Isifiso esihle senaliti yegilozi

Isifiso esihle senaliti yegilo le-thyroid yinqubo yokususa amaseli e-thyroid ukuze ahlolwe. Indlala yegilo yindlala emise okwevemvane etholakala ngaphakathi ngaphambili kwentamo engezansi.

Lokhu kuhlolwa kungenziwa ehhovisi lomhlinzeki wezokunakekelwa kwempilo noma esibhedlela. Umuthi we-numbing (i-anesthesia) ungasetshenziswa noma ungasetshenziswa. Ngoba inaliti incane kakhulu, ungahle ungawudingi lo muthi.

Ulele ngomhlane ngomcamelo ngaphansi kwamahlombe uvule intamo. Isayithi le-biopsy liyahlanzwa. Kufakwa inaliti ezacile ku-thyroid yakho, lapho iqoqa khona amasampula amangqamuzana e-thyroid noketshezi. Inaliti bese iyakhishwa. Uma umhlinzeki engakwazi ukuzwa isayithi le-biopsy, bangasebenzisa i-ultrasound noma i-CT scan ukuqondisa ukuthi bazobeka kuphi inaliti. Ukuskena kwe-Ultrasound ne-CT kuyizinqubo ezingenabuhlungu ezibonisa izithombe ngaphakathi komzimba.

Ingcindezi isetshenziswa kusayithi le-biopsy ukumisa noma yikuphi ukopha. Isayithi bese limbozwa ngebhandeshi.

Tshela umhlinzeki wakho uma unenkinga yokungezwani komzimba nomuthi, unenkinga yokopha, noma ukhulelwe. Futhi, qiniseka ukuthi umhlinzeki wakho unohlu lwamanje lwayo yonke imishanguzo oyisebenzisayo, kufaka phakathi amakhambi namakhambi athengiswayo.

Ezinsukwini ezimbalwa kuya kwesonto ngaphambi kokuhlolwa kwakho, ungacelwa ukuthi uyeke okwesikhashana ukuthatha imithi enciphisa igazi. Izidakamizwa ongazidinga ukuyeka ukuzisebenzisa zihlanganisa:

• I-Aspirin
• IClopidogrel (i-Plavix)
• I-Ibuprofen (Advil, Motrin)
• I-Naproxen (Aleve, Naprosyn)
• I-Warfarin (Coumadin)

Qiniseka ukuthi ukhuluma nomhlinzeki wakho ngaphambi kokuyeka noma imuphi umuthi.

Uma kusetshenziswa umuthi wokundikindiki, ungazizwa udosi njengoba kufakwa inaliti nomuthi ujovwa.

Njengoba inaliti ye-biopsy idlula kwi-thyroid yakho, ungazizwa ucindezelekile, kepha akufanele kube buhlungu.

Ungase ube nokungakhululeki okuncane entanyeni yakho ngemuva kwalokho. Ungase futhi ube nokulimala okuncane, okuzophela ngokushesha.

Lesi isivivinyo sokuthola isifo segilo noma umdlavuza we-thyroid. Kuvame ukusetshenziselwa ukuthola ukuthi ngabe amaqhuqhuva e-thyroid umhlinzeki wakho angazizwa noma abonwe ku-ultrasound awunomdlavuza noma umdlavuza.

Umphumela ojwayelekile ukhombisa ukuthi izicubu ze-thyroid zibukeka zijwayelekile futhi amaseli awabonakali njengomdlavuza ngaphansi kwesibonakhulu.

Imiphumela engajwayelekile ingasho ukuthi:

• Isifo se-thyroid, njenge-goiter noma i-thyroiditis
• Izicubu ezingenasifo somdlavuza
• Umdlavuza wegilo

Ingozi enkulu ukuphuma egazini le-thyroid noma ngaphakathi. Ngokuphuma kakhulu kwegazi, kungahle kube nengcindezi ku-windpipe (trachea). Le nkinga ayivamile.

I-thyroid nodule enhle ye-aspirate biopsy; I-biopsy - i-thyroid - inaliti encane I-Skinny-needle biopsy biopsy; I-nodule ye-thyroid - ukufisa; Umdlavuza wegilo - ukufisa

• Izindlala ze-Endocrine
• Indlala yegilo yegilo

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Faquin WC, Fadda G, Cibas ES. Isifiso esihle senaliti yegciwane le-thyroid: Uhlelo lwe-2017 Bethesda. Ku: Randolph GW, ed. Ukuhlinzwa kwezindlala ze-Thyroid ne-Parathyroid. 3rd ed. IPhiladelphia, PA: Elsevier; 2021: isahluko 11.

UFiletti S, uTuttle RM, uLeboulleux S, u-Alexander EK. I-nontoxic isabalalisa i-goiter, ukuphazamiseka kwe-nodular thyroid, kanye ne-thyroid malignancies. Ku: Melmed S, Auchus, RJ, Goldfine AB, Koenig RJ, Rosen CJ, abahleli. Incwadi kaWilliams ye-Endocrinology. Umhlaka 14. IPhiladelphia, PA: Elsevier; 2020: isahluko 14.