I-Multinodular Goiter: Okudingeka Ukwazi

-Delile

• Izimpawu ze-goiter yama-multinodular
• Kubangelwa yini lokhu?
• Umdlavuza wegilo kanye ne-goiter enezinhlobo eziningi
• Izinkinga ezengeziwe
• Ukuhlonza i-goiter yama-multinodular
• Ukwelashwa kwalesi simo
• Umbono

Ukubuka konke

Indlala yakho yegilo iyindlala entanyeni yakho eyenza amahomoni alawula imisebenzi eminingi yomzimba. Indlala yegilo eyandisiwe ibizwa ngokuthi i-goiter.

Uhlobo olulodwa lwe-goiter yi-goiter enezinhlobo eziningi, lapho i-thyroid ekhulisiwe izoba khona namaqhubu ahlukene kuyo. Iningi lama-goiters amaningi awazibangeli izimpawu. Imbangela ngokuvamile ayaziwa.

Ama-goiters ama-multinodular ahlotshaniswa nengozi ephezulu yomdlavuza we-thyroid. Kodwa-ke, abacwaningi abakaqondi ukuxhumana phakathi kwalokhu okubili. Uma unayo i-goiter enezinhlobo eziningi, udokotela wakho uzokuhlola nomdlavuza we-thyroid.

Ukwelashwa kwe-goiter yama-multinodular kuyahluka ngokuya nge:

• noma ngabe une-hyperthyroidism
• ubukhulu be-goiter
• noma ngabe yiziphi izigaxa ezinomdlavuza

Izimpawu ze-goiter yama-multinodular

Iningi lama-goiters amaningi awabangeli zimpawu futhi atholakala ngesikhathi sokuhlolwa komzimba okujwayelekile.

Uma une-goiter enobuthi obuningi, eyenza i-hormone yegilo eningi kakhulu, ungaba nezimpawu ze-hyperthyroidism. Lokhu kufaka phakathi:

• ukwehla kwesisindo okungazelelwe nokungachazeki
• ukushaya kwenhliziyo okusheshayo
• ukwanda kwesifiso sokudla
• uvalo noma ukukhathazeka
• ukuthuthumela, ngokuvamile kusezandleni zakho
• ukujuluka
• ukwanda kobuzwe ekushiseni

I-goiter enezinhlobo eziningi ekhula ibe nkulu nayo ingadala izimpawu, ikakhulukazi uma iqala ukukhula iye esifubeni sakho. Izimpawu ze-goiter enkulu zifaka:

• ukuphefumula kanzima noma ukugwinya
• ukuzwa sengathi unokudla okunamathele emphinjeni wakho
• ukuba nomuzwa "ogcwele" entanyeni yakho

Ama-goiters amakhulu kakhulu angahle abonakale nasentanyeni yakho.

Kubangelwa yini lokhu?

Ezimweni eziningi, imbangela ye-goiter yama-multinodular ayaziwa. I-Hashimoto's thyroiditis ihlotshaniswa nengozi ephezulu yamaqhuqhuva e-thyroid, okungaholela ekwakhekeni kwe-goiter. IHashimoto’s iyi-autoimmune disorder futhi iyimbangela evame kakhulu ye-hypothyroidism e-United States. Ku-hypothyroidism, i-thyroid ayakhiqizi ama-hormone anele.

Ngaphezu kwalokho, ukuntuleka kwe-iodine kungadala ama-goiters amaningi, kepha lokhu akuvamile kakhulu e-United States.

Umdlavuza wegilo kanye ne-goiter enezinhlobo eziningi

Kuze kube ngamaphesenti angama-20 abantu abane-goiters multinodular bazophinde babe nomdlavuza wegilo. Cishe amaphesenti ayi-1.2 wabantu bonke e-United States bazotholakala benomdlavuza wegilozi esikhathini esithile sokuphila kwabo, ngakho-ke ama-goiters amaningi akhulisa amathuba akho okuthuthukisa lolu hlobo lomdlavuza. Funda ukuthi "ukuhlolwa kwentamo" ongakwenza ekhaya kungasiza kanjani ukuthola umdlavuza wegilo.

Imbangela yomdlavuza wegilo ayaziwa. Abaphenyi abakaqondi ukuxhumana phakathi kwama-goiters amaningi kanye nomdlavuza wegilo. Kodwa-ke, ngoba ama-goiters amaningi asengozini yomdlavuza we-thyroid, abantu abanolu hlobo lwe-goiter kufanele bahlolwe.

Lapho udokotela wakho ethola i-goiter enezinhlobo eziningi, cishe uzoba ne-ultrasound yendlala yakho yegilo. Ngokuya ngemiphumela ye-ultrasound, bangenza i-biopsy aspiration biopsy enhle ukubona ukuthi ngabe kukhona yini amaqhubu anomdlavuza.

Kufanele uphinde uhlolwe uma unezinye izinto ezinobungozi zomdlavuza we-thyroid noma uma amaqhubu ebukeka esolisa kwi-ultrasound yegilo.

Izinkinga ezengeziwe

Amanye ama-goiters angama-multinodular angaba nobuthi, okusho ukuthi enza i-hormone yegilo eningi kakhulu. Lokhu kubangela i-hyperthyroidism. I-Hyperthyroidism ingelashwa ngemithi emisa ukukhiqizwa kwehomoni yegilo, iodine enemisebe, noma ukukhishwa kwezicubu zegilo le-thyroid.

Ama-goiters amakhulu amakhulu kakhulu nawo angadala lokho okubizwa ngokuthi yizimpawu zokucindezela, njengokuhlupheka ukuphefumula noma ukugwinya. Uma i-goiter yakho yama-multinodular inkulu ngokwanele ukudala lezi zimpawu, kungenzeka ukuthi udokotela wakho ancoma ukuhlinzwa.

Ukuhlonza i-goiter yama-multinodular

Udokotela wakho uzoqala ngokuhlolwa komzimba ukubona ukuthi ngabe yonke i-thyroid yakho ikhulisiwe nokuthi mangaki ama-nodules akhona. Bazophinde ba-oda ukuhlolwa kwegazi kwe-hormone okuhlola ukusebenza kwe-thyroid ukubona ukuthi indlala yakho yegilo isebenza ngokujwayelekile.

Amanye amaqhuqhuva e-thyroid angaba nomdlavuza, kodwa akunakwenzeka ukusho lokhu kusukela ekuhlolweni komzimba noma ekuhlolweni kwegazi kuphela.

Ngakho-ke, udokotela wakho angalawula i-ultrasound yegilo. I-ultrasound isebenzisa amaza omsindo ukuthatha isithombe se-thyroid yakho. Lokhu kungasiza udokotela wakho ukuthi atshele ukuthi ngabe amaqhuqhuva agcwele uketshezi noma anezilinganiso, ubone ukuthi zingaki nokuthi zikuphi, futhi akhombe amaqhubu angahle abe nomdlavuza.

Uma ngabe kukhona ama-nodule asolisayo noma unezinye izinto eziyingozi, udokotela wakho angenza futhi i-biopsy aspiration biopsy enhle.Bazosebenzisa inaliti ezacile kakhulu ukuthatha amaseli ezinhlayiyana eziningana ze-thyroid abese ewathumela elabhorethri ukubona ukuthi anomdlavuza yini. Lolu hlobo lwe-biopsy luvame ukwenziwa ehhovisi likadokotela.

Ukwelashwa kwalesi simo

Ama-goiters angenalo umdlavuza angabangeli zimpawu awadingi ukwelashwa ngaso sonke isikhathi. Kwesinye isikhathi udokotela wakho angaphakamisa ukuthi ubuke futhi ulinde ukubona ukuthi i-goiter iya ikhula yini. Uma i-goiter ikhula kakhulu noma iqala ukudala izimpawu, kunezindlela eziningi zokwelashwa.

Enye indlela iodine enemisebe, evame ukusetshenziselwa ukuncipha ama-goiters ezimweni ze-hyperthyroidism. Isebenza ngokucekela phansi ingxenye yegilozi yakho ukuletha amazinga wokukhiqizwa kwamahomoni egilo abuyele kokujwayelekile. Abanye bangagcina bekhulisa i-hypothyroidism ngemuva kokwelashwa kwe-iodine enemisebe.

I-Methimazole (i-Tapazole) ne-propylthiouracil yizinketho zemithi ezisetshenziselwa ukwelapha i-hyperthyroidism ngokunciphisa inani le-hormone yegilo emzimbeni wakho.

Uma i-goiter isikhule kakhulu noma ibanga noma iyiphi inkinga ngokuphefumula noma ngokugwinya, ingxenye noma lonke igilo lingasuswa. Ukuthi indlala yegilo isuswe kangakanani kuncike ekutheni i-goiter inkulu kangakanani, ukuthi maningi kangakanani amaqhubu, uma kukhona amaqhuqhuva anobuthi, noma uma kukhona umdlavuza. Ukuhlinzwa futhi kuyindlela yokwelashwa enconywayo uma ngabe kukhona amaqhuqhuva anomdlavuza.

Uma yonke indlala yakho yegilo isusiwe, uzodinga ukwelashwa impilo yakho yonke ngemithi yokufaka i-hormone ye-thyroid.

Umbono

Iningi lama-goiters amaningi awazibangeli izimpawu. Uma unezimpawu ze-hyperthyroidism noma unenkinga yokuphefumula noma ukugwinya, kufanele ubone udokotela.

Ama-goiters amaningi asandisa amathuba akho okuba nomdlavuza we-thyroid, kepha angalashwa ngemithi, iodine enemisebe, noma ngokuhlinzwa kuye ngohlobo, uma kunesidingo. Ngenkathi zingadala noma zihlobane nezinye izimo, ama-goiters amaningi uqobo lwawo uqobo awasona isimo esisongela impilo.