Goiter kuyenye ubuthi: isifo kwaye afumane unyango

Goiter kuyenye non-yityhefu - isifo eliqhelekileyo, nto leyo sikhatshwa ukwanda ubukhulu lengqula. Yena kuchaphazela abasetyhini kunye namadoda na ubudala (ukuba sivame ukuxilongwa ebantwaneni). Kakade ke, izigulane kufuneka ufunde ulwazi malunga nesi sifo, akukho sifo ngokucacileyo ngokupheleleyo kubangela yokothuka ebantwini. Ngoko ke, indlela linobungozi kuba isifo nendlela uphephe uphuhliso wayo? Ziziphi iimpawu kufuneka sinikele ingqalelo kuyo?

Kuyenye yeendlela goiter ubuthi: ikhowudi ICD kwaye iimpawu ezingundoqo zesi sifo

Isifo luphawulwa hypertrophy kunye hyperplasia yendlala kwithishyu. Ngamafutshane, le ndlala lengqula iqala ukukhula ubukhulu. Le ngezifo phantsi E04.0 ukubala kuchazwe ICD-10.

Ehlasela goiter ubuthi ke ezingahambi ukuphazamiseka ezisebenzayo. Ngokuchasene yangasemva sifo anayenza lengqula hyper- okanye hyposecretion, ngoko iihomoni kuhlala eqhelekileyo. Ubukho kwesifo - 4-5%. Hi ndlela leyi, abafazi usesichengeni kuyo ngaphezu oyindoda womelele. Lidla kukho goiter ubuthi kwentamo ebantwaneni, kodwa ke banesifo kubantu eliqina, emva kweminyaka engama-30.

Classification: iintlobo kunye neentlobo sifo

Kwiimeko ezininzi, goiter non-yityhefu kuphuhliswa ngokuchasene nentsukaphi intswelo iodine emzimbeni. Xa kufikwa kukungabi lwesi sakhi kule ndawo yokuhlala, esi sifo kuthiwa sendawo - kuxhomekeke ukuba inxalenye enkulu yabemi.

Kodwa ke kukho iimeko apho isityalo kuphuhliswa engekho intswelo iodine kwindawo ahlala kuyo. Olu hlobo manqapha esi sifo, nto leyo ibangwa kumanqanaba elingonelanga secretion of hormone.

goiter ubuthi kungabonakala ngokukhukhumala kwentamo, njengentsika (tissue lengqula akhiwa maqhuqhuva zamafu ebubonisayo) kwaye zixutywe. Ngaphezu koko, intsimbi hypertrophied unokuba ukungaguquguquki ezahlukeneyo - ukuyiphatha inyama inokuba soft, ilastiki, lalingqingqwa kwaye ngamanye amaxesha baba cysts kakuhle ncam.

Isigaba isifo

Goiter kuyenye non-yityhefu kwiimeko ezininzi uqala kancinane. Xa yesilungu yahlulwe ngezigaba ezithathu, sikhokelwa iimpawu zangaphandle:

• Kokubizwa-zero inyathelo utshintsho olubonakalayo abangekhoyo - isithunzela entanyeni ziyafana, yaye kunzima ukufumanisa ubukho sifo kwi Ngokucofa.
• Ehlasela goiter ubuthi 1 degree lingenakuxelwa ngexesha uhlolo, kodwa ebudeni Ngokucofa i gqirha benamava phawula ukwanda umhlaza.
• Xa Inqanaba lesibini uphuhliso goiter nga va nje kuphela iminwe yakho, kodwa ukuze ubone - i ndlala nobubovu banzi into njengombala ibe elikhulu phantsi kwesikhumba.

scheme uhlobo Danaus has ixabiso elikhulu diagnostic.

Zintoni izinto ezibangela ukuba sifo?

Luyanda shchitovidki izifo loo zembuyekezo. Ukukhula yethishyu ngenxa ukuswela iodine. Ngokuchasene imvelaphi kukunqongophala lwesi sakhi yendlala iiseli thyrocites, aqalile ukuba zifake iodine. Inani leeseli yaligqiba ukuze yande kangangoko kunokwenzeka le element, ngokulandelelana, lwakukhula izicwili mass.

A meko efanayo lu dityanisiwe mhlawumbi intswelo ayodini (akazi ngenisa umzimba ngokwaneleyo), okanye enye ngezwi hormone kwidlala lengqula secretory.

Izinto ezibangela goiter akakwazi bana phandle akusoloko. Yinto eyaziwayo ukuba kukho ukuthambekela ethile yemfuza. Ngokomzekelo, ezinye izigulane onokugula genetic ezinxulumene ukuphazamiseka kweenkqubo enzyme.

Kwelinye icala, kukho ezinye izinto eziyingozi. Umzekelo, kwisini ebalulekileyo kunye nobudala lomguli (ukugula kunokwenzeka ngakumbi ukuba umfazi yobudala oqolileyo). Goiter ehlasela ubuthi rhoqo senzeka uxinezeleko luvo kunye ntshikilelo elide. Imiba yomngcipheko nazo ziquka beriberi abanye kwezakha ukunqongophala emzimbeni, ingakumbi, zinc, manganese, molybdenum, selenium, ayibe nangobhedu. calcium kwemfuneko bangenza kwakhona kukhokelela kuphuhliso goiter. Uluhlu inye iquka ukutshaya, izifo ezondeleyo ezasulelayo, kwakunye nokusetyenziswa kweziyobisi ezithile.

Lo mfanekiso zonyango kunye iimpawu eziphambili

Goiter ehlasela ubuthi uvela kancinane, kwaye usaqala, elinokuthatha iinyanga okanye iminyaka, esi sifo akuthethi ukuzibonakalisa. Ngamanye amaxesha izigulane ezikhala ubuthathaka kunye nesiyezi, ezikwenza yintloko. Kodwa iimpawu zenzeka manqaphanqapha, ngoko abantu nje musa ingqalelo kubo.

Njengoko esi sifo kwandisa ubungakanani kwidlala lengqula - uya kuqaphela ukubonakala tubercle, ukutshintsha iikhonto entanyeni. Hypertrophy ye endlaleni idla ngokuba ucinezelo amalungu ezikufutshane, ezifana imithambo yegazi, uqhoqhoqho, kuvuleke iminxunya, njalo njalo .. Ngamanye amaxesha izigulane ezikhala imvakalelo rhoqo iqhuma emqaleni. Izigulane bangase ingxaki ukuphefumla (ingakumbi xa elele phantsi), kwakunye ligwinya. ukuphelelwa Ukusoloko ngumphefumlo kwiimeko ezininzi kakhulu kukhokelela ukuhlaselwa sisifo sombefu. Syndrome ephakeme Vena cava izigulane usisiphumo ucinezelo (ukucudisa) iimpahla.

Zeziphi iingxaki kungabangela izifo?

Njengoko sele kukhankanyiwe, kuyenye goiter ubuthi - ukugula ongenabubi, ingakumbi xa kwafunyaniswa ngexesha, yaye isigulane wafumana uncedo oluyimfuneko. Noko ke, esi sifo lu dityanisiwe ezinye iingxaki kunokwenzeka.

Maxa wambi shchitovidka kwandisa ukuze pinches isakhiwo ezingqongileyo, ngokukodwa, kwalapho kunye nemithambo yegazi igazi ebuchotsheni. Ngaphezu koko, ukunyuka esinobubovu ezidalwe sisifo kungadala ngokuma ucinezelo. Ngamanye amaxesha le izifo nzima nangokurhala, ukubonakala hemorrhages ezincinane ijwabu ibele.

Ngelishwa, kukho iimeko apho izigulane ukuphuhlisa goiter / kwentamo nodular ezingenabungozi, nto leyo esele kunye neengxaki ezinkulu hormone.

njani na uxilongo mihla?

Uxilongo kule umba obalulekileyo kakhulu, kuba hypertrophy le ingaba lengqula ingaveza ukuphazamiseka ezininzi. Okokuqala, Kakade ke, ugqirha uqokelela imbali palpate esinobubovu lengqula - kwi zigaba kamva imila ingabonwa ngexesha uhlolo olubonakalayo.

Okulandelayo, qiniseka ukuba unikele ngegazi ukuze ukuqinisekisa inqanaba hormone (kunye hormone goiter ubuthi yechanekileyo). inxalenye olufunekayo ultrasound diagnostic kuba indlala lengqula, apho ugqirha ukugqiba ngokuchanileyo ubungakanani yesinye, ukuseka ubukho okanye ukungabikho maqhuqhuva, cysts kunye nezinye kweziqu.

Ngamanye amaxesha ray ezongezelelweyo - it ikuvumela ukugqiba isidanga se ucinezelo le kuvuleke iminxunya kunye phecana zokuphefumla. Phambi maqhuqhuva kwizigulane ucebise biopsy.

Non-yityhefu kwentamo goiter: unyango

Therapy nale sifo ixhomeke imeko yomguli kunye nezinga namadlala ezinkulu. Umzekelo, unyango oluthile ibakala zero kwaye ayifuni - isigulane Kucetyiswa ukuba ukunyenyisa ukutya, xiphephana bathole nokuhlolwa rhoqo.

Izigaba yesibini neyesithathu izigulane eyabelwe kufumana amachiza ayodini (potassium iodide idosi yemihla ngemihla imalunga 200 mg). Ukuze ngokuthe ukunciphisa izigulane ezinomhlaza badla kufuneka therapy replacement, oko kukuthi, ulawulo neziyobisi levothyroxine. Lidla oogqirha bacebisa amayeza afana "Eutiroks", "Levothyroxine" yaye "Yodotiroks".

Ukusikwa zoqhaqho intsimbi lwenziwa kuphela kwiimeko ezininzi kakhulu, ukuba isigulane alibonanga ucinezelo kakhulu. Kwezi meko, emngciphekweni omkhulu ukutsarhwa kunye neengxaki semithambo, ngoko ke umsebenzi kukho unxibelelwano.

Ingaba kukho amanyathelo okuthintela?

Kakade ke, kulula kakhulu ukuthintela ukunwenwa kwesifo kunokuba ngoko ukhangela iindlela zokuphelisa ngokuphumelelayo. Uthintelo ngqo ayisekho, kodwa izigulane kufuneka balandele imithetho elula. Yinto eyaziwayo ukuba kwiindawo apho kukho Iodine esisigxina, abemi ekucetyiswa ukuba niwuzalise izikhathi oovimba lwesi sakhi emzimbeni, iziyobisi ayodini-equlethe. Ukuze siphephe amachiza efanayo ilawulwa abantwana ngamaxesha ukukhula olunzulu kunye nabasetyhini abakhulelweyo.

ndlala kuba umsebenzi yesiqhelo kubalulekile ukuba umzimba efumana iivithamini, ingakumbi, retinol, tocopherol, novithamini B12 kunye D. Ngoko ke, amaxesha 1-2 ngonyaka abantu luncedo ukuba nezakhiwo vitamin.

Kakade ke, njengenyathelo ebalulekileyo lokunqanda lo yokudla. Kule menu, kufuneka ngokuqinisekileyo Fundisa iimveliso ayodini, kuquka iimveliso zaselwandle, intlanzi kunye namaqanda. Ibhotolo, isibindi, iminqathe kunye fish oil Akothusi ukufumanisa ukuba umzimba kunye iivithamini kubalulekile. Kodwa ukutya ezifana broccoli, isithombo, umnqathe, horseradish, cauliflower nekhaphetshu kancane nokwenziwa iodine emzimbeni. Kakade ke, ukuze ngokupheleleyo phezulu kubo zililize ekungekho nzuzo ngayo, kuba equlethe okuninzi nezinye izinto eziluncedo, kodwa ukunciphisa inani oyifunayo. Kakade ke, kufuneka xiphephana kwaye babambelele imo echanekileyo, ukulala kunye ukuphumla, akholisa ukuchitha ixesha kwi umoya ukunika imikhuba eyingozi empilweni. Konke oku kuya kunceda iyaluthintela uphuhliso sifo efana kwentamo / goiter nodular ubuthi.