Multinodular Goiter: He aha kāu e ʻike ai

Anter

• Nā ʻōuli o ka goiter multinodular
• He aha ke kumu o kēia?
• ʻO ka maʻi ʻaʻai thyroid a me ka goiter multinodular
• Nā pilikia hou aʻe
• Nānā i ka goiter multinodular
• Lapaʻau no kēia ʻano
• Outlook

Hōʻike Overview

ʻO kou thyroid kahi gland i kou ʻāʻī e hana i nā homone e kāohi i nā hana o ke kino. Kāhea ʻia kahi gland thyroid hoʻonui ʻia kahi goiter.

ʻO kahi ʻano o ka goiter kahi goiter multinodular, kahi e loaʻa ai i kahi thyroid hoʻonui ʻia nā puʻupuʻu ʻokoʻa (nodule) ma luna. ʻAʻole hoʻokumu ka hapa nui o nā goiners multinodular i nā ʻōuli. ʻAʻole ʻike ʻia ke kumu.

Pili nā goiters multinodular me ka nui o ka makaʻu o ka maʻi ʻaʻai thyroid. Eia naʻe, ʻaʻole maopopo ka poʻe noiʻi i ka pilina ma waena o nā mea ʻelua. Inā loaʻa iā ʻoe kahi goiter multinodular, e nānā paha kāu kauka iā ʻoe no ka maʻi ʻaʻai thyroid pū kekahi.

Hoʻololi ka mālama ʻana no ka goiter multinodular ma muli o:

• inā he hyperthyroidism kāu
• ka nui o ka goiter
• ʻoiai he maʻi maʻi kekahi o nā nodule

Nā ʻōuli o ka goiter multinodular

ʻO ka hapa nui o nā goiters multinodular ʻaʻole e hoʻokumu i kekahi hōʻailona a ʻike ʻia i ka wā o ka hoʻokolohua kino maʻamau.

Inā loaʻa iā ʻoe kahi goiter multinodular ʻona, i hana i ka nui o ka hormone thyroid, loaʻa paha iā ʻoe nā ʻōuli o hyperthyroidism. Pākuʻi ʻia kēia mau mea:

• ka pohō kaumaha a me ka wehewehe ʻole ʻia
• puʻuwai wikiwiki
• hoʻonui i ka makemake
• hopohopo a hopohopo paha
• haʻalulu, maʻamau i kou mau lima
• ka houʻu ʻana
• hoʻonui i ka ʻike i ka wela

Hiki i kahi goiter multinodular e ulu nui ke kumu i nā hōʻailona, ​​keu hoʻi inā hoʻomaka ia e ulu i kou umauma. Nā hōʻailona o kahi goiter nui e komo pū:

• pilikia i ka hanu ʻana a i ʻole ka ale ʻana
• ke manaʻo nei he meaʻai kāu i paʻa i kou puʻu
• loaʻa ka manaʻo "piha" i kou ʻāʻī

Hiki ke ʻike ʻia nā goiters nunui i kou ʻāʻī.

He aha ke kumu o kēia?

I ka hapanui o nā hihia, ʻike ʻole ʻia ke kumu o ka goiter multinodular. Pili pū ka thyroiditis o Hashimoto me ka nui o ka makaʻu o nā nodule thyroid, i hiki ke alakaʻi i ka hoʻokumu goiter. ʻO Hashimoto's kahi maʻi autoimmune a me ke kumu pinepine o hypothyroidism i United States. I ka hypothyroidism, ʻaʻole hana ka thyroid i ka nui o nā hormona.

Hoʻohui, hiki i ka hemahema iodine ke kumu i nā goiners multinodular, akā he kakaikahi loa kēia ma United States.

ʻO ka maʻi ʻaʻai thyroid a me ka goiter multinodular

Hiki i ka 20 pākēneka o ka poʻe me nā goiters multinodular e hoʻomohala pū kekahi i ka maʻi ʻaʻai thyroid. Ma kahi o 1.2 pākēneka o ka heluna lehulehu o ʻAmelika Hui Pū ʻIa e ʻike ʻia me ka maʻi ʻaʻai thyroid i kekahi manawa i ko lākou ola, no laila e hoʻonui nā poʻe goiners multinodular i kāu mau loina o ka hoʻomohala ʻana i kēia ʻano maʻi ʻaʻai. E aʻo pehea e hiki ai i kahi "hōʻoia ʻāʻī" ke hana ma ka home ke kōkua i ka ʻike ʻana i ka maʻi ʻaʻai thyroid.

ʻAʻole ʻike ʻia ke kumu o ka maʻi ʻaʻai thyroid. ʻAʻole maopopo i nā kānaka noiʻi ka pilina ma waena o nā goiners multinodular a me ka maʻi ʻaʻai thyroid. Eia naʻe, no ka mea he mea weliweli nā goiters multinodular no ka maʻi ʻaʻai thyroid, pono e nānā ʻia ka poʻe me kēia ʻano goiter.

Ke loaʻa i kāu kauka kahi goiter multinodular, e loaʻa paha iā ʻoe kahi ultrasound o kāu gland thyroid. Kaukaʻi ʻia i nā hopena o ka ultrasound, hana paha lākou i kahi biopsy aspiration maikaʻi o ka nila e ʻike inā maʻi maʻi kekahi o nā nodule.

Pono ʻoe e kānana hou inā loaʻa iā ʻoe kekahi mau mea ʻē aʻe no ka maʻi ʻaʻai thyroid a i ʻole inā ʻano kānalua nā nodule i kahi ultrasound thyroid.

Nā pilikia hou aʻe

Hiki i kekahi goiters multinodular ke lilo i mea ʻawahia, ʻo ia hoʻi hana lākou i ka nui o ka thyroid hormone. ʻO kēia ke kumu o ka hyperthyroidism. Hiki ke mālama ʻia ʻo Hyperthyroidism me ka lāʻau lapaʻau e hoʻōki ana i ka hana ʻana o ka hormone thyroid, iodine radioactive, a i ʻole ka hemo ʻana o nā kiko o ka thyroid.

Hiki i nā goiters multinodular nui loa ke kumu i ka mea i kapa ʻia he hōʻailona compression, e like me ka pilikia o ka hanu ʻana a me ka ale ʻana paha. Inā lawa ka nui o kāu goiter multinodular e hana i kēia mau ʻōuli, e ʻōlelo paha kāu kauka i ke ʻoki.

Nānā i ka goiter multinodular

E hoʻomaka kāu kauka me kahi hoʻokolohua kino e ʻike inā hoʻonui ʻia kāu thyroid āpau a ehia mau nodule e noho nei. E kauoha paha lākou i nā hoʻokolohua koko hōmona e nānā i ka hana o ka thyroid e ʻike inā ke hana maʻamau kāu gland thyroid.

Hiki i kekahi noduro thyroid ke maʻi ʻaʻai, akā ʻaʻole hiki ke haʻi i kēia mai ka hoʻokolohua kino a i ʻole ka hōʻoia koko.

No laila, kauoha paha kāu kauka i kahi ultrasound thyroid. Hoʻohana kahi ultrasound i nā nalu kani e kiʻi i kahi kiʻi o kāu thyroid. Hiki i kēia ke kōkua i kāu kauka e haʻi inā piha ka wai i nā nodule a i ʻole loaʻa nā helu helu, ʻike i ka nui a me kahi o lākou, a ʻike i nā nodule maʻi ʻaʻai.

Inā kānalua kekahi o nā nodule a i ʻole he mau kumu ʻē aʻe kāu, hiki i kāu kauka ke hana i kahi biopsy aspiration needle maikaʻi. E hoʻohana lākou i kahi nila kuʻikuʻi lahilahi e lawe i nā pūnaewele mai kekahi mau nodula thyroid a hoʻouna iā lākou i kahi keʻena hoʻokolohua e ʻike inā he maʻi ʻaʻai lākou. Hiki ke hana maʻamau i kēia ʻano biopsy i ke keʻena o ke kauka.

Lapaʻau no kēia ʻano

ʻO nā goiters noncancerous ka mea e kumu ʻole ai nā hōʻailona ʻaʻole pono e mālama mau. I kekahi manawa e ʻōlelo paha kāu kauka e kiaʻi a kali inā ʻike ka nui o ka goiter. Inā ulu nui ka goiter a hoʻomaka paha e hana i nā hōʻailona, ​​aia kekahi mau koho lapaʻau.

ʻO kahi koho he iodine radioactive, kahi e hoʻohana mau ʻia ai e hoʻoliʻiliʻi i nā goiters i nā hihia hyperthyroidism. Hana ia ma ka luku ʻana i kahi o kāu thyroid e hoʻihoʻi i nā pae o ka hana ʻana o ka hormone thyroid i ka maʻamau. Hoʻopau paha kekahi i ka hoʻomohala ʻana i ka hypothyroidism ma hope o ka radioactive iodine therapy.

ʻO Methimazole (Tapazole) a me propylthiouracil nā koho lāʻau e hoʻohana pū ʻia e mālama i ka hyperthyroidism ma ka hoʻemi ʻana i ka nui o ka hormone thyroid i kou kino.

Inā ua lilo ka goiter i mea nui a ke hana nei paha i kahi pilikia me ka hanu ʻana a me ka ale ʻana paha, hiki ke hemo kahi ʻāpana a i ʻole nā ​​thyroid āpau. Lawe ʻia ka nui o ka thyroid i ka nui o ka goiter, ehia mau nodule, inā ʻona kekahi mau nodule, a inā he maʻi ʻaʻai. ʻO ke ʻoki pū kekahi ka lāʻau e koi ʻia ai inā maʻi maʻi kekahi o nā nodule.

Inā hoʻoneʻe ʻia kāu gland thyroid āpau, pono ʻoe i ka mālama ola ʻana me ka lāʻau hoʻōla hormonone thyroid.

Outlook

ʻAʻole hoʻokumu ka hapa nui o nā goiners multinodular i nā ʻōuli. Inā loaʻa iā ʻoe nā ʻōuli o hyperthyroidism a i ʻole pilikia paha i ka hanu ʻana a me ka ale ʻana paha, pono ʻoe e ʻike i ke kauka.

Hoʻonui nā goiters multinodular i kou manawa o ka hoʻomohala ʻana i ka maʻi ʻaʻai thyroid, akā hiki ke mālama ʻia me ka lāʻau, iodine radioactive, a i ʻole ke ʻoki e pili ana i ka ʻano, inā pono. ʻOiai hiki iā lākou ke kumu a pili paha i nā kūlana ʻē aʻe, ʻo ka maʻamau maʻamau nā goiners multinodular ʻaʻole lākou he kūlana hoʻoweliweli.