Kodi ndi kutupa pakhosi? Kodi ichi ndi chigoba? Tiyeni tidziwe bwino!

Kodi munayamba mwamvapo ngati pali chotupa kapena kutupa kutsogolo kwa khosi lanu? Mwina munachiwona mutaiyang'ana pagalasi, kapena wina anakuuzani za icho. Ndizachibadwa kumva mantha pang'ono mukaona chinthu chonga ichi. Koma ngakhale kuti anthu ambiri amaopa izi, nthawi zambiri izi zimatha kukhala matenda otchedwa 'Goiter'. Lero, tikambirana za izi mosavuta, m'njira yomwe mungamvetse.

Mwachidule, kodi goiter ndi chiyani?

Goiter ndi kukula kwa chithokomiro chanu. Tangoganizirani, kutsogolo kwa khosi lathu, pansi pa apulo wa Adam, pali chithokomiro chaching'ono chooneka ngati gulugufe. Ndicho chimene timachitcha chithokomiro .

Kachiwalo kakang'ono aka kamapanga mahomoni awiri ofunikira kwambiri m'thupi lathu. Awa ndi thyroxine (T4) ndi triiodothyronine (T3). Mahomoni awa amalamulira zinthu zambiri m'thupi lathu. Monga injini ya galimoto.

• Kagayidwe kachakudya: Ichi ndi chiŵerengero chomwe chakudya chomwe timadya chimasanduka mphamvu.
• Kutentha kwa thupi: Kumawongolera kutentha kwa thupi lathu.
• Maganizo: Amakhudza maganizo athu, chisangalalo, ndi mkwiyo.
• Kugunda kwa mtima: Kumalamulira liwiro limene mtima wathu umagunda.
• Kugaya chakudya: Kumatithandiza kugaya chakudya chomwe timadya.

Choncho, ngati pazifukwa zina chithokomiro cha thyroid chatupa kapena kukula, timachitcha kuti 'goiter'. Ichi chingakhale chotupa kapena chotupa mkati mwa chithokomirocho.

Kodi mitundu ya goiter ndi iti?

Madokotala amagawa matenda a goiter m'njira zingapo. Choyamba ndi momwe amatukukira. China ndi kuchuluka kwa mahomoni a chithokomiro. Tiyeni tiwone zonsezi mosavuta.

Kugawa malinga ndi mtundu wa kutupa

Kugawa ndi kuchuluka kwa mahomoni a chithokomiro

• Matenda a chithokomiro: Pankhaniyi, chithokomiro chimakula ndipo chimapanga mahomoni ambiri a chithokomiro kuposa momwe zimafunikira . Izi zimatchedwanso `Hyperthyroidism`.
• Goiter yopanda poizoni: Pankhaniyi, ngakhale kuti chithokomiro chimakula, kuchuluka kwa mahomoni kumakhala kwabwinobwino . Ndiko kuti, palibe kuwonjezeka (`Hyperthyroidism`) kapena kuchepa (`Hypothyroidism`) kwa mahomoni.

Ndani amene ali pachiwopsezo chachikulu chotenga matendawa?

Aliyense akhoza kudwala goiter, koma anthu ena ali pachiwopsezo chachikulu.

• Kwa akazi: Akazi ali ndi mwayi wochuluka wopeza matenda a goiter kuwirikiza kanayi kuposa amuna.
• Zaka: Chiwopsezochi chimawonjezeka munthu akakwanitsa zaka 40.
• Mbiri ya banja: Ngati wina m'banja mwanu ali ndi matenda a chithokomiro, inunso muli ndi mwayi waukulu woti muwadwalitse.
• Matenda ena: Anthu omwe ali ndi matenda monga kunenepa kwambiri komanso kukana insulin nawonso ali pachiwopsezo chachikulu.
• Kukhudzidwa ndi kuwala kwa dzuwa: Ngati khosi kapena mutu wakhudzidwa ndi kuwala kwa dzuwa chifukwa cha chithandizo chamankhwala, zimenezonso ndi zoopsa.

Chifukwa chachikulu cha goiter padziko lonse lapansi ndi kusowa kwa ayodini . Komabe, m'maiko ngati Sri Lanka, popeza timawonjezera ayodini ku mchere womwe timagwiritsa ntchito, vutoli silikupezeka kawirikawiri.

Kodi zizindikiro za goiter ndi ziti?

Goiter imatha kukhala ndi kukula kosiyanasiyana kuyambira yaying'ono, yosaoneka bwino, mpaka yayikulu, yooneka bwino. Nthawi zambiri, goiter siipweteka. Komabe, ngati ikuphatikizidwa ndi kutupa kwa chithokomiro (thyroiditis), imatha kukhala yopweteka.

Tiyeni tiwone zizindikiro zomwe zili mu tebulo ili m'munsimu.

Kodi zimayambitsa matenda a goiter ndi ziti?

Goiter ndi chizindikiro cha kupanikizika kwa chithokomiro. Ikhoza kukhala ndi zifukwa zingapo.

• Kusowa kwa ayodini: Ichi ndiye chifukwa chachikulu padziko lonse lapansi. Ayodini ndi wofunikira popanga mahomoni a chithokomiro. Ngati simupeza ayodini wokwanira kuchokera muzakudya zanu, chithokomirocho chidzayesa kupanga maselo ambiri, kukula, ndikupanga mahomoniwo mwanjira ina.
• Matenda a Graves: Uwu ndi matenda a `autoimmune`. Izi zikutanthauza kuti chitetezo cha mthupi lathu chimaukira chithokomiro chathu. Izi zimapangitsa kuti chithokomirocho chizikula kwambiri, chizikula, komanso chizitulutsa mahomoni ambiri (`Hyperthyroidism`).
• Matenda a Hashimoto: Uwu ndi matenda a `autoimmune`. Mu mkhalidwe uwu, chitetezo cha mthupi chimaukira gland ndikupangitsa kuti itukuke. Pakapita nthawi, ntchito ya gland imasokonekera ndipo imapanga mahomoni osakwanira (`Hypothyroidism`). Gland ikhoza kutupa kuti igwirizane ndi izi.
• Khansa ya chithokomiro: Khansa ya chithokomiro ingayambitsenso kukula kwa gland. Komabe, si matenda onse a goiter omwe ali ndi khansa . Kuyezetsa kwa dokotala ndikofunikira kuti mudziwe bwino.
• Mimba: Chithokomiro cha chithokomiro chikhoza kukulirakulira pang'ono chifukwa cha hormone ya ``Human chorionic gonadotropin`` (HCG), yomwe imatulutsidwa panthawi ya mimba.
• Matenda a chithokomiro: Chithokomirocho chimatha kutupa ndi kutupa chifukwa cha zifukwa zosiyanasiyana.

Kodi dokotala amazindikira bwanji izi ngati goiter?

Ngati muli ndi chotupa pakhosi panu, muyenera kuonana ndi dokotala . Dokotalayo adzakuyesani mayeso kuti adziwe ngati ndi goiter ndi chomwe chikuyambitsa.

1. Kuwunika thupi: Choyamba, dokotala adzakhudza khosi lanu kuti aone ngati muli ndi kutupa, ziphuphu, ndi ululu.

2.Kuyezetsa magazi: Izi zimayesa kuchuluka kwa mahomoni a chithokomiro (T3, T4) ndi TSH. Izi zimatha kudziwa ngati chithokomiro chikugwira ntchito bwino komanso ngati pali mahomoni ambiri kapena ochepa.

3. Kujambula kwa Chithokomiro Chotchedwa Thyroid Ultrasound: Mofanana ndi kujambula kwa mwana, izi zimayang'ana gland yomwe ili pakhosi. Zingathe kuona bwino kukula kwa gland, ngati pali ziphuphu, komanso ngati ziphuphuzo ndi zolimba kapena zamadzimadzi.

4. Kufufuza kwa maselo: Ngati chithunzicho chikuwonetsa chotupa chachikulu kapena chokayikitsa, dokotala adzagwiritsa ntchito singano kutenga chitsanzo cha maselo kuchokera pa chotupacho ndikuchitumiza ku labu kuti akayese maselo a khansa. Izi zimachitika kuti apewe kuthekera kulikonse kwa khansa.

5. Kujambula kwa CT kapena MRI: Ngati goiter ndi yayikulu kwambiri, kapena ngati pali kukayikira kuti yakula m'chifuwa, mtundu uwu wa kujambulidwa ungachitikenso.

Kodi mankhwala a goiter ndi otani?

Chithandizo chimadalira kukula kwa goiter, zizindikiro zomwe muli nazo, ndi chifukwa chake.

• Kudikira Mosamala: Ngati goiter ndi yaying'ono, simukukumana ndi vuto lililonse, ndipo kuchuluka kwa mahomoni anu kuli bwino, dokotala wanu angasankhe kukuyang'anirani kwa nthawi inayake popanda chithandizo chilichonse.
• Mitundu ya mankhwala:
• Ngati kuchuluka kwa mahomoni kuli kochepa ( Hypothyroidism ), mapiritsi a mahomoni monga `Levothyroxine' amalembedwa kuti amwedwe tsiku lililonse.
• Ngati kuchuluka kwa mahomoni kuli kokwera ( hyperthyroidism ), mankhwala monga Methimazole amaperekedwa kuti achepetse kupanga mahomoni.
• Ngati goiter yayamba chifukwa cha kutupa kwa gland, mankhwala ochepetsa ululu kapena corticosteroid angaperekedwe.
• Chithandizo cha ayodini wogwiritsa ntchito radioactive: Ichi ndi chithandizo cha hyperthyroidism. Mumatenga ayodini wogwiritsa ntchito radioactive womwe umalowa mu chithokomiro, ndikuwononga maselo omwe amagwira ntchito mopitirira muyeso ndikupangitsa kuti chithokomirocho chichepe.
• Opaleshoni (Opaleshoni - Kuchotsa Chithokomiro):
• Ngati goiter ndi yayikulu kwambiri ndipo imapangitsa kuti zikhale zovuta kupuma kapena kumeza.
• Ngati zatsimikizika kuti ndi khansa.
• Ngati pali vuto lalikulu ndi mawonekedwe.

Pazochitikazi, dokotala wanu angakulangizeni opaleshoni yochotsa gawo lina la gland kapena gland yonse. Ngati gland yachotsedwa kwathunthu, muyenera kumwa mapiritsi a mahomoni a thyroid kwa moyo wanu wonse.