He aha ka Kānā Kila Hurthle? Nā Hōʻailona, Nā Kumu, & Lapaʻau

ʻO ka kānā kila Hurthle he ʻano kāneʻe thyroid maʻamau ʻole ia e ulu mai ana mai nā sela kūikawā i loko o kou gland thyroid i kapa ʻia ʻo nā sela Hurthle. ʻOi aku ka nui o kēia mau sela ma mua o nā sela thyroid maʻamau a nui aʻe nā mitochondria, ʻo ia nā hale mana liʻiliʻi e hāʻawi ana i ka ikehu i nā sela.

Hoʻokumu kēia kāneʻe ma kahi o 3-5% o nā kāneʻe thyroid a pau, no laila, ʻoiai he mea maʻamau ʻole ia, hiki i ka hoʻomaopopo ʻana iā ia ke kōkua iā ʻoe e ʻike i nā hōʻailona hiki ke loaʻa koke. ʻO ka ʻoiaʻiʻo maikaʻi, ʻo ka nui o nā hihia e ulu mālie ana a pane maikaʻi i ka lapaʻau ke hopu ʻia i ka manawa kūpono.

He aha nā hōʻailona o ka kānā kila Hurthle?

ʻAʻole pinepine nā hōʻailona i ʻike ʻia i nā wā mua o ka kānā kila Hurthle, ʻo ia ke kumu e pono ai nā nānā maʻamau. Ke ʻike ʻia nā hōʻailona, pili pinepine lākou i nā loli i kou ʻāpana ʻāʻī a i ʻole pehea ka hana o kou thyroid.

Eia nā hōʻailona maʻamau loa e nānā ai:

• Kahi puʻupuʻu a i ʻole pehu i kou ʻāʻī e hiki iā ʻoe ke ʻike
• Paʻakikī i ka ʻai ʻana a i ʻole ka manaʻo e like me ka mea i paʻa i kou puʻu
• ʻO ka leo ʻāneʻane a i ʻole nā ​​loli leo e hele ʻole
• ʻEha i kou ʻāʻī a i ʻole kou puʻu
• Nā lymph nodes pehu i kou ʻāʻī
• Ka ʻōhū mau ʻole e pili ana i ka anu

Loaʻa i kekahi poʻe nā hōʻailona maʻamau ʻole e like me ka nalowale kaumaha wehe ʻole ʻia, ka luhi, a i ʻole ka manaʻo mahana loa. Hiki i kēia mau hōʻailona ke mālie a hiki ke ulu mālie i nā mahina.

E hoʻomanaʻo, hiki ke hana ʻia kēia mau hōʻailona e nā kūlana ʻē aʻe, ʻoi aku ka liʻiliʻi. ʻO ka loaʻa ʻana o hoʻokahi a ʻoi aku paha o kēia mau hōʻailona ʻaʻole ia he manaʻo he kāneʻe kāu, akā pono lākou e kūkākūkā me kāu kauka.

He aha ka mea e hoʻokumu ai i ka kānā kila Hurthle?

ʻAʻole maopopo loa ke kumu pololei o ka kānā kila Hurthle, akā manaʻo nā mea noiʻi e ulu ia ke loli nā sela Hurthle maʻamau i loko o kou thyroid i nā loli genetic. Hoʻokumu kēia mau loli i ka ulu ʻana a me ka hoʻonui ʻana o nā sela me ka mana ʻole.

Hiki i kekahi mau mea ke hoʻokomo i kēia mau loli cellular:

• Hōʻike mua ʻia i ka radiation, ʻoi aku hoʻi i ka poʻo a me ka ʻāʻī
• Kekahi mau hoʻololi genetic e holo ana i loko o nā ʻohana
• Loaʻa nā kūlana thyroid ʻē aʻe e like me ka goiter a i ʻole nā nodules thyroid
• Ka nele a i ʻole ka nui o ka iodine i kāu meaʻai
• Nā hoʻololi cellular pili i ka makahiki

I nā hihia kakaikahi, hiki i ka Hurthle cell cancer ke lilo i ʻāpana o nā syndromes genetic i hoʻoilina ʻia. Hoʻopili kēia i nā kūlana e like me ka Cowden syndrome a i ʻole ka Carney complex, ka mea e hoʻonui ai i ka pilikia o ka hoʻomohala ʻana i nā ʻano tumor like ʻole.

ʻAʻole loaʻa i ka hapa nui o nā kānaka i loaʻa kēia maʻi kanesa kekahi mau kumu pilikia i ʻike ʻia, no laila he mea nui ia ʻaʻole e hoʻohewa iā ʻoe iho inā loaʻa iā ʻoe kēia hōʻailona.

He aha nā kumu pilikia no ka Hurthle cell cancer?

Hiki i kekahi mau mea ke hoʻonui i kou manawa e loaʻa ai ka Hurthle cell cancer, ʻoiai ʻaʻole hōʻoia ka loaʻa ʻana o nā kumu pilikia e loaʻa iā ʻoe ka maʻi. Hiki i ka hoʻomaopopo ʻana i kēia ke kōkua iā ʻoe a me kāu kauka e hana i nā hoʻoholo naʻauao e pili ana i ka nānā ʻana a me ka pale ʻana.

ʻO nā kumu pilikia nui e komo pū ana:

• ʻO ka wahine (ʻoi aku ka nui o nā wahine i ka 3-4 manawa e loaʻa ai)
• Makahiki ma waena o 40-60 mau makahiki, ʻoiai hiki ke loaʻa i kēlā me kēia makahiki
• Mōʻaukala o ka hōʻike ʻia ʻana i ka radiation, ʻoi aku hoʻi i ka wā kamaliʻi
• Mōʻaukala ʻohana o ka maʻi kanesa thyroid a i ʻole kekahi mau syndromes genetic
• Loaʻa nā kūlana thyroid maikaʻi ʻole e like me ka multinodular goiter
• Noho ma nā wahi me ka nele o ka iodine

ʻO kekahi mau kumu pilikia liʻiliʻi e komo pū ana ka loaʻa ʻana o ka mōʻaukala o ka maʻi kanesa umauma, ka hōʻike ʻia ʻana i ka lehu pele, a i ʻole kekahi mau hōʻike hana i nā kemika. Eia naʻe, ʻaʻole loaʻa ka hapa nui o nā kānaka me kēia mau kumu pilikia i ka maʻi kanesa thyroid.

Inā loaʻa iā ʻoe nā kumu pilikia he nui, hiki i kāu kauka ke ʻōlelo aku i nā nānā thyroid pinepine, akā ʻaʻole kēia manaʻo e hopohopo nui ʻoe.

I ka wā e ʻike ai i ke kauka no ka Hurthle cell cancer?

E pono ʻoe ke hoʻokaʻaʻike aku i kāu kauka inā ʻike ʻoe i kekahi mau loli mau loa ma kou ʻāʻī a i ʻole leo e lōʻihi ana ma mua o ʻelua pule. ʻO ka ʻike mua ʻana e hoʻomaikaʻi ai i ka mālama ʻana a hāʻawi iā ʻoe i ka hopena maikaʻi loa.

Ma ke ʻano kikoʻī, e hoʻokaʻaʻike aku i kāu mea mālama ola inā loaʻa iā ʻoe:

• Kahi puʻupuʻu hou ma kou ʻāʻī ʻaʻole e nalowale
• Loli leo a i ʻole ka leo ʻāwīwī e lōʻihi ana ma mua o ʻelua pule
• Paʻakikī ka ʻai ʻana e ʻoi aku ka ʻino ma mua o ka manawa
• ʻEha ʻāʻī weliweli ʻole
• Nā lymph nodes pehu ʻaʻole e hoʻomaikaʻi

Inā loaʻa iā ʻoe ka mōʻaukala ʻohana o ka kanesa thyroid a i ʻole ua hōʻike ʻia i ka radiation, e haʻi aku i kāu kauka ʻoiai ʻaʻohe ou mau hōʻailona. Hiki iā lākou ke ʻōlelo aku i nā nānā maʻamau ma ke ʻano he hana palekana.

Mai kali inā hopohopo ʻoe e pili ana i kekahi mau loli i kou kino. Hiki i kāu kauka ke hana i nā hoʻokolohua maʻalahi e hoʻoholo inā pono ke loiloi hou aku, a ʻo ka hapa nui o nā puʻupuʻu thyroid e lilo i benign.

Pehea ka hōʻoia ʻana o ka kanesa Hurthle cell?

ʻO ka hōʻoia ʻana o ka kanesa Hurthle cell e pili pinepine ana i kekahi mau ʻanuʻu, e hoʻomaka ana me kahi nānā kino a neʻe aku i nā hoʻokolohua kikoʻī hou aku. E hana pono kāu kauka e kiʻi i kahi kiʻi maopopo o ka mea e hana nei.

ʻO ke kaʻina hana hōʻoia e pili pinepine ana i:

1. Nānā kino o kou ʻāʻī a me kou ʻāʻī
2. Nā hoʻokolohua koko e nānā i kou mau pae hormone thyroid
3. Ultrasound o kou gland thyroid
4. Fine needle aspiration biopsy e nānā i nā sela
5. Nā hoʻokolohua kiʻi hou aku e like me CT a i ʻole MRI inā pono

ʻO ka fine needle aspiration biopsy ka hoʻokolohua nui loa no ka hōʻoia ʻana. I loko o kēia kaʻina hana, e hoʻohana kāu kauka i kahi nila lahilahi e wehe i kahi laʻana liʻiliʻi o nā sela mai ka wahi kānalua.

I kekahi manawa, hiki i ka biopsy mua ke hōʻike i nā cell “kānalua” ma mua o ka hāʻawi ʻana i ka ʻike maopopo o ka maʻi kanesa. I kēia mau hihia, hiki i kāu kauka ke ʻōlelo aku i ka lawe ʻana i ka ʻāpana thyroid ma o ka ʻoki kino no ka nānā kikoʻī hou aku.

ʻO ke kaʻina hana ʻike holoʻokoʻa e lawe pinepine i kekahi mau pule, a e alakaʻi aku kāu hui olakino iā ʻoe ma kēlā me kēia ʻanuʻu me ka hoʻomaopopo ʻana iā ʻoe e pili ana i nā hopena.

He aha ka lāʻau lapaʻau no ka maʻi kanesa Hurthle cell?

ʻO ka lāʻau lapaʻau no ka maʻi kanesa Hurthle cell e pili ana i ka ʻoki kino ma ke ʻano he ala mua, a ma hope pinepine ʻia e nā lāʻau lapaʻau hou aku e hōʻoia i ka hopena maikaʻi loa. E hoʻopilikino ʻia kāu papahana lāʻau lapaʻau i kāu kūlana kikoʻī, me ka nui a me ke kahua o ka maʻi kanesa.

ʻO nā koho lāʻau lapaʻau nui e komo pū ana:

• Thyroidectomy (ka lawe ʻana i kahi ʻāpana a i ʻole ka ʻāpana holoʻokoʻa o ka gland thyroid ma o ka ʻoki kino)
• Radioactive iodine therapy e luku i nā cell thyroid i koe
• Thyroid hormone replacement therapy
• External radiation therapy i kekahi mau hihia
• Targeted drug therapy no nā hihia holomua

ʻO ka hapa nui o nā kānaka me ka maʻi kanesa Hurthle cell e pono ai ka thyroidectomy holoʻokoʻa, ʻo ia hoʻi ka lawe ʻana i ka gland thyroid holoʻokoʻa. ʻO kēia no ka mea, ʻoi aku ka nui o ka pālahalaha ʻana o nā maʻi kanesa Hurthle cell i loko o ka thyroid ma mua o nā maʻi kanesa thyroid ʻē aʻe.

Ma hope o ka ʻoki kino, pono ʻoe e lawe i ka lāʻau lapaʻau pani hormone thyroid no ke koena o kou ola. Hoʻololi kēia lāʻau lapaʻau i nā hormones e hana mau ana kāu thyroid a kōkua i ka pale ʻana i ka hoʻi hou ʻana o ka maʻi kanesa.

Hiki i kāu oncologist ke ʻōlelo aku i ka lāʻau lapaʻau radioactive iodine, ʻoiai ʻaʻole mau loa e pane maikaʻi nā maʻi kanesa Hurthle cell i kēia lāʻau lapaʻau e like me nā maʻi kanesa thyroid ʻē aʻe.

He aha nā pilikia hiki ke loaʻa i ka maʻi kanesa Hurthle cell?

ʻOiai he nui nā kānaka me ka maʻi kanesa Hurthle cell e hana maikaʻi loa me ka lāʻau lapaʻau, he mea nui ia e hoʻomaopopo i nā pilikia hiki ke loaʻa i hiki iā ʻoe ke hana pū me kāu hui olakino e nānā a mālama pono iā lākou.

Hiki i nā pilikia e pili ana i ka lāʻau lapaʻau ke komo pū me:

• Ka leo ʻāwīwī manawa pōkole a lōʻihi paha mai ka pōʻino o nā aʻalolo i ka wā o ka ʻoki kino
• Ka haʻahaʻa o ka calcium inā pili nā gland parathyroid
• Ka paʻakikī o ka hoʻoponopono ʻana i nā pae o ka hormone thyroid
• Ka luhi i ka hoʻoponopono ʻana i ka lāʻau hoʻololi hormone
• Ka hoʻokumu ʻana o ka ʻili ʻeha ma ka wahi o ka ʻoki kino

ʻOi aku ka liʻiliʻi o nā pilikia e pili ana i ka maʻi kanesa, akā hiki ke komo pū me ka pālahalaha ʻana i nā lymph nodes kokoke, a i nā hihia kakaikahi, i nā kino mamao e like me nā māmā a i ʻole nā ​​iwi. ʻOi aku ka nui o kēia inā ʻike ʻia ka maʻi kanesa ma kahi pae holomua.

Loaʻa i kekahi poʻe nā hopena noʻonoʻo e like me ka hopohopo e pili ana i ka hoʻi hou ʻana a i ʻole ka paʻakikī o ka hoʻoponopono ʻana i ke ola ma hope o ka mālama ʻana i ka maʻi kanesa. He mea maʻamau loa kēia mau manaʻo a loaʻa ka kākoʻo.

E nānā pono kāu hui lapaʻau iā ʻoe no nā pilikia a hāʻawi i ka mālama koke inā loaʻa lākou. Hiki ke hoʻokele ʻia ka hapa nui o nā pilikia me ka mālama lapaʻau kūpono.

Pehea e hiki ai ke pale ʻia ka maʻi kanesa Hurthle cell?

Minamina, ʻaʻohe ala i hōʻoia ʻia e pale aku ai i ka maʻi kanesa Hurthle cell ʻoiai ʻaʻole mākou i maopopo loa i nā kumu āpau e hana ai. Eia naʻe, hiki iā ʻoe ke lawe i nā ʻanuʻu e hoʻemi i kou pilikia a hopu i nā pilikia i ka wā mua.

Eia kekahi mau hana pale e hiki iā ʻoe ke noʻonoʻo:

• E pale i ka hōʻike ʻana i ka radiation pono ʻole, ʻoi aku hoʻi i kou poʻo a me kou ʻāʻī
• E mālama i ka ʻai kaulike me ka lawa o ka iodine
• E kiʻi i nā nānā maʻamau inā loaʻa iā ʻoe nā kumu pilikia
• E aʻo e hana i nā hoʻokolohua ponoʻī o ka ʻāʻī
• Mai puhi paka, ʻoiai hiki ke hoʻonui i ka pilikia o ka maʻi kanesa thyroid

Inā loaʻa iā ʻoe ka mōʻaukala ʻohana o ka maʻi kanesa thyroid a i ʻole nā ​​syndromes genetic e hoʻonui i kou pilikia, hiki ke kōkua ka ʻōlelo aʻo genetic. Hiki i kahi kākāʻōlelo genetic ke kōkua iā ʻoe e hoʻomaopopo i kou pilikia pilikino a kūkākūkā i nā hoʻolālā nānā kūpono.

No nā kānaka me ka pilikia genetic kiʻekiʻe loa, hiki i kekahi mau kauka ke ʻōlelo aku i ka wehe ʻana i ka thyroid ma ke ʻano he palekana, akā he hoʻoholo paʻakikī kēia e pono ai ka noʻonoʻo pono ʻana i nā pono a me nā pilikia.

ʻO ka mea nui loa āu e hiki ai ke hana, ʻo ia ka mālama ʻana i nā loli i loko o kou kino a mālama i ka kamaʻilio mau ʻana me kāu mea lawelawe ola.

Pehea e hoʻokele ai i nā hōʻailona ma ka home i ka wā o ka mālama ʻana?

Hiki i ka hoʻokele ʻana i nā hōʻailona a me nā hopena ma ka home ke kōkua iā ʻoe e ʻoluʻolu hou aʻe i ka wā o ka mālama ʻana a me ka hoʻōla ʻana. Hiki i nā hoʻolālā maʻalahi ke hoʻolilo i kahi ʻokoʻa nui i kou ʻoluʻolu i kēlā me kēia lā a me kou olakino maikaʻi holoʻokoʻa.

No ka mālama ma hope o ka ʻoki ʻana, hiki iā ʻoe ke:

• Mālama i kou ʻoki maʻemaʻe a maloʻo e like me ke kuhikuhi ʻia
• Hoʻopili i nā ʻeke hau e hoʻemi i ka pehu a me ka ʻeha
• Moe me kou poʻo i hāpai ʻia e hoʻemi i ka pehu
• Lawe i nā lāʻau ʻeha i kuhikuhi ʻia e like me ke kuhikuhi ʻia
• Hana i nā hana hoʻomaʻamaʻa ʻāʻī māmā e like me ka ʻōlelo a kāu kauka

Inā ʻoe e ʻike ana i ka luhi mai nā hoʻoponopono pae hormone, e ho'āʻo e mālama i kahi papa moe maʻamau a komo i ka hana kino māmā e like me ka ʻae ʻia. He nui ka poʻe i ʻike i ka hoʻomaikaʻi ʻana o ko lākou pae ikehu ke kaulike pono ʻia kā lākou lāʻau hoʻololi hormone.

No nā loli leo a i ʻole ka leo ʻāwīwī, e hoʻomaha i kou leo ​​inā hiki a mālama pono i ka wai. Hiki i ka ʻōlelo lapaʻau ke kōkua inā mau nā pilikia leo ma hope o ka ʻoki ʻana.

E kelepona mau i kāu hui mālama ola inā ʻoe e ʻike i ka ʻeha nui, nā hōʻailona o ka maʻi, ka pilikia o ka hanu, a i ʻole kekahi mau hōʻailona ʻē aʻe e hopohopo nei iā ʻoe.

Pehea ʻoe e hoʻomākaukau ai no kāu hālāwai me ke kauka?

Hiki i ka hoʻomākaukau ʻana no kāu hālāwai me ke kauka ke kōkua iā ʻoe e loaʻa ka mea nui loa mai kāu kipa a hōʻoia i ka pane ʻia o kāu mau hopohopo āpau. ʻO ka lawe ʻana i kekahi mau minuke e hoʻonohonoho i kou mau manaʻo a me ka ʻike ma mua e hoʻolilo i ka hālāwai i mea hua hou aku.

Ma mua o kāu hālāwai, e ʻohi i kēia ʻike:

• Papa inoa o nā lāʻau lapaʻau a me nā mea hoʻohui a pau i kēia manawa
• Mōʻaukala ʻohana o ka maʻi thyroid a i ʻole nā ​​maʻi ʻē aʻe
• Ka lā palapala o ka manawa mua āu i ʻike ai i nā hōʻailona
• Kekahi hōʻike radiation mua a i ʻole nā ​​pilikia thyroid
• ʻIke inikua a me nā hopena hoʻokolohua ma mua

E kākau i kāu mau nīnau ma mua, i ʻole e poina ʻoe e nīnau iā lākou i ka wā o ka hana. ʻO nā nīnau maʻamau e pili ana i nā koho mālama, nā hopena ʻaoʻao, ka prognosis, a me ka mea e manaʻo ai i ka wā hoʻōla.

E noʻonoʻo e lawe mai i kahi hoaaloha a hoa ʻohana paha i hilinaʻi ʻia me ʻoe, ʻoi aku hoʻi no nā hana e kūkākūkā ai ʻoe i nā hoʻolālā mālama a i ʻole e loaʻa nā hopena hoʻokolohua. Hiki iā lākou ke kōkua iā ʻoe e hoʻomanaʻo i nā ʻike koʻikoʻi a hāʻawi i ke kākoʻo manaʻo.

Mai kānalua e noi i kāu kauka e wehewehe i kekahi mea āu i ʻike ʻole ai. ʻO kā lākou hana ke kōkua iā ʻoe e manaʻo i ka ʻike a me ka ʻoluʻolu me kāu hoʻolālā mālama.

He aha ka mea nui e lawe aku e pili ana i ka maʻi Hurthle cell?

ʻO ka maʻi Hurthle cell he ʻano maʻi thyroid maʻamau ʻole akā hiki ke mālama ʻia, a pinepine i kahi prognosis maikaʻi ke ʻike koke ʻia. ʻOiai ʻo ka loaʻa ʻana o kekahi ʻike maʻi kanesa hiki ke manaʻo nui, ʻo ka hoʻomaopopo ʻana i nā mālama pono e loaʻa ke hāʻawi i ka manaʻolana a me ke alakaʻi.

ʻO nā mea nui loa e hoʻomanaʻo ai, ʻo ia nā hōʻailona e like me nā ʻāʻī a i ʻole nā ​​hoʻololi leo e pono ai ka nānā koke o ke kauka, a ʻo ka holomua o ka mālama ʻana no nā maʻi thyroid, me ka maʻi Hurthle cell, he maikaʻi loa ia.

ʻO ka hana pili me kāu hui olakino, ka noho ʻike e pili ana i kou kūlana, a me ka mālama ʻana i ka kamaʻilio ākea e pili ana i kou mau hopohopo e kōkua iā ʻoe e hoʻokele i kēia huakaʻi me ka hilinaʻi. E hoʻomanaʻo ʻaʻole ʻoe wale nō i kēia kaʻina hana.

He nui nā kānaka me ka maʻi Hurthle cell e ola i nā ola piha a olakino ma hope o ka mālama ʻana. E kālele i ka lawe ʻana i nā mea i hoʻokahi ʻanuʻu i ka manawa a e hoʻohanohano i nā lanakila liʻiliʻi ma ke ala.

Nā nīnau pinepine e pili ana i ka maʻi Hurthle cell

ʻOi aku anei ka ikaika o ka maʻi kanesa Hurthle ma mua o nā maʻi kanesa thyroid ʻē aʻe?

Hiki i ka maʻi kanesa Hurthle ke ʻoi aku ka ikaika ma mua o kekahi mau maʻi kanesa thyroid ʻē aʻe, akā he ʻano like ʻole kēia mai ke kanaka a i ke kanaka. ʻOi aku ka liʻiliʻi o kona pane ʻana i ka lāʻau lapaʻau iodine radioactive, akā he mea maikaʻi loa ka ʻoki kino pinepine. E loiloi kāu kauka i kou hihia kūikawā e hoʻoholo i ke ala mālama maikaʻi loa no ʻoe.

Hiki iaʻu ke ola i kahi ola maʻamau ma hope o ka mālama ʻana i ka maʻi kanesa Hurthle?

ʻAe, hoʻi ka hapa nui o nā kānaka i kā lākou mau hana maʻamau ma hope o ka mālama ʻana i ka maʻi kanesa Hurthle. Pono ʻoe e lawe i ka lāʻau lapaʻau pani hormone thyroid i kēlā me kēia lā a loaʻa nā hālāwai kūkākūkā ma hope, akā ʻaʻole pono kēia mau mea e kaupalena nui i kou ʻano ola. Nui nā kānaka e hōʻike ana i ka maikaʻi a ʻoi aku ka maikaʻi ma mua o ka wā ma mua o ka ʻike ʻana i ka maʻi ma hope o ka pau ʻana o kā lākou mālama.

Pehea pinepine wau e pono ai i nā hālāwai kūkākūkā ma hope o ka mālama ʻana?

He ʻano like ʻole nā ​​papa hana hoʻomau, akā maʻamau e ʻike ʻoe i kāu kauka i kēlā me kēia 3-6 mahina no nā makahiki mua, a laila i kēlā me kēia makahiki inā maikaʻi nā mea a pau. Hoʻopili pinepine kēia mau hālāwai i nā ho'āʻo koko e nānā i kāu mau pae hormone thyroid a me nā māka kanesa, a me nā haʻawina kiʻi manawa. E hoʻoponopono kāu kauka i kēia papa hana ma muli o kou kūlana pilikino.

E loaʻa iaʻu ke kaumaha ma hope o ka ʻoki kino thyroid?

Loaʻa i kekahi poʻe nā loli kaumaha ma hope o ka ʻoki kino thyroid, akā ʻaʻole kēia he mea hiki ʻole. ʻOi aku ka nui o ka loaʻa ʻana o ke kaumaha inā ʻaʻole i kaulike pono kāu pani hormone thyroid. ʻO ka hana pū ʻana me kāu kauka e ʻimi i ka nui o ka lāʻau kūpono a me ka mālama ʻana i nā ʻano ʻai olakino a me nā hana hoʻoikaika kino e kōkua iā ʻoe e mālama i kahi kaumaha kūpaʻa.

Hiki i ka maʻi kanesa Hurthle ke hoʻi mai ma hope o ka mālama ʻana?

ʻOiai hiki ke hoʻi hou mai ka maʻi kanesa, ʻaʻole ia he mea maʻamau ke hopu ʻia i ka wā mua a mālama pono ʻia. Ke hilinaʻi nei ka pilikia o ka hoʻi hou ʻana i nā mea e like me ke kahua o kāu maʻi kanesa i ka wā i ʻike ʻia ai a pehea ka piha o ka wehe ʻana mai i ka wā ʻoki kino. Ua hoʻolālā ʻia ka mālama hoʻomau mau e hopu i kekahi hoʻi hou ʻana i ka wā mua, i ka wā maʻalahi loa ke mālama.