Inotyisa nodular goiter

Inotyisa nodular goiter inosanganisira yakawedzera gland yegland. Iyo gland ine nzvimbo dzakawedzera muhukuru uye dzakaumba maqhubu. Imwe kana kupfuura emamwe ma nodule anoburitsa yakawandisa thyroid thyroid.

Inotyisa nodular goiter inotanga kubva kune iripo iripo goiter. Izvo zvinoitika kazhinji muvakuru vakuru. Njodzi zvinhu zvinosanganisira kuve mukadzi uye anopfuura makore makumi mashanu nemashanu ekuberekwa. Ichi chirwere hachiwanzoitika muvana. Vazhinji vanhu vanoigadzira vanga vaine goiter ine maqhumu kwemakore mazhinji. Dzimwe nguva chirwere chetachiona chinongowedzerwa zvishoma, uye goiter yakanga isati yaonekwa.

Dzimwe nguva, vanhu vane chepfu multinodular goiter vanozoita yakakwira yehoriyamu mazinga kekutanga. Izvi zvinonyanya kuitika mushure mekunge vatora huwandu hwakawanda hweIodhoni kuburikidza netsinga (intravenously) kana nemuromo. Iyo ayodini inogona kushandiswa sekusiyana kweiyo CT scan kana moyo catheterization. Kutora mishonga ine iodine, senge amiodarone, inogona zvakare kukonzera kusagadzikana. Kufamba uchibva kune imwe nyika ine iodine kushomeka kuenda kune nyika ine iodine yakawanda mukudya kunogona zvakare kuchinja goiter yakapfava kuita goiter ine chepfu.

Zviratidzo zvinogona kusanganisira chero zvinotevera:

• Kuneta
• Kakawanda ura kufamba
• Kusashivirira kupisa
• Kuwedzera kudya
• Kuwedzera kudikitira
• Nguva isina kuenda kumwedzi (mumadzimai)
• Tsandanyama tsandanyama
• Kutya
• Kusadzikama
• Kuonda

Vakwegura vakuru vanogona kunge vaine zviratidzo zvisina kunyanya kusarudzika. Izvi zvinogona kusanganisira:

• Kushaya simba nekuneta
• Kupora uye kurwadziwa pachipfuva kana kumanikidza
• Shanduko ndangariro nemanzwiro

Inotyisa nodular goiter haikonzere maziso anoputika anogona kuitika neGraves chirwere. Graves chirwere chirwere che autoimmune chinotungamira kune yakanyanyisa gland gland (hyperthyroidism).

Kuongorora kwemuviri kunogona kuratidza imwe kana mazhinji ma nodule mune utachiona. Utachiona hunowanzowedzerwa. Panogona kuve nekukurumidza kurova kwemoyo kana kudedera.

Mimwe bvunzo inogona kuitwa inosanganisira:

• Serum thyroid mahormone mazinga (T3, T4)
• Serum TSH (utachiona hunokurudzira mahormone)
• Utachiona kutora uye kuongorora kana radioactive iodine inotora
• Utachiona ultrasound

Beta-blockers anogona kudzora zvimwe zvezviratidzo zveiyo hyperthyroidism kusvika utachiona hwehormone mumuviri uri pasi pekutonga.

Mimwe mishonga inogona kuvharira kana kushandura mashandisiro anoita chirwere chetachiona. Izvi zvinogona kushandiswa kudzora yakanyanyisa utachiona gland mune chero anotevera kesi:

• Asati avhiyiwa kana radioiodine therapy inoitika
• Sekurapa kwenguva refu

Radioiodine therapy inogona kushandiswa. Iodine ine radioactive inopihwa nemuromo. Iyo inozotarisa mune yakanyanyisa hutachiona matissue uye inokonzeresa kukuvara. Muzviitiko zvisingawanzoitiki, kutsiviwa kwetachiona kunodiwa mushure mezvo.

Kuvhiya kubvisa utachiona kunogona kuitwa kana:

• Huru hombe goiter kana goiter iri kukonzera zviratidzo nekuita kuti zviome kufema kana kumedza
• Kenza yehutachiona iripo
• Kukurumidza kurapwa kunodiwa

Inotyisa nodular goiter inonyanya chirwere chevakuru vakuru. Nekudaro, mamwe matambudziko ehutano husingaperi anogona kukanganisa mhedzisiro yeichi chiitiko. Munhu mukuru akura anogona kunge asingakwanise kushivirira zvinoitika zvechirwere pamoyo. Zvisinei, mamiriro acho anowanzo kurapwa nemishonga.

Zvinetso zvemwoyo:

• Kutadza kwemoyo
• Kusarongeka kwemwoyo (atrial fibrillation)
• Kukurumidza kurova kwemoyo

Zvimwe zvinonetsa:

• Bone kurasikirwa kunotungamira kune osteoporosis

Utachiona hwehutachiona kana dutu ndiko kuwedzera kwakanyanya kweiyo hyperthyroidism zviratidzo. Zvinogona kuitika nehutachiona kana kushungurudzika. Dambudziko rehutachiona rinogona kukonzera:

• Marwadzo emudumbu
• Kuderedza kusvinura kwepfungwa
• Kupindwa nechando

Vanhu vane chirwere ichi vanoda kuenda kuchipatara ipapo ipapo.

Matambudziko ekuva nechibereko chikuru anogona kusanganisira kunetseka kufema kana kumedza. Aya matambudziko anokonzerwa nekumanikidza panzira yemumhepo (trachea) kana esophagus, iri kumashure kwetachiona.

Fonera wako mupi wehutano kana iwe uine zviratidzo zvechirwere ichi zvakanyorwa pamusoro. Tevera mirairo yemupi wekutevera-kushanya.

Kuchengetedza chepfu nodular goiter, bata hyperthyroidism uye yakapusa goiter sekupa kunoita mupi wako.

Chepfu multinodular goiter; Plummer chirwere; Thyrotoxicosis - nodular goiter; Kukanganiswa kwetachiona - chepfu nodular goiter; Hyperthyroidism - chepfu nodular goiter; Chepfu multinodular goiter; MNG

• Kuwedzera kwehutachiona - scintiscan
• Gland yeganda

Hegedus L, Paschke R, Krohn K, Bonnema SJ. Multinodular goiter. Muna: Jameson JL, De Groot LJ, de Kretser DM, et al, eds. Endocrinology: Vakuru uye Chiremba. 7th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits 90.

Jonklaas J, Cooper DS. Utachiona. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chitsiko 213.

Kopp P. Autonomous inoshanda yehutachiona maqhubu uye zvimwe zvikonzero zve thyrotoxicosis. Muna: Jameson JL, De Groot LJ, de Kretser DM, et al, eds. Endocrinology: Vakuru uye Chiremba. 7th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits 85.

Ritter JM, Ruva R, Henderson G, Loke YK, MacEwan D, Rang HP. Utachiona. Mune: Ritter JM, Ruva R, Henderson G, Loke YK, MacEwan D, Rang HP, eds. Rang uye Dale's Pharmacology. 9th ed. Philadelphia, PA: Elsevier; 2020: chits. 35.

Smith PW, Hanks LR, Salomone LJ, Hanks JB. Utachiona. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Chinyorwa Chekuvhiya. 20th ed. Philadelphia, PA: Elsevier; 2017: chitsuwa 36.