I kawr a lo hring tawh em? Goiter chungchang hi han sawi ila!

Mi tam tak chuan an kawr chhunga hliam te tak te an hmuh hian an hlau deuh mai thei, a dik em? Hei hi engnge? ' Gout ' tih hi i hre tawh mai thei. Vawiin hian he natna hi kan sawi dawn a, damdawi lam pawhin `( Goiter )` tia hriat a ni. Hlau suh, a pawimawh ber chu hei hi fimkhur hi a ni.

He thyroid gland hi eng nge ni?

Okay, a hmasain he `(Goiter)` emaw thyroid gland emaw hi eng nge a nih kan en ang. He thyroid gland hi i kawr chhunga butterfly ang chi gland te tak te a ni a, a bik takin i kawr hnuai lam chiah a ni. Hei hi kan taksa `( Endocrine system )` peng a ni.

Tlemte ni mahse, thyroid gland atanga hormone siam chhuah te hi a pawimawh hle. Heta hormone siam chhuah ber pahnih chu thyroxine (`(T4)` tia koh bawk) leh triiodothyronine (`(T3)` tia koh bawk) te an ni. Heng hormone te hi kan taksaah hian hna pawimawh tak tak engemaw zatah an inrawlh a. Entir nan:

• Kan taksa metabolism hi kan eitur chu chakna ah a chantir dan a ni.
• Taksa lum leh vawt control dan .
• Kan mood , lungkhamna, etc. ang chi thil.
• Lungphun a thawk chhuak .
• Digestion kalphung .

I hmu em, te tak te ni mahse hna tam tak a thawk a ni. Chuvangin he gland hi a lo hring mai mai a nih pawhin, emaw, hormone tam lutuk emaw, tlem lutuk emaw siam chhuak mah se, harsatna kan nei thei a ni.

Chuti a nih chuan, he lungpui hi chi hrang hrang a awm em?

Ni e, he goiter hi kawng hnih ah then theih a ni. Pakhat chu a than dan azirin a ni. A dang chu i thyroid hormone level a zirin a ni.

An than dan azirin classified:

• Simple or Diffuse Goiter: Hei hi thyroid gland pumpui a lo hring chhuak a, khawih pawhin a nem ang tih a ni.
• Nodular Goiter: Hetah hian thyroid gland chhungah hian solid emaw fluid-filled lump (nodule) a lo awm a, chu chu khawih chuan lump ang maiin a lang.
• Multinodular Goiter: Hei hi thyroid gland chhunga nodules tam tak lo awm hian a ni. Heng nodules te hi pawn lam atanga hmuh theih a ni thei a, test neih lai chauh pawhin hmuh tur a awm thei bawk.

Thyroid hormone level a zirin classified a ni:

• Toxic Goiter: Hetah hian thyroid gland a lo hring a, thyroid hormone a siam tam lutuk. Hei hian hyperthyroidism tih natna a thlen thin.
• Nontoxic Goiter: Hetiang a nih chuan thyroid gland a lo hring a, mahse hormone level erawh a normal thung. Chumi awmzia chu hyperthyroidism emaw hypothyroidism emaw a awm lo tihna a ni a, chu chu thyroid hormone level hniam lutuk dinhmun a ni. Doctor-te chuan he natna hi euthyroid an ti bawk.

A châng chuan doctor-te chuan heng chi hnih hi an inzawm khawm ṭhin. Entirnan, ``Toxic Multinodular Goiter'' hi thyroid gland-ah hian nodules tam tak a lo awm a, hormone tam lutuk a siam chhuak thin.

Hetiang gallstone hi tuin nge vei tam zawk?

Dik tak chuan tu pawhin goiter an nei thei. Mahse, hmeichhiate hian mipa aiin a let liin an vei tam zawk niin an sawi . Tin, kum upat deuh deuh hian goiter vei theihna a sang chho bawk. Kum 40 hnuah a tam ber .

Chu bakah, a hnuaia natna nei te pawhin gallstone an vei tam zawk bawk:

• Thau lutuk
• Insulin laka invenna a ni
• Metabolic natna (Metabolic syndrome) a ni

Tin, damdawi atan i lu leh i kawngah radiation i hman tawh a nih chuan, emaw , i chhungte zinga mi pakhatin chhungkaw history-a thyroid natna a neih tawh chuan , goiter vei theihna i nei sang zawk bawk.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Gallbladder cancer hi a takah chuan natna tlangpui a ni. Entirnan, United States-ah chuan mipui 5% velin an nei a ni.

Mahse khawvel pumah chuan goiter thlentu ber chu iodine tlakchhamna a ni . He harsatna hi mi maktaduai 2.2 velin an tuar niin an sawi.

Goiter vei theihna hi iodine tlakchhamna nasat dan azirin a inang lo:

• Iodine tlakchhamna a hniam chuan , goiter vei theihna chance 5% atanga 20% a awm.
• Iodine tlakchhamna a tlem chuan 20% leh 30% inkar ah a pung thin.
• Iodine tlakchhamna a nasat chuan , goiter vei theihna chance chu 30% aia tam a ni thei.

Gallstone ka neih chuan eng symptoms nge ka neih ang?

Goiter hi a lian leh te chu a te tak te, hriat theih loh khawpa lian atanga lian tak thlengin a awm thei. A tam zawkah chuan goiter hi a na lo. Mahse, thyroiditis i vei a, chu chu i thyroid gland a lo hring leh a sen lai a ni a, natna i nei thei a ni.

A lan chhuah dan ber chu hetiang hian kan hmu thei ang:

• I kawr hmalam ah lump ang maiin a lang , collarbone hnuai lam chiah.
• Thil pakhat chu rilruah a innghat ang maia hriatna .
• Hoarseness (aw thlak danglam).
• Kawr chhunga veins te chu a bulh ang maiin a lang.
• Lu chungah kut chawi sangin luak chhuak tih hriat.

A lan chhuah dan dang, a langsar lo zawk pawh a awm bawk:

• Thâwk hahna .
• Khuh.
• Thâwk lak laiin whistling sound (airway tihkhawtlai vang).
• Chaw ei harsa (esophagus tihkhawtlai vang).

Mi thenkhat chuan hyperthyroidism an tih pawh an nei thei a, chu chu goiter nen hian thyroid hormone tihpunna a ni. Chutiang a nih chuan symptoms te chu:

• Lungphun chak tak (Tachycardia) .
• Chhan awm lovin a thinrim .
• Kawthalo.
• Exercise tel lo pawhin emaw, room temperature a san lutuk loh lai pawhin thawk hah.
• Taksa a nghing.
• Hlauhthawnna.

Tin, mi thenkhat chuan hypothyroidism an tih natna an nei thei bawk a, chu chu goiter nen hian thyroid hormone tlahniam ve ve a ni. Chutiang a nih chuan, a symptoms te chu i hmu thei ang:

• Chau lutuk tih hriat (Fatigue) .
• Ek khal.
• Vun a vawt.
• Chhan awm lovin a lian chho zel .
• Hmeichhiaah thlasik hun mumal lo.

Engvangin nge he gallstone hi a lo awm? A chhante chu engte nge ni?

Goiter hi a takah chuan i thyroid gland cells te hian thyroid hormone siamna tibuaitu process eng pawh an adaptive response a ni. Khawvel pumah iodine tlakchhamna hi goiter thlentu lian ber ni mahse, a chhan dang tam tak a awm.

Gallstone thlen thei thilte chu:

• Iodine tlakchhamna: I thyroid gland hian thyroid hormone siam nan iodine a mamawh a. I chaw ei atanga iodine i hmuh tlem chuan thyroid gland hian thyroid hormone tam zawk siam a tum thin. Cell tam zawk a siam a, chu chu a lian zawk tihna a ni. Hei hi khawvel hmun hrang hrangah a chhan ber a ni. Mahse, Sri Lanka ang ramah chuan hei hi tlem a tlem zawk a, a chhan chu iodized salt hman a nih vang a ni. Tuipui thil, bawnghnute atanga siam, leh iodized salt atang hian iodine mamawh zat kan hmu thei a ni. Amaherawhchu, damdawi lam thurawn tel lova iodine supplement ei hi mi tam tak tan chuan a tha lo hle a, hriselna lama harsatna dang a thlen theih avangin.
• Graves natna: Hei hi autoimmune natna a ni. Chumi awmzia chu nangmah ngeiin i immune system hian i thyroid gland chu a bei a, chu chuan a ti lian tihna a ni. Graves natna hian hyperthyroidism an tih natna a thlen thei bawk a, chu chu enkawl ngai a ni.
• Hashimoto natna: Hei hi autoimmune natna a ni bawk. Thyroid gland ah inflammation a siam thin. Mi thenkhatah chuan Hashimoto natna hian compensatory condition angin thyroid gland a ti lian thin. Hetiang goiter chi hi hun kal zelah a mah chauhin a dam fo thin. Mahse, Hashimoto vei thenkhat chuan thyroid hormone pill an ei a ngai a ni.
• Thyroid cancer natna: 1.1.Thyroid gland cancer hian a ti lian thei bawk.
• Naupai: Naupai lai hian hmeichhe taksaa hormone ``Human Chorionic Gonadotropin (HCG)'' siam avang hian thyroid gland hi a lian deuh thei a ni.
• Thyroiditis: Thyroid gland ngei pawh a inflammation hian gland a ti lian thei bawk. Hei hi chhan hrang hrang a awm thei.

A châng chuan, chhan chiang tak awm lovin goiter hi a lo awm thei bawk. ``Sporadic goiters`` kan ti thin. Damdawi thenkhat pawhin hetiang hi a thlen thei bawk. Entirnan, rilru lam natna thenkhat enkawlna atana hman thin damdawi ``Lithium`` hian he goiter chi hi a thlen thei a ni.

Engtin nge doctor-te hian hei hi an hriat chian tak tak?

Doctor i pan chuan i kawr thyroid gland lian tham a awm leh awm loh an hriat chuan an enfiah thei a ni. Mahse goiter a nih chuan i thyroid gland-ah harsatna a awm tihna a ni. Chuvângin, chu buaina chu eng nge ni tih i hriat chhuah a ngai a ni.

Chumi atan chuan doctor-te chuan test eng emaw zat an ti thin:

• Taksa enfiahna: Ka sawi tawh ang khan doctor chuan i kawr hmun chu a hre thei ang a, lump emaw, natna emaw a awm leh awm loh a en ang.
• Thyroid thisen test: Heng thisen test te hian thyroid hormone level a teh thin. Hei hian thyroid gland hian hna a thawk tha em tih hriat nan a pui thei a ni.
• Antibody test: He thisen test hian goiter chi hrang hrang siam antibody bik a zawng thin. Antibodies hi kan thisen var atanga protein siam a ni. Hengte hi natna thlentu hrik laka min vengtu an ni.
• Thyroid ultrasound: Ultrasound hi taksa tissue kaltlanga high-frequency sound wave hmanga test a ni. Chuta chhuak thlalak chu computer screen-ah a lang chhuak a. Chumi hnuah chuan doctor chuan thyroid gland chu “a hmu” thei a, a lian leh te leh lump a awm leh awm loh a enfiah thei a ni.
• Biopsy: Biopsy hi tissue emaw cell emaw sample lak a, lab-a test a ni. I thyroid gland-ah lump lian tak i neih chuan biopsy lak a ngai mai thei. Hei hi cancer awm lohna tura tih a ni fo.
• Thyroid lakluh leh scan: He imaging test hian thyroid gland lian tham leh hnathawh dan a hriattir a. Radioactive material tlemte chauh vein-ah inject a, computer screen-ah thyroid gland lem siam a ni. Mahse, he test hi tih a ni ngai lo va, special case-ah chauh a tangkai hle.
• CT scan emaw MRI (Magnetic Resonance Imaging) emaw hmanga tih theih a ni.Tonsils hi a lian em em emaw, a rilruah a darh tawh emaw a nih chuan CT scan emaw MRI emaw hmangin tonsils lian leh te, a darh dan teh theih a ni.

Gallstones hi a mah chauhin a tha leh dawn em ni?

Goiter awlsam tak chu hun kal zelah a mah chauhin a dam thei a, enkawlna engmah a awm lo.

Goiter tam tak, multinodular goiters te hi thyroid hormone level a normal lai hian a lo awm thin. Doctor-in a hmuhchhuah hnuah chuan enkawlna bik a ngai tawh lo. Mahse, nakin lawkah chuan hypothyroidism emaw hyperthyroidism emaw i vei thei a ni.

Mahse, i thyroid gland a lian tih i hriat chuan doctor pan a pawimawh hle . A chhan chu goiter hi chhan hrang hrang a awm a, a then chu enkawl ngai a ni.

Eng enkawlna nge awm?

Goiter enkawl dan chu i thyroid gland lian zia, i natna lan chhuah dan leh a chhan eng nge ni tih ah a innghat a ni. Enkawlna kawng hrang hrang a awm a:

• Enkawlna awm lo / “Watchful waiting”: Goiter hi a te a, a tibuai lo che a nih chuan i doctor chuan enkawl a ngai lo tih a rel mai thei. Mahse i thyroid chu a danglamna a awm leh awm loh ngun takin a enfiah ang.
• Damdawi hman tur: 1.1.
• Levothyroxine (e.g. Levothroid®, Synthroid®) hi thyroid hormone thlak danglamna damdawi a ni. I goiter hi thyroid hormone level hniam (hypothyroidism) avanga lo awm a nih chuan i doctor chuan he damdawi hi a pe thei ang.
• Goiter thlentu chu thyroid hormone (Hyperthyroidism) pung a nih chuan damdawi dang pek thin a ni. Entirnan, Methimazole (e.g. Tapazole®) leh Propylthiouracil te hi a ni.
• Tonsils awm chhan chu inflammation a nih chuan doctor chuan aspirin emaw corticosteroid emaw a pe thei a ni.
• Radioactive iodine therapy: He damdawi hi hyperthyroidism enkawlna atan hman a ni. He enkawlnaah hian radioactive iodine hi ei a ni. He iodine hian thyroid gland-ah a lut a, thyroid cells a tichhia a, chu chuan gland a ti tlem a ni. Hetianga enkawl zawh hian i dam chhung zawng thyroid hormone thlakna tur pill i ei a ngai mai thei.
• Surgery: I doctor chuan i thyroid gland zawng zawng emaw, a then emaw paih chhuah nan thyroidectomy tih surgery tih a rawt thei ang. Goiter hi a lian a, thawk emaw, ei harsa emaw a nih chuan operation neih a ngai mai thei. Surgery pawh hi a chang chuan nodules lakchhuah nan an hmang thin. Cancer a awm chuan zai a ngai tlangpui. Thyroid gland lakchhuah zat a zirin i dam chhung zawng thyroid hormone thlakna tur pill i ei a ngai mai thei.

Hei hi kan veng thei ang em?

Iodine tlakchhamna goiter (simple goiter) hi kan ven theih tlangpui a ni. Hetiang goiter chi hi ei leh inah sangha, bawnghnute atanga siam, leh iodized salt (table salt) te dah tel a nih chuan a veng thei a ni. Goiter chi dang tan chuan doctor thurawn tel lova iodine supplement emaw supplement dang emaw ei hi a tlangpuiin a tha lo. Thil \ha aiin chhiatna an ti tam zawk mai thei.

Hetiang dinhmun hi eng nge a nih? (Prognosis) tih a ni.

Gallstone prognosis hi a chi leh a chhan a innghat a ni.

Goiter awlsam tak hian thlirna tha tak a nei a. Mahse, thyroid gland a lo lian zel chuan a chhehvel tissue te chu a nawr thei a, thawk harsatna, ei leh in a ti buai thei a, a ri nasa hle bawk.

Goiter hi thyroid natna dang, Graves natna emaw Hashimoto natna emaw chhinchhiahna a nih chuan, a hmalam hun chu i thyroid tihpun chhan bulpuiah a innghat a ni.

Ka gallstone chungchangah hian engtikah nge doctor ka hmuh ang?

Eng vang pawh nise, goiter i vei tih hmuhchhuah a nih chuan doctor pan fo (kum khatah vawi khat tal) enfiah a pawimawh hle.

Symptom thar i neih chuan doctor nen inbia ang che.

I thyroid hi i endocrine system-a gland pawimawh tak a ni a, i taksa chhunga thil tam tak a nghawng a ni. Thyroid lian zawk hi thyroid natna hnuaia awm chhinchhiahna a ni thei. Thu lawmawm tak chu goiter hi enkawl theih a ni a, a chang chuan mahni chauhin a bo thei bawk. I kawr hma lamah lump i hmuh chuan i doctor nen inbia ang che. Goiter a nih leh nih loh leh eng thil nge a thlen tih a enfiah thei bawk.

Take-Home Thuchah hnuhnung ber

Okay, chuvangin kan sawiho atang hian Goiter chungchang hi in hriatthiamna tha zawk i neih ka beisei. A tawi zawngin:

• Goiter chu thyroid gland a hring chhuak a ni. Hei hian chhan tam tak a nei thei a ni.
• Kawr a hring, ei harsa, thawk harsa, aw inthlak danglam ang chi thil i hriat chuan doctor thurawn la ngei ang che.
• Gallstone zawng zawng hian enkawl a ngai vek lo a, mahse a chhan zawng chhuak a, a tul chuan enkawlna zawn a pawimawh.
• Khawvelah hian iodine tlakchhamna hi a chhan lian ber ni mah se, kan ramah hian iodized salt vangin dinhmun a tlem hle.
• Damdawi lam thurawn tel lo chuan thyroid hormone emaw iodine pill emaw ei ngai suh.
• Goiter i neih chuan doctor-in a tih angin follow-up examination neih fo a pawimawh hle.

Hlauh tur a awm lo, heng dinhmunte hi damdawi lam kaihhruaina mumal hnuaiah uluk taka enkawl theih a ni.