gorre

goiter ledhaa goiter anedi vistarinchina thyroid grandhi phalitamgaa medalo vaapu. gonthu sarigga panicheyakapovadam valla thyroidtho sambandham kaligi undavacchu.
prapanchavyaaptamgaa, 90 saataaniki paiga goiter kesulu iodine lopam valla sambhavistaayi. eee padam latin "gutturia" nundi vachindi, dheeni ardham gonthu. chaalaa gonturugulu cancer (nirapaayamainavi) kaavu, ayinappatikee avi hanikaram kaavacchu.
sankethaalu mariyu lakshanaalu.
gonthu noppi meda diguvana thyroid grandhi yokka spashtamaina ledhaa kanipinche vistaranagaa untundi. gonthu, hypothyroidism ledhaa hyper thyroidismtho sambandham kaligi unte, antarleena rugmata lakshanaalatoo undavacchu. hyper thyroidizaniki, atyanta saadhaarana lakshanaalu adrenergic uddeepanatoo mudipadi untayih tachycardia (hridaya spandana raetu peragadam), dada, bhayamu, prakampanalu, raktapotu peragadam mariyu vaedi asahanam. clinical vyakteekaranalu tarachugaa hypermetabolism (perigina jeevakriya), adhika thyroid harmon, oxygen viniyogam perugudala, protein gvakriyalo jeevakriya maarpulu, diffuse goiter yokka immunologic stimulation mariyu kanti maarpulaku (exophthalmos) sambandhinchinavi. hypothyroid prajalaku saadhaaranamgaa aakali lekapovadam, jalubu asahanam, malabaddhakam, alasata untaayi mariyu baruvu peragavacchu. ayithe, eee lakshanaalu tarachugaa nirdishtamgaa undavu mariyu rooga nirdhaarananu kashtataram chestaayi.
gonthu yokka vargeekarana prakaram, gonthu yokka teevrata prastutam grade 0, grade 1, grade 2 gaa vargeekarinchabadindi.
kaaranaalu.
prapanchavyaaptamgaa, gonthu vaapuku atyanta saadhaarana kaaranam iodine lopam, idhi saadhaaranamgaa iodised uppunu takkuvagaa upayoginche deshaalalo kanipistundi. selenium lopam kooda oka kaarana karakamga pariganinchabadutundi. iodised uppunu upayoginche deshaalalo, hashimoto yokka thyroidities atyanta saadhaarana kaaranam. sinide vishaprayogam valla kooda gonthu noppi yerpadavachhu, idhi mukhyamgaa prajalu sinide adhikamgaa unde kasava muulaanni pradhana aaharamgaa tine ushnamandala deshaalalo sarvasaadhaaranam.
rooga nirdhaarana.
gonthu noppini thyroid function pareeksha dwara kaligi unnatlu anumaaninchina vyaktilo nirdhaarana cheyavachu.
rakalu.
gonthu noppini nodular ledhaa diffuse gaa vargeekarinchavachhu. nodular gonthu oka nodule (annodular) ledhaa bahula nodules (multinodular) kaligi untaayi. multinodular goiter (mng) anedi thyroid grandhi yokka atyanta saadhaarana rugmata.
chikitsa.
gonthu noppi kaaranaanni batti chikitsa cheyabadutundi. thyroid grandhi thyroid harmonelanu harmonelanu mariyu mariyu adhikamgaa utpatti chestunnatlayite, grandhini kudinchadaaniki rogiki rediyodhaarmika iodine ivvabadutundi. iodine lopam valla gonthu noppi sambhavinchinatlayithe, lugols iodine ledhaa kii draavanam roopamlo iodide yokka chinna motaadulu ivvabadataayi. gonthu noppi takkuva kriyaaseela thyroidtho sambandham kaligi unte, thyroid supplementlanu chikitsagaa upayogistaaru. konnisaarlu pakshika ledhaa puurti thyroidectomy avasaram.
epidemiology.
goyyitar mahilallo sarvasaadhaaranam, conny indulo auto emmune samasyala valla kalige aneka rakaala goyyitar untaayi, iodine yokka saadhaarana korata valla matrame kaadu.
iodine pradhanamgaa samudramlo mariyu eguva mattiloo perukupotundi. iodine susampannata kaaryakramaalaku mundu, padepade varadalu ledhaa himanadeeya karyakalapalu unna praantaalalo goiterlu sarvasaadhaaranam, ivi paie mattini naasanam chestaayi. rojuku 10 microgramula kante takkuva iodine teesukune janabhalo idhi sthaanikamgaa untundi.
atuvanti praantaalaku udaaharanalalo dakshina airopaloni alpine praantaalu (switzerland vantivi), himalayanlu, goppa sarassula pareevaahaka praantam modalainavi unnaayi. unnaayi nivedinchinatlugaa, dakshina alaskaloni konni himanadeeya loyalalo anni pempudu jantuvulaku goiter undhi. pemberton pacchika bayallalo idhi entha teevramgaa undho akkada chinna jantuvulanu penchadam kashtam.
charitra.
tong raajavamsaaniki chendina chainees vaidyulu (618-907) gorrelu mariyu pandulu vanti jantuvula iodine adhikamgaa unde thyroid grandhini mudi, maatra ledhaa podi roopamlo upayoginchadam dwara gonthu noppi unna rogulaku vijayavantamgaa chikitsa chesina modativaaru. idhi zen kwan (d. cree. sha. 643) pustakam, alaage aneka itara pustakaalu. oka chainees pustakam, "dhi pharmacopia off dhi heavenly husbanman", iodine adhikamgaa unde sargassamnu kristupurvam 1va sataabdam natiki gonthu rogulaku chikitsa cheyadaaniki upayoginchaarani nokkichepparu, conny eee pustakam chaalaa taruvaata vraayabadindi.
12va sataabdamloo, pertian vaidyudu ayina jaine all-dhin all-zurzani, gonthu yokka anubandhaanni mariyu exophthalmos anie piluvabade kanti sthaanabhramsham gurinchi thana "thessaurus off dhi shaa off khwarajm" anae daani kaalamlooni pradhana vaidya nighantuvulo perkonna taruvaata samaadhula vyaadhi gurinchi modati vivarananu andinchaadu. eee vyaadhiki taruvaata airish vaidyudu robbert james graves paeru pettaru, ayana ayana exophtalmosto gala gonthu vyaadhini vivarinchaadu. german carle adolph vaan basedov kooda kooda adhe lakshanaala samuuhaanni swatantramgaa nivedinchaaru, ayithe eee vyaadhi gurinchi munupati nivedikalanu italianlu giusape flazani mariyu antonio giusape testa kooda 1802 mariyu mariyu, mariyu 18va sataabdam chivaralo aangla vaidyudu caleb hillier paari (edward gener snehitudu) prachurinchaaru.
traaguneetiloo goyyitar mariyu khanijalu (mukhyamgaa seesam) madhya sambandhaanni pratipaadinchina modati vyakti paracelsus (1493-1541). ayodinnu taruvaata taruvaata bernard courtois samudrapu paachi buudida nundi kanugonnadu.
mattiloo iodine lopam unna aneka praantaalalo goiter gatamlo saadhaaranam. udaaharanaku, aangla midlandslo, eee paristhitini derr neck anie pilicheevaaru. united stateslo, apalachian, goppa sarassulu, midwest mariyu inter mountain praantaalalo goiter kanugonabadindi. eee paristhiti ippudu sampanna deshaalalo aacharanatmakamgaa ledhu, ikkada table uppuku iodine thoo anubandhamgaa untundi. ayithe, idhi ippatikee bharatadesam, chaina, madhya asea mariyu madhya aafrikaalo prabalamgaa undhi.
alpine deshaalalo goiter chaalaa kaalamgaa prabalamgaa undhi. undhi iodised uppunu pravesapettadam dwara switzerland eee paristhitini tagginchindi. 19va sataabdamloo kanipinchina measbatch mariyu salzberg praantaalalo bavarian tracht, gonthu ledhaa gonthu shastrachikitsa yokka avasheshaalanu daachadaaniki upayoginche "cropfband" (struma byaand) anie piluvabade chokarnu kaligi undhi.
samajam mariyu samskruti.
samskruti meda chuttoo iodine seesaalanu dharinchadam valla gonthu noppi nivaaristundani nammutaaru.
vamsapaaramparya.
tyrol yokka kotu off arms mariyu crayst off dye cropfner, oka vyaktini "pedda goyyitar thoo baadhapadutunnaadani" choopinchindi, idhi german bhaashalo ("cropf") anae padaaniki spashtamaina padyam.

