Ua pehu kou ʻāʻī? E kamaʻilio kākou e pili ana i ka goiter!

He nui paha ka poʻe e makaʻu iki ana ke ʻike lākou i kahi pehu liʻiliʻi ma ko lākou ʻāʻī, ʻeā? He aha kēia? Ua lohe paha ʻoe i ka ' Gout '. I kēia lā e kamaʻilio mākou e pili ana i kēia maʻi, i ʻike ʻia ma ke ʻano lapaʻau ʻo `( Goiter )`. Mai makaʻu, ʻo ka mea nui loa, ʻo ia ka makaʻala i kēia.

He aha kēia ʻano o ka thyroid?

ʻAe, e nānā mua kākou i ke ʻano o kēia `(Goiter)` a i ʻole ke kelepa thyroid . He kelepa liʻiliʻi kēia kelepa thyroid i loko o kou ʻāʻī, ma lalo pono o ka iwi ʻāʻī. He ʻāpana kēia o ka `( Endocrine system )` o ko kākou kino.

ʻOiai he liʻiliʻi, he mea nui loa nā hormones i hana ʻia e ka thyroid gland. ʻO nā hormones nui ʻelua i hana ʻia ma ʻaneʻi, ʻo ia ka thyroxine (i kapa pinepine ʻia ʻo `(T4)`) a me ka triiodothyronine (i kapa ʻia ʻo `(T3)`). Pili kēia mau hormones i kekahi mau hana koʻikoʻi loa i loko o ko kākou kino. Eia kekahi laʻana:

• ʻO ka metabolism o ko kākou kino ke kaʻina hana e hoʻololi ai i ka meaʻai a kākou e ʻai ai i ikehu.
• Ke kāohi nei i ka mahana o ke kino .
• Nā mea e like me ko mākou ʻano , ko mākou hopohopo, a me nā mea ʻē aʻe.
• Ka helu o ka puʻuwai .
• Ke kaʻina hana hoʻoheheʻe ʻana .

ʻIke ʻoe, ʻoiai he liʻiliʻi ia, hana nui kāna hana. No laila, inā pehu wale kēia gland, a hana paha i nā hormones he nui a liʻiliʻi paha, hiki iā mākou ke loaʻa nā pilikia.

No laila, aia kekahi ʻano o kēia pōhaku?

ʻAe, hiki ke hoʻokaʻawale ʻia kēia goiter ma nā ʻano ʻelua. ʻO kekahi e like me ke ʻano o kona ulu ʻana. ʻO kekahi e like me kou pae hormone thyroid.

Hoʻokaʻawale ʻia e like me ke ʻano o ko lākou ulu ʻana:

• Goiter maʻalahi a hoʻolaha paha: ʻO kēia ka manawa e pehu ai ke kelepa thyroid holoʻokoʻa a palupalu ke pā.
• Nodular Goiter: Ma kēia, ulu kahi puʻupuʻu paʻa a piha paha i ka wai (nodule) i loko o ka thyroid gland, kahi mea e like me kahi puʻupuʻu ke hoʻopā ʻia.
• ʻO ka Goiter Multinodular: ʻO kēia ka wā e ulu ai nā nodules he nui i loko o ke kelepa thyroid. Hiki ke ʻike ʻia kēia mau nodules mai waho a i ʻole e loaʻa wale i ka wā o nā hoʻokolohua.

Hoʻokaʻawale ʻia e like me ka nui o ka hormone thyroid:

• ʻAkika Goiter: Ma kēia, pehu ka ʻōpū thyroid a hana i ka nui o ka hormone thyroid. ʻO ka hopena kēia i kahi maʻi i kapa ʻia ʻo hyperthyroidism.
• ʻO ka Goiter ʻawahia ʻole: I kēia hihia, ua pehu ka ʻōpū thyroid, akā ua maʻamau nā pae hormone. ʻO ke ʻano kēia, ʻaʻohe hyperthyroidism a ʻaʻole hoʻi hypothyroidism, ʻo ia ke ʻano o nā pae hormone thyroid haʻahaʻa. Ua kapa pū nā kauka i kēia ʻano euthyroid.

I kekahi manawa hoʻohui nā kauka i kēia mau ʻano ʻelua. No ka laʻana, ʻo ka "Toxic Multinodular Goiter" kahi kūlana kahi e hana ai nā nodules he nui i loko o ka thyroid gland a hana i nā hormones keu.

ʻO wai ka mea i ʻoi aku ka paʻakikī o ka loaʻa ʻana o kēia ʻano pōhaku gallstone?

ʻOiaʻiʻo, hiki i kekahi ke loaʻa i ka goiter. Eia nō naʻe, ua ʻōlelo ʻia he ʻehā manawa ka nui o ka loaʻa ʻana o nā wahine ma mua o nā kāne . Eia kekahi, piʻi ka pilikia o ka loaʻa ʻana o ka goiter me ka makahiki. ʻO ka mea maʻamau ma hope o 40 mau makahiki .

Eia kekahi, ʻoi aku ka nui o ka poʻe me nā kūlana e hiki ke hoʻomohala i nā gallstones:

• Momona
• Ke kū'ē ʻana o ka insulin
• ʻO ka maʻi metabolic

Eia kekahi, inā ua loaʻa iā ʻoe ka radiation i kou poʻo a me kou ʻāʻī ma ke ʻano he lāʻau lapaʻau, a inā he moʻolelo ʻohana ko kekahi o kou ʻohana no ka maʻi thyroid , ʻoi aku ka nui o kou pilikia o ka loaʻa ʻana o ka goiter.

Pehea ka maʻamau o kēia kūlana?

He maʻi maʻamau ka maʻi ʻaʻai ʻōpū. Ma ʻAmelika Hui Pū ʻIa, no ka laʻana, ma kahi o 5% o ka heluna kanaka e loaʻa ana iā ia.

Akā ma ka honua holoʻokoʻa, ʻo ke kumu nui o ka goiter ka nele i ka iodine . Ua ʻōlelo ʻia he 2.2 miliona mau kānaka e ʻeha nei i kēia pilikia.

ʻOkoʻa ka likelika o ka loaʻa ʻana o ka goiter ma muli o ke koʻikoʻi o ka nele o ka iodine:

• Inā haʻahaʻa ka pae o ka nele o ka iodine , aia kahi 5% a 20% o ka hiki ke loaʻa i ka goiter.
• Inā he haʻahaʻa ka hemahema o ka iodine , piʻi ia ma waena o 20% a me 30%.
• Inā koʻikoʻi ka nele o ka iodine , hiki i ka nui o ka loaʻa ʻana o ka goiter ke piʻi aʻe ma mua o 30%.

He aha nā hōʻailona e ʻike ai iaʻu inā he gallstone koʻu?

Hiki i ka goiter ke ʻokoʻa ka nui mai ka liʻiliʻi loa, ʻike ʻole ʻia, a i ka nui loa. ʻO ka hapa nui o ka manawa, ʻaʻohe ʻeha o ka goiter. Eia nō naʻe, inā loaʻa iā ʻoe ka thyroiditis, ʻo ia ka wā e pehu ai kou kelepa thyroid a ʻulaʻula, hiki iā ʻoe ke ʻeha.

Hiki ke ʻike ʻia nā hōʻailona nui e like me:

• Me he puʻu lā ma ke alo o kou ʻāʻī , ma lalo pono o ka iwi ʻāʻī.
• Manaʻo e like me ke paʻa ʻana o kekahi mea i loko o ka puʻu .
• Ka leo haʻalulu (ka loli ʻana o ka leo).
• Me he mea lā e puʻupuʻu ana nā aʻa koko ma ka ʻāʻī.
• Manaʻo poniuniu i ka wā e hāpai ai i nā lima ma luna o ke poʻo.

Aia kekahi mau hōʻailona ʻē aʻe, ʻaʻole i maʻamau:

• Pōkole o ka hanu .
• Kuke.
• Ke kani ʻūlū i ka wā e hanu ana (ma muli o ke ālai ʻia ʻana o ke alaea).
• Ke paʻakikī i ka moni ʻana (ma muli o ke ālai ʻia ʻana o ka esophagus).

Loaʻa paha i kekahi poʻe kahi maʻi i kapa ʻia ʻo hyperthyroidism, ʻo ia hoʻi ka hoʻonui ʻia ʻana o nā hormones thyroid me ka goiter. Inā hana ʻia kēia, nā hōʻailona e like me:

• Ka wikiwiki o ka puʻuwai (Tachycardia) .
• Ka wiwi ʻana me ke kumu ʻole .
• Ka maʻi pākī.
• E hou ana ʻoiai me ka hoʻoikaika kino ʻole a i ʻole i ka wā ʻaʻole kiʻekiʻe loa ka mahana o ka lumi.
• Nā haʻalulu o ke kino.
• Hopohopo.

Eia kekahi, loaʻa paha i kekahi poʻe kahi maʻi i kapa ʻia ʻo hypothyroidism, ʻo ia hoʻi kahi kūlana e emi ai ka nui o nā hormones thyroid me ka goiter. I kēia hihia, ʻike paha ʻoe i nā hōʻailona e like me:

• Manaʻo luhi loa (Fatigue) .
• Ka paʻa ʻana o ka ʻōpū.
• ʻIli maloʻo.
• Ke ulu nui nei me ke kumu ʻole .
• Nā pōʻaiapuni menstrual kūpono ʻole i nā wahine.

No ke aha i hana ʻia ai kēia pōhaku ʻāʻī? He aha nā kumu?

ʻO ka Goiter kahi pane hoʻololi o kāu mau pūnaewele thyroid i kekahi kaʻina hana e hoʻopilikia ai i ka hana ʻana o nā hormones thyroid. ʻOiai ʻo ka hemahema o ka iodine ke kumu nui o ka goiter ma ka honua holoʻokoʻa, aia kekahi mau kumu ʻē aʻe.

ʻO nā mea e hiki ai ke hana i nā gallstones:

• Ka nele o ka iodine: Pono kou ʻōpū thyroid i ka iodine e hana i nā hormones thyroid. Inā ʻaʻole lawa ka iodine mai ka meaʻai āu e ʻai ai, hoʻāʻo ka ʻōpū thyroid e hana i nā hormones thyroid hou aʻe. Hana ia i nā cell hou aʻe, ʻo ia hoʻi ke ulu nui nei. ʻO kēia ke kumu nui ma ka honua holoʻokoʻa. Eia nō naʻe, ma nā ʻāina e like me Sri Lanka, ua emi iki kēia ma muli o ka hoʻohana ʻana i ka paʻakai iodized. Hiki iā mākou ke loaʻa ka nui o ka iodine e pono ai mai nā meaʻai kai, nā huahana waiū, a me ka paʻakai iodized. Eia nō naʻe, ʻaʻole kūpono ka lawe ʻana i nā mea hoʻohui iodine me ka ʻole o ka ʻōlelo aʻoaʻo lapaʻau no nā poʻe he nui, no ka mea hiki ke hoʻoulu i nā pilikia olakino ʻē aʻe.
• ʻO ka maʻi Graves: He maʻi autoimmune kēia. ʻO ke ʻano kēia e hoʻouka ana kāu ʻōnaehana pale ponoʻī i kou kelepa thyroid, e hoʻonui ai iā ia. Hiki i ka maʻi Graves ke hana i kahi maʻi i kapa ʻia ʻo hyperthyroidism, pono e mālama ʻia.
• ʻO ka maʻi Hashimoto: He maʻi autoimmune nō hoʻi kēia. Hoʻoulu ia i ka mumū o ke kelepa thyroid. I kekahi poʻe, hoʻoulu ka maʻi Hashimoto i ka hoʻonui ʻana o ke kelepa thyroid ma ke ʻano he kūlana uku. Hoʻomaikaʻi pinepine kēia ʻano goiter iā ia iho i ka hala ʻana o ka manawa. Eia nō naʻe, pono kekahi poʻe me Hashimoto e lawe i nā lāʻau hormone thyroid.
• Ka maʻi ʻaʻai thyroid:Hiki i ke kanesa o ka thyroid gland ke hoʻonui i ka gland.
• Hāpai keiki: I ka wā hāpai keiki, hiki ke hoʻonui iki ʻia ke kelepa thyroid ma muli o ka hormone "Human Chorionic Gonadotropin (HCG)" i hana ʻia i loko o ke kino o ka wahine.
• Thyroiditis: ʻO ka mumū o ke kelepa thyroid ponoʻī hiki ke hoʻonui i ka kelepa. Aia kekahi mau kumu no kēia.

I kekahi manawa, hiki ke ulu nā goiters me ke kumu ʻole. Kāhea mākou iā lākou he "Sporadic goiters". Hiki i kekahi mau lāʻau lapaʻau ke hana i kēia. No ka laʻana, ʻo ka lāʻau "Lithium", i hoʻohana ʻia e mālama i kekahi mau maʻi noʻonoʻo, hiki ke hana i kēia ʻano goiter.

Pehea e ʻike pono ai nā kauka i kēia?

Ke hele ʻoe e ʻike i ke kauka, hiki iā lākou ke nānā i kou ʻāʻī no kahi kelepa thyroid i hoʻonui ʻia ma ka hoʻopā ʻana iā ia. Akā ʻo ka goiter ke ʻano he pilikia me kou kelepa thyroid. No laila pono ʻoe e ʻike i ke ʻano o ia pilikia.

Hana nā kauka i kekahi mau hoʻokolohua no kēlā:

• Hoʻokolohua kino: E like me kaʻu i ʻōlelo ai ma mua, e hoʻopā ke kauka i kou ʻāʻī e ʻike inā he mau puʻupuʻu a ʻeha paha.
• Hoʻāʻo koko thyroid: Ke ana kēia mau hoʻāʻo koko i nā pae hormone thyroid. Hiki i kēia ke kōkua i ka hoʻoholo ʻana inā e hana pono ana ke kelepa thyroid.
• Hoʻāʻo antibody: Ke nānā nei kēia hoʻāʻo koko i nā antibody kikoʻī i hana ʻia e kekahi mau ʻano goiter. ʻO nā antibody he mau protein i hana ʻia e ko mākou mau keʻokeʻo koko. ʻO kēia nā mea e pale ai iā mākou mai nā germs e hoʻoulu ai i ka maʻi.
• ʻO ke ultrasound thyroid: He hoʻāʻo ka ultrasound e hoʻohana ana i nā nalu kani alapine kiʻekiʻe e hele i loko o nā ʻiʻo o ke kino. Hōʻike ʻia nā kiʻi hopena ma kahi pale kamepiula. A laila hiki i ke kauka ke "ʻike" i ka ʻōpū thyroid, e nānā ana i kona nui a inā he mau puʻupuʻu.
• Biopsy: ʻO ka biopsy kahi hana e pili ana i ka lawe ʻana i kahi hāpana o nā ʻiʻo a i ʻole nā ​​​​​​kelepona a hoʻāʻo iā lākou i loko o kahi lab. Inā he puʻupuʻu nui kou i loko o kou kelepa thyroid, pono paha ʻoe e hana i kahi biopsy. Hana pinepine ʻia kēia e kāpae i ka maʻi kanesa.
• Ka lawe ʻana a me ke kiʻi ʻana i ka thyroid: Hāʻawi kēia hoʻāʻo kiʻi i ka ʻike e pili ana i ka nui a me ka hana o ke kelepa thyroid. Pili ia i ka hoʻokomo ʻana i kahi liʻiliʻi loa o ka mea radioactive i loko o kahi aa a me ka hana ʻana i kahi kiʻi o ke kelepa thyroid ma kahi pale kamepiula. Eia nō naʻe, ʻaʻole hana mau ʻia kēia hoʻāʻo a he mea pono wale nō ia i nā hihia kūikawā.
• ʻO ke kiʻi CT a i ʻole MRI (Magnetic Resonance Imaging):Inā nui loa nā tonsils a ua pālahalaha paha i ka umauma, hiki ke hana ʻia kahi CT scan a i ʻole MRI e ana i ka nui a me ka pālahalaha ʻana o nā tonsils.

E ola maikaʻi anei nā pōhaku ʻaʻa iā lākou iho?

Hiki i kahi goiter maʻamau ke hoʻōla ponoʻī i ka hala ʻana o ka manawa, me ka ʻole o ka lāʻau lapaʻau.

Nui nā goiters, e like me nā goiters multinodular, e ulu ana i ka wā e maʻamau ai nā pae hormone thyroid. Ke ʻike ʻia e ke kauka, ʻaʻohe lāʻau lapaʻau kikoʻī e pono ai. Eia nō naʻe, hiki iā ʻoe ke loaʻa i ka hypothyroidism a i ʻole hyperthyroidism i ka wā e hiki mai ana.

Eia nō naʻe, inā ʻike ʻoe ua hoʻonui ʻia kou kelepa thyroid, he mea nui loa ia e ʻike i ke kauka . No ka mea, aia kekahi mau kumu o ka goiter, a ʻo kekahi o ia mau mea e pono ai ka mālama ʻana.

He aha nā lāʻau lapaʻau i loaʻa?

ʻO ke ʻano o ka mālama ʻana i ka goiter e pili ana i ka nui o kou kelepa thyroid, kou mau hōʻailona, ​​a me ke kumu. Aia kekahi mau koho lapaʻau:

• ʻAʻohe lāʻau lapaʻau / "Kali makaʻala": Inā liʻiliʻi ka goiter a ʻaʻole hoʻopilikia iā ʻoe, hiki i kāu kauka ke hoʻoholo ʻaʻole pono ka lāʻau lapaʻau. Akā e nānā pono ʻo ia i kou thyroid no nā loli.
• Nā lāʻau lapaʻau:
• ʻO Levothyroxine (e.g. Levothroid®, Synthroid®) he lāʻau lapaʻau pani hormone thyroid. Hiki i kāu kauka ke kuhikuhi i kēia lāʻau lapaʻau inā ʻo kou goiter ke kumu o nā pae hormone thyroid haʻahaʻa (hypothyroidism).
• Inā ʻo ke kumu o ka goiter ka hoʻonui ʻia ʻana o nā hormones thyroid (Hyperthyroidism), hāʻawi ʻia nā lāʻau lapaʻau ʻē aʻe. ʻO nā laʻana e like me Methimazole (e.g. Tapazole®) a me Propylthiouracil.
• Inā he mumū ke kumu o nā tonsils, hiki i ke kauka ke kuhikuhi i ka aspirin a i ʻole corticosteroid.
• Lapaʻau iodine radioactive: Hoʻohana ʻia kēia lāʻau lapaʻau e mālama i ka hyperthyroidism. Ma kēia lāʻau lapaʻau, lawe ʻia ka iodine radioactive ma ka waha. Komo kēia iodine i loko o ka ʻōpū thyroid a luku i nā hunaola thyroid, e hoʻemi ana i ka ʻōpū. Ma hope o kēia lāʻau lapaʻau, pono paha ʻoe e lawe i nā lāʻau pani hormone thyroid no ke koena o kou ola.
• ʻOki kino: Hiki i kāu kauka ke ʻōlelo aku i kahi hana ʻoki kino i kapa ʻia he thyroidectomy e wehe i kahi hapa a i ʻole kekahi hapa o kou kelepa thyroid. Pono paha ke ʻoki kino inā nui ka goiter a paʻakikī ke hanu a ale paha. Hoʻohana ʻia kekahi manawa ke ʻoki kino e wehe i nā nodules. Pono pinepine ke ʻoki kino inā he maʻi kanesa. Ma muli o ka nui o ka kelepa thyroid i wehe ʻia, pono paha ʻoe e lawe i nā pila hoʻololi hormone thyroid no ke koena o kou ola.

Hiki iā kākou ke pale aku i kēia?

ʻO ka goiter nele i ka iodine (goiter maʻalahi) wale nō ke ʻano o ka goiter hiki iā mākou ke pale aku. Hiki ke pale ʻia kēia ʻano goiter ma ka hoʻokomo ʻana i ka iʻa lawa, nā huahana waiū, a me ka paʻakai iodized (paʻakai papaʻaina) i ka meaʻai. No nā ʻano goiter ʻē aʻe, ʻaʻole ʻōlelo ʻia ka lawe ʻana i nā mea hoʻohui iodine a i ʻole nā ​​​​mea hoʻohui ʻē aʻe me ka ʻole o ke aʻo ʻana a ke kauka. Hiki iā lākou ke hana i ka ʻino ma mua o ka maikaʻi.

He aha ka manaʻo no kēia kūlana? (Wānana)

ʻO ke ʻano o ka loaʻa ʻana o kahi gallstone e pili ana i kona ʻano a me ke kumu.

He maikaʻi ke ʻano o ka goiter maʻamau. Eia nō naʻe, inā hoʻomau ka nui o ke kelepa thyroid, hiki iā ia ke paʻi i nā ʻiʻo a puni, e pilikia ai ka hanu ʻana, ka moni ʻana, a me ka leo honi.

Inā he hōʻailona ka goiter o kahi maʻi thyroid ʻē aʻe, e like me ka maʻi Graves a i ʻole ka maʻi Hashimoto, ʻo ka nānā ʻana e pili ana i ke kumu nui o kou hoʻonui ʻia ʻana o ka thyroid.

Āhea wau e ʻike ai i ke kauka e pili ana i koʻu mau pōhaku gallstones?

No kekahi kumu, inā ua ʻike ʻia ʻoe he goiter, he mea nui loa ia e ʻike pinepine i ke kauka (ma ka liʻiliʻi hoʻokahi manawa i ka makahiki) e nānā iā ia.

Inā loaʻa iā ʻoe kekahi mau hōʻailona hou, e kamaʻilio me kāu kauka.

He kelepa koʻikoʻi loa kou thyroid i loko o kāu ʻōnaehana endocrine, e hoʻopilikia ana i nā mea he nui i loko o kou kino. Hiki i ka thyroid i hoʻonui ʻia ke hōʻailona o kahi maʻi thyroid ma lalo. ʻO ka nūhou maikaʻi, hiki ke mālama ʻia nā goiters a i kekahi manawa e nalowale iā lākou iho. Inā ʻike ʻoe i kahi puʻupuʻu ma ke alo o kou ʻāʻī, e kamaʻilio me kāu kauka. Hiki iā ia ke nānā e ʻike inā he goiter ia a he aha ke kumu.

Leka Hoʻihoʻi Hope Loa

ʻAe, mai nā mea a mākou i kūkākūkā ai, ke lana nei koʻu manaʻo ua loaʻa iā ʻoe kahi ʻike maikaʻi aʻe no Goiter. I ka hōʻuluʻulu manaʻo:

• ʻO ka goiter kahi pehu o ka ʻōpū thyroid. Hiki i kēia ke loaʻa i nā kumu he nui.
• Inā ʻike ʻoe i kekahi mea e like me ka pehu ʻana ma ka ʻāʻī, ka paʻakikī i ka moni ʻana, ka paʻakikī i ka hanu ʻana, a i ʻole ka loli o ka leo, e ʻimi pono i ke kōkua lapaʻau.
• ʻAʻole pono nā pōhaku gall āpau i ka mālama ʻia, akā he mea nui e ʻimi i ke kumu a ʻimi i ka lāʻau inā pono.
• ʻOiai ʻo ka nele o ka iodine kekahi o nā kumu nui o ka honua, ua emi ke kūlana ma ko mākou ʻāina ma muli o ka paʻakai iodized.
• Mai lawe i nā hormones thyroid a i ʻole nā ​​​​​​lāʻau iodine me ka ʻole o ke aʻoaʻo lapaʻau.
• Inā he goiter kou, he mea nui loa ia e hana i nā hoʻokolohua maʻamau e like me ke kuhikuhi a kāu kauka.

ʻAʻohe mea e makaʻu ai, hiki ke mālama maikaʻi ʻia kēia mau kūlana ma lalo o ke alakaʻi lapaʻau kūpono.