He aha kāu e ʻike ai e pili ana i nā thyroid Nodules

Anter

• He aha nā nodule thyroid?
• He aha nā hōʻailona o kahi nodule thyroid?
• He aha ke kumu o nā nodule thyroid?
• He aha nā mea pilikia no ka hoʻomohala ʻana i nā nodule thyroid?
• Pehea e ʻike ʻia ai kahi nodule thyroid?
• Pehea e mālama ʻia ai nā nodule thyroid?
• Hiki ke pale ʻia nā nodule thyroid?

He aha nā nodule thyroid?

ʻO kahi thyroid nodule kahi puʻupuʻu e hiki ke hoʻomohala i kāu kelu thyroid. Hiki ke paʻa a piha paha i ka wai. Hiki iā ʻoe ke loaʻa i kahi nodule hoʻokahi a i kahi hui o nā nodule. ʻO ka maʻamau o ka thyroid nodules a maʻamau ʻole i ka maʻi ʻaʻai.

ʻO kāu thyroid kahi gland butterfly-shaped aia ma kahi kokoke o kāu larynx (pahu leo) a ma mua o ka trachea (windpipe). Hoʻokumu a hūnā kēia gland i ʻelua mau hormones e pili ana i ka helu o kou puʻuwai, ka mahana o ke kino, a me nā kaʻina hana he nui - kahi hui o nā hopena kemika i ʻike like ʻia me ka metabolism.

Hoʻokaʻawale ʻia nā nodule thyroid ma ke ʻano he anuanu, mahana, a wela paha, e hilinaʻi ana inā hana lākou i nā homone thyroid ʻaʻole paha: ʻaʻole hana nā nodule anuanu i nā homone thyroid. Hana nā nodule mehana e like me nā hunaola thyroid maʻamau. Hoʻonui nui nā nodule wela i nā homone thyroid.

ʻOi aku ma mua o 90 pākēneka o nā nodule thyroid āpau (noncancerous). ʻAʻole koʻikoʻi ka hapa nui o nā nodule thyroid a kumu i kekahi mau ʻōuli. A hiki iā ʻoe ke loaʻa i kahi nodule thyroid me ka ʻike ʻole.

Inā ʻaʻole e lawa ka nui e kaomi kūʻē i kāu puka makani, ʻaʻole loa ʻoe e hoʻomōhala i nā ʻōuli i ʻike ʻia. ʻIke ʻia nā nodule thyroid he nui i nā kaʻina hana kiʻi (e like me ka CT scan a i ʻole MRI scan) i hana ʻia e hōʻoia i kekahi mea ʻē aʻe.

He aha nā hōʻailona o kahi nodule thyroid?

Loaʻa paha iā ʻoe kahi nodule thyroid a ʻaʻohe ou ʻano i ʻike ʻia. Akā inā nui ka nodule, hiki iā ʻoe ke hoʻomohala:

• he glandula thyroid i hoʻonui ʻia, i ʻike ʻia ma ke ʻano he goiter
• ʻeha ma ke kumu o kou ʻāʻī
• moni ana i nā pilikia
• nā pilikia hanu
• leo uō

Inā hana kāu thyroid nodule i ka nui o nā homone thyroid, hiki iā ʻoe ke hoʻomohala i nā ʻōuli o hyperthyroidism, e like me:

• wikiwiki, paʻipaʻi kīwī ʻole
• lilo kaumaha maopopo ʻole
• nāwaliwali o nā mākala
• paʻakikī i ka hiamoe
• hopohopo

I kekahi mau hihia, hoʻomohala nā nodule thyroid i ka poʻe me ka thyroiditis o Hashimoto. ʻO kēia kahi kūlana thyroid autoimmune e hoʻonui ai i ka makaʻu o ka hoʻomohala ʻana i kahi thyroid underactive (hypothyroidism). ʻO nā ʻōuli o ka hypothyroidism:

• luhi mau
• waiwai kaumaha i wehewehe ʻole ʻia
• kōpaʻa
• ʻike i ke anuanu
• ʻili maloʻo a me ka lauoho
• nā kui kuʻi

He aha ke kumu o nā nodule thyroid?

Hoʻokumu ʻia ka hapanui o nā nodula thyroid e ka ulu nui ʻana o nā kiko o ka thyroid maʻamau. ʻAʻole ʻike ʻia ke kumu o kēia ulu ulu nui ʻana, akā aia kekahi kumu kumu paʻa ikaika.

I nā hihia kakaikahi, pili nā nodule thyroid me:

• ʻO ka thyroiditis o Hashimoto, kahi maʻi autoimmune e hiki ai i ka hypothyroidism
• thyroiditis, a i ʻole ka hoʻowahāwahā mau ʻana o kāu thyroid
• maʻi ʻaʻai thyroid
• hemahema iodine

He kakaikahi ka hemahema o ka iodine ma United States ma muli o ka hoʻohana ākea ʻia o ka paʻakai iodized a me nā iodine i loaʻa i nā multivitamins.

He aha nā mea pilikia no ka hoʻomohala ʻana i nā nodule thyroid?

Hiki paha iā ʻoe ke hoʻomohala i nā nodule thyroid inā:

• ua hana ʻoe i nā kukuna X ma kāu thyroid i kou wā kamaliʻi a i ʻole wā kamaliʻi
• Loaʻa iā ʻoe kahi kūlana thyroid preexisting, e like me ka thyroiditis a i ʻole ka thyroiditis o Hashimoto
• he moʻolelo ʻohana kāu o nā nodules thyroid
• 60 mau makahiki a ʻoi paha kāu

ʻOi aku ka maʻamau o ka thyroid nodules i nā wahine. Ke ulu lākou i nā kāne, ʻoi aku ka maʻi ʻaʻai.

Pehea e ʻike ʻia ai kahi nodule thyroid?

ʻAʻole paha ʻoe e ʻike he nodule ʻoe a hiki i ka loaʻa ʻana o kāu kauka i ka wā o ka hoʻokolohua kino maʻamau. Hiki paha iā lākou ke haha ​​i ka nodule.

Inā manaʻo lākou he thyroid nodule kāu, e kuhikuhi paha lākou iā ʻoe i kahi endocrinologist. Hana nui kēia ʻano kauka i nā ʻaoʻao āpau o ka ʻōnaehana endocrine (hormone), e like me ka thyroid.

E makemake kāu endocrinologist e aʻo inā ʻoe:

• ua hana i ka lāʻau hoʻomālamalama ma kou poʻo a i ʻole ʻāʻī e like me ke pēpē a keiki paha
• he moʻolelo ʻohana o nā nodules thyroid
• he moʻolelo o nā pilikia thyroid ʻē aʻe

E hoʻohana lākou i hoʻokahi a ʻoi paha o nā hōʻike aʻe e ʻike ai a loiloi i kou nodule.

• thyroid ultrasound, e nānā i ke ʻano o ka nodule
• thyroid scan, e aʻo ai inā wela ka nodule, mahana, a anuanu paha (hana ʻia kēia hōʻike ke hana nui ʻia ka thyroid)
• maikaʻi ka nila o ka nila, e ʻohiʻohi i kahi laʻana o ka nodule no ka hoʻāʻo ʻana i ka hale hana
• nā ho'āʻo koko, e nānā i kāu mau pae o ka thyroid hormones a me ka thyroid stimulate hormone (TSH)

Pehea e mālama ʻia ai nā nodule thyroid?

E pili kāu mau koho lapaʻau i ka nui a me ke ʻano o ka nodule thyroid āu.

Inā ʻaʻohe maʻi ʻaʻai o kou nodule a ʻaʻohe kumu o nā pilikia, hoʻoholo paha kāu endocrinologist ʻaʻole pono ia i ka lapaʻau. Akā, e nānā pono lākou i ka nodule me nā kipa keʻena maʻamau a me nā ultrasounds.

Hoʻololi pinepine nā Nodule i ke ʻano maʻi ʻole. Eia nō naʻe, hana paha kāu endocrinologist i nā biopsies i kekahi manawa e kāpae i ka hiki.

Inā wela kou nodule, a hoʻonui ʻole paha i nā hormones thyroid, hoʻohana paha kāu endocrinologist i iodine radioactive a i ʻole ʻoki e hoʻopau ai i ka nodule. Inā ʻoe e ʻike nei i nā ʻōuli o hyperthyroidism, pono kēia e hoʻonā i kāu mau ʻōuli. Inā luku ʻia a hoʻoneʻe ʻia ka nui o kāu thyroid i ke kaʻina hana, pono ʻoe e lawe i nā homone thyroid synthetic i kahi manawa mau.

Ma ke ʻano he koho i ka iodine radioactive a i ʻole ke ʻoki kino, hiki i kāu endocrinologist ke hoʻāʻo e mālama i kahi nodule wela me ka hāʻawi ʻana iā ʻoe i nā lāʻau lapaʻau pale thyroid.

I ka wā ma mua, ua hoʻohana kekahi mau kauka i nā lāʻau kiʻekiʻe o nā thyroid hormones i ka hoʻāʻo ʻana e hoʻoliʻiliʻi i nā nodule thyroid. Ua haʻalele nui ʻia kēia hana no ka mea ʻoi aku ka maikaʻi ʻole o ka hapa nui.

Eia nō naʻe, pono paha nā hormone thyroid i ka poʻe i loaʻa ka thyroid underactive (e like me ka poʻe i loaʻa ka thyroiditis o Hashimoto).

Hiki paha i kāu endocrinologist ke hoʻohana i ka makemake o ka nila maikaʻi e hoʻokahe i kou nodule inā piha ka wai.

Hiki ke pale ʻia nā nodule thyroid?

ʻAʻohe ala e pale ai i ka hoʻomohala ʻana o kahi nodule thyroid. Inā kuhi ʻia ʻoe me kahi nodule thyroid, e hana kāu endocrinologist i mau hana e hemo a luku iā ia a nānā maʻalahi paha iā ia i kahi manawa mau. ʻAʻole weliweli ka hapa nui o nā nodule noncancerous, a ʻaʻole pono nā kānaka he nui i ka lāʻau.