Yu yay dɛn de luk lɛk se dɛn de bɔl? (Proptosis) Lɛ wi tɔk bɔt dis!

Yu dɔn ɛva fil lɛk se yu yay big smɔl ɔ de kɔmɔt na do? Sɔntɛm yu padi ɔ yu fambul dɔn tɛl yu bɔt dis. Dis na rili wan sik wae yu kin si pan sɔm pipul dɛm. Wi kin kɔl am (Proptosis) ɔ (Exophthalmos) insay mɛrɛsin. Natin nɔ de fɔ fred, if yu no dis, yu kin kɔntrol am lɛk ɛni ɔda tin.

Wetin na prɔptɔsis?

Fɔ tɔk am simpul wan, prɔtosis na we wan ɔ ɔl tu yu yay dɛn kɔmɔt na dɛn nɔmal pozishɔn. Imajin se yu yay, ɔ wan yay, tan lɛk se i de go bifo smɔl pas aw i fɔ bi. Dis kin mek di we aw yu luk difrɛn smɔl. Sɔntɛnde, i kin tan lɛk se pɔsin de luk yu wit in yay opin wit sɔprayz, ɛn i kin de da we de bak.

Naw we di yay de bifo yu, i kin at fɔ mek yu blink smɔl. Yu no, wi de blink fɔ mek wi yay wet ɛn protɛkt. Di mɛmbran we de protɛkt wi yay , we dɛn kɔl di kɔnia , kin gɛt di mɔs we i nid we wi de blink. We wi nɔ ebul fɔ blink fayn, da kɔnia de kin dray ɛn big chans de fɔ mek i pwɛl.

Fɔ sɔm pipul dɛm, dis kin mek dɛn nɔ de si fayn, ɔr dɛn kin si am tu tɛm – wi kin kɔl am diplopia – ɛn ɔda tin dɛm lɛk dat. dis kכndyushכn dεn kin kכmכn fכ kכl am bak "ay enlargement" כ "ay bulging."

Wetin na di sayn dɛm fɔ dis?

Naw lɛ wi si us ɔda sayn dɛn we yu go fil ɛn si we dɛn yay ya kɔmɔt.

We yu yay dɛn kin bɔl, di wayt tin dɛn na yu yay kin si mɔ pas aw yu kin si am. Yu yaybɔl dɛnsɛf de kɔmɔt na dɛn sɔkɛtɛ. Yu go notis se yu yaylid dɛn we de ɔp nɔ de si bɛtɛ, we de mek i tan lɛk se yu yay dɛn opin big big wan.

Apat frɔm dis men sayn, sɔm ɔda sayn dɛn kin de:

• We yu muv yu yay, yu kin fil lɛk se dɛn dɔn stɔp insay, lɛk grens dɛn we gɛt san .
• Yay dray, rɛd, ɔ kray ɔltɛm. Wi kin kɔl dis bak (Epiphora) .
• Di aylid dɛn kin swel ɛn rɛd.
• Fɔ fil lɛk se di mɔsul dɛn tayt we yu de tray fɔ muv di yay, ɛn sɔm tɛm dɛn nɔ kin ebul fɔ muv di yay atɔl.
• Fɔ sɛnsitiv to layt min fɔ gɛt prɔblɛm fɔ luk layt, pan san layt.
• Ed de at.
• Fiva.

Wetin na di sayn dɛm wae kin mek yu nid fɔ go to dɔktɔ kwik kwik wan?

If yu gɛt ɛni wan pan dɛn sik ya, yu fɔ rili go to dɔktɔ ɛn nɔ de te. Mɛmba se dɛn tin ya na nɔmal tin, nɔto so?

• Wan tin we de mek pɔsin de blo insay di yay.
• Wantɛm wantɛm, i kin tan lɛk se yu yay go kɔmɔt.
• Fɔ gɛt bad bad pen ɔ fɔ gɛt rɛd rɛd na yu yay.
• Dɛn sayn ya kin apin na wan yay nɔmɔ.
• Fɔ lɔs yu yay ɔ yu nɔ de si bɛtɛ smɔl smɔl.
• Blɔr vishɔn ɔ si tu tin wan tɛm (dɔbul vishɔn).
• Fɔ luk sɔntin klia wan min fɔ gɛt prɔblɛm fɔ pe atɛnshɔn.

Wetin mek mi yay de pop aut lɛk dis? Wetin na di rizin dɛn?

Wɛl, naw lɛ wi si wetin mek yay dɛn kin kɔmɔt lɛk dis, ɛn wetin kin de mek dis apin.

Bɔrku tɛm, di men tin wae kin kam wit dis na prɔblɛm wit yu yone imyun sistɛm. Fɔ tɔk am simpul wan, di sojaman dɛn we de protɛkt wi bɔdi frɔm sik kin mistek atak sɔm pan wi yon sɛl dɛn. If na so i bi, da imyun sistɛm de kin atak di sɛl dɛn na yu tayroyd gland ɛn di tisu dɛn we de biɛn yu yay.

Dis bulging na di yay na pipul dɛm wae gɛt tayroyd prɔblɛm na in dɛn kɔl Thayroid Eye Disease (TED) . Infakt, dɛn kin si dis sik mɔ pan pipul dɛn we gɛt sik dɛn we gɛt fɔ du wit tayroyd.

Bɔku ɔda rizin dɛn kin de:

• Graves in sik: Dis kin gɛt fɔ du bak wit haypa tayroyd, we na wan sik we di tayroyd gland kin wok pasmak. Dis kin kam bak wit di sem imyun sistɛm disɔda wae wi bin dɔn tɔk bɔt.
• Haypa tayroyd: Dis kin apin ivin if yu nɔ gɛt Grev in sik, we di tayroyd gland jɔs de wok pasmak.
• di ay sכket infεkshכn: If baktri כ vayral infεkshכn apin insay di ay sכket, di swεla kin push di yay fכ go bifo.
• Injury: If blɔd de biɛn di yay, mɔ bikɔs ɔf injury na di yay ɔ ed, da blɔd de kin gɛda ɛn push di yay kɔmɔt.
• Tכmכro: If tכmכro (benign כ malignant) de divεlכp insay כ rawnd di ay sכkεt, i kin mek bak di yay bulge fכ go bifo. Fɔ ɛgzampul, tumbu dɛn we gɛt fɔ du wit di nerv dɛn, lɛk nyuroblastoma , ɔ sɔm sɔft tisu sarkoma. Bɔt dɛn kayn tin ya we kin mek pɔsin gɛt kansa nɔ kin bɔku.

Wetin na di prɔblɛm dɛn we kin apin? Ɛnitin de we kin ambɔg am fɔ lɔng tɛm?

Dis kin tan lɛk se yu de mek yu fred smɔl, bɔt di tru tin na dat, fɔ bɔrku pipul dɛm, dis sik nɔr kin kɔz ɛni big prɔblɛm ɔr kin gɛt fɔ du wit pɔrsin fɔ lɔng tɛm. Yu nɔ tink se dat de mek pɔsin gɛt kɔrej?

Bɔt, na smɔl tɛm nɔmɔ, sɔm prɔblɛm dɛn kin apin. Fɔ ɛgzampul, yu kin si tu tɛm ɔ yu nɔ kin si fayn igen fɔ ɔltɛm. Dɔn bak, lɛk aw a bin dɔn tɔk bifo tɛm, if yu nɔ ebul fɔ blink ɛn lɔbrik ay drɔp nɔ ɛp, yu yay kin ɛpDi layt we de ɔp, we na di kɔnia, kin pwɛl bak. Dɛn kɔl dis kɔnia ɔlsa. Na dat mek i impɔtant fɔ go to tritmɛnt kwik kwik wan if yu gɛt sɔm kayn sik.

Aw yu kin fɛn dis? Aw dɔktɔ dɛn kin kɔnfirm dis?

Okay, if yu gɛt simptom lɛk dis, aw dɔktɔ go no if dis na rili Proptosis ɔ ɔda tin?

Fɔs, di dɔktɔ go aks yu wan ditayli kwɛstyɔn bɔt di sayn dɛn we yu gɛt. Dɛn go aks yu ditayli bɔt aw lɔng yu dɔn gɛt dɛn sik ya, aw dɛn bigin, us ɔda prɔblɛm yu gɛt, ɛni sik we yu bin dɔn gɛt bifo, ɛn if ɛnibɔdi na yu famili dɔn gɛt dis kayn sik.

Afta dat, yu go mɔs du yu ay ɛgzam. Dis kin inklud tin dɛn lɛk:

• Dɛn kin yuz spɛshal inschrumɛnt (slit lamp) fɔ mek yu yay big ɛn chɛk di tin dɛn we de ɔp ɛn insay yu yay ditayli. Dis kin no tin dɛm lɛk wund ɛn dray na di kɔnia.
• Dɛn kin tɛst di we aw yu de muv yu yay ɛn yu yaylid, ɛn if yu kin pɔynt ɔl tu yu yay dɛn na di sem say.
• Dɛn kin tek tɛm chɛk fɔ si if di yay dɛn rɛd, if i de fil pen, if ɛni inflamɛns de, ɛn if kray wata de.

Us ɔda tɛst dɛn go nid fɔ du?

Afta di fɔs ɛgzam, di dɔktɔ kin du ɔda tɛst dɛn bak fɔ no mɔ bɔt di tin we mek i apin, lɛk:

• Eksophtalmometry: Dis kin tan lɛk se yu nɔ no am smɔl, bɔt i de yuz spɛshal inschrumɛnt (exophthalmometer) fɔ mɛzhɔ aw fa yu aybɔl dɔn kɔmɔt na di ay sɔkɛt insay milimita. Dis kin ɛp fɔ no aw de sik tranga.
• Blɔd tɛst: Dis go rili chɛk di ɔmon lɛvɛl (TSH, T3, T4) fɔ chɛk aw di tayroyd gland de wok. Bikɔs (Thyroid Eye Disease) na di men tin we kin mek i sik.
• Imajin stɔdi: Fɔ tɔk di kɔrɛkt tin, dɛn kin du MRI (Magnetic Resonance Imaging) skan ɔ CT skan (Computed Tomography scan) fɔ si klia wan if ɛnitin de we de swel, we gɛt smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl.
• Ɔda lab tɛst dɛm: Sɔntɛnde dɛn kin tek sampul fɔ di yay dischaj ɔ tisu (kɔlchɔ) fɔ kɔnfɔm if infɛkshɔn de.

Wetin na di tritmɛnt dɛn?

Okay, naw mek wi luk di tritmɛnt dɛm fɔ dis. Di tritmɛnt we yu go gɛt go dipen pan wetin mek yu yay dɛn de bɔl ɛn aw di sik bad.

• Atikul kray wata: Dɛn kin yuz dɛn tin ya bɔku tɛm insay di de as drɔp ɔ jel fɔ mek di yay nɔ dray ɛn fɔ protɛkt di kɔnia . Yu kin bay dɛn tin ya na di famasi.
• Antibayɔtik dɛn:If dɛn no se di wata we de kɔmɔt na yu yay na bikɔs ɔf baktriyal infɛkshɔn, dɛn go gi yu di rayt antibayɔtik (we dɛn kin it ɔ IV).
• Tritmɛnt fɔ di ɔndalayn kɔndishɔn dɛn: Fɔ ɛgzampul, if di tayroyd gland de wok pasmak (haypa tayroyd), dɛn kin gi am anti-tayroyd drɔgs fɔ kɔntrol am. Dɛn kin trit Grev in sik di sem we.
• Intravenous (IV) mεdikeshכn dεm: fכ siriכs swel εn vishכn prכblεm we kכz fכ tayroyd ay sik (TED), dεn kin gi k כtikostεroyd (e.g., methylprednisolone) intravenous (IV pulse therapy) fכ ridyus swel kwik kwik wan. Dɛn dɔn si bak se wan nyu mɛrɛsin we dɛn kɔl Teprotumumab (Tepezza®) kin rili wok fayn na TED.

Ɔda tritmɛnt dɛn de we dɛn nɔ gɛt ɔpreshɔn?

Yɛs, sɔntɛnde dɛn kin du ɔda tritmɛnt dɛn we dɛn nɔ gɛt ɔpreshɔn, lɛk:

• Tritmɛnt fɔ si tu tɛm: Dɛn tritmɛnt ya na spɛshal lens dɛn lɛk prism we dɛn kin tay pan yu glas. Dɛn tin ya kin wok bay we dɛn kin ridayrɛkt di layt we de go insay di yay difrɛn say, ɛn kɔrɛkt di we aw yu de si. Dɛn kin tɔk bak se yu fɔ du ɛksɛsayz fɔ yu yay.
• Immunosuppressive drugs: Dɛn drɔgs ya (e.g., Mycophenolate, Rituximab) kin ɛp fɔ ridyus di damej we di imyun sistɛm de du to di yay, mɔ pan kɔndishɔn lɛk (TED).
• Kɔtikosterɔyd: Dɛn kin gi stɛroyd as pils we dɛn kin it, injɛkshɔn, ɔ we dɛn kin put insay dɛn bɛlɛ fɔ ridyus di swɛlin ɔ fɔ mek yu si bak. Bɔt dɛn tin ya kin gɛt sayd ɛfɛkt we dɛn yuz am fɔ lɔng tɛm, so dɛn fɔ jɔs tek dɛn ɔnda dɔktɔ in sɔpɔtishɔn.

Yu tink se a go nid ɔpreshɔn?

Nɔto ɔlman nid ɔpreshɔn. Bɔt sɔm tin dɛn de we i nid fɔ du ɔpreshɔn. Fɔ ɛgzampul:

• Ɔrbital dikɔmpreshɔn ɔpreshɔn: Dɛn kin du dis ɔpreshɔn fɔ mek mɔ ples na di ɔbit biɛn di yay . dis kin mek di yay slayv bak insay.Dεn kin du dis if trεt de fכ si, כ if di yay dכn kכmכt fa fכ damej di kכnia.
• Strabismus ɔpreshɔn: Dɛn kin du ɔpreshɔn pan di ay mɔsul dɛn fɔ mek ɔl tu di yay dɛn pɔynt di sem say.
• Ɔpreshɔn fɔ di aylid: If di aylid dɛn nɔ ebul fɔ lɔk fayn, dɛn kin du ɔpreshɔn fɔ chenj di say we di aylid dɛn de fɔ protɛkt di kɔnia .
• Fɔ pul di tumbu: If tumbu de, dɛn go nid fɔ pul am bay ɔpreshɔn.

Wetin go apin afta dat? Aw lɔng i go tek fɔ mek i wɛl?

If yu fɛn wetin de mek yu gɛt dɛn sik ya ɛn trit dɛn kwik kwik wan, di rizɔlt go bɛtɛ pasmak. If yu gɛt di rayt tritmɛnt fɔ yu, yu kin bak fɔ mek yu nɔ gɛt prɔblɛm dɛn.

"Mi yɛri go ɛva kam bak to nɔmal?" yu go mɔs de aks. Yɛs,Bɔrku tɛm, di yay kin kam bak to nɔrmal. Bɔt ivin afta dɛn dɔn trit di yay fayn, i kin tek sɔm tɛm fɔ mek di yay kam bak to di we aw i bin tan. Sɔntɛnde, i kin tek sɔm mɔnt, sɔntɛnde i kin ivin tek sɔm ia. E kin dipen pan de tin wae de mek pɔrsin gɛt dis sik, aw de sik kin tranga, ɛn aw pɔrsin kin du tritmɛnt.

Aw wi go mek di tin nɔ wɔs?

Okay, naw we yu gɛt dis sik (Proptosis), sɔm impɔtant tin dɛn de we yu kin du fɔ mek i nɔ wɔs:

• Kɔntrol yu tayroyd lɛvɛl: If yu gɛt tayroyd kɔndishɔn, mɔ Graves in sik, fala yu dɔktɔ in instrɔkshɔn dɛn gud gud wan. Tek yu mɛrɛsin ɛvride di rayt tɛm, ɛn du blɔd tɛst ɔltɛm fɔ mek yu tayroyd ɔmon lɛvɛl nɔ de insay di nɔmal rɛnj.
• Lɛf fɔ smok kpatakpata: If yu na pɔsin we de smok, dis na di bɛst tin we yu go du. Smok nɔr kin jɔs mek di sik (Thyroid Eye Disease) wɔs, bɔt i kin ridyus di sakrifays fɔ di tritmɛnt bad bad wan. If yu lɛf fɔ smok, dat go rili ɛp yu bɔdi fɔ du di tritmɛnt. So, mek dat disayd tide.

Aw yu de liv wit dis sityueshɔn? Aw yu kin kɔntinyu fɔ gɛt strɔng maynd?

Yu yay kin chenj di we aw yu de luk. Dis kin gɛt big impak pan yu kɔnfidɛns pan yusɛf ɛn aw yu de fil bɔt yusɛf. Yu kin fil bad bad wan ɛn wɔri bɔt dis. Yu kin tink se, “Wetin pipul dɛn go tink?” ɔ "Mi fes dɔn chenj." If dis afɛkt yu vishɔn, sɔm tin dɛn na yu ɛvride layf ɛn soshal rilayshɔnship kin chenj we yu nɔ bin de ɛkspɛkt. Dɛn chenj ya kin mek yu fil bad, wɔri, ɔr pwɛl hat. Na nɔmal tin, ɛn nɔto yu wan de fes dɛn tin ya.

Mɛmba se nɔto yu wangren de du dis waka. Fɔ aks fɔ ɛp nɔto wikɛd tin, na trɛnk.

Tin dɛn lɛk dis go ɛp yu fɔ bia wit dɛn prɔblɛm dɛn ya:

• Aks ɛp frɔm pɔrsin wae sabi bɔt mɛntɛl hεlth : E fayn fɔ tɔk to pɔrsin lɛk saykayatrist ɔr kɔstɔma. Dɛn kin ɛp yu fɔ fɛn we fɔ dil wit, bia wit, ɛn manej yu bad bad tin dɛm wae yu de tink ɛn fil tru tritmɛnt dɛm lɛk Cognitive Behavior Therapy (CBT) .
• Gɛt ɛp frɔm soshal woka: If yu nɔ ebul fɔ drayv bikɔs yu gɛt prɔblɛm wit yu yay ɔ yu gɛt ɔda prɛktikal prɔblɛm dɛn, dɛn kin ɛp yu fɔ fɛn sɔpɔt grup dɛn na yu eria ɔ vayrɔyal risɔs dɛn na di intanɛt. Dɛn grup ya kin ful-ɔp wit pipul dɛn we dɔn pas di sem tin dɛn we yu dɔn gɛt, so we yu tɔk to dɛn, dat kin ɛp yu bad bad wan.

Fɔ dɔn, yu fɔ se...

Proptosis kin bi rili anɔynt ɛn frayd tin fɔ gɛt. Wi ɔndastand dat. Bɔt nɔ mek i pwɛl yu layf. Di mɔ yu go to dɔktɔ kwik kwik wan, na di mɔ i go izi fɔ dɛn fɔ no di tin we mek dɛn du dis. Dɔn yu kin bigin di tritmɛnt we yu nid, mek di sik nɔ wɔs, ɛn mek yu nɔ gɛt prɔblɛm dɛn we kin apin.

I impɔtant bak fɔ tek kia ɔf yu maynd wɛl bɔdi. Jɔs lɛk aw yu bɔdi gɛt wɛlbɔdi, yu nid fɔ tek kia ɔf yu maynd wɛlbɔdi. If yu aks fɔ ɛp frɔm pɔsin we de advays yu bɔt yu maynd, dat kin ɛp yu fɔ kɔntrol aw yu de fil ɛn fɔ bia wit dis prɔblɛm wit trɛnk. Soshal woka kin rifer yu to ples dɛm we yu kin gɛt di sɔpɔt we yu nid.

So, nɔ wɔri bɔt ɛnitin ɛn nɔ fred fɔ go fɛn ɛp. A de wish yu fɔ wɛl kwik kwik wan!

` proptosis, exophthalmos, bulging eyes, tayroyd ay sik, Graves in sik, haypa tayroydism, ay prɔblɛm