Goiter qanjirka thyroid multinodular: sababaha, baaritaanka iyo daawaynta muuqaalada

Waayo, dad badan, qanjirka thyroid waa oversized. Xaaladaha qaarkood, cudurada tani ma aha a no-brainer, laakiin endocrinologists ugu cudurka goiter multinodular. Waxay dhacdaa ay sabab u tahay deegaan xumo iyo la'aanta ah ee iodine ee jirka. Qanjidhada waa benign ee dabiiciga ah inta badan, laakiin mararka qaarkood waxay gaarin karaa buro malignant, kaas oo la saaray qalitaan. In this article, waxaan baari doonaa waxa goiter multinodular qanjirka thyroid ka. Jawaabaha Daaweynta waxa ku saabsan sidoo kale waxaa loo tixgelin doonaa.

Description of cudurka

Sababo la xiriira la'aanta iodine in cunto iyo biyo thyrotropic hormoonnada bilaabayaan inay la soo saaray qanjirka thyroid in tiro badan oo ah, sida xubnaha laftiisa waa awoodin in ay soo saaraan lacagta loo baahan yahay ee hormoonnada u gaar ah.

hormoonnada Thyrotropic soo saaray qanjirka pituitary ee ka cadhaysiinina kororka ee unugyada, taasoo keentay in ay korodhka degdeg ah. Sida ugu dhakhsaha badan baahida loo qabo kuwan walxaha gaar ah uu bilaabo inuu hoos u, Colloid ururtay in unugyada ee jirka keenaysaa in formation of kiishashka waaweyn. Dusha, waxay u ekaan goiter weyn, kaas oo la arki karo in ay isha qaawan, oo inta badan lagu dareemi karin taataabasho by bukaanka.

Ka dib markii xaddi gaar ah oo wakhti jidhka mar kale ku kicin kara wax soo saarka ee hormoonnada thyroid iyo goiter thyroid sii si loo kordhiyo.

noocyada cudurka

goiter Multinodular qanjirka thyroid waa saddex nooc:

• Guntin - haddii la ogaadaa jirka kordhay sinnayn dhaca ay sabab u tahay waxqabad xad-dhaaf ah;
• waajihi - kiiskan jarayaa qanjidhka isku koraa ay sabab u tahay hoos u ah ee ay u shaqeeyaan secretory;
• isku qasan - waa dhif, jirku wuxuu leeyahay kor u sinnayn, laakiin meelaha qaarkood ilaashadaan homogeneity.

Haddii in ka badan laba qanjidhada ka badan 1 cm dhexroor, doorataa haysta dalool ee qanjirka thyroid. Inta badan, iyagu waa benign. Guud ahaan, burooyinkaan saamayn kasta oo ay shaqo ma laha, iyo cudurka tani waxaa la yiraahdaa "goiter euthyroid multinodular." % Ka mid ah qanjidhada kaliya 5 waxaa laga yaabaa in kansar.

In dalka, goiter sun multinodular ku dhacaa 12% dadweynaha, haween badan tahay ragga si ay u oggolaan. Iyadoo da'da kordhisaa suurtagalnimada cudurka this, iyo in ka badan oo dhan ayay ogaan in 45-60 sano.

Inkasta oo ay goobjoog ka ahaayeen qanjidhada ee qanjirka thyroid uusan saamayn ku lahayn shaqada jidhka, laakiin wali loo baahan yahay in lagu daweeyo cudurka. Waxaa jira xaalado marka la'aanta ah ee dareenka dhibaatada keeni karaan khatar ku ah nolosha.

Sababaha cudurka

Sababaha dhabta ah sababta ay jirto a multi-dalagga, aan si buuxda loo fahamsan yahay, laakiin dhakhaatiirta odhan iyadoo la hubo in ay tahay deficiency iodine inta badan dhirfinaya cudurka.

Qodobada kale ee ka qeyb formation of cudurada waxa ay kala yihiin:

• cillad ka mid ah habka dhexe ee neerfayaasha,
• dhaawac maskaxeed;
• xakamaynta ahaasho humoral;
• xaalado shaqo oo waxyeello;
• qaadashada sii dheeraaday ee dawooyinka qaarkood;
• cabista hidde in cudurka;
• cudurka beerka iyo nidaamka dheef shiidka,
• dollar ay sabab u tahay qabsashada;
• gaadhista shucaaca,
• caabuq soo noqnoqda ee qanjirka thyroid;
• cunto aan habooneyn.

calaamadaha

Man mana garan karo in uu leeyahay a multi-dalagga, calaamadaha ku jira marxalad hore waxay noqon kartaa mid gabi ahaanba jid ay ku muujin oo aan bixinta wax dhibaata bukaanka. Inkastoo unugyada yar, oo ku saabsan 2 cm dhexroor, iyaga arka oo isha oo qaawan waa kuwo ku adag, sidaa darteed waxay inta badan waxaa laga helaa on ultrasound inta lagu guda jiro kormeerka joogtada ah.

Haddii aad iska indha dhibaatadan, ka dibna qaar ka mid ah ka dib markii laga yaabaa in tayroodh. Bukaanku bilaabo inuu rabshin dhidid xad-dhaaf ah, caro, tachycardia baxdo, cadaadis kordhay ka, caafimaadka guud ayaa dilaacda. Xat dhici kara in wadnaha, rabitaanka cuntada oo kordhay, dadka mar walba dooneysaa in aad cabto, waxa uu bilaabo in ay lumiyaan miisaan. Notes gariiraya farood, carrabka iyo jirka. Night buka unbearably kulul, ay bilaabaan in ay dareemaan cabsi iyo walwal. Calaamadahani waxay keeni in hoos u dhac in rabitaanka galmada.

Mararka qaarkood goiter sun multinodular kordhin kartaa wax badan in uu bilaabo inuu ku cadaadisaa xubnaha dhow. isbedel cod bukaanka, waxa uu noqonayaa mid ay adag tahay in la gooyo, neefsado, dareen ah riixo ama neef, gaar ahaan meel la jiifo qoorta.

ogaanshaha of goiter

Haddii aad ka shakisan tahay in bukaan-socodka uu leeyahay a multi-dalagga, ka dibna fuliyaan Baadhista qanjirka thyroid ka. First, bukaanka oo booqday dhakhtarka, ka dibna u soo diro Mareykanka jirka this. Haddii qanjidhada ugu fadilnay ballaciisu yahay ee 1 cm, iyo magacaabi irbad dalool a biopsy burooyinkaan. Sidoo kale cilmi baaris on hormoonnada, raajada xabadka, marka uu jiro dareen ah riixo, MRI iyo scintigraphy.

Hababka loo daaweeyo thyroid

Tan iyo bilowgii aad u of horumarinta cudurada sida a-dalagga badan, waxay dhacdaa dhowaad astaamo, ka dibna muddo ka dib ka mid bilaabo si ay u dareemaan saamaynta ba'an. Bukaanku lumiyo miisaanka si degdeg ah, waxaa jira khalkhal qalbigiisa ku, waxaa jira isku yaacsanaan kordhay iyo daal aad u daran.

Haddii uu ogaanshaha "a multi-dalagga", daaweynta takhtarkaaga kuu qori kara kuwa soo socda:

• qaato maalin daawooyinka iodine ku jirto, daawaynta haddii ay taasi waa wax dheer,
• sal-jirka buka ee iodine shucaaca, taas oo ka caawisaa si loo yareeyo kuus kuus.

Haddii aadan ku caawin daaweynta sida, goiter multinodular qanjirka thyroid waxaa lagu sakhiray in qaliin, gaar ahaan ay u size waaweyn.

Daaweynta la LITT

Haddii hababka muxaafidka ah ayaa ku guuldareysatay inay joojiyaan koritaanka of dalagga, dhakhtarku kuu qori karaa thermotherapy interstitial laser-laaluusheen (LITT). Xaaladdan oo kale, unit fiber ee indhaha ayaa la soo bandhigay. Sidaas darteed, unugyada dhismeedka protein goiter bilaabaa in uu saameyn ku yeelan heerkulka at 41-46 degrees, ay sabab u tahay taas oo unugyada joojin kala qaybinaysa.

Faa'iidooyinka habkan been in xaqiiqda ah in daaweyn-pre, daaweynta qaadan kartaa meel aan suuxdinta, xajisto oo dhan qanjirka thyroid looma baahna ka hor howlqabadka.

Laakiin waxaa jira hab ka mid ah daaweynta iyo sababo sida:

• cudurada degaaankaaga,
• qaab daran ee tayroodh iyo hypothyroidism,
• cudurka maskaxda;
• barar ah aagga sare ee neefsashada.

daaweynta dhaqameedyada

Haddii qof laga helo daaweynta goiter multinodular (this cod karnimo ah dib u) dawayn lahaa dad si weyn u hagaajin karaa xaaladda bukaanka. Sidaas darteed, soo celiyey saarka caadiga ah ee hormoonnada ah ee jirka ku, iyo waxa replenishes lacagta loo baahan yahay ee iodine.

Maalin kasta waa in ay cunaan kaabash badda, cabbi Tincture of Hawthorn, qaadan qubeys diirran oo cusbo badda iyo D. sidaas on. Iyada oo taageero ka dhigtee, daawooyinka kala duwan goiter bounces multinodular dib.

Saamaynta ugu weyn ee daawooyinkan murma:

• cawska Vernal Adonis peppermint siman isku qasan, buluug cas, ugdoon, calendula ubax qiyaasta, chamomile iyo cudweed. ururinta Tani waxay ku adkaysanayaan in biyo kulul muddo laba saacadood oo cuntada ka hor qaadato.
• Valerian daroogada Mixed, beeyo liin, miraha la qalajiyey of ash buur, caleemaha muuska, dhir sare, cheiranthoides erysimum, Burot, caleemo strawberry duurjoogta ah, yarrow, caleemo ee xikmadda, daawooyinka, ku shub biyo karkaraya iyo ku adkeyso. Waa lagama maarmaan in la qaato faleebo ah maalin kasta muddo 15 daqiiqo ka hor waqtiga cuntada.
• Ayaa lagu daray in Joogaba, loo siman yahay calendula qiyaasta, akne Artemisia, cudweed, wadnaha-lime, Hawthorn lagu mudayo, safsaf angustifolia, ubax chamomile, waxaa kacay sinaha, milix beerta iyo Biyo kulayl badan loo daadshay. Collection kululeeyo qubeyska biyaha ah ku adkeyso ilaa 2 saacadood, filter oo cabbaan dhawr jeer maalintii.
• Connect la dhirta, daawooyinka sida Rose lagu mudayo, liin geed beeyo, chamomile, ugdoon, cordata Tilia, geedo yaryar oo safsaf cidhiidhi irdo, comfrey, dhexdana ku taqasuusay wadnaha, muuska waaweyn iyo milix beerta. Qaddar yar oo dhulka ururinta budo ah iyo ku shub biyo karkaraya. Waa in ay cabaan dhawr jeer maalintii.

daawo dabiiciga ah sida caadiga ah waxay qaadataa 1.5-2 bilood, ka dibna ka dhigi nasasho in dhowr toddobaad.

Si loo adkeeyo natiijooyinka wanaajinta xaaladda thyroid talinaynaa ku eedeeyay dawooyinka soo socda:

• Qaaday in tiro la mid ah calendula, chamomile, Valerian, peppermint oo strawberry duurjoogta ah, isku qasan oo ku shubtay biyo karkaraya. adkaysanaya, inay 2 saacadood meel diiran, ka dibna shaandhayso oo saddex jeer maalintii 15 daqiiqo ka dib cunista.
• johannesört johannesört Mixed St. John ee, caleemo fireweed cidhiidhi irdo, waxaa kacay sinaha, ugdoon, ubaxa engegay lime wadnaha-qaabeeya, ku shub biyo karkaraya iyo ka baxaan qolka diiran. Shaandhayso oo cabbaan 4 jeer maalintii cuntada ka dib.

gunaanad

Sidaas daraaddeed, waxaan leenahay in la fahmo waxa a goiter multi-thyroid. Daaweynta (dib u dad badan oo taageero this) ilaa xad si guul leh daawada ku habboon in dhakhtarku. Waxaad ma ordi karaan cudurkan khatarta ah, sababtoo ah waa ben la dhibaatooyin badan, naf-gooyada ah.