Ua manaʻo paha ʻoe he puʻupuʻu a pehu paha ma ke alo o kou ʻāʻī? Ua ʻike paha ʻoe iā ia i kou nānā ʻana i ke aniani, a i ʻole ua haʻi aku kekahi iā ʻoe e pili ana i ia mea. He mea maʻamau ka makaʻu iki ʻana i ka wā e ʻike ai ʻoe i kahi mea e like me kēia. Akā, ʻoiai he nui ka poʻe e makaʻu nei i kēia, hiki i kēia ke lilo i maʻi i kapa ʻia ʻo 'Goiter'. I kēia lā, e kamaʻilio mākou e pili ana i kēia me ka maʻalahi, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.
I ka ʻōlelo maʻalahi, he aha ka goiter?
ʻO ka Goiter ka hoʻonui ʻia ʻana o kou kelepa thyroid. E noʻonoʻo, ma ke alo o ko kākou ʻāʻī, ma lalo pono o ka ʻāpala o Adam, aia kahi kelepa liʻiliʻi e like me ke ʻano o ka pepeke. ʻO ia ka mea a mākou e kapa nei he kelepa thyroid .
Hoʻopuka kēia ʻōpū liʻiliʻi i ʻelua mau hormones koʻikoʻi no ko mākou kino. ʻO ia ka thyroxine (T4) a me ka triiodothyronine (T3). Ke kāohi nei kēia mau hormones i nā mea he nui i loko o ko mākou kino. E like me ka ʻenekini o ke kaʻa.
- Metabolism: ʻO kēia ka wikiwiki o ka hoʻololi ʻia ʻana o ka meaʻai a mākou e ʻai ai i ikehu.
- Mahana kino: Hoʻoponopono i ka mahana o ko mākou kino.
- Manaʻo: Hoʻopilikia i ko mākou ʻano, hauʻoli, a me ka huhū.
- Ka helu o ka puʻuwai: Hoʻomalu i ka helu o ka paʻi ʻana o ko kākou puʻuwai.
- ʻO ka hoʻoheheʻe ʻana: Kōkua iā mākou e hoʻoheheʻe i ka meaʻai a mākou e ʻai ai.
No laila, inā no kekahi kumu e pehu a hoʻonui ʻia paha ke kelepa thyroid, kapa mākou i kēlā ʻano he 'goiter'. Hiki i kēia ke lilo i puʻupuʻu a i ʻole nodule i loko o ke kelepa.
ʻO ka mea nui, ʻaʻole nā goiters āpau e hoʻoulu ai i nā pae hormone thyroid i ʻano ʻē. I kekahi manawa, hiki i ke gland ke hoʻonui ʻia ʻoiai ke maʻamau nā pae hormone.
He aha nā ʻano o ka goiter?
Hoʻokaʻawale nā kauka i nā goiters ma kekahi mau ʻano. ʻO kekahi ma ke ʻano o kona pehu ʻana. ʻO kekahi ma ka pae o ka hormone thyroid. E nānā maʻalahi kākou i kēia mau mea ʻelua.
Ka hoʻokaʻawale ʻana e like me ke ʻano o ka pehu ʻana
| ʻAno o ka goiter | He wehewehe maʻalahi |
|---|---|
| ʻO ka goiter maʻalahi (hoʻolaha) | ʻO ka mea e hana ʻia ma kēia hihia, ʻo ia ka pehu ʻana o ke kelepa thyroid holoʻokoʻa ma ke ʻano like. Ke hoʻopā ʻoe i ka ʻāʻī, ua like ia me ka pehu laumania. |
| ʻO ka goiter nodular | Ma kēia, hoʻokumu ʻia kahi puʻupuʻu paʻa a piha paha i ka wai (nodule) i loko o ke kelepa thyroid. No laila, ke hoʻopā ʻoe i ka ʻāʻī, ʻike ʻoe i kahi puʻupuʻu. |
| ʻO ka goiter multinodular | ʻO kēia ke kumu o nā puʻupuʻu he nui (nodules) e hana ʻia i loko o ka gland. ʻIke ʻia kekahi mai waho mai, aʻo kekahi e hiki ke loaʻa wale i ka wā o ka hoʻokolokolo ʻana a ke kauka a i ʻole ke scan. |
Hoʻokaʻawale ʻana e nā pae hormone thyroid
- ʻO ka goiter ʻawahia: Ma kēia, hoʻonui ʻia ke kelepa thyroid a hana i nā hormones thyroid ma mua o ka mea e pono ai . Ua kapa ʻia hoʻi kēia ʻo 'Hyperthyroidism'.
- ʻO ka goiter ʻona ʻole: I kēia hihia, ʻoiai ua hoʻonui ʻia ka ʻōpū thyroid, ua maʻamau nā pae hormone. ʻO ia hoʻi, ʻaʻohe piʻi ʻana ('Hyperthyroidism') a ʻaʻole hoʻi he emi ʻana ('Hypothyroidism') o nā hormones.
ʻO wai ka mea i pilikia nui i ka loaʻa ʻana o kēia maʻi?
Hiki i kekahi ke loaʻa i ka goiter, akā aia kekahi poʻe i kahi pilikia kiʻekiʻe.
- No nā wāhine: ʻEhā manawa ka nui o ka loaʻa ʻana o ka goiter i nā wāhine ma mua o nā kāne.
- Makahiki: Piʻi kēia pilikia ma hope o 40 mau makahiki.
- Moʻolelo ʻohana: Inā loaʻa i kekahi o kou ʻohana ka maʻi thyroid, ʻoi aku ka nui o ka loaʻa ʻana iā ʻoe.
- Nā kūlana olakino ʻē aʻe: ʻO ka poʻe me nā kūlana e like me ka momona a me ke kū'ē ʻana i ka insulin he nui aʻe ka pilikia.
- Ka ʻike ʻia ʻana i ka radiation: Inā ua hōʻike ʻia ka ʻāʻī a i ʻole ke poʻo i ka radiation no ka mālama ʻana i ka lāʻau lapaʻau, he mea pilikia nō hoʻi kēlā.
ʻO ke kumu nui o ka goiter ma ka honua holoʻokoʻa, ʻo ia ka nele o ka iodine . Eia nō naʻe, ma nā ʻāina e like me Sri Lanka, ʻoiai mākou e hoʻohui i ka iodine i ka paʻakai a mākou e hoʻohana ai, ʻaʻole nui loa kēlā kumu i kēia manawa.
He aha nā hōʻailona o ka goiter?
Hiki i ka goiter ke ʻokoʻa ka nui mai nā goiters liʻiliʻi, ʻike ʻole ʻia, a i nā goiters nui, ʻike ʻia. ʻO ka hapa nui, ʻaʻohe ʻeha o nā goiters. Eia nō naʻe, inā hele pū lākou me ka mumū o ke kelepa thyroid (thyroiditis), hiki iā lākou ke ʻeha.
E nānā kākou i nā hōʻailona ma ka papa ma lalo nei.
| Māhele hōʻailona | Nā hiʻohiʻona i ʻike ʻia |
|---|---|
| Nā hōʻailona nui | |
| Pehu ʻāʻī | ʻO ke ʻano o kahi puʻu a i ʻole ka pehu ʻana ma ke alo o ka ʻāʻī, ma lalo o ka larynx. |
| ʻeha ka ʻāʻī | Manaʻo e like me ka ʻūmiʻi ʻana o kou puʻu, me he mea lā e ʻūmiʻi ana kahi nakinaki. |
| Hoʻololi leo | Ka leo haʻalulu, ka nalowale ʻana o ka maopopo o ka leo. |
| Nā hōʻailona maʻamau ʻole | Paʻakikī ka hanu ʻana, ka ʻū ʻana, ka paʻakikī ke ale, ka māʻule ʻana i ka wā e hāpai ai i nā lima. |
| Nā hōʻailona o ka hyperthyroidism | |
| Puʻuwai | Ka wikiwiki o ka puʻuwai (Tachycardia). |
| Ka emi ʻana o ke kaumaha | ʻO ka pohō kaumaha me ke kumu ʻole, ʻoiai ʻoe e ʻai maikaʻi ana. |
| Nā hiʻohiʻona ʻē aʻe | ʻOi aku ka hou ma mua o ka maʻamau, ka mimi pinepine ʻana, nā lima haʻalulu, a me ka hoʻomaha ʻole. |
| Nā hōʻailona o ka hypothyroidism | |
| Luhi kino | Ka luhi mau a me ka hiamoe. |
| Piʻi ke kaumaha | Piʻi ke kaumaha me ke kumu ʻole, ʻoiai ʻoe e kaohi ana i kāu ʻai. |
| Nā hiʻohiʻona ʻē aʻe | ʻO ka paʻa ʻana o ka ʻōpū, ka ʻili maloʻo, nā pōʻaiapuni menstrual kūpono ʻole i nā wahine. |
He aha nā kumu o ka goiter?
He hōʻailona ka goiter o ke kaomi ma luna o ka ʻōpū thyroid. Hiki ke loaʻa i kekahi mau kumu.
- Ka nele o ka iodine: ʻO kēia ke kumu nui ma ka honua. He mea nui ka iodine no ka hana ʻana o nā hormones thyroid. Inā ʻaʻole ʻoe e loaʻa i ka iodine lawa mai kāu meaʻai, e hoʻāʻo ka gland e hana i nā cell hou aʻe, e ulu nui aʻe, a hana i nā hormones.
- ʻO ka maʻi Graves: He maʻi 'autoimmune' kēia. ʻO ke ʻano kēia, hoʻouka ka ʻōnaehana pale ponoʻī o ko mākou kino i ko mākou kelepa thyroid. ʻO kēia ke kumu o ka hoʻoulu nui ʻia ʻana o ka kelepa, hoʻonui ʻia, a hana i ka nui o ka hormone ('Hyperthyroidism').
- ʻO ka maʻi Hashimoto: He ʻano 'autoimmune' nō hoʻi kēia. I kēia ʻano, hoʻouka ka ʻōnaehana pale i ka gland a hoʻoulu iā ia e mumū. I ka hala ʻana o ka manawa, lilo ka hana o ka gland i mea ʻino a hana ia i nā hormones lawa ʻole ('Hypothyroidism'). Hiki i ka gland ke pehu e uku.
- Ka maʻi ʻaʻai thyroid: Hiki i ka maʻi ʻaʻai thyroid ke hoʻonui i ka gland. Eia naʻe, ʻaʻole nā goiters āpau he maʻi ʻaʻai . Pono kahi hoʻokolohua lapaʻau e ʻike pono ai.
- Hāpai keiki: Hiki ke hoʻonui iki ʻia ke kelepa thyroid ma muli o ka hormone "Human chorionic gonadotropin" (HCG), ka mea i hūnā ʻia i ka wā hāpai.
- Thyroiditis: Hiki i ke kelepa ke lilo i mumū a pehu ma muli o nā kumu like ʻole.
Pehea e ʻike ai ke kauka i kēia he goiter?
Inā he puʻu kou ma kou ʻāʻī, pono ʻoe e ʻike i ke kauka . E hana ke kauka i kekahi mau hoʻokolohua e ʻike ai inā he goiter ia a he aha ke kumu.
1. Hoʻokolokolo kino: ʻO ka mea mua, e hoʻopā ke kauka i kou ʻāʻī e nānā no ka pehu ʻana, nā puʻupuʻu, a me ka ʻeha.
2.Nā hoʻāʻo koko: Ke ana kēia i nā pae o nā hormones thyroid (T3, T4) a me TSH. Hiki i kēia ke ʻike inā e hana pono ana ka gland a inā he nui loa a liʻiliʻi paha ka hormone.
3. ʻO ke kiʻi ʻana i ka thyroid ultrasound: E like me ke kiʻi ʻana i ka pēpē, nānā kēia i ke gland ma ka ʻāʻī. Hiki iā ia ke ʻike maopopo i ka nui o ke gland, inā he mau puʻupuʻu, a inā he paʻa a wai paha nā puʻupuʻu.
4. Biopsy: Inā hōʻike ka scan i kahi puʻupuʻu nui a kānalua paha, e hoʻohana ke kauka i kahi nila e lawe i kahi hāpana liʻiliʻi o nā cell mai ka puʻupuʻu a hoʻouna iā ia i ka lab e hoʻāʻo no nā cell cancer. Hana ʻia kēia e kāpae i kekahi hiki ke loaʻa ka maʻi kanesa.
5. CT a i ʻole MRI scan: Inā nui loa ka goiter, a inā paha he kānalua ua ulu aʻe i loko o ka umauma, hiki ke hana ʻia kēia ʻano scan.
He aha nā lāʻau lapaʻau no ka goiter?
Hoʻokumu ʻia ka lāʻau lapaʻau ma muli o ka nui o ka goiter, nā hōʻailona āu e loaʻa ai, a me ke kumu.
- Ke kali makaʻala: Inā liʻiliʻi ka goiter, ʻaʻohe ou pilikia, a maʻamau kou mau pae hormone, hiki i kāu kauka ke hoʻoholo e nānā iā ʻoe no kekahi manawa kikoʻī me ka ʻole o ka lāʻau lapaʻau.
- Nā ʻano lāʻau lapaʻau:
- Inā haʻahaʻa ka pae o ka hormone ( Hypothyroidism ), ua kuhikuhi ʻia nā pila hormone e like me ka 'Levothyroxine' e lawe ʻia i kēlā me kēia lā.
- Inā kiʻekiʻe ka nui o ka hormone ( hyperthyroidism ), ua kuhikuhi ʻia nā lāʻau lapaʻau e like me Methimazole e hōʻemi i ka hana ʻana o ka hormone.
- Inā hoʻokumu ʻia ka goiter e ka mumū o ke gland, hiki ke hāʻawi ʻia nā painkiller a i ʻole corticosteroid.
- Lapaʻau iodine radioactive: He lāʻau lapaʻau kēia no ka hyperthyroidism. Lawe ʻoe i kahi wai a i ʻole capsule o ka iodine radioactive e hele ana i loko o ka ʻōpū thyroid, e luku ana i nā cell overactive ma laila a e hoʻemi ana i ka ʻōpū.
- ʻOki kino (ʻoki kino - Thyroidectomy):
- Inā nui loa ka goiter a paʻakikī ke hanu a ale paha.
- Inā ua hōʻoia ʻia he maʻi ʻaʻai.
- Inā he pilikia nui me ke ʻano.
I kēia mau hihia, hiki i kāu kauka ke ʻōlelo aku i ke ʻoki kino e wehe i kahi hapa a i ʻole ka ʻāpana holoʻokoʻa o ke gland. Inā wehe loa ʻia ke gland, pono ʻoe e lawe i nā lāʻau hormone thyroid no ke koena o kou ola.
ʻO ka mea nui loa, ʻo ia ke kauka nāna ʻoe e nānā e hoʻoholo i ka lāʻau lapaʻau kūpono loa iā ʻoe. No laila, mai hoʻohālikelike iā ʻoe iho me nā ʻike o haʻi.
Leka Lawe-Home
- Inā ʻike ʻoe i kahi pehu a puʻupuʻu paha ma kou ʻāʻī, mai hoʻowahāwahā iā ia. He goiter paha ia.
- ʻAʻohe pono e hopohopo ke ʻike ʻoe i kahi goiter. ʻAʻole ka hapa nui o nā goiters he maʻi kanesa.
- ʻOiai ke kumu, he mea nui loa e ʻike i ke kauka a loaʻa i kahi hōʻailona pololei.
- Aia ka lāʻau lapaʻau i kou kūlana. I kekahi manawa, ʻaʻole pono ka lāʻau lapaʻau.
- Inā ʻike ʻoe he goiter kou, e hele i nā hoʻokolohua i hoʻonohonoho ʻia e like me ke kuhikuhi a kāu kauka.
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