Isimo esihle se-gland gland siyadingeka ukuze kusetshenziswe kahle umzimba, kodwa hhayi ngaso sonke isikhathi ukwephulwa okubonakalayo ngokushesha. Ngokuvamile i-goole ehamba phambili ye-colloid iphathwa ngokukhula okukhulu, okubonakala kalula.
I-goiter yama-colloid ye-gland yegciwane - iyini?
Inkinga yenyuka esithombeni esabangelwa ukukhula kwe-follicle ngenxa yokuqoqwa kwe-jelly-like composition. Ngisho nomuntu ogulayo akakwazi njalo ukutshela lokho okushiwo yi-goiter ye-colloid, ngenxa yezimpawu eziphansi zesigaba sokuqala. Ingozi ikhona ekuhlulekeni kokukhiqizwa kwe-hormone futhi kungenzeka ukuthi isimo semvelo singonakali.
I-goiter engavamile
Lolu hlobo lwesilonda luvame ukutholakala ngesikhathi esincane. Ukusabalalisa i-goiter ye-goiter ye-thyroid ibonakala ngokuvuvukala okufanayo nokushisa kwezicubu. Ukuzwa okungajabulisi kungase kungabonakali isikhathi eside, ngakho-ke, inkinga itholakele ekupheleni kwesikhathi, lapho kune-tubercle evelele entanyeni, noma ngengozi, ngesikhathi sokuvakashela njalo odokotela.
I-Nodal colloid goiter
Kulolu hlobo lwe-disorder, ama-colloidal nodes we-gland yegciwane ayenziwa. Izimpawu zifakwa ngokungahambisani, inombolo yabo nesakhiwo kungase kuhluke. Kwezinye izimo, kugcinwa ukuguqulwa kwezitho zomzimba. I-goiter colloid goiter ye-gland gland ibika ngokungahambi kahle ngenxa yethonya elinamandla ezithandeni eziseduze, imikhumbi kanye nokuphela kwezinzwa. Ngenxa yokucindezela, ukuwohloka komsebenzi wabo kuqala, i-ischemic necrosis kanye nokuqeda iminyango kungenzeka.
I-goiter yama-cylotic-cystic
Ama-node amakhulu awakhiwe ama-cystic emvelo. Okudingekayo kulokhu kuthuthukiswa yi-hyperplasia, i-dystrophy noma i-microcirculation. I-goiter yama-colloid ne-cystic degeneration ingase ingabonakali isikhathi eside, ilondoloze isimo esizinzile, kodwa singaphumelela ngokushesha. Ukubikezela umthelela walo emzimbeni kunzima - ukuthuthukisa nokunciphisa ukukhiqizwa kwe-hormone kunamathuba afanayo. Amakhemikhali e-colloidal emgodini wegciwane welolu hlobo awunakuqhathaniswa nesifo somdlavuza futhi aholela ekusimeni kokusebenza kwesayithi.
I-goiter yama-colloid - izimpawu
Esigabeni sokuqala sesifo, izimpawu zalo zingase zingekho, ikakhulukazi uma i-goiter ye-colloid engeyona i-toxic isakhiwe. Ngalo, ama-hormone akhiqizwa ngokweqile. Izimpawu zokuqala zibukeka kanje:
- ukucindezela entanyeni;
- izwi elikhulu;
- ukuzwa kwesipfulelo okuholela ekukhwehleleni;
- ukugwinya ubunzima;
- ubuhlungu endaweni yokubukeka kwe-node, kufana nokukhula okusheshayo;
- Ukubonakaliswa kwangaphandle - i-struma ye-colloid ivela emqaleni njengeplanethi noma iphiko layo elilodwa;
- ukuzondwa nomsindo;
- bhala emphinjeni ;
- uphawu luzwakala entanyeni.
Amamaki we-goiter
Usayizi ojwayelekile we-gland ulingana nama-phalanges amabili wesithupha. Isigaba se-WHO sihlukanisa phakathi kwalokhu okulandelayo:
- 0 - isitho singaphenduli ngaphandle futhi singasetshenzisiwe;
- 1 - isungulwe nge-palpating;
- 2 - ebonakalayo uma ibhekwa.
Ngesinye isikhathi odokotela basebenzisa isigaba esiphelelwe yisikhathi, okuyinto i-goiter ye-colloid yezinga lesibili ebeka ukuthi ukubunjwa kubonakala kanjani uma kugwinya nokulula kalula isimo esimweni esihle. I-degree yokugcina yiyesihlanu, lapho intamo ikhubazekile. Izindinganiso zanamuhla zenqabe ukulingana okunjalo, okukhetha ukuhlukanisa ngokucacile isimo esinempilo nesithintekile ngosizo lwezingxoxo ze-ultrasound. Banikeza ithuba lokukhomba ukuthi kukhona inkinga, ukunciphisa amathuba okuhlolwa okuzithobayo.
I-Goiter - ukuxilongwa
Uma usola ukuqala kwesifo, sebenzisa lezi zindlela ezilandelayo ukuqinisekisa ukuxilongwa.
- Ukuhlaziywa kwegazi - qhathanisa nesondlo noma okuqukethwe kwama-hormone T3, 4, TTG kanye ne-thyreoglobulin.
- Ucwaningo lwe-urine - qaphela ukwabiwa kwe-iodine.
- I-Ultrasound - kusiza ukunquma uhlobo lwesifo.
- I-cytogram ye-goiter yama-colloid eyenziwa engozini yokuguqulwa ibe yinto eyingozi, isisiza ukucacisa uhlamvu lwayo.
Ngokuzimela, ukuntuleka kwe-iodine kungathathwa ngokusebenzisa ukuhlolwa kwekhaya. Ngaphambi kokulala, sebenzisa izixazululo ezintathu ze-iodine isisombululo. Umzila wokuqala unomzimba omncane, futhi owokugcina - ukhulu kakhulu. Uma ekuseni yonke imichilo iphela, khona-ke umzimba awunakho iodine , futhi uzama ukuyithola kunoma imuphi imithombo. Ukubusa ukunyamalala ekuseni olulandelayo ibhande le-thinnest.
I-goiter yama-colloid - ukwelashwa
Kunezindlela eziningana zokususa le nkinga, udokotela othize ukhetha. Indlela, indlela yokwelapha i-nodular goiter, ingahluke kakhulu ekuthatheni ukwakhiwa kwezinto ezimbi. Kubalulekile ukuthola i-aphoyintimenti ne-endocrinologist, ngoba abanye ochwepheshe, ngenxa yokungabi namakhono, bazobhala izimpawu eziphazamisayo zokusebenza ngokweqile. Izinhlobo ezimbili zokwelashwa zisetshenziswa ngokusemthethweni:
- imithi;
- ukuhlinzwa.
Ukwelapha i-goiter ye-thyroid
Ukusebenza nalesi sifo kuxhomeke kohlobo lwayo, ezinye izinketho zidinga ukubona kuphela ngaphandle kokusetshenziswa kwamathuluzi akhethekile. Uma inkinga iqhubeka, kune-goiter ye-colinide ye-colloid ye-gland yegciwane, ukwelashwa kuqala ngokushesha, ngokusekelwe kulezi zindlela ezilandelayo.
- Izindlela zeHormonal. Banciphisa ukukhiqizwa kwe-TSH, kuncishiswe ubukhulu be-gland nama-node. I-goiter yama-colloid ivulelwe izidakamizwa ze-thyroid, uma ezinye izindlela zibhekwa njengezingasebenzi.
- Iodine yomsakazo. I-isotopu ithathwa ngomlomo, ibhubhisa ukukhula okungavamile kwezicubu, kubuyiselwa ukubukeka okujwayelekile nokusebenza kwendikimba.
- Izithasiselo zamaminerali (iJodomarin, iododance). Zisetshenziswa njenge-thérapie yokuvimbela kanye nokugcinwa, ukusiza ukulungisa ibhalansi ye-iodine emzimbeni.
I-goiter yama-colloid ye-gland yegciwane - ukwelashwa ngamakhambi abantu
Imithi yemvelo ingasebenza empilweni yokuqala, uma i-golay colularid goiter ye-gland yegciwane ikhonjwa, ingasetshenziswa kuphela ukwesekwa. Ukwelashwa okuyinhloko kuleli cala kufanele kube nezincomo zesidokotela.
- Umkhumbi weju. Ngokulinganisela okulinganayo, udinga ukuxuba uju, ucibilike emanzini okugeza, umhlabathi we-buckwheat kanye nama-walnuts. Yidla kuleso sabelo njalo ngezinsuku ezintathu ezinyangeni ezingu-1-3.
- Laminaria. Ngenxa yokuqukethwe okuphezulu kwe-iodine, i-sea kale ingavimbela i-goiter ye-colloid. Uma kunesidingo se-microelement, ama-30-40 amagremu ngosuku azokwanela. Endabeni ye-hyperthyroidism, akufanele isetshenziswe.
- I-carpathian emhlophe. Izipuni ezimbili zomhlabathi eziluhlaza kufanele zithathelwe ku-500 ml wamanzi abilayo. I-infusion ihlala usuku, bese ihlungwa futhi ithathwe isigamu seglasi izikhathi ezine ngosuku. Ukudla kuvunyelwe ngesigamu sehora.
- Amagatsha Cherry. Baqoqwa ngaphambi kokuvula izinso endaweni ede kakhulu nemigwaqo kanye nezinye izidakamizwa ezingenzeka. Half ilitha lamanzi abilayo uthele amagremu ayi-100 wezinto zokusetshenziswa futhi ugcine ukushisa okuphansi imizuzu engu-40. Ukulungele ukubilisa uthathe izipuni ezimbili kathathu ngosuku amasonto amathathu.
- Chokeberry ashberry. Amajikijolo ahlanzekile anesisindo esilingana noshukela futhi agcinwe esiqandisini. Kabili ngosuku, i-dessert spoon yenhlanganisela kumele ichitheke engilazini yamanzi ukukhiqiza isiphuzo sokwelashwa.
Ukuhlinzwa kwe-goiter
Izinyathelo ezinkulu ziphakanyiswa kulezi zimo ezilandelayo:
- Ukwanda kwezingu-45 ml, okuholela ekucindezelweni kwe-esophagus and trachea.
- Ukubuya kwe-hyperthyroidism ngemuva kokwelashwa kwama-hormonal. I-goiter ye-colloid ye-gland yegciwane, okwelashwa ngale ndlela akuzange kuholele emiphumeleni oyifunayo, kudinga ukungenelela okuhlinzekwa ngenxa yokungamukeli okungathandeki kwama-hormone iminyaka engaphezu kwengu-2. Ngaphandle kwalokho, ingozi yokulimala kwamanye amasistimu, ikakhulu isibindi, yanda kakhulu.
- Zagrudnii goiter.
- I-oncology noma ukusola kwalo.
- Ukubonakaliswa okunamandla okukhulu ngemuva kokuthatha imithi.
- Ukwakhiwa kwe-node yokuzimela, okukhiqiza ngokuzimela ama-hormone ngobuningi obukhulu.
Ukususwa kwe-goiter colloid kwenziwa nge-endoscopy kanye namasu amancane angenayo, okuqeda isidingo sokusikeka. Ngenxa yalokho, ukutakula kuyashesha, iziphambeko ezibonakalayo zezimonyo azihlali. Kwezinye izimo, inqubo yenziwa ngokuchotshozwa kuka-6-8 cm. Ukusika kungaba yinye noma yonke insimbi. Ingxenye yokuthengiswa komsebenzi ayisekho ngenxa yendlela ephezulu yokuphindaphinda futhi ukwakhiwa kwezicubu ezinamafutha ezizungeze isitho eziphazamisa ukungenelela okulandelayo.