Mfe goiter

Otu goiter dị mfe bụ ịbawanye nke gland thyroid. Ọ naghị abụkarị akpụ ma ọ bụ kansa.

The thyroid gland bụ akụkụ dị mkpa nke usoro endocrine. Ọ dị na n'ihu olu dị n'elu ebe akwa gị. Gland na - emeputa homonụ nke na - achịkwa etu sel ọ bụla n’ime ahụ ji arụ ọrụ. A na-akpọ usoro a metabolism.

Ọrịa Iodine bụkarị ihe na-ebute goiter. Ahụ chọrọ iodine iji mepụta hormone thyroid. Ọ bụrụ na ịnweghị iodine zuru ezu na nri gị, thyroid na-ebuwanye ibu iji nwaa ma weghara iodine niile ọ nwere ike, yabụ ọ nwere ike ịme ezigbo nri nke hormone thyroid. Yabụ, goiter nwere ike ịbụ ihe ịrịba ama na thyroid enweghị ike ime ka ezu thyroid hormone. Iji nnu iodized na United States na-egbochi enweghị ayodiin na nri.

Ihe ndị ọzọ na-akpata goiter gụnyere:

• Usoro ahụ ji alụso ọrịa ọgụ na-awakpo thyroid gland (nsogbu autoimmune)
• Medicinesfọdụ ọgwụ (lithium, amiodarone)
• Na-efe efe (obere)
• Sịga na-ese anwụrụ
• Iri oke nri dị iche iche (soy, ahụekere, ma ọ bụ inine na broccoli na ezinụlọ kabeeji)
• Ọrịa na-egbu egbu, gland na-ebuwanye ibu nke nwere obere uto ma ọ bụ ọtụtụ uto akpọrọ nodules, nke na-ewepụta hormone thyroid

Ndị goiters dị mfe na-adịkarị na:

• Ndị karịrị afọ 40
• Ndi mmadu nwere ezin’ulo ha nke goiter
• Ndị amụrụ ma zụlite na ụkọ iodine
  
• Womenmụ nwanyị

Ihe mgbaàmà kachasị bụ gland gland. Ogo ya nwere ike ịbụ site na obere obere nodule ruo nnukwu ihe dị n'olu.

Fọdụ ndị nwere goiter dị mfe nwere ike ịnwe mgbaàmà nke ụbụrụ na-adịghị arụ ọrụ.

N'ọnọdụ ndị na-adịkarịghị, ịmịkọrọ akụ na-ebuwanye ibu nwere ike itinye nrụgide na ikuku (trachea) na ọkpọkọ nri (esophagus). Nke a nwere ike iduga:

• Nsogbu iku ume (ya na ndị goiters buru ibu buru ibu), ọkachasị mgbe ị dinara ala n’azụ ma ọ bụ oge ijiri aka gị
• .Kwara
• Arsda ụda
• Difficulties loda ihe isi ike, karịchaa, nri siri ike
• Mgbu na mpaghara nke thyroid

Onye nlekọta ahụike ga-eme nyocha anụ ahụ. Nke a na-agụnye inwe mmetụta n’olu gị ka ị na-elo ihe. Enwere ike ịza aza na mpaghara nke thyroid.

Ọ bụrụ na ị nwere nnukwu goiter, ị nwere ike ịnwe nrụgide na olu gị. N'ihi ya, mgbe onye na-eweta ya gwara gị ka ị welite aka gị elu n'isi gị, ị nwere ike ịdị nro.

Enwere ike inye iwu nyocha ọbara ka ị tụọ ọrụ thyroid:

• Trọroxine gị na-akwụ ụgwọ (T4)
• Thyroid na-akpali akpali hormone (TSH)

Ule a na-ele anya maka ọdịiche na ikekwe ọrịa kansa na gland na-agụnye:

• Thyroid scan na ntinye
• Ultrasound nke thyroid

Ọ bụrụ na achọtara nodules na ultrasound, enwere ike biopsy iji chọpụta ọrịa kansa thyroid.

A ga-agwọ goiter naanị ma ọ bụrụ na ọ na-akpata mgbaàmà.

Ọgwụgwọ maka ịba ụba thyroid gụnyere:

• Mkpụrụ ọgwụ na-agbanwe agbanwe nke thyroid ma ọ bụrụ na goiter bụ n'ihi thyroid na-adịghị arụ ọrụ
• Obere doses nke Lugol ayodiin ma ọ bụ potassium ayodiin ma ọ bụrụ na goiter bụ n'ihi enweghị ayodiin
• Radioiod iodine na-eme ka gland belata ma ọ bụrụ na thyroid na-emepụta oke thyroid hormone
• Gerywa ahụ (thyroidectomy) iji wepu ihe niile ma ọ bụ akụkụ nke gland

Onye goiter dị mfe nwere ike ifu onwe ya, ma ọ bụ buru ibu. Ka oge na-aga, thyroid gland nwere ike ịkwụsị ịme hormone thyroid zuru oke. A na-akpọ ọnọdụ a hypothyroidism.

N'ọnọdụ ụfọdụ, goiter na-egbu egbu ma na-emepụta hormone thyroid n'onwe ya. Nke a nwere ike ibute oke mmiri ọgwụ thyroid, ọnọdụ a na-akpọ hyperthyroidism.

Kpọọ onye na-eweta gị ma ọ bụrụ na ịnwe ọzịza ọ bụla n'ihu olu gị ma ọ bụ ihe mgbaàmà ọ bụla nke goiter.

Iji nnu okpokoro nwere osisi na-egbochi ọtụtụ goiters dị mfe.

Goiter - dị mfe; Ọgwụgwụ goiter; Onye na-akpọ colloidal; Ndị na-adịghị egbu egbu

• Thyroid gland iwepụ - nhapu

• Enba ụba nke thyroid - scintiscan
• Gland gland
• Ọrịa Hashimoto (ọrịa thyroiditis na-adịghị ala ala)

Brent GA, Weetman AP. Hypothyroidism na thyroiditis. Na: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds. Akwụkwọ ọgụgụ Williams nke Endocrinology. Nke iri na anọ. Philadelphia, PA: Elsevier; 2020: isi 13.

Hegedüs 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.

Smith JR, Wassner AJ. Goiter. Na: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Akwụkwọ ọgụgụ nke Ọrịa edimụaka. 21nke. Philadelphia, PA: Elsevier; 2020: isi 583.