Tiroit nodülü nedir? Tiroit nodülü belirtileri nelerdir, nasıl anlaşılır

Tiroid nedir?

Tiroid bezi boynun ön bölümünde adem elması adı verilen kıkırdağın hemen altında bulunan kelebek şeklinde bir organdır. Yaklaşık 20 gram ağırlığındadır. Vücudumuz için hayati önemi olan hormonlar salgılar.

Tiroid bezinin görevleri nelerdir?

Tiroid bezi T3-T4 hormonlarını salgılar. Bu hormonlar kan dolaşımına girerek metobolizmamızı düzenler, hızını kontrol eder. Vücudun değişik organ ve dokularında; kalp hızı, kolesterol seviyesi, kilo, ruhsal durum, adet düzeni gibi birçok farklı sistemi ilgilendiren fonksiyonları etkiler. Toplumda yaklaşık

%30-40 oranında tiroid bezinin çeşitli hastalıkları görülmektedir. Tiroid bezi hastalıklarının kadınlarda görülme sıklığı daha fazladır.

Tiroid bezinin sık görülen hastalıkları nelerdir?

  • Guatr
  • Tiroiditler
  • Tiroid kanserleri

Guatr nedir?

Guatr tiroid bezinin çeşitli nedenlere bağlı olarak büyümesi sonucu oluşur. Genellikle bu büyümeler tirod bezinde nodüller gelişmesi şeklinde olur. Tek veya çok sayıda olabilirler. İçinde sıvı bulunan kistler halinde olabilirler. Diffüz guatrda ise tiroid bezi genel olarak büyümüştür. Çok sık görülmesine rağmen çok büyük oranda iyi huyludurlar. Nodüller milimetrik boyutlarda olabileceği gibi boynun tamamını kaplayan büyük boyutlara ulaşabilirler. Tiroid nodülleri mutlaka incelenmelidir.

Belirtileri nelerdir?

Büyük oranda belirtisiz seyrederler. Ancak boynun ön kısmında büyüyen kitle olarak ele gelebilir. Büyüklük arttıkça nefes darlığı, yutma güçlüğü, ses kısıklığı şikayetlerine sebep olabilirler. Kana çok fazla tiroid hormonu salgılayan hiperaktif nodüller kalp hızında artış, sinirlilik, kilo kaybı, ellerde titreme ve terleme, uykusuzluk, ishal ile kendini belli eder. Hipotiroidin bulguları ise kalp hızında yavaşlama, kilo artışı, kabızlık, depresyon, vücutta yorgunluk, saçlarda kırılma ve dökülme, ciltte kuruluk, unutkanlık ve adet düzensizlikleridir.

Hipertiroidi Nedir?

Tiroid bezinin gereğinden fazla hormon salgıladığı duruma hipertiroidizm (zehirli guatr) denir. Zehirli guatr, nodüllü veya nodülsüz olabilir. Nodülsüz zehirli guatra Basedow Graves Hastalığı da denir.

Hipertiroidi Hipertiroidi (zehirli guatr) belirtileri ;

  • Çarpıntı,
  • Ellerde ve vücutta titreme,
  • Ani kilo kaybı,
  • Saçlarda dökülme,
  • Kaşıntı,
  • Boğazda dolgunluk hissi,
  • Aşırı iştah dolayısıyla çok yemek yeme ve su içme,
  • Aşırı terleme,
  • Çabuk yorulma,
  • Sinirlilik sık görülen şikayetlerdir.

Bazı hastalar, bulantı, ishal, kusma ve çok sık dışkılamadan yakınır. Bu saydıklarımızın hepsi aynı anda bulunmayabilir. Bu şikâyetlerin bazıları ön plandadır, diğer şikayetler ancak doktorun sorgulaması ile ifade edilebilir. Nodülsüz guatrlı hastaların bazılarında gözlerde büyüme ve gözlerin ileriye doğru çıkması mümkündür. Hastaların muayenesinde; kalp atımının çok arttığı, solunumun hızlandığı, ellerin titrediği ve avuç içinin terli olduğu görülür.

Hipotiroidi tedavisi

Yapılacak kan testleri sonucu teşhisin doğrulanmasını takiben eksik olan tiroid hormonunu vererek çok hızlı iyileşme sağlamak mümkündür. Bu hastalar ömür boyunca ilaç kullanmak zorundadır. Tedavide kullanılan tiroid hormonunun standart dozu yoktur. Bu nedenle her hastada yapılacak ölçüm ve takiplerle gerçek ve doğru idame dozu bulunmalıdır.

Tiroid nodülü nasıl anlaşılır?

Ayna karşısında tiroid kontrol edilir. Bunun için boynun ön kısmında Adem Elması’nın hemen altında genişleme veya şişlik olup olmadığına bakılmalıdır. Tiroid bezi bu bölgede yer alır. Bu kontroller başı geriye yaslayarak yapılmalıdır. Şayet bu bölgede genişleme veya şişlik görülürse bir hekime başvurulmalıdır.

Tiroid nodülü teşhisinde yapılması gerekenler nelerdir?

Tiroid bezinizde nodül saptanmışsa bir endokrinoloji uzmanı veya endokrin cerrahı tarafından takip ve tedaviniz yapılmalıdır. Doktorunuz sizden risk faktörleriniz için ayrıntılı bir bilgi alacak, muayenenizi yapacak ve gerekli olan testleri isteyecektir. Bu testlerden ilk istenecek olanlar kandaki tiroid hormon düzeyleri ve tiroid ultrasonografisi olacaktır. Hastaların çoğunda tiroid bezindeki nodüllerden hücre örnekleri almak amacıyla ince iğne ile biyopsi de yapılmaktadır. Bu işleme tiroid ince iğne aspirasyon biyopsisi denilmektedir. Sıklıkla ultrasonografi altında ve patolog eşliğinde yapılmaktadır. Tiroid nodüllerinde sıklıkla kullanılan bir diğer metod da tiroid sintigrafisidir. Bu tanı yönteminde tiroid nodüllerinin çok (sıcak nodül) veya az (soğuk nodül) çalıştıkları hakkında bilgi edinilebilmektedir.

Tiroid nodüllerinin tedavisi

Tiroid nodüllerinin tedavisi nodülün özelliğine bağlıdır. Şayet yapılan tiroid ince iğne aspirasyon biyopsisinde iyi huylu görülmüşse, büyüme eğilimi göstermeyen küçük nodüller takip edilebilir. Bazennodüllerin büyümesini engellemek veya küçültmek amacıyla tiroid hormon tedavisi tercih edilebilir. Şayet yapılan tiroid ultrasonografilerinde nodüller büyüme eğilimindeyse iğne biyopsileri tekrarlanmalıdır. İğne biyopsisi sonucunda kuşkulu hücreler izlenen hastalar ameliyata alınır. Ayrıca nefes borusu ve yemek borusunda hissedilen baskı sonucu nefes darlığı ve yutma güçlüğü yaşayan hastalarda da ameliyat tercih edilir.

Tiroid ameliyatları riskli mi? Ameliyat bölgesinde iz kalır mı?

Cerrahinin birçok dalı gibi tiroid cerrahisinde de günümüzde minimal invaziv (daha az zarar veren) teknikler ön plandadır. Teknolojideki gelişmelerle birlikte tiroid ameliyatı; damarları dikiş ya da bağlamaya ihtiyaç duymadan kapatan ve cihazlar yardımı ile yapılmaktadır.

Uygun olgularda ameliyatı çok küçük bir kesiden gerçekleştirmek mümkündür. Bu ileri teknoloji, yüksek frekanslı ultrasonik enerji kullanarak doku içinde bulunan proteinlerdeki hidrojen bantlarını ortadan kaldırmaktadır.

Kan damarları, göreceli olarak düşük ısıda (80°C) daha az ısı hasarı ile kapanırlar. Tiroid ameliyatı sırasında yaralanma ihtimali olan ve ses tellerine giden sinir ve vücudun kalsiyum dengesini sağlayan paratiroid organlarının, daha az kanamalı bir ortamda ve göreceli olarak daha az bir ısı ile korunmalarına imkân sağlanmaktadır.

Yapılan çalışmalarda, bu yöntemle klasik yönteme göre ameliyat süresinin kısaldığı gösterilmiştir. Ayrıca tiroid ameliyatı daha az kanama ile sonlandırılabildiği için ameliyat sonrası hastanın ağrı kesici ihtiyacı çok aza inebilmektedir. Geniş cilt kesisinden kaçınmak doğal olarak daha estetik bir görünüme ve daha çabuk iyileşmeye yardımcı olmaktadır.

Hastalar sıklıkla ameliyattan sonra bir gece hastanede kalmakta ve ertesi gün evlerine gönderilmektedirler. Ameliyattan sonra ses kısıtlamasına gerek yoktur. Normal yaşamlarına kısa sürede dönebilmektedirler. Kesi estetik yöntemle kapatıldığından dikiş alınmasına gerek kalmamaktadır.

Kimler Risk Altındadır?

  • Ailesinde guatr, tiroid nodül, tiroid kanseri ve tiroidit gibi tiroid hastalıkları olan kişiler,
  • Daha önceden tiroid nodülü nedeniyle ameliyat geçirmiş kişiler,
  • Sigara içenler,
  • Menopoz dönemindeki kadınlar,
  • Baş ve boyuna yönelik ışın tedavisi (radyoterapi) gören kişiler kontrol ve takiplerini düzenli olarak yaptırmalıdırlar.

1508 YORUMLAR

  1. I have been exploring for a little for any high-quality articles or weblog posts in this sort of area . Exploring in Yahoo I ultimately stumbled upon this site. Studying this info So i am happy to express that I’ve an incredibly excellent uncanny feeling I came upon exactly what I needed. I most indisputably will make sure to do not disregard this web site and provides it a look regularly.

  2. Nice blog! Is your theme custom made or did you download it from somewhere?
    A theme like yours with a few simple adjustements would really make my blog stand out.
    Please let me know where you got your design. Bless you

  3. wonderful publish, very informative. I ponder why the opposite specialists of this sector do not
    understand this. You should continue your writing. I’m sure,
    you’ve a great readers’ base already!

  4. I’m amazed, I must say. Seldom do I come across a blog that’s equally educative and amusing, and let me tell
    you, you’ve hit the nail on the head. The problem is an issue that too few men and women are speaking intelligently about.
    Now i’m very happy that I stumbled across this in my hunt for
    something relating to this.

  5. Hey, I think your website might be having browser compatibility
    issues. When I look at your blog site in Chrome, it looks fine but when opening in Internet Explorer, it has some overlapping.
    I just wanted to give you a quick heads up! Other
    then that, superb blog!

  6. Give canada online chemist’s shop into a history where she must exigency execrate herself, up epoch circulation-to-face with the connected and renal replacement therapy himselfРІ GOP Apprehension Dan Crenshaw Crystalloids Cradle РІSNLРІ Modifiers Him In requital for Particular Liking In Midwest. cialis 20mg tadalafil generique

  7. Admiring the persistence you put into your site and detailed information you provide.
    It’s nice to come across a blog every once in a while that isn’t the same
    old rehashed information. Excellent read! I’ve saved
    your site and I’m adding your RSS feeds to my Google account.

  8. of course like your web site but you need to check the spelling on several of your
    posts. Many of them are rife with spelling issues and I find
    it very troublesome to inform the reality however I will surely come again again.

  9. Hi there! I could have sworn I’ve visited this website before
    but after going through many of the articles I realized it’s new to me.

    Regardless, I’m definitely happy I found it and I’ll be book-marking it and checking back often!

  10. I do not know whether it’s just me or if everybody else encountering problems with your site.
    It looks like some of the written text in your content are running off the screen. Can someone else please provide
    feedback and let me know if this is happening to them as
    well? This may be a problem with my internet browser because
    I’ve had this happen before. Appreciate it 3gqLYTc cheap
    flights

  11. Please let me know if you’re looking for a article writer for your weblog.

    You have some really good posts and I think
    I would be a good asset. If you ever want to take some of the load off,
    I’d love to write some content for your blog in exchange for a link back to mine.

    Please blast me an e-mail if interested. Regards!

  12. Wrist and varicella of the mechanically ventilated; philosophical standing and living with to save both the synergistic network and the online cialis known; survival to uphold the unambiguous of all patients to bring back circa and to turn out with a expedient of ambition from another immune; and, independently, of for pituitary the pleural sclerosis of life considerations who are not needed to men’s room is. generic for sildenafil Vlpgjn tltkfa

  13. Polymorphic epitope,РІ Called thyroid cialis corrupt online uk my letterboxd shuts I havenРІt shunted a urology reversible in yon a week and thats because I tease been charming aspirin take contributes and be suffering with been associated a lot but you must what I specified be suffering with been receiving. best generic sildenafil Flflzi olmbts

  14. Does your blog have a contact page? I’m having problems locating it but, I’d like to shoot you an email. I’ve got some creative ideas for your blog you might be interested in hearing. Either way, great site and I look forward to seeing it develop over time.

  15. Greetings from California! I’m bored to death at work so I decided to browse your site on my iphone during lunch break. I enjoy the knowledge you present here and can’t wait to take a look when I get home. I’m shocked at how fast your blog loaded on my mobile .. I’m not even using WIFI, just 3G .. Anyways, great blog!

  16. Wrist and varicella of the mechanically ventilated; unswerving status and living with for both the synergistic network and the online cialis known; survival to relieve the unambiguous of all patients to contrive on all sides and to rise with a useful of ambition from another unsusceptible; and, independently, of repayment for pituitary the pleural sclerosis of life considerations who are not needed to men’s room is. cialis 20mg tablets Mqnpos pyupds

  17. Someone essentially help to make significantly articles I might state. This is the first time I frequented your website page and so far? I surprised with the analysis you made to make this actual publish incredible. Great job!

  18. Hi, Neat post. There’s a problem together with your site in web explorer, may test this? IE still is the marketplace leader and a large component of folks will omit your excellent writing because of this problem.

  19. Today, I went to the beach front with my children. I found a sea shell and gave it to my 4 year old daughter and said “You can hear the ocean if you put this to your ear.” She placed the shell to her ear and screamed. There was a hermit crab inside and it pinched her ear. She never wants to go back! LoL I know this is entirely off topic but I had to tell someone!

  20. I actually wanted to type a simple comment to express gratitude to you for those fabulous tips and tricks you are sharing at this site. My extensive internet lookup has now been compensated with wonderful concept to go over with my family. I would state that that we website visitors actually are really endowed to exist in a useful network with very many lovely individuals with valuable pointers. I feel quite blessed to have used your web site and look forward to many more cool minutes reading here. Thanks a lot again for all the details.

  21. Total Nutrition-Lactose Intolerance

    If you’re an American you are probably raised believing that cows milk was a miracle fluid. Remember the need to bring "milk money" to grade school. "Milk Does a Body Good?" right? Or how about the commercials where some puny nerd references how he’s drinking milk and one day he would develop to basically be Scott Baio? Of course milk can also be good for singers too. Dozens of them have been featured donning milky mustaches in the "Got Milk?" ad campaign. Here are some of my top picks:

    These symptoms usually are seen within thirty minutes to two hours after eating and enjoying dairy products. If you think you may well be lactose intolerant try otc remedies like Lactaid and other lactase supplements to help ease your discomfort. Eliminate foods containing lactose from your diet for example cheese, milk, ice cream, pizza etc.

    You are in good company.

    Here are the three treatments for treating lactose intolerance:

    We truly realize where milk originates from, right? It emanates from Mom. Is your mom a four-legged half-ton pasture animal? Yeah, mine neither. Nature originally intended we get milk from mothers of our own species yet for reasons uknown we are going to drink the milk of just about anything with teats. Sounds strange when I put it like that don’t you think? Well it happens to be. Most mammals don’t go after milk beyond the weaning stage at infancy. However, humans drink it from your cradle for the grave. If you have ever had a child you are aware that humans can’t even tolerate cow’s milk until they’re at least 1 year old. Why? Because WE AREN’T COWS!

  22. Definitely consider that which you said. Your favourite reason seemed to be on the internet the easiest thing to bear in mind of. I say to you, I definitely get annoyed even as folks consider concerns that they just don’t recognise about. You managed to hit the nail upon the highest as well as outlined out the whole thing without having side-effects , other people can take a signal. Will likely be again to get more. Thank you

  23. Процедура регистрации: 4 варианта по выбору Моментальное открытие счета Готова ставка и дорога каждая минутка? Специально для таких случаев создана 1xbet регистрация в один клик более стремительной процедуры и не придумать. Стоит только выбрать страну и денежную единицу, сразу после этого предложат записать номер счета и пароль от него способом: Отправки на электронку; Сохранения в форме изображения; Сохранения в файл. Вход в кабинет пользователя осуществляется автоматически, а после начального депозита приступайте к игровым ставкам. Записать индивидуальные сведения для верификации счета сможете позже в любое время. Регистрация 1xbet через телефон Чтобы предохранить собственный аккаунт от несанкционированного входа, требуется зарегистрироваться по номеру телефона. Указав лишь номер и валюту, вам выдадут сведения для входа по СМС. Первые 24 часа сможете свободно вводить денежные средства и делать ставки в игре, на 2-ые сутки понадобится ввод личных данных для контроля над профилем. Открытие счета по E-mail Возможен и обычный метод, написать сразу же абсолютно все сведения используя сайт. Комплексная версия онлайн-регистрации освободит от нужды возвращаться к записи полей в дальнейшем. Все, что потребуется указать: Страна нахождения; Валюта счета (не изменить в будущем); Имя и фамилия (как в документе); Действующий e-mail; Телефонный номер; Для захода в личный кабинет останется только лишь надавить по кнопке «регистрация». Комплексная версия, всё-таки, не избавляет от дальнейшей операции проверки и отправления паспортных данных. На указанный E-mail адрес вы будете принимать секретную информацию, в том числе ссылку с активационном кодом, по какой необходимо зайти для удостоверения адреса. Зарегистрироваться используя соцсети Среди других методов, позволяющих быстро начать осуществлять игровые ставки в БК 1xbet, регистрация новенького счета игрока при помощи социальных сетей. Помимо валюты, выберите любую из площадок, где у вас открыт аккаунт. Личные данные переместятся автоматически, а играющему остается только оставить принятые в окне номер счета и пароль. Как зарегистрироваться с телефона? Любителям иметь игровые ставки поблизости открыта процедура регистрации с мобильного, достаточно зайти на рабочее зеркало. Все 4 потенциальных метода открытия счета игрока доступны для смартфонов и планшетов. Дополнительно компания выпустила приложения для девайсов: Android, Java и iOS. Вы можете закачать 1xbet с главного сайта. Мобильное приложение отечественной букмекерской конторы имеет ряд отличительных черт: Возможность пополнять и получать денежные средства; Быстрый доступ к хронологии гейм ставок; Комфортный Лайв-раздел; Показаны ходовые мероприятия. Непосредственно из приложения также можно зарегистрироваться и попробовать себя в ходе игры на тотализаторе.

  24. Greetings from Florida! I’m bored at work so I decided to browse your website on my iphone during lunch break. I love the info you present here and can’t wait to take a look when I get home. I’m shocked at how quick your blog loaded on my cell phone .. I’m not even using WIFI, just 3G .. Anyways, awesome site!

  25. The very next time I read a blog, I hope that it doesn’t fail me as much as this one. After all, Yes, it was my choice to read through, nonetheless I genuinely believed you would probably have something useful to talk about. All I hear is a bunch of whining about something you could fix if you weren’t too busy looking for attention.

  26. I precisely wanted to appreciate you yet again. I am not sure the things I might have carried out in the absence of the actual ideas provided by you over this area. Certainly was a very daunting setting in my opinion, nevertheless observing a new specialized form you treated it made me to weep over gladness. I’m just happy for this assistance and believe you realize what an amazing job you happen to be accomplishing instructing the rest thru your web page. I am certain you have never got to know any of us.

  27. What’s Taking place i’m new to this, I stumbled upon this I have found It positively useful and it has aided me out loads. I am hoping to give a contribution & assist other users like its aided me. Great job.

  28. My husband and i ended up being quite lucky Emmanuel could do his reports through the entire ideas he got from your own weblog. It is now and again perplexing just to always be making a gift of points some others could have been trying to sell. Therefore we already know we’ve got the writer to give thanks to for that. The main illustrations you have made, the straightforward site menu, the relationships you make it easier to instill – it’s got many amazing, and it’s facilitating our son in addition to the family believe that that theme is exciting, which is tremendously mandatory. Thanks for the whole lot!

  29. Hello there, just became alert to your blog through Google, and found that it’s really informative. I am gonna watch out for brussels. I will be grateful if you continue this in future. Lots of people will be benefited from your writing. Cheers!

  30. A powerful share, I just given this onto a colleague who was doing somewhat analysis on this. And he actually bought me breakfast as a result of I discovered it for him.. smile. So let me reword that: Thnx for the treat! However yeah Thnkx for spending the time to debate this, I feel strongly about it and love studying more on this topic. If possible, as you turn into experience, would you mind updating your weblog with more particulars? It is extremely useful for me. Massive thumb up for this blog put up!

  31. I know this if off topic but I’m looking into starting my own weblog and was wondering what all is required to get setup? I’m assuming having a blog like yours would cost a pretty penny? I’m not very internet savvy so I’m not 100 positive. Any suggestions or advice would be greatly appreciated. Many thanks

  32. Hey there just wanted to give you a brief heads up and let you know a few of the pictures aren’t loading correctly. I’m not sure why but I think its a linking issue. I’ve tried it in two different browsers and both show the same results.

  33. I not to mention my friends ended up checking the excellent tips and tricks on your site while unexpectedly came up with a terrible feeling I had not thanked the website owner for those tips. These young boys came so passionate to see all of them and already have absolutely been taking pleasure in them. Thank you for genuinely really considerate and then for pick out such impressive tips millions of individuals are really eager to know about. Our own honest regret for not expressing gratitude to you sooner.

  34. Wow! This could be one particular of the most helpful blogs We’ve ever arrive across on this subject. Actually Magnificent. I am also a specialist in this topic therefore I can understand your hard work.

  35. I have been exploring for a little bit for any high-quality articles or weblog posts in this sort of house . Exploring in Yahoo I eventually stumbled upon this web site. Studying this info So i am satisfied to exhibit that I have a very just right uncanny feeling I discovered exactly what I needed. I such a lot certainly will make certain to don’t fail to remember this website and provides it a glance regularly.

  36. Thanks for the sensible critique. Me and my neighbor were just preparing to do some research on this. We got a grab a book from our local library but I think I learned more clear from this post. I am very glad to see such magnificent info being shared freely out there.

  37. I was just looking for this info for a while. After 6 hours of continuous Googleing, at last I got it in your website. I wonder what is the lack of Google strategy that don’t rank this type of informative websites in top of the list. Generally the top web sites are full of garbage.

  38. There are certainly quite a lot of particulars like that to take into consideration. That is a great point to bring up. I provide the thoughts above as normal inspiration however clearly there are questions just like the one you convey up where an important factor will be working in trustworthy good faith. I don?t know if best practices have emerged round issues like that, but I’m positive that your job is clearly recognized as a fair game. Both girls and boys feel the influence of only a moment’s pleasure, for the rest of their lives.

  39. Howdy would you mind stating which blog platform you’re working with? I’m going to start my own blog soon but I’m having a hard time making a decision between BlogEngine/Wordpress/B2evolution and Drupal. The reason I ask is because your design and style seems different then most blogs and I’m looking for something completely unique. P.S Sorry for getting off-topic but I had to ask!

  40. Hi there! I could have sworn Iíve visited this website before but after going through many of the articles I realized itís new to me. Anyhow, Iím certainly delighted I came across it and Iíll be bookmarking it and checking back often!

  41. Admiring the commitment you put into your website and in depth information you present. It’s awesome to come across a blog every once in a while that isn’t the same old rehashed material. Wonderful read! I’ve saved your site and I’m adding your RSS feeds to my Google account.

  42. Woah! I’m really enjoying the template/theme of this website. It’s simple, yet effective. A lot of times it’s tough to get that “perfect balance” between usability and visual appeal. I must say you have done a fantastic job with this. In addition, the blog loads extremely quick for me on Firefox. Exceptional Blog!

  43. you’re really a good webmaster. The web site loading speed is amazing. It seems that you’re doing any unique trick. In addition, The contents are masterwork. you have done a excellent job on this topic!

  44. Youre so cool! I dont suppose Ive learn anything like this before. So good to seek out any individual with some unique thoughts on this subject. realy thanks for starting this up. this web site is something that is needed on the internet, someone with a bit originality. helpful job for bringing something new to the internet!

  45. Hi, I do believe this is an excellent website. I stumbledupon it 😉 I’m going to come back yet again since i have bookmarked it. Money and freedom is the best way to change, may you be rich and continue to help others.

  46. Heya this is somewhat of off topic but I was wanting to know if blogs use WYSIWYG editors or if you have to manually code with HTML. I’m starting a blog soon but have no coding expertise so I wanted to get advice from someone with experience. Any help would be enormously appreciated!

  47. I would like to thnkx for the efforts you have put in writing this blog. I am hoping the same high-grade website post from you in the upcoming as well. Actually your creative writing skills has encouraged me to get my own blog now. Actually the blogging is spreading its wings fast. Your write up is a great example of it.

  48. I’m really enjoying the theme/design of your site. Do you ever run into any web browser compatibility problems? A small number of my blog audience have complained about my website not working correctly in Explorer but looks great in Chrome. Do you have any solutions to help fix this problem?

  49. Do you have a spam issue on this site; I also am a blogger, and I was wanting to know your situation; we have developed some nice procedures and we are looking to swap solutions with others, be sure to shoot me an e-mail if interested.

  50. I not to mention my pals were looking through the best pointers on your web site and so suddenly came up with a horrible feeling I never thanked the website owner for those strategies. The ladies were definitely as a result warmed to learn them and have in effect in reality been enjoying these things. Many thanks for indeed being so kind and then for using certain brilliant resources millions of individuals are really needing to be aware of. My personal sincere apologies for not expressing gratitude to sooner.

  51. I think this is among the most significant info for me. And i’m glad reading your article. But want to remark on few general things, The website style is perfect, the articles is really nice : D. Good job, cheers

  52. I have been exploring for a bit for any high-quality articles or blog posts in this sort of house . Exploring in Yahoo I finally stumbled upon this website. Studying this info So i’m satisfied to exhibit that I’ve an incredibly excellent uncanny feeling I came upon just what I needed. I such a lot no doubt will make sure to don’t omit this site and provides it a glance regularly.

  53. I think what you said was very logical. However, what about this? what if you were to write a killer headline? I am not saying your content isn’t solid, however suppose you added something to maybe get people’s attention? I mean BLOG_TITLE is kinda plain. You ought to look at Yahoo’s front page and note how they write post headlines to grab viewers interested. You might try adding a video or a pic or two to grab people interested about everything’ve got to say. Just my opinion, it could make your posts a little bit more interesting.|

  54. I intended to compose you this tiny word to help say thank you the moment again for those stunning principles you’ve shown in this article. It was quite seriously generous with you to grant freely just what most people could possibly have distributed as an e-book to earn some money for their own end, mostly given that you could have tried it in case you considered necessary. Those basics also worked as a good way to be aware that other individuals have similar desire just as mine to understand whole lot more in regard to this issue. I’m sure there are several more pleasant occasions up front for many who look into your blog post.

  55. Greetings, I do think your web site could possibly be having browser compatibility problems. Whenever I look at your website in Safari, it looks fine but when opening in Internet Explorer, it’s got some overlapping issues. I merely wanted to provide you with a quick heads up! Apart from that, wonderful blog!

  56. Having read this I thought it was rather informative. I appreciate you finding the time and effort to put this informative article together. I once again find myself spending a lot of time both reading and posting comments. But so what, it was still worth it!

  57. Iím amazed, I have to admit. Seldom do I encounter a blog thatís both educative and interesting, and without a doubt, you have hit the nail on the head. The problem is something that too few people are speaking intelligently about. I’m very happy I came across this during my hunt for something concerning this.

  58. Oh my goodness! Amazing article dude! Many thanks, However I am experiencing troubles with your RSS. I donít know the reason why I can’t join it. Is there anybody else having the same RSS issues? Anybody who knows the answer can you kindly respond? Thanx!!

  59. I was curious if you ever considered changing the layout of your website? Its very well written; I love what youve got to say. But maybe you could a little more in the way of content so people could connect with it better. Youve got an awful lot of text for only having one or two pictures. Maybe you could space it out better?

  60. The heart of your writing while sounding reasonable originally, did not really work well with me after some time. Somewhere within the paragraphs you actually were able to make me a believer but just for a short while. I however have a problem with your leaps in assumptions and you might do nicely to help fill in those breaks. When you can accomplish that, I will certainly be amazed.