I-Fibrous Thyroiditis / i-Invasive Thyroiditis
Igama elithi thyroiditis lisho ngokujwayelekile kunoma yisiphi isifo esithinta ukuvuvukala kwe- thyroid . I-Thyroiditis ihlukaniswe ngezigaba ezimbili ezibanzi - ezingenabuhlungu futhi ezibuhlungu - ezibandakanya izinga lobuhlungu obangela iziguli.
Phakathi kwesigaba samazinyo angenabuhlungu we-thyroiditis uhlobo olubizwa ngokuthi i-Riedel's thyroiditis. Kuyaziwa nangokuthi isilonda sikaRededel, i-fibrous thyroiditis, ne-thyroiditis engavamile.
E-Riedel's thyroiditis, izicubu ezivamile ze-thyroid ziyashintshwa yilokho okubizwa ngokuthi i-fibrosis - inani eliningi kakhulu lamathishu axhumeneyo. Le fibrosis ingadlulisela ngaphesheya kwe-thyroid ibe kwezinye izingxenye zentanyeni, futhi ibangele ukuthi i-thyroid ingeneke ngokungavamile entanyeni.
Isizathu seRiedel's thyroiditis asaziwa, kodwa ochwepheshe bathi isimo sinjalo, ngoba kuningi lwezifundo, iningi leziguli ezinezimo ezivivinyelwe ama-antithyroid antibodies.
Ukubona nokuphatha i-Riedel's Thyroiditis
Ukunquma ukuthi i-Riedel's thyroiditis iyatholakala kanjani futhi iphathwa kanjani, ngibonile ngokuningiliziwe kwe-thyroiditis ku- UpToDate - ireferensi ye-electronic esebenzisa odokotela abaningi neziguli ezibonisa ukwaziswa okujulile kwezokwelapha.
"Iziguli ezithintekile zinezintuthwane noma izinsipho, ngezinye izikhathi i-dysphagia noma i-hoarseness, kanti i-goiter eyinkimbinkimbi kakhulu, nakuba ihlale i-asymmetric, ilukhuni kakhulu, ihleli futhi kaningi ayihlukanisi kahle nezicubu eziseduze. Iziguli eziningi zi-euthyroid, kodwa ezimbalwa zi-hypothyroid , futhi i-serum antithyroid antibody concentrations ivame ukuphakama. Ukuxilongwa kusekwe yi-biopsy ye-thyroid."Ukwelashwa kwe-Prednisone kunganciphisa izimpawu zendawo. Kancane uchungechunge lwezichungechunge, i-tamoxifen ibonakala iphumelela ekulibalekeni, noma mhlawumbe ngisho nokusiza ekuxazululeni, ukuqhubeka kwezifo. Ukuhlinzwa kufanele kwenziwe kuphela emva kokucabangela izingozi nezinzuzo. kufanele kuboniswe ukukhulula ukucindezeleka okuxubile noma kokuqeda amandla futhi ngezikhathi ezithile ukukhipha i-carcinoma.
Izimpawu ongase ube nazo ze-Riedel's thyroiditis, zihlanganisa:
- Ukuqina noma ukungakhululeki entanyeni
- Kunzima ukugwinya
- Ukuthuthumela
- Ukwandiswa kwe-thyroid (eyaziwa ngokuthi i-goiter), ikakhulukazi eyodwa ezwa kunzima ukuthinta.
Udokotela wakho cishe uzogijima ukuhlolwa kwegazi ukuze ahlole ukungalingani kumazinga we-hormone yegciwane kanye namagciwane omzimba aphezulu.
Kodwa ukuqinisekisa ukutholakala kwesifo, i-needle aspiration biopsy iyadingeka.
Kwezinye izimo, udokotela wakho uzobeka i-prednisone ye-corticosteroid ukusiza ekunciphiseni izimpawu. Isidakamizwa esivimbela i-estrogen i-tamoxifen nayo yindlela yokwelashwa okusha kwezidakamizwa eziye zabonisa ukusebenza kahle ekubambezelekeni noma ekuxazululeni ukuqhubeka kwe-Riedel's thyroiditis.
Ngokuvamile, igciwane eligulayo lingaphazamisa ikhono lakho lokugwinya noma ukuphefumula, futhi ukuhlinzwa kungadingeka.
Umthombo:
Burman, Kenneth. Ross, Douglas. UMartin, uKatherine. "Sibutsetelo se-thyroiditis." UpToDate . Kufinyelelwe: Agasti 22, 2008.