Goiter diffuse hakuna zvinokuvadza: kuongorora chirwere uye kurapwa

Goiter diffuse non-chepfu - chirwere zvakajairika, icho pamwe kuwedzera thyroid kukura. Iye inotambudza vakadzi nevarume chero zera (iye kazhinji chirwere muvana). Ichokwadi, varwere vanofanira kuverenga mashoko nezvechirwere ichi, hazvina kujeka zvachose chirwere kunowanzokonzera kunyonganiswa muvanhu. Saka, sei ngozi anogona kuva chirwere uye sei kudzivisa kukura kwayo? Ndezvipi zviratidzo vanofanira kuteerera?

Diffuse hakuna zvinokuvadza goiter: ICD bumbiro uye dzinokosha zvechadenga chirwere

The chirwere kunoratidzwa hypertrophy uye hyperplasia isiri yekenza kuti thyroid tishu. Zvichitaurwa zviri nyore, kuti thyroid shwanu anotanga kukura kukura. Izvi zvokurwara pasi E04.0 kuverengwa uye zvinotsanangurwa ICD-10.

Diffuse hakuna zvinokuvadza goiter haisi achiperekedzwa dzichipfekeka zvirwere. Tikafunga hosha haina kuchengetwa hyper- kana hyposecretion thyroid, saka mahormone anoramba muupenyu. Kuwanda chirwere - 4-5%. Panzira, vakadzi ndivo tichikurumidza nayo kupfuura akasimba pabonde. Kazhinji pane diffuse hakuna zvinokuvadza goiter nevana, asi kazhinji zviri chirwere mu repakati vanhu, pashure pemakore 30.

Kupatsanura: marudzi uye siyana chirwere

Kazhinji, non-hunokachidza goiter hwapedyo tikafunga ayodhini kushayiwa pamuviri. Kana totaura kusava chinhu ichi munzvimbo dzokugara, chirwere rinonzi endemic - zviri pasi chikamu chikuru vemo.

Asi pane dzimwewo nyaya dzokuti chirimwa anova pasina ayodhini kushayiwa munzvimbo dzokugara. Ichi nguva dziri kure chimiro chirwere, izvo zviri kukonzerwa kukwana kwevari secretion ose thyroid mahormone.

Hakuna zvinokuvadza goiter angava diffuse, mumwe nomusimboti (thyroid munyama vari kuumbwa gobvu benign nodules) uye yakavhenganiswa. Uyezve, hypertrophied simbi vanogona zvakasiyana kusachinja-chinja - kubata zvinyama angava manyoro, kwakavharwa nenyama, mukobvu uye dzimwe nguva vanova yakanaka mhango cysts.

chirwere rwakazara

Goiter diffuse non-chepfu muzviitiko dzakawanda inokudziridza zvishoma nezvishoma. In mushonga ano rakakamurwa muzvikamu zvitatu, achitungamirirwa zvekunze zviratidzo:

• Munyika dzinonzi razero danho ziso kuchinja hatisi - the contours kwemitsipa ndivo chete, uye zvakaoma kuziva pamberi chirwere pamusoro palpation.
• Diffuse hakuna zvinokuvadza goiter 1 dhigirii haagoni tsunga panguva rokuongorora, asi panguva palpation kuti chiremba ane ruzivo kuona kuwedzera kenza.
• In padariro rechipiri kukura goiter havagoni chete kunzwa neminwe yenyu, asiwo kuti vaone - munhu akawedzera thyroid shwanu iri mufanidziro somunhu guru murwi pasi ganda.

Danaus kupatsanura zano ane chirwere rinokosha.

Ndezvipi zvinokonzera chirwere?

Kuwedzera shchitovidki nehosha kwakadaro compensatory. Kukura zvinyama nokuda kushayiwa ayodhini. Tikafunga kushaya ichi chinhu thyroid masero thyrocites, vari kutanga andobata ayodhini. Kuwanda masero ichiwedzerwa kuti kuunganidza yakawanda sezvingabvira ari chinhu, ukuwo, ichiwedzerwa tishu guru.

A yakafanana chiri chokuita kana ayodhini kushaikwa (haana kupinda muviri yakakwana kwazvo), kana zvimwe chete kukwana secretory shwanu thyroid mahormone.

VaBennett goiter haigoni edza haisi nguva dzose. Zvinozivikanwa kuti pane imwe nemagene kubatwa. Somuenzaniso, vamwe varwere vane majini nepfungwa chokuita nokuvhiringidzirwa enzayemu enyika.

Ukuwo, pane zvimwe zvinokonzera njodzi. Somuenzaniso, rinokosha chechikadzi uye zera murwere (chirwere kazhinji kuti mukadzi akura zera). Goiter diffuse hakuna zvinokuvadza kazhinji ikabuda iri huta mupfungwa uye mazhinji mupfungwa. Zvinhu Risk zvinosanganisirawo beriberi uye vamwe micronutrient kushayiwa mumuviri, kunyanya, zingi, manganese, molybdenum, selenium, cobalt uye mhangura. Zvakawandisa karusiyamu Unogona kukura goiter. Chete mazita ingasanganisira fodya, chisingaperi zvirwere, uyewo nokushandisa zvimwe zvinodhaka.

The kunotoda mufananidzo uye huru zviratidzo

Goiter diffuse hakuna zvinokuvadza anova nezvishoma, uye mukutanga mumatanho, izvo zvinogona kuripo kwemwedzi kana makore, chirwere hakuiti unooneka. Apo neapo varwere vanotsutsumwa simba uye dzungu, tichibatwa nomusoro. Asi zviratidzo kuitika pano neapo, saka vanhu havambokwanisi hanya navo.

Sezvo chirwere anowedzera kukura thyroid shwanu - uchaona nechitarisiko tubercle, richichinja contours kwemitsipa. Hypertrophy kweprostate unowanzonzi compression pakati pedyo nadzo, zvakadai midziyo ropa, trachea, yegurokuro, uye zvichingodaro .. Dzimwe nguva varwere vanotsutsumwa tinyanye manzwiro bundu iri huro. Varwere vanogona dambudziko kufema (kunyanya kana akarara pasi), uyewo kumedza. Constant kupfupika kufema zvikuru kwazvo ezvinhu kutungamirira asima kurwiswa. Syndrome mukuru vena cava varwere chinhu pamusana compression (Kudzvinya) rwengarava.

Iyo yematambudziko zvinogona kukonzera chirwere?

Sezvambotaurwa, diffuse hakuna zvinokuvadza goiter - mhembwewo chirwere, kunyanya kana akabatwa chirwere nguva, uye murwere vakagamuchira rubatsiro zvakakodzera. Kunyange zvakadaro, maperembudzi chokuita nevamwe zvichibvira matambudziko.

Dzimwe nguva shchitovidka anowedzera kuti pinches yakapoteredza mamiriro, zvikurukuru, tsinga harinzwi nemidziyo ropa kuti takura ropa kuuropi. Uyezve, kuwedzera kwemakemikari anobudiswa shwanu kunogona kukonzera yemweya compression. Apo neapo chirwere rakaoma nokuda kuzvimba uye chitarisiko hemorrhages duku iri zamu tishu.

Zvinosuruvarisa pane zviitiko apo varwere kuva diffuse / nodular chepfu goiter, iyo kare pamwe zvikuru hormone zvirwere.

Sei ano Diagnostics?

Chirwere ichi nyaya inokosha zvikuru, nokuti hypertrophy pamusoro thyroid shwanu angava anoratidza zvirwere zvakawanda. Chokutanga, Chokwadi, chiremba anounganidza nhoroondo uye palpate kuti thyroid shwanu - akazotevera okukura ayo anogona kuonekwa munguva kutarisana vaongo-.

Next, iva nechokwadi kuti vape ropa kuona padanho thyroid mahormone (pamwe hakuna zvinokuvadza goiter mahormone ndizvo). Fanira chikamu chirwere Ultrasound ari thyroid shwanu, umo chiremba anogona zvakarurama kuona kukura prostate, kuti umutse kuvapo kana kusavapo nodules, cysts nezvimwe growths.

Dzimwe nguva zvimwe radiography - zvinoita here kuona ukuru compression pakati yegurokuro uye kufema turakiti. In pamberi nodules Varwere vanokurudzira munhu biopsy.

Non-hunokachidza diffuse goiter: kurapwa

Zvipatara pamwe chirwere ichi zvikuru pakuti ezvinhu murwere uye dhigirii hombe mumasero. Somuenzaniso, zero dariro marapiro uye haatarisiri - murwere inokurudzirwa kugadzirisa zvokudya, kudzivisa kuneta mupfungwa uye chaidzo dzose kuongorora.

The zvokukura varwere basa kugamuchira zvinodhaka ayodhini chechipiri nechechitatu (potassium iodide nezuva dose anenge 200 MG). To zvishoma nezvishoma kuderedza kenza varwere kazhinji vanoda yokutsiva kurapa, kureva, kwokubatsira zvinodhaka ine levothyroxine. Kazhinji, vanachiremba vanokurudzira mishonga yakadai se "Eutiroks", "Levothyroxine" uye "Yodotiroks".

Kuvhiya excision resimbi rinoitwa chete zvakakura kacho, kana murwere akamboona rakakomba compression. Mumamiriro ezvinhu aya, mumwe mukuru mukana kutadza kufema uye matambudziko vascular, saka oparesheni kunotodiwa.

Pane matanho preventative?

Chokwadi, zviri nyore zvikuru kudzivisa kukura chirwere pane ipapo tsvaka nzira zvinobudirira kuhupedza. Dzakananga kudzivirira hakuwaniki, asi varwere vanofanira kutevera vamwe mitemo nyore. Zvinozivikanwa kuti munyika ine wakaiswa ayodhini kushaikwa, vagari rakarumbidza kuti nguva nenguva muzadze matura chinhu ichi pamuviri, kushandisa zvinodhaka ayodhini-tune. Kuti tizvidzivirire zvakafanana zvinodhaka raitongwa vana panguva dzamunenge muchinyanya kukura uye vakadzi vane pamuviri.

thyroid nokuti kuipa oparesheni zvakakosha kuti muviri anogamuchira mavhitamini, zvikurukuru, retinol, tocopherol, vhitamini B12 uye D. Naizvozvo, 1-2 pagore vanhu anobatsira kutora vhitamini zvivako.

Chokwadi, chinhu chokudzivirira nechiyero chinokosha zvokudya. Panguva Muterere, unofanira zvachose kuzozivisa ayodhini zvigadzirwa, kusanganisira hove, hove uye mazai. Ruomba, chiropa, makarotsi uye mafuta hove kuti saturate muviri pamwe zvinokosha mavhitaminzi. Asi zvokudya zvakadai broccoli, radish, tabapi, horseradish, konifurawa uye makabheji kunonoka basa kuitwa kuti ayodhini pamuviri. Chokwadi, kuti chose kukanda mapfumo vavo kufanira, nokuti ane yakawanda nezvimwe zvinhu zvinokosha, asi kushomeka nhamba rwaunoda. Chokwadi, unofanira kudzivisa kunetseka uye vanoomerera zvakarurama nzira, hope uye zororo, kazhinji nguva iri yakachena mhepo uye kurega miitiro inokuvadza utano. izvi zvose zvichatibatsira kudzivisa kukura kwakadaro chirwere sezvo diffuse / nodular hakuna zvinokuvadza goiter.