Ityhefu

Ityhefu nodular goiter ibandakanya ukwanda kwedlala lengqula. Le ndlala iqulethe iindawo eziye zanda ngobukhulu zaza zadala amaqhuqhuva. Elinye okanye nangaphezulu kula maqhuqhuva avelisa idlala lengqula elininzi.

Ityhefu eqhuqhekelayo enesityhefu iqala isuka kwi-goiter elula esele ikho. Kwenzeka rhoqo kubantu abadala. Imiba yomngcipheko ibandakanya ukuba libhinqa nangaphezulu kweminyaka engama-55 ubudala. Esi sifo sinqabile ebantwaneni. Uninzi lwabantu abalukhulayo banesifo sokudumba esinamaqhuqhuva iminyaka emininzi. Ngamanye amaxesha idlala lengqula liyandiswa kancinci, kwaye irhashalala ibingekafumaneki.

Ngamanye amaxesha, abantu abane-goiter multinodular goiter baya kuphuhlisa amanqanaba aphezulu e-thyroid okokuqala ngqa. Oku kwenzeka kakhulu emva kokuba bethathe isixa esikhulu se-iodine ngomthambo (ngaphakathi) okanye ngomlomo. Iodine inokusetyenziswa njengomahluko kwi-CT scan okanye kwi-catheterization yentliziyo. Ukuthatha amayeza aqukethe iodine, anje nge-amiodarone, anokukhokelela kwisifo. Ukufuduka kwilizwe elinentswelo ye-iodine uye kwilizwe elinayo iodine eninzi ekutyeni kunokuguqula i-goiter elula iye kwi-goiter enetyhefu.

Iimpawu zinokubandakanya nayiphi na kwezi zinto zilandelayo:

• Ukudinwa
• Ukuhamba kwamathumbu rhoqo
• Ukunganyamezelani kobushushu
• Ukwanda kwesidlo
• Ukwanda kokubila
• Ixesha elingaqhelekanga lokuya esikhathini (kwabasetyhini)
• Iintlanzi zemisipha
• Uvalo
• Ukungazinzi
• Ukuhla ukusinda

Abantu abadala banokuba neempawu ezingacacanga ncam. Oku kunokubandakanya:

• Ubuthathaka kunye nokudinwa
• Ukubetha kunye neentlungu zesifuba okanye uxinzelelo
• Utshintsho kwimemori nakwimood

Ityhefu eqhuqhekelayo ayinabangela ukuba amehlo aqhamileyo angenzeka ngesifo seGraves. Isifo se-Graves sisifo sokuzimela komzimba esikhokelela kwi-thyroid gland (hyperthyroidism).

Uvavanyo lomzimba lunokubonisa enye okanye uninzi lwamaqhuqhuva kwi-thyroid. Idlala lengqula lidla ngokwandiswa. Kunokubakho ukubetha kwentliziyo okukhawulezayo okanye ukungcangcazela.

Olunye uvavanyo olunokwenziwa lunokubandakanya:

• Amanqanaba e-serum thyroid hormone (T3, T4)
• I-Serum TSH (i-thyroid evuselela i-hormone)
• Ukuthathwa kwe-thyroid kunye nokuskena okanye ukufunyanwa kwe-iodine ye-radioactive
• I-thyroid ultrasound

I-Beta-blockers inokulawula ezinye zeempawu ze-hyperthyroidism de kube kwinqanaba le-thyroid emzimbeni lilawulwa.

Amayeza athile anokuthintela okanye atshintshe indlela idlala lengqula elisebenzisa ngayo iodine. Ezi zinokusetyenziselwa ukulawula i-thyroid gland engapheliyo kunoma yiphina imeko elandelayo:

• Ngaphambi kokuhlinzwa okanye unyango lwe-radioiodine
• Njengonyango lwexesha elide

Unyango lweRadioiodine lunokusetyenziswa. Iodine eqhumayo inikwa ngomlomo. Emva koko igxila kwizicubu ze-thyroid kwaye ibangela umonakalo. Kwiimeko ezinqabileyo, ukutshintshwa kwe-thyroid kuyadingeka emva koko.

Ugqirha lokususa idlala lengqula linokwenziwa xa:

• Igwele elikhulu kakhulu okanye irhashalala libangela iimpawu ngokwenza kube nzima ukuphefumla okanye ukuginya
• Umhlaza wedlala lengqula ukho
• Unyango olukhawulezileyo luyafuneka

I-goular nodular goiter ikakhulu sisifo sabantu abadala. Ke, ezinye iingxaki zempilo ezingapheliyo zinokuchaphazela iziphumo zale meko. Umntu omdala osele ekhulile usenokungakwazi ukunyamezela ifuthe lesi sifo entliziyweni. Nangona kunjalo, imeko ihlala inyangeka ngamayeza.

Iingxaki zentliziyo:

• Ukumelwa yintliziyo
• Ukubetha kwentliziyo ngokungaqhelekanga (i-fibrillation ye-atrial)
• Inqanaba lentliziyo elikhawulezayo

Ezinye iingxaki:

• Ukuphulukana nethambo kukhokelela kwi-osteoporosis

Ingxaki ye-thyroid okanye isiqhwithi kukubi kakhulu kweempawu ze-hyperthyroidism. Inokwenzeka ngokusuleleka okanye uxinzelelo. Ingxaki ye-thyroid ingabangela:

• Intlungu zesisu
• Ukuncipha kwengqondo
• Ifiva

Abantu abakule meko bafuna ukuya esibhedlele kwangoko.

Iingxaki zokuba nebhotela enkulu zinokubandakanya ukuphefumla nzima okanye ukugwinya. Ezi ngxaki zibangelwa luxinzelelo kwindlela yokuhamba yomoya (i-trachea) okanye i-esophagus, esemva kwe-thyroid.

Fowunela umboneleli wakho wezempilo ukuba uneempawu zesi sifo sidweliswe apha ngasentla. Landela imiyalelo yomboneleli yotyelelo olulandelayo.

Ukuthintela i-goular nodular goiter, yonyango i-hyperthyroidism kunye ne-goiter elula njengoko umboneleli wakho ecebisa.

Ityhefu multinodular goiter; Isifo seplummer; IThrotoxicosis - i-nodular goiter; I-thyroid egqithisileyo - i-goiter enetyhefu; Hyperthyroidism - ityhefu nodular goiter; Ityhefu multinodular goiter; MNG

• Ukwandiswa kwe-thyroid-scintiscan
• Idlala lengqula

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