Cov thyroid nodules yog sib npaug (tsis tas tiaj tus) tsim uas tshwm sim hauv cov ntaub so ntswg ntawm cov thyroid caj pas. Yog lawv muaj dej puv ces lawv hu ua hlwv.
Cov pob txha loj ntawm cov qog nqaij hlav ua rau muaj kev xav ntawm constriction hauv caj pas. Cov neeg ntawm lub cev nyias tuaj yeem pom qhov tsim tawm thaum lub sijhawm kuaj palpation ntawm lawv tus kheej.
Cov thyroid nodules, raws li kev txheeb cais, pom nyob rau hauv ib ntawm kaum tsib tus poj niam, tib lub sijhawm, qhov piv ntawm cov txiv neej yog ib ntawm plaub caug. Feem ntau, kev tsim ntawm cov ntaub so ntswg ntawm cov thyroid caj pas tau kuaj pom hauv cov neeg mob hnub nyoog tshaj 50 xyoo. Nrog rau hnub nyoog, cov "malfunctions" hauv lub cev raug kuaj pom ntau zaus.
Kev tshwm sim
Ntawm cov laj thawj ua rau muaj kab mob zoo li no, qhov tseem ceeb yog qhov tsis muaj iodine hauv zaub mov thiab dej. Cov thyroid nodules muaj ntau dua nyob rau hauv cov cheeb tsam uas tsis muaj iodine tau raug pov thawj. Heredity kuj plays lub luag hauj lwm txiav txim siab thaum lub hlwb nrog nce rhiab heev kis tau tus mob. Nyob rau hauv cov ntaub ntawv no, ib tug goiter yuav tsim nyob rau hauv daim ntawv ntawm ib tug loj node los yog ntau me me. Kev kawm nyob raucov thyroid caj pas yog hyperfunctioning, ua haujlwm qis, tsis ua haujlwm.
Cov tsos mob ntawm tus kab mob thiab lub cev nqaij daim tawv ntawm cov thyroid caj pas
Cov qog no yog ib qho ntawm cov kabmob tseem ceeb ntawm cov kab mob endocrine, uas yog lub luag haujlwm rau kev tsim cov tshuaj hormones uas tseem ceeb rau cov txheej txheem metabolic thoob plaws hauv lub cev. Cov thyroid caj pas muaj ob lub lobes nyob rau ntawm ob sab ntawm lub trachea thiab txuas nrog ib qho isthmus.
Yeej, cov nodes uas tshwm sim tsis thab tus neeg mus ntev, tsis suav qhov hloov me ntsis ntawm kev noj qab haus huv. Cov cim muaj xws li:
- faus;
- nce pw tsaug zog;
- ua haujlwm ntau dhau;
- chim siab;
- mood instability;
- hloov pauv qhov hnyav;
- cuam tshuam hauv plab hnyuv, nrog cem quav;
- tawv nqaij;
- cov plaub hau qhuav thiab qhuav;
- mob leeg;
- xav kub lossis txias hauv nqua.
Nodes hauv thyroid caj pas, kuaj mob
Yog tsis muaj kev sab laj kho mob, kev kho mob ntawm neoplasms tsis tau ua tiav, yog li nws yog ib qho tseem ceeb los txiav txim siab qhov ua rau thiab qhov xwm txheej ntawm pathology. Txhawm rau kom paub meej txog kev kuaj mob, tus kws kho mob tau sau ntau qhov kev kuaj mob hauv chaw kuaj mob, xws li kev kuaj mob ultrasound thiab kuaj kuaj:
- kuaj ntshav rau TSH - thyroid hormones;
- kuaj ntshav thiab zis;
- hauv siab x-ray;
- kuaj gynecological;
- electrocardiogram.
Kev tshuaj xyuas ntawm cov thyroid caj pas rau cov tshuaj hormones tso cai rau koj txiav txim siabQhov teeb meem tseem ceeb hauv kev txiav txim siab qhov xwm txheej ntawm neoplasm (benign lossis malignant).
Cov txheej txheem hu ua "fine needle aspiration biopsy" thiab yog ib qho kev kuaj mob zoo. Nws tau ua raws li kev tswj hwm ultrasound. Ultrasound qhia txog qhov txawv txav xws li adenomatous nodules hauv cov thyroid caj pas.
Raws li qee qhov kev qhia, kev tshawb fawb hu ua "scintigraphy" tau ua. Hauv qhov no, cov khoom siv hluav taws xob tau siv los ua kom pom cov yam ntxwv ntawm lub cev thaum lawv nkag mus rau cov ntaub so ntswg ntawm lub cev. Txoj kev tshawb no tso cai rau koj kom paub qhov txawv ntawm qhov "txias" lossis "kub" node.
