ʻO ka nodule thyroid
La thyroid He ʻano pepeke kona ʻano ma ka kumu o ka ʻāʻī, ma lalo o ka ʻāpala a Adamu. Hana ʻo ia i nā hormones thyroid e pono ai no ka mālama ʻana kinemona kumu, ka metabolism e hāʻawi ana i ka ikehu e pono ai ke kino no ka mālama ʻana i kāna mau hana koʻikoʻi: ka puʻuwai, ka lolo, ka hanu, ka ʻeli ʻana, ka mālama ʻana i ka mahana o ke kino.
ʻAʻole ia he mea maʻamau no a puʻupuʻu liʻiliʻi i loko o ka thyroid gland, no nā kumu i ʻike ʻole ʻia. Hāʻawi mākou i ka inoa o nodule thyroid (Ōlelo Lākni nodulus, puʻupuʻu liʻiliʻi).
He mea maʻamau loa nā nodule thyroid: ma waena o 5 a me 20% o ka heluna kanaka he nodule ʻoi aku ma mua o 1 knm i ʻike ʻia ma ka palpation a inā mākou e helu i nā nodules non-palpable i ʻike wale ʻia e ka ultrasound, 40 a 50% o ka heluna he nodule thyroid. . No nā kumu hormonal paha, ʻoi aku ka nui o nā nodules ma kahi o 4 mau manawa pinepine i ka na wahine ma mua o nā kāne.
ʻO ka metabolism maoli ʻAʻole hele pū ʻia nā nodules me nā hōʻailona. A inā he 95% o nā nodules thyroid he maikaʻi, ʻo 5% he kumu maʻi kanesa. ʻO kekahi mau nodules, ʻoiai he mea ʻawaʻawa (5 a hiki i ka 10%), ʻo ia hoʻi, hoʻopuka lākou i nā hormones thyroid. ʻOi aku ka liʻiliʻi, hiki i ka nodule ke hoʻonāukiuki i kona nui a lilo i compressive (2.5%). Pono ka palpation o ka ʻāʻī i ka wā o ke kūkākūkā me ke kauka lapaʻau, ka gynecologist, etc. No laila he mea nui e hana i kahi hōʻailona pololei o ke kumu o kahi nodule e hoʻomaopopo ai i ke ʻano o ka nodule, inā pono e mālama ʻia a pehea. |
Nā ʻano nodule thyroid
- Nodule Colloidal. ʻO ke ʻano maʻamau o ka nodule, ʻo ka colloidal nodule i hana ʻia i nā cell maʻamau.
- ʻO nā ʻōpū. ʻO nā cysts he mau mea i hoʻopiha ʻia me ka wai. Hiki iā lākou ke ulu a hiki i kekahi mau kenimika ke anawaena. ʻO lākou, no ka hapa nui, maikaʻi.
- Nodule inflammatory. Loaʻa pinepine ia i ka poʻe me ka thyroiditis, kahi mumū o ka thyroid. Hiki ke ulu ka thyroiditis ma muli o kahi maʻi autoimmune (he maʻi kahi e hoʻomohala ai ke kino i nā antibodies e kūʻē i kona mau ʻāpana ponoʻī), e like me ka thyroiditis o Hashimoto. Hiki ke hana ma hope o ka hāpai ʻana.
- adenoma. He ma'i ma'i ma'i. ʻO ke anatomically, like loa ka ʻiʻo tumo i ke kino olakino i loko o ka ʻili thyroid. No ka hoʻokaʻawale ʻana i ka adenoma mai ka maʻi kanesa, pono kahi biopsy.
- Maʻi ʻaʻai thyroid. ʻO ka nodule malignant (a i ʻole cancerous) e hōʻike ana i ka 5% a i ka 10% o nā nodule thyroid. ʻO ka maʻi maʻi thyroid kahi maʻi maʻi ʻaʻai loa. Aia 4000 mau hihia hou ma Farani i kēlā me kēia makahiki (no 40 mau maʻi maʻi umauma). Pili ia i nā wahine ma 000% o nā hihia. Ke piʻi nei ka maʻi ma nā ʻāina āpau. ʻOi aku ka maʻamau o nā nodules i nā wahine, akā ʻoi aku ka nui o nā kāne i ka ulu ʻana i ka maʻi kanesa i loko o ka nodule thyroid. ʻO ka poʻe me ka mōʻaukala o nā pilikia thyroid a i ʻole i loaʻa i ka radiation therapy i ke poʻo a i ʻole ka ʻāʻī ma ke ʻano he kamaliʻi ʻoi aku ka pilikia. Hoʻomaʻamaʻa maikaʻi ʻia kēia maʻi maʻi maʻi me kahi ola ola 75 makahiki ma mua o 5%.
Goiter a i ʻole nodule? He ʻokoʻa ʻo Goiter mai ka nodule no ka mea pili ia i ka holo thyroid holoʻokoʻa e hoʻonui ai i ka nui. ʻO ka nodule, ma kekahiʻaoʻao, uaʻikeʻia e kahi'āpana liʻiliʻi i hoʻopuniʻia ma ka thyroid. Akā i kekahi mau goiters, ʻaʻole like ka piʻi ʻana o ka leo, e pili ana i kekahi mau wahi o ka thyroid, no laila ke kapa ʻia nei he nodular a multi-nodular goiter (cf. goiter sheet) |