A uphawu yegilo ukukhulisa. Izimbangela yegilo ukukhulisa, ukwelashwa

Akubona bonke abantu ukuthatha Luhlolo yonyaka zokuvimbela i endocrinology. Kodwa ngokuvamile kuyindlela kuphela ukuhlonza izinkinga ngesikhathi bese uqale abaziphatha ngayo. Yiqiniso, kunezinto eziningi izizathu zokuthi kungenzeka ukusola ukuthi kukhona okungahambi kahle, kodwa ngokuvamile abantu nje bamshaya indiva kubo.

Self-uphethwe

Kubalulekile ukwazi, okuyinto kungase kubonise izinkinga ezingaba khona kwi uphawu yegilo ukukhulisa kuyadingeka ukuze banake kwasekuqaleni. Ngakho, singaphetha zama palpate lesi sitho ekhaya. Itholakala entanyeni nje ngemuva uqwanga yegilo, esishukumisela ngesikhathi singagwinyi.

Uma ubeke isandla ukuze thumb ngakwesobunxele uqwanga, nabanye abangu-4 - ngakwesokudla, ungaziqhenya inhlangano okuyinto has a ukuthungwa esithambile. Lokhu kuyadingeka ukuze nathi umzimba. Ukuze abone ukuthi ukwanda yegilo iyizingxenye abe isidingo sokwazi lokho kufanele kube ngosayizi. Ngakho, ngokuvamile nje ndlela yokuhlasela yokuhlanganisa izihlangu lokugcina isithupha - umuntu lapho nail. Uma ucabanga ukuthi, kungcono ukwenza aphoyintimenti nge endocrinology, abangakwazi azokuqhubela luhlolo okhokhelwayo.

Phakathi self-test Bangalinganisa ukuminyana futhi isheke layo ISIZINDA. Kahle kahle, kuba soft futhi nokunwebeka. Kwezinye izimo, kubaluleke kakhulu ukuba aye kudokotela. uphawu okunjalo okwandayo kwale ndlala akunakugwenywa. Ngemva isakhiwo yayo aminyene zingase zibe Indlela umdlavuza. Kubalulekile futhi ukuqinisekisa ukuthi oluhamba uqwanga yegilo ngesikhathi singagwinyi.

Nakani ubuhlungu. Ngokuvamile phakathi ibhukwana webele luhlolo ukungakhululeki kuphela kufanele kube khona. Kuzo zonke ezinye izimo, uma uya kudokotela iba kumele.

Izizathu ukwanda

Njengoba wayekuqonda lokho uphawu yegilo ukukhulisa akunakugwenywa, kubalulekile ukuqonda ukuthi yini ebangele ukuba nezinkinga. Ngakho, okokuqala kwezithelo zonke udokotela ophethe inhlolovo isiguli, ocacisa ukuthi wayenobuhlobo yofuzo. Kodwa, ngaphezu ufuzo, zikhona nezinye izizathu. Thyroid ukukhulisa kungenzeka kubangelwa malabsorption indlela i-iodine noma irisidi eliphansi kakhulu kwalesi sakhi trace emzimbeni.

Futhi goiter kungenzeka ngenxa yokuchayeka ngokweqile entanyeni noma ikhanda. Ngezinye izikhathi izimbangela zezinkinga amanga inombolo ngokweqile nokucindezeleka okuthile, ukucindezeleka isikhathi eside, iloli sezinzwa. Hola ukuvela ingila ukuphazamiseka kwama-hormone emzimbeni.

kwezitshalo izinhlobo

Kuye isithombe yomtholampilo, odokotela baye baphawula eziningi izigaba. Ngezinye 0 lamadigri izinkinga zendlala yegilo kungukuthi zitholiwe imanuwali ukuhlolwa. Kuyinto olingene ngaphandle zokwakheka.

Ukwandisa izinga yendlala 1 libhekene izinguquko ezincane ukuthi okungase kuthintwe. Kodwa ukuma entanyeni engashintshwa, akukho ukusonteka ayikwazi ukutholwa ngeso lenyama.

Isigaba 2 elinesimo ukwanda ngokuphawulekayo e sitho, kuholela ukubukeka uhlevane esikhumbeni. ngaleyo ndlela Intamo zikhubazekile. Awuboni goiter grade 2 engenakwenzeka.

ochwepheshe bakhiqiza izinguquko ehlasela umzimba kanye nodular. Endabeni wangaphambili insimbi luyanda nombala. Futhi, goiter ehlasela umzimba uhlukaniswe ezinobuthi futhi okungezona ezinobuthi. ifomu Nodal lesi sifo libhekene ingxenye elilinganiselwe wendlala okwandisa. Kukhona uhlobo okuxubile kwezitshalo. Ngesikhathi esifanayo kukhona izimpawu kokubili ukwanda ehlasela umzimba kanye nodular.

nezindaba ngezigaba

I endocrinology inhlolovo akumelwe nje bagcine ngokufuna ukusungula degree wokukhuphuka yegilo, kodwa futhi ukuze abone euthyroid, noma gipotireodnoe gipertireodnoe isimo. Izimpawu goiter ukubukeka kuzoncika izinguquko ezenzeke nendikimba wathi.

Euthyroid ukwanda nesineke ngokuvamile sihamba engabonwa. Abantu, njengoba umthetho, kungakhathaliseki ukuthi ungenawo akhononde. Kodwa iziguli enjalo waphawula ukushayisana esimiso senhliziyo nemithambo yegazi, izimpawu zokugula esivimba amanzi. Ingase futhi kumelwe kugujwe ne izinqubo umzimba yenkinga.

Hyperthyroid goiter lingandile. Kodwa kuyafaneleka ukuthi ukwanda okungaka e umdlavuza ndlala abesifazane abevile kaningi kunabantu. Iziguli ingase ikhononde iphika ngezikhathi, palpitations inhliziyo, ukujuluka. Futhi kule fomu lesi sifo ephawulwe iminwe nangokuthuthumela.

goiter Hypothyroid enezinto eziningi izimpawu zokwelapha, kodwa kungenzeka zingaveli kusaqalwa. Ngo ngaphezulu izinhlobo eziphambili ukuxilongwa ulula. In iziguli ngobuso eziningana Puffy, isikhumba esomile, ukuphaphatheka isikhumba. Futhi, kukhuphuke nezinwele kwenzeka.

Izimpawu eutireodnogo umdlavuza ukwanda

ukubonakaliswa Clinical lesi sifo ngeke ngqo ngokuthi iliphi uhlobo savela. Ngokwesibonelo, goitre euthyroid akusho ukuzibonakalisa. It ayikuvumeli ukuxilonga ngisho ukuhlolwa igazi for ama-hormone. Ngokuvamile, lokhu kwanda selivela isici esibalulekile yezimonyo. On entanyeni kusobala ebonakalayo yegilo indlala. Izithombe zabantu nalesi sifo kwenzeka kaningi kunabo. Ukwanda ingaba nkulu ukuze insimbi licindezele izitsha, kunciphisa inesikhala we kuqhoqhoqho, emphinjeni. Ngakho umuntu angase akhononde nobunzima bokuphefumula nokugwinya.

Izimpawu kanye gipertireoidita gipotireoidita

kokuphenywa eningiliziwe nesineke futhi ivumela ukuqoqwa izikhalazo endocrinologist ukusungula uphethwe ukuthethwa kwecala. Ngakho, goiter hyperthyroid libhekene yegilo giperfuktsiey. Iziguli ezimweni eziningi akhononde exophthalmia, tachycardia, umfutho wegazi ophakeme, ukusheshisa umzimba, isifiso yanda.

goiter Hypothyroid kubonakala ngendlela ehlukile. Ngisho hypersomnia - uphawu yendlala ukukhulisa. Ngaphezu kwalokho, lesi sifo kubonakala hypotension, ukuqothuka kwezinwele, umuzwa ukoma emlonyeni, uhlobo ukucobeka, ukubuyisa, ukuqunjelwa. Ngokuvamile iziguli imiphumela kwatholakala ukuthi banesifo sokuntuleka kwegazi. Abanye baphawula ngisho ukulahlekelwa kukuzwa. Lokhu kungenzeka ngenxa edema tube Eustachian.

injongo indlala

Kubalulekile ukuqonda ukuthi abanale nkinga ezithinta umsebenzi wonke umzimba. Ngakho, lo mgwamanda obangela evamile, ukusebenza ezinzile izinhlelo sezinzwa futhi senhliziyo. Iphinde elawula amaprotheni zamagama, ebanjwa phezu emangqamuzaneni, ukusetshenziswa kwe-phosphate, i-calcium ne-oksijini. Ngokuhamba kwesikhathi ukuvimbela inkinga, kubalulekile ukwazi ukuthi ukuze abonise ukuthi kweNdikimba indlala yegilo. Izimpawu (ngaleyo ndlela yokwelapha kumele ziqondiswe wathi umzimba umsebenzi ukulungiswa) Kungenzeka nhlobonhlobo. Bona iyashiyana uhlobo lwesifo.

Ezimweni lapho indlala yegilo uyayeka nokusebenza ngendlela efanele, ukushintsha isisindo, zikhona izinkinga isimo sengqondo kanye lisebenza. Ngakho, lisebenze isikhathi lesi sifo kungaholela ukukhuluphala, ukungasebenzi ezibucayi inhliziyo, ukuqothuka kwezinwele, nezinkinga zobulili kanye nezinye izinkinga zempilo.

Ukubaluleka yokwelashwa

Uma ubona endocrinology okungenani oyedwa uphawu yegilo ukukhulisa, ke ngeke cishe ukuthumela i-ukuhlolwa kwakho. Dlula amahomoni main obhekene nomsebenzi wayo kuleli cala. Futhi, udokotela wakho angase athumele ukuba ultrasound indlala. Ukuhlolwa kwegazi kungacacisa ukuthi kungakanani izinga lama-hormone obhekene nokusebenza kwawo. Kodwa ultrasound kungaba ngokunembile kwasusa izitshalo, ukukhomba Izigaxana ngisho encane.

Emva isinqumo sokugcina uphethwe ungazami self-medicate, futhi noma kunjalo, ungadikibali yokwelapha i-hormone. Ezimweni eziningi, kuphela kungasiza ukwehlisa umthwalo indlala yegilo. hormone Inikezwe liyakwazi isidingo samanzi emzimbeni kakhulu ekwakheni ngaleyo ndlela umsebenzi wakhe. Kodwa udinga ukuthatha njalo. Ngezikhathi, i endocrinology uyoncoma ukuthi thatha futhi bamba futhi uvivinyo. Kuyadingeka ukuba ulungise Isikali hormone. Ngaphezu kwalokho, ukuphathwa kungenziwa sibhekiswe ukuqedwa izimbangela ezaholela ukuphulwa.

izindlela yokwelapha

Ukuze ukhethe ukwelashwa okufanele, kubalulekile ukwazi ukuthi yini umthelela izinguquko ukuhlonza izimbangela. KweNdikimba indlala yegilo kudinga enquma hhayi kuphela abanekhono, ukukhethwa izilinganiso oyifunayo ngamalungiselelo ama-hormone, kodwa futhi yokulungiswa yokuphila.

Uma udokotela uthi mayelana nokwelashwa engasetshenziswa ukuqeda izimbangela zezinkinga, khona-ke kumelwe abe Usululungele ushintsho ekudleni kanye eziningi imikhuba. Kubalulekile ukuba wandise ingxenye yawo, ezizama ukuguqula umzimba.

goiter sendawo livela ezimweni eziningi ngenxa yokuntuleka iodine esemzimbeni atholakala. Kulokhu, odokotela bangathatha ukwabela izidakamizwa ezifanele, isb, kungase kube indlela "Jodomarin".

Kodwa lapho goiter hyperthyroid kuyadingeka ukuze ulungise indlala yegilo ukuze manje ukhiqiza ama-hormone amancane. Le mithi abizwa ngokuthi tireostaticheskimi. Lo muthi kungenzeka "tirozol", "Metizol", "Merkazolil". Ingqikithi asebenzayo okukukho methimazole. Futhi, udokotela wakho angase akunikeze yokukhalaza "propitsil". Kuyo isithako esebenzayo ngokuthi propylthiouracil. Ukwelashwa izindlela ezinjalo, izothatha iminyaka engu 1-1.5 kuncike ngezinga elithile yegilo ukukhulisa.

goiter Hypothyroid kudinga indlela ezahlukene ukwelashwa. Ukuze ukuzinza of thyroxine edingekayo. I-ejenti eyaziwa best uyakwazi ukunciphisa izinga kwale hormone emzimbeni, kuyinto «L-thyroxine". Kubalulekile futhi ukusebenzisa Vitamin izakhiwo. Emzimbeni in imali eyanele okufanele sehlele amavithamini iqembu B, A, C Uma lesi sifo kuhambisana kwegazi, bese iqondiswa yensimbi amalungiselelo.

kokungenela kuhlinzwa

Kwezinye izimo isivuno luyanda ukuze cindezela izibilini, phusha Umthambo, kuqhoqhoqho kanye kuqhoqhoqho. Futhi ngezinye izikhathi kubangele ukukhubazeka yezimonyo ezikhulayo yegilo. Photo kunikeza umbono ocacile wendlela zingandiswa. Ngokwesibonelo, abanye entanyeni kukhona ukwanda ebonakalayo ngobukhulu kweqanda.

Ezimweni ezinjalo, ukwelashwa ngoludala akunakwenzeka ifaneleka. Nokho, kwezinye izimo, ngommese likadokotela ohlinzayo ungayithola enye ukwelashwa ngemisebe.

Izinkinga ezinganeni

Izinkinga operation yegilo usungaqala ngasiphi yobudala. Kodwa izingane babangela izinkinga eziningi, kamuva akuzange ukukulungisa. Ngakho-ke ukukhula umdlavuza ndlala izingane ezingapheli zingayilimaza kokubili ngokwengqondo futhi ekuthuthukiseni ngokomzimba imvuthuluka. Futhi, isitho obhekene umzimba, isimo somzimba sokuzivikela ezifweni, inhliziyo umsebenzi.

Kunezindlela eziningana izimpawu, okungase kube asola ukuthi ingane inenkinga emkhakheni Endocrinology. Ukuze udokotela ukuya kangcono uma ingane uye abavilaphayo, kwaqala ukuvela alien kuye komzimba nezinto, yizifo njalo. Isikhumba kungenzeka ezomile, kodwa kwezinye izimo buba manzi, edematous. Kuba yisikhathi futhi lapho uphawu olucacile izinkinga kuyinto ukukhula ongaphakeme. Thola iseluleko endocrinology, kuyatuseka futhi esimweni cwaningo of udokotela iSifo imvuthuluka igazi.

Zibandakanye izingane ukwelashwa kufanele Uchwepheshe zezingane kuphela. Angaba ubambe uphenyo manual, batusa ukuba zihlolelwe amazinga ama-hormone noma iya cwaningo ultazvukovoe. Humusha zonke Imiphumela can kuphela endocrinology zezingane , ikhumbula eminyakeni yobudala yomntwana futhi isithombe yomtholampilo, lapho abona khona ngesikhathi sokuhlolwa.