Kawr a hring a ni em? Hei hi goiter a ni thei ang em? I chhui chiang ang u!

I kawr hmalam ah hian lump emaw, swelling emaw awm ang maiin i inhriat ngai em? Darthlalang i en lai khan i hmu a ni mai thei, mi dangin an hrilh che pawh a ni mai thei. Hetiang thil i hmuh hian tlem a hlauhthawn hi thil pangngai a ni. Mahse mi tam takin hei hi hlau mah se, hei hi ‘Goiter’ an tih dinhmun a ni fo thin. Vawiin hian he thu hi awlsam takin, in hriatthiam theih angin kan sawi dawn a ni.

A awlsam zawngin, goiter chu eng nge ni?

Goiter hi i thyroid gland tihpunna a ni. Ngaihtuah teh, kan kawr hma lamah, Adama apple hnuai chiahah hian, hnim hring ang maia gland te tak te a awm a. Chu chu thyroid gland kan tih chu a ni .

He gland te tak te hian kan taksa tana hormone pawimawh tak tak pahnih a siam chhuak a. Thyroxine (T4) leh triiodothyronine (T3) te an ni. Heng hormone te hian kan taksaah thil tam tak an thunun a. Car engine ang maiin.

• Metabolism: Hei hi kan ei leh in chu chakna lama a chantirna rate a ni.
• Taksa lumna: Kan taksa lumna a tidanglam thin.
• Mood: Kan rilru put hmang, hlimna leh thinrimna a nghawng a.
• Heart rate: Kan thinlung thawk chak dan a control thin.
• Digestion: Kan chaw ei tur digestion min pui thin.

Chuvangin, eng emaw chhan vanga thyroid gland a lo hring emaw, a lo lian emaw a nih chuan, chu chu ‘goiter’ kan ti thin. Hei hi gland chhunga lump emaw nodule emaw a ni thei.

Goiter chi hrang hrangte chu engte nge ni?

Doctor-te chuan goiter hi kawng hrang hrangin an thliar hrang a. Pakhat chu a hring chhuah dan atang hian a ni. A dang chu thyroid hormone level atanga thlir a ni. Heng pahnih hi awlsam takin han thlir ila.

A hring chi hrang hrang a zirin classification

Thyroid hormone level atanga thliar hran a ni

• Toxic goiter: Hetiang a nih chuan thyroid gland chu a lian a, a tul aia tam thyroid hormone a siam chhuak thin . Hei hi `Hyperthyroidism` an ti bawk.
• Nontoxic goiter: Hetiang a nih chuan thyroid gland hi lian mah se, hormone level chu a normal . Chu chu hormone pung (`Hyperthyroidism`) emaw, tlahniam (`Hypothyroidism`) emaw a awm lo tihna a ni.

He natna hi tu nge vei thei ber?

Tu pawhin goiter an nei thei a, mahse mi thenkhat chu an hlauhawm zawk.

• Hmeichhia tan: Hmeichhia hian mipa aiin a let li velin goiter an nei tam zawk .
• Kum: He risk hi kum 40 hnuah a sang chho thin.
• Chhungkaw chanchin: I chhungkuaa mi tu emaw chuan thyroid natna a neih chuan nang pawhin i vei theihna a sang zawk.
• Hriselna dang: Mi thau lutuk leh insulin resistance ang chi natna nei te pawh an hlauhawm zawk.
• Radiation laka invenna: Kawr emaw lu emaw hmun chu damdawi lam enkawlna atan radiation lak a nih chuan chu pawh chu risk factor a ni.

Khawvel puma goiter vei chhan ber chu iodine tlakchham vang a ni . Mahse, Sri Lanka ang ramah chuan kan chi hmannaah iodine kan dah avangin tunah chuan chu chhan chu a awm tawh lo hle.

Goiter natna lan chhuah dan chu engte nge ni?

Goiter hi a lian zawngah chuan goiter te tak te, hriat theih loh atanga lian, hmuh theih thlengin a awm thei. A tam zawkah chuan goiter hi a na lo. Mahse, thyroid gland inflammation (thyroiditis) nen an awm chuan an na thei hle.

A hnuaia table-ah hian eng symptoms nge awm tih i lo en ang u.

Goiter awm chhante chu engte nge ni?

Goiter hi thyroid gland-a pressure awm chhinchhiahna a ni. A chhan hrang hrang a nei thei.

• Iodine tlakchhamna: Hei hi khawvela a chhan lian ber a ni. Thyroid hormone siam chhuahna atan Iodine hi a pawimawh hle. I ei leh in atanga iodine i hmuh tlem chuan gland hian cell tam zawk siam a tum ang a, a lian zawk ang a, engtin emaw tak chuan hormone siam a tum ang.
• Graves natna: Hei hi `autoimmune` natna a ni. Chumi awmzia chu kan taksa ngeiin kan thyroid gland a bei tihna a ni. Hei hian gland chu a tichak lutuk a, a ti lian a, hormone (`Hyperthyroidism`) a siam tam lutuk bawk.
• Hashimoto natna: Hei hi `autoimmune` natna a ni bawk. Hetiang dinhmunah hian immune system hian gland chu a bei a, a inflamed tir thin. Hun a kal zel a, gland hnathawh a tichhe a, hormone tling lo (`Hypothyroidism`) a siam chhuak thin. Gland chu a compensate turin a lo hring thei bawk.
• Thyroid cancer: Thyroid cancer hian gland a ti lian thei bawk. Mahse, goiter zawng zawng hi cancer vei an ni vek lo . chiang taka hriat theih nan medical examination neih a ngai a ni.
• Naupai: Naupai laiin hormone ``Human chorionic gonadotropin`` (HCG) avang hian thyroid gland hi a lian deuh thei.
• Thyroiditis: Chhan hrang hrang avangin gland hi a lo hring thei a, a lo hring thei bawk.

Engtin nge doctor chuan hei hi goiter a nih thu a hriat?

I kawngah lump i neih chuan doctor i pan ngei ngei tur a ni . Doctor chuan test engemaw zat a nei ang a, goiter a nih leh nih loh leh a chhan a hriat theih nan.

1. Taksa endikna: A hmasa berin doctor chuan i kawr chu a lo hria ang a, a hring, a lum leh a na em tih a enfiah ang.

2. 2. A rilru a hah lutuk chuan a rilru a buai em em a.Thisen test: Hengte hian thyroid hormone (T3, T4) leh TSH level a teh thin. Hei hian gland hian hna a thawk tha em tih leh hormone a tam lutuk leh tlem lutuk tih a hriat theih.

3. Thyroid Ultrasound Scan: Nausen scan ang bawkin hei hian kawr chhunga gland a en a. Gland hi engzat nge a lian tih te, lumps awm leh awm loh te, lumps te chu solid emaw liquid emaw a nih leh nih loh chiang takin a hmu thei a ni.

4. Biopsy: Scan-ah lump lian tak emaw rinhlelh awm tak emaw a lan chuan doctor chuan needle hmangin lump atang hian cell sample te tak te a la ang a, lab-ah cancer cell test turin a thawn ang. Hei hi cancer vei theihna tur awm lo tura tih a ni.

5. CT emaw MRI scan: Goiter hi a lian hle a nih chuan, a nih loh leh rilru chhungah a lo thang lian nia rinhlelhna a awm chuan hetiang scan chi hi tih theih a ni bawk.

Goiter enkawlna tur engte nge ni?

Enkawlna chu goiter lian leh te, i natna lan chhuah dan leh a chhan a zirin a ni.

• Fimkhur taka nghah: Goiter hi a te a, harsatna i nei lo a, i hormone level pawh a pangngai a nih chuan i doctor chuan eng emaw zat enkawlna awm lovin hun bituk chhung chu enkawl che a rel thei a ni.
• Damdawi chi hrang hrang: 1.1.
• Hormone level a hniam ( Hypothyroidism ) a nih chuan hormone pill `Levothyroxine' ang chi hi nitin ei tur a ni.
• Hormone level a san ( hyperthyroidism ) chuan hormone siam chhuah tihtlem nan Methimazole ang chi damdawi an pe thin.
• Goiter hi gland inflammation avanga lo awm a nih chuan painkiller emaw corticosteroid emaw pek theih a ni.
• Radioactive iodine therapy: Hei hi hyperthyroidism damdawi a ni. Radioactive iodine liquid emaw capsule emaw i ei a, chu chu thyroid gland chhungah a lut a, chutah chuan overactive cells te chu a tichhia a, gland chu a ti tlem a ni.
• Surgery (Surgery - Thyroidectomy tih a ni): 1. A rilru a hah lutuk chuan a rilru a buai em em a.
• Goiter hi a lian hle a, thawk leh ei harsa a siam chuan.
• Cancer a nih thu finfiah a nih chuan.
• Hmel lan danah harsatna lian tak a awm a nih chuan.

Chutiang a nih chuan i doctor chuan gland thenkhat emaw, a pum emaw lak chhuah nan operation neih a rawt thei ang. Gland hi paih vek a nih chuan i dam chhung zawng thyroid hormone pill i ei a ngai dawn a ni.