Nā hōʻailona nui o ka goiter, nā kumu a me ka mālama ʻana
Anter
ʻO ka goiter kahi maʻi thyroid i hōʻike ʻia e ka hoʻonui ʻana o kēia gland, e hana ana i kahi ʻano puʻupuʻu a i ʻole puʻupuʻu i ka ʻāʻī o ka ʻāʻī, a lilo ia i pōʻai ākea a ākea ma mua o ka maʻamau.
Hiki ke nānā maʻalahi ʻia ʻo Goitre me ka ʻole o ka paʻakikī nui, a hiki ke symmetrical, asymmetrical, i haku ʻia i kahi nodule a i ʻole kahi hoʻonohonoho o lākou, i kēia mau hihia i kapa ʻia he nodular a multinodular goiter.
Hiki i nā Goiter ke loaʻa i kekahi mau kumu, akā he mea maʻamau ke kū aʻe i ka wā e kū mai ai nā haunaele i ka hana o ka thyroid, e like me hyperthyroidism a i ʻole hypothyroidism, a i ʻole no ka loaʻa ʻole o iodine, no laila ke ʻōlelo ʻia e nīnau koke aku i ka endocrinologist. hiki ke hana i ka hōʻailona. a ua hoʻomaka ʻia ka lapaʻau kūpono.
Nā hōʻailona nui
ʻO ka hōʻailona nui o ka goiter kahi hoʻonui o ka nui o ka thyroid, i ʻike pinepine ʻia. Hoʻohui ʻia, aia paha kekahi hoʻomohala o nā hōʻailona a me nā ʻōuli ʻē aʻe, e like me:
- Pilikia i ka ale ʻana;
- Ka puka ʻana o kahi puʻupuʻu a i ʻole puʻupuʻu i ka ʻāʻī;
- ʻIke o ka puʻu;
- Ka hōʻoluʻolu ʻole ma ka ʻāʻī o ka ʻāʻī;
- Manaʻo o ka pōkole o ka hanu;
- Hoarseness.
Eia hou, nā ʻōuli e like me ka luhi maʻalahi, kaumaha, ʻeleu a ʻeha pū paha e hōʻike i ke alo o hypothyroidism, no ka laʻana, e ʻike ʻia kekahi.
Pehea e hana ʻia ai ke kuhi
Pono e hana ʻia ka diagnostical o ka goiter e ka endocrinologist a i ʻole ka mea hana maʻamau ma o kahi ʻano o nā hoʻokolohua, kahi e hoʻoholo ai i nā ʻano o ka goiter a inā he goiter paha he kino a maikaʻi ʻole paha.
ʻO ka mea mua, hoʻomaka ke kauka ma ka nānā ʻana i ke alo o kahi puʻupuʻu i ka ʻāʻī, e noi maʻamau ana ma hope e hana i kahi ultrasound a i ʻole ultrasound e ʻae ai i ka ʻike maikaʻi ʻana o ka momona thyroid. Hoʻohui ʻia, kākoʻo pū ʻia ka ʻike me ka hana o nā hoʻokolohua koko kikoʻī e loiloi i ka nui o nā hormone thyroid i ke koko, e like me T4, T3 a me TSH, e ʻae ai e ʻike inā aia nā haunaele i ka hana o ka thyroid.
I nā hihia kahi a ke kauka e manaʻo nei i ka maʻi ʻaʻai thyroid, e paipai ʻo ia e hana i kahi puncture a biopsy paha o ka thyroid, kahi e hemo ai kahi ʻāpana o kēia gland. ʻAʻole ʻeha kēia hōʻike a haʻalele ʻole i kahi ʻili a hōʻiliʻili ʻia ka ʻāpana liʻiliʻi i ka hale hana.
E ʻike hou aʻe e pili ana i nā hoʻāʻo e loiloi i ka thyroid.
Nā kumu kūpono
Hiki i ka Goiter ke hoʻomohala ma ke ʻano he hopena o nā loli, e like me:
- Nā maʻi i ka hana o ka thyroid e like me hyperthyroidism a i ʻole hypothyroidism;
- Hoʻohana o kekahi mau lāʻau;
- Nā maʻi Autoimmune e like me ka autoimmune thyroiditis;
- Nā maʻi maʻi;
- Tumo hikika.
Hiki ke ala aʻe ʻo Goiter ma muli o nā hemahema o ke iodine, ka mea e koi ʻia ai ka pākana thyroid e hana ʻoi aku ka paʻakikī e hopu i ka iodine e pono ai no ka synthesis of thyroid hormones. ʻO kēia hana nui i hana ʻia e kēia gland ke alakaʻi i ka hoʻonui ʻana i ka nui a pēlā ke ʻano o ka goiter. Eia hou, aia kekahi mau hihia kahi i kū pono ke goiter i ka wā hānau, i kēia mau hihia i ʻike ʻia he goiter hānau.
Lapaʻau Goiter
Ke hoʻokumu ʻia ka goiter e nā hemahema o iodine, hana ʻia kāna mālama ʻana ma ka lawelawe ʻana i iodine ma nā kaha he 10 mau manawa i ʻoi aku ma mua o ka lāʻau i koi ʻia i kēlā me kēia lā no kekahi mau pule. Me kēia lapaʻau, hiki i ka pākana thyroid ke hopu me ka hoʻoikaika ʻole i ka iodide e pono ai no ka synthesone hormone, a ma hope o kekahi mau pule hiki ke hoʻihoʻi iā ia i kona nui maʻamau. Eia nō naʻe, i nā hihia ʻoi aku ka koʻikoʻi e pono paha e mālama i ka mālama ʻana i ke ola.
Eia hou, ke hele ka goiter ma muli o ka lawa ʻole o ka iodine, koi ʻia e hoʻopau ʻia nā meaʻai i loko o kēia mineral, e like me ka paʻakai iodized, salmon, tuna, hua manu a me ka waiū, no ka laʻana. E nānā i kahi papa inoa o nā meaʻai iodine-waiwai.
I nā hihia kahi e loaʻa ai nā haunaele i ka hana o ka thyroid e like me hyperthyroidism a i ʻole hypothyroidism, ʻaʻole linear ka lapaʻau ʻana, a hiki ke hana ʻia me nā lāʻau e like me Tapazol a i ʻole Puran T4 a i ʻole me nā capsule iodine radioactive. I nā hihia o ka maʻi ʻaʻai thyroid, pono paha e hemo i kēia gland ma o ka ʻoki ʻana.