ʻO kou nodule

ʻO kahi noduro thyroid kahi ulu (lump) i loko o ka pona thyroid. Aia ka gland thyroid ma mua o ka ʻāʻī, ma luna pono o kahi e hui ai kāu iwi iwi i waenakonu.

Hoʻokumu ʻia nā nodula thyroid e ka ulu nui ʻana o nā hunaola i loko o ka gland thyroid. Hiki i kēia mau ulu ʻana ke:

• ʻAʻole ka maʻi ʻaʻai (benign), ka maʻi ʻaʻai thyroid (malignant), a i ʻole kākaʻikahi loa, nā maʻi ʻino a i ʻole nā ​​maʻi ʻē aʻe
• Hoʻopiha piha ʻia (cist)
• Hoʻokahi nodule a i ʻole kahi hui o nā nodule liʻiliʻi
• Ke hana nei i nā hormone thyroid (nodule wela) a i ʻole hana ʻana i nā homone thyroid (anu nodule)

Maʻa mau nā nodule thyroid. Kū pinepine lākou i nā wahine ma mua o nā kāne. Hoʻonui ka manawa o ke kanaka i ka loaʻa ʻana i kahi nodule thyroid me ka makahiki.

ʻO nā nodule thyroid wale nō no ka maʻi ʻaʻai thyroid. ʻO ka thyule nodule ka maʻi ʻaʻai inā ʻoe:

• He nodule paʻakikī
• Loaʻa i kahi nodule e pili ana i nā hale kokoke
• Loaʻa i kahi moʻolelo ʻohana o ka maʻi ʻaʻai thyroid
• Ua ʻike ʻoe i kahi loli i kou leo
• Aia ma mua o 20 a ʻoi paha ma mua o 70
• Loaʻa ka moʻaukala o ka pāhawewe i ke poʻo a i ʻole ka ʻāʻī
• He kāne

ʻAʻole i loaʻa mau nā kumu o ka thyroid nodules, akā hiki ke hoʻopili ʻia:

• ʻO ka maʻi ʻo Hashimoto (kahi hopena o ka ʻōnaehana paleʻaleʻa e kūʻē i ka kelu thyroid)
• Ka nele o ka iodine i ka papaʻai

ʻAʻole hoʻokumu ka hapa nui o nā nodule thyroid i nā ʻōuli.

Hiki i nā nodule nui ke kaomi aku i nā hanana ʻē aʻe i ka ʻāʻī. Hiki i kēia ke kumu i nā hōʻailona e like me:

• ʻO kahi goiter ʻike ʻia (hoʻonui ʻia ka thyroid gland)
• Hoarseness a hoʻololi paha i ka leo
• ʻEha ma ka ʻāʻī
• Nā pilikia e hanu ana, keu hoʻi i ka moe ʻana i lalo
• Pilikia i ka ale ʻana i ka meaʻai

Nā Nodule e hana i nā hormone thyroid e hoʻokumu i nā ʻōuli o ka nui o ka thyroid, me:

• Wela, ʻili wela
• Pākuʻi wikiwiki a me nā palpitations
• Hoʻonui i ka makemake
• Weliweli a hopohopo paha
• Hoʻomaha ʻole a hiamoe maikaʻi ʻole paha
• Hoʻomaʻamaʻa i ka ʻili a i ʻole ka holo ʻana
• ʻO ka neʻe pinepine ʻana o ka ʻōpū
• Haʻalulu
• Kaumaha emi
• Nā wā maʻamau a māmā paha

ʻO ka poʻe ʻelemākule me kahi nodule nāna e hoʻohua i ka nui o ka hormone thyroid e loaʻa paha nā ʻōuli vague, me:

• Ka luhi
• Palpitations
• ʻEha ʻeha
• Poho hoʻomanaʻo

Loaʻa i nā nodules thyroid i kekahi manawa i ka poʻe i loaʻa i ka maʻi Hashimoto. ʻO kēia ke kumu o nā ʻōuli o kahi gland thyroid underactive, e like me:

• Konipōpō
• ʻIli maloʻo
• Huʻi maka
• Ka luhi
• Lilo ka lauoho
• ʻO ke anuanu ke hana ʻole nā ​​poʻe ʻē aʻe
• Kaumaha hoʻonui
• Nā wā menstrual maʻamau

ʻO ka pinepine, hana ʻole nā ​​nodule i mau ʻōuli. ʻIke pinepine nā mea mālama ola i nā nodule thyroid i ka wā o ka hoʻokolohua kino maʻamau a i ʻole nā ​​hoʻokolohua kiʻi i hana ʻia no kekahi kumu ʻē aʻe. Loaʻa i kekahi poʻe ka nui o nā nodula thyroid e ʻike ai i ka nodule iā lākou iho a noi i kahi mea hoʻolako e nānā i ko lākou ʻāʻī.

Inā loaʻa i kahi mea hoʻolako i kahi nodule a i ʻole ʻoe he mau ʻōuli o kahi nodule, e hana ʻia kēia mau hōʻike aʻe:

• ʻO ka pae TSH a me nā hoʻokolohua koko thyroid ʻē aʻe
• ʻO ka ultrasound thyroid
• Pākuʻi thyroid (lāʻau lapaʻau nukelea)
• ʻO ka biopsy o ka nila kuʻikuʻi maikaʻi o ka nodule a i ʻole nā ​​nodule he nui (i kekahi manawa me ka hoʻāʻo hoʻowalewale kūikawā ma ka noduleʻaʻaʻa)

Hiki i kāu mea hāʻawi ke koi aku i kahi ʻoki e wehe i nā mea āpau a ʻāpana paha o kāu kelepa thyroid inā ʻo ka nodule:

• Ma muli o ka maʻi ʻaʻai thyroid
• Ke kumu nei i nā ʻōuli e like me ka ale ʻana a me nā pilikia hanu
• Inā kūlike ʻole ka biopsy nila, ʻaʻole hiki i kāu mea hāʻawi ke haʻi inā he maʻi maʻi ka nodule
• Ke hana nei i ka nui o ka hormone thyroid

ʻO nā kānaka me nā nodule e hana nei i ka nui o ka hormone thyroid e mālama ʻia me ka radioiodine therapy. Hoʻoemi kēia i ka nui a me ka hana o ka nodule. ʻAʻole hāʻawi ʻia kēia lāʻau i nā wahine hāpai a hānai wahine paha.

ʻO ke kīʻaha ʻelua e hemo ai i ke kiko o ka thyroid a me ka mālama iodine radioactive hiki ke kumu i ke ola ʻana o ka hypothyroidism (thyroid underactive) Pono e mālama ʻia kēia ʻano me ke kahooneoneoneoneoneoneoneone (kahi lāʻau i kēlā me kēia lā).

No nā nodule noncancerous i kumu ʻole i nā ʻōuli a ke ulu ʻole nei, ʻo ka lapaʻau ʻoi loa paha:

• E mālama pono me kahi hōʻike kino a me ka ultrasound
• Ua hana hou kahi biopsy thyroid i 6 a 12 mau mahina ma hope o ka ʻike ʻana, keu hoʻi inā ua ulu ka nodule

ʻO kekahi hana kūpono paha kahi ʻānolani (ʻalekohola) i loko o ka nodule e hoʻoliʻiliʻi.

ʻAʻole hoʻoweliweli ke ola o nā nodule noncancerous thyroid. ʻAʻole koi ka hapa nui i ka lāʻau. Lawa nā hoʻokolohua ukali.

ʻO ka nānā no ka maʻi ʻaʻai thyroid e pili ana i ka ʻano o ka maʻi ʻaʻai. No nā ʻano maʻamau o ka maʻi ʻaʻai thyroid, maikaʻi loa ka nānā ʻana ma hope o ka mālama ʻana.

Kāhea aku i kāu mea hāʻawi inā ʻike ʻoe a ʻike paha i kahi puʻupuʻu i kou ʻāʻī, a i ʻole inā loaʻa iā ʻoe kahi hōʻailona o ka noduro

Inā ua wehe ʻia ʻoe i ka radiation i ka maka a ʻāʻī o ka ʻāʻī, e hoʻopili aku i kāu mea hāʻawi. Hiki ke hana ʻia kahi ultrasound ʻāʻī e nānā no nā nodule thyroid.

Tumo thyroid - nodule; Thyroid adenoma - nodule; Thyroid carcinoma - nodule; Maʻi ʻaʻai thyroid - nodule; Thyroid hananaaloma; Nodule wela; Anu nodule; Thyrotoxicosis - nodule; Hyperthyroidism - nodule

• ʻO ka hemo ʻana o ka momona thyroid - hoʻokuʻu

• ʻO ka biopsy gland thyroid

Haugen BR, Alexander EK, Bible KC, et al.ʻO 2015 American Tyroid Association alakaʻi alakaʻi no nā mea maʻi me ka noduro thyroid a me ka maʻi ʻaʻai thyroid like ʻole: ʻO ka American Tyroid Association Alakaʻi Papa Hana ma Tyroid Nodules a me ka Tiroida Turo ʻokoʻa. ʻOhana. 2016; 26 (1): 1-133. PMID: 26462967 pubmed.ncbi.nlm.nih.gov/26462967/.

Filetti S, Tuttle M, Leboulleux S, Alexander EK. ʻO ka goiter diffuse nontoxic, nā maʻi thyroid nodular, a me nā maʻi maʻi thyroid. I: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds. ʻO Williams Textbook of Endocrinology. 14th ed. Piladelapia, PA: Elsevier; 2020: chap 14.

ʻO Jonklaas J, ʻo Cooper DS. ʻOhana. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 213.