He aha ngā pūngāwerewere tairoiti? Ngā tohu, ngā take, me te rongoā

Ko ngā pūngāwerewere tairoiti he iti ngā pūngāwerewere, he tipu rānei e hanga ana i roto i tō kāreti tairoiti, he kōpū rite ki te manu manu i roto i tō kaki. Ko te nuinga o ngā pūngāwerewere tairoiti he pai, ā, ko te tikanga, ehara i te mate pukupuku, ā, he tokomaha ngā tāngata e mau ana i ēnei mea, kāore hoki e mōhio ana. Ahakoa te kite i te pūngāwerewere i roto i tō kaki, ka raru pea, ko te nuinga o ngā pūngāwerewere tairoiti he kore kino, kāore hoki e hiahiatia te rongoā.

He aha ngā pūngāwerewere tairoiti?

Ko ngā pūngāwerewere tairoiti he pūngāwerewere ngākau, he wai rānei e tipu ana i roto i tō kāreti tairoiti. Kei te raro o tō kaki tō kāreti tairoiti, kei raro i tō āpōpō Ātama, ā, e whakaputa ana i ngā homoni e whakahaere ana i tō metabolism.

Ka taea e ēnei pūngāwerewere te iti ki te torutoru millimita, te nui rānei kia kitea ai mā tō kiri. Ko te nuinga o ngā pūngāwerewere e tipu haere ana i te wa roa, kāore hoki e whakakore i te mahi noa o tō tairoiti. Ko te 95% o ngā pūngāwerewere tairoiti he pai, ā, ko te tikanga, ehara i te mate pukupuku.

Ko ētahi pūngāwerewere he "wera" pūngāwerewere e whakaputa ana i te homoni tairoiti atu, ko ētahi atu he "makariri" pūngāwerewere kāore e whakaputa homoni. Ko ngā pūngāwerewere makariri te nuinga, engari ko ngā pūngāwerewere wera kaore e mate pukupuku.

He aha ngā tohu o ngā pūngāwerewere tairoiti?

Ko te nuinga o ngā pūngāwerewere tairoiti kāore he tohu, ā, ka kitea i ngā whakamātautau hauora noa, i ngā whakamātautau whakaahua rānei mō ētahi atu āhuatanga. Heoi, ka taea e ētahi pūngāwerewere te whakaputa i ngā huringa e kitea ana e koe, e kitea rānei.

Ki te puta mai ngā tohu, ka kite pea koe i:

• He pūngāwerewere, he pupuhi rānei e kitea ana i tō kaki
• Te uaua ki te horomia, te mea rānei e mau ana i roto i tō korokoro
• Te reo ngākau, te huringa rānei o te reo
• Te mamae o te kaki, te ngawari rānei
• He pōturi i tō kaki

Ki te whakaputa tō pūngāwerewere i te homoni tairoiti nui atu, ka kite pea koe i ngā tohu o te hyperthyroidism. Kei roto i ēnei te ngākau tere, te ngaro o te taumaha kāore i te whakamārama, te manukanuka, te werawera, me te uaua ki te moe.

Ka taea e ngā pūngāwerewere nui te pēhi i tō ngākau, tō esophagus rānei, ka uaua ai te manawa, te horomia rānei. He iti tenei, engari he mea tika kia kōrero atu ki tō tākuta ki te pāngia koe e ēnei tohu.

He aha ngā momo pūngāwerewere tairoiti?

He maha ngā momo pūngāwerewere tairoiti, he āhuatanga motuhake tō ia. Ko te mārama ki ēnei rerekētanga ka āhei ai koe ki te kōrero pai ake i tō āhuatanga ki tō kaiwhakarato hauora.

Ko ngā momo matua kei roto:

• Ngā pūngāwerewere colloid: Koinei te momo tino noa, kei roto he mea rite ki te jelly e kiia nei ko te colloid. He pai tonu.
• Ngā adenomas follicular: Ko ēnei pūngāwerewere ngākau he pai hoki, engari pea e hiahiatia ana te tirotiro, no te mea ka uaua pea te wehewehe i ētahi mate pukupuku.
• Ngā cysts tairoiti: Ko ēnei he peke wai e pai ana, ahakoa ko ētahi pea kei roto he wai, he ngākau hoki.
• Ngā pūngāwerewere mumura: Ko ēnei e tipu ana nā te mumura roa o te tairoiti, ā, he pai tonu.
• Te goiter multinodular: Kei roto i tēnei ngā pūngāwerewere maha puta noa i te kāreti tairoiti.

He iti te pēkenga o ngā pūngāwerewere pea he mate pukupuku, tae atu ki ngā mate pukupuku tairoiti papillary, follicular, medullary, anaplastic rānei. Ka taea e tō tākuta te āwhina ki te whakatau i te momo kei a koe mā ngā whakamātautau maha me ngā whakamātautau.

He aha ngā take o ngā pūngāwerewere tairoiti?

Ka taea e ngā pūngāwerewere tairoiti te tipu mō ngā take maha, ahakoa kāore i te mohio tonu ngā tākuta he aha te take i hanga ai rātou i roto i ngā take takitahi. Ko te rongo pai, ko te mārama ki ngā take pea ka āhei ai koe me tō tākuta ki te tirotiro i tō hauora tairoiti.

Ko ngā take noa kei roto:

• Te kore o te iodine: I ngā wāhi kāore ngā tāngata e whiwhi i te iodine nui mai i ō rātou kai, he maha ake ngā pūngāwerewere
• Te thyroiditis Hashimoto: Ko tēnei āhuatanga autoimmune e whakaputa ana i te mumura roa e āhei ai te hanga pūngāwerewere
• Te whānau: He wāhi ngā ira, ā, he maha ngā pūngāwerewere e rere ana i roto i ngā whānau
• Te whakaū radiation: Ko te whakaū radiation o mua ki te ulu, ki te kaki rānei, ina koa i te tamarikitanga, ka piki ake te tūponotanga o te pūngāwerewere
• Te pakeke: Ka noa ake ngā pūngāwerewere i te wā e pakeke ana koe

Ko ngā take iti ake kei roto i ētahi mate ira motuhake, te pokanga tairoiti o mua, me te whakaū i ngā poizon taiao motuhake. He maha ake ngā wāhine e whiwhi ana i ngā pūngāwerewere tairoiti i ngā tāne, pea nā ngā take homoni.

I etahi wā ka tipu ngā pūngāwerewere kāore he take mārama, he mea noa tēnei. Ka taea e tō kōpū tairoiti te tipu kore rite i te wa roa, ka hanga ai i ēnei pūngāwerewere iti.

Nōhea te haere ki te tākuta mō ngā pūngāwerewere tairoiti?

Me whakapiri atu koe ki tō kaiwhakarato hauora ki te kite koe i tetahi huringa rerekee i tō rohe kaki, te wheako rānei i ngā tohu e pā ana pea ki tō tairoiti. Ka taea e te aromatawai wawe te whakawhiwhi i te rangimarie o te ngākau me te whakarite i te tirotiro tika.

Whakatau rānei he hui ki te pāngia koe e:

• He pūngāwerewere e kitea ana, e kitea rānei i tō kaki
• Te uaua ki te horomia, ki te manawa rānei
• Te reo ngākau tonu, te huringa rānei o te reo
• Te ngaro o te taumaha, te piki rānei kāore i te whakamārama
• Te ngākau tere, te kore rānei
• Te werawera nui, te kore manawanui rānei ki te wera

Rapua te awhina hauora tonu ki te uaua ki te manawa, ki te horomia rānei, no te mea ka tohu pea tēnei i te pūngāwerewere nui e pēhi ana i ngā hanganga nui i tō kaki. Ahakoa he iti tenei, e hiahiatia ana te aromatawai tere.

Kaua e tatari ki te whānau koe i te mate pukupuku tairoiti, ki te whakaū rānei koe i te radiation ki tō ulu, ki tō kaki rānei. Ka taea e tō tākuta te aromatawai i tō tūponotanga takitahi me te tūtohutia te whakamātautau tika.

He aha ngā take tūponotanga mō ngā pūngāwerewere tairoiti?

He maha ngā take ka piki ake ai tō tūponotanga ki te whiwhi i ngā pūngāwerewere tairoiti, ahakoa te mau i ngā take tūponotanga kāore e tikanga ka whiwhi koe i ēnei. Ko te mārama ki ēnei take ka āhei ai tō tākuta ki te aromatawai i tō āhuatanga takitahi.

Ko ngā take tūponotanga nui kei roto:

• Ko te wahine: He toru ki te whā wā te maha o ngā wāhine e whiwhi ana i ngā pūngāwerewere i ngā tāne
• Te pakeke neke atu i te 60: Ka noa ake ngā pūngāwerewere i te wā e pakeke ana
• Te whānau: Ko te whānau i ngā whanaunga e pā ana ki ngā raruraru tairoiti ka piki ake tō tūponotanga
• Te whakaū radiation: Ina koa i te tamarikitanga, mai i ngā rongoā hauora, i ngā puna taiao rānei
• Te kai iodine: Ko te iti me te nui o te iodine ka āhei te whakauru ki te hanga pūngāwerewere

Ko ngā take tūponotanga atu kei roto te noho i ngā wāhi he oneone kore iodine, te mau i ngā mate tairoiti autoimmune, me ngā raruraru tairoiti o mua. Ka taea hoki e te hapu te piki ake o te tūponotanga o te pūngāwerewere nā ngā huringa homoni.

Ko ētahi āhuatanga ira onge, pēnei i te mate Cowden, te mate Carney rānei, ka taea hoki te piki ake o tō tūponotanga. Heoi, ko te nuinga o ngā tāngata e mau ana i ngā pūngāwerewere tairoiti kāore he āhuatanga onge.

He aha ngā raruraru pea o ngā pūngāwerewere tairoiti?

Ahakoa ko te nuinga o ngā pūngāwerewere tairoiti he kore kino, ka taea e ētahi te arahi ki ngā raruraru e pā ana ki tō hauora me tō kounga ora. Ko te mārama ki ēnei wāhi ka āhei ai koe ki te matawai i ngā mea hei titiro me te wā hei rapu atu awhina.

Ko ngā raruraru tino noa kei roto:

• Hyperthyroidism: Ka taea e ngā pūngāwerewere wera te whakaputa i te homoni tairoiti nui atu, ka arahi ai ki te ngākau tere, te ngaro o te taumaha, me te awangawanga
• Ngā raruraru manawa, horomia rānei: Ka taea e ngā pūngāwerewere nui te pēhi i tō ngākau, tō esophagus rānei
• Ngā āwangawanga ataahua: Ka taea e ngā pūngāwerewere e kitea ana te pā ki te ahua o tō kaki
• Ngā huringa reo: Ka taea e ngā pūngāwerewere e tata ana ki ō taura reo te whakaputa i te reo ngākau

Ko te raruraru tino kino engari he onge ko te mate pukupuku tairoiti. Ko te 5% o ngā pūngāwerewere tairoiti he mate pukupuku, engari tae noa ki te mate pukupuku tairoiti he pai tonu te whakatau i te wā e kitea wawe ana, e rongoā tika ana.

Ka taea e ētahi pūngāwerewere te tipu nui ake i te wa roa, ka whakaputa pea i ngā tohu atu. Ka taea e ētahi te tipu hei goiter multinodular, kei hea ngā pūngāwerewere maha e whakanui ana i tō tairoiti katoa.

Me pēhea te aukati i ngā pūngāwerewere tairoiti?

Ahakoa kāore e taea e koe te aukati i ngā pūngāwerewere tairoiti katoa, ka taea e ētahi whiringa oranga te awhina i te whakaiti i tō tūponotanga. Ko te matua ko te pupuri i te hauora tairoiti pai mā te kai tika me te karo i ngā take tūponotanga e mohiotia ana i te wā e taea ana.

Ko ngā rautaki aukati kei roto:

• Whakarite i te kai iodine tika: Whakamahia te tote iodized me te kai i ngā kai e nui ana te iodine pēnei i te kai moana me ngā hua waiu
• Whakamārama i te whakaū radiation: Kaua e whakamahi i ngā whakaahua hauora kāore e hiahiatia, tiakina hoki tō kaki i ngā X-rays niho
• Pupuri i te kai hauora: Kei roto i te kai tino pai ngā kai e nui ana te selenium pēnei i ngā nati Brazil me te pupuri i te kai tino pai
• Ngā tirotiro noa: Ka taea e ngā tirotiro tinana ia tau te awhina i te kite wawe i ngā pūngāwerewere

Ki te whānau koe i te whānau i ngā raruraru tairoiti, kōrerohia ngā tūtohu whakamātautau ki tō tākuta. Pea ka tūtohu rātou i ngā tirotiro tairoiti maha atu, i ngā whakamātautau motuhake rānei e hāngai ana ki tō tūponotanga takitahi.

Ko te karo i te kai hikareti ka taea hoki te awhina, no te mea e whakaatu ana etahi rangahau ka taea e te whakamahinga taakaha te piki ake i te tūponotanga o te pūngāwerewere tairoiti. Ko te whakahaere i te ahotea me te pupuri i te hauora pai katoa ka tautoko i tō pūnaha mate, ā, ka āhei pea te awhina i te aukati i ngā āhuatanga tairoiti autoimmune.

Me pēhea te whakatau i ngā pūngāwerewere tairoiti?

Ko te whakatau i ngā pūngāwerewere tairoiti e whai ana i ngā mahi maha hei whakatau i ō rātou rahi, āhuatanga, me te mea e hiahiatia ana te rongoā. Ka whakamahi tō tākuta i te whakakotahitanga o te whakamātautau tinana, ngā whakamātautau toto, me te whakaahua hei whiwhi i te pikitia katoa.

Ko te tukanga whakatau kei roto:

• Te whakamātautau tinana: Ka pa tō tākuta ki tō kaki hei tirotiro i ngā pūngāwerewere, te pupuhi, i ngā ngutu lymph nui rānei
• Ngā whakamātautau toto: Ko ngā taumata TSH me te homoni tairoiti e āhei ana te aromatawai i te mahi o tō tairoiti
• Te ultrasound tairoiti: Ko tēnei whakamātautau whakaahua e whakaatu ana i te rahi o te pūngāwerewere, te wāhi, me te hanganga o roto
• Te whakaū ngākau pai (FNA): Ka tangohia e te ngākau iti ngā pūtau mō te tirotiro microcopic

Pea ka tono atu tō tākuta i ngā whakamātautau atu pēnei i te tirotiro tairoiti, e whakamahi ana i te iodine radioactive hei kite i te mahi o tō tairoiti. Ka taea e tēnei te āwhina ki te whakatau mehemea he wera, he makariri rānei ngā pūngāwerewere.

Ko te biopsy FNA te whakamātautau tino nui mō te whakatau mehemea he mate pukupuku te pūngāwerewere. He tukanga ngāwari tēnei e mahia ana i te tari, ā, ahakoa ka raru pea, ka whakawhiwhi i ngā korero nui mō te āhuatanga o tō pūngāwerewere.

He aha te rongoā mō ngā pūngāwerewere tairoiti?

Ko te rongoā mō ngā pūngāwerewere tairoiti e whakawhirinaki ana ki ō rātou rahi, momo, me te mea kei te whakaputa rātou i ngā tohu. Ko te nuinga o ngā pūngāwerewere e hiahiatia ana te tirotiro, ko ētahi atu e hiahiatia ana te whakauru kaha ake hei tiaki i tō hauora.

Ko ngā whiringa rongoā kei roto:

• Te tatari mataara: Ko ngā pūngāwerewere iti, pai te tirotiro noa i ngā ultrasounds noa
• Te rongoā homoni tairoiti: I etahi wā e whakamahia ana hei whakaiti i ngā pūngāwerewere, ahakoa he rerekē te whai hua
• Te iodine radioactive: Ka taea te whakaiti i ngā pūngāwerewere wera e whakaputa ana i te homoni nui atu
• Te pokanga: E tūtohu ana mō ngā pūngāwerewere nui, ngā kitenga whakapae, te mate pukupuku rānei i whakau
• Te ablation ethanol: He hangarau hou e whakamahi ana i ngā whakaurunga waipiro hei whakaiti i ngā pūngāwerewere cystic

Mō ngā pūngāwerewere pai kāore e whakaputa tohu, pea ka tūtohu tō tākuta i te tirotiro noa me ngā ultrasounds ia 6 ki te 18 marama. Ka taea e tēnei huarahi te kite wawe i ngā huringa kāore he rongoā kāore e hiahiatia.

Ki te mate pukupuku tō pūngāwerewere, ko te pokanga te tikanga e tūtohu ana. Ko te whānui o te pokanga e whakawhirinaki ana ki te momo mate pukupuku me te wā, mai i te tango i tetahi wāhanga o te tairoiti ki te thyroidectomy katoa e whai ana i te rongoā iodine radioactive.

Me pēhea te tango i te rongoā kāinga i te wā o ngā pūngāwerewere tairoiti?

Ahakoa he mea nui te rongoā hauora mō ngā pūngāwerewere tairoiti, ka taea e ētahi rautaki tiaki kāinga te awhina i a koe ki te whakahaere i ngā tohu me te tautoko i tō hauora tairoiti katoa. Ko ēnei huarahi te mahi pai i te taha o ngā tūtohu a tō tākuta.

Ko te tiaki kāinga tautoko kei roto:

• Tirohia ō tohu: Pupuri i te ara o ngā huringa i te rahi, te mamae, i ngā tohu hou rānei
• Pupuri i te kai pai: Kai i te kai tino pai me te iodine me te selenium
• Whakahaere i te ahotea: Whakamahia ngā tikanga whakangāwari, no te mea ka taea e te ahotea te pā ki te mahi tairoiti
• Noho makuku: Ko te makuku tika e tautoko ana i te hauora katoa, ā, ka taea te whakamama i te mamae o te horomia
• Ngā whakakori kaki ngawari: Ka taea e te whakatete ngawari te awhina i tetahi pōturi, te mamae rānei

Kaua e whakamātau ki te rongoā i a koe me ngā taapiri iodine ki te kore e tūtohu tō tākuta, no te mea ka taea e te iodine nui te whakaiti i ētahi āhuatanga tairoiti. Pēnei, kaua e whakamātau ki te mirimiri, ki te whakahaere rānei i ngā pūngāwerewere, no te mea kāore tēnei e awhina, ā, ka whakaputa pea i te mamae.

Ki te pāngia koe e te mamae, te mamae rānei, ka taea e ngā kai whakaora mamae o te kāinga pēnei i te acetaminophen, te ibuprofen rānei te awhina. Heoi, tirohia tonu ki tō tākuta i mua i te tango i ngā rongoā hou, ina koa ki te kei te tango koe i ngā rongoā tairoiti.

Me pēhea te whakarite mō tō hui tākuta?

Ko te whakarite mō tō hui e āhei ana te whakarite kia whiwhi koe i te nuinga mai i tō haerenga, ā, ka whakawhiwhi i tō tākuta i ngā korero nui mō te whakatau tika me te mahere rongoā. Ka taea hoki e te whakarite pai te awhina i te whakamama i tetahi manukanuka mō tō āhuatanga.

I mua i tō hui:

• Tuhia ō tohu: Tuhia te wā i tīmata ai rātou, te āhua o ō rātou huringa, me te aha e pai ake ai rātou, te kino rānei
• Rārangihia ō rongoā: Kei roto ngā rongoā, ngā rongoā o te kāinga, me ngā taapiri
• Kohikohia te whānau: Ngā korero mō ngā raruraru tairoiti, te mate pukupuku, i ngā mate autoimmune rānei i roto i ngā whanaunga
• Whakarite i ngā pātai: Tuhia te mea e hiahia ana koe ki te mōhio mō tō āhuatanga me ngā whiringa rongoā
• Mau mai ngā rēkōta o mua: Ngā whakamātautau tairoiti o mua, te whakaahua, i ngā rēkōta hauora rānei e pā ana ki tō tairoiti

Whakaarohia te kawe mai i tetahi mema whānau, i tetahi hoa rānei hei awhina i te mahara i ngā korero me te whakawhiwhi i te tautoko ngākau. Kaua e whakaroa ki te tono mō te whakamārama ki te kore koe e mārama ki tetahi mea e whakamārama ana tō tākuta.

Kia pono ki ngā āwangawanga, ki ngā wehi rānei kei a koe. Ka taea e tō tākuta te whakawhiwhi i te whakamārama me te āhei i a koe ki te mārama pai ake i tō āhuatanga motuhake ina mōhio ana rātou ki te mea e awangawanga ana koe.

He aha te mea nui mō ngā pūngāwerewere tairoiti?

Ko te mea nui hei mahara ko te tino noa o ngā pūngāwerewere tairoiti, ā, he pai tonu. Ahakoa te kite i te pūngāwerewere i roto i tō kaki, ka raru pea, ko te nuinga o ngā pūngāwerewere tairoiti kāore e whakaputa i ngā raruraru hauora nui, ā, ka taea te tirotiro, te rongoā rānei.

Ko te kite wawe me te aromatawai hauora tika ngā taputapu pai rawa atu mō te whakahaere i ngā pūngāwerewere tairoiti. Ko ngā tirotiro noa me te whai i ngā tūtohu a tō tākuta e whakarite ana kia kitea wawe ngā huringa, kia whakahaerea tika.

Me te tiaki hauora tika, ka taea e te nuinga o ngā tāngata e mau ana i ngā pūngāwerewere tairoiti te haere tonu i te ora noa, hauora. Ahakoa ka hiahiatia te rongoā, ko ngā huarahi hauora o nāianei he tino whai hua, ā, he iti te whakauru.

Mahara kei te kore koe i te kotahi i te whakahaere i ngā pūngāwerewere tairoiti, ā, kei reira tō rōpū hauora hei tautoko i a koe i ia kaupae. Kaua e whakaroa ki te whakapiri atu ki ngā pātai, ki ngā āwangawanga rānei mō tō āhuatanga.

Ngā Pātai Nui e Pā ana ki ngā Pūngāwerewere Tairoiti

P.1 Ka taea e ngā pūngāwerewere tairoiti te ngaro ake i a rātou anō?

Ka taea e ētahi pūngāwerewere tairoiti, ina koa ngā pūngāwerewere cystic iti, te whakaiti, te ngaro rānei i te wa roa kāore he rongoā. Heoi, ko te nuinga o ngā pūngāwerewere ngākau e mau tonu ana, te tipu haere rānei. Ko te tirotiro noa me tō tākuta e āhei ana te arahi i ngā huringa me te whakatau mehemea ka hiahiatia te rongoā.

P.2 He maha ake ngā pūngāwerewere tairoiti i ngā wāhine?

Ae, he toru ki te whā wā te maha o ngā wāhine e whiwhi ana i ngā pūngāwerewere tairoiti i ngā tāne. E whakaarohia ana ko tēnei rerekētanga e pā ana ki ngā take homoni, ina koa ngā taumata estrogen. Me tino mōhio ngā wāhine ki te hauora tairoiti, ina koa i te wā hapu me te menopause i te wā e huri nui ana ngā taumata homoni.

P.3 Ka taea e te ahotea te whakaputa i ngā pūngāwerewere tairoiti?

Ahakoa kāore te ahotea e whakaputa tika i ngā pūngāwerewere tairoiti, ka taea e te ahotea roa te pā ki tō pūnaha mate, ā, ka āhei pea te whakauru ki ngā āhuatanga tairoiti autoimmune pēnei i te thyroiditis Hashimoto, e āhei ai te hanga pūngāwerewere. Ko te whakahaere i te ahotea mā ngā whiringa oranga hauora e tautoko ana i te hauora tairoiti katoa.

P.4 Me tirotirohia ngā pūngāwerewere tairoiti i te hā?

Ko te nuinga o ngā pūngāwerewere pai e tirotirohia ana me te ultrasound ia 6 ki te 18 marama, e whakawhirinaki ana ki ō rātou rahi me ngā āhuatanga. Ka whakatau tō tākuta i te mahinga tirotiro pai e hāngai ana ki tō āhuatanga motuhake. Ko ngā pūngāwerewere e mau tonu ana i te wa roa pea e hiahiatia ana te tirotiro iti ake.

P.5 Ka taea e te kai te pā ki ngā pūngāwerewere tairoiti?

Ko te kai tino pai me te iodine tika e tautoko ana i te mahi tairoiti hauora, ahakoa kāore e ngaro ngā pūngāwerewere kei reira. Ko te kore o te iodine me te nui ka taea te whakauru ki ngā raruraru tairoiti. Aro atu ki te kai i te kai rerekē me te tote iodized, te kai moana, ngā hua waiu, me ngā kai e nui ana te selenium pēnei i ngā nati Brazil mō te hauora tairoiti pai.