Yu tink se di tayroyd gland kin afɛkt yu yay? Lɛ wi lan ɔltin bɔt Tayrɔyd Ay Sik!

Yu dɔn ɛva yɛri se prɔblɛm wit tayroyd kin afɛkt yu yay? Sɔmtɛm, wan sik kin gɛt fɔ du wit ɔda wan wae wi nɔr kin ivin no. Na dat di tayroyd ay sik, ɔ as dɛn kin kɔl am pan dɔktɔ dɛn (Thyroid Eye Disease - TED). Dis na we di dilik tisu dɛn we de rawnd yu yay kin swel. Dis kin mek yu yay nɔ fil fayn ɛn i kin mek yu yay fil pen. Bɔrku tɛm dɛn kin si dis sik pan pipul dɛm wae gɛt ɔtoimyun sik dɛm wae kin atak di tayroyd gland. Dis kin apin mɔ pan pipul dɛm wae gɛt wan sik wae dɛn kɔl (Graves’ disease). Na dat mek sɔntɛnde dɔktɔ dɛn kin kɔl am Graves’ Eye Disease.

Wetin rili na tayroyd ay sik (TED)?

Fɔ tɔk am simpul wan, Tayroyd Ay Disease (TED) na wan sik we kin afɛkt di tisu dɛn we de rawnd yu yay, ɛn mek dɛn swel. Na ɔtoimyun sik, we min se yu bɔdi in yon imyun sistɛm kin mistek atak di tayroyd gland ɛn bak di tisu dɛn we de rawnd yu yay.

Tink bɔt am lɛk se wi imyun sistɛm tan lɛk ami we de protɛkt wi kɔntri. Bɔt sɔntɛnde dis ami kin mek mistek ɛn atak in yon pipul dɛn. Na dat kin apin pan ɔtoimyun sik dɛm.

TED nɔto kɔndishɔn we kin kam ɛn go. I gɛt difrɛn stej dɛn. De swel ɛn diskɔmfɔt kin kam ɛn go fɔ tu ia ɔr mɔr. Di sayn dɛm kin difrɛn frɔm wan pɔrsin to ɔda pɔrsin; sɔm pipul dɛn kin gɛt smɔl smɔl tin, ɛn ɔda wan dɛn kin gɛt siriɔs sik. Fɔ bɔku pipul dɛn, i nɔ siriɔs. Bɔt if i rili bad, i kin mek di yay pwɛl sote go, i kin chenj di we aw i tan, ɛn i kin mek i nɔ ebul fɔ si fayn igen.

Yu go dɔn yɛri dɔktɔ dɛn de yuz ɔda nem fɔ dis sik. Dɛn nem dɛn ya na:

• Tayrɔyd ɔftalmopati
• Tayrɔyd ɔrbitopati
• Graves in ɔftalmopati we i gɛt
• Graves in ɔrbitopati we i gɛt

Dis ɔl na jɔs difrɛn nem fɔ di sem kɔndishɔn, so nɔr wɔri.

Wetin na di sayn dɛm fɔ tayroyd ay sik (TED)?

Naw lɛ wi si aw yu go no dis sik. Si if yu gɛt wan ɔ mɔ pan dɛn sayn ya:

• Proptosis: i tan lεk se di yay dεm dכn big εn dεn de kכmכt.
• Itchy, burning eyes: I jɔs de fil nɔr kɔmfyut, lɛk se sɔmtin nɔr de na yu yay.
• Di aylid dɛn kin swel ɛn rɛd (Blepharitis): Di ed dɛn na di yay kin swel ɛn rɛd.
• Dray yay ɔr de kray ɔltɛm: Sɔm pipul dɛn kin gɛt dray yay, ɛn ɔda wan dɛn kin jɔs gɛt kray wata.
• Fɔ blink bɔku tɛm: Fɔ blink yu yay ɔltɛm, we yu nɔ go ebul fɔ kɔntrol.
• Sensitivity to light (Photophobia): Yay kin blu, ivin we di san dɔn ɔt di layt dɛn, we kin mek i nɔ izi fɔ si.
• Ay pen ɛn ed we de at:I kin kam wit pen rawnd di yay, sɔntɛm wit ed we de at.
• I nɔ kin izi fɔ muv di yay: I kin tan lɛk se i nɔ kin izi fɔ muv di yay we yu de luk ɔp, dɔŋ, ɔ na di sayd.
• Diplopia: Fɔ si wan tin as tu.

Dɛn sayn ya kin afɛkt ɔl tu di yay dɛm, bɔt sɔmtɛm dɛn kin si dɛn sayn ya na jɔs wan yay.

Wetin na di kɔmplikeshɔn dɛm wae de kam wit Graves’ Eye Disease?

Afta di aktiv faz fɔ tayroyd ay sik dɔn dɔn, di chenj dɛn we de apin na di yay dɛn we de luk ɛn di we aw dɛn de si kin bɛtɛ. Bɔt nɔto ɔltɛm dis kin apin. Sɔntɛnde, di tisu dɛn we de rawnd di yay kin gɛt skata ɛn nɔ kin kam bak to nɔmal. Dɔn bak, sɔm pat dɛn na di yay we kin afɛkt di we aw pɔsin de si kin pwɛl sote go. Bɔt nɔ wɔri, dɛn kin trit dɛn tin ya wit ɔpreshɔn.

Sɔm chenj dɛn we kin apin fɔ ɔltɛm na di we aw pɔsin de luk:

• Aylid retrakshɔn
• Ay dɛn we de kɔmɔt na do
• Baggy yay dɛn
• Rɛd yay

Di chenj dɛn we kin apin na di we aw pɔsin de si ɔltɛm kin apin:

• Blɔri vishɔn
• Dabl vishɔn
• Sivεr vishכn lכs - Dis kin rili rare, bכt i fayn fכ no.

Wetin mek wi kin gɛt tayroyd ay sik (TED)?

As wi bin dɔn tɔk, na ɔtoimyun sik. Dis min se yu bɔdi in yon imyun sistɛm de atak yu tayroyd gland ɛn di tisu dɛn we de rawnd yu yay. Na di sik we dɛn kɔl Graves in sik na di wan we kin mek i sik pas ɔl. Bɔt i kin apin bak pan pipul dɛm wae gɛt ɔda ɔtoimyun tayroyd sik dɛm lɛk Hashimoto in sik. I sɔprayz fɔ no se sɔm tɛm pipul dɛn we nɔ gɛt tayroyd prɔblɛm ɛn we nɔ gɛt tayroyd ɔmon lɛvɛl kin gɛt TED.

pan dis sik dεm, sכm antibodi dεm we yu imyun sistεm de mek de wok lεk di tayroyd כmon dεm εn de atak di tayroyd כmon rεsεpכta dεm. dis rεsεpכta dεm de mכst na di tayroyd gland, bכt sכm dεm de fכnshכn bak na di tisu dεm bihayn di yay dεm. So, di sem antibodi dεm we de afekt di tayroyd de afekt di yay dεm bak.

Udat de pan denja fɔ gɛt (TED)?

Sɔm pipul dɛn kin gɛt dis sik. Si if yu fɔdɔm insay wan pan dɛn kategori ya:

• If yu na uman: Uman dɛn kin gɛt Grev sik ɛn Grev in yay sik lɛk fayv tɛm pas man dɛn. (Bɔt if man gɛt am, i go mɔs bi se i go rili bad.)
• If yu tayroyd ɔmon lɛvɛl nɔ nɔmal:כl tu di inkrεs (haypa tayroydism) εn di dכn (haypotayroyd) lεvεl dεm fכ di tayroyd כmon kin kכntribyut to TED. dis כmon dεm, lεk di antibodi dεm we wi bin dכn tכk bכt, de mek di rεsεpכta dεm na di tisu dεm na di yay.
• If yu dɔn gɛt redio ayodin tɛrapi (RAI tɛrapi): RAI tɛrapi na men tritmɛnt fɔ aypa tayroyd. Bɔt i kin ɛp fɔ mek TED wɔs ɔ mek i wɔs.
• If yu de smok: Dis rili impɔtant. Pipul dɛm wae de smok ɛn de pan sɛkɔnhand smok kin gɛt bɔrku risk fɔ gɛt tayroyd ay sik. Dɔn bak, di sayn dɛm kin tranga ɛn kin de fɔ lɔng tɛm pan pipul dɛm wae de smok. If yu gɛt TED, di bɛst tin we yu go du fɔ yusɛf na fɔ lɛf fɔ smok.

Aw a go no if dɔktɔ dɛn de (TED)?

Yu dɔktɔ kin no dis sik bay we i du ɛgzam fɔ yu yay ɛn tek tɛm wach yu yaylid ɛn yay.

If dis kayn saspek de, dɛn go ɔda fɔ du bɔku blɔd tɛst fɔ chɛk yu tayroyd ɔmon lɛvɛl ɛn if dɛn antibodi dɛn de tumɔs ɔ tu smɔl na yu blɔd.

Apat frɔm dat, di dɔktɔ kin aks fɔ sɔm ɔda tɛst dɛn:

• Ultrasound egzamin fɔ di yay dɛn
• CT Skan (Kɔmpyut Tomografi - CT) tɛst
• MRI (Magnetik Rɛsɔnans Imej - MRI) tɛst

Dɛn tɛst ya kin no ustɛm di tisu dɛn we de rawnd di yay dɔn swel ɛn if ɛni prɛshɔn de pan di nɛv dɛn.

Wetin na di tritmɛnt dɛm fɔ (TED)?

De kayn tritmɛnt wae yu nid go dipen pan di stej wae de sik de ɛn aw i siriɔs. (TED) Insay di aktif faz, tritmɛnt dɛn de we kin ɛp fɔ pul di sik dɛn. Dɛn tin ya kin bi di mɛrɛsin dɛn we dɛn kin gi na os, mɛrɛsin dɛn we dɛn kin bay we dɛn nɔ kin bay, ɔ mɛrɛsin dɛn we dɛn kin gi pɔsin. Afta di aktif faz dɔn, yu kin nid ɔpreshɔn fɔ mek yu luk bak ɔ fɔ kɔrɛkt yu yay.

Tritmɛnt fɔ mek yu nɔ gɛt di sik

Dɛn tritmɛnt ya kin ɛp we TED de wok:

• Ay drɔp: Difrɛn kayn yay drɔp de fɔ mek yu yay we dɔn dray, we rɛd, ɔ we de mek yu fil pen.
• Selenium supliment: Dɛn dɔn si se we pɔsin nɔ gɛt selenium, dat kin mek di sayn dɛn we de sho se pɔsin gɛt TED bɔku, so yu dɔktɔ kin tɛl yu fɔ du dɛn tin ya.
• Skleral lens: Dɛn tin ya tan lɛk kɔntakt lens, bɔt dɛn kin kɔba wan big say na di yay, we kin gi mɔ protɛkshɔn. Dɛn kin yuz dɛn bak fɔ gi mɛrɛsin.
• Di tin dɛn we de ɛp pɔsin fɔ si:If yu de si tu tɛm, yu dɔktɔ go se yu fɔ yuz ay pat ɔ wɛr glas we gɛt spɛshal prism.
• .
• Kɔtikosterɔyd: If yu sik bad bad wan, yu dɔktɔ kin gi yu kɔtikosterɔyd fɔ shɔt tɛm fɔ mek yu nɔ swel. Dɛn kin gi dɛn tin ya as pils we dɛn tek wit mɔt ɔ as injɛkshɔn insay wan vein (IV).
• (Teprotumumab - Tepezza®): Dis na di fɔs spɛshal mɛrɛsin we dɛn dɔn gri fɔ na Amɛrika insay 2020 fɔ trit (TED). Dis na nyu mɛrɛsin na wan klas we dɛn kɔl (biologics) we de ridyus inflamɛns. Dɛn de mek mɔ drɔgs lɛk dis naw.
• Radieshɔn tɛrapi: Tink bɔt redyushɔn tɛrapi fɔ pwɛl di aktif imyun sɛl dɛn biɛn di yay ɛn ridyus di swɛlin. Yu yay dɔktɔ kin rifer yu to wan dɔktɔ we de mɛn yu yay we gɛt raytin.

Mɛmba se if dɛn tritmɛnt ya nɔr woke fɔ yu, yu mɛdikal tim go gi yu ɔda tritmɛnt opshɔn dɛm. כpεrayshכn nכ kin nid fכ du di aktif stej fכ Graves in ay sik. Bɔku tɛm, dɛn kin tink bɔt fɔ du ɔpreshɔn afta yu sik dɔn stebul. Na da tɛm de nɔmɔ wi go no fɔ tru us chenj dɛn na di we aw pɔsin de luk ɛn di we aw wi de si tin we go de sote go.

Ɔpreshɔn fɔ (TED) .

Sɔntɛnde, i kin nid fɔ du ɔpreshɔn:

• כrbital dikompreshכn כpεrayshכn: Na sכm tεm, dεn kin nid dis כpεrayshכn if swel de mek prεshכn pan di optik nεv. Di dɔktɔ we de du di ɔpreshɔn kin pul wan pat pan di bon fɔ mek i nɔ gɛt prɛshɔn. Dɛn kin du dis bak fɔ mek di yay nɔ bɔku afta di sik dɔn stɔp.
• Tayroydɛktɔmi: Na tritmɛnt fɔ siriɔs haypa tayroyd. If di mɛrɛsin nɔ ebul fɔ kɔntrol di tayroyd ɔmon lɛvɛl, dɛn kin nid fɔ pul di tayroyd gland.
• Aylid ɔpreshɔn: If yu aylid dɔn fɔdɔm insay, dɛn kin du dis ɔpreshɔn fɔ mek dɛn kam bak lɛk aw dɛn bin de fɔs. Dis nɔ jɔs de mek di yay nɔ fil fayn, bɔt i de mek di yay luk fayn ɛn i de protɛkt di yay fɔ mek i nɔ de na di say we i de.
• Di ɔpreshɔn fɔ di ay mɔsul dɛn: Dis ɔpreshɔn kin nid fɔ du am if di mɔsul dɛn we de muv di yay gɛt skata ɛn i nɔ izi fɔ muv di yay, ɔ if di yay nɔ alaynɛd ​​fayn ɛn yu de si tu difrɛn say dɛn.
• Oculoplastic surgery: Dis involv fכ mek di sכft tisu dεm εn/כ bon dεm we de rawnd di yay dεm bak. I kin adrɛs kɔsmɛtik prɔblɛm lɛk we de kɔmɔt na di yay ɛn bag ɔnda di yay.
• Kɔnia transplant: .If di kɔnia dɔn pwɛl bad bad wan bikɔs i de na di yay di tɛm we di sik de wok, dɛn kin tink bɔt fɔ transplant di kɔnia fɔ mek yu si fayn.

(TED) Wetin na di lukin-grɔn fɔ di tin we de apin?

Fɔ bɔrku pipul dɛm, TED nɔr kin rili bad, so de lukin-grɔn kin fayn. Bɔrku pipul dɛn kin gɛt sɔm kayn sik wae nɔr kin bɔrku, wae kin dɔn fɔ dɛnsɛf. Bɔt di sik kin tranga pasmak pan pipul dɛm wae dɔn pas 50. If yu gɛt siriɔs TED, yu kin nid fɔ gɛt kɔmbayn tritmɛnt fɔ mɛn am. Sɔm pipul dɛn kin gɛt chenj na dɛn yay fɔ ɔltɛm, ɛn dis kin mek dɛn nid fɔ du ɔpreshɔn.

Ustɛm a fɔ go to dɔktɔ?

If yu gɛt tayroyd ay sik, i impɔtant fɔ mek yu wɛlbɔdi tim no if yu sik dɛn de wɔs. Yu fɔ tɛl dɛn bak if yu notis ɛni chenj na yu vishɔn. Sɔm chenj dɛn kin nid fɔ gɛt tritmɛnt kwik kwik wan. Kɔl yu dɔktɔ wantɛm wantɛm if yu notis ɛni wan pan dɛn tin ya:

• If i tan lɛk se yu fil de smɔl, ɔ if yu nɔ de si fayn na wan say.
• If di kɔlɔ dɛn luk difrɛn pas aw dɛn fɔ luk.
• If yu gɛt bad bad yay pen wantɛm wantɛm.

Graves in yay sik kin rili afɛkt yu kwaliti fɔ liv. Bɔrku pipul nɔr kin gɛt siriɔs sik, bɔt e kin rili pwɛl yu at we dɛn gɛt am. Di swel we de rawnd yu yay kin afɛkt yu kɔmfɔt, yu si, ɛn aw yu de luk. I tek wan tim fɔ dɔktɔ dɛn fɔ ɛp yu fɔ bia wit ɔl dɛn tin ya. I impɔtant bak fɔ gɛt sɔpɔt na yu pasɔnal layf. If yu nɔ de gɛt di sɔpɔt we yu nid, aks yu mɛdikal tim. Dɛn kin ebul fɔ tɛl yu bɔt tin dɛm wae kin ɛp yu wit yu maynd wɛl bɔdi.

Impɔtant tin dɛn fɔ mɛmba (Take-Home Message) .

Okay, so lɛ wi sɔma sɔm pan di tin dɛn we yu nid fɔ mɛmba frɔm wetin wi dɔn tɔk bɔt:

• Tayroyd ay sik (TED) na wan sik wae de afɛkt di yay wae gɛt fɔ du wit prɔblɛm wit di tayroyd gland.
• Yu fɔ no bɔt di sayn dɛm lɛk di yay we de bɔl, we de rɛd, we de swel, ɛn we yu de si tu tɛm.
• If yu de smok, yu go mɔs lɛf fɔ smok. Dis na di big ɛp we yu go ebul fɔ du.
• If di sik bad bad wan ɔ if yu notis se yu de si chenj , go to dɔktɔ wantɛm wantɛm.
• Fɔ bɔrku pipul dɛm, dis sik nɔr kin siriɔs, ɛn difrɛn tritmɛnt dɛn de. So nɔ panik, bɔt i rili impɔtant fɔ go to di rayt dɔktɔ.
• Yu maynd wɛl bɔdi bak rili impɔtant insay dis tɛm. Nɔ shek fɔ aks fɔ ɛp fɔ dat bak if yu nid am.

A op se dis infɔmeshɔn go yusful to yu. Stay wit wɛlbɔdi!

` Tayroyd ay sik, Graves in sik, yay swel, yay rεd, vishכn prכblεm, tayroyd, כmon