Mutsipa wako wakazvimba here? Ngatitaurei nezve goiter!

Vanhu vazhinji vanotya zvishoma pavanoona kuzvimba kudiki mumutsipa wavo, handiti? Chii ichi? Ungave wakambonzwa nezve ' Gout '. Nhasi tichataura nezvechirwere ichi, chinozivikanwa se '( Goiter )'. Usatya, chinhu chakakosha kuziva izvi.

Chii chinonzi thyroid gland iyi?

Zvakanaka, ngatitangei taona kuti iyi `(Goiter)` kana kuti thyroid gland iyi chii. Iyi thyroid gland igondo diki rakaita seshavishavi riri mumutsipa wako, kunyanya pasi pegokora. Ichi chikamu che`( Endocrine system )` yemuviri wedu.

Kunyangwe ari madiki, mahormone anogadzirwa negland re thyroid akakosha zvikuru. Mahormone maviri makuru anogadzirwa pano ndi thyroxine (inowanzonziwo `(T4)`) uye triiodothyronine (inonziwo `(T3)`). Mahormone aya anobatanidzwa mumabasa akati wandei akakosha mumuviri wedu. Semuenzaniso:

• Kugayiwa kwemuviri wedu inzira iyo chikafu chatinodya chinoshandurwa kuita simba.
• Kudzora tembiricha yemuviri .
• Zvinhu zvakaita semanzwiro edu, kuzvidya mwoyo, nezvimwewo.
• Kurova kwemoyo .
• Maitiro ekugaya chikafu .

Unoona, kunyangwe iri diki, rinoita basa rakawanda. Saka kunyangwe gland iri rikadzimba, kana kuburitsa mahormone akawandisa kana mashoma, tinogona kuva nematambudziko.

Saka, pane mhando dzedombo iri here?

Ehe, goiter iyi inogona kupatsanurwa nenzira mbiri: Imwe inoenderana nekukura kwayo, imwe inoenderana nemazinga emahormone ethyroid.

Zvichienderana nekukura kwazvinoita:

• Goiter iri nyore kana kuti yakapararira: Apa ndipo apo gland rese re thyroid rinozvimba uye rinonzwa rakapfava kana rikabatwa.
• Goiter yeManodule: Muizvi, bundu rakasimba kana kuti rine mvura (nodule) rinokura mukati megland re thyroid, iro rinoita sebundu kana rabatwa.
• Goiter ine minzwa yakawanda: Apa ndipo panobuda minzwa yakawanda mukati megland re thyroid. Minzwa iyi inogona kuonekwa nekunze kana kuti inowanikwa chete panguva yekuongororwa.

Zvichienderana nemazinga ehomoni ye thyroid:

• Goiter ine Chepfu: Muizvi, gland re thyroid rinozvimba roburitsa hormone ye thyroid yakawandisa. Izvi zvinoguma nechirwere chinonzi hyperthyroidism.
• Goiter Isina Chepfu: Muchiitiko ichi, gland re thyroid rakazvimba, asi huwandu hwemahormone hwakajairwa. Izvi zvinoreva kuti hapana hyperthyroidism kana hypothyroidism, inova mamiriro ehuwandu hwemahormone e thyroid akaderera. Vanachiremba vanodanawo chirwere ichi kuti euthyroid.

Dzimwe nguva vanachiremba vanosanganisa marudzi maviri aya. Semuenzaniso, "Toxic Multinodular Goiter" chirwere umo maronda akawanda anoumbwa mugland re thyroid uye anoburitsa mahormone akawandisa.

Ndiani ane mukana mukuru wekuva nerudzi urwu rwematombo emunduru?

Kutaura zvazviri, munhu wese anogona kuva negoiter. Zvisinei, zvinonzi vakadzi vane mukana wekuwana goiter wakapetwa kana kupfuura varume . Uyewo, njodzi yekuva negoiter inowedzera nekukura. Inowanzoitika mushure memakore makumi mana .

Pamusoro pezvo, vanhu vane zvirwere zvinotevera vane mukana mukuru wekuva nematombo emunduru:

• Kufuta
• Kuramba insulin
• Chirwere cheMetabolic

Uyewo, kana wakamborapwa nemwaranzi mumusoro nemutsipa, kana kuti mumwe munhu mumhuri yako ane nhoroondo yemhuri yechirwere chethyroid , uri panjodzi huru yekuva negoiter.

Mamiriro ezvinhu aya akajairika zvakadii?

Gomarara remunduru chirwere chinowanzoitika. Semuenzaniso, muUnited States, vanhu vanosvika 5% vane chirwere ichi.

Asi pasi rose, chikonzero chikuru chegoiter kushomeka kweiodine . Zvinonzi vanhu vanosvika mamiriyoni 2.2 vanotambura nedambudziko iri.

Mikana yekuva negoiter inosiyana zvichienderana nekuoma kwekushomeka kweiodine:

• Kana paine kushomeka kweiodine kwakaderera , pane mukana we5% kusvika 20% wekuva negoiter.
• Kana kushomeka kweiodine kuri pakati nepakati , kunowedzera kusvika pakati pe20% ne30%.
• Kana kushomeka kweiodine kwakanyanya , mukana wekuti munhu aite goiter unogona kuwedzera kusvika pa30%.

Ndezvipi zviratidzo zvandichaona kana ndikava nedombo remunduru?

Goita rinogona kusiyana-siyana kubva padiki, risinganyatsooneki, kusvika pakukura zvakanyanya. Kazhinji, goita harirwadzi. Zvisinei, kana uine thyroiditis, iyo ndiyo nguva iyo thyroid gland yako inozvimba uye inotsvuka, unogona kurwadziwa.

Zviratidzo zvikuru zvinogona kuonekwa seizvi:

• Zvinoita sebundu riri pamberi pemutsipa wako , pasi pebhonzo remutsipa.
• Kunzwa sekuti pane chinhu chakabatwa pahuro .
• Kushoshoma (kuchinja kwezwi).
• Tsinga dziri mumutsipa dzinoita sedziri kuzvimba.
• Kunzwa dzungu kana wakasimudza maoko pamusoro.

Kune zvimwe zviratidzo zvisingawanzoitiki:

• Kushaya mweya .
• Kukosora.
• Kurira kwemuridzo panguva yekufema (nekuda kwekuvharika kwenzira yekufema).
• Kuoma kumedza (nekuda kwekuvharika kwegurokuro).

Vamwe vanhu vanogonawo kuva nechirwere chinonzi hyperthyroidism, icho chiri kuwedzera kwemahormone ethyroid pamwe chete negoiter. Kana izvi zvikaitika, zviratidzo zvakaita se:

• Kurova kwemoyo nekukurumidza (Tachycardia) .
• Kuonda pasina chikonzero .
• Manyoka.
• Kudikitira kunyangwe usina kurovedza muviri kana kunyangwe tembiricha yemumba isiri yakakwira zvakanyanya.
• Kudedera kwemuviri.
• Kuzvidya mwoyo.

Uyewo, vamwe vanhu vanogona kunge vaine chirwere chinonzi hypothyroidism, chinova chirwere chinoratidza kudzikira kwemahormone e thyroid pamwe chete ne goiter. Muchiitiko ichi, unogona kuona zviratidzo zvakaita se:

• Kunzwa kuneta zvakanyanya (Kuneta) .
• Kuzvimba.
• Ganda rakaoma.
• Kukura pasina chikonzero .
• Kuenda kumwedzi kusingaenderane nezvinodiwa nevakadzi.

Sei dombo iri remunduru richiumbwa? Ndezvipi zvinokonzera?

Goiter imhinduro inochinja-chinja yemasero egland regland rako kune chero maitiro anokanganisa kugadzirwa kwemahormone egland. Kunyangwe kushomeka kweiodine kuri iko kunonyanya kukonzera goiter pasi rose, kune zvimwe zvikonzero zvakawanda.

Zvinhu zvinogona kukonzera matombo emunduru ndeizvi:

• Kushaikwa kweiodine: Gland rako rethyroid rinoda iodine kuti rigadzire mahormone ethyroid. Kana usingawani iodine yakakwana kubva muchikafu chaunodya, gland rethyroid rinoedza kugadzira mahormone ethyroid akawanda. Rinogadzira masero akawanda, zvinoreva kuti rinokura. Ichi ndicho chikonzero chikuru pasi rese. Zvisinei, munyika dzakadai seSri Lanka, izvi zvishoma nekuda kwekushandiswa kwemunyu une iodine. Tinogona kuwana huwandu hunodiwa hweiodine kubva muhove, zvigadzirwa zvemukaka, uye munyu une iodine. Zvisinei, kutora mishonga yekuwedzera iodine pasina kurairwa nachiremba hakuna kukodzera vanhu vazhinji, sezvo kunogona kukonzera mamwe matambudziko ehutano.
• Chirwere cheGraves: Ichi chirwere chinokonzerwa ne autoimmune. Izvi zvinoreva kuti masoja emuviri wako anorwisa thyroid gland yako, zvichiita kuti ikure. Chirwere cheGraves chinogonawo kukonzera chirwere chinonzi hyperthyroidism, chinoda kurapwa.
• Chirwere chaHashimoto: Ichi chirwere chinokonzerwawo ne autoimmune. Chinokonzera kuzvimba kwe thyroid gland. Mune vamwe vanhu, chirwere chaHashimoto chinoita kuti thyroid gland ikure senzira yekutsiva. Rudzi urwu rwegomarara runowanzova nani nekufamba kwenguva. Zvisinei, vamwe vanhu vane Hashimoto vanofanira kunwa mapiritsi e thyroid hormone.
• Kenza yethyroid:Kenza yegland re thyroid inogonawo kukonzera kuti gland rikure.
• Kubata Pamuviri: Munguva yekuzvitakura, thyroid gland inogona kukura zvishoma nekuda kwehomoni inonzi ``Human Chorionic Gonadotropin (HCG)'' inogadzirwa mumuviri wemukadzi.
• Thyroiditis: Kuzvimba kwegland regland pacharo kunogonawo kukonzera kuti gland rikure. Panogona kunge paine zvikonzero zvakawanda zveizvi.

Dzimwe nguva, goiter inogona kukura pasina chikonzero chaicho. Tinoidaidza kuti "sporadic goiters". Mimwe mishonga inogonawo kukonzera izvi. Semuenzaniso, mushonga wekuti "Lithium", unoshandiswa kurapa mamwe marwere epfungwa, unogona kukonzera rudzi urwu rwegoiter.

Vanachiremba vanoongorora sei izvi chaizvo?

Paunoenda kunoona chiremba, vanogona kutarisa mutsipa wako kuti thyroid gland yakura here nekuinzwa. Asi goiter zvinoreva kuti pane dambudziko nethyroid gland yako. Saka unofanira kuziva kuti dambudziko racho nderei.

Vanachiremba vanoita bvunzo dzinoverengeka dzeizvozvo:

• Kuongororwa kwemuviri: Sezvandambotaura, chiremba achabata mutsipa wako kuti aone kana paine mapundu kana kurwadziwa.
• Kuongororwa kweropa rethyroid: Kuongororwa kweropa uku kunoyera huwandu hwemahormone ethyroid. Izvi zvinogona kubatsira kuona kana thyroid gland iri kushanda nemazvo.
• Kuongororwa kweAntibody: Kuongororwa kweropa uku kunotsvaga maantibodies chaiwo anokonzerwa nemamwe marudzi egoiter. Maantibodies mapuroteni akagadzirwa nemasero edu machena eropa. Aya ndiwo anotidzivirira kubva kuhutachiona hunokonzera zvirwere.
• Ultrasound yegland re thyroid: Ultrasound ibvunzo inoshandisa mafungu eruzha anomhanya-mhanya kuti ipfuure nepakati penyama yemuviri. Mifananidzo inobuda inoonekwa pakombiyuta. Chiremba anogona kuona gland re thyroid, achitarisa saizi yaro uye kana paine mapundu.
• Kuongororwa kwemuviri: Kuongororwa kwemuviri (biopsy) inzira inosanganisira kutora sampuli yenyama kana masero uye kuaedza murabhoritari. Kana uine bundu guru mugland rako re thyroid, ungangoda kuongororwa kwemuviri. Izvi zvinowanzoitwa kuti ubvise kenza.
• Kutorwa uye kuskenwa kwegland re thyroid: Iyi bvunzo yekufungidzira inopa ruzivo nezvehukuru uye mashandiro egland re thyroid. Inosanganisira kubaya chinhu chidiki kwazvo chine radioactive mutsinga uye kugadzira mufananidzo wegland re thyroid pakombiyuta. Zvisinei, bvunzo iyi haigaroitwa uye inobatsira chete muzviitiko zvakakosha.
• CT scan kana MRI (Magnetic Resonance Imaging):Kana matonsi akakura zvikuru kana kuti akapararira kusvika pachipfuva, CT scan kana MRI zvinogona kuitwa kuti zvionekwe saizi uye kupararira kwematonsi.

Matombo emunduru achapora ega here?

Chirwere chegomarara chinogona kuzvigadzirisa chega mushure mechinguva, pasina kurapwa.

Magoiter mazhinji, akadai semagoiter ane maronda akawanda, anotanga kana huwandu hwemahormone ethyroid hwava hwakanaka. Kana chiremba angoongorora chirwere ichi, hapana mushonga chaiwo unodiwa. Zvisinei, unogona kunge uri panjodzi yekuve ne hypothyroidism kana hyperthyroidism mune ramangwana.

Zvisinei, kana ukaona kuti thyroid gland yako yakakura, zvakakosha kuti uone chiremba . Nekuti pane zvikonzero zvakawanda zvinokonzera goiter, zvimwe zvacho zvinoda kurapwa.

Ndeapi marapirwo aripo?

Kurapwa kwegoita kunoenderana nekuti thyroid gland yako yakakura sei, zviratidzo zvako ndezvipi, uye kuti chii chinokonzera. Kune nzira dzakasiyana siyana dzekurapa:

• Hapana kurapwa / "Kumirira wakangwarira": Kana goiter iri diki uye isingakunetse, chiremba wako angasarudza kuti kurapwa hakudiwi. Asi iye achanyatsoongorora thyroid yako kuti aone kana paine shanduko.
• Mishonga:
• Levothyroxine (semuenzaniso Levothroid®, Synthroid®) mushonga wekutsiva mahormone ethyroid. Chiremba wako anogona kukupa mushonga uyu kana goiter yako ichikonzerwa nemazinga akaderera emahormone ethyroid (hypothyroidism).
• Kana chikonzero chegoiter chiri kuwedzera kwemahormone ethyroid (Hyperthyroidism), mimwe mishonga inopiwa. Mienzaniso inosanganisira Methimazole (semuenzaniso Tapazole®) naPropylthiouracil.
• Kana chikonzero chetondo chiri kuzvimba, chiremba anogona kunyora aspirin kana corticosteroid.
• Kurapa ne radioactive iodine: Kurapa uku kunoshandiswa kurapa hyperthyroidism. Mukurapa uku, radioactive iodine inotorwa nemuromo. Iyi iodine inopinda mu thyroid gland yoparadza masero e thyroid, zvichiita kuti gland itete. Mushure mekurapwa uku, ungangoda kunwa mapiritsi ekutsiva thyroid hormone kweupenyu hwako hwese.
• Kuvhiyiwa: Chiremba wako anogona kukurudzira kuvhiyiwa kunonzi thyroidectomy kubvisa gland rako rese kana chikamu charo. Kuvhiyiwa kunogona kudiwa kana goiter rakakura uye zvichikonzera kuoma kufema kana kumedza. Dzimwe nguva kuvhiyiwa kunoshandiswawo kubvisa mapundu. Kuvhiyiwa kunowanzodiwa kana paine kenza. Zvichienderana nehuwandu hwegland re thyroid rakabviswa, ungangoda kutora mapiritsi ekutsiva mahormone e thyroid kweupenyu hwako hwese.

Tinogona kudzivirira izvi here?

Goiter yekushaikwa kweiodine (goiter iri nyore) ndiyo yega mhando yegoiter yatinogona kudzivirira. Rudzi urwu rwegoiter runogona kudzivirirwa nekuwedzera hove yakakwana, zvigadzirwa zvemukaka, uye munyu une iodized (munyu wetafura) mukudya. Kune mamwe marudzi egoiter, kutora mishonga yekuwedzera iodine kana mimwe mishonga yekuwedzera pasina kurairwa nachiremba hazvikurudzirwi. Izvi zvinogona kukuvadza kupfuura kubatsira.

Chii chiri kutarisira chirwere ichi? (Kufungidzira)

Kufanotaura kwekuva nedombo renduru kunoenderana nerudzi rwaro uye chikonzero charo.

Goiter iri nyore ine maonero akanaka. Zvisinei, kana thyroid gland ikaramba ichikura, inogona kusunda nyama dzakapoteredza, zvichikonzera matambudziko ekufema, kumedza, uye kuchema.

Kana goiter iri chiratidzo cheimwe chirwere chethyroid, senge chirwere cheGraves kana chirwere cheHashimoto, mamiriro acho ezvinhu anoenderana nechikonzero chikuru chekuwedzera kwethyroid yako.

Ndinofanira kuona chiremba rini nezve matombo angu emunduru?

Chero chikonzero chipi zvacho, kana wakamboonekwa uine goiter, zvakakosha kuti uone chiremba nguva dzose (kanenge kamwe chete pagore) kuti aongorore chirwere chacho.

Kana ukaona zviratidzo zvitsva, taura nachiremba wako.

Gland rako rethyroid igland rinokosha zvikuru muhurongwa hwako hwe endocrine, richikanganisa zvinhu zvakawanda mumuviri wako. Gland rakakura rinogona kuva chiratidzo chechirwere che thyroid chiri pasi paro. Mashoko akanaka ndeekuti goiter inogona kurapwa uye dzimwe nguva inopera yoga. Kana ukaona bundu pamberi pemutsipa wako, taura nachiremba wako. Anogona kutarisa kana iri goiter uye chiri kukonzera.

Mharidzo Yekupedzisira Yekuenda Kumba

Zvakanaka, kubva pane zvatakurukura, ndinovimba wanzwisisa zviri nani nezveGoiter. Muchidimbu:

• Goita kuzvimba kwegland re thyroid. Izvi zvinogona kukonzera zvakawanda.
• Kana ukaona chimwe chinhu chakaita sekuzvimba mumutsipa, kuoma kumedza, kuoma kufema, kana kuchinja inzwi, iva nechokwadi chekutsvaga rubatsiro rwechiremba.
• Haasi matombo ese emunduru anoda kurapwa, asi zvakakosha kuwana chikonzero uye kutsvaga kurapwa kana zvichidikanwa.
• Kunyangwe kushomeka kweiodine kuri iko kunokonzera zvakanyanya pasi rose, mamiriro acho ari mashoma munyika medu nekuda kwemunyu une iodine.
• Usambofa watora mapiritsi e thyroid hormones kana ayodini usina kupiwa mazano nachiremba.
• Kana uine goiter, zvakakosha kuti ugare uchiongororwa nachiremba wako sezvawakarairwa.

Hapana chekutya, zvirwere izvi zvinogona kugadziriswa zvakanaka pasi pekutungamirirwa kwakakodzera kwechiremba.