Uhlobo Luni Lomdokotela We-Thyroid Owudingayo?
Abantu abaningi bacabanga ukuthi udokotela ongcono kakhulu wokuphatha zonke izimo ze -roid yisifo se-endocrinologist.
I-endocrinology yiyona ekhethekile ehlinzekwa ukuqeqeshwa okuthuthukile ohlelweni lwe-endocrine- olubandakanya izigulane ezihlukahlukene nezitho ezifana ne-thyroid, ama-pancreas, ama-ovaries, ama-testes, nama-gland adrenal, phakathi kwabanye. Abaningi be-endocrinologists bagcizelele ukwelashwa kwesifo sikashukela.
Muva nje, inamba ekhulayo iyingqayizivele yendawo enenzuzo yokugcina i-endocrinology yokuzala (eyaziwa nangokuthi "odokotela bokuzala.") Ngabantu asebekhulile, i-endocrinologists nayo iyacelwa ukuba ilandelwe ukuphatha i-osteoporosis.
Ngokumangazayo, naphezu kokusakazeka kwesifo se-thyroid, abambalwa be-endocrinologists bakhetha ukugxila emsebenzini wabo ekuxilongweni nasekwelashweni kwegciwane. Labo abasebenza neziguli ze-thyroid bavame ukugxila ikakhulu ekusingatheni izimo ze -roid ezinzima ezifana nomdlavuza wegciwane , isiphepho se-thyroid nesifo se-Graves. I-subset encane ye-endocrinologists ifuna ukuzihlukanisa, futhi ibukeke ngokuthi "izazi ze-thyroidist." Izazi ze-thyroidologists zivame ukuba zendabuko ye-endocrinologists.
Uma unesimo se-thyroid esicatshangelwe noma esitholiwe, udinga i-endocrinologist? Impendulo: Iziguli eziningi zegciwane azidingi i-endocrinologist. Kuzwakala kungenakuphikisa ukukusho lokhu, kodwa kwezinye izimo, i-endocrinologist noma i-thyroidologist kungenzeka ukuthi ayikwazi ngisho nokukhetha kwakho okuhle.
Kufanele usebenzise nini ngempela i-endocrinologist?
Okokuqala, uma unomdlavuza wegciwane, kufanele ubone i-endocrinologist. Khumbula ukuthi awukwazi nje ukukhetha noma iyiphi i-endocrinologist ohlwini. Ufuna kuphela umuntu onolwazi ekwelapheni iziguli zomdlavuza we-thyroid. Njengoba umdlavuza we-teyroid ungavamile kakhulu-ukuthi kulinganiselwa ukuthi amacala angu-50 000 ngonyaka atholakala kuma-endocrinologists amaningi ase-US angase angakaze athole noma aphethwe umdlavuza wegciwane.
(Umthombo omuhle wokuthola odokotela abakhulu ekuhloleni kanye nokwelapha umdlavuza wekhambi yi-Association of Survivors 'Association).
Okwesibili, uma unesifo esibi se- Graves, isifo se- thyroid, noma i-goiter, bheka i-endocrinologist. Kodwa futhi, uzodinga i-endocrinologist enobuchwepheshe obuqondile ekwelapheni iziguli ze-thyroid. Awudingi isazi sikashukela ophethe isifo segciwane lapha kanye nalapha ohlangothini. I-American Thyroid Association "Thola i-Specialist" isiqondisi noma i-endocrinologists efakwe ohlwini lwe-Thyroid Top Amadokhumenti Directory Yisisetshenziswa esihle.
Okwesithathu, uma ukhulelwe futhi unesimo se -roid , noma unomntwana osanda kuzalwa noma omncane otholakala enenkinga yegciwane, bheka i-endocrinologist. Kubaluleke kakhulu ukuphatha i-thyroid ngesikhathi sokukhulelwa, ngoba ukwelashwa okungalungile kungalimaza ukukhulelwa kwakho futhi kubangele izinkinga zintsana. Futhi ukubhekana nezinkinga ze-thyroid ezinganeni ezisanda kuzalwa kanye nezingane ezincane kungaphathwa kangcono yi-endocrinologist hhayi into okufanele ishiywe kudokotela wezingane.
Uhlobo luni lodokotela okufanele enze ukuhlinzwa kwe-thyroid?
Uma udinga ukuhlinzwa ukuze ususe konke noma ingxenye ye-thyroid yakho, khetha udokotela ohlinzayo onguchwepheshe ohlinzweni lwe-thyroid.
Khumbula ukuthi eziningi izindlebe / ikhala / umphimbo kanye nodokotela abahlinzayo abajwayelekile ababhekwa njengabachwepheshe bokuhlinzwa kwe-thyroid; futhi uzofuna udokotela ohlinzayo ohlinzekwa ngobuningi be -roid ngonyaka, okungenani. Ukuze uthole ukwaziswa okwengeziwe, funda Ukuthola Udokotela Ohlinzayo Ophezulu Wegciwane .)
Kufanele ucabangele nini udokotela ngaphandle kwe-endocrinologist?
Uma "kunzima ukuhlolisisa" ukungalingani kwe-thyroid, ukuguqula isifo se-thyroid njengesifo se-Hashimoto, isifo segciwane lesandulela ngculazi / umngcele we-thyline, "TSH" evamile kodwa izimpawu ze-thyroid, noma uphathwa nge-hypothyroidism kodwa usazizwa kahle, iningi le-endocrinologists cishe akuyona into enhle kakhulu kuwe.
Kungani?
Kunezizathu eziningana. Okokuqala, sinokuntuleka okukhulu kwezwe kwama-endocrinologists , ngakho-ke akulula ngisho ukungena ukuze ubone i-endocrinologist eqeqeshiwe. Njengamanje, kunabalinganiselwa abangaba ngu-4 000 be-endocrinologists e-United States abasebenzela abaningi njengeziMelika eziyizigidi ezingu-100-abanezinkinga zokuzala, isifo sokuzala, i-polycystic ovary syndrome, i-osteoporosis, isifo se-Graves, umdlavuza we-thyroid, ama-nodules we-thyroid, njll. kufanele kubonwe yi-endocrinologist. Lona oyedwa wesayensi ye-endocrinologist kubantu abangu-25 000 abadinga eyodwa. Futhi, kuphela ama-endocrinologists amasha angu-150 noma amasha aphuma ekuqeqesheni okukhethekile ngonyaka ngamunye.
Okwesibili, ngokunikezwa okunjalo, iningi lama-endocrinologists alinakwenza umsebenzi wokuphenyisisa isikhathi, noma iziguli zokwelashwa ezingenalo lokho odokotela abakubheka njengokuthi "kuyingozi" impilo yakho. Lokhu kusho ukuthi iziguli ezinemibandela efana neHashimoto, noma abaphathwa ngayo nge-hypothyroidism kodwa isenayo izimpawu, ngokuvamile zibhekwa njengento ephansi kakhulu yi-endocrinologists. (Lokhu akusho ukuthi i-Hashimoto ne-hypothyroidism ayinamandla futhi ayakufanelekela ukunakwa ngokujulile. Nokho, i-endocrinologists ayibheki njengezimo eziphakeme ze-thyroid, eziphakeme kakhulu noma ezesongela impilo. isifo sikashukela nezinkinga eziyingozi ze-thyroid, ezinye ze-endocrinologists zisho ngokucacile ukuthi i-Hashimoto ne-hypothyroidism ayifuni i-specialist.)
Okwesithathu, ukufinyelela nakho kuyinkinga enkulu. Ngokuvamile uzodingeka ulinde izinyanga ukuze uthole i-aphoyintimenti ne-endocrinologist. Ngisho noma kunjalo, ukuqokwa kwakho kungenzeka ukuthi kudlule imizuzu embalwa nje. (Kwezinye izimo, ungase ubonwe ngumsizi wodokotela, futhi ungalokothi ubone i-endocrinologist uqobo.) Uma uthola ukubona udokotela ngokuqondile, ezinye ze-endocrinologists zingenza sengathi "uchitha isikhathi" uma ufika nabo abanezinga lokuhlolwa kwe-thyroid borderline, noma ukuhlolwa kwe-TSH "evamile" kodwa ukuqhubeka nezimpawu . Abaningi be-endocrinologists bavame ukulandela ngokuqinile izindlela zokwelapha ezisemthethweni zezinhlangano zabo zezobuchwepheshe, ngakho-ke kungenzeka ukuthi utholakale futhi uphathwe ngokulandela imihlahlandlela yokwelapha, isibonelo, i-American Association of Clinical Endocrinologists (AACE).
Imikhombandlela ye-AACE ithi ukugcina i-thyroid ibhalansi kudinga lokho abakushoyo "izinyathelo ezintathu ezilula:" (1) ukuhlola usebenzisa isilingo se-TSH, (2) ukubeka i-levothyroxine ngakho isiguli sisekude " okujwayelekile " futhi (3) okulandelayo uphinde uhlole i-TSH njalo ezinyangeni ezingu-6 kuya kwezingu-12. Iningi lama-endocrinologists alinakho ukuhlanza imithi ye-levothyroxine nemithi ye- T3 kadokotela , naphezu kwezifundo ezithile ezibonisa inzuzo kwezinye iziguli . Futhi iningi le-endocrinologists alinikezi izidakamizwa zemvelo ezikhishwe imvelo njenge-Armor noma Nature-throid.
Ziyini izinhlobo ezimbili zezazi ze-thyroid?
Iziguli ze- thyroid kanye nomphakathi we- thyroid ziqala ukuqaphela ukuthi ngokwenza, isifo se-thyroid singadinga ngempela izinhlobo ezimbili ezihlukene "zongcweti:"
- Ukuxilongwa nokuphathwa kwezimo ze-thyroid eziyingozi kufanele kwenziwe yi-endocrinologists
- Ukuthola ukwelashwa nokuphathwa kwe-hypothyroidism ezicashile nokwenza ukwelashwa kwe- hypothyroidism kungase kube iziguli eziningi ezenziwa kangcono ochwepheshe be-hormone.
"Ochwepheshe" be-hormone balance kanye ne-hypothyroidism engapheli bavame ukutholakala ezinhlobonhlobo zokuqeqeshwa nokukhethekile, futhi bafaka:
- odokotela abahlanganisayo
- odokotela abasebenzayo odokotela
- Ama-MDs aphelele
- osteopathic odokotela
- odokotela be-naturopathic
- abaphikisana nokuguga
- gynecologists
- ukuphuma esikhathini sokuya kanye nochwepheshe be-hormone eziphilayo
- abahlengikazi kanye nabanakekeli bokuqala abadokotela abaye banesithakazelo kwi-thyroid ne-hormone balance in iziguli zabo.
Kufanele ucabangele nini ukushintsha odokotela ?
Kukhona izidokotela ze-endocrinologists abakholelwa ekunikezeni izifo zikaHashimoto kanye neziguli ze-hypothyroid ngokujulile nokunakekela okujulile nokunakekelwa. Uma ungaphansi kokunakekelwa kwe-endocrinologist enobubele futhi ephumelelayo, qhubeka uqhuba lokho okusebenzayo.
Kodwa-ke, uma ubona i-endocrinologist futhi uphazamiseka ngalokho okuzizwa ukuthi kukhona ukulinganiselwa endleleni yokuhlonza kanye nokwelapha, ungadinga usizo olucubungula olunye uhlobo lodokotela. Funda ukuthi iziguli ze-Thyroid zingathola kanjani uhlobo olulungile loDokotela ngokunakekelwa kwabo kwe-thyroid ukuze uthole olunye ulwazi.
Izwi kusuka
Isinqumo sokuthola udokotela omusha ukunakekelwa kwakho kwe-thyroid empeleni kunzima kunokuba iningi lethu lingacabanga. Ubuhlobo nodokotela buyinkimbinkimbi kakhulu, futhi akulula ukuthola umdlalo ofanele, ikakhulukazi uma sinqunywe yi-geography, ama-HMO nomshuwalense. Khumbula ukuthi kubudlelwane nodokotela-isiguli , uyisiklayenti, futhi udokotela unikeza insizakalo. Futhi uma leyo nsizakalo ingahlangabezane nezidingo zakho, into enhle ongayenza empilweni yakho ye-thyroid ukuthola udokotela ofanele ozohlangabezana nezidingo zakho. Kodwa wazi kanjani ukuthi sekuyisikhathi sokuba udokotela omusha we-thyroid? Nazi izibonakaliso ezingu- 10 ezidinga udokotela omusha we-Thyroid .
> Umthombo:
> Lash, uRobert, MD. "I-Endocrinology: Isidingo Esikhulayo, Kodwa Ukusebenza Kwabasebenzi." I-Endocrine Society Umbono. Juni 2017.