Goitre multinodular thyroid gland: mea, lalau mai,ʻike, a me ka hana hiʻona

No ka nui kanaka, ka thyroid gland mea oversized. Ma kekahi hihia, keia pathology mea,ʻaʻole he ole-brainer, akā loa endocrinologists diagnosed multinodular goiter. Ua lŘlŘ ma muli o kaʻilihune i hoʻolilo 'ia a me ka nele i ka iodine i loko o ke kino. Aka wahi i benign ma ke ano maoli pinepine ana, akā, i kekahi manawa e hiki lālā i loko o ka malignantʻeho, a ua wehe surgically. Ma keia 'atikala, mākou e nana i multinodular goiter o ka thyroid gland. Lapaʻau pane e pili ana i ka mea e e manaoia no hoi.

Description o ka maʻi

Aie i ka nele o ka iodine i ka ai a me ka wai thyrotropic hormones hoʻomaka e e hua mai ma ka thyroid gland i nui na mea, e like me ka mea hui, ia mea hiki ole i ka paka i ke koi 'ia ka nui o ka iho hormones.

Thyrotropic hormones hua mai la ia e ka pituitary gland hoʻonāukiukiʻana mai o ka hoʻonuiʻana o ke keena, kūpono ai i loko o kona kokololio mahuahua. A hiki i ka hemahema no kēia mau hana waiwai hoʻomaka e kū'ē, colloid loaa ma na nā'aʻaʻa o ke kino hele aku ai i ke kahua o ka nui follicles. Mawaho, e like nō hoʻi me ka nui goiter, i mea hiki i ka maka kapa ole, a me ka pinepine hiki ke palpated ma ka hoʻomanawanui.

Ma hope iho o ka kekahi nui o ka manawa i ke kino hou triggers ka? Iecaianoaaiiie o thyroid hormones a me thyroid goiter mau e mahuahua.

maʻi? ueo

Multinodular goiter o ka thyroid gland mea o ka ekolu ano.

• wahi - ina mea ua diagnosed haoʻa i mahuahua kino e ia lŘlŘ pono i kona excessive mama no hoi;
• eiei? - ma keia hihia i ka prostate'aʻaʻa ulu uniformly manawa i ka ka ho'ēmiʻana o kona secretory ho'āʻo;
• i hui pūʻia - ia mea pohihihi, i ke kino i ka haoʻa i mahuahua ana, akā, i kekahi mau wahi noho ma kā lākou homogeneity.

Inā oi ma mua o nā aka wahi ma ka oi o ka 1 knm i loko o ke anawaena, e hoonoho i ko lakou malama ana i ka puncture o ka thyroid gland. Loa pinepine, ka mea, ua benign. Ma mau, mau hikoko i kekahi hopena ma luna o kona kuleana pili i ka mea i ole, a me keia maʻi ua kapaia "multinodular euthyroid goiter." Wale nō 5% o ka aka wahi i e cancerous.

I ko kakou aupuni, multinodularʻawahia goiter ia lŘlŘ i loko o 12% o ka lehulehu, a me na wahine oi paha ma mua o na kanaka e hana eha iaʻi ia. Me ka makahiki maoli i ka likelihood o ka ulu i kēia maʻi, a me ka hapanui o nā mea a pau āna i 'akomi i loko o 45-60 makahiki.

Oiai ke alo o nā aka wahi i loko o ka thyroid gland aʻole e pili mai ka hana ana o keia kino, akā, noho pono, e hana i ka maʻi. Aia mau wahi, i hiki i ka wa o ka nele o ka noonoo ana i ka pilikia ke ho oweliweli i ka hoʻoweliweli 'ana i ke ola.

Nā kumu o ka maʻi

Ke mau kumu no ke aha la he mea he nunui-kekahi mea kanu, uaʻaʻole maopopo maopopo, akā, na kumu me ka oiaio ia ia mea iodine deficiency pili kēia hoʻonāukiukiʻana mai o ka maʻi e olelo aku nei.

Other aʻe ka hoʻopukaʻana i ka ho okumu ana o keia pathology mea:

• malfunction o ka Central ko mākou hopohopo oihana;
• manaʻoʻike ke kanana nei;
• suppression o humoral e hoʻonele;
• nā palapala hana ana;
• hooloihiiaʻai ana o kekahi lāʻau;
• he aaiaoe predisposition i ka maʻi;
• ake maʻi a me ka digestive nenoai;
• overload no i ka hoʻololiʻana;
• waiū e pāhawewe;
• pinepine li nui o ka thyroid gland;
• kūponoʻai.

symptoms

hiki ole Man i ike i ka mea, he nunui-kekahi mea kanu, na symptoms ma kekahi kakahiaka nui ke kahua hiki e loa i ala, e hoike, a i ka hoopakele ana i kekahi discomfort i ka hoʻomanawanui. Oiai liʻiliʻi naehana, ma kahi o 2 knm ma anawaena, ike ia me ka maka kapa ole ka loa paʻakikī, no laila, ua pinepine i loaʻa ka mea, ma luna o ultrasound iloko o oaeouee? Nana.

Inā e kāpae'ōlelo i kēia pilikia, a laila, ma hope o kekahi manawa e hoʻomōhala hyperthyroidism. Ke hoomanawanui hoʻomaka e hoʻopilikia excessive sweating, irritability, tachycardia aicieeaao, ke manaʻo koikoi, piʻi pū, i ka pono ola deteriorates. Tingling kānāwai i loko o ka naʻau, no ka ikaika loa ka makemake, piʻi pū, kanaka mau makemake e inu, e hoʻomaka e mi kino. Notes haʻalulu manamana, olelo a me ke kino. Night maʻi unbearably wela, e hoʻomaka e haha ka makaʻu a me ka iini. Mau symptoms alakai i ka emi ma ka moe makemake.

I kekahi manawa, i mahuahua ai multinodularʻawahia goiter nei, ua nui ua mea i hoʻomaka e oOeEIAOO kokoke nā loko. Ke hoomanawanui i ka leo loli, e lilo ia i paakiki i ka ale, hanu, he manao o ka mīkini'opihia a suffocation, o ka oi aku i loko o ka supineʻoihana i loko o ka'ā'ī.

ʻike, o ka goiter

Inā 'oe hāʻupu aʻe i ka hoʻomanawanui i ka nunui-kekahi mea kanu, a laila, lawe mai lapaʻau' o ka thyroid gland. Mua, i ke ahonui o nā kipa 'ke kauka, a laila, e hoʻouna aku ia i ka' Amelika keia kino. Inā na aka wahi mamua o ke anawaena o ka 1 knm, a hoonoho i ka puncture kuikele biopsy mau hikoko. I lawelawe 'ia ma luna o noiʻi hormones, umauma radiography, ka wā ma laila mea i ka pono o ka mīkini'opihia, MRI a me scintigraphy.

Nā Papahana O Ka ana thyroid

Mai ka loa hoʻomaka o ka ulu ana o na maʻi like me ka nunui-kekahi mea kanu, ia lŘlŘ kokoke e asymptomatic, laila, ma hope o kekahi ana kekahi hoʻomaka e haha aku kona kŘpuna hopena. Ke hoomanawanui haalele i ke kaupaonaʻana hoʻomaka koke, ma laila nō ka hoʻohuikau 'ia ma ka naau, he mea ka mahuahua nervousness a me ka loa luhi.

Inā heʻike, o "ka nunui-iʻohi", i ka iapaau ana i kou kauka e koi 'ia ke kēia:

• kela la i keiaʻai ana o ka iodine he laau lapaau, hana maikaʻiʻole i loko o keia hihia Ua lōʻihi;
• pōkole i ka maʻi kino o radioactive iodine, a kokua i ka ho'ēmi i knots.

Inā 'oe e e kokua i ka poe lapaʻau, multinodular goiter o ka thyroid gland ua malalo eʻoki kino, o ka oi aku no kona nui nui.

Lapaʻau me LITT

Inā makeʻe kulana kāu kiʻina hana i nele i ka pau ana i ka ulu ana o kaʻai i waena, ke kauka i hoakaka ia kukuna-ʻonou interstitial thermotherapy (LITT). Ma keia hihia, i ka'ōnohi puluniu pa alima ua hoʻolauna. E like me ka hopena, kumuʻiʻo hale goiter'aʻaʻa hoʻomaka e loli ai i ka mahana ma 41-46 degere, ma muli o ia i keena hooki ana.

Nā pono o kēia iaoia moe i loko o ka mea i ka mālama '-lapaʻau, lapaʻau hiki ke lawe wahi me ka anesthesia, hoopaa mai ai i nā mea a pau o ka thyroid gland ua i koi' ia ma mua o ka hana.

Akā, he mea ia he ano o ka lapaau a me contraindications:

• somatic maʻi;
• loa palapala o ka hyperthyroidism a me ka hypothyroidism;
• noʻonoʻo, nā kīnānā;
• li nui o ka luna naehana'āpana.

Traditional ohe.

Inā he kanaka ua diagnosed multinodular goiter lapaʻau (keia eloquently hōʻike manaʻo) hoolaʻi Kids hiki me ka nui loa hoʻoikaika 'ana i ka hoʻomanawanui ka kulana. E like me ka hopena, e hoihoi hou ia lakou i ka maʻamau? Iecaianoaaiiie o hormones i loko o ke kino, a me ka mea replenishes i ka pono nui o ka iodine.

Kela a me keia lā eʻai kai cabbage, inu tincture o hawthorn, lawe i ka mehana auau me ka moana paakai, a no laila, ma luna o. D. me ke kōkua o nā lāʻau lapaʻau lau nahele goiter multinodular Lele aku kėlä hoʻi.

Ke kanawai nui o kēia mau ai 'lawe mai' āhewa 'ana:

• Vernal mauʻu Adonis kōā kaulike kawili peppermint, tricolor lila, oregano, pua laʻau heluna calendula, chamomile a me ka cudweed. Kēia ohi koi aku i ka wela o ka wai no ka, elua no hora, a lawe muaʻai.
• Hui lāʻau valerian, lemona nini, maloo hua o ka mauna lehu, plantain lau, clover kiʻekiʻe, erysimum cheiranthoides, mugwort, hihiu'ōhelo papa lau, yarrow, lāʻau lapaʻau kumu wahine lau, E ninini kapuahi e ka wai, a koi aku. He mea pono e lawe i ka infusion kēlā lā no 15 minuke ma mua ai.
• Ua hui ma ka like huliāmahi laʻau heluna calendula, Artemisia vulgaris, cudweed, naau-Lime, prickly hawthorn, angustifolia wilou, chamomile pua, ala puhaka, mahina thyme a me nā kapuahi e ka wai ua nininiʻia. Collection enaena i loko o ka wai auau koi aku ma kahi o 2 hola, Kānana, a inu kekahi mau manawa o ka lā.
• Hoʻohui me ka lāʻau lapaʻau mea kanu e like me prickly pua rose, lemona nini tidara, chamomile, oregano, Tilia cordata, ololi-E haʻalele nō i wilou laauikiai a pau, comfrey, cyanosis azure, nui plantain a me ka mahinaʻai thyme. A uuku ka nui o ka ohi aina a hiki i ka lepo a me ka ninini i ka baila aʻela i ka wai. E inu kekahi mau manawa o ka lā.

Lāʻau lapaʻau lapaau ana mau 1.5-2 mahina, a laila, e ka mokuāhana i loko o kekahi mau pule.

E consolidate i nā hualoaʻa ma ka hoʻomaikaʻi thyroid kūlana waiho aku i ke kēia mau ai '' āhewa 'ana:

• Ia ma ka hookahi dala o ka calendula, chamomile, valerian, peppermint a me ka hihiu'ōhelo papa, i hui, a ninini iho la i hoolapalapa wai. E koi 2 hola i loko o ka mehana wahi, a laila, wae a lawe ekolu manawa i ka lā 15 minuke ai ana ma hope.
• Hui wort St. John ka wort, ololi-E haʻalele nō i fireweed lau, ku ae puhaka, oregano, maloo pua Lime naau-hoʻokino, ninini kapuahi e ka wai, a waiho ma ka mehana lumi. Wae i a inu 4 manawa i ka lā ma hopeʻai.

ka hopena

No laila, ua loaʻa i ka maopopo i ka mea a ka nunui-thyroid goiter. Lapaʻau (manaʻo he wahi lihi iki o ka poʻe kākoʻo i kēia)ʻano ana me ka 'eleu lapaau i ke kauka. Oe ke ole e holo aku au i kēia mea maʻi, no ka mea, mea fraught me ka nui complications, ola-na olelo hooweliweli au.