Kuzindikira matenda a chithokomiro ndi njira yomwe ingaphatikizepo njira zingapo zofunika, kuphatikizapo kafukufuku wodalirika, kuyesa magazi, zojambula zojambula, ma biopsies ndi kupima matenda, zoyezetsa magazi, ndi mayeso ena ofunikira. Pano, ma chithandizo cha chithokomiro cha kachipatala kafukufuku wa matenda a chithokomiro amafufuzidwa mokwanira kuti mudziwe zomwe muyenera kuyembekezera pa chithokomiro ndi dokotala wanu.
Mbali yofunika kwambiri yowunikira ndi kuyezetsa matenda a chithokomiro ndi munthu wodwala kuchipatala omwe akuyesa kafukufuku wochitidwa ndi dokotala wodziwa zachipatala. Monga mbali ya chithandizo cha chithokomiro chokwanira, dokotala wanu amachita kafukufuku ndikuyesa zotsatirazi.
Mutu wako umve (wotchedwanso "palpating").
Dokotala wanu ayenera kumverera khosi lanu, kufunafuna chithunzithunzi chokulitsa chithokomiro (goiter), mitsempha, mitsempha ndi masulu m'madera ozungulira chithokomiro chanu. Izi zimatchedwa "palpating" chithokomiro. Ophunzira ena amaphunzitsanso chinthu china chodziwika kuti "zosangalatsa" pa palpation. Kukondweretsa ndi pamene wodwala angamve kuti kuwonjezeka kwa magazi kukuwonjezeka mu chithokomiro chanu.
Mvetserani chithokomiro chanu pogwiritsa ntchito stethoscope.
Dokotala wanu ayenera kumvetsera malo anu a chithokomiro, kuti azindikire zomwe zimadziwika kuti "mboni." Chipatso chimatanthauza kuti akamvetsera ndi stethoscope, adokotala amamva phokoso la kuwonjezeka kwa magazi mu chithokomiro.
Yesani malingaliro anu.
Zokhumudwitsa zimakhudzidwa ndi ntchito ya chithokomiro. Wopereka chithandizo chaumoyo wanu ayese kuyesa malingaliro anu ndi kanyumba kakang'ono, kugwirako maondo anu ndi Achilles. Maganizo osamvetsetseka angakhale chizindikiro cha hyperthyroidism , ndipo kugwedezeka kwapang'onopang'ono kungayang'ane ku hypothyroidism.
Onetsetsani kuchuluka kwa mtima wanu, muyeso ndi kuthamanga kwa magazi.
Dokotala wanu ayenera kuyang'ana kuchuluka kwa mtima wanu, muyeso, ndi kuthamanga kwa magazi.
Kuchuluka kwa mtima wa mtima (bradycardia) kungatanthauzenso hypothyroidism, ndipo kuthamanga kwa mtima kwambiri (tachycardia) kungatanthauzire ku hyperthyroidism. Odwala ena omwe ali ndi hypothyroidism amakhala ndi vuto la mtima kapena mitral valve. Ndipo anthu omwe ali ndi hyperthyroidism amakhala ndi zifukwa zosawerengeka monga mafilimu oopsa . Kuthamanga kwa magazi kumagwirizanitsidwa ndi hyperthyroidism, pamene kuthamanga kwa magazi kumakhala kofala mu hyperthyroidism.
Pezani kulemera kwanu.
Muyenera kufika pa scale kuti mupeze kulemera kwatsopano. Kulemera kofulumira kopanda kusintha kwa zakudya kapena kuchita masewera olimbitsa thupi, komanso kulephera kuchepetsa thupi ngakhale kuti chakudya ndi masewera olimbitsa thupi, ndizotheka kuti hypothyroidism iwonetseke. Kutaya thupi popanda kusintha kwa zakudya kapena kuchita masewera olimbitsa thupi, ngakhale ngakhale kudya zambiri, kungayime ku hyperthyroidism.
Pezani kutentha kwa thupi lanu.
Wothandizira zaumoyo wanu ayenera kutenga kutentha kwa thupi lanu. Kutentha kwa thupi kwenikweni kumaonedwa ndi akatswiri ena ngati chizindikiro chotani cha chithokomiro chosagwira ntchito.
Penyani nkhope yanu.
Kufufuza mosamala nkhope yanu ndi gawo lofunika kwambiri pa mayeso. Dokotala wanu akuyang'ana kuperewera kwa tsitsi kumbali ya kunja kwa nsidze, chizindikiro chofala cha hypothyroidism, komanso kudzikuza kapena kutupa kwa maso kapena nkhope, chizindikiro china chofala cha hypothyroidism .
Yang'anani maso anu.
Maso nthawi zambiri amakhudzidwa ndi odwala a chithokomiro, ndipo zizindikiro zomwe zimapezeka m'magulu ndizo: kuphulika kapena kutuluka kwa maso; kuyang'ana mmaso; kubwezeretsedwa kwa mapiko apamwamba; kuyang'ana kwakukulu; kumangomveka mobwerezabwereza. Mwinanso mungakhale ndi chinachake chotchedwa "chivindikiro," pamene maso anu apamwamba samatsata maso pang'ono pamene mukuyang'ana pansi.
Onetsetsani kuchuluka kwa tsitsi lanu.
Kutaya tsitsi kumapangidwa mu chithokomiro chophwima komanso chosagwira ntchito. Mbalame yonyezimira, yoboola kapena yachitsamba ikhoza kuwonetsera ku hypothyroidism. Kupukuta tsitsi, tsitsi lofiira limaloza ku hyperthyroidism.
Penyani khungu lanu.
Matenda a chithokomiro , makamaka hyperthyroidism, akhoza kusonyeza zizindikiro zosiyanasiyana za khungu zomwe zingawonongeke kuchipatala. Izi zimaphatikizapo khungu la chikasu, la jaundiced khungu; khungu losaoneka bwino, khungu; ming'oma; zilonda zamkati za khungu lopweteka pamatambo (odziwika ngati pretibial myxedema kapena Graves 'dermopathy); kapena mabampu ngati mapiritsi pamphumi ndi nkhope (yotchedwa milaria bumps).
Penyani misomali ndi manja anu .
Dokotala wanu ayenera kuyang'ana zizindikiro zokhudzana ndi hyperthyroidism pa misomali ndi manja anu, kuphatikizapo:
- Onycholysis, kulekanitsa msomali kuchokera pamsana wa msomali, womwe umatchedwanso misomali ya Plummer
- Kutupa kwala, kumatchedwanso acropachy
Onaninso zizindikiro zina zachipatala.
Dokotala wanu ayenera kufufuza zizindikiro zina za hyperthyroidism, kuphatikizapo:
- Mitambo
- Manja osakaniza
- Kusuntha kwa hyperkinetic - kujambulitsa tebulo, kugwedeza mapazi, kusuntha kwamphamvu
- Kutsika kwapafupa kwapang'onopang'ono, komwe kumawonedwa kudzera pa DEXA scan kapena x-ray
Dokotala wanu ayenera kufufuza zizindikiro zina za hypothyroidism, kuphatikizapo:
- Kuwonetsera kosaoneka kwa nkhope
- Kuthamanga pang'ono
- Kulankhula pang'ono
- Kuwopsya kwa mawu
- Edema (kutupa) kwa manja ndi / kapena mapazi
Chitsime:
Braverman, MD, Lewis E., ndi Robert D. Utiger, MD. Werner ndi Ingbar's The Thyroid: Mawu Ofunika ndi Otsogolera. 9th ed. , Philadelphia: Lippincott Williams & Wilkins (LWW), 2012.