He aha ka Goiter? Nā Hōʻailona, Nā Kumu, a me ka Lapaʻau

ʻO ka goiter, ma ka maʻalahi, he nui ʻana o ka thyroid gland e hana ai i ka pehu ʻana ma kou ʻāʻī. ʻO kou thyroid he gland ʻano peʻa pepeke ma ke kumu o kou ʻāʻī e kōkua ana i ka hoʻoponopono ʻana i ka metabolism a me ka ikehu o kou kino.

ʻOiai paha e lohe ʻia ana ka huaʻōlelo "goiter" he mea weliweli, he nui nā goiter ʻaʻohe pilikia a hiki ke mālama ʻia. Hiki ke ulu mālie ka nui ʻana ma nā mahina a i ʻole nā makahiki, a ʻaʻole paha ʻoe e ʻike koke aku.

He aha nā hōʻailona o ka goiter?

ʻO ka hōʻailona maopopo loa o ka goiter, ʻo ia ka pehu ʻana a i ʻole ka ʻāʻī ma ke kumu o kou ʻāʻī, ma lalo pono o kou Adam's apple. Hiki i kēia pehu ke liʻiliʻi iki a i ʻole nui loa, ma muli o ka nui o kou thyroid.

Ma waho aʻe o ka pehu ʻana, hiki iā ʻoe ke ʻike i kekahi mau hōʻailona ʻē aʻe e hiki ke hoʻopilikia i kou ʻoluʻolu i kēlā me kēia lā. Eia ka mea i ʻike nui ʻia e nā kānaka:

• Ka manaʻo paʻa i kou ʻāʻī, me he mea lā e kaomi ana kekahi mea iā ia
• Paʻakikī i ka ʻai ʻana a i ʻole ka inu ʻana i nā wai, ʻoi aku hoʻi nā ʻai nui
• Ka ʻōhū ʻaʻole e hala
• Ka leo ʻāʻī a i ʻole nā loli i kou leo
• Paʻakikī i ka hanu, ʻoi aku hoʻi i ka moe pālahalaha
• ʻEha a i ʻole nā ʻeha ma ka wahi thyroid

I nā hihia kakaikahi, hiki i nā goiter nui loa ke kaomi i kou puʻu hanu a i ʻole esophagus, e hana ai i ka hanu ʻana a i ʻole ka ʻai ʻana i ka paʻakikī loa. Inā ʻike ʻoe i nā pilikia hanu koke a i ʻole nā pilikia ʻai nui, pono kēia i ka mālama ʻana i ka lāʻau lapaʻau koke.

ʻIke kekahi poʻe me nā goiter i nā hōʻailona e pili ana i nā loli o ka hana thyroid, e like me ka loaʻa ʻole o ke kaumaha a i ʻole ka nalowale, ka manaʻo luhi, a i ʻole ka pilikia i ka hoʻoponopono ʻana i ka mahana o ke kino. Ma muli kēia mau hōʻailona inā nui a liʻiliʻi paha ka hormone i hana ʻia e kou thyroid.

He aha nā ʻano o ka goiter?

He mau ʻano like ʻole nā goiters, a ʻo ka hoʻomaopopo ʻana i ke ʻano e kōkua ai i ka wehewehe ʻana i kou mau hōʻailona a me nā koho lapaʻau. ʻO ka ʻokoʻa nui, ʻo ia inā nui ka thyroid gland holoʻokoʻa a i ʻole nā wahi kikoʻī wale nō.

ʻO ka goiter diffuse, ʻo ia hoʻi ua nui aʻe kou thyroid gland holoʻokoʻa. ʻO kēia ʻano pinepine e ʻoluʻolu i ka wā e nānā ai kāu kauka i kou ʻāʻī, a ua hana pinepine ʻia e ka nele o ka iodine a i ʻole nā kūlana autoimmune e like me ka maʻi Hashimoto.

ʻO nā goiters nodular, aia kekahi a ʻoi aku paha nā ʻāpana a i ʻole nā nodules i loko o ka thyroid gland. Hana ka nodule hoʻokahi i ka mea i kapa ʻia e nā kauka he "uninodular goiter," ʻoiai nā nodules he nui e hana i ka "multinodular goiter." Hiki i kēia mau nodules ke paʻa a i ʻole rubbery i ka wā e nānā ʻia.

Hoʻokani pū nā kauka i nā goiters ma muli o ka hana thyroid. ʻO ka goiter "maʻalahi" a i ʻole "nontoxic," ʻo ia hoʻi e noho mau ana nā pae hormone thyroid i ka maʻamau ʻoiai ka nui ʻana. Hana ka goiter "toxic" i ka nui o ka hormone thyroid, e alakaʻi ana i nā hōʻailona hyperthyroidism e like me ka wikiwiki o ka naʻau a me ka nalowale o ke kaumaha.

He aha ka mea e hana ai i ka goiter?

E ulu nā goiters i ka wā e hana nui ai kou thyroid gland ma mua o ka maʻamau a i ʻole ke pane i kekahi mau mea hoʻoulu e ulu nui ai. ʻO ke kumu maʻamau loa ma ka honua holoʻokoʻa, ʻo ia nō ka nele o ka iodine, ʻoiai ʻaʻole pinepine kēia ma nā ʻāina i hoʻoikaika ʻia ka paʻakai me ka iodine.

Hiki i kekahi mau kūlana a me nā mea ke alakaʻi i ka hoʻomohala ʻana o ka goiter:

• Ka maʻi Hashimoto, kahi e hoouka ai kou ʻōnaehana pale i kou thyroid
• Ka maʻi Graves, kahi e hoʻoulu nui ai i ka hana ʻana o ka hormone thyroid
• Nā nodules thyroid e ulu ana i loko o ka gland
• Ke hapai ʻana, ma muli o nā loli hormone e hoʻopilikia i ka hana thyroid
• Nā lāʻau lapaʻau e like me ka lithium a i ʻole amiodarone
• Ka hōʻike ʻia ʻana i ka radiation i ka wahi ʻāʻī
• Ka ʻai ʻana i ka nui o ka iodine ma o nā mea hoʻohui a i ʻole nā lāʻau lapaʻau

I nā kūlana kakaikahi, hiki i nā goiters ke ulu mai ka maʻi kanesa thyroid, ʻoiai ʻo kēia ka liʻiliʻi ma mua o 5% o nā hihia. He kuleana ko nā mea genetic, e like me kekahi mau ʻohana he nui ka manaʻo i nā pilikia thyroid.

I kekahi manawa ʻaʻole hiki i nā kauka ke kuhikuhi i ke kumu pololei, hiki ke manaʻo huhū akā ʻaʻole e hoʻololi i nā koho lapaʻau. Hiki paha i kou thyroid ke ʻoi aku ka maʻalahi i nā loli hormone maʻamau a i ʻole nā mea pili i ke kaiapuni.

I ka wā e ʻike ai i ke kauka no ka goiter?

Pono ʻoe e hoʻonohonoho i kahi hālāwai me kāu kauka inā ʻike ʻoe i ka pehu ʻana ma kou wahi ʻāʻī, ʻoiai inā he liʻiliʻi a ʻaʻole hoʻi e hoʻopilikia. Kōkua ka loiloi mua e hoʻoholo inā pono ka lapaʻau a e kāpae i nā kūlana koʻikoʻi.

E ʻimi koke i ka mālama ʻana i ka lāʻau lapaʻau inā ʻike ʻoe i ka pilikia i ka ʻai ʻana, nā pilikia hanu, a i ʻole nā loli nui i kou leo. Hōʻike kēia mau hōʻailona i ka goiter e kaomi ana paha i nā ʻano nui i kou ʻāʻī.

E kelepona koke i kāu kauka inā loaʻa iā ʻoe nā pilikia hanu nui, ʻaʻole hiki ke ʻai i nā wai, a i ʻole ka ʻeha ʻāʻī koke a ikaika. ʻOiai he kakaikahi, hiki i kēia mau hōʻailona ke hōʻike i nā pilikia e pono ai ka mālama koke.

Pono ʻoe e ʻike i kāu mea mālama ola inā ʻike ʻoe i nā hōʻailona o ka ʻano ʻole o ka hormone thyroid, e like me nā loli kaumaha i wehewehe ʻole ʻia, ka luhi mau, ka palpitations naʻau, a i ʻole ka manaʻo wela a anuanu paha. Hiki i kēia mau hōʻailona ke hōʻike i kou goiter e hoʻopilikia ana i ka hana hormone.

He aha nā mea pilikia no ka goiter?

Hoʻopilikia ka hapa nui o nā goiters i nā pilikia liʻiliʻi a hiki ke mālama ʻia me ka lapaʻau kūpono. Eia naʻe, ʻo ka hoʻomaopopo ʻana i nā pilikia hiki ke kōkua iā ʻoe e ʻike i ka wā e pono ai nā loli i kou kūlana i ka mālama ʻana i ka lāʻau lapaʻau.

ʻO nā pilikia maʻamau loa e pili ana i ke kaomi kino i hiki i ka goiter nui ke hana i kou ʻāʻī. Hiki i kēia kaomi ke hana i ka ʻai ʻana i ka paʻakikī a i ʻole ke kumu i nā pilikia hanu, ʻoi aku hoʻi i ka wā e moe ana ʻoe a i ʻole i ka wā hana kino.

Eia nā pilikia e hiki ke ulu:

• Paʻakikī i ka hanu ma muli o ke kaomi ʻana i kou puʻu hanu
• Nā pilikia ʻai e hoʻopilikia i ka ʻai ʻana a me ka inu ʻana
• Nā loli leo mai ke kaomi ʻana i nā aʻalolo kokoke i kou mau leo
• Nā pilikia nani e pili ana i ke ʻano o ka ʻāʻī
• Ka hoʻopilikia ʻana i ka moe ma muli o nā pilikia hanu i ka wā e moe pālahalaha ana
• Nā ʻano ʻole o ka hormone thyroid e hoʻopilikia ana i kou metabolism

I nā kūlana kakaikahi, hiki i ka goiter ke nui loa e hoʻolōʻihi i hope o kou iwi umauma, i kapa ʻia he substernal goiter. Hiki i kēia ʻano ke hana i nā pilikia hanu koʻikoʻi a pono pinepine i ka lapaʻau ʻoki.

ʻAʻole pinepine, hiki ke koko i loko o ka nodule thyroid, e hana ana i ka ʻeha koke a me ka pehu. ʻOiai ke kani nei kēia he mea weliweli, maʻamau ia e hoʻonā iā ia iho, ʻoiai pono ʻoe e kelepona i kāu kauka inā ʻike ʻoe i ka ʻeha ʻāʻī koke a ikaika.

Pehea e pale aku ai i ka goiter?

ʻOiai ʻaʻole hiki iā ʻoe ke pale aku i nā ʻano goiters āpau, ʻoi aku hoʻi nā mea i hana ʻia e nā mea genetic a i ʻole nā kūlana autoimmune, hiki iā ʻoe ke lawe i nā ʻanuʻu e hōʻemi i kou pilikia o nā goiters pili i ka iodine.

ʻO ka hoʻolālā pale maikaʻi loa, ʻo ia ka hōʻoia ʻana i ka lawa o ka iodine ma o kāu meaʻai. ʻO ka hoʻohana ʻana i ka paʻakai iodized i ka kuke ʻana a me ka ʻai ʻana i nā meaʻai momona iodine e like me nā mea kai, nā huahana waiū, a me nā hua e kōkua i ka mālama ʻana i ka hana thyroid kūpono.

Inā ʻoe e hapai a hānai pēpē ana, e hoʻonui nui kāu pono iodine. E kamaʻilio me kāu mea mālama ola inā pono ʻoe i ka mea hoʻohui iodine, ʻoiai ka nele i kēia mau manawa e hoʻopilikia ai iā ʻoe a me kāu pēpē.

E pale i ka lawe ʻana i nā mea hoʻohui iodine nui ke ʻole i kuhikuhi ʻia e kāu kauka, ʻoiai ka nui o ka iodine hiki ke hoʻonāukiuki i nā pilikia thyroid. E makaʻala i nā mea hoʻohui kelp a i ʻole nā huahana limu ʻē aʻe e loaʻa ana i nā pae iodine kiʻekiʻe loa.

Inā lawe ʻoe i nā lāʻau lapaʻau e hoʻopilikia ana i ka hana thyroid, e like me ka lithium, e hana pili me kāu kauka e nānā i kou olakino thyroid. Hiki i nā nānā maʻamau ke hopu i nā loli mua i ka wā maʻalahi ke mālama.

Pehea ka hōʻoia ʻana o ka goiter?

E hoʻomaka kāu kauka ma ka nānā ʻana i kou ʻāʻī a me ka nīnau ʻana i kou mau hōʻailona, ka mōʻaukala ʻohana, a me nā lāʻau lapaʻau āu e lawe nei. Hōʻike pinepine kēia nānā kino i ka nui a me ke ʻano o kou thyroid gland.

Kōkua nā hoʻokolohua koko e hoʻoholo inā hana ana kou thyroid i nā nui maʻamau o nā hormones. Ana kēia mau hoʻokolohua i ka thyroid-stimulating hormone (TSH) a i kekahi manawa nā hormones thyroid T3 a me T4 e hoʻomaopopo i ka maikaʻi o ka hana ʻana o kou thyroid.

Inā ʻike kāu kauka i nā nodules a makemake paha i kahi kiʻi maopopo o ke ʻano o kou thyroid, hiki iā lākou ke kuhikuhi i kahi ultrasound. Hoʻohana kēia hoʻokolohua ʻaʻohe ʻeha i nā leo leo e hana i nā kiʻi kikoʻī o kou thyroid gland a hiki ke hōʻike i ka nui a me nā ʻano o nā nodules.

I kekahi mau hihia, hiki ke kōkua nā hoʻokolohua hou aku:

• Hoʻokolohua lawe ʻana i ka radioiodine e ʻike i ka hoʻohana ʻana o kou thyroid i ka iodine
• Fine needle biopsy inā loaʻa nā nodules pilikia
• CT a i ʻole MRI scan no nā goiters nui loa
• Nā hoʻokolohua antibody thyroid e nānā i nā kūlana autoimmune

ʻAʻole pono ka hapa nui o nā kānaka i kēia mau hoʻokolohua āpau. E kuhikuhi wale kāu kauka i nā hoʻokolohua e pono ai e hoʻomaopopo i kou kūlana kikoʻī a e hoʻomohala i ka papahana lapaʻau maikaʻi loa no ʻoe.

He aha ka lapaʻau no ka goiter?

Ma muli ka lapaʻau no ka goiter i kona nui, ka mea e hana ana, a inā e hoʻopilikia ana i kou mau pae hormone thyroid a i ʻole ke kumu i nā hōʻailona. Pono ka nui o nā goiters liʻiliʻi ʻaʻole e hoʻopilikia i ka nānā ʻana ma mua o ka lapaʻau hana.

Inā hana ʻia kāu goiter e ka nele o ka iodine, ʻo ka hoʻonui ʻana i ka iodine i kāu meaʻai a i ʻole ka lawe ʻana i nā mea hoʻohui e kōkua pinepine i ka hoʻemi ʻana i ka nui ʻana. E alakaʻi kāu kauka iā ʻoe i ka nui kūpono, ʻoiai ka nui o ka iodine hiki ke hoʻopilikia i kekahi mau kūlana thyroid.

No nā goiters i hana ʻia e nā kūlana autoimmune e like me ka maʻi Hashimoto, hiki i ka lāʻau lapaʻau hoʻololi hormone thyroid ke kōkua. ʻAʻole wale kēia lapaʻau e hoʻoponopono i ka nele o ka hormone akā hiki ke kōkua i ka hoʻemi ʻana i ka goiter ma mua o ka manawa.

Hiki ke kuhikuhi ʻia kekahi mau ala lapaʻau:

• Lāʻau lapaʻau hormone thyroid e kāohi i ka TSH a hoʻemi i ka goiter
• Nā lāʻau lapaʻau anti-thyroid inā nui ka hormone i hana ʻia e kou goiter
• Radioiodine therapy e hoʻemi i ka ʻiʻo thyroid
• ʻO ka ʻoki no nā goiters nui e hoʻopilikia ana i ka hanu ʻana a i ʻole ka ʻai ʻana
• Ke kali akahele me ka nānā maʻamau no nā goiters liʻiliʻi, ʻaʻohe hōʻailona

Hoʻopaʻa ʻia ka ʻoki no nā goiters e hoʻopilikia ana i nā hōʻailona nui, he mea hopohopo nani, a i ʻole ke kānalua o ka maʻi kanesa. He palekana a maikaʻi ka hapa nui o nā ʻoki thyroid, ʻoiai pono lākou i ka hoʻololi hormone thyroid i ke ola.

Pehea e mālama ai i ka goiter ma ka home?

ʻOiai ʻaʻole hiki i nā lāʻau home ke hoʻōla i ka goiter, hiki i kekahi mau ala ola ke kākoʻo i kou olakino thyroid holoʻokoʻa a kōkua iā ʻoe e ʻoluʻolu aʻe i ka wā e loaʻa ana ka lapaʻau lapaʻau.

E nānā i ka ʻai ʻana i ka meaʻai kaulike e komo pū ana i nā meaʻai momona iodine e like me nā iʻa, nā huahana waiū, a me nā hua, ke ʻole kāu kauka i kuhikuhi mai i ka palena ʻana i ka iodine. E pale i nā palena meaʻai nui e hiki ke hoʻopilikia i kou hana thyroid.

Inā hoʻopilikia kāu goiter i kou ʻāʻī, hiki i nā hoʻoikaika ʻāʻī mālie a me nā compresses mahana ke hāʻawi i ka hoʻomaha. Eia naʻe, e pale i ka lomilomi ʻana i ka wahi thyroid pololei, ʻoiai hiki i kēia ke hoʻopilikia i kekahi mau ʻano goiters.

ʻO ka mālama ʻana i ke kaumaha ma o nā ʻano hoʻomaha, ka hoʻoikaika kino maʻamau, a me ka moe lawa e kākoʻo i ka olakino thyroid holoʻokoʻa. Hiki i ke kaumaha ke hoʻonāukiuki i kekahi mau kūlana autoimmune thyroid, no laila ʻo ka loaʻa ʻana o nā ʻano hoʻoponopono olakino e pōmaikaʻi i kou ola holoʻokoʻa.

E mau i nā lāʻau lapaʻau āu i kuhikuhi ʻia e kāu kauka, a mai hoʻōki i ka lawe ʻana iā lākou me ka ʻole o ke alakaʻi ʻana o ka lāʻau lapaʻau, ʻoiai inā e hoʻomaikaʻi kou mau hōʻailona. E mālama i nā loli i kou mau hōʻailona e kūkākūkā me kāu mea mālama ola.

Pehea ʻoe e hoʻomākaukau ai no kāu hālāwai kauka?

Ma mua o kāu hālāwai, e kākau i kāu mau hōʻailona āpau, me ka wā āu i ʻike mua ai iā lākou a inā ua loli lākou i ka manawa. E komo i nā kikoʻī e pili ana i kekahi pilikia i ka ʻai ʻana, nā pilikia hanu, a i ʻole nā loli leo.

E lawe mai i ka papa inoa piha o nā lāʻau lapaʻau, nā mea hoʻohui, a me nā huaora āu e lawe nei, me nā nui. Hiki i kekahi mau mea ke hoʻopilikia i ka hana thyroid, no laila kōkua kēia ʻike i kāu kauka e hoʻomaopopo i kou kiʻi olakino piha.

E hoʻomākaukau i ka mōʻaukala ʻohana o nā pilikia thyroid, nā maʻi autoimmune, a i ʻole nā kūlana endocrine ʻē aʻe. Hiki i kēia ʻike ke kōkua i kāu kauka e loiloi i kou mau mea pilikia a e hoʻoholo i nā hoʻokolohua kūpono.

E kākau i nā nīnau āu e makemake ai e nīnau, e like me:

• He aha ke kumu o kaʻu goiter?
• Pono anei iaʻu i ka lapaʻau, a i ʻole hiki iā kākou ke nānā?
• He aha nā hōʻailona e hoʻoikaika iaʻu e kāhea aku iā ʻoe?
• Aia anei kekahi mau hana e pono iaʻu ke pale aku?
• Pehea ka pinepine e pono ai iaʻu nā hālāwai hahai?

Inā hiki, e lawe mai i kahi hoaaloha a i ʻohana paha i hilinaʻi ʻia e kōkua iā ʻoe e hoʻomanaʻo i nā ʻike nui i kūkākūkā ʻia i ka wā hālāwai. Hiki i ke kākoʻo ke kōkua iā ʻoe e ʻoluʻolu aʻe i ka nīnau ʻana i nā nīnau.

He aha ka mea nui e pili ana i ka goiter?

ʻO ka goiter, ma ka maʻalahi, he nui ʻana o ka thyroid gland, a ʻoiai paha e manaʻo ʻia he mea hopohopo, hiki ke mālama ʻia ka hapa nui o nā goiters a ʻaʻole ia he hōʻailona o ka maʻi koʻikoʻi. ʻO ke kī, ʻo ia ka loaʻa ʻana o ka loiloi kūpono a me ka hahai ʻana i nā kuhikuhi a kāu kauka no ka nānā ʻana a i ʻole ka lapaʻau.

He nui nā kānaka me nā goiters liʻiliʻi e ola ana i ke ola maʻamau me ka liʻiliʻi o ka hopena i kā lākou mau hana i kēlā me kēia lā. ʻOiai nā goiters nui e pono ai ka lapaʻau pinepine e pane maikaʻi i nā lāʻau lapaʻau a i ʻole nā lāʻau ʻē aʻe.

E hoʻomanaʻo ʻaʻole ʻo ka loaʻa ʻana o ka goiter e ʻōlelo koke ana he maʻi kanesa a i ʻole kahi kūlana weliweli ola. ʻO ka hapa nui o nā goiters he benign a pili i nā kumu maʻamau e like me ka nele o ka iodine, nā kūlana autoimmune, a i ʻole nā loli ʻelemakule maʻamau i ka thyroid.

ʻO ka hana nui loa, ʻo ia ka noho pili me kāu mea mālama ola no ka nānā maʻamau a me ka hahai ʻana i nā lapaʻau i kuhikuhi ʻia. Me ka mālama kūpono, hiki iā ʻoe ke mālama i ka goiter me ka maikaʻi a mālama i kou maikaʻi o ke ola.

Nā nīnau pinepine e pili ana i ka goiter

Hiki i ka goiter ke hala maoli iho?

I kekahi manawa e emi iki nā goiters liʻiliʻi, ʻoi aku hoʻi inā hana ʻia lākou e nā mea manawa e like me ke hapai ʻana a i ʻole ka nele o ka iodine e hoʻoponopono ʻia. Eia naʻe, nui nā goiters e noho mau ana i ka nui a i ʻole e ulu mālie i ka manawa. ʻO kēia ke kumu o ka nānā maʻamau me kāu kauka, ʻoiai inā ʻaʻole e hoʻopilikia kāu goiter i kēia manawa.

He hōʻailona mau anei ka goiter o ka maʻi kanesa thyroid?

ʻAʻole, he kakaikahi ka goiter i hana ʻia e ka maʻi kanesa. ʻOi aku ka liʻiliʻi ma mua o 5% o nā goiters he kanesa, a ʻo ka hapa nui i hana ʻia e nā kūlana benign e like me ka nele o ka iodine, nā maʻi autoimmune, a i ʻole nā nodules ʻaʻohe pilikia. Hiki i kāu kauka ke hoʻoholo inā pono nā hoʻokolohua hou aku e kāpae i ka maʻi kanesa, akā e ho'āʻo mai e manaʻo i ka mea ʻino loa.

Hiki i ke kaumaha ke hana i ka goiter?

ʻAʻole pololei ke kaumaha e hana i ka goiter, akā hiki iā ia ke hoʻonāukiuki i nā kūlana autoimmune thyroid e like me ka maʻi Hashimoto a i ʻole ka maʻi Graves, kahi e alakaʻi ai i ka hoʻomohala ʻana o ka goiter. ʻO ka mālama ʻana i ke kaumaha ma o nā hana ola olakino e kākoʻo i ka olakino thyroid holoʻokoʻa, ʻoiai ʻaʻole ia he lāʻau lapaʻau no nā goiters i loaʻa.

Pono anei iaʻu i ka ʻoki no kaʻu goiter?

ʻAʻole pono ka hapa nui o nā goiters i ka ʻoki. Kuhikuhi ʻia ka ʻoki no nā goiters nui e hoʻopilikia ana i ka hanu ʻana a i ʻole ka ʻai ʻana, nā pilikia nani, a i ʻole ke kānalua o ka maʻi kanesa. He nui nā kānaka e mālama maikaʻi i kā lākou goiters me nā lāʻau lapaʻau a i ʻole ka nānā maʻalahi.

Hiki iaʻu ke hoʻoikaika kino maʻamau me ka goiter?

Hiki i ka hapa nui o nā kānaka me nā goiters ke hoʻoikaika kino maʻamau ke ʻole ka goiter nui loa a hoʻopilikia i ka hanu ʻana. Inā ʻike ʻoe i ka pōkole o ka hanu a i ʻole ka ʻoluʻolu ʻole i ka wā hoʻoikaika kino, e kamaʻilio me kāu kauka e pili ana i nā pae hana kūpono. ʻO ka hoʻoikaika kino maʻamau e kākoʻo maʻamau i ka olakino thyroid a me ka maikaʻi holoʻokoʻa.