Goitre multinodular thyroid gland: akpata, nchoputa na ọgwụgwọ atụmatụ

N'ihi na ọtụtụ ndị mmadụ, ndị thyroid gland bụ oversized. Mgbe ụfọdụ, a daa ọrịa abụghị a dịghị-brainer, ma ọtụtụ endocrinologists chọpụtara multinodular goiter. Ọ na-adị n'ihi na ndị ogbenye na gburugburu ebe obibi na a enweghị ayodiin ke idem. Ọnụ na-benign na ọdịdị mgbe mgbe, ma mgbe ụfọdụ, o nwere ike ịka nká n'ime a ịza aza akpụ, nke a na-ewepụ surgically. N'isiokwu a, anyị ga-enyocha ihe multinodular goiter nke thyroid gland. Ọgwụgwọ Ibọrọ banyere ya ga-atụle.

Description nke ọrịa

N'ihi na enweghị nke ayodiin na ihe oriri na mmiri thyrotropic homonụ na-amalite-emepụta site na thyroid gland na nnukwu quantities, dị ka ngwa onwe ya bụ na-enweghị ike na-emepụta ihe chọrọ ego nke nwere homonụ.

Thyrotropic homonụ na-emepụta site na pituitary gland akpasu proliferation nke mkpụrụ ndụ, na-akpata ya ngwa ngwa na-abawanye. Ka anya dị ka mkpa maka ndị a pụrụ iche bekee amalite ojuju, colloid akwakọba na anụ ahụ nke ahụ na-eduga ná guzobe nnukwu follicles. Atugharị, ọ yiri a nnukwu goiter, nke anya na gba ọtọ anya, na na-ejikarị palpated site ndidi.

Mgbe a ụfọdụ ego nke oge ahụ ọzọ na-akpalite na mmepụta nke thyroid homonụ na thyroid goiter nọgidekwara na-amụba.

ọrịa umu

Multinodular goiter nke thyroid gland bụ nke atọ di iche iche:

• ọnụ - ma ọ bụrụ na a chọpụta ya mkpumkpu abawanye ahu nke na-adị ruru ya oké ọrụ;
• asị ibe - na nke a na-prostate anụ ahụ na-etolite uniformly n'ihi na Mbelata ya secretory ọrụ;
• weere - ọ bụ obere, ahụ nwere mkpumkpu abawanye, ma ụfọdụ ebe idowe ha homogeneity.

Ọ bụrụ na karịrị abụọ ọnụ na ngafe nke 1 cm n'obosara, inye-ejide ndị mgbapu nke thyroid gland. Ọtụtụ mgbe, ha na-benign. Ke ofụri ofụri, ndị a etuto ahụ nwere ihe ọ bụla mmetụta na ya ọrụ na-enweghị, na ọrịa a na-akpọ "multinodular euthyroid goiter." Naanị 5% nke ọnụ nwere ike kansa.

Na mba anyị, multinodular nsí goiter n'akparamagwa 12% nke ndị bi na, na ndị inyom yikarịrị ka ndị mmadụ na-ata ahụhụ ha. Na afọ enwekwu likelihood nke na-emepe emepe a ọrịa, na nke kacha nke ọ ojoo 45-60 afọ.

Ọ bụ ezie na ọnụnọ nke ọnụ na thyroid gland adịghị emetụta ọrụ nke ahụ a, ma ọ ka dị mkpa na-emeso ndị ọrịa. E nwere ọnọdụ mgbe enweghị anya ka nsogbu nwere ike inwe ihe ize ndụ ndụ.

Na-akpata ọrịa

The kpọmkwem ihe mere e nwere a multi-akuku, na-ghọtara, ma dọkịta na-ekwu na na ọ bụ ayodiin erughi n'ụzọ dị ukwuu na-akpalite ọrịa.

Ihe ndị ọzọ so na e guzobere a daa ọrịa bụ:

• malfunction nke Central ụjọ usoro;
• psychological nje;
• suppression nke humoral ọgụ;
• emerụ arụ ọrụ na ọnọdụ;
• ruo ogologo oge oriri nke ụfọdụ ọgwụ;
• a mkpụrụ ndụ ihe nketa pụrụ ịrịa ọrịa;
• ọrịa imeju na digestive usoro;
• bufee ruru mmegharị;
• n'ebe radieshon;
• Ugboro mbufụt nke thyroid gland;
• ezighị ezi nri.

mgbaàmà

Man amaghị na o nwere a multi-akuku, mgbaàmà na nzọụkwụ mbụ pụrụ nnọọ na ụzọ adịghị na-egosipụta na ọ bụghị na-anapụta ihe ọ bụla erughị ala na-enwe ndidi. Mgbe obere nkeji, banyere 2 cm n'obosara, na-ahụ ha na gba ọtọ anya bụ nnọọ ihe siri ike, ya mere ha na-emekarị hụrụ na ultrasound n'oge na-eme nnyocha.

Ọ bụrụ na ị na-eleghara nsogbu a, mgbe ahụ, mgbe oge ụfọdụ nwere ike ịzụlite hyperthyroidism. Onye ọrịa amalite ichegbu oké sweating, ogwe, tachycardia ebilite, nrụgide na-abawanye, n'ozuzu ike-adị njọ. Tingling nwere ike ime obi, agụụ na-abawanye, ndị mmadụ mgbe niile chọrọ ịṅụ, ọ na-amalite ida ibu ibu. Notes jijiji mkpịsị aka, ire na aru. Night na-arịa ọrịa unbearably-ekpo ọkụ, ha na-amalite na-eche egwu na inwe nchekasị. Ndị a mgbaàmà iduga a ọnụ ke agụụ mmekọahụ.

Mgbe ụfọdụ multinodular nsí goiter nwere ike nke ukwuu nke na ọ na-amalite mpikota nso akụkụ. The ọrịa olu mgbanwe, ọ na-aghọ ihe siri ike ilo, iku ume, a mmetụta nke mkpakọ ma ọ bụ na ekochi ekochi, karịsịa na a supine itie ke n'olu.

nchoputa nke goiter

Ọ bụrụ na ị na-enyo na-enwe ndidi nwere a multi-akuku, mgbe ahụ, mepụta nchọpụta nsogbu nke thyroid gland. First, onye ọrịa ẹyak dọkịta, na mgbe ahụ na-eziga ya na US ahụ a. Ọ bụrụ na ndị ọnụ gafere a dayameta nke 1 cm, na-ahọpụta a mgbapu agịga biopsy ndị a etuto ahụ. Ọzọkwa ekenịmde nnyocha na homonụ, obi radiography, mgbe e nwere echiche nke mkpakọ, MRI na scintigraphy.

Ụzọ nke n'imeso thyroid

Ebe ọ bụ na mmalite nke mmepe nke ọrịa ndị dị ka a multi-akuku, pụtara ihe fọrọ nke nta asymptomatic, mgbe ahụ, mgbe a mgbe otu amalite na-eche ya agbawa obi mmetụta. Onye ọrịa na-efunari arọ ngwa ngwa, e nwere disruptions na obi, e nwere ụba nervousness na oké ike ọgwụgwụ.

Ọ bụrụ na a nchoputa nke "a multi-akuku", ọgwụgwọ dọkịta gị nwere ike nye iwu ka ndị na-esonụ:

• kwa ụbọchị oriri nke ayodiin nwere ọgwụ, ọgwụgwọ na nke a bụ nnọọ ogologo oge;
• mmeghe na-arịa ọrịa ahụ nke redioaktivu ayodiin, nke na-enyere iji belata mara akpụ.

Ọ bụrụ na ị na-enyere ndị dị otú ahụ ọgwụgwọ, multinodular goiter nke thyroid gland na-doro ịwa ahụ, karịsịa n'ihi na ya nnukwu size.

Ọgwụgwọ na LITT

Ọ bụrụ na mgbanwe ụzọ enwebeghị ike ịkwụsị uto nke akuku, dọkịta nwere ike nye iwu ka laser na-akpata interstitial thermotherapy (LITT). Na nke a, ngwa anya eriri unit na ẹkenam. N'ihi ya, protein owuwu goiter anụ ahụ na-amalite emetụta okpomọkụ na 41-46 ogo, n'ihi nke mkpụrụ ndụ na-akwụsị n'ikewa.

The uru nke usoro a dabeere n'eziokwu na tupu ọgwụgwọ, ọgwụgwọ nwere ike na-ebe na-enweghị ná Nkụnwụ Ahụ, retains niile nke thyroid gland bụ chọrọ tupu usoro.

Ma, e nwere ndị dị otú ahụ a na usoro ọgwụgwọ na contraindications:

• somatic ọrịa;
• oké ụdị hyperthyroidism na hypothyroidism;
• iche echiche ọrịa;
• mbufụt nke elu akụkụ okuku ume na tract.

Traditional agwọ ọrịa

Ọ bụrụ na mmadụ na-chọpụtara multinodular goiter omume (a agbasi reviews) ndiife ịgba akwụkwọ nwere ike budata melite ọrịa na-arịa. Dị ka a N'ihi ya, ọ weghachiri nkịtị mmepụta nke homonụ na ahu, na ọ nwetaghachi ndị dị mkpa ego nke ayodiin.

Kwa ụbọchị na-eri oké osimiri kabeeji, na-aṅụ tincture nke hawthorn, na-a na-ekpo ọkụ saa na oké osimiri nnu na na. D. Site n'enyemaka nke dị iche iche na ọgwụ herbs goiter multinodular bounces azụ.

Onye kasị ukwuu mmetụta nke ọgwụ ndị a na-ewetara ebubo:

• Vernal ahihia Adonis evenly weere pepemint, tricolor violet, oregano, okooko osisi usoro onunu ogwu Calendula, chamomile na cudweed. Nke a collection na-esi ọnwụ na mmiri ọkụ ruo awa abụọ na-eme tupu nri.
• Mixed ọgwụ valerian, lemon balm, mịrị amị mkpụrụ osisi nke ugwu ash, plantain epupụta, klova elu, erysimum cheiranthoides, mugwort, ọhịa strawberry epupụta, yarrow, ọgwụ sage epupụta, Yet esi mmiri na-esi ọnwụ. Ọ dị mkpa na-infusion kwa ụbọchị n'ihi na 15 nkeji tupu eri.
• E weere na hà n'ike-n'ike onunu ogwu Calendula, Artemisia vulgaris, cudweed, obi-wayo, bụ ogwu hawthorn, angustifolia willow, chamomile okooko osisi, bilie n'úkwù, ubi thyme na esi mmiri na-wụsara. Collection ewe iwe na a mmiri saa na-esi ọnwụ banyere 2 awa, iyo na-aṅụ ọtụtụ ugboro n'ụbọchị.
• Jikọọ na ọgwụ osisi dị ka bụ ogwu rose, lemon balm pine, chamomile, oregano, Tilia cordata, warara-leaved willow ogwu, comfrey, cyanosis azure, nnukwu plantain na ubi thyme. A obere ego nke collection n'ala a ntụ ntụ na wụsa esi mmiri. Ga na-aṅụ ọtụtụ ugboro n'ụbọchị.

Herbal ọgwụ na-emekarị ekwupụtakwa 1.5-2 ọnwa, mgbe ahụ ka a ezumike na a izu ole na ole.

Inokota na ya pụta na rụọ thyroid ọnọdụ nwere ike ikwu na ndị na-esonụ ọgwụ ọjọọ ebubo:

• Weere na otu ego nke Calendula, chamomile, valerian, pepemint, na anụ strawberry, weere na wụsara esi mmiri. Ga-esi ọnwụ 2 awa a na-ekpo ọkụ n'ebe, mgbe ahụ, iyo ma na-ugboro atọ n'ụbọchị 15 nkeji mgbe eri.
• Mixed wort St. Jọn wort, warara-leaved fireweed epupụta, bilie n'úkwù, oregano, Fikiere okooko osisi obi ekara lime, wụsa esi mmiri na-ahapụ na a na-ekpo ọkụ n'ime ụlọ. Iyo na-aṅụ 4 ugboro a ụbọchị mgbe nri.

ọgwụgwụ

Ya mere, anyị aghaghị ịghọta ihe a multi-thyroid goiter. Ọgwụgwọ (reviews a ọtụtụ ndị na-akwado nke a) nnọọ ihe ịga nke ọma na-adọ ọgwụgwọ na dọkịta. I nwere ike na-agba ọsọ a dị ize ndụ ọrịa, n'ihi na ọ bụ fraught na ọtụtụ nsogbu,-eyi ndụ egwu.