Euthyroid - chimene chiri matenda kapena chikhalidwe? Koopsa euthyroid?

odwala zambiri alibe vuto lililonse chidwi ndi chithokomiro England, anapezeka "euthyroid". Kodi izi zikutanthauza chiyani? Kodi matenda euthyroid kuwerenga? Zimene zimakhudza chikuoneka ndi mmene kuchotsa izo?

Kodi matenda a "euthyroid"

Tsatirani funso lokhudza euthyroid wa - ndichiyani zolondola kunena kuti mkhalidwe wa chithokomiro England isanafike matenda ake kapena mmalire pakati pa matenda ndi thanzi. Pamene onse euthyroid chithokomiro mahomoni ndi zabwinobwino ndipo wodwala safuna kuona iliyonse mavuto, koma chithokomiro wake yomweyo kugwiritsa ntchito ultrasound kapena Kafukufuku wina, kusintha pathological anapezeka. "Mahomoni n'zabwinobwino" zikutanthauza kuti chithokomiro England akugwira ntchito, mfundo, monga chiyenera kukhalira. Komabe, munthu amene ali ndi matenda a "chithokomiro euthyroid" sayenera asangalale chifukwa laling'ono poyerekeza ndi thupi kukula chidutswa cha zitsulo popanda chifukwa otchedwa masking ntchito luso. kawirikawiri sakhala kumawonetsera anayamba kusintha, mpaka iwo amatswa matenda aakulu. Choncho, motsutsa likhale euthyrosis angathe matenda euthyroid syndrome, autoimmune thyroiditis, Chotupa chija, ndipo ngakhale khansara chithokomiro. Bright zizindikiro za matenda amenewa kuwonetseredwa kokha pamene thupi sangathenso kubala kuchuluka kwa mahomoni.

Zimayambitsa euthyrosis

mavuto ndi chithokomiro England makamaka chosowa ayodini m'thupi. mchitidwe Izi zimafunika chitukuko mahomoni chithokomiro. Pa pang'ono ake zolakwa chithokomiro England akuyamba kukula, kuti "kudzamtsitsa" mmene ayodini ngati nkotheka. overabundance ake oipa chifukwa pa yemweyo nthawi yopanga mahomoni ali oletsedwa, ndi chithokomiro England wabwerera. zinthu sizikuyenda wa moyo ndi ntchito kwa osachepera sanali dekhetsa ayodini wambiri bwanji chakuti pali euthyroid. Kodi zimenezi zikutanthauza - sinali bwino? nkhawa ili, kusagona tulo, mkhalidwe mavuto okhazikika ya ubongo. Komanso, ndi wonongeka ya chithokomiro England zotsatira chapansipansi cheza mkulu, wambirimbiri ultraviolet (zonse yaitali dzuwa kukhudzana), zakudya za cobalt, strontium, Mercury, kutsogolera Arsenic, amene amagwirizana ndi peculiarities wa zinthu ntchito anthu. Euthyroid akhoza zimachitika ndi maziko a matenda, kuvulala chithokomiro opaleshoni, ndipo zotsatira mbali pamene mukumwa mankhwala.

symptomatology

Anthu nthawi zambiri amadabwa ndi matenda "euthyroid". Kuti matenda ali, kusonyeza okha US ndi kafukufuku zina. Komabe, pali zizindikiro zimene mtundu wa chizindikiro kuti ndi chithokomiro si chabwino, ngakhale kuwunika yachibadwa pa mahomoni. Zizindikiro zimenezi zikuphatikiza:

- kwambiri, nthawi zina zoona mantha;

- kutopa;

- pang'ono kutupa pakhosi;

- Nthawi zina n'kovuta kumeza, pali mtundu wina wa mtanda mu mmero;

- palpation adokotala akhoza kudziwa m'dera la khosi tinatake tozungulira yaing'ono; iwo makamaka sabweretsa chisoni, ndipo apo odwala akudandaula cha ululu, monga kufinya zovala khosi kolala.

Nodular khosi lotupa - mawonekedwe euthyrosis

Malinga ndi zomwe zachipatala, 4% ya anthu pansi Kupenda ndi m'thupi yemwenso m'dera khosi anapeza yaing'ono (1-1.5 cm) tinatake tozungulira. Iwo akhoza ili limodzi (yekhayekha) kapena magulu. Nthawi zambiri, wodwala amamvetsera nyumba awa pamene iwo kukhala noticeable zowoneka kapena pamene amayamba kuona ululu pamene Pomeza. Matenda amatchedwa "nodular Chotupa chija." Euthyroid chithokomiro - maziko waukulu maonekedwe ake, kuyambira chithokomiro mahomoni T3, T4, TSH ndi nthawi mkati mfundo zovomerezeka. Pa kudziwika kudwala izi dokotala ayenera n'kuika mtima mayeso zina, kuphatikizapo ultrasound, kusanthula radioisotope pa mahomoni chithokomiro. Nthawi zina, makamaka pamene mfundo limodzi anachita singano biopsy ndi cytology chitsanzo atengedwa. Ngati nodular khosi lotupa kuchuluka mofulumira kwambiri kapena ngati wodwala anapita kwa dokotala, pamene chotupa zafika lalikulu kwambiri, adokotala akhoza mankhwala X-ray retrosternal dera ndi kumayambiriro barium mu mmero kwa chotsatirachi Mosiyana kuwunika.

chithandizo

chithandizo pa matenda "euthyroid" chofunika pokha pokha pamene chithokomiro England kudwala m'kati. Ngati chikhalidwe chake ndi wolimba, miyeso okha ndi kuyang'aniridwa pafupipafupi ndi dokotala. Odwala akulangizidwa chithandizo waulemu wa tsiku, chakudya chamagulu. Ngati ndi kotheka, izo awerenge ndiwofatsa iodotherapy kapena chimatanthawuza "Levothyroxine". Ngati chithokomiro England kukula ndi lalikulu kwambiri, n'zotheka opaleshoni. Komanso, opaleshoni imagwiridwa ngati khosi ndi wapezeka tinatake tozungulira ochepa amene kukula ndi oposa 1 centimeter.