Kua rongo koe i tētahi puku, i tētahi pupuhi rānei i mua o tō kaki? Tērā pea i kite koe i tēnei i tō tirohanga ki te whakaata, i kōrerotia rānei e tētahi atu ki a koe. He mea noa te mataku ina kite koe i tētahi mea pēnei. Ahakoa he maha ngā tāngata e mataku ana ki tēnei, he maha ngā wā ka kiia tēnei he mate e kiia nei ko te 'Goiter'. I tēnei rā, ka kōrerohia e tātou tēnei mea kia tino māmā, kia mārama ai koe.
He aha te kīanga māmā noa iho, he aha te goiter?
Ko te mate puku he whakanui i te repe tairoiti. Whakaarohia, i mua o tō tātou kaki, i raro noa i te āporo o Ātama, he repe iti te āhua o te pūrerehua. Koinei te mea e kiia nei e tātou ko te repe tairoiti .
E rua ngā homoni tino nui e whakaputaina ana e tēnei repe iti mō tō tātou tinana. Ko te thyroxine (T4) me te triiodothyronine (T3). He maha ngā mea e whakahaeretia ana e ēnei homoni i roto i tō tātou tinana. Pērā i te miihini o te motuka.
- Te Pūnaha Whakaora: Koinei te tere o te hurihanga o te kai e kainga ana e tātou hei pūngao.
- Te pāmahana o te tinana: Ka whakahaere i te pāmahana o tō tātou tinana.
- Te wairua: Ka pā ki tō tātou wairua, tō tātou harikoa, me tō tātou riri.
- Te tere o te manawa: Ka whakahaere i te tere o te pā o te manawa.
- Nakunaku: Āwhina i a tātou ki te nakunaku i te kai e kainga ana e tātou.
Nō reira, ki te pupuhi, ki te nui rānei te repe tairoiti mō tētahi take, ka kiia taua mate he 'goiter'. He puku, he pona rānei tēnei i roto i te repe.
Ko te mea nui, ehara i te mea ko ngā mate pukupuku katoa ka puta he taumata rerekē o ngā homoni tairoi. I ētahi wā, ka nui haere te repe ahakoa he noa ngā taumata o ngā homoni.
He aha ngā momo o te goiter?
He maha ngā momo whakarōpūtanga a ngā tākuta i ngā mate puku. Ko tētahi ko te āhua o tōna pupuhi. Ko tētahi ko te taumata o te homoni tairoi. Me titiro ngāwari tātou ki ēnei e rua.
Te whakarōpūtanga i runga i te momo pupuhi
| Momo mate puku | He whakamārama māmā |
|---|---|
| Te puku mārō (māhorahora) | Ko te mea ka tupu i tēnei kēhi, ka pupuhi katoa te repe tairoiti i te ara kotahi. Ina pā koe ki te kaki, ka rite ki te pupuhi maeneene. |
| Te puku pūkahukahu | I roto i tēnei, ka puta he puku totoka, he puku wai rānei (pound) i roto i te repe tairoiti. Nō reira, ina pā koe ki te kaki, ka rongo koe i tētahi puku. |
| Te mate puku maha-nodular | Nā tēnei ka puta he maha ngā puku (ngā pona) ki roto i te repe. Ko ētahi ka kitea mai i waho, ko ētahi ka kitea noa i te wā tirotiro a te tākuta, i te wā matawai rānei. |
Te whakarōpūtanga mā te taumata o ngā homoni tairoi
- Te mate puku paitini: I tēnei wā, ka nui haere te repe tairoiti, ā, ka nui ake ngā homoni tairoiti e whakaputaina ana i te mea e tika ana . Ka kiia hoki tēnei ko te 'Hyperthyroidism'.
- Te mate puku kore-paitini: I tēnei āhuatanga, ahakoa kua nui te repe tairoiti, he noa tonu ngā taumata homoni. Arā, kāore he pikinga ('Hyperthyroidism') kāore hoki he hekenga ('Hypothyroidism') o ngā homoni.
Ko wai te mea tino mōrearea ki te whakawhanake i tēnei mate?
Ka pāngia te tangata katoa e te mate puku, engari he nui ake te mōrearea o ētahi tāngata.
- Mō ngā wāhine: E whā ngā wā ka nui ake te tūponotanga o ngā wāhine ki te pāngia e te mate puku i ngā tāne.
- Tau: Ka piki ake tēnei mōrearea i muri i te 40 tau.
- Hītori whānau: Mena he mate tairoi tō tetahi o tō whānau, he nui ake te tūponotanga ka pāngia koe e taua mate.
- Ētahi atu āhuatanga hauora: Ko te hunga whai āhuatanga pēnei i te momona me te ātete ki te insulin he nui ake te mōrearea.
- Te pānga ki te irahiko: Mena kua pāngia te kaki, te upoko rānei e te irahiko hei maimoatanga hauora, he tūponotanga mōrearea anō hoki tēnā.
Ko te korenga o te iodine te tino take o te mate puku puta noa i te ao. Heoi, i ngā whenua pēnei i a Sri Lanka, nā te mea ka tāpirihia e tātou te iodine ki te tote e whakamahia ana e tātou, kua iti ake te kitea o taua take.
He aha ngā tohu o te mate puku?
Ka rerekē te rahi o te puku, mai i te iti, kāore e kitea, ki te nui, e kitea ana. I te nuinga o te wā, kāore he mamae o ngā puku. Heoi, ki te haere tahi me te mumura o te repe tairoiti (thyroiditis), ka mamae pea.
Kia tirohia ngā tohu kei te ripanga i raro nei.
| Kāwai tohu | Ngā āhuatanga e kitea ana |
|---|---|
| Ngā tohu matua | |
| Pupuhi kaki | Te putanga mai o tētahi puku, pupuhi rānei i te taha mua o te kaki, i raro i te arai. |
| Korokoro mamae | Te āhua nei kua kukū tō korokoro, me te mea kei te whakawhāitihia he tai. |
| Huringa reo | Te pāorooro, te ngaronga o te māramatanga o te reo. |
| Ngā tohu iti ake te kitea | Te uaua ki te manawa, te maremare, te uaua ki te horomi, te hemo i te wā e hapai ana i ngā ringa. |
| Ngā tohu o te hyperthyroidism | |
| Te pao o te ngākau | Te tere o te manawa o te ngakau (Tachycardia). |
| Te whakahekenga taumaha | Te ngaronga taumaha mō te kore take, ahakoa e kai pai ana koe. |
| Ētahi atu āhuatanga | Nui atu te werawera i te tikanga, te mimi pinepine, te wiri o ngā ringa, me te kore e okioki. |
| Ngā tohu o te hypothyroidism | |
| Ngenge tinana | Te ngenge tonu me te hiamoe. |
| Te pikinga o te taumaha | Te pikinga o te taumaha, kāore he take, ahakoa kei te whakahaere koe i tāu kai. |
| Ētahi atu āhuatanga | Te kōroke, te kiri maroke, te huringa paheketanga koretake i roto i ngā wāhine. |
He aha ngā take o te mate puku?
He tohu te mate puku i te pēhanga o te repe tairoiti. He maha ngā take.
- Te korenga o te iodine: Koinei te tino take o te ao. He mea nui te iodine mō te hanga o ngā homoni tairoi. Ki te kore e nui te iodine e whiwhihia ana e koe mai i tō kai, ka ngana te repe ki te hanga i ētahi atu pūtau, ka tipu nui ake, ā, ka hanga i ngā homoni e nui ana.
- Te mate a Kerei: He mate 'autoimmune' tēnei. Ko te tikanga o tēnei ka whakaekea e te pūnaha ārai mate o tō tātou tinana tō tātou repe tairoi. Ka nui rawa te whakaohooho o te repe, ka nui rawa, ka nui rawa te homoni e puta mai ana ('Hyperthyroidism').
- Te mate a Hashimoto: He mate 'autoimmune' anō hoki tēnei. I roto i tēnei mate, ka whakaekea e te pūnaha ārai mate te repe ka mumura. I roto i te wā, ka ngoikore te mahi a te repe, ā, ka kore e ranea te whakaputanga o ngā homoni ('Hypothyroidism'). Ka pupuhi pea te repe hei whakakapi.
- Matepukupuku tairoi: Ka taea hoki e te matepukupuku tairoi te whakanui i te repe. Heoi, ehara i te mea he matepukupuku katoa ngā matepukupuku . Me whai whakamātautau hauora kia tino mōhio ai.
- Te Hapūtanga: Tērā pea ka paku rahi haere te repe tairoiti nā te homoni "Human chorionic gonadotropin" (HCG), e tukuna ana i te wā e hapū ana.
- Te mate tairoidi: Ka mumura, ka pupuhi hoki te repe i ngā take maha.
Me pēhea te tautuhi a te tākuta he mate puku tēnei?
Mena he puku kei tō kaki, me toro atu koe ki te tākuta . Ka whakahaerehia e te tākuta ētahi whakamātautau hei rapu mēnā he puku, ā, he aha te take.
1. Whakamātautau tinana: Tuatahi, ka whāwhā te tākuta i tō kaki hei tirotiro mēnā he pupuhi, he puku, he mamae rānei.
2.Ngā whakamātautau toto: Ka ine ēnei i ngā taumata o ngā homoni tairoi (T3, T4) me te TSH. Mā tēnei ka taea te mōhio mēnā kei te mahi tika te repe, me te mea he nui rawa, he iti rawa rānei te homoni.
3. Matawai Ultrasound Thyroid: He rite ki te matawai pēpi, ka tirohia te repe i te kaki. Ka kitea mārama te rahi o te repe, mēnā he puku, me te mea he totoka, he wai rānei ngā puku.
4. Kohikohi pūtau: Mena ka kitea he puku nui, he puku whakapae rānei i te matawai, ka whakamahia e te tākuta he ngira hei tango i tētahi tauira iti o ngā pūtau mai i te puku, ka tukuna ki te taiwhanga hei whakamātautau mō ngā pūtau matepukupuku. Ka mahia tēnei hei whakakore i tētahi tūponotanga o te matepukupuku.
5. Matawai CT, MRI rānei: Mena he tino nui te puku, ki te whakapaetia rānei kua tupu ki roto i te uma, ka taea hoki te mahi i tēnei momo matawai.
He aha ngā maimoatanga mō te mate puku?
Ko te maimoatanga e whakawhirinaki ana ki te rahi o te puku, ngā tohu e pā ana ki a koe, me te pūtake.
- Te tatari mataara: Mena he iti te puku, kāore he raruraru āu, ā, he noa ngā taumata homoni, ka whakatau pea tō tākuta ki te tirotiro i a koe mō tētahi wā motuhake me te kore he maimoatanga.
- Ngā momo rongoā:
- Mena he iti te taumata o ngā homoni ( Hypothyroidism ), ka tohua kia tangohia ngā pire homoni pēnei i te `Levothyroxine' i ia rā.
- Mena he tiketike ngā taumata homoni ( hyperthyroidism ), ka tohua ngā rongoā pēnei i te Methimazole hei whakaiti i te hanga homoni.
- Mena nā te mumura o te repe te take o te goiter, ka hoatu pea he rongoā whakamamae mamae, he corticosteroid rānei.
- Whakaora iodine radioactive: He maimoatanga tēnei mō te hyperthyroidism. Ka tangohia e koe he wai, he kāpū rānei o te iodine radioactive ka uru ki te repe tairoiti, ka whakangaro i ngā pūtau kaha rawa o reira, ā, ka whakaiti i te repe.
- Pokanga (Pokanga - Tātaritanga o te Tairoid):
- Mena he nui rawa te whēkau, ā, he uaua ki te manawa, ki te horomi rānei.
- Mena kua whakaūtia he mate pukupuku.
- Mena he raruraru nui kei te āhua.
I ēnei āhuatanga, ka tūtohu pea tō tākuta kia pokangahia hei tango i tētahi wāhanga, i te katoa rānei o te repe. Mēnā ka tangohia katoatia te repe, me tango e koe ngā pire homoni tairoi mō te toenga o tō oranga.
Ko te mea nui, mā te tākuta e tirotiro i a koe e whakatau ko tēhea te maimoatanga e pai ana mōu. Nō reira, kaua e whakarite i a koe ki ngā wheako o ētahi atu.
Karere Tangohia ki te Kāinga
- Ki te kite koe i te pupuhi, i te kōpuku rānei i tō kaki, kaua e warewaretia. He mate puku pea.
- Kāore he take e mataku ai ina kite koe i te mate pukupuku. Ko te nuinga o ngā mate pukupuku ehara i te mate pukupuku.
- Ahakoa te take, he mea tino nui kia kite i te tākuta me te whiwhi i te tautuhi tika.
- Kei tō āhua te maimoatanga. I ētahi wā, kāore pea he maimoatanga e hiahiatia ana.
- Ki te mōhio koe he mate puku tōu, haere ki ngā whakamātautau kua whakaritea kia rite ki ngā tohutohu a tō tākuta.
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