He mau puʻupuʻu thyroid kou i loko o kou ʻāʻī? E aʻo kākou e pili ana i kēia me ka makaʻu ʻole!

Ua ʻike anei ʻoe i kahi puʻupuʻu a i ʻole kahi ulu liʻiliʻi ma ke alo o kou ʻāʻī? A i ʻole ua nānā ke kauka iā ʻoe a ʻōlelo mai, "He nodule kou ma kou thyroid." He mea maʻamau ke manaʻo iki i ka makaʻu ke lohe ʻoe i kēia. Akā, mai hopohopo! ʻO ka hapa nui o ka manawa, ʻaʻole weliweli nā nodules thyroid. Eia nō naʻe, he mea nui e makaʻala iā lākou. I kēia lā, e kamaʻilio kākou e pili ana i nā nodules thyroid ma nā ʻōlelo maʻalahi.

He aha nā Nodules Thyroid?

I ka ʻōlelo maʻalahi, ʻo ka nodule thyroid kahi ulu ʻano ʻē o nā cell i loko o kou kelepa thyroid, e like me kahi puʻupuʻu liʻiliʻi.

E noʻonoʻo, ma ke alo o ko kākou ʻāʻī, ma lalo pono o ka iwi ʻāʻī, aia kahi ʻōpū liʻiliʻi e like me ke ʻano o ka pepeke. ʻO ia ka mea a kākou e kapa aku nei he ʻōpū thyroid . He ʻōpū endocrine maoli kēia i loko o ko kākou kino. Hoʻopuka ia i ʻelua mau hormones koʻikoʻi no ko kākou kino , thyroxine (T4) a me triiodothyronine (T3) . Hoʻomalu kēia mau hormones i nā mea he nui i loko o ko kākou kino. Eia kekahi laʻana:

• E mālama pono i ka metabolism o ko kākou kino.
• E kāohi i ka mahana o ke kino.
• E kāohi i ko mākou ʻano a me ka hoʻonāukiuki.
• E kāohi i kou pulse a me ka helu o ka puʻuwai .
• E hoʻoheheʻe pono i ka meaʻai .

No laila, hiki i kēlā mau puʻupuʻu ke hana ʻia i loko o ke kelepa thyroid, ka mea e hana ana i nā mea nui he nui. Hiki ke hoʻokaʻawale ʻia kēia mau puʻupuʻu i:

• Hoʻokahi wale nō paha puʻupuʻu (nodule hoʻokahi) .
• Hiki ke loaʻa nā nodules he nui .
• Hiki ke hoʻopiha ʻia kekahi mau puʻupuʻu me ka wai, a mākou e kapa nei he nodules cystic .
• He paʻa paha kekahi o lākou, ua kapa ʻia lākou he mau nodules paʻa .

ʻO ka mea nui, ʻoi aku ma mua o 90% o kēia mau puʻupuʻu i loaʻa i nā pākeke he ʻaʻole ia he maʻi kanesa a he benign paha . ʻO ia hoʻi, ʻaʻole lākou he pilikia nui. Eia nō naʻe, ma waena o 4 a me 6.5 pakeneka (4.0% a 6.5%) hiki ke lilo i maʻi kanesa thyroid . No laila, inā he puʻupuʻu kou, he mea nui e hōʻoia ʻaʻole ia he maʻi kanesa. I kekahi manawa hiki i kēia mau puʻupuʻu ke lilo i hōʻailona o kahi maʻi thyroid ʻē aʻe.

ʻO wai ka mea i ʻoi aku ka paʻakikī o ka loaʻa ʻana o kēia mau nodules thyroid?

ʻOiaʻiʻo, hiki i kekahi ke loaʻa i kahi nodule thyroid. Hiki iā ia ke hoʻopilikia i nā keiki, nā pākeke, a me kekahi. Eia nō naʻe, ʻehā manawa ka nui o ka loaʻa ʻana o nā wahine ma mua o nā kāne.ʻOi aku ka maʻalahi o ka hana ʻana o kēia mau puʻupuʻu.

Eia kekahi, ʻoi aku ka nui o ka poʻe ma nā ʻāina kahi i hoʻohui ʻole ʻia ai ka iodine i kā lākou meaʻai e loaʻa i kēia mau kūlana, no ka mea, he mea nui ka iodine no ka hana ʻana o ka thyroid gland i nā hormones.

Aia kekahi mau kumu ʻē aʻe e hoʻonui ai i ka pilikia o ka hoʻomohala ʻana i nā nodules thyroid:

• Inā ua loaʻa iā ʻoe ka lāʻau lapaʻau radiation thyroid ma mua.
• Inā ua loaʻa i kekahi o kou ʻohana nā nodules thyroid a i ʻole ke kanesa thyroid (mōʻaukala ʻohana).
• Piʻi ka pilikia me ka makahiki .
• No nā kānaka me ka anemia nele i ka hao .
• No ka poʻe puhipaka (Smoking) .
• No ka poʻe me ka momona .
• No nā poʻe me ka metabolic syndrome .
• No ka poʻe inu waiʻona (ka inu ʻana i ka waiʻona) .
• No nā poʻe i loaʻa nā pae kiʻekiʻe o ka Insulin-like growth factor-1 (he hormone) i loko o ke kino.
• ʻO nā wahine me nā fibroids uterine .

Pehea ka maʻamau o nā nodules thyroid?

He mea maʻamau loa kēia. E ʻike ke kauka i kēia mau puʻupuʻu i loko o 5% a 7% o nā pākeke i ka wā o ka hoʻokolokolo kino maʻamau. Eia nō naʻe, hiki i kahi ultrasound ke ʻike ma waena o 20% a me 76% o nā pākeke i loaʻa kēia mau puʻupuʻu. ʻO ke ʻano kēia he nui ka poʻe e loaʻa iā lākou me ka ʻike ʻole.

Akā, ʻaʻole kēia mau mea i loaʻa pinepine i nā keiki liʻiliʻi.

Pono anei mākou e makaʻu i kahi nodule thyroid?

ʻO ka hapa nui o ka manawa, ʻaʻohe mea e hopohopo ai nā nodules thyroid. E like me kā mākou i ʻōlelo ai ma mua, ʻo ka hapa nui he benign . Eia nō naʻe, he hapa liʻiliʻi loa ka maʻi kanesa thyroid , no laila inā ʻike ʻoe he nodule kou, pono ʻoe e ʻike i ke kauka e nānā iā ia. Inā he maʻi kanesa ia, ʻo ka wikiwiki o ka loaʻa ʻana a me ka mālama ʻia ʻana, ʻoi aku ka maikaʻi .

E hoʻomanaʻo, mai hopohopo inā ʻike ʻoe i kahi puʻupuʻu a manaʻo he maʻi kanesa ia. Akā, pono ʻoe e hoʻāʻo e ke kauka.

He aha nā hōʻailona o nā nodules thyroid?

ʻAʻole hōʻike ka hapa nui o nā nodules thyroid i kekahi mau hōʻailona, ​​ʻo ia hoʻi, ʻaʻole paha ʻoe e ʻike i kekahi mea. Eia nō naʻe, inā he nui kou mau nodules, a inā nui ka nodule, hiki paha iā ʻoe ke ʻike iā ia ma kou ʻāʻī.

I ka liʻiliʻi loa, inā nui loa nā puʻupuʻu, hiki iā ʻoe ke ʻike i nā hōʻailona penei:

• Pilikia me ke ale ʻana i ka meaʻai a i ʻole nā ​​​​wai , pilikia me ka hanu ʻana. E noʻonoʻo, inā manaʻo ʻoe ua paʻa kekahi mea i kou puʻu i ka wā e ʻai ai ʻoe, a inā manaʻo ʻoe he paʻakikī ke inu i kahi wai liʻiliʻi ...
• Ka leo haʻalulu a i ʻole ka loli o ka leo.
• Ke ʻeha nei ma ke alo o ka ʻāʻī.
• ʻO ka pehu ʻana o ka ʻōpū thyroid ua kapa ʻia hoʻi he goiter .

Hoʻomaka kekahi mau nodules, ʻoiai nā nodules thyroid hyperfunctioning , e hana i ka nui o ka hormone thyroid, kahi kūlana i kapa ʻia ʻo hyperthyroidism . ʻO nā hōʻailona:

Nā hōʻailona o ka hoʻonui ʻia o nā hormones thyroid (hyperthyroidism)

• Ka puʻuwai wikiwiki a i ʻole nā ​​palpitations .
• Ke haʻalulu nei a/a i ʻole ka hopohopo i nā manawa a pau.
• ʻO ka pohō kaumaha , ʻoiai ke piʻi nei ka makemake.
• Hoʻonui ʻia ka makemake .
• Ka maʻi kahe a me nā neʻe pinepine ʻana o ka ʻōpū .
• Paʻakikī hiamoe .
• ʻO ka nui o ka thyroid gland a i ʻole ka goiter .
• ʻO ka menstruation māmā a i ʻole ka hala ʻana o nā wā menstrual i nā wahine.

Eia kekahi, ʻo kekahi poʻe me nā nodules thyroid he haʻahaʻa paha ko lākou pae hormone thyroid. Ua kapa ʻia kēia he hypothyroidism . Eia nā hōʻailona:

Nā hōʻailona o ka haʻahaʻa o nā hormones thyroid (Hypothyroidism)

• Luhi mau ka manaʻo .
• ʻO ka mae a me ke ʻāʻī i loko o kou mau lima.
• Ka piʻi ʻana o ke kaumaha .
• ʻIli a me ka lauoho maloʻo a ʻāʻī .
• Ka paʻa ʻana o ka ʻōpū .
• Kaumaha, a i ʻole ke kaumaha o ka noʻonoʻo .
• ʻO nā wā menstruation kaumaha a pinepine i nā wahine.

No ke aha i hana ʻia ai kēia mau puʻupuʻu thyroid? He aha nā kumu?

ʻAʻole maopopo i nā kānaka noiʻi ke kumu o ka ulu ʻana o ka hapa nui o nā nodules thyroid. Eia nō naʻe, hiki iā lākou ke ulu no nā kumu like ʻole. Aia kekahi mau ʻano nodules:

• Nā pūpū colloid:ʻO kēia ke ʻano maʻamau. Hoʻokumu ʻia lākou e ka ulu nui ʻana o ka ʻiʻo thyroid maʻamau. ʻAʻole lākou he maʻi kanesa (benign). Hiki iā lākou ke ulu nui, akā ʻaʻole lākou e pālahalaha ma waho o ke kelepa thyroid.
• Nā ʻōhū thyroid: He mau puʻupuʻu kēia i piha i ka wai, a i ʻole he wai hapa a he paʻa hapa. He haʻahaʻa ko lākou pilikia o ka lilo ʻana i maʻi kanesa (malignancy). Inā ʻoi aku lākou ma mua o 2 kenimika, e nānā nā kauka iā lākou a hana paha i kahi biopsy .
• Nā puʻupuʻu mumū: Hoʻokumu ʻia kēia e ka mumū mau o ka ʻōpū thyroid. Hiki iā lākou ke ʻeha a ʻeha ʻole paha.
• ʻO ka goiter multinodular: I kekahi manawa e hoʻonui ʻia ke kelepa thyroid ma muli o nā nodules he nui (goiter). ʻAʻole maʻamau kēia mau nodules he maʻi kanesa.
• Nā puʻupuʻu thyroid hana nui: Hoʻopuka kēia mau puʻupuʻu i nā hormones thyroid keu. Hiki i kēia ke hana i ka hyperthyroidism , kahi e pono ai ka mālama ʻia.
• ʻO ke kanesa thyroid: Ke kamaʻilio mākou e pili ana i kahi puʻupuʻu thyroid, ʻo ka makaʻu nui loa iā mākou ʻo ia ka mea he kanesa ia. ʻO ka mea pōmaikaʻi, he kakaikahi loa ka maʻi kanesa thyroid. ʻAʻole i hiki i ka 6.5% o nā puʻupuʻu thyroid āpau he kanesa .

Pehea e hoʻoholo ai inā he mau nodules thyroid kou?

I kekahi manawa hiki iā ʻoe ke ʻike i kahi nodule thyroid iā ʻoe iho, a ʻike paha iā ia i loko o ke aniani. A i ʻole e loaʻa paha i kāu kauka i ka wā o ka hoʻokolokolo kino. Hiki nō hoʻi ke loaʻa kahi nodule me ka ulia pōpilikia i ka wā o kahi hoʻāʻo kiʻi i hana ʻia no kekahi kumu ʻē aʻe.

ʻOiai ʻaʻole ka hapa nui o nā nodules thyroid he maʻi kanesa (benign), pono nā nodules he nui i kekahi ʻano hoʻāʻo ma muli o ka manawa liʻiliʻi e hiki ai ke lilo i maʻi kanesa.

He aha nā hoʻokolohua i hana ʻia no kēia?

Hiki i kāu kauka ke hana i hoʻokahi a ʻoi aku paha o kēia mau hoʻokolohua e ʻimi ai i kahi nodule thyroid:

• Hoʻāʻo koko thyroid: Nānā kēia i ka pae o nā hormones thyroid i loko o kou koko. I ka hapa nui o ka manawa, ʻoiai inā he mau nodules, he maʻamau nā pae hormone. Eia nō naʻe, i kekahi manawa hiki ke ʻano ʻē, hiki ke hōʻike i kahi maʻi thyroid.
• ʻO ke scan ultrasound: He hoʻāʻo kēia e hoʻohana ana i nā nalu kani e kiʻi i nā kiʻi o ke kelepa thyroid. Hiki iā ia ke kōkua i ka hoʻoholo ʻana inā he paʻa kahi puʻupuʻu a he cyst piha i ka wai paha. (ʻOi aku ka nui o ka maʻi kanesa o nā puʻupuʻu paʻa.) Hiki iā ia ke kōkua i ka nānā ʻana i ka ulu ʻana o ka puʻupuʻu a loaʻa nā puʻupuʻu paʻakikī ke hiki aku. I kekahi manawa, hiki i ka ultrasound ke kōkua i ke alakaʻi ʻana i ka nila i ka wā o ka biopsy nila maikaʻi .
• ʻO ka biopsy nila maikaʻi:Ma kēia hoʻāʻo ʻana, hoʻohana ke kauka i kahi nila lahilahi loa e wehe i kahi hāpana o nā cell mai kahi nodule thyroid a i ʻole nā ​​​​nodules. A laila hoʻouna ʻia ka hāpana i kahi lab no ka hoʻāʻo ʻana. ʻAʻole ka hapa nui o nā nodules he maʻi kanesa. Eia nō naʻe, inā ʻaʻole maopopo nā hopena o ka hoʻāʻo, hiki i ke kauka ke hana hou i ka hoʻāʻo. A i ʻole, hiki iā lākou ke paipai i ke ʻoki ʻana e wehe i ka nodule e hana i kahi hōʻailona paʻa.
• ʻO ke kiʻi ʻana i ka lawe ʻana o ka thyroid: Ma kēia hoʻāʻo, hāʻawi ʻia ʻoe i kahi liʻiliʻi o ka iodine radioactive e inu. A laila nānā ke kauka i ka nui o ka iodine i omo ʻia e nā nodules thyroid a me ka nui o ka ʻiʻo thyroid maʻamau e omo ai. Hāʻawi kēia i ka ʻike hou aku e pili ana i nā nodules thyroid, hiki ke kōkua i ke kauka e hoʻoholo i ka pilikia o ka maʻi kanesa.

He aha nā lāʻau lapaʻau no nā nodules thyroid?

Aia ka lāʻau lapaʻau i ke ʻano o ka puʻupuʻu thyroid. Aia kekahi mau koho lapaʻau:

• ʻAʻohe lāʻau lapaʻau/nānā a kali: Inā ʻaʻole maʻi kanesa nā puʻupuʻu, hiki iā ʻoe a me kāu kauka ke hoʻoholo ʻaʻohe lāʻau lapaʻau e pono ai i kēia manawa. Eia nō naʻe, pono ʻoe e ʻike pinepine i kāu kauka e ʻike inā loli nā puʻupuʻu.
• ʻO ka iodine radioactive: Hoʻohana nā kauka i ka iodine radioactive e mālama i nā nodules thyroid hyperfunctioning a me nā goiters me kekahi mau nodules. Ke omo ka thyroid gland i kēia iodine radioactive, emi nā nodules.
• ʻOki kino: Inā he maʻi ʻaʻai nā puʻupuʻu, e hoʻopilikia ana i ka ale ʻana a i ʻole ka hanu ʻana, a he "kānalua" (ʻo ia hoʻi, ʻaʻole hiki ke ʻike ʻia me ka ʻole o ka wehe ʻana a me ka hoʻokolokolo ʻana i ke ʻoki kino), ʻo ka lāʻau maikaʻi loa ka wehe ʻana iā lākou ma ke ʻoki kino.

Hiki ke pale ʻia nā nodules thyroid?

Ma muli o ka ʻike ʻole o nā kānaka noiʻi i ke kumu o ka hapa nui o nā nodules thyroid, ʻaʻole hiki ke pale ʻia.

Eia nō naʻe, hiki iā ʻoe ke hoʻāʻo e hōʻemi i kou pilikia ma ka kaohi ʻana i kekahi mau mea pilikia. No ka laʻana, inā momona ʻoe, e kamaʻilio me kāu kauka e pili ana i ka mālama ʻana i ke kaumaha olakino. Inā ʻoe e puhipaka, e hoʻāʻo e haʻalele i ka puhipaka . Eia kekahi, e hōʻoia i ka loaʻa ʻana o ka iodine lawa i kāu meaʻai. Inā ʻoe e hoʻohana i ka paʻakai papa ʻaina iodized , loaʻa paha iā ʻoe ka iodine lawa.

Ua hōʻike kekahi mau noiʻi e hiki i ka poʻe e lawe ana i nā pila hoʻomalu hānau waha a/a i ʻole nā ​​statins ke emi mai ka pilikia o ka hoʻomohala ʻana i nā nodules thyroid.

He aha ka wānana inā loaʻa iā ʻoe nā nodules thyroid? (Prognosis)

Nā nodules thyroid ʻaʻole maʻi kanesa (benign)He maikaʻi loa ka wānana. ʻAʻole pono lākou i ka lāʻau lapaʻau. Eia kekahi, he hapa liʻiliʻi wale nō o kēia mau puʻupuʻu ʻaʻole maʻi kanesa, ma kahi o 1%, ke kumu o ka maʻi thyroid , a hiki ke mālama ʻia kēlā mau mea.

ʻOkoʻa ka nānā ʻana no nā nodules thyroid malignant ma muli o kekahi mau kumu, e like me:

• ʻO ke ʻano o ke kanesa .
• ʻO kou mau makahiki i ka wā i hōʻoia ʻia ai .
• Ka nui o ka nodule/tumor .
• Inā paha ua pālahalaha aku i nā ʻiʻo kokoke, e like me nā lymph nodes .
• Inā paha ua laha (metastasized) i nā ʻāpana mamao o ke kino.

Inā loaʻa iā ʻoe ka maʻi kanesa thyroid, hiki i kāu kauka ke hāʻawi iā ʻoe i kahi prognosis pololei.

Loaʻa i nā keiki liʻiliʻi nā nodules thyroid?

ʻOi aku ka liʻiliʻi o ka loaʻa ʻana o nā nodules thyroid i nā keiki ʻōpio ma mua o nā pākeke, akā ʻaʻole maopopo i nā kānaka noiʻi i ka nui.

ʻOi aku ka nui o ka maʻi kanesa thyroid i loaʻa i nā nodules i nā keiki a me nā ʻōpio ma mua o nā pākeke. Eia nō naʻe, ʻoi aku ma mua o 75% o nā nodules i loaʻa i nā keiki a me nā ʻōpio ʻaʻole ia he maʻi kanesa (benign) .

ʻO nā hōʻailona, ​​​​ka hōʻailona, ​​​​a me ka mālama ʻana i nā keiki ua like ia me nā pākeke (e like me kā mākou i kūkākūkā ai ma luna).

ʻO ka mea hope loa, pono wau e haʻi aku iā ʻoe… (Leka Lawe-Home)

He mea maʻamau loa nā nodules thyroid, a ʻaʻole lākou e hoʻoulu i nā pilikia nui. Eia nō naʻe, inā ʻike ʻoe i kahi puʻupuʻu ma ke alo o kou ʻāʻī, e ʻike pono i ke kauka . ʻOiai ʻaʻole ka hapa nui o nā nodules he maʻi kanesa, he mea nui e nānā iā lākou no ka mea he liʻiliʻi ka manawa e hiki ai ke maʻi kanesa.

Inā ua ʻike mua ʻoe he nodule thyroid kou, a ua aʻo aku kāu kauka iā ʻoe e "nānā a kali," mai poina e ʻike i kāu kauka i nā manawa maʻamau e nānā i nā loli i loko o ka nodule .

Inā he mau nīnau kāu e pili ana i kou pilikia o ka maʻi ʻaʻai thyroid a i ʻole ka maʻi thyroid, e kamaʻilio me kāu kauka. Eia lākou e kōkua. Mai makaʻu, e ʻike pono!