Multinodular Goiter: Izvo Zvaunofanirwa Kuziva

Zvemukati

• Zviratidzo zve multinodular goiter
• Chii chinokonzera izvi?
• Kenza yehutachiona uye multinodular goiter
• Zvimwe zvinetso
• Kuongorora multitodular goiter
• Kurapa kweichi chiitiko
• Outlook

Mhedziso

Utachiona hwako igland mumutsipa wako inogadzira mahormone anodzora akawanda mabasa emuviri. Yakawedzerwa gland gland inonzi goiter.

Imwe mhando yezvipembenene ndeye multinodular goiter, umo utachiona hwakawedzera huchava nemapundu akapatsanurwa pauri. Mazhinji ma multitodular goiters haakonzere zviratidzo. Chikonzero chacho kazhinji hachizivikanwi.

Multinodular goiters inosanganisirwa nenjodzi yakakwira yekenza yehutachiona. Zvisinei, vatsvakurudzi havasati vanzwisisa kuwirirana pakati pezviviri. Kana uine multinodular goiter, chiremba wako angangotarisa iwe nekenza yehutachiona zvakare.

Kurapa kwe multinodular goiter kunosiyana zvichienderana ne:

• kunyangwe uine hyperthyroidism
• saizi yegonzo
• kunyangwe paine chero ma nodule ane cancer

Zviratidzo zve multinodular goiter

Mazhinji ma multitodular goiters haakonzere chero zviratidzo uye anowanikwa panguva yekujaidzwa kwepanyama bvunzo.

Kana iwe uine chepfu multinodular goiter, iyo inogadzira yakawandisa thyroid thyroid, iwe unogona kunge uine zviratidzo zvehyperthyroidism. Izvi zvinosanganisira:

• kamwe kamwe uye zvisina tsananguro kuonda
• kukurumidza kurova kwemoyo
• kuwedzera kudya
• huta kana kushushikana
• kudengenyeka, kazhinji kuri mumaoko ako
• vangadikitira
• kuwedzera kwekunzwa kupisa

Iyo multinodular goiter inokura yakakura inogona zvakare kukonzera zviratidzo, kunyanya kana ikatanga kukura kupinda muchipfuva chako. Zviratidzo zvegonzo hombe zvinosanganisira:

• kunetseka kufema kana kumedza
• kunzwa sekunge uine chikafu chakanamatira pahuro pako
• kuva ne "kuzara" kunzwa mumutsipa wako

Zvikuru zvakakura zvinogona kuoneka mumutsipa wako.

Chii chinokonzera izvi?

Muzviitiko zvakawanda, chikonzero cheiyo multinodular goiter hachizivikanwe. Hashimoto's thyroiditis inosanganisirwa nenjodzi yakakwira yehutachiona ma nodule, ayo anogona kutungamira kune goiter kuumbwa. Hashimoto's chirwere che autoimmune uye chinonyanya kukonzera hypothyroidism muUnited States. Mune hypothyroidism, iyo thyroid haina kuburitsa yakakwana mahormone.

Uye zvakare, kushomeka kweIodine kunogona kukonzera ma multitodular goiters, asi izvi hazviwanzo muUnited States.

Kenza yehutachiona uye multinodular goiter

Kusvika makumi maviri muzana yevanhu vane multinodular goiters vanozoitawo gomarara rekenza. Vanenge 1,2 muzana yehuwandu hwevanhu muUnited States vanozoonekwa vaine cancer yekenza pane imwe nguva muhupenyu hwavo, saka ma multitodular goiters anowedzera mikana yako yekukudziridza iyi mhando yekenza. Dzidza kuti "cheki yemutsipa" yaunogona kuita kumba ingabatsira sei kuona gomarara rekenza.

Chikonzero chegomarara rekenza hachizivikanwe. Vatsvagiri havasati vanzwisisa kubatana pakati pemultinodular goiters uye cancer yegomarara. Nekudaro, nekuti ma multitodular goiters ari njodzi kune kenza yehutachiona, vanhu vane rudzi urwu rwezvipembenene vanofanirwa kuongororwa.

Kana chiremba wako awana good yakawanda, iwe uchave uine ultrasound yeiyo thyroid gland. Zvichienderana nemhedzisiro yeiyo ultrasound, ivo vanogona kuita yakanaka tsono aspiration biopsy kuti vaone kana paine chero ma nodule ane cancer.

Iwe unofanirwa kuramba uchiongororwa kana iwe uine zvimwe zvinenjodzi zvecancer yegomarara kana kana maqhuguru achitaridzika achinyumwira utachiona ultrasound.

Zvimwe zvinetso

Mamwe ma multitodular goiters anogona kunge aine chepfu, zvinoreva kuti anogadzira yakawandisa thyroid hormone. Izvi zvinokonzera hyperthyroidism. Hyperthyroidism inogona kurapwa nemushonga unomisa kugadzirwa kweiyo thyroid hormone, radioactive iodine, kana kubviswa kwetachiona yegland tishu.

Zvikuru zvakakura kwazvo zvema multinodular zvinogona zvakare kukonzera izvo zvinonzi compression zviratidzo, senge kunetseka kufema kana kumedza. Kana goiter yako yema multinodular yakakura zvakakwana kuti ikonzere zviratidzo izvi, chiremba wako angangodaro achikurudzira kuvhiyiwa.

Kuongorora multitodular goiter

Chiremba wako achatanga nekuongororwa kwepanyama kuti aone kana utachiona hwese hwakazara uye kuti mangani mamonyuru aripo. Ivo vangangodaro zvakare vagadzirise mahormone eropa bvunzo dzinoongorora utachiona kuita kuti uone kana yako yegland gland iri kushanda zvakajairika.

Mamwe matinji ehutachiona anogona kuve cancer, asi hazvigoneke kutaura izvi kubva kungoongorora kwemuviri kana kuongororwa kweropa.

Naizvozvo, chiremba wako anogona kuraira utachiona ultrasound. Iyo ultrasound inoshandisa mafungu eruzha kutora mufananidzo weiyo utachiona. Izvi zvinogona kubatsira chiremba wako kuti ataure kana marondedzero akazara nemvura kana ane macalcification, ona kuti mangani uye kuti aripi, uye uone zvingangodaro zvine maronda anegomarara.

Kana paine chero ma nodule ari kufungira kana iwe uine zvimwe zvinenjodzi, chiremba wako anogona zvakare kuita yakanaka tsono aspiration biopsy. Vanozoshandisa tsono yakatetepa chaizvo kutora masero kubva pamanyowa akati wandei etachiona uye voaendesa ku laboratori kuti vaone kana vaine gomarara. Rudzi urwu rwebiopsy runogona kazhinji kuitwa muhofisi yechiremba.

Kurapa kweichi chiitiko

Asinganzwisise goiters ayo asiri kukonzera chero zviratidzo haadi kurapwa nguva dzose. Dzimwe nguva chiremba wako anogona kukurudzira kutarisa uye kumirira kuti uone kana iyo goiter ichikura. Kana goiter ikakura zvakanyanya kana kutanga kukonzera zviratidzo, pane nzira dzakasiyana dzekurapa.

Imwe sarudzo iodhini ine radioactive, iyo inowanzo shandiswa kudzora goiters mune hyperthyroidism. Inoshanda nekuparadza chikamu chetachiona chako kuti uunze mazinga ehutachiona dhizaini kudzoka kune yakajairwa. Vamwe vanogona kupedzisira vava ne hypothyroidism mushure me radioactive iodine therapy.

Methimazole (Tapazole) uye propylthiouracil isarudzo dzemushonga dzinoshandiswawo kurapa hyperthyroidism nekuderedza huwandu hwehomoni muhormoni mumuviri wako.

Kana iyo goiter yave yakakura kwazvo kana iri kukonzera dambudziko nekufema kana kumedza, chikamu kana utachiona hwese hunogona kubviswa. Yakawanda sei yeiyo thyroid inobviswa zvinoenderana nekuti goiter yakakura sei, manhamba mangani aripo, kana paine marundu ane chepfu, kana kana paine cancer. Kuvhiya zvakare ndiko kurapwa kwakakurudzirwa kana paine chero maqhumu ane kenza.

Kana yako yega yeglandi yakabviswa, iwe uchada kurapwa kweupenyu hwese nehutachiona hwekutsiva mushonga.

Outlook

Mazhinji ma multitodular goiters haakonzere zviratidzo. Kana iwe uine zviratidzo zve hyperthyroidism kana uri kunetseka kufema kana kumedza, iwe unofanirwa kuona chiremba.

Multinodular goiters inowedzera mukana wako wekurwara nekenza yetachiona, asi inogona kurapwa nemushonga, radioactive iodine, kana kuvhiyiwa zvichienderana nerudzi, kana zvichidikanwa. Kunyange ivo vachigona kukonzera kana kuve nehukama kune mamwe mamiriro, kazhinji mamultinodular goiters pachawo haasi mamiriro anotyisidzira hupenyu.