Kuderako ndi ayi khosi lotupa

Ayi khosi lotupa - wamba matenda amene amagwirizana ndi kukanika kwa kapangidwe chithokomiro England, ndicho ndi kuchuluka kwake. Ngakhale kuti matenda imatengedwa kuti ndi otetezeka, sayenera ananyalanyaza - wodwalayo amafunika chisamaliro.

Kumene, anakumana ndi vuto lofanana, odwala ndi chidwi zambiri. matenda ndi chiyani? Kodi zizindikiro ayenera kulabadira mu malo oyamba? Kuti mwa mawu a mankhwala kupereka mankhwala amakono? Mayankho a mafunso amenewa kukhala zothandiza owerenga ambiri.

matenda ndi chiyani?

Nthawi zambiri kuchita ntchito mankhwala mawu monga kuderako ndi ayi Chotupa chija. matenda onse ali limodzi ndi focal kapena akakufunsani kukulitsa ya chithokomiro England pamene kusunga ntchito yake zinchito. Komabe, kusiyana pakati pawo mpaka pano.

Chotupa chija - matenda amene amagwirizana ndi kupanda ayodini m'thupi, komwe n'kofunika kwambiri kuti uziyenda yachibadwa ya chithokomiro England. Izi mawonekedwe a matenda zinalembedwa pakati pa anthu a m'madera akusowa ayodini chakudya ndi madzi. Malinga ndi kafukufuku, matenda ndi zofala Brazil, India, United States ndiponso m'madera a Russia, Egypt, Switzerland. Matendawa zambiri wamba pakati pa anthu a okwera.

Ayi chithokomiro Chotupa chija limodzi ndi zizindikiro zomwezo ndi kusintha structural. Komabe, matenda ziribe kanthu kochita ndi moyo m'madera zili otsika ayodini.

The chikuchititsa mavuto a matenda

Osati nthawi zonse akatswiri amanena tione chifukwa chake osauka ayi Chotupa chija. Komabe kuzindikira zinthu zingapo chiopsezo:

• Kuyamba, ndi ponena za chibadwa ofunika, kwasonyeza ndi kutengera za kumtundu kuti matenda. Nthawi zambiri, ndi kuphwanya njira ayodini kagayidwe ndi mapangidwe mahomoni mu chithokomiro England.
• Zifukwa Komanso ankaona, ndi kungasokoneze chilengedwe.
• chakudya chofunika, monga chakudya m'thupi la munthu akhoza kulowa thunthu impeding kaphatikizidwe yachibadwa mahomoni chithokomiro (mwachitsanzo, flavonoids, tiotsianid).
• Nthawi zambiri chifukwa cha matenda ndi utsogoleli wa mankhwala kuti kusokoneza mayamwidwe a chithokomiro timadzi zimakhala thupi.
• Ayi khosi lotupa angathe pa nthawi pamene kufunika thupi kwa mahomoni chithokomiro ndi kuchuluka, monga pa unamwali kapena mimba.
• Chifukwa cha matenda zina amakhala adenoma kapena chotupa kukula mu zimakhala chithokomiro.

Kuchepa timadzi kaphatikizidwe, kuphwanya kwa kagayidwe ayodini, thupi yafupika kudziwa mahomoni chithokomiro - zonsezi akuthamanga ndi njira compensatory. The pituitary England akuyamba secrete zambiri chithokomiro-zolimbikitsa timadzi, zomwe zimachititsa kuti munthu chithokomiro England hyperplasia minofu.

Ayi khosi lotupa: Gawo

Pali kachitidwe ambiri a gulu la matenda. Mwachitsanzo, malinga ndi ntchito zinchito za chithokomiro England anali olekanitsidwa:

• euthyroid mawonekedwe (mahomoni mu osiyanasiyana wabwinobwino, ntchitoyo akusokoneza chithokomiro);
• gipertireiodny goitre (yodziwika ndi kulalikira mwakhama England ndi kukwera kwa madzi mahomoni chithokomiro);
• hypothyroid mawonekedwe (chithokomiro ntchito yafupika, kuchuluka kwa timadzi amachepetsa).

Mogwirizana ndi malo ndi mbewu - zingakhale khomo lachiberekero, pang'ono retrosternal, retrosternal ndi pozadipischevodnym. Akutali ndi khosi lotupa lilime.

Malinga dongosolo mbewu kungakhale akakufunsani (shchitovidka hypertrophied homogeneous minofu), nodular (mu makulidwe a tinatake tozungulira khansa anapanga lolemererapo) ndi kusakaniza.

Magawo chitukuko cha matenda ndi kufotokoza mwachidule

Ayi Chotupa chija limodzi ndi kukulitsa pang'onopang'ono ya chithokomiro England. Malinga kukula thupi kusiyanitsa madigiri angapo chitukuko cha matenda:

• Ziro digiri - chitsulo si palpable, mbali zake ali mu uthunthu yachibadwa.
• Mlingo woyamba - pa siteji cha chitsulo zowoneka chionekera, koma Korinto ake kuonekera pa Pomeza, zikhoza pa nthawi imene palpation.
• digiri yachiwiri - mabele England bwino palpable ndi kuonekera pa Pomeza.
• Mlingo lachitatu - mu nthawi ino, chithokomiro kale kuoneka bwino osati pa Pomeza, komanso pa mpumulo. Mwina kudziŵika ndi kusintha contours ya khosi (zikuwoneka chachikulu, pali "wachiwiri" chibwano).
• Mlingo wachinayi - mbewu kuoneka bwino, mawonekedwe a khosi zimasiyanasiyana.
• Chachisanu digiri - akuthamanga mawonekedwe a matenda, imene mabele ndi zoopsa. Nthawi zambiri, kuchuluka thupi compresses trachea ndi kum'mero, kuteteza kumeza ndi kupuma.

Sing'anga charting mankhwala, onetsetsani kulabadira mlingo wa kuwonjezeka khansa.

Ayi khosi lotupa: zizindikiro matenda ndi zofunika

Mu masiteji koyamba matenda kawirikawiri sakhala kumawonetsera - wodwala adachira sankaganiza. Koma ndi chitukuko cha matenda a chithokomiro akuyamba kuwonjezera kukula. Choyamba, akhoza amangoona pa Pomeza, koma thupi nthawi zonse kukula, omwe limodzi ndi kusintha contours ya khosi.

Kuwonjezeka chithokomiro buku amakhudza ziwalo pafupi. Pali psinjika wa trachea, amene anatsagana ndi youma chifuwa ndi movutikira. Odwala kudandaula za vuto kumeza. Nthawi zina, pali hoarseness, ndilo chifukwa psinjika za molekezera mitsempha.

Mu masiteji koyamba milingo chithokomiro timadzi zolondola. Komabe, kupitirira kwa matenda allocated chiwerengero cha zinthu biologically yogwira zikhoza kuchepetsedwa kapena, Tikawonetsetsa kuonjezera. matenda m'thupi chingapangitse kuti matenda ena. Mwachitsanzo, odwala ena kukhala tachycardia, matenda oopsa, arrhythmia. odwala ambiri amadandaula za kutopa nthawi zonse ndipo kusinza, irritability, kupweteka kwa minofu, puffiness kuzungulira maso. Zizindikiro monga Thukuta usiku, kulolerana osauka kutentha ndi kuzizira, kuchuluka tilinazo khungu, kudzimbidwa, amene kutha ngakhale patapita Kusintha zakudya.

njira yodziwira

Nthawi zambiri, odwala kupita kwa dokotala mu magawo kenako chitukuko matenda. Pa palpation katswiri angathe kumva ndi kukula chithokomiro England. Nkofunikira kumanga mbiri wathunthu zachipatala (ngati wodwala akukhala dera ndi akusowa ayodini, pali banja zambiri milandu khosi lotupa) ndi kudziwa chifukwa cha matenda, chifukwa zinthu zambiri ndi ku zimenezi ndipo zimadalira bwino mankhwala.

Kwenikweni anachita chithokomiro ultrasound. phunziro imeneyi zimathandiza kuti adziwe kupezeka kwa tinatake tozungulira ndipo cysts, kupeza miyeso chenicheni cha thupi, etc. Anachita X-ray wa khosi ndi chifuwa, ndipo nthawizina yopangidwa tomography (limakupatsani kuona digiri ya psinjika a ziwalo). Wodwala amapereka magazi kudziwa mlingo wa mahomoni chithokomiro. biopsy A imagwiridwa mu amaganiziridwa pamaso pa zotupa zilonda (zambiri nodular kupanga pamene khosi lotupa).

mankhwala a matenda ndi chiyani?

mtima zimene amene anapezeka ndi khosi lotupa ayi? Chithandizo kumatengera zifukwa zambiri. Monga ulamuliro, yotengekatengeka chithokomiro suppressive mankhwala. Odwala amapatsidwa kulandira "Levothyroxine" kapena kukonzekera ena okhala L-thyroxine. Mlingo ndi nthawi ya mankhwala atsimikiziridwa payekha.

Pankhani ya matenda ayodini akusowa kapena kuwombola lake dokotala zina anapereka phwando iodide ( "antistrumin"). Mbali yofunika ya mankhwala kudya bwino. Mungafune kuphatikizapo mu zakudya zakudya zokhala ndi ayodini ndi mapuloteni, pamene kuchepetsa chiwerengero cha mankhwala amathandiza kuti chitukuko cha mbewu (mwachitsanzo Palestina ankalima, turnips, mtedza, radish, nyemba, kolifulawa).

Pamene opaleshoni imaonekera?

Kumwa mankhwala amathandiza matenda kugwira ntchito kwa chithokomiro England, kuteteza kuchuluka kwake patsogolo ndi kuthetsa matenda ena kuti ayende ayi Chotupa chija. Opaleshoni Komabe, njira yokha kuthetsa mapindikidwe alipo. chosankha kuchita ntchito amatenga dokotala ngati thupi wodzaza compresses trachea, mitsempha ya magazi ndi minofu ozungulira. Pa ndondomeko, dokotalayo amachotsa minofu owonjezera ndi kubweretsa mawonekedwe zabwinobwino komanso khansa khosi.

Zovuta ndi zotsatira zotheka

Nthawi zambiri, matenda amalabadira chithandizo. Komabe, vuto lingakhalepo. Mwachitsanzo, ayi khosi lotupa ana ndi zinadzala ndi chitukuko mkhutu thupi ndi cretinism. Ngati tikulankhula za mtundu nodal wa hypertrophy, pali mwina zilonda kusintha kwa maselo.

Kuchuluka shchitovidka akakufinyani Mitsempha, mitsempha Airways, kwambiri impairing khalidwe la moyo wa wodwalayo. Mwachitsanzo, anthu ndi hypertrophy wa VI ndi V digiri ankaona pang'ono unusable - iwo contraindicated Zochita amene amafuna zofuna kukhetsa thukuta.

zodzitetezera

Ayi khosi lotupa - vuto zofala. Ndipo mu nkhani iyi zimakhala zosavuta kupewa matenda kuposa kudandaula ndiye za mankhwala. Popeza nthendayo nthawi zina ndi akusowa ayodini, m'pofunika kutsatira zakudya, monga mu zakudya iodized mchere, nyanja kale na ndi zakudya zina wolemera uyu mchere kufufuza zinthu.

Ayenera kuzipewa, ndi zinthu zina chiopsezo, makamaka kutengedwa mankhwala zikanavulaza. Nthawi madokotala amalangiza mankhwala ayodini munali kupewa (kukachitika kuti matenda zidzayambike ndi kuperewera kwa thunthu mu madzi ndi chakudya). 1-2 nthawi chaka pochitika chavuta ndi m'thupi yemwenso ndi. Ngati mwayamba aliyense ayenera yomweyo kukaonana ndi katswiri.