I-goiter ye-nodular ingumqondo ohlanganisa izifo eziningi, isici esinesici sokuba khona kwezindawo zezicubu ezandisiwe (ama-node) emgodini wegciwane. I-goiter ingaba yi-node eyodwa noma i-multi-node.
I-goiter eminingi - izimbangela nezigigaba zesifo
Isizathu esivame kakhulu sokuthuthukiswa kwe-goiter ye-multinodal ukuntuleka kwe-iodine emzimbeni isikhathi eside. Ukuntuleka kwe-iodine kungahlanganiswa kokubili ukungeneli okwanele kwalesi sitho emzimbeni, futhi nokuphulwa kokugaya kwayo. Izinto ezengeziwe ezandisa ingozi yezifo zithi:
- i-anemia;
- izifo ezingapheli zesigubhu sezinsi;
- ukukhubazeka kwesisindo somzimba;
- ukukhulelwa.
Ngaphezu kokuntuleka kwe-iodine, imbangela ye-goiter ye-multinodular ingasebenza njenge-adenoma ye-thyroid, izidakamizwa eziyingozi, izifo ezithathelanayo nezifo ezithile zokuvuvukala.
Ngokwesilinganiso sokwandiswa kwegciwane le-thyroid, izigaba ezintathu zesifo ziyaziwa:
- I-goiter engama-0 degrees - ama-node amancane kakhulu, abukeka engabonakali futhi angahloliswanga. Bangatholakala kuphela ngengozi, ngokuhlolwa kwe-ultrasound.
- I-goiter yama-degree yezinga eli-1 - ama-node abonakala engabonakali, kodwa anephutha.
- I-goiter yama-degree engama-degree amabili - ukwanda kwegciwane le-thyroid kubonakala emehlweni.
Uma wenza i-ultrasound, i-goiter ye-multinodular yezinga eli-1 itholakala encwadini ye -roid engaphansi kuka-30 cm3 sup3, ama-2 degrees - enevolumu yomzimba engaphezu kuka-30 cm3 sup3.
Esikhathini sangemuva se-hormonal, i-goiter ye-multinodular ihlukaniswe yaba izinhlobo ezimbili: ezingekho ezinobuthi nezidakamizwa (okwenziwe ngokukhiqizwa kwe-hormone ye-thyroid).
Izimpawu ze-goiter ye-multinodular ye-gland yegciwane
Izimpawu ze-goiter ze-multinodular zingase zihluke kuye ngokuthi imbangela eyabangela, kodwa ezimeni zokuqala zalesi sifo ngamacala angu-80%, azikho ukubonakaliswa kwemitholampilo.
Esikhathini esizayo, izimpawu zegciwane le-thyroid zingenziwa futhi zibonakale ngesimo senkundla ehamba phambili entanyeni. Ngenqubo yokuthuthukisa i-goiter, ingacindezela izicubu eziseduze futhi ibangele:
- umuzwa wokuphambana, i-coma emqaleni;
- ubunzima bokuphefumula;
- isiyezi;
- ukucindezeleka lapho uhambisa ikhanda.
Esimweni esinobuthi besifo, kukhona:
- i-tachycardia;
- ukulahlekelwa isisindo ngesifiso esihle;
- ukucasula;
- ukuphakama kokushisa.
Uma ukuthuthukiswa kwe-goiter ye-multinodular kubangelwa ukungabi nalutho lwe-iodine, izimpawu zinganezelwa:
- ukunciphisa kwengcindezi;
- flatulence ;
- ukuwohloka kokuzivikela;
- izifo zokuphefumula.