Goiter ekubhebhetselisa akunabo ubuthi: ukuxilongwa kanye nokwelashwa

Goiter ekubhebhetselisa okungezona ezinobuthi - isifo lalivamile, okuyinto kuhambisana ukwanda usayizi yegilo. Yena kakhulu abesifazane amadoda zanoma iyiphi iminyaka (ngokuvamile kutholakala izingane). Yiqiniso, iziguli kufanele ufunde ulwazi mayelana nalesi sifo, akusiwona uphethwe kucace ngokuphelele ngokuvamile kubangela ukwesaba abantu. Ngakho, yeka ukuthi kuyingozi kanjani kungaba isifo nendlela yokugwema ukuthuthukiswa yayo? Yiziphi izimpawu kufanele sinake?

Ekubhebhetselisa goiter akunabo ubuthi: Ikhodi ye-ICD kanye izici eziyisisekelo sifo

Lesi sifo libhekene hypertrophy futhi Hyperplasia kwezicubu yegilo. Ngamafuphi, le ndlala yegilo kuqala ukukhula ngosayizi. Lokhu zokugula ngaphansi E04.0 olunezinombolo futhi kuchazwe ICD-10.

Ehlasela umzimba goiter akunabo ubuthi akuyona ephelezelwa iziyaluyalu sokusebenza. Against ngemuva sifo ningagcini hyper- noma hyposecretion yegilo, ngakho-hormone uhlala evamile. I ukwanda kwalesi sifo - 4-5%. By the way, abesifazane nivame kuwo ngaphandle ubulili namandla. Kaningi kukhona ngokukhukhumala kwentamo goiter akunabo ubuthi ezinganeni, kodwa luvame sitholakale kubantu oseqinile, ngemva kweminyaka engu-30.

Ukwahlukanisa: zinhlobo kanye namafomu lesi sifo

Ezimweni eziningi, goiter non-enobuthi eba ngokumelene isizinda ukuntula iodine esemzimbeni atholakala. Uma kuziwa ukuntuleka kwalesi sakhi endaweni yokuhlala, nesifo esibizwa ngokuthi sendawo - singaphansi ingxenye enkulu yomphakathi.

Kodwa kukhona nezinye izimo ezingenza isivuno eba ngokungabi bikho ukuntula iodine endaweni lapho uhlala khona. Leli fomu oqabukelayo lesi sifo, okuyinto kubangelwa amazinga enganele uketshezi kwama-hormone egilo.

goiter akunabo ubuthi kungabonakala ngokukhukhumala kwentamo, isikhungo (kwezicubu yegilo akhiwa obukhulu Izigaxana ingozi) futhi kuxutshwe. Ngaphezu kwalokho, yensimbi hypertrophied ungaba ukungaguquguquki ezahlukene - uthinte izicubu kungenzeka elithambile, nokunwebeka, obukhulu futhi ngezinye izikhathi ziba izinhlumba esihle eziyize.

esigabeni isifo

Goiter ekubhebhetselisa non-enobuthi ezimweni eziningi sibangelwa kancane. Ngo inqubo yokwelapha yesimanje uhlukaniswe izigaba ezintathu, eqondiswa izimpawu zangaphandle:

• Ngo okuthiwa zero isinyathelo izinguquko ezibukwayo bengekho - wabuka entanyeni ziyafana, futhi kunzima ukunquma khona isifo ku palpation.
• Ehlasela umzimba goiter akunabo ubuthi 1 degree ayikwazi ukucaciswa ngesikhathi sokuhlolwa, kodwana ngizokwenza ngesikhathi palpation i kudokotela onolwazi oluthé kungenzeka wazi ukwanda umdlavuza.
• In esigabeni ukuthuthukiswa goiter yesibili awukwazi kuphela uzizwe ngeminwe yakho, kodwa futhi ukuze abone - kwenze indlala yegilo indlala lakhulisiwe libhekwa njengombala indunduma enkulu ngaphansi kwesikhumba.

Danaus ngezigaba uhlelo inenani elikhulu zokuxilonga.

Ziyini izimbangela zesifo?

Ukwandisa shchitovidki nge isifo ezinjalo kuba compensatory. Kukhula izicubu ngenxa ukuntula iodine. Against ngemuva yokuntuleka lesi sici yendlala amaseli thyrocites, sebeqala uthwebule iodine. Isibalo amaseli luyanda ukuze uthole ngangokunokwenzeka timphawu, ngokulandelana, luyanda izicubu mass.

Isenzakalo esifanayo lihlotshaniswa noma ukuntula iodine (akabe ufake umzimba eziningi ezanele), noma okunye nge enganele secretory hormone yegilo yegilo.

Izimbangela goiter abakwazi ukuthola akuyona ngaso sonke isikhathi. Kuyaziwa ukuthi kukhona kungenzeka ezithile zofuzo kwaziwa. Ngokwesibonelo, ezinye iziguli kufanele izifo ezibangelwa ufuzo elihlobene ne ukuphazamiseka enzyme izinhlelo.

Ngakolunye uhlangothi, kukhona ezinye izinto ezandisa le ngozi. Ngokwesibonelo, ubulili ezibalulekile kanye nobudala isiguli (ukugula, maningi amathuba okuba ube owesifazane ubudala abavuthiwe). Goiter ngokukhukhumala kwentamo akunabo ubuthi ngokuvamile eba ukucindezeleka sezinzwa futhi ukucindezeleka isikhathi eside. Izinto ezibangela futhi zihlanganisa beriberi futhi abanye ukuntula Micronutrient emzimbeni, ikakhulukazi, i-zinc manganese, molybdenum, selenium, ayibe nethusi. calcium okweqile naso singaholela ukuthuthukiswa goiter. Uhlu efanayo ungakwazi zihlanganisa ukubhema, izifo ezithathelwanayo, kanye ukusetshenziswa kwezidakamizwa ezithile.

Lwasemtholampilo isithombe kanye izimpawu eziyinhloko

Goiter ngokukhukhumala kwentamo akunabo ubuthi eba kancane, futhi lapho kusaqalwa, engahlala izinyanga noma iminyaka, lesi sifo akusho ukuzibonakalisa. Ngezikhathi ezithile iziguli esekhala ngobuthakathaka isiyezi, elokhu eba nezikhawu zokuphelelwa wezakhiwo. Kodwa izimpawu zenzeka babeyivakashela ngankathi, ngakho abantu nje bamshaya indiva kubo.

Njengoba isifo kwandisa ubukhulu indlala yegilo - uzophawula ukubukeka tubercle, ukushintsha wabuka entanyeni. Hypertrophy we wendlala evame ukubizwa ngokuthi kokucindezelwa kwezitho eseduze, ezifana imithambo yegazi, kuqhoqhoqho, emphinjeni, nokunye .. Ngezinye izikhathi iziguli esekhala umuzwa njalo yinhlama emphinjeni. Iziguli bangezwa kanzima (ikakhulukazi uma elele phansi), kanye nokugwinya. kufushane njalo umoya izimo ezinzima kakhulu kungaholela ukuhlaselwa kwakhe isifuba somoya. Syndrome aphakeme vena cava iziguli kuwumphumela kokucindezelwa (ecindezela) imithambo.

Yikuphi yezinkinga kungabangela ukugula?

Njengoba sekushiwo, ekubhebhetselisa goiter akunabo ubuthi - kokugula ayinangozi, ikakhulukazi uma kwatholakala ukuthi ngesikhathi, kanti isiguli wathola usizo oludingekayo. Noma kunjalo, lesi sifo lihlotshaniswa ezinye yezinkinga kungenzeka.

Ngezinye izikhathi shchitovidka kwandisa ukuze Eluma isakhiwo ezizungezile, ngokukhethekile, kwalapho kuhlangana khona imizwa nemithambo yegazi ukuthi athwala igazi ebuchosheni. Ngaphezu kwalokho, ukwanda indlala endocrine kungabangela umgudu kokucindezelwa. Ngezikhathi ezithile ukugula kube nzima ukuvuvukala ukubukeka nokopha elincane izigaxa ebeleni.

Ngeshwa, zikhona izimo lapho iziguli ziba ehlasela umzimba / nodular goiter anobuthi, osuvele ephelezelwa iziyaluyalu ezinzima hormone.

Kanjani ukuhlahlwa zanamuhla?

Sifo kulokhu kubaluleke kakhulu, ngoba hypertrophy we indlala yegilo ingase ibe eyabonisa iziyaluyalu eziningi. Okokuqala nje, yebo, udokotela iqoqa umlando kanye palpate indlala yegilo - emabangeni kamuva zokukhula abakulo kungabonakala ngesikhathi kuhlolwe ngamehlo.

Okulandelayo, qiniseka ukuba unikele ngegazi ukuze kutholakale izinga hormone egilo (nge-hormone goiter akunabo ubuthi ilungile). Okuphoqelekile ingxenye ultrasound Kuhlolisisa indlala yegilo, lapho udokotela kungacacisa ukuthi ngokunembile ubukhulu wendlala yabesilisa, ukusungula ukuba khona noma ukungabi ngamaqhubu, izinhlumba nezinye neziqu.

Ngezinye izikhathi esimweni eyengeziwe - kukuvumela ukunquma degree of zlib we emphinjeni kanye ipheshana zokuphefumula. Phambi ngamaqhubu ezigulini batusa biopsy.

Non-enobuthi ngokukhukhumala kwentamo goiter: ukwelashwa

Ukwelashwa nge ngalokhu kugula ixhomeke ngezimo zesiguli futhi degree nezindlala emikhulu. Ngokwesibonelo, zero esiteji oluthile lokwelapha futhi ayidingi - isiguli Kunconywa ukuba ulungise ukudla, ukugwema ukuhlala ucindezelekile futhi ibhekane sokuhlolwa njalo.

Izigaba iziguli eyabelwe ukwamukela izidakamizwa iodine wesibili nowesithathu (potassium iodide umthamo wansuku zonke imayelana 200 mg). Ukuze kancane kancane ukunciphisa abanomdlavuza ngokuvamile kudingeka replacement therapy, okungukuthi, ukuphatha izidakamizwa equkethe levothyroxine. Kaningi, odokotela batusa imithi efana "Eutiroks", "Levothyroxine" futhi "Yodotiroks".

excision Steel sensimbi wenziwa kuphela ezimweni ezibucayi kakhulu, uma isiguli ibone kokucindezelwa sina. Kulezi zimo, ingozi eliphezulu ngenxa yokungawutholi umoya nezinkinga semithambo, ngakho ukusebenza uyisidingo.

Zikhona izindlela zokuvikela?

Yiqiniso, kulula kakhulu ukuvimbela ukuthuthukiswa isifo kuka ke funa izindlela ongakusebenzisa ngazo ukuqeda ngokuphumelelayo. zokuvimbela Specific alikho, kodwa zonke iziguli kufanele ukulandela imithetho elula. Kuyaziwa ukuthi ezifundeni nge ezihleliwe iodine ukuntula, labantu Kunconywa ukuthi ngezikhathi ezithile ubuyise izinqolobane kwalesi sakhi emzimbeni, noma ukusebenzisa izidakamizwa-iodine-equkethe. Ukuze bagweme ukubanjwa imithi efanayo zaphathwa izingane ngesikhathi ukwanda okukhulu kanye nabesifazane abakhulelwe.

yegilo operation evamile kubalulekile ukuthi umzimba othola amavithamini, ikakhulukazi, retinol, tocopherol, vitamin B12 no D. Ngakho-ke, izikhathi 1-2 ngonyaka abantu ewusizo ukuthatha Vitamin izakhiwo.

Yiqiniso, isinyathelo esibalulekile zokuvimbela kuyinto ekudleni. Esikhathini imenyu, kufanele nakanjani ukwethula imikhiqizo iodine, kuhlanganise kwasolwandle, inhlanzi namaqanda. Ibhotela, isibindi, izaqathe kanye namafutha kafishi bazogcwalisa umzimba nge amavithamini abalulekile. Kodwa ukudla njenge-broccoli, isithombo, itheniphu, horseradish, cauliflower ne iklabishi esondela kancane kancane nokwenziwa iodine esemzimbeni atholakala. Yiqiniso, ukunikeza ngokuphelele kuzo Akufanele uzizwe zinkulu, ngoba aqukethe eningi nezinye izinto ewusizo, kodwa ukunciphisa isibalo okudingayo. Yiqiniso, kufanele ugweme ukucindezeleka nokubambelela lesifanele mode, ukulala nokuphumula, bavame ukuchitha isikhathi emoyeni opholile, bayeke imikhuba eyingozi empilweni. Konke lokhu kuzosiza ukuvimbela ukuthuthukiswa isifo esinjengo ehlasela umzimba / nodular goiter akunabo ubuthi.