Goiter wosasintha - mankhwala ndi mankhwala ochiritsira

Good neodular ndi matenda a chithokomiro, omwe amadziwika ndi kusintha kwake kwa morphological. Pachifukwa ichi, limba limakula kukula ndi nthawi, ndipo kupita patsogolo, kumawonekeratu kumaso ngati chithunzi cha khosi pa chithokomiro.

Goiter yosavuta ya chithokomiro - zizindikiro

Goiter yododometsa imakhala ndi zizindikiro zingapo zomwe zimasintha pamene matendawa akukulirakulira komanso malingana ndi mtundu wa matenda omwe amayamba.

Poyambirira, nodular goiter ndi zovuta kupeza popanda zipangizo zapadera (mwachitsanzo, ultrasound) kapena mayeso a ma laboratory (kupereka magazi ku mahomoni a chithokomiro) ngati nodular goiter ikuphatikiza ndi hypothyroidism kapena thyrotoxicosis. Maganizo awiriwa ndi matenda a polar, omwe nthawi zambiri amachititsa wodwalayo kukaonana ndi dokotala pachiyambi.

Choncho, thyrotoxicosis ndi kuchuluka kwa mahomoni. Munthu amamva kusasinthasintha maganizo, kupwetekedwa mtima kwa mtima, komwe kumachepetsa ndi kugwiritsira ntchito zinthu zowonongeka, komanso kuthamanga kwa manja ndi kutopa nthawi zonse. Kuchepetsa kutaya thupi ndi chimodzi mwa zizindikiro za thyrotoxicosis, ndipo ngati ziwonetsedwera ali achinyamata, nthawi zambiri zimakhala ndi maonekedwe aang'ono kwa zaka zambiri. Izi ndi chifukwa chakuti mahomoni a chithokomiro amagwirizanitsidwa ndi kukula kwa hormone ndi ena omwe amapanga thupi lokhwima. Izi sizizindikiro zonse zomwe zimakhala za thyrotoxicosis, koma ndizofunikira.

Hypothyroidism ndi kusowa kwa mahomoni a chithokomiro. Anthu omwe ali ndi matendawa amatha kulemera, amakhala odzitukumula, chifukwa cha kudzikuza kwa nkhope. Kuperewera kwa mahomoni kumabweretsa kuiwala komanso kupsinjika kwanthawi zonse. Mchitidwe wamaganizo, monga lamulo, ndi wokhazikika kapena wokhumudwa.

Pamaso pa zizindikirozi, muyenera kuwona dokotala, kupanga chithokomiro cha ultrasound ndikupereka magazi ku mahomoni a chithokomiro ndi ma antibodies, omwe angakuuzeni za kukhalapo kapena kusakhalapo kwa chiwalo cha thupi.

Ndi kukula kwa goiter, zizindikiro zotsatirazi zikuwonekera mwa munthu:

• Kuvuta kumeza kayendedwe;
• kumverera kwa coma kummero;
• chisokonezo;
• mawonetseredwe akunja a goiter.

Mitundu ya goiter

Musanalankhule za mankhwala ophera nkhumba, ziyenera kufotokozedwa kuti pali mitundu yambiri ya mitundu ndi mitundu, ndipo mwachibadwa kuti mankhwala amasiyana malinga ndi izo.

Morphology:

1. Akufalikira . Ichi ndi mtundu wosakhala wathanzi, umene umakhala wowonjezera minofu.
2. Nodal . Ndi mtundu uwu, node (imodzi kapena zambiri) imapangidwa, ndipo kuwonjezeka kumachitika kumbali imodzi. Zingakhale zoopsa kapena zosautsa, kotero kufufuza mwatsatanetsatane pa zipangizo zingapo ndi zofunika kwambiri. Tiyeneranso kukumbukira kuti osakhala ndi poizoni nodular goiter amapatsidwa kwa odwala omwe sakhala kumalo amodzi.
3. Cystic . Wodziwika ndi kuwonjezeka kwakukulu kwa thupi ndi kukhalapo kwa zisindikizo, zomwe ziri ndi madzi.
4. Kusokonezeka . Kusiyana kwa nodal toxic goiter kumawonekera ndi kuwonjezeka kwakukulu kwa chithokomiro cha chithokomiro ndi kukhalapo kwa nodes.

Chiwerengero cha kukula kwake:

1. Goiter yodabwitsa ya digiri yoyamba.
2. Goiter yodabwitsa ya digiri ya 2.
3. Goiter yodabwitsa ya digiri yachitatu.
4. Goiter yodalirika ya digiri ya 4.
5. Goiter yodabwitsa ya digiri ya 5.

Nodular goiter - matenda

Goiter yosavomerezeka imapezeka pambali ya kafukufuku wa dokotala, mayeso a ma laboratory oyezetsa magazi, komanso ultrasound ndipo, nthawi zina, electrocardiograms.

Kodi mungatani kuti musamalidwe bwino?

Kuchiza kwa goiter kumadalira mtundu wa matendawa, ndipo pa malo ake.

Chotupa chamtundu wambiri chotchedwa goiter chimatchedwa mtundu wonyansa wa nodular goiter, pamene gulu lofala la matenda otere limatchulidwa ngati nodal euthyroid goiter. Izi zili choncho chifukwa chakuti chiwerengero chofunikira chimafunika kuti chidziwike, chomwe chimatenga nthawi, ndipo mpaka pano dokotala amapanga matenda omwewo. Ngati mahomoni a chithokomiro ndi achilendo, ndiye kuti nthawi zambiri mumayesa kuyezetsa magazi ndi nthawi zina ultrasound. Pachilumba cha mtundu uliwonse wotchuka wa US izo sizovomerezeka malinga ndi maganizo a akatswiri ena.

Kuphwanya nodular goiter ya chithokomiro pamaso pa hypothyroidism kapena thyrotoxicosis ndipo kukhala ndi digrii imodzi imachizidwa ndi thandizo la mahomoni (pakakhala hypothyroidism) kapena blockers. Mankhwala aliwonse amalembedwa ndipo amasankhidwa payekha, chifukwa onse ali ndi zotsatira zambiri. Nthawi ya chithandizo ndi yayikulu - kuyambira zaka 2 za kudya tsiku ndi tsiku. Mlingowo umasinthasintha nthawi zonse malinga ndi kuyesa magazi, zomwe poyamba zimayenera kutengedwa nthawi zambiri - kamodzi kamodzi pa masabata awiri. Ngati mankhwala athandiza, ndiye kuti sipadzakhalanso opaleshoni (yomwe ili ndi node zowonongeka) - chithokomiro chokha chimachepa kukula.

Pamene mankhwala ndi ofunika kwambiri kwa dokotala (chifukwa chiwerengero cha mankhwala ndi cholinga cha mankhwala enieniwo ndi chosiyana kwambiri), choncho ndi bwino kulankhulana ndi akatswiri angapo ndikuwongolera madokotala awo.

Chithandizo cha diffuse-nodal goiter cha 2 digiri chimadalira zifukwa zambiri, ndipo pano nthawi zina pangakhale funso lokhudza ntchito. Choyamba, ndikofunika kudziwa ngati matendawa ndi abwino, ndipo ngati ndi choncho, dokotala akhoza kuyesa kupewa opaleshoni.

Cystic nodular goiter imachiritsidwa malingana ndi kupezeka kwa hypothyroidism kapena thyrotoxicosis. Pa chisankho chochita opaleshoni, siteji, kukula ndi chikhalidwe cha mfundozi ndizofunikira kwambiri.

Njira yochizira ya mankhwala a nodular goiter

Amakhulupirira kuti njira imeneyi imathandizira matenda aliwonse a chithokomiro , koma ingagwiritsidwe ntchito ndi chilolezo cha dokotala, popeza mankhwalawa ali ndi mphamvu zolimbitsa thupi komanso amakhala ndi ayodini, zomwe zingawonongeke. Ndikofunika kusakaniza 1 lita imodzi ya uchi ndi khungu la mandimu 5 ndi 500 g walnuts. Mphungu umatengedwa pa 1 tbsp. l. tsiku ndi mwezi.