Zizindikiro zazikulu za khosi lotupa, zomwe zimayambitsa ndi chithandizo

Zamkati

• Zizindikiro zazikulu
• Momwe matendawa amapangidwira
• Zomwe zingayambitse
• Chithandizo cha matenda opatsirana

Goiter ndimatenda amtundu wa chithokomiro omwe amadziwika ndikukulitsa gland iyi, ndikupanga mtundu wa chotupa kapena chotupa m'chigawo cha khosi, chomwe chimakhala chokulungika komanso chokulirapo kuposa chizolowezi.

Goitre nthawi zambiri imatha kuwonedwa mosavuta popanda vuto lalikulu, ndipo imatha kukhala yofananira, yopanda mphamvu, yopangidwa ndi nodule kapena angapo mwa iwo, munthawi imeneyi amadziwika kuti nodular kapena multinodular goiter.

Goiter imatha kukhala ndi zifukwa zingapo, koma zimakonda kuchitika pakachitika kusokonekera kwa chithokomiro, monga hyperthyroidism kapena hypothyroidism, kapena chifukwa chakusowa kwa ayodini, chifukwa chake tikulimbikitsidwa kuti mukaonane ndi a endocrinologist posachedwa, kotero komanso kuti chithandizo choyenera chidayambitsidwa.

Zizindikiro zazikulu

Chizindikiro chachikulu cha khosi lotupa ndikukula kwa voliyumu ya chithokomiro, yomwe imawonekera nthawi zambiri. Kuphatikiza apo, pangakhalenso kukula kwa zizindikilo zina, monga:

• Zovuta kumeza;
• Kutuluka kwa chotupa kapena chotupa m'khosi;
• Kuwonekera kwa chifuwa;
• Kusokonezeka m'dera la khosi;
• Kumva kupuma movutikira;
• Kuopsa.

Kuphatikiza apo, zizindikiro monga kutopa mosavuta, kukhumudwa, kupweteka kwa minofu kapena molumikizana komwe kumatha kuwonetsa kupezeka kwa hypothyroidism, mwachitsanzo, kumawonekeranso.

Momwe matendawa amapangidwira

Kuzindikira kwa chotupacho kumayenera kupangidwa ndi a endocrinologist kapena wothandizirayo kudzera mumayeso angapo, omwe amadziwika kuti ali ndi chotupacho kapena ayi.

Choyamba, adokotala amayamba kuwona kupezeka kwa chotupa pakhosi, nthawi zambiri amafunsa pambuyo pake kuti apange ultrasound kapena ultrasound yomwe ingalole kuwonera bwino chithokomiro. Kuphatikiza apo, matendawa amathandizidwanso ndimayeso amwazi omwe amayesa kuchuluka kwa mahomoni a chithokomiro m'magazi, monga T4, T3 ndi TSH, omwe amalola kudziwa ngati pali zovuta pakusintha kwa chithokomiro.

Nthawi yomwe dokotala amakayikira kuti ali ndi khansa ya chithokomiro, amalangiza kuti azibowola kapena kutulutsa chithokomiro, momwe kachilombo kakang'ono kamachotsedwa. Chiyesochi sichimapweteka ndipo sichisiya chilonda ndipo chidutswa chaching'ono chomwe chimasonkhanitsidwa chimasalala mu labotale.

Onani zambiri zamayeso omwe amafufuza chithokomiro.

Zomwe zingayambitse

Goiter ikhoza kukula chifukwa cha kusintha kosiyanasiyana, monga:

• Zovuta pakugwira ntchito kwa chithokomiro monga hyperthyroidism kapena hypothyroidism;
• Kugwiritsa ntchito mankhwala ena;
• Matenda osokoneza bongo monga autoimmune thyroiditis;
• Matenda;
• Chotupa cha chithokomiro.

Goiter amathanso kuyambika chifukwa chakuchepa kwa ayodini, zomwe zimapangitsa kuti chithokomiro chikakamizike kugwira ntchito molimbika kuti atenge ayodini wofunikira pakupanga mahomoni a chithokomiro. Kugwira ntchito molimbika kumeneku kumabweretsa kukula kwake motero kuwoneka kwa chotupa. Kuphatikiza apo, pamakhala milandu pomwe chotupacho chimawonekera pobadwa, nthawi izi chimadziwika kuti congenital goiter.

Chithandizo cha matenda opatsirana

Matendawa akamayamba chifukwa cha kufooka kwa ayodini, mankhwala ake amachitika pomupatsa ayodini pamlingo waukulu kuposa ka 10 tsiku lililonse kwa milungu ingapo. Ndi mankhwalawa, chithokomiro chimatha kugwira iodide yomwe imafunikira popanga mahomoni, omwe amatha milungu ingapo kuti abwerere kukula kwake. Komabe, pazochitika zowopsa kwambiri pangafunike kukhalabe ndi chithandizo chamoyo wonse.

Kuphatikiza apo, pamene chotupa chimachitika chifukwa chakusowa kwa ayodini, tikulimbikitsidwa kuti zakudya zomwe zili ndi mcherewu zizidya, monga mchere wothira mafuta, nsomba, tuna, mazira ndi mkaka, mwachitsanzo. Onani mndandanda wazakudya zokhala ndi ayodini wambiri.

Zikakhala kuti pali zovuta pamagwiridwe a chithokomiro monga hyperthyroidism kapena hypothyroidism, chithandizochi sichikhala chofanana, ndipo chitha kugwiritsidwa ntchito pogwiritsa ntchito mankhwala monga Tapazol kapena Puran T4 kapena ndi makapisozi ayodini okhudzana ndi radioactive. Mukakhala ndi khansa ya chithokomiro, pangafunike kuchotsa gland iyi kudzera mu opaleshoni.