Ukuhlolwa kwe-Thyroid nokuxilongwa
Ukuthola isifo se-thyroid kuyindlela ehlanganisa izinhlobo ezahlukene zokuhlolwa, kufaka phakathi ukuhlolwa komtholampilo, ukuhlolwa kwegazi, ukuhlolwa kwe-imaging, i-biopsies, nezinye izivivinyo. Ake sibheke izingxenye ezihlukahlukene zenqubo ye-diagnosis ye-thyroid.
Ukuhlolwa Kwemitholampilo Ye-Thyroid
Isici esibalulekile nesisekelo sokuthola nokuhlola isifo se -roid yisimo sokuhlolwa kwemitholampilo.
Ukuhlolwa kwemitholampilo ye-thyroid kufanele kwenziwe ngumsebenzi oqeqeshiwe. Nakuba abanye abasebenza ngokujwayelekile bekwazi ukuhlolwa ngokucophelela kwe-thyroid yakho, i-endocrinologists ivame ukuqeqeshwa kangcono kuzici ezikhethekile zalolu hlelo lokuxilonga.
Njengengxenye yokuhlola okuphelele komtholampilo, udokotela wakho ngokuvamile kufanele enze lokhu kuhlolwa okulandelayo:
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I-Thyroid Yokuvuselela IHormone: Mayelana Ne-TSH Test and Controversies
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Ukuqonda izivivinyo zemiSebenzi ye-Thyroid namaRandi ajwayelekile
- Zizwa (owaziwa nangokuthi "i-palpating") entanyeni yakho, efuna ukukhulisa, izimpumputhe, noma ukungahambisani kahle ngendlela yesimo sakho se-thyroid.
- Lalela i-thyroid yakho usebenzisa i-stethoscope ukuthola ukunyuka kwegazi okwandisiwe.
- Hlola ukucabanga kwakho. Impendulo ye-hyper ingase ibonise ukuthi i-thyroid engasebenzi ngokweqile, futhi impendulo ephikisayo ye-reflex ngokuvamile ihlotshaniswa ne-hypothyroidism.
- Hlola isilinganiso senhliziyo yakho, isigqi, nomfutho wegazi . Isilinganiso senhliziyo esincane kanye / noma ukucindezeleka kwegazi kungahlotshaniswa ne-thyroid engasebenzi, futhi izinga eliphezulu lenhliziyo kanye / noma ukucindezeleka kwegazi ngokuvamile kuxhunyaniswa ne-hyperthyroidism.
- Linganisa isisindo sakho, bese uxoxisana nezinguquko. Inzuzo yesisindo engalindelekile ivame ukuxhunyaniswa ne-hypothyroidism, kanti ukulahlekelwa kwesisindo kuhlanganiswe ne-hyperthyroidism.
- Linganisa izinga lokushisa komzimba. Ukushisa komzimba okuphansi kuhlotshaniswa ne-thyroid engasebenzi, futhi izinga lokushisa eliphakeme kakhulu lihlotshaniswa ne-hyperthyroidism.
- Hlola ubuso bakho ngezinkomba ezihlobene ne-thyroid, kuhlanganise nokulahlekelwa kwamashiya angaphandle, ukukhukhuma emehlweni, nokuhlukumezeka okungavamile.
- Hlola amehlo akho, ubheke izibonakaliso ze-thyroid zakudala, kufaka phakathi amehlo enqwabazelayo, ukubuka okuvelele, nesame omile.
- Gcina inani elijwayelekile kanye nekhwalithi yezinwele zakho. Izinguquko ekubunjweni kwezinwele, kanye nokulahleka kwezinwele nokuphuza, zihlotshaniswa kokubili hyperthyroidism kanye ne-hypothyroidism.
- Hlola isikhumba sakho. Isikhumba, isikhumba esinamahloni sixhunyaniswa ne-hypothyroidism, futhi isikhumba esisheleleka ngokungajwayelekile sihlotshaniswa ne-hyperthyroidism.
- Hlola izipikili zakho nezandla. Emile, izipikili ezinamahloni zixhunyaniswa ne-thyroid engasebenzi.
- Buyekeza ezinye izimpawu nezimpawu zomtholampilo.
(Funda kabanzi ngokuqondene nokuhlolwa komtholampilo ngesifo segciwane nokuthi yini ongayilindela.)
Izivivinyo zegazi le-Thyroid
Uma udokotela wakho esolwa ukuthi unesimo se-thyroid, isinyathelo esibalulekile ukuhlolwa kwegazi ukusiza ekutholeni ukuxilongwa kwegciwane .
Qaphela: Ngaphambi kokuba uhlolwe igazi, uzofuna ukuqonda okukhethwa kukho, ngokulandela isikhathi sokuhlola, nokuthi ngabe ukusheshisa noma / noma ukuthatha imithi noma ngaphambi kokuhlolwa. Ukuze uthole okucacile, funda i-Time Ephelele neMibandela Yezivivinyo Zegazi Ze-Thyroid .
Ukuhlolwa kwegazi okwejwayelekile kufaka okulandelayo:
- Isivivinyo se- Thyroid stimulating Hormone (TSH)
- Ingqikithi ye-T4 / Ingqikithi ye-Thyroxine
- I-Free T4 / Free Thyroxine
- Ingqikithi T3 / Ingqikithi ye-Triiodothyronine
- I-Free T3 / Free Triiodothyronine
- Phindela emuva T3
- I-Thyroglobulin / Ukubophezela I-Globulin / I-TBG
- Ama-antibodies we-Thyroid Peroxidase (TPOAb) / Antithyroid Peroxidase Antibodies
- Ama-Antibodies / i-Antithyroglobulin Antibodies
- Ama-antibodies we-Thyroid Receptor (TRAb)
- I-Immunoglobulins ye-Thyroid-stimulating (TSI)
Ukuhumusha izivivinyo zakho ze-thyroid
Ukuqonda ukuhlolwa okuhlukile, okushoyo, nokuthi ukuhumusha kanjani imiphumela kubalulekile kumguli onolwazi, onikwe amandla. Ukuze uthole ulwazi oluthe xaxa nokuqonda, funda:
Isivivinyo se-TSH
Isivivinyo se-TSH sibhekwa njengabasebenzi abajwayelekile njengesivivinyo "segolide". Kodwa-ke, kukhona ukungavumelani phakathi kwalabo ochwepheshe bezokwelapha ezijwayelekile mayelana nebala elijwayelekile lokubhekisela kuloluhlolo. Lokhu kungavumelani kungathinta noma ngabe udokotela uthola ukuthi unesifo se-thyroid, noma ungabandakanyi ukuxilongwa kwegciwane. Ukuze ufunde kabanzi mayelana nokuhlolwa kwe-TSH, uzofuna ukufunda:
- Ukuvivinya kwe-Thyroid: Iyini iNzinga elijwayelekile le-TSH?
- Uhlobo lwe-TSH olujwayelekile: Kungani Kukhona Ukuphikisana?
- Ingabe i-TSH yakho "evamile" Kodwa usacabanga ukuthi u-Hypothyroid?
Izivivinyo Zomfanekiso We-Thyroid
Uma isifo sakho se-thyroid sikhulisiwe, noma singase sithole i-atrophied, futhi uma sitholakale noma sibhekwa, ama-imaging ahlukahlukene angase ahlolwe ukuze asize ekuxilongweni kwesimo sakho se-thyroid . Lezi zivivinyo zifaka:
- I-Nuclear Scan / i-Iodine Uptake ye-Radio. Lokhu kuhlolwa, okuyaziwa nangokuthi i-RAI-U, kungatshela ukuthi unesifo se-Graves, i-goiter multinodular goiter, noma i-thyroiditis. (Qaphela: akukwenziwa ngesikhathi sokukhulelwa.)
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Kungani Amazinga E-Hormone My Thyroid aguquguqukayo?
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Indlela Yokwenza Ikhosi Ye-Thyroid Hlola: Umhlahlandlela Wokuthatha Isinyathelo Ngesinyathelo
- I-CT Scan . Ukuskena kwe-CT kungasiza ekutholeni nasekuhloleni i-goiter, noma ama-nodules amakhulu kakhulu wegciwane .
- Ukufaniswa kwe-MRI / Magnetic Resonance. I-MRI ingasiza ukuhlola ubungako nokuma kwe-thyroid yakho
- I-Ultrasound ye-Thyroid . I-ultrasound ye-Thyroid ingakwazi ukuhlola ama-nodules, izimpumputhe, nokwandisa kwengubo yakho. I-Ultrasound ingachaza ukuthi ngabe i-nodule yakho ye-thyroid iyigciwane eligcwele amanzi, noma ubuningi bezicubu eziqinile.
Thola kabanzi mayelana nalezi zivivinyo ze-imaging zesifo se-thyroid.
I-Thyroid Biopsy / Impumulo Enhle Yenaliti (FNA) Ukuphikisa
I-biopsy yezinaliti, eyaziwa nangokuthi i-aspine good aspiration (FNA) biopsy, isetshenziselwa ukusiza ukuhlola izimbungulu ze-thyroid kanye namagundane asolisayo. In a biopsy inaliti, inaliti encane ifakwe ngqo kwi-nodule, amanye amaseli ahoxiswa futhi ahlolwe ngomdlavuza. (Abanye abasebenzisa futhi basebenzisa i-ultrasound ngenkathi benza i-biopsy ukuze kuqinisekiswe ukuthi inaliti iya endaweni efanele.) Nakuba amaphesenti angu-95 wezinyosi ze - thyroid ayengumdlavuza , i-FNA, kanye nokuhlolwa okungeziwe njengohlolo lwe- Veracyte Afirma , lingenza imiphumela ye-biopsy yakho inembile kakhulu, futhi kaningi ingakunikeza ukuhlinzekwa okungadingekile kwama-nodules okuba yingozi.
Thola okunye mayelana nokuthi yini ongayilindela kusuka ku- aspection fine aspiration (FNA) biopsy ye-thyroid kule ngqikithi ye-Q & A.
Ezinye izivivinyo nezinqubo zokuhlola
Ngezinye izikhathi abanye basebenzisa ezinye izivivinyo nezinqubo zokubona ukungasebenzi kwegciwane . Ukusetshenziswa kwalezi zivivinyo kubhekwa njengokuphikisana nabasebenzi abavamile, kodwa ezinye zalezi zivivinyo zamukelwa futhi zisetshenziswa phakathi kwamanye ama-odokotela, okubandakanya, nabaphelele. Lezi zivivinyo zifaka:
- Ukuhlolwa kwe-Iodine Patch
- Ukuhlolwa kwe-Saliva
- Ukuhlolwa kwe-Urinary
- Ukuhlolwa kokushisa komzimba okuphansi
Uzofuna ukufunda kabanzi mayelana nalezi zivivinyo ezingavumelani nezifo zesifo ngaphambi kokuba uthembele emiphumeleni yabo.
Ikhefu le-Thyroid Check Self-Test
Ngenkathi kungacatshangwa ukuthi kuhlolwe, ungenza isheke sakho entanyeni yakho, ubuke izitshalo nokukhulisa. Ukuze uthole imiyalelo, sicela ufunde ukuthi ungakwenza kanjani umkhumbi wakho uhlole izifo ze-Thyroid.
Ukuyala izivivinyo zegazi zakho ze-Thyroid
Ngeke ukwazi, kodwa emazweni amaningi ase-US, nakwezinye izindawo ezingaphandle kwe-US, ungahle ulande izivivinyo zakho ze-thyroid. Ezinye iziguli zisebenzisa le ndlela ukuze zihlolwe ngaphambi kokubona udokotela. Kwezinye izimo, kungase kube okungabizi kakhulu ukuba kwenziwe-nge-markup-kudokotela wakho. Noma, i-HMO yakho noma umshuwalense unganciphisa ukuvivinya udokotela wakho angawacela.
Funda kabanzi mayelana nendlela yokulawula ukuhlolwa kwegazi lakho legazi manje.
Ukuthola izimo ze-Thyroid
Ngokusekelwe emiphumeleni yokuhlolwa kwemitholampilo, ukuhlolwa kwegazi kungathola izimo ze -roid ezibalulekile, kufaka phakathi i-hypothyroidism (i-hormone enganele ngokwanele) kanye ne-hyperthyroidism (i-hormone ye-thyroid excess).
I-TSH ephakeme-kanye ne-T4 ephansi / yamahhala T4, namazinga aphansi we-T3 / ama-T3-ahlotshaniswa ne-hypothyroidism. I-TSH ephansi-kanye ne-T4 / i-T4 yamahhala, namazinga aphezulu we-T3 / ama-T3-ihlotshaniswa ne-hyperthyroidism.
Imiphumela ephakanyisiwe ekuhlolweni kwe-antibody ingasiza ekutholeni izifo ze-autoimmune ze-autoimmune ezingahle zidale i-hyperthyroidism, i-hypothyroidism, ama-nodules, noma i-goiter. Esimweni sikaHashimoto, ukuphakama kwama-antibodies eT TPO kubonakala kubonakala, naseGraves 'disease, ukukhuphuka kwamagciwane e-TSI. Futhi ukuhlolwa kwe-T3 okuphikisanayo okubhekene nokuphikisana kubona ukuthi kune-hormone ye-T3 engasebenzi, futhi isetshenziswa odokotela abathile abahlanganisa ukusiza ukungena ukungalingani kwe-thyroid.
Ukuze uthole ama-nodules ne-goiter, ukuhlolwa kwe-imaging kungasiza ekuboneni ukuthi ama-nodules asolisayo, ngaleso sikhathi i-FNA biopsy yenziwa ukuhlola ama-nodules ngezici ezisolisayo ukuze zihlolwe noma zikhishwe umdlavuza we -roid.
Thola mayelana nezivivinyo ezithile zokuhlola i-thyroid nokuthi zisetshenziselwa kanjani ukuxilonga isimo se -roid.
> Umthombo:
I-Braverman MD, Lewis E, Utiger RD. Werner and Ingbar's The Thyroid: Umbhalo Eyisisekelo Nezokwelapha. 9th ed. , Philadelphia: Lippincott Williams & Wilkins (LWW), 2005.