Shower i lak lai emaw, darthlalang i en lai emaw khan i kawr hma lamah hnah te tak te i hmu tawh em? Chutiang thil i hmuh chuan tlem a hlauhthawn leh hlauhna i neih chu thil pangngai a ni. Mi tam tak chuan hei hi natna hlauhawm tak emaw, cancer emaw chhinchhiahna niin an ngai. Mahse thil pakhat i ngaihtuah theih chu a tam zawkah chuan hengte hi cancer ni lo lumps (Thyroid Nodules) thyroid gland-a lo awm thin an ni a, hlauh tur a awm lo. Vawiin hian he thu hi awlsam tak leh i hriatthiam theih tur angin kan sawi dawn a ni.
A hmasain, he thyroid gland hi eng nge ni?
A awlsam zawngin sawi ila, thyroid gland hi kan kawr hmalam, Adam’s apple hnuai chiaha awm, taksa peng te tak te a ni. Butterfly ang maia pianzia a ni. Kan taksa endocrine system-a thil pawimawh tak a ni.
He gland hian hormone chi hnih a siam chhuak a, chungte chu thyroxine (T4) leh triiodothyronine (T3) te an ni. Heng hormone te hi kan taksaa hna pawimawh tam takah an inrawlh a.
- Metabolism: Kan ei tur chu chakna a chan dan rate a control thin.
- Taksa lumna: Kan taksa lum leh vawt chu a level dik takah a awm theih nan a pui thin.
- Mood: Kan rilru dinhmun a nghawng a, chu chu hlimna leh lungkhamna te hi a ni.
- Heart rate: Lung chakna rate a control thin.
- Digestion: Digestive system hnathawh a pui bawk.
Chuti a nih chuan thyroid nodules hi eng nge ni?
Thyroid nodule chu a chunga kan sawi tak thyroid gland chhunga cell than dan pangngai lo atanga lo awm, lump emaw tumor emaw a ni. Chungte chu hetiang hian then theih a ni:
- Solitary: Knot pakhat chauh a awm thei.
- Multiple: Knot pakhat aia tam a awm thei.
- Cystic: Cystic cyst chu tuiin a khat cyst a ni .
- Solid: Solid cells chu cell atanga siam vek a ni.
Hetah hian i hriat tur pawimawh ber chu thyroid nodules hmuhchhuah zinga 90% aia tam chu benign an ni tih hi a ni . Chu chu cancer vei an ni lo tihna a ni. Mahse, za zela tlemte chauh, 4% - 6.5% vel hian cancer (thyroid cancer) an nei thei a ni. Chuvang chuan i kawr ah lump i hmuh chuan doctor pan a pawimawh.
Heng knot te hi tu nge lo awm thei ber?
Tu pawhin thyroid nodules an nei thei a, naupang pawhin an nei thei. Mahse, hmeichhiate hian mipa aiin a let li velin an nei tam zawk . Chu bakah, risk factor dang engemaw zat a awm bawk:
- Iodine tlakchhamna: 1.1.Hetiang dinhmun hi kan eitur iodine tlemna ramah a awm fo thin (kan ramah chuan iodized salt kan hman avangin he hlauhawmna hi a tlem hle).
- Chhungkaw chanchin: Chhungkaw zingah thyroid nodules emaw thyroid cancer emaw nei an awm chuan.
- Kum pung: Kum upat deuh deuh hian hengte hi a lo vei theihna a sang chho zel.
- Radiation laka invenna: A bik takin naupang i nih laiin i kawr chhungah radiation hmanga enkawlna i neih chuan.
- Iron tlakchhamna avanga thisen tlakchhamna.
- Meizial zuk.
- Thau lutuk.
- Zu in tam lutuk.
- Hmeichhia uterine fibroid nei te .
Mi tam takin symptoms an nei lo! Chuti a nih chuan engtin nge i hriat theih ang?
A tam zawkah chuan thyroid nodules hian symptom a nei lo. I kawr chhungah nodule i nei thei a, i hriat loh pawh a ni thei. Mahse a chang chuan nodule pakhat aia tam a awm emaw, nodule lian emaw a nih chuan nangmah ngeiin i hre thei emaw, darthlalang i en hian i hmu thei emaw a ni thei.
A tlem hle a, nodules te hi a lian hle a nih chuan kawr chhunga thlipui leh chaw kawng (esophagus) te chu a press thei a, a hnuaia symptoms te hi a thlen thei a ni. Nodules thenkhat chuan hormone siam chhuah tam lutuk emaw, siam tlem emaw avanga natna lanchhuahna a thlen thei bawk. Hengte hi a hranin han thlir ila.
| Dinhmun | A kaihhnawih Symptoms te |
|---|---|
| Knot lian tak tak avanga pressure awm | - Chaw ei harsa - Thâwk harsa - Aw ri emaw, aw inthlak danglam emaw - Kawr hmalam a na - Kawr a hring (Goiter) . |
| Hormone siam chhuah tam lutuk (Hyperthyroidism) . | - Palpitations (a rilru a na hle tih hriat) . - Khur, muang lo - Taksa rihna tlahniam (ei duhna a sang viau chung pawhin) . - Chaw chhuak fo, luak chhuak - Mu thei lo - Thlasik mumal lo emaw, chawlhsan emaw |
| Hormone siam chhuah tlem (Hypothyroidism) . | - Chauh lutuk, mut theih loh - Kut chhunga natna hrim hrim - Taksa rihna tihpun - Vun leh sam ro, hrual - Ek khal - Lungngaihna - Thlasik rit leh rei tak |
Engtin nge doctor hian hei hi a hriat chian? Eng test nge tih thin?
I kawr ah lump i neih avangin doctor i hmuh chuan i kawr a enfiah hmasa ang. Tichuan, lump chhui chian lehzual turin test eng emaw zat an ti thei ang. Heng test te hi lump chu cancer a nih leh nih loh hriat nan tih a ni tih hre reng ang che.
| Test Hming | A awlsam zawngin, hei hi engtin nge i tih? |
|---|---|
| Thyroid thisen test a ni | I thisena thyroid hormone (T3, T4) leh TSH level te chu a normal em, a sang em, a hniam em tih enfiah thin a ni. Hei hian i thyroid hnathawh dan tur ngaihtuahna a pe thei che a ni. |
| Ultrasound hmanga scan a ni | Hei hian sound wave hmangin thyroid gland leh nodule te chu chiang takin a siam a ni. Nodule chungchang tam tak a hrilh thei che a, chu chu solid emaw fluid-filled emaw, a lian leh te, a pianzia te a ni. Dense nodules hi cancer vei theihna a sang zawk. |
| Fine-needle biopsy (needle hmanga cell sample lak) 1.1. | Lump chu rinhlelh awm a nih chuan doctor chuan lump chhungah hian needle te tak te tak a dah ang a, chuta tang chuan cell thenkhat chu la in lab ah a thawn ang. Hei hian lump chu cancer a nih leh nih loh 95% aia tam dik takin a hrilh thei che a ni. |
| Thyroid scan a ni | He test-ah hian radioactive iodine tlemte chauh in tur i pe a. Tichuan, camera bik hmangin i thyroid gland chu a en a. Hei hian nodule hian hormone a siam chhuak em tih a hriat theih (nodule lum) leh siam chhuah loh (nodule lum) a ni. |
Hei hi eng enkawlna nge ni?
Enkawlna chu nodule chi hrang hrang, a lian leh te, a natna lan chhuah dan leh biopsy result-ah a innghat a ni.
- En reng la, nghak rawh: Biopsy-in a lump chu cancer a ni lo tih a finfiah a nih chuan, leh harsatna a thlen lo che a nih chuan, i doctor chuan eng enkawlna pawh nei lo turin a rawt thei che a, mahse a hun hunah (thla 6 emaw kum khatah emaw) scan la, lump-ah hian danglamna a awm leh awm loh en rawh.
- Radioactive iodine therapy: He enkawlna hi nodule hian thyroid hormone a siam tam lutuk (hyperthyroidism) a nih chuan pek theih a ni. Pill anga ei hian he iodine hi thyroid gland hian a hip lut a, nodule chu a ti tlem a ni.
- Surgery: A hnuaia mite hi surgery neih a ngai a ni.
- Lump chu cancer a nih thu finfiah a nih chuan.
- Cancer a ni thei tih rinhlelhna a awm chuan.
- Lump chu a lian a, ei leh in emaw thawk harsatna a thlen chuan.
I kawngah lump i hmuh chuan hlauthawng suh tih hre reng ang che. Mahse, ngaihthah bawk suh. I doctor hmu la, thurawn la ngei ang che.
Take-Home Thuchah a ni
- Thyroid nodules hi a tam hle a, a bik takin hmeichhiaah chuan a awm fo thin.
- Heng lumps zinga 90% aia tam hi cancer a nih loh avangin lump i neih vang mai maia hlauh a ngai lo.
- Nodules tam zawk hian symptom a nei lo. Anni hi thil thleng mai maia hmuh chhuah an ni.
- I kawr chhungah lump i hmuh emaw i hriat emaw chuan ngaihthah suh la, doctor thurawn la ngei ang che.
- Enkawl dan chu lump awm danah a innghat a ni. A châng chuan enkawlna engmah awm lovin enfiahna ringawt pawh a tawk thei.
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