Sɔntɛnde, yu kin fil lɛk se yu taya ɛn yu kin taya fɔ natin? Yu nɔ kin want fɔ it igen , yu nɔ kin gɛt bɔku bɔku bɔdi ɔ yu kin gɛt diziz ? Yu go dɔn notis bak se yu skin, mɔ yu ɛlb ɛn ni , dɔn tɔn brawn smɔl. Nɔ jɔs ignore dɛn tin ya. Dɛn kin bi sayn fɔ sɔntin we impɔtant de apin insay yu bɔdi. Tide wi de tɔk bɔt wan pan dɛn kayn sik ya, we na Addison’s Disease .
Fɔ tɔk am simpul wan, wetin na Addison’s Disease?
Tink bɔt wi bɔdi as big kɔmni. Dis kɔmni gɛt wan grup we gɛt “kɛmikal mɛsenja dɛn ” we de chenj mɛsej fɔ mek difrɛn wok dɛn kɔntinyu fɔ wok fayn fayn wan. Wi kin kɔl dɛn ɔmon dɛn ya .
Ɔp wi kidni dɛn, lɛk tu smɔl hat dɛn, tu smɔl smɔl gland dɛn de. Na dɛn tin ya wi kin kɔl di adrenal gland dɛn . Dɛn gland ya de mek tu pan di impɔtant ɔmon dɛn we rili impɔtant fɔ wi layf. Dɛn tin ya na kɔtisol ɛn aldosterɔn .
Di sik we dɛn kɔl Addison na wan sik we di adrenal gland dɛn kin pwɛl fɔ sɔm rizin ɛn dɛn nɔ kin ebul fɔ mek dɛn ɔmon dɛn ya we dɛn nid. Dis na tin we nɔ kin apin so ɔltɛm. Bɔt i rili impɔtant fɔ no bɔt dis.
Wetin di tu ɔmon dɛn de du?
- Kɔtisol: Dis tan lɛk wi bɔdi in "stress manager." Dis ɔmon de rɛdi di bɔdi fɔ dil wit sik, denja, ɛn strɛs. I kin ɛp bak fɔ kɔntrol di blɔd prɛshɔn, di shuga we de na di blɔd, ɛn fɔ yuz prɔtin, kabɔhaydrɛt, ɛn fat.
- Aldosterone: Dis כmon na wi bכdi in "sכlt εn wata rεgεlεt." I de ɛp wi kidni dɛn fɔ mek di sɔl (sɔdiɔm) ɛn potashɔm lɛvɛl balans na di bɔdi. I de kɔntrol wi blɔd prɛshɔn bak.
We dɛn ɔmon dɛn ya nɔ bɔku, di wan ol bɔdi nɔ kin wok fayn. Na dat kin apin pan Addison in sik.
Wetin na di sayn dɛm fɔ Addison in sik?
De sayn dɛm fɔ Addison in sik kin kam smɔl smɔl, smɔl smɔl. So sɔntɛnde i kin tek sɔm tɛm fɔ no se na sik. Dɛn sayn ya kin tan lɛk ɔda sik dɛn wae kin kam pan pɔrsin, so pipul kin nɔr kin ɔndastand dɛn.
Si di tebul we de dɔŋ fɔ di men tin dɛn we yu go si.
| Di sayn we de sho se di sik de | Tɔk bɔt |
|---|---|
| I kin taya fɔ lɔng tɛm ɛn di mɔsul dɛn kin wik | Fɔ fil taya ɛn nɔ gɛt layf ɔl di de, ilɛksɛf yu rɛst. |
| Brawn/blak di skin (Hyperpigmentation) . | di skin we de dak na di say dεm lεk di εlbo, di ni, di kכl, di lip, εn di gכm. Ivin ol skata kin tɔn blak. |
| I nɔ kin want fɔ it ɛn i nɔ kin gɛt bɔku bɔku bɔdi | I nɔ kin want fɔ it ɛn dat kin mek i nɔ gɛt bɔku bɔku bɔdi. |
| Lɔw blɔd prɛshɔn (Hypotension) . | If yu fil se yu de tɔn diziz, mɔ we yu tinap we yu sidɔm, i kin bi bikɔs yu blɔd prɛshɔn smɔl. Yu kin ivin lɔs kɔnshɛns. |
| Fɔ want sɔl pasmak | As di sɔl lɛvɛl na di bɔdi de go dɔŋ, pɔsin kin want fɔ it tin dɛn we gɛt sɔl ɛn tin dɛn lɛk pikɛl ɔltɛm. |
| Ɔda tin dɛn we de apin | Nɔs, vɔmit, bɛlɛ pen, blo, smɔl blɔd shuga (haypoglycemia), maynd nɔ de rɛst, ɛn uman dɛn nɔ kin gɛt mɔnt. |
Wetin na di tin dɛn we kin mek pɔsin gɛt Addison in sik?
Di men tin we kin mek pɔsin gɛt Addison in sik na wan sik we pɔsin kin gɛt we i de fɛt insɛf.Fɔ tɔk am simpul wan, dis na we wi bɔdi in yon imyun sistɛm de go hayway ɛn atak ɛn pwɛl wi yon adrenal gland dɛn. Dis na di kɔz fɔ 70% pan di sik pipul dɛm na Addison.
Apat frɔm dat, ɔda rizin dɛn kin de.
- Infεkshכn: Infεkshכn we de fכ lכng tεm lεk TB εn HIV kin pwεl di adrenal gland dεm.
- Kansa: Kansa sεl dεm we dεn fכm כdasay de spre to di adrenal gland dεm.
- Blɔd we de kɔmɔt insay di bɔdi: Blɔd we de kɔmɔt insay di adrenal gland dɛn.
- Jɛnɛtik kɔz: Risk de bak fɔ gɛt dis sik bikɔs ɔf sɔm jɛnɛtik kɔndishɔn.
- Ɔpreshɔn: If dɛn dɔn du ɔpreshɔn fɔ pul di adrenal gland dɛn.
Aw yu go fɛn dis, Dɔktɔ?
If yu gɛt ɛni wan pan dɛn sik ya, go to yu famili dɔktɔ kwik kwik wan. I go chɛk yu ɛn rifer yu to spɛshal pɔsin if nid de.
Dɛn kin yuz bɔku blɔd tɛst mɔ fɔ no if pɔsin gɛt di sik.
1. Besik blɔd tɛst: Dis go chɛk if yu blɔd sɔdiɔm (sɔl) lɛvɛl smɔl ɔ if yu potashɔm lɛvɛl bɔku.
2. ACTH Stimulation Test: Dis na di test we impɔtant pas ɔl. Insay dis, dɛn kin gi smɔl ɔmon we dɛn kɔl ACTH, we yu bren kin pul as injɛkshɔn. pan pɔsin we gɛt wɛlbɔdi, dis injɛkshɔn de mek di adrenal gland dɛn mek bɔku pan di ɔmon we dɛn kɔl kɔtisol. Bɔt pan pɔsin we gɛt Addison in sik, di gland dɛn nɔ kin du dis kayn we. Dɛn kin kɔnfyus di sik bay we dɛn tek blɔd sɛmpul ɛn mɛzhɔ dis kɔtisol lɛvɛl.
Apat frɔm dat, dɛn kin du CT skan fɔ chɛk if infɛkshɔn, kansa, ɔ blɔd de kɔmɔt na di adrenal gland dɛn.
Di wan we denja pas ɔl: Addisonian Crisis
Dis na di stej wae de denja pasmak ɛn wae kin kam wantɛm wantɛm fɔ gɛt Addison in sik. Bɔrku tɛm, de sik kin kam smɔl smɔl, so sɔm pipul dɛn nɔr kin ivin no se dɛn gɛt dis sik. Dis tɛm ya, if di bɔdi gɛt bɔku strɛs, lɛk ɔda sik, ɔpreshɔn, ɔ aksidɛnt, di sayn dɛn kin rili bad wantɛm wantɛm. Dɛn kɔl dis wan Addisonian kraysis .
Dis na mɛdikal imejensi ɛn i kin mek pɔsin day if dɛn nɔ trit am.
Di sayn dɛm fɔ wan Addisonian kraysis:
- Wantɛm wantɛm, bad bad pen na in bak, bɛlɛ, ɔ leg.
- Bɔku bɔku vɔmit ɛn dayarɛa, we kin mek yu nɔ gɛt wata na yu bɔdi.
- Shok we pɔsin kin gɛt bikɔs in blɔd prɛshɔn rili smɔl.
- Nɔbɔdi nɔ kin no natin.
- Fiva wantɛm wantɛm ɛn wik bad bad wan.
If dɛn sayn ya de sho, .Dɛn fɔ kɛr di pɔsin go na di Imejɛnsi Tritmɛnt Yunit (ETU) na di ɔspitul we de nia am wantɛm wantɛm.
Tritmɛnt ɛn nɔmal layf
Yu kin fred fɔ yɛri bɔt Adisin in sik, bɔt di gud nyus na dat, tritmɛnt dɛn de we rili fayn fɔ am.
Dis sik kin kam wit tu kayn ɔmon dɛm we nɔ de na di bɔdi. So di tritmɛnt na fɔ gi dɛn ɔmon dɛn de na do insay di fɔm fɔ pils.
- Hydrocortisone: Na sterɔyd pil we de tek di ples fɔ di ɔmon we dɛn kɔl kɔtisol.
- Fludrocortisone: Na pil we de tek di ples fɔ di ɔmon we dɛn kɔl aldosterone.
Dɛn fɔ tek dis mɛrɛsin ɛvride, jɔs lɛk aw di dɔktɔ tɛl yu fɔ tek am.
Di tin we impɔtant pas ɔl na fɔ nɔ ɛva skip wan doz fɔ tek di mɛrɛsin. Ivin if yu mis wan doz kin denja.
If yu gɛt infekshɔn, fiva, ɔ yu de du ɔpreshɔn, yu dɔktɔ go inkrisayz di doz fɔ dis mɛrɛsin fɔ sɔm tɛm fɔ mek yu nɔ gɛt Addisonian kraysis.
If pɔsin gɛt di rayt tritmɛnt, i go ebul fɔ liv in layf we nɔmal ɛn gɛt wɛlbɔdi .
Mɛsej we dɛn kin kɛr go na os
- Di sik we dɛn kɔl Addison na wan sik we di adrenal gland dɛn nɔ kin ebul fɔ mek inof ɔmon dɛn we dɛn kɔl kɔtisol ɛn aldosterɔn.
- Di men sayn dɛm na we yu taya ɔltɛm, yu de lɔs yu wet, yu blɔd prɛshɔn go dɔŋ, ɛn yu skin de dak.
- If yu gɛt dɛn sik ya, nɔr panik ɛn go to dɔktɔ wantɛm wantɛm.
- Pan ɔl we dis na sik we yu go gɛt fɔ yu layf, yu kin liv yu layf we yu de tek mɛrɛsin ɛvride.
- If yu gɛt Addison in sik, ɔltɛm wɛr kad ɔ breslɛt we de sho aw yu sik. I kin sev layf we ɛnitin apin we nɔ izi fɔ du.
- Addisonian crisis na imejensi wae nid fɔ gɛt tritmɛnt kwik kwik wan. E fayn fɔ no di sayn dɛm wae de sho se yu gɛt dis sik.
Addison’s Disease, ɔmon, adrenal gland, kɔtisol, aldosterone, taya ɔltɛm, di skin de dak, di adrenal gland, adrenal insufficiency, low blood pressure
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