Goitre multinodular yegilo indlala: izimbangela, ukuxilongwa kanye nokwelashwa izici

Kubantu abaningi, indlala yegilo kuyinto oversized. Kwezinye izimo, lokhu zokugula akuyona akukho-brainer, kodwa endocrinologists kakhulu kutholakala ukuthi uphethwe yini goiter multinodular. Kwenzeka ngenxa imvelo abampofu futhi ukuntuleka kwe-iodine emzimbeni. ISIZINDA awayona ingozi emvelweni ngokuvamile, kodwa ngezinye izikhathi kungaba nje zibe isimila esibulalayo, okuyinto kususwe surgically. Kulesi sihloko, sizohlola lokho goiter multinodular we indlala yegilo. izimpendulo Ukwelashwa ngakho kuyobhekelwa.

Incazelo isifo

Ngenxa yokuntuleka iodine ukudla namanzi thyrotropic hormone aqala ukuba ezivezwa indlala yegilo izinto eziningi ezinkulu, njengoba isitho ngokwawo behluleka ukuveza lemali edingekayo hormone siqu.

Thyrotropic hormone ekhiqizwa indlala pituitary avuse ekwandeni amaseli, okuholela ukwanda yayo okusheshayo. Njengoba nje isidingo lezi izinto ezikhethekile iqala ukushona, Colloid emisipheni yomzimba kuholela ekwakhekeni follicle ezinkulu. Ngaphandle, kufana goiter ezinkulu, olubonakala ngokubona okubonakala ngeso lenyama, bese ngokuvamile palpated yisiguli.

Ngemva isikhathi esithile umzimba futhi icuphe ekukhiqizweni kwama-hormone egilo futhi yegilo goiter liyaqhubeka landa.

zinhlobo isifo

goiter Multinodular we indlala yegilo iyisitho ezintathu izinhlobo:

• node - uma sitholakale engalingani ukwanda umzimba ukuthi kwenzeka ngenxa yomsebenzi walo ngokweqile;
• ngokukhukhumala kwentamo - kulesi simo nezicubu wendlala ikhula nombala ngenxa ukunciphisa umsebenzi wayo secretory;
• elixutshwe - kuyinto engavamile, umzimba ine ukwanda engalingani, kodwa kwezinye izindawo ukugcina homogeneity yabo.

Uma ISIZINDA engaphezu kwemibili okweqa 1 cm ububanzi, liqoke ebambe le wokubhoboza we indlala yegilo. Ngokuvamile, zingabantu kungavamile ukuba ingozi. Ngokuvamile, lezi izimila uneminye umthelela umsebenzi walo ayinayo, futhi lesi sifo ubizwa ngokuthi "multinodular goiter euthyroid." 5% kuphela ISIZINDA kungenzeka anomdlavuza.

Ezweni lethu, multinodular goiter anobuthi kwenzeka e 12% yesizwe sonkana, nabesifazane maningi amathuba kunamadoda ahlupheke kubo. Njengoba bekhula kwandisa amathuba asathuthuka lesi sifo, futhi ngaphezu kwakho konke yena Kutholwe eminyakeni 45-60.

Nakuba khona ISIZINDA e indlala yegilo akuphazamisi umsebenzi walo mzimba, kodwa kusadingeka ukuba aphathe lesi sifo. Kunezimo lapho ukuntuleka ukunakekela le nkinga kungase usongo ekuphileni.

Izimbangela zesifo

Izizathu ngqo kungani kukhona multi-kwezitshalo, bengayiqondi ngokugcwele, kodwa odokotela ngokuqiniseka ukuthi iodine ukuntula kakhulu kuphakamisa isifo.

Okunye sezici ezaba nomthelela ekwakhekeni lokhu zokugula yilezi:

• ukungasebenzi isimiso sezinzwa esiyinhloko;
• uhlobo ngokwengqondo;
• ukucindezelwa of amasosha omzimba humoral;
• izimo zokusebenza ezilimazayo;
• engayitholi nokunwetshiwe kwemithi ethile;
• yofuzo sifo;
• isifo sesibindi kokudla;
• sindisa ngenxa lithathelwe;
• ukuchayeka ngokuqhubekayo emisebeni;
• ukuvuvukala njalo indlala yegilo;
• Ukudla okungalungile.

izimpawu

Umuntu akakwazi ukwazi ukuthi unesikhundla multi-kwezitshalo, izimpawu ngendlela efanele usaqala kungaba nhlobo yezindlela zokubonisa hhayi ekuletheni iyiphi ukungakhululeki isiguli. Nakuba amayunithi amancane, mayelana 2 cm ububanzi, uyibone ngeso lenyama kunzima ngempela, ngakho ngokuvamile zitholakala ku-ultrasound ngesikhathi sokuhlolwa isimiso.

Uma ukuziba le nkinga, bese ngemva kwesikhathi abanye beba-hyperthyroidism. Isiguli iqala ukuphazamisa ukujuluka ngokweqile, ukucasuka, kuphakama tachycardia, ingcindezi inyuka, impilo jikelele liwohloka. Ukuluma kungenzeka enhliziyweni, ukwanda esesuthi, abantu ngaso sonke isikhathi ufuna ukuba ziphuze, iqala ukuba ulahlekelwe isisindo. Amanothi ethuthumela iminwe, ulimi nomzimba. Ebusuku ogulayo eliye ashisayo, baqala ukuzizwa ukwesaba nokukhathazeka. Lezi zimpawu kuholele ukwehla isifiso sobulili.

Ngezinye izikhathi multinodular goiter anobuthi kungase kwandise kangangokuba iqala cindezela izitho eseduze. izinguquko izwi wesiguli, kuba nzima ukugwinya, ukuphefumula, umuzwa wokuthanda kokucindezelwa noma umoya, ikakhulu esimweni lisalele entanyeni.

ukuxilongwa goiter

Uma usola ukuthi isiguli has a multi-kwezitshalo, bese ukwenza lokho ukuhlola kwe-ndlala yegilo. Okokuqala, isiguli uhambela udokotela, bese ithumela yona US walo mzimba. Uma ISIZINDA idlule ububanzi 1 cm, futhi sikhethe othile inaliti wokubhoboza biopsy lezi izimila. Futhi olwenziwa ucwaningo hormone, esifubeni esimweni, uma kukhona umuzwa kokucindezelwa, i-MRI kanye scintigraphy.

Izindlela kokuphatha yegilo

Kusukela ekuqaleni kwazo ukuthuthukisa izifo ezifana multi-kwezitshalo, kwenzeka cishe asymptomatic ke emva kwesikhashana omunye uqala ukuzizwa ukukhinyabezeka kwayo yaba mibi kakhulu. Isiguli eqala ukuzaca ngokushesha, kukhona ukuphazamiseka enhliziyweni, kukhona ukwethuka anda nokukhathala okukhulu.

Uma ukuxilongwa "multi-kwezitshalo", ukuphathwa udokotela wakho angase akunikeze okulandelayo:

• engayitholi nsuku zonke imithi iodine equkethe, ukwelashwa kulesi simo lide ngempela;
• isingeniso umzimba ogulayo iodine enemisebe, esiza ukunciphisa ifindo.

Uma ungenalo asize ukwelashwa okunjalo, goiter multinodular we indlala yegilo is phansi ukuhlinzwa, ikakhulukazi lingakanani ezinkulu.

Ukwelashwa nge LITT

Uma izindlela olandelanayo zehlulekile ukumisa ekukhuleni kwezitshalo, Udokotela angase anikeze isiguli laser olubangelwa thermotherapy interstitial (LITT). Kulokhu, lo-optical fibre iyunithi yethulwa. Ngenxa yalokho, amaprotheni izakhiwo goiter izicubu kuqala ukuyithonya lokushisa at 41-46 degrees, ngenxa okuyinto amangqamuzana eyeka kuhlukane.

Izinzuzo le ndlela itholakala lokuthi ukuthi pre-ukwelashwa, ukwelashwa kungase kuthathe indawo ngaphandle izinzwa, azigcina zonke indlala yegilo ayidingekile ngaphambi inqubo.

Kodwa kukhona indlela enjalo yokwelashwa kanye contraindications:

• izifo ukuphathwa kwabathintwayo;
• ifomu okunzima-hyperthyroidism kanye hypothyroidism;
• ukugula ngengqondo;
• ukuvuvukala engenhla ipheshana zokuphefumula.

imithi yesintu

Uma umuntu sitholakale multinodular ukwelashwa goiter (lokhu kufakazela libuyekeza) amakhambi abantu kungaba ngokuphawulekayo ngcono isimo lesiguli. Ngenxa yalokho, wawubuyisela ukukhiqizwa evamile yama-hormone emzimbeni, futhi kuvuselela lemali edingekile iodine.

Nsuku zonke, kufanele adle ulwandle iklabishi, baphuze tincture hawthorn, ukugeza ngamanzi afudumele ne uLwandle Lukasawoti nokunye. D. Ngosizo amakhambi ahlukahlukene okwelapha goiter bounces multinodular emuva.

Umthelela okukhulu kunakho konke lokhu izidakamizwa bamangalela:

• utshani Vernal Adonis peppermint ngokulinganayo elixutshwe, violet tricolor, oregano, izimbali umthamo Calendula, chamomile futhi cudweed. Leli qoqo bagcizelele emanzini ashisayo amahora amabili futhi uthathe ngaphambi kokudla.
• Ezixutshiwe izidakamizwa valerian, lemon namafutha, izithelo ezomisiwe of mountain ash, amahlamvu ukhova, clover okusezingeni eliphezulu, erysimum cheiranthoides, Mugwort, amahlamvu zamajikijolo asendle, Yarrow, amahlamvu esikweyoku okwelapha, uthele amanzi abilayo futhi bagcizelele. Kuyadingeka ukuthatha i ukumnika nsuku zonke imizuzu engu-15 ngaphambi kokudla.
• Ingabe kwahlangatshezwana elixutshwe ngezabelo alinganayo Isikali Calendula, Artemisia vulgaris, cudweed, inhliziyo-lime, hawthorn prickly, angustifolia willow, chamomile izimbali, rose okhalweni, ingadi Thyme namanzi abilayo kuthululwe. Collection kushiswa namabhati amanzi bagcizelele amahora mayelana 2, ukuhlunga aphuze izikhathi eziningana ngosuku.
• Xhuma nge izitshalo zokwelapha ezifana rose prickly, lemon namafutha zikaphayini, chamomile, oregano, Tilia cordata, ewumngcingo enezicabha willow imbiza, comfrey, cyanosis azure, ukhova esikhulu engadini Thyme. Inani elincane iqoqo phansi kumuntu powder futhi uthele amanzi abilayo. Kufanele uphuze izikhathi eziningana ngosuku.

Umuthi herbal kuvame ukuthatha izinyanga 1.5-2, bese wenza ikhefu emasontweni ambalwa.

Ukuhlanganisa imiphumela ekuthuthukiseni isimo yegilo batusa izidakamizwa amacala alandelayo:

• Ithathwe ku esilinganayo Calendula, chamomile, valerian, uphephamente futhi zamajikijolo asendle, okuxubile wathela amanzi abilayo. Kufanele bagcizelele 2 amahora endaweni efudumele, bese ukuhlunga futhi uthathe kathathu ngosuku imizuzu engu-15 ngemuva kokudla.
• wort ezixutshiwe wort iSt John sika, amahlamvu ewumngcingo enezicabha fireweed, rose okhalweni, oregano, izimbali omisiwe lime amise okwenhliziyo, uthele amanzi abilayo futhi ushiye endlini efudumele. Hlunga bese baphuze izikhathi 4 ngosuku ngemva kokudla.

isiphetho

Ngakho, kufanele uqonde ukuthi goiter multi-yegilo. Ukwelashwa (libuyekeza eziningi abantu ukusekela lokhu) ngempela ngempumelelo nge ukwelashwa esifike ngesikhathi kudokotela. Awukwazi ukusebenzisa le isifo esiyingozi, ngoba igcwele yezinkinga eziningi, okuyisimo esisongela ukuphila.