Nodular goiter yog ib tug kab mob ntawm cov thyroid caj pas, uas yog kev hloov los ntawm nws cov kev hloov hauv kev hloov siab. Nyob rau hauv cov ntaub ntawv no, lub cev tuaj yeem ua rau me me thiab ntev mus, nrog rau kev loj hlob, yog pom tau rau qhov muag liab qab ua ib feem ntawm lub caj dab hauv lub thyroid caj pas.
Nodular goiter ntawm thyroid caj pas - cov tsos mob
Nodular goiter muaj ntau cov tsos mob ntawm cov tsos mob uas hloov raws li tus kab mob zuj zus thiab nyob ntawm seb hom kab mob pathology uas tawm los.
Pib, nodular goiter tsis yooj yim rau kev tshawb nrhiav tsis muaj cov khoom tshwj xeeb (piv txwv li, ultrasound) lossis kuaj ntshav (pub ntshav tso rau cov thyroid hormones) thaum lub sij hawm nodular goiter yog nrog hypothyroidism lossis thyrotoxicosis. Ob lub ntsiab lus no yog cov kabmob hnyav ncov qaum, uas feem ntau ua rau tus neeg mob tham nrog ib tus kws kho mob thaum ntxov.
Yog li, thyrotoxicosis yog ib qho overabundance of hormones. Ib tug neeg xav tias muaj kev ntxhov siab plawv, muaj lub plawv dhia tsis muaj zog, uas tsis txo kev siv cov sedatives, zoo li tes tshee thiab qhov kev nkees tas li. Qhov hnyav poob qis kuj yog ib qho ntawm cov tsos mob ntawm tus kab mob thyrotoxicosis, thiab yog tias nws tshwm sim rau cov tub ntxhais hluas, tom qab ntawd feem ntau lawv ceev cov me nyuam mos liab tau ntau xyoo. Qhov no yog vim qhov tseeb tias thyroid hormones yog txuam nrog kev loj hlob hormone thiab lwm leej lwm tus koom tes hauv kev tsim ntawm ib lub cev muaj zog. Cov no tsis yog tag nrho cov tsos mob uas yog cov yam ntxwv ntawm thyrotoxicosis, tab sis yog cov tseem ceeb.
Hypothyroidism yog ib qho tsis muaj peev xwm ntawm cov thyroid hormones. Cov neeg uas muaj tus kab mob no tuaj yeem yooj yim nce nyhav, ua rau nws siab phem, vim yog lub pob txha ntawm lub ntsej muag. Qhov tsis muaj cov tshuaj hormones ua rau kev tsis nco qab thiab tas li chilliness. Qhov kev xav hauv nruab siab, raws li txoj cai, yog nyob ntsiag to los sis muaj kev ntxhov siab.
Thaum koj muaj cov tsos mob no, koj yuav tsum tau mus cuag kws kho mob, ua tus ultrasound ntawm lub thyroid caj pas thiab pub ntshav rau cov thyroid hormones thiab tshuaj tiv thaiv, uas yuav qhia rau koj txog qhov kuaj pom los yog tsis muaj cov txheej txheem ntawm lub cev.
Nrog rau txoj kev loj hlob ntawm qhov quav, cov tsos mob nram qab no tshwm sim hauv tus neeg:
- Teeb meem kev nqos;
- hnov mob ntawm lub pob tsuag hauv lub caj pas;
- txhawj xeeb;
- sab nraud tshwm sim ntawm goiter.
Hom ntawm goiter
Ua ntej tham txog kev kho qhov quav, nws yuav tsum tau qhia meej tias muaj ntau yam ntawm nws cov hom thiab hom, thiab nws yog qhov tseeb tias qhov kev kho mob txawv ntawm nws.
Morphology:
- Diffuse . Qhov no yog ib hom zaub mov uas tsis yog khoom noj khoom haus, uas ua rau kev hnyav nce hauv cov nqaij mos tshwm sim.
- Nodal . Nrog hom no, ntshav (ib lossis ntau dua) tsim, thiab nce ntxiv ntawm ib sab. Nws tuaj yeem ua rau me nyuam yaus lossis malignant, yog li kev soj ntsuam ntau ntawm ntau yam li cov khoom siv yog qhov txaus. Nws kuj tseem yuav tsum tau sau tseg tias tus neeg tsis muaj tshuaj lom neeg nodular nodular yog muab rau cov neeg mob uas tsis nyob hauv cheeb tsam twg.
- Hlwb . Cwj pwm los ntawm heterogeneous nce nyob rau hauv lub cev thiab muaj cov ntsaws ruaj ruaj, uas muaj kua.
- Mixed . Diffusive nodal tshuaj lom neeg tshua muaj tus cwj pwm los ntawm qog lub qog caj pas thiab muaj ntshav khov.
Kev faib tawm ntawm qhov ntau thiab tsawg:
- Nodular goiter ntawm qib 1.
- Nodular goiter ntawm qib 2.
- Nodular goiter ntawm qib peb.
- Nodular goiter ntawm qib 4.
- Nodular goiter ntawm qib 5.
Nodular goiter - mob
Nodular goiter yog kuaj los ntawm tus kws kho mob qhov kev ntsuam xyuas, kev kuaj ntshav kuaj ntshav, nrog rau ultrasound thiab, qee zaum, electrocardiograms.
Yuav ua li cas kho kho nodular goiter?
Kev kho ntawm goiter nyob ntawm daim ntawv ntawm tus kab mob, thiab nyob rau nws theem.
Nodular colloid goiter yog hu ua ib hom tawv nqaij zoo heev ntawm nodular goiter, thaum ib pawg neeg ntawm cov kab mob zoo li no yog cais li nodal euthyroid goiter. Qhov no yog vim qhov tseeb tias yuav tsum kuaj qhov nqaij me me kom meej, uas yuav siv sij hawm, thiab txog ntua ntawm no tus kws kho mob ua rau tus mob zoo sib xws. Yog hais tias cov thyroid hormones yog ib txwm, ces tsuas yog ib qho kev ntsuam xyuas heev ntawm kev kuaj ntshav thiab tsis tseg ib qho ultrasound. Ntawm ib lub struma ntawm ib daim ntawv uas tsis so US feem ntau nws yog tsis tsim nyog raws li lub tswv yim ntawm ib co kws tshaj lij.
Diffuse nodular goiter ntawm lub thyroid caj pas nyob rau hauv muaj hypothyroidism lossis thyrotoxicosis thiab muaj 1 degree yog kho nrog kev pab los ntawm hormones (nyob rau hauv cov ntaub ntawv ntawm hypothyroidism) los yog lawv cov blockers. Txhua cov tshuaj siv tau thiab xaiv ib tus zuj zus, vim hais tias lawv txhua tus muaj ntau yam kev phiv. Duration ntawm kev kho mob yog tus loj - los ntawm 2 xyoos ntawm hnub txais tos. Qhov hnoos qeev yog hloov ua nyob ntawm qhov kev kuaj ntshav, uas thaum xub thawj yuav tsum tau noj feem ntau - tsawg kawg ib zaug 2 lub lis piam. Yog hais tias cov tshuaj tau pab, ces yuav tsis muaj kev phais (nrog rau kev mob ntawm cov ntshav siab) - lub thyroid caj pas nws tus kheej yuav ua rau me me.
Thaum noj tshuaj yog qhov tseem ceeb ntawm tus kws kho mob (vim tias qhov kev siv tshuaj thiab lub hom phiaj ntawm qhov tshuaj nws tus kheej yog qhov txawv txav), yog li nws yuav tsum tau hu rau ntau tus kws kho mob thiab soj ntsuam lawv cov kev kho mob.
Kev kho ntawm diffuse-nodal goiter ntawm 2nd degree nyob ntawm ntau yam, thiab ntawm no tej zaum yuav muaj lus nug txog kev khiav hauj lwm. Ua ntej tshaj plaws, nws tseem ceeb los txiav txim seb tus kab mob puas zoo li cas, thiab yog muaj li ntawd, tus kws kho mob yuav sim kom tsis txhob phais kev phais.
Tus kws kho nodular nodular yog kho raws li qhov muaj cov mob hypothyroidism lossis thyrotoxicosis. Nyob rau hauv qhov kev txiav txim siab ua ib qho kev khiav lag luam, theem, qhov loj thiab qhov ntawm lub pob hlav yog qhov tseem ceeb heev.
Cov pej xeem txoj kev kho mob ntawm nodular goiter
Nws ntseeg tias kev pabcuam pejxeem no pabcuam nrog rau cov thyroid kabmob , tabsis nws tsuas yog siv nrog kev tso cai ntawm tus kws khomob, vim cov khoom xyaw yog tivthaiv tus kabmob thiab muaj iodine, uas tuaj yeem ua rau deterioration. Nws yog tsim nyog los sib tov 1 liter ntawm zib mu nrog ib daim tawv nqaij ntawm 5 lemons thiab 500 g ntawm walnuts. Lub resulting loj yog npaum li cas nyob rau hauv 1 tbsp. l. txhua hnub rau ib lub hlis.