 Sayohisha clapis na kishi Всёzz You are sweating all is nervous Ya. Ya. bumbumumimema kwalewa ka needsa , na wa na wa huwa hiib insects. P 계속 ese ya Leonard CB Black Turns SGO Donna asitmay b strategy sako parๆ she When they turn to grown up they become, there is a multi nodula when there are many So when you find that the nodules grow inside the thyroid gland they tend to enlarge So now this will now affect the thyroid gland It's an atrominin disease, meaning that it's just generated by the body And also you can find there's a disease that is called the Graves disease The what? Graves Graves like G.R.A.V. Yeah, Grave yeah You know What disease is that? This disease you find that the body produces hormone that resemble the thyroid stimulating hormone Or maybe I'll go back to the first explanation because I never exploited it well Now you've seen how the functioning of the thyroid gland are like the normal physiology There's the hypothalamus which is in the head And also there's pituitary gland which is in the head and there's a thyroid gland The three things Now you find the hypothalamus it releases an hormone that is called diuretropin releasing hormone Then this hormone is sent now to the pituitary gland The pituitary gland to release thyroid stimulating hormone Now this thyroid stimulating hormone is now sent to the diuretri gland Once it's sent to the diuretri gland it's now it signals the diuretri gland Release more T3 and T4 Now that's how the body works in the negative and the positive feedback Now you find for this disease the Grave disease There's an hormone that is produced that resemble the thyroid stimulating hormone Now the work of the thyroid stimulating hormone is to stimulate the thyroid to produce T3 and T4 So in this state you find these hormones that resemble the thyroid stimulating hormone It now comes and signals the thyroid produce more But initially it's not supposed to produce more Now it tends to produce in excess Produces in excess Now it tends to enlarge And why the name the Grave disease? Is it because it's chronic? Is it the disease that will take you to the grave? I'm just curious about the name It's a very good name I can say it in a way You see for example when it now acts on the thyroid stimulating hormone Now there's another condition that is just a minor condition When you don't really manage it well It now goes to dirotoxicosis Now when these hormones are many in the body They become toxic to the body Now that's where the name dirotoxicosis comes from So when dirotoxicosis now you start sweating There is increased heart rate Everything in your body is high You feel like you're restless You cannot sleep at night Now when you don't really manage it and when now it becomes in excess It's called thyroid storm Or thyroid crisis Thyroid storm crisis So in this condition You find like now The body now is This now is a thyroid condition Like now everything is super high The heart rate is beating high So this one can cause even a stroke Can cause a coma Now it leads to extremes I get it now I have a picture Now still go it up We know for sure that it's the inflammation Now you would see it on someone's neck So what's the treatment like Now once you have it What's the treatment for thyroid Is it a surgery? Can you live with it? Because I know some people usually have it But that all it's okay Nothing needs to be done It has no harm to you Okay let me explain that part That people say that it has no harm to you Okay this growth is painless It becomes painful When it starts to press on the Other areas around the Around the throat You see there are many Behind it there is a parathyroid hormone There are now the other organs Which are in the throat Now when it grows and tends to enlarge It now presses on even the nerves The nerves and everything which are in the throat Now for a condition For a state like this You can either do a surgery Of each surgery you can either Remove even if it's the right Right lob or the left lob Or you can now there's a total Total surgery that they removed The entire gland Once the entire gland is removed Now you are given supplements That have got the thyroid hormones But now you have to take it for a lifetime Yeah for a lifetime Okay so there's It's helpful on one hand but There's also the repercussion That you have to consider if you want to So how would you advise someone For someone who's been told that It's actually okay to have it Is it okay to have it really Or will it have some after effects In future now maybe when it's Start affecting other areas on the throat Eventually it will have an effect In the body so it can even result To other conditions that initially Are not there So when it goes to the extremes It can now result to a stroke It can result to a patient going to a coma It can also That's the case of hypothyroidism Like for the case of hypo It can also cause a stroke In a way that now find that The body is hypo Like even the blood clotting is very easy When now the blood clotting It goes to the brain Then it now causes a stroke You see now the best thing That can be done is just the prevention The prevention of this now is Once you see there is a growth You feel there is a growth Should now go to a facility Go see a physician or a doctor Then you can do the test The test which can be done They test the hormones The four key components Which is the thyroid, the T3 The T4 The thyroid stimulating hormone And also the thyroid releasing hormone So these hormones are going to be tested And see where the problem is Because you can find the problem Is in the pituitary gland The problem may be in the apodalamus The problem might be in the gland Now what you go to the facility They now start to see Where is the problem resulting from And once they see where the root of the problem is Now you can solve it from that state Okay So it can actually be Can the information now be stopped Now if it's just starting With some treatment Ya, if you start on treatment It can be stopped And some cases It accounts actually for 3% It was doing some research It accounts for 3% The one that is malignant The one that has cancer It can become cancer It can now come as a result of cancer Ya, you see When the cancer cells are there They turn now to multiply Once they multiply They now make the thyroid to enlarge When it enlarges It presses on the other structures In the throat Okay So there's one that can be Nant cancerous And then there can be One that's cancerous But can the nant cancerous Lead to Can it at some point be cancerous No, no, no Okay, once it's nant cancerous Ya, ya, ya It can be benign or malignant Benign or malignant Malignant is the one that's cancerous Alright Now we're getting knowledge Ya, ya Actually it's a broad topic Ya, it's quite broad So that's the treatment Now how do you avoid it For people like Asma We don't have goita Now how do you insure That you Through your diet And whatever else That you can do That you prevent yourself From getting goita Okay For this I can say It into two spaces Like the major cause is iodine Like the majority of the people Like the preference of the people Who live in areas That have got less iodine Their percentage to get this disease Is 15% Like let's say in Nairobi It can Let's say we are 3 million people It can really affect a larger population Accounting from 15% to 20% Okay So that's why For the people who are living in areas Where iodine is less I can recommend to them They take iodine So in Nairobi there's less iodine No, no, no I was just using as an example To show how much it's of an impact Alright Ya, ya, ya Okay In areas where there's less iodine But what do you mean By areas where there's less iodine How do you tell How an area has iodine Is it not in the food that you eat Ya, it's in the food that you eat Okay Like for example The easiest source of iodine is salt Ya Ya That's why people Say that The disease is just As a result of Akulichunvi Or there's less intake of salt So for this you can take Food that are rich in iodine Like for example For example just for Easier thing you can take salt Iodine is salt to be precise That's got iodine And you can also take iodine supplements You can also take drugs Like level thyroxine Which have got iodine levels So basically it's just to take To elevate the intake of iodine But this is the case in which Iodine is the cause Things resulting to To get her And then it's maybe You just find the cause Once you find the cause You cannot find the management But for the case of iodine You now take foods that are rich in iodine But not take no excess Right Ya Take foods rich in iodine But don't take excess So which foods are rich in iodine I can say milk Milk is rich in iodine Ya ya ya And also it's also rich in calcium Ya because I don't Ya you can also take Let me say milk This kazaba This also soy Soy beads Ya Alright so those are some of the things That are rich in iodine Apart from now the salt itself Ya ya ya Now there's usually this Thing about you know people say That you know Salt is bad You shouldn't take salt So some people have Take food that is saltless Ya ya ya You know wamezora And some people it's out of Some condition that they have That they are being told to avoid salt But now will that be detrimental To your health now That salt is essential now With the thyroid gland And everything else That you've just explained For that case you can say Potention pressure Auto pressure syndrome Yes Let me say in this form These are different forms of iodine Like these people Or mekatazo Like if you are restricted to Use the amount of intake Of iodine You can take medications That have got a That have got a pure form of iodine That cannot affect The normal physiology of the body Ya Okay so it's just A matter of finding Something that has iodine Now for people that just People that are not sick That don't have any condition Or just have a You know notion that Salt is bad How much How much should they You know what's the importance of Having salt in their diet Or how much quantity of salt Should they just make sure they have At least For that it's very broad cause Kill them to the test The test never get different We should not take in excess We should not take that But salt to test Ya ya ya But for a person Maybe an hypertensive patient Someone who doesn't want to take the salt Can take other foods Like for the case of cassava And for the case of soybeans And milk And milk they can also help Increasing the amount of salt It's like they are taking the iodine directly Okay good point What about now the raw salt It's one thing to cook with salt I don't know if there's a difference Between now cooking With salt And then now adding raw salt to food Because some people now have Love salt excessively If it fries We just want fries with salt Nothing, just salt If it's nyamachoma You know the foods You just want them to taste salt So how is this How bad is raw salt Or how okay is it I cannot equate it as how bad or how good it is What I can say is just take moderate Because there is some Pukikula atai utaske hirini kona chunve mingi Ami kona chunve kidogo We just take it in a way that It's quite within the normal ranges Okay so it's not bad But raw salt itself is not bad It's not bad So it's not bad Some people you feel Say you have to If you want to take salt Just cook with it If it's not there The food do not add salt Raw salt to it But there are some cases You cannot avoid using salt For example the cases of chips You have to use the other salt But as much as possible You can just avoid And use the midfool For the same case as sugar As I say sugar See wizuri kulambasukari She better use it in tea Cook it in the tea Than add it on to the tea Okay wonderful Amazing conversation So is there any other thing Where people We've talked about Now the causes of goita And it's related to the iodine level And this We can add through our diets You've mentioned the foods That we can eat And even with the salt The normal salt that we can have The treatment The treatment of it Could be such Can be surgery Just remove it And can also be through Through early detection Then you can treat it And now what we have not talked about Is if it's cancerous now What is the treatment like What are the survival chances When you mention cancer It's a big deal for most people So for someone who has just been told Is it thyroid cancer So how is the treatment like Okay for that you go to another case For example the person has got The thyroid cancer For this case Now you'll just first of all They take a biopsy A sample from the thyroid gland To go and test and see The severity of the cancer Then they now stage it Stage one Stage two Stage three Stage four Of that they have got A or B It's just severe For example stage Now once you've staged the cancer You can now determine The treatment modality You can either do radiotherapy You can either do chemotherapy Or you can now either go to surgery To remove it But in most of the cases They just do the surgery If it is from stage two They do the surgery After now the dial does not be removed They now do the radiotherapy Just in case There are cells Yeah there are cells Now they are being killed By the radiotherapy For someone who doesn't know What's the difference Between radiotherapy and chemotherapy For radiotherapy Is now Let me say They use the radioactive rays To now In basic terms To burn the cells To kill the cells And for chemotherapy Now these are drugs The difference between This one This is radiation And these are the drugs Or chemo is purely drugs Yeah drugs Okay And there are cases Where people do both Radiotherapy Yeah they can do Okay So it depends On the level of answers But it's actually salvageable The situation can be salvaged Alright What is it that you might say When we talk about Goita that you'd want to add To this conversation For the viewers to know Maybe for this case I can say It's a major thing That people really don't take Much concern on to it Because now the shift Has been to other conditions But these conditions That really affect you And most of the people Really don't know that it's just the The thyroid that is affecting the body Because for example Let me say in our disclaimer Like for the cases of So you said the function Of the thyroid hormone It has got an effect even in there In all the systems Like let me say In the case of the reproductive system Find like someone Maybe it can also cause It can also cause importance Because in this case We find now the The activity of the bodies Are not regulated well The metabolism of the body The functions of other hormones It can also result to other conditions Because now basically Metabolism is everything in the body Our body needs to grow Our body needs to develop For example Like in the children Can cause clenitism And for this case Now it's a condition That should be taken seriously Alright Because it can lead to other conditions Other conditions Other major conditions It's a small thing Can have major effects On your body So sometimes Even when you have some minor things The root cause could just be thyroid And you should look into that Now I think we have really exhausted That conversation This conversation But there are things that Apart from Being a nurse That you do In the innovation world And we're talking Off camera How much you love innovation So you have innovation In the healthcare You mind telling us a little bit about that Okay Currently I'm working On my startup company It's a company That deals with innovation and inventions Using technology Also in the field of artificial intelligence And machine learning So basically These are coming up with system That are smart That they can do Things that humans cannot really do well Not like you're eliminating jobs Basically Just trying to make the world To be a better place Okay And you specifically You have said to delve into healthcare Because that's where you're loving Yeah So maybe I'm getting ahead of myself I should have asked Why in the field of healthcare In the field of healthcare Like you find For example One of the projects That I'm working currently on Let me just focus on that one project That you can get The better view of it Like for example If you take a client to the hospital They have to be Put a brand new length In case they need an IV access Now for the case of finding this IV access It becomes a challenge You find a majority of the people Can say To macho kaku dungo Like they have to look Yeah They have to look for an IV access Like for over an hour Like find for the case of the people Maybe it's a When you say IV access You mean the vein Now I've come up with an Innovative Actually it's an invention It's not like that But now it's placed on the arm Where you want to get the IV access It scans the area Then it finds the best vein It's fixed the granular It's less painful There's less infection It's fast It solves a lot of problems Now I've come up with other ideas Like currently I have over 100 projects That I want to venture into In the next future To solve major problems In the healthcare system And also the society at large Wow, this is amazing Do you have anything that you're working on To deal with this particular topic That we're talking about Go it Or it's still in the works Not yet This is really wonderful And especially when you're talking about An invention Something that has not been there before So for you It's coming from a place of knowledge Because you have seen You have experienced in the healthcare That we could adjust here and there And innovation and invention Is all about seeing a problem And coming up with a solution So what would you tell innovators Like yourself Out there that have brilliant ideas But it's the implementation That's a problem Okay, what I can say about that Find the right people to talk to There are many innovation hubs Like for the like of Chendaria I Hub There are many innovation hubs Just go talk to them Open up their ideas to them They have got socials Maybe I can be talking to someone Who is there in the machine And is like I cannot access Nairobi and stuff They have got their website Just go and send an info About your project And about your everything But maybe if you cannot really do that Maybe you can contact me I'll maybe help you in a way That you can access Those innovation hubs That they can be really Of good help to them Okay, wonderful Now that you have given us that access How can people reach you Maybe on your socials If they want to access you In either of these matters When you talk about health care You know, go itev They need more information Or whatever And even the innovation side How can people get you And if you have any other thing To say this is your camera Okay, you can find me on my socials All my socials you And also maybe if you want To catch me personally My phone number is 07 08 398 077 Can give me a call Or text me about something Get to link up Okay Yeah, sure Great, thank you very much Thank you so much For coming on And sharing such amazing insights Yeah, sure On this particular health issue That we have That we don't have It hasn't been focused on enough Yeah So thank you for highlighting That for us You're welcome All right So that has been Lazaras Nyamwenda Who the nuts Yeah And he's been talking to us About Goita The impact of diet On Goita And why we need to Really take care of ourselves And focus on this issue That has not been highlighted As much as other You know, diseases have been I hope you have enjoyed it And you've taken something from it This as well Put a close on Discussion on lifestyle But We still have music Coming on And Grashamayenge Is there for that So let's take a short break And then we'll be right back