Ukuqina Kwe-Thyroid (Goiter): Izimpawu, Izimbangela, Nokwelapha

Ukuqina kwe-thyroid, noma i-goiter, kuyisimo lapho i-thyroid yakho ikhula khona, okubangela ukuqina entanyeni yakho. I-thyroid yakho iyisisindo esifana ne-butterfly esisezansi kwentanyeni yakho, esiza ukulawula ukusebenza komzimba wakho namandla.

Nakuba igama elithi "goiter" lingase lizwakale liyesabekayo, ama-goiters amaningi awonakalisi futhi angaphekwa. Ukuqina kungase kuqale kancane kancane ezinyangeni noma eminyakeni eminingi, futhi ungase ungaluqapheli ekuqaleni. Ukuqonda ukuthi yini ebangela ama-goiters nokuqaphela izimpawu kungakusiza ukuthi uthole ukunakekelwa okufanele uma ukudingayo.

Ziyini izimpawu zokuqina kwe-thyroid?

Isisindo esibonakalayo noma i-lump esisezansi kwentanyeni yakho, ngaphansi kwe-Adam's apple yakho, yisibonakaliso esicacile sokuqina kwe-thyroid. Lokhu kuqina kungase kube kancane noma kubonakale kakhulu, kuye ngokuthi i-thyroid yakho ikhulile kangakanani.

Ngaphandle kokukhula okubonakalayo, ungase ube nezinhlobo eziningi zezimpawu ezingathinta induduzo yakho yansuku zonke. Nanka abantu abaningi abaqaphela:

• Ukuzizwa kukhulu entanyeni yakho, njengokungathi kukhona okuyicindezelayo.
• Ubunzima bokuginya ukudla noma amanzi, ikakhulukazi ukudla okukhulu.
• Ukuhlanza okungapheli.
• Ukushintsha kwezwi lakho.
• Ubunzima bokuthola umoya, ikakhulukazi uma ulele phansi.
• Ubuhlungu noma ukuthamba entanyeni endaweni ye-thyroid.

Kwezinye izimo ezingavamile, ama-goiters amakhulu kakhulu angacindezela i-windpipe yakho noma i-esophagus, okwenza ukuthola umoya noma ukuginya kube nzima kakhulu. Uma uhlangabezana nezingcindezi eziphuthumayo zokuthola umoya noma ubunzima obukhulu bokuginya, lokhu kudinga ukunakekelwa kwezokwelapha ngokushesha.

Abanye abantu abane-goiters nabo bahlangabezana nezimpawu ezihlobene nokuhlukahluka kokusebenza kwe-thyroid, njengokwanda noma ukulahleka kwesisindo okungachazeki, ukuzizwa ukhathele kakhulu, noma ukuba nezingcindezi zokulawula ubushushu bomzimba. Lezi zimpawu ziyahluka kuye ngokuthi i-thyroid yakho ikhiqiza ama-hormone amaningi noma amancane kakhulu.

Ziyini izinhlobo zokuqina kwe-thyroid?

Ama-Goiters avela ngezindlela ezahlukene, nokuqonda uhlobo kungasiza ekuchazeni izimpawu zakho nezinketho zokwelapha. Umehluko oyinhloko uwukuthi ingabe yonke i-thyroid gland ikhulile noma izindawo ezithile kuphela.

I-goiter ebanzi kusho ukuthi yonke i-thyroid gland yakho ikhulile ngokulinganayo. Lolu hlobo luvamise ukuzizwa buthambile uma udokotela ehlola intanyeni yakho, futhi luvame ukubangelwa ukushoda kwe-iodine noma izimo ze-autoimmune njenge-Hashimoto's disease.

Ama-goiters e-nodular ahilela i-lump noma ama-nodules angaphezu kwelinye ngaphakathi kwe-thyroid gland. I-nodule eyodwa yenza lokho odokotela abakubiza ngokuthi "i-uninodular goiter," ngenkathi ama-nodules amaningi enza "i-multinodular goiter." La ma-nodules angase azizwe eqinile noma afana ne-rubber ngesikhathi sokucubungula.

Odokotela nabo bahlukanisa ama-goiters ngokusebenza kwe-thyroid. I-goiter "elula" noma "engeyona enenkani" kusho ukuthi amazinga e-thyroid hormone akho ahlala ejwayelekile naphezu kokukhula. I-goiter "enenkani" ikhiqiza ama-hormone e-thyroid amaningi kakhulu, okubangela izimpawu ze-hyperthyroidism njengokushaya kwenhliziyo okusheshayo nokulahleka kwesisindo.

Yini ebangela ukuqina kwe-thyroid?

Ama-Goiters aqala lapho i-thyroid gland yakho isebenza nzima kunokujwayelekile noma iphendule kubangela abathile ngokukhula. Imbangela evamile emhlabeni wonke isashoda kwe-iodine, nakuba lokhu kungavamile emazweni lapho usawoti uqinisiwe nge-iodine.

Izimo nezincazelo eziningi zingabangela ukuqala kwe-goiter:

• I-Hashimoto's disease, lapho uhlelo lwakho lokulwa nezifo luhlasela i-thyroid yakho.
• I-Graves' disease, ekuvuselela ukukhiqizwa kwama-hormone e-thyroid.
• Ama-Thyroid nodules akhula ngaphakathi kwesisindo.
• Ukukhulelwa, ngenxa yokushintsha kwama-hormone okuthinta ukusebenza kwe-thyroid.
• Imithi ethile njenge-lithium noma i-amiodarone.
• Ukuvezwa kuringo lwentanyeni.
• Ukudla i-iodine eningi kakhulu ngezinsiza noma imithi.

Kwezinye izimo ezingavamile, ama-goiters angaqala ngomdlavuza we-thyroid, nakuba lokhu kuhilela okungenani u-5% wezimo. Izici zofuzo nazo zidlalela indima, njengoba imindeni eminingi inenkambo ephakeme yokungasebenzi kahle kwe-thyroid.

Ngezinye izikhathi odokotela abakwazi ukukhomba imbangela eyiqiniso, okungase kuzwakale kuyadumaza kodwa akushintshi izinketho zokwelapha. I-thyroid yakho ingase ibe nokuzwela okukhulu ekuhlukahlukenini kwama-hormone ajwayelekile noma ezicini zezimo ezingqongile.

Nini okumele ubheke udokotela ngokuqina kwe-thyroid?

Kufanele uhlele i-appointment nodokotela wakho uma uqaphela noma yikuphi ukuqina endaweni yentanyeni yakho, ngisho noma kuncane futhi akubangeli ubuhlungu. Ukuhlolwa kwangaphambi kwesikhathi kusiza ekuqondeni ukuthi ukwelapha kuyadingeka yini futhi kuvimbele izimo ezingathi sína.

Funani ukunakekelwa kwezokwelapha ngokushesha uma uhlangabezana nobunzima bokuginya, izingcindezi zokuthola umoya, noma ukushintsha okukhulu kwezwi lakho. Lezi zimpawu zibonisa ukuthi i-goiter ingase icindezele izakhiwo ezibalulekile entanyeni yakho.

Xhumana nodokotela wakho ngokushesha uma uthola ubunzima obukhulu bokuthola umoya, awukwazi ukuginya amanzi, noma uhlangabezana nobuhlungu obukhulu, obukhulu entanyeni. Nakuba kungavamile, lezi zimpawu zingase zibonise izinkinga ezidinga ukunakekelwa okusheshayo.

Kufanele futhi ubheke umhlinzeki wakho wezinsizakalo zezempilo uma uqaphela izimpawu zokungalingani kwama-hormone e-thyroid, njengokushintsha kwesisindo okungachazeki, ukukhathala okuqhubekayo, ukushaya kwenhliziyo okusheshayo, noma ukuzizwa ufudumala noma ubandayo kakhulu. Lezi zimpawu zingase zibonise ukuthi i-goiter yakho ithonya ukukhiqizwa kwama-hormone.

Ziyini izici ezikhulayo zokuthola ukuqina kwe-thyroid?

Izici eziningi zingandisa amathuba akho okuthola i-goiter, nakuba ukuba nezici ezikhulayo akusho ukuthi uzoyithola. Ukuqonda lezi zici kungakusiza ukuthi uhlale uqaphele izinguquko ezingase zenzeke e-thyroid.

Ukuba owesifazane kukhuphula kakhulu ingozi yakho, njengoba abesifazane banethuba elingaphezu kwesine lokuba nezinkinga ze-thyroid kunamadoda. Lolu bungozi olukhulu luhlobene nokuhlukahluka kwama-hormone ngesikhathi sokuya esikhathini, ukukhulelwa, nokuyeka ukuya esikhathini.

Ubudala buyaqondakala, ngabantu abangaphezu kweminyaka engama-40 abanezinga eliphezulu lokuqina kwe-thyroid. Umlando womndeni wakho udlala indima ebalulekile futhi, ngakho uma izihlobo eziseduze zibenezingozi ze-thyroid, ingozi yakho iyanda.

Izici ezikhulayo ezengeziwe zihlanganisa:

• Ukuhlala ezindaweni ezinamafutha omphakathi noma amanzi ashoda nge-iodine.
• Ukudla ukudla okuncane okune-iodine eningi njenge-seafood ne-dairy.
• Ukuthatha imithi ethile njenge-lithium noma imithi yokulwa ne-seizure.
• Ukuba nezinye izimo ze-autoimmune njenge-type 1 diabetes.
• Ukuvezwa kuringo ekhanda lakho noma entanyeni yakho.
• Ukukhulelwa noma ukuba usanda kubeletha.

Kwezinye izimo ezingavamile, ukuvezwa ezintweni ezithile zekhemikhali noma ukuhlala eduze kwezindawo ezinemigqa ephezulu kungandisa ingozi. Noma kunjalo, abantu abaningi abanezi zici ezikhulayo abazitholi ama-goiters, ngakho zama ukungakhathazeki ngokungadingekile ngezinto ongenakuzilawula.

Ziyini izingozi ezingase zenzeke ngokuqina kwe-thyroid?

Ama-Goiters amaningi abangeli izingozi ezincane futhi angaphathwa kahle ngokwelashwa okufanele. Noma kunjalo, ukuqonda izingozi ezingase zenzeke kusiza ukuthi uqaphele lapho izinguquko esimweni sakho zingase zidinga ukunakekelwa kwezokwelapha.

Izingozi ezivamile zihilela ukucindezela komzimba okuyikhiqiza i-goiter enkulu entanyeni yakho. Lokhu kucindezela kungase kwenze ukuginya kube nzima noma kubangele izingcindezi zokuthola umoya, ikakhulukazi uma ulele noma ngesikhathi somsebenzi womzimba.

Nanku uhlu lwezingozi ezingase zenzeke:

• Ubunzima bokuthola umoya ngenxa yokucindezela kwi-windpipe yakho.
• Izingcindezi zokugingya ezithinta ukudla nokuphuza.
• Ukushintsha kwezwi ngenxa yokucindezela emithanjeni eduze kwama-vocal cords akho.
• Ukukhathazeka ngokubonakala kwentanyeni.
• Ukuthukuthela kokulala ngenxa yezingcindezi zokuthola umoya ngenkathi ulele.
• Ukungalingani kwama-hormone e-thyroid okuthonya ukusebenza komzimba wakho.

Kwezinye izimo ezingavamile, i-goiter ingakhula kakhulu kangangokuthi isondele emgodini wakho, okuthiwa yi-substernal goiter. Lolu hlobo lungabangela izingcindezi ezinkulu zokuthola umoya futhi ngokuvamile ludinga ukwelashwa ngokuhlinzwa.

Kwezinye izimo ezingavamile, ukuphuza kungase kwenzeke ngaphakathi kwe-thyroid nodule, okubangela ubuhlungu obukhulu nokuqina. Nakuba lokhu kuzwakala kuyesabekayo, ngokuvamile kuyaqina ngokwalo, nakuba kufanele uxhumane nodokotela wakho uma uhlangabezana nobuhlungu obukhulu, obukhulu entanyeni.

Ukuqina kwe-thyroid kungavimbeka kanjani?

Nakuba ungakwazi ukuvimbela zonke izinhlobo zokuqina kwe-thyroid, ikakhulukazi lezo eziqalwa izici zofuzo noma izimo ze-autoimmune, ungathatha izinyathelo zokunciphisa ingozi yakho yama-goiters ahlobene ne-iodine.

Iqhinga eliphumelelayo kakhulu lokuvimbela ukwenza isiqiniseko sokuthatha i-iodine eyanele ngokudla kwakho. Ukusebenzisa usawoti oluqinisiwe nge-iodine ekuphekeni nasekudleni ukudla okune-iodine eningi njenge-seafood, imikhiqizo ye-dairy, namaqanda kusiza ekuqondeni ukusebenza kahle kwe-thyroid.

Uma ukhulelwe noma ubeletha, izidingo zakho ze-iodine ziyakhula kakhulu. Xoxa nodokotela wakho mayelana nokuthi udinga isipelementi se-iodine yini, njengoba ukushoda ngalesi sikhathi kungathinta wena nengane yakho.

Gwema ukuthatha izinsiza ze-iodine eziningi kakhulu ngaphandle kokunconywa udokotela wakho, njengoba i-iodine eningi kakhulu ingase iqhube izinkinga ze-thyroid. Qaphela izinsiza ze-kelp noma ezinye izimikhiqizo ye-seaweed ezinamazinga aphezulu kakhulu e-iodine.

Uma uthatha imithi ethinta ukusebenza kwe-thyroid, njenge-lithium, sebenzisana nodokotela wakho ukuze uqaphele impilo yakho ye-thyroid. Ukuhlolwa okujwayelekile kungabamba izinguquko ekuqaleni lapho kulula ukuziphatha.

Ukuqina kwe-thyroid kuhlonzwa kanjani?

Udokotela wakho uzoqala ngokuhlola intanyeni yakho nokuthola izimpawu zakho, umlando womndeni, nanoma iyiphi imithi oyithathayo. Lokhu kuhlolwa komzimba ngokuvamile kubonisa usayizi nokuqina kwe-thyroid gland yakho.

Izivivinyo zegazi zisiza ekuqondeni ukuthi i-thyroid yakho ikhiqiza amazinga ajwayelekile e-hormone yini. Lezi zivivinyo zilinganisa i-thyroid-stimulating hormone (TSH) futhi ngezinye izikhathi ama-hormone e-thyroid T3 ne-T4 ukuqonda ukuthi i-thyroid yakho isebenza kahle kangakanani.

Uma udokotela wakho ethola ama-nodules noma efuna isithombe esicacile sokwakheka kwe-thyroid yakho, angase akuncome i-ultrasound. Lokhu kuhlolwa okungenabuhlungu kusebenzisa amaza omsindo ukwenza izithombe eziningi ze-thyroid gland yakho futhi kungabonisa usayizi nezici zanoma yimaphi ama-nodules.

Kwezinye izimo, ukuhlolwa okuqhubekayo kungase kube usizo:

• Ukuhlolwa kokuthatha i-radioiodine ukuze ubone ukuthi i-thyroid yakho isebenzisa i-iodine kanjani.
• I-Fine needle biopsy uma kutholakala ama-nodules akhathazayo.
• I-CT noma i-MRI scan yama-goiters amakhulu kakhulu.
• Izivivinyo ze-thyroid antibody ukuhlola izimo ze-autoimmune.

Abantu abaningi abadingi yonke lezi zivivinyo. Udokotela wakho uzoqondisa kuphela izivivinyo ezidingekayo ukuqonda isimo sakho esithile nokwenza uhlelo lokwelapha oluhle kuwe.

Ukuphathwa kokuqina kwe-thyroid?

Ukuphathwa kokuqina kwe-thyroid kuncike ebukhoneni bawo, ukuthi yini ekuqalayo, nokuthi kuthinta amazinga e-thyroid hormone yakho noma kubangele izimpawu yini. Ama-goiters amaningi amancane angabangeli izinkinga adinga ukulandelelwa kunokwelashwa okusebenzayo.

Uma i-goiter yakho ibingelwa ukushoda kwe-iodine, ukwandisa i-iodine ekudleni kwakho noma ukuthatha izinsiza ngokuvamile kusiza ekuqedeni ukukhula. Udokotela wakho uzoqondisa ngenani elifanele, njengoba i-iodine eningi kakhulu ingase ibe nzima kwezinye izimo ze-thyroid.

Ngokuqina kwe-thyroid okubangelwa izimo ze-autoimmune njenge-Hashimoto's disease, imithi yokufaka i-thyroid hormone ingasiza. Lokhu kuphathwa akuphathi kuphela ukushoda kwama-hormone kodwa kungase futhi kusize ekuqedeni i-goiter ngokuhamba kwesikhathi.

Izindlela eziningi zokwelapha zingase zinconywe:

• Imithi ye-thyroid hormone ukucindezela i-TSH nokuqeda i-goiter.
• Imithi ye-anti-thyroid uma i-goiter yakho ikhiqiza ama-hormone amaningi kakhulu.
• I-Radioiodine therapy ukunciphisa i-thyroid tissue.
• Ukuhlinzwa kwama-goiters amakhulu abangela izingcindezi zokuthola umoya noma ukuginya.
• Ukulinda ngokuqapha okujwayelekile kwama-goiters amancane, angenazimpawu.

Ukuhlinzwa ngokuvamile kugcinelwa ama-goiters abangela izimpawu ezinkulu, akhathazayo ngokubonakala, noma lapho kukhona ukungabaza ngomdlavuza. Ukuhlinzwa kwe-thyroid kuningi kuphephile futhi kuphumelela, nakuba kudinga ukufakwa kwe-thyroid hormone ngokuphila konke ngemuva kwalokho.

Indlela yokuphatha ukuqina kwe-thyroid ekhaya?

Nakuba izindlela zokwelapha zasekhaya zingakwazi ukwelapha i-goiter, izindlela ezithile zokuphila zingase zisekele impilo yakho ye-thyroid jikelele futhi zikusize uzizwe ukhululekile ngenkathi uthola ukwelashwa kwezokwelapha.

Gxila ekudleni ukudla okuhlanzekile okuhlanganisa ukudla okune-iodine eningi njenge-fish, imikhiqizo ye-dairy, namaqanda, ngaphandle kokuthi udokotela wakho ucele ukulinganisela i-iodine. Gwema ukulinganisela okukhulu kokudla okungase kuthinte ukusebenza kwe-thyroid yakho.

Uma i-goiter yakho ibingela ubuhlungu entanyeni, ukululama okumnene kwentanyeni ne-warm compresses kungase kunikeze impumuzo. Noma kunjalo, gwema ukumunca indawo ye-thyroid ngqo, njengoba lokhu kungase kubangele izinkinga ngezinhlobo ezithile zama-goiters.

Ukuphatha ukucindezeleka ngezindlela zokupumula, ukuzivocavoca okujwayelekile, nokulala okwanele kusekela impilo ye-thyroid jikelele. Ukucindezeleka kungase kube nzima kwezinye izimo ze-autoimmune ze-thyroid, ngakho-ke ukuthola izindlela zokuphatha ezempilo kuzuzisa impilo yakho yonke.

Hlala uqine nanoma iyiphi imithi udokotela wakho ayincomayo, futhi ungayeki ukuyithatha ngaphandle kwesiqondiso sezokwelapha, ngisho noma izimpawu zakho ziqhubeka. Gcina ulandelela noma yiziphi izinguquko ezimpawu zakho ukuze uxoxe nomhlinzeki wakho wezinsizakalo zezempilo.

Ukuzilungiselela kanjani i-appointment yakho nodokotela?

Ngaphambi kwe-appointment yakho, bhala zonke izimpawu zakho, kufaka phakathi lapho uqale ukuziqaphela khona nokuthi zishintshile kanjani ngokuhamba kwesikhathi. Faka imininingwane mayelana nanoma yiluphi ubunzima bokuginya, izingcindezi zokuthola umoya, noma ukushintsha kwezwi.

Letha uhlu oluphelele lwazo zonke imithi, izinsiza, nama-vitamins oyithathayo, kufaka phakathi amazinga. Izinto ezithile zingase zithinte ukusebenza kwe-thyroid, ngakho-ke lolu lwazi lusiza udokotela wakho ukuqonda isithombe sakho sempilo esiphelele.

Lungiselela umlando womndeni wezingozi ze-thyroid, izifo ze-autoimmune, noma ezinye izimo ze-endocrine. Lolu lwazi lungasiza udokotela wakho ukuhlola izici zakho ezikhulayo nokwenza izivivinyo ezifanele.

Bhala imibuzo ofuna ukuyibuza, njengalezi:

• Yini ebangela i-goiter yami?
• Ndingadinga ukwelashwa yini, noma singayilandela yini?
• Ziyini izimpawu okumele zikwenze ucingo?
• Ingabe kukhona imisebenzi engingameli ngiyenze?
• Ngingadinga kanjani ama-follow-up appointments?

Uma kungenzeka, letha umngani othembekile noma ilungu lomndeni ukuze likusize ukukhumbula imininingwane ebalulekile exoxiwe ngesikhathi se-appointment. Ukuba nokusekelwa kungakusiza futhi uzizwe ukhululekile ukubuza imibuzo.

Iyini into ebalulekile mayelana nokuqina kwe-thyroid?

Ukuqina kwe-thyroid kuyisimo lapho i-thyroid gland ikhula khona, futhi nakuba kungase kubonakale kuyikhathaza, ama-goiters amaningi angaphekwa futhi awabonisi ukugula okuthí sína. Okubalulekile ukuhlolwa okufanele nokulandela izincomo zokwelapha zedokotela wakho zokulandelela noma ukwelapha.

Abantu abaningi abane-goiters ezincane baphila impilo evamile ngokuphelele ngokuthinta okuncane emisebenzini yabo yansuku zonke. Ngisho nama-goiters amakhulu adinga ukwelashwa ngokuvamile aphendula kahle emithi noma ezinye izindlela zokwelapha.

Khumbula ukuthi ukuba ne-goiter akusho ukuthi unomdlavuza noma isimo esiyingozi. Ama-Goiters amaningi awonakalisi futhi ahlobene nezimbangela ezivamile njengokushoda kwe-iodine, izimo ze-autoimmune, noma izinguquko zokuguga e-thyroid.

Isinyathelo esibaluleke kakhulu ukuba uxhumene nomhlinzeki wakho wezinsizakalo zezempilo ukuze uqaphe njalo futhi ulandele ukwelashwa okunconywayo. Ngokunakekelwa okufanele, ungaphatha i-goiter kahle futhi ugcine ikhwalithi yempilo yakho.

Imibuzo evamile mayelana nokuqina kwe-thyroid

Ingabe ukuqina kwe-thyroid kungase kuqede ngokwalo?

Ama-Goiters amancane ngezinye izikhathi ayama kancane, ikakhulukazi uma ebingelwa izici zesikhashana njengokukhulelwa noma ukushoda kwe-iodine okuqediwe. Noma kunjalo, ama-goiters amaningi ahlala ahlala ahlala amakhulu noma akhula kancane kancane ngokuhamba kwesikhathi. Kungakho ukulandelela okujwayelekile nodokotela wakho kubalulekile, ngisho noma i-goiter yakho ayibangeli izimpawu.

Ingabe ukuqina kwe-thyroid kuhlale kuyisibonakaliso somdlavuza we-thyroid?

Cha, ukuqina kwe-thyroid akunamanye ama-cancer. Okungenani u-5% yama-goiters ayizona i-cancer, futhi amaningi abangelwa izimo ezingenangozi njengokushoda kwe-iodine, izifo ze-autoimmune, noma ama-nodules angenangozi. Udokotela wakho angakwazi ukuqonda ukuthi ukuhlolwa okuqhubekayo kuyadingeka yini ukuvimbela umdlavuza, kodwa zama ukungacabangi okubi kakhulu.

Ingabe ukucindezeleka kungabangela ukuqina kwe-thyroid?

Ukucindezeleka akubangeli ukuqina kwe-thyroid ngqo, kodwa kungase kube nzima kwezinye izimo ze-autoimmune ze-thyroid njenge-Hashimoto's disease noma i-Graves' disease, okungase kube yimbangela yokuqina kwe-thyroid. Ukuphatha ukucindezeleka ngezindlela zokuphila ezempilo kusekela impilo ye-thyroid jikelele, nakuba kungelona ukwelapha kwama-goiters akhona.

Ndingadinga ukuhlinzwa ngokuqina kwe-thyroid yami?

Ama-Goiters amaningi awadingi ukuhlinzwa. Ukuhlinzwa ngokuvamile kunconywa kuphela kwama-goiters amakhulu abangela izingcindezi zokuthola umoya noma ukuginya, ukukhathazeka ngokubonakala, noma lapho kukhona ukungabaza ngomdlavuza. Abantu abaningi baphatha ama-goiters abo ngempumelelo ngemithi noma ukulandelela okulula.

Ngingazivocavoca ngokujwayelekile ngokuqina kwe-thyroid?

Abantu abaningi abane-goiters bangazivocavoca ngokujwayelekile ngaphandle kokuthi i-goiter ikhulu kakhulu futhi ibingela izingcindezi zokuthola umoya. Uma uhlangabezana nobunzima bokuthola umoya noma ubuhlungu ngesikhathi sokuzivocavoca, xoxa nodokotela wakho ngezinga elifanele lomsebenzi. Ukuzivocavoca okujwayelekile ngokuvamile kusekela impilo ye-thyroid nempilo jikelele.