Kawirikawiri chiwopsezo cha chithokomiro chimawonjezeka pambali ya kusowa kwa mphamvu kwa ayodini m'thupi, zomwe zilibe chakudya chokwanira komanso chilengedwe. Chokhachokha ndi goiter yopita patsogolo, yomwe imapezeka mwa anthu omwe amakhala kunja kwa malo omwe akukhalapo. Zikatero, kufalikira kwa ziwalo za endocrine kumachitika chifukwa cha zinthu zosagwirizana ndi kuchuluka kwa thupi, koma kuti zimayamwa ayodini m'thupi.
N'chifukwa chiyani pali goiter yachisawawa ya chithokomiro?
Zomwe zimayambitsa matendawa zimafotokozedwa:
- phwando la lithiamu carbonate kapena mankhwala pa maziko ake;
- Zomwe zimapangidwa ndi madzi ndi chakudya (zam'madzi zowonjezera);
- kukhalapo kwa chithokomiro cha ma chithokomiro;
- kugwiritsa ntchito mankhwala osokoneza bongo omwe amalepheretsa kuyamwa kwa ayodini;
- mimba, msinkhu;
- matenda osokoneza ubongo a ayodini kapena kupanga mahomoni a chithokomiro;
- matenda aakulu a dongosolo la m'mimba.
Malemba ndi zizindikiro za goiter zosavuta
Malingana ndi chikhalidwe cha kugonjetsedwa kwa chiwalo chamakono, mitundu yosiyanasiyana ya goiter ikudziwika:
- nodular;
- kusokoneza;
- chithunzi;
- zosakaniza.
Malinga ndi kapangidwe kowonjezera matenda a chithokomiro:
- chithunzithunzi;
- chiwonongeko;
- chithunzi;
- colloidal.
Malingana ndi ntchito:
- chithandizo;
- euthyroid;
- hyperthyroid.
Komanso, pali kusiyana kwa matenda ndi kukula kwa goiter (1-5 degree).
Zizindikiro za kukula kwa khungu la chithokomiro zimawonekera kokha ndi kuwonjezeka kwakukulu kwa zida za endocrine:
- kupanikizika kwa trachea, mayopu, mitsempha ya magazi ndi mitsempha;
- khola lolimba;
- kupuma pang'ono, kupweteka kwa mphumu;
- ululu mu mtima , mutu;
- kuuma, kupweteka kowawa;
- matenda a neuro-autonomic;
- kupuma pamutu.
Mankhwala a matendawa ndi ofunika pa madigiri 3-5. Monga lamulo, zimaphatikizapo kutenga triiodothyronine kapena thyroidin.