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Название получила за внешнее сходство с зобом птиц — мешковидным образованием на шее, где у них собирается пища [2](https://mc21.ru/articles/uzlovoy-zob/). \n\nВыделяют несколько видов узлового зоба по количеству узлов [6](https://mrtexpert.ru/articles/uzlovoy-zob-prichiny-poyavleniya-diagnostika-i-lechenie): \n* **Солитарный** — в щитовидной железе обнаруживают только один узел [6](https://mrtexpert.ru/articles/uzlovoy-zob-prichiny-poyavleniya-diagnostika-i-lechenie). \n* **Многоузловой** — в железе выявляют два и более узлов [6](https://mrtexpert.ru/articles/uzlovoy-zob-prichiny-poyavleniya-diagnostika-i-lechenie).\n\n\n\n## Причины\nУзловой зоб возникает под влиянием нескольких факторов, но точная причина его возникновения не изучена [6](https://mrtexpert.ru/articles/uzlovoy-zob-prichiny-poyavleniya-diagnostika-i-lechenie). Некоторые провоцирующие факторы: \n* **Дефицит йода** — для синтеза гормонов щитовидной железы тироксина (Т4) и трийодтиронина (Т3) нужен йод [6](https://mrtexpert.ru/articles/uzlovoy-zob-prichiny-poyavleniya-diagnostika-i-lechenie). \n* **Наследственная предрасположенность** — если у близких родственников были заболевания щитовидной железы, вероятность образования узлов выше [6](https://mrtexpert.ru/articles/uzlovoy-zob-prichiny-poyavleniya-diagnostika-i-lechenie). \n* **Возрастные изменения** — у взрослых риск появления узлов увеличивается из-за естественного старения тканей, накопления микроповреждений и изменений гормонального фона [6](https://mrtexpert.ru/articles/uzlovoy-zob-prichiny-poyavleniya-diagnostika-i-lechenie). \n* **Аутоиммунные процессы** — иногда узлы возникают из-за хронического воспаления, например, при аутоиммунном тиреоидите [6](https://mrtexpert.ru/articles/uzlovoy-zob-prichiny-poyavleniya-diagnostika-i-lechenie).\n\n## Симптомы\nОбразование и развитие узлов в щитовидной железе не всегда сопровождается какими-либо проявлениями: нередко уплотнения обнаруживаются случайно во время планового медицинского обследования или диагностики другого заболевания [4](https://gemotest.ru/info/spravochnik/zabolevaniya/uzlovoy-zob/). Однако иногда узловой зоб провоцирует ряд симптомов — они связаны как с размером узлов, так и с их влиянием на работу щитовидной железы [4](https://gemotest.ru/info/spravochnik/zabolevaniya/uzlovoy-zob/). \n\nНекоторые проявления: \n* видимое увеличение щитовидной железы или отдельной её части [4](https://gemotest.ru/info/spravochnik/zabolevaniya/uzlovoy-zob/); \n* дискомфорт при глотании, особенно при употреблении твёрдой пищи [4](https://gemotest.ru/info/spravochnik/zabolevaniya/uzlovoy-zob/); \n* ощущение кома в горле, особенно в положении лёжа или при наклонах головы [4](https://gemotest.ru/info/spravochnik/zabolevaniya/uzlovoy-zob/); \n* затруднение дыхания, которое усугубляется при физической нагрузке [4](https://gemotest.ru/info/spravochnik/zabolevaniya/uzlovoy-zob/).\n\n## Диагностика\nДиагностикой узлового зоба занимаются врачи-эндокринологи и терапевты [2](https://mc21.ru/articles/uzlovoy-zob/). Для уточнения диагноза используют лабораторную и инструментальную диагностику [2](https://mc21.ru/articles/uzlovoy-zob/). Некоторые методы: \n* **Ультразвуковое исследование (УЗИ)** — позволяет уточнить данные, полученные при пальпации, подтвердить или опровергнуть наличие узлового зоба [11](https://xn--g1ajp.xn--p1ai/interview/uzlovoy-zob/). \n* **Радионуклидное сканирование и сцинтиграфия** — дают возможность оценить расположение, форму, размеры и контуры железы [11](https://xn--g1ajp.xn--p1ai/interview/uzlovoy-zob/). \n* **Компьютерная томография (КТ) и магнитно-резонансная томография (МРТ)** — позволяют визуализировать щитовидную железу, определить её форму, размеры, структуру [11](https://xn--g1ajp.xn--p1ai/interview/uzlovoy-zob/).\n\n## Лечение\nВрач подбирает лечение в зависимости от результатов обследования и с учётом конкретного случая [3](https://www.fdoctor.ru/poliklinika/hospital-center/depart-endokrinnaya-khirurgiya/disease-uzlovoy-zob/). Например: \n* **На ранней стадии**, когда узлы имеют размер менее 1 см и не доставляют дискомфортных ощущений, необходимо периодическое наблюдение у эндокринолога [3](https://www.fdoctor.ru/poliklinika/hospital-center/depart-endokrinnaya-khirurgiya/disease-uzlovoy-zob/). \n* **При наличии более крупных узлов** проводится консервативное лечение [3](https://www.fdoctor.ru/poliklinika/hospital-center/depart-endokrinnaya-khirurgiya/disease-uzlovoy-zob/). \n* **Если заболевание прогрессирует**, необходимо оперативное вмешательство — гемитиреоидэктомия (иссечение половины щитовидной железы) или тиреоидэктомия (удаление всего органа) [3](https://www.fdoctor.ru/poliklinika/hospital-center/depart-endokrinnaya-khirurgiya/disease-uzlovoy-zob/). \n\n**Важно не ставить диагноз самостоятельно** — только специалист может точно оценить характер узлового образования и определить, нужно ли лечение 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