Ðe thyroid nodules le wò kɔ mea? Mina míasrɔ̃ nu tso esia ŋu vɔvɔ̃manɔmee!

Ðe nèse ƒuƒu alo tsitsi sue aɖe le wò kɔ ƒe ŋgɔgbe kpɔa? Alo ɖewohĩ ɖɔkta aɖe do wò kpɔ eye wògblɔ be, “Nu aɖe le wò lãkusi ŋu.” Esɔ be vɔvɔ̃ naɖo ŋuwò vie ne èse nya sia. Gake mègatsi dzi o! Zi geɖe la, thyroid nodules meɖea fu na ame o. Ke hã, ele vevie be nànɔ ŋudzɔ ɖe wo ŋu. Egbea, mina míaƒo nu tso thyroid nodules ŋu le nya bɔbɔewo me.

Nukae Nye Thyroid Nodules?

Kpuie ko la, thyroid nodule nye lãmenugbagbeviwo ƒe tsitsi si mesɔ o le wò thyroid gland me, abe ƒunukpeƒetetedɔ sue aɖe ene.

Bu eŋu kpɔ, le míaƒe kɔ ƒe ŋgɔgbe, le kɔmeƒu te tututu la, lãkusi sue aɖe si le abe kpakpaluʋui ene. Emae nye nusi míeyɔna be lãkusi . Le nyateƒe me la, esia nye lãmenugbagbeviwo ƒe dɔwɔwɔ le míaƒe ŋutilã me. Ewɔa lãmetsiŋusẽ eve siwo le vevie ŋutɔ na míaƒe ŋutilã , siwo nye thyroxine (T4) kple triiodothyronine (T3) . Lãmetsiŋusẽ siawo kpɔa ŋusẽ ɖe nu geɖe dzi le míaƒe ŋutilã me. Le kpɔɖeŋu me:

• Na míaƒe ŋutilã ƒe lãmenugbagbeviwo ƒe dɔwɔwɔ nanɔ dɔ wɔm nyuie.
• Kpɔ ŋutilã ƒe dzoxɔxɔ dzi.
• Kpɔ míaƒe seselelãme kple dzidzɔkpɔkpɔ dzi.
• Kpɔ wò dzi ƒe tsotso kple dzi ƒe tsotso dzi .
• Miɖu nuɖuɖu nyuie.

Eyata, ƒunukpeƒetetedɔ mawo ate ŋu adzɔ le lãkusi si wɔa nu vevi geɖe la me. Woate ŋu ama ƒunukpeƒetetedɔ siawo hã ɖe hatsotso siwo me:

• Ðewohĩ ƒu ɖeka koe anɔ anyi (solitary nodule) .
• Ate ŋu anye be nodules geɖe hã anɔ anyi .
• Ðewohĩ tsi, si míeyɔna be cystic nodules , ayɔ ƒuƒoƒo aɖewo me fũ.
• Wo dometɔ aɖewo ate ŋu anye nu sesẽwo, woyɔa wo be nodules sesẽwo .

Nu vevitɔe nye be ƒunukpeƒetetedɔ siawo siwo wokpɔna le ame tsitsiwo ŋu ƒe 90% kple edzivɔ menye kansa o alo esiwo ŋu dɔléle aɖeke mele o . Ema fia be womenye kuxi gã aɖeke o. Gake wo dometɔ 4 va ɖo 6.5 le alafa me (4.0% va ɖo 6.5%) ate ŋu anye lãkusi me dɔdzẽ . Eyata ne ƒunukpeƒetetedɔ le ŋuwò la, ele vevie be nàkpɔ egbɔ be menye kansae o. Ɣeaɖewoɣi la, ƒunukpeƒetetedɔ siawo ate ŋu anye lãkusidɔ bubu ƒe dzesi.

Amekae ate ŋu axɔ thyroid nodules siawo wu?

Le nyateƒe me la, ame sia ame ate ŋu axɔ thyroid nodule. Ate ŋu adze ɖeviwo, ame tsitsiwo, kple ame sia ame dzi. Gake nyɔnuwo ate ŋu axɔe zi gbɔ zi ene wu ŋutsuwo.Anɔ eme be ʋuʋudedi siawo dzɔna wu.

Azɔ hã, amesiwo le dukɔ siwo me womedea iodine dea woƒe nuɖuɖu me o me la ate ŋu axɔ nɔnɔme siawo, elabena iodine hiã vevie hafi lãkusia nate ŋu awɔ lãmetsiŋusẽwo.

Nu bubu aɖewo hã li siwo dzia afɔku si le thyroid nodules xɔxɔ me ɖe edzi:

• Ne èxɔ thyroid keklẽŋusẽdɔ na wò va yi .
• Ne wò ƒomea me tɔ aɖe xɔ thyroid nodules alo thyroid cancer (ƒome ŋutinya).
• Afɔkua dzina ɖe edzi ne ame tsi .
• Le amesiwo ŋu ʋusɔgbɔdɔ si me iron mele o le gome la .
• Le amesiwo noa sigaret gome (Atamanono) .
• Le amesiwo lolo akpa gome la .
• Le amesiwo ŋu metabolic syndrome le gome la .
• Le amesiwo noa aha sesẽ gome (Ahanono) .
• Le amesiwo ƒe tsitsiŋusẽ si le abe Insulin ene-1 (lãmetsiŋusẽ aɖe) sɔ gbɔ ɖe ŋutilã me gome.
• Nyɔnu siwo ŋu vidzidɔ me fibroids le .

Aleke gbegbee thyroid nodules bɔe?

Le nyateƒe me la, nusiawo bɔ ŋutɔ. Ðɔkta akpɔ ƒunukpeƒetetedɔ siawo le ame tsitsi 5% va ɖo 7% ŋu le ŋutilãmedɔdada si wowɔna edziedzi me. Gake ultrasound ate ŋu akpɔe be ame tsitsi siwo ade 20% va ɖo 76% ye ŋu ƒunukpeƒetetedɔ siawo le. Esia fia be woate ŋu anɔ ame geɖe si evɔ womenyae gɔ̃ hã o.

Gake nusiawo mebɔ ɖe ɖevi suewo dome nenema gbegbe o.

Ðe wòle be míavɔ̃ na thyroid nodule aɖea?

Zi geɖe la, thyroid nodules menyea nusi ŋu woatsi dzi ɖo o. Abe alesi míegblɔe va yi ene la, wo dometɔ akpa gãtɔ nye amesiwo mewɔa nuvevi ame o . Gake alafa memamã sue aɖe ŋutɔ ate ŋu anye lãkusi me dɔdzẽ , eyata ne èva nya be ƒunukpeƒetetedɔ le ye ŋu la, ele be nàyi ɖɔkta gbɔ godoo be woadoe kpɔ. Ne kansae la, zi alesi wokpɔe kaba hedae la, zi nenemae wòanyo wu .

Ðo ŋku edzi be mègatsi dzodzodzoe ne èkpɔ ƒunukpeƒetetedɔ aɖe eye nèsusu be kansae o. Gake, ele be nàna ɖɔkta nadoe kpɔ godoo.

Nukawoe nye thyroid nodules ƒe dzesiwo?

Thyroid nodules akpa gãtɔ mehea dzesi aɖeke vɛ o, si fia be ɖewohĩ màde dzesi naneke o. Gake ne lãkusi geɖe le ŋuwò, alo ne lãkusia lolo la, àte ŋu ase egɔme le wò kɔ me.

Ƒã ŋutɔ hafi ne ƒunukpeƒewo lolo ŋutɔ la, àte ŋu akpɔ dzesi siwo gbɔna:

• Nuɖuɖu alo tsi mimi ƒe kuxi , gbɔgbɔ ƒe kuxi. Bu eŋu kpɔ, ne èse le ɖokuiwò me be nane tsi yeƒe ŋɔti me ne èle nu ɖum, alo ne èse le ɖokuiwò me be esesẽna be yeano tsi vi aɖe gɔ̃ hã...
• Gbeɖiɖi alo gbe ƒe tɔtrɔ.
• Vevesese le kɔ ƒe ŋgɔgbe.
• Woyɔa lãkusi ƒe vuvu hã be goiter .

Nodules aɖewo, vevietɔ thyroid nodules siwo wɔa dɔ akpa , dzea thyroid hormone geɖe wɔwɔ gɔme, si nye nɔnɔme si woyɔna be hyperthyroidism . Dzesiawo dometɔ aɖewoe nye:

Lãmetsiŋusẽ ƒe dzidziɖedzi ƒe dzesiwo (Hyperthyroidism) .

• Dzi ƒe tsotso kabakaba alo dzi ƒe tsotso .
• Sese le eɖokui me be yele ʋuʋum eye/alo yetsi dzodzodzoe ɣesiaɣi.
• Weight loss , togbɔ be nuɖuɖu ƒe dzodzro dzina ɖe edzi hã.
• Nuɖuɖudzroame ƒe dzidziɖedzi .
• Aɖuɖɔtoe kple dɔgbo ƒe ʋuʋu enuenu wu .
• Alɔ̃dɔdɔ sesẽ .
• Thyroid gland si lolo alo goiter .
• Dzinukpɔkpɔ si mesẽ o alo esi to nyɔnuwo ŋu.

Azɔ hã, ame aɖewo siwo ŋu thyroid nodules le ate ŋu anye thyroid hormone ƒe agbɔsɔsɔ si mede o. Woyɔa esia be ʋumenugbagbeviɣidɔ . Dzesiawoe nye esi:

Dzesi siwo fia be lãmetsiŋusẽ ƒe agbɔsɔsɔ si mede ame dzi o (Hypothyroidism) .

• Ðeɖiteameŋu ƒe seselelãme ɣesiaɣi (Ðeɖiteameŋu) .
• Asiwo ƒe ʋuʋu kple ʋuʋudedi le wò asiwo me.
• Kpekpeme ƒe dzidziɖedzi .
• Ŋutilã ƒuƒu kple ɖa ƒuƒu .
• Miléle .
• Blanuiléle, alo susu me blanuiléle .
• Dzinukpɔkpɔ si nu sẽna enuenu le nyɔnuwo me.

Nukatae thyroid nodules siawo dzɔna? Nukawoe gbɔ wòtsona?

Numekulawo menya nusita tututu thyroid nodules akpa gãtɔ dona haɖe o. Ke hã, woate ŋu atsi le susu vovovowo ta. Nodules ƒomevi vovovowo li:

• Colloid ƒe lãkusiwo:Esiawoe nye esiwo bɔ wu. Wotsoa lãmenugbagbevi siwo sɔ ƒe tsitsi fũ gbɔ. Menye kansa (siwo me dɔlékui aɖeke mele o) ye wonye o. Woate ŋu atsi lolo, gake womekakana yia ŋgɔ wu thyroid gland o.
• Thyroid cysts: Esiawo nye ƒu siwo me tsi yɔ fũ, alo woƒe akpa aɖe nye tsi eye woƒe akpa aɖe nye nu sesẽ. Afɔku sue aɖe koe le wo me be woazu kansa (dɔléle vɔ̃ɖi). Ne wololo wu sentimeta 2 la, ɖɔktawo alé ŋku ɖe wo ŋu alo awɔ woƒe ŋutilã ƒe akpa aɖewo ɖeɖe .
• Dɔdzẽ ƒe ƒunukpeƒetetedɔ: Esiawo tsoa lãkusi ƒe dɔdzẽ si nɔa anyi didi gbɔ . Woate ŋu anye vevesese alo vevesese manɔmee.
• Multinodular goiter: Ɣeaɖewoɣi la, thyroid gland la lolona le nodules geɖe (goiter) ta. Zi geɖe la, menye kansae nodules siawo nyea o.
• Thyroid nodules siwo wɔa dɔ fũu akpa: Nodules siawo wɔa thyroid hormone bubuwo. Esia ate ŋu ana ʋumenugbagbeviɣidɔ , si hiã be woawɔ atike nɛ.
• Thyroid cancer: Ne míele nu ƒom tso thyroid ƒuƒu ŋu la, nusi míevɔ̃na wue nye nenye be kansae. Dzɔgbenyuietɔe la, ʋumenugbagbeviɣidɔ mebɔ kura o. Lãmetsiŋusẽ ƒe ƒunukpeƒewo katã ƒe 6.5% mede kansa o .

Aleke nàwɔ anya nyuie nenye be ʋumenugbagbeviɣidɔ le ŋuwò?

Ɣeaɖewoɣi la, wò ŋutɔ àte ŋu ase thyroid nodule, alo akpɔe le ahuhɔ̃e me. Alo wò ɖɔkta ate ŋu akpɔe le ŋutilãmedɔdada me. Woate ŋu akpɔ nodule hã le vo me le nɔnɔmetatawo dodokpɔ si wowɔ le susu bubu aɖe ta me.

Togbɔ be thyroid nodules akpa gãtɔ menye kansa o (siwo menyo o) hã la, nodules geɖe hiã dodokpɔ ƒomevi aɖe le esi mɔnukpɔkpɔ sue aɖe si li be woate ŋu anye kansa ta.

Dodokpɔ kawoe wowɔna na esia?

Wò ɖɔkta ate ŋu awɔ dodokpɔ siawo dometɔ ɖeka alo esi wu nenema atsɔ adi thyroid nodule:

• Thyroid ʋudodokpɔ: Esia léa ŋku ɖe thyroid hormone ƒe agbɔsɔsɔ si le wò ʋu me ŋu. Zi geɖe la, ne nodules li gɔ̃ hã la, lãmetsiŋusẽa ƒe agbɔsɔsɔme sɔ. Gake ɣeaɖewoɣi la, woate ŋu anye esiwo mesɔ o, si ate ŋu afia be ʋumenugbagbeviɣidɔ aɖe le ame ŋu.
• Ultrasound scan: Esia nye dodokpɔ si me wozãa gbeɖiɖi ƒe ƒutsotsoewo tsɔ ɖea foto thyroid gland. Ate ŋu akpe ɖe ame ŋu woanya ne ƒunukpeƒetetedɔ aɖe nye nu sesẽ alo ʋuka si me tsi yɔ fũu. (Ate ŋu anye be kansa nanye ƒuƒu sesẽwo.) Ate ŋu akpe ɖe ame ŋu hã be woalé ŋku ɖe ƒunukpeƒea ƒe tsitsi ŋu eye woakpɔ ƒunukpeƒe siwo gbɔ ɖoɖo sesẽ. Ɣeaɖewoɣi la, ultrasound ate ŋu akpe ɖe ame ŋu wòafia mɔ aŋea le aŋe nyui aɖe ɖeɖe me .
• Aŋe nyuiwo ɖeɖe le lãme na ame:Le dodokpɔ sia me la, ɖɔkta zãa aŋe si le sue ŋutɔ tsɔ ɖea lãmenugbagbeviwo ƒe kpɔɖeŋu aɖe le lãkusi alo lãkusi me. Emegbe woɖoa kpɔɖeŋua ɖe dodokpɔxɔ aɖe be woadoe kpɔ. Menye kansae nodules akpa gãtɔ nye o. Gake ne dodokpɔa me tsonu metso nya me o la, ɖɔkta ate ŋu agawɔ dodokpɔa ake. Alo, woate ŋu akafui be woawɔ dɔ na ame aɖe atsɔ aɖe nodule la ɖa be woakpɔ dɔlélea ɖa godoo.
• Thyroid uptake scan: Le dodokpɔ sia me la, wonaa iodine si me keklẽŋusẽ le sue aɖe wò be nàno. Emegbe ɖɔktaa léa ŋku ɖe iodine agbɔsɔsɔme si thyroid nodules la xɔna kple alesi gbegbe thyroid ƒe lãkusi siwo sɔ la xɔa ŋu. Esia naa nyatakaka geɖe wu tso thyroid nodules ŋu, si ate ŋu akpe ɖe ɖɔktaa ŋu wòanya afɔku si le kansa xɔxɔ me.

Nukawoe nye atike siwo wozãna na ʋumenugbagbeviɣidɔ?

Atikewɔwɔ nɔ te ɖe thyroid nodule ƒomevi dzi. Atikewɔwɔmɔnu vovovowo li:

• Atikewɔwɔ aɖeke meli o/kpɔe eye nàlala: Ne menye kansae ƒuƒuawo nye o la, mia kple wò ɖɔkta miate ŋu atso nya me be atikewɔwɔ aɖeke mehiã fifia o. Gake ahiã be nàyi ɖɔkta gbɔ edziedzi akpɔe ɖa be ƒunukpeƒeawo trɔna hã.
• Iodine si me keklẽŋusẽ le: Ðɔktawo zãa iodine si me keklẽŋusẽ le tsɔ daa thyroid nodules siwo wɔa dɔ fũu akpa kple goiters kple nodules geɖe. Ne lãkusia xɔ iodine sia si me keklẽŋusẽ le la, lãkusiawo dzi ɖena kpɔtɔna.
• Amekoko: Ne kansa le ƒunukpeƒeawo ŋu, si na be woxea mɔ abe nu mimi alo gbɔgbɔ sesẽ ene, eye “ke ɖi” (si fia be womate ŋu akpɔe ɖa ne womewɔ dɔ na amea ɖe wo ɖa hedo wo kpɔ o) la, atikewɔwɔ nyuitɔe nye be woaɖe wo ɖa to amekoko me.

Ðe woate ŋu axe mɔ ɖe ʋumenugbagbeviɣidɔ nua?

Esi numekulawo menya nusi hea thyroid nodules akpa gãtɔ vɛ o ta la, zi geɖe la, womate ŋu axe mɔ ɖe wo nu o.

Gake àte ŋu adze agbagba aɖe wò afɔkua dzi akpɔtɔ to afɔku aɖewo dzi ɖuɖu me. Le kpɔɖeŋu me, ne èlolo akpa , ƒo nu kple wò ɖɔkta tso alesi nàlé wò lolo nyuie me ɖe asi ŋu. Ne ènoa atama la, dze agbagba nàdzudzɔ atamanono . Azɔ hã, kpɔ egbɔ be iodine si sɔ le yeƒe nuɖuɖu me. Ne èzãa kplɔ̃dzidze si me iodine le la , ke ɖewohĩ iodine si sɔ gbɔ na wò.

Numekuku aɖewo ɖee fia be amesiwo noa vidzidɔlékuiwutikewo kple/alo statinwo ate ŋu akpɔ afɔku si le thyroid nodules xɔxɔ me dzi akpɔtɔ.

Nukae nye ŋgɔdonya ne thyroid nodules le ŋuwò? (Nyagblɔɖi) .

Thyroid nodules siwo menye kansa o (siwo me dɔlékui aɖeke mele o).Nyagblɔɖia nyo ŋutɔ. Zi geɖe la, mehiã be woawɔ atike na wo o. Gawu la, ƒunukpeƒetetedɔ siawo siwo menye kansa o ƒe alafa memamã sue aɖe koe hea lãkusidɔ vɛ , eye woate ŋu ada esiawo gɔ̃ hã.

Mɔkpɔkpɔ na thyroid nodules vɔ̃ɖiwo toa vovo le nu geɖe nu, siwo dometɔ aɖewoe nye:

• Kansa ƒe ƒomevi .
• Ƒe si nèxɔ esime wokpɔ dɔlélea .
• Nodule/tumor ƒe lolome .
• Eɖanye be ekaka ɖe lãkusi siwo te ɖe eŋu, abe ʋuka siwo me ʋu sina tona ene me o .
• Eɖanye be ekaka (metastasized) yi ŋutilã ƒe akpa siwo le didiƒe o .

Ne lãkusi me dɔdzẽ le ŋuwò la, wò ɖɔkta ate ŋu agblɔ nusiwo ava dzɔ ɖi na wò nyuie wu.

Ðe thyroid nodules xɔa ɖevi suewoa?

Ðevi suewo mexɔa thyroid nodules kura o wu ame tsitsiwo, gake numekulawo meka ɖe edzi kokoko be wosɔ gbɔ tututu o.

Nodules siwo wokpɔna le ɖeviwo kple ƒewuiviwo me ate ŋu anye thyroid cancer wu ame tsitsiwo. Gake ƒunukpeƒetetedɔ siwo wokpɔna le ɖeviwo kple ƒewuiviwo ŋu ƒe 75% kple edzivɔ menye kansa o (siwo me dɔlékui aɖeke mele o) .

Dzesiwo, dɔléle si wokpɔna, kple atikewɔwɔ na ɖeviwo sɔ kple ame tsitsiwo tɔ (abe alesi míeƒo nu tso eŋu le etame ene).

Mlɔeba la, ele nam be magblɔ na wò... (Take-Home Message)

Thyroid nodules bɔ ŋutɔ, eye zi geɖe la, womehea kuxi gã aɖeke vɛ o. Gake ne ède dzesii be ƒu aɖe le wò kɔ ƒe ŋgɔgbe la, kpɔ egbɔ be yeyi ɖɔkta gbɔ . Togbɔ be nodules akpa gãtɔ menye kansa o hã la, ele vevie be woado wo kpɔ elabena mɔnukpɔkpɔ sue aɖe li be woate ŋu anye kansa.

Ne ènya xoxo be ʋumenugbagbeviɣidɔ aɖe le ye ŋu, eye wò ɖɔkta ɖo aɖaŋu na wò be “wòanɔ ŋku lém ɖe eŋu ahalala” la, mègaŋlɔ be be yeayi yeƒe ɖɔkta gbɔ edziedzi akpɔe ɖa be tɔtrɔ aɖeke le ʋukaa me hã o .

Ne nya aɖe le asiwò ku ɖe alesi wòate ŋu adzɔe be nàxɔ ʋumenugbagbeviɣidɔ alo ʋumenugbagbeviɣidɔ ŋu la, ƒo nu kple wò ɖɔkta. Wole afisia be yewoana kpekpeɖeŋu. Mègavɔ̃ o, na nyanya wò!