Goitre multinodular thyroid nobubovu: oonobangela, isifo kwaye afumane unyango neempawu

Kuba abantu abaninzi, esinobubovu lengqula yi oversized. Kwezinye iimeko, le ngezifo asiyo no-brainer, kodwa inkoliso endocrinologists kwafunyaniswa goiter multinodular. Oku kwenzeka ngenxa yokuba bume olihlwempu ukunqongophala iodine emzimbeni. Nodes ingozi ngokwendalo rhoqo, kodwa ke ngamanye amaxesha kungaba zingaphumela ithumba, nto leyo yasuswa intsumpa. Kweli nqaku, siza kuhlolisisa into goiter multinodular na le ndlala lengqula. iimpendulo Treatment malunga iza kuqwalaselwa.

Inkcazelo sifo

Ngenxa yokunqongophala iodine ukutya kunye namanzi thyrotropic iihomoni baqale eveliswe yi ndlala ndlala kukuninzi, njengoko organ ngokwayo ayikwazanga ukukhupha imali efunekayo hormone zakhe.

hormone Thyrotropic eveliswe yi ingqondo yebhinqa bawaphikise Unyebeleziso iiseli, nto leyo ukwanda ngamandla. Kamsinya nje imfuneko ezi izinto ezizodwa iqala ukwehla, colloid amaninzi nezihlunu umzimba kukhokelela ukuyilwa zoboya ezinkulu. Ngokwangaphandle, kufana goiter enkulu, luthi lubonakale ngeliso lenyama, kwaye kusoloko iviwe sisigulane.

Emva isixa esithile kwexesha umzimba kwakhona kwenza imveliso hormone thyroid goiter liyaqhubeka ukwandisa.

iintlobo zezifo

goiter Multinodular le ndlala lengqula ke iintlobo ezintathu:

• node - ukuba banesifo ezimagqagala umzimba ngokwanda kwenzeka ngenxa yomsebenzi wayo ngokugqithiseleyo;
• kwentamo - kule meko ijwabu prostate ikhula ngokufanayo ngenxa ekunciphiseni umsebenzi wayo secretory;
• ixubene - inqabile, umzimba ukwanda obungalinganiyo, kodwa ezinye iindawo kugcina ukufana kwabo.

Ukuba kwiindawo ezingaphezu kwesibini ezingaphezu kwe-1 cm ububanzi, atyumbe ubambe i okuhlatywa ngayo le ndlala lengqula. Kakhulu, bona ingozi. Ngokubanzi, aba nangezilonda azinayo nayiphi na inxaxheba umsebenzi wayo akanayo, yaye esi sifo kuthiwa "goiter multinodular euthyroid." Kuphela 5% kwiindawo ibe ngumhlaza.

Kwilizwe lethu, goiter multinodular ityhefu kwenzeka ngo-12% abemi, kunye nabafazi mhlawumbi ngaphezu amadoda ukubayeka. Ngenxa yobudala kwandisa amathuba nokuphuhlisa eli sifo, kwaye uninzi yonke ibonakele kwiminyaka 45-60.

Nangona ubukho ekudityanwa kuzo kwidlala lengqula aluchaphazeli umsebenzi lo mzimba, kodwa kusafuneka ukuba ukunyanga esi sifo. Kukho iimeko xa kukungabikho ingqalelo kwingxaki esingabangela ingxaki ebomini.

Ezibangela isifo

Izizathu ngqo kutheni kukho multi-isityalo, akukaqondwa kakuhle, kodwa oogqirha bathi kakuhle ukuba Iodine becala kuphakamisa sifo.

Ezinye izinto ezinegalelo ukuyilwa kwalo ngezifo zezi:

• ukungasebenzi le nkqubo luvo;
• uhlobo ngokwasengqondweni;
• kwezithandani sifo humoral;
• iimeko zokusebenza yingozi;
• Ukudla elide kwamayeza athile;
• yofuzo ukuya sifo;
• isifo sesibindi kunye neenkqubo esiswini;
• sindisa ngenxa kukumelana;
• engenisa radiation;
• ukukrala rhoqo ingaba lengqula;
• ukudla engafanelekanga.

iimpawu

Umntu akakwazi ukuba unalo multi-isityalo, iimpawu kwibakala lwakwangoko kuba ayikho indlela lokubonisa kwaye umsebenzi waziva kumguli. Nangona units ezincinane, malunga-2 cm ububanzi, ukubabona ngeliso lenyama kunzima kakhulu, ngoko ngokufuthi zifumaneka kwi-ultrasound ngexesha kuhlolwa.

Ukuba ngoyaba le ngxaki, ngoko emva kwexesha abanye beba hyperthyroidism. Isigulane iqala ukuba ziphazamise ukubila ngokugqithiseleyo, ukuba nochuku, kuvela tachycardia, le ukunyuka koxinzelelo, kuguga impilo jikelele. Ukugwaza kungenzeka intliziyo, ngokuya, abantu basoloko befuna ukuba basele, iqala ukuncipha. Notes ukungcangcazela iminwe, ulwimi kunye nomzimba. Night abagulayo eliye eshushu, baqala ukuva uloyiko nexhala. Ezi mpawu kukhokelela ekuncipheni inkanuko yesini.

Ngamanye amaxesha goiter multinodular yityhefu kunokwandisa kakhulu kangangokuba iqale compress amalungu akufutshane. utshintsho ilizwi yesigulane, kuba nzima ukuba imginye, ukuphefumla, ingakumbi kwindawo lisalele entanyeni imvakalelo ucinezelo okanye ukutsarhwa,.

isifo goiter

Ukuba ukrokrela ukuba isigulana unalo multi-isivuno, ngoko ukuphumeza uxilongo ze ingaba lengqula. Okokuqala, isigulana utyelela ugqirha, aze ayithumele US kulo mzimba. Ukuba iindawo ngaphezulu ububanzi of 1 cm, immisele inaliti okuhlatywa biopsy ezi nangezilonda. Kwakhona uphando hormone, esifubeni ray, xa kukho ingqiqo ucinezelo, MRI kunye scintigraphy.

Iindlela yendlala okunyangayo

Ekubeni kwasekuqaleni kuphuhliso kwezifo ezifana multi-isivuno, kwenzeka phantse nazimpawu, ngoko emva komzuzwana eqala ukuba azive impembelelo yayo mibi. Isigulane ulahlekelwa ubunzima ngokukhawuleza, kukho ukuphazamiseka entliziyweni, kukho Uvalo ukwanda nokudinwa kakhulu.

Ukuba unesifo "multi-isityalo", unyango ugqirha wakho unalo ilungelo lokumisela kulandelayo:

• inani imihla ngamayeza ayodini equlathe, unyango kule meko kakhulu elide;
• intshayelelo kwiqumrhu abagulayo iodine radioactive, nto leyo inceda ukwehlisa amaqhina.

Ukuba ngaba ukunceda impatho enjalo, goiter multinodular ye esinobubovu lengqula ufakwa utyando, ingakumbi ngenxa yobukhulu balo enkulu.

Treatment ne LITT

Ukuba iindlela angqingqwa baye basilela ukunqanda ukukhula kwesityalo, ugqirha unakho ukumisela thermotherapy Embi laser-olubangelwa (LITT). Kulo mzekelo, iyunithi ifayibha woqondo lokuQala. Ngenxa yoko, izakhiwo iiproteins goiter inyama iqalisa ukuba luchaphazele amaqondo obushushu kwi degrees 41-46, ngenxa apho iiseli bayeke nesiqingatha.

Izinto eziluncedo yale ndlela kuxhomekeke kwinto yokuba pre-unyango, unyango unokuthatha indawo ngaphandle zomzimba, ugcina zonke esinobubovu lengqula ayifuneki phambi le nkqubo.

Kodwa kukho indlela enjalo unyango kunye Izimo:

• izifo somatic;
• kakhulu lwe hyperthyroidism kunye hypothyroidism;
• isifo sengqondo;
• ukudumba phecana eliphezulu zemiphunga.

zonyango Traditional

Xa umntu ene unyango goiter multinodular (oku qhalo ngokutsha) amayeza intsomi unako ukuphucula ngokubonakalayo imeko yesigulane. Ngenxa yoko, wawubuyisela ukuveliswa eqhelekileyo hormone emzimbeni, kwaye zivuselela isixa eyimfuneko iodine.

Yonke imihla adle ikhaphetshu elwandle, usele tincture of hawthorn, thatha ibhafu yamanzi ashushu ngetyuwa ulwandle njalo njalo. D. Ngoncedo imifuno ezahlukeneyo zamachiza goiter yagqampa yaya multinodular umva.

Enempembelelo enkulu kwala machiza bambanani:

• ingca kulingane Adonis intlama ngokulungelelana ugalelwe, nemisonto tricolor, oregano, iintyatyambo idosi calendula, chamomile kunye cudweed. Le ngqokelela nimane emanzini ashushu iiyure ezimbini uthabathe phambi nokutya.
• Mixed valerian iziyobisi, lemon namafutha, iziqhamo ezomisiweyo wentaba ntaba, amagqabi ngeplantain, i- phezulu, cheiranthoides erysimum, mugwort, amagqabi istrawberry zasendle, yarrow, amagqabi lobulumko amayeza, ugalele amanzi abilayo baphike. Kuyimfuneko ukuba bathathe ukumnika yonke imihla imizuzu eli-15 phambi kokuba atye.
• Ngaba ezixutywe zobukhulu ngokulinganayo umthamo calendula, Artemisia vulgaris, cudweed, intliziyo-kwekalika, hawthorn inameva, angustifolia willow, iintyatyambo chamomile, wavuka iinyonga, ekudleni igadi amanzi abilayo obegalelwe. Collection itshiswe ibhafu yamanzi nimane malunga neeyure ezi-2, filter usele izihlandlo eziliqela ngemini.
• Connect kunye izityalo zamachiza ezifana ne-rose inameva, lemon namafutha pine, chamomile, oregano, Tilia cordata, umfuno womngcunube emxinwa-zodonga, comfrey, cyanosis Azure, ngeplantain enkulu kunye ekudleni egadini. Umthamo omncinane emhlabeni kwingqokelela ngumgubo kwaye ugalele amanzi abilayo. Kufuneka asele izihlandlo eziliqela ngemini.

namakhambi ngokuqhelekileyo ithatha iinyanga 1.5-2, ke ngoko lixhuzule i ikhefu apha kwiiveki ezimbalwa.

Ukubethelela iziphumo ekuphuculeni ubume lengqula isindululo iintlawulo iziyobisi zilandelayo:

• Ithathwe kwi umlinganiselo ofanayo calendula, chamomile, valerian, inxina nestrawberry zasendle, ugalelwe wagalela amanzi abilayo. Kufanele baqinise iiyure ezi-2 kwindawo efudumeleyo, ngoko lokucoca uthabathe kathathu ngemini imizuzu eli-15 emva kokutya.
• Wort Mixed Wort St. kaYohane, amagqabi emxinwa-zodonga fireweed, wavuka iinyonga, oregano, iintyatyambo ezomileyo kwekalika amilise okwentliziyo, ugalele amanzi abilayo uze ushiye kwigumbi efudumeleyo. Icebo lokucoca ulwelo usele amaxesha-4 ngemini emva kokutya.

isiphelo

Ngoko ke, simele siqonde ukuba yintoni goiter multi-ndlala. Unyango (buyekezwa Abantu abaninzi ukuxhasa oku) kakhulu ngempumelelo unyango ngexesha kwagqirha. Awunaku kwazi ukusebenzisa olu sifo liyingozi, kuba igcwele iingxaki ezininzi, ezisongela ubomi.