Sɔntɛnde yu kin fil lɛk se yu de rɔn maratɔn insay? Yu so nervos, yu de swet plenti, yu hat de race... en yu de los weight no mata aw yu it? If dɛn tin ya kin apin to yu, i impɔtant fɔ mek yu no bɔt di sik we wi de tɔk bɔt tide. Dɛn kɔl dis Tayrotoksikɔsis. Pan ɔl we di nem kin tan lɛk se i strenj smɔl, natin nɔ de fɔ fred. Lɛ wi tɔk bɔt am simpul wan.
Fɔ tɔk am simpul wan, wetin na tayrotoksikɔsis?
Fɔ tɔk am simpul wan, Tayrotoxicosis na we yu bɔdi gɛt tumɔs tayroyd ɔmon.
Naw yu go de wɔnda wetin na dis tayroyd ɔmon. Na wan smɔl gland we tan lɛk bɔtaflay we de bifo wi nɛk, we na di tayroyd gland, de mek am. Di men wok we dis ɔmon de du na fɔ kɔntrol di we aw wi bɔdi de wok. Dat min se i de kɔntrol di rit we di it we wi de it de chenj to ɛnaji.
Tink bɔt wi bɔdi lɛk injin na motoka. Tayrɔyd ɔmon tan lɛk di aksilarayt fɔ da motoka de. If i de insay di rayt amɔnt, di injin go rɔn fayn fayn wan ɛn di rayt spid. Bɔt insay Tayrotoksikɔsis, i tan lɛk se dɛn de prɛs di aksilarayt ɔltɛm. Wetin kin apin da tɛm de? Di injin de rɔn tumɔs, i de wam, ɛn i de bɔn tumɔs fiul. Semweso, we di tayroyd ɔmon lɛvɛl go ɔp, ɔl di tin dɛn we de apin na wi bɔdi kin bigin fɔ rɔn tumɔs. Yu at de bit fast fast, yu bɔdi de tan lɛk tin, ɛn yu de wɔri. Yu kin jɔs fil se yu nɔ ebul fɔ kɔntrol yusɛf.
Yu tink se dis sik kin mek pɔsin in layf de pan denja?
Pan ɔl we di wɔd "tɔxik" de na di nem, tayrotoksikosis nɔ kin bi ɔltɛm we kin mek pɔsin in layf de pan denja. Bɔt if i rili bad, i kin mek pɔsin in layf de pan denja. We wi de tɔk bɔt mɛrɛsin, wi kin kɔl dis tayroyd storm . Bɔt dis na tin we nɔ kin apin so ɔltɛm.
Di men tin we kin mek pɔsin gɛt tayroyd storm na wan big big strɛs we kin apin wantɛm wantɛm. Fɔ ɛgzampul, big ɔpreshɔn, bad bad infɛkshɔn, ɛn ɔda tin dɛn Dɔn bak, if yu dɔn ɔlrɛdi de tek tayroyd mɛrɛsin, dis siriɔs sik kin apin if yu stɔp fɔ tek am wantɛm wantɛm.
So mɛmba se, i rili impɔtant fɔ gɛt tritmɛnt fɔ kɔmɔn Tayrotoksikosis kwik kwik wan. If dɛn nɔ trit am, i kin mek i gɛt ɔda wɛlbɔdi prɔblɛm.
Wetin na di sayn dɛm wae de sho se yu gɛt tayrotoksikosis?
di sayn dεm fכ dis kכndyushכn kin difrεn dipכnt pan di digri we di tayroyd כmon lεvεl dεm de εlevεt. If di ɔmon lɛvɛl rili ay, di sayn dɛm bak kin rili bad. Lɛ wi si wetin na dɛn sayn ya.
| Di sayn we de sho se di sik de | Tɔk bɔt |
|---|---|
| We yu de lɔs yu wet fɔ natin | Ivin if yu it nɔmal ɔ ivin bɛtɛ, yu go lɔs yu wet. Bikɔs yu mɛtabolism bɔku, di it we yu de it kin chenj kwik kwik wan to ɛnaji ɛn yu kin yuz am. |
| Di at we de blo | Di at kin bit fast pas 100 tɛm insay wan minit. Wi kɔl dis (Tachycardia) . Sɔntɛnde, di at kin bit bak we nɔ de bit ɔltɛm (Arrhythmia) . |
| An dɛn kin shek shek | Wan shem we nɔ de si klia wan, mɔ na di an dɛn, kin apin. |
| Di we aw yu maynd nɔ de rɛst | A kin fil so wɔri, a nɔ ebul fɔ tinap fɔ am igen. A kin vɛks ɛn fred fɔ ivin di smɔl smɔl tin dɛn. |
| Di we aw pɔsin nɔ kin gri wit ɔt | We ɔda pipul dɛn fil nɔmal ɔt, yu kin fil wam pasmak. Yu de swet ɔltɛm. |
| Di chenj dɛn we kin apin we pɔsin de gɛt mɔnt ɛvri mɔnt | Uman dɛn kin gɛt prɛgnɛshɔn we nɔ kin apin ɔltɛm, dɛn kin gɛt smɔl dez, ɔ dɛn kin stɔp ɔl. |
| Siriɔs kɔndishɔn: Tayrɔyd Stom - Go na ɔspitul wantɛm wantɛm! | |
| Di sayn dɛm we kin rili bad | di at rit de go כp to pas 140 bit pan minit. Yu kin gɛt ay fiva, yu nɔ kin rɛst bad bad wan, yu kin kɔnfyus, ɛn yu nɔ kin no natin. Dis na mɛdikal imejensi. Yu fɔ go na di ɔspitul in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm. |
If yu gɛt ɛni wan pan dɛn sik ya, duya nɔ ignore dɛn. Mek shɔ se yu go to yu dɔktɔ.
Wetin mek Tayrotoxicosis kin apin?
Bɔku rizin dɛn kin de fɔ dis. Lɛ wi luk di men wan dɛn.
- Hyperthyroidism: Dis na di tin we kin mek pɔsin gɛt tayrotoksikosis. Haypa tayroyd na we yu tayroyd gland de wok pasmak ɛn mek bɔku ɔmon dɛn. Bɔku tin dɛn de we kin mek dis apin.
- Graves’ disease: Dis na wan sik wae de mek pɔrsin ebul fɔ fɛt insɛf. Dis min se wi bɔdi in yon imyun sistɛm de atak wi yon tayroyd gland, ɛn mek i mek mɔ ɔmon dɛn.
- Tayroyd nodul dεm: sכmtεm, sכm nodul dεm we de fכm na di tayroyd gland kin bigin fכ mek כmon dεm fכ dεn wan.
- Tayroyd: Dis na we di tayroyd gland kin swel. I kin kam bikɔs ɔf difrɛn infɛkshɔn, sɔm mɛrɛsin (e.g., lithium, intaferon), ɔr prɔblɛm wit di imyun sistɛm. We di gland swel, di ɔmon dɛn we dɛn dɔn kip insay de kin lik insay di blɔd. Dis kin mek di ɔmon lɛvɛl go ɔp fɔ sɔm tɛm. dis kכndyushכn kin apin bak pan mama dεm afta dεn bכn (postpartum thyroiditis).
- Fɔ tek tumɔs tayroyd mɛrɛsin: If dɛn de trit yu fɔ haypotayroyd (we yu nɔ gɛt tayroyd ɔmon), if yu tek mɔ lɛvotayroksin pils pas aw yu dɔktɔ dɔn tɛl yu, dat kin mek yu gɛt tayrotoksikosis. Dis kin apin we pɔsin nɔ no ɔ we i no.
- Fɔ it ɔmon frɔm it: Dis na tin we nɔ kin apin so ɔltɛm. Dis sik kin apin if yu it bif, we gɛt tayroyd tisu frɔm di nɛk fɔ bif kaw. Dɛn kin kɔl dis bak "hamburger thyrotoxicosis."
Udat de pan denja pas ɔl fɔ gɛt dis sik?
Bɔku tin dɛn de we kin mek pɔsin gɛt tayrotoksikosis:
- Fɔ gɛt famili histri bɔt tayroyd sik: Kɔndishɔn, mɔr lɛk Graves in sik, kin rɔn na famili.
- Fɔ bi uman: Uman dɛn kin gɛt tayroyd sik pas man dɛn.
- Bikɔs i dɔn pas 60 ia.
- Fɔ gɛt ɔda sik dɛn we pɔsin kin gɛt we i de fɛt insɛf:Fɔ ɛgzampul, sik dɛn lɛk Tayp 1 dayabitis ɔ Addison in sik.
- I dɔn te we a nɔ bɔn pikin.
- Fɔ gɛt tayroyd mɛrɛsin (levothyroxine) na os: Sɔmbɔdi na di os kin aksidɛntli tek dis mɛrɛsin. So, i impɔtant fɔ kip di mɛrɛsin sef ɔltɛm.
Aw dɔktɔ kin fɛn dis?
We yu go to dɔktɔ, i go tek sɔm step fɔ kɔnfirm dis sik.
1. Fɔ ɛgzamin yu bɔdi: Fɔs, dɛn go aks yu bɔt yu sik dɛn ɛn chɛk yu. Dɛn go chɛk fɔ tin dɛn lɛk at bit fast ɛn an dɛn we de shek shek.
2. Tayrɔyd blɔd tɛst: Dis na di tɛst we impɔtant pas ɔl. Dɛn go tɛst yu blɔd fɔ si if yu gɛt di tayroyd ɔmon (T3 ɛn T4) ɛn di TSH (Thyroid-Stimulating Hormone) lɛvɛl. insay tayrotoksikosis, di T3 εn T4 lεvεl dεm de bכku pas nכmal, εn di TSH lεvεl dεm rili lכw כ dεn nכ de no.
Fɔ tɔk am simpul wan, TSH na di signal frɔm di bren to di tayroyd gland fɔ ‘wok’. Bikɔs di bɔdi dɔn ɔlrɛdi gɛt bɔku ɔmon dɛn, di bren kin stɔp fɔ gi dis signal. Na dat mek di TSH lɛvɛl de go dɔŋ.
3. Imej tɛst: Sɔntɛnde dɛn kin du imej tɛst fɔ ɛp fɔ no di rayt tin we mek i apin. Dis kin inklud tayroyd ɔltra saund skan ɔ redioaktiv ayodin ɔptek (RAIU) tɛst. Yu dɔktɔ go ɛksplen dɛn tin ya to yu.
Aw dɛn kin trit am?
Di tritmɛnt fɔ tayrotoksikosis dipen pan di kɔz. Yu dɔktɔ go no wetin mek i kam ɛn i go tɛl yu di tritmɛnt we go fayn fɔ yu.
| Di we aw dɛn de trit am | Wetin kin apin to am? |
|---|---|
| Di mɛrɛsin dɛn we dɛn kin yuz fɔ fɛt di tayroyd | Mεdikeshכn dεm lεk mεthimazole εn propylthiouracil (PTU) de stכp di tayroyd gland fכ prodyuz כmon dεm. Bɔrku kes dɛm wae gɛt haypa tayroyd, dɛn kin trit dɛn wit dɛn mɛrɛsin ya. |
| Redioaktiv ayodin tɛrapi (RAI) . | Dis de wok bay we i de pwɛl di tayroyd sɛl dɛn we de wok pasmak. Bɔt afta dis tritmɛnt, bɔku tɛm di tayroyd gland nɔ kin wok fɔ ɔltɛm. Dɔn yu fɔ tek tayroyd ɔmon pils (levothyroxine) fɔ di res ɔf yu layf. |
| Ɔpreshɔn (Ɔpreshɔn - Tayroydɛktɔmi) . | Sɔntɛnde, yu dɔktɔ kin tɛl yu fɔ du ɔpreshɔn fɔ pul di tayroyd gland. Dis kin mek bak yu gɛt haypo tayroyd fɔ ɔltɛm, ɛn yu fɔ tek ɔmon pils fɔ di res ɔf yu layf. |
| Beta-blɔk dɛn | Dɛn mɛrɛsin ya kin jɔs kɔntrol di sayn dɛm. Dɛn kin ɛp fɔ kɔntrol tin dɛm lɛk at bit kwik kwik wan, nɔr kin rɛst, ɛn shek shek fɔ shɔt tɛm. Bɔt dɛn nɔ de chenj di ɔmon dɛn we de na di blɔd. |
| Glukokɔtikoyd dɛn | If yu gɛt tayroyd, dɛn mɛrɛsin ya kin ɛp fɔ mek yu nɔ swel ɛn nɔ fil pen. |
Us prɔblɛm dɛn kin apin if dɛn nɔ trit am?
If dɛn nɔ trit am, tayrotoksikosis, mɔ di haypa tayroyd, kin mek i gɛt siriɔs prɔblɛm dɛn.
- Atrial fibrillation (Afib): Na di at we nɔ de bit ɔltɛm ɛn we de bit kwik kwik wan.
- Hat fεil (Congestive hat fεil).
- Strɔk (Ischemic strok) we pɔsin kin gɛt.
- Ɔstioporosis: Na sik we di bon dɛn kin tan ɛn brok izi wan.
- Di mɔsul dɛn we wik.
If dɛn nɔ trit di tayroyd storm kwik kwik wan, i kin mek i gɛt sik, at kin pwɛl, ɛn ivin day. So nɔ ignore di sayn dɛm.
Mɛsej we dɛn kin kɛr go na os
- Tayrotoxicosis na we di tayroyd ɔmon lɛvɛl na di bɔdi go ɔp pasmak, we de mek ɔl di tin dɛn we de apin na di bɔdi go kwik.
- If yu gɛt sɔm sayn dɛn lɛk we yu nɔ ebul fɔ ɛksplen to yu wet, yu at de bit kwik kwik wan, yu nɔ de rɛst, ɛn yu nɔ de ebul fɔ bia wit ɔt, mek shɔ se yu go to dɔktɔ.
- Dɛn kin trit dis sik fayn fayn wan ɛn kɔntrol am fayn fayn wan. No nid nɔ de fɔ panik.
- If dɛn nɔ trit am, siriɔs prɔblɛm dɛn lɛk at sik ɛn strok kin apin.
- Tayrɔyd storm na wan rili siriɔs mɛdikal imejensi. If yu gɛt sɔm sayn dɛn lɛk ay fiva ɛn kɔnfyushɔn, go na di ɔspitul in imejensi dipatmɛnt (ETU) wantɛm wantɛm.
- If yu de tek tayroyd mɛrɛsin, tek di doz nɔmɔ we yu dɔktɔ tɛl yu fɔ tek. Kip di mɛrɛsin fayn fayn wan, usay pikin dɛn nɔ go ebul fɔ rich.
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