Sɔntɛnde, yu kin fil taya we nɔ kɔmɔn fɔ natin? Ɔ yu kin fil se yu nɔ de rɛst, lɛk se yu de lɔs yu wet? Sɔntɛm smɔl swɛlin de na di fɔs pat na yu nɛk, ɔ sɔntin lɛk dat, lɛk pen we yu tɔch am? Sɔmtɛm biɛn dɛn tin ya kin gɛt prɔblɛm wit yu tayroyd gland. Tide, wi go tɔk bɔt dis kɔmɔn, bɔt nɔto ɔltin we pipul dɛn no bɔt we dɛn kɔl ‘tayroyditis’.
Fɔs, lɛ wi si, wetin na dis tayroyd gland?
Fɔ tɔk am simpul wan, di tayroyd gland na smɔl pat we tan lɛk bɔtaflay we de ɔnda di skin we de bifo wi nɛk. na wan rili imכtant pat pan wi bכdi in εndokrin sistεm. bכku imכtant wok dεm na di bכdi, lεk di at rεt, di bכdi tεmprachכ, εn di rεt we wi de kכnvכlt di it we wi de it to εnεji (mεtabolism), na di כmon dεm we dis sכm gland de mek de kכntro.
Naw, wetin na Tayroyd ? Na inflamɛns ɔ swel na di tayroyd gland. Jɔs lɛk aw we wi gɛt injuri sɔnsay na wi bɔdi, di say kin swel ɛn rɛd, we di tayroyd gland dɔn pwɛl fɔ sɔm rizin, i kin swel bak. Dis swel kin ambɔg di nɔmal wok we di tayroyd gland de du. Dat min se, i kin bigin fɔ mek bɔku ɔmon dɛn, ɔ i kin mek tumɔs smɔl.
Di tri men stej dɛm fɔ tayroyd na:
Bɔrku tɛm wae yu gɛt tayroyd, yu bɔdi kin go tru tri men stej dɛm. I tan lɛk se yu de wok na faktri.
1. Thyrotoxic phase: Dis tan lɛk we faktri de go ɔt ɔf kɔntrol ɛn wantɛm wantɛm i de rilis tumɔs prɔdak na di makit. We di tayroyd gland swel, di ɔmon dɛn we de insay am kin kɔmɔt wantɛm wantɛm na di blɔd. Dis kin mek yu tayroyd ɔmon lɛvɛl go ɔp bad bad wan fɔ sɔm wik ɔ wan ɔ tu mɔnt.
2. Hypothyroid phase: Naw we di faktri dɔn rilis ɔl di guds wan tɛm, dɛn nɔ gɛt di raw matirial igen fɔ mek dɛn bak. Dɔn bak, afta ɔl di ɔmon dɛn dɔn kɔmɔt na di gland ɛn go insay di blɔd, sɔntin kin apin usay dɛn nɔ kin ebul fɔ mek nyu ɔmon dɛn. Dis kin mek di lɛvɛl we di tayroyd ɔmon dɛn de na yu bɔdi kin go dɔŋ bad bad wan. pan sɔm kayn Tayroyd, fɔ ɛgzampul, Hashimoto in tayroyd, dis lɔw ɔmon lɛvɛl kin bi pɔrmɛnt.
3. Yutayroyd fεz: Dis na di fכs fכ rεkכvεshכn. Jɔs lɛk aw faktri kin bigin fɔ wok bak ɛn mek guds lɛk aw i kin du, na so di tayroyd gland kin wɛl ɛn bigin fɔ mek ɔmon dɛn we nɔmal wan bak. Sɔm pipul dɛn kin go insay dis faz dairekt afta di ay ɔmon faz, ɔ dɛn kin go insay dis faz afta di lɔw ɔmon faz.
Wetin na di men kayn tayroyd?
Tayroyditis nɔto wan sik. Na wan grup fɔ sik wae kin kam wit difrɛn tin dɛm. Lɛ wi luk di men kayn dɛn.
| Tayp fɔ tayroyd | Fɔ tɔk am simpul wan, na dis kin apin. |
|---|---|
| Hashimoto in tayroyditis | Dis na di kayn we we pipul dɛn kin gɛt mɔ. Wetin kin apin ya na we wi bɔdi in yon imyun sistɛm kin atak in yon tayroyd gland. Dis na sik we pɔsin kin gɛt we i de fɛt insɛf. as tεm de go, di gland kin pwεl εn di כmon prodakshכn kin rεdכks fכ כltεm (Hypothyroidism). |
| Tayroyd we nɔ de tɔk ɔ we nɔ de mek pɔsin fil pen | Dis na ɔtoimyun kɔndishɔn bak. As di nem sho, no pen nɔ de na di nɛk, bɔt yu kin si sɔm pat dɛn we di ɔmon dɛn de bɔku ɛn we de go dɔŋ. |
| Tayroyd we dɛn kin gɛt afta dɛn bɔn pikin | Dis na wan sik we kin apin to mama dεm insay di fכs ia we dεn bכn pikin. Di tin we kin mek i apin na di ɔtoimmune. Bɔku tɛm, na fɔ shɔt tɛm nɔmɔ. |
| Tayroyd we kin mek pɔsin gɛt raytin | I kin bi bay redyushɔn tɛrapi fɔ kansa ɔ redioaktiv ayodin tritmɛnt fɔ mek di tayroyd ɔmon dɛn bɔku. |
| Subakut tayroyditis | Dɛn biliv se na wan vayral infɛkshɔn kin mek i kam. I kin apin afta we yu trot at ɔ kol dɔn pas. I kin gɛt bad bad pen na di nɛk. |
| Akyu infɛkshɔn tayroyditis | Dis nɔ kin apin so ɔltɛm. I kin apin we wan jεm, lεk baktri, go insay di tayroyd gland εn infεkt am. Na ya bak, bad bad pen ɛn fiva kin apin. |
| Tayroyd we dɛn kin gɛt we dɛn de yuz drɔgs | I kin apin as sayd ifekt fɔ sɔm mɛrɛsin dɛn (e.g. Amiodarone, Lithium, Interferons). Bɔt nɔto ɔlman we de tek dɛn mɛrɛsin ya go gɛt am. |
Wetin na di sayn dɛm wae de sho se yu gɛt Tayroyd?
Di simptom dɛm dipen pan di kayn tayroyd we yu gɛt ɛn di stej (high or low hormones) we yu de insay.Lɛ wi tek wan luk pan wetin simptom kin apin na dɛn tu stej ya.
| Di sayn dɛm fɔ di ɔmon dɛm we de bɔku (Thyrotoxicosis) . | Di sayn dɛn we de sho se di ɔmon nɔ de bɔku (Hypothyroidism) . |
|---|---|
| Fɔ fil lɛk se yu at de bit fast fast | Fɔ fil taya ɔltɛm (Fatigue) . |
| We yu de lɔs yu wet fɔ natin | We yu de gɛt mɔ wet fɔ natin |
| Fɔ fil angri ɔltɛm | Banbɛlɛ |
| Fɔ nɔ rɛst, fɔ vɛks | Pwɛl hat ɔr de fil fɔ fil bad |
| Nɔ ebul slip | Dray skin |
| Fɔ swet pasmak, fɔ fil wam | Intolerance fɔ kol |
| Di we aw pɔsin kin shek shek | Di mɔsul dɛn we wik |
| - . | I nɔ kin izi fɔ mek yu pe atɛnshɔn to yu |
I rili impɔtant: Na rare kes dɛm, we dɛn nɔ trit di haypa tayroyd kin mek yu gɛt wan sik we de mek yu layf de pan denja we dɛn kɔl ‘tayroyd storm’. If yu gɛt sɔm sayn dɛn lɛk we yu gɛt ay fiva (we pas 104 F), yu at de bit kwik kwik wan (we pas 140 bit pan minit), ɔ yu kɔnfyus, go na di imejensi rum (ETU) na di ɔspitul we de nia yu wantɛm wantɛm. Dis na mɛdikal imejensi.
Aw yu go fɛn dis, Dɔktɔ?
If yu gɛt dɛn sik ya, yu dɔktɔ go aks yu fɔs bɔt yu sik ɛn chɛk yu nɛk. Dɔn, if dɛn tink se gɛt tayroyd, dɛn go ɔda fɔ du sɔm tɛst dɛn, lɛk:
- Tɛst fɔ di tayroyd we de wok: Dis na tɛst fɔ blɔd. I de mɛzhɔ di lɛvɛl dɛn we di ɔmon dɛn we nem TSH, T3, ɛn T4 de na yu blɔd. Dis kin tɛl yu ɛksaktɔli if yu de pan ay ɔ lɔw ɔmon faz.
- Tayroyd ɔltrasɔund: Dis kin chɛk di shep ɛn saiz fɔ di tayroyd gland, if ɛni lumps de insay, ɛn aw di blɔd de go.
- Tayrɔyd antibodi tɛst: Dis blɔd tɛst de ɛp fɔ no if yu tayroyd na wan sik we de mek yu nɔ ebul fɔ fɛt di sik.
- ESR ɛn CRP tɛst: Dɛn tin ya na blɔd tɛst bak. Dɛn impɔtant fɔ no if inflamɛns de na di bɔdi. Dɛn tin ya kin bɔku mɔ pan subakyu ɛn akyu tayroyd.
- Redioaktiv ayodin uptek (RAIU test): .Dis min se yu fɔ gi yu smɔl redioaktiv ayodin fɔ drink ɛn afta dat yu fɔ mɛzhɔ ɔmɔs pan di ayodin we yu tayroyd gland dɔn tek sɔm awa afta dat. dis absכpshכn de rili lכw di tεm we di hכmon haypa aktiv fεz fכ tayroyd.
Wetin na di tritmɛnt dɛm fɔ dis?
Di tritmɛnt dipen pan di kayn tayroyd we yu gɛt ɛn di sayn dɛm we yu gɛt.
Tritmɛnt fɔ di ɔmon imbalans
Bikɔs dis pat kin bi fɔ sɔm tɛm, yu dɔktɔ kin gi yu mɛrɛsin lɛk beta-blɔka fɔ kɔntrol di sayn dɛn lɛk we yu de bit yu at ɛn we yu de shek. Dɛn kin stɔp di mɛrɛsin we di sik dɔn stɔp.
Tritmɛnt fɔ di ɔmon we nɔ gɛt bɛtɛ ɔmon
If yu gɛt wan sik we de mek yu nɔ gɛt bɛtɛ ɔmon fɔ ɔltɛm, lɛk Hashimoto in tayroyd, yu dɔktɔ go gi yu ɛksternal tayroyd ɔmon pils (lɛk lɛvotayroksin). Dis kin nid fɔ tek am fɔ di res ɔf yu layf.
כda kayn dεm, if di כmon dεm we de dכn na fכ sכm tεm, dεn kin gi dεn כmon pils ya fכ lεk 6 to 12 mכnt, dεn kin stכp am εn dεn kin si di gland fכ wok bak.
Ɔda patikyula tritmɛnt dɛn
- Fɔ pen: Dɛn kin gi pen kil (NSAID) fɔ tin dɛn we de mek pɔsin fil pen lɛk subacute thyroiditis. If di pen rili bad, i kin nid fɔ gɛt stɛroyd tritmɛnt.
- Fɔ infɛkshɔn: Dɛn kin gi antibayɔtik fɔ baktriyal infɛkshɔn lɛk akyu infɛkshɔn tayroyd. If abses dɔn fɔm, i kin nid fɔ pul am wit nidul.
- Ɔpreshɔn: Insay tin dɛn we nɔ kin apin so ɔltɛm, lɛk Riedel tayroyd, i kin nid fɔ du ɔpreshɔn.
Yu nɔ tink se dɛn go ebul fɔ stɔp dis?
Bɔt i sɔri fɔ no se, no we nɔ de fɔ mek wi nɔ gɛt bɔku kayn tayroyd, bikɔs bɔku pan dɛn na wi yon imyun sistɛm de mek wi gɛt am. Bɔt if yu de du redyushɔn tritmɛnt fɔ wan sik ɔ yu de tek mɛrɛsin we go mek yu gɛt tayroyd, yu kin tɔk to yu dɔktɔ bɔt am ɛn no bɔt di bad tin dɛn we kin apin to yu.
If dɛn no se yu gɛt tayroyd, nɔ panik. Dis na sik wae bɔrku tɛm dɛn kin trit fayn, kɔntrol, ɛn ivin mɛn. Di tin we impɔtant pas ɔl na fɔ fala yu dɔktɔ in instrɔkshɔn dɛn gud gud wan ɛn fɔ go bak fɔ chɛk-ap ɔltɛm.
Mɛsej we dɛn kin kɛr go na os
- Tayroyd na wan inflamɛns na di tayroyd gland. I nɔto kansa.
- If na so i bi, di ɔmon dɛn kin go ɔp fɔs (haypa tayroyd), dɔn i kin go dɔŋ (haypa tayroyd).
- Pe atɛnshɔn if yu gɛt sɔm sayn dɛm lɛk fɔ chenj yu wet we yu nɔr ɛksplen, taya pasmak, nɔr de rɛst, yu nɛk de pen, ɔr yu de swel.
- Dis sik kin izi fɔ no tru simpul blɔd tɛst ɛn skan.
- Tritmɛnt dɛn de we rili fayn fɔ bɔku kayn tayroyd sik. Sɔm na fɔ shɔt tɛm nɔmɔ, ɛn ɔda wan dɛn kin nid fɔ gɛt tritmɛnt fɔ lɔng tɛm.
- If yu gɛt ɛni kwɛstyɔn ɔ dawt bɔt dis, tɔk to yu dɔktɔ opin wan bɔt am.
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