Àdi be yealé ŋku ɖe yeƒe lãkusi ŋua? Emegbe mina míasrɔ̃ nu tso (Thyroid Uptake & Scan) ŋu!

Ðe nèbiaa ɖokuiwò ɣeaɖewoɣi be ɖe lãkusi sue ma si le wò kɔ me le dɔ wɔm nyuiea? Ðewohĩ ɖɔkta aɖe bia tso asiwò be nàwɔ dodokpɔ sia si woyɔna be ``Thyroid Uptake & Scan''. Alo ɖewohĩ èse eŋu nya le afi aɖe kpɔ. Eyata, egbea míaƒo nu tso eŋu bɔbɔe, le mɔ si gɔme nàte ŋu ase nu. Naneke meli si ŋu woatsi dzi ɖo o, esia nye dodokpɔ si bɔ si wowɔna na ame akpa gãtɔ.

Nukae Nye Thyroid Xɔxɔ & Scan?

Kpuie ko la, dodokpɔ tɔxɛ aɖee nye esia si léa ŋku ɖe nusi tututu le edzi yim le wò lãkusi me, alesi wòle dɔ wɔm nyuie, kple alesi eƒe nɔnɔme kple lolome le ŋu. Ele abe wò lãkusi ƒe ‘foto’ ene, gake ena míekpɔa nu geɖe tsitotsito. Ðɔktawo hã yɔa esia be ``Nuclear Medicine Imaging''. Mègavɔ̃ o, ŋkɔa aɖi nya gã aɖe, gake ebia be nàzã keklẽŋusẽ sue aɖe ŋutɔ, si megblẽa nu le ame ŋu o (si woyɔna be ``Radiotracer'') eye nàtsɔ fotoɖemɔ̃ tɔxɛ aɖe alé ŋku ɖe wò lãkusi ŋu. Nyatakaka siwo wòna la me kɔ wu nane abe ``Ultrasound Scan'' si wowɔna edziedzi ene.

Vovototo kae le thyroid scan kple uptake dome?

Fifia àte ŋu anɔ eŋu bum be ɖe ``Scan'' kple ``Uptake'' sia nye nu vovovo eve, alo nu ɖeka. Le mɔ̃ɖaŋununya gome la, esiawo nye nuwɔna vovovo eve. Gake zi geɖe la, ɖɔktawo wɔa nusiawo evea siaa ɖekae, elabena ɣemaɣie wokpɔa lãkusi ƒe nɔnɔmetata blibo.

• Thyroid Xɔxɔ: Wogayɔa esia be Radioactive Iodine Uptake Test (RAIU). Dodokpɔ sia dzidzea alesi gbegbe wò lãkusi xɔa iodine si me keklẽŋusẽ le kple alesi wòxɔa kabae. Ðɔkta aɖe adzidze esia ne etsɔ nu tɔxɛ aɖe si wotsɔ dzroa nu me la de wò kɔ dzi, afisi wò lãkusi le. Dzidzenuwo ate ŋu ana nàkpɔe nyuie nenye be wò lãkusia le dɔ wɔm akpa (ewɔa dɔ fũu akpa) alo le dɔ wɔm nyuie o (mewɔa dɔ nyuie o). Dodokpɔ sia si nye be woaxɔe la meɖea foto o.

• Thyroid Scan: Afi siae woɖea foto le. Ne èzã nusi míeyɔ va yi si me keklẽŋusẽ le (Radiotracer), fotoɖemɔ̃ tɔxɛ aɖe, kple kɔmpiuta la, àte ŋu akpɔ wò lãkusi ƒe nɔnɔme, lolome, kple eƒe ememe wɔwɔme nyuie, kpakple afisi lãkusia wɔa dɔ akpa, mewɔa dɔ nyuie o, alo afisiwo ƒunukpeƒetetedɔ aɖeke si mesɔ o le.

Eyata ne èwɔ nusiawo evea siaa ɖekae la, èse alesi lãkusia wɔa dɔe kple alesi wòdzena siaa gɔme nyuie wu.

Nukatae mehiã be woawɔ Thyroid Uptake & Scan?

Enyo, azɔ mina míakpɔ nusiwo nye susu siwo ta ɖɔkta ate ŋu akafu na wò be nàwɔ `(Thyroid Uptake & Scan)` dodokpɔ sia la dometɔ aɖewo ɖa.

• Kpɔ egbɔ be wò lãkusi le dɔ wɔm nyuie: Scan sia le vevie ŋutɔ ne ʋumenugbagbeviɣidɔ ƒe dzesiwo le ŋuwò (e.g., dzi ƒe tsotso ƒe dzidziɖedzi, lolo dzi ɖeɖe kpɔtɔ, fifia, dzimaɖitsitsi), alo ne ʋudodokpɔwo ɖee fia be ʋumenugbagbeviɣidɔ si le dɔ wɔm akpa le ŋuwò.
• Kpɔ nu geɖe tso ʋumenugbagbeviɣidɔ ŋu: Ɣeaɖewoɣi ne wowɔ ultrasound scan na wò kɔ le susu bubu aɖe ta la, eɖea ʋuka sue aɖe fiana le wò lãkusi me. Dodokpɔ sia ate ŋu akpe ɖe ŋuwò nànya alesi tututu nodule la le (eɖanye ‘dzoxɔxɔ’ alo ‘fa’, si fia be ewɔa lãmetsiŋusẽwo alo mewɔe o).
• Be woakpɔ tɔtrɔ siwo va le lãkusi me le atike alo amekoko vɔ megbe: Wozãa fotoɖeɖe sia tsɔ kpɔae ɖa be lãkusi ƒe lãkusi si susɔ la le dɔ wɔm nyuie kple alesi wòle dɔ wɔm le atike nono na ʋumenugbagbeviɣidɔ si gbɔ eme vɔ megbe, alo le lãkusi ƒe akpa aɖe alo wo katã ɖeɖe ɖa to amekoko me vɔ megbe.
• De dzesi nɔnɔmewo abe ʋumenugbagbeviɣidɔ ene.
• Woate ŋu azãe hã (ƒã hafi) atsɔ akpɔ kansa aɖewo ƒe kaka.

Amekae wɔa Thyroid Uptake & Scan sia?

Zi geɖe la, keklẽŋusẽŋutinunyala si si sidzedze kple hehe tɔxɛ le le atikewɔwɔ ƒe akpa si nye ``Nuclear Medicine Imaging'' ye wɔa dodokpɔ sia.Eyae wɔa dodokpɔa, dzroa nɔnɔmetata kple nyatakaka siwo woxɔ me, eye wòdzraa nyatakaka aɖe ɖo tso wò nɔnɔmea ŋu.

Aleke Thyroid Uptake & Scan sia wɔa dɔe?

Bu eŋu ale, ele abe ‘tag’ sue aɖe dede wò lãkusi me ene, eye nèle ŋku lém ɖe alesi ‘tag’ ma zɔna le lãkusia me, afisi wòƒoa ƒu ɖo, kple alesi gbegbe wòƒoa ƒui ŋu tso gota.

Nusi dzɔna koe nye esi:

1. Woana nusi me keklẽŋusẽ le (`(Radiotracer)`) ƒe agbɔsɔsɔ sue aɖe ŋutɔ si le dedie wò. Zi geɖe la, esia nyea nusi woyɔna be `(Radioactive Iodine)` alo `(Technetium)` ƒe isotope si me keklẽŋusẽ le. Woate ŋu ado esia abe IV-tike ene, alo abe atike sue aɖe alo tsi si woano ene. Ƒã ŋutɔ la, woate ŋu anae abe gas si woagbɔ ene.

2. Nu sia zɔa mɔ to wò ʋukawo me eye wòyia lãkusi me. Esi wònye be thyroid gland la xɔa iodine le dzɔdzɔme nu tsɔ wɔa lãmetsiwo ta la, iodine sia si me keklẽŋusẽ le (alo nu ma tɔgbe) ƒoa ƒu ɖe thyroid lãmenugbagbeviwo me.

3. Emegbe la, `(Radiotracer)` si wotsɔ kpe ɖe lãmenugbagbevi siawo ŋu la doa keklẽŋusẽ tɔxɛ aɖe si woyɔna be `(Gamma rays)`. Míaƒe ŋkuwo mate ŋu akpɔ keklẽ siawo o, gake woate ŋu atsɔ dɔwɔnu tɔxɛwo ade dzesii.

Azɔ mina míakpɔ alesi `(Uptake)` kple `(Scan)` zãa `(Gamma rays)`:

• Le dodokpɔ si wowɔ be woaxɔe me: Ðɔktaa tsɔa mɔ̃ aɖe si sea nu gɔme si woyɔna be gamma probe dana ɖe wò kɔ dzi, le wò lãkusi xa tututu, eye wòdzidzea gamma keklẽ agbɔsɔsɔme si wòdona. Esia na míekpɔ alesi lãkusia le nusi le eme xɔm nyuie, si nye alesi wòle dɔ wɔm nyuie.
• Le scan wɔwɔ me: Fotoɖemɔ̃ tɔxɛ aɖe si woyɔna be gamma camera dea dzesi gamma keklẽ siawo eye wòɖoa nyatakakaawo ɖe kɔmpiuta. Kɔmpiutaa zãa nyatakakaawo tsɔ wɔa thyroid gland ƒe nɔnɔmetata siwo me kɔ (abe anyigbatata ene). Nɔnɔmetata siawo ɖea lãkusi ƒe akpa siwo wɔa dɔ akpa (nu siwo le dzo dam), esiwo mewɔa dɔ nyuie o (ƒunukpeƒetetedɔ siwo fa miamiamia), alo esiwo ƒe nɔnɔme mebɔ o la fia. Le kpɔɖeŋu me, amesi ŋu ʋumenugbagbeviɣidɔ si gbɔ eme le ƒe lãkusi bliboa ate ŋu adze abe ɖe wòklẽ ŋutɔ ene elabena exɔa radiotracer la ƒe akpa gãtɔ.

Aleke wòle be madzra ɖo ɖe Thyroid Uptake & Scan sia ŋu?

Nu ʋee aɖewo li siwo ŋu wòle be nànya eye nàgblɔe na wò ɖɔkta hafi nàdoe kpɔ. Esiawo dzi wɔwɔ pɛpɛpɛ le vevie ŋutɔ be woakpɔ dodokpɔ me tsonu siwo de pɛpɛpɛ.

• Ne èfɔ fu, èsusu be èfɔ fu, alo nèle no nam: Ele be nàdzro nya sia me kple wò ɖɔkta kple keklẽŋusẽŋutinunyala si awɔ dodokpɔa. Esia le alea elabena keklẽŋusẽ ƒe agbɔsɔsɔ si wozãna, ne ele sue ŋutɔ gɔ̃ hã la, mele dedie na vidzĩ si le dɔ me alo esi wona no o. Le nɔnɔme mawo me la, ɖɔktaa atso nya me nenye be yeabu tiatia bubuwo ŋu loo alo ahe dodokpɔa ɖe megbe.
• Nu vevi bubu siwo wòle be nàgblɔ na ɖɔktaa:
• Ne dɔléle aɖe, abe asrã alo dzamezã ene, dze dziwò nyitsɔ laa.
• Dɔléle bubu ɖesiaɖe si anɔ ŋuwò ɣeyiɣi didi (e.g. suklidɔ, dzidɔ, ayikudɔ).
• Ne nulɔdɔ aɖe le ŋuwò (vevietɔ le iodine alo nusiwo to vovo na wo nɔewo ŋu va yi).
• Atike siwo katã nèzãna fifia. Menye atike siwo wò ɖɔkta ŋlɔ na wò koe ɖe eme o, ke boŋ atike siwo womeƒlena le atikedzraƒe o, vitaminwo, gbetikewo, kple dekɔnutikewo gɔ̃ hã hã le eme.
• Eɖanye be wowɔ dodokpɔ bubu aɖewo siwo me wozã nusiwo me iodine le (le kpɔɖeŋu me, CT scan alo angiogram si me IV iodine ƒe vovototo le) le ɣleti eve siwo va yi me o. Esiawo ate ŋu atrɔ iodine ƒe agbɔsɔsɔ le wò ŋutilã me eye woakpɔ ŋusẽ ɖe fotoɖeɖe sia me tsonu dzi.
• Ne èle atikewo nom na lãkusidɔ la:Ne èle ʋumenugbagbeviɣidɔ (thyroid si wɔa dɔ fũu akpa) ƒe atikewo abe Methimazole alo Propylthiouracil (PTU), alo ʋumenugbagbeviɣidɔlékuiwo (Thyroxine) ene zãm la, wò ɖɔkta agblɔ ŋkeke nenie do ŋgɔ na scan la na wò be nàdzudzɔ atike siawo nono. Wɔ ɖe mɔfiame siawo dzi pɛpɛpɛ. Ne menye nenema o la, dodokpɔa me tsonu ate ŋu anye esi mesɔ o.
• Ku ɖe nuɖuɖu kple nunono ŋu: Woate ŋu abia tso asiwò be mègaɖu nu alo ano naneke o (nutsitsidɔ) gaƒoƒo ʋee aɖewo do ŋgɔ na dodokpɔa (e.g. gaƒoƒo 4-6). Bia wò ɖɔkta alo nudokpɔƒea tso esia ŋu do ŋgɔ.

Nu vevitɔe nye be nàwɔ ɖe mɔfiame siwo wò ɖɔkta alo kɔdzidɔwɔlawo na dzi pɛpɛpɛ. Ne nane li si ŋu mèka ɖe edzi o la, mègavɔ̃ be yeabia o. Wole afima be yewoakpe ɖe ŋuwò.

Nukae dzɔna le Thyroid Uptake & Scan me?

Esi wònye be wowɔa dodokpɔ sia ƒe akpa siwo nye ``Uptake'' kple ``Scan'' le mɔ bubu nu vie ta la, mina míalé ŋku ɖe wo ŋu ɖe vovo.

Ale Si Nàwɔ Thyroid Xɔxɔ:

1. Gbã la, woana atikekui sue aɖe alo tsi si me radioactive iodine (`(Radiotracer)`) le be nàno. Esia mevivina kloe o, eyata meɖea fu na ame o.

2. Ne ènoe vɔ la, woagblɔ na wò be nàyi aƒeme alo nàɖi ɖe eme vie. Zi geɖe la, ahiã be nàtrɔ ava dodokpɔwɔƒea le gaƒoƒo 4 va ɖo 6 megbe (ɣeaɖewoɣi gaƒoƒo 24 gɔ̃ hã). Esia naa ɣeyiɣi thyroid gland la be wòaxɔ radiotracer la.

3. Ne ètrɔ gbɔ la, woatsɔ wò mlɔ dodokpɔkplɔ̃ dzi (alo ɖewohĩ anɔ zikpui dzi), eye mɔ̃ɖaŋudɔwɔla alo ɖɔkta aɖe atsɔ mɔ̃ sue aɖe si woyɔna be ``Gamma probe'' aɖo wò thyroid gland gbɔ ŋutɔ le wò kɔ me (maka asi eŋu o). Esia dzidzea keklẽŋusẽ si wò thyroid dona.

4. Ɣeaɖewoɣi la, woateŋu abia tso asiwò be nàtrɔ ava gaƒoƒo 24 le ``(Radiotracer)'' nono vɔ megbe eye nàna woawɔ dzidzenu bubu le mɔ sia nu. Esia aɖe ɣeyiɣi didi si lãkusia léa iodine la ɖe te hã afia.

5. `(probe)` sia xɔa miniti ʋee aɖewo ko hafi wodzidzea nu, ɖewohĩ miniti 5 alo esi mede nenema o. Vevesese aɖeke meli o.

Ale Si Nàwɔ Awɔ Thyroid Scan:

1. Le esia me la, zi geɖe la, wodoa nusi me keklẽŋusẽ le (`(Radiotracer)`) sue aɖe ɖe ʋuka aɖe me le wò alɔnu (`(IV injection)`). (Ƒã hafi woate ŋu anae to enono alo gbɔgbɔ me hã, abe alesi wowɔna na `(Uptake)` ene, le `(Radiotracer)` ƒomevi si wozã nu.)

2. Emegbe, ele be nàlala vie (zi geɖe la, anɔ abe miniti 20-30 ene) hafi wò lãkusi naxɔ nu sia.

3. Eyome, woatsɔ wò aɖo dodokpɔkplɔ̃ tɔxɛ aɖe si ana nàte ŋu aʋuʋui dzi, eye nàkɔ wò kɔ ɖe megbe vie (ale be wòakeke bliboe).

4. Emegbe, wotsɔa fotoɖemɔ̃ gã aɖe si woyɔna be ``Gamma Camera'' dana ɖe wò kɔ me, le lãkusia tame tututu alo te ɖe eŋu ŋutɔ, eye woɖea foto siwo kplɔ wo nɔewo ɖo tso dzogoe vovovowo dzi.

5. Le ɣeyiɣi sia me la, ele vevie ŋutɔ be nànɔ anyi kpoo keŋkeŋ eye màʋuʋu o.Elabena ne eʋuʋu la, ɖewohĩ nɔnɔmetataawo me mekɔ o. Abe alesi ko ne wole foto ɖem ene.

6. Ðewohĩ ahiã be nàlala vie vaseɖe esime dɔwɔlawo nakpɔ nɔnɔmetata siwo me kɔ wu. Ɣeaɖewoɣi la, woate ŋu aɖe nɔnɔmetata bubuwo atsɔ ana lãkusia ƒe akpa aɖewo me nakɔ ɖe edzi. Ke hã, naneke meli si ŋu woatsi dzi ɖo o, esia sɔ.

7. Zi geɖe la, fotoɖeɖe sia katã xɔa abe miniti 30 ene alo esi mede nenema o. Vevesese aɖeke mele eme o.

Nukae dzɔna le Thyroid Uptake & Scan megbe?

Ne wonya wu dodokpɔa nu ko la, àte ŋu ayi wò gbesiagbedɔwo dzi vaseɖe esime wò ɖɔkta naɖo aɖaŋu na wò be menye nenemae o. Àte ŋu ayi aƒeme hã.

Ke hã, nu vevi ɖeka aɖe li. Be woakpe ɖe keklẽŋusẽ (`(Radiotracer)`) si wozã le dodokpɔa me ŋu wòado le wò ŋutilã me kaba le wò aɖuɖɔ me la, woabia tso asiwò be nàno tsi geɖe (lita 2-3 ya teti gbesiagbe) ŋkeke eve le dodokpɔa megbe. Anyo be nàwɔ ɖe esia dzi.

Nukae nye afɔku kple nugbegblẽ le Thyroid Uptake & Scan sia ŋu?

Ame geɖewo vɔ̃na na nya "radioactive". Gake le nyateƒe me la, `(Thyroid Uptake & Scan)` dodokpɔ sia zãa nu sue aɖe ŋutɔ si me keklẽŋusẽ le (`(Radiotracer)`). Eyata keklẽŋusẽ si nèxɔna ƒe agbɔsɔsɔme le sue ŋutɔ. Le nyateƒe me la, ate ŋu anɔ sue wu keklẽŋusẽ si woxɔ tso `(X-ray)` dodokpɔ aɖewo me. Eyata ne wotsɔe sɔ kple viɖe siwo le fotoɖeɖe sia me be woasrɔ̃ nyatakaka veviwo tso lãkusi ƒe dɔwɔwɔ kple lãmesẽ ŋu la, keklẽŋusẽ ƒe afɔku sue aɖe ŋutɔ le sue ale gbegbe be woate ŋu aŋe aɖaba aƒu edzi.

Gake abe alesi míegblɔe va yi ene la, keklẽŋusẽ sia mesɔ na vidzĩ si le vidzidɔ me ne èfɔ fu, alo na vidzĩ si to notsi me ne èle no nam o. Esia tae wòle vevie be nàna ɖɔktaa nanya nu tso eŋu do ŋgɔ. Ðɔktaa ate ŋu abia tso asiwò hã be nàdzudzɔ no nana ŋkeke ʋɛ aɖewo.

Kuxi suesue bubu ʋɛ aɖewo hã li siwo ate ŋu ado mo ɖa, gake ƒã ŋutɔ:

• (Radiotracer) Vevesese, abi, alo vuvu vi aɖe le afisi wodo ʋukaa le: Esia nu ayi le abe ŋkeke ɖeka alo eve ene megbe. Ðewohĩ àse vividoɖeameŋu ƒe seselelãme aɖe.
• Nulɔdɔ le radiotracer ŋu: Esia mebɔ kura o . Zi geɖe la, nuwɔna sue aɖe ko abe ʋuʋudedi alo ʋuʋudedi sue aɖe ene. Ƒã hafi nulɔdɔ sesẽwo mebɔ o. Ðo ŋku edzi be menye iodine ŋutɔ ŋue nulɔdɔ sia tsona o, ke boŋ nu bubu siwo le atike si me iodine le me ye. Gblɔe na wò ɖɔkta ne iodine ƒe nulɔdɔ aɖe nɔ ŋuwò kpɔ.

Ɣekaɣie mate ŋu anya Thyroid Uptake & Scan sia me tsonu?

Ɣeyiɣi si wòxɔna hafi nèxɔa wò dodokpɔa me tsonu ate ŋu ato vovo vie. Enɔ te ɖe kɔdzi si me wowɔ dodokpɔa le, susu si ta wowɔ scan la, ɣeyiɣi si wòxɔna hafi woda nɔnɔmetataawo kpɔ, kple nenye be àte ŋu ahiã ``nukpɔsusu evelia'' tso eŋutinunyala bubu gbɔ.

Esiae nye nusi dzɔna zi geɖe: Kekeliŋutinunyala alo ɖɔkta bibi bubu si xɔ hehe tɔxɛ le nuklia ƒe fotoɖeɖe me srɔ̃a nu tso fotoɖeɖefia ƒe nɔnɔmetatawo kple alesi woxɔa woe ƒe dzidzenuwo ŋu nyuie eye wòdzraa nyatakaka blibo ɖo. Emegbe woɖoa nyatakakaa ɖe ɖɔkta si de se be woawɔ dodokpɔa na wò. Emegbe ɖɔktaa ado go kpli wò eye wòaɖe nusi emetsonuwo fia na wò la me na wò. Esia ate ŋu axɔ tso ŋkeke ʋɛ aɖewo dzi va ɖo kwasiɖa ɖeka alo eve.

`(Thyroid Uptake & Scan)` sia nye atikewɔwɔ dodokpɔ si le dedie ŋutɔ eye wòɖea vi ŋutɔ si ateŋu ada wò lãkusi ƒe dɔwɔwɔ kple lãmesẽ kpɔ. Ne nyabiase alo ɖikeke aɖe le ŋuwò le dodokpɔ sia, alesi wowɔae, alo emetsonuwo ŋu la, mègavɔ̃ be yeabia wò ɖɔkta o. Ðo ŋku edzi be wole afima be yewoakpe ɖe ŋuwò ahakpɔ wò dzimaɖitsitsiwo gbɔ.

Mlɔeba la, ɖo ŋku (Take-Home Message) dzi .

Enyo, eyata, le nusiwo ŋu míeƒo nu tsoe vaseɖe fifia nu la, nu vevitɔ kekeake siwo dzi wòle be nàɖo ŋkui la dometɔ aɖewoe nye esi:

• `(Thyroid Uptake & Scan)` sia nye dodokpɔ vevi aɖe ŋutɔ eye wòle dedie si wozãna tsɔ nyaa alesi tututu thyroid gland si le wò kɔ me le dɔ wɔm, kple nenye be nane si mesɔ o, ƒunukpeƒetetedɔ (`(Nodule)`), alo kuxi aɖe abe nuwɔwɔ fũu akpa (`(Hyperthyroidism)`) li.
• Ele vevie be nàwɔ ɖe ɖɔkta ƒe mɔfiamewo dzi nyuie hafi woawɔ dodokpɔa (abe nusi nàɖu kple nunono, atike siwo nàdzudzɔ nono, kple nusi nàwɔ ne èfɔ fu ene) be nàkpɔ emetsonu siwo de pɛpɛpɛ.
• Wozãa nu sue aɖe si me keklẽŋusẽ le (`(Radiotracer)`) le dodokpɔa wɔɣi, gake magblẽ nu boo aɖeke le wò ŋutilã ŋu o. Kekeli agbɔsɔsɔme si wòdona la le sue ŋutɔ.
• Vevesese aɖeke mele dodokpɔa wɔɣi o. Ðeko wòle vevie be nànɔ anyi kpoo hena ɣeyiɣi aɖe esime wole fotoɖeɖea wɔm.
• Ne wonya do tso eme ko la, wò ɖɔkta adzro wo me kpli wò tsitotsito eye wòatso nya me le atikewɔwɔ bubu ɖesiaɖe si hiã ŋu.

Eyata, ne ɖɔkta aɖe kafui na wò be nàwɔ dodokpɔ sia si nye `(Thyroid Uptake & Scan)` la, mègavɔ̃ alo atsi dzi ɖe eŋu madzemadzee o. Esia nye dodokpɔmɔnu nyui aɖe le egbegbe atikewɔwɔ me si ate ŋu akpe ɖe ŋuwò nànya nyatakaka vevi geɖe tso wò lãmesẽ ŋu. Anyo wu ɣesiaɣi be nàƒo nu kple wò ɖɔkta gaglãa eye nàbia nya siwo katã le susu me na wò ahaɖe wo me.

` Thyroid, thyroid scan, thyroid ƒe xɔxlɔ̃, iodine si me keklẽŋusẽ le, thyroid gland, hyperthyroidism, thyroid nodules