Mgbu nodular goiter

Ọkpụkpụ nsị na-egbu egbu na-agụnye gland thyroid. Gland nwere mpaghara ndị mụbara na nodules. Otu ma ọ bụ karịa nodules ndị a na-emepụta oke mmiri ọgwụ gị.

Ọkpụkpụ nsị na-egbu egbu na-amalite site na goiter dị mfe. Ọ na-apụtakarị na ndị okenye. Ihe ndị dị ize ndụ gụnyere ịbụ nwanyị na karịa 55 afọ. Ọrịa a dị obere na ụmụaka. Imirikiti ndị na-etolite ya enweela goiter nwere nodules ruo ọtụtụ afọ. Mgbe ụfọdụ, a na-ebuwanye ibu nke ọrịa thyroid, a chọpụtabeghịkwa goiter.

Mgbe ụfọdụ, ndị mmadụ na-egbu egbu na multinodular goiter ga-azụlite ogo thyroid dị elu maka oge mbụ. Nke a na - adịkarị ma ha were iodine buru ibu site na akwara (intravenously) ma ọ bụ n'ọnụ. Enwere ike iji ayodiin dị ka ihe dị iche na CT scan ma ọ bụ obi catheterization. Medicines Tụ ọgwụ nwere ayodiin, dịka amiodarone, nwekwara ike ibute nsogbu ahụ. Ga mba nke nwere ụgwụ ayodiin na mba nwere ọtụtụ ayodiin nwekwara ike gbanwee onye dị mfe goiter na ihe na-egbu egbu.

Mgbaàmà nwere ike ịgụnye nke ọ bụla n'ime ihe ndị a:

• Ike ọgwụgwụ
• Mmeghari afọ
• Okpomọkụ ekweghị
• Enwekwu agụụ
• Mmiri na-agba agba
• Oge ịhụ nsọ (n'oge ụmụ nwanyị)
• Ọkpụkpụ akwara
• Ahụhụ
• Erughị ala
• Iwetulata ibu

Ndị toworo eto nwere ike ịnwe mgbaàmà ndị na-apụtachaghị. Ndị a nwere ike ịgụnye:

• Ike na ike ọgwụgwụ
• Palpitations na obi mgbu ma ọ bụ nrụgide
• Mgbanwe na ebe nchekwa na ọnọdụ

Mkpụrụ obi na-egbu egbu anaghị eme ka anya na-ama jijiji nke nwere ike ibute ọrịa Graves. Ọrịa ili bụ nsogbu autoimmune nke na - eduga na nrụrụ thyroid (hyperthyroidism).

Nnyocha anụ ahụ nwere ike igosi otu ma ọ bụ ọtụtụ nodules na thyroid. A na-eme ka thyroid na-ebuwanye ibu. Enwere ike inwe obi ọkụ ọsọsọ ma ọ bụ ịma jijiji.

Nyocha ndị ọzọ enwere ike ịme gụnyere:

• Ọbara thyroid hormone (T3, T4)
• Ọbara TSH (thyroid na-akpali akpali hormone)
• Thyroid na i scanomi ma ọ bụ nnweta redioiod iodine
• Thyroid ultrasound

Beta-blockers nwere ike ijikwa ụfọdụ ihe mgbaàmà nke hyperthyroidism ruo mgbe a na-achịkwa ogo hormone thyroid na ahụ.

Medicinesfọdụ ọgwụ nwere ike igbochi ma ọ bụ gbanwee otú thyroid gland si eji iodine eme ihe. Enwere ike iji ha iji chịkwaa gland thyroid gland na nke ọ bụla n'ime usoro ndị a:

• Tupu ịwa ahụ ma ọ bụ ọgwụgwọ redioiodine emee
• Dị ka ọgwụgwọ ogologo oge

Enwere ike iji ọgwụ Radioiodine mee ihe. A na-enye iodine redioactive n'ọnụ. Ọ na-etinyezi uche na anụ ahụ nke na-eme ka ọ dị ike ma na-emebi. N'ọnọdụ ndị na-adịghị ahụkebe, achọrọ mgbanwe thyroid ka emesịrị.

Wa ahụ iji wepu thyroid nwere ike ime mgbe:

• Nnukwu goiter ma ọ bụ goiter na-akpata mgbaàmà site na ime ka o sie ike iku ume ma ọ bụ ilo
• Ọrịa thyroid gị dị ugbu a
• Achọrọ ọgwụgwọ ngwa ngwa

Ọkpụkpụ nsị nke na-egbu egbu bụkarị ọrịa nke ndị okenye. Yabụ, nsogbu ahụ ike ndị ọzọ na-adịghị ala ala nwere ike imetụta nsonaazụ nke ọnọdụ a. Onye toworo eto nwere ike ghara ịnagide mmetụta nke ọrịa a na obi ya. Otú ọ dị, a na-ejikarị ọgwụ agwọ ọrịa ahụ.

Nsogbu obi:

• Obi mgbawa
• Oge obula obi (atrial fibrillation)
• Otutu obi

Nsogbu ndị ọzọ:

• Ọkpụkpụ na-eduga na osteoporosis

Nsogbu thyroid ma ọ bụ oké ifufe bụ nnukwu njọ nke mgbaàmà hyperthyroidism. O nwere ike ibute ọrịa ma ọ bụ nrụgide. Nsogbu thyroid gị nwere ike ibute:

• Ime mgbu
• Mbelata nke uche
• Ahụ ọkụ

Ndị nwere ụdị ọrịa a kwesịrị ịga ụlọ ọgwụ ozugbo.

Nsogbu nke inwe nnukwu goiter nwere ike ịgụnye ike iku ume ma ọ bụ ilo ihe. Nsogbu ndị a bụ n'ihi nrụgide nke ikuku (trachea) ma ọ bụ esophagus, nke dị n'azụ thyroid.

Kpọọ onye na-ahụ maka ahụike gị ma ọ bụrụ na ị nwere mgbaàmà nke nsogbu a edepụtara n’elu. Soro ntuziaka nke onye na-enye gị maka nleta nleta.

Iji gbochie nsị nodular goiter, na-emeso hyperthyroidism na mfe goiter dị ka gị na-eweta na-atụ aro.

Mgbu multinodular goiter; Ọrịa Plummer; Thyrotoxicosis - nodular goiter; Overactive thyroid - egbu egbu nodular goiter; Hyperthyroidism - nsị nodular goiter; Mgbu multinodular goiter; MNG

• Enba ụba nke thyroid - scintiscan
• Gland gland

Hegedus L, Paschke R, Krohn K, Bonnema SJ. Multinodular goiter. Na: Jameson JL, De Groot LJ, de Kretser DM, et al, ndị ọzọ. Endocrinology: Okenye na Ọrịa edimụaka. Nke 7. Philadelphia, PA: Elsevier Saunders; 2016: isi 90.

Jonklaas J, Cooper DS. Thyroid. Na: Goldman L, Schafer AI, eds. Ọgwụ Goldman-Cecil. Nke 26th. Philadelphia, PA: Elsevier; 2020: isi 213.

Kopp P. Na-arụ ọrụ onwe ya na-arụ ọrụ nodules na ihe ndị ọzọ na-akpata thyrotoxicosis. Na: Jameson JL, De Groot LJ, de Kretser DM, et al, ndị ọzọ. Endocrinology: Okenye na Ọrịa edimụaka. Nke 7. Philadelphia, PA: Elsevier Saunders; 2016: isi 85.

Ritter JM, Ifuru R, Henderson G, Loke YK, MacEwan D, Rang HP. Na thyroid. Na: Ritter JM, Ifuru R, Henderson G, Loke YK, MacEwan D, Rang HP, eds. Rang na Dale nke Pharmacology. Agba nke 9. Philadelphia, PA: Elsevier; 2020: isi 35.

Smith PW, Hanks LR, Salomone LJ, Hanks JB. Thyroid. Na: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Akwụkwọ Sabiston nke gerywa Ahụ. Agba nke 20. Philadelphia, PA: Elsevier; 2017: isi 36.