Kua pupuhi tō kaki? Me kōrero tātou mō te mate puku!

He tokomaha pea e mataku ana ina kite i te pupuhi iti i roto i ō rātou kaki, tika? He aha tēnei? Kua rongo pea koe i te ' Gout '. I tēnei rā ka kōrero tātou mō tēnei mate, e mōhiotia whānuitia ana ko '( Goiter )'. Kaua e mataku, ko te mea nui ko te mōhio ki tēnei.

He aha tēnei repe tairoiti?

Āe, me titiro tuatahi tātou he aha tēnei `(Goiter)`, arā, te repe tairoiti . He repe iti te āhua o tēnei repe tairoiti , he rite ki te pūrerehua, kei roto i tō kaki, i raro tonu i te wheua kaki. He wāhanga tēnei o te `( Pūnaha Endocrine )` o tō tātou tinana.

Ahakoa he iti, he mea tino nui ngā homoni e hangaia ana e te repe tairoiti. Ko ngā homoni matua e rua e hangaia ana i konei ko te thyroxine (e kiia ana ko te `(T4)`) me te triiodothyronine (e kiia ana ko te `(T3)`). He maha ngā mahi tino nui e whai wāhi ana ēnei homoni ki roto i tō tātou tinana. Hei tauira:

• Ko te pākia o te tinana te tukanga e huri ai te kai e kainga ana e tātou hei pūngao.
• Te whakahaere i te pāmahana o te tinana .
• Ngā mea pēnei i tō tātou wairua , te manukanuka, me ērā atu mea.
• Te tere o te ngakau .
• Te tukanga nakunaku .

Ahakoa he iti, he nui te mahi a tēnei repe. Ahakoa ka pupuhi noa tēnei repe, ka nui rawa rānei, ka iti rawa rānei ngā homoni e whakaputaina ana, ka raru pea tātou.

Nā, kei reira ētahi momo kohatu pēnei?

Ae, e rua ngā momo whakarōpūtanga o tēnei mate pukupuku. Ko tētahi e ai ki tōna tipu. Ko tētahi e ai ki ngā taumata o ō homoni tairoi.

E ai ki te āhua o tō rātou tipu, ka whakarōpūtia:

• Te Kauti Māmā, te Kauti Horapa rānei: Koinei te wā ka pupuhi te repe tairoi katoa, ā, ka ngawari ki te pā atu.
• Te Korokoro Pona: I roto i tēnei, ka puta he puku totoka, he puku wai rānei (pona) i roto i te repe tairoiti, ā, ka rite te ahua ki te puku ina pāngia.
• Te Korowha Multinodular: Koinei te wā e puta ai ngā pona maha i roto i te repe tairoi. Tērā pea ka kitea ēnei pona mai i waho, ka kitea rānei i ngā whakamātautau anake.

E ai ki ngā taumata o ngā homoni tairoi, ka whakarōpūtia:

• Te mate pukupuku paitini: I roto i tēnei, ka pupuhi te repe tairoiti, ā, ka nui rawa te homoni tairoiti e whakaputaina ana. Ka hua ake tēnei i te mate e kiia nei ko te hyperthyroidism.
• Ko te Goiter Kore-paitini: I tēnei āhuatanga, kua pupuhi te repe tairoiti, engari he noa ngā taumata homoni. Ko te tikanga tēnei kāore he hyperthyroidism, he hypothyroidism rānei, he āhuatanga e iti ana ngā taumata homoni tairoiti. Ka karangahia hoki tēnei āhuatanga e ngā tākuta ko te euthyroid.

I ētahi wā ka whakakotahi ngā tākuta i ēnei momo e rua. Hei tauira, ko te "Toxic Multinodular Goiter" he āhua e puta ai ngā pona maha i roto i te repe tairoi, ā, ka nui rawa ngā homoni e puta mai ana.

Ko wai te mea ka nui ake te tūponotanga ka pāngia e tēnei momo kōhatu o te pūkahukahu?

Ina hoki, ka taea e te tangata katoa te pāngia e te mate puku. Heoi, e kiia ana e whā ngā wā ka nui ake te tūponotanga o te pāngia o ngā wāhine i ngā tāne . Waihoki, ka piki ake te tūponotanga o te pāngia e te mate puku i te kaumātuatanga. He mea noa i muri i te 40 tau te pakeke .

Hei tāpiri, ko te hunga whai i ēnei āhuatanga ka nui ake te tūponotanga ki te whakawhanake i ngā kōhatu waikura:

• Momonatanga
• Te ātete ki te insulin
• Te mate pāwera

Waihoki, ki te mea kua pangia tō mahunga me tō kaki e te irahiko hei maimoatanga hauora, ki te mea rānei he hītori whānau tō tētahi o tō whānau mō te mate tairoi , he nui ake tō tūponotanga ki te pāngia e te mate puku.

E hia te auau o tēnei āhuatanga?

He mate noa te mate pukupuku pūkahukahu. Hei tauira, i te Hononga o Amerika, tata ki te 5% o te taupori e pāngia ana e tēnei mate.

Engari puta noa i te ao, ko te korenga o te iodine te tino take o te mate puku. E kiia ana e 2.2 miriona tāngata e pāngia ana e tēnei raruraru.

Ka rerekē te tūponotanga o te whakawhanake i te mate puku i runga i te kaha o te korenga o te iodine:

• Mena he iti te taumata o te korenga o te iodine , e 5% ki te 20% te tūponotanga ka pāngia koe e te mate puku.
• Mena he taurite te korenga o te iodine , ka piki ki waenga i te 20% me te 30%.
• Mena he nui te korenga o te iodine , ka piki ake te tūponotanga o te whakawhanake i te goiter ki te neke atu i te 30%.

He aha ngā tohu ka pā mai ki ahau mēnā he kohatu tōku i roto i te pūkahukahu?

Ka rerekē te rahi o te puku mai i te tino iti, kāore e kitea, ki te tino nui. I te nuinga o te wā, kāore he mamae o te puku. Heoi, ki te pāngia koe e te mate tairoiti, arā, ka pupuhi, ka whero tō repe tairoiti, tera pea ka pāngia koe e te mamae.

Ka kitea ngā tohu matua pēnei i:

• He rite ki te puku i mua o tō kaki , i raro iho i te ihu kakī.
• Te āhua nei kei te mau tetahi mea i roto i te korokoro .
• Te pāorooro (te panoni o te reo).
• Te āhua nei kei te pupuhi ngā uaua o te kaki.
• Te ānini o te mahunga ina ara ake ō ringaringa ki runga ake i te mahunga.

Tērā atu anō ētahi atu tohu, kāore i te tino kitea:

• Te poto o te manawa .
• Maremare.
• He tangi whiowhio i te wā e manawa ana (nā te aukati i te ara manawa).
• Te uaua ki te horomi (nā te aukati i te korokoro).

Tērā pea kei ētahi tāngata he mate e kiia nei ko te hyperthyroidism, arā, he pikinga o ngā homoni tairoi me te goiter. Mēnā ka puta tēnei, ka puta ngā tohu pēnei i:

• Te tere o te manawa o te ngakau (Tachycardia) .
• Te hiroki mō te kore take .
• Te korere.
• Te werawera ahakoa kāore he korikori tinana, ahakoa kāore i te tino teitei te pāmahana o te rūma.
• Te wiri o te tinana.
• Te manukanuka.

Waihoki, tera pea ētahi tāngata e pāngia ana e te mate e kiia nei ko te hypothyroidism, he mate e heke ai ngā homoni tairoi me te goiter. I tēnei wā, tera pea ka kitea ngā tohu pēnei i:

• Te tino ngenge (Te ngenge nui) .
• Te mate kōroke.
• Kiri maroke.
• Ka nui haere te rahi, kāore he take .
• Ngā huringa paheketanga koretake i roto i ngā wāhine.

He aha i puta ai tēnei kohatu pūkahukahu? He aha ngā take?

Ko te mate puku he urupare urutau a ngā pūtau o te repe tairoi ki tētahi tukanga e whakararuraru ana i te hanga o ngā homoni tairoi. Ahakoa ko te korenga o te iodine te tino take o te mate puku puta noa i te ao, he maha atu anō ngā take.

Ko ngā mea ka puta ai ngā kohatu o te kapia:

• Te korenga o te iodine: Me whai iodine tō repe tairoiti hei hanga i ngā homoni tairoiti. Mēnā kāore koe e whiwhi i te nui o te iodine mai i te kai e kainga ana e koe, ka ngana te repe tairoiti ki te hanga i ngā homoni tairoiti. Ka hanga e ia he maha atu ngā pūtau, ko te tikanga ka nui haere. Koinei te take matua puta noa i te ao. Heoi, i ngā whenua pēnei i a Sri Lanka, he iti ake tēnei nā te whakamahinga o te tote iodine. Ka taea e tātou te tiki i te nui o te iodine e hiahiatia ana mai i ngā kaimoana, ngā hua miraka, me te tote iodine. Heoi, ko te tango i ngā tāpiringa iodine me te kore tohutohu hauora kāore i te pai mō te tini o te tangata, nā te mea ka pā mai ētahi atu raruraru hauora.
• Te mate a Graves: He mate pūnaha ārai mate tēnei. Ko te tikanga ka whakaekea e tō ake pūnaha ārai mate tō repe tairoi, ka nui haere. Ka taea hoki e te mate a Graves te whakaputa i tētahi āhuatanga e kiia nei ko te hyperthyroidism, me rongoā.
• Te mate a Hashimoto: He mate pūnaha ārai mate anō hoki tēnei. Ka puta te mumura o te repe tairoiti. Mō ētahi tāngata, ka nui haere te repe tairoiti nā te mate a Hashimoto hei mate whakakapi. He maha ngā wā ka pai ake tēnei momo mate puku i roto i te wā. Heoi, me tango e ētahi tāngata whai mate a Hashimoto ngā pire homoni tairoiti.
• Matepukupuku tairoi:Ka taea hoki e te mate pukupuku o te repe tairoi te whakanui ake i te repe.
• Te Hapūtanga: I te wā e hapū ana, ka paku nui haere te repe tairoiti nā te homoni "Human Chorionic Gonadotropin (HCG)" e hangaia ana i roto i te tinana o te wahine.
• Te mate tairoidi: Ka taea hoki e te mumura o te repe tairoidi te whakanui i te repe. He maha ngā take mō tēnei.

I ētahi wā, ka puta te mate puku me te kore he take motuhake. Ka kiia ēnei he "mate puku tūpono". Ka taea hoki e ētahi rongoā te puta ai tēnei. Hei tauira, ko te rongoā "Lithium", e whakamahia ana hei rongoā i ētahi mate hinengaro, ka taea te puta ai tēnei momo mate puku.

Me pēhea te tautuhi tika a ngā tākuta i tēnei?

Ina haere koe ki te tākuta, ka taea e rātou te tirotiro i tō kaki mō te repe tairoiti kua nui haere mā te pā atu. Engari ko te tikanga o te mate puku he raruraru kei roto i tō repe tairoiti. Nō reira me rapu koe he aha taua raruraru.

He maha ngā whakamātautau ka mahia e ngā tākuta mō tēnā:

• Whakamātautau tinana: E ai ki taku kōrero i mua, ka pā te tākuta ki tō kaki kia kite ai mēnā he puku, he mamae rānei.
• Whakamātautau toto tairoi: Ka inehia e ēnei whakamātautau toto ngā taumata o te homoni tairoi. Ka āwhina tēnei ki te whakatau mēnā kei te mahi tika te repe tairoi.
• Whakamātautau paturopi: Ka tirohia e tēnei whakamātautau toto ngā paturopi motuhake i hangaia e ētahi momo mate pukupuku. Ko ngā paturopi he pūmua i hangaia e ō tātou toto mā. Koinei ngā mea e tiaki ana i a tātou mai i ngā iroriki e puta ai te mate.
• Te tirotiro i te repe tairoiti: He whakamātautau te tirotiro i te repe tairoiti e whakamahi ana i ngā ngaru oro auau teitei hei whakawhiti mā roto i ngā kiko o te tinana. Ka whakaaturia ngā whakaahua ka puta mai i runga i te mata rorohiko. Kātahi ka taea e te tākuta te "kite" i te repe tairoiti, me te tirotiro i tōna rahi me te mea he puku kei roto.
• Biopsy: He tikanga te biopsy e tango ana i tētahi tauira o te kiko, o ngā pūtau rānei, ka whakamātautau i aua mea i roto i te taiwhanga. Mena he puku nui tōu i roto i tō repe tairoi, me mahi pea he biopsy. He maha ngā wā ka mahia tēnei hei whakakore i te mate pukupuku.
• Te tango me te matawai i te repe tairoiti: Ka whakaratohia e tēnei whakamātautau whakaahua ngā mōhiohio e pā ana ki te rahi me te mahi a te repe tairoiti. Ko te werohanga he iti noa te rauemi irahiko ki roto i te uaua, ka hangaia he whakaahua o te repe tairoiti ki runga i te mata rorohiko. Heoi, kāore tēnei whakamātautau e mahia i ngā wā katoa, ā, he mea whai hua anake i ngā wā motuhake.
• Matawai CT, MRI rānei (Whakaahua Āhua Aukume):Mena he tino nui ngā tonsil, kua horapa rānei ki te uma, ka taea te mahi i tētahi matawai CT, MRI rānei hei ine i te rahi me te horapa o ngā tonsil.

Ka ora ake ngā kōhatu pūkahukahu i a rātou anō?

Tērā pea ka ora ake te mate puku māmā i muri i tētahi wā, me te kore he maimoatanga.

He maha ngā mate puku, pērā i te mate puku maha-nodular, ka puta ina he noa ngā taumata o ngā homoni tairoi. Kia tātaritatia rā anō e te tākuta, kāore he maimoatanga motuhake e hiahiatia ana. Heoi anō, tera pea ka tūpono koe ki te pāngia e te hypothyroidism, te hyperthyroidism rānei ā muri ake nei.

Heoi, ki te kite koe kua nui haere tō repe tairoiti, he mea nui kia toro atu koe ki te tākuta . Nā te mea he maha ngā take o te mate puku, ko ētahi o ēnei me rongoā.

He aha ngā maimoatanga e wātea ana?

Ko te maimoatanga mō te mate puku ka whakawhirinaki ki te rahi o tō repe tairoiti, ō tohumate, me te take. He maha ngā kōwhiringa maimoatanga:

• Kāore he maimoatanga / "Tatari mataara": Mena he iti te goiter, ā, kāore e whakararuraru i a koe, ka whakatau pea tō tākuta kāore e hiahiatia he maimoatanga. Engari ka tirotirohia e ia tō tairoi mō ngā huringa.
• Ngā rongoā:
• Ko te Levothyroxine (hei tauira, Levothroid®, Synthroid®) he rongoā whakakapinga homoni tairoi. Tērā pea ka tohua tēnei rongoā e tō tākuta mēnā ko te iti o ngā taumata homoni tairoi (hypothyroidism) te take o tō mate pukupuku.
• Mena ko te take o te mate puku he pikinga o ngā homoni tairoiti (Hyperthyroidism), ka hoatu ētahi atu rongoā. Hei tauira, ko te Methimazole (hei tauira, Tapazole®) me te Propylthiouracil.
• Mena he mumura te pūtake o ngā tonsils, ka tohua pea e te tākuta he aspirin, he corticosteroid rānei.
• Whakaora iodine radioactive: Ka whakamahia tēnei maimoatanga hei rongoā i te hyperthyroidism. I roto i tēnei maimoatanga, ka tangohia te iodine radioactive mā te waha. Ka uru tēnei iodine ki te repe tairoiti ka whakangaro i ngā pūtau tairoiti, ka whakaiti i te repe. Whai muri i tēnei maimoatanga, me tango pea e koe ngā pire whakakapinga homoni tairoiti mō te toenga o tō oranga.
• Pokanga: Tērā pea ka tūtohu tō tākuta i tētahi tikanga pokanga e kiia nei ko te tango i te repe tairoiti hei tango i te katoa, i tētahi wāhanga rānei o tō repe tairoiti. Tērā pea ka hiahiatia he pokanga mēnā he nui te goiter, ā, he uaua ki te manawa, ki te horomi rānei. I ētahi wā ka whakamahia hoki te pokanga hei tango i ngā pona. He mea tika te pokanga mēnā he mate pukupuku. I runga i te nui o te repe tairoiti kua tangohia, me tango pea e koe ngā pire whakakapinga homoni tairoiti mō te toenga o tō oranga.

Ka taea e tātou te ārai i tēnei?

Ko te mate puku kore-iodine (he mate puku noa) te momo mate puku anake ka taea te ārai. Ka taea te ārai i tēnei momo mate puku mā te whakauru i te nui o te ika, ngā hua miraka, me te tote iodized (tote tēpu) ki roto i te kai. Mō ētahi atu momo mate puku, kāore i te tūtohutia te tango i ngā tāpiringa iodine, i ētahi atu tāpiringa rānei me te kore tohutohu hauora. Tērā pea ka nui ake te kino i te pai.

He aha te tirohanga mō tēnei āhuatanga? (Te matapae)

Ko te matapae mō te mate kōhatu ka whakawhirinaki ki tōna momo me te pūtake.

He pai te āhua o te mate pukupuku noa. Heoi, ki te haere tonu te rahi o te repe tairoi, ka taea e ia te pana ki ngā kiko e karapoti ana, ka uaua ai te manawa, te horomi, me te pāorooro.

Mena he tohu te goiter o tētahi atu mate tairoi, pērā i te mate a Graves, i te mate a Hashimoto rānei, ko te āhua o te mate ka whakawhirinaki ki te tino take o te whakanui ake i tō tairoi.

Āhea ahau me toro atu ki te tākuta mō aku kōhatu i roto i te pūkahukahu?

Ahakoa te take, ki te mea kua tāpaetia koe he mate puku, he mea tino nui kia toro atu koe ki te tākuta i ia wā (kia kotahi te iti rawa i te tau) hei aroturuki i taua mate.

Ki te puta he tohu hou ki a koe, kōrero ki tō tākuta.

He repe tino nui tō tairoiti i roto i tō pūnaha endocrine, e pā ana ki ngā mea maha o tō tinana. He tohu pea te nui haere o te tairoiti hei tohu mō tētahi mate tairoiti kei raro iho. Ko te rongo pai, ka taea te rongoā i ngā kapia, ā, i ētahi wā ka memeha noa iho. Mēnā ka kite koe i tētahi puku i mua o tō kaki, kōrero ki tō tākuta. Ka taea e ia te tirotiro mēnā he kapia, ā, he aha te take.

Karere Whakamutunga mō te Tango ki te Kāinga

Āe, mai i tā tātou i kōrero ai, ko te tumanako kua mārama ake koe ki te mate Goiter. Hei whakarāpopototanga:

• He pupuhi te repe tairoiti i te puku. He maha ngā take o tēnei.
• Ki te kite koe i tētahi mea pēnei i te pupuhi i te kaki, te uaua ki te horomi, te uaua ki te manawa, te rerekē rānei o te reo, me rapu tohutohu hauora.
• Kāore e hiahiatia ana te rongoā mō ngā kōhatu katoa, engari he mea nui kia kitea te pūtake, ā, me rapu rongoā mēnā e tika ana.
• Ahakoa ko te korenga o te iodine tetahi o ngā tino take o te ao, he iti ake te āhua o tēnei āhuatanga i tō tātou whenua nā te tote whai iodine.
• Kaua rawa e tango i ngā homoni tairoi, i ngā pire iodine rānei me te kore he tohutohu a te tākuta.
• Mena he mate puku tōu, he mea tino nui kia tirohia tonutia ō whakamātautau e ai ki ngā tohutohu a tō tākuta.

Kāore he mea e wehi ai, ka taea te whakahaere pai i ēnei āhuatanga i raro i te aratohu tika a te taote.