Kodi Ndi Mtundu Wotani wa Thanzi Kodi Mukufunikira?
Anthu ambiri amaganiza kuti dokotala wabwino kwambiri pofuna kuchiza matenda onse a chithokomiro ndi katswiri wamagetsi.
Endocrinology ndipadera yomwe imapereka maphunziro apamwamba mu njira ya endocrine -yomwe imaphatikizapo zozizira zosiyanasiyana ndi ziwalo monga chithokomiro, zikondamoyo, mazira, ma testes, ndi mazira a adrenal, pakati pa ena. Ambiri mwa akatswiri otchedwa endocrinologist amagwiritsa ntchito chithandizo cha shuga.
Posachedwapa, chiwerengero chowonjezeka chikuwoneka bwino m'dera lopindulitsa la chiberekero cha kubereka (omwe amadziwidwanso kuti "madokotala ozala.") Pokhala okalamba, akatswiri a zachipatala amatchulidwanso kuti athandizidwe kuti athetse matenda a mitsempha.
Chodabwitsa n'chakuti, ngakhale kuti matenda a chithokomiro akufala, ochepa okha amatha kusankha ntchito yawo pa chithandizo cha chithokomiro ndi chithandizo cha chithokomiro. Anthu amene amagwira ntchito ndi odwala chithokomiro amayamba kuganizira kwambiri za matenda a kanseri, chithokomiro , ndi matenda a Graves. Gulu laling'ono la akatswiri a zachipatala limafuna kudzisiyanitsa okha, ndipo limadzitcha okha ngati "akatswiri a chithokomiro." Akatswiri a chithokomiro amayamba kukhala akatswiri a zachipatala.
Ngati muli ndi vuto la chithokomiro, kodi mumasowa katswiri wamagetsi? Yankho lake: Odwala ambiri a chithokomiro safunikira katswiri wa zamagetsi. Zikumveka zosayenerera kunena izi, koma nthawi zina, katswiri wa sayansi yamakono kapena katswiri wa chithokomiro sangakhale osankhidwa bwino.
Kodi ndi liti pamene muyenera kugwiritsa ntchito katswiri wamagetsi?
Choyamba, ngati muli ndi khansara ya chithokomiro, muyenera kuwona katswiri wamagetsi. Kumbukirani kuti simungangotenga katswiri wina aliyense wamtundu wazinthu. Inu mumangofuna munthu yemwe ali ndi luso lochizira odwala khansa ya chithokomiro. Popeza khansa ya chithokomiro sinali yofala kwambiri-pafupifupi 50,000 amwezi pachaka amapezeka ku US-ambiri otchedwa endocrinologists sangathe konse kupeza kapena kuchiza khansa ya chithokomiro.
(Chitsime chabwino chopeza madokotala omwe amadziwika bwino kuti apeze khansa ya chithokomiro ndi kuchiza ndi Association of Survivors 'Association).
Chachiwiri, ngati muli ndi matenda akuluakulu a chithunzithunzi , chithokomiro chimagwedezeka, kapena goiter, onani katswiri wamagetsi. Koma kachiwiri, mufunikira katswiri wodziwa za matenda a chithokomiro amene ali ndi luso lapadera lochizira odwala chithokomiro. Simukufuna katswiri wokhudzana ndi shuga yemwe amasamalira wodwala chithokomiro apa ndi apo pambali. The American Thyroid Association "Pezani Katswiri Wapadera" kapena zolemba za endocrinologist zomwe zalembedwa mu Tsamba la Top Docs Directory ndizothandiza.
Chachitatu, ngati muli ndi pakati ndipo muli ndi vuto la chithokomiro , kapena muli ndi mwana wakhanda kapena mwana wamng'ono yemwe amapezeka ndi matenda a chithokomiro, wonani katswiri wamagetsi. Ndikofunika kwambiri kusamalira chithokomiro chanu pa nthawi yomwe muli ndi mimba, chifukwa chithandizo choyipa chingawononge mimba yanu ndikumabweretsa mavuto kwa mwana wakhanda. Ndipo kuthandizira zokhudzana ndi chithokomiro mwa ana obadwa kumene ndi ana aang'ono kumagwiritsidwa ntchito bwino ndi katswiri wamaphunziro a sayansi ya zakuthambo osati chinachake chimene chiyenera kuti chizisiyidwe kwa dokotala wa ana.
Kodi ndi dokotala wotani amene ayenera kuchita opaleshoni ya chithokomiro?
Pamene mukufunikira opaleshoni kuchotsa zonse kapena gawo lanu la chithokomiro, sankhani dokotala wa opaleshoni amene ali katswiri pa opaleshoni ya chithokomiro.
Kumbukirani kuti ambiri makutu / mphuno / mmero ndi opaleshoni ambiri sachita opaleshoni; ndipo mudzafuna dokotala wa opaleshoni amene amachita opaleshoni yambiri ya chithokomiro pachaka, pamapeto pake. Kuti mudziwe zambiri, werengani Kupeza Chithandizo Chachikulire cha Chithokomiro .)
Kodi ndi liti pamene muyenera kuganizira dokotala kupitirira wodwalayo?
Ngati muli ndi "zovuta kuti mupeze" kusamvana kwa chithokomiro, matenda a chithokomiro monga Hashimoto, matenda a chithokomiro / m'mphepete mwachindunji, TSH koma zizindikiro za chithokomiro, kapena mukuchiritsidwa ndi hypothyroidism koma simukumva bwino, ambiri otchedwa endocrinologists mwinamwake si abwino kwambiri kwa inu.
Chifukwa chiyani?
Pali zifukwa zingapo. Choyamba, tili ndi kufooka koopsa kwa dziko lonse kwa akatswiri a zachipatala , kotero sizingakhale zosavuta kuti tipeze odziwa zamaginito. Pakalipano, pali anthu okwana 4,000 okhulupirira zachipatala ku United States omwe akutumikira anthu ambirimbiri a ku America omwe ali ndi matenda a shuga, matenda obereka, polycystic ovary syndrome, osteoporosis, matenda a Graves, khansara ya chithokomiro, mitsempha ya chithokomiro, etc. ziyenera kuwonedwa ndi katswiri wamagetsi. Ameneyo ndiye mmodzi wa anthu 25,000 omwe amafunikira imodzi. Ndipo, oposa 150 okha kapena atsopano a endocrinologist akubwera kuchokera ku maphunziro apadera chaka chilichonse.
Chachiwiri, kuperewera kotereku, akatswiri ambiri otchedwa endocrinologists sangathe kuchita ntchito zowononga nthawi, kapena odwala, omwe ali ndi odwala omwe alibe mankhwala omwe amawoneka kuti ndi owopsa. Izi zikutanthauza kuti odwala omwe ali ndi zofanana ndi za Hashimoto, kapena amene akuchiritsidwa ndi hypothyroidism koma adakali ndi zizindikiro, nthawi zambiri amadziwika kuti ndi ofunika kwambiri ndi okhulupirira zachipatala. (Izi sizikutanthauza kuti Hashimoto ndi hypothyroidism sizowonongeka ndipo ziri zoyenera kusamalidwa kwambiri. Komabe, asayansi amazindikira kuti iwo ndi ovuta, apamwamba, kapena omwe amawopsa chifukwa cha chithokomiro. matenda a shuga ndi mavuto aakulu a chithokomiro, akatswiri ena a sayansi yotchedwa endocrinologist adanena mosapita m'mbali kuti Hashimoto ndi hypothyroidism safuna katswiri.)
Chachitatu, kulumikizako ndikulingalira kwakukulu. Kaŵirikaŵiri mumayenera kuyembekezera miyezi kuti mukhale ndi nthawi yokhala ndi munthu wotchedwa endocrinologist. Ngakhale apo, kusankhidwa kwanu kungakhaleko kwa mphindi zingapo. (Nthaŵi zina, mungawoneke ndi wothandizira wa dokotala, ndipo musamuwone munthu wodziwa zachipatala mwiniwakeyo.) Mukafika kukawona dokotala mwachindunji, akatswiri ena amatha kukhala ngati "akuwononga nthawi yawo" ngati mukubwera iwo ali ndi mayendedwe a chithokomiro cha m'mphepete mwa mzere, kapena " kuyerekeza " TSH kuyesa koma kupitiriza zizindikiro . Ambiri omwe amakhulupirira zachipatala amatsata mwatsatanetsatane njira zogwirira ntchito za mabungwe awo amodzi, kotero kuti mumapezeka kuti mumapezeka ndikutsatiridwa motsatira ndondomeko za mankhwala, monga American Association of Clinical Endocrinologists (AACE).
Malamulo a AACE amanena kuti kusunga chithokomiro kumafuna kuti zomwe akunena ndizo "njira zitatu zosavuta:" (1) kuyesa kugwiritsa ntchito mayeso a TSH, (2) kuika levothyroxine kotero wodwalayo ali " mwachisawawa " ndi (3) kutsatira ndi test TSH iliyonse miyezi 6 kapena 12. Ambiri mwa akatswiri otchedwa endocrinologists sakhala omasuka kuwonjezera mankhwala a levothyroxine ndi mankhwala a T3 , ngakhale kuti pali maphunziro ena omwe amasonyeza phindu kwa odwala ena . Ndipo akatswiri ambiri otchedwa endocrinologist samapereka chilengedwe chodziwika ndi mankhwala okhudzana ndi chithokomiro monga Zida kapena Chilengedwe.
Kodi mitundu iwiri ya akatswiri a chithokomiro ndi yotani?
Odwala chithokomiro ndi anthu omwe akudwala chithokomiro akuyamba kuzindikira kuti pakuchita, matenda a chithokomiro angafunike mitundu iwiri yosiyana ya "akatswiri:"
- Kuzindikira ndi chithandizo cha chithokomiro chowopsa chiyenera kuchitidwa ndi akatswiri otchedwa endocrinologists
- Kuzindikira ndi chithandizo chachinsinsi cha hypothyroidism ndi kupititsa patsogolo chithandizo cha hypothyroidism chingachititse odwala ambiri kuchita bwino ndi akatswiri a mahomoni.
"Akatswiri" a hymone balance and hypothyroidism amapezeka mumayendedwe osiyanasiyana ndi apadera, kuphatikizapo:
- madokotala ophatikizana
- madokotala opindulitsa
- MDs
- madokotala osteopathic
- madokotala otchedwa naturopathic
- odana ndi okalamba
- azimayi
- kusamba kwa mimba ndi akatswiri okhulupirira a hormone
- aphunzitsi ogwira ntchito zapamwamba komanso odwala omwe ali ndi chidwi chokhudzana ndi chithokomiro ndi mahomoni odwala awo.
Kodi muyenera kulingalira liti kusintha madokotala ?
Pali okhulupirira ena omwe amakhulupirira kuti amapereka matenda a Hashimoto ndi odwala hypothyroid mozama komanso mosamalitsa. Ngati inu muli pansi pa chisamaliro cha katswiri wamaphunziro odziwa bwino zachilengedwe, pitirizani kuchita zomwe zikugwira ntchito.
Komabe, ngati mukuwona katswiri wa zamaganizo ndipo mukukhumudwa ndi zomwe mukuganiza kuti ndi zopereŵera mu njira yowunikira ndi mankhwala, mungafunike kuthandizidwa kulingalira mtundu wina wa dokotala. Werengani momwe Odwala Chithokomiro Angapezere Udokotala Woyenera pa Thandizo Lathu la Chithokomiro kuti mudziwe zambiri.
Mawu ochokera
Chisankho chofuna kupeza dokotala watsopano pa chisamaliro chanu cha chithokomiro ndi chovuta kwambiri kuposa momwe ambirife tingaganizire. Ubale ndi dokotala ndi munthu weniweni, ndipo sikuli kovuta kupeza masewero oyenerera, makamaka pamene ife tiri ochepa ndi geography, HMOs ndi inshuwalansi. Kumbukirani kuti mu ubale wa wodwala , ndinu wothandizira, ndipo dokotala akupereka ntchito. Ndipo ngati utumiki umenewo sungakwaniritse zosowa zanu, chinthu chabwino kwambiri chomwe mungachite kuti mukhale ndi thanzi labwino ndi kupeza dokotala woyenera yemwe angakwaniritse zosowa zanu. Koma mungadziwe bwanji kuti nthawi yomaliza dokotala watsopano wa chithokomiro ndi yotsiriza? Nazi zizindikiro 10 zomwe mumasowa dokotala watsopano wa chithokomiro .
> Chitsime:
> Lash, Robert, MD. "Endocrinology: Kukula Kowonjezera, Koma Kugwira Ntchito Kwambiri." Cholinga cha Endocrine Society. June 2017.