I-endocrinologists, ama-Internists, ochwepheshe bama-osteopathic, ama-Naturopaths, abahlengikazi
Inqubo yokunquma ukuthi yiziphi izinhlobo zabadobi abazozibona nge-thyroid ukuxilongwa nokunakekelwa kungase kube nzima nakakhulu. Kwezinye izimo, izinsolo zokuqala, ukuxilongwa noma ukwelashwa kwesimo se-thyroid zingenziwa udokotela wakho oyinhloko wokunakekelwa, udokotela ohlala ekhaya noma odokotela, ongase akhombise ukuthi awudingi noma yiluphi uchwepheshe wokulandelela.
Noma, udokotela wakho angakusiza ngokushesha ku-endocrinologist noma ngisho nodokotela ohlinzayo. Kwezinye izimo, kungenzeka ukuthi usubonile uhlu olude lwabahlengikazi abahlala njalo-odokotela, ochwepheshe be-endocrinologists, otolaryngologists, odokotela abahlinzayo, odokotela abahlanganisayo, ama-naturopaths, izidakamizwa, ngisho nabazingcweti-futhi abaqiniseki ukuthi ngubani ozoba ngumuntu ongcono kakhulu wokunakekelwa kwakho esikhathini eside.
Nazi ezinye iziqondiso okufanele uzicabangele.
Ukuze uthole umdlavuza we-Thyroid noma ama-Nodules asolisayo, njalo ubona isazi sekhanda le-Thyroid
Noma kunjalo, ngokusho kweMelika Cancer Society, umdlavuza we-teyroid ungenye yezinto ezincane kakhulu ezikhipha ukwelashwa e-US, ingenye yezinhlobo zomdlavuza okwenyuka ngempela. Njengoba abantu abangaba ngu-60 000 kuphela abanomdlavuza we -roid, kuphela-ke, abanye odokotela-ngisho nama-endocrinologists-abazange bazibonele noma baphathe isiguli somdlavuza we-thyroid. Ukuxilongwa, ukwelashwa, nokulandelwa komdlavuza wegciwane kuguquke njalo, ngakho-ke kubalulekile ukubona i-endocrinologist egxile emdlalweni wegciwane.
Lokhu kungadinga ukuya esikhungweni sezokwelapha esikhulu esiseduze esilandelayo umthamo weziguli zomdlavuza we-thyroid, kodwa kufaneleka isikhathi sokubonisana nomuntu owaziyo futhi osesikhathini ngokuphathelene namasu wakamuva we-aspection good aspiration (FNA) i-biopsy, kanye nokwelashwa komdlavuza we-thyroid.
Isibonelo, maduzane nje, odokotela manje bathola ukuhlaziywa kwe- FNA okungafani kahle , i- Afirma Thyroid Analysis esuka kuVeracyte , engakwazi ukuqeda imiphumela engekho eqondile ye-FNA futhi ivimbele ukuhlinzwa okungenasidingo kwe-thyroid. Kodwa odokotela abaningi abangenalo ikhanda lomdlavuza we-thyroid abazi ukuthi lokhu kuvivinywa, futhi esikhundleni salokho bathumela iziguli zabo ngezinhlobo ze-FNA biopsies. Khona-ke, lapho kutholakala ama-nodules engavumelani, lezi ziguli zithunyelwa ukuhlinzwa ukuze zisuse i-thyroid, kanti abanye bathola isikhathi eside ukuthi ama-nodules awazange abe nomdlavuza.
Isiqalo esihle sokuqala kunoma ngubani one-toxicules esolisayo noma isifo somdlavuza we-thyroid yisifo se-Thyroid Survivor's Association. Leli qembu linamaqembu e-inthanethi kanye namaqembu okusekela, ahlolwe odokotela abenza umdlavuza we -roid, kanye nezinhlu ze-endocrinologists nezinye izazi ezigxila emisebenzini yabo emdlalweni wegciwane.
Lapho Udinga Ukuhlinzwa Kwe-Thyroid, Khetha Ochwepheshe Abahlinzayo Begciwane le-Thyroid
Nakuba odokotela abahlinzayo abavamile, odokotela abahlinzeka ngezindlebe / izimpumu / emitholampilo, nezinye izinhlobo zokuhlinza zingenza futhi zenze i-thyroidectomies, izibalo ziphakamisa ukuthi imiphumela emihle kakhulu, futhi ingozi ephansi kakhulu yezinkinga ekuhlinzekeni kwe-thyroid , itholakala lapho odokotela abahlinzayo benza inombolo enkulu ukuhlinzwa kwe-thyroid, futhi ngubani okwenza ukuhlinzwa kwe-thyroid kuyingxenye ebalulekile yomkhuba wabo.
I-Columbia-Presbyterian yaseNew York, esinye sezikhungo ezihlinzeka ukuhlinzeka ngegciwane ephakeme eNew York, ama-chirurgical rates njengalokhu, ngokulandelana kwenani lalabo abahlinzekwa yi-thyroid / parathyroid:
- Ukuhlinza okungaphansi kuka-200: ongenalwazi
- Ukuhlinzekwa kuka-200 kuya ku-500: phakathi
- Ukuhlinzwa okungaphezu kuka-500: okuhlangenwe nakho
- Ukuhlinzwa okungaphezu kuka-1 000: uchwepheshe
Futhi, khumbula ukuthi kunezinqubo zokuhlinza zokuhlinzeka ngezindlela zokuhlinza ezimbalwa kuphela ezweni, kuhlanganise nokuhlinzwa okungaphansi kwe-axoscopic axillary , okuvumela isiguli ukuba sibe nesifo sakho se-thyroidectomy ngaphandle kokubopha entanyeni, noma ukulimala okubangelwa, futhi izikhathi ezilula zokutakula.
Bheka Ukuthola Udokotela Ohlinzayo Ophezulu Wezinsizakusebenza ukuze uthole izinsiza kanye nemithombo yokudlulisela abahlinzayo abaphezulu be-thyroid.
Lapho Unayo Izifo Zama-Graves, Bheka i-Endocrinologist
Isifo se-Graves, isimo esizimele esenza ukuthi i-thyroid ingabi nakakhulu, kungaba nzima ukuxilonga nokuphatha. Futhi imihlahlandlela yezokwelapha ishintsha njalo. Isibonelo, odokotela manje bakhetha ukusebenzisa i- antithyroid yezidakamizwa methimazole (i-Tapazole), i-versus propylthiouracil (PTU), ngenxa yokukhathazeka ukuthi i-PTU ingabangela ukulimala kwesibindi. Odokotela abaningi manje balinganisa i-TSI - i-thyroid eyenza i-immunoglobulins-ukuhlola ubuhlungu be-Graves 'futhi. I-endocrinologists-futhi ikakhulukazi, labo abagxila kakhulu emzimbeni wabo wegciwane-ngokuvamile bayazi kangcono mayelana nokucabanga kwamanje ku-Graves 'diagnostic and treatment .
Uma Unesifo SaseHashimoto noma i-Hypothyroidism, Qinisekisa Ukubona I-Endocrinologist Ngezikhathi Ezinzima
Iziguli eziningi ze-thyroid zikholelwa ukuthi uma zinesifo sikaHashimoto-isifo esizimele esisodwa esibangela ukuthi igulane libhujiswe-noma i-hypothyroidism-i-thyroid engasebenzi-ukuthi asikho isizathu sokubona i-endocrinologist. Futhi eqinisweni, ngivame ukuphikisana ngokuthi ekunakekeleni okuqhubekayo, i-endocrinologist kungenzeka ukuthi ayiyona into engcono kakhulu .
Nokho, kubalulekile ukuthi ngesikhathi esifanayo kuhlolwe yi-endocrinologist. (Kodwa-ke, phawula ukuthi lokho kunikezwe ukuntuleka kwe-endocrinologists e-US , kungathatha isikhathi ukuthola i-aphoyintimenti.) I-endocrinologist ingenza ucwaningo olunemininingwane ngokugcwele, kanye nokuhleleka noma ukwenza izivivinyo ze-imaging ezingakwazi ukuhlola isakhiwo of gland yakho yegciwane ukuze unqume ukuthi kukhona yini i-goiter (i-gland ekhulisiwe), uma indawo ye-goiter ishaya ukuphefumula noma ukugwinya, uma kune-atrophy ye-gland, uma kukhona ama-nodules, futhi uma kunjalo, uma lezo zinhlayiya ifuna ukuqhubeka uphenyo.
Isizathu esisodwa esibalulekile? Ukuba nesifo sikaHashimoto kwandisa ingozi yokuthuthukisa umdlavuza wegciwane . Odokotela abaningi baphatha kuphela i-hypothyroidism ephumela ku-Hashimoto, ngaphandle kokucatshangelwa kwengozi yomdlavuza okwandisiwe, okwenza ukuhlolwa ngezikhathi ezithile ne-endocrinologist kubaluleke kakhulu.
Lapho Ufuna Ukwelashwa Okuqondile Kwe-Hypothyroidism, Cabanga Ngokwemithi Edidiyelwe Noma Esebenzayo MD, DO noma Ukuchaza I-Naturopath Yezokuphathwa KwamaHlomu Okuqhubekayo
Iziguli eziningi ze-thyroid ziphela i-hypothyroid-nge-thyroid engasebenzi, engasebenzi, noma ehlinzekwe ngokuhlinzwa-futhi izodinga imithi yokwelapha i-hormone ehlala njalo . Kule ndawo lapho ukuhlanganiswa, imithi esebenzayo, ama-MDs ahambisanayo, aphelele, odokotela be-osteopathic (i-DOs) kanye nama- naturopaths (lapho kutholakala khona ilayisensi yokunikeza imithi), ingaba usizo ekunakekeleni kwakho.
Laba odokotela ngokuvamile bazimisele ukuqhuba iphaneli ephelele yokuhlolwa kwe-thyroid- hhayi nje i-TSH, kodwa i-Free T4, i-Free T3, i-antibodies ye-thyroid, ne-Reverse T3-ukusiza ukuxilonga nokuphatha ukwelashwa kwe-thyroid. Ngokuvamile futhi bazimisele kakhulu ukusebenza ngokugcwele imishanguzo yegciwane lengculazi-okungukuthi, izidakamizwa ze-levothyroxine ezifana ne-Synthroid neLevoxyl), izidakamizwa ze-T3 njenge-Cytomel, i-thyroid eshicilelwe njenge-Armor ne-Nature-Thyroid, futhi ihlanganisa izidakamizwa zegciwane, njengesikhathi -i-T3 ekhishwe. Amaprologolologists endabuko kanye nabaqeqeshi be-internists bavame ukuthembela kuphela ekuhlolweni kwe-TSH, futhi bayokwelapha kuphela ngemithi ye-levothyroxine. Ukwengeza, laba odokotela bavame ukubuka umsebenzi ophelele we-hormonal picture- adrenal function , ibhalansi ye-hormone balance , ne- sugar sugar / insulin- futhi unikeze izindlela zemvelo, izinguquko zokuphila, futhi kwezinye izimo, imishanguzo yokwelashwa ukusiza ukubuyisela impilo nokulinganisela.
Ukuze ubone indlela abasebenzi abasha ababheka ngayo ukwelapha okunamandla kwe-hypothyroidism, bheka Abasebenzi Basebenzisa Izindlela Zabo Zokuhlinzeka Ngokuphumelelayo Kwe-Hypothyroidism Ukwelashwa .
Cabanga ngabanye abaSebenzi Ukugcwalisa Ukunakekelwa Kwakho
Uma usuphelile zonke izinketho ezinikezwe odokotela abaningi bendabuko nodokotela bezokwelapha abahlanganisayo, cabangela ukubheka abanye abangakwazi ukweluleka mayelana nezindlela zemvelo zokuphumula komzimba, ukusekela amasosha omzimba noma emathunjini, kanye nezinye izindlela eziphelele. Lapha, ungase ufise ukungenisa i- naturopath , udokotela we- osteopathic , isazi sokudla okunomsoco, isazi se- chiropractor ngokugxila ezindleleni zokudla okunomsoco , noma isazi somzimba wengqondo . (Nakulokhu, khumbula ukuthi emazweni amaningi, i-naturopaths ayikwazi ukubeka imithi, futhi e-US, izidakamizwa ngokomthetho azivunyelwe ukubeka noma yimaphi amadakamizwa odokotela, ngakho-ke ngeke ukwazi ukubeka imishanguzo ye-hormone ye-thyroid.)
Khumbula ukuthi le mihlahlandlela ayinzima futhi iyashesha. Ngezinye izikhathi uzothola udokotela oyinhloko wokunakekelwa noma u-endocrinologist ogxile kakhulu nesithakazelo esifweni se -roid futhi wenza umsebenzi omuhle wokuphatha i-hypothyroidism, isibonelo. Ukwethemba isahlulelo sakho, kanye nokuxhumana okuhle nodokotela wakho , kuzohamba ngendlela ende ekukugcineni endleleni eya empilweni ye-thyroid.
Umthombo:
I-American Cancer Society, "Yiziphi izibalo ezibalulekile mayelana nomdlavuza wegciwane."