Ðe nèsena le ɖokuiwò me ɣeaɖewoɣi be ɖeɖi te ye ŋu eye agbe mele ye si oa? Aleke kee nèɖadɔ alɔ̃ o, ɖe ɖeɖiteameŋu ma nu yina oa? Alo, ɖe nèɖea wò lolo dzi kpɔtɔna alo dzina ɖe edzi zi ɖeka evɔ màwɔ tɔtrɔ gã aɖeke le wò nuɖuɖu ŋu oa? Ðewohĩ ɖeko nèsena le ɖokuiwò me be yedo dziku eye yetsi dzimaɖi. Ènya be nusi gbɔ nusiawo tso ŋutɔŋutɔ ate ŋu anye lãkusi sue aɖe si le abe kpakpaluʋui ene le wò kɔ mea? Egbea, míaƒo nu tso lãkusi kple dodokpɔ siwo léa ŋku ɖe eƒe dɔwɔwɔ ŋu.
Kpuie ko la, nukae nye lãkusi sia?
Bu thyroid gland be eyae nye wò ŋutilã ƒe sedede ƒe teƒe. Ele abe ɖoɖo si kpɔa ʋu ƒe mɔ̃ dzi ene. Enɔ wò kɔ ƒe ŋgɔgbe, le wò kɔmeƒu te tututu. Eƒe nɔnɔme le abe kpakpaluʋui si keke eƒe aʋalawo ɖe enu ene.
Nu gãtɔ kekeake si lãkusi sue sia wɔnae nye be ewɔa lãmetsi siwo kpɔa alesi wò ŋutilã zãa ŋusẽe, si fia be wò lãmenugbagbeviwo ƒe dɔwɔwɔ dzi. Lãmetsi siawo kpɔa ŋusẽ ɖe nu geɖe dzi, siwo dometɔ aɖewoe nye wò dzi ƒe tsotso, wò ŋutilã ƒe dzoxɔxɔ, nuɖuɖumeŋusẽ, kple ahɔhɔ̃ ƒe dɔwɔwɔ. Eyata tɔtrɔ sue aɖe gɔ̃ hã le lãkusi sia me ate ŋu akpɔ ŋusẽ ɖe wò ŋutilã bliboa dzi.
Nukatae wòhiã be míado ʋumenugbagbeviɣidɔ kpɔ?
Susu vevi geɖewo li siwo tae wò ɖɔkta ate ŋu aɖe gbe be woado wò lãkusi kpɔ ɖo. Dodokpɔ siawo ate ŋu akpe ɖe ŋuwò nànya ne tɔtrɔ si va le lãkusi ƒe dɔwɔwɔ me gbɔe wòtso, vevietɔ ne dzesi siwo gbɔna le ŋuwò:
- Ðeɖiteameŋu kple alɔ̃dɔdɔ ɣesiaɣi.
- Kpekpeme dzi ɖeɖe kpɔtɔ alo edzi ɖeɖe kpɔtɔ susu aɖeke manɔmee.
- Sese le eɖokui me be yemeɖe dzi ɖi o, yedo dziku, alo yetsi dzimaɖi.
- Ŋutilã ƒuƒu, ɖa ƒe ŋeŋe.
- Fifia fũ alo vuvɔ ƒe ŋutete manɔamesi.
- Lãmetsiwo ƒe vevesese kple gbɔdzɔgbɔdzɔ.
- nyɔnuwo ƒe dzinukpɔkpɔ ƒe masɔmasɔ.
Dodokpɔ siawo ate ŋu ade dzesi nɔnɔme geɖe, siwo koŋ ku ɖe lãkusi ŋu.
| Atikewɔwɔ ƒe nɔnɔme | Kpuie ko la,... |
|---|---|
| Lãmetsiŋusẽ ƒe dɔmawɔmawɔ nyuie | Lãmetsiŋusẽ si woyɔna be thyroid gland mewɔa lãmetsiŋusẽ si sɔ o. Wogayɔa esia be "thyroid si mewɔa dɔ nyuie o." |
| Lãmetsiŋusẽ ƒe dɔléle si gbɔ eme | Lãmetsiŋusẽ si woyɔna be thyroid gland la wɔa lãmetsiŋusẽ geɖe wu alesi wòhiã. Wogayɔa esia be "thyroid si wɔa dɔ fũu akpa." |
| Thyroiditis ƒe dɔléle | Lãmetsiŋusẽ ƒe ʋuʋudedi alo dɔdzẽ. |
| Graves ƒe dɔléle | Hyperthyroidism nye nɔnɔme si ŋutilã ƒe dɔlélenutsiŋutete dzea thyroid gland dzi hedoa ŋusẽe gbɔ. |
| Hashimoto ƒe dɔlélea | Nɔnɔme si me dɔlélenutsiŋutete dzea lãkusia dzi hegblẽa nu le eŋu, si wɔnɛ be ʋumenugbagbeviɣidɔ ƒe dɔmawɔmawɔ nyuie mlɔeba. |
Lãmetsiŋusẽ dodokpɔ ƒomevi vevi eve li:
Woate ŋu ama dodokpɔ siwo wowɔna tsɔ doa lãkusia kpɔna ɖe akpa eve koŋ me.
1. Thyroid ʋudodokpɔ: Esiawo dzidzea thyroid lãmetsi siwo le wò ʋu me ƒe agbɔsɔsɔ, kpakple dɔlékuiwutikewo.
2. Thyroid nɔnɔmetata dodokpɔwo: Wozãa esiawo tsɔ léa ŋku ɖe nodules ƒe nɔnɔme, lolome, kple anyinɔnɔ le thyroid gland me ŋu.
Azɔ mina míaƒo nu tso ƒomevi siawo dometɔ ɖesiaɖe ŋu tsitotsito vie.
Aleke ʋudodokpɔ wɔa dɔe?
Esia nye dɔdamɔnu bɔbɔe aɖe ŋutɔ. Woɖea ʋu sue aɖe le wò alɔnu abe alesi wowɔnɛ ɖaa ene eye woɖonɛ ɖe dodokpɔxɔ me be woadoe kpɔ. Màse veve aɖeke le dɔ sia wɔwɔ me o. Zi geɖe la, mehiã be nàɖu nu alo ano nu tɔxɛ aɖeke hafi adoe kpɔ o. Gake ne wò ɖɔkta na mɔfiame tɔxɛ aɖewo wò la, ele be nàwɔ ɖe edzi.
| Dodokpɔa ƒe ŋkɔ | Nukae nèkpɔ le esia me? |
|---|---|
| TSH dodokpɔ | TSH tsi tre ɖi na Thyroid-Stimulating Hormone. Pituitary gland si le wò ahɔhɔ̃ me ye wɔae. TSH lãmetsi siae gblɔna na thyroid gland be "wòawɔ lãmetsiwo." Zi geɖe la, ɖɔkta aɖe alé ŋku ɖe TSH ƒe agbɔsɔsɔ sia ŋu gbã. |
| T4 dodokpɔ | T4, alo thyroxine, nye lãmetsi vevi siwo thyroid gland wɔna la dometɔ ɖeka. Esia dzidzea lãmetsi sia ƒe agbɔsɔsɔme si le ʋua me. |
| T3 dodokpɔ | T3, alo triiodothyronine, ye nye lãmetsi vevi bubu si thyroid gland wɔna. Dodokpɔ sia dzidzea eƒe agbɔsɔsɔ le ʋua me. |
| Thyroid Dɔlékuiwutikewo Dodokpɔwo | Ɣeaɖewoɣi la, míaƒe ŋutilã ŋutɔ ƒe dɔlélenutsiŋutete dzea míaƒe lãkusi dzi dzedze gɔme. Emegbe woate ŋu akpɔ dɔlékuiwutike siawo le ʋua me. Dodokpɔ sia kpena ɖe ame ŋu wòdea dzesi nɔnɔmewo abe Graves ƒe dɔléle kple Hashimoto ƒe dɔléle ene. |
Aleke nɔnɔmetatawo dodokpɔ wɔa dɔe?
Le ʋudodokpɔ vɔ megbe la, ne wò ɖɔkta hiã nyatakaka bubuwo tso thyroid gland ƒe ŋutilã ƒe nɔnɔme ŋu, abe eƒe lolome, eƒe nɔnɔme, kple nenye be nodules aɖewo le eme ene la, ate ŋu aɖo wò ɖe nɔnɔmetatawo dodokpɔ.
- Thyroid Ultrasound: Esia sɔ kple fotoɖeɖe si wowɔna le vidada si le fu fɔm ŋu. Vevesese aɖeke mele eme o. Ezãa gbeɖiɖi ƒe ƒutsotsoewo tsɔ wɔa lãkusi ƒe nɔnɔmetata si me kɔ nyuie. Esia le vevie ŋutɔ be woakpɔe ɖa be ƒunukpeƒetetedɔ aɖewo le kɔa me hã eye woƒe nɔnɔme nye hã.
- Thyroid Scan ƒe Dɔwɔna:Esia bia be woalé ŋku ɖe lãkusi ƒe lolome kple afisi wòle ŋu. Ɣeaɖewoɣi la, ahiã be nàna woado nusi naa nɔnɔmetataawo me kɔ wu, si nye nusi naa nɔnɔmetataawo me kɔna la, ade wò ŋutilã me. Wowɔa esia to atikekui sue aɖe si me iodine si me keklẽŋusẽ le nana alo to edodo abe atike ene me. Mègavɔ̃ nya ‘radioactive’ o, elabena agbɔsɔsɔ sue aɖe ŋutɔ, si le dedie koe wozãna. Ne wotsɔ iodine sia kpe ɖe lãkusia ŋu la, lãkusia adze nyuie ŋutɔ le fotoɖeɖea me.
- Thyroid Uptake Test: Dodokpɔ sia dzidzea alesi wò thyroid gland le dɔ wɔm nyuie. Woana tsi alo atikekui si me iodine si me keklẽŋusẽ le hã wò be nàno. Emegbe le gaƒoƒo ʋɛ aɖewo megbe, zi geɖe le gaƒoƒo 24 megbe la, wotsɔa mɔ̃ sue aɖe si woyɔna be gamma probe dea wò kɔ ƒe ŋgɔgbe be woatsɔ adzidze iodine agbɔsɔsɔme si wò lãkusi xɔ.
- Ne lãkusia xɔ iodine geɖe la , ate ŋu anye ʋumenugbagbeviɣidɔ si gbɔ eme ƒe dzesi.
- Ne iodine ʋɛ aɖewo koe le lãkusia xɔm akpa la, ate ŋu anye ʋumenugbagbeviɣidɔ ƒe dzesi.
Hafi woawɔ nɔnɔmetatawo dodokpɔ siawo la, woate ŋu abia tso asiwò be nàƒo asa na nuɖuɖu alo nunono gaƒoƒo ʋɛ aɖewo. Woate ŋu abia tso asiwò hã be nàƒo asa na nuɖuɖu siwo me iodine sɔ gbɔ ɖo, abe kelp ene, hena ŋkeke ʋɛ aɖewo. Wò ɖɔkta aɖo aɖaŋu na wò tso esia ŋu do ŋgɔ.
Dodokpɔ me tsonu kple nukae dzɔna emegbe?
Zi geɖe la, àxɔ wò dodokpɔ ŋuti nyatakakawo le ŋkeke ʋɛ aɖewo megbe. Emegbe wò ɖɔkta ato nyatakakaawo me eye wòaƒo nu kpli wò atsɔ aɖe wo me.
Le kpɔɖeŋu me, TSH ƒe agbɔsɔsɔ:
- Ne wò TSH ƒe agbɔsɔsɔ sɔ gbɔ wu alesi wòle be wòanɔ la, efia be wò lãkusi me lãmetsiŋusẽwo mesɔ gbɔ o. Esia ate ŋu anye nɔnɔme aɖe si woyɔna be ʋumenugbagbeviɣidɔ. Esi wònye be lãkusia mele dɔ wɔm nyuie o ta la, ahɔhɔ̃a nɔa agbagba dzem be yeaɖo TSH gbedasiwo ɖa be "wòawɔ dɔ, awɔ dɔ."
- Ne wò TSH ƒe agbɔsɔsɔ le ʋɛ wu alesi wòle dzɔdzɔmee la, efia be wò lãkusi le lãmetsiŋusẽ geɖe wɔm akpa. Esia ate ŋu anye nɔnɔme aɖe si woyɔna be ʋumenugbagbeviɣidɔ. Esi wònye be lãkusia wɔa dɔ akpa ta la, ahɔhɔ̃a dzudzɔa TSH gbedasiwo ɖoɖo ɖa.
Vevietɔ wu: Mègadrɔ̃ ʋɔnu dɔléle aɖe to xexlẽdzesi siwo le wò dodokpɔ ŋuti nyatakaka dzi kpɔkpɔ kple wo tsɔtsɔ sɔ kple esiwo nèkpɔ le Internet dzi me o. Wò ɖɔkta koe ate ŋu adzro emetsonu siawo me pɛpɛpɛ ahatsɔ wo asɔ kple wò dzesiwo be wòaƒo nya ta wòade pɛpɛpɛ.
Ɣeaɖewoɣi la, dodokpɔ ɖeka makpɔ nu bliboe o. Ne edzɔ alea la, wò ɖɔkta ate ŋu abia be woawɔ dodokpɔ bubuwo. Ne scan kpɔ nane abe ƒunukpeƒetetedɔ ene la, woate ŋu awɔ biopsy (FNA - fine needle aspiration) be woakpɔe ɖa be kansae wònye hã.
Gbedasi si Wotsɔ Yi Aƒeme
- Lãmetsiŋusẽ nye lãkusi vevi aɖe ŋutɔ le wò kɔ me si kpɔa ŋusẽ ɖe ŋutilãa ƒe ŋusẽ dzi.
- Ðeɖiteameŋu atraɖii, ame ƒe kpekpeme ƒe tɔtrɔ, kple dzimaɖitsitsi ate ŋu anye thyroid dɔléle ƒe dzesiwo.
- Thyroid dodokpɔwo menye naneke si ŋu wòle be woavɔ̃ ɖo o. Zi geɖe la, wonyea dodokpɔ bɔbɔe siwo me woɖea ʋu le alo woɖea ʋu si me vevesese aɖeke mele o.
- Ne ènya xɔ wò dodokpɔa me tsonu ko la, mègawɔ nyametsotsowo le ɖokuiwò si o. Ƒo nu tso eŋu na wò ɖɔkta ɣesiaɣi eye nàwɔ ɖe eƒe aɖaŋuɖoɖo dzi.
- Woate ŋu ada lãkusidɔ akpa gãtɔ dzidzedzetɔe ahakpɔ wo gbɔ, eyata ne dzesiwo le ŋuwò la, mègahe atikewɔlawo ƒe aɖaŋuɖoɖo didi ɖe megbe o.
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