Uturu nodule
La thyroid igomarara rakaita seshavishavi riri pazasi pemutsipa, pazasi peapuro raAdhamu. Inogadzira mahormone ethyroid akakosha pakudzora yakakosha metabolism, metabolism inopa simba rakakosha kumuviri kuchengetedza mabasa ayo akakosha: moyo, uropi, kufema, kugaya, kuchengetedza tembiricha yemuviri.
Hazvina kujairika kune a mashoma mashoma mafomu muthyroid gland, nekuda kwezvikonzero zvisati zvazivikanwa. Tinozvipa zita rekuti thyroid nodule (Ratini nodulus, pfundo diki).
Mapundu ehurodhi anowanikwa zvakanyanya: pakati pe5 kusvika 20% yevagari vemo vane nodule inopfuura 1 cm inonzwikwa pakupuruzirwa uye kana tikaverenga matinji asina kurongeka anoonekwa chete neultrasound, 40 kusvika 50% yevagari vane thyroid nodule. . Nekuda kwezvikonzero zvingangoita mahomoni, magunduru anosvika kanokwana ka4 kakawanda mu vakadzi kupfuura varume.
Basic metabolism Manodule kazhinji haaperekedzwe nechero zviratidzo. Uye kana makumi mapfumbamwe neshanu muzana emagunduru ethyroid ane hutsinye, 95% ndeyegomarara. Mamwe ma nodules, kunyangwe ane benign (asina kenza) ane chepfu (5 kusvika 5%), kureva kuti anoburitsa akawandisa thyroid mahormone. Zvizhinji kashoma, iyo nodule inogona kutsamwisa nehuwandu hwayo uye kuita compressive (10%) Palpation yemutsipa inofanirwa kuve yakarongeka panguva yekubvunzana nachiremba mukuru, gynecologist, nezvimwe. Saka zvakakosha kuita ongororo chaiyo yekwakabva nodule kuti unzwisise kuti imhando yepi, kana ichifanirwa kurapwa uye sei. |
Mhando dzethyroid nodules
- Colloidal nodule. Iyo inonyanya kuzivikanwa fomu yenodule, iyo colloidal nodule inoumbwa neakajairika masero.
- Cysts. Cysts maumbirwo akazadzwa nemvura. Vanogona kukura kusvika masendimita akati wandei mudhayamita. Ivo, kazhinji, vane mutsa.
- Inflammatory nodule. Inowanzoitika kune vanhu vane thyroiditis, kuzvimba kwethyroid. Thyroiditis inogona kukura semugumisiro wechirwere che autoimmune (chirwere icho muviri unogadzira masoja ekudzivirira chirwere), senge Hashimoto's thyroiditis. Inogonawo kuitika mushure mekuita pamuviri.
- Adenoma. Ibundu rakanaka. Anatomically, bundu tishu rinoda kufanana nenyama ine hutano mune thyroid gland. Kusiyanisa adenoma nekenza, biopsy inodiwa.
- Gomarara redundira. Iyo yakashata (kana kenza) nodule inomiririra 5% kusvika 10% yethyroid nodules. Gomarara rethyroid igomarara risingawanzoitiki. Kune 4000 zviitiko zvitsva muFrance pagore (kune makumi mana emazamu egomarara). Inobata vakadzi mu 40% yezviitiko. Chiitiko chayo chiri kuwedzera munyika dzose. Manodule anowanza kuvakadzi, asi varume vane njodzi yakawedzera yekuva negomarara mugomarara rethyroid. Vanhu vane nhoroondo yezvinetso zverurindi kana kuti vakagamuchira kurapwa nemwaranzi mumusoro kana pamutsipa semwana vari panjodzi huru. Gomarara iri rinowanzorapwa zvakanaka nezera rekurarama kwemakore anopfuura 000 rinodarika 75%.
Goiter kana nodule? Goiter yakasiyana nenodule nekuti inobata thyroid gland yese iyo inowedzera kukura. Iyo nodule, kune rumwe rutivi, inoratidzwa nediki misa yakatenderedzwa pathyroid. Asi mune mamwe goiter, kuwedzera kwevhoriyamu hakusi homogeneous, kunongokanganisa dzimwe nzvimbo dzethyroid, nokudaro kuumba inonzi nodular kana multi-nodular goiter (cf. goiter sheet) |