Goitre multinodular chithokomiro England: zimayambitsa, matenda ndi mankhwala mbali

Kwa anthu ambiri, mabele England ndi oversized. Nthawi zina, kudwala uwu si palibe brainer-, koma endocrinologists ambiri matenda multinodular Chotupa chija. Kumachitika chifukwa malo osauka ndi kupanda ayodini m'thupi. Mfundo ndi mtima wabwino mu chikhalidwe zambiri, koma nthawi zina mukhoza pokhala chotupa zilonda, amene anachotsa opaleshoni. M'nkhaniyi, tiona zimene multinodular khosi lotupa ya chithokomiro England. mayankho Chithandizo za izo angaonere.

Kufotokozera za matenda

Chifukwa chosowa ayodini chakudya ndi madzi thyrotropic mahomoni anayamba kupangidwa ndi chithokomiro England lalikulu zedi, monga chiwalo weniweniwo analephera kupanga chofunika kuchuluka kwa mahomoni omwe.

Thyrotropic mahomoni opangidwa ndi England pituitary imfayo kuchuluka kwa maselo, chifukwa mu kuchuluka kwake mofulumira. Atangomva kufunika kwa zinthu zimenezi wapadera umayamba kuchepa, colloid anapeza mu zimakhala za thupi kumabweretsa mapangidwe a follicles lalikulu. Kunja, izo akufanana ndi khosi lotupa zikuluzikulu, zimene limaonekera kwa apoyera, ndipo nthawi zambiri kukhala palpated ndi wodwalayo.

Patapita kuchuluka kwa nthawi thupi kachiwiri akapsa ulimi wa mahomoni chithokomiro ndi chithokomiro khosi lotupa akuchulukirachulukira.

mitundu matenda

Multinodular khosi lotupa ya chithokomiro England ndi a mitundu itatu:

• mfundo - ngati amawapeza m'goli kuwonjezeka thupi kumachitika chifukwa zochita zake kwambiri;
• akakufunsani - mu nkhani iyi Prostate minofu limakula uniformly chifukwa kuchepetsa ntchito yake secretory;
• wothira - n'kovuta, thupi lili ndi kuwonjezeka m'goli, koma m'madera ena kusunga homogeneity awo.

Ngati mfundo oposa awiri owonjezera 1 masentimita awiri, kusankha atagwira ndi puncture ya chithokomiro England. Nthawi zambiri, iwo ndi mtima wabwino. Ambiri, zotupa izi kukhudza aliyense pa ntchito yake alibe, ndi matenda otchedwa "multinodular euthyroid Chotupa chija." % 5 okha pa mfundo mwina khansa.

Mu dziko lathu, multinodular poizoni khosi lotupa akupezeka 12% ya anthu, ndi akazi zambiri kuposa amuna kuvutika iwo. Ndi zaka kumachititsa kudwala matenda izi, ndipo koposa zonse iye wapezeka mu zaka 45-60.

Ngakhale pamaso pa mfundo mu chithokomiro England sikumangotikhudza ntchito ya thupi ili, komabe anafunika kuchitira matenda. Pali zinthu pamene kupanda chidwi vuto loopsa moyo.

Zimayambitsa matenda

The zifukwa enieni chifukwa pali Mipikisano mbewu, si bwino bwino, koma madokotala kunena motsimikiza kuti ndi ayodini akusowa kwakukulukulu amakwiya matenda.

zinthu zina zimathandiza kuti mapangidwe kudwala awa:

• wonongeka wa chapakati mantha dongosolo;
• kupsyinjika maganizo;
• yimitsira a chitetezo chokwanira humoral;
• zoipa kantchito;
• yaitali wambiri wa mankhwala ena;
• kumakhala kutengera za kumtundu matenda;
• chiwindi matenda ndi machitidwe m'mimba;
• zimamuchulukira chifukwa anatengera;
• kukhudzana ndi cheza;
• pafupipafupi kutupa kwa chithokomiro England;
• zosayenera zakudya.

zizindikiro

Munthu sangathe kudziwa kuti ali ndi Mipikisano mbewu, zizindikiro pa siteji oyambirira kungakhale mwamtheradi zosatheka kuti awonetsere osati kuwalanditsa kusapeza iliyonse la wodwalayo. Ngakhale mayunitsi yaing'ono 2 masentimita awiri, kuwaona ndi maso ali maliseche kovuta, choncho amachita pa ultrasound pa anayendera chizolowezi.

Ngati kunyalanyaza vutoli, ndiye patapita kanthawi angathe hyperthyroidism. Wodwala wayamba kusokoneza thukuta kwambiri, irritability, tachycardia likutuluka, ukuwonjezeka kuthamanga, thanzi akukhudzidwira chatsitsa. Kumva kulasalasa kumachitika mu mtima, chilakolako ukuwonjezeka, anthu ambafuna kumwa, zikuyamba kuonda. Zolemba kunjenjemera zala, lilime ndi thupi. Usiku odwala mosaneneka otentha, iwo amayamba kumva mantha ndi nkhawa. Zizindikiro zimenezi zingachititse kuti kuchepa mu chilakolako chogonana.

Nthawi zina multinodular poizoni khosi lotupa achuluke moti ayamba compress ziwalo pafupi. kusintha mawu wodwalayo, izo zimakhala zovuta kumeza, kupuma, ndi kumverera kwa psinjika kapena suffocation, makamaka udindo supine mu khosi.

matenda a khosi lotupa

Ngati mukukayikira kuti wodwalayo Mipikisano mbewu, ndiye agwire diagnostics ya chithokomiro England. Choyamba, wodwala akuyendera dokotala, ndiyeno atumiza kwa US thupi ili. Ngati mfundo upambana awiri a 1 masentimita, ndi kusankha puncture singano biopsy zotupa izi. Ankachititsanso kafukufuku mahomoni, chifuwa radiography, pamene pali mphamvu ya psinjika, Kujambula ndi scintigraphy.

Njira amachitira chithokomiro

Popeza kwambiri chiyambi cha chitukuko cha matenda monga Mipikisano mbewu, limapezeka pafupifupi asymptomatic, ndiye patapita kanthawi munthu wayamba kumva mmene iye choopsa. Wodwala wotaya kulemera mofulumira, pali disruptions mu mtima, pali mantha chinawonjezeka ndi kutopa kwambiri.

Ngati matenda a "ndi Mipikisano mbewu", mankhwala dokotala anu mwina mankhwala zotsatirazi:

• kudya tsiku ayodini munali mankhwala, mankhwala mu nkhani iyi ndi yaitali ndithu;
• kumayambiriro kwa thupi odwala ayodini nyukiliya, amene amathandiza kuchepetsa mfundo.

Ngati mulibe kuthandiza zimenezi, multinodular khosi lotupa ya chithokomiro England pansi pa opaleshoni, makamaka chifukwa cha kukula kwake lalikulu.

Mankhwalawa LITT

Ngati njira ndiwofatsa alephera kuletsa kukula kwa mbewu, adokotala akhoza mankhwala laser chovutika interstitial thermotherapy (LITT). Mu nkhani iyi, kuwala wagawo CHIKWANGWANI umayamba. Chifukwa cha zimenezi, nyumba mapuloteni khosi lotupa minofu amayamba bwanji kutentha pa madigiri 41-46, chifukwa chimene maselo amasiyira kugawaniza.

Ubwino wa njira imeneyi kwagona kuti chisanadze mankhwala, mankhwala akhoza kutenga malo popanda mankhwala, lofotokozabe onse a chithokomiro England si lamulo pamaso ndondomeko.

Koma pali njira yotero ya mankhwala ndi contraindications:

• matenda somatic;
• aakulu mawonekedwe hyperthyroidism ndi hypothyroidism;
• matenda a misala;
• kutupa thirakiti chapamwamba kupuma.

mankhwala Traditional

Ngati munthu wodwala matenda multinodular khosi lotupa chithandizo (ichi akusonyeza amakambirana) mankhwala wowerengeka akhoza kwambiri bwino alili. Chifukwa, izo anabwezeretsa kupanga yachibadwa mahomoni mu thupi, ndipo nazo zofunika kuchuluka kwa ayodini.

Tsiku lililonse adye nyanja kabichi, kumwa tincture wa hawthorn, amasamba ofunda ndi zina zotero. D. nyanja mchere ndi Mothandizidwa ndi zitsamba zosiyanasiyana mankhwala khosi lotupa kha multinodular kumbuyo.

Zotsatira chachikulu cha mankhwala kubweretsa milandu:

• Vernal udzu Adonis wogawana osokonezeka peppermint, galu violet, oregano, maluwa mlingo calendula, chamomile ndi cudweed. chopereka amalimbikira mu madzi otentha kwa maola awiri ndi kutenga musanadye.
• Obwerawa mankhwala valerian, ndimu mankhwala, zouma zipatso phiri phulusa, masamba plantain, clover mkulu, erysimum cheiranthoides, mugwort, chilombo masamba sitiroberi, yarrow, mankhwala tchire masamba, kutsanulira madzi otentha ndi kunena. M'pofunika kutenga kulowetsedwa tsiku lililonse kwa mphindi 15 asanayambe kudya.
• Zinaphatikizana mulingo ofanana mlingo calendula, Artemisia vulgaris, cudweed, mtima laimu, prickly hawthorn, angustifolia msondodzi, chamomile maluwa, ananyamuka m'chiuno, thyme m'munda ndi madzi otentha udzathiridwa. Collection usavutike mu madzi osamba kunena za 2 hours, fyuluta ndi kumwa kangapo patsiku.
• Kugwirizana ndi mankhwala monga duwa prickly, ndimu mankhwala paini, chamomile, oregano, Tilia cordata, yopapatiza-Ndalankhula msondodzi therere, comfrey, cyanosis azure, plantain lalikulu ndi thyme munda. A pang'ono zosonkhanitsira nthaka ufa ndi kutsanulira kuwira madzi. Kodi kumwa kangapo patsiku.

mankhwala azitsamba zambiri kumatenga miyezi 1.5-2, ndiye kupanga yopuma masabata ochepa.

Kulimbitsa zotsatira akulitse chithokomiro udindo malangizo otsatirawa mankhwala milandu:

• Kutengeramo yofanana calendula, chamomile, valerian, peppermint ndi sitiroberi zakutchire, wosakaniza ndi anathira madzi otentha. Kodi kunena maola 2 malo otentha, ndiye zosefera ndi kutenga katatu pa tsiku mphindi 15 atatha kudya.
• liziwawa obwerawa liziwawa St. John, yopapatiza-Ndalankhula fireweed masamba, ananyamuka m'chiuno, oregano, zouma maluwa mtima woboola pakati laimu, kutsanulira madzi otentha ndi kuchoka mu chipinda ofunda. Zosefera ndi kumwa nthawi 4 tsiku mukatha kudya.

Pomaliza

Choncho, tiyenera kumvetsa zomwe Mipikisano chithokomiro Chotupa chija. Chithandizo (amakambirana anthu ambiri amathandiza) ndithu bwinobwino ndi mankhwala nthawi yake kwa dokotala. Inu simungakhoze kuyenda matenda oopsa, chifukwa ana amakumana ndi mavuto ambiri, moyo pachiswe.