Goiter - ah qanjirka thyroid balaartay waa. Goiter: calaamadaha, kala soocidda, sababaha, daaweynta

In aadanaha, qanjirka thyroid ka ciyaartaa door aad u muhiim ah. Daweynta nidaamka hormoonada jidhka, jidhka ku lug sharciyeynta shiid tamarta. Laba dhafoorka ku xiran by it halkay ku ah, ayaa dhinacyada dhuunta. tamarta daama waxaa loo qaybiyey inta u dhaxaysa unugyada, iyo haddii ay tahay ku filnayn in ay faragelin hormoonnada thyroid. Haddii u dhaca waa joogto, waxaa jira isbedel la hubo oo dhar iyo cudur goiter. Dhowr noocyo kala duwan oo darajo cudurada, kuwaas oo sababaha iyo calaamadaha kala duwan. Nooc kasta oo cudurada u baahan baaritaan iyo daawada.

goiter Hunguriga

Weli liidata fahamsan yahay hababka of neoplasms thyroid. Hababka daaweynta, loo yaqaan ee maanta daawada waxaa laga yaabaa in aysan mar kasta noqon wax ku ool ah oo lagu daaweeyo cudurada si buuxda.

Fabric thyroid ka koobnaan kiishashka - unugyada spherical. Rabshadaha ee jirka la xiriira cillad xubnaha, ay keeni deformations. goiter Multinodular thyroid sababa isbeddelo ee aagag la xushay iyo waajihi - oo dhan nudaha. Ka sokow kordhinta cudurka kiishashka sifaha kartaa fiix muuqaalka (goiter fibrosis-nodular). Horumarka cudurka u horseedi karaa xumaanshaha of qanjidhada malignant.

sababaha

Goiter - cudur ka mid ah dhaawac thyroid kala duwan. Waxaa jira dhawr nooc, foomam iyo darajo of cudurada, kuwaas oo dabcan kala duwan ee dabiiciga ah, sababaha iyo calaamadaha. Sababta ugu weyn ee goiter sunta waa la'aanta iodine ee jirka, taas oo yaraynaysa waxqabadka secretory qanjirka thyroid ka. deegaanka Bad sidoo kale saamayn ku shaqaynaya ee qanjirka thyroid. Hoos ka mid ah walxaha sunta ah u dhigi karaan waxqabadka qanjirka thyroid ka, anada nidaamka hormoonada jidhka ah.

isticmaalka aan ku filnayn ee alaabta iodine-ka kooban (caano, miro, kalluunka) sidoo kale waxay keeni kartaa goiter. Sababaha nooca Guntin cudurka - habka kansarka ama adenoma thyroid. Kaladuwan iyo qeybinta unug kiiskan dhacdaa sarkhaansan yihiin walxaha sunta ah, shucaaca, iyo dhaxlo qaadi karaan.

Graves cudurada dhacaa sabab u tahay saameynta ay antibodies gaarka ah ee habka difaaca jirka xubin. Daaweynta waxay ka kooban tahay qaadashada daroogada in la xakameeyo soo saarka ee hormoonnada, mararka qaar dhibaatada la xalin by qaliin.

symptomatology

Goiter - taasi waa cudur sida aan ka dhacaan heerarka bilowga ah, iyo bukaanka waxaa laga yaabaa in aan xitaa laga war hayo oo ay joogaan. Kaliya oo xidhiidh la leh koror weyn oo thyroid horumarinta sawir caafimaad oo gaar ah. Astaamaha shchitovidki lagu gartaa ay barar on hore ee qoorta, iyo riixo unugyada ku xeeran. Si kastaba ha ahaatee, bukaanka ka caban of qufac qalalan, xabeeb codka, dareenka "barar dhuunta", neefta oo ku qabata. Marka dhaqdhaqaaqa madaxa waxaa jira dareen ah xiisadda iyo wareer ay sabab u tahay ku tirtirayaan, oo weelasha qoorta. In liqidda xoogaa wareersan sabab u riixo ee hunguriga. Waxaa jira goobo kala xajmi duwan on qanjirka thyroid. Waxa la sameeyo xaaladahan oo kale - waa sidaas oo kale ayaa ugu horeysay looga shakisan yahay raadsataa daryeel caafimaad.

Iyadoo horumarinta cudurada ay sabab u tahay yaraanta iodine dhammaystirayaa sawir caafimaad iyo calaamadaha kale ee la xiriira hypothyroidism, dibbiro, caabuqyada neef-joogta ah, cadaadiska dhiigga oo hooseeya. Marka adenoma thyroid ama cudurka Graves ', waxaa jira calaamado tayroodh: miisaanka oo yaraada, caro, gariir gacanta, gaajo, qandho.

Waajihi goiter euthyroid

cudurradana waxaa sababa deficiency iodine. hyperplastic Compensatory iyo geedi socodka hypertrophic ee qanjirka thyroid ka mid ah jirka oo loogu talagalay in lagu hubiyo heer ku filan oo hormoonnada thyroid ka. hababka Adaptive in iodine la'aan la xidhiidha iodine xaraashka qoomiyadda, dheecaan iodide hoos kelyaha Avv triyodtirozina, qabashada wanaajiyey ee iodine by qanjirka thyroid. Sidaas, jidhka mag deficiency iodine, laakiin waxaa jira horumarka ah thyrocytes hypertrophy, kaas oo hubinaya badqabka hawlaha thyroid. goiter Euthyroid adkayn laga yaabaa in ay dabcan sabab u ah arrimo ay ka mid yihiin nafaqeeyayaalka yar xad-yaraanta calcium (molybdenum, copper, cobalt, selenium, zinc, manganese), qaadashada daawooyinka qaarkood, cudurada raaga, walwalka shucuureed, sigaarka.

ma In intooda badan waxay yeeshaan calaamado clinical, tan iyo markii cudurkan ku dhow yahay ma ku xanuunsado function thyroid. Mararka qaarkood xaalad bukaan-socodka oo laga dheehan karo ka tabar guud, daal, daal. shchitovidki Kordhinta ah loola iin qurxiyo muuqata waxaa la socda oo la dareemayo cadaadis qoorta. Calaamadaha kale waxaa ka mid ah cudurka thyroid la xidhiidha hypertrophy ee jirka oo keeni kara dhibaatooyin daran, caabuq prostate, hemorrhage ah, riixo ee hunguriga, dhuunta. Against asalka ah cudurada this qaadi karaan, nooc kale oo ka adag oo goiter.

goiter sun ah

In haweenka, celceliska da'da waxaa laga helaa inta badan waasac dambidhaafkiisu goiter sun. Cudurkani waa ka yar u badan oo saamayn ku leh carruurta iyo dadka waayeelka ah bukaanka. Oo aan weli la gabi ahaanba la aasaasay, waxa arrimo saamayn horumarinta cudurka, laakiin inta badan ee daawada waxaa loo arkaa sabab weyn oo cilladaha hiddo sabab u ah taas oo nidaamka of regulation ee wax soo saarka ee unugyada ee habka difaaca jirka jabo. xanuunadan waxay keeni in xaqiiqda ah in la horumariyo antibodies ka dhanka ah ay unugyada thyroid gaarka ah ee bukaan-socodka. cilladaha hiddo ay dhacdo in this - ma aha cabista sixun oo joogto tirakoobka in khasab ma aha in ilmahaaga uu jiran yahay, haddii cudurku waa goiter qof ka waalidka.

Waxay jeelyihiin in dhif ah in this cudurada korodhka mugga thyroid. In 30% bukaannada helay kordhay indhaha (Graves ophthalmopathy, ophthalmopathy hormoonada jidhka, exophthalmos). Calaamadaha ugu weyn ee goiter sun waajihi waxa uu la xidhiidhaa xad dhaaf ah hormoon oo soo saaray qanjirka thyroid. Sababo la xiriira waxqabadka-dhaafka ah ee saamaynta hormoon ee shaqada wadnaha jabay bukaan-socodka, ilaa horumarinta garaaca. Weyneeye ah hababka dheefshiidka keeni miisaan lumis. Bukaan-socodka kara calaamado sida sii xumaanaysa oo hurdo ah, iyagoo qaylinaya oo daal, caro, muuqaalka gariirka.

goiter nodular

goiter nodular - tiro ka mid ah heley la mid wax ka wadaagaan - waxbarasho ee qanjidhada qanjirka thyroid. Ka dib markii looga shakiyay horumarka cudurka, bukaanka u baahan tahay in ay dhex maraan dhawr baadhitaan si loo ogaado ku xad iyo nooca. Haddii bukaanka la ogaado in ka badan hal Guntin, waxaa laga helay goiter multinodular qanjirka thyroid ka. muujinta ugu badan ee cudurka waa a goiter euthyroid Kolloidol. Calaamadaha sida ma dhici karto, laakiin cilladaha muuqan qoorta ilaa lahayo ku ah. Wada jir ah ula dareenka xanuun ka muuqan dhibaatooyin, taasoo muujinaysa in si weynna u kobcay qaababka: dhiig shirka, muuqaalka kore ee barar, la sii badanaysaa thyroid. The qanjidhada of size weyn cadaadin karaa dhuunta ama hunguriga, kaas oo la Ulasocto rabshooyin ee neefsashada iyo liqidda.

Horumarinta goiter nodular waxaa fududeeyey arrimood sida cabista hidde, cudurada raaga fayras ama bagteeriyo, daawooyinka, cuntada arrimo goitrogenic, arrimaha deegaanka. Sababta ugu weyn ee waa la'aanta ah ee iodine ee jirka. Waxaa lagama maarmaan ma aha in cudurka keeno xaalad la dayacay. isla markiiba U dir dhakhtar haddii aad dareento in kuus kuus qanjirka thyroid. Maxaa la samayn, sida in laga takhaluso iyaga ka mid ah oo looga hortago in dhibaatooyin - waxaa laga heli karaa wada tashi gaar ah ka dib markii uu kala duwan ee ka buuxa sahan. Markaas waxaad qaadan kartaa tallaabooyinka qaar ka mid ah iyo qori daaweynta.

degrees

Degree of goiter nodular go'aamiyo ka thyroid sida la weyneyn. Qanjidhada noqon kartaa tirada kala duwan oo tiro kala duwan. Ugu hadda, waxaa jira laba kala saaro of goiter nodular in awoodaha. Midkii kowaad wuxuu u - at Nikolaev. Waxaa la go'doonsan 5 kooxaha. At eber degree of qanjirka thyroid ma la arki karo iyo waxa aan la dareemay by taataabasho. The hore - ma la arki karo, laakiin u dareemi. darajadii labaad waxa lagu gartaa muujin ka muuqda qanjirka lagu jiro wax liqidda. In circuit kordhay saddexaad iyo adkaanayo qoorta. afraad ayaa lagu muujiyay goiter hore u cad, taas oo ku xadgudba qaabeynta qoorta. Fifth, heerka ugu dambeeya ee cudurka waa ben la dhibaatooyin. size ballaarnaa ee qanjirka thyroid keenaysaa in riixo ee xubnaha ku xeeran, kaas oo sababta xad shaqada qaabka neefsashada iyo wadnaha iyo mareenka caloosha iyo mindhicirka.

Sida laga soo xigtay qoondaynta WHO ee, waxaa jira saddex degree (eber, koowaad iyo labaad) cudurka. At eber goiter ma aha marka hore - ma la arki karo, laakiin u dareemi, iyo marka ay jirto goiter a degree labaad, iyo waxa loo arki karaa isha oo qaawan. Haddii heerarka bilowga ah ee horumarinta cudurka ma aha khatar la arki karo jidhka, horumarka cudurka u horseedi karaa cawaaqib xun, sababtoo ah dalagga - waa cudur halis ah, marka lagu daro isbedel dibadda saamayn xun ku hawlgalka oo dhan nidaamka iyo xubnaha.

hababka ogaanshaha

Baaritaanka Hore ee bukaan-socodka la sameeyaa via taataabasho. Haddii burada la helay, qori ultrasound si loo ogaado xaddiga neoplasms thyroid iyo size saxda ah. Fine-irbad biopsy rajo gelin darteed waxaa loo sameeyaa in kiiska halkaas oo formation of badan 1 cm, ama uu jiro shaki kansar. Ultrasound weheliso biopsy kordhiyaa daraasadda wargelin ah.

goiter Hunguriga, at meesha uu xabadka iyo qiyaasta weyn, waxaa lagu barakacay kartaa jihada ka mid ah marinnada hawada, kaas oo keena dhibaatooyin. Si tan looga hortago, doorataa X-ray xabadka barium duwan iyo hunguriga. Magnetic resonance imaging waxaa loo isticmaalaa ujeedada baadhitaan faahfaahsan ee goiter retrosternal. Xaaladaha caadiga ah, waxa aan la qoray.

Sida loo daaweeyo goiter

daaweynta goiter noqon kartaa muxaafid iyo qalliin. Ikhtiyaarka hore waxaa loo isticmaalaa, haddii cudurka waajihi, nodular, goiter multinodular qanjirka thyroid ka. contraindication Absolute in qaliin kale oo uu sabab u isticmaalo daaweynta muxaafidka ah. Waxay ka kooban tahay dhowr tallaabo. Marka hore, waxaad u baahan tahay in dib loo eego cuntadaada iyo bedesho miisaaman a. Weli u baahan in la hagaajiyo xaaladaha nadaafadda. Waxaa kuu qori karaa daaweynta ee miciinka u gaar ah. qaybaha muhiimka ah ee daaweynta muxaafidka ah waxaa ka mid ah: caadi beerka iyo shaqada mindhicirka, kumeelgaar ah ee Axdigu ee cudurada raaga, caadi shiid iodine ee u shaqeeyo. Arintaan waxaa la gaari ay sabab u hesho daawooyin sida, "triiodothyronine", "Tireoidin", "Tireotom", "Tireokomb".

daaweynta Qalliinka waxaa qoray, haddii ay jiraan calaamado muujinaya qalliinka: waajihi goiter IV iyo xad V goiter waajihi III xadka oo ma noqon karaan therapy muxaafidka, goiter isku qasan oo nodular, thyroid haddii kordhay. Goiter saaro laba siyaabood: gemistrumektomiya iyo resection ee xuubka. qalliin xanbaarsan dhakhtar qalliin oo hoos kormeer ugu dhow ee endocrinologist ah. Waxa kale oo suuragal daaweynta ee loo dawayn lahaa dad goiter. Habka ugu isku dayay oo waxtar leh waa in la isticmaalo iyo geedo yaryar elecampane. Waxa loo isticmaalaa vodka galiyey oo loo isticmaalo in lagu raaci cunaha in daawo dhamaystiran.

Ka hortagga goiter

Si aan si la kulmi goiter cudurka, waxaa lagama maarmaan ah si uu u helo xaaladaha ka yar taas oo cudurka ma horumarin karaan. Waxaan ka hadleynaa ka hortagga, taas oo haddii ay taasi waxaa laga yaabaa in mass ah, koox, shaqsi. Mass ka kooban yahay ee codsanaya cusbo iodized, taas oo ka kooban halkii 1 ton of 25 garaam oo potassium. Gaar ahaan muhiim u tahay soo dhawaynta ee meelaha khatarta ah deficiency iodine kordhay. ka hortagga Collective waxaa lagu fuliyaa by "antistrumin" daroogada. Waxay u isticmaali halbeegyo military, carruurta iyo kooxaha dugsiga at dose oo ah 1 kiniin halkii todobaad. Bukaan-socodka yimid aagga la deficiency iodine, iyo qori "antistrumin" daroogada.

dayactirka gaar ah ka hortag ah waa in la fuliyay in lala tirtiridda xumaynaya iyadoo adeegsanayo talaabooyin dhowr ah nadaafada iyo bulshada (la dagaalanka cudurada caloosha, dhaqanka nadaafada dadweynaha, ka hortagga hypovitaminosis, cunto kala duwan ah oo isu dheelitiran, la hagaajiyo xaaladaha nololeed).