Une Gwara reGyroid Here? Ngatinzwisisei Chokwadi Uye Tizorodze Pfungwa Dzako

Wakambonzwa bundu diki kana kuti pfundo pamberi pemutsipa wako here? Kana kuti, panguva yekuongororwa nguva dzose, chiremba wako akati, "Une pfundo diki re thyroid." Kunzwa izvi kunogona kutyisa, asi ndapota usavhunduke! Muzviitiko zvakawanda, pfundo re thyroid harikuvadzi zvachose. Zvisinei, kugara uchiziva kwakakosha pahutano hwako. Nhasi, ngationgororei kuti pfundo re thyroid chii, zviri nyore kwauri.

Chii chinonzi Thyroid Nodule?

Zvichitaurwa zviri nyore, thyroid nodule kukura kusingawanzoitiki kwemasero mukati methyroid gland yako, zvichiita bundu diki.

Kuti ufungidzire kuti iri kupi, fungidzira gland diki, rakaita seshavishavi riri pamberi pemutsipa wako, pasi peapuro rako raAdam. Iri gland rako re thyroid , gland rinokosha re endocrine . Rine basa rekugadzira mahormone maviri akakosha: thyroxine (T4) uye triiodothyronine (T3) . Mahormone aya anoshanda sevatongi vakuru vemuviri wako, achidzora mabasa akakosha akadai se:

• Metabolism yako, zvichiita kuti irambe ichishanda zvakanaka.
• Tembiricha yemuviri wako.
• Manzwiro ako uye simba rako rose.
• Kurova kwemoyo wako nekurova kwemoyo .
• Kugaya kwako kugaya chikafu , uchichichengeta chakakodzera.

Nekuda kwekuti thyroid gland iri kushanda zvakanyanya, dzimwe nguva mapundu anogona kukura mukati menyama yayo. Mapundu aya anouya nenzira dzakasiyana-siyana:

• Chinongedzo chimwe chete (bundu rimwe chete).
• Mapundu akawanda (mapundu akawanda).
• Mapundu azere nemvura, anozivikanwa se cystic nodules .
• Mapundu akasimba, akasimba zvakakwana, anozivikanwa semapundu akaomarara .

Heino nhau dzinokurudzira zvikuru: anopfuura 90% emapundu ethyroid anowanikwa muvanhu vakuru haana kenza (asina njodzi) . Izvi zvinoreva kuti kazhinji haana njodzi. Zvisinei, anenge 4.0% kusvika 6.5% emapundu aya anogona kunge aine kenza (kenza yethyroid) . Ndosaka zvichikosha kuti chero mapundu aongororwe nenyanzvi kuti pasave nekenza. Dzimwe nguva, mapundu aya anogonawo kuratidza zvimwe zvirwere zvethyroid.

Ndiani Ari Panjodzi Yekuva Nema "Thyroid Nodules" Akanyanya Kukura?

Kunyange zvazvo maronda ethyroid achigona kukura mumunhu wese—kusanganisira vana nevakwegura—anowanikwa zvakanyanya muvakadzi. Kutaura zvazviri, vakadzi vane mukana wekuwana maronda ethyroid kanenge kana kupfuura varume .

Uyezve, zvakanyanya kuwanda munzvimbo dzepasi rose uko kwakajairika kushomeka kweiodine mukudya, sezvo thyroid gland yako ichida iodine kuti igadzire mahormone ayo.

Zvimwe zvinhu zvikuru zvinogona kuwedzera mikana yako yekuve nemaronda e thyroid zvinosanganisira:

• Nhoroondo yekurapwa nemwaranzi ( thyroid radiation ) mumutsipa wako kana munzvimbo yethyroid.
• Nhoroondo yemhuri yekuva nemapundu ethyroid kana kenza yethyroid.
• Kukura (njodzi inokwirawo sezvaunokura).
• Kuva neanemia yekushomeka kwesimbi mumuviri .
• Tsika yekusvuta .
• Kurarama nehurema hwakanyanya .
• Kuva ne metabolic syndrome .
• Kunwa doro nguva dzose.
• Kuwedzera kwemazinga e insulin-like growth factor-1 muropa (hormone inokosha).
• Vakadzi vane uterine fibroids.

Matumbu eThyroid anowanikwa zvakadii?

Mapundu aya anowanzoitika. Panguva yekuongororwa kwemuviri nguva dzose, vanachiremba vanogona kunzwa mapundu ethyroid muvanhu vakuru vanosvika 5% kusvika 7% . Zvisinei, kana tikashandisa ultrasound imaging ine hunyanzvi hwepamusoro, mapundu aya anowanikwa muvanhu vakuru vanosvika 20% kusvika 76% ! Izvi zvinoreva kuti unogona kuva nepundu nyore nyore usingatombozvizivi.

Kusiyana neizvi, hazviwanzoitiki kuvana.

Unofanira Kunetseka NezveGyroid Nodule Here?

Kazhinji, hapana chikonzero chekuvhunduka zvachose. Sezvambotaurwa, ruzhinji rwemapundu emudumbu haruna njodzi zvachose (haruna kenza). Zvisinei, nekuti chikamu chidiki chinogona kuva kenza yemudumbu , zvakakosha kubvunza chiremba wako kuti aongororwe zvakanaka kana ukaona bundu. Kana zvikaitika kuti rava kenza, kuonekwa nekukurumidza uye kurapwa nekukurumidza kunotungamira kumhedzisiro yakanaka .

Yeuka: usakurumidza kufunga kuti pane chakaipa kana kumhanyira kugumisa kana ukaona bundu. Zvisinei, kuronga kuongororwa kwenyanzvi idanho rausingafaniri kupotsa.

Ndezvipi Zviratidzo zveThyroid Nodules?

Mapundu mazhinji e thyroid haana zviratidzo zvachose, zvichireva kuti uchanzwa zvakanaka uye hauzombooni shanduko mumuviri zvachose. Zvisinei, kana uine mapundu akawanda kana kuti pundu rimwe chete rikawedzera kukura, unogona kuzopedzisira waona bundu rinooneka kana kuti rinonzwika mumutsipa mako.

Pane dzimwe nguva, bundu rakakura rinogona kudzvanya zvivako zviri pedyo, zvichikonzera:

• Kunetseka nekumedza kana kufema. Semuenzaniso, unganzwa "kuputirwa" nguva dzose paunenge uchimedza chikafu kana kuti zvinokuomera kunwa mvura.
• Kuchinja kwezwi rako, sekunge kurira kusina kutsanangurwa.
• Kurwadziwa kunoramba kuripo pamberi pemutsipa wako.
• Gland re thyroid rakakura, rinozivikanwa se goiter .

Mamwe matumbu, kunyanya matumbu ethyroid anoshanda zvakanyanya , anoshanda ega uye anogadzira mahormone ethyroid akawandisa. Izvi zvinogona kutungamira kuchirwere chinonzi hyperthyroidism (thyroid inoshanda zvakanyanya). Kana izvi zvikaitika, unogona kusangana ne:

Zviratidzo zveHyperthyroidism (Mahormone eGyroid Akawandisa)

• Kurova kwemoyo nekukurumidza kana kumhanya (kurova kwemoyo nekukurumidza kana kurova kwemoyo zvakanyanya) .
• Kunetseka kusingatsananguriki kana kunzwa kuzununguka uye/kana kutya .
• Kuderedza uremu usingazive, kunyangwe kana chishuwo chako chekudya chakawedzera.
• Kuda kudya kwakawedzera .
• Kufamba-famba kana manyoka kakawanda uye kufamba-famba kakawanda .
• Kuomerwa nekurara (kushaya hope).
• Gland re thyroid rakakura (goiter) .
• Kuenda kumwedzi kusingawanzoitiki, kushoma zvakanyanya kana kunonoka kuenda kumwedzi kuvakadzi.

Kusiyana neizvi, vamwe vanhu vane maronda ethyroid vanogona kunge vasina thyroid inoshanda zvakanaka, zvichikonzera kudzikira kwemahormone ethyroid. Chirwere ichi chinozivikanwa se hypothyroidism , uye zviratidzo zvacho zvinosanganisira:

Zviratidzo zveHypothyroidism (Kushomeka kweMahormone eGyroid)

• Kuneta kana kuneta kusingatsananguriki, kunogara kwenguva refu.
• Kunzwa kusanzwa uye kukwenya mumaoko ako neminwe.
• Kuwedzera uremu kusingatsananguriki.
• Ganda nebvudzi zvakaoma uye zvakaoma .
• Kugara uchinetseka nekuzvimba .
• Kunzwa kuora mwoyo kana kuora mwoyo .
• Kuenda kumwedzi kwakawanda uye kwakawanda kuvakadzi.

Chii Chinokonzera Matumbu eGyroid?

Kazhinji, chikonzero chaicho chinoita kuti thyroid nodule iumbwe hachisati chazivikanwa. Zvisinei, mamiriro akasiyana-siyana anogona kukonzera kukura kwayo, zvichikonzera mhando dzakasiyana dzema nodule:

• Mapundu eColloid: Iyi ndiyo mhando inonyanya kuwanikwa. Anomiririra kukura kwakanyanya kwetishu yethyroid asi haana njodzi zvachose (haana kenza). Kunyange zvazvo achigona kukura, haapararire kupfuura thyroid gland yako.
• Ma cysts e thyroid: Aya maburi azere nemvura kana kuti ane mvura shoma. Njodzi yekenza muma cysts yakaderera zvikuru. Zvisinei, kana akakura kupfuura 2 centimeters, chiremba wako anogona kuaongorora zvakanyanya kana kukurudzira kuti apihwe biopsy .
• Mapundu ekuzvimba: Izvi zvinokura nekuda kwekuzvimba kwenguva refu kana kwenguva refu kwegland re thyroid (thyroiditis). Zvinogona kukonzera kana kusakonzera kurwadziwa kwemudumbu.
• Goita reMultinodular: Dzimwe nguva, goita rethyroid rakakura rine maronda akati wandei. Maronda aya anowanzova asina njodzi.
• Mapundu ethyroid asingashande zvakanaka: Mapundu aya anoburitsa mahormone ethyroid ega, izvo zvinogona kudzvinyirira mamwe matumbu egland uye kukonzera hyperthyroidism . Anogara achida kurapwa kwakakodzera.
• Kenza yethyroid: Izvi ndizvo zvinonyanya kukonzera kunetseka kana paine bundu. Nerombo rakanaka, kenza yethyroid haiwanzoitiki, ichiverengera pasi pe6.5% yebundu rese rethyroid rakaongororwa .

Matumbu eThyroid Anoonekwa Sei?

Unogona kuwana bundu iwe pachako nekuzvinzwa kana kuriona mugirazi. Neimwe nzira, chiremba wako anogona kurinzwa panguva yekuongororwa kwemutsipa nguva dzose, kana kuti rinogona kuwanikwa netsaona panguva yekuongororwa kwemifananidzo (senge ultrasound kana CT scan) kwakaitwa nechikonzero chakasiyana zvachose chekurapa.

Kunyangwe hazvo ruzhinji rwemapundu ethyroid asina njodzi, mapundu ese anoda kuongororwa nachiremba kuti abvise mukana mudiki wekenza.

Miedzo Ipi Yauchada?

Kuti unyatsoongorora thyroid nodule yako, chiremba wako anogona kukurudzira imwe kana kupfuura yemiedzo inotevera:

• Kuongororwa kweropa rethyroid: Izvi zvinoongorora huwandu hwemahormone ethyroid muropa rako. Kunyange zvazvo huwandu hwemahormone huchiwanzova hwakajairika kunyangwe uine bundu, mhedzisiro isingawanzoitika inogona kuratidza hyperthyroidism kana hypothyroidism.
• Ultrasound yegland re thyroid: Kuongororwa uku kwakachengeteka kunoshandisa mafungu eruzha kugadzira mifananidzo yakadzama yegland re thyroid. Kunobatsira chiremba wako kuona kana ganda rakasimba kana kuti rakazara nemvura (cystic), sezvo ganda rakasimba rine njodzi yakakura yekenza. Kunoyerawo saizi chaiyo yeganda uye kunogona kutungamira kuongororwa kwetsono netsaona zvakanyatsonaka.
• Kuongororwa kwetsono diki: Munguva iyi yekuvhiyiwa nekukurumidza, chiremba wako anoshandisa tsono yakatetepa kuti abudise masero madiki kubva mubundu. Masero aya anoongororwa nemaikorosikopu murabhoritari kuti aone kana paine kenza. Kana mhedzisiro ye biopsy isina kujeka, chiremba wako anogona kukurudzira kuti udzokorore bvunzo kana kuvhiyiwa kuti ubvise bundu uye uongorore bundu racho.
• Kuongororwa kwe thyroid: Pakuongorora uku, unomedza huwandu hushoma hwe radioactive iodine . Kamera yakasarudzika inobva yatevera huwandu hwe iodine inonwiswa ne thyroid yako ne bundu. Izvi zvinopa ruzivo rwakakosha runobatsira chiremba wako kuongorora njodzi yekenza uye kusarudza nzira yakanakisisa.

Ndezvipi Zvisarudzo zveKurapa Matumbu eThyroid?

Chirongwa chekurapa chinogara chichienderana nerudzi rwechirwere uye chikonzero chegomarara re thyroid rako. Heano mamwe masarudzo makuru:

• Kuongorora kwakasimba ("Tarisa uye Mira"): Kana biopsy yako ichiratidza kuti bundu harina njodzi, iwe nachiremba wakovangabvuma kuti kurapwa nekukasika hakudiwi. Pane kudaro, muchaongororwa nguva dzose uye muchaongororwa neultrasound kuti muone kana paine shanduko muhukuru kana chitarisiko.
• Iodine ine radioactive: Vanachiremba vanowanzo shandisa iodine ine radioactive kurapa maronda asingashande zvakanaka kana kuti multinodular goiters. Sezvo thyroid yako ichitora iodine, maronda acho anoderera, uye kugadzirwa kwemahormone kunodzokera pakare.
• Kuvhiyiwa (Kuvhiyiwa kweThyroid): Kana bundu riri regomarara, risingafungidzike zvakanyanya, kana kuti rakakura zvekuti rinokanganisa kufema kwako kana kumedza, kubviswa kwebvudzi ndiko kurapwa kwakajairika.

Unogona Kudzivirira Matumbu eGyroid Here?

Nekuti zvikonzero chaizvo zvemapundu mazhinji e thyroid hazvisati zvazivikanwa, hazvigone kudzivirirwa.

Zvisinei, unogona kutora matanho ekugadzirisa zvimwe zvinhu zvinoisa njodzi. Kana uri kurarama nehuremu hwakanyanya , shanda nachiremba wako kuti urambe uine huremu hwakanaka. Kana uchisvuta, kutora matanho ekurega kusvuta kuchabatsira hutano hwako hwese hwe thyroid. Zvakare, iva nechokwadi chekuti unowana iodine yakakwana yekudya ; kushandisa munyu wetafura une iodine kazhinji kunokwana kuzadzisa zvaunoda zuva nezuva.

Zvinofadza kuti, zvimwe zvidzidzo zvekiriniki zvinoratidza kuti kutora mishonga yekudzivirira pamuviri kana mishonga inoderedza cholesterol kunogona kubatanidzwa nekudzikira kwenjodzi yekuve nemapundu ethyroid.

Chii chinonzi Long-Term Outlook (Prognosis)?

Kufungidzira kuti maronda emudumbu emudumbu haashande zvakanaka . Mazhinji acho haazombodi kurapwa kana kukonzera matambudziko. Kutaura zvazviri, inenge 1% chete yemaronda asina kushanda zvakanaka ndiyo inokonzera kusashanda zvakanaka kwemudumbu , uye aya anogona kurapwa zvakanyanya.

Kana bundu riri kenza, tarisiro yenguva refu inoenderana nezvinhu zvakakosha, zvinosanganisira:

• Rudzi chairwo rwegomarara rethyroid .
• Zera rako panguva yekuongororwa chirwere .
• Hukuru hwese hwebundu .
• Kana kenza yapararira kumatishu ari pedyo kana kuma lymph nodes .
• Kana yakapararira kusvika kunzvimbo dziri kure dzemuviri.

Kana ukaonekwa uine kenza yethyroid, chiremba wako achakwanisa kukupa ruzivo rwakanyatsoenderana nehupenyu hwako uye rwakarurama zvichienderana nehutano hwako.

Vana Vanogona Kuwana Matumbu eGyroid Here?

Mapundu e thyroid haawanzo kuwanikwa muvana kana tichienzanisa nevakuru, kunyange hazvo huwandu chaihwo hwechirwere ichi huchiri kuongororwa.

Zvakakosha kuziva kuti kana maronda akawanikwa muvana nevechiri kuyaruka , ane njodzi yakakura yekukonzera kenza kupfuura inowanikwa muvanhu vakuru. Kunyangwe zvakadaro, anopfuura 75% emaronda ethyroid evana haana njodzi zvachose .

Zviratidzo, maitiro ekuongorora chirwere, uye zvirongwa zvekurapa vana zvakafanana nezvevakuru.

Mharidzo Yako Yokuenda Nayo Kumba

Mapundu e thyroid anowanzoitika zvakanyanya, uye mazhinji acho haazombokanganisi hupenyu hwako. Zvisinei, kana ukaona bundu idzva pamberi pemutsipa wako, iva nechokwadi chekubvunza chiremba wako . Kunyange zvazvo mapundu mazhinji asina njodzi, kuongororwa nenyanzvi ndiyo chete nzira yekubvisa kenza uye kuwana rugare rwepfungwa.

Kana uine bundu rakaonekwa kuti rine chirwere uye chiremba wako akakurudzira kuti utarise, usapotsa nguva yako yekutevera . Kuongororwa nguva dzose kwakakosha kuti uve nechokwadi chekuti bundu harichinje nekufamba kwenguva.

Kana muine zvinokunetsai nezvenjodzi yenyu yekubatwa nekenza yethyroid kana mamwe matambudziko ethyroid, ndapota ivai nehurukuro yakasununguka nechikwata chenyu chehutano. Pano paNirogi Lanka , tinotenda kuti kunzwisisa muviri wenyu ndiyo nhanho yekutanga yekuramba muine hutano. Musarega kutya kuchikudzivisai—garai muchiziva uye tarisirai hutano hwenyu nhasi!