Ingabe Udinga I-Specialist ye-Thyroid?
Udinga isazi se-thyroid?
Ngivame ukuzwa ngeziguli ze-thyroid ezibuza ukuthi hlobo luni lodokotela oluzobona izimo ze -roid, noma ubani okhononda ngokuthi odokotela bazo abaqondi ukuthi bangayithola kanjani futhi baphathe izimo zabo ze-thyroid. Ngifisa sengathi nginesixazululo, futhi ngingasikisela udokotela ongcono - owodwa ngokuhlanganiswa okuphelele kwamakhono nobuchwepheshe - ngesiguli ngasinye.
Kodwa iqiniso liwukuthi, iningi lethu kufanele libe ngabameli bethu, futhi sibone ukuthi yikuphi isiqondiso sokuhamba ukuthola udokotela ongcono kakhulu .
Kuneminye imihlahlandlela ejwayelekile yokugcina engqondweni, noma kunjalo, lokho kungakusiza ukuba uhambe endleleni yakho yokuthola udokotela omkhulu.
Qaphela ukuthi awukwazi ukuthola konke kumuntu oyedwa
Ngokuvamile, iziguli ze-thyroid zibhalele kimi zisho into ehambisana nemigqa ethi: "Ngidinga udokotela omkhulu we-thyroid , ongakwazi futhi ukuba ngudokotela wami wokunakekelwa ngokuyinhloko, uphelele kolwazi lonke lwakamuva lwe -roid, unengqondo evulekile mayelana ne-thyroid yemvelo izidakamizwa, unendlela yokulala emgwaqweni omkhulu, unamahora ama-night and weekend, uthatha umshuwalense wami, ungalokothi ugijimise futhi ngeke ungigcine ngilinde, futhi, ngandlela-thile, udokotela akudingeki abe ngaphezu kweminithi eyi-15 ukusuka mina. "
Ngenkathi ngiqonda ukuthi sonke sifisa uDkt Perfect, udokotela ohlangabezana nazo zonke izindlela zakho uyinkolelo-ze. Umcabango wami wokuqala lapho ngizwa lolu hlobo lohlu lwesifiso ukuncoma ukuthi ubuyekeze okulindelekile, futhi ubeke phambili okubaluleke kakhulu kuwe, ngoba awunakwenzeka ukuthola udokotela oyedwa ongakwazi ukuhlangabezana nazo zonke izidingo zakho.
Isibonelo, ochwepheshe abambalwa be-thyroid banikeza ukunakekela okuyinhloko. Abanye odokotela bezokwelapha abahamba phambili nabahlakaniphile bangasebenzisa i-polish encane emnyangweni wombhede. Uma udokotela e-HMO yakho noma ethatha umshuwalense wakho, mhlawumbe akazimisele ukusebenza nemithi yemvelo ye-thyroid. Futhi ngiyazi iziguli ze-thyroid ezishayela amahora amahora - ezinye zihamba ngisho namahora ahamba ngezinyawo - ukubona odokotela abakhulu be-thyroid.
Ngami, ngenkathi ngiphathwe udokotela wami iminyaka engaphezu kweyishumi ngenxa yokwelashwa kwami kwegciwane, akasithathi yimuphi umshuwalense, ngezinye izikhathi ugijimela kakhulu, futhi akaphatheli noma yimiphi imithi yokwelapha oyinhloko. Wonke udokotela uneloluhlu lwakhe lwezinzuzo nezingozi.
Mhlawumbe ngeke ukwazi ukuthola konke okufunayo kumuntu oyedwa, ngakho-ke unqume ukuthi yini ebaluleke kakhulu kuwe, nokuthi yini engokoqobo - isibonelo, uma kungekho ndlela oyikhokhela ephaketheni, noma uhambe ibanga elide ukuya bheka udokotela, lokho kubalulekile.
Khetha uDokotela Omhle Ngezidingo Zakho
Ekugcineni, uhlobo lodokotela owukhethayo lokunakekelwa kwe-thyroid luxhomeke ezintweni eziningana, kubandakanya uhlobo lwesimo sakho, ukuthi yini ongayithola, indawo yakho, nokutholakala kodokotela endaweni yakho, phakathi kokunye okucatshangelwayo.
Ezinye iziguli zegciwane kanye nezisebenzi zithonya ukuthi i-endocrinologist - uhlobo lochwepheshe ophethe izifo ze-endocrine njengezinkinga ze-thyroid nesifo sikashukela - kuhlale kudingekile ezindabeni ze-thyroid. Futhi uma une-Graves 'isifo, i-hyperthyroidism, i-nodules, i-goiter, ilungele umdlavuza wegciwane , noma isifo segciwane leso , khona-ke i-endocrinologist ibaluleke kakhulu. Futhi uma usuqala ukuqala kwe- Hashimoto's thyroiditis - isifo esizimele esenza i-hypothyroidism - ngingase ngiphikise ukuthi okungenani ukuhlolwa kokuqala ngu-endocrinologist umqondo omuhle.
I-American Association of Endocrinologists Clinic igcina imininingwane ye-endocrinologists eqinisekisiwe, futhi i-American Thyroid Association igcina i-inthanethi ye-Thyroid Specialist Database echaza uhlu lwe-endocrinologists e-United States.
Khumbula, Nokho, ukuthi sibhekene nokuntuleka okukhulu kokusebenzisa ama-endocrinologists e-United States . Ama-endocrinologists asezindaweni eziphambili zesifo sikashukela, futhi futhi ochwepheshe besifo se-thyroid, i-osteoporosis, ukungabi namntwana, kanye nezinye izinto eziphathelene ne-hormone, ngakho-ke kudinga kakhulu ukudlula ukunikezwa. Lokho kusho ukuthi izinhlu zokulinda zingase zibe izinyanga ukuze zibone i-endocrinologist, futhi leyo mkhuba ingase ibe yimbi kakhulu njengoba ukusweleka kuba nzima kakhulu.
Umdlavuza we-thyroid awunqabile, futhi ngisho nezinye i-endocrinologists ayinalo ulwazi oluncane ngalo. Ngakho-ke uma unomdlavuza we-thyroid noma usuhlolile, uzofuna ukubhekana nodokotela - ngokuvamile ochwepheshe be-endocrinologist - onobuningi obuningi futhi obonakalayo obusebenza ngokuqondile neziguli zomdlavuza we-thyroid. Akwanele ukuba nje ubone i-endocrinologist, noma udokotela ohlinzayo wekhanda nentamo; bheka isazi somdlavuza we-thyroid. I-Thyroid-Cancer.net inehlu lwama-specialists, futhi i-Thyroid Cancer Survivor's Association ibuye igcine izinhlu zophiko lomdlavuza we -roid e-US nakwamanye amazwe.
Izinga eliphansi kunazo zonke lezinkinga zokuhlinza nge-thyroid zibonwa nabahlinzayo abahlinzayo ngokukhethekile kwezokwelapha, futhi ngubani owenza ukuhlinzeka ngamathambo amakhulu angamakhulu ngonyaka, ngakho-ke uma udinga ukuhlinzeka nge -roid, nakanjani ubone udokotela ohlinzayo we-thyroid. Isihloko sami sokuthola udokotela ohlinzayo ophezulu we-thyroid kuhlanganisa imininingwane ehlukahlukene kanye nezinsiza zokudluliselwa kwabahlinzayo begciwane.
Njengommeli wesiguli , ngingaphikisa ukuthi i-endocrinologist noma i-thyroidologist akuyona indlela engcono kunazo zonke umuntu onenkinga ye -roid , ikakhulukazi uma unezinkinga ze-thyroid ezinomkhawulo odokotela abenqaba ukuphatha, noma uma u-hypothyroid, Uzizwa kahle ekwelapheni kwakho, kodwa udokotela wakho akafisi ukukunikeza ezinye izindlela. Kulezo zimo, iziguli zivame ukuphendukela kwezinye izinhlobo zodokotela - ezivela kubasebenzi abavamile, abaqeqeshi bezinsizakalo, ukuya odokotela abaphelele kanye nabahlanganisayo , odokotela be-osteopathic , kubantwana bamazinyo. Odokotela abavela emkhakheni omkhulu wezobuchwepheshe beba ngcono kakhulu ekuhloleni nasekuphatheni ukungalingani kwe-hormone, kuhlanganise nezimo ze-thyroid. Ukuze uthole lezi zodokotela, ezinye iziguli zisebenzise izinkomba ezihlinzekwe yi-American Holistic Medical Association, udatha lwama odokotela abahlinzekela izidakamizwa zemvelo ezibizwa ngokuthi i-Armor Thyroid kanye nesevisi ephezulu ye-Thyroid Top Doctors Directory, phakathi kweminye imithombo.
Yiba Uzimisele Ukukhokha Uma Ungakwazi, Uma Kudingeka
Uma uhlanganiswa i-HMO, noma uhlanganyele emshuwalense wezokwelapha, noma uthola usizo lwezokwelapha kusuka empini yase-US, noma uhlala ngaphandle kwe-US futhi ufinyelele ukunakekelwa kwezempilo okuxhaswe nguhulumeni, njengeNational Health Service e-United Kingdom, lapho kukhona ezinye izinzuzo futhi zinakekele ukunakekelwa kwe-thyroid okungenzeka ukuthi uzothola.
Uma udinga izinsizakalo ze-endocrinologist evamile, kufanele uhambe kahle, ngoba lezi zinhlobo zezinhlelo zokunakekelwa kwezempilo ngokuvamile zinolwazi olufanelekayo olukwazi ukukuphatha kahle.
Uma une-subclinical or autoimmune isifo se-thyroid, noma ungenzi kahle nge-levothyroxine yokwelapha ejwayelekile, noma kunjalo, ungase ukhungatheke ngokukhetha okuyingqayizivele odokotela onawo, futhi izinga lokunakwa labo odokotela linikeza ukuxilongwa kwegciwane nokwelapha.
Uzothola ukuthi odokotela kulezi zinhlobo zezinhlelo abavame ukuvunyelwa ukusebenzisa izivivinyo ezintsha nezinkinga, ezifana nezivivinyo zamahhala ze-T3, izivivinyo ze- Reverse T3, izidakamizwa ze-T3 , nemithi yokwelashwa yemvelo yemvelo, futhi ngokuvamile ayikwazi ukuchitha isikhathi ukusiza ukukhomba, ukuhlola, ukuxilonga nokuphatha ukungalingani okuzenzakalelayo nokuzilinganisa kwama-hormonal.
Odokotela abayingxenye ye-HMO, ekhokhelwa izinkampani zomshuwalense, noma abayingxenye yezinhlelo zokunakekelwa kwezempilo ezisekela uhulumeni, kumele balandele imihlahlandlela esemthethweni eyakhiwe yizo izinkampani noma ohulumeni abachaza ngokucophelela ukuthi yiziphi izivivinyo zokuhlola kanye nokwelashwa okuyisilinganiso sokunakekelwa , futhi ukubeka isikhathi sokuvakashelwa kwehhovisi. Ama-HMO, izinkampani zomshuwalense nezinhlelo zokunakekelwa kwezempilo zikahulumeni ngokuvamile zidinga odokotela ukuba balandele iziqondiso ezincane nezijwayelekile, njengokuthembela ezivivinyweni ze- TSH zokuxilongwa nokuphathwa, nokusebenzisa kuphela izidakamizwa ze-levothyroxine njenge-Synthroid ye- hormone ye- thyroid esikhundleni .
Uma udinga ukunakekelwa kwe-thyroid ngokwengeziwe, ungakhetha ukunqoba uhlelo, yebo. Kodwa kungaba nokulwa okude, kanzima, futhi ungase unganqobi. Ngezinye izikhathi ungabhekana nodokotela ovulekile ozimisele ukucabanga ngaphandle kwebhokisi egameni lakho. Uma wenza, sebenzisa lobo buhlobo, futhi uthemba ukuthi udokotela akahambisani noma ashiye noma aphelelwe yisikhathi! Nokho, kaningi, isisombululo esihle kakhulu ukukhokha ephaketheni ukuze ubone ochwepheshe "abazimele" abakhulu.
Ngizwile iziguli zithi akulungile, futhi zenqaba ukukhokha okungaphezulu okuthile okuzizwa ukuthi kufanele zizithole njengengxenye yenkonzo yabo ekhona. Ngikholelwa, ngiyaqonda ukukhungatheka, futhi akuyona into enhle, futhi kubonakala kungenangqondo ukuthi kufanele ukhokhe okunye okwekhokha kakade. Kodwa iqiniso liwukuthi, uma ungakwazi ukulikhokhela, ukuvakashelwa eziningana nodokotela onolwazi kungase kusho ukubuyela ebuhleni, ngokubhekelana neminyaka yokulwa nodokotela abangaphansi, ngenkathi ubhekene nokugula okungapheli.
Yazi Uma Isikhathi Sengqondo Yesibili noma Udokotela Omusha
Ekugcineni, ngicabanga ukuthi kubalulekile ukwazi ukuthi yisikhathi sokubheka imibono emisha nemibono emisha.
Ngezinye izikhathi, uma uzizwa sengathi udokotela wakho angasebenzisa elinye amehlo ukuze abheke isimo, umbono wesibili ungaba ngaphezu kokunakekelwa kwakho. Kubalulekile ukwazi ukuthi sekuyisikhathi sokuba isiguli se-thyroid sifune umbono wesibili . Kwezinye izimo, noma kunjalo, umbono wesibili akwanele, futhi yisikhathi sangempela sokuba udokotela omusha . Abaningi bethu bayanqikaza "ukushisa" udokotela, kodwa ngokuvamile kuyisinyathelo esibaluleke kunazo zonke sokuqala kokuhamba kahle. Funda ngezibonakaliso ezingu - 10 ozidinga udokotela omusha we-thyroid . Futhi uma usacabanga ukuthi sekuyisikhathi, lalela ukuthi yini ezinye iziguli ezishoyo ngakho. Iziguli ezingaphezu kwezingu-130 ziye zabikela izindaba zazo ngendlela azi ukuthi kwakuyisikhathi sokuba udokotela omusha we-thyroid . Ungase uqaphele isimo sakho, noma uzizwe uphoqelekile ukutshela indaba yakho ngendlela owazi ngayo ukuthi sekuyisikhathi sokubheka udokotela omusha ekunakekeleni kwakho kwegciwane.