Ðe wò kɔ vuvua? Mina míaƒo nu tso goiter ŋu!

Anɔ eme be vɔvɔ̃ ɖoa ame geɖe vie ne wokpɔ abi sue aɖe le woƒe kɔ ŋu, alo? Nu kae nye esia? Ðewohĩ èse ' Gout ' ŋkɔ kpɔ. Egbea míele nu ƒom tso nɔnɔme sia ŋu, si woyɔna le atikewɔwɔ me be `( Goiter )`. Mègavɔ̃ o, nu vevitɔ kekeakee nye be nànya esia.

Nukae nye lãkusi sia?

Enyo, gbã la, mina míakpɔ nusi `(Goiter)` alo thyroid gland sia nye ɖa. Lãmetsiŋusẽdɔlékui sia nye lãkusi sue aɖe si le abe kpakpaluʋui ene le wò kɔ me, vevietɔ le kɔmeƒu te tututu. Esia nye míaƒe ŋutilã ƒe `( Endocrine system )` ƒe akpa aɖe.

Togbɔ be lãmetsiŋusẽ siwo thyroid gland wɔna le sue hã la, wole vevie ŋutɔ. Lãmetsiŋusẽ vevi eve siwo wowɔna le afisiae nye thyroxine (si woyɔna zi geɖe be `(T4)`) kple triiodothyronine (si woyɔna hã be `(T3)`). Lãmetsiŋusẽ siawo kpɔa gome le dɔ vevi geɖe ŋutɔ me le míaƒe ŋutilã me. Le kpɔɖeŋu me:

• Míaƒe ŋutilã ƒe lãmenugbagbeviwo ƒe dɔwɔwɔe nye alesi nuɖuɖu si míeɖuna la trɔna zua ŋusẽ.
• Ŋutilã ƒe dzoxɔxɔ dzi ɖuɖu .
• Nuwo abe míaƒe seselelãme , dzimaɖitsitsi, kple bubuawo ene.
• Dzi ƒe tsotso .
• Nuɖuɖumeŋusẽ ƒe ɖoɖo .

Èkpɔa, togbɔ be ele sue hã la, ewɔa dɔ geɖe. Eya ta ne ɖeko lãkusi sia vuvu, alo ewɔa lãmetsiŋusẽ geɖe akpa alo mesɔ gbɔ akpa o hã la, kuxiwo ate ŋu ado mo ɖa le mía ŋu.

Eyata ɖe kpe sia ƒomevi aɖewo lia?

Ẽ, woate ŋu ade goiter sia hatsotso eve me. Ðeka le alesi wòtsinae nu. Bubu la le wò lãkusi me lãmetsiŋusẽ ƒe agbɔsɔsɔ nu.

Woda wo ɖe hatsotsowo me le alesi wotsina nu:

• Simple alo Diffuse Goiter: Esiae nye esime lãkusi bliboa vuvu eye wòsena le eɖokui me be efa ne woka asi eŋu.
• Nodular Goiter: Le esia me la, ƒunukpeƒetetedɔ (nodule) sesẽ alo tsi si yɔ fũu la dona le lãkusia me, eye wòsena le eɖokui me abe ƒunukpeƒetetedɔ ene ne woka asi eŋu.
• Multinodular Goiter: Esiae nye esime nodules geɖe va dona le thyroid gland la me. Woate ŋu akpɔ nodules siawo tso gota alo woate ŋu akpɔ wo le dodokpɔwo me ko.

Wodae ɖe hatsotsowo me le lãkusi me lãmetsiŋusẽ ƒe agbɔsɔsɔ nu:

• Toxic Goiter: Le esia me la, thyroid gland la vuvu eye wòwɔa thyroid hormone fũ akpa. Esia hea nɔnɔme aɖe si woyɔna be hyperthyroidism vɛ.
• Nontoxic Goiter: Le go sia me la, lãkusia vuvu, gake lãmetsiŋusẽ ƒe agbɔsɔsɔ ya sɔ. Esia fia be ʋumenugbagbeviɣidɔ alo ʋumenugbagbeviɣidɔ, si nye nɔnɔme si me lãkusi me lãmetsiŋusẽ ƒe agbɔsɔsɔ si mede ame dzi le o, meli o. Ðɔktawo yɔa nɔnɔme sia hã be euthyroid.

Ɣeaɖewoɣi la, ɖɔktawo ƒoa ƒomevi eve siawo nu ƒu ɖekae. Le kpɔɖeŋu me, ``Toxic Multinodular Goiter'' nye nɔnɔme si me nodules geɖewo dzɔna le thyroid gland me eye wowɔa lãmetsi siwo sɔ gbɔ.

Amekae ate ŋu axɔ aɖuɖɔtoemekpe sia ƒomevi wu?

Le nyateƒe me la, amesiame ate ŋu axɔ goiter. Gake wogblɔ be nyɔnuwo ate ŋu axɔe zi gbɔ zi ene wu ŋutsuwo . Azɔ hã, afɔku si le goiter xɔxɔ me dzina ɖe edzi ne ame tsi. Ebɔ wu le ƒe 40 xɔxɔ megbe .

Tsɔ kpe ɖe eŋu la, amesiwo ŋu dɔléle siawo le hã ate ŋu axɔ aɖuɖɔtoemekpewo:

• Amidada
• Insulin ƒe dɔlélenutsiŋutete
• Lãmetsiŋusẽ ƒe dɔléle

Azɔ hã, ne wodo keklẽŋusẽ ɖe ta kple kɔ dzi na wò abe atikewɔwɔ ene, alo ne wò ƒomea me tɔ aɖe xɔ thyroid dɔléle le wò ƒomea me la , ke àte ŋu axɔ goiter hã.

Aleke gbegbee nɔnɔme sia bɔe?

Le nyateƒe me la, aɖuɖɔtoe me dɔdzẽ nye dɔléle si bɔ vie. Le kpɔɖeŋu me, le United States la, ame siwo ade 5% ye le eŋu.

Gake le xexeame katã la, nusi koŋ gbɔ goiter tsonae nye iodine ƒe anyimanɔmanɔ . Wogblɔ be ame siwo ade miliɔn 2.2 ye kpea fu le kuxi sia me.

Alesi wòate ŋu adzɔe be ame naxɔ goiter la toa vovo le alesi iodine ƒe agbɔsɔsɔ si mede ame dzi o nu:

• Ne iodine ƒe agbɔsɔsɔ si mede ame dzi o le eme la , mɔnukpɔkpɔ li be woaxɔ goiter tso 5% va ɖo 20%.
• Ne iodine ƒe anyimanɔmanɔ le titina , dzina ɖe edzi va ɖoa 20% va ɖo 30%.
• Ne iodine ƒe anyimanɔmanɔ nu sẽ , alesi wòate ŋu adzɔe be goiter naxɔ ame ate ŋu adzi ɖe edzi va ɖo wu 30%.

Dzesi kawoe makpɔ ne ʋumenugbagbeviɣidɔ le ŋunye?

Goiter ƒe lolome ate ŋu atso sue ŋutɔ, si womedea dzesii tututu o, va ɖo gã ŋutɔ. Zi geɖe la, vevesese aɖeke menɔa goiter ŋu ​​o. Gake ne thyroiditis le ŋuwò, si nye ɣeyiɣi si me wò thyroid gland vuvu hebiã la, àte ŋu ase veve.

Woate ŋu akpɔ dzesi veviawo be:

• Ewɔna na wò abe ƒunukpeƒetetedɔ aɖe le wò kɔ ƒe ŋgɔgbe ene , le kɔmeƒua te tututu.
• Sese le ame ɖokui me be nane tsi ŋɔti me .
• Gbeɖiɖi ƒe ɖiɖi (gbe ƒe tɔtrɔ).
• Edze abe ʋuka siwo le kɔa me la le ʋuʋum ene.
• Taɖuame ƒe seselelãme ne èkɔ abɔwo ɖe ta dzi.

Dzesi bubuwo li, siwo mebɔ boo o:

• Yagbɔgbɔ kpuie .
• Kpe.
• Gbeɖiɖi si le ɣli dom ne wole gbɔgbɔm (le yaƒoƒomɔ̃ ƒe xexe ta).
• Nu mimi sesẽ (le nuɖuɖutome ƒe xexe ta).

Ame aɖewo hã ate ŋu axɔ dɔléle aɖe si woyɔna be hyperthyroidism, si nye thyroid lãmetsiwo ƒe dzidziɖedzi kpe ɖe goiter ŋu. Ne esia dzɔ la, dzesiwo abe:

• Dzi ƒe tsotso kabakaba (Tachycardia) .
• Be woanye ame tsɛ le susu aɖeke manɔmee .
• Dɔmetɔtrɔ.
• Fifia kamedede manɔmee alo ne xɔa me ƒe dzoxɔxɔ mekɔ akpa o gɔ̃ hã.
• Ŋutilã ƒe ʋuʋu.
• Dzitsitsi.

Azɔ hã, dɔléle aɖe ate ŋu anɔ ame aɖewo ŋu si woyɔna be ʋumenugbagbeviɣidɔ, si nye dɔléle si me ʋumenugbagbeviɣidɔ ƒe lãmetsiwo dzi ɖena kpɔtɔna tsɔ kpe ɖe ʋumenugbagbeviɣidɔ ŋu. Le go sia me la, àte ŋu akpɔ dzesiwo abe:

• Ðeɖiteameŋu ƒe seselelãme ŋutɔ (Ðeɖiteameŋu) .
• Miléle.
• Ŋutilã si ƒu.
• Wole lolom ɖe edzi le susu aɖeke manɔmee .
• Dzinukpɔkpɔ si mebɔ o le nyɔnuwo me.

Nukatae gallstone sia dzɔna? Nukawoe gbɔ wòtsona?

Le nyateƒe me la, goiter nye wò lãkusi ƒe lãmenugbagbeviwo ƒe ŋuɖoɖo ɖe nɔnɔme ɖesiaɖe si doa kplamatse lãkusi ƒe lãmetsiwo ƒe wɔwɔ ŋu. Togbɔ be iodine ƒe anyimanɔmanɔe nye nu vevitɔ si hea goiter vɛ le xexeame katã hã la, nu bubu geɖewo hã li siwo gbɔ wòtsona.

Nusiwo ate ŋu ana aɖuɖɔtoe me kpewoe nye:

• Iodine ƒe anyimanɔmanɔ: Wò lãkusi hiã iodine be wòate ŋu awɔ lãkusi me lãmetsiwo. Ne mèkpɔ iodine si sɔ tso nuɖuɖu si nèɖuna me o la, lãkusia dzea agbagba be yeawɔ lãkusi me lãmetsi geɖe. Ewɔa lãmenugbagbevi geɖe, si fia be elolona. Esiae nye susu vevitɔ le xexeame katã. Gake le dukɔwo abe Sri Lanka ene me la, esia dzi ɖe kpɔtɔ vie le dze si me iod le zazã ta. Míate ŋu akpɔ iodine agbɔsɔsɔme si hiã tso ƒumelãwo, nyinotsibabla, kple dze si me iodine le me. Gake iodine kpeɖeŋutɔ nono atikewɔlawo ƒe aɖaŋuɖoɖo manɔmee mesɔ na ame geɖe o, elabena ate ŋu ahe lãmesẽkuxi bubuwo vɛ.
• Graves ƒe dɔléle: Esia nye dɔléle si dɔlélenutsiŋutete ƒe dɔlélenutsiŋutete wɔna. Esia fia be wò ŋutɔ wò dɔlélenutsiŋutete dzea wò lãkusi dzi, si wɔnɛ be wòlolona. Graves ƒe dɔlélea ate ŋu ahe nɔnɔme aɖe si woyɔna be hyperthyroidism hã vɛ, eye wòhiã be woadae.
• Hashimoto ƒe dɔléle: Esia hã nye dɔléle si dɔlélenutsiŋutete ŋutɔ wɔna. Enaa thyroid gland la vuvu. Le ame aɖewo gome la, Hashimoto ƒe dɔlélea nana lãkusia lolona abe nɔnɔme si woatsɔ axe fe ɖe eta ene. Zi geɖe la, goiter sia ƒomevi va nyona ɖe edzi le eɖokui si ne ɣeyiɣiawo va le yiyim. Gake ehiã be ame aɖewo siwo ŋu Hashimoto ƒe dɔlélea le nano thyroid hormone ƒe atikekuiwo.
• Lãmetsiŋusẽ ƒe dɔdzẽ:Kansa si le lãkusi me hã ate ŋu ana lãkusia nalolo.
• Fufɔfɔ: Le fufɔɣi la, lãkusi ateŋu alolo vie le lãmetsi si nye ``Human Chorionic Gonadotropin (HCG)'' si wowɔna le nyɔnu ƒe ŋutilã me ta.
• Thyroiditis: Thyroid gland ŋutɔ ƒe dɔdzẽ hã ate ŋu ana gland la nalolo. Susu geɖewo ate ŋu anɔ esia ta.

Ɣeaɖewoɣi la, goiters ate ŋu adze ame dzi susu aɖeke koŋ manɔmee. Míeyɔa wo be ``Sporadic goiters``. Atike aɖewo hã ate ŋu ahe esia vɛ. Le kpɔɖeŋu me, atike si nye ``Lithium``, si wozãna tsɔ daa tagbɔdɔ aɖewo, ateŋu ahe goiter sia ƒomevi vɛ.

Aleke tututu ɖɔktawo dea dzesi esia?

Ne èyi ɖɔkta gbɔ la, woate ŋu alé ŋku ɖe wò kɔ ŋu be thyroid gland lolo hã to esese me. Gake goiter fia be kuxi aɖe le wò lãkusi ŋu. Eyata ele be nàdi nusi kuxi ma nye.

Ðɔktawo wɔa dodokpɔ geɖe na ema:

• Lãmesẽdodokpɔ: Abe alesi megblɔe va yi ene la, ɖɔktaa ase wò kɔ ƒe akpa aɖe be yeakpɔe ɖa be ƒu alo vevesese aɖe le eŋu hã.
• Thyroid ʋudodokpɔ: Ʋudodokpɔ siawo dzidzea thyroid hormone ƒe agbɔsɔsɔ. Esia ate ŋu akpe ɖe ame ŋu wòanya nenye be lãkusia le dɔ wɔm nyuie.
• Dɔlékuiwutikewo dodokpɔ: Ʋudodokpɔ sia dia dɔlékuiwutike tɔxɛ siwo goiter ƒomevi aɖewo wɔna. Dɔlékuiwutikewo nye protein siwo míaƒe ʋumenugbagbevi ɣiwo wɔ. Esiawoe kpɔa mía ta tso dɔlékui siwo hea dɔléle vɛ la si me.
• Thyroid ultrasound: Ultrasound nye dodokpɔ si me wozãa gbeɖiɖi ƒe ƒutsotsoe siwo ƒe tsɔtsɔme sesẽ tsɔ toa ŋutilã ƒe lãkusiwo me. Woɖea nɔnɔmetata siwo do tso eme la fiana le kɔmpiuta dzi. Emegbe ɖɔktaa ate ŋu “akpɔ” lãkusia, akpɔ eƒe lolome kple ne ƒunukpeƒe aɖewo le eŋu hã.
• Biopsy: Biopsy nye dɔdamɔnu si me woɖea lãkusi alo lãmenugbagbeviwo ƒe kpɔɖeŋu aɖe hedoa wo kpɔna le dodokpɔxɔ me. Ne ƒu gã aɖe le wò lãkusi me la, ahiã be woaɖe wò lãkusi. Zi geɖe la, wowɔa esia be woatsɔ aɖe kansa ɖa.
• Thyroid ƒe xɔxlɔ̃ kple eƒe scan: Nɔnɔmetatawo dodokpɔ sia naa nyatakaka tso thyroid gland ƒe lolome kple dɔwɔwɔ ŋu. Ebia be woado keklẽŋusẽ sue aɖe ŋutɔ ɖe ʋuka aɖe me eye woawɔ lãkusi ƒe nɔnɔmetata le kɔmpiuta dzi. Gake menye ɣesiaɣie wowɔa dodokpɔ sia o eye nɔnɔme tɔxɛwo me koe wòɖea vi le.
• CT-dɔdamɔnu alo MRI (Magnetic Resonance Imaging): .Ne aɖuɖɔtoeawo lolo ŋutɔ alo kaka ɖe akɔta la, woate ŋu awɔ CT-dɔdamɔnu alo MRI atsɔ adzidze aɖuɖɔtoeawo ƒe lolome kple eƒe kaka.

Ðe aɖuɖɔtoemekpewo anyo le wo ɖokui sia?

Goiter bɔbɔe ate ŋu ahaya le eɖokui si le ɣeyiɣi aɖe megbe, atike aɖeke mawɔmawɔe.

Goiters geɖe, abe multinodular goiters ene, va dona ne thyroid hormone ƒe agbɔsɔsɔ sɔ. Ne ɖɔkta nya kpɔ dɔlélea ko la, mehiã be woawɔ atike aɖeke koŋ o. Gake àte ŋu anɔ afɔku me be ʋumenugbagbeviɣidɔ alo ʋumenugbagbeviɣidɔ si gbɔ eme nadze dziwò le etsɔme.

Gake ne ède dzesii be wò lãkusia lolo la, ele vevie ŋutɔ be nàyi ɖɔkta gbɔ . Elabena nu geɖe li siwo gbɔ goiter tsona, eye wo dometɔ aɖewo hiã atikewɔwɔ.

Dɔdamɔnu kawoe li?

Atikewɔwɔ na goiter nɔ te ɖe alesi wò lãkusi loloe, nusiwo nye wò dzesiwo, kple nusi gbɔ wòtso dzi. Atikewɔwɔmɔnu vovovowo li:

• Atike aɖeke meli o / “Watchful waiting”: Ne goiter le sue eye mele fu ɖem na wò o la, wò ɖɔkta ate ŋu atso nya me be atikewɔwɔ mehiã o. Gake alé ŋku ɖe wò lãkusi ŋu nyuie be tɔtrɔwo nava.
• Atikewo:
• Levothyroxine (e.g. Levothroid®, Synthroid®) nye atike si wozãna tsɔ ɖɔlia ʋumenugbagbeviɣidɔ. Wò ɖɔkta ate ŋu aŋlɔ atike sia na wò ne thyroid hormone ƒe agbɔsɔsɔ si bɔbɔ (hypothyroidism) gbɔe wò goiter tso.
• Ne nusi gbɔ goiter tsonae nye thyroid hormones ƒe dzidziɖedzi (Hyperthyroidism) la, wonaa atike bubuwo. Kpɔɖeŋu aɖewoe nye Methimazole (e.g. Tapazole®) kple Propylthiouracil.
• Ne nusi gbɔ aɖuɖɔtoeawo tsoe nye abi la, ɖɔkta ate ŋu aŋlɔ aspirin alo corticosteroid na ame.
• Radioactive iodine therapy: Wozãa atike sia tsɔ daa ʋumenugbagbeviɣidɔ si gbɔ eme. Le atikewɔwɔ sia me la, wonoa iodine si me keklẽŋusẽ le to nu me. Iodine sia gena ɖe thyroid gland me eye wògblẽa thyroid cells, si wɔnɛ be gland la dzi ɖena kpɔtɔna. Le atikewɔwɔ sia megbe la, ɖewohĩ ahiã be nàno atikekui siwo wotsɔ ɖɔlia thyroid hormone le wò agbemeŋkekewo katã me.
• Amekoko: Wò ɖɔkta ate ŋu aɖo aɖaŋu na wò be nàwɔ amekoko si woyɔna be thyroidectomy be wòaɖe wò thyroid gland katã alo eƒe akpa aɖe ɖa. Amekoko ate ŋu ahiã ne goiter lolo eye wòna gbɔgbɔ alo nu mimi sesẽ. Wozãa amekoko hã ɣeaɖewoɣi tsɔ ɖea lãkusiwo ɖa. Zi geɖe la, ehiãna be woawɔ dɔ na ame ne kansa le ame ŋu. Le alesi woɖe lãkusi si woɖe ɖa nu la, ahiã be nàno atikekui siwo woatsɔ aɖɔli lãkusi me lãmetsiŋusẽtikewo le wò agbemeŋkekewo katã me.

Ðe míate ŋu axe mɔ ɖe esia nua?

Iodine ƒe anyimanɔmanɔ ƒe goiter (simple goiter) koe nye goiter ƒomevi ɖeka kolia si míate ŋu axe mɔ na zi geɖe. Woate ŋu axe mɔ ɖe goiter sia ƒomevi nu ne wotsɔ tɔmelã, nyinotsibabla, kple dze si me iod le (kplɔ̃ dzi dze) si sɔ de nuɖuɖua me. Le goiter ƒomevi bubuwo gome la, zi geɖe la, womeɖoa aɖaŋu be woano iodine kpeɖeŋutɔ alo kpeɖeŋutɔ bubuwo atikewɔlawo ƒe aɖaŋuɖoɖo manɔmee o. Woate ŋu agblẽ nu geɖe wu nyui.

Nukae nye nɔnɔme sia ƒe mɔkpɔkpɔ? (Nyagblɔɖi) .

Alesi woagblɔ aɖuɖɔtoemekpe ƒe ŋgɔdonya nɔ te ɖe eƒe ƒomevi kple nusi gbɔ wòtso dzi.

Nukpɔsusu nyui aɖe le goiter bɔbɔe si. Gake ne lãkusia yi edzi le lolom la, ate ŋu atutu lãmenugbagbevi siwo ƒo xlãe, si ana gbɔgbɔ, nu mimi, eye wòasesẽ.

Ne goiter nye lãkusi ƒe dɔléle bubu abe Graves ƒe dɔléle alo Hashimoto ƒe dɔléle ene ƒe dzesi la, ke nukpɔsusua nɔ te ɖe nusi gbɔ wò lãkusi ƒe lolome tso dzi.

Ɣekaɣie wòle be makpɔ ɖɔkta tso nye aɖuɖɔtoemekpewo ŋu?

Susu ka kee ɖale eŋu o, ne wokpɔe be goiter le ŋuwò la, ele vevie ŋutɔ be nàyi ɖɔkta gbɔ edziedzi (zi ɖeka ya teti le ƒea me) be nàlé ŋku ɖe eŋu.

Ne dzesi yeye aɖewo dze le ŋuwò la, ƒo nu kple wò ɖɔkta.

Wò lãkusi nye lãkusi vevi aɖe ŋutɔ le wò lãmenugbagbeviwo ƒe dɔwɔwɔ me, eye wògblẽa nu le nu geɖe ŋu le wò ŋutilã me. Lãmetsiŋusẽ si lolo ate ŋu anye ʋumenugbagbeviɣidɔ aɖe si le ete ƒe dzesi. Nya nyuiae nye be woate ŋu ada goiters eye ɣeaɖewoɣi la, wodzona le wo ɖokui si. Ne ède dzesii be ƒu aɖe le wò kɔ ƒe ŋgɔgbe la, ƒo nu kple wò ɖɔkta. Ate ŋu akpɔe ɖa be goiter ye kple nusi gbɔ wòtso hã.

Gbedasi Mamlɛtɔ si Wotsɔ Yi Aƒeme

Enyo, eyata le nusiwo me míedzro me la, mele mɔ kpɔm be èse Goiter gɔme nyuie wu. Kpuie ko la:

• Goiter nye lãkusi ƒe vuvu. Esia ate ŋu atso nu geɖe gbɔ.
• Ne ède dzesi nane abe kɔ ƒe vuvu, nu mimi sesẽ, gbɔgbɔ sesẽ, alo gbe ƒe tɔtrɔ ene la, kpɔ egbɔ be yebia atikewɔlawo ƒe aɖaŋuɖoɖo.
• Menye aɖuɖɔtoemekpewo katãe hiã be woawɔ atike na wo o, gake ele vevie be woadi nusi gbɔ wòtso eye woadi atike ne ehiã.
• Togbɔ be iodine ƒe anyimanɔmanɔ nye nu vevi aɖe si gbɔ wòtsona le xexeame hã la, nɔnɔmea mesɔ gbɔ le míaƒe dukɔa me o le dze si me iodine le ta.
• Mègano thyroid hormones alo iodine atikekuiwo ɖɔktawo ƒe aɖaŋuɖoɖo manɔmee gbeɖe o.
• Ne goiter le ŋuwò la, ele vevie ŋutɔ be nàdo wò kpɔ edziedzi abe alesi wò ɖɔkta gblɔe ene.

Naneke meli woavɔ̃ o, woate ŋu akpɔ nɔnɔme siawo gbɔ nyuie le atikewɔlawo ƒe mɔfiame nyuitɔ te.