Goitre multinodular thyroid shwanu: zvinokonzera, chirwere uye kurapwa mamiriro

Nokuti vanhu vazhinji, asi thyroid shwanu iri oversized. Mune zvimwe zviitiko, zvokurwara ichi haisi hapana-brainer, asi endocrinologists vakawanda vanacho multinodular goiter. It kunoitika nokuda murombo ezvinhu uye kushayikwa ayodhini pamuviri. Nodes vari benign zvakasikwa kazhinji, asi dzimwe nguva kunogona kukwegura kuva akaipa bundu, iyo chinobviswa surgically. Munyaya ino, tichaongorora chii multinodular goiter yacho thyroid shwanu. Treatment mhinduro nezvazvo chichavawo kunzi.

Description of chirwere

Nokuda kushaya ayodhini zvokudya uye mvura thyrotropic mahormone vanotanga kuti zvinoberekwa thyroid shwanu akawanda, sezvo nhengo pachayo haakwanisi kubudisa inodiwa uwandu pachavo mahormone.

Thyrotropic mahormone zvinoberekwa pituitary shwanu kutsamwisa kuwanda masero, zvichizoita kwayo nokukurumidza kuwedzera. Panongotanga kudiwa izvi rinokosha zvinhu anotanga kuvira colloid yaungana munyama nomuviri kunotungamirira kuti paumbwe guru follicles. Nechokunze, afanane imwe goiter guru, izvo zvinoonekwa kuti kupfeka ziso, uye kazhinji kuti palpated nokuda murwere.

Pashure imwe nguva muviri zvakare zvinokonzera kugadzirwa thyroid hormone thyroid goiter kuramba ichiwedzera.

chirwere marudzi

Multinodular goiter of thyroid shwanu iri nezvezvikwata matatu:

• raiva pedyo nebundu - kana chirwere gogonera kuwedzera muviri kuti kunoitika nokuda kwayo kunyanya basa;
• diffuse - iyi kana prostate rinenge inokura noruvara nokuda rutapudzo yawo secretory basa;
• hwakakanyiwa - kashoma, muviri ane gogonera kuwedzera, asi dzimwe nzvimbo kuramba homogeneity yavo.

Kana nodes anopfuura maviri zvinopfuura 1 masendimita ari dhayamita, ngaagadze wakabata pasi ponji yacho thyroid shwanu. Kakawanda, ivo benign. Kazhinji, mapundu aya chero paupenyu hwayo basa asina, uye chirwere ichi anonzi "multinodular euthyroid goiter." 5 chete% of nodes kungava kenza.

In nyika yedu, multinodular hunokachidza goiter kunoitika muna 12% yevanhu, pamwe nevakadzi vakawanda zvichida pane vanhu vatambure navo. With zera kunowedzera mukana wokuti kukura chirwere ichi, uye kupfuura zvose iye padzakacherechedza mumakore 45-60.

Kunyange zvazvo pamberi nodes vari thyroid shwanu asingadi kukanganisa basa muviri ichi, asi achiri vaifanira kubata chirwere. Pane mamiriro ezvinhu apo kushaya pfungwa dambudziko aigona vangangokukuvadza upenyu.

Zvinokonzera chirwere

Chaiwo zvikonzero nei pane multi-chirimwa, haasi aizvinzwisisa, asi vanachiremba vanoti chokwadi kuti ayodhini kushaikwa zvikuru chinokurwadzai chirwere.

Zvimwe zvinoita kuti pave paumbwe zvokurwara ichi ndiwo:

• atadze kushanda zvakanaka zvomusoro tsinga;
• mupfungwa kugozha;
• kudzvinyirira pamusoro humoral kutapata;
• kunokuvadza kushanda mamiriro;
• mazhinji yaunodya vamwe mishonga;
• nemagene kubatwa kune chirwere;
• chiropa chirwere uye zvomudumbu nehurongwa;
• zadzisa nokuda kwadzakabva;
• kugara nemwaranzi;
• kakawanda kuzvimba thyroid shwanu;
• Kudya kukodzera.

zviratidzo

Man haagoni kuziva kuti ane multi-chirimwa, zviratidzo vachiri Danho kunogona zvachose hapana nzira yokuratidza uye kwete hurukuro chero kusagadzikana kumurwere. Nepo Muzvikamu diki, vanenge 2 cm mu dhayamita, ona navo akashama ziso riri zvakaoma, saka vanowanzoororwa akawanikwa ari Ultrasound panguva dzose kuongorora.

Kana ukasateerera dambudziko iri, zvino pashure nguva vanogona kuva hyperthyroidism. Murwere anotanga kuti vavhiringe kunyanya vangadikitira, kushatirwa, tachycardia ndewokuti, kumanikidza kunowedzera, zvinonyatsorehwa utano kuipa. Tingling anogona kuitika mumwoyo, havi kunowandawo, vanhu nguva dzose kunwa, anotanga kuderedza uremu. Notes kudedera minwe, rurimi uye muviri. Night sick kutsungirira kupisa, vanotanga kunzwa kutya uye kuzvidya mwoyo. Zviratidzo izvi kutungamirira vasanyanye chido chokurara.

Dzimwe nguva multinodular hunokachidza goiter kungawedzera zvokuti rwunotanga tsonyera pedyo nhengo. Murwere Inzwi kuchinja, zvinobva zvava zvinonetsa kumedza, kufema, kunzwa compression kana kutadza kufema, kunyanya mune supine chinzvimbo mumutsipa.

kuongorora chirwere kuti goiter

Kana uchifungidzira kuti murwere ane multi-chirimwa, ipapo vaite Diagnostics ari thyroid shwanu. Chokutanga, murwere anoshanyira chiremba, uye ipapo anotuma kuna US muviri ichi. Kana nodes kusapfuudza munhu dhayamita 1 cm uye kugadza tsono ponji biopsy anomera izvi. Also tsvakurudzo pamusoro mahormone, muchipfuva radiography, kana paine pfungwa compression, MRI uye scintigraphy.

Nzira kurapa thyroid

Sezvo pakutanga pokumuka zvirwere zvakadai somunhu multi-chirimwa, kunoitika anenge asymptomatic, shure kwechinguva mumwe anotanga kunzwa kwayo kunoparadza zvikuru. Murwere anorasikirwa uremu nokukurumidza, pane disruptions mumoyo, pane wakawedzera kutya uye zvikuru kuneta.

Kana chirwere kwe "multi-chirimwa", mishonga chiremba wako anogona mishonga zvinotevera:

• yaunodya zuva nezuva ayodhini ine mishonga, kurapwa hazvisi rebei;
• sumo muviri vanorwara pamusoro radioactive ayodhini, izvo zvinobatsira kuderedza nokusunungura mapfundo.

Kana musingadi kubatsira kurapa kwakadaro, multinodular goiter pamusoro thyroid shwanu iri pasi kuvhiyiwa, kunyanya nokuda kwayo guru ukuru.

Kurapa pamwe LITT

Kana kuchinja nzira vakakundikana kumisa kukura chirimwa, chiremba anogona mishonga Laser Kutemeswa interstitial thermotherapy (LITT). Panyaya iyi, iyo Manyiminya internet hadzisisina dzatangwa. Somugumisiro, mapuroteni zvivako goiter rinenge anotanga kuchinja tembiricha pa 41-46 madhigirii, nokuda iyo masero kumira panoparadzana.

Zvakanakira nzira iyi iri yokuti pre-kurapwa, kunokwanisa kutora nzvimbo pasina yokutindivadza, anoramba vose thyroid shwanu haina kunodiwa pamberi nzira.

Asi pane yakadaro nzira yokurapa uye contraindications:

• somatic zvirwere;
• zvakakomba chimiro hyperthyroidism uye hypothyroidism;
• mupfungwa kurwara;
• kuzvimba rokumusoro kufema turakiti.

Traditional kurapa

Kana munhu akanzi multinodular goiter kurapwa (ichi kunonyatsopupurira akaongororazve) chevarwere mishonga inogona yekudyidzana kuvandudza murwere ezvinhu. Somugumisiro, izvozvo akadzorera chakaipa Kugadzirwa mahormone pamuviri, uye replenishes anodiwa huwandu ayodhini.

Zuva nezuva adye gungwa makabheji, kunwa tincture pamusoro hawthorn, kugeza nemvura inodziya pamwe gungwa munyu uye zvichingodaro. D. Achibatsirwa siyana yemakwati goiter multinodular gwa shure.

Mukuru mugumisiro zvinodhaka izvi kuunza mhosva:

• Vernal uswa Adonis zvakaenzana yakavhenganiswa peppermint, tricolor Violet, oregano, maruva chipimo chemushonga calendula, chamomil uye cudweed. muunganidzwa ichi vanoomerera mumvura inopisa kwemaawa maviri uye tora pamberi kudya.
• Mixed mushonga valerian, ndimu nebharisami, michero yakaomeswa pagomo madota, plantain mashizha, apila yakakwirira, Erysimum cheiranthoides, mugwort, mhuka Strawberry mashizha, yarrow, somushonga somuzivi mashizha, dira mvura iri kufashaira uye kusimbirira. Zvakakodzera kutora imwe aizomupa ose zuva kwemaminitsi 15 vasati vachidya.
• Vakanga kusanganiswa yakaenzana zvikuru chipimo chemushonga calendula, Artemisia vulgaris, cudweed, mwoyo-lime chipingamupinyi hawthorn, angustifolia the willow, chamomil maruva, akasimuka hudyu, bindu thyme uye kufashaira mvura dzakadururwa. Collection neshungu ari kugeza nemvura vanosimbirira anenge 2 maawa, Sefa uye kunwa kanoverengeka pazuva.
• Anobatana makwenzi akadai chipingamupinyi ruva, ndimu nebharisami nemipaini, chamomil, oregano, Tilia cordata, yakamanikana-leaved the willow miriwo, comfrey, cyanosis azure, hombe plantain uye mubindu thyme. A shoma mutero pasi kuti upfu uye adururire kubika mvura. Vanofanira kunwa kanoverengeka pazuva.

kazhinji mushonga Mishonga kunotora 1.5-2 mwedzi, ipapo kuti yokumbozorora shomanana.

Kusimbisa migumisiro iri nani thyroid chinzvimbo kutokurudzira zvinotevera zvinodhaka mhosva:

• Kubatwa zvakafanana calendula, chamomil, valerian, peppermint uye mhuka Strawberry zvakavhenganiswa uye akadurura mvura kufashaira. Vanofanira kuomerera 2 maawa noushamwari nzvimbo, ipapo dzinobvisa uye tora katatu pazuva maminitsi 15 pashure kudya.
• sana Mixed sana St. vaJohani, yakamanikana-leaved fireweed mashizha, akasimuka hudyu, oregano, akaomeswa maruva madota akaita somwoyo, dira mvura achibika uye kusiya noushamwari mumba. Filter nekunwa 4 kanomwe pazuva pashure kudya.

mhedziso

Saka, tinofanira kunzwisisa kuti multi-thyroid goiter. Treatment (anodzokorora yakawanda vanhu kutsigira) zvikuru zvinobudirira nenguva kurapwa nachiremba. Haugoni kumhanya chirwere ichi nengozi, nokuti hwakazara matambudziko akawanda, upenyu pangozi.