Nodular goiter chirwere chetachiona gland, iyo inoratidzirwa nehupenyu hwayo. Muchiitiko ichi, nhengo inowedzera muhukuru uye kupfuura nguva, nekufambira mberi, inoonekwa kune ziso rakashama sechinhu chinoputika pamutsipa muhutachiona hwetachiona.
Nodular goiter yehutachiona gland - zviratidzo
Nodular goiter ine zviratidzo zvakasiyana-siyana zvinoshandura sezvo chirwere chinopfuurira uye zvichienderana nerudzi rwehutano hunoitika.
Pakutanga, nodular goiter yakaoma kuongororwa pasina michina yakakosha (somuenzaniso, ultrasound) kana kuongororwa kwema laboratory (kupa ropa kuhomoni yekemikari) muchiitiko apo nodular goiter inoperekedzwa ne hypothyroidism kana thyrotoxicosis. Aya mazano maviri ndeazvirwere zvepolar, izvo zvinowanzokonzera murwere kuonana nachiremba pakutanga.
Saka, thyrotoxicosis inowedzera kuwanda kwehomoni. Munhu anonzwa kusagadzikana mupfungwa, kusimba kwemwoyo kwakasimba, izvo zvisingaderedze nekushandiswa kwezvinyengeri, pamwe nekudengenyeka kwemaoko uye kuneta nguva dzose. Kurasikirwa kwehupfumi ndihwo humwe hwezviratidzo zve thyrotoxicosis, uye kana ichiratidzwa muvechiri kuyaruka, saka munguva dzakawanda vanochengetedza kuonekwa kwechidiki kwemakore akawanda. Izvi zvinokonzerwa nekuti utachiona hwehomoni hunobatanidzwa nekukura kwehomoni uye vamwe vanobatanidzwa mukugadzirwa kwechimiro chakakura. Izvi hazvizi zviratidzo zvose zvinoratidza kuti thyrotoxicosis, asi ndiyo inokosha.
Hypothyroidism inoshaya mahomoni e thyroid. Vanhu vane chirwere ichi vanogona kuwedzera kuwanda, vanowanzoita kuzvikudza, nekuda kwekuti hunyoro hwechiso hunoumbwa. Kushaiwa kwehomoni kunokonzera kukanganwa uye kusingaperi kuchena. Mhedziso yepfungwa, sekutonga, inonyarara yakanyarara kana kuora mwoyo.
Muhupo hwezviratidzo izvi, unoda kuona chiremba, uite ultrasound yejeremusi gland uye upe ropa kuhomoni yehutori uye zvirwere, izvo zvichakuudza nezvekuvapo kana kusavapo kwehutano hwehutano munhengo.
Nekukura kwewe goiter, zviratidzo zvinotevera zvinowanikwa mumunhu:
- Dambudziko rekumedza kufamba;
- manzwiro e-coma mumutsipa;
- hoarseness;
- kunze kwekuratidzwa kwe goiter.
Aina dze goiter
Asati ataura nezvekurapa goiter, inofanira kujekeswa kuti kune dzakawanda zvemarudzi ayo uye mavara, uye zviripo kuti kurapwa kunosiyana zvichienderana nezvayo.
Morphology:
- Diffuse . Ichi ndicho chisiri chekudya kwekudya, iyo inowedzera yunifomu mumatumbu inoitika.
- Nodal . Nemhando iyi, node (imwe kana kupfuura) dzinoumbwa, uye kuwedzera kunoitika kune rumwe rutivi. Inogona kunge yakaipa kana yakaipa, saka kuongororwa kwakajeka kwezvidimbu zvakasiyana-siyana zvakakosha zvikuru. Inofanirawo kuonekwa kuti kwete-toxic nodular goiter inopiwa kuvarwere vasingararami munzvimbo yakaoma.
- Cystic . Inozivikanwa nokuwedzera kusina muviri mumuviri uye kuvapo kwezvisimbiso, izvo zvine mvura.
- Mixed . Kusiyanisa nodal toxic goiter kunoratidzwa nekuwedzera kwakawanda kweganda yekotori uye kuvepo kwemashoko.
Kuenzanisa kwemasimba:
- Nodular goiter yechidimbu chekutanga.
- Nodular goiter yechidimbu chechipiri.
- Nodular goiter yezinga rechitatu.
- Nodular goiter ye 4th degree.
- Nodular goiter ye 5th degree.
Nodular goiter - kuongorora
Nodular goiter inowanikwa pane zvinoenderana nekuongororwa kwechiremba, kuongororwa kwema laboratory yeropa, pamwe ne ultrasound uye, pane dzimwe nguva, electrocardiograms.
Nzira yekurapa nodular goiter?
Mushonga we goiter unobva pane chimiro chechirwere chacho, uye pachikamu chacho.
Nodular colloid goiter inonzi "benign form of nodular goiter", asi boka rimwe chete rezvirwere zvakadaro rinorondedzerwa se nodal euthyroid goiter. Izvi zvinokonzerwa nekuti biopsy inodiwa kuti ijekeswe, inotora nguva, uye kusvikira panguva ino chiremba anoita kufanana kwakafanana. Kana hutachiona hwemaestro ezvakanaka, saka kungogara kuongororwa kweropa rekuongorora uye nguva nenguva inonzi ultrasound. Pachitupa chero chipi zvacho chinowanzoshandiswa kuUnited States hachina kufanira maererano nemafungiro evamwe nyanzvi.
Diffuse nodular goiter yehroroid gland muhupo hwe hypothyroidism kana thyrotoxicosis uye ine 1 degree inobatwa nerubatsiro rwemhomoni (mukana we hypothyroidism) kana kuti blockers. Mishonga imwe neimwe inorayirirwa uye inosarudzwa mumwe nomumwe, nokuti vose vane zvakawanda zvingava nemigumisiro. Nguva yekurapa yakakura - kubva pamakore maviri ezuva nezuva. Nhamba inoramba ichisiyana zvichienderana neropa rekuongorora, iro rinofanira kutanga rakatorwa kakawanda-kamwe kamwe kamwe kwevhiki mbiri. Kana mishonga yaibatsira, saka hakuzovi nekuvhiyiwa (pamwe nemamiriro ezvinhu ebenign nodes) - chirwere chetachiona pachacho chichaderera muhukuru.
Apo mishonga inonyanya kukoshesa kwechiremba (nokuti kuiswa kweiyo uye chinangwa chechirwere pachako pachacho chakasiyana chaizvo), saka zvinokurudzirwa kusangana nevanongorori vese uye kuongorora maitiro avo ekurapwa.
Kurapa kwe diffuse-nodal goiter yechipiri chechipiri kunobva pane zvakawanda, uye pane dzimwe nguva pangava nemubvunzo pamusoro pekushanda. Chokutanga pane zvose, zvakakosha kuziva kana chirwere chacho chiri chinopisa, uye kana zvakadaro, chiremba angaedza kuvhara kupindira.
Cystic nodular goiter inobatwa zvichienderana nekuvapo kwe hypothyroidism kana thyrotoxicosis. Muchisarudzo chekutungamira kushanda, danho, kukura uye chimiro chema node zvakakosha zvikuru.
Iyo nzira yehutano yekurapa ye nodular goiter
Zvinotendwa kuti iyi nzira yevanhu inobatsira kune chero chirwere chipi nechipi chetachiona , asi chinogona kushandiswa chete nechibvumirano chechiremba anochirapa, sezvo izvo zvinoshandiswa zvirwere zvekudzivirira muviri uye ine iodine, izvo zvinogona kutungamirira kuora. Izvo zvakakosha kusanganisa 1 litre yeuchi nehuni ye 5 lemons uye 500 g yemadnuts. Iyo yakawanda inogadzirwa inotorwa pa 1 tbsp. l. zuva rega rega mwedzi.