Sei uye sei kuti ponji pamusoro thyroid shwanu.

Nechekare vakakwanisa kuva tsika pfungwa goiter, uyo anomiririra kukura thyroid shwanu kukura, munogona dzakawanda zvakasikwa. Uye pane zvakadai bundu, hyperplastic, anogumbura kana zvirwere. Apo vose siyana idzi goiter Vhoriyamu kuvhiya kurapwa zvichava zvakasiyana, kuti anoda kubva kubviswa shwanu kupedzisa resection. Nokuti kutanga tinofanira kuita differential kuongororwa pakati zvirwere zvakasiyana-siyana thyroid. Kusiyanisa zvirwere izvi zvinokwanisika chete panguva morphological kudzidza. Panyaya iyi tinofanira kuva cytological kuzviongorora shwanu gungano kuti kujekesa chirwere. pasi Ultrasound nenhungamiro ichi kuti kutorwa kuburikidza ponji yacho thyroid shwanu.

Chii ponji yacho thyroid shwanu.

Basa Its - ndiko kutanga tsono mu lotsirovanny raiva pedyo nebundu kuti thyroid biopsy kwakaitwa pasi Ultrasound kutungamirirwa uye chido zviri nzvimbo iyi pasi aseptic ezvinhu. Ponji of thyroid shwanu - muitiro riri kuitwa zvinenge painlessly (kunyange zvinoda yokutindivadza) uye kutakura usingashandi mukana chero matambudziko. A duku Anterior remuromo nodes hukawanika, zviri zvikuru zvisingawanzoitiki, regai zvinoda kurapwa, uye akapotsa nguva vari voga.

The zvairatidza kuti wakanaka tsono chido Kwaiitirwa thyroid chido kana tsono biopsy zvakafanana shwanu pasi Ultrasound nhungamiro vari:

- shchitovidki nodes ose zvinoita yakarongeka, kukura, uye zvakafanana;

- zvakaoma uye multi-chambered chikofu;

- ectopic (iri atypically), imwe thyroid shwanu (aberrant);

- sternal goiter (thyroid zvokurwara nzvimbo);

- idzokororo goiter (iyo kana kudzokororwa zvachinja thyroid shwanu vakatanga pashure kurapwa);

- mismatch Ultrasound Data uye chirwere kiriniki;

- vasingabvumirani kududzirwa Ultrasound zvakawanwa, dzinopesana uye dzinopesana migumisiro kuongorora;

- metastases kusvikira kune muromo wechibereko node nodes pamwe metastasis kunobva chokwadi;

- rokutanga cytological cheki asati ashandisa zvishoma invasive nzira Somuenzaniso, achiomesa pakubhadhara ose thyroid cysts ;

- kuwedzera diffuse thyroid kuziva Hashimoto kuti thyroiditis.

Uyewo thyroid ponji pasi Ultrasound kutungamirirwa ane contraindications:

- decompensated kutyora ropa coagulation;

- zvirwere chokuita kutyora pachena pamusoro vascular rusvingo (neakangwara intravascular coagulation), ari zviitiko apo mukana nzira pamusoro wayo mashoko kugutsikana;

- chakasimba murwere kuramba kuitisa ponji;

- pfungwa murwere ari rikwanise pavaipfuura chirwere.

Clinical zviratidzo kuti anoratidza chinokosha mukana murombo yepamusoro nzvimbo thyroid, muri:

-Age murwere, izvo zvichisiyana pasi makumi maviri uye pamusoro yezera matanhatu makore;

-muzhskoy paburiro;

irradiation musoro uye mutsipa nharaunda munhau;

-if raiva pedyo nebundu saizi, vanopfuura 3.5 masendimita;

vakadzi vanotambura kwenguva refu zamu namamota uye sikarudzi, uyewo zvimwe zvirwere anogumbura;

-mnogokratno vakavhura varwere (idzokororo goiter);

-Face kuva majini kubatwa kuti dysfunction dzokubereka nadzo uye zvikamu shwanu, uyewo namamota.

zvakanyorwa pamusoro Kubva zvose kuti chiremba hunoronga zvairatidza kunorapwa chete pashure ose anodiwa bvunzo. kuongorora ava: Nhoroondo zvokurapa uye zvichemo, zviratidzo (kurapwa Data), migumisiro nemiedzo ropa (kuziva hormone) uye Ultrasound zvakafanana kenza, uye kuva nechokwadi kuti tsono biopsy yacho thyroid shwanu.