Iimpawu eziphambili ze-goiter, izizathu kunye nonyango

Umxholo

• Iimpawu eziphambili
• Uxilongo lwenziwa njani
• Izizathu ezinokubangela
• Unyango lwe-Goiter

I-goiter sisifo se-thyroid esibonakaliswe ngokwandiswa kweli gland, okwenza uhlobo lwe-bump okanye i-bump kwingingqi yentamo, eya iba yindilinga kwaye ibanzi kunesiqhelo.

I-Goitre idla ngokubonwa ngokulula ngaphandle kobunzima obukhulu, kwaye inokulingana, i-asymmetric, iqulathe i-nodule okanye iseti yazo, kwezi meko zibizwa ngokuba yi-nodular okanye multinodular goiter.

I-Goiter inezizathu ezininzi, kodwa kuyinto eqhelekileyo ukuvela xa kubonakala ukuphazamiseka ekusebenzeni kwedlala lengqula, njengehyperthyroidism okanye i-hypothyroidism, okanye ngenxa yokungabikho kwe-ayodini, ke ngoko kuyacetyiswa ukuba ubonane ne-endocrinologist ngokukhawuleza, Unyango lunokwenziwa kwaye kwaqaliswa unyango olululo.

Iimpawu eziphambili

Uphawu oluphambili lwe-goiter kukunyuka kwevolumu ye-thyroid, edla ngokubonakalayo. Ukongeza, kunokubakho ukukhula kweminye imiqondiso kunye neempawu ezinje:

• Kunzima ukugwinya;
• Ukuvela kweqhuma okanye iqhuma entanyeni;
• Ukubonakala kokukhohlela;
• Ukuphazamiseka kwingingqi yentamo;
• Ukuziva uphefumla kancinci;
• Ukurhabaxa.

Ukongeza, iimpawu ezinjengokudinwa okulula, ukudakumba, izihlunu okanye iintlungu ezidibeneyo ezinokubonisa ubukho behypothyroidism, umzekelo, nazo zinokubonakala.

Uxilongo lwenziwa njani

Ukuxilongwa kwe-goiter kufuneka kwenziwe ngugqirha we-endocrinologist okanye ugqirha ngokubanzi ngokwenza iimvavanyo, ezichonga iimpawu ze-goiter nokuba ingaba yi-goiter inobungozi okanye ayibi.

Okokuqala, ugqirha uqala ngokujonga ubukho besigaxa entanyeni, uhlala ebuza emva koko ukuba enze i-ultrasound okanye i-ultrasound eza kuvumela ukubonwa okungcono kwe-thyroid gland. Ukongeza, ukuxilongwa kuyahambelana nokusebenza kweemvavanyo ezithile zegazi ezivavanya isixa sehomoni yegazi egazini, ezinje nge-T4, T3 kunye ne-TSH, evumela ukuba kubonwe ukuba kukho ukuphazamiseka ekusebenzeni kwedlala lengqula.

Kwiimeko apho ugqirha ekrokrela umhlaza wedlala lengqula, uyakucebisa ukuba wenze i-puncture okanye i-biopsy ye-thyroid, apho kususwa khona iqhekeza elincinci leli dlala. Olu vavanyo alwenzi buhlungu kwaye alushiyi sithuba kwaye iqhekeza elincinci eliqokelelweyo lityibilikisiwe elebhu.

Bona ngakumbi malunga neemvavanyo ezivavanya idlala lengqula.

Izizathu ezinokubangela

I-Goiter inokukhula ngenxa yeenguqu ezininzi, ezinje:

• Ukuphazamiseka ekusebenzeni kwe-thyroid njenge-hyperthyroidism okanye i-hypothyroidism;
• Ukusetyenziswa kwamayeza athile;
• Izifo ezisebenza ngokuzenzekelayo njenge-autoimmune thyroiditis;
• Usulelo;
• Idlala lengqula.

I-Goiter inokuvela ngenxa yokusilela kwe-iodine, ebangela ukuba idlala lengqula linyanzelwe ukuba lisebenze nzima ukubamba iodine efunekayo ukuze kudityaniswe iihomoni ze-thyroid. Lo msebenzi unzima wenziwe yile ndlala ukhokelela kukonyuka kwayo kubungakanani kwaye ke ngenxa yokuvela kwe-goiter. Ukongeza, kukho iimeko apho i-goiter ibonakala khona kanye ekuzalweni, kwezi meko zaziwa njenge-congenital goiter.

Unyango lwe-Goiter

Xa i-goiter ibangelwa kukusilela kwe-iodine, unyango lwayo lwenziwa ngokulawula iodine ngeedosi eziphindwe kalishumi kunedosi yemihla ngemihla ekhuthazwayo kwiiveki ezimbalwa. Ngolu nyango, idlala lengqula liyakwazi ukubamba iodide eliyifunayo kwi-hormone synthesis, ethi emva kweeveki ezimbalwa ibuyisele kubungakanani bayo obuqhelekileyo. Nangona kunjalo, kwiimeko ezinzima kakhulu kunokuba yimfuneko ukugcina unyango ubomi bakho bonke.

Ukongeza, xa i-goiter isenzeka ngenxa yokunqongophala kwe-ayodini, kuyacetyiswa ukuba ukutya okutyebileyo kule minerali kutyiwe, njengetyuwa ene-ayodini, isalmon, ityhuna, amaqanda kunye nobisi, umzekelo. Jonga uluhlu lokutya okune-iodine.

Kwiimeko apho kukho ukuphazamiseka ekusebenzeni kwe-thyroid njenge-hyperthyroidism okanye i-hypothyroidism, unyango alukho mgca, kwaye lunokwenziwa ngokusebenzisa iziyobisi ezifana neTapazol okanye iPuran T4 okanye iipilisi ze-iodine. Kwiimeko zomhlaza wedlala lengqula, kusenokufuneka ususe eli dlala ngotyando.