He aha te Goiter? Ngā Tōmhanga, Ngā Take, me te Maimoatanga

Ko te goiter he ngāwari noa iho te kōhuruhuru o te whekau tairoiti e hanga ana i te pupuhi e kitea ana i tō kaki. Ko tō whekau tairoiti he whekau rite ki te manu patiti kei raro i tō kaki e āwhina ana ki te whakahaere i te tukanga whakahaere kaha o tō tinana me ngā taumata kaha.

Ahakoa ko te kupu "goiter" pea ka rongo te tangata he wehi, he maha ngā goiter kaore he kino, ā, ka taea te rongoā. Ka taea te pupuhi i te wa roa i roto i ngā marama, i ngā tau rānei, ā, pea kaore koe e kite i te tīmatanga. Ko te mārama ki ngā take o te goiter me te mohiotanga ki ngā tohu ka āwhina i a koe ki te tiki i te tiaki tika mehemea e hiahia ana koe.

He aha ngā tōmhanga o te goiter?

Ko te tohu tino kitea o te goiter ko te pupuhi, te pūngāwerewere rānei e kitea ana i raro i tō kaki, i raro tonu i tō apura Ārama. Ka iti rawa pea te pupuhi, ka nui rānei, kei te nui o te whekau tairoiti kua whanake.

I tua atu i te pupuhi e kitea ana, pea ka pā atu ki a koe etahi atu tōmhanga ka pā ki tō wāhi noho o ia rā. Koinei ngā mea e kitea ana e te tini o te iwi:

• He āhua pēnei i te kōpū i roto i tō korokoro, pēnei i te mea kei te pēhi tetahi mea ki runga.
• Te uaua ki te horomi kai, wai rānei, ina koa ngā wahi nui.
• He kōhū kaore e ngaro.
• Te reo ngākau, te rerekētanga rānei o tō reo.
• Te uaua ki te manawa, ina koa ina takoto.
• Te mamae o te kaki, te ngawari rānei i te taha o te whekau tairoiti.

I etahi wā, ko ngā goiter nui rawa ka pēhi ki tō pū manawa, korokoro rānei, ka uaua ake te manawa, te horomi rānei. Mena ka pā atu ki a koe ngā raruraru manawa ohorere, te uaua nui rānei ki te horomi, me hiahia tēnei ki te tiaki hauora tonu.

Ko ētahi o ngā tāngata he goiter kei a rātou kei a rātou ngā tōmhanga e pā ana ki ngā rerekētanga o te mahi a te whekau tairoiti, pēnei i te piki, te ngaro rānei o te taumaha kaore i te whakamaarama, te āhua ngākau nui rānei, te uaua rānei ki te whakahaere i te pāmahana o te tinana. Ko ēnei tōmhanga e whakawhirinaki ana ki te nui rawa atu, te iti rawa rānei o te homoni e whakaputa ana tō whekau tairoiti.

He aha ngā momo goiter?

He maha ngā momo goiter, ā, ko te mārama ki te momo ka āwhina i te whakamārama i ō tōmhanga me ngā whiringa maimoatanga. Ko te wehewehenga matua ko te whānui o te whekau tairoiti katoa, te wāhanga motuhake rānei.

Ko te goiter whānui te tikanga kua nui ake te tipu o tō whekau tairoiti katoa. Ko tēnei momo e āhua maeneene ana ina tirotirohia e tō tākuta tō kaki, ā, ko te tikanga he kore o te iodine, he mate ā-tinana pēnei i te mate a Hashimoto.

Ko ngā goiter pūngāwerewere kei roto i tetahi pūngāwerewere, pūngāwerewere rānei i roto i te whekau tairoiti. Ko te pūngāwerewere kotahi e hanga ana i te mea e kiia ana e ngā tākuta he "goiter uninodular," ko ngā pūngāwerewere maha e hanga ana i te "goiter multinodular." Ka taea e ēnei pūngāwerewere te āhua pakari, te rapa rānei i te wā e tirotirohia ana.

Ka wehewehehia hoki e ngā tākuta ngā goiter i runga i te mahi a te whekau tairoiti. Ko te goiter "ngāwari" "kore-kino rānei" te tikanga kei te noho noa ngā taumata homoni tairoiti ahakoa te pupuhi. Ko te goiter "kino" e whakaputa ana i te homoni tairoiti rawa atu, ka arahi ki ngā tōmhanga hyperthyroidism pēnei i te ngākau tere me te ngaro o te taumaha.

He aha ngā take o te goiter?

Ka whanake ngā goiter ina mahi kaha ake tō whekau tairoiti i te tikanga, i te whakautu rānei ki ētahi whakaohooho mā te tipu nui ake. Ko te take tino nui puta noa i te ao ko te kore o te iodine tonu, ahakoa he iti ake tēnei i ngā whenua e whakakāhia ana te tote ki te iodine.

He maha ngā āhuatanga me ngā take ka arahi ki te whanaketanga o te goiter:

• Te mate a Hashimoto, kei reira te whakaeke a tō pūnaha ā-tinana i tō whekau tairoiti.
• Te mate a Graves, e whakaohooho nui ana i te whakaputanga homoni tairoiti.
• Ngā pūngāwerewere tairoiti e tipu ana i roto i te whekau.
• Te hapu, nā ngā rerekētanga homoni e pā ana ki te mahi a te whekau tairoiti.
• Ētahi rongoā pēnei i te lithium, amiodarone rānei.
• Te whakamahinga radiation ki te rohe kaki.
• Te kai nui rawa atu o te iodine mā ngā taapiri, rongoā rānei.

I etahi wā, ka taea e ngā tākuta te kimi i te take tika, ka āhua pouri tēnei, engari kaore e whakarerekē i ngā whiringa maimoatanga. Pea ka nui ake te ngawari o tō whekau tairoiti ki ngā rerekētanga homoni noa, ki ngā āhuatanga taiao rānei.

Nōhea te haere ki te tākuta mō te goiter?

Me whakarite e koe he hui ki tō tākuta mena ka kite koe i tetahi pupuhi i tō rohe kaki, ahakoa he iti, kaore hoki e pā te mamae. Ko te aromatawai wawe ka āwhina i te whakatau mehemea e hiahiatia ana te maimoatanga, ka whakakore i ngā āhuatanga nui ake.

Rapua te tiaki hauora tonu mena ka pā atu ki a koe te uaua ki te horomi, ngā raruraru manawa, te rerekētanga nui rānei o tō reo. Ko ēnei tōmhanga e whakaatu ana pea kei te pēhi te goiter ki ngā hanganga nui i tō kaki.

Whakapa atu ki tō tākuta tonu mena ka whanake koe i ngā raruraru manawa nui, kaore e taea te horomi wai, te mamae ohorere, nui rānei o te kaki. Ahakoa he iti, ko ēnei tōmhanga pea ka tohu i ngā raruraru e hiahia ana ki te tiaki wawe.

Me kite hoki koe i tō kaiwhakarato hauora mena ka kite koe i ngā tōmhanga o te koretake o te homoni tairoiti, pēnei i ngā rerekētanga taumaha kaore i te whakamaarama, te ngākau nui tonu, te ngākau tere rānei, te āhua wera, te makariri rānei. Ko ēnei tohu pea ka tohu kei te pā te goiter ki te whakaputanga homoni.

He aha ngā take morearea mō te goiter?

He maha ngā take ka piki ake tō tūmanako ki te whanaketanga o te goiter, ahakoa ko te whai i ngā take morearea kaore e whakamana ka whanake koe i tētahi. Ko te mārama ki ēnei take ka āwhina i a koe ki te noho mataara ki ngā rerekētanga tairoiti pea.

Ko te wahine te mea nui e piki ake ai tō morearea, i te mea ko ngā wāhine e whā wā te tūmanako ki te whanake i ngā raruraru tairoiti atu i ngā tāne. Ko tēnei piki o te morearea e pā ana ki ngā rerekētanga homoni i te wā o te menestrual, te hapu, te menopause rānei.

He mea nui hoki te tau, ko ngā tāngata neke atu i te 40 teitei ake te reiti o te whanaketanga goiter. Ko tō hītori whānau he mea nui hoki, no reira mena he whānau tata kei a rātou ngā raruraru tairoiti, ka piki ake tō morearea.

Ko ētahi atu take morearea kei roto:

• Te noho i ngā wāhi he oneone, wai rānei he iti te iodine.
• Te whai i te kai iti te kai e whai rawa ana i te iodine pēnei i te kai moana me te waiū.
• Te tango i ētahi rongoā pēnei i te lithium, rongoā anti-seizure rānei.
• Te whai i ētahi atu āhuatanga ā-tinana pēnei i te mate huka momo 1.
• Te whakamahinga radiation o mua ki tō ulu, kaki rānei.
• Te hapu, te whānau hou rānei.

I etahi wā, ko te whakamahinga i ētahi matū, te noho rānei tata ki ngā wāhi he nui te taumata radiation ka piki ake te morearea. Heoi, ko te nuinga o ngā tāngata he take morearea kei a rātou kaore e whanake i ngā goiter, na kia ngana kei manukanuka koe ki ngā take kaore e taea e koe te whakahaere.

He aha ngā raruraru pea o te goiter?

Ko te nuinga o ngā goiter ka iti rawa ngā raruraru, ā, ka taea te whakahaere pai mā te maimoatanga tika. Heoi, ko te mārama ki ngā raruraru pea ka āwhina i a koe ki te mohio ina hiahia pea ngā rerekētanga i tō āhuatanga ki te tiaki hauora.

Ko ngā raruraru tino nui e pā ana ki te pēhinga tinana ka taea e te goiter nui te hanga i tō kaki. Ko tēnei pēhinga pea ka uaua ake te horomi, te arahi rānei ki ngā raruraru manawa, ina koa ina takoto koe, i te wā rānei o te mahi tinana.

Koinei ngā raruraru ka taea te whanake:

• Te uaua ki te manawa nā te pēhi ki tō pū manawa.
• Ngā raruraru horomi e pā ana ki te kai, te inu rānei.
• Ngā rerekētanga reo nā te pēhi ki ngā uaua tata ki ō aho reo.
• Ngā āwangawanga ataahua mō te ahua o te kaki.
• Te moe morearea nā ngā raruraru manawa i te wā e takoto ana.
• Ngā koretake homoni tairoiti e pā ana ki tō tukanga whakahaere kaha.

I etahi wā, ka taea e te goiter te nui rawa atu ka horapa ki muri i tō wheua uma, e kiia ana he goiter substernal. Ko tēnei momo ka taea te arahi ki ngā raruraru manawa nui ake, ā, ko te tikanga e hiahia ana ki te maimoatanga pokanga.

He tino iti te wā, ka taea te toto i roto i te pūngāwerewere tairoiti, ka puta te mamae ohorere me te pupuhi. Ahakoa ka rongo tēnei he wehi, ko te tikanga ka mutu ake, ahakoa me whakapa atu koe ki tō tākuta mena ka pā atu ki a koe te mamae ohorere, nui o te kaki.

Me pēhea te aukati i te goiter?

Ahakoa kaore e taea e koe te aukati i ngā momo goiter katoa, ina koa ngā mea e puta mai ana i ngā take ā-tinana, ā-mate rānei, ka taea e koe te tango i ngā mahi hei whakaiti i tō morearea o ngā goiter e pā ana ki te iodine.

Ko te rautaki aukati tino whai hua ko te whakarite i te kai iodine tika mā tō kai. Ko te whakamahi i te tote iodized i te tunu kai me te kai i ngā kai e whai rawa ana i te iodine pēnei i te kai moana, ngā hua waiū, me ngā hua manu ka āwhina i te pupuri i te mahi tika a te whekau tairoiti.

Mena kei te hapu koe, kei te whāngai u rānei, ka piki haere te hiahia iodine. Kōrero atu ki tō kaiwhakarato hauora mō te hiahia rānei koe ki te taapiri iodine, i te mea ko te kore i ēnei wā ka pā ki a koe, ki tō pēpi rānei.

Kia kaua e tango i ngā taapiri iodine nui rawa atu ki te kore e tūtohuhia e tō tākuta, i te mea ko te iodine nui rawa atu ka taea te whakaiti i ētahi āhuatanga tairoiti. Kia tupato ki ngā taapiri kelp, ki ētahi atu hua moana e whai rawa ana i te taumata iodine nui.

Mena kei te tango koe i ngā rongoā e pā ana ki te mahi a te whekau tairoiti, pēnei i te lithium, mahi tata atu ki tō tākuta ki te tirotiro i tō hauora tairoiti. Ko ngā tirotiro noa ka taea te hopu i ngā rerekētanga wawe ina ngāwari ake te whakahaere.

Me pēhea te whakatau i te goiter?

Ka tīmata tō tākuta mā te tirotiro i tō kaki me te uiui mō ō tōmhanga, tō hītori whānau, me ētahi rongoā kei te tango koe. Ko tēnei tirotiro tinana e whakaatu ana i te rahi me te āhua o tō whekau tairoiti.

Ko ngā whakamātautau toto ka āwhina i te whakatau mehemea kei te whakaputa tō whekau tairoiti i ngā rahinga homoni noa. Ko ēnei whakamātautau e ine ana i te homoni whakaohooho tairoiti (TSH) me ngā homoni tairoiti T3 me T4 i etahi wā ki te mārama ki te pai o te mahi a tō whekau tairoiti.

Mena ka kite tō tākuta i ngā pūngāwerewere, i te hiahia rānei ki te whakaahua mārama ake o te hanganga o tō whekau tairoiti, pea ka tūtohu rātou i te ultrasound. Ko tēnei whakamātautau kaore e mamae e whakamahi ana i ngā ngaru oro hei hanga i ngā whakaahua taipitopito o tō whekau tairoiti, ā, ka taea te whakaatu i te rahi me ngā āhuatanga o ētahi pūngāwerewere.

I etahi wā, pea ka whai hua ētahi atu whakamātautau:

• Te whakamātautau tango iodine hei kite i te whakamahinga iodine e tō whekau tairoiti.
• Te biopsy ngāwari mena ka kitea ngā pūngāwerewere e manukanuka ana.
• Te CT, MRI rānei hei tirotiro i ngā goiter nui rawa atu.
• Ngā whakamātautau antibody tairoiti hei tirotiro i ngā āhuatanga ā-tinana.

Ko te nuinga o ngā tāngata kaore e hiahia ki ēnei whakamātautau katoa. Ka tūtohu anake tō tākuta i ngā whakamātautau e hiahiatia ana ki te mārama ki tō āhuatanga motuhake me te whakawhanake i te mahere maimoatanga pai mōu.

He aha te maimoatanga mō te goiter?

Ko te maimoatanga mō te goiter e whakawhirinaki ana ki tōna rahi, te take, mehemea kei te pā atu ki ō taumata homoni tairoiti, te arahi rānei ki ngā tōmhanga. Ko ngā goiter iti e kore e pā ngā raruraru e hiahia ana ki te tirotiro, kaua ki te maimoatanga mahi.

Mena ko tō goiter he take nā te kore o te iodine, ko te piki o te iodine i tō kai, te tango rānei i ngā taapiri e āwhina ana i te whakaiti i te pupuhi. Ka ārahi tō tākuta i a koe ki te rahinga tika, i te mea ko te iodine nui rawa atu ka taea te whakaiti i ētahi āhuatanga tairoiti.

Mō ngā goiter e puta mai ana i ngā āhuatanga ā-tinana pēnei i te mate a Hashimoto, ko te rongoā whakakapi homoni tairoiti ka āwhina. Ko tēnei maimoatanga kaore e whakaoti noa i te kore o te homoni, engari ka āwhina pea ki te whakaiti i te goiter i te wa roa.

He maha ngā huarahi maimoatanga pea ka tūtohuhia:

• Te rongoā homoni tairoiti hei whakaiti i te TSH me te whakaiti i te goiter.
• Ngā rongoā anti-tiroiti mena kei te whakaputa tō goiter i te homoni rawa atu.
• Te maimoatanga radioiodine hei whakaiti i te kōhuruhuru tairoiti.
• Te pokanga mō ngā goiter nui e arahi ana ki ngā raruraru manawa, horomi rānei.
• Te tatari atawhai me te tirotiro noa mō ngā goiter iti, kaore he tohu.

Ko te pokanga ko te tikanga e whakawhirinaki ana ki ngā goiter e arahi ana ki ngā tōmhanga nui, he āwangawanga ataahua rānei, i te wā rānei he whakapae mo te mate pukupuku. Ko te nuinga o ngā pokanga tairoiti he haumaru, he whai hua, ahakoa e hiahia ana rātou ki te whakakapi homoni tairoiti i muri mai.

Me pēhea te whakahaere i te goiter i te kāinga?

Ahakoa kaore e taea e ngā rongoā kāinga te whakaora i te goiter, ko ētahi huarahi noho ka tautoko i tō hauora tairoiti whānui, ka āwhina i a koe ki te āwangawanga ake i te wā e whiwhi ana koe i te maimoatanga hauora.

Aro atu ki te kai kai rite e whai ana i ngā kai e whai rawa ana i te iodine pēnei i te ika, ngā hua waiū, me ngā hua manu, ki te kore e tūtohu tō tākuta ki te whakaiti i te iodine. Kia kaua e whakamahi i ngā whakatau kai nui rawa atu pea ka pā ki tō mahi tairoiti.

Mena kei te pā te goiter ki te mamae o te kaki, ko ngā whakatairanga kaki ngawari me ngā kāpeka wera pea ka hoatu te whakaora. Heoi, kia kaua e mirimiri tika i te rohe tairoiti, i te mea pea ka puta ētahi raruraru ki ētahi momo goiter.

Ko te whakahaere i te ahotea mā ngā tikanga whakaora, te mahi tinana noa, me te moe tika e tautoko ana i te hauora tairoiti whānui. Ko te ahotea ka taea te whakaiti i ētahi āhuatanga ā-tinana tairoiti, no reira ko te kimi i ngā rautaki whakahaere hauora e pai ana ki tō oranga katoa.

Kia mau tonu ki ētahi rongoā e tūtohu ana tō tākuta, kaua hoki e mutu te tango i te kore e ārahihia e te hauora, ahakoa ka pai ake ō tōmhanga. Kia pupuri i ngā rerekētanga i ō tōmhanga ki te kōrero atu ki tō kaiwhakarato hauora.

Me pēhea te whakarite mō tō hui tākuta?

I mua i tō hui, tuhia katoa ō tōmhanga, tae atu ki te wā i kite tuatahi ai koe i a rātou mehemea kua rerekē rātou i te wā roa. Whakauruhia ngā kōrero mō te uaua ki te horomi, ngā raruraru manawa, ngā rerekētanga reo rānei.

Mau mai he rārangi katoa o ngā rongoā, taapiri, hua whakaora rānei kei te tango koe, tae atu ki ngā rāpoi. Ko ētahi mea ka taea te pā ki te mahi tairoiti, no reira ko ēnei kōrero ka āwhina i tō tākuta ki te mārama ki tō whakaahua hauora katoa.

Whakaritea he hītori whānau o ngā raruraru tairoiti, ngā mate ā-tinana, ngā āhuatanga endocrine rānei. Ko ēnei kōrero ka āwhina i tō tākuta ki te aromatawai i ō take morearea me te whakatau i ngā whakamātautau tika.

Tuhia ngā pūrongo e hiahia ana koe ki te ui, pēnei i:

• He aha te take o taku goiter?
• E hiahia ana ahau ki te maimoatanga, te tirotiro rānei?
• He aha ngā tōmhanga e whakaohooho ai ahau ki te karanga atu ki a koe?
• He mahi kei te hiahia ahau ki te karo?
• Nōhea te hiahia ki ngā hui whai muri?

Mena ka taea, mau mai he hoa, whānau rānei e whakawhirinaki ana ki te āwhina i a koe ki te mahara ki ngā kōrero nui i te wā o te hui. Ko te whai tautoko ka āwhina hoki i a koe ki te ngāwari ake te uiui.

He aha te mea nui mō te goiter?

Ko te goiter he ngāwari noa iho te kōhuruhuru o te whekau tairoiti, ā, ahakoa ka āhua manukanuka, ko te nuinga o ngā goiter ka taea te rongoā, kaore hoki e tohu i te mate nui. Ko te mea nui ko te whiwhi aromatawai tika me te whai i ngā tūtohu a tō tākuta mō te tirotiro, te maimoatanga rānei.

Ko te tini o ngā tāngata he goiter iti kei a rātou e noho ana i te oranga noa me te iti rawa te pā ki ō rātou mahi o ia rā. Ā, ko ngā goiter nui ake e hiahia ana ki te maimoatanga e whakautu pai ana ki ngā rongoā, ki ētahi atu rongoā rānei.

Kia mahara ko te whai i te goiter kaore e tikanga kei a koe te mate pukupuku, te āhuatanga morearea rānei. Ko te nuinga o ngā goiter he pai, e pā ana ki ngā take noa pēnei i te kore o te iodine, ngā āhuatanga ā-tinana, ngā rerekētanga pakeke rānei i te whekau tairoiti.

Ko te mahi tino nui ko te noho hono atu ki tō kaiwhakarato hauora mō te tirotiro noa me te whai i ngā maimoatanga e tūtohuhia ana. Mā te tiaki tika, ka taea e koe te whakahaere i te goiter pai me te pupuri i tō kounga oranga.

Ngā pūrongo e ui ana ngā tāngata mō te goiter

Ka taea te ngaro o te goiter ake?

Ko ngā goiter iti i etahi wā ka iti ake te rahi, ina koa mena he take nā ngā take wā poto pēnei i te hapu, te kore rānei o te iodine e whakatikahia ana. Heoi, ko te tini o ngā goiter e noho ana i te rahi, te tipu rānei i te wā roa. Koinei te take e nui ai te tirotiro noa ki tō tākuta, ahakoa kaore e pā ngā tōmhanga ki tō goiter.

He tohu tonu te goiter mō te mate pukupuku tairoiti?

Kāo, he iti rawa te goiter e puta mai ana i te mate pukupuku. He iti iho i te 5% o ngā goiter he mate pukupuku, ā, ko te nuinga e puta mai ana i ngā āhuatanga pai pēnei i te kore o te iodine, ngā mate ā-tinana, ngā pūngāwerewere kore kino rānei. Ka taea e tō tākuta te whakatau mehemea e hiahiatia ana ngā whakamātautau atu ki te whakakore i te mate pukupuku, engari kia ngana kei whakaaro koe ki te kino rawa.

Ka taea te goiter e te ahotea?

Kāore te ahotea e arahi tika ana ki te goiter, engari ka taea te whakaiti i ngā āhuatanga ā-tinana tairoiti pēnei i te mate a Hashimoto, te mate a Graves rānei, ka taea te arahi ki te whanaketanga goiter. Ko te whakahaere i te ahotea mā ngā tikanga noho hauora e tautoko ana i te hauora tairoiti whānui, ahakoa ehara i te rongoā mō ngā goiter o nāianei.

E hiahia ana ahau ki te pokanga mō taku goiter?

Ko te nuinga o ngā goiter kaore e hiahia ki te pokanga. Ko te pokanga ko te tikanga e tūtohuhia ana mō ngā goiter nui e arahi ana ki ngā raruraru manawa, horomi rānei, ngā āwangawanga ataahua rānei, i te wā rānei he whakapae mo te mate pukupuku. Ko te tini o ngā tāngata e whakahaere ana i ō rātou goiter pai mā te rongoā, te tirotiro ngāwari rānei.

Ka taea e ahau te mahi tinana noa me te goiter?

Ko te nuinga o ngā tāngata he goiter kei a rātou ka taea te mahi tinana noa ki te kore he goiter nui rawa atu, ka arahi ki ngā raruraru manawa. Mena ka pā atu ki a koe te poto o te manawa, te mamae rānei i te wā o te mahi tinana, korero atu ki tō tākuta mō ngā taumata mahi tika. Ko te mahi tinana noa e tautoko ana i te hauora tairoiti me te oranga pai whānui.