So wobrɛ bere nyinaa? Momma yensua thyroid nhwehwɛmu ho ade pɛpɛɛpɛ!

So ɛtɔ mmere bi a wote nka sɛ woabrɛ na wunni nkwa? Ɛmfa ho sɛnea wobɛda no, so saa ɔbrɛ no nnyae? Anaasɛ, so wo mu duru so tew anaa woyɛ kɛse mpofirim a wonyɛ nsakrae kɛse biara wɔ w’aduan mu? Ebia wote nka kɛkɛ sɛ wo bo fuw na wo ho yeraw wo. So wunim sɛ nea ɛde saa nneɛma yi ba ankasa betumi ayɛ ntini ketewaa bi a ɛte sɛ ntontom wɔ wo kɔn mu? Ɛnnɛ, yɛbɛka thyroid gland ne nhwehwɛmu ahorow a ɛkyerɛ sɛnea ɛyɛ adwuma no ho asɛm.

Sɛ yɛbɛka no tiawa a, dɛn ne saa thyroid ntini yi?

Fa no sɛ thyroid gland no ne wo nipadua no ahyɛde titiriw. Ɛte sɛ nhyehyɛe a ɛhwɛ kar engine so no. Ɛwɔ wo kɔn anim, wɔ wo kɔn mu dompe ase pɛɛ. Ne nsɛso te sɛ ɔkɔre a ɔtrɛw ne ntaban mu.

Ade kɛse a saa ntini ketewa yi yɛ ne sɛ ɛyɛ nkwaadɔm a ɛhwɛ sɛnea wo nipadua no de ahoɔden di dwuma, kyerɛ sɛ, wo nipadua mu nneɛma a ɛsakra no. Saa nkwaadɔm yi ka nneɛma pii, a nea ɛka ho ne wo koma bɔ, wo nipadua mu hyew, aduan a wodi, ne w’amemene no dwumadi. Enti nsakrae ketewaa bi mpo a ɛba saa ntini yi mu betumi aka wo nipadua nyinaa.

Dɛn nti na ɛsɛ sɛ yɛyɛ thyroid nhwehwɛmu?

Nneɛma atitiriw pii nti na ebia wo duruyɛfo bɛhyɛ sɛ wɔnyɛ thyroid nhwehwɛmu. Saa nhwehwɛmu ahorow yi betumi aboa ma woahu sɛ ebia nsakrae a ɛba thyroid dwumadi mu na ɛde ba anaa, titiriw sɛ wowɔ sɛnkyerɛnne ahorow a edidi so yi a:

• Ɔbrɛ ne nna a obi da bere nyinaa.
• Mu duru a ɛkɔ soro anaasɛ ɛso tew a ntease biara nnim.
• Sɛ obi te nka sɛ ne ho nyɛ no dɛ, ne bo fuw, anaasɛ ne ho yeraw no.
• Wora a ɛyɛ dry, ti nhwi a ɛtɔ.
• Fifiri a ɛboro so anaasɛ ontumi nnyina awɔw ano.
• Ntini mu yaw ne mmerɛwyɛ.
• Nneɛma a ɛnkɔ so pɛpɛɛpɛ wɔ mmea brayɛ mu.

Saa nhwehwɛmu ahorow yi betumi ahu tebea horow pii, a ɛfa thyroid ntini no ho titiriw.

Thyroid nhwehwɛmu ahorow atitiriw abien na ɛwɔ hɔ:

Wobetumi akyekyɛ nhwehwɛmu ahorow a wɔyɛ de hwehwɛ thyroid ntini no mu abien titiriw.

1. Thyroid mogya mu nhwehwɛmu: Eyinom susuw thyroid hormone dodow a ɛwɔ wo mogya mu, ne nnuru a ɛko tia nyarewa nso.

2. Thyroid mfoniniyɛ mu nhwehwɛmu: Wɔde eyinom hwɛ sɛnea ntini a ɛwɔ thyroid ntini no mu no te, ne kɛse, ne sɛnea ɛwɔ hɔ.

Afei momma yɛnka saa ahorow yi mu biara ho asɛm nkɔ akyiri kakra.

Ɔkwan bɛn so na mogya mu nhwehwɛmu yɛ adwuma?

Eyi yɛ adeyɛ a ɛyɛ mmerɛw yiye. Woyi mogya kakraa bi fi wo basa mu sɛnea wɔtaa yɛ no na wɔde kɔ lab ma wɔyɛ ho nhwehwɛmu. Worente ɛyaw biara nka wɔ saa adeyɛ yi mu. Mpɛn pii no, ɛho nhia sɛ wudi anaa wonom biribi titiriw biara ansa na woayɛ sɔhwɛ no. Nanso, sɛ wo duruyɛfo ma wo akwankyerɛ titiriw biara a, ɛsɛ sɛ wudi so.

Ɔkwan bɛn so na mfoninitwa sɔhwɛ ahorow yɛ adwuma?

Sɛ woyɛ mogya mu nhwehwɛmu wie a, sɛ wo duruyɛfo hia nsɛm pii fa nipadua mu tebea a ɛwɔ thyroid gland no ho, te sɛ ne kɛse, ne nsɛso, ne sɛ ebia ntini bi wɔ hɔ a, obetumi de wo akɔma wɔnyɛ mfoninitwa nhwehwɛmu.

• Thyroid Ultrasound: Eyi te sɛ scan a wɔyɛ wɔ ɛna a ɔrehwɛ kwan so no. Ɛnyɛ yaw. Ɛde nnyigyei asorɔkye di dwuma de yɛ thyroid ntini no ho mfonini a emu da hɔ. Eyi ho hia yiye na woahu sɛ ebia ntini bi wɔ kɔn no mu ne sɛnea wɔn su te.

• Thyroid Scan a Wɔde Hwɛ:Nea ɛka eyi ho ne sɛ wɔbɛhwɛ sɛnea thyroid ntini no kɛse ne ne gyinabea. Ɛtɔ mmere bi a, ebia ebehia sɛ wode biribi a ɛma mfonini ahorow no yɛ soronko, ade bi a ɛma mfonini ahorow no mu da hɔ, hyɛ wo nipadua mu. Wɔnam aduru ketewaa bi a radioactive iodine wom a wɔde ma anaasɛ wɔde ma sɛ aduru a wɔde twitwiw nipadua no so na ɛyɛ eyi. Nsuro asɛmfua ‘radioactive’, efisɛ dodow ketewaa bi pɛ na ahobammɔ wom nkutoo na wɔde di dwuma. Sɛ wɔde saa iodine yi ka thyroid ntini no ho a, ntini no bɛda adi pefee wɔ scan no so.

• Thyroid Uptake Test: Saa nhwehwɛmu yi kyerɛ sɛnea wo thyroid gland no reyɛ adwuma yiye. Wɔbɛma wo nsu anaa capsule a radioactive iodine wom nso ma woanom. Afei, nnɔnhwerew kakraa bi akyi, mpɛn pii no nnɔnhwerew 24 akyi no, wɔde afiri ketewaa bi a wɔfrɛ no gamma probe si wo kɔn anim de susuw iodine dodow a wo thyroid ntini no agye.
• Sɛ ntini no agye iodine pii a, ebetumi ayɛ hyperthyroidism ho sɛnkyerɛnne.
• Sɛ ntini no twetwe iodine kakraa bi dodo a , ebetumi ayɛ hypothyroidism ho sɛnkyerɛnne.

Sɔhwɛ mu aba ne dɛn na ɛba akyi?

Mpɛn pii no, wo nsa bɛka wo sɔhwɛ amanneɛbɔ ahorow wɔ nna kakraa bi mu. Afei wo duruyɛfo no bɛhwɛ amanneɛbɔ ahorow no mu na ɔne wo akasa akyerɛkyerɛ mu.

Sɛ nhwɛso no, TSH dodow:

• Sɛ wo TSH dodow dɔɔso sen sɛnea ɛte daa a, ɛkyerɛ sɛ wo thyroid ntini no ntumi nyɛ hormone a ɛdɔɔso. Eyi betumi ayɛ tebea bi a wɔfrɛ no hypothyroidism. Esiane sɛ thyroid ntini no ntumi nyɛ adwuma yiye nti, amemene no kɔ so bɔ mmɔden sɛ ɛde TSH nkrasɛm bɛmena akyerɛ no sɛ "ɔnyɛ adwuma, yɛ adwuma."
• Sɛ wo TSH dodow sua sen sɛnea ɛte daa a, ɛkyerɛ sɛ wo thyroid ntini no reyɛ hormone pii dodo. Eyi betumi ayɛ tebea bi a wɔfrɛ no hyperthyroidism. Esiane sɛ ntini no yɛ adwuma boro so nti, amemene no gyae TSH nkrasɛm a ɛde mena.

Ɛtɔ mmere bi a, ebia sɔhwɛ biako pɛ rentumi mma wonnya mfonini a edi mũ. Sɛ ɛba saa a, wo duruyɛfo betumi ahyɛ sɛ wɔnyɛ nhwehwɛmu foforo. Sɛ scan hu biribi te sɛ akuru a, wobetumi ayɛ biopsy (FNA - fine needle aspiration) de ahu sɛ ɛyɛ kokoram anaa.