Kungani futhi kanjani ukwenza wokubhoboza we indlala yegilo.

Kakade ngakwazi abe imfundiso endala ephathelene goiter, ubani limelele ukukhula indlala yegilo ngobukhulu, kungavuka ngezindlela ezihlukahlukene ku imvelo. Futhi kukhona ezifana isimila, hyperplastic, ukuvuvukala noma mzimba. Lapho bonke laba izinhlobo goiter ivolumu yokwelashwa kuhlinzwa kuzohluka, ukuthi zokhahlamba kusukela ukususwa indlala ukuqedela resection. Ngoba kuqala kunazo zonke okudingeka ukwenze ukuhlolwa umehluko phakathi izifo ezihlukahlukene yegilo. Ukuze uhlukanise lezi zifo kungenzeka phakathi nesifundo morphological kuphela. Kulokhu kumele kube luhlolo cytological benhlangano ndlala ukuze kucaciswe uphethwe. ngaphansi ultrasound isiqondiso salokhu ukuthathwa wokubhoboza we indlala yegilo.

Uyini wokubhoboza we indlala yegilo.

Injongo yalo - ukwethulwa inaliti e-node lotsirovanny ukuze yegilo biopsy wawenziwa ngaphansi ultrasound isiqondiso futhi nokufuna kugunyazwe ugqozi okuqukethwe kule sayithi ngaphansi kwezimo aseptic. Wokubhoboza we indlala yegilo - inqubo okuyinto eyenziwa cishe nabuhlungu (ngisho zidinga izinzwa) futhi athwala ingozi sakugcina nanoma yiziphi izinkinga. A amancane anterior wesibeletho ISIZINDA evele, okuyizinto ezingavamile kakhulu, asidingi ukwelashwa, futhi cishe ngaso sonke isikhathi uwedwa.

I izinkomba for esihle inaliti nenshisekelo wawenziwa yegilo nenshisekelo noma inalidi biopsy we ndlala efanayo ngaphansi ultrasound nesiqondiso:

- shchitovidki nodes zonke kungenzeka isakhiwo, usayizi, nekufana;

- the simila eziyinkimbinkimbi ne-multi-chambered;

- ethunjini (etholakala atypically), extra yegilo indlala (aberrant);

- goiter sternal (yegilo zokugula indawo);

- yansukuzonke goiter (okuyinto lapho izinguquko eziphindiwe indlala yegilo waqala emva kokwelashwa);

- Ukungafani idatha ultrasound nasemitholampilo isifo;

- incazelo impikiswano okutholakele ultrasound, imiphumela eziphikisanayo ziyangqubuzana survey;

- metastases ukuba le wesibeletho lymph node ngomthombo Ukudlulela yokungaqiniseki;

- olwandulelayo isheke cytological ngaphambi kokusebenzisa amasu kancane koda, isibonelo, lukhuni zonke izinhlobo yegilo izinhlumba ;

- ukwanda yegilo ngokukhukhumala kwentamo ukuthola thyroiditis Hashimoto sika.

Futhi wokubhoboza yegilo ngaphansi ultrasound isiqondiso has Izimo:

- ukwephulwa decompensated wegazi coagulation;

- Izifo ezihambisana ukuhlukumeza we obala odongeni semithambo (eqonda coagulation intravascular), ezimweni lapho ingozi inqubo phezu okuqukethwe kwayo ulwazi;

- okuqinile ukwenqaba nesineke azokuqhubela wokubhoboza;

- nesineke kwengqondo esigabeni acute lesi sifo.

izimpawu Clinical ezibonisa ingozi enkulu ompofu izinga indawo yegilo, yilezi:

nesineke -Age, okuyinto kuyahlukahluka ngaphansi amabili nangaphezulu kweminyaka engamashumi ayisithupha;

phansi -muzhskoy;

ngemisebe ekhanda nasentanyeni endaweni emlandweni;

usayizi node amahle', ezingaphezu kuka-3.5 amasentimitha;

bangabesifazane abaphethwe eside webele izimila nesitho sangasese, kanye nezifo ezithile ukuvuvukala;

-mnogokratno eziqhutshwa iziguli (goiter yansukuzonke);

-Face kokuba yofuzo ukuba nezinkinga kwezitho zokuzala futhi izingxenye ndlala kanye izimila.

wawulotshwe ngenhla uthi Kusukela konke udokotela ubeka izinkomba ukuze bayothola ukwelashwa kuphela emva zonke izivivinyo kunesidingo. Lezi survey yilezi: umlando wezokwelapha kanye izikhalazo, izimpawu (idatha emitholampilo), imiphumela ukuhlolwa kwegazi (ukuthola hormone) kanye ultrasound umdlavuza efanayo, futhi qiniseka inaliti biopsy we indlala yegilo.