Toxic thyroid adenoma (hauv tshuaj, cov kab mob no hu ua Plummer's disease) yog ib qho kev tsim kho zoo uas muaj cov tshuaj hormones ntau ntxiv, cov leeg nce, thiab cov haujlwm ntawm cov qog noj qab haus huv yog inhibited. Qhov kev kuaj mob no tsuas yog tom qab kuaj xyuas kom meej, vim tias cov tsos mob ntawm tus kab mob zoo ib yam li lwm hom kab mob.
Yog li, dab tsi yog cov thyroid adenoma lom? Thiab nws kho li cas?
Vim txoj kev loj hlob
Txog hnub no, nws tsis tau tsim kev ntseeg siab tias yog vim li cas cov thyroid adenoma tshwm sim. Qhov ua rau pathology, raws li qee cov kws tshawb fawb, tau muab zais rau hauv cov noob hloov pauv.
Lwm tus kws kho mob, soj ntsuam kev txhim kho ntawm tus kab mob, ntseeg tias nws tshwm sim tib yam li ib txwm adenoma. Tab sis raws li qhov tshwm sim ntawm kev tsim cov tshuaj hormones, nws cov haujlwm nce ntxiv.
daim duab kho mob
Cov thyroid adenoma zoo ib yam hauv nws cov tsos mob kom nthuav davtoxic goiter. Tab sis nws cuam tshuam rau kev ua haujlwm ntawm lub plawv thiab cov hlab ntsha ntau dua.
Muaj ob hom kab mob Plummer:
- Nyiaj pab. Hauv cov cheeb tsam uas tsis cuam tshuam los ntawm adenoma, daim ntawv no khaws cov tshuaj hormones. Yog li ntawd, tsis muaj cov tsos mob ntawm hypothyroidism hauv lub cev.
- Decompensated. Daim ntawv no yog tus cwj pwm los ntawm kev cuam tshuam hauv kev tsim cov thyroid-stimulating hormones. Raws li qhov tshwm sim, thyrotoxicosis tshwm sim.
Ntawm palpation, puag ncig lossis oval ntsaws ruaj ruaj nrog cov lus hais tau hnov.
Thaum ntxov ntawm tus kab mob, cov tsos mob tsis qhia. Tab sis nrog txoj kev loj hlob ntawm cov qog nyob rau hauv ib tug neeg, lub siab hloov pauv pib, chim siab tshwm sim. Thaum lub sijhawm ua kom tus kab mob no, cov tsos mob tsis zoo tshwm sim: tachycardia, kub siab, arrhythmia.
Nyob rau theem kawg ntawm cov kab mob xws li tshuaj lom thyroid adenoma, cov tsos mob feem ntau tshwm sim raws li hauv qab no:
- mob plab;
- lub cev kub;
- nausea;
- daim siab mob;
- mob plab;
- tsis kam mus rau qhov kub siab ambient;
- poob phaus nrog kev noj zaub mov tsis hloov.
Symptoms of disease
Cov tsos mob tseem ceeb ntawm tus kab mob yog ib puag ncig lossis oval tsim ntawm caj dab, uas tau hloov pauv thaum nqos. Nyob rau tib lub sijhawm, muaj ntau qhov tshwm sim uas qhia tias muaj tshuaj lom adenoma ntawm cov thyroid caj pas yog tsim nyob rau hauv lub cev.
Cov tsos mob ntawm pathology yog raws li hauv qab no:
- kua muag;
- tsis tsim nyog chim siab;
- frequent mood swings;
- mob ntawm lub paj hlwb autonomic;
- mob ntshav siab;
- fast pulse;
- rare blink;
- xeev siab thiab raws plab;
- bug-eyed;
- subfebrile kub;
- kub intolerance;
- nce qab los nrog poob phaus;
- tes tshee;
- tshwm sim ua pa luv;
- qhov muag qhuav;
- mob hnyav;
- txiv neej yog yam ntxwv los ntawm: infertility, txo potency;
- poj niam muaj mob migraines, fainting, menstrual irregularities;
- puffiness nrog nqhis dej tas li;
- nqhis dej tsis meej;
- yuav muaj ntshav qab zib;
- kev tsis xis nyob hauv caj pas;
- hnoos hnoos;
- Hloov lub suab timbre.
Kab mob sib kis
Feem ntau, qhov tshwm sim tsis zoo tshwm sim nyob rau hauv xws li:
- Toxic thyroid adenoma kuaj pom lig;
- kev kho mob los tawm tsam tus kab mob no tsis raug thiab tsis tsim nyog.
Nyob hauv cov xwm txheej zoo li no, teeb meem xws li:
- atrial fibrillation;
- osteoporosis;
- compression ntawm cov ntaub so ntswg thiab cov kabmob vim kev loj hlob ntawm cov leeg;
- cov neeg laus muaj lub plawv tsis ua haujlwm.
Yuav ua li cas txheeb xyuas tus mob
Kev kuaj mob ntawm tus neeg mob txhawm rau txhawm rau kuaj mob tshwm sim hauvntau kauj ruam:
- Kev kuaj los ntawm tus kws kho mob endocrinologist. Tus kws kho mob tshuaj xyuas tus neeg mob qhov kev tsis txaus siab thiab, nrog kev pab ntawm palpation, tuaj yeem kuaj pom muaj cov nodes.
- Ultrasound. Thaum lub sijhawm kawm, qhov chaw ntawm cov qog tau tsim.
- kuaj ntshav. Txiav txim siab qib ntawm cov tshuaj hormones hauv cov qog pituitary thiab thyroid.
- Biopsy. Tsim cov cytology ntawm cov qog hlwb.
- kuaj ntshav biochemical.
- Scintigraphy. Nrog kev pab ntawm radioisotope iodine, lub caj pas raug kuaj. Kev ntsuam xyuas tso cai rau koj kom paub qhov txawv ntawm qhov "kub" thyroid nodule (cov cim qhia ntawm adenoma tshuaj lom) thiab "pw" lossis "txias" ib qho.
- Computed tomography, lees paub lossis tsis lees paub cov txiaj ntsig ntawm ultrasound.
kev kho mob
Txoj kev kho tus kab mob yog txiav txim siab los ntawm tus kws kho mob endocrinologist tom qab ua tiav ntawm tus neeg mob. Feem ntau, kev xaiv yog nres ntawm kev phais. Tsuas yog nyob rau hauv txoj kev no tuaj yeem tshem tawm cov thyroid adenoma kom tiav.
Kev kho mob yam tsis muaj kev phais - kev kho tshuaj - yog ua tau nyob rau theem pib. Feem ntau, nws raug sau tseg kom normalize cov tshuaj hormones.
Vim tus kab mob no tshwm sim los ntawm keeb kwm tsis ruaj khov hormonal, cov tshuaj tau muab tshuaj rau nws li qub:
- Y "Carbimazole". Blocks kev noj iodine. Yuav tsum tsis txhob noj kab mob siab.
- "Tiamazol". Tshem tawm iodine thiab txo kev tsim cov tshuaj hormones. Contraindicated nyob rau hauv cov qe ntshav dawb tsawg thiab biliary stasis.
- "Propicil". Txo qhov tsim cov tshuaj hormones. Yuav tsum tsis txhob noj nrog cirrhosis thiab lwm yam kab mob siab.
Tag nrho cov tshuaj no yog siv nruj me ntsis rau lawv lub hom phiaj thiab nyob rau hauv kev saib xyuas ntawm tus kws kho mob.
Tom qab kawm tiav ntawm kev kho tshuaj, kev phais raug sau tseg.
kho mob phais
Muaj ntau hom kev ua haujlwm hauv tshuaj.
Kev cuam tshuam phais mob tshwm sim:
- ib nrab (subtotal), uas tsuas yog qhov cuam tshuam ntawm lub caj pas yog excised;
- ua tiav (tag nrho) - cov thyroid caj pas raug tshem tawm tag.
Tau kawg, tsuas yog ib tus kws kho mob uas saib xyuas seb cov thyroid adenoma tshwm sim hauv tus neeg mob tuaj yeem txiav txim siab txog kev cuam tshuam.
kev kho mob ua ntej muaj ntau tshaj li kev kho tshuaj xwb.
Nws yog ib qho tseem ceeb kom ua raws li ntau txoj cai:
- ua siab ntev, zam kev ntxhov siab;
- ua raws li tus kws kho mob pom zoo noj;
- tuav tshuaj ntsuab zaug;
- tau pw txaus;
- zam lub hnub raug thiab tanning txaj.
Tom qab kev ua haujlwm, kev kho tshuaj hormone hloov pauv, uas tus neeg mob yuav tsum noj mus tas nws lub neej.
kev kho neeg zoo
Muaj ntau ntau cov zaub mov noj tshuaj zoo heev rau kev kho cov thyroid pathologies. Ua ntej tshaj plaws, nws yog tshuaj ntsuab.
Nws yuav tsum tau muab sau tseg tias kev kho mob tshuaj ntsuab yuav contraindicated nyob rau hauv cov ntaub ntawv ntawmQee cov kab mob, yog li nws yog qhov zoo tshaj plaws mus ntsib kws kho mob thiab kws kho mob endocrinologist.
Nws yog ib qho tseem ceeb kom paub tias tshuaj ntsuab tsis kho cov thyroid adenoma. Kev kho mob nrog pej xeem tshuaj tsuas yog siv raws li kev kho ntxiv. Yog li ntawd, nws yog ib qho tseem ceeb kom ua tiav tag nrho cov kev teem caij ntawm tus kws kho mob endocrinologist, noj tshuaj, ua raws li kev noj haus thiab kev ua haujlwm txhua hnub. Tsuas yog tom qab ntawd cov tshuaj ntsuab tuaj yeem muaj txiaj ntsig zoo.
Cov hauv qab no yog cov zaub mov uas pab cov thyroid kab mob. Rau kev siv cov nyiaj no, nws yog ib qho tsim nyog los sab laj nrog kws kho mob, vim lawv muaj ntau yam contraindications. Tsis tas li ntawd, ib tug yuav tsum tau mus rau lawv cov kev pab tsuas yog ib feem ntawm txoj kev kho mob.
tshuaj kho tau zoo:
- Kev sib sau ua ke. Sib tov tricolor violet nyom, licorice paus, walnut nplooj, pob kws txhob lo lo ntxhuav, burdock paus, Icelandic lichen thiab nettle nplooj (2 feem ntawm tag nrho cov Cheebtsam) nrog horsetail nyom (1 feem yog noj). Noj 2 tablespoons ntawm tshuaj ntsuab sib tov thiab ncuav 600 ml ntawm boiling dej. Infuse rau ib nrab ib teev, ces lim. Noj ib nrab khob 3 zaug ib hnub twg.
- Sib tov ntawm buckwheat nrog walnuts. Sib tov ib khob ntawm buckwheat nyob rau hauv kas fes grinder. Finely chop ib khob ntawm walnuts. Sib tov nrog ib khob ntawm buckwheat zib mu. Hloov mus rau ib lub khob iav thiab muab tso rau hauv qhov chaw tsaus rau 7 hnub. Ib hnub ib lub lim tiam tsuas muaj qhov kev kho no, ntxuav nrog dej los yog tshuaj yej ntsuab. Tsis txhob siv yog intolerant rau zib mu thiab txiv ntseej.
- Txhob ua kua mis thistle noob. Txiav 30 g ntawm mis nyuj thistle noob rau hauv hmoov. Ncuav 0.5 liv dej. Nqa mus rau ib lub boil thiab, txo cov cua sov, tos ib nrab ntawm cov kua kom evaporate. Tshem tawm ntawm hluav taws, lim. Noj thaum nruab hnub, ib teev ib teev, 1 tablespoon, rau ib hlis.
khoom noj khoom haus
Kev noj zaub mov ntawm cov neeg uas kuaj pom muaj cov thyroid adenoma yuav tsum muaj cov proteins, vitamins thiab iodine.
Cov cai niaj hnub ntawm iodine yog 100-200 mcg. Iodized ntsev tsis yog ib qho tseem ceeb ntawm lub cev. Thiab, yog tias cov khoom no tseem tsis txaus, noj "Calcium Iodide" hauv cov ntsiav tshuaj.
YKev kuaj mob ntawm pathology
Nrog rau kev kho raws sijhawm, tus kab mob yuav luag txhua lub sijhawm. Yog tias tag nrho cov qog tau raug tshem tawm lawm, ces txoj kev kho tshuaj hormones mus tas li.
Cov neeg mob uas muaj tus kab mob no yuav tsum ua raws qee cov lus qhia:
- nug tus kws kho mob endocrinologist txhua xyoo;
- ntsuas cov tshuaj hormone tas li;
- suab rau cov zaub mov pom zoo;
- muab tus cwj pwm phem;
- tsis txhob nyob hauv lub hnub ntev.
Patient opinions
Ntau tus neeg nug cov lus nug: "Yuav ua rau cov thyroid adenoma puas tuaj yeem kho tsis tau phais?" Kev tshuaj xyuas cov neeg mob uas tau ntsib tus kab mob no tau lees paub tias tsis muaj kev phaisKev cuam tshuam kom tshem tawm ntawm pathology yog yuav luag tsis yooj yim sua.
Kev kho tshuaj, kev siv cov tshuaj pej xeem tuaj yeem txo cov tsos mob tsis zoo. Cov kev kho mob zoo li no ua rau muaj qhov normalization ntawm cov tshuaj hormonal thiab tus neeg mob xav tias muaj txiaj ntsig zoo. Txawm li cas los xij, kev phais yuav tsum tau kho kom tiav.
