Multinodular Goiter: Zomwe Muyenera Kudziwa

Zamkati

• Zizindikiro za zotupa zamagulu osiyanasiyana
• Nchiyani chimayambitsa izi?
• Khansa ya chithokomiro ndi chotupa chamagulu angapo
• Zowonjezera zovuta
• Kuzindikira chotupa cha multinodular
• Chithandizo cha vutoli
• Chiwonetsero

Chidule

Chithokomiro chanu ndimtundu wa khosi lanu womwe umapanga mahomoni omwe amayang'anira magwiridwe antchito amthupi ambiri. Chithokomiro chokulirapo chimatchedwa goiter.

Mtundu umodzi wa khosi lotupa ndi chotupitsa chamitundu yambiri, momwe chithokomiro chokulirapo chimakhala ndi zotumphukira zosiyana. Zambiri zopitilira muyeso sizimayambitsa zisonyezo. Choyambitsa sichimadziwika.

Ma goit multinodular amakhala ndi chiopsezo chachikulu cha khansa ya chithokomiro. Komabe, ofufuza sanamvetse kulumikizana kwa awiriwa. Ngati muli ndi chotupitsa chamitundu yambiri, dokotala wanu amathanso kukuwonetsani khansa ya chithokomiro.

Chithandizo cha tizilomboti timasiyanasiyana kutengera:

• kaya muli ndi hyperthyroidism
• kukula kwa chotupa
• Kaya mitunduyi ili ndi khansa

Zizindikiro za zotupa zamagulu osiyanasiyana

Ambiri opitilira muyeso samayambitsa zizindikiro zilizonse ndipo amapezeka pakuwunika mthupi nthawi zonse.

Ngati muli ndi chotupa cha poizoni chamitundu yambiri, chomwe chimapanga mahomoni ambiri a chithokomiro, mutha kukhala ndi zizindikilo za hyperthyroidism. Izi zikuphatikiza:

• kuwonda mwadzidzidzi komanso kosadziwika
• kugunda kwamtima mwachangu
• kuchuluka kwa njala
• manjenje kapena nkhawa
• kunjenjemera, kawirikawiri m'manja mwanu
• thukuta
• kuchulukitsa chidwi cha kutentha

Goiter yamagulu angapo yomwe imakula ikuluikulu imatha kupangitsanso zizindikilo, makamaka zikayamba kukula m'chifuwa. Zizindikiro za chotupa chachikulu zimaphatikizapo:

• kuvuta kupuma kapena kumeza
• kumverera ngati muli ndi chakudya chakhazikika pakhosi panu
• kukhala ndi "kumverera" kwathunthu m'khosi mwako

Zoyendetsa zazikulu kwambiri zitha kuwonekeranso m'khosi mwanu.

Nchiyani chimayambitsa izi?

Nthawi zambiri, chifukwa cha chotupa chamagulu angapo sichidziwika. Hashimoto's thyroiditis imagwirizanitsidwa ndi chiopsezo chachikulu cha mitsempha ya chithokomiro, yomwe ingayambitse mapangidwe a goiter. Hashimoto's ndimatenda amthupi okhaokha komanso chifukwa chodziwika kwambiri cha hypothyroidism ku United States. Mu hypothyroidism, chithokomiro sichimatulutsa mahomoni okwanira.

Kuphatikiza apo, kusowa kwa ayodini kumatha kuyambitsa ma goiters angapo, koma izi ndizosowa ku United States.

Khansa ya chithokomiro ndi chotupa chamagulu angapo

Kufikira 20 peresenti ya anthu omwe ali ndi goit multinodular amakhalanso ndi khansa ya chithokomiro. Pafupifupi 1.2 peresenti ya anthu ku United States adzapezeka ndi khansa ya chithokomiro nthawi ina m'moyo wawo, kotero ma goit multinodular amakulitsa mwayi wanu wokhala ndi khansa yamtunduwu. Dziwani momwe "kuwunika khosi" komwe mungachitire kunyumba kungathandize kuzindikira khansa ya chithokomiro.

Zomwe zimayambitsa khansa ya chithokomiro sizikudziwika. Ochita kafukufuku samamvetsetsa kulumikizana kwa ma goiters amitundu yambiri ndi khansa ya chithokomiro. Komabe, chifukwa ma goit ambiri omwe ali pachiwopsezo cha khansa ya chithokomiro, anthu omwe ali ndi zotupa izi ayenera kuwunikidwa.

Dokotala wanu atapeza chotupa cha multinodular, mumakhala ndi ultrasound ya chithokomiro chanu. Kutengera ndi zotsatira za ultrasound, atha kupanga kachipangizo koyesa singano kuti awone ngati mitsempha iliyonse ili ndi khansa.

Muyenera kuwunikidwanso ngati muli ndi zina zomwe zingayambitse khansa ya chithokomiro kapena ngati ma nodule amawoneka okayikira pa chithokomiro cha ultrasound.

Zowonjezera zovuta

Ena mwa ma goiters angapo amatha kukhala owopsa, zomwe zikutanthauza kuti amapanga mahomoni ambiri a chithokomiro. Izi zimayambitsa hyperthyroidism. Hyperthyroidism imatha kuchiritsidwa ndi mankhwala omwe amaletsa kupanga mahomoni a chithokomiro, ayodini wamagetsi, kapena kuchotsa minofu ya chithokomiro.

Ziphuphu zazikulu kwambiri zamagulu zimathanso kuyambitsa zomwe zimatchedwa kuti kukakamiza, monga kupuma movutikira kapena kumeza. Ngati goiter yanu yamagulu angapo ndi yayikulu mokwanira kuti izi zitheke, dokotala wanu amalimbikitsa kuchitidwa opaleshoni.

Kuzindikira chotupa cha multinodular

Dokotala wanu ayamba ndikuyesedwa kuti muwone ngati chithokomiro chanu chonse chakula komanso kuti ndi ming'alu ingati. Ayeneranso kuyitanitsa mayeso amwazi wamagazi omwe amayang'ana chithokomiro kuti awone ngati chithokomiro chanu chikugwira bwino ntchito.

Mitundu ina ya chithokomiro imatha kukhala ndi khansa, koma ndizosatheka kudziwa izi kuchokera pakuwunika thupi kapena kuyesa magazi.

Chifukwa chake, dokotala wanu amatha kuyitanitsa chithokomiro cha ultrasound. Ultrasound imagwiritsa ntchito mafunde akumveka kuti ajambule chithokomiro chanu. Izi zitha kuthandiza dokotala kuti adziwe ngati ma modulowo ali odzaza madzi kapena ali ndi ziwerengero, onani kuti ndi angati komanso ali kuti, ndikuzindikiritsa mitsempha yomwe imatha kukhala ndi khansa.

Ngati mitunduyi ikukayikira kapena muli ndi zifukwa zina zoopsa, dokotala wanu amathanso kuchita zabwino zosowa za singano. Adzagwiritsa ntchito singano yopyapyala kwambiri kuti atenge maselo am'magazi angapo a chithokomiro ndikuwatumiza ku labotale kuti akawone ngati ali ndi khansa. Biopsy yamtunduwu imatha kuchitika kuofesi ya adotolo.

Chithandizo cha vutoli

Zoyambitsa khansa zomwe sizimayambitsa zizindikiro sizimafunikira chithandizo nthawi zonse. Nthawi zina adokotala angakuuzeni kuti muziyang'anira ndikudikirira kuti muwone ngati matendawa akukula. Ngati chotupacho chimakula kwambiri kapena chimayamba kuyambitsa matenda ena, pali njira zingapo zochiritsira.

Njira imodzi ndi ayodini wa radioactive, yemwe nthawi zambiri amagwiritsidwa ntchito kupeputsa goit pakagwa hyperthyroidism. Zimagwira ntchito powononga gawo la chithokomiro chanu kuti zibweretse kuchuluka kwa mahomoni a chithokomiro kubwerera mwakale. Ena amatha kukhala ndi hypothyroidism atatha mankhwala a ayodini.

Methimazole (Tapazole) ndi propylthiouracil ndi njira zamankhwala zomwe zimagwiritsidwanso ntchito pochizira hyperthyroidism pochepetsa kuchuluka kwa mahomoni a chithokomiro mthupi lanu.

Ngati chotupacho chakula kwambiri kapena chikuyambitsa vuto lililonse ndi kupuma kapena kumeza, gawo kapena chithokomiro chonse chitha kuchotsedwa. Kuchuluka kwa chithokomiro kumadalira kukula kwa chotupacho, kuchuluka kwake kwa mitsempha, ngati mitsempha iliyonse ili ndi poizoni, kapena ngati pali khansa. Kuchita opaleshoni ndiyonso chithandizo chovomerezeka ngati ena mwa ma nodule ali ndi khansa.

Ngati chithokomiro chanu chonse chichotsedwa, mudzafunika chithandizo chamoyo wonse ndi mankhwala obwezeretsa mahomoni a chithokomiro.

Chiwonetsero

Zambiri zopitilira muyeso sizimayambitsa zisonyezo. Ngati muli ndi zizindikiro za hyperthyroidism kapena mukuvutika kupuma kapena kumeza, muyenera kuwona dokotala.

Opititsa patsogolo ma multinodular amakulitsa mwayi wanu wokhala ndi khansa ya chithokomiro, koma amatha kuchiritsidwa ndi mankhwala, ayodini wa radioactive, kapena opaleshoni kutengera mtundu, ngati kuli kofunikira. Ngakhale zimatha kuyambitsa kapena kukhala zofananira ndi mikhalidwe ina, ma goit ambiri omwe amakhala ndi mitundu yambiri samawopseza moyo.