Ua ʻike anei ʻoe i kahi puʻupuʻu liʻiliʻi ma ke alo o kou ʻāʻī i kou ʻauʻau ʻana a i ʻole ke nānā ʻana i ke aniani? He mea maʻamau ka manaʻo makaʻu iki a me ka hopohopo ke ʻike ʻoe i kahi mea e like me ia. Manaʻo ka poʻe he nui he hōʻailona kēia o kahi maʻi weliweli a i ʻole ke kanesa. Akā hoʻokahi mea hiki iā ʻoe ke hoʻoholo i kou manaʻo, ʻo ka hapa nui o ka manawa, he mau puʻupuʻu ʻaʻole kanesa kēia (Thyroid Nodules) e hana ʻia ana i loko o ka thyroid gland, a ʻaʻohe mea e makaʻu ai. I kēia lā, e kamaʻilio mākou e pili ana i kēia me ka maʻalahi a ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.
ʻO ka mea mua, e nānā kākou, he aha kēia kelepa thyroid?
I ka ʻōlelo maʻalahi, he ʻōkana liʻiliʻi ka ʻōpū thyroid ma ke alo o ko kākou ʻāʻī, ma lalo pono o ka ʻāpala o ʻAdamu. Ua like kona ʻano me ka pulelehua. He ʻāpana koʻikoʻi loa ia o ka ʻōnaehana endocrine o ko kākou kino.
Hoʻopuka kēia ʻōpū i ʻelua ʻano nui o nā hormones: thyroxine (T4) a me triiodothyronine (T3). Pili kēia mau hormones i nā hana koʻikoʻi he nui i loko o ko mākou kino.
- Metabolism: Kāohi i ka wikiwiki o ka hoʻololi ʻana i ka meaʻai a mākou e ʻai ai i ikehu.
- Mahana kino: Kōkua i ka mālama ʻana i ka mahana o ko mākou kino i kahi pae kūpono.
- Manaʻo: Hoʻopilikia i ko kākou kūlana noʻonoʻo, e like me ka hauʻoli a me ka hopohopo.
- Ka helu o ka puʻuwai: Kāohi i ka helu o ka puʻuwai e kuʻi ai.
- ʻŌmole: Kōkua pū ia i ka hana o ka ʻōnaehana ʻōmole.
No laila he aha nā nodules thyroid?
He puʻupuʻu a puʻupuʻu paha ka puʻupuʻu thyroid e ulu ana mai ka ulu ʻana o nā pūnaewele maʻamau ʻole i loko o ka ʻōpū thyroid i ʻōlelo ʻia ma mua. Hiki ke hoʻokaʻawale ʻia kēia mau mea i loko o:
- Mehameha: Hiki ke loaʻa hoʻokahi wale nō puʻupuʻu.
- Nui: Aia paha ma mua o hoʻokahi puʻupuʻu.
- Cystic: ʻO nā cysts Cystic he mau cysts i piha i ka wai.
- Paʻa: Nā pūnaewele paʻa i hana ʻia me nā pūnaewele.
ʻO ka mea nui e pono ai ʻoe e ʻike ma ʻaneʻi, ʻoi aku ma mua o 90% o nā nodules thyroid i ʻike ʻia he benign . ʻO ia hoʻi, ʻaʻole lākou he maʻi kanesa. Eia nō naʻe, he hapa liʻiliʻi loa, ma kahi o 4% - 6.5%, ka hiki ke lilo i maʻi kanesa (maʻi kanesa thyroid). ʻO ia ke kumu he mea nui e ʻike i ke kauka inā ʻike ʻoe i kahi puʻupuʻu ma kou ʻāʻī.
ʻO wai ka mea i pilikia nui i ka loaʻa ʻana o kēia mau puʻupuʻu?
Hiki i kekahi ke loaʻa nā nodules thyroid, ʻoiai he keiki. Eia nō naʻe, ʻehā manawa ka nui o ka loaʻa ʻana o nā wahine iā lākou ma mua o nā kāne. Eia kekahi, aia kekahi mau kumu pilikia ʻē aʻe:
- Ka nele o ka iodine:He mea maʻamau kēia ʻano ma nā ʻāina kahi i haʻahaʻa ai ka iodine i ka meaʻai a mākou e ʻai ai (ma ko mākou ʻāina, haʻahaʻa kēia pilikia no ka mea hoʻohana mākou i ka paʻakai iodized).
- Moʻolelo ʻohana: Inā he mau nodules thyroid a i ʻole ke kanesa thyroid kekahi o ka ʻohana.
- ʻO ka hoʻonui ʻana i ka makahiki: ʻO ka likelika o ka hoʻomohala ʻana i kēia mau mea e piʻi aʻe me ka makahiki.
- Ka ʻike ʻia ʻana i ka radiation: ʻOi loa aku inā ua loaʻa iā ʻoe ka lāʻau radiation ma ka ʻāʻī i kou wā kamaliʻi.
- ʻAʻai anemia nele i ka hao.
- Puhi paka.
- Ka momona.
- Ka inu ʻana i ka waiʻona.
- ʻO nā wahine me nā fibroids uterine .
ʻAʻohe o ka nui o ka poʻe i loaʻa nā hōʻailona! No laila pehea ʻoe i ʻike ai?
ʻO ka hapa nui o ka manawa, ʻaʻole hōʻike nā nodule thyroid i kekahi mau hōʻailona. Loaʻa paha iā ʻoe kahi nodule ma kou ʻāʻī me ka ʻike ʻole. Akā i kekahi manawa, inā he ʻoi aku ma mua o hoʻokahi nodule a inā nui ka nodule, hiki paha iā ʻoe ke ʻike iā ʻoe iho a ʻike paha iā ia ke nānā ʻoe i ke aniani.
He mea kākaʻikahi loa, inā lilo nā nodules i mea nui loa, hiki iā lākou ke kaomi i ka windpipe a me ka esophagus ma ka ʻāʻī, e hana ana i nā hōʻailona aʻe. Hiki i kekahi mau nodules ke hana i nā hōʻailona ma muli o ka hana nui ʻana a i ʻole ka hana ʻole ʻana o nā hormones. E nānā kākou i kēia mau mea ma ke kaʻawale.
| Kūlana | Nā Hōʻailona Pili |
|---|---|
| Kaomi i hoʻokumu ʻia e nā puʻupuʻu nui | - Paʻakikī ke ale ʻana - Paʻakikī ka hanu ʻana - Ka leo haʻalulu a i ʻole ka loli ʻana o ka leo - ʻEha ma ke alo o ka ʻāʻī - Ka pehu ʻana o ka ʻāʻī (Goiter) |
| Ka hana nui ʻana o nā hormones (Hyperthyroidism) | - Palpitations (manaʻo o ke kuʻi ʻana i loko o ka umauma) - Haʻalulu, hoʻomaha ʻole - Ka emi ʻana o ke kaumaha (ʻoiai ua nui ka makemake e ʻai) - Nā neʻe pinepine ʻana o ka ʻōpū, ka maʻi diarrhea - Hiamoe ʻole - Ka menstruation kūpono ʻole a i ʻole ka pau ʻana |
| Ka hana ʻana o ka hormone haʻahaʻa (Hypothyroidism) | - Luhi nui, hiamoe - ʻO ka mae ʻana o nā lima - Piʻi ke kaumaha o ke kino - ʻIli maloʻo a ʻāʻī hoʻi a me ka lauoho - Ka paʻa ʻana o ka ʻōpū - Kaumaha - Ka menstruation kaumaha a lōʻihi |
Pehea e ʻike ai ke kauka i kēia? He aha nā hoʻokolohua e hana ʻia?
Ke ʻike ʻoe i ke kauka no ka mea he puʻupuʻu kou ma kou ʻāʻī, e nānā mua ʻo ia i kou ʻāʻī. A laila, e kauoha paha lākou i kekahi mau hoʻokolohua e noiʻi hou aku i ka puʻupuʻu. E hoʻomanaʻo, hana ʻia kēia mau hoʻokolohua e hoʻoholo ai inā he maʻi kanesa ka puʻupuʻu a ʻaʻole paha.
| Inoa Hoʻāʻo | I ka ʻōlelo maʻalahi, he aha kāu e hana ai me kēia? |
|---|---|
| Hoʻāʻo koko thyroid | E nānā ʻia nā pae koko o nā hormones thyroid (T3, T4) a me TSH e ʻike inā he maʻamau, kiʻekiʻe, a haʻahaʻa paha. Hiki i kēia ke hāʻawi iā ʻoe i kahi manaʻo no ke ʻano o ka hana ʻana o kāu thyroid. |
| ʻO ke kiʻi ʻana o ka ultrasound | Hoʻohana kēia i nā nalu kani e hana i kahi kiʻi maopopo o ke kelepa thyroid a me ka nodule. Hiki iā ia ke haʻi iā ʻoe i nā mea he nui e pili ana i ka nodule, e like me ke ʻano paʻa a piha paha i ka wai, kona nui, a me kona ʻano. ʻOi aku ka nui o ka pilikia o nā nodules paʻa i ka maʻi kanesa. |
| ʻO ka biopsy nila maikaʻi (lawe ʻana i kahi hāpana o nā cell me kahi nila) | Inā kānalua ka puʻupuʻu, e hoʻokomo ke kauka i kahi nila lahilahi loa i loko o ka puʻupuʻu a lawe i kekahi mau ʻāpana mai laila mai a hoʻouna iā lākou i kahi keʻena hoʻokolohua. Hiki i kēia ke haʻi iā ʻoe ma mua o 95% pololei inā he maʻi kanesa ka puʻupuʻu a ʻaʻole paha. |
| Nānā thyroid | Ma kēia hoʻāʻo, hāʻawi ʻia ʻoe i kahi liʻiliʻi loa o ka iodine radioactive e inu. A laila, nānā kahi kāmela kūikawā i kou kelepa thyroid. Hiki i kēia ke ʻike inā ke hana nei ka nodule i nā hormones (he nodule wela) a ʻaʻole paha (he nodule anu). |
He aha nā lāʻau lapaʻau no kēia?
Hoʻokumu ʻia ka lāʻau lapaʻau i ke ʻano o ka nodule, kona nui, nā hōʻailona, a me nā hopena o ka biopsy.
- E nānā a kali: Inā hōʻoia ka biopsy ʻaʻole he maʻi kanesa ka puʻupuʻu, a ʻaʻole ia e hoʻopilikia iā ʻoe, hiki i kāu kauka ke ʻōlelo aku ʻaʻole ʻoe e hana i kekahi lāʻau lapaʻau, akā e hana ʻoe i kahi scan i kēlā me kēia manawa (i kēlā me kēia 6 mahina a i ʻole hoʻokahi makahiki) e ʻike inā he loli i ka puʻupuʻu.
- Lapaʻau iodine radioactive: Hiki ke hāʻawi ʻia kēia lāʻau lapaʻau inā ke kumu nei ka nodule i ka hana nui ʻana o nā hormones thyroid (hyperthyroidism). Ke lawe ʻia ma ke ʻano he pila, hoʻopili ʻia kēia iodine e ka thyroid gland a hoʻemi i ka nodule.
- ʻoki kino: Pono ke ʻoki kino i nā hihia aʻe:
- Inā ua hōʻoia ʻia he maʻi kanesa ka puʻupuʻu.
- Inā he kānalua paha he maʻi kanesa.
- Inā lilo ka puʻupuʻu i mea nui a pilikia i ka ale ʻana a i ʻole ka hanu ʻana.
E hoʻomanaʻo, mai hopohopo inā ʻike ʻoe i kahi puʻupuʻu ma kou ʻāʻī. Akā, mai hoʻowahāwahā pū kekahi. E ʻike pono i kāu kauka a e kiʻi i ka ʻōlelo aʻoaʻo.
Leka Lawe-Home
- He maʻi maʻamau loa nā nodules thyroid, ʻoi aku hoʻi i waena o nā wahine.
- ʻAʻole ma mua o 90% o kēia mau puʻupuʻu he maʻi kanesa, no laila ʻaʻohe pono e makaʻu no ka mea he puʻupuʻu kou.
- ʻAʻole hōʻike ka hapa nui o nā nodules i kekahi mau hōʻailona. Loaʻa wale lākou ma kahi hanana.
- Inā ʻike ʻoe a manaʻo paha i kahi puʻupuʻu ma kou ʻāʻī, mai hoʻowahāwahā iā ia a e ʻimi pono i ke kōkua lapaʻau.
- Aia ka lāʻau lapaʻau i ke ʻano o ka puʻupuʻu. I kekahi manawa, ua lawa paha ka nānā wale ʻana me ka ʻole o kekahi lāʻau lapaʻau.
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