Kua kite koe i tētahi puku iti i mua o tō kaki i a koe e kaukau ana, e titiro ana rānei ki te whakaata? He mea noa te mataku me te manukanuka ina kite koe i tētahi mea pēnei. He tokomaha te hunga e whakaaro ana he tohu tēnei mō tētahi mate kino, mō tētahi mate pukupuku rānei. Engari tētahi mea ka taea e koe te whakatau ko te nuinga o te wā, he puku kore-mate pukupuku ēnei (Ngā Pona Tairoiro) e puta ana i roto i te repe tairoiro, ā, kāore he mea hei wehi. I tēnei rā, ka kōrerohia e tātou tēnei mea mā te ngāwari, mā te huarahi e mārama ai koe.
Tuatahi, kia kite tātou, he aha tēnei repe tairoi?
He whakarāpopototanga noa iho, he okana iti te repe tairoiti kei mua o tō tātou kaki, i raro noa i te āporo o Ātama. He rite tōna āhua ki te pūrerehua. He wāhanga tino nui o te pūnaha endocrine o tō tātou tinana.
E rua ngā momo homoni matua e whakaputaina ana e tēnei repe: te thyroxine (T4) me te triiodothyronine (T3). He maha ngā mahi nui a ēnei homoni i roto i tō tātou tinana.
- Te Pūnaha Whakaora: Ka whakahaere i te tere o te hurihanga o te kai e kainga ana e tātou hei pūngao.
- Mahana tinana: Ka āwhina ki te pupuri i te pāmahana o te tinana ki te taumata tika.
- Kare ā-roto: Ka pā ki te āhua hinengaro, pēnei i te harikoa me te manukanuka.
- Te tere o te manawa: Ka whakahaere i te tere o te pā o te manawa.
- Nakunaku: Ka āwhina hoki i te mahi a te pūnaha nakunaku.
Na, he aha ngā pona tairoi?
He puku, he pukupuku rānei te pona tairoi e puta mai ana i te tipu pūtau rerekē i roto i te repe tairoi kua whakahuatia ake nei. Ka taea ēnei te whakarōpū ki:
- Motuhake: Kotahi anake te pona e taea.
- Maha: Tērā pea he nui atu i te kotahi te pona.
- Cystic: Ko ngā cysts cystic he cysts kapi tonu i te wai.
- Totoka: Ngā pūtau totoka he mea hanga katoa mai i ngā pūtau.
Ko te mea nui me mōhio koe i konei, neke atu i te 90% o ngā pona tairoi e kitea ana he pai . Arā, ehara i te mate pukupuku. Heoi, he iti noa te ōrau, tata ki te 4% - 6.5%, ka taea te mate pukupuku (mate pukupuku tairoi). Koia te mea nui kia toro atu ki te tākuta mēnā ka kite koe i tētahi pona i tō kaki.
Ko wai te mea tino mōrearea ki te whakawhanake i ēnei pona?
Ka taea e te tangata katoa te pāngia e ngā pona tairoi, tae atu ki te tamaiti. Heoi, e whā ngā wā ka nui ake te tūponotanga o te pāngia o ngā wāhine i ngā tāne. Hei tāpiri, he maha atu anō ngā āhuatanga mōrearea:
- Te korenga o te iodine:He mea noa tēnei āhuatanga i ngā whenua he iti te iodine i roto i ngā kai e kainga ana e tātou (i tō tātou whenua, he iti tēnei mōrearea nā te mea he tote iodine tā tātou e whakamahi ana).
- Hītori whānau: Mena he pona tairoi, he mate pukupuku tairoi rānei tō tetahi o te whānau.
- Te pakeketanga: Ka piki ake te tūponotanga o te pāngia e ēnei āhuatanga i a koe e pakeke haere ana.
- Te pānga ki te irahiko: Ina koa mēnā i pangia koe e te irahiko ki te kaki i a koe e tamariki ana.
- Te mate toto ngoikore-rino.
- Te momi hikareti.
- Te momonatanga.
- Te inu waipiro.
- Ngā wāhine he mate pukupuku uterine .
He tokomaha te hunga kāore he tohu! Nā, me pēhea koe e mōhio ai?
I te nuinga o te wā, kāore he tohu e puta mai i ngā pona tairoi. Tērā pea he pona kei roto i tō kaki, kāore koe e mōhio. Engari i ētahi wā, ki te mea he nui atu i te kotahi te pona, ki te mea he nui te pona, tera pea ka taea e koe te rongo, te kite rānei ina titiro koe ki te whakaata.
He tino onge, ki te nui rawa ngā pona, ka pēhi pea i te puku me te korokoro i te kaki, ka puta ai ngā tohu e whai ake nei. Ka puta hoki ngā tohu i ētahi pona nā te nui rawa, te iti rānei o te hanga homoni. Me titiro motuhake tātou ki ēnei.
| Āhua | Ngā Tohu e Pā Ana |
|---|---|
| Te pēhanga i puta mai i ngā pona nui | - Ngā uauatanga ki te horomi - Te uaua ki te manawa - Te pāorooro, te rerekētanga rānei o te reo - Te mamae i te mua o te kaki - Te pupuhi o te kaki (Goiter) |
| Te nui rawa o te whakaputanga o ngā homoni (Hyperthyroidism) | - Ngā palpitations (te rongo i te tukinga o te uma) - Te wiri, te kore okiokinga - Te whakahekenga taumaha (ahakoa te pikinga o te hiahia kai) - Ngā nekehanga puku auau, te mate korere - Te kore moe - Te paheketanga koretake, te paheketanga kua mutu rānei |
| Te iti o te hanga homoni (Hypothyroidism) | - Te ngenge nui, te hiamoe - Te ngoikore o ngā ringaringa - Te pikinga o te taumaha o te tinana - Kiri me te makawe maroke, taratara - Te kōroke - Te pouri - Te paheketanga taumaha me te roa |
Me pēhea te tautuhi a te tākuta i tēnei? He aha ngā whakamātautau e mahia ana?
Ina kite koe i te tākuta nā te mea he puku kei roto i tō kaki, ka tirohia tuatahitia e ia tō kaki. Kātahi ka tonoa pea e rātou ētahi whakamātautau hei tirotiro anō i te puku. Kia maumahara, ka mahia ēnei whakamātautau hei whakatau mēnā he mate pukupuku te puku, kāore rānei.
| Ingoa Whakamātautau | Hei whakarāpopototanga, he aha tāu e mahi ai ki tēnei? |
|---|---|
| Whakamātautau toto tairoi | Ka tirohia ngā taumata o ngā homoni tairoi (T3, T4) me te TSH i roto i tō toto kia kitea ai mēnā he noa, he teitei, he iti rānei. Mā tēnei ka taea e koe te mōhio ki te mahi a tō tairoi. |
| Matawai Ultrasound | Ka whakamahia ngā ngaru oro hei hanga i tētahi āhua mārama o te repe tairoiti me te pona. Ka taea e ia te kōrero ki a koe mō te pona, pērā i te mea he totoka, he wai rānei, tōna rahi, me tōna āhua. He nui ake te mōrearea o ngā pona matotoru ki te mate pukupuku. |
| Ko te koiora ngira pai (te tango tauira o ngā pūtau ki te ngira) | Mena he whakapae te puku, ka werohia e te tākuta he ngira tino angiangi ki roto i te puku, ka tangohia mai ētahi pūtau mai i reira ka tukuna ki te taiwhanga. Mā tēnei ka taea e koe te kī atu ki a koe neke atu i te 95% te tika mena he mate pukupuku te puku, kāore rānei. |
| Matawai tairoiti | I tēnei whakamātautau, ka hoatu he iti noa te iodine irirangi hei inu māu. Kātahi ka tirohia tō repe tairoiti e tētahi kāmera motuhake. Mā tēnei ka taea te mōhio mēnā kei te whakaputa homoni te pona (he pona wera) kāore rānei (he pona makariri). |
He aha ngā maimoatanga mō tēnei?
Ko te maimoatanga e whakawhirinaki ana ki te momo pona, tōna rahi, ngā tohu, me ngā hua o te koiora.
- Mātaki, tatari: Ki te whakaū te koiora kāore te puku i te mate pukupuku, ā, kāore he raruraru mōu, ka tūtohu pea tō tākuta kia kaua koe e rongoatia, engari me tirotiro koe i ia wā (ia 6 marama, ia tau rānei) kia kite ai mēnā he huringa kei roto i te puku.
- Te rongoā iodine radioactive: Ka taea te hoatu i tēnei maimoatanga mēnā kei te puta te nui rawa o ngā homoni tairoi (hyperthyroidism) i te pona. Ina tangohia hei pire, ka mimitihia tēnei iodine e te repe tairoi, ā, ka whakaiti i te pona.
- Pokanga: Me pokanga i ngā wā e whai ake nei:
- Mena kua whakaūtia he mate pukupuku te puku.
- Mena kei te whakapaehia he mate pukupuku pea.
- Mena ka nui te puku, ā, ka uaua ki te horomi, ki te manawa rānei.
Kia maumahara, kaua e mataku mēnā ka kite koe i tētahi puku i tō kaki. Engari kaua hoki e warewaretia. Me toro atu ki tō tākuta, me te rapu tohutohu.
Karere Tangohia ki te Kāinga
- He tino noa te mate o ngā pona tairoi, inā koa i waenga i ngā wāhine.
- Neke atu i te 90% o ēnei puku ehara i te matepukupuku, nō reira kāore he take e mataku ai koe nā te mea he puku tōu.
- Kāore he tohu e puta mai i te nuinga o ngā pona. Ka kitea noa iho ēnei mā te tūponotanga.
- Ki te kite koe, ki te rongo rānei i tētahi puku i tō kaki, kaua e warewaretia, ā, me rapu tohutohu hauora.
- Ko te maimoatanga e whakawhirinaki ana ki te āhua o te puku. I ētahi wā, ka rawaka pea te tirotiro noa iho, engari kāore he maimoatanga.
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