Kodi Mukufunikira Katswiri Wamakono?
Kodi mukufuna katswiri wa chithokomiro?
Nthawi zambiri ndimamva kuchokera kwa odwala a chithokomiro omwe amadabwa ndi dokotala kuti aone chithandizo cha chithokomiro, kapena ndani amadandaula kuti madokotala awo samvetsa momwe angadziwire ndi kuchiza matenda awo a chithokomiro. Ndikulakalaka ndikanakhala ndi njira yothetsera vutoli, ndipo ndikhoza kulangiza wodalirika - mmodzi ndi kusakaniza bwino luso ndi luso - kwa wodwala aliyense.
Koma zoona zake n'zakuti, ambiri a ife tiyenera kukhala ovomerezeka athu, ndipo tidziwa njira yomwe tingapezere dokotala wabwino koposa .
Pali zitsanzo zambiri zomwe muyenera kuziganizira, komabe, zomwe zingakuthandizeni kuti mupeze njira yothetsera dokotala wamkulu.
Dziwani kuti Simungathe Kupeza Zonse Mu Munthu Mmodzi
Nthawi zonse, odwala a chithokomiro amandilembera kuti ndizinena chinachake motsatira ndondomeko ya: "Ndikufuna dokotala wamkulu wa chithokomiro , yemwe angathe kukhala dokotala wanga wamkulu, ali ndi chidziwitso cha chithokomiro chatsopano, ali ndi maganizo otseguka pa chithokomiro cha chilengedwe mankhwala osokoneza bongo, ali ndi mpando wovuta kwambiri pamadzulo, pamadzulo ndi kumapeto kwa masabata, amatenga inshuwalansi, osathamangira mochedwa ndipo sangandiyembekezere, ndipo, o, dokotala sayenera kukhala ndi mphindi 15 kuchokera ine. "
Ngakhale ndikudziwa kuti tonse tikukhumba Dr. Perfect, dokotala amene amatsatira zonsezi ndi nthano. Lingaliro langa loyamba pamene ndimva mtundu wa zofunazi ndikulangiza kuti musamangoganizira zomwe mukuyembekeza, ndikupatseni chofunika kwambiri kwa inu, chifukwa simungathe kupeza dokotala wina yemwe angakwaniritse zosowa zanu zonse.
Mwachitsanzo, akatswiri ochepa a chithokomiro amaperekanso chisamaliro chapadera. Ena mwa madokotala apamwamba a chithokomiro abwino kwambiri ndi amzeru angagwiritse ntchito polisi yaing'ono pamtundu wa pambali. Ngati dokotala ali mu HMO wanu kapena atatenga inshuwalansi, mwina sakufuna kugwira ntchito ndi mankhwala osokoneza bongo. Ndipo ndikudziwa odwala a chithokomiro omwe akuyendetsa maola oyendetsa galimoto - ena amakhala ngakhale maola ouluka - kuti awone madokotala aakulu a chithokomiro.
Kwa ine ndekha, pamene ndakhala ndikuchiritsidwa ndi dokotala kwa zaka zoposa khumi chifukwa cha chithandizo changa cha chithokomiro, samatenga inshuwaransi iliyonse, nthawi zina amathamanga mochedwa, ndipo samagwira mankhwala alionse oyamwitsa. Dokotala aliyense ali ndi mndandanda wake wa zopindulitsa ndi zamwano.
Mwina simungathe kupeza zonse zomwe mumazifuna mwa munthu m'modzi, choncho sankhani zomwe zili zofunika kwambiri kwa inu, ndi zomwe ziri zenizeni - mwachitsanzo, ngati palibe njira yomwe mumatulutsira m'thumba, kapena kuyenda ulendo wautali onani dokotala, izi ndi zofunika kwambiri.
Sankhani Dokotala Wabwino pa Zofunikira Zanu
Potsirizira pake, dokotala amene mumasankha chithandizo chanu cha chithokomiro chimadalira zifukwa zingapo, kuphatikizapo chikhalidwe chanu, zomwe mungakwanitse, malo anu, ndi kupezeka kwa madokotala m'deralo, pakati pa zina.
Odwala ena a chithokomiro ndi odokotala amaganiza kuti munthu wotchedwa endocrinologist - mtundu wa katswiri yemwe amachititsa matenda a endocrine monga matenda a chithokomiro ndi shuga - nthawi zonse ndizofunikira pa nkhani za chithokomiro. Ndipo ngati muli ndi matenda a Graves, hyperthyroidism, mitsempha, goiter, akuganiza kuti khansa ya chithokomiro , kapena matenda a maso a chithokomiro , ndiye katswiri wamaphunziro otchuka kwambiri. Ndipo ngati muli ndi matenda atsopano a Hashimoto's thyroiditis - matenda omwe amachititsa kuti thupi liziyambitsa hypothyroidism - ndinganene kuti mwina kuyesa koyambirira kwa katswiri wamaganizo ndi maganizo abwino.
Bungwe la American Association of Clinical Endocrinologists limakhala ndi mndandanda wa akatswiri ovomerezeka, ndipo American Thyroid Association imakhala ndi intaneti ya Thyroid Specialist Database yomwe imalembetsa olemba maphunziro a zachipatala ku United States.
Kumbukirani, komabe, tikukumana ndi kusowa kwakukulu kwa ochita masewero otchedwa endocrinologists ku United States . Odwala matenda odwala matenda a shuga ndi omwe ali patsogolo pa mliri wa matenda a shuga, komanso amatha kudwala matenda a chithokomiro, matenda a mitsempha ya m'mimba, kusabereka, komanso matenda ena ambirimbiri, choncho amafuna kwambiri kuposa momwe angaperekere. Izi zikutanthauza kuti mndandanda wa zodikira ukhoza kukhala miyezi yambiri kuti muwone katswiri wa zamaganizo, ndipo chikhalidwechi chidzaipiraipirabe ngati kusowa kwake kumakhala kovuta kwambiri.
Khansara ya chithokomiro imakhala yosawerengeka, ndipo ngakhale akatswiri ena a sayansi ya zakuthambo sadziwa zambiri. Kotero ngati muli ndi khansa ya chithokomiro, mukufunitsitsa kukaonana ndi dokotala - kawirikawiri ndi katswiri wa zamaganizo - yemwe ali ndi luso lalikulu, lodziwika bwino lomwe amagwira ntchito makamaka ndi odwala khansa ya chithokomiro. Sikokwanira kungowona katswiri wamagetsi, kapena dokotala wa opaleshoni wamutu; onani katswiri wa khansa ya chithokomiro. Chithokomiro-Cancer.net chiri ndi mndandanda wa akatswiri, ndipo gulu la a kansa la Survivor's Association limanenanso mndandanda wa akatswiri a khansa ya chithokomiro ku United States ndi m'mayiko ena.
Odwala opaleshoni ya chithokomiro amaoneka kuti ndi otsika kwambiri kuposa opaleshoni ya chithokomiro , ndipo amachititsa maopaleshoni ambiri a chithokomiro pachaka, choncho ngati mukufunikira opaleshoni ya chithokomiro, onanidi dokotala wodziŵa chithandizo cha chithokomiro. Nkhani yanga yokhudzana ndi dokotala wa opaleshoni ya chithokomiro imaphatikizapo zolemba zosiyanasiyana zomwe zimagwiritsidwa ntchito kwa opaleshoni ya chithokomiro.
Monga wotsogolera wodwala , ndingatsutsane kuti katswiri wa sayansi yamakono kapena katswiri wa sayansi ya chithokomiro sikuti ndibwino kwambiri kwa aliyense amene ali ndi vuto la chithokomiro , makamaka ngati muli ndi mavuto a chithokomiro omwe madokotala akukana kuchiza, kapena ngati muli ndi hypothyroid, Ndikumverera bwino pa chithandizo chanu, koma dokotala sakufuna kukupatsani njira zina. Pazochitikazi, odwala nthawi zambiri amatembenukira kwa madokotala ena - kuchokera kwa azinthu akuluakulu, kupita ku internists, kupita kwa madokotala onse, odwala matenda osteopathic , kwa amayi odwala. Madokotala ochokera m'madera osiyanasiyana amadziwika bwino kwambiri pakudziŵa ndi kuchiza kusamvana kwa mahomoni, kuphatikizapo chithokomiro. Kuti apeze madokotala awa, odwala ena amagwiritsa ntchito mauthenga operekedwa ndi American Holistic Medical Association, deta ya madokotala omwe amapereka mankhwala okhudza zakumwa zakutchire komanso mankhwala otchuka a Thyroid Top Doctors, pakati pazinthu zina.
Khalani Ofunitsitsa Kulipira Ngati Mungathe, Ngati Akufunika
Ngati muli ndi HMO, kapena mutenga nawo inshuwalansi ya zachipatala, kapena muli ndi chithandizo chamankhwala kuchokera ku usilikali wa US, kapena mumakhala kunja kwa US ndipo mutha kulandira chithandizo chamankhwala chothandizidwa ndi boma, monga National Health Service ku United Kingdom, kumeneko ndizovuta komanso zowononga chithandizo cha chithokomiro chomwe mungalandire.
Ngati mukusowa thandizo la munthu wodalirika, muyenera kukhala bwino, chifukwa njira zamankhwala zamtunduwu zimakhala ndi akatswiri oyenerera omwe angakuchitireni.
Ngati muli ndi matenda a chithokomiro, kapena simukuchita bwino muyezo wa levothyroxine, komabe mungathe kukhumudwa ndi madokotala omwe muli nawo, komanso kuti madokotalawa azisamalira chithandizo cha chithokomiro .
Mudzapeza kuti madokotala a machitidwe osiyanasiyana samaloledwa kugwiritsa ntchito mayeso atsopano kapena otsutsana, monga kuyerekezera kwa Free T3, mayesero a T3, mankhwala a T3 , ndi mankhwala ochizira athanzi, ndipo nthawi zambiri sangathe kugwiritsa ntchito nthawi kuthandizira kudziwa, kuyesa, kupeza ndi kuthana ndi zosawerengeka zowonongeka.
Madokotala omwe ali mbali ya ma HMO, kubwezeredwa ndi makampani a inshuwalansi, kapena omwe ali mbali ya mapulogalamu othandizira zaumoyo a boma, ayenera kutsata ndondomeko za boma zomwe zimakhazikitsidwa ndi makampani kapena mabungwe omwe amafotokoza mosamala zoyesayesa ndi chithandizo cha mankhwala ndizoyeso ya chisamaliro , ndi perekani malire a nthawi yoyendera maofesi. Ma HMO, mabungwe a inshuwalansi ndi mapulogalamu a zaumoyo a boma amafunikira madokotala kutsata njira zopapatiza komanso zowonongeka, monga kudalira matenda a TSH kuti apeze matenda ndi kugwiritsidwa ntchito, komanso kugwiritsa ntchito mankhwala okhaokha monga Synthroid pofuna kutulutsa mahomoni .
Pamene mukusowa chithandizo cha chithokomiro chothandizira, mungasankhe kulimbana ndi dongosolo, inde. Koma zimatha kumenyana kolimba, ndipo simungapambane. Nthawi zina mungakumane ndi dokotala wodalirika yemwe ali wokonzeka kuganiza kunja kwa bokosi m'malo mwanu. Ngati mutero, gwiritsani ntchito mgwirizano umenewo, ndipo mukhulupirire kuti dokotalayo sasamuka kapena kuchoka kapena kuthamangitsidwa! Kawirikawiri, njira yabwino kwambiri yothetsera vutoli ndiyo kulipira mthumba kuti muwone dokotala wamkulu.
Ndamva odwala akunena kuti si zabwino, ndipo amakana kulipira zina zomwe akuganiza kuti akuyenera kutenga monga gawo la utumiki wawo. Khulupirirani ine, ndimamvetsa kukhumudwa, ndipo sikulondola, ndipo zimawoneka ngati zopusa kuti muzipereka zina zowonjezera. Koma zoona zake n'zakuti, ngati mungakwanitse, kuyendera kangapo ndi dokotala wodziwa bwino kungatanthauze kubwerera ku umoyo wabwino, poyerekezera ndi zaka zomwe zimamenyana ndi madokotala, pamene mukulimbana ndi matenda aakulu.
Dziwani Pamene Ndi Nthawi Yopitilira Pachiwiri kapena Dokotala Watsopano
Pomalizira, ndikuganiza kuti ndifunika kudziwa nthawi yoyenera kutsata malingaliro atsopano ndi malingaliro atsopano.
Nthawi zina, mukamaganiza kuti dokotala wanu angagwiritse ntchito maso ena kuti awone, vuto lina lingakhale kuwonjezera pakumasamalira kwanu. Ndikofunika kudziwa nthawi yomwe wodwala wa chithokomiro akufuna nthawi yachiwiri . Komabe, nthawi zina, lingaliro lachiwiri silikwanira, ndipo ndi nthawi yeniyeni ya dokotala watsopano . Ambiri aife tikukayikira "kuwotcha" dokotala, koma nthawi zambiri ndilo gawo loyamba lofunika pa umoyo. Phunzirani za zizindikiro 10 zomwe mukusowa dokotala watsopano wa chithokomiro . Ndipo ngati mukudzifunsa kuti ndi nthawi yanji, mvetserani zomwe odwala ena anena nazo. Odwala okwana 130 amatha kufotokoza nkhani zawo za momwe amadziwira kuti inali nthawi ya dokotala watsopano wa chithokomiro . Mutha kuzindikira zomwe mukukumana nazo, kapena mukukakamizika kunena nkhani yanu yomwe mumadziwa kuti ndi nthawi yoti mupeze dokotala watsopano pa chithandizo chanu cha chithokomiro.