I-Fibrous Thyroiditis / i-Thyroiditis enomdla
Ixesha elithi thyroiditis libhekisela ngokubanzi kuyo nayiphi na ingxaki eyenza ukuvuvukala kwe- thyroid . I-Thyroiditis iyahlula iindidi ezibini ezibanzi - ezingenabuhlungu kunye nobuhlungu - ezibandakanya intlungu yentlungu ebangela izigulane.
Phakathi kwesigaba seentlobo ezingenabuhlungu ze-thyroiditis yifomu eyaziwa ngokuthi yiRedel's thyroiditis. Kukwaziwa nangokuthi i-riedel's struma, fibroous thyroiditis, kunye ne-thyroiditis engenawo.
Kwi-Riedel's thyroiditis, izifo eziqhelekileyo ze-thyroid ziyathatyathwa yinto eyaziwa ngokuba yi-fibrosis - inani eligqithisileyo leethambo ezixhumeneyo. Le fibrosis inokudlula ngaphaya kwe-thyroid ibe kwezinye iindawo entanyeni, kwaye ibangela ukuba i-thyroid ibe yinto engaqhelekanga entanyeni.
Isizathu seRiedel's thyroiditis asaziwayo, kodwa iingcali zichaza ukuba le mqathango ihamba ngokuzimela, ngenxa yokuba kukho ezininzi izifundo, uninzi lwezigulane ezineemeko ezivivinyayo ezinokuthi zithintele izifo zamathambo e-antithyroid.
Ukuchonga nokuPhatha i-Riedel's Thyroiditis
Ukuqaphela indlela i-Riedel's thyroiditis efunyaniswa ngayo kwaye iphathwa ngayo, ndabonisana ngokugqithiseleyo kwe-thyroiditis kwi- UpToDate- inkcazelo yekhompyutheni esetyenziswa ngamayeza amaninzi kunye nezigulane ezibonisa ulwazi olunzulu lwezokwelapha.
"Izigulane ezichaphazelekayo zinezintlungu ezingenakunqandwa okanye zinyameko, ngamanye amaxesha i-dysphagia okanye i-hoarseness, kunye ne-diffuse, nangona ngezinye izihlandlo, i-goiter enzima kakhulu, ichanekile kwaye ayisoloko ihluke ngokucacileyo kwiimveliso ezikufutshane. , kunye ne-serum antithyroid yokukhusela i-antibody concentrations zihlala ziphakamileyo.I-Prednisone yonyango inganciphisa iimpawu zengingqi. Kwiimeko ezincinci, i-tamoxifen ibonakala iyasebenza ekulibazisekeni, okanye mhlawumbi inokunceda ukuxazulula, ukuqhubeka kwezifo. Ukuhlinzwa kufuneka kwenziwe kuphela emva kokucingisisa ingozi kunye neenzuzo. kuboniswe ukuba kunciphise ukunyanzeliswa kwe-tracheal okanye i-esophageal kwaye ngezinye izikhathi ukukhuphela i-carcinoma.
Izibonakaliso onokuba no-Riedel's thyroiditis, zibandakanya ngoko:
- Ukuqina okanye ukuphazamiseka entanyeni
- Unzima ukugwinya
- Ukuthuka
- Ukwandiswa kwe-thyroid (eyaziwa ngokuba yi-goiter), ngokukodwa ovakalelwa nzima kwi-touch.
Ugqirha wakho uya kuhlola iimvavanyo zegazi ukujonga ukungalingani kwinqanaba le-hormone ye-thyroid kunye nama-antibodies ephakamileyo.
Kodwa ukuqinisekisa ukuxilongwa, i-biopsy ifuna intsholongwane enomdla .
Kwezinye iimeko, ugqirha wakho uya kubeka i-corticosteroid drug prednisone ukukunceda ukuphucula iimpawu. Isidakamizwa esivimbela i-estrogen i-tamoxifen kwakhona yonyango olutsha olwenziwe ngempumelelo ekulibazisekeni okanye ekunqumeni ukuqhubela phambili kwe-Riedel's thyroiditis.
Ngokuqhelekileyo, i-thyroid yegciwane ingaphazamisa ukukwazi ukugwinya okanye ukuphefumla, kwaye utyando lungafuneka.
Umthombo:
Burman, Kenneth. Ross, Douglas. UMartin, uKatherine. "Ubume be-thyroiditis." UpToDate . Kufumaneka: Agasti 22, 2008.