Liphetoho Diffuse ya thyroid tsoelesa e - ga ke polelo

palo ea bakuli ba kajeno ba na le boloetse ba liphetoho diffuse ya thyroid tsoelesa e, ka bomalimabe, e eketseha letsatsi le letsatsi. Le mabaka a sena ke 'maloa - keketseho sebele palong ea bakuli ba tepelletse maikutlong sena baahi ba ka lebaka la ho mekhoa le motsoako, liphetoho tse ka morao tsa tikoloho, ho ntlafatsa bokhoni tekotshupo. thepa ea kajeno re lumella hore re ho phetha hlokahala lisebelisoa lipatlisiso le liteko laboratori ea bakeng sa e khutsoanyane haholo nako, 'me ho ba le mamello ha hlokahala maemong a mangata, ba ho dipatlisiso kotsi (radioisotope anthivaerase letsoele dinama tse nyenyane tse, X-ray). Ho bolaoa ha liteko laboratori ea le oa ultrasound pel'a molaleng ho thusa etsa tepelletse maikutlong nepahetse.

O ile a senola liphetoho - hore na o lokela ho lefa a lebisa tlhokomelo ho eona

E lokela ho a hopola hore e diffuse parenchymal liphetoho tsa thyroid tsoelesa ba atisa ho fumana esita le tabeng ea tšohanyetso boitšoaro outpatient tlhlahlobo - palpation tsa anterior molaleng Ngaka e bolela keketseho hanyenyane ka bophahamo ba modumo, 'mele ebe feela fetisetsa mokuli ho e ka botebo hlahloba. Tabeng ena, bakuli ba hangata ha ba na ditletlebo efe kapa efe ka mosebetsi oa litsoelesa le endocrine (ha ho boloka li-hormone e tloaelehileng), empa esita le mejaro tse nyenyane li ka qholotsa matšoao a bothata. Le lekanang kgonego bakuli ka ntshetsa pele e le boemo ba ka maemo e ile ea eketseha ka li-hormone le le concentrations ka tlaase ea thyroxine le triiodothyronine - maemo bobeli hampe ama le thulaganyo ya metabolism dinama tse nyenyane tse 'meleng ka kakaretso le ka' na qholotsa alterations pathological ka makala a sa tšoaneng le tsamaiso ea.

Ho phaella moo, diffusely-tsepamiso fetola thyroid haholo belaelago ya ka dipehelo tsa nang kotsi le se bolaeang lihlahala. Ke ka lebaka leo ba bonoa ke diyuniti tsa ultrasound glandular dinama tse nyenyane tse bophara moholo ho feta 1 cm, ngaka lokela fetisetsa mokuli bakeng biopsy lemoha noute. Ke feela ka mor'a ho fumana ba tšoanelehang histological fihlela qeto 'me liphello tsa liteko laboratori ea (ho akarelletsa le ho etsa lipatlisiso le ho TSH, triiodothyronine, thyroxine, lisireletsi-ba khahlanong le thyroid), ngaka e ka etsa hlahloba behe kalafo.

li-hormone le tekanyo ea ho liphetoho lemoha - hore na ba ba kamehla tse amanang le mong ho e mong

Maemong tseo ha phetha ultrasonography ea molaleng senola liphetoho diffuse ya thyroid tsoelesa, mamello e lokela ho lebisoa ho ithuta boemo ba hormonal. Tataiso pele e ile a ntša ho bona hore boemo ba li-hormone hore litsoelesa thyroid hlahisa kapa ama lipalo tsena. Feela ba bonoa ba liphetoho ka mamello ka fuoa kabelo ea ho ithuta boemo ba li-hormone ho kopanela liphate, prolactin, li-hormone steroid ea 'mele, empa ditshekatsheko tsena, ho ke ke tse lakatsehang ho phetha rerisane le cardiologist, boloetse ba methapo, gynecologist kapa andrologist, maemong a sa tloaelehang haholo - ka mafu a kelello kapa psychotherapist. Hore ho hlokahala hore e joalo e mokgwathupelo bitsetsa ke taba ea hore liphetoho tse diffuse ya thyroid tsoelesa e ke atisa ho ba sesosa sa ho eketseha ha palo ya li-hormone, hammoho le ea fokotseha bohale mahloriso ea bona, hore hampe ama ho sebetsa ha tsamaiso ea motho ka mong le phelang ka kakaretso.

Boo hangata esita endocrinologists ba tšoanelehang belaella taba ea hore ho kgethwa ha litokisetso khethehileng hormonal bakeng sa tlwaelegileng a ea thyroid mosebetsi e hlokahalang bakeng sa ho hatelloang lona le ho sebelisa lithethefatsi tse thibela tswakana hormone thyroidin. Boiteko ba ho intša kapa ahloloe ka leeme khanselwa kgothaletswa phekolo maemong a moo diffuse lemoha liphetoho thyroid tsoelesa e ka 'na ea etsa hore mafu a e mpe ea litho tse ka hare, tse khonang ho hlahisa butle-butle (ka ho phetoho boreleli la profil hormonal) kapa sharply hore mamello isang hangata e le ka matla tlhokomelo diyuniti endocrinological lipetlele.