Mawallafi: Frank Hunt
Ranar Halitta: 13 Maris 2021
Sabuntawa: 26 Yuni 2024
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Nodroid din din din shine karamin dunkule wanda yake tashi a yankin wuya kuma yawanci bashi da lafiya kuma baya wakiltar dalilin damuwa ko bukatar magani, musamman ma a cikin tsofaffi. Koyaya, koyaushe ana bada shawarar cewa kowane nodule ya kimanta ta likitan ilimin likita ko babban likita domin bincika musabbabin.

Sabili da haka, ana yin gwaje-gwaje da yawa don tabbatar da rashin ƙarfi ko alamun rashin kyau, ana buƙatar ƙarin takamaiman gwaje-gwaje don yin binciken kansar da kuma fara maganin da ya dace. Duba menene alamomi da alamomin da ke nuna cutar sankarar thyroid.

Alamar cutar tahyroid nodule

Yawancin nodules a cikin thyroid ba sa haifar da wata alama, kasancewar kasancewar 'dunƙule' a cikin wuya. Koyaya, a wasu lokuta, nodules na thyroid na iya haifar da bayyanar cututtuka kamar:


  • Ciwon wuya;
  • Kumburin wuya;
  • Wahalar numfashi ko haɗiyewa;
  • Rage nauyi ba tare da wani dalili ba;
  • Girgizar ƙasa da fargaba;
  • Sandarewa ko rasa murya.

Lokacin da akwai shakku game da kasancewar nodule na thyroid, ana bada shawara don tuntuɓar babban likita ko likitan ilimin likita don gwaje-gwaje.

Abin da jarrabawa za a yi

Binciken likita na thyroid nodule ana yin shi ta likita ta hanyar binciken jiki ta hanyar bugun wuya. Bayan ganowa, ana buƙatar gwaje-gwaje na dakin gwaje-gwaje, kamar TSH, T3, T4, anti-TPO da calcitonin, da gwaje-gwajen hotunan, kamar su duban dan tayi da maganin kawan da ke jikin mutum.

Daga sakamakon jarabawar da aka nema, likita na iya neman nasarar Ciwon Fata na Allurar Fine (FNAP), wanda a ciki an cire karamin samfurin nodule kuma a tura shi zuwa dakin gwaje-gwaje don bincike da tabbatar da rashin lafiyar jiki. Ko cutar rashin lafiya. Sanin gwaje-gwajen da ke kimanta thyroid.


Alamomin dake nuna cewa kumburin na iya zama kansar

Wasu alamun da zasu iya nuna cewa dunƙulen na iya zama mummunan kuma cewa yana da ciwon daji shine lokacin da:

  • Hard nodule tare da saurin haɓaka:
  • Shekaru 'yan kasa da shekaru 20 ko sama da shekaru 60;
  • Nodule yana da gefuna mara tsari;
  • Akwai canje-canje a cikin murya kamar tsukewa ko gurguntar layukan murya;
  • Sauran lokuta na cutar kansa a cikin iyali;
  • Mutumin ya riga ya sami maganin radiation a cikin yankin kai da wuya.

Akwai karatun da ke nuna cewa mafi girman adadin TSH yana nuna cewa nodule na iya zama mummunan, duk da haka mutane da yawa waɗanda aka gano da cutar kansa ba su taɓa yin canje-canje a gwajin jini ko biopsy ba, sai kawai su gano bayan nazarin da aka yi bayan cire ƙwan.

Lokacin da mutum yana da nodule 1 kawai har zuwa 1 cm a diamita, idan dai ba mugu ba ne, likita ba zai iya nuna kowane irin magani ba, kawai yana nuna aikin kwayar cutar tayi ta shekara da gwajin jini.


Nau'in thyroid nodule

Lokacin gano nodule a cikin kalandar, dole ne a kimanta rarrabuwa ta hanyar Doppler ultrasonography don sanin ko yana da lahani, mara kyau da kuma irin hanyoyin warkewa da za'a ɗauka. Ana iya yin rarrabuwa:

A cewar Lagalla et alA cewar Chammas et al
Rubuta I: Rashin vascularizationDaidaita NiRashin rashi vascularization
Nau'in II: Tsarin kwayar halittaMatsayi na II: Vasƙantar da kai tsaye kawai
Nau'in III: Peri da kuma vascularization na intranodularMatsayi na III: Tsarin vascularization na gefe mafi girma ko daidai da tsakiya
---Tsarin IV: Tsarin vascularization mafi girma fiye da gefe
---Daidaita V: Tsarin vascularization na tsakiya kawai

Masanin ilimin likitancin jiki na iya rarraba ƙuƙwalwar ƙwanƙwasa kamar yadda yake:

  • Hypoechogenic: massasa mai yawa fiye da kashi kuma, sabili da haka, ana iya cika nodule da ruwa ko iska;
  • Isoechogenic: daskararren taro mai nauyi iri daya kamar kashi kuma wanda yake da madaidaiciyar siffar zagaye;
  • Hyperechogenic: taro tare da girma fiye da kashi, wanda zai iya nuna nodule na thyroid tare da ƙididdiga.

Nodules tare da vascularization na tsakiya zai iya zama mummunan ciwace-ciwace.

Yadda za a bi da thyroid nodule

Ana amfani da maganin ne kawai lokacin da mutum yake da alamun bayyanar, lokacin da akwai haɗarin cutar kansa ko kuma lokacin da ƙwanƙolin ya wuce 3 cm. Magungunan da aka fi amfani dasu sun haɗa da:

  • Tiyata: ana amfani da shi musamman don nodules wanda ya fi cm 3 girma kuma a yanayi na cutar ƙanƙantar da kai don cire dukkan ƙwayoyin kansa, amma kuma ana iya amfani da shi don magance nodules mara kyau lokacin da suka haifar da wahala wajen yin numfashi ko haɗiye, tunda suna da girma ƙwarai. Koyi duk game da tiyata don cire ƙwanƙolin ƙwanƙolin thyroid.
  • Magungunan Levothyroxine, kamar su Synthroid ko Levoid: ana amfani dashi a cikin yanayin nodules wanda ke haifar da canje-canje a cikin homon, yana haifar da hypothyroidism.

Bayan jiyya tare da tiyata, yana iya zama wajibi don yin maye gurbin hormone da kuma samun tuntuɓar yau da kullun, aƙalla sau biyu a shekara, a likitan ilimin likitanci.

Duba yadda za a kiyaye da magance matsalolin thyroid a cikin bidiyo mai zuwa:

Menene dalilai na thyroid nodule

Har yanzu ba a san musababbin ba tukuna, amma an san cewa mata ne suka fi fama da cutar kuma waɗanda ke da wasu mutane a cikin dangin da ke da ƙwanƙwan ƙwanƙwan ƙwanƙwan ƙwanƙwan ƙyama suna iya kamuwa da nodules kamar haka.

Ta yaya thyroid nodule ke shafar ciki

Matar da take da kumburi a cikin wannan gland ɗin ba ta da wahalar samun ciki fiye da sauran. Duk da haka, kasancewar dunƙule a cikin ƙwanƙwasa a lokacin daukar ciki na iya haifar da canje-canje a cikin samar da hormones kuma, idan wannan ya faru, mace mai ciki ya kamata ta sha magunguna waɗanda ke taimakawa wajen daidaita aikin maganin tayoyin, ta hana haihuwar jariri da jinkiri ci gaban jiki ko tunani, misali.

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