Thyroid Multinodular Goitre (MNG) | मल्टीनोड्युलर गॉइटर (थायरॉईडमध्ये अनेक गाठी)

# 🦋 *Thyroid Multinodular Goitre (MNG) | मल्टीनोड्युलर गॉइटर (थायरॉईडमध्ये अनेक गाठी)*

## *Early Diagnosis & Advanced Treatment Can Prevent Serious Complications*

### *लवकर निदान आणि योग्य उपचारामुळे गंभीर गुंतागुंत टाळता येते*

> *Neck swelling should never be ignored!*
> *मानेला आलेली गाठ किंवा सूज कधीही दुर्लक्षित करू नका!*

The thyroid gland controls your body's metabolism, heart rate, energy levels, and temperature. *Multinodular Goitre (MNG)* occurs when multiple nodules develop in the thyroid gland, causing enlargement. While most nodules are benign, some can produce excess thyroid hormone or rarely harbor thyroid cancer.

*थायरॉईड ग्रंथी शरीराचा मेटाबॉलिझम, ऊर्जा, हृदयाचे ठोके आणि शरीराचे तापमान नियंत्रित करते. मल्टीनोड्युलर गॉइटर (MNG)* म्हणजे थायरॉईडमध्ये अनेक गाठी निर्माण होऊन ग्रंथी मोठी होणे. बहुतेक गाठी सौम्य असतात, परंतु काही गाठींमुळे हार्मोन्स जास्त प्रमाणात तयार होऊ शकतात किंवा क्वचित कर्करोगाची शक्यता असू शकते.

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# 🔬 Pathophysiology | रोग कसा होतो?

✅ Iodine deficiency (आयोडीनची कमतरता)

✅ Repeated stimulation by TSH hormone (TSH मुळे वारंवार उत्तेजन)

✅ Genetic predisposition (अनुवंशिक कारणे)

✅ Long-standing thyroid enlargement (दीर्घकाळ वाढलेला थायरॉईड)

✅ Degeneration causing multiple nodules (कालांतराने अनेक गाठी तयार होणे)

➡️ Over time, thyroid tissue enlarges unevenly, leading to multiple nodules and sometimes excessive thyroid hormone production.

➡️ कालांतराने थायरॉईडमध्ये अनेक गाठी तयार होतात आणि काही वेळा हार्मोन्सचे प्रमाण वाढते.

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# ⚠️ Symptoms | लक्षणे

🔹 Swelling in front of the neck (मानेला सूज)

🔹 Difficulty swallowing (गिळताना त्रास)

🔹 Difficulty breathing, especially while lying down (झोपल्यावर श्वास घेण्यास त्रास)

🔹 Feeling of pressure in the neck (मानेवर दाब जाणवणे)

🔹 Hoarseness of voice (आवाज बसणे)

🔹 Palpitations (हृदयाचे ठोके वाढणे)

🔹 Weight loss or weight gain (वजन कमी किंवा वाढणे)

🔹 Excessive sweating (जास्त घाम येणे)

🔹 Fatigue (थकवा)

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# 👨‍⚕️ Signs | तपासणीमध्ये दिसणारी लक्षणे

✔️ Enlarged thyroid gland

✔️ Multiple thyroid nodules

✔️ Visible neck swelling

✔️ Tracheal deviation in large goitre

✔️ Cervical lymph node enlargement (if suspicious)

✔️ Hyperthyroidism or hypothyroidism features

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# 🩺 Diagnosis | निदान

✅ Clinical Examination (शारीरिक तपासणी)

✅ Thyroid Function Test (T3, T4, TSH)

✅ Ultrasound Neck

✅ FNAC (Fine Needle Aspiration Cytology)

✅ Thyroid Scan (Selected Patients)

✅ CT Scan / MRI (Large Retrosternal Goitre)

✅ Laryngoscopy (Voice Cord Assessment)

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# 💊 Treatment Options | उपचार

### Conservative Treatment

✔️ Regular Follow-up

✔️ Thyroid Hormone Medicines

✔️ Hyperthyroidism Treatment

✔️ Observation for Small Benign Nodules

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## 🤖 Advanced Robotic & Minimally Invasive Thyroid Surgery

For patients requiring surgery:

✅ Robotic Thyroidectomy

✅ Endoscopic Scar-less Thyroid Surgery

✅ Minimally Invasive Thyroid Surgery

✅ Hemithyroidectomy

✅ Total Thyroidectomy

✅ Thyroid Cancer Surgery (When Required)

### Advantages of Robotic Surgery

✔️ Smaller hidden scar

✔️ Less pain

✔️ Faster recovery

✔️ Shorter hospital stay

✔️ Better cosmetic outcome

✔️ Early return to work

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# ⚠️ Complications if Left Untreated | उपचार न घेतल्यास होणारे धोके

❌ Progressive enlargement of thyroid

❌ Difficulty breathing

❌ Difficulty swallowing

❌ Sudden bleeding into thyroid nodule

❌ Hyperthyroidism (Toxic Multinodular Goitre)

❌ Heart rhythm problems

❌ Compression of windpipe

❌ Permanent voice changes

❌ Rare possibility of Thyroid Cancer

❌ Emergency airway obstruction

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# 🛡️ Prevention | प्रतिबंध

✅ Use iodized salt

✅ Regular thyroid check-up

✅ Early evaluation of neck swelling

✅ Follow-up of thyroid nodules

✅ Timely surgery when advised

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# 👨‍⚕️ Expert Thyroid & Robotic Surgery Care

## *Dr. Lalit Banswal*

*Consultant Laparoscopic, Robotic, Gastrointestinal, Thoracic, Breast, Thyroid & Cancer Surgeon*

🏥 *SaiVedant Hospital*
*2nd & 3rd Floor, Behind Undri City Center Mall, Near HDFC Bank, Hadapsar Road, Bellagio, Undri, Pune – 411060*

📞 *Appointments:* *9719712400*

### 📢 *Don't Ignore a Neck Swelling! Early Diagnosis Can Prevent Serious Complications.*

### *मानेला आलेली गाठ किंवा सूज दुर्लक्षित करू नका. वेळेवर निदान आणि उपचार जीव वाचवू शकतात.*

*📞 Book Your Consultation Today: 9719712400*