɛt fɔ sɔm tɛm. Bɔrku pipul dɛn kin wɛl kpatakpata as tɛm de go. So nɔ wɔri.
- If yu gɛt dɛn sik ya, mek shɔ se yu go to yu dɔktɔ fɔ advays. Dɛn kin no dis sik bay we dɛn du simpul blɔd tɛst.
- If yu de gi yu mama in bɛlɛ, nɔ fɔgɛt fɔ tɛl yu dɔktɔ bifo yu tek di tritmɛnt. Mɛrɛsin dɛn de we nɔ bad fɔ yu ɛn yu pikin.
- Ivin wit dis kכndyushכn, i pכsibul fכ gεt bεlε bak insay hεlth we. Bɔt i rili impɔtant fɔ tɛl yu dɔktɔ bifo yu gɛt bɛlɛ di nɛks tɛm.
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