Nammude Arogyam March 2018 | Page 61

ssXtdm-bn-Un\v kÀPdn thïn-h-cm-hp¶ Akp-J -§Ä Xmtg ]d-bp-¶-h -bmWv :  Iym³kÀ BIp-hm³ CS-bpÅ apg-IÄ  ImgvNbv¡v A`wKn hcp-¯p¶ henb apg-IÄ  s\©n-\-I-t¯¡v Cd§n \n¡p¶ Retrosternal Goiter  `£W-¯n\v XSÊw hcp-¯p-I-tbm, izmkXSÊw Dïm-¡p -hm³ CS-bpÅtXm Bb apg-IÄ  IqSp-Xembn ssXtdm -bnUv tlmÀtam¬ Dïm-¡p¶ Toxic Adenoma, Toxicmulti Nodular Goiter apX-em-b-h. FNAC ]cn-tim-[\ Hcp tUmIvS-dpsS ASp¯v ssXtdm-bnUv ho¡-hpam-bn«v sNÃp-t¼m Ä BZy-ambn sN¿p-¶Xv cà-¯nsâ ssXtdm-bnUv ]cn-tim-[-\bpw Igp -¯nsâ AÄ{Smkuïv kvIm\p-am-Wv. ssXtdm -bnUv {KÙn¡v AI¯v apg Dsï-¦n AXp hfsc t\À¯ kqNnh¨v Ip¯n-bn«v B kqNn¡v AI-¯pÅ tImi-§Ä ]cn-tim-[-\bv¡v Ab-¡p -¶p. Cu ]cn-tim-[\ AÄ{Smkuïv kvIm\n- §nsâ klm-b-t¯msS sN¿p-¶-XmWv A`n-Im-ayw. Iym³kÀ apg-I-tfm, Iym³kÀ BIp-hm³ km[y-X-tb-dnb apg-I-tfm s]s«¶pXs¶ Hm¸-td-j³ hgn \o¡wsNt¿-ï-Xm-Wv. AÃm¯ apg-IÄ (Colloid Nodule ) hep-¸-ta-dn-b-Xm-sW -¦ntem AXp-aqew aäp _p²n-ap-«p-IÄ Dïm-hp-I -bm-sW-¦ntem \o¡w sNt¿-ï-Xm-Wv. thÀXn-cn -¨-dn-bp-hm³ km[n-¡m¯ apg-IÄ XpSsc ]cn-tim -[n¨v t\m¡p-Itbm \o¡w sN¿p-Itbm BWp DNn-Xw. Retrosternal Goiter Nne ssXtdm-bnUv apg-IÄ s\©n-\-I¯v Cd§n Ccn-¡p-¶-h-bm-Ip -¶p. hfsc Npcp¡w Ah-k-c-§-fn B apg s\©n-\-I¯v am{X-ambn ØnXnsN¿p-¶p. s\©n sâ IqSn-\-I¯v Øe]-cn -anXn DÅ-Xn-\m B apg hep-Xm-Ip-t¼mÄ izmk-X-S -Êhpw `£Ww Cd-¡p-¶ -Xn\v _p²n-ap«pw Dïm-¡p -¶p. Ah Adn-bp-¶-Xn\v kn.SnkvIm³ ]cn-tim-[\ Bh-iy-am-Wv. B apg -bpsS Ip¯n-sb-Sp-¯n-«pÅ ]cn-tim-[\ _p²nap«mWv. C¯cw apg-IÄ BIp-¶ -Xpw thKw \o¡w sN¿-s¸ -tS-ï-h-bm-Wv. ImcWw izmkXSÊw hcp¶ ]£w AXp ac-W-¯n-te¡p hsc \bn-¡m-hp-¶-Xm-Wv. ikv{X{Inbbv¡p ap¼p sNt¿ï ]cn-tim-[-\-IÄ 1) ssXtdm-bnUnsâ {]hÀ¯\w Adn-bm-\p Å cà-]-cn-tim-[\ (TFT) : kÀPdn ka-b¯v {]hÀ¯\w \nb-{´W hnt[-b-am-bncnt¡-ïXv AXym-h-iy-am-Wv. 2) {]ntbm]vsSÌv 3) A\kvtXjy& C.-F³. än I¬kÄt«-j³ \½p-sS B-tcm-Kyw | amÀ¨v 2018 61