Thyroid nodule: zvazvingava, zviratidzo uye kurapwa
Zvemukati
- Utachiona nodule zviratidzo
- Ndeipi bvunzo yekuita
- Zviratidzo zvekuti bundu rinogona kunge riri cancer
- Mhando dzehutachiona nodule
- Maitiro ekurapa thyroid nodule
- Ndezvipi zvikonzero zvehutachiona nodule
- Iyo iyo thyroid nodule inobata sei nhumbu
Iyo thyroid nodule ibundu diki rinomuka mudunhu remutsipa uye rinowanzo kuve rakaipa uye harimiriri chikonzero chekushushikana kana kuda kurapwa, kunyanya kune vanhu vakuru. Nekudaro, zvinogara zvichikurudzirwa kuti chero nodule iongororwe neye endocrinologist kana general general kuti aongorore chikonzero.
Nekudaro, bvunzo dzinoverengeka dzinoitwa kusimbisa huturu kana zviratidzo zvehutachiona zvakasimbiswa, zvinoda mimwe miedzo yakati kuti iite kuongororwa kwekenza uye kutanga kurapwa kwakakodzera. Ona kuti ndezvipi zviratidzo nezviratidzo zvinoratidza zvegomarara rekenza.
Utachiona nodule zviratidzo
Mazhinji maqhumu muhutachiona haakonzere chero zviratidzo, zvichizivikanwa nekuvapo kwe'bundu 'mumutsipa. Nekudaro, mune dzimwe nguva, matinji ehutachiona anogona kuburitsa zviratidzo se:
- Huro inorwadza;
- Kuzvimba kwemutsipa;
- Kunetseka kufema kana kumedza;
- Kurera huremu pasina chikonzero chiri pachena;
- Kudengenyeka uye kutya;
- Kuchema kana kurasikirwa nenzwi.
Kana paine fungidziro yekuvapo kwehutachiona nodule, zvinokurudzirwa kuti ubvunze kuna general general chiremba kana endocrinologist bvunzo.
Ndeipi bvunzo yekuita
Kuongororwa kwehutachiona nodule kunoitwa nachiremba kuburikidza nekuongororwa kwemuviri kuburikidza nekurohwa kwemutsipa. Pamusoro pekuzivikanwa, bvunzo dzevarabhorari dzinokumbirwa, senge TSH, T3, T4, anti-TPO uye calcitonin, uye yekufungidzira bvunzo, senge ultrasound uye thyroid scintigraphy.
Kubva pamhedzisiro yemabvunzo akumbirwa, chiremba anogona kukumbira kuzadzikiswa kweFine Needle Aspiration Puncture (FNAP), mune iyo sampuro diki yeiyo nodule inobviswa uye inotumirwa kurabhoritari kuti iongororwe nekusimbiswa kwehunhu. Kana huipi. Ziva bvunzo dzinoongorora utachiona.
Zviratidzo zvekuti bundu rinogona kunge riri cancer
Zvimwe zviratidzo zvinogona kuratidza kuti bundu rinogona kunge rakaipa uye kuti igomarara nderekuti:
- Yakaomarara nodule nekukurumidza kukura:
- Zera riri pasi pemakumi maviri kana anopfuura makore makumi matanhatu;
- Iyo nodule ine isina kukwana micheto;
- Pane shanduko muzwi senge hoarseness kana kuoma mutezo wezwi tambo;
- Zvimwe zviitiko zvegomarara remukaka mumhuri;
- Munhu anga atove nemwaranzi ye radiation mumusoro nemutsipa mudunhu.
Pane zvidzidzo zvinoratidza kuti huwandu hwakanyanya hweTSH hunoratidza kuti nodule inogona kunge yakaipa, zvisinei nekuti vanhu vazhinji vanoonekwa kuti vane gomarara retachiona havana kumbobvira vaine shanduko mukuongororwa kweropa kana kubiopsy, vachingoziva mushure mekuongororwa kwakaitwa mushure mekubvisa nodule.
Kana munhu wacho aine 1 chete nodule kusvika 1 cm muhupamhi, chero bedzi isiri yakaipa, chiremba anogona kusaratidza chero mhando yekurapa, achingoratidza mashandiro eiyo yegore utachiona ultrasound uye kuongororwa kweropa.
Mhando dzehutachiona nodule
Kana uchitsvaga nodule muhutachiona, kupatsanurwa kwayo kunofanirwa kuongororwa kuburikidza neDoppler ultrasonography kuti uone kana iri benign, yakaipa uye ndeapi matanho ekurapa ekutora. Kurongwa kwacho kunogona kuitwa:
| Sekureva kwaLagalla et al | Zvinoenderana naChammas et al |
| Tora I: Kushaikwa kwevascularization | Standard I: Kushaikwa kwevascularization |
| Rudzi rwechipiri: Perinodular vascularization | Dhigirii II: Peripheral vascularization chete |
| Rudzi rwechitatu: Peri uye intranodular vascularization | Standard III: Peripheral vascularization yakakura kupfuura kana yakaenzana nepakati |
| --- | Chikamu IV: Central vascularization yakakura kupfuura peripheral |
| --- | Standard V: Central vascularization chete |
Iyo endocrinologist inogona zvakare kuseta iyo thyroid nodule seye:
- Hypoechogenic: mashoma dense uremu kupfuura pfupa uye, nekudaro, iyo nodule inogona kuzadzwa nemvura kana mweya;
- Isoechogenic: gobvu rakasimba nehurema hwakaenzana nefupa uye iyo inowanzo kuve nechitenderedzwa chimiro;
- Hyperechogenic: uremu nehukuru hwakakura kupfuura pfupa, izvo zvinogona kuratidza huturu nodule ine calcification.
MaNodules ane central vascularization anowanzo kuve mamota akaipa.
Maitiro ekurapa thyroid nodule
Mushonga wacho unongoshandiswa chete kana munhu aine zviratidzo, kana paine njodzi yegomarara reganda kana kana nodule iri inopfuura 3 cm. Mishonga yakanyanya kushandiswa inosanganisira:
- Kuvhiya: inoshandiswa kunyanya kumamonyoro akakura kupfuura masendimita matatu uye muzviitiko zvine huturu hunobaya kubvisa maseru ese egomarara, asi inogona zvakare kushandiswa kurapa maronda ane huturu pavanokonzeresa kufema kana kumedza, sezvo iwo akakura kwazvo. Dzidza zvese nezve kuvhiya kuti ubvise iyo thyroid nodule.
- Levothyroxine Remedies, senge Synthroid kana Levoid: inoshandiswa mune ma nodule anounza shanduko mumahormone, zvichikonzera hypothyroidism.
Mushure mekurapwa nekuvhiyiwa, zvingave zvakafanira kuita kutsiva kwehomoni pamwe nekuva nekubvunzana kwakajairika, kanokwana kaviri pagore, kuna endocrinologist.
Ona maitiro ekudzivirira uye ekurapa matambudziko eiyo thyroid mune inotevera vhidhiyo:
Ndezvipi zvikonzero zvehutachiona nodule
Zvikonzero zvacho hazvisati zvanyatso kuzivikanwa, asi zvinozivikanwa kuti vanhukadzi ndivo vanonyanya kubatwa uye kuti avo vane vamwe vanhu mumhuri vane huturu hwehutachiona vanowanzoita maronda akadai.
Iyo iyo thyroid nodule inobata sei nhumbu
Mukadzi ane bundu mune ino gland haana zvakare kunetseka kubata pamuviri kupfuura vamwe. Nekudaro, kuvepo kwebundu muhutachiona panguva yekuzvitakura kunogona kukonzera shanduko mukugadzirwa kwemahormone uye, kana izvi zvikaitika, mukadzi ane nhumbu anofanira kutora mishonga inobatsira kugadzirisa mashandiro etachiona, kudzivirira mwana kuti azvarwe nekunonoka kukura mumuviri kana pfungwa, semuenzaniso.
Zvinyorwa Zvitsva
Fosfomycin
