Yu tayroyd tan lɛk big big briz? (Thyroid Storm) Lɛ wi lan bɔt dis denja sik!

Yu dɔn ɛva yɛri bɔt sɔntin we dɛn kɔl ‘Thyroid Storm’? Di nem de mek yu fred smɔl, nɔto so? Na tru tru wan siriɔs sik wae nid fɔ gɛt mɛrɛsin kwik kwik wan ɛn kin mek pɔrsin in layf de pan denja. Fɔ tɔk di kɔrɛkt tin, na we di tayroyd ɔmon dɛn we de kɔmɔt na di tayroyd gland de kɔmɔt wantɛm wantɛm. Lɛ wi tɔk bɔt am simpul wan, di we we yu go ɔndastand.

Wetin na di tayroyd gland? Wetin i de du?

Naw yu go mɔs de tink se, ‘Wetin na dis tayroyd gland?’ I rili simpul. Na smɔl gland we de bifo yu nɛk, we shep lɛk bɔtaflay. Dis smɔl gland de du bɔku impɔtant wok dɛn na wi bɔdi.

di tayroyd gland de mek tu men כmon dεm: triiodothyronine (T3) εn thyroxine (T4) . We dɛn put dɛn tu ɔmon ya togɛda, dɛn kɔl dɛn tayroyd ɔmon. Dɛn ɔmon ya de kɔntrol wi bɔdi tɛmpracha, at rit, ɛn di impɔtant tin na wi mɛtabolism .

Metabolism, simpul wan, na aw wi bɔdi de prosɛs tin kwik kwik wan, dat na aw wi kin chenj di it we wi de it kwik kwik wan to ɛnaji ɛn ɔt. Naw imajin, we tayroyd storm apin, bɔku bɔku tayroyd ɔmon dɛn kin gɛda wantɛm wantɛm na di bɔdi. Wetin kin apin da tɛm de? di mεtabolism na wi bכdi kin bi fast we wi nכ kin imajin. Lɛk wan tren we de spid! Dis rili rili denja, ɛn i kin ivin mek pɔsin in layf de pan denja.

we dis ay mεtabolism de apin, wi bכdi nid bכku כksijεn. Fɔ mek wi go ebul fɔ mit dis we aw wi nid ɔksijɛn we dɔn bɔku, wi at kin bigin fɔ bit kwik kwik wan. Wi kin kɔl dis takikadia . Bikɔs ɔf dis ay spid, di at nɔ kin ebul fɔ bia igen ɛn ivin at kin pwɛl . Yu ɔndastand aw i denja?

Udat kin gɛt tayroyd storm?

Tayrɔyd storm na siriɔs sayd ɛfɛkt we wan sik we dɛn kɔl haypa tayroyd , we na we dɛn de mek bɔku bɔku tayroyd ɔmon. So, pipul dεm wae gεt kכndyushכn wae de mek yu gεt haypa tayroyd, lεk Graves in sik כ toxic thyroid adenoma, kin gεt am.

Lɛk ɔda sik dɛn we gɛt tayroyd, dis sik kin kam pan uman dɛn pas man dɛn. Dɔktɔ dɛn se i kin bɔku pan pipul dɛn we ol bitwin 42-43 ia.

Aw dis sik kin kɔmɔn?

Tayrɔyd storm kin rili rili rare.Sɔntin. Dat min se i rili rare. Fɔ ɛgzampul, akɔdin to sɔm statystik dɛm na Amɛrika, dis sik kin apin pan bitwin 5 ɛn 7 pipul dɛm pan ɛvri milyɔn. Bɔt pan ɔl we i nɔ kin apin so ɔltɛm, i nɔ kin mek i nɔ siriɔs.

Aw e kin fil fɔ gɛt tayroyd storm?

Bikɔs dɛn tayroyd ɔmon ya kin afɛkt bɔku pat dɛn na di bɔdi, if yu gɛt tayroyd storm, yu go fil wan rili ebi filin ɔlsay na yu bɔdi, lɛk se i de bɔn frɔm insay. Yu kin gɛt tin dɛn lɛk:

• I rili hot ɛn a de swet bɔku bɔku wan. I tan lɛk se yu de nia stov.
• Yu at de bit so fast dat i de fil lɛk se i go jomp kɔmɔt na yu chɛst. Yu go ivin yɛri da sawnd de.
• A kin rili fil lɛk se a nɔ de rɛst, a kin wɔri, ɛn a kin wɔri. Mi at de rɔsh fɔ natin.
• Mi bɔdi de shek shek. I kin tan lɛk se a kol, bɔt i rili wam.
• A kin fil lɛk se a gɛt bɛlɛ we de at, nɔs, ɛn vɔmit.
• A kin fil lɛk se a nɔ ebul fɔ kɔntrol mi bɔdi. Mi limb dɛn de tingling, mi wɔd dɛn de slur.
• A kin fil se a kɔnfyus ɛn a nɔ kin no wetin fɔ du. I tan lɛk se a nɔ ebul fɔ no wetin de apin.

If yu gɛt ɛni wan pan dɛn sik ya, di tin we impɔtant pas ɔl na fɔ go na di ɔspitul we de nia yu kwik kwik wan, ɛn nɔ de te fɔ wan sɛkɔn.

Wetin kin mek pɔsin gɛt tayroyd storm?

Risach pipul dɛn stil nɔ no bɛtɛ bɛtɛ wan wetin kin mek pɔsin gɛt tayroyd storm. Bɔt i kin apin if yu gɛt aypa tayroyd sik we nɔ de mɛn fɔ lɔng tɛm. Bɔt bɔku tɛm, na sɔntin we kin apin wantɛm wantɛm ɛn we kin rili bad. Dat min se, na "trig."

Imajin, sɔntɛnde wi mama ɔ wi anti kin tek mɛrɛsin fɔ tayroyd. Sɔntɛm sɔmbɔdi se, ‘I nɔ fayn fɔ kɔntinyu fɔ tek da mɛrɛsin de,’ ɔ sɔntɛm i dɔn let fɔ tek am bak afta di mɛrɛsin dɔn. If yu stɔp di mɛrɛsin wantɛm wantɛm, di ɔndalayn haypa tayroyd kin wɔs, ɛn dis denja sik we dɛn kɔl tayroyd storm kin kam. Na dat mek i nɔ fayn fɔ stɔp di mɛrɛsin ɔ chenj di doz we yu nɔ gɛt dɔktɔ advays.

Dɛn tin ya na tin dɛn we kin mek pɔsin gɛt tayroyd storm:

• Yu fɔ stɔp fɔ tek yu tayroyd mɛrɛsin, we min antitayroyd mɛrɛsin, wantɛm wantɛm.
• Tayroydɛktɔmi na ɔpreshɔn fɔ pul di tayroyd gland.
• Wan ɔda big ɔpreshɔn we nɔ gɛt natin fɔ du wit di tayroyd.
• Aksidɛnt, bad bad injuri (Trauma) .
• Wan bad bad infεkshכn insay di bכdi, lεk nyumonia.
• Dayabitik Ketoacidosis (DKA) , At we nɔ de wok faynWan imejensi kɔndishɔn, lɛk at atak, ɔr bad bad tin fɔ du wit sɔm mɛrɛsin dɛn.
• Di kɔntrast ɛjɛn dɛn we gɛt ayodin, we dɛn kin yuz fɔ sɔm ɛkstrem rayt, kin mek di ayodin lɛvɛl na di bɔdi go ɔp wantɛm wantɛm.
• Fɔ bɔn pikin fɔ uman.
• Strok .

Wetin na di sayn ɛn simptom dɛm fɔ tayroyd storm?

As wi bin dɔn tɔk bɔt smɔl, bɔku sayn dɛn kin de fɔ dis.

Sayn ɛn sayn dɛm we kin apin:

• Wan ay fiva – fiva we de 104 to 106 digri Fahrenheit (lɛk 40-41 digri sɛlshiɔs). Dis nɔto nɔmal fiva, bɔt na ay fiva.
• di at de bit fast fast (Tachycardia) – i kin bi pas 140 bit pan minit.
• Fɔ fil se yu nɔ de rɛst, yu de vɛks, ɛn/ɔ yu de wɔri.
• Delirium – Na wan sik wae yu nɔr kin no usai yu de, de tɛm, ɛn pipul dɛm wae yu sabi.
• Kɔnjɛstiv At Fɛil kin apin.
• Nɔbɔdi nɔ kin no natin.

Sayn ɛn sayn dɛn we nɔ kin apin so ɔltɛm:

• Siriɔs nɔs ɛn/ɔ vɔmit.
• Rɔnbɛlɛ.
• Bɔku pen na yu bɛlɛ.
• Di skin ɔ di yay we de yɔlɔ, dat na, janda .

Aw dɛn kin no dis tayroyd storm?

Dɔktɔ go no if di pɔsin gɛt tayroyd storm bay di bad bad tin dɛn we de apin to di pɔsin in layf (lɛk we i gɛt ay fiva, at prɔblɛm), di tayroyd ɔmon (T3, T4) we rili bɔku na di blɔd, ɛn di ɔmon we de mek di tayroyd (TSH) nɔ bɔku .

Bɔt bikɔs dis kin mek pɔsin in layf de pan denja ɛn i impɔtant fɔ mek dɛn trit am kwik kwik wan, bɔku tɛm, dɔktɔ dɛn nɔ kin wet fɔ di rizɔlt fɔ di blɔd tɛst, bɔt dɛn kin bigin fɔ trit am wantɛm wantɛm if dɛn tink se tayroyd storm de kam bikɔs ɔf di sayn dɛn we i gɛt. Na bikɔs ɛvri sɛkɔn impɔtant.

Apat frɔm dat, dɔktɔ dɛn kin luk bak fɔ sayn dɛn fɔ dis bay we dɛn de chɛk dɛn bɔdi. Dɛn tin ya na:

• Goiter , we min se di tayroyd gland dɔn big.
• Ophthalmopathy , we na wan sayd ɛfɛkt we Graves sik kin gɛt, na we di yay dɛn kin swel ɛn di yay dɛn kin bɔl.
• Lid lag , we min se we yu luk dɔŋ, yu de si if di ɔp aylid ay pas aw i fɔ bi.
• Yu gɛt an we de shek shek?
• Yu gɛt wam ɛn wet skin?
• Chek fɔ wan at ritm disɔda we dɛn kɔl takycardia ɔ atrial fibrillation .

Aw dɛn kin trit dis tayroyd storm?

Bikɔs dis na mɛdikal imejensi, yu go nid fɔ go na ɔspitul, bɔku tɛm na di Intensive Care Unit (ICU), so dat di mɛdikal tim go ebul fɔ wach yu kɔndishɔn gud gud wan.

Di tritmɛnt strateji fɔ tayroyd storm kin sheb to 4 men pat dɛm:

1. Tritmεnt we de kכntrכl di prodakshכn εn rilis fכ di tayroyd כmon dεm wantεm wantεm: Dis involv fכ gi antitayroyd mεdikeshכn (e.g., Thionamides ) fכ stכp di prodakshכn fכ nyu כmon dεm. Dɔn bak, dɛn kin gi wan ayodin sɔlvushɔn fɔ stɔp di ɔmon dɛn we di tayroyd gland dɔn ɔlrɛdi mek nɔ kɔmɔt.

2. Fɔ trit yu bɔdi sistɛm, mɔ di at, we di tayroyd ɔmon dɛn we pasmak kin afɛkt: Dɛn kin gi yu beta-blɔk fɔ kɔntrol di at rit ɛn blɔd prɛshɔn.

3. Fɔ trit di ɔndalayn kɔndishɔn ɔ sik we mek yu tayroyd storm: Fɔ ɛgzampul, if na infekshɔn, dɛn go gi yu antibayɔtik.

4. Ɔda tritmɛnt dɛm wae de sɔpɔt fɔ ɛp wit di sayn dɛm ɛn di sayd ɛfɛkt dɛm:

• Dɛn kin yuz asetaminofɛn (Paracetamol) ɛn blankit we de mek pɔsin kol fɔ ridyus di tɛmpracha na di bɔdi.
• dεn kin gi mεdikeshכn dεm lεk bayl asid sεkwεstrant fכ mek di tayroyd כmon dεm kכmכt bak frכm di intestinal dεm.
• If i nɔ izi fɔ blo, dɛn kin gi pɔsin sɔpɔt fɔ blo, lɛk sɔpɔtmɛnt ɔksijɛn.

Aw kwik a go fil fayn afta dɛn dɔn trit mi?

If yu gɛt di rayt mɛrɛsin kwik kwik wan, bɔku tɛm yu go si se yu sik go bɛtɛ insay 24 awa. Yu sayn dɛm go stɔp ɛn yu go bigin fɔ fil fayn smɔl. Bɔt i kin tek wan wik ɔ mɔ fɔ mek i wɛl frɔm di ɔndalayn kɔz fɔ Tayrɔyd Stom, wans dɛn dɔn trit di sik.

A kin mek di tayroyd storm nɔ kam?

Nɔto ɔl di tayroyd storm dɛn kin ebul fɔ avɔyd, bikɔs sɔntɛnde i kin kam bikɔs ɔf sɔntin we kin apin wantɛm wantɛm. Bɔt if yu dɔn ɔlrɛdi gɛt aypa tayroyd, sɔm impɔtant tin dɛn de we yu kin du fɔ tray fɔ mek yu nɔ gɛt dis denja:

• Ɔltɛm tek yu tayroyd mɛrɛsin jɔs lɛk aw yu dɔktɔ tɛl yu fɔ tek, di rayt tɛm. Nɔ mis wan de.
• Si yu dɔktɔ ɔltɛm ɛn du di tɛst dɛn we yu nid fɔ mek shɔ se yu tritmɛnt de wok fayn ɛn fɔ mek shɔ se yu ɔmon lɛvɛl dɛn de ɔnda kɔntrol.
• Ridyus strɛs as yu ebul. Tin dɛn lɛk fɔ tink gud wan ɛn fɔ du ɛksɛsayz kin ɛp.
• If dɛn go du ɛni ɔpreshɔn pan yu, tɛl yu dɔktɔ dɛn bifo tɛm se yu gɛt aypa tayroyd. Dɔn dɛn go tek di step dɛn we nid fɔ mek yu nɔ gɛt tayroyd storm, sɔntɛm dɛn go gi yu mɛrɛsin fɔ fɛt tayroyd bifo dɛn du di ɔpreshɔn.
• Ɛspɛshali if yu gɛt haypa tayroyd ɛn yu go gɛt tayroyd ɔpreshɔn (thyroidectomy) , yu dɔktɔ go mɔs gi yu sɔm mɛrɛsin dɛn bifo di ɔpreshɔn fɔ rɛdi yu fɔ am, fɔ mek yu nɔ gɛt tayroyd storm.

Wetin na di prɔgnosis fɔ tayroyd storm?

Tayrɔyd storm na mɛdikal imejensi we kin kil pɔsin if dɛn nɔ trit am.

Day kin apin bikɔs yu at nɔ de wok fayn, yu at nɔ de wok fayn , ɔ yu gɛt bɔku ɔgan dɛn we nɔ de wok fayn . Bɔt if dɛn no am kwik ɛn trit dɛn fayn, bɔku pipul dɛn kin wɛl insay 24 awa.

Bɔt sɔm tɛm dɛn de, tin dɛn kin de we kin mek i nɔ gɛt bɛtɛ chans fɔ wɛl. Sɔm pan dɛn na:

• If di pɔsin we sik dɔn ol bad bad wan.
• If siriɔs prɔblɛm dɛn de na di nervɔs sistɛm (e.g., yu nɔ de no natin, yu kɔnfyus) we dɛn admit yu na ɔspitul.
• If i nɔ pɔsibul fɔ gi di impɔtant mɛrɛsin dɛn we nid (beta-blɔka, antitayroyd mɛrɛsin) bikɔs ɔf ɔda wɛlbɔdi kɔndishɔn (e.g., nɔ ebul fɔ gi beta-blɔka bikɔs ɔf sik dɛn lɛk asma).
• If yu gɛt di kidni we nɔ de wok fayn bikɔs ɔf di tayroyd storm ɛn yu nid fɔ dayalysis , ɔ if yu nɔ ebul fɔ blo ɛn yu nid fɔ gɛt mɛkanikal ventileshɔn .

Yu tink se Tayrɔyd Stom kin kil pɔsin?

Yes, i sɔri fɔ no se, Tayrɔyd Stom kin kil pɔsin. Dis na wan sik we de mek pɔsin in layf de pan denja. If dɛn nɔ trit am, i go lɛf smɔl fɔ lɛ pɔsin day. Ivin wit tritmɛnt, insay sɔm kɔmplikɛt kes dɛm, day kin apin. Statistikal, dɛn ripɔt se bitwin 10% ɛn 30% pan di Tayrɔyd Stom kin mek pɔsin day.

Na dat mek wi kin kip de se, if yu gɛt sayn dɛm fɔ tayroyd storm, i rili, rili impɔtant fɔ go na ɔspitul kwik kwik wan, we yu nɔ de delay fɔ wan sɛkɔn. Nɔ wet te di sayn dɛn go wɔs.

Us ɔda kɔmplikɛshɔn dɛn kin apin wit Tayrɔyd Stom?

If di tritmɛnt delay ɔ nɔr gɛt di tritmɛnt fayn, tayroyd storm kin mek yu gɛt mɔ siriɔs prɔblɛm. Sɔm pan dɛn tin ya na:

• Cardiac failure de kam wɔs.
• Na difrɛn pat dɛn na di bɔdiBlɔd kin klɔt, we kin mek pɔsin gɛt siriɔs sik lɛk strok.
• Sɔm kayn sik lɛk epilepsy.
• Delirium we de kɔntinyu fɔ de .
• Kɔma na wae pɔrsin kin slip dip ɛn nɔr kin no natin.

Ustɛm a fɔ go na di Imejɛnsi Rum?

If yu gɛt wan ɔr mɔr sayn wae yu tink se kin bi tayroyd storm, lɛk ay fiva, at bit kwik kwik wan, nɔr de rɛst pasmak, ɔr kɔnfyus , go na di imejensi rum we de nia yu wantɛm wantɛm, kwik kwik wan. Nɔ west tɛm.

Wetin na di impɔtant tin dɛn we wi fɔ kɛr go na os frɔm dis stori? (Mɛsej we dɛn kin tek go na os)

Okay, so, frɔm wetin wi dɔn tɔk bɔt, dɛn tin ya na di impɔtant tin dɛn we wi fɔ mɛmba:

1. Tayrɔyd Stom na wan sik we rili denja, we de mek pɔsin in layf de pan denja ɛn we nid fɔ go na dɔktɔ kwik kwik wan. Dis nɔto gem.

2. Bɔku tɛm, dis kin apin bikɔs ɔf pipul dɛn we gɛt haypa tayroyd (excess thyroid hormone), mɔ di wan dɛn we nɔ de gɛt di rayt tritmɛnt fɔ am, ɔ we kin apin wantɛm wantɛm.

3. No bɔt di sayn dɛm lɛk ay fiva, at bit kwik kwik wan, nɔr de rɛst pasmak, swet, ɛn kɔnfyushɔn .

4. If yu si ɛni wan pan dɛn sik ya, go na ɔspitul wantɛm wantɛm ɛn nɔ de te. If pɔsin gɛt tritmɛnt kwik kwik wan, dat kin sev pɔsin in layf.

5. If yu gɛt aypa tayroyd, fala wetin yu dɔktɔ tɛl yu, tek yu mɛrɛsin kɔrɛkt wan, ɛn chɛk yu ɔltɛm. Dis kin ridyus di risk fɔ gɛt tayroyd storm.

6. Pan ɔl we dis sik nɔ kin bɔku, i impɔtant fɔ mek ɔlman no bɔt am.

If yu gɛt wan sik lɛk haypa tayroyd, lɛk Graves in sik, mek shɔ se yu aks yu dɔktɔ bɔt tayroyd storm ɛn aw fɔ mek i nɔ apin to yu. Stay wit wɛlbɔdi!

Tayroyd Stom, Haypatayroydism, Tayroyd Gland, Tayroyd Ɔmon, Simptom, Tritmɛnt, Imejɛnsi, Grev Sik