Yakareruka goiter

Iyo yakapfava goiter kuwedzera kweiyo thyroid gland. Kazhinji haisi bundu kana gomarara.

Iyo thyroid gland inhengo yakakosha yeiyo endocrine system. Iyo iri kumberi kwemutsipa kumusoro uko panosangana makoloni ako. Iyo gland inogadzira mahormone anodzora nzira iyo sero rega mumuviri rinoshandisa simba. Izvi zvinonzi metabolism.

Kushayikwa kweIodini ndicho chinonyanya kukonzera goiter. Muviri unoda ayodini kuburitsa utachiona kemikari. Kana iwe usina ayodini yakakwana mukudya kwako, iyo thyroid inowedzera kukura kuyedza kutora iodine yese yainogona, saka inogona kuita huwandu hwakafanira hwehormone hormone. Nekudaro, goiter inogona kunge iri chiratidzo iyo thyroid haigone kugadzira yakakwana thyroid hormone. Iko kushandiswa kweiyo iodized munyu muUnited States kunodzivirira kushomeka kweiyo ayodini mukudya.

Zvimwe zvinokonzera goiter zvinosanganisira:

• Masoja emuviri anodzivirira chirwere chetachiona (autoimmune problem)
• Mimwe mishonga (lithiamu, amiodarone)
• Zvirwere (zvisingawanzoitiki)
• Kusvuta fodya
• Kudya huwandu hwakawanda kwazvo hwezvimwe zvekudya (soy, nzungu, kana miriwo mu broccoli uye kabichi mhuri)
• Inotyisa nodular goiter, yakawedzera gland yegland ine kukura kudiki kana kumwe kukura kwakawanda kunodaidzwa kunonzi nodules, inoburitsa yakawandisa thyroid thyroid

Nyore goiters anowanzoitika mu:

• Vanhu vanopfuura makore makumi mana
• Vanhu vane nhoroondo yemhuri ye goiter
• Vanhu vanozvarwa uye vanorererwa munzvimbo dzine kushomeka kweodini
  
• Vakadzi

Chiratidzo chikuru igland rakawedzera gland. Iyo saizi inogona kutangira kubva kune imwe diki nodule kusvika kune hombe hombe pamberi pemutsipa.

Vamwe vanhu vane goiter yakapfava vanogona kunge vaine zviratidzo zvegland thyroid isiri kushanda.

Muzviitiko zvisingawanzoitiki, utachiona hwakakura hunogona kuisa kumanikidza pahwipe (trachea) uye chubhu yechikafu (esophagus). Izvi zvinogona kutungamira ku:

• Kufema kunetseka (kune goiters hombe kwazvo), kunyanya kana wakarara wakarara kumusana kana kana uchisvika kumusoro nemaoko ako
• Kukosora
• Kuchema
• Kumedza matambudziko, kunyanya nechikafu chakasimba
• Marwadzo munzvimbo yehutachiona

Anopa hutano anoita bvunzo dzepanyama. Izvi zvinosanganisira kunzwa mutsipa wako paunenge uchimedza. Kuzvimba munzvimbo yehutachiona kunogona kunzwika.

Kana iwe uine goiter yakakura kwazvo, unogona kuve nekumanikidza pamutsipa wako mutsipa. Nekuda kweizvozvo, kana mupi achikubvunza iwe kusimudza maoko ako pamusoro pemusoro wako, unogona kunzwa dzungu.

Kuongororwa kweropa kunogona kurairwa kuyera utachiona basa.

• Yemahara thyroxine (T4)
• Utachiona hunokurudzira hormone (TSH)

Miedzo yekutarisa isina kujairika uye ingangoita kenza nzvimbo mune yegonyeti gland inosanganisira:

• Utachiona scan uye inotora
• Ultrasound yehutachiona

Kana maqhumu akawanikwa pane iyo ultrasound, biopsy inogona kudikanwa kuti utarise kenza yehutachiona.

Goiter inoda kurapwa chete kana ichikonzera zviratidzo.

Kurapa kweiyo thyroid yakakura kunosanganisira:

• Utachiona hwehormone kutsiva mapiritsi kana iyo goiter inokonzerwa nehutachiona husinga shande
• Madiki madhizaini eLugol's ayodhini kana potassium iodine mhinduro kana iyo goiter iri nekuda kwekushaikwa kwe ayodini
• Radioactive iodine yekudzora gland kana iyo thyroid iri kuburitsa yakawandisa thyroid hormone
• Kuvhiya (thyroidectomy) kubvisa zvese kana chikamu chegland

Goiter yakapusa inganyangarika iri yega, kana inogona kukura. Nekufamba kwenguva, iyo thyroid gland inogona kumira kugadzira yakakwana thyroid mahormone. Aya mamiriro anonzi hypothyroidism.

Mune zvimwe zviitiko, goiter inova chepfu uye inogadzira utachiona hwehormone pachahwo. Izvi zvinogona kukonzera yakakwira mwero wehormone mahormone, mamiriro anonzi hyperthyroidism.

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Uchishandisa iodized tafura yemunyu inodzivirira akawanda akareruka goiters.

Goiter - yakapusa; Endemic goiter; Colloidal goiter; Isina chepfu goiter

• Kubvisa gland - kubuda

• Kuwedzera kwehutachiona - scintiscan
• Gland yeganda
• Hashimoto's chirwere (chisingaperi thyroiditisitis)

Brent GA, Weetman AP. Hypothyroidism uye thyroiditis. Mune: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds. Williams Chinyorwa cheEndocrinology. 14th ed. Philadelphia, PA: Elsevier; 2020: chits. 13.

Hegedüs 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.

Smith JR, Wassner AJ. Goiter. Mune: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Chinyorwa chePediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020: chitsiko 583.