Yu tayroyd nɔ de wok smɔl? Lɛ wi tɔk bɔt Subclinical Hypothyroidism!

Sɔntɛnde, yu kin jɔs fil taya? Ɔ yu fil lɛk se yu de gɛt mɔ wet we yu nɔ mek ɛni big chenj na di it we yu de it? Sɔntɛm di tin we kin mek dis apin na we yu tayroyd gland nɔ de wok fayn smɔl. Tide wi go tɔk bɔt wan kayn sik, we dɛn kɔl ‘Subclinical Hypothyroidism’.

Okay, naw yu de wɔnda wetin na sabklinik haypotayroydism. Fɔ tɔk am simpul wan, na we di ɔmon we de mek yu tayroyd, ɔ TSH (Thyroid-Stimulating Hormone) na yu blɔd go ɔp smɔl. Bɔt di lɛvɛl we yu gɛt pan di ɔda impɔtant tayroyd ɔmon, tayroksin (T4), nɔmal.

Di wɔd ‘sabklinik’ min se dis na sik wae nɔr de sho ɛni sayn at ɔl, ɔr de sik nɔr kin rili siriɔs . Dis min se yu nɔ rili gɛt haypothayrɔydism, we na tayroyd gland we nɔ de wok fayn. Bɔt i min se i pɔsibul fɔ mek i kam to da kayn sik de.

Sɔmtɛm dis sik kin bi fɔ sɔm tɛm, dat min se i kin bɛtɛ fɔ insɛf insay sɔm dez. Bɔt fɔ sɔm pipul dɛn i kin las fɔ lɔng tɛm. I kin nid fɔ gɛt tritmɛnt ɔ i nɔ kin nid fɔ gɛt tritmɛnt.

So wetin kin bi di sayn dɛm fɔ dis?

Bɔrku tɛm, dis kɔndishɔn fɔ sabklinik haypotayroyd nɔr kin sho ɛni patikyula simptom. Na dat mek i spɛshal. Bɔt sɔm pipul dɛn kin gɛt sɔm smɔl smɔl sayn dɛn. Si if dɛn tin ya tan lɛk se yu sabi:

• Fɔ fil taya ɛn taya ɔltɛm. I tan lɛk se layf nɔ de na di bɔdi.
• We yu de gɛt bɔku bɔku bɔdi fɔ natin, ivin if yu nɔ chenj wetin yu de it ɔ drink.
• Banbɛlɛ.
• Mental kɔndishɔn lɛk pwɛl hat. Filin fɔ fil bad.
• Nɔ pe atɛnshɔn, nɔ ebul fɔ pe atɛnshɔn fayn pan wok.
• Nɔ ebul fɔ bia wit kol. Fɔ fil kol pas ɔda pipul dɛn.
• Skin ɛn ia kin dray ɛn rɔf.
• Diastolic Hypertension, we min se na di bottom nɔmba nɔmɔ fɔ di blɔd prɛshɔn ridin de go ɔp.
• Fɔ uman dɛn, blɔd kin kɔmɔt bɔku tɛm ɛn we dɛn kin gɛt bɔku bɔku mɔnt.

Wetin mek dis de apin? Wetin na di rizin?

Sɔbklinik haypotayroydism kin bi bikɔs ɔf wan ɔndalayn prɔblɛm wit yu tayroyd gland. Fɔ ɛgzampul, wan sik we de mek pɔsin nɔ ebul fɔ fɛt insɛf lɛk Hashimoto in tayroyd kin mek di tayroyd gland inflamɛns.

Naw lɛ wi luk aw dɛn ɔmon ya de wok na wi bɔdi. di εndokrin sistεm we wi gεt na difrεn כmon dεm εn gland dεm we de wok tכgeda fכ kכntrכl di lεvεl fכ TSH (Thyroid-Stimulating Hormone) na wi bכdi. dis TSH כmon de mek di sεl dεm na di tayroyd gland fכ rilis di כmon dεm we dεn kכl tayroksin (Thyroxine כ T4) εn triiodothyronine (Triiodothyronine כ T3) insay di bכdi. we di lεvεl dεm fכ dεn T4 εn T3 כmon dεm ya inkrεs na di bכdi, i de sεnd signal to di pituitary gland na wi bren fכ ‘stכp fכ mek mכr TSH'. Dis tan lɛk wan ɔtomɛtik kɔntrol sistem.

כltu, insay sabklinik haypotayroydism, pan כl we di TSH lεvεl dεm de εlevεt, di כmon dεm we di tayroyd gland de kכmכt nכ de inkrεs lεk nכmal. na dat mek di TSH lεvεl dεm de εlevεt εn di T4 lεvεl dεm nכmal.

Udat kin gɛt dis sik? (Di tin dɛn we kin mek pɔsin gɛt prɔblɛm)

Sɔm pipul dɛn kin gɛt dis sik we dɛn kɔl sabklinik haypotayroydism. Lɛ wi tek wan luk pan udat dɛn bi:

• Uman dɛn we dɔn pas 60 ia.
• If yu ɔ sɔmbɔdi na yu famili gɛt tayroyd sik.
• Tayrɔyd antibodi dɛn na pɔsitiv. Dis min se sɔm tin dɛn de na di blɔd we de wok agens di tayroyd.
• If yu bin dɔn yuz ɔ yu de yuz mɛrɛsin naw lɛk Amiodarone ɔ Lithium.
• Ayodin dɛfisiɛns (Dis nɔ kin bɔku smɔl na wi kɔntri naw, bikɔs wi de yuz sɔl we gɛt ayodin).
• If yu dɔn gɛt redyushɔn na yu ed ɔ yu nɛk eria.
• Fat.
• Fɔ pipul dɛm wae gɛt tayp 1 dayabitis.
• If yu dɔn gɛt tritmɛnt fɔ wan sik lɛk Graves in sik, lɛk antitayroyd drɔgs ɔ ablation.

Us prɔblɛm dɛn dis kin mek?

di men tin we dεn kin si bכku tεm na dat dis kכndyushכn fכ sכbklinik haypotayroyd kin tכn to ful-blכn haypotayroydism. Dat min se di tayroyd gland in wok de dכn bכku bכku wan εn di sayn dεm de bigin fכ sho.

Apat frɔm dat, sɔm stɔdi dɛn dɔn sho se dis sik kin mek pɔsin gɛt sik dɛn we de ambɔg in at ɛn blɔd smɔl. Fɔ ɛgzampul, tin dɛn lɛk ay blɔd prɛshɔn ɛn ay kɔlɔstrel. Bɔt dɛn nɔ dɔn rili kɔnfyus dis kɔnekshɔn yet. So natin nɔ de fɔ wɔri bɔt, bɔt i fayn fɔ mek wi no.

Dis kin afɛkt di uman we gɛt bɛlɛ?

Insay Amɛrika, nɔto 1 pan ɛvri 5 uman dɛn we gɛt bɛlɛ kin gɛt dis sik, we na sabklinik haypotayroydism.

di pruf dεm de sכmtεm we de agens if dis kכndyushכn de kכz prכblεm we uman bεlε. Sɔm ol stɔdi dɔn sho se if dis sik de we uman gɛt bɛlɛ, dɛn tin ya kin apin:

• Gestational high blood pressure ɛn gestational dayabitis.
• Di pikin we dɛn bɔn bifo tɛm.
• We uman kin pwɛl bɛlɛ.

Bɔt dis impɔtant: dɛn tin ya we dɛn dɔn fɛn nɔ dɔn kɔnfirm bay di stɔdi dɛn we dɛn dɔn du dis biɛn tɛm.

So, dכkta dεn kin כnli tεst fכ dis kכndyushכn we yu bεlε if yu gεt risk fכ mek yu gεt am.

Aw dɔktɔ dɛn kin no bɔt dis? (Diagnosis) .

Dɔktɔ dɛn kin jɔs no dis kɔndishɔn we na sabklinik haypotayroydism tru tayroyd blɔd tɛst.

If yu blɔd tɛst rizɔlt sho se di TSH (Thyroid-Stimulating Hormone) lɛvɛl dɔn go ɔp (bɔku tɛm bitwin 5 ɛn 10 mili-intanashɔnal yunit pan wan lita (5 to 10 mIU/L) ) ɛn yu tayroksin (T4) lɛvɛl de na di nɔmal rɛnj, dat min se yu gɛt sabklinik haypotayroydism.

Sɔntɛnde, dɔktɔ dɛn kin klas dis mɔ. if di TSH lεvεl de bitwin 4.5 εn 9.9 mIU/L, dεn kכl am Gret 1 , εn if di TSH lεvεl na 10 mIU/L כ pas dat, dεn kכl am Gret 2 .

Yu tink se dis nid fɔ trit?

I rili dipen pan sɔm tin dɛn. Yu dɔktɔ go disayd bay tin dɛm lɛk yu TSH lɛvɛl, yu simptom dɛm, ɛn yu ɔl wɛl bɔdi.

Na wan say, tritmɛnt kin mek sɔm pipul dɛn nɔ gɛt tru tru hypothyroidism. Bɔt tritmɛnt kin put sɔm pipul dɛn, mɔ di wan dɛn we dɔn pas 65 ia, pan denja fɔ gɛt wan sik we dɛn kɔl tayrotoksikosis , we na we di tayroyd ɔmon dɛn we de na di bɔdi kin bɔku. Pantap dat, bɔrku pipul dɛm wae gɛt sabklinik haypotayroyd nɔr kin gɛt sɔm kayn sik ɛn nɔr nid tritmɛnt.

So, dɔktɔ dɛn kin se fɔ ‘wet ɛn si we fɔ du tin’ fɔ bɔku pipul dɛn. Dɛn nɔ kin panik ɛn bigin fɔ gɛt tritmɛnt.

Bɔt dɔktɔ dɛn kin tɛl yu fɔ gɛt tritmɛnt pan dɛn kayn tin ya:

• Di wan dɛn we gɛt TSH lɛvɛl we na 10 mIU/L ɔ pas dat.
• If yɔŋ ɛn midul ej pipul dɛn gɛt di sik.
• If yɔŋ ɛn midul ej pipul dɛn gɛt ɔda tin dɛn we kin mek dɛn gɛt dis sik.

So, wetin na di tritmɛnt fɔ dis?

If yu dɔktɔ disayd se yu nid fɔ trit sɔbklinik haypotayroydism, i go gi yu wan tayroyd ɔmon pil we dɛn kɔl lɛvotayroksin . Dis na mɛrɛsin we yu kin tek wit yu mɔt.

Bɔt bifo yu bigin dis levothyroxine tritmɛnt, yu dɔktɔ kin want fɔ du ɔda blɔd tɛst fɔ chɛk yu TSH lɛvɛl insay tri mɔnt frɔm di fɔs abnɔmal TSH tɛst rizɔlt. Dis na bikɔs bɔku pipul dɛn TSH lɛvɛl kin kam bak to nɔmal fɔ dɛnsɛf insay tri mɔnt we dɛn nɔ gɛt ɛni tritmɛnt.

We yu de tek di mɛrɛsin, yu dɔktɔ go tɛl yu bak fɔ du blɔd tɛst ɔltɛm fɔ chɛk yu tayroyd lɛvɛl, bikɔs if yu tek lɛvotayroksin pasmak, dat kin mek yu gɛt haypa tayroyd, we na wan sik we di tayroyd gland kin mek tumɔs tayroyd ɔmon.

Wetin yu kin du bɔt dis we yu de du tritmɛnt fɔ mek yu bɔn pikin?

if uman dεm we gεt sabklinik haypotayroydism de du fεtiliti tritmεnt lεk IVF (In Vitro Fεtilayzεshכn) כ ICSI (Intracytoplasmic Sperm Injection) , di American Thyroid Association rεkomεnd fכ tek lεvotayroksin fכ kכntrכl di TSH lεvεl to 2.5 mIU/L.

Ustɛm a nid fɔ go to di dɔktɔ bak?

Bɔrku tɛm, dɔktɔ dɛn kin fala ‘wet ɛn si’ we.

Bɔt if yu bigin fɔ gɛt sɔm sayn dɛn we de sho se yu nɔ gɛt bɛtɛ tayroyd, lɛk we yu taya ɛn we yu nɔ ebul fɔ ɛksplen, go to yu dɔktɔ wantɛm wantɛm. I go du ɔda tayroyd blɔd tɛst fɔ si if yu gɛt ɔva haypotayroyd.

Yu tink se we de fɔ mek dis nɔ apin?

Fɔ tɔk tru, bɔrku tɛm, natin nɔr de wae yu kin du fɔ mek dis sik nɔr kam.

Bɔt if yu nɔ gɛt inof ayodin na yu it, yu kin gɛt dis sik. Dis na bikɔs ayodin impɔtant fɔ mek di tayroyd gland mek tayroyd ɔmon. Pan ɔl we dis dɔn go dɔŋ smɔl na wi kɔntri bikɔs naw wi de yuz sɔl we gɛt ayodin, we ayodin nɔ de na di men tin we de mek pɔsin gɛt haypothayroyd na ɔda kɔntri dɛn na di wɔl.

Wetin a fɔ ɛkspɛkt wit dis sityueshɔn?

Sabklinik haypotayroydism kin afɛkt ɛnibɔdi difrɛn we, ɛn bɔku tɛm, i kin sɔlv fɔ insɛf insay tri mɔnt we dɛn nɔ gɛt ɛni tritmɛnt.

di risk fכ dis kכndyushכn fכ divεlכp to כvεt haypotayroydism de bitwin 2% εn 6% pan ia .

So, i go fayn fɔ mek yu tɔk to yu dɔktɔ bɔt wetin fɔ du spɛshal fɔ yu sik ɛn aw ɔltɛm yu fɔ du blɔd tɛst.

Dɛn stil de agyu bɔt if fɔ trit dis sabklinik haypotayroydism ɔ nɔ fɔ trit am, bikɔs difrɛn stɔdi dɛn gɛt difrɛn opinion.Bikɔs ɔlman in prɔblɛm difrɛn, i go fayn fɔ mek yu tɔk to yu dɔktɔ bɔt di tin dɛn we de mɔna yu ɛn di tin dɛn we yu go ebul fɔ du. Dɛn kin gladi pasmak fɔ ɛp yu.

So, wetin na di tin dɛn we wi nid fɔ mɛmba frɔm ɔl dɛn tin ya?

Okay, mek a sɔma sɔm pan di impɔtant pɔynt dɛn frɔm wetin wi dɔn tɔk bɔt:

• Sabklinik haypotayroydism na wan sik we yu TSH ɔmon lɛvɛl go ɔp smɔl, bɔt yu T4 ɔmon lɛvɛl nɔmal.
• Bɔrku tɛm, nɔr big sayn nɔr kin de, bɔt sɔm pipul kin taya ɛn gɛt bɔrku bɔdi.
• Dis nɔto tru tru haypotayroyd, bɔt smɔl chans de fɔ mek i tɔn aut da we de.
• Bɔrku tɛm, dɔktɔ dɛn kin fala ‘wet ɛn si’ we. Dɛn nɔ de gi ɔlman mɛrɛsin wan tɛm.
• Dɛn kin jɔs tink bɔt di tritmɛnt if di TSH lɛvɛl rili ay, if sɔm sayn dɛn de, ɔ if ɔda tin dɛn de we kin mek pɔsin gɛt dis sik.
• Levothyroxine na di men tritmɛnt, bɔt dɛn fɔ tek am bak jɔs lɛk aw dɔktɔ tɛl am.
• If yu gɛt ɛni dawt ɔ kwɛstyɔn bɔt dis, di bɛst tin fɔ du na fɔ go to yu famili dɔktɔ ɛn tɔk to am. Nɔ wɔri, dis na kɔndishɔn we pɔsin kin ebul fɔ manej.

Mɛmba se na yu fɔ no mɔ bɔt yu wɛlbɔdi biznɛs. So nɔ ɛva fred fɔ aks kwɛstyɔn ɛn tɔk to yu dɔktɔ!

` sabklinik haypotayroydism, tayroyd, TSH, tayroksin, haypotayroydism, ɔmon, simptom dɛm