Izimpawu eziyinhloko ze-goiter, izimbangela kanye nokwelashwa

-Delile

• Izimpawu eziyinhloko
• Ukuxilongwa kwenziwa kanjani
• Izimbangela ezingaba khona
• Ukwelashwa kwe-Goiter

I-goiter yisifo se-thyroid esibonakala ngokukhuliswa kwalesi sifo, okwenza uhlobo lwesigaxa noma isigaxa esifundeni sentamo, esiba yindilinga sibe banzi kunokujwayelekile.

I-Goitre imvamisa ingabonwa kalula ngaphandle kobunzima obukhulu, futhi ingaba nokulinganisa, i-asymmetrical, yakhiwe nge-nodule noma iqoqo lazo, kulezi zimo ezaziwa ngokuthi i-nodular noma i-multitodular goiter.

I-Goiter ingaba nezimbangela eziningana, kepha kuvame ukuvela lapho kuvela ukuphazamiseka kokusebenza kwegilo, njenge-hyperthyroidism noma i-hypothyroidism, noma ngenxa yokungabikho kwe-iodine, ngakho-ke kunconywa ukuthi uthintane nodokotela we-endocrinologist ngokushesha okukhulu, ngakho-ke ukuthi ukuxilongwa kungenziwa.nokwelashwa okufanele kwaqalwa.

Izimpawu eziyinhloko

Uphawu oluyinhloko lwe-goiter ukukhuphuka kwevolumu ye-thyroid, okuvame ukubonakala. Ngaphezu kwalokho, kungahle kube nokuthuthuka kwezinye izimpawu nezimpawu, njenge:

• Kunzima ukugwinya;
• Ukuvela kwesigaxa noma isigaxa entanyeni;
• Ukubonakala kokukhwehlela;
• Ukungakhululeki esifundeni sentamo;
• Ukuzwa ukuphefumula okuncane;
• Ukungahambi kahle.

Ngaphezu kwalokho, izimpawu ezinjengokukhathala okulula, ukudangala, imisipha noma izinhlungu ezihlangene ezingakhombisa ukuba khona kwe-hypothyroidism, ngokwesibonelo, nazo zingavela.

Ukuxilongwa kwenziwa kanjani

Ukuxilongwa kwe-goiter kufanele kwenziwe ngudokotela we-endocrinologist noma udokotela ojwayelekile ngokusebenzisa iqoqo lezivivinyo, ezinquma izici ze-goiter nokuthi ngabe i-goiter ayinabungozi noma iyingozi.

Okokuqala, udokotela uqala ngokubheka ubukhona besigaxa entanyeni, imvamisa ecela ngemuva kwalokho ukuthi enze i-ultrasound noma i-ultrasound ezovumela ukubonwa okungcono kwendlala yegilo. Ngaphezu kwalokho, ukuxilongwa kupheleliswa nokusebenza kwezivivinyo ezithile zegazi ezihlola inani lamahomoni wegilo egazini, njenge-T4, T3 ne-TSH, evumela ukubona ukuthi kukhona yini ukuphazamiseka ekusebenzeni kwe-thyroid.

Ezimweni lapho udokotela esola khona umdlavuza wegilo, uzoncoma ukwenza ukubhoboza noma i-biopsy yegilo, lapho kususwa khona isiqeshana esincane sale ndlala. Lokhu kuhlolwa akulimazi futhi akushiyi isibazi bese ucezu oluncane oluqoqiwe luyabusheleleka elabhoratri.

Bona okuningi mayelana nokuhlolwa okuhlola i-thyroid.

Izimbangela ezingaba khona

I-Goiter ingakhula ngenxa yezinguquko eziningana, njenge:

• Ukuphazamiseka ekusebenzeni kwe-thyroid njenge-hyperthyroidism noma i-hypothyroidism;
• Ukusetshenziswa kwemithi ethile;
• Izifo ezizimele njenge-autoimmune thyroiditis;
• Izifo;
• Isimila segilo.

I-Goiter nayo ingavela ngenxa yokushoda kwe-iodine, okwenza ukuthi indlala yegilo iphoqeleke ukuthi isebenze kanzima ukubamba iodine edingekayo ekuhlanganisweni kwamahomoni wegilo. Lo msebenzi onzima owenziwe yile ndlala uholela ekukhuleni kwayo ngosayizi futhi ngaleyo ndlela uvele i-goiter. Ngaphezu kwalokho, kunezimo lapho i-goiter ivela khona lapho izalwa, kulezi zimo ezaziwa ngokuthi i-congenital goiter.

Ukwelashwa kwe-Goiter

Lapho i-goiter ibangelwa ukuntuleka kwe-iodine, ukwelashwa kwayo kwenziwa ngokufaka iodine ngemithamo ephindwe ka-10 enkulu kunomthamo wansuku zonke onconywayo amasonto ambalwa. Ngalokhu kwelashwa, indlala yegilo ikwazi ukubamba ngamandla iodide eyidingayo ukuze kwenziwe i-hormone synthesis, okuthi emuva kwamasonto ambalwa ikwazi ukuyibuyisela ngosayizi wayo ojwayelekile. Kodwa-ke, ezimweni ezinzima kakhulu kungadingeka ukugcina ukwelashwa impilo yonke.

Ngaphezu kwalokho, lapho i-goiter ivela ngenxa yokushoda kwe-iodine, kunconywa ukuthi kudliwe ukudla okunothile kule mineral, njengosawoti one-iodized, isalmon, ituna, amaqanda nobisi. Bheka uhlu lokudla okune-iodine.

Ezimweni lapho kunokuphazamiseka ekusebenzeni kwe-thyroid njenge-hyperthyroidism noma i-hypothyroidism, ukwelashwa akuyona into eqondile, futhi kungenziwa ngokusebenzisa izidakamizwa ezifana ne-Tapazol noma i-Puran T4 noma nama-capsule e-iodine e-radioactive. Ezimweni zomdlavuza wegilo, kungadingeka ukususa le ndlala ngokuhlinzwa.