Kei te hiahia koe ki te mōhio mō te koiora o te tairoi?

"Kohikohi"! Tērā pea ka mataku koe ina rongo koe i tēnei kupu, tika? He mea noa tēnā. Engari, ko te kōrero pono, he whakamātautau nui anō tēnei e whakamahia ana e ngā tākuta hei tātaritanga i ngā mate. Pērā i ā tātou whakamātautau toto me ngā hihi-X. Nō reira, i tēnei rā, me kōrero tātou mō te tikanga o te kohikohi tairoi, me pēhea te mahi, me te mea he mea hei wehi.

He aha te koiora o te tairoi? He māmā noa iho...

Whakaarohia pēnei: ​​He repe iti, āhua pūrerehua tō tairoi kei mua o tō kaki. He nui ngā mahi nui a tēnei mō tō tinana, inā koa ko te whakaputa i ngā homoni e whakahaere ana i tō pākia o te tinana. Ko te koiora tairoi he tikanga e tango ana i tētahi tauira iti rawa o ngā pūtau, wai rānei mai i tō tairoi ka whakamātautau. Ka taea e tēnei te āwhina i ngā tākuta ki te tautuhi i ētahi mate tairoi.

Āhea ka mahia he koiora tairoi?

Kāore e hiahiatia he koiora mō ngā raruraru tairoi katoa. I te nuinga o te wā, ka taea te tautuhi i te mate mā te whakamahi i ngā whakamātautau toto me ngā hua whakaahua. Heoi, ki te kitea e tō tākuta he pona tairoi, ka tūtohu pea rātou kia whakamahia he koiora.

Me kōrero tātou mō ngā pona tairoi.

Tērā pea kei te whakaaro koe he aha ngā pona tairoi. He iti, he totoka, he wai rānei ēnei, he mea hanga ki roto i te repe tairoi. He rite ki ngā puku iti i te tinana, kāore? Ae. Ko te nuinga o ēnei pona he pai, arā, ehara i te mate pukupuku. Heoi, he iti noa te ōrau, i waenga i te 5% me te 15%, ka taea te mate pukupuku.

Nō reira, ka taea e te koiora tairoi te āwhina i tō tākuta ki te kimi i te pūtake o te puku, me te mea he pai, he mea rānei hei āwangawanga. Ina koa, he nui ake te tūponotanga ka mahia e ngā tākuta he koiora mēnā he nui ake te puku i te 1 henimita (tata ki te 0.39 inihi) .

Me pēhea te mahi i te koiora o te tairoi? He aha ngā tikanga?

E toru ngā huarahi matua hei mahi i tēnei koiora. Me titiro tātou ki ēnei huarahi.

1. Tikanga Whakapūpū Ngongo Pai (FNA)

Koinei te momo koiora tino noa mō ngā pona tairoi. Ko te whakamahi i tētahi ngira tino angiangi, roa (22-gauge, iti iho rānei) hei tango i tētahi iti o ngā pūtau me te wai mai i tētahi pona tairoi, i ētahi pona rānei. I te mahi i tēnei, ka whakamahia e te tākuta he matawai ultrasound hei ārahi tika i te ngira ki roto i te pona. Ko te tikanga o tēnei ka ārahi te matawai i te ngira ki te wāhi tika. He tikanga māmā tēnei, kāore e hiahiatia he tapahi nui.

2. Tikanga Koiora o te Ngira Matua (CNB)

He rite tēnei ki te tikanga FNA, engari he paku nui ake te ngira e whakamahia ana (14 ki te 20-ira te whānui). Ka taea te whakamahi i tēnei tikanga mēnā e hiahia ana te tākuta ki te tango i tētahi tauira kiko nui ake me te kore e pakaru . Ka taea te whakamahi i tēnei tikanga mēnā kāore i te rawaka te tauira i whiwhihia mā te FNA, mēnā rānei e hiahiatia ana ētahi atu kōrero.

3. Te Kohikohi Tairoi Pokanga

He tikanga tino onge tēnei. Mena kāore i te tino mārama ngā tauira i tangohia mā te FNA, mā te CNB rānei, mehemea rānei e hiahiatia ana ētahi atu kōrero, ka whakatau pea te tākuta ki te mahi i te koiora, he tikanga pokanga e uru ana ki te tapahi iti i te kaki, te toro atu ki te repe tairoi, me te tango tauira.

Me pēhea te whakarite i mua i te mahi koiora?

Tērā pea ka rerekē te tukanga whakarite i runga i te momo koiora e mahia ana ki a koe.

Mō te koiora ngira (FNA, CNB rānei)

• I te nuinga o te wā, ka taea e koe te kai me te inu noa, ki te kore e tohua e tō tākuta.
• Heoi, ki te mea kei a koe ētahi rongoā e tangohia ana e koe i ia rā (ina koa ko ngā rongoā whakaiti toto ), he mea tino nui kia pātai atu koe ki tō tākuta mēnā me mutu te tango i aua rongoā i ētahi rā i mua i te tangohanga toto.

Mō te koiora pokanga

Mena kei te whakahaerehia he koiora pēnei i a koe, ka hoatu e tō tākuta he tohutohu mārama ki a koe mō te whakarite mōna. He mea nui kia whai tika koe i aua tohutohu.

Ko te mea nui ko tō tākuta te tangata pai rawa atu hei tuku tohutohu ki a koe. Mēnā he pātai, he āwangawanga rānei āu, me pātai atu ki tō tākuta.

He aha ngā mea ka tupu i te wā o te koiora? Ngā mea hei tumanako atu.

I te nuinga o te wā, ka mahia te koiora mā te whakamahi i te FNA, i te CNB rānei. I kōrero mātou i mua ake nei, i ētahi wā onge, ka taea hoki te mahi pokanga. Me titiro tātou ki ngā mea ka puta me ia o ēnei tikanga.

Ko te koiora ngira pai (FNA, CNB rānei)

He tikanga tūroro ēnei i te nuinga o te wā. Ko te tikanga ka taea e koe te hoki ki te kāinga i taua rā anō. Anei ētahi mahi:

1. Tuatahi, ka werohia koe ki tētahi werohanga iti (whakamamae ā-rohe) hei whakangāwari i te rohe o tō kaki. Kia kore ai koe e tino mamae.

2. Muri iho, ka whakatakotoria e te tākuta tētahi taputapu iti, ringaringa, e kiia nei ko te transducer ultrasound ki tō kaki. Mā tēnei ka āwhina i a koe ki te kite tika i te wāhi kei reira te repe tairoi me te puku.

3. Muri iho, ka ata tukuna te ngira roa, angiangi i kōrerotia ake nei mā roto i tō kiri, ā, ki roto i te repe tairoi.

4. Kātahi ka tangohia marietia he tauira wai me te kiko. He mea tino nui kia kaua e nekeneke i tēnei wā.

5. Kia oti te tango i te tauira, ka tangohia te ngira, ā, ka tāpirihia he takai iti rite ki te pāreti ki te wāhi i werohia ai te ngira.

6. Hei whakamutunga, ka tukuna te tauira ki te tohunga pūtau hei tirotiro.

Mena he nui atu i te kotahi āu nati, ka taea e koe te mahi i tēnei mahi kia maha ngā wā. Me 10 ki te 20 meneti te roa o te mahi katoa.

Te Kohikohi Tairoi Pokanga

E mea ana mātou he mea tēnei e kore e tino mahia. Ka whakamahia tēnei tikanga ina kore e mārama ngā hua o te FNA, o te CNB rānei, mēnā rānei e hiahiatia ana ētahi atu kōrero. Ko te tikanga o tēnei ko te mahi pokanga me te tango i tētahi tauira o te pukupuku me/ranei te kiko mai i te repe tairoi ka tukuna ki te taiwhanga.

He aha ngā pānga taha i muri i te koiora?

Ko ētahi o ngā pānga taha iti i muri i te tango i te koiora ko te mamae me te maru i te wāhi i werohia ai te ngira. Ka taea e koe te tango i ngā rongoā mamae ka taea te hoko kore utu, pērā i te acetaminophen (Tylenol®) ibuprofen (Motrin® rānei), hei āwhina i tēnei mamae.

He onge ngā raruraru nui, engari i ētahi wā onge, ka puta pea ēnei e whai ake nei:

• Te toto
• Mate pāwera
• Te hanganga o tētahi mea pērā i te cyst.

Ki te puta he mea pēnei, me whakamōhio tonu koe ki te tākuta.

He aha te tikanga o ngā hua o te pūrongo koiora?

E ai ki te American Thyroid Association, e ono ngā wāhanga matua e taea ai te wehewehe i ngā hua o te koiora. Me titiro tātou ki te tikanga o ia momo:

| Kāwai Hua | Tikanga | Whānui Hipanga Panuku |

| :--------------- | :-------------------------------------------------------------------------------------------------- | :--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- |

| Pai (kāore he matepukupuku) | Ehara te puku i te matepukupuku. Koinei te putanga tino noa (60%-70% o ngā take). | Ko te tikanga he "tatari mataara" me te tirotiro anō i te ultrasound i roto i te 12 marama pea. |

| Kino (matepukupuku) | He matepukupuku te pukupuku. (5%-15% o ngā take). |Ko te mea pea, me tango pokanga.

| He whakapae mō te mate pukupuku | He nui te tūponotanga o te mate pukupuku. (Ka tangohia mā te pokanga). | Ka tangohia mā te pokanga. I ētahi wā ka mahia pea ētahi atu whakamātautau (hei tauira, te whakatauira ira ). |

| Te Āhua Kore i te Mōhiotia te Hiranga (AUS) te Ngārara Rauemi rānei o te Hiranga Kore i te Mōhiotia (FLUS) | He āhua rerekē ngā pūtau, engari kāore i te tino mārama mēnā he matepukupuku, kāore rānei. (Tērā pea he matepukupuku i roto i te 5%-15% o ngā take). | He koiora anō, he whakamātautau ngota, he pokanga pea rānei. |

| Ngā Pūngāwerewere o te Follicular, te Whakahē rānei mō te Pūngāwerewere o te Follicular | Tērā pea he mate pukupuku tēnei, kāore rānei (15%-30% o ngā take he mate pukupuku). | He maha ngā wā, ka tangohia tetahi wāhanga, tetahi katoa rānei o te repe tairoi mā te pokanga hei tirotiro.

| Kāore i te tino kitea te mate, kāore rānei i te tino pai | Kāore i te rawaka ngā pūtau i roto i te tauira, nā tētahi atu take rānei, kāore e taea te whakatau mārama. (2%-10% o ngā take). | He koiora anō te tikanga, he maha ngā wā ka mahia i raro i te arataki a te ultrasound. |

Ahakoa he māramatanga whānui tēnei ripanga, he pai ake te kōrero ki tō tākuta mō ngā taipitopito e pā ana ki ō hua.

Kia pēhea te roa ka mōhiotia ai ngā hua?

Ko te nuinga o te tangata ka whiwhi i ngā hua o te koiora i roto i te wiki kotahi, engari i ētahi wā ka rerekē pea tēnei wā i runga i te mahi a te taiwhanga, i te mea rānei e hiahiatia ana he whakamātautau tāpiri.

Mena he rerekē ngā hua, he aha tāu e mahi ai i muri mai?

Mā tō tākuta koe e whakamārama i ngā hua, ā, māna anō e kī atu mēnā me rongoā koe, ā, mēnā me pērā, me aha koe. He rerekē te āhua o te katoa, nō reira ka rerekē te rongoā. Engari i te nuinga o te wā, koinei ngā mea ka taea e koe te tumanako:

• Ngā pona pai:He maha ngā wā ka mahia tēnei mā te "tatari mataara." Arā, ka mahia anō he matawai ultrasound i roto i te 12 marama pea hei tirotiro mēnā kua puta he huringa i roto i te pukupuku.
• Ngā pona kino: Me tango atu ēnei mā te pokanga i te nuinga o te wā.
• Ngā pona whakapae: Ka whakatauhia ēnei mēnā ka tangohia mā te pokanga, i runga anō i ngā hua o ngā whakamātautau tāpiri, pērā i te whakatauira irahiko .

Āhea koe me toro atu ki te tākuta?

I muri i te tango i te kopa o te tairoi, ki te puta mai i a koe tētahi o ēnei tohu o te mate, me kōrero tonu atu ki tō tākuta:

• Ki te pāngia koe e te kirika .
• Ki te mātao koe, me te wiriwiri hoki (Mātao).
• Mena he whero, he pupuhi te wāhi i werohia ai te ngira, i tapahia rānei, ā, kei te puta mai he wai rite ki te pulu i reira .

Mena kei a koe ēnei tohu, tera pea he mate pāwera, nō reira he mea nui kia tere te rapu maimoatanga.

Hei whakamutunga, ko te mea tino nui hei maumahara!

He mea noa te mataku ina rongo koe i te kupu "biopsy." Heoi, ehara i te mea he mate kino tō te koiora tairoi. Pērā i ngā hihi-X me ngā whakamātautau toto, he taputapu noa iho te koiora e whakamahia ana e ngā tākuta hei tātaritanga i tētahi mate. Ka homai e ngā hua he kōrero tino nui ki a tātou.

Mena he raruraru tairoi tōu, ko te kimi i mua i te kino haere koia te huarahi pai mō te hauora mō te wā roa. Nō reira, ki te kī mai tō tākuta he koiora tōu, kaua e wehi ki te pātai atu, tikina ngā mōhiohio e hiahiatia ana e koe, ā, anga atu ki te aroaro o te kanohi. Kāore koe i te mokemoke, ā, kei reira ngā tākuta hei āwhina i a koe.

Nō reira, ko tāku tumanako he whai hua ēnei mōhiohio ki a koe. Mēnā he pātai āu, kaua e whakamā, kōrero ki tō tākuta!

` Tairoiti, Biopsy Tairoiti, Ngā Pona Tairoiti, FNA, CNB, Matepukupuku, Hauora