Yu dɔn de gɛt smɔl swel ɔ ful-ɔp na yu nɛk bifo, ɔ sɔntɛm yu taya ɛn fil fɔ wɔri we yu nɔ ebul fɔ ɛksplen? Wan tin we kin mek pɔsin gɛt dɛn sik ya na wan sik we dɛn kɔl Tayrodaytis . Di nem kin tan lɛk se yu de mek yu fred, bɔt lɛ wi brok am jɔs so dat yu go ɔndastand wetin de apin na yu bɔdi.
Wetin na Tayrɔyditis? Lɛ Wi Kip Am Simpul!
Fɔ tɔk smɔl, Tayroyd de tɔk bɔt di inflamɛns na yu tayroyd gland . Yu kin de wɔnda wetin na di tayroyd gland ɔ usay i de. Imajin wan smɔl ɔgan we tan lɛk bɔtaflay sidɔm rayt na yu nɛk, jɔs ɔnda di skin. Dis gland na impɔtant pat pan yu ɛndokrin sistɛm . I de mek ɛn pul impɔtant ɔmon dɛn we de rigul bɔku pan di impɔtant wok dɛn we yu bɔdi de du.
Tayroyditis nɔto jɔs wan sik; na jεnarכl tεm fכ wan grup כf dizכrd dεm we de mek di tayroyd gland inflameshn fכ difrεn rizin dεm. di praymar tin we tayroyd kin kam wit na dat di gland kin rilis tu mכch כ tu sכm pan dεn impɔtant tayroyd כmon dεm ya.
Wetin Na di Tipik Faz dɛm fɔ Tayroyd?
Na bɔrku kayn tayroyd, yu kin gɛt tri difrɛn pat dɛm. Lɛ wi tek wan luk pan dɛn:
1. Tayrotoksik Faz: Insay dis faz, yu tayroyd gland we inflamed de rilis wan ɔmon we pasmak. dis kin mek wan tεmporari stet we dεn kכl tayrotoksikosis . Yu kin tink bɔt am lɛk "flɔd" we di ɔmon dɛn de kam insay yu sistɛm wantɛm wantɛm.
2. Hypothyroid Phase: Afta dat fɔs we di ɔmon dɛn bɔku, bɔku tɛm yu tayroyd gland kin dɔn ɛn i nɔ kin ebul fɔ mek inof ɔmon fɔ sɔm wik ɔ mɔnt. Dis kin mek pɔsin gɛt wan prɔblɛm we dɛn kɔl haypotayroydism . Fɔ sɔm tin dɛm, lɛk Hashimoto in tayroyd ɛn raytin-induced thyroiditis , dis haypotayroyd faz kin bi pɔrmɛnt.
3. Yutayroyd Faz: Insay dis faz, yu כmon lεvεl dεm de kam bak to nכmal, hεlty rεnj. dis kin apin fכ sכm tεm bitwin di tayrotoksik εn di haypotayroyd fεz dεm, כ i kin bi di las stej as yu tayroyd gland de rεkכv frכm inflameshn εn bigin fכ prodyuz nכmal bak.
Wetin Na di Men kayn Tayrɔyditis?
As wi bin dɔn tɔk, tayroyd nɔto wan sik, ɛn bɔku difrɛn kayn dɛn de. Lɛ wi luk dɛn:
- Hashimoto in tayroyd: Dis na di kayn tayroyd we dɛn kin gɛt mɔ , we dɛn kin kɔl bak chronic lymphocytic thyroiditis . Na wan sik we pɔsin kin gɛt we i de fɛt insɛf . Dis min se yu yon imyun sistεm de bigin fכ atak di tayroyd gland bay we i de mek antibodi dεm we de agens tayroyd . Na di men tin we kin mek pɔsin gɛt di sik we dɛn kɔl hypothyroidism .
- Tayroyd we nɔ de tɔk ɔ we nɔ gɛt pen: Dis na ɔtoimyun kɔndishɔn bak we di antitayroyd antibodi dɛn kin mek. As di nem sho, i nɔ kin mek pɔsin fil bɔku pen.
- Postpartum thyroiditis: Na כda כtoimyun kכndyushכn we kin apin insay di fכs ia afta i bכn. I nɔ kin rili kɔmɔn.
- Rayd-induced thyroiditis: Dis kin apin afta redyushɔn tɛrapi fɔ sɔm kansa ɔ tru di yus ɔf redioaktiv ayodin tritmɛnt fɔ haypa tayroyd.
- Subakyu tayroyd (ɔ de Quervain in tayroyd): .Bɔrku tɛm dis kin rili pen ɛn dɛn kin tink se na wan vayrɔs kin mek dis sik. Bɔku tɛm i kin fala wan ɔpa respiratɔri infɛkshɔn lɛk di flu ɔ wan kɔmɔn kol .
- Akyu infɛkshɔn tayroyd: Na tin we nɔ kin apin so ɔltɛm we baktri ɔ ɔda tin we kin mek pɔsin gɛt sik kin kam.
- Tayroyd we pɔsin kin gɛt we i tek drɔgs: Sɔm mɛrɛsin dɛn lɛk amiodarone , interferons , lithium , ɛn cytokines , kin mek dis sik apin. Bɔt dis kin apin to smɔl pipul dɛn nɔmɔ we de tek dɛn mɛrɛsin ya.
- Riedel thyroiditis: Na sik we nɔ kin apin so ɔltɛm we di tayroyd kin inflamɛns fɔ lɔng tɛm we kin mek i gɛt fibrosis , usay di tayroyd tisu kin at ɔ gɛt skata.
Udat dɛn kin afɛkt pas ɔl di ɔda wan dɛn we gɛt tayroyd?
Pan ɔl we tayroyd kin afɛkt ɛnibɔdi, i kin rili bɔku pan uman dɛn .
Fɔ ɛgzampul, Hashimoto in tayroyd sik kin bɔku pan uman dɛn 4 to tɛn tɛm pas man dɛn, ɛn dɛn kin no am mɔ pan pipul dɛn we ol bitwin 30 ɛn 50 ia. Saylent tayroyd sik kin bɔku bak pan uman dɛm ɛn na di sɛkɔn kayn tayroyd we kin bɔku afta Hashimoto in.
Aw I Kɔmɔn?
As wi bin dɔn no, Hashimoto in tayroyd na di kayn we we bɔku pipul dɛn kin gɛt, we kin afɛkt lɛk 1% to 2% pan di pipul dɛn na Amɛrika. Ɔda kayn tayroyd sik nɔ kin bɔku.
Yu tink se Tayrodaytis de mek pɔsin in layf pan denja?
Jɛnɛral wan, tayroyd nɔto sik we kin mek pɔsin in layf de pan denja.
Bɔt if tayroyd de mek pɔsin gɛt siriɔs aypa tayroyd we nɔ de trit am fɔ lɔng tɛm, i kin go bifo to wan imejensi we go mek pɔsin in layf de pan denja we dɛn kɔl tayroyd storm .
Wetin na di sayn dɛm fɔ Tayrɔyd storm?
- hεy fiva – Tεmpratura kin spik to 104°F to 106°F (40°C–41°C).
- di at rit we de rεt kwik kwik wan (tachycardia) – Dis kin pas 140 bit pan minit.
- I kin vɛks bad bad wan, i kin vɛks bad bad wan, ɛn i nɔ kin rɛst bad bad wan.
- Delirium – Na stet wae de mek yu kɔnfyus bad bad wan, yu nɔr de fil fayn, ɔr yu de chenj yu maynd.
If yu tink se yu de gɛt sayn dɛn fɔ tayroyd storm, go to dɔktɔ wantɛm wantɛm bay we yu kɔl 911 ɔ go na di imejensi dipatmɛnt we de nia yu.
If yu de gɛt dɛn sik ya, duya go na di ɔspitul we de nia yu wantɛm wantɛm. Dis na imejensi!
If yu tink se yu gɛt sayn dɛn fɔ tayroyd, i rili impɔtant fɔ go to dɔktɔ wantɛm wantɛm. Dɛn kin du di tɛst dɛn we dɛn nid, gi yu kɔrɛkt diagnosis, ɛn bigin di rayt tritmɛnt plan fɔ yu.
Wetin na di sayn dɛm wae de sho se yu gɛt Tayroyd?
Di sayn dɛm fɔ tayroyd de dipen pan di kayn ɛn stej we di sik de. Bɔrku tɛm, di sik pipul dɛn kin fɔs gɛt sayn dɛm fɔ tayrotoksikosis, dɔn dɛn kin gɛt sayn dɛm fɔ haypotayroydism.
Wit subakyu tayroyd ɛn akyu infɛkshɔn tayroyd, yu kin fil pen na di say we yu tayroyd gland de. Sɔm pipul dɛn kin gɛt tayroyd bak we kin big, we dɛn kin kɔl goiter .
Di sayn dɛm fɔ Thyrotoxicosis (we di ɔmon lɛvɛl bɔku) .
Di tayrotoksik faz fɔ tayroyd kin te fɔ shɔt tɛm, i kin tek lɛk wan to tri mɔnt. If yu tayroyd sɛl dɛn dɔn pwɛl kwik kwik wan ɛn pul bɔku tayroyd ɔmon, yu kin gɛt sayn dɛn we de sho se yu gɛt haypa tayroyd (we na tayroyd we de wok pasmak). Dɛn tin ya na:
- At bit kwik kwik wan (palpitations).
- I de mek pɔsin want fɔ it mɔ ɛn mɔ.
- We yu de lɔs yu wet we yu nɔ ɛksplen.
- Fɔ fil se yu de wɔri ɔ yu nɔ de rɛst.
- I de mek pɔsin vɛks mɔ ɛn mɔ.
- I nɔ izi fɔ slip (insomnia).
- I kin swet mɔ ɛn mɔ ɛn i kin fil fɔ wam.
- An dɛn kin shek shek.
Di sayn dɛm fɔ Hypothyroidism (we di ɔmon lɛvɛl smɔl) .
Di haypotayroyd faz fɔ tayroyd kin las fɔ lɔng tɛm ɛn sɔntɛnde i kin bi fɔ ɔltɛm. If yu tayroyd sɛl dɛn dɔn pwɛl ɛn di ɔmon lɛvɛl go dɔŋ, yu kin gɛt sayn dɛn we de sho se yu nɔ gɛt bɛtɛ tayroyd. Dɛn tin ya na:
- Taya we nɔ de dɔn.
- We yu gɛt bɔku bɔku bɔdi we yu nɔ ɛksplen.
- Banbɛlɛ.
- Tin dɛm wae de mɔna yu maynd wɛl bɔdi lɛk pwɛl hat.
- Dray skin.
- Inkris sɛnsitiviti to kol.
- Di mɔsul dɛn we wik.
- I nɔ kin izi fɔ mek yu pe atɛnshɔn to yu.
Wetin kin mek pɔsin gɛt Tayroyd?
Tayroyd kin apin we yu tayroyd gland "attak," we kin mek yu inflamɛns (di bɔdi in ansa we yu wund) ɛn pwɛl di tayroyd sɛl dɛm. Di patikyula tin dɛn we kin mek pɔsin gɛt dis sik kin difrɛn difrɛn wan bay di kayn tin we dɛn kin du.
Di tin we kin mek pɔsin gɛt dis sik pas ɔl na wan sik we pɔsin kin gɛt we i de fɛt insɛf . Dis kin apin we yu imyun sistɛm—we dɛn mek fɔ protɛkt yu—de mistek atak yu yon bɔdi. Pan ɔl we dɛn nɔ ɔndastand di rayt kɔz, bɔku kayn tayroyd sik kin apin bikɔs ɔf di antibodi dɛm we de tɔch yu tayroyd gland.
Aw dɛn kin no se pɔsin gɛt tayroyd?
We yu go to dɔktɔ, dɛn go chɛk yu ɛn asɛs yu tayroyd gland. Dɛn go aks bak bɔt yu sik ɛn mɛdikal histri.
If yu dɔktɔ tink se yu gɛt tayroyd, dɛn kin du sɔm ɔ ɔl dɛn tɛst ya fɔ no if yu gɛt di sik:
- Tɛst fɔ di tayroyd we de wok: Dɛn blɔd tɛst ya kin mɛzhɔ yu ɔmon dɛn we gɛt fɔ du wit tayroyd. Dɛn tin ya na di ɔmon we de mek di tayroyd (TSH) , T3 (triiodothyronine) , ɛn T4 (thyroxine) . TSH na yu pituitary gland de mek am fכ mek di tayroyd prodyuz T4 εn T3 כmon dεm.
- Tayrɔyd ɔltrasɔund: Bɔku tɛm, dɔktɔ dɛn kin yuz ɔltrasɔund fɔ chɛk aw yu tayroyd gland tan. Dis kin ɛp fɔ no di nodul dɛn , di chenj we di blɔd de flɔ, ɔ di density na di gland.
- Tayrɔyd antibodi tɛst: Dɛn blɔd tɛst ya de luk fɔ sɔm patikyula antibodi dɛm, lɛk TPO (antithyroid/microsomal antibodies) ɔ TRAb (thyroid receptor stimulating antibodies) . Dɛn prɛzɛns de sho se yu tayroyd kin bi ɔtoimyun in nature.
- Erythrocyt sedimentation rate (ESR): Dis bכdi tεst de εp fכ no di inflameshn na yu bכdi. insay kes dεm we dεn gεt sכbakyu tayroyd, di ESR lεvεl kin tipikכl go כp.
- C-reactive protein (CRP): Dis de mכsu di CRP lεvεl dεm na yu bכdi. di CRP lεvεl dεm we dεn εlevεt de sho se inflameshn εn i kin rili hכy pan kes dεm we dεn gεt akyu infεkshכn tayroyd.
- Rεdioaktiv ayodin כptek (RAIU) tεst: Dis tεst de mכsu aw bכku redioaktiv ayodin (we dεn tek am bay mכt) yu tayroyd gland de abzכp. insay di tayrotoksik fεz fכ tayroyd, dis כptek kin kכlכsכl כltεm lכw.
Aw dɛn kin trit Tayrɔyditis?
Di tritmɛnt fɔ tayroyd dipen pan di kayn ɛn yu patikyula sayn dɛm.
Fɔ trit di sik we dɛn kɔl Thyrotoxicosis
If yu de na di tayrotoksik faz fɔ tayroyd, yu dɔktɔ kin gi yu beta-blɔka . Dɛn tin ya kin ɛp fɔ ridyus di sayn dɛm lɛk at bit kwik kwik wan ( palpitations ) ɛn trem.
As yu sik dɛn de go bifo, yu dɔktɔ go ridyus di mɛrɛsin smɔl smɔl ɛn leta i go stɔp fɔ tek di mɛrɛsin, bikɔs dis pat na fɔ shɔt tɛm nɔmɔ.
Fɔ trit di sik we dɛn kɔl Hypothyroidism
If yu gɛt Hashimoto in tayroyd, yu dɔktɔ kin gi yu tritmɛnt fɔ chenj di tayroyd ɔmon, lɛk lɛvotayroksin . Yu kin nid fɔ tek dis mɛrɛsin fɔ lɔng tɛm, bikɔs bɔku tɛm, di haypothayroyd we Hashimoto kin kam wit kin bi fɔ ɔltɛm.
If yu gɛt subacute, silent, ɔ postpartum thyroiditis ɛn yu de gɛt hypothyroid symptoms, yu dɔktɔ kin gi yu ɔmon riplesmɛnt tritmɛnt fɔ 6 to 12 mɔnt. Afta dat, dɛn go wach yu fɔ si if di haypothayrɔydism de kɔntinyu.
If yu haypothayroydism nɔr tu, i nɔr go nid fɔ gɛt tritmɛnt.
Ɔda tritmɛnt dɛn fɔ Tayroyd
If yu gɛt akyu infɛkshɔn tayroyd , yu fɔ trit di infɛkshɔn, mɔ wit antibayɔtik . If yu dɔn gɛt abses (we na wan kɔlekɛshɔn fɔ pus), yu dɔktɔ go nid fɔ du fayn fayn nidul fɔ pul am.
Tayroyd we dɛn kin gɛt we dɛn de tek drɔgs kin sɔlv we dɛn stɔp di mɛrɛsin we de mek pɔsin gɛt di sik. Yu dɔktɔ kin chenj yu to difrɛn mɛrɛsin ɔr kin kip yu pan di sem mɛrɛsin we i de manej di tayroyd wit lɛvotayroksin if nid de. Mɛmba se, fɔ ɛnitin we de mɔna yu kwik kwik wan, kɔl di imejensi savis (911) ɔ go na ɔspitul we de nia yu wantɛm wantɛm lɛk aw Nirogi Lanka tɛl yu.
Pen frɔm akyu infɛkshɔn tayroyd ɛn subakyu tayroyd kin tipikul fɔ manej wit nɔ-stɛroyd anti-inflammatory drɔgs (NSAID) , lɛk aspirin ɔ ibuprofen . Sɔntɛnde, if di pen rili bad, yu dɔktɔ kin gi yu mɛrɛsin we dɛn kɔl steroid .
Fɔ Riedel in tayroyd, bɔku tɛm i nid fɔ du ɔpreshɔn.
Yu tink se dɛn kin ebul fɔ avɔyd tayroyd?
Bɔt i sɔri fɔ no se dɛn nɔ kin ebul fɔ avɔyd bɔku kayn tayroyd .
If dɛn dɔn arenj fɔ mek yu du tin dɛn lɛk redioaktiv ayodin tɛrapi ɔ redyushɔn tɛrapi, tɔk to yu dɔktɔ bɔt di risk fɔ gɛt tayroyd. Sɔntɛnde, dɛn kin tink bɔt ɔda tritmɛnt dɛn fɔ mek dis prɔblɛm nɔ bɔku.
If yu de tek mɛrɛsin wae kin mek yu gɛt tayroyd, tɔk to yu dɔktɔ bɔt if yu kin ajɔst dɛn mɛrɛsin ya ɔr yu kin stɔp. Bɔt duya mɛmba se ivin wit dɛn tin ya fɔ tek tɛm, fɔ mek yu nɔ gɛt tayroyd sik ɔltogɛda, nɔ kin pɔsibul ɔltɛm.
Wetin na di prɔgnosis fɔ tayroyd?
Jɛnɛral wan, di prɔgnosis fɔ tayroyd na fayn .
Insay di kes fɔ Hashimoto in tayroyd, di haypotayroydism we kin kɔmɔt frɔm am kin bi fɔ ɔltɛm, bɔt dɛn kin ebul fɔ manej am fayn fayn wan fɔ layf wit tayroyd ɔmon riplesmɛnt tɛrapi.
Fɔ di wan dɛn we gɛt subacute thyroiditis, di sayn dɛn kin de fɔ wan to tri mɔnt. Bɔt i kin tek 12 to 18 mɔnt fɔ mek di tayroyd ful-ɔp fɔ wok bak lɛk aw i bin de. Smɔl, lɛk 5% risk de fɔ mek dɛn gɛt pɔrmɛnt haypotayroydism fɔ dɛn sik pipul ya.
fכ rεkכvεshכn frכm di tayroyd we dεn bכn afta dεn bכn εn saylεnt (we nכ de pen) kin tek lεk 12 to 18 mכnt bak. dis kכndyushכn dεm kin kכri lεk 20% risk fכ pεrmanεnt haypotayroydism.
Ustɛm yu fɔ go to dɔktɔ?
If dɛn dɔn no se yu gɛt tayroyd, yu go nid fɔ chɛk yu ɔltɛm fɔ wach di sik dɛn we yu gɛt ɛn mek shɔ se yu tritmɛnt plan de wok fayn fayn wan.
If yu sik de wɔs ɔr if yu notis ɛni nyu sayn wae de mɔna yu , duya kɔntak yu wɛl bɔdi biznɛs kwik kwik wan.
Na nɔmal tin fɔ fil strɛs we yu de fes dɔktɔ fɔ no if yu gɛt di sik. Di gud nyus na dat, bɔrku tɛm, dɛn kin rili ebul fɔ kɔntrol tayroyd, ɛn sɔm tɛm, i kin bi fɔ sɔm tɛm. If yu gɛt ɛni kwɛstyɔn bɔt tayroyd ɔr yu tritmɛnt plan, tɔk to yu dɔktɔ. Dɛn de fɔ sɔpɔt yu pan ɛvri step we yu de kia fɔ yu.
Mesej we pɔsin kin kɛr go na os
Wi op se dis ɔvaviu dɔn mek yu ɔndastand mɔ bɔt tayroyd. Mɛmba:
- Tayroyd na inflamɛns na yu tayroyd gland we de na yu nɛk.
- I kin mek yu bɔdi mek bɔku ɔ smɔl tayroyd ɔmon .
- Difrɛn kayn ɛn stej dɛn de ; Hashimoto’s na di wan we bɔku pipul dɛn kin gɛt.
- Di sayn dɛm kin difrɛn bay di kayn sik dɛm ɛn kin bi wae yu taya, yu wet kin chenj, yu at nɔr kin rit ɔltɛm, ɛn yu kin chenj yu maynd .
- di kכndyushכn kin kכz mכst fכ wan כ toimyun riakshכn.
- Dɛn kin no di sik bay we dɛn de du blɔd tɛst ɛn ɔltra saund .
- Di tritmɛnt dipen pan di patikyula kayn sik ɛn di sayn dɛm we yu gɛt. Sɔm kes dɛn kin dɔn kpatakpata , ɛn ɔda wan dɛn kin nid fɔ tek lɔng tɛm mentenɛns tritmɛnt .
- Yu fɔ no bɔt wan sik we nɔ kin apin so ɔltɛm ɛn we kin mek pɔsin in layf de pan denja we dɛn kɔl tayroyd storm . If yu gɛt dɛn sik ya, go to dɔktɔ wantɛm wantɛm .
- If yu gɛt ɛnitin fɔ wɔri bɔt yu wɛlbɔdi biznɛs, go to yu dɔktɔ ɔltɛm ɛn nɔ de te.
Na Nirogi Lanka, wi biliv se yu wɛlbɔdi na di fɔs tin we yu fɔ du!
