Hipoekoik Lap
Hipoekoik lap, tiroid bezlerinin boyut ve şekillerindeki anormal büyüme olarak tanımlanabilmektedir. İnsan vücudunda lenf bezleri vücudun her tarafına dağılmaktadır. Lenf bezleri, bağışıklık organı olmakla birlikte vücudu, mikroplara ve yabancı maddelere karşı savunur. Lenf bezlerinin iltihaplanması sonucunda veya iyot eksikliği olan kişilerde bezlerde iltihaplı bir kitle oluşumu gözlenmektedir. Bu kitle aşırı büyümesi durumunda kanser riski oluşturabileceği gibi bazı kronik hastalıklarında belirtisi olabilmektedir.
Bu tür hastalarda değerlendirme yaparken cinsiyet, aile öyküsü, yaş ve kronik rahatsızlıklar gibi çeşitli faktörlere dikkat etmek gerekmektedir. Çocuklarda tiroid bezlerinde oluşan kitlenin kansere dönüşme olasılığı ilerlemiş yaştaki kişilere oranla daha düşüktür. Fakat tiroid bezlerinde oluşan bu kitle tedavi edilmemesi ve buna bağlı olarak büyümesi durumunda kanser oluşturma riskini arttırır. Oluşan kitlenin malign tümör (kanser) olması durumunda erken teşhis tedavi yönünü ciddi anlamda değiştirmektedir.
Tiroid Bezlerinde Lap Oluşma Nedenleri Nelerdir?
- Tiroid bezlerinde iltihaplanma, kanser oluşumu veya iyot eksikliğinden kaynaklı olarak lap oluşumu gözlenebilmektedir. Bu gibi durumlarda oluşan kitlenin fazla büyümesi cerrahi işlem uygulanmasına neden olabilmektedir.
- Hipoekoik lap oluşumuna bakteriyel, viral veya mantar enfeksiyonları, bazı depo hastalıkları ve ilaçlara karşı aşırı hassasiyet sonucunda tiroid bezlerinde tahriş oluşması gibi faktörler neden olabilmektedir.
- Normalde mikroplar ve yabancı maddeler immün sistem varlığı nedeniyle vücut içerisine girmesi zordur ve vücuda giremeyen bu maddeler birikerek lap oluşumuna neden olabilmektedir.
- Tiroid bez kanseri olan kişilerde lenf bezlerinde şişlik oluşumu sıklıkla rastlanan bir durumdur.
Tiroid Bezlerinde Oluşan Nodüllerin Tanısı Nasıl Yapılır ?
Oluşan nodüller; ultrason, sintigrafi ve iğne aspirasyon biyopsisi gibi yöntemlerle tanısı yapılabilmektedir. Nodüllerin büyümesi kanser riskini arttıracağı için cerrahi işlem uygulamasını gerektirebilmektedir.
Hipoekoik Lap Oluşumunun Tedavisi Nedir? Nasıl Uygulanır?
Tiroid bezinde oluşan kitleye bakılarak iki şekilde tedavi yöntemi uygulanabilir. Bezlerin aşırı büyümesi durumunda sintigrafi, ultrason ve biyopsi gibi yöntemlerle kitlenin tümör riski olup olmadığına bakılarak çıkan sonuca göre cerrahi müdahale uygulanır.
Diğer bir yöntem ise bezlerde iltihaplanma sonucu lap oluşumu varsa antibiyotik tedavisi uygulanabilmektedir. Antibiyotik tedavisi ile iltihap vücuttan atılarak şişliğin inmesi sağlanabilir.
Bu tür rahatsızlıklarda hastanın yaşı, cinsiyeti, aile öyküsü, kullanılan ilaçlar, oluşan kitlenin boyutu ve fiziksel muayenesine bakılarak tedavi yöntemi uygulanmalıdır.
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