Ðe wònye kɔ ƒe vuvua? Ðe esia ate ŋu anye goiter? Mina míakpɔe ɖa godoo!

Ðe nèse le ɖokuiwò me kpɔ be ƒu alo vuvu aɖe le yeƒe kɔ ƒe ŋgɔgbea? Ðewohĩ èkpɔe esi nèkpɔ ahuhɔ̃e me, alo ame bubu aɖe gblɔe na wò. Esɔ be nàvɔ̃ vie ne èkpɔ nane si le abe esia ene. Gake togbɔ be ame geɖe vɔ̃na na esia hã la, zi geɖe la, esia ate ŋu anye nɔnɔme si woyɔna be ‘Goiter’. Egbea, míaƒo nu tso esia ŋu bɔbɔe ŋutɔ, le mɔ si gɔme nàte ŋu ase nu.

Kpuie ko la, nukae nye goiter?

Goiter nye wò lãkusi ƒe lolome. Bu eŋu kpɔ, le míaƒe kɔ ƒe ŋgɔgbe, le Adam ƒe akɔɖu te tututu la, lãkusi sue aɖe si le abe kpakpaluʋui ene la le afima. Emae nye nusi míeyɔna be lãkusi .

Lãmetsi sue sia wɔa lãmetsiŋusẽ eve siwo le vevie ŋutɔ na míaƒe ŋutilã. Woawoe nye thyroxine (T4) kple triiodothyronine (T3). Lãmetsiŋusẽ siawo kpɔa ŋusẽ ɖe nu geɖe dzi le míaƒe ŋutilã me. Abe ʋu ƒe mɔ̃ ene.

• Lãmetsiŋusẽ: Esiae nye alesi nuɖuɖu si míeɖuna la trɔna zua ŋusẽ.
• Ŋutilã ƒe dzoxɔxɔ: Enaa míaƒe ŋutilã ƒe dzoxɔxɔ nɔa ɖoɖo nu.
• Seselelãme: Ekpɔa ŋusẽ ɖe míaƒe seselelãme, dzidzɔkpɔkpɔ, kple dziku dzi.
• Dzi ƒe tsotso: Ekpɔa míaƒe dzi ƒe tsotso dzi.
• Nuɖuɖumeŋusẽ: Ekpena ɖe mía ŋu míeɖua nuɖuɖu siwo míeɖuna.

Eyata, ne le susu aɖe ta la, lãkusia vuvu alo lolo la, míeyɔa nɔnɔme ma be ‘goiter’. Esia ate ŋu anye ƒunukpeƒetetedɔ alo ƒunukpeƒetetedɔ si le lãkusia me.

Nukawoe nye goiter ƒomeviwo?

Ðɔktawo tsɔa goiter dea hatsotso vovovowo me le mɔ vovovowo nu. Ðekae nye alesi wòvuvunae. Bubue nye alesi lãkusi me lãmetsiŋusẽ le lãme na ame. Mina míalé ŋku ɖe nusiawo evea siaa ŋu bɔbɔe.

Woma wo ɖe hatsotsowo me le abi ƒe ƒomevi nu

Woda wo ɖe hatsotsowo me le thyroid hormone ƒe agbɔsɔsɔ nu

• Aɖi si nye goiter: Le esia me la, lãkusia lolona eye wòwɔa lãkusi me lãmetsi geɖe wu alesi wòhiã . Wogayɔa esia be `Hyperthyroidism`.
• Nontoxic goiter: Le go sia me la, togbɔ be thyroid gland la lolo hã la, lãmetsiŋusẽ ƒe agbɔsɔsɔme sɔ . Eyae nye be, lãmetsiŋusẽ ƒe dzidziɖedzi (`Hyperthyroidism`) alo ɖiɖi (`Hypothyroidism`) meli o.

Amekae le afɔku me wu be wòaxɔ nɔnɔme sia?

Amesiame ate ŋu axɔ goiter, gake ame aɖewo ya le afɔku me wu.

• Le nyɔnuwo gome: Nyɔnuwo ate ŋu axɔ goiter abe zi gbɔ zi ene ene wu ŋutsuwo.
• Ƒe: Afɔku sia dzina ɖe edzi le ƒe 40 xɔxɔ vɔ megbe.
• Ƒome ŋutinya: Ne thyroid dɔléle le wò ƒomea me la, anɔ eme be wò hã nàxɔe.
• Lãmesẽnya bubuwo: Amesiwo ŋu nɔnɔmewo abe lolo akpa kple insulin ƒe dɔmawɔmawɔ nyuie le hã le afɔku me wu.
• Kekeli ƒe dɔwɔwɔ: Ne wotsɔ keklẽŋusẽ de kɔ alo ta ƒe akpa si wotsɔ da dɔe la, ema hã nye afɔku.

Nusi koŋ gbɔ goiter tsona le xexeame katãe nye iodine ƒe anyimanɔmanɔ . Gake le dukɔwo abe Sri Lanka ene me la, esi míetsɔa iodine dea dze si míezãna me ta la, nusi gbɔ wòtsona megabɔ fifia kura o.

Nukae nye goiter ƒe dzesiwo?

Goiter ƒe lolome ate ŋu atso goiter sue siwo womedea dzesii tututu o dzi va ɖo goiter gã siwo woate ŋu akpɔ dzi. Zi geɖe la, goiters mevea ame o. Gake ne lãkusi ƒe dɔdzẽ (thyroiditis) kpe ɖe wo ŋu la, woate ŋu ave wo.

Na míakpɔ dzesi siwo le kplɔ̃ si le ete la dzi ɖa.

Nukawoe hea goiter vɛ?

Goiter nye dzesi si fia be wole nyaƒoɖeamenu ɖe ​​lãkusia dzi. Ate ŋu atso nu vovovowo gbɔ.

• Iodine ƒe anyimanɔmanɔ: Esiae nye nu vevitɔ si gbɔ wòtsona le xexeame. Iodine hiã vevie na lãkusi me lãmetsiwo wɔwɔ. Ne mèkpɔ iodine si sɔ tso wò nuɖuɖu me o la, lãkusia adze agbagba be yeawɔ lãmenugbagbevi geɖe, adzi ɖe edzi, eye wòato mɔ aɖe nu awɔ lãmetsiŋusẽawo.
• Graves ƒe dɔléle: Esia nye `autoimmune` nɔnɔme. Esia fia be míaƒe ŋutilã ŋutɔ ƒe dɔlélenutsiŋutete dzea míaƒe thyroid gland dzi. Esia nana be lãkusia ʋãna akpa, lolona, ​​eye wòwɔa lãmetsiŋusẽ si sɔ gbɔ akpa (`Hyperthyroidism`).
• Hashimoto ƒe dɔléle: Esia hã nye `autoimmune` nɔnɔme. Le nɔnɔme sia me la, dɔlélenutsiŋutete dzea lãkusia dzi eye wònana wòxɔa abi. Le ɣeyiɣi aɖe megbe la, lãkusia ƒe dɔwɔwɔ gblẽna eye wòwɔa lãmetsiŋusẽ siwo mesɔ gbɔ o (`Hypothyroidism`). Gland la ate ŋu avuvu be wòaxe fe ɖe eta.
• Thyroid cancer: Thyroid cancer hã ate ŋu ana lãkusia nalolo. Gake menye goiter katãe nye kansa o . Atikewɔlawo ƒe dodokpɔ hiã be woanyae kple kakaɖedzi.
• Fufɔfɔ: Lãmetsiŋusẽ ƒe lãkusi ateŋu alolo vie le lãmetsi si nye ``Human chorionic gonadotropin`` (HCG), si dona le fufɔɣi ta.
• Thyroiditis: Gland la ate ŋu avuvu eye wòavuvu le susu vovovowo ta.

Aleke ɖɔktaa wɔa anya be esia nye goiter?

Ne ƒu aɖe le kɔ na wò la, ele be nàyi ɖɔkta gbɔ godoo . Ðɔktaa awɔ dodokpɔ aɖewo atsɔ anya nenye be goiter ye kple nusi gbɔ wòtso.

1. Ŋutilãmedodokpɔ: Gbã la, ɖɔktaa ase wò kɔ be yeakpɔe ɖa be vuvu, ƒunukpeƒetetedɔ, kple vevesese hã.

2. 2. .Ʋudodokpɔ: Esiawo dzidzea lãmetsi siwo le lãkusi me (T3, T4) kple TSH ƒe agbɔsɔsɔ. Esia ate ŋu anya ne lãkusia le dɔ wɔm nyuie eye ne lãmetsiŋusẽ sɔ gbɔ ɖe eme alo mesɔ gbɔ akpa o.

3. Thyroid Ultrasound Scan: Abe vidzĩ ƒe fotoɖeɖe ene la, esia léa ŋku ɖe lãkusi si le kɔ me ŋu. Ete ŋu kpɔa alesi gbegbe lãkusia loloe, ne ƒunukpeƒetetedɔ aɖewo le eme, kple ne ƒunukpeƒeawo nye nu sesẽ alo tsi.

4. Biopsy: Ne scan la ɖee fia be ƒu gã aɖe alo ɖikeke le eŋu la, ɖɔktaa azã aŋe atsɔ aɖe lãmenugbagbevi sue aɖe tso ƒunukpeƒea me atsɔe ayi dodokpɔxɔ me be woado kansa lãmenugbagbeviwo kpɔ. Wowɔa esia be woatsɔ agbe kansa aɖeke si ate ŋu adzɔ o.

5. CT alo MRI scan: Ne goiter la lolo ŋutɔ, alo ne ɖikeke aɖe li be etsi ɖe akɔta la, woate ŋu awɔ scan sia ƒomevi hã.

Nukawoe nye atike siwo wozãna na goiter?

Atikewɔwɔ nɔ te ɖe goiter ƒe lolome, dzesi siwo le ŋuwò, kple nusi gbɔ wòtso dzi.

• Lala nyuie: Ne goiter la le sue, kuxi aɖeke mele ŋuwò o, eye wò lãmetsiŋusẽ ƒe agbɔsɔsɔme sɔ la, wò ɖɔkta ate ŋu atso nya me be yealé ŋku ɖe ŋuwò hena ɣeyiɣi aɖe koŋ atike aɖeke manɔmee.
• Atike ƒomeviwo:
• Ne lãmetsiŋusẽ ƒe agbɔsɔsɔ le sue ( Hypothyroidism ), woŋlɔa lãmetsiŋusẽtikewo abe `Levothyroxine' ene be woano gbesiagbe.
• Ne lãmetsiŋusẽ ƒe agbɔsɔsɔ sɔ gbɔ ( hyperthyroidism ) la, woŋlɔa atikewo abe Methimazole ene be woatsɔ aɖe lãmetsiŋusẽ ƒe dɔwɔwɔ dzi akpɔtɔ.
• Ne lãkusia ƒe dɔdzẽ gbɔe goiter la tso la, woate ŋu ana vevesesenutsitikewo alo corticosteroid.
• Radioactive iodine therapy: Esia nye atike na ʋumenugbagbeviɣidɔ si gbɔ eme. Ènoa tsi alo iodine si me keklẽŋusẽ le ƒe atikekui aɖe si yia lãkusia me, si tsrɔ̃a lãmenugbagbevi siwo wɔa dɔ fũu akpa le afima eye wònana lãkusia dzi ɖena kpɔtɔna.
• Amekoko (Amekoko - Thyroidectomy):
• Ne goiter la lolo ŋutɔ eye wònana gbɔgbɔ alo nu mimi sesẽna.
• Ne woɖo kpe edzi be kansae.
• Ne kuxi gã aɖe le dzedzeme ŋu.

Le nɔnɔme siawo me la, wò ɖɔkta ate ŋu aɖo aɖaŋu be nàwɔ dɔ na wò be woaɖe lãkusia ƒe akpa aɖe alo eƒe akpa bliboa ɖa. Ne woɖe lãkusia ɖa keŋkeŋ la, ahiã be nàno thyroid hormone ƒe atikekuiwo le wò agbemeŋkekewo katã me.