Ukubona isifo se-thyroid kuyinto inqubo okufanele ifake izinyathelo eziyinhloko, kuhlanganise nokuhlola okuphelele komtholampilo, ukuhlolwa kwegazi okuhlukahlukene, ukuhlolwa kwe-imaging, i-biopsies nokuhlolwa kwezilwane, ukuhlolwa kofuzo, nezinye izivivinyo ezifanele nokuhlolwa komsebenzi wakho we-thyroid. Lapha, izici ezithile eziphathelene nesifo se-thyroid zesifo se-thyroid zihlolisiswa ngokugcwele ukuze wazi ukuthi yini okufanele uzilindele ekuhloleni kwe-thyroid ngezempilo yakho.
Ingxenye ebalulekile yokuthola nokuhlolisisa isifo se-thyroid isifo sokuhlolwa komtholampilo esenziwa ngumuntu oqeqeshiwe wezempilo. Njengengxenye yokuhlolwa kwe-thyroid yezokwelapha, uchwepheshe wakho wenza izivivinyo nokuhlolwa okulandelayo.
Zizwa (owaziwa nangokuthi "i-palpating") intamo yakho.
Udokotela wakho kufanele azizwe entanyeni yakho, afune noma yikuphi ukukhuliswa kwe-thyroid (goiter), izimpukane, ama-nodules kanye nezixuku ezindaweni ezungeze i-thyroid yakho. Le nqubo ibizwa ngokuthi "palpating" i-thyroid. Abanye odokotela abaqeqeshiwe bafuna into eyaziwa ngokuthi "injabulo" ekukhanyeni. Injabulo yilapho udokotela engase abe nomuzwa wokuthi ukwanda kwegazi kugejimeni yakho.
Lalela i-thyroid yakho usebenzisa i-stethoscope.
Udokotela wakho kufanele alalele endaweni yakho ye-thyroid, ukuze abone ukuthi yini eyaziwa ngokuthi "umsindo." Izwi lisho ukuthi uma elalela nge-stethoscope, udokotela angakwazi ukuzwa umsindo wegazi ogijimayo kwi-thyroid.
Hlola ukucabanga kwakho.
I-Reflexes iyathinteka umsebenzi we -roid. Umhlinzeki wakho wokunakekelwa kwempilo kufanele avivinye imizwa yakho nge-mallet encane, athole amadolo akho kanye ne-Achilles. Izizindla ezithinta imvelo zingaba uphawu lwe-hyperthyroidism , futhi izingqondo eziphuthumayo zingase zibhekise ku-hypothyroidism.
Hlola isilinganiso senhliziyo yakho, isigqi nomfutho wegazi.
Udokotela wakho kufanele ahlole isilinganiso senhliziyo yakho, isigqi, futhi enze isheke segazi.
I-slow heart rate (bradycardia) ingase ibhekisele ku-hypothyroidism, futhi izinga eliphezulu lenhliziyo (tachycardia) lingase libheke ku-hyperthyroidism. Ezinye iziguli ezine-hypothyroidism zinezinhliziyo ezincane noma i-mitral valve. Futhi abantu abanesifo se-hyperthyroidism banamathuba amaningi okuba nemigqa yokulinganisa njengefriday friday . Umfutho wegazi ophansi ungase uhlotshaniswe ne-hyperthyroidism, kuyilapho ukucindezeleka kwegazi kuvame kakhulu kwi-hyperthyroidism.
Linganisa isisindo sakho.
Kufanele ufike esikalini ukuze uthole isisindo samanje. Ukuthola isisindo esisheshayo ngaphandle kokushintsha kokudla noma ukuzivocavoca, kanye nokungakwazi ukulahlekelwa isisindo naphezu kokudla nokuzivocavoca, yizibonakaliso ezinokwenzeka ze-hypothyroidism. Ukulahlekelwa isisindo ngaphandle kokushintsha kokudla noma ukuzivocavoca, noma ngisho nalapho udla okuningi, kungase kubhekise ku-hyperthyroidism.
Linganisa izinga lokushisa lomzimba wakho.
Umhlinzeki wakho wezempilo kufanele athathe izinga lokushisa lomzimba wakho. Ukushisa komzimba okuphansi kubhekwa ngabasebenzi abathile njengophawu olubonakalayo lwe-thyroid engasebenzi.
Hlola ubuso bakho.
Ukuhlola ngokucophelela ubuso bakho yingxenye ebalulekile yokuhlolwa. Udokotela wakho ufuna ukulahlekelwa izinwele emaphethelweni angaphandle angamashiya, uphawu oluvamile lwe-hypothyroidism, kanye nokukhukhumeza noma ukuvuvukala kwamajwabu noma ubuso, esinye isifo esibonakalayo se-hypothyroidism .
Hlola amehlo akho.
Amehlo avame ukuthinteka ezigulini ze-thyroid, futhi izimpawu ezivamile zomtholampilo zifaka: ukuqubuzela noma ukukhipha amehlo; ukubuka emehlweni; ukuhoxiswa kwamajwabu angaphezulu; ukubukeka okubukeka okukhulu; ukukhanya okukhulu. Ungase futhi ube nokuthile okubizwa ngokuthi "i-lid lag," uma ijwabu leso elingenhla lingalandeli ukunyakaza komzimba phansi uma ubheka phansi.
Gcina inani elijwayelekile kanye nekhwalithi yezinwele zakho.
Ukulahlekelwa izinwele kubonakala kokubili okungasebenzi futhi kwe-thyroid engasebenzi. Izinwele ezinamaqabunga, ezinamaqabunga noma ezinamabala angabhekisela ku-hypothyroidism. Ukucwenga, izinwele ezigqamile zingabhekisela ku-hyperthyroidism.
Hlola isikhumba sakho.
Isifo se-thyroid , ikakhulukazi i-hyperthyroidism, singabonakalisa ezinhlobonhlobo ezihlobene nezikhumba ezingagcinwa ngokomzimba. Lokhu kufaka phakathi ukukhishwa okuluhlaza okwesibhakabhaka, kwe-jaundiced esikhumbeni; isikhumba esibushelelezi, isikhumba esincane; imifuba; izilonda noma ama-patches wesikhumba esinamahloni emagqabeni (eyaziwa ngokuthi i-mytimaal pretibial noma i-Graves 'dermopathy); noma izibhamu ezinjenge-blister ebunzini nasebusweni (eyaziwa njenge-milaria bumps).
Hlola izipikili zakho nezandla .
Udokotela wakho kufanele abheke izibonakaliso eziphathelene nemithi ephathelene ne-hyperthyroidism ezipikili nasezandleni zakho, kubandakanya:
- I-onycholysis, ukuhlukaniswa kwe-nail kusuka embhedeni ongaphansi kwe-nail, futhi obizwa nangokuthi izipikili zikaPlummer
- I-fingertips evulekile, ebizwa ngokuthi i-acropachy
Buyekeza ezinye izimpawu zomtholampilo.
Udokotela wakho kufanele ahlole ezinye izimpawu zomtholampilo ze-hyperthyroidism, kufaka phakathi:
- Izidlova
- Izandla ezishayekile
- Ukunyakaza kwe-hyperkinetic - ukudabuka kwetafula, ukushaya izinyawo, ukunyakaza okunamandla
- Isisindo samathambo aphansi, abonwa nge-DEXA ukuskena noma i-ray ray
Udokotela wakho kufanele ahlole ezinye izimpawu zomtholampilo ze-hypothyroidism, kufaka phakathi:
- Inkulumo ebusayo ebusweni
- Ukuhamba kancane
- Inkulumo ephansi
- Ukuthuthumela kwezwi
- I-Edema (ukuvuvukala) kwezandla kanye / noma izinyawo
Umthombo:
UBraverman, MD, Lewis E., noRobert D. Utiger, MD. Werner and Ingbar's The Thyroid: Umbhalo Eyisisekelo Nezokwelapha. 9th ed. , Philadelphia: Lippincott Williams & Wilkins (LWW), 2012.