IMultinodular Goiter: Into ekufuneka uyazi

Umxholo

• Iimpawu ze-multitodular goiter
• Yintoni ebangela oku?
• Umhlaza wegilo kunye ne-goiter ye-multinodular
• Ezinye iingxaki
• Ukuchonga i-goiter ye-multinodular
• Unyango lwale meko
• Imbonakalo

Ushwankathelo

Idlala lengqula lakho lidlala entanyeni yakho elenza iihomoni ezilawula imisebenzi emininzi yomzimba. Idlala lengqula elandisiweyo libizwa ngokuba yirhorho.

Olunye uhlobo lwe-goiter yi-goiter ene-multinodular, apho i-thyroid eyandisiweyo iya kuba namaqhuma ahlukeneyo kuyo. Uninzi lwee-goiters ezininzi azibangeli zimpawu. Unobangela uhlala ungaziwa.

Ii-gooders zemultinodular zinxulunyaniswa nomngcipheko ophezulu womhlaza wedlala lengqula. Nangona kunjalo, abaphandi abakaqondi unxibelelwano phakathi kwezi zimbini. Ukuba unayo i-goiter ye-multinodular, ugqirha wakho uya kukujonga ukuba unomdlavuza we-thyroid.

Unyango lwe-goiter ye-multinodular iyahluka ngokuxhomekeka:

• nokuba unehyperthyroidism
• ubungakanani be-goiter
• ingaba kukho nawaphi na amaqhuqhuva anomhlaza

Iimpawu ze-multitodular goiter

Uninzi lwee-goiters ezininzi azibangeli zimpawu kwaye zifunyenwe ngexesha lovavanyo lomzimba oluqhelekileyo.

Ukuba une-goiter enezinto ezininzi ezinetyhefu, eyenza i-hormone ye-thyroid ibe ninzi, unokuba neempawu zehyperthyroidism. Oku kubandakanya:

• ukunciphisa umzimba ngequbuliso nangokungaqondakaliyo
• ukubetha kwentliziyo ngokukhawuleza
• ukwanda kwesidlo
• uvalo okanye ixhala
• iinyikima, zihlala ezandleni zakho
• ukubila
• ukwanda kovakalelo kubushushu

I-goiter ye-multinodular ekhula inkulu nayo inokubangela iimpawu, ngakumbi ukuba iqala ukukhula esifubeni sakho. Iimpawu ze-goiter enkulu zibandakanya:

• ubunzima bokuphefumla okanye ukugwinya
• uziva ngathi unokutya okuncamathele emqaleni wakho
• ukuba nemvakalelo "epheleleyo" entanyeni yakho

Izilwanyana ezinkulu kakhulu zinokubonakala entanyeni yakho.

Yintoni ebangela oku?

Kwiimeko ezininzi, unobangela we-multitodular goiter awaziwa. I-Hashimoto's thyroiditis inxulunyaniswa nomngcipheko ophezulu wee-nodule ze-thyroid, ezinokuthi zikhokelele ekubunjweni kwe-goiter. IHashimoto's sisifo esizimele kunye nesona sizathu siqhelekileyo sehypothyroidism eUnited States. Kwi-hypothyroidism, idlala lengqula alivelisi iihomoni ezaneleyo.

Ukongeza, ukunqongophala kwe-iodine kunokubangela ii-goiters ezininzi, kodwa oku kunqabile eMelika.

Umhlaza wegilo kunye ne-goiter ye-multinodular

Ukufikelela kwiipesenti ezingama-20 zabantu abane-multinodular goiters baya kuphuhlisa umhlaza we-thyroid. Phantse iipesenti ze-1.2 zabemi ngokubanzi e-United States ziya kufunyaniswa zinomhlaza wedlala lengqula ngaxa lithile ebomini babo, ke ii-multinodular goiters ziyayonyusa amathuba akho okuphuhlisa olu hlobo lomhlaza. Funda ukuba "ukukhangela intamo" onokuyenza ekhaya kunokunceda ukufumanisa umhlaza we-thyroid.

Unobangela womhlaza wedlala lengqula awaziwa. Abaphandi abakaqondi unxibelelwano phakathi kwe-goiters ezininzi kunye nomhlaza wedlala lengqula. Nangona kunjalo, ngenxa yokuba ii-goiters ezininzi zisengozini yomhlaza wedlala lengqula, abantu abanolu hlobo lwe-goiter kufuneka bahlolwe.

Xa ugqirha wakho efumana i-goiter ye-multinodular, uya kuba ne-ultrasound ye-thyroid gland. Ngokuxhomekeka kwiziphumo ze-ultrasound, banokwenza i-biopsy ye-aspiration aspiration ukubona ukuba kukho nawaphi na amaqhuqhuva anomhlaza.

Kuya kufuneka uphinde ujongwe ukuba unayo nayiphi na eminye imingcipheko yomhlaza wedlala lengqula okanye ukuba ngaba amaqhuqhuva akhangeleka ekrokrela kwi-thyroid ultrasound.

Ezinye iingxaki

Ezinye ii-goiters ezininzi zinokuba yityhefu, oko kuthetha ukuba zenza i-hormone ye-thyroid eninzi kakhulu. Oku kubangela hyperthyroidism. I-Hyperthyroidism inokunyangwa ngamayeza ayekisayo ukuveliswa kwehomoni yedlala lengqula, iodine enemitha yeathom okanye ukususwa kwethishu yedlala lengqula.

Iiglitha ezinkulu kakhulu zinokubangela oko kubizwa ngokuba ziimpawu zoxinzelelo, ezinje ngokuphefumla nzima okanye ukugwinya. Ukuba i-goiter yakho ye-multinodular inkulu ngokwaneleyo ukuba ibangele ezi mpawu, ugqirha wakho uya kuncoma utyando.

Ukuchonga i-goiter ye-multinodular

Ugqirha wakho uya kuqala ngovavanyo lomzimba ukuze abone ukuba yonke i-thyroid yakho iyandisiwe kwaye zingaphi na maqhuqhuva akhoyo. Banokuyalela ukuba kwenziwe uvavanyo lwegazi kwihomoni ejonga ukusebenza kwe-thyroid ukubona ukuba idlala lakho lengqula lisebenza ngesiqhelo.

Amanye amaqhuqhuva e-thyroid anokuba ngumhlaza, kodwa akunakwenzeka ukuxelela oku kuvavanyo lomzimba okanye kuvavanyo lwegazi.

Ngoko ke, ugqirha wakho unokuyalela i-ultrasound ye-thyroid. I-ultrasound isebenzisa amaza esandi ukuthatha umfanekiso we-thyroid yakho. Oku kunokunceda ugqirha wakho axelele ukuba ngaba amaqhuqhuva azaliswe lulwelo okanye anezibalo, jonga ukuba zingaphi kwaye ziphi, kwaye uchonge amaqhuqhuva anokuba ngumhlaza.

Ukuba kukho naziphi na iziqhulo ezikrokrisayo okanye uneminye imingcipheko, ugqirha wakho unokwenza kwakhona i-biopsy aspiration aspiration. Baza kusebenzisa inaliti ebhityileyo kakhulu ukuthatha iiseli kumaqhuqhuva e-thyroid kwaye bazithumele elebhu ukubona ukuba banomhlaza na. Olu hlobo lwe-biopsy lunokwenziwa rhoqo kwiofisi kagqirha.

Unyango lwale meko

Izifo ezingenayo umhlaza ezingabangeli naziphi na iimpawu azisoloko zifuna unyango. Ngamanye amaxesha ugqirha wakho unokucebisa ukuba ujonge kwaye ulinde ukubona ukuba i-goiter iya ikhula na. Ukuba i-goiter ikhula kakhulu okanye iqala ukubangela iimpawu, kukho iindlela ezahlukeneyo zonyango.

Olunye ukhetho yi-iodine ene-radioactive, edla ngokusetyenziselwa ukunciphisa i-goiters kwimeko ye-hyperthyroidism. Isebenza ngokutshabalalisa icandelo le-thyroid ukubuyisela amanqanaba okuveliswa kwehomoni ye-thyroid ibuyele esiqhelweni. Abanye banokugqibela ngokuphuhlisa i-hypothyroidism emva konyango lwe-iodine radioactive.

I-Methimazole (iTapazole) kunye nepropylthiouracil lukhetho lonyango olusetyenziselwa ukunyanga i-hyperthyroidism ngokunciphisa inani lehomoni yegazi emzimbeni wakho.

Ukuba i-goiter iye yaba nkulu kakhulu okanye ibangela nayiphi na ingxaki ngokuphefumla okanye ngokuginya, inxenye okanye yonke idlala lengqula inokususwa. Ubungakanani be-thyroid obususwayo kuxhomekeke ekubeni lukhulu kangakanani i-goiter, zingaphi na maqhuqhuva, ukuba kukho naziphi na iziqhuqhufu eziyityhefu, okanye ukuba kukho umhlaza. Utyando ikwalunyango olucetyiswayo ukuba ngaba kukho nawaphi na amaqhuqhuva anomhlaza.

Ukuba yonke i-thyroid gland isuswe, uya kufuna unyango olungapheliyo kunye neyeza le-thyroid.

Imbonakalo

Uninzi lwee-goiters ezininzi azibangeli zimpawu. Ukuba unempawu zehyperthyroidism okanye unengxaki yokuphefumla okanye yokuginya, kuya kufuneka ubone ugqirha.

Ii-gooders ezininzi zisandisa amathuba okuba nomhlaza we-thyroid, kodwa zinokunyangwa ngamayeza, iodine ene-radioactive, okanye uqhaqho ngokuxhomekeke kuhlobo, ukuba kukho imfuneko yoko. Ngelixa zinokubangela okanye zinxulunyaniswe nezinye iimeko, ngokwesiqhelo ii-goiters ze-multinodular ngokwazo aziyiyo imeko esongela ubomi.